LAPORAN TAMBAHAN KUNJUNGAN PUSKESMAS

UPT. PUSKESMAS KINTAMANI III

KABUPATEN BANGLI
BULAN/TAHUN JANUARI 2023

RAWAT JALAN JENIS KUNJUNGAN

NO KUNJUNGAN B L JML UMUM JKN Non PBI

L P L P L P L P L P
1 DALAM WILAYAH 781 72 213 216 994 288 91 60 76 75

1. LUAR WILAYAH DLM KABUPATEN 6 7 4 5 10 12 5 7 0 1

2
2. LUAR WILAYAH LUAR KABUPATEN 11 10 5 19 16 29 12 27 0 2

JUMLAH 798 89 222 240 1020 329 108 94 76 78

Mengetahui
Kepala UPT Puskesmas Kintamani III

I Wayan Wardana, SKM

NIP. 196905141990031008
 LAPORAN TAMBAHAN KUNJUNGAN PUSKESMAS
UPT. PUSKESMAS KINTAMANI III
KABUPATEN BANGLI
BULAN/TAHUN Pebruari 2023

RAWAT JALAN JENIS KUNJUNGAN

NO KUNJUNGAN B L JML UMUM JKN Non PBI

L P L P L P L P L P
1 DALAM WILAYAH 51 38 270 239 321 277 66 66 11 4

1. LUAR WILAYAH DLM KABUPATEN 6 9 5 8 11 17 7 7 3 8

2
2. LUAR WILAYAH LUAR KABUPATEN 4 7 29 2 33 9 27 5 3 5

JUMLAH 61 54 304 249 365 303 100 78 17 17

Mengetahui
Kepala UPT Puskesmas Kintamani III

I Wayan Wardana, SKM

NIP. 196905141990031008
 LAPORAN TAMBAHAN KUNJUNGAN PUSKESMAS
UPT. PUSKESMAS KINTAMANI III
KABUPATEN BANGLI
BULAN/TAHUN Maret 2023

RAWAT JALAN JENIS KUNJUNGAN

NO KUNJUNGAN B L JML UMUM JKN Non PBI

L P L P L P L P L P
1 DALAM WILAYAH 47 38 285 254 332 292 71 57 20 10

1. LUAR WILAYAH DLM KABUPATEN 12 15 7 11 19 26 12 9 0 0

2
2. LUAR WILAYAH LUAR KABUPATEN 6 7 35 9 41 16 25 5 0 0

JUMLAH 65 60 327 274 392 334 108 71 20 10

Mengetahui
Kepala UPT Puskesmas Kintamani III

I Wayan Wardana, SKM

NIP. 196905141990031008
 LAPORAN TAMBAHAN KUNJUNGAN PUSKESMAS
UPT. PUSKESMAS KINTAMANI III
KABUPATEN BANGLI
BULAN/TAHUN April 2023

RAWAT JALAN JENIS KUNJUNGAN

NO KUNJUNGAN B L JML UMUM JKN Non PBI

L P L P L P L P L P
1 DALAM WILAYAH 45 37 332 324 377 361 56 64 9 2

1. LUAR WILAYAH DLM KABUPATEN 10 11 8 12 18 23 12 12 0 0

2
2. LUAR WILAYAH LUAR KABUPATEN 8 9 32 19 40 28 31 19 0 0

JUMLAH 63 57 372 355 435 412 99 95 9 2

Mengetahui
Kepala UPT Puskesmas Kintamani III

I Wayan Wardana, SKM

NIP. 196905141990031008
 LAPORAN TAMBAHAN KUNJUNGAN PUSKESMAS
UPT. PUSKESMAS KINTAMANI III
KABUPATEN BANGLI
BULAN/TAHUN Mei 2023

RAWAT JALAN JENIS KUNJUNGAN

NO KUNJUNGAN B L JML UMUM JKN Non PBI
L P L P L P L P L P
1 DALAM WILAYAH 40 39 317 286 357 325 74 68 9 5
1. LUAR WILAYAH DLM KABUPATEN 5 3 8 9 13 12 12 8 0 0
2
2. LUAR WILAYAH LUAR KABUPATEN 16 16 8 17 24 33 24 31 0 0
JUMLAH 61 58 333 312 394 370 110 107 9 5

Mengetahui
Kepala UPT Puskesmas Kintamani III

I Wayan Wardana, SKM

NIP. 196905141990031008
 LAPORAN TAMBAHAN KUNJUNGAN PUSKESMAS
UPT. PUSKESMAS KINTAMANI III
KABUPATEN BANGLI
BULAN/TAHUN Juni 2023

RAWAT JALAN JENIS KUNJUNGAN

NO KUNJUNGAN B L JML UMUM JKN Non PBI
L P L P L P L P L P
1 DALAM WILAYAH 53 40 251 320 304 360 80 73 73 83
1. LUAR WILAYAH DLM KABUPATEN 18 11 14 12 32 23 14 17 0 0
2
2. LUAR WILAYAH LUAR KABUPATEN 11 0 12 3 23 3 19 3 1 0
JUMLAH 82 51 277 335 359 386 113 93 74 83

Mengetahui
Kepala UPT Puskesmas Kintamani III

I Wayan Wardana, SKM

NIP. 196905141990031008
 LAPORAN TAMBAHAN KUNJUNGAN PUSKESMAS
UPT. PUSKESMAS KINTAMANI III
KABUPATEN BANGLI
BULAN/TAHUN Juli 2023

RAWAT JALAN JENIS KUNJUNGAN

NO KUNJUNGAN B L JML UMUM JKN Non PBI
L P L P L P L P L P
1 DALAM WILAYAH 64 53 250 322 314 375 68 85 25 24
1. LUAR WILAYAH DLM KABUPATEN 26 22 13 11 39 33 23 16 0 17
2
2. LUAR WILAYAH LUAR KABUPATEN 13 6 8 9 21 15 21 13 0 1
JUMLAH 103 81 271 342 374 423 112 114 25 42

Mengetahui
Kepala UPT Puskesmas Kintamani III

I Wayan Wardana, SKM

NIP. 196905141990031008
 LAPORAN TAMBAHAN KUNJUNGAN PUSKESMAS
UPT. PUSKESMAS KINTAMANI III
KABUPATEN BANGLI
BULAN/TAHUN Agustus 2023

RAWAT JALAN JENIS KUNJUNGAN

NO KUNJUNGAN B L JML UMUM JKN Non PBI
L P L P L P L P L P
1 DALAM WILAYAH 48 55 267 290 315 345 59 59 96 73
1. LUAR WILAYAH DLM KABUPATEN 22 19 14 12 36 31 32 31 0 0
2
2. LUAR WILAYAH LUAR KABUPATEN 9 5 6 4 15 9 62 47 2 2
JUMLAH 79 79 287 306 366 385 153 137 98 75

Mengetahui
Kepala UPT Puskesmas Kintamani III

I Wayan Wardana, SKM

NIP. 196905141990031008
 LAPORAN TAMBAHAN KUNJUNGAN PUSKESMAS
UPT. PUSKESMAS KINTAMANI III
KABUPATEN BANGLI
BULAN/TAHUN September 2023

RAWAT JALAN JENIS KUNJUNGAN

NO KUNJUNGAN B L JML UMUM JKN Non PBI
L P L P L P L P L P
1 DALAM WILAYAH 53 42 276 299 329 341 89 68 21 18
1. LUAR WILAYAH DLM KABUPATEN 24 19 8 14 32 33 25 15 0 0
2
2. LUAR WILAYAH LUAR KABUPATEN 11 10 15 11 26 21 24 19 0 1
JUMLAH 88 71 299 324 387 395 138 102 21 19

Mengetahui
Kepala UPT Puskesmas Kintamani III

I Wayan Wardana, SKM

NIP. 196905141990031008
JENIS KUNJUNGAN
KUNJUNGAN KASUS
JKN PBI JML B L KKL JML

L P L P L P L P L P L P
135 91 302 226 115 91 180 177 12 41 307 309
4 6 9 14 7 8 2 4 0 0 9 12
3 1 15 30 11 13 7 4 0 0 18 17

142 98 326 270 133 112 189 185 12 41 334 338

Belantih
Petugas,

Putu Emmy Priyanti

NIP. 198804152010012000
JENIS KUNJUNGAN
KUNJUNGAN KASUS
JKN PBI JML B L KKL JML

L P L P L P L P L P L P
260 209 337 279 79 64 163 139 114 82 356 285
1 2 11 17 8 12 3 5 1 6 12 23
2 0 32 10 15 8 17 2 6 2 38 12

263 211 380 306 102 84 183 146 121 90 406 320

Belantih
Petugas,

Putu Emmy Priyanti

NIP. 198804152010012000
JENIS KUNJUNGAN
KUNJUNGAN KASUS
JKN PBI JML B L KKL JML

L P L P L P L P L P L P
244 221 335 288 69 66 168 125 0 0 237 191
11 12 23 21 19 12 10 7 0 0 29 19
9 7 34 12 18 7 15 7 0 0 33 14

264 240 392 321 106 85 193 139 0 0 299 224

Belantih
Petugas,

Putu Emmy Priyanti

NIP. 198804152010012000
JENIS KUNJUNGAN
KUNJUNGAN KASUS
JKN PBI JML B L KKL JML

L P L P L P L P L P L P
291 239 356 305 94 70 193 147 0 0 287 217
11 6 23 18 11 7 33 10 0 0 44 17
9 9 40 28 14 11 32 11 0 0 46 22

311 254 419 351 119 88 258 168 0 0 377 256

Belantih
Petugas,

Putu Emmy Priyanti

NIP. 198804152010012000
JENIS KUNJUNGAN KUNJUNGAN KASUS
JKN PBI JML B L KKL JML
L P L P L P L P L P L P
274 252 357 325 66 58 174 112 0 0 240 170
2 3 14 11 8 5 4 3 0 0 12 8
0 2 24 33 18 26 6 7 0 0 24 33
276 257 395 369 92 89 184 122 0 0 276 211

Belantih
Petugas,

Putu Emmy Priyanti

NIP. 198804152010012000
JENIS KUNJUNGAN KUNJUNGAN KASUS
JKN PBI JML B L KKL JML
L P L P L P L P L P L P
150 205 303 361 105 98 188 236 11 25 304 359
18 6 32 23 20 12 12 11 0 0 32 23
0 0 20 3 12 1 11 2 0 0 23 3
168 211 355 387 137 111 211 249 11 25 359 385

Belantih
Petugas,

Putu Emmy Priyanti

NIP. 198804152010012000
JENIS KUNJUNGAN KUNJUNGAN KASUS
JKN PBI JML B L KKL JML
L P L P L P L P L P L P
221 265 314 374 106 107 200 234 6 81 312 422
15 1 38 34 26 22 13 11 0 0 39 33
0 1 21 15 13 7 8 8 0 0 21 15
236 267 373 423 145 136 221 253 6 81 372 470

Belantih
Petugas,

Putu Emmy Priyanti

NIP. 198804152010012000
JENIS KUNJUNGAN KUNJUNGAN KASUS
JKN PBI JML B L KKL JML
L P L P L P L P L P L P
157 211 312 343 95 96 204 209 26 47 325 352
4 0 36 31 22 18 14 13 0 0 36 31
67 55 131 104 59 47 72 57 0 0 131 104
228 266 479 478 176 161 290 279 26 47 492 487

Belantih
Petugas,

Putu Emmy Priyanti

NIP. 198804152010012000
JENIS KUNJUNGAN KUNJUNGAN KASUS
JKN PBI JML B L KKL JML
L P L P L P L P L P L P
216 246 326 332 112 116 204 190 18 60 334 366
7 8 32 23 24 19 8 14 0 0 32 33
2 1 26 21 62 50 74 61 0 0 136 111
225 255 384 376 198 185 286 265 18 60 502 510

Belantih
Petugas,

Putu Emmy Priyanti

NIP. 198804152010012000
 LAPORAN BULANAN DATA KESAKITAN

LB.1
: Kode Unit
Kabupaten : Bangli
Puskesmas : Kintamani III
Laporan (bulan) : Januari

Jenis Penyakit ( Baru ) Jumlah Penderita

Kode 0-7 hr 8-28 hr 1 Bl<1 th 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70- th TOTAL
Jenis Penyakit ( 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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Penyakit Infeksi Pada Usus
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A00 Kolera
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A01 Typhoid dan Paratyphoid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A04 Infeksi Usus karena bakteri lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A05 Keracunan makanan karena bakteri lain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A08 Infeksi usus virus dan khusus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 5 1 8 10 1 0 1 0 2 2 3 3 3 0 2 2 0 0 24 18 42
Diare & gastroenteritis oleh penyebab
A09.1
infeksi tertentu (kolitis infeksi) (4) L 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 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 0 1
A09.2 Diare Disentri
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TUBERKOLOSIS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1
A15.0 TB Paru dg pemeriksaan sputum positif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TB paru dg pemeriksaan secara B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 1 2 2 4

A16.0
bakteriologi histologi negatif L 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A18 TB pada organ selain paru (TB extra paru)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT BAKTERI LAINNYA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.0 Lepra type I
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.1 Lepra type TT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.2 Lepra type BT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.3 Lepra type BB
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.4 Lepra type BL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.5 Lepra type LL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A33 Tetanus Neonatorum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A35 Tetanus Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A36 Difteri
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A37 Pertusis/ Batuk rejan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INFEKSI DITULARKAN MELALUI HUB.
0
SEKSUAL
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54 Infeksi Gonokokus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54.3 Infeksi Gonokokus pada mata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Infeksi klamidia yg ditularkan melalui B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A56
hubungan seksual L 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A57 Ulcus molle/ Chancroid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A58 Granuloma Inguinata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Infeksi lainnya yg terutama ditularkan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A64
melalui hub seksual L 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT VIRUS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A80 Poliomyelitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A82 Rabies
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A90 Dengue Fever
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A91 Dengue Haemorrhagic Fever (DHF)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A92.0 Chikungunya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 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 1 1
B00 Herpes Simplex
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B01 Varicella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B02 Herpes Zoster
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B05 Morbilli
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B06 Rubella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B07 Viral Wart (Verruca)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B15 Hepatitis A akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B16 Hepatitis B akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B18 Hepatitis virus kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B19 Hepatitis virus yang tak ditentukan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B20 HIV dengan penyakit infeksi penyerta
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B24 AIDS
L 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 0 0 0 0 0 5 7 12
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B26 Mumps
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B33 Penyakit virus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYCOSES 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B35.1 Jamur
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B36.0 Pityriasis Versicolor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B37 Candidiasis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit Protozoa 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B50 Malaria Plasmodium Falcifarum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B51 Malaria Plasmodium Vivax
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B52 Malaria Plasmodium Malariae
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

malaria Klinis (tanpa pemeriksaan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B54 parasitologi) Helminthiasis
(kecacingan,pedikulosis) L 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B86 Scabies
L 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 1
B 0
D 64.9 Anemia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 5 4 1 5 3 0 0 2 10 12 22
E10 Diabetes Millitus type I (6)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E11 Diabetes Millitus type II
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malnutrition 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E40 Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E41 Nutritional Marasmus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E42 Marasmic Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN MENTAL 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F00 Gangguan Mental Organik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F10 Gangguan penggunaan alkohol
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F11 Gangguan penggunaan zat
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F17.1 Gangguan penggunaan tembakao
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Skizoprenia dan gangguan psikotik kronik B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

F20
lainnya L 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F23 Gangguan psikotik akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F31 Gangguan bipolar
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F32 Gangguan depresif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F40 Gangguan Neurotik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F52 Gangguan seksual pada pria dan wanita
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F84 Gangguan perkembangan pervasif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F90 Gangguan Hiperkinetik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F91 Gangguan tingkahlaku
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F98.8 Enuresis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SUSUNAN SYARAF 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2
G40 Epilepsi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G 20 Parkinson
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G51.0 Bell's Palsy
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G99 Penyakit dan susunan sus.syaraf lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT MATA DAN ADNEKSA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H00 Hordeulum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 3 1 2 1 0 0 0 1 0 5 5 10
H10 Conjungtivitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H25 Katarak
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H40 Glaucoma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H52 Kelainan Refraksi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H50.6 Xeropthalmia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H58 Penyakit mata dan adnexa lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT PADA TELINGA DAN
0
MASTOID
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H60 Otitis Ekterna
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 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 1
H61 Serumen blok
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H65 Non Supurative otitis media
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 1 0 0 0 0 0 2 1 0 0 0 1 1 0 0 0 0 0 0 2 3 5
H 10.9 OMA
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H91.1 Presbikukis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H49 Penyakit lain pada telinga
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TEKANAN DARAH TINGGI 0
B 0 0 0 0 0 0 0 1 0 1 0 0 4 0 3 5 7 8 4 1 6 8 13 6 35 32 67
I10 Hipertensi primer (1)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 0 1 7 4 8 12
B 0
I 52.9 Penyakit Jantung Hipertensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 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 2 2
I 95.9 Hipotensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENYAKIT SALURANPERNAFASAN
33
BAGIAN ATAS (5) 0 0 1 0 1 0 1 1 1 2 0 0 1 2 2 6 2 1 4 2 1 2 1 2 15 18
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J00 Nasofaringitis akut (Common cold)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J01 Sinusitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 1 0 2 2 2 2 0 8 6 14
J02 Faringitis akut (9)
L 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 1
B 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 2 2
J03 Tonsilitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
J04 Laringitis akut dan trakeitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 1 2 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 6 10
J18 Pneumonia (organisme yg tdk ditentukan)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT LAIN PADA SALURAN
0
PERNAPSAN BAGIAN BAWAH
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J20 Bronkitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J30 Rhitinis Vasomotor dan alergi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J39 penyakit lain dr sal pernafasan bawah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 3 1 4
J40 Bronkhitis tdk ditentukan akut/kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 1 0 0 0 2 2 4
J45 Asma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 2
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J93 Pneumothorak
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 3 0 0 0 0 2 2 2 6 8
J98 Penyakit lain pada saluran pernafasan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT RONGGA MULUT 0
B 0 0 0 0 0 0 0 0 0 1 0 0 1 1 2 2 2 1 0 0 0 1 0 0 6 5 11
K02 Karies Gigi (10)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 2 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04 Penyakit pulpa dan jaringan periapikal
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K05 Gingivitis dan penyakit periodental
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Gangguan gigi dan jar.penyangga lainnya/ B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

K08
abses gigi L 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 2 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 3 4
K12 Stomatitis dan lesi-lesi yg berhubungan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit esophagus, lambung dan
0
duodenum dan appendix
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 4 5 8 5 3 2 4 7 23 21 44
K29.7 Gastritis (tidak ditentukan) (2)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K30 Dyspepsia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K35 Appendicitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K59.0 Konstipasi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N00 PENYAKIT PADA SALURAN KENCING
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 3 0 0 0 0 0 0 1 1 3 5 8
N 39.0 Susp.ISK
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1
N89.9 Fluor Albus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N 92 Hypermenorhea
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 1 1
N .94.6 Disminorre
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEHAMILAN, KELAHIRAN DAN MASA
0
NIFAS
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O04 Keguguran indikasi medis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O14 Preeklamsi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O20 Perdarahan di awal kehamilan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O42 Prematur Ruptur Membran
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0.209 abortus imminensn
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O72 Perdarahan Post Partum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O86 Infeksi Puerperalis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEADAAN TERTENTU PADA MASA
0
PERINATAL
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P10-P15 Trauma lahir
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P21 Asfiksia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KECELAKAAN DAN KERACUNAN 0
S00-T98 Kecelakaan dan ruda paksa B 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 0 1
PENYAKIT KULIT DAN JARINGAN SUB
0
KUTAN
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1
L01 Impetigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L02 Furuncle, carbuncle
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L03 Cellulitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L20 Dermatitis Atropi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 1 0 1 0 0 2 0 0 0 0 0 0 0 1 0 3 2 5
L23 Dermatitis Kontak Alergi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 2 0 1 1 1 1 2 0 8 4 12
L25 Dermatitis kontak tidak ditentukan (8)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 0 3 3
Penyakit otot dan jaringan pengikat 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M10 Gout
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 4 5 4 0 2 4 5 4 1 18 16 34
M13 Artritis lainnya (3)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 1 2 0 1 1 4 6 9 10 19
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 1 0 0 3 2 0 0 5 5 10
M15-19 Osteoarthritis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 1 0 1 0 0 1 0 0 0 3 3 6
M 54.5 Low Back Pain(LBP)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 1 1 0 0 4 2 6
M79.1 Myalgia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R.10.4 Abdomen Pain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 2 0 2 2 0 0 2 0 0 8 7 15
R 51 Chepalgia (7)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 1 2 3
R 42 Vertigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175 175
Penyakit Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GHPR
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E51-56 Defisiensi Vitamin Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 1 2 0 8 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 10 12
Z 03.8 Obs.fibris
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bedah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2
Peny.Jantung
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARU B
LAMA L
TOTAL 225 417

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 LAPORAN BULANAN DATA KESAKITAN

LB.1
: Kode Unit
Kabupaten : Bangli
Puskesmas : Kintamani III
Laporan (bulan) : Pebruari

Jenis Penyakit ( Baru ) Jumlah Penderita

Kode 0-7 hr 8-28 hr 1 Bl<1 th 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70- th TOTAL
Jenis Penyakit ( 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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Penyakit Infeksi Pada Usus
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A00 Kolera
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A01 Typhoid dan Paratyphoid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A04 Infeksi Usus karena bakteri lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A05 Keracunan makanan karena bakteri lain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A08 Infeksi usus virus dan khusus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 1 2 4 1 4 6 0 0 0 0 1 2 2 1 1 0 1 1 0 0 15 14 29
Diare & gastroenteritis oleh penyebab infeksi
A09.1
tertentu (kolitis infeksi) (5) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1
A09.2 Diare Disentri
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TUBERKOLOSIS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A15.0 TB Paru dg pemeriksaan sputum positif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TB paru dg pemeriksaan secara bakteriologi B 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 1 2
A16.0
histologi negatif L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A18 TB pada organ selain paru (TB extra paru)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT BAKTERI LAINNYA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.0 Lepra type I
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.1 Lepra type TT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.2 Lepra type BT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.3 Lepra type BB
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.4 Lepra type BL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.5 Lepra type LL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A33 Tetanus Neonatorum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A35 Tetanus Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A36 Difteri
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A37 Pertusis/ Batuk rejan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INFEKSI DITULARKAN MELALUI HUB.
SEKSUAL 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54 Infeksi Gonokokus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54.3 Infeksi Gonokokus pada mata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Infeksi klamidia yg ditularkan melalui B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A56
hubungan seksual L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A57 Ulcus molle/ Chancroid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A58 Granuloma Inguinata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Infeksi lainnya yg terutama ditularkan melalui B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A64
hub seksual L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT VIRUS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A80 Poliomyelitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A82 Rabies
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A90 Dengue Fever
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A91 Dengue Haemorrhagic Fever (DHF)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A92.0 Chikungunya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B00 Herpes Simplex
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B01 Varicella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B02 Herpes Zoster
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B05 Morbilli
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B06 Rubella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B07 Viral Wart (Verruca)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 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 0 1
B15 Hepatitis A akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B16 Hepatitis B akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B18 Hepatitis virus kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B19 Hepatitis virus yang tak ditentukan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B20 HIV dengan penyakit infeksi penyerta
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B24 AIDS (8)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 0 0 0 0 0 5 7 12
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B26 Mumps
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B33 Penyakit virus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYCOSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B35.1 Jamur
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B36.0 Pityriasis Versicolor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B37 Candidiasis
L 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
Penyakit Protozoa 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B50 Malaria Plasmodium Falcifarum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B51 Malaria Plasmodium Vivax
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B52 Malaria Plasmodium Malariae
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
malaria Klinis (tanpa pemeriksaan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B54 parasitologi) Helminthiasis
(kecacingan,pedikulosis) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B86 Scabies
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D 64.9 Anemia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 1 3 1 0 1 2 0 9 4 13
E10 Diabetes Millitus type I (7)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E11 Diabetes Millitus type II
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malnutrition 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E40 Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E41 Nutritional Marasmus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E42 Marasmic Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN MENTAL 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F00 Gangguan Mental Organik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F10 Gangguan penggunaan alkohol
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F11 Gangguan penggunaan zat
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F17.1 Gangguan penggunaan tembakao
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Skizoprenia dan gangguan psikotik kronik B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F20
lainnya L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F23 Gangguan psikotik akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F31 Gangguan bipolar
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F32 Gangguan depresif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F40 Gangguan Neurotik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F52 Gangguan seksual pada pria dan wanita
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F84 Gangguan perkembangan pervasif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F90 Gangguan Hiperkinetik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F91 Gangguan tingkahlaku
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F98.8 Enuresis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SUSUNAN SYARAF 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1
G40 Epilepsi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G 20 Parkinson
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1
G51.0 Bell's Palsy
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 2 1 3
G99 Penyakit dan susunan sus.syaraf lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT MATA DAN ADNEKSA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
H00 Hordeulum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 4 1 5
H10 Conjungtivitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H25 Katarak
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H40 Glaucoma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H52 Kelainan Refraksi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H50.6 Xeropthalmia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
H58 Penyakit mata dan adnexa lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT PADA TELINGA DAN
MASTOID 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H60 Otitis Ekterna
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H61 Serumen blok
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H65 Non Supurative otitis media
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 2
H 10.9 OMA
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H91.1 Presbikukis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H49 Penyakit lain pada telinga
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TEKANAN DARAH TINGGI 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 6 8 3 4 4 7 9 2 23 25 48
I10 Hipertensi primer (1)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 1 5 6
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 52.9 Penyakit Jantung Hipertensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 95.9 Hipotensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENYAKIT SALURANPERNAFASAN
BAGIAN ATAS (6) 0 0 0 0 0 0 1 0 0 1 0 0 0 4 2 7 6 1 2 3 0 1 0 1 11 18 29
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J00 Nasofaringitis akut (Common cold)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 1 2 3
J01 Sinusitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 1 0 1 5 1 1 0 1 0 0 5 4 5 1 1 2 3 2 5 1 22 17 39
J02 Faringitis akut (4)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
B 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
J03 Tonsilitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J04 Laringitis akut dan trakeitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 2 2 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 5 8
J18 Pneumonia (organisme yg tdk ditentukan)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT LAIN PADA SALURAN
PERNAPSAN BAGIAN BAWAH 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J20 Bronkitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J30 Rhitinis Vasomotor dan alergi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J39 penyakit lain dr sal pernafasan bawah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J40 Bronkhitis tdk ditentukan akut/kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 3 2 5
J45 Asma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J93 Pneumothorak
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J98 Penyakit lain pada saluran pernafasan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT RONGGA MULUT 0
B 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 1 2 3
K02 Karies Gigi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04 Penyakit pulpa dan jaringan periapikal
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K05 Gingivitis dan penyakit periodental
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gangguan gigi dan jar.penyangga lainnya/ B 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
K08
abses gigi L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 2
K12 Stomatitis dan lesi-lesi yg berhubungan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit esophagus, lambung dan
duodenum dan appendix 0
B 0 0 0 0 0 0 0 0 0 0 1 0 1 4 4 3 2 2 1 2 5 2 2 3 16 21 37
Gastritis (tidak ditentukan) (3)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 2 2 4
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K30 Dyspepsia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K35 Appendicitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 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 0 1
K59.0 Konstipasi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N00 PENYAKIT PADA SALURAN KENCING
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 1 0 0 0 0 0 0 2 3 5
N 39.0 Susp.ISK
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N89.9 Fluor Albus
L 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 2 2
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N 92 Hypermenorhea
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N .94.6 Disminorre
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEHAMILAN, KELAHIRAN DAN MASA
NIFAS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O04 Keguguran indikasi medis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O14 Preeklamsi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O20 Perdarahan di awal kehamilan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O42 Prematur Ruptur Membran
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0.209 abortus imminensn
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O72 Perdarahan Post Partum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O86 Infeksi Puerperalis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEADAAN TERTENTU PADA MASA
PERINATAL 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P10-P15 Trauma lahir
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P21 Asfiksia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KECELAKAAN DAN KERACUNAN 0
S00-T98 Kecelakaan dan ruda paksa B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT KULIT DAN JARINGAN SUB
KUTAN 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L01 Impetigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L02 Furuncle, carbuncle
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L03 Cellulitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L20 Dermatitis Atropi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 3 1 0 0 0 0 2 0 1 2 0 0 0 0 0 0 1 0 7 3 10
L23 Dermatitis Kontak Alergi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 1 1 1 1 1 1 1 0 0 7 4 11
L25 Dermatitis kontak tidak ditentukan (9)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit otot dan jaringan pengikat 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M10 Gout
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 3 1 0 0 0 0 2 0 5 6 4 3 3 3 7 3 5 1 25 21 46
M13 Artritis lainnya (2)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M15-19 Osteoarthritis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 3 1 0 1 0 0 0 6 4 10
M 54.5 Low Back Pain(LBP) (10)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 0 0 1 0 0 3 2 5
M79.1 Myalgia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 1 0 0 0 0 0 4 4
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R.10.4 Abdomen Pain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0 0 0 0 1 3 4
R 51 Chepalgia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1
R 42 Vertigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 170 173 3 176
Penyakit Lainnya
L 0 0 0 0 0 0 1 0 2 0 0 0 0 0 2 0 0 0 1 0 0 0 0 1 7 1 8
B 0 0 0 0 0 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 4 4
GHPR
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E51-56 Defisiensi Vitamin Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 2 1 1 2 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 4 5 9
Z 03.8 Obs.fibris
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bedah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Peny.Jantung
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARU B 0 0
LAMA L #REF! #REF!
TOTAL #REF! #REF!

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 LAPORAN BULANAN DATA KESAKITAN

LB.1
: Kode Unit
Kabupaten : Bangli
Puskesmas : Kintamani III
Laporan (bulan) : Maret

Jenis Penyakit ( Baru ) Jumlah Penderita

Kode 0-7 hr 8-28 hr 1 Bl<1 th 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70- th TOTAL
Jenis Penyakit ( 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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Penyakit Infeksi Pada Usus 0 0 0
B 0
A00 Kolera
L 0
B 0
A01 Typhoid dan Paratyphoid
L 0
B 0
A04 Infeksi Usus karena bakteri lainnya
L 0
B 0
A05 Keracunan makanan karena bakteri lain
L 0
B 0
A08 Infeksi usus virus dan khusus lainnya
L 0
B 1 2 4 7 9 5 3 2 2 1 2 20 18 38
Diare & gastroenteritis oleh penyebab
A09.1
infeksi tertentu (kolitis infeksi) (3) L 0

B 1 1 1
A09.2 Diare Disentri
L 0
PENYAKIT TUBERKOLOSIS 0
B 1 1 1
A15.0 TB Paru dg pemeriksaan sputum positif
L 0

TB paru dg pemeriksaan secara B 1 1 1

A16.0
bakteriologi histologi negatif L 0

TB pada organ selain paru (TB extra B 0

A18
paru) L 0
PENYAKIT BAKTERI LAINNYA 0
B 0
A30.0 Lepra type I
L 0
B 0
A30.1 Lepra type TT
L 0
B 0
A30.2 Lepra type BT
L 0
B 0
A30.3 Lepra type BB
L 0
B 0
A30.4 Lepra type BL
L 0
B 0
A30.5 Lepra type LL
L 0
B 0
A33 Tetanus Neonatorum
L 0
B 0
A35 Tetanus Lainnya
L 0
B 0
A36 Difteri
L 0
B 0
A37 Pertusis/ Batuk rejan
L 0
INFEKSI DITULARKAN MELALUI HUB.
0
SEKSUAL
B 0
A54 Infeksi Gonokokus
L 0
B 0
A54.3 Infeksi Gonokokus pada mata
L 0

Infeksi klamidia yg ditularkan melalui B 0

A56
hubungan seksual L 0
B 0
A57 Ulcus molle/ Chancroid
L 0
B 0
A58 Granuloma Inguinata
L 0

Infeksi lainnya yg terutama ditularkan B 0

A64
melalui hub seksual L 0
PENYAKIT VIRUS 0
B 0
A80 Poliomyelitis Akut
L 0
B 0
A82 Rabies
L 0
B 0
A90 Dengue Fever
L 0
B 0
A91 Dengue Haemorrhagic Fever (DHF)
L 0
B 0
A92.0 Chikungunya
L 0
B 0
B00 Herpes Simplex
L 1 1 1
B 0
B01 Varicella
L 0
B 0
B02 Herpes Zoster
L 0
B 0
B05 Morbilli
L 0
B 0
B06 Rubella
L 0
B 0
B07 Viral Wart (Verruca)
L 0
B 0
B15 Hepatitis A akut
L 0
B 0
B16 Hepatitis B akut
L 0
B 0
B18 Hepatitis virus kronis
L 0
B 0
B19 Hepatitis virus yang tak ditentukan
L 0
B 0
B20 HIV dengan penyakit infeksi penyerta
L 0
B 0
B24 AIDS
L 1 5 6 5 7 12
B 0
B26 Mumps
L 0
 B 0
B33 Penyakit virus lainnya
L 0
MYCOSES 0
B 1 2 1 2 3
B35.1 Jamur
L 0
B 0
B36.0 Pityriasis Versicolor
L 0
B 0
B37 Candidiasis
L 1 1 1
Penyakit Protozoa 0
B 0
B50 Malaria Plasmodium Falcifarum
L 0
B 0
B51 Malaria Plasmodium Vivax
L 0
B 0
B52 Malaria Plasmodium Malariae
L 0

malaria Klinis (tanpa pemeriksaan B 0

B54 parasitologi) Helminthiasis
(kecacingan,pedikulosis) L 0

B 0
B86 Scabies
L 0
B 1 0
D 64.9 Anemia
L 1 1 1
B 3 2 2 2 1 1 7 4 11
E10 Diabetes Millitus type I
L 0
B 0
E11 Diabetes Millitus type II
L 0
Malnutrition 0
B 0
E40 Kwashiorkor
L 0
B 0
E41 Nutritional Marasmus
L 0
B 0
E42 Marasmic Kwashiorkor
L 0
GANGGUAN MENTAL 0
B 0
F00 Gangguan Mental Organik
L 0
B 0
F10 Gangguan penggunaan alkohol
L 0
B 0
F11 Gangguan penggunaan zat
L 0
B 0
F17.1 Gangguan penggunaan tembakao
L 0

Skizoprenia dan gangguan psikotik B 0

F20
kronik lainnya L 0
B 0
F23 Gangguan psikotik akut
L 0
B 0
F31 Gangguan bipolar
L 0
B 0
F32 Gangguan depresif
L 0
B 0
F40 Gangguan Neurotik
L 0
B 0
F52 Gangguan seksual pada pria dan wanita
L 0
B 0
F84 Gangguan perkembangan pervasif
L 0
B 0
F90 Gangguan Hiperkinetik
L 0
B 0
F91 Gangguan tingkahlaku
L 0
B 0
F98.8 Enuresis
L 0
PENYAKIT SUSUNAN SYARAF 0
B 1 1 2 2
G40 Epilepsi
L 0
B 0
G 20 Parkinson
L 0
B 0
G51.0 Bell's Palsy
L 0
B 1 1 1 1 2
G99 Penyakit dan susunan sus.syaraf lainnya
L 0
PENYAKIT MATA DAN ADNEKSA 0
B 0
H00 Hordeulum
L 0
B 1 2 2 1 1 3 4 7
H10 Conjungtivitis
L 0
B 1 1 1
H25 Katarak
L 0
B 0
H40 Glaucoma
L 0
B 0
H52 Kelainan Refraksi
L 0
B 0
H50.6 Xeropthalmia
L 0
B 0
H58 Penyakit mata dan adnexa lainnya
L 0
PENYAKIT PADA TELINGA DAN
0
MASTOID
B 0
H60 Otitis Ekterna
L 0
B 2 1 3 3
H61 Serumen blok
L 0
B 0
H65 Non Supurative otitis media
L 0
B 1 1 2 2
H 10.9 OMA
L 0
B 0
H91.1 Presbikukis
L 0
B 0
H49 Penyakit lain pada telinga
L 0
PENYAKIT TEKANAN DARAH TINGGI 0
B 6 6 3 5 7 6 6 2 22 19 41
I10 Hipertensi primer (1)
L 1 1 1 1 6 2 8 10
B 0
I 52.9 Penyakit Jantung Hipertensi
L 0
B 0
I 95.9 Hipotensi
L 0
 PENYAKIT SALURANPERNAFASAN
0 0 0 0 0 0 4 1 1 3 1 0 1 0 7 6 2 1 2 3 0 2 1 1 17 19 36
BAGIAN ATAS (4)
B 0 0 0
J00 Nasofaringitis akut (Common cold)
L 0 0
B 1 1 1
J01 Sinusitis akut
L 0
B 2 1 3 1 4 1 2 2 3 3 12 10 22
J02 Faringitis akut (8)
L 0
B 1 1 2 0 2
J03 Tonsilitis akut
L 0
B 0
J04 Laringitis akut dan trakeitis
L 0

Pneumonia (organisme yg tdk B 1 4 1 1 2 5 7

J18
ditentukan) L 0
PENYAKIT LAIN PADA SALURAN
0
PERNAPSAN BAGIAN BAWAH
B 1 2 2 5 5
J20 Bronkitis akut
L 0
B 0
J30 Rhitinis Vasomotor dan alergi
L 0
B 0
J39 penyakit lain dr sal pernafasan bawah
L 0
B 0
J40 Bronkhitis tdk ditentukan akut/kronis
L 0
B 1 1 1 1 2 2 4
J45 Asma
L 0
B 0
J93 Pneumothorak
L 0
B 0
J98 Penyakit lain pada saluran pernafasan
L 0
PENYAKIT RONGGA MULUT 0
B 19 13 32
K02 Karies Gigi (2)
L 1 2 3 1 1 1 4 4 8
B 1 17 14 31
K04 Penyakit pulpa dan jaringan periapikal (6)
L 0
B 6 2 8
K05 Gingivitis dan penyakit periodental
L 0

Gangguan gigi dan jar.penyangga B 1 1 1 3 4

K08
lainnya/ abses gigi L 0
B 1 2 1 2 3 5
K12 Stomatitis dan lesi-lesi yg berhubungan
L 0
Penyakit esophagus, lambung dan
0
duodenum dan appendix
B 1 1 1 2 2 4 1 2 3 4 3 2 3 14 15 29
K29.7 Gastritis (tidak ditentukan) (7)
L 1 1 1
B 1 1 1 1 2
K30 Dyspepsia
L 0
B 0
K35 Appendicitis Akut
L 0
B 1 1 1 1 2 2 4
K59.0 Konstipasi
L 0
B 0
N00 PENYAKIT PADA SALURAN KENCING
L 0
B 1 1 2 2
N 39.0 Susp.ISK
L 0
B 1 0
N89.9 Fluor Albus
L 0
B 0
N 92 Hypermenorhea
L 0
B 3 1 4 4
N .94.6 Disminorre
L 0
KEHAMILAN, KELAHIRAN DAN MASA
0
NIFAS
B 0
O04 Keguguran indikasi medis
L 0
B 0
O14 Preeklamsi
L 0
B 0
O20 Perdarahan di awal kehamilan
L 0
B 0
O42 Prematur Ruptur Membran
L 0
B 0
0.209 abortus imminensn
L 0
B 0
O72 Perdarahan Post Partum
L 0
B 0
O86 Infeksi Puerperalis
L 0
KEADAAN TERTENTU PADA MASA
0
PERINATAL
B 0
P10-P15 Trauma lahir
L 0
B 0
P21 Asfiksia
L 0
KECELAKAAN DAN KERACUNAN 0
S00-T98 Kecelakaan dan ruda paksa B 0
PENYAKIT KULIT DAN JARINGAN
0
SUB KUTAN
B 0
L01 Impetigo
L 0
B 0
L02 Furuncle, carbuncle
L 0
B 0
L03 Cellulitis
L 0
B 0
L20 Dermatitis Atropi
L 0
B 1 1 1 1 1 2 5 2 7
L23 Dermatitis Kontak Alergi
L 0
B 1 1 1 1 2 4 1 1 1 1 9 5 14
L25 Dermatitis kontak tidak ditentukan (10)
L 0
Penyakit otot dan jaringan pengikat 0
B 0
M10 Gout
L 0
B 3 1 3 4 1 4 7 3 2 4 16 16 32
M13 Artritis lainnya (5)
L 0
B 0
M15-19 Osteoarthritis
L 0
B 3 1 1 1 2 1 2 7 9
M 54.5 Low Back Pain(LBP)
L 0
B 1 1 1 1 2 3
M79.1 Myalgia
L 0
 B 0
R.10.4 Abdomen Pain
L 0
B 1 2 1 4 2 1 1 6 6 12
R 51 Chepalgia (
L 0
B 1 1 2 2
R 42 Vertigo
L 0
B 1 232 232 1 233
Penyakit Lainnya
L 0
B 0
GHPR
L 0
B 0
E51-56 Defisiensi Vitamin Lainnya
L 0
B 1 1 2 2 2 1 2 2 1 1 10 5 15
Z 03.8 Obs.fibris (9)
L 0
B 0
Bedah
L 0
B 0
Peny.Jantung
L 0
BARU B 0 0
LAMA L #REF! #REF!
TOTAL #REF! #REF!

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 LAPORAN BULANAN DATA KESAKITAN

LB.1
: Kode Unit
Kabupaten : Bangli
Puskesmas : Kintamani III
Laporan (bulan) : April

Jenis Penyakit ( Baru ) Jumlah Penderita

Kode 0-7 hr 8-28 hr 1 Bl<1 th 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70- th TOTAL
Jenis Penyakit ( 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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Penyakit Infeksi Pada Usus 0 0 0
B 0
A00 Kolera
L 0
B 0
A01 Typhoid dan Paratyphoid
L 0
B 0
A04 Infeksi Usus karena bakteri lainnya
L 0
B 0
A05 Keracunan makanan karena bakteri lain
L 0
B 0
A08 Infeksi usus virus dan khusus lainnya
L 0
B 2 2 3 7 10 2 2 7 2 1 1 1 15 23 38
Diare & gastroenteritis oleh penyebab
A09.1
infeksi tertentu (kolitis infeksi) (4) L 1 1 1 1 2

B 0
A09.2 Diare Disentri
L 0
PENYAKIT TUBERKOLOSIS 0
B 0
A15.0 TB Paru dg pemeriksaan sputum positif
L 0

TB paru dg pemeriksaan secara B 1 1 1

A16.0
bakteriologi histologi negatif L 0

TB pada organ selain paru (TB extra B 0

A18
paru) L 0
PENYAKIT BAKTERI LAINNYA 0
B 0
A30.0 Lepra type I
L 0
B 0
A30.1 Lepra type TT
L 0
B 0
A30.2 Lepra type BT
L 0
B 0
A30.3 Lepra type BB
L 0
B 0
A30.4 Lepra type BL
L 0
B 0
A30.5 Lepra type LL
L 0
B 0
A33 Tetanus Neonatorum
L 0
B 0
A35 Tetanus Lainnya
L 0
B 0
A36 Difteri
L 0
B 0
A37 Pertusis/ Batuk rejan
L 0
INFEKSI DITULARKAN MELALUI HUB.
0
SEKSUAL
B 0
A54 Infeksi Gonokokus
L 0
B 0
A54.3 Infeksi Gonokokus pada mata
L 0

Infeksi klamidia yg ditularkan melalui B 0

A56
hubungan seksual L 0
B 0
A57 Ulcus molle/ Chancroid
L 0
B 0
A58 Granuloma Inguinata
L 0

Infeksi lainnya yg terutama ditularkan B 0

A64
melalui hub seksual L 0
PENYAKIT VIRUS 0
B 0
A80 Poliomyelitis Akut
L 0
B 0
A82 Rabies
L 0
B 0
A90 Dengue Fever
L 0
B 0
A91 Dengue Haemorrhagic Fever (DHF)
L 0
B 0
A92.0 Chikungunya
L 0
B 0
B00 Herpes Simplex
L 0
B 0
B01 Varicella
L 0
B 1 1 2 0 2
B02 Herpes Zoster
L 0
B 0
B05 Morbilli
L 0
B 0
B06 Rubella
L 0
B 0
B07 Viral Wart (Verruca)
L 0
B 0
B15 Hepatitis A akut
L 0
B 0
B16 Hepatitis B akut
L 0
B 0
B18 Hepatitis virus kronis
L 0
B 0
B19 Hepatitis virus yang tak ditentukan
L 0
B 0
B20 HIV dengan penyakit infeksi penyerta
L 0
B 0
B24 AIDS (10)
L 1 5 6 5 7 12
B 0
B26 Mumps
L 0
 B 0
B33 Penyakit virus lainnya
L 0
MYCOSES 0
B 0
B35.1 Jamur
L 0
B 0
B36.0 Pityriasis Versicolor
L 0
B 0
B37 Candidiasis
L 0
Penyakit Protozoa 0
B 0
B50 Malaria Plasmodium Falcifarum
L 0
B 0
B51 Malaria Plasmodium Vivax
L 0
B 0
B52 Malaria Plasmodium Malariae
L 0

malaria Klinis (tanpa pemeriksaan B 0

B54 parasitologi) Helminthiasis
(kecacingan,pedikulosis) L 0

B 1 1 1 1 2 3
B86 Scabies
L 0
B 0
D 64.9 Anemia
L 0
B 1 5 2 1 2 1 2 2 10 6 16
E10 Diabetes Millitus type I (7)
L 1 1 1 2 1 3
B 0
E11 Diabetes Millitus type II
L 0
Malnutrition 0
B 0
E40 Kwashiorkor
L 0
B 0
E41 Nutritional Marasmus
L 0
B 0
E42 Marasmic Kwashiorkor
L 0
GANGGUAN MENTAL 0
B 0
F00 Gangguan Mental Organik
L 0
B 0
F10 Gangguan penggunaan alkohol
L 0
B 0
F11 Gangguan penggunaan zat
L 0
B 0
F17.1 Gangguan penggunaan tembakao
L 0

Skizoprenia dan gangguan psikotik B 0

F20
kronik lainnya L 0
B 0
F23 Gangguan psikotik akut
L 0
B 0
F31 Gangguan bipolar
L 0
B 0
F32 Gangguan depresif
L 0
B 0
F40 Gangguan Neurotik
L 0
B 0
F52 Gangguan seksual pada pria dan wanita
L 0
B 0
F84 Gangguan perkembangan pervasif
L 0
B 0
F90 Gangguan Hiperkinetik
L 0
B 0
F91 Gangguan tingkahlaku
L 0
B 0
F98.8 Enuresis
L 0
PENYAKIT SUSUNAN SYARAF 0
B 2 2 2
G40 Epilepsi
L 0
B 0
G 20 Parkinson
L 0
B 1 1 1
G51.0 Bell's Palsy
L 0
B 0
G99 Penyakit dan susunan sus.syaraf lainnya
L 0
PENYAKIT MATA DAN ADNEKSA 0
B 0
H00 Hordeulum
L 0
B 1 1 1 1 1 1 4 5
H10 Conjungtivitis
L 0
B 0
H25 Katarak
L 0
B 0
H40 Glaucoma
L 0
B 0
H52 Kelainan Refraksi
L 0
B 0
H50.6 Xeropthalmia
L 0
B 0
H58 Penyakit mata dan adnexa lainnya
L 0
PENYAKIT PADA TELINGA DAN
0
MASTOID
B 0
H60 Otitis Ekterna
L 0
B 2 1 1 1 2 1 5 3 8
H61 Serumen blok
L 0
B 0
H65 Non Supurative otitis media
L 0
B 1 1 1 1 1 3 4
H 10.9 OMA
L 0
B 0
H91.1 Presbikukis
L 0
B 0
H49 Penyakit lain pada telinga
L 0
PENYAKIT TEKANAN DARAH TINGGI 0
B 4 2 9 1 5 5 3 8 3 20 24 44
I10 Hipertensi primer (2)
L 5 2 4 3 2 9 11
B 0
I 52.9 Penyakit Jantung Hipertensi
L 0
B 1 1 2 2
I 95.9 Hipotensi
L 0
 PENYAKIT SALURANPERNAFASAN
31 23 54
BAGIAN ATAS (3) 2 1 2 3 3 3 3 1 8 2 5 4 1 4 6 2 4
B 0
J00 Nasofaringitis akut (Common cold)
L 0
B 1 1 1
J01 Sinusitis akut
L 0
B 1 1 1 6 4 5 2 3 2 3 2 16 14 30
J02 Faringitis akut (6)
L 0
B 1 1 1 1 1 2 3 5
J03 Tonsilitis akut
L 0
B 0
J04 Laringitis akut dan trakeitis
L 0

Pneumonia (organisme yg tdk B 1 3 1 5 5

J18
ditentukan) L 0
PENYAKIT LAIN PADA SALURAN
0
PERNAPSAN BAGIAN BAWAH
B 1 2 1 4 0 4
J20 Bronkitis akut
L 0
B 0
J30 Rhitinis Vasomotor dan alergi
L 0
B 0
J39 penyakit lain dr sal pernafasan bawah
L 0
B 0
J40 Bronkhitis tdk ditentukan akut/kronis
L 0
B 1 1 2 1 1 1 5 2 7
J45 Asma
L 0
B 0
J93 Pneumothorak
L 0
B 0
J98 Penyakit lain pada saluran pernafasan
L 0
PENYAKIT RONGGA MULUT 0
B 1 2 4 1 1 4 5 9
K02 Karies Gigi
L 0
B 0
K04 Penyakit pulpa dan jaringan periapikal
L 0
B 0
K05 Gingivitis dan penyakit periodental
L 0

Gangguan gigi dan jar.penyangga B 1 1 1

K08
lainnya/ abses gigi L 0
B 1 0 1 0 2 0 2
K12 Stomatitis dan lesi-lesi yg berhubungan
L 0
Penyakit esophagus, lambung dan
0
duodenum dan appendix
B 1 1 1 4 6 3 1 3 5 4 2 4 15 18 33
K29.7 Gastritis (tidak ditentukan) (5)
L 1 2 1 1 2 3 5
B 0
K30 Dyspepsia
L 0
B 0
K35 Appendicitis Akut
L 0
B 0
K59.0 Konstipasi
L 0
B 1 1 0 2 2
N00 PENYAKIT PADA SALURAN KENCING
L 0
B 1 1 1 1 2 3
N 39.0 Susp.ISK
L 0
B 0
N89.9 Fluor Albus
L 0
B 0
N 92 Hypermenorhea
L 0
B 0
N .94.6 Disminorre
L 0
KEHAMILAN, KELAHIRAN DAN MASA
0
NIFAS
B 0
O04 Keguguran indikasi medis
L 0
B 0
O14 Preeklamsi
L 0
B 0
O20 Perdarahan di awal kehamilan
L 0
B 0
O42 Prematur Ruptur Membran
L 0
B 0
0.209 abortus imminensn
L 0
B 0
O72 Perdarahan Post Partum
L 0
B 0
O86 Infeksi Puerperalis
L 0
KEADAAN TERTENTU PADA MASA
0
PERINATAL
B 0
P10-P15 Trauma lahir
L 0
B 0
P21 Asfiksia
L 0
KECELAKAAN DAN KERACUNAN 0
S00-T98 Kecelakaan dan ruda paksa B 0
PENYAKIT KULIT DAN JARINGAN
0
SUB KUTAN
B 0
L01 Impetigo
L 0
B 0
L02 Furuncle, carbuncle
L 0
B 0
L03 Cellulitis
L 0
B 0
L20 Dermatitis Atropi
L 0
B 1 1 0 2 2
L23 Dermatitis Kontak Alergi
L 0
B 1 1 2 2 1 2 1 2 1 2 7 8 15
L25 Dermatitis kontak tidak ditentukan (8)
L 0
Penyakit otot dan jaringan pengikat 0
B 0
M10 Gout
L 0
B 7 1 5 6 2 3 5 2 2 4 21 26 47
M13 Artritis lainnya (1)
L 3 2 1 1 3 4 6 10
B 0
M15-19 Osteoarthritis
L 0
B 1 1 1 1 2 2 4
M 54.5 Low Back Pain(LBP)
L 0
B 2 1 1 2 2 4
M79.1 Myalgia
L 2 1 1 1 4 1 5
 B 0
R.10.4 Abdomen Pain
L 0
B 1 1 1 6 3 1 1 1 5 10 15
R 51 Chepalgia (9)
L 0
B 1 1 2 2
R 42 Vertigo
L 0
B 202 202 202
Penyakit Lainnya
L 0
B 0
GHPR
L 0
B 0
E51-56 Defisiensi Vitamin Lainnya
L 0
B 2 1 2 1 1 1 5 1 5 9 14
Z 03.8 Obs.fibris (10)
L 0
B 0
Bedah
L 0
B 1 1 1 3 3
Peny.Jantung
L 0
BARU B 0 0
LAMA L #REF! #REF!
TOTAL #REF! #REF!

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 LAPORAN BULANAN DATA KESAKITAN

LB.1
: Kode Unit
Kabupaten : Bangli
Puskesmas : Kintamani III
Laporan (bulan) : Mei

Jenis Penyakit ( Baru ) Jumlah Penderita

Kode 0-7 hr 8-28 hr 1 Bl<1 th 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70- th TOTAL
Jenis Penyakit ( 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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Penyakit Infeksi Pada Usus
B 0 0 0
A00 Kolera
L 0
B 1 1 2 4 4
A01 Typhoid dan Paratyphoid
L 0
B 0
A04 Infeksi Usus karena bakteri lainnya
L 0
B 0
A05 Keracunan makanan karena bakteri lain
L 0
B 0
A08 Infeksi usus virus dan khusus lainnya
L 0
B 1 3 2 1 2 1 6 4 10
Diare & gastroenteritis oleh penyebab
A09.1
infeksi tertentu (kolitis infeksi) L 0

B 0
A09.2 Diare Disentri
L 0
PENYAKIT TUBERKOLOSIS 0
B 0
A15.0 TB Paru dg pemeriksaan sputum positif
L 0

TB paru dg pemeriksaan secara B 0

A16.0
bakteriologi histologi negatif L 0

TB pada organ selain paru (TB extra B 0

A18
paru) L 0
PENYAKIT BAKTERI LAINNYA 0
B 0
A30.0 Lepra type I
L 0
B 0
A30.1 Lepra type TT
L 0
B 0
A30.2 Lepra type BT
L 0
B 0
A30.3 Lepra type BB
L 0
B 0
A30.4 Lepra type BL
L 0
B 0
A30.5 Lepra type LL
L 0
B 0
A33 Tetanus Neonatorum
L 0
B 0
A35 Tetanus Lainnya
L 0
B 0
A36 Difteri
L 0
B 0
A37 Pertusis/ Batuk rejan
L 0
INFEKSI DITULARKAN MELALUI HUB.
0
SEKSUAL
B 0
A54 Infeksi Gonokokus
L 0
B 0
A54.3 Infeksi Gonokokus pada mata
L 0

Infeksi klamidia yg ditularkan melalui B 0

A56
hubungan seksual L 0
B 0
A57 Ulcus molle/ Chancroid
L 0
B 0
A58 Granuloma Inguinata
L 0

Infeksi lainnya yg terutama ditularkan B 0

A64
melalui hub seksual L 0
PENYAKIT VIRUS 0
B 0
A80 Poliomyelitis Akut
L 0
B 0
A82 Rabies
L 0
B 0
A90 Dengue Fever
L 0
B 0
A91 Dengue Haemorrhagic Fever (DHF)
L 0
B 0
A92.0 Chikungunya
L 0
B 0
B00 Herpes Simplex
L 0
B 0
B01 Varicella
L 0
B 0
B02 Herpes Zoster
L 0
B 0
B05 Morbilli
L 0
B 0
B06 Rubella
L 0
B 0
B07 Viral Wart (Verruca)
L 0
B 0
B15 Hepatitis A akut
L 0
B 0
B16 Hepatitis B akut
L 0
B 0
B18 Hepatitis virus kronis
L 0
B 0
B19 Hepatitis virus yang tak ditentukan
L 0
B 0
B20 HIV dengan penyakit infeksi penyerta
L 0
B 0
B24 AIDS
L 0
B 0
B26 Mumps
L 0
 B 0
B33 Penyakit virus lainnya
L 0
MYCOSES 0
B 1 1 1 1 3 1 4
B35.1 Jamur
L 0
B 0
B36.0 Pityriasis Versicolor
L 0
B 0
B37 Candidiasis
L 0
Penyakit Protozoa 0
B 0
B50 Malaria Plasmodium Falcifarum
L 0
B 0
B51 Malaria Plasmodium Vivax
L 0
B 0
B52 Malaria Plasmodium Malariae
L 0

malaria Klinis (tanpa pemeriksaan B 0

B54 parasitologi) Helminthiasis
(kecacingan,pedikulosis) L 0

B 0
B86 Scabies
L 0
B 1 2 0
D 64.9 Anemia
L 0
B 0
E10 Diabetes Millitus type I (9)
L 5 1 1 1 1 1 2 1 9 4 13
B 0
E11 Diabetes Millitus type II
L 0
Malnutrition 0
B 0
E40 Kwashiorkor
L 0
B 0
E41 Nutritional Marasmus
L 0
B 0
E42 Marasmic Kwashiorkor
L 0
GANGGUAN MENTAL 0
B 0
F00 Gangguan Mental Organik
L 0
B 0
F10 Gangguan penggunaan alkohol
L 0
B 0
F11 Gangguan penggunaan zat
L 0
B 0
F17.1 Gangguan penggunaan tembakao
L 0

Skizoprenia dan gangguan psikotik B 0

F20
kronik lainnya L 0
B 0
F23 Gangguan psikotik akut
L 0
B 0
F31 Gangguan bipolar
L 0
B 0
F32 Gangguan depresif
L 0
B 1 1 1
F40 Gangguan Neurotik
L 0
B 0
F52 Gangguan seksual pada pria dan wanita
L 0
B 0
F84 Gangguan perkembangan pervasif
L 0
B 0
F90 Gangguan Hiperkinetik
L 0
B 0
F91 Gangguan tingkahlaku
L 0
B 0
F98.8 Enuresis
L 0
PENYAKIT SUSUNAN SYARAF 0
B 3 3 3
G40 Epilepsi
L 0
B 0
G 20 Parkinson
L 0
B 1 1 1
G51.0 Bell's Palsy
L 0
B 0
G99 Penyakit dan susunan sus.syaraf lainnya
L 0
PENYAKIT MATA DAN ADNEKSA 0
B 0
H00 Hordeulum
L 0
B 2 2 2
H10 Conjungtivitis
L 0
B 0
H25 Katarak
L 0
B 0
H40 Glaucoma
L 0
B 0
H52 Kelainan Refraksi
L 0
B 0
H50.6 Xeropthalmia
L 0
B 0
H58 Penyakit mata dan adnexa lainnya
L 0
PENYAKIT PADA TELINGA DAN
0
MASTOID
B 0
H60 Otitis Ekterna
L 0
B 0
H61 Serumen blok
L 0
B 0
H65 Non Supurative otitis media
L 0
B 1 1 1 2 4 1 5
H 10.9 OMA
L 0
B 0
H91.1 Presbikukis
L 0
B 0
H49 Penyakit lain pada telinga
L 0
PENYAKIT TEKANAN DARAH TINGGI 0
B 1 9 4 8 4 1 3 8 2 4 19 30 49
I10 Hipertensi primer (1)
L 2 1 4 0 7 7
B 0
I 52.9 Penyakit Jantung Hipertensi
L 0
B 1 1 2 2
I 95.9 Hipotensi
L 0
 PENYAKIT SALURANPERNAFASAN
25 22 47
BAGIAN ATAS (2) 1 4 2 2 1 1 1 1 2 10 10 4 1 2 3 1 1
B 0
J00 Nasofaringitis akut (Common cold)
L 0
B 0
J01 Sinusitis akut
L 0
B 2 2 1 3 1 2 4 5 3 3 1 1 11 17 28
J02 Faringitis akut (5)
L 1 1 1 1 2 3
B 0
J03 Tonsilitis akut
L 0
B 0
J04 Laringitis akut dan trakeitis
L 0

Pneumonia (organisme yg tdk B 2 1 2 1 3

J18
ditentukan) L 0
PENYAKIT LAIN PADA SALURAN
0
PERNAPSAN BAGIAN BAWAH
B 0
J20 Bronkitis akut
L 0
B 0
J30 Rhitinis Vasomotor dan alergi
L 0
B 0
J39 penyakit lain dr sal pernafasan bawah
L 0
B 1 1 1
J40 Bronkhitis tdk ditentukan akut/kronis
L 0
B 1 1 1 1 3 1 4
J45 Asma
L 0
B 0
J93 Pneumothorak
L 0
B 0
J98 Penyakit lain pada saluran pernafasan
L 0
PENYAKIT RONGGA MULUT 0
B 1 3 2 1 1 5 3 8
K02 Karies Gigi
L 0
B 1 1 1
K04 Penyakit pulpa dan jaringan periapikal
L 0
B 0
K05 Gingivitis dan penyakit periodental
L 0

Gangguan gigi dan jar.penyangga B 0

K08
lainnya/ abses gigi L 0
B 1 1 1
K12 Stomatitis dan lesi-lesi yg berhubungan
L 0
Penyakit esophagus, lambung dan
0
duodenum dan appendix
B 1 1 1 1 3 2 1 3 1 2 3 2 2 3 11 15 26
K29.7 Gastritis (tidak ditentukan) (6)
L 3 1 1 1 4 5
B 2 1 1 3 1 3 8 3 11
K30 Dyspepsia
L 0
B 0
K35 Appendicitis Akut
L 0
B 1 1 1
K59.0 Konstipasi
L 0
B 0
N00 PENYAKIT PADA SALURAN KENCING
L 0
B 1 1 3 1 1 4 1 9 3 12
N 39.0 Susp.ISK (10)
L 0
B 1 2 1 0 4 4
N89.9 Fluor Albus
L 0
B 1 1 1
N 92 Hypermenorhea
L 0
B 1 2 3 3
N .94.6 Disminorre
L 0
KEHAMILAN, KELAHIRAN DAN MASA
0
NIFAS
B 0
O04 Keguguran indikasi medis
L 0
B 0
O14 Preeklamsi
L 0
B 0
O20 Perdarahan di awal kehamilan
L 0
B 0
O42 Prematur Ruptur Membran
L 0
B 0
0.209 abortus imminensn
L 0
B 0
O72 Perdarahan Post Partum
L 0
B 0
O86 Infeksi Puerperalis
L 0
KEADAAN TERTENTU PADA MASA
0
PERINATAL
B 0
P10-P15 Trauma lahir
L 0
B 0
P21 Asfiksia
L 0
KECELAKAAN DAN KERACUNAN 0
S00-T98 Kecelakaan dan ruda paksa B 0
PENYAKIT KULIT DAN JARINGAN
0
SUB KUTAN
B 0
L01 Impetigo
L 0
B 0
L02 Furuncle, carbuncle
L 0
B 0
L03 Cellulitis
L 0
B 0
L20 Dermatitis Atropi
L 0
B 1 1 0 2 2
L23 Dermatitis Kontak Alergi
L 0
B 2 2 1 2 1 3 4 3 2 2 2 2 3 12 10 22
L25 Dermatitis kontak tidak ditentukan (7)
L 0
Penyakit otot dan jaringan pengikat 0
B 0
M10 Gout
L 0
B 5 3 3 5 2 6 7 1 3 4 20 18 38
M13 Artritis lainnya (3)
L 3 1 3 1 3 5 8
B 0
M15-19 Osteoarthritis
L 0
B 1 1 2 2
M 54.5 Low Back Pain(LBP)
L 0
B 1 4 1 3 1 1 1 3 9 12
M79.1 Myalgia (5)
L 1 2 1 2 3
 B 0
R.10.4 Abdomen Pain
L 0
B 1 3 1 2 11 3 2 2 2 2 10 18 28
R 51 Chepalgia (4)
L 1 1 2 0 4 4
B 2 1 3 3
R 42 Vertigo
L 0
B 1 2 3 6 1 3 2 2 3 13 8 21
Penyakit Lainnya
L 12 2 3 2 14 4 4 21 18 9 7 1 2 1 10 5 6 102 50 152
B 1 1 1
GHPR
L 0
B 0
E51-56 Defisiensi Vitamin Lainnya
L 0
B 1 2 1 1 2 2 2 3 8 11
Z 03.8 Obs.fibris
L 0
B 1 1 1 1 2
Bedah
L 0
B 1 2 1 1 1 5 3 8
Peny.Jantung
L 0
BARU B 0 0
LAMA L #REF! #REF!
TOTAL #REF! #REF!

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 LAPORAN BULANAN DATA KESAKITAN

LB.1
: Kode Unit
Kabupaten : Bangli
Puskesmas : Kintamani III
Laporan (bulan) : Juni

Jenis Penyakit ( Baru ) Jumlah Penderita

Kode 0-7 hr 8-28 hr 1 Bl<1 th 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70- th TOTAL
Jenis Penyakit ( 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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Penyakit Infeksi Pada Usus
B
A00 Kolera
L
B
A01 Typhoid dan Paratyphoid
L
B
A04 Infeksi Usus karena bakteri lainnya
L
B
A05 Keracunan makanan karena bakteri lain
L
B
A08 Infeksi usus virus dan khusus lainnya
L
B
Diare & gastroenteritis oleh penyebab
A09.1
infeksi tertentu (kolitis infeksi) L 2 6 3 9
3 2 1 1 1
B 1 1 1 1 1 1 1 1 5 3 8
A09.2 Diare Disentri
L 1 1 1 0 3 0 3
PENYAKIT TUBERKOLOSIS 0
B 0
A15.0 TB Paru dg pemeriksaan sputum positif
L 0
TB paru dg pemeriksaan secara B 0
A16.0
bakteriologi histologi negatif L 0
TB pada organ selain paru (TB extra B 0
A18
paru) L 0
PENYAKIT BAKTERI LAINNYA 0
B 0
A30.0 Lepra type I
L 0
B 0
A30.1 Lepra type TT
L 0
B 0
A30.2 Lepra type BT
L 0
B 0
A30.3 Lepra type BB
L 0
B 0
A30.4 Lepra type BL
L 0
B 0
A30.5 Lepra type LL
L 0
B 0
A33 Tetanus Neonatorum
L 0
B 0
A35 Tetanus Lainnya
L 0
B 0
A36 Difteri
L 0
B 0
A37 Pertusis/ Batuk rejan
L 0
INFEKSI DITULARKAN MELALUI HUB.
SEKSUAL 0
B 0
A54 Infeksi Gonokokus
L 0
B 0
A54.3 Infeksi Gonokokus pada mata
L 0
Infeksi klamidia yg ditularkan melalui B 0
A56
hubungan seksual L 0
B 0
A57 Ulcus molle/ Chancroid
L 0
B 0
A58 Granuloma Inguinata
L 0
Infeksi lainnya yg terutama ditularkan B 0
A64
melalui hub seksual L 0
PENYAKIT VIRUS 0
B 0
A80 Poliomyelitis Akut
L 0
B 0
A82 Rabies
L 0
B 0
A90 Dengue Fever
L 0
B 0
A91 Dengue Haemorrhagic Fever (DHF)
L 0
B 0
A92.0 Chikungunya
L 0
B 0
B00 Herpes Simplex
L 0
B 0
B01 Varicella
L 0
B 0
B02 Herpes Zoster
L 0
B 0
B05 Morbilli
L 0
B 0
B06 Rubella
L 0
B 0
B07 Viral Wart (Verruca)
L 0
B 0
B15 Hepatitis A akut
L 0
B 0
B16 Hepatitis B akut
L 0
B 0
B18 Hepatitis virus kronis
L 0
B 0
B19 Hepatitis virus yang tak ditentukan
L 0
B 0
B20 HIV dengan penyakit infeksi penyerta
L 0
B 0
B24 AIDS
L 0
B 0
B26 Mumps
L 0
 B 0
B33 Penyakit virus lainnya
L 0
MYCOSES 0
B 1 3 1 1 2 4 6
B35.1 Jamur
L 0
B 0
B36.0 Pityriasis Versicolor
L 0
B 0
B37 Candidiasis
L 0
Penyakit Protozoa 0
B 0
B50 Malaria Plasmodium Falcifarum
L 0
B 0
B51 Malaria Plasmodium Vivax
L 0
B 0
B52 Malaria Plasmodium Malariae
L 0
malaria Klinis (tanpa pemeriksaan B 0
B54 parasitologi) Helminthiasis
(kecacingan,pedikulosis) L 0
B 1 1 1 1 2 3
B86 Scabies
L 0
B 0 3 0 3 3
D 64.9 Anemia
L 0
B 2 2 1 2 3 2 1 2 6 9 15
E10 Diabetes Millitus type I
L 1 1 1 1 1 3 4
B 0
E11 Diabetes Millitus type II
L 0
Malnutrition 0
B 0
E40 Kwashiorkor
L 0
B 0
E41 Nutritional Marasmus
L 0
B 0
E42 Marasmic Kwashiorkor
L 0
GANGGUAN MENTAL 0
B 0
F00 Gangguan Mental Organik
L 0
B 0
F10 Gangguan penggunaan alkohol
L 0
B 0
F11 Gangguan penggunaan zat
L 0
B 0
F17.1 Gangguan penggunaan tembakao
L 0
Skizoprenia dan gangguan psikotik B 0
F20
kronik lainnya L 0
B 0
F23 Gangguan psikotik akut
L 0
B 0
F31 Gangguan bipolar
L 0
B 0
F32 Gangguan depresif
L 1 0
B 0
F40 Gangguan Neurotik
L 0
B 0
F52 Gangguan seksual pada pria dan wanita
L 0
B 0
F84 Gangguan perkembangan pervasif
L 0
B 0
F90 Gangguan Hiperkinetik
L 0
B 0
F91 Gangguan tingkahlaku
L 0
B 0
F98.8 Enuresis
L 0
PENYAKIT SUSUNAN SYARAF 0
B 1 1 1 1 2 3
G40 Epilepsi
L 0
B 1 1 2 2
G 20 Parkinson
L 0
B 0
G51.0 Bell's Palsy
L 0
B 0
G99 Penyakit dan susunan sus.syaraf lainnya
L 0
PENYAKIT MATA DAN ADNEKSA 0
B 0
H00 Hordeulum
L 0
B 1 1 2 1 2 2 4
H10 Conjungtivitis
L 1 1 0 1
B 1 1 1
H25 Katarak
L 0
B 0
H40 Glaucoma
L 0
B 0
H52 Kelainan Refraksi
L 0
B 0
H50.6 Xeropthalmia
L 0
B 1 1 1
H58 Penyakit mata dan adnexa lainnya
L 0
PENYAKIT PADA TELINGA DAN
MASTOID 0
B 0
H60 Otitis Ekterna
L 0
B 2 1 1 2 3
H61 Serumen blok
L 0
B 0
H65 Non Supurative otitis media
L 0
B 1 1 1 1 2 3
H 10.9 OMA
L 0
B 0
H91.1 Presbikukis
L 0
B 0
H49 Penyakit lain pada telinga
L 0
PENYAKIT TEKANAN DARAH TINGGI 0
B 2 5 1 1 6 4 7 7 4 19 18 37
I10 Hipertensi primer
L 3 1 4 1 4 4 6 6 17 23
B 0
I 52.9 Penyakit Jantung Hipertensi
L 0
B 1 1 1
I 95.9 Hipotensi
L 0
 PENYAKIT SALURANPERNAFASAN
BAGIAN ATAS 3 3 2 1 1 1 1 6
11 6 3 2 1 1 1 3 22 26 48
B 0
J00 Nasofaringitis akut (Common cold)
L 0
B 0
J01 Sinusitis akut
L 0
B 1 2 2 1 3 2 1 1 6 7 13
J02 Faringitis akut
L 1 2 1 2 2 2 2 2 2 9 7 16
B 0
J03 Tonsilitis akut
L 0
B 0
J04 Laringitis akut dan trakeitis
L 0
Pneumonia (organisme yg tdk B 1 1 1
J18
ditentukan) L 0
PENYAKIT LAIN PADA SALURAN
PERNAPSAN BAGIAN BAWAH 0
B 1 1 2 2
J20 Bronkitis akut
L 0
B 0
J30 Rhitinis Vasomotor dan alergi
L 0
B 0
J39 penyakit lain dr sal pernafasan bawah
L 0
B 0
J40 Bronkhitis tdk ditentukan akut/kronis
L 0
B 1 1 2 1 1 2 4 6
J45 Asma
L 1 1 1
B 0
J93 Pneumothorak
L 0
B 0
J98 Penyakit lain pada saluran pernafasan
L 0
PENYAKIT RONGGA MULUT 0
B 2 1 1 1 3 2 5
K02 Karies Gigi
L 0
B 0
K04 Penyakit pulpa dan jaringan periapikal
L 0
B 0
K05 Gingivitis dan penyakit periodental
L 0
Gangguan gigi dan jar.penyangga B 0
K08
lainnya/ abses gigi L 1 2 1 2 2 4
B 1 1 1 1 1 1 3 2 5
K12 Stomatitis dan lesi-lesi yg berhubungan
L 0
Penyakit esophagus, lambung dan
duodenum dan appendix 0
B 1 5 4 2 2 3 4 3 2 3 16 8 24
K29.7 Gastritis (tidak ditentukan)
L 2 1 1 1 1 3 4
B 0
K30 Dyspepsia
L 0
B 0
K35 Appendicitis Akut
L 0
B 1 0 1 0 1
K59.0 Konstipasi
L 0
B 0
N00 PENYAKIT PADA SALURAN KENCING
L 0
B 2 3 2 1 5 3 8
N 39.0 Susp.ISK
L 0
B 4 1 0 5 5
N89.9 Fluor Albus
L 1 0 1 1
B 1 1 1
N 92 Hypermenorhea
L 0
B 1 1 1
N .94.6 Disminorre
L 0
KEHAMILAN, KELAHIRAN DAN MASA
NIFAS 0
B 0
O04 Keguguran indikasi medis
L 0
B 0
O14 Preeklamsi
L 0
B 0
O20 Perdarahan di awal kehamilan
L 0
B 0
O42 Prematur Ruptur Membran
L 0
B 0
0.209 abortus imminensn
L 0
B 0
O72 Perdarahan Post Partum
L 0
B 0
O86 Infeksi Puerperalis
L 0
KEADAAN TERTENTU PADA MASA
PERINATAL 0
B 0
P10-P15 Trauma lahir
L 0
B 0
P21 Asfiksia
L 0
KECELAKAAN DAN KERACUNAN 0
S00-T98 Kecelakaan dan ruda paksa B 1 1 2 0
PENYAKIT KULIT DAN JARINGAN
SUB KUTAN 0
B 0
L01 Impetigo
L 0
B 0
L02 Furuncle, carbuncle
L 0
B 0
L03 Cellulitis
L 0
B 0
L20 Dermatitis Atropi
L 0
B 1 2 2 3 5 4 2 1 1 4 1 2 1 14 15 29
L23 Dermatitis Kontak Alergi
L 1 1 1 2 1 4 5
B 0
L25 Dermatitis kontak tidak ditentukan
L 0
Penyakit otot dan jaringan pengikat 0
B 0
M10 Gout
L 0
B 1 5 1 4 1 1 2 1 1 1 1 11 8 19
M13 Artritis lainnya
L 2 1 2 2 2 3 2 3 3 11 9 20
B 2 2 2
M15-19 Osteoarthritis
L 0
B 1 1 2 0
M 54.5 Low Back Pain(LBP)
L 0
B 1 1 1 1 2 1 3 5 8
M79.1 Myalgia
L 3 2 1 1 1 6 2 8
 B 0
R.10.4 Abdomen Pain
L 0
B 0 1 1 0 2 5 0 1 1 2 1 5 8 13
R 51 Chepalgia
L 3 2 3 2 5
B 1 1 1 2 2 3 4 7
R 42 Vertigo
L 0
B 3 2 3 5 15 2 3 2 2 5 5 14 33 47
Penyakit Lainnya
L 0
B 5 5 7 3 5 1 1 2 14 9 1 5 3 5 36 30 66
GHPR
L 0
B 0
E51-56 Defisiensi Vitamin Lainnya
L 0
B 1 1 1 1 1 1 1 2 2 1 1 9 4 13
Z 03.8 Obs.fibris
L 0 2 1 0 1 1 2 3 5
B 0
Bedah
L 0
B 0
Peny.Jantung
L 0
BARU B 0 0
LAMA L #REF! #REF!
TOTAL #REF! #REF!

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 LAPORAN BULANAN DATA KESAKITAN

LB.1
: Kode Unit
Kabupaten : Bangli
Puskesmas : Kintamani III
Laporan (bulan) : Juli

Jenis Penyakit ( Baru ) Jumlah Penderita

Kode 0-7 hr 8-28 hr 1 Bl<1 th 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70- th TOTAL
Jenis Penyakit ( 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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Penyakit Infeksi Pada Usus
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A00 Kolera
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A01 Typhoid dan Paratyphoid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A04 Infeksi Usus karena bakteri lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A05 Keracunan makanan karena bakteri lain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A08 Infeksi usus virus dan khusus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 2 0 0 0 1 0 2 0 0 0 4 4 1 2 0 2 0 1 0 9 10 19
Diare & gastroenteritis oleh penyebab
A09.1
infeksi tertentu (kolitis infeksi) L 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 1 1

B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A09.2 Diare Disentri
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TUBERKOLOSIS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A15.0 TB Paru dg pemeriksaan sputum positif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TB paru dg pemeriksaan secara B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1

A16.0
bakteriologi histologi negatif L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TB pada organ selain paru (TB extra B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A18
paru) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT BAKTERI LAINNYA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.0 Lepra type I
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.1 Lepra type TT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.2 Lepra type BT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.3 Lepra type BB
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.4 Lepra type BL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.5 Lepra type LL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A33 Tetanus Neonatorum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A35 Tetanus Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A36 Difteri
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A37 Pertusis/ Batuk rejan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INFEKSI DITULARKAN MELALUI HUB.
0
SEKSUAL
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54 Infeksi Gonokokus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54.3 Infeksi Gonokokus pada mata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Infeksi klamidia yg ditularkan melalui B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A56
hubungan seksual L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A57 Ulcus molle/ Chancroid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A58 Granuloma Inguinata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Infeksi lainnya yg terutama ditularkan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A64
melalui hub seksual L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT VIRUS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A80 Poliomyelitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A82 Rabies
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A90 Dengue Fever
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A91 Dengue Haemorrhagic Fever (DHF)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A92.0 Chikungunya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B00 Herpes Simplex
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B01 Varicella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B02 Herpes Zoster
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B05 Morbilli
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B06 Rubella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B07 Viral Wart (Verruca)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B15 Hepatitis A akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B16 Hepatitis B akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B18 Hepatitis virus kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B19 Hepatitis virus yang tak ditentukan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B20 HIV dengan penyakit infeksi penyerta
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B24 AIDS
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B26 Mumps
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B33 Penyakit virus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYCOSES 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B35.1 Jamur
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B36.0 Pityriasis Versicolor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B37 Candidiasis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit Protozoa 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B50 Malaria Plasmodium Falcifarum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B51 Malaria Plasmodium Vivax
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B52 Malaria Plasmodium Malariae
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

malaria Klinis (tanpa pemeriksaan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B54 parasitologi) Helminthiasis
(kecacingan,pedikulosis) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B 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 2 2
B86 Scabies
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 0 0 0 0 0 0 0 0 4 4
D 64.9 Anemia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 0 0 2 1 1 0 6 1 7
E10 Diabetes Millitus type I
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 2 1 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0 2 1 3
E11 Diabetes Millitus type II
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malnutrition 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E40 Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E41 Nutritional Marasmus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E42 Marasmic Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN MENTAL 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F00 Gangguan Mental Organik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F10 Gangguan penggunaan alkohol
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F11 Gangguan penggunaan zat
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F17.1 Gangguan penggunaan tembakao
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Skizoprenia dan gangguan psikotik B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

F20
kronik lainnya L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F23 Gangguan psikotik akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F31 Gangguan bipolar
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F32 Gangguan depresif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F40 Gangguan Neurotik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F52 Gangguan seksual pada pria dan wanita
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F84 Gangguan perkembangan pervasif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F90 Gangguan Hiperkinetik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F91 Gangguan tingkahlaku
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F98.8 Enuresis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SUSUNAN SYARAF 0
B 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
G40 Epilepsi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G 20 Parkinson
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G51.0 Bell's Palsy
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G99 Penyakit dan susunan sus.syaraf lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT MATA DAN ADNEKSA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H00 Hordeulum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 2 1 0 0 0 1 1 0 4 4 8
H10 Conjungtivitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 2 1 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H25 Katarak
L 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 1 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H40 Glaucoma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H52 Kelainan Refraksi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H50.6 Xeropthalmia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H58 Penyakit mata dan adnexa lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT PADA TELINGA DAN
0
MASTOID
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H60 Otitis Ekterna
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6
H61 Serumen blok
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H65 Non Supurative otitis media
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2 2 4
H 10.9 OMA
L 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 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H91.1 Presbikukis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H49 Penyakit lain pada telinga
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TEKANAN DARAH TINGGI 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 2 6 3 3 13 9 7 15 28 34 62
I10 Hipertensi primer
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 4 1 4 2 3 5 6 14 16 30
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 52.9 Penyakit Jantung Hipertensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 95.9 Hipotensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENYAKIT SALURANPERNAFASAN
BAGIAN ATAS
0 0 0 0 5 3 1 3 1 3 1 2 2 4 11 17 8 1 2 2 2 1 0 3 33 38 71

B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J00 Nasofaringitis akut (Common cold)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J01 Sinusitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 3 1 0 2 7 4 4 2 0 3 3 3 2 0 19 15 34
J02 Faringitis akut
L 0 0 0 0 0 0 0 2 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 4 5
B 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3
J03 Tonsilitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J04 Laringitis akut dan trakeitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pneumonia (organisme yg tdk B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

J18
ditentukan) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT LAIN PADA SALURAN
0
PERNAPSAN BAGIAN BAWAH
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J20 Bronkitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J30 Rhitinis Vasomotor dan alergi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J39 penyakit lain dr sal pernafasan bawah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 2 0 1 0 3 2 5
J40 Bronkhitis tdk ditentukan akut/kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 4 0 0 0 3 2 5
J45 Asma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J93 Pneumothorak
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 2
J98 Penyakit lain pada saluran pernafasan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT RONGGA MULUT 0
B 0 0 0 0 0 0 0 0 1 0 0 0 0 0 3 1 0 3 0 0 0 1 0 0 4 5 9
K02 Karies Gigi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04 Penyakit pulpa dan jaringan periapikal
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K05 Gingivitis dan penyakit periodental
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Gangguan gigi dan jar.penyangga B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

K08
lainnya/ abses gigi L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 3 0 3
K12 Stomatitis dan lesi-lesi yg berhubungan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit esophagus, lambung dan
0
duodenum dan appendix
B 0 0 0 0 0 0 0 0 0 0 0 0 1 1 4 2 2 3 2 2 5 2 2 3 10 7 17
K29.7 Gastritis (tidak ditentukan)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 5 1 1 1 0 0 0 0 7 6 13
B 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
K30 Dyspepsia
L 0 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
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K35 Appendicitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K59.0 Konstipasi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 6 0 6
N00 PENYAKIT PADA SALURAN KENCING
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 0 2 0 4 2 6
N 39.0 Susp.ISK
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 2
N89.9 Fluor Albus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 1 0 0 0 0 0 0 0 7 7
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N 92 Hypermenorhea
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1
N .94.6 Disminorre
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEHAMILAN, KELAHIRAN DAN MASA
3 3 3
NIFAS
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O04 Keguguran indikasi medis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O14 Preeklamsi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O20 Perdarahan di awal kehamilan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O42 Prematur Ruptur Membran
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0.209 abortus imminensn
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O72 Perdarahan Post Partum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O86 Infeksi Puerperalis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEADAAN TERTENTU PADA MASA
0
PERINATAL
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P10-P15 Trauma lahir
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P21 Asfiksia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KECELAKAAN DAN KERACUNAN 0
S00-T98 Kecelakaan dan ruda paksa B 0 0 0 0 0 0 0 0 3 2 1 3 6 3 17 5 10 14 0 0 5 2 5 5 46 34 80
PENYAKIT KULIT DAN JARINGAN
0
SUB KUTAN
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L01 Impetigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L02 Furuncle, carbuncle
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L03 Cellulitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 3 1 0 0 1 1 0 1 0 3 6 9
L20 Dermatitis Atropi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 2 1 3
B 0 0 0 0 1 0 1 0 0 1 0 0 1 1 1 1 1 2 2 1 1 1 0 0 7 8 15
L23 Dermatitis Kontak Alergi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L25 Dermatitis kontak tidak ditentukan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit otot dan jaringan pengikat 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M10 Gout
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 6 5 3 4 5 3 1 8 17 21 38
M13 Artritis lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 6 1 1 2 6 2 1 3 14 10 24
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M15-19 Osteoarthritis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 2
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 2
M 54.5 Low Back Pain(LBP)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1
M79.1 Myalgia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 2 1 5 6
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R.10.4 Abdomen Pain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 5 1 2 0 1 1 3 0 0 4 11 15
R 51 Chepalgia
L 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 5 0 0 0 0 0 1 1 0 1 8 9
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 2
R 42 Vertigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 1 0 0 1 2 0 0 3 2 1 10 6 6 5 1 10 2 2 6 2 26 32 58
Penyakit Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
GHPR
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E51-56 Defisiensi Vitamin Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2
Z 03.8 Obs.fibris
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bedah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 2
Peny.Jantung
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARU B 0 0
LAMA L #REF! #REF!
TOTAL #REF! #REF!

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 LAPORAN BULANAN DATA KESAKITAN

LB.1
: Kode Unit
Kabupaten : Bangli
Puskesmas : Kintamani III
Laporan (bulan) : Agustus

Jenis Penyakit ( Baru ) Jumlah Penderita

Kode 0-7 hr 8-28 hr 1 Bl<1 th 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70- th TOTAL
Jenis Penyakit ( 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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Penyakit Infeksi Pada Usus
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A00 Kolera
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A01 Typhoid dan Paratyphoid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A04 Infeksi Usus karena bakteri lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A05 Keracunan makanan karena bakteri lain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A08 Infeksi usus virus dan khusus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 5 3 2 1 0 1 1 1 0 9 8 17
Diare & gastroenteritis oleh penyebab
A09.1
infeksi tertentu (kolitis infeksi) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B 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 2 2
A09.2 Diare Disentri
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TUBERKOLOSIS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A15.0 TB Paru dg pemeriksaan sputum positif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TB paru dg pemeriksaan secara B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A16.0
bakteriologi histologi negatif L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TB pada organ selain paru (TB extra B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A18
paru) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT BAKTERI LAINNYA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.0 Lepra type I
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.1 Lepra type TT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.2 Lepra type BT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.3 Lepra type BB
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.4 Lepra type BL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.5 Lepra type LL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A33 Tetanus Neonatorum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A35 Tetanus Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A36 Difteri
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A37 Pertusis/ Batuk rejan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INFEKSI DITULARKAN MELALUI HUB.
0
SEKSUAL
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54 Infeksi Gonokokus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54.3 Infeksi Gonokokus pada mata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Infeksi klamidia yg ditularkan melalui B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A56
hubungan seksual L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A57 Ulcus molle/ Chancroid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A58 Granuloma Inguinata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Infeksi lainnya yg terutama ditularkan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A64
melalui hub seksual L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1
PENYAKIT VIRUS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A80 Poliomyelitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A82 Rabies
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A90 Dengue Fever
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A91 Dengue Haemorrhagic Fever (DHF)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A92.0 Chikungunya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B00 Herpes Simplex
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B01 Varicella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B02 Herpes Zoster
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B05 Morbilli
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B06 Rubella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B07 Viral Wart (Verruca)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B15 Hepatitis A akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B16 Hepatitis B akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B18 Hepatitis virus kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B19 Hepatitis virus yang tak ditentukan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B20 HIV dengan penyakit infeksi penyerta
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B24 AIDS
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B26 Mumps
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B33 Penyakit virus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYCOSES 0
B 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 1 1
B35.1 Jamur
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B36.0 Pityriasis Versicolor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B37 Candidiasis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit Protozoa 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B50 Malaria Plasmodium Falcifarum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B51 Malaria Plasmodium Vivax
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B52 Malaria Plasmodium Malariae
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

malaria Klinis (tanpa pemeriksaan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B54 parasitologi) Helminthiasis
(kecacingan,pedikulosis) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B86 Scabies
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1
D 64.9 Anemia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E10 Diabetes Millitus type I
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 5 2 1 2 1 3 2 9 11 20
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E11 Diabetes Millitus type II
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0 1 2 3
Malnutrition 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E40 Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E41 Nutritional Marasmus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E42 Marasmic Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN MENTAL 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F00 Gangguan Mental Organik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F10 Gangguan penggunaan alkohol
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F11 Gangguan penggunaan zat
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F17.1 Gangguan penggunaan tembakao
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Skizoprenia dan gangguan psikotik B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

F20
kronik lainnya L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F23 Gangguan psikotik akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F31 Gangguan bipolar
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F32 Gangguan depresif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F40 Gangguan Neurotik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F52 Gangguan seksual pada pria dan wanita
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F84 Gangguan perkembangan pervasif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F90 Gangguan Hiperkinetik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F91 Gangguan tingkahlaku
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F98.8 Enuresis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SUSUNAN SYARAF 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G40 Epilepsi
L 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 1 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G 20 Parkinson
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G51.0 Bell's Palsy
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G99 Penyakit dan susunan sus.syaraf lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT MATA DAN ADNEKSA 0
B 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 2 2
H00 Hordeulum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 2 0 0 3 3 6
H10 Conjungtivitis
L 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 1
B 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 0 1
H25 Katarak
L 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 1 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H40 Glaucoma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 2
H52 Kelainan Refraksi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H50.6 Xeropthalmia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 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 2 2
H58 Penyakit mata dan adnexa lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT PADA TELINGA DAN
0
MASTOID
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H60 Otitis Ekterna
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 3 0 2 0 0 0 0 0 0 0 0 0 1 0 0 0 6 0 6
H61 Serumen blok
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H65 Non Supurative otitis media
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 2
H 10.9 OMA
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H91.1 Presbikukis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H49 Penyakit lain pada telinga
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TEKANAN DARAH TINGGI 0
B 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 2 2
I10 Hipertensi primer
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 5 13 14 8 12 19 9 9 17 40 57 97
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 52.9 Penyakit Jantung Hipertensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 95.9 Hipotensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENYAKIT SALURANPERNAFASAN
0 0 0 1 1 1 7 1 1 1 1 0 7 4 15 14 5 2 3 2 4 1 1 3 36 35 71
BAGIAN ATAS
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J00 Nasofaringitis akut (Common cold)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J01 Sinusitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 2 2 0 2 2 2 2 0 9 8 17
J02 Faringitis akut
L 0 0 0 0 0 1 0 2 1 2 0 0 3 0 4 6 1 0 0 1 0 1 1 0 10 13 23
B 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 2
J03 Tonsilitis akut
L 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J04 Laringitis akut dan trakeitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pneumonia (organisme yg tdk B 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3

J18
ditentukan) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT LAIN PADA SALURAN
0
PERNAPSAN BAGIAN BAWAH
B 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 1 1
J20 Bronkitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 2 2 4
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J30 Rhitinis Vasomotor dan alergi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J39 penyakit lain dr sal pernafasan bawah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J40 Bronkhitis tdk ditentukan akut/kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J45 Asma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 2 1 0 2 0 0 1 5 4 9
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J93 Pneumothorak
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 0 2 3 5
J98 Penyakit lain pada saluran pernafasan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT RONGGA MULUT 0
B 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
K02 Karies Gigi
L 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 1 0 0 0 1 0 0 0 0 5 0 5
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04 Penyakit pulpa dan jaringan periapikal
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
K05 Gingivitis dan penyakit periodental
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Gangguan gigi dan jar.penyangga B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

K08
lainnya/ abses gigi L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 2 1 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K12 Stomatitis dan lesi-lesi yg berhubungan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit esophagus, lambung dan
0
duodenum dan appendix
B 0 0 0 0 0 0 0 0 0 0 0 2 0 2 4 1 2 2 2 3 5 3 7 4 17 19 36
K29.7 Gastritis (tidak ditentukan)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 6 1 2 1 0 1 1 9 13 22
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K30 Dyspepsia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K35 Appendicitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K59.0 Konstipasi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N00 PENYAKIT PADA SALURAN KENCING
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 1 0 0 0 0 3 2 5
N 39.0 Susp.ISK
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N89.9 Fluor Albus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 6 0 1 0 0 0 0 0 0 1 8 9
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N 92 Hypermenorhea
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N .94.6 Disminorre
L 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 2 2
KEHAMILAN, KELAHIRAN DAN MASA
0
NIFAS
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O04 Keguguran indikasi medis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O14 Preeklamsi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O20 Perdarahan di awal kehamilan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O42 Prematur Ruptur Membran
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0.209 abortus imminensn
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O72 Perdarahan Post Partum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O86 Infeksi Puerperalis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEADAAN TERTENTU PADA MASA
0
PERINATAL
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P10-P15 Trauma lahir
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P21 Asfiksia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KECELAKAAN DAN KERACUNAN 0
S00-T98 Kecelakaan dan ruda paksa B 0 0 0 0 0 0 0 0 1 0 1 1 0 0 3 3 3 0 1 0 0 0 0 0 9 4 13
PENYAKIT KULIT DAN JARINGAN
0
SUB KUTAN
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L01 Impetigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L02 Furuncle, carbuncle
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L03 Cellulitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 2 0 0 0 2 0 5 2 7
L20 Dermatitis Atropi
L 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 1 1
B 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 2 1 1 0 0 1 1 1 1 5 6 11
L23 Dermatitis Kontak Alergi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 1 1 0 0 4 2 6
L25 Dermatitis kontak tidak ditentukan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit otot dan jaringan pengikat 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M10 Gout
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 3 1 0 3 6 5 11
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 1 0 0 0 2 2 4
M13 Artritis lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 5 5 2 5 8 2 4 7 22 20 42
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M15-19 Osteoarthritis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 2 3 0 0 0 5 6 11
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 0 0 0 0 0 2 3 3 6
M 54.5 Low Back Pain(LBP)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 1 2 3
M79.1 Myalgia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 1 0 1 0 0 0 6 6
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R.10.4 Abdomen Pain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 1 0 0 1 2 1 4 2 1 0 1 0 1 0 1 4 11 15
R 51 Chepalgia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 3 0 0 2 0 0 0 0 7 4 11
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 3 0 4 2 6
R 42 Vertigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 2
B 0 0 0 0 0 0 0 3 2 1 0 0 0 0 2 3 2 2 2 2 2 2 3 6 14 18 32
Penyakit Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 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
GHPR
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E51-56 Defisiensi Vitamin Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Z 03.8 Obs.fibris
L 0 0 0 0 0 2 1 0 0 1 0 0 0 0 1 1 1 0 0 0 1 0 0 0 4 4 8
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bedah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Peny.Jantung
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARU B 0 0 0
LAMA L #REF! #REF! 0
TOTAL #REF! #REF! 0

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 LAPORAN BULANAN DATA KESAKITAN

LB.1
: Kode Unit
Kabupaten : Bangli
Puskesmas : Kintamani III
Laporan (bulan) : September

Jenis Penyakit ( Baru ) Jumlah Penderita

Kode 0-7 hr 8-28 hr 1 Bl<1 th 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70- th TOTAL
Jenis Penyakit ( 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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Penyakit Infeksi Pada Usus
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A00 Kolera
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1
A01 Typhoid dan Paratyphoid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A04 Infeksi Usus karena bakteri lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A05 Keracunan makanan karena bakteri lain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A08 Infeksi usus virus dan khusus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2 1 1 0 2 0 0 0 0 5 5 10
Diare & gastroenteritis oleh penyebab
A09.1
infeksi tertentu (kolitis infeksi) L 0 0 0 0 0 1 2 1 3 7 0 0 0 1 0 2 1 0 1 0 0 0 0 0 7 12 19

B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A09.2 Diare Disentri
L 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 1
PENYAKIT TUBERKOLOSIS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A15.0 TB Paru dg pemeriksaan sputum positif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TB paru dg pemeriksaan secara B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A16.0
bakteriologi histologi negatif L 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 3 0 3

TB pada organ selain paru (TB extra B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A18
paru) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT BAKTERI LAINNYA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.0 Lepra type I
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.1 Lepra type TT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.2 Lepra type BT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.3 Lepra type BB
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.4 Lepra type BL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.5 Lepra type LL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A33 Tetanus Neonatorum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A35 Tetanus Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A36 Difteri
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A37 Pertusis/ Batuk rejan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INFEKSI DITULARKAN MELALUI HUB.
0
SEKSUAL
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54 Infeksi Gonokokus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54.3 Infeksi Gonokokus pada mata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Infeksi klamidia yg ditularkan melalui B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A56
hubungan seksual L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A57 Ulcus molle/ Chancroid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A58 Granuloma Inguinata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Infeksi lainnya yg terutama ditularkan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A64
melalui hub seksual L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT VIRUS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A80 Poliomyelitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A82 Rabies
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A90 Dengue Fever
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A91 Dengue Haemorrhagic Fever (DHF)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A92.0 Chikungunya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B00 Herpes Simplex
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B01 Varicella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B02 Herpes Zoster
L 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 2
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B05 Morbilli
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B06 Rubella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B07 Viral Wart (Verruca)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B15 Hepatitis A akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B16 Hepatitis B akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B18 Hepatitis virus kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B19 Hepatitis virus yang tak ditentukan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B20 HIV dengan penyakit infeksi penyerta
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B24 AIDS
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B26 Mumps
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B33 Penyakit virus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYCOSES 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1
B35.1 Jamur
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B36.0 Pityriasis Versicolor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B37 Candidiasis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit Protozoa 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B50 Malaria Plasmodium Falcifarum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B51 Malaria Plasmodium Vivax
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B52 Malaria Plasmodium Malariae
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

malaria Klinis (tanpa pemeriksaan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B54 parasitologi) Helminthiasis
(kecacingan,pedikulosis) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B86 Scabies
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D 64.9 Anemia
L 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 1 2 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E10 Diabetes Millitus type I
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 4 2 3 3 4 1 3 8 15 23
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E11 Diabetes Millitus type II
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 1 2 3
Malnutrition 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E40 Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E41 Nutritional Marasmus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E42 Marasmic Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN MENTAL 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F00 Gangguan Mental Organik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F10 Gangguan penggunaan alkohol
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F11 Gangguan penggunaan zat
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F17.1 Gangguan penggunaan tembakao
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Skizoprenia dan gangguan psikotik B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

F20
kronik lainnya L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F23 Gangguan psikotik akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F31 Gangguan bipolar
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F32 Gangguan depresif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F40 Gangguan Neurotik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F52 Gangguan seksual pada pria dan wanita
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F84 Gangguan perkembangan pervasif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F90 Gangguan Hiperkinetik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F91 Gangguan tingkahlaku
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F98.8 Enuresis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SUSUNAN SYARAF 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G40 Epilepsi
L 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G 20 Parkinson
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G51.0 Bell's Palsy
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G99 Penyakit dan susunan sus.syaraf lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT MATA DAN ADNEKSA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H00 Hordeulum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 1 2 3
B 0 0 0 0 0 0 0 0 2 0 1 0 2 1 2 3 2 0 0 0 2 0 0 0 11 4 15
H10 Conjungtivitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H25 Katarak
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H40 Glaucoma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H52 Kelainan Refraksi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H50.6 Xeropthalmia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H58 Penyakit mata dan adnexa lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT PADA TELINGA DAN
0
MASTOID
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H60 Otitis Ekterna
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 5 0 2 0 0 0 0 1 0 0 0 0 1 0 0 0 8 1 9
H61 Serumen blok
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H65 Non Supurative otitis media
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 3
H 10.9 OMA
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H91.1 Presbikukis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H49 Penyakit lain pada telinga
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TEKANAN DARAH TINGGI 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 5
I10 Hipertensi primer
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 12 3 9 12 7 9 11 8 8 34 53 87
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 52.9 Penyakit Jantung Hipertensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 95.9 Hipotensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENYAKIT SALURANPERNAFASAN
1 0 0 0 3 3 5 6 4 4 2 2 2 2 5 8 8 1 3 0 2 0 4 6 39 31 70
BAGIAN ATAS
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J00 Nasofaringitis akut (Common cold)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J01 Sinusitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J02 Faringitis akut
L 0 0 0 0 0 0 0 0 2 0 2 0 0 2 2 4 3 3 0 1 0 1 0 0 9 11 20
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J03 Tonsilitis akut
L 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 3 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J04 Laringitis akut dan trakeitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pneumonia (organisme yg tdk B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

J18
ditentukan) L 0 0 0 0 0 0 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4
PENYAKIT LAIN PADA SALURAN
0
PERNAPSAN BAGIAN BAWAH
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J20 Bronkitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 3 0 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J30 Rhitinis Vasomotor dan alergi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J39 penyakit lain dr sal pernafasan bawah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J40 Bronkhitis tdk ditentukan akut/kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 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 0 1
J45 Asma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 1 1 0 3 0 2 0 5 2 7
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J93 Pneumothorak
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J98 Penyakit lain pada saluran pernafasan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT RONGGA MULUT 0
B 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1
K02 Karies Gigi
L 0 0 0 0 0 0 0 0 0 1 0 0 0 0 3 0 1 0 0 0 0 1 0 0 7 2 9
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04 Penyakit pulpa dan jaringan periapikal
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K05 Gingivitis dan penyakit periodental
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Gangguan gigi dan jar.penyangga B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

K08
lainnya/ abses gigi L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K12 Stomatitis dan lesi-lesi yg berhubungan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit esophagus, lambung dan
0
duodenum dan appendix
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K29.7 Gastritis (tidak ditentukan)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 4 5 3 6 3 4 5 7 4 26 20 46
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K30 Dyspepsia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K35 Appendicitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1
K59.0 Konstipasi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N00 PENYAKIT PADA SALURAN KENCING
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 0 3 1 4
N 39.0 Susp.ISK
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 2
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
N89.9 Fluor Albus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 4 4
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N 92 Hypermenorhea
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1
N .94.6 Disminorre
L 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 2 2
KEHAMILAN, KELAHIRAN DAN MASA
0
NIFAS
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O04 Keguguran indikasi medis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O14 Preeklamsi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O20 Perdarahan di awal kehamilan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O42 Prematur Ruptur Membran
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0.209 abortus imminensn
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O72 Perdarahan Post Partum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O86 Infeksi Puerperalis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEADAAN TERTENTU PADA MASA
0
PERINATAL
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P10-P15 Trauma lahir
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P21 Asfiksia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KECELAKAAN DAN KERACUNAN 0
S00-T98 Kecelakaan dan ruda paksa B 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 3 3 0 0 0 0 0 4 5 9
PENYAKIT KULIT DAN JARINGAN
0
SUB KUTAN
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L01 Impetigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L02 Furuncle, carbuncle
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L03 Cellulitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L20 Dermatitis Atropi
L 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
B 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 5 1 0 1 1 1 1 0 0 6 7 13
L23 Dermatitis Kontak Alergi
L 0 0 1 0 1 0 0 0 0 4 0 0 1 0 0 3 0 2 0 2 0 0 0 0 4 10 14
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L25 Dermatitis kontak tidak ditentukan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit otot dan jaringan pengikat 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M10 Gout
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 5 0 4 4 8
M13 Artritis lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 4 5 3 6 4 6 4 5 19 24 43
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M15-19 Osteoarthritis
L 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
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M 54.5 Low Back Pain(LBP)
L 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 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M79.1 Myalgia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 3 0 1 2 0 1 3 5 10 15
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R.10.4 Abdomen Pain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 3 3 6
B 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 2 2 0 0 1 4 7 11
R 51 Chepalgia
L 0 0 0 0 0 0 0 0 0 0 2 0 1 0 1 7 0 0 0 0 0 0 0 1 4 8 12
B 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 3
R 42 Vertigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 2 0 0 1 4 4 8
B 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 2 2 1 0 0 0 0 2 0 5 3 8
Penyakit Lainnya
L 0 0 0 0 0 0 0 0 0 0 2 2 1 3 3 9 6 5 5 2 2 2 3 0 24 23 47
B 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
GHPR
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E51-56 Defisiensi Vitamin Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
Z 03.8 Obs.fibris
L 0 0 0 0 0 1 1 2 2 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 4 8 12
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bedah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Peny.Jantung
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1
BARU B 1 0 0
LAMA L #REF! #REF! 0
TOTAL #REF! #REF! 0

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 LAPORAN BULANAN DATA KESAKITAN

LB.1
: Kode Unit
Kabupaten : Bangli
Puskesmas : Kintamani III
Laporan (bulan) : Oktober

Jenis Penyakit ( Baru ) Jumlah Penderita

Kode 0-7 hr 8-28 hr 1 Bl<1 th 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70- th TOTAL
Jenis Penyakit ( 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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Penyakit Infeksi Pada Usus
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A00 Kolera
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 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
A01 Typhoid dan Paratyphoid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A04 Infeksi Usus karena bakteri lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A05 Keracunan makanan karena bakteri lain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A08 Infeksi usus virus dan khusus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Diare & gastroenteritis oleh penyebab
A09.1
infeksi tertentu (kolitis infeksi) L 0 0 0 0 1 0 1 0 0 2 1 0 0 0 3 2 3 1 1 0 1 0 2 0 3 6 9

B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A09.2 Diare Disentri
L 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 2 0 0 0 0 0 3 2 5
PENYAKIT TUBERKOLOSIS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A15.0 TB Paru dg pemeriksaan sputum positif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TB paru dg pemeriksaan secara B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A16.0
bakteriologi histologi negatif L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TB pada organ selain paru (TB extra B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A18
paru) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT BAKTERI LAINNYA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.0 Lepra type I
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.1 Lepra type TT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.2 Lepra type BT
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.3 Lepra type BB
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.4 Lepra type BL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.5 Lepra type LL
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A33 Tetanus Neonatorum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A35 Tetanus Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A36 Difteri
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A37 Pertusis/ Batuk rejan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INFEKSI DITULARKAN MELALUI HUB.
0
SEKSUAL
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54 Infeksi Gonokokus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54.3 Infeksi Gonokokus pada mata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Infeksi klamidia yg ditularkan melalui B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A56
hubungan seksual L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A57 Ulcus molle/ Chancroid
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A58 Granuloma Inguinata
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Infeksi lainnya yg terutama ditularkan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A64
melalui hub seksual L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1
PENYAKIT VIRUS 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A80 Poliomyelitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A82 Rabies
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A90 Dengue Fever
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A91 Dengue Haemorrhagic Fever (DHF)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A92.0 Chikungunya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B00 Herpes Simplex
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B01 Varicella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B02 Herpes Zoster
L 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B05 Morbilli
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B06 Rubella
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B07 Viral Wart (Verruca)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B15 Hepatitis A akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B16 Hepatitis B akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B18 Hepatitis virus kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B19 Hepatitis virus yang tak ditentukan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B20 HIV dengan penyakit infeksi penyerta
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B24 AIDS
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B26 Mumps
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B33 Penyakit virus lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYCOSES 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B35.1 Jamur
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B36.0 Pityriasis Versicolor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B37 Candidiasis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit Protozoa 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B50 Malaria Plasmodium Falcifarum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B51 Malaria Plasmodium Vivax
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B52 Malaria Plasmodium Malariae
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

malaria Klinis (tanpa pemeriksaan B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B54 parasitologi) Helminthiasis
(kecacingan,pedikulosis) L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B86 Scabies
L 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D 64.9 Anemia
L 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0 0 4 4
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E10 Diabetes Millitus type I
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 2 0 3 3 3 2 9 10 19
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E11 Diabetes Millitus type II
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 2 1 3
Malnutrition 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E40 Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E41 Nutritional Marasmus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E42 Marasmic Kwashiorkor
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN MENTAL 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F00 Gangguan Mental Organik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F10 Gangguan penggunaan alkohol
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F11 Gangguan penggunaan zat
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F17.1 Gangguan penggunaan tembakao
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Skizoprenia dan gangguan psikotik B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

F20
kronik lainnya L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F23 Gangguan psikotik akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F31 Gangguan bipolar
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F32 Gangguan depresif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F40 Gangguan Neurotik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F52 Gangguan seksual pada pria dan wanita
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F84 Gangguan perkembangan pervasif
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F90 Gangguan Hiperkinetik
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F91 Gangguan tingkahlaku
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F98.8 Enuresis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SUSUNAN SYARAF 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G40 Epilepsi
L 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 2 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G 20 Parkinson
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G51.0 Bell's Palsy
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G99 Penyakit dan susunan sus.syaraf lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT MATA DAN ADNEKSA 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H00 Hordeulum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H10 Conjungtivitis
L 0 0 0 0 0 1 0 0 2 2 0 0 1 0 1 2 1 0 0 1 0 1 0 0 7 6 13
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H25 Katarak
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H40 Glaucoma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H52 Kelainan Refraksi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H50.6 Xeropthalmia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H58 Penyakit mata dan adnexa lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT PADA TELINGA DAN
0
MASTOID
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H60 Otitis Ekterna
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H61 Serumen blok
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H65 Non Supurative otitis media
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H 10.9 OMA
L 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 3 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H91.1 Presbikukis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H49 Penyakit lain pada telinga
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TEKANAN DARAH TINGGI 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I10 Hipertensi primer
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 5 6 11 11 10 12 12 12 9 48 33 81
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 52.9 Penyakit Jantung Hipertensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 95.9 Hipotensi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1
 PENYAKIT SALURANPERNAFASAN
0 0 0 0 3 2 1 8 1 1 3 0 1 0 7 10 4 1 2 1 1 0 2 1 27 29 56
BAGIAN ATAS
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J00 Nasofaringitis akut (Common cold)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J01 Sinusitis akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J02 Faringitis akut
L 0 0 0 0 0 0 1 0 0 2 3 1 1 0 2 3 5 2 0 3 5 4 4 0 20 15 35
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J03 Tonsilitis akut
L 0 0 0 0 0 0 1 1 2 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 5 1 6
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J04 Laringitis akut dan trakeitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pneumonia (organisme yg tdk B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

J18
ditentukan) L 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 2
PENYAKIT LAIN PADA SALURAN
0
PERNAPSAN BAGIAN BAWAH
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J20 Bronkitis akut
L 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 1 0 4 0 4
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J30 Rhitinis Vasomotor dan alergi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J39 penyakit lain dr sal pernafasan bawah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J40 Bronkhitis tdk ditentukan akut/kronis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J45 Asma
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 2 3 1 0 1 0 6 4 10
B 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 1
J93 Pneumothorak
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J98 Penyakit lain pada saluran pernafasan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 1 0 0 0 0 4 1 5
PENYAKIT RONGGA MULUT 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K02 Karies Gigi
L 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 1 0 0 0 0 0 0 0 4 1 5
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04 Penyakit pulpa dan jaringan periapikal
L 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 2 1 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K05 Gingivitis dan penyakit periodental
L 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 1 1

Gangguan gigi dan jar.penyangga B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

K08
lainnya/ abses gigi L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K12 Stomatitis dan lesi-lesi yg berhubungan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit esophagus, lambung dan
0
duodenum dan appendix
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K29.7 Gastritis (tidak ditentukan)
L 0 0 0 0 0 0 0 0 2 0 0 2 0 2 5 0 7 5 2 5 3 4 4 3 24 20 44
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K30 Dyspepsia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K35 Appendicitis Akut
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K59.0 Konstipasi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N00 PENYAKIT PADA SALURAN KENCING
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N 39.0 Susp.ISK
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 1 2 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N89.9 Fluor Albus
L 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 0 0 0 0 0 0 0 0 0 5 5
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N 92 Hypermenorhea
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N .94.6 Disminorre
L 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 2 2
KEHAMILAN, KELAHIRAN DAN MASA
0
NIFAS
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O04 Keguguran indikasi medis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O14 Preeklamsi
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O20 Perdarahan di awal kehamilan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O42 Prematur Ruptur Membran
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0.209 abortus imminensn
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O72 Perdarahan Post Partum
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O86 Infeksi Puerperalis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEADAAN TERTENTU PADA MASA
0
PERINATAL
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P10-P15 Trauma lahir
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P21 Asfiksia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KECELAKAAN DAN KERACUNAN 0
S00-T98 Kecelakaan dan ruda paksa B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT KULIT DAN JARINGAN
0
SUB KUTAN
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L01 Impetigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L02 Furuncle, carbuncle
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L03 Cellulitis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L20 Dermatitis Atropi
L 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 6 2 0 2 2 2 2 0 0 1 7 8
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L23 Dermatitis Kontak Alergi
L 0 0 0 0 0 0 0 0 1 1 0 1 0 0 1 3 0 0 0 0 0 0 0 0 2 5 7
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L25 Dermatitis kontak tidak ditentukan
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit otot dan jaringan pengikat 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M10 Gout
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M13 Artritis lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 5 3 2 3 9 5 7 5 20 21 41
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M15-19 Osteoarthritis
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0 1 2 3
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M 54.5 Low Back Pain(LBP)
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 0 0 0 0 0 0 1 3 4
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M79.1 Myalgia
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 2 1 0 1 1 2 0 7 4 11
 B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R.10.4 Abdomen Pain
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R 51 Chepalgia
L 0 0 0 0 0 0 0 0 0 0 1 1 0 2 5 3 2 0 0 2 1 0 2 1 9 11 20
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R 42 Vertigo
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 2 0 0 0 0 2 6 8
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit Lainnya
L 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 4 2 6
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GHPR
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E51-56 Defisiensi Vitamin Lainnya
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Z 03.8 Obs.fibris
L 0 0 0 0 1 0 0 1 0 2 0 1 0 0 2 0 0 0 0 0 0 0 0 0 3 4 7
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bedah
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Peny.Jantung
L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARU B 0 0 0
LAMA L #REF! #REF! 0
TOTAL #REF! #REF! 0

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 LB 3
Puskesmas : Kintamani III
Yang Melaporkan : Putu Emmy Priyanti
Kabupaten : Bangli
Bulan & tahun : 2023

LAPORAN BULANAN GIZI,KIA

Jan Peb Mar Apr Mei Jun Jul Ags Sep Okt Nop Des
NO KEGIATAN JML
L P L P L P L P L P L P L P L P L P L P L P L P
I GIZI
Jumlah Bayi Mendapat Vitamin A ( 100.000
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SI )
Jumlah Anak balita dapat Vtamin A ( 200.000
2 0 0 363 394 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SI )
3 Jumlah Ibu Nifas dapat Vitamin A dosis tinggi 0 20 0 26 0 23 0 24 0 22 0 26 0 26 0 27 0 23 0 25
Jumlah ibu hamil dapat tablet besi ( Fe) 30
4 0 20 0 16 0 15 0 19 0 0 0 0 0 11 0 0 0 0 0 0
Tablet ( Fel )
Jumlah ibu hamil dapat tablet besi ( Fe) 90
5 0 11 0 15 0 11 0 10 0 10 0 17 0 18 0 0 0 0 0 0
Tablet ( Fe3 )
Jumlah balita dapat sirup tambah darah ( Fe )
6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
botol I 150 cc (Fe bal 1 )
Jumlah balita dapat sirup tambah darah ( Fe )
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
botol II 150 cc (Fe bal 2 )
8 Jumlah bayi ( < 1 tahun ) ditimbang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Jumlah anak balita ( 1-4 tahun ) ditimbang 443 439 363 394 468 466 400 500 853 828 456 444 560 500 600 459 590 459
Jumlah bayi dan anak balita dengan BB di
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
bawah garis merah ( BGM )
Jumlah anak SD kelas 1-6 mendapat kapsul
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
yodium
Jumlah WUS ( 15-49 tahun ) yang mendapat
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kapsul yodium
13 Jumlah bumil mendapat kapsul yodium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Jumlah buteki mendapat kapsul yodium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah WUS ( Wanita Usia Subur ) Baru ( 14-
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 tahun ) yang di ukur LILA
16 Jumlah WUS Bary dengan LILA<23,5 cm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Jumlah Bayi ( 0-6 bulan ) lulus ASI eksklusif 0 0 0 0 0 0 0 0 56 36 0 0 0 0 0 0 0 0
II KIA
1 Jumlah Kunjungan K1 ibu hamil 0 20 0 16 0 15 0 19 0 94 0 10 0 11 0 15
2 Jumlah kunjungan K4 ibu hamil 0 11 0 15 0 11 0 10 0 69 0 17 0 18 0 14
Jumlah kunjungan ibu hamil dengan faktor
3 0 6 0 6 0 11 0 9 0 3 0 8 0 3 0 6
resiko( umur<20 tahun atau>35 th,
paritas>4, jarak kehamilan<2 th, LILA<23,5
0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0
dan tinggi badan < 145 )
Jumlah bumil resiko tinggi ( perdarahan,
4 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0
infeksi, abortus, keracunan kehamilan,
Partus lama ), yang ditangani 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah bumil resiko tinggi ( perdarahan,
5 0 1 0 2 0 1 0 2 0 2 0 1 0 3 0 4
infeksi, abortus, keracunan kehamilan,
Partus lama ), yang dirujuk ke RS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah persalinan oleh tenaga kesehatan,
6 0 14 0 15 0 14 0 15 0 11 0 16 0 24 0 20
termasuk didampingi tenaga kesehatan
Jumlah bayi lahir hidup dengan BBLR ( Berat
7 1 1 2 0 1 1 0 1 1 1 0 3
badan bayi lahir rendah ) <2500 grm
8 jumlah lahir mati 0 0 0 0 0 0 0 0 0 0 0 0
9 Jumlah kunjungan neonatus (KN 1) 7 7 10 6 6 8 10 5 4 7 0 15
Jumlah neonatus risti ( asfeksia, trauma lahir,
10 0 1 2 0 1 1 0 1 1 0 0 3
tetanus neonatorum ) dirujuk ke RS
Jumlah kematian neonatus dilaporkan ( bayi
11 0 0 0 0 0 0 0 0 1 0 0 1
dibawah 28 hari )
Jumlah kematian maternal dilaporkan ( ibu
12 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
hamil/melahirkan/nifas )
Jumlah balita dideteksi/ stimulasi tumbuh
13 0 0 0 0 0 0 0 0 47 36 0 94
kembang ( kontak pertama )
Jumlah anak pra sekolah dideteksi/ stimulasi
14 0 1 2 3 4 5 6 7 4 3 0 25
tumbuh kembang ( kontak pertama )
15 Jumlah kunjungan baru bayi 7 7 10 6 6 8 10 5 4 7 0 15
16 Jumlah kunjungan anak balita 36 32 26 28 31 27 36 23 35 25 0 76
17 Jumlah lahir hidup 7 7 10 6 6 8 10 5 4 7 0 16
18 Jumlah persalinan oleh dukun bersalin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Jumlah persalinan oleh dukun tidak terlatih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Jumlah ibu hamil HB<11 gr % 0 0 0 0 0 0 0 0 0 1 0 3 0 1 0 2
21 Jumlah ibu hamil dengan LILA<23,5 cm 0 0 0 0 0 0 0 0 0 5 0 1 0 1 0 0
22 Jumlah kunjungan neonatal ke-2( KN 2) 8 7 2 5 8 5 7 8 5 5 0 11
23 Jumlah kunjungan baru ibu menyusui 0 14 15 14 15 0 11 0 15 0 24 0 20
24 Jumlah kunjungan lama ibu menyusui 0 105 118 146 147 0 130 0 145 0 132 0 144
25 Jumlah kematian bayi ( umur 0-12 bulan ) 0 0 0 0 0 0 0 0 1 0 0 0
26 Jumlah TK yang diperiksa 0 0 0 0 0 0 0 0 0 0 0 1
27 Jumlah anak TK yang diperiksa 0 0 0 0 0 0 0 0 0 0 0 4
28 Jumlah kunjungan ke TK 0 0 0 0 0 0 0 0 0 0 0 1
III KELUARGA BERENCANA
Jumlah akseptor baru
1 0 10 0 8 0 15 0 6 0 14 0 14 0 12 0 10
(IUD/Pil/suntik/kondom/MOW/MOP/implan
Jumlah akseptor lama (yang di follow up)
2 0 2865 0 2291 0 2370 0 2372 0 7 0 6 0 0
Jumlah efek samping pemakaian kontrasepsi
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IUD
 Jumlah efek samping pemakaian kontrasepsi
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
suntikan
Jumlah efek samping pemakaian kontrasepsi
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Implant
6 Jumlah komplikasi pelayanan kontrasepsi IUD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah komplikasi pelayanan kontrasepsi
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Suntikan
Jumlah komplikasi pelayanan kontrasepsi
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Implant
Jumlah Akseptor Metode Kontrasepsi Jangka
9 0 0 0 0 0 0 0 0 0 1318 0 2390 0 2386 0 2387
Panjang (MKJP)

Mengetahui, Belantih
Kepala Puskesmas KintamaNI III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 Puskesmas : Kintamani III LB 3 Yang
Melaporkan : Putu Emmy Priyanti
Kabupaten : Bangli
Bulan & tahun : 2023

LAPORAN BULANAN
Jan Peb Mar Apr Mei Jun Jul Ags Sep Okt Nop Des
No Kegiatan JML
L P L P L P L P L P L P L P L P L P L P L P L P
I IMUNISASI
1 Jumlah bayi 9-11 bulan, divaksinasi campak 7 10 7 7 12 7 7 16 9 9 6 6 6 5 8 8 8 5
2 Jumlah bayi 2-11 bulan, divaksinasi DPT1 9 8 8 3 12 7 2 5 10 4 6 4 5 6 10 8 13 7
Jumlah bayi 0-11 bulan, divaksinasi hepatitis
3 8 14 9 7 10 6 3 5 1 1 6 2 15 13 6 4 3 0
B1
Jumlah bayi 0-11 bulan, divaksinasi hepatitis
4 0 0 0 0 0 0 0 0 5 4 0 0 0 0 0 0 0 0
B3
5 Jumlah ibu hamil divaksinasi TT4 0 0 0 0 0 1 0 4 0 10 0 9 0 7 0 0 0 0
6 Jumlah ibu hamil divaksinasi TT5 0 17 0 16 0 14 0 15 0 11 0 5 0 6 0 15 0 10
7 Jumlah ibu hamil divaksinasi TT Boster 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah Wanita usia subur/calon pengantin
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(WUS), divaksinasi TTI
9 Jumlah murid kelas I, divaksinasi MR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99 100 99 102
10 Jumlah murid kelas II, divaksinasi DT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah murid wanita SD kelas V, divaksinasi
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TD
Jumlah murid wanita SD kelas VI, divaksinasi
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TTII
II PENGAMATAN PENYAKIT MENULAR
A ACUTE FLACCID PARALYSIS (AFP)
Jumlah kasus AFP baru (0-15 tahun)
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ditemukan
2 Jumlah kasus AFP baru (0-15 tahun) dilacak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B TETANUS NEONATORUM
1 Jumlah kasus tetanus neonatorum ditemukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Jumlah kasus tetanus neonatorum dilacak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C MALARIA
1 Jumlah penderita malaria berat dan komplikasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah Bumil yang memperoleh pengobatan
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
profilasis/pencegahan
3 Jumlah rumah yang disemprot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D DBD (Demam Berdarah Dengue)
1 Jumlah pelacakan penderita DBD 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Jumlah Fogging fokus 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
3 Jumlah desa/kelurahan diabatisasi selekstif 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah desa/kelurahan dilakukan
4 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
Pemberantasan Sarang Nyamuk (PSN)
Jumlah rumah yang dilakukan pemeriksaan
5 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0
jentik
6 Jumlah rumah yang ada jentik 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
E RABIES
Jumlah penderita digigit oleh hewan penular
1 15 7 10 7 18 13 19 8 7 10 36 30 49 25 24 19 15 23 15 13
rabies
Jumlah penderita gigitan yang di Vaksin Anti
2 13 9 19 19 13 40 42 24 19 18
Rabies (VAR) atau VAR + serum Anti Rabies
F FILARIA
1 Jumlah desa endemis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah desa dengan cakupan pengobatan
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
massal > 80 %
G PENYAKIT ZOONOSIS LAIN
1 ANTRAKS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah yang diobati 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H FRAMBUSIA
Jumlah penduduk 0-14 tahun yang diperiksa
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
untuk frambusia
2 Jumlah penderita frambusia yang ditemukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah penderita frambusia/ kontak yang
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
diobati
I DIARE
Jumlah penderita diare (termasuk tersangka
1 20 12 18 21 13 10 16 11 13 9 14 11
kolera & Disentri) dapat oralit
Jumlah penderita diare (termasuk tersangka
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kolera & Disentri) dapat infus
Jumlah penderita diare (termasuk tersangka
3 20 12 18 21 13 10 16 11 13 9 14 11
kolera & Disentri) dapat antibiotika
J ISPA
Jumlah penderita Pneumonia balita dirujuk
1 16 24 25 18 20 16 31 23 27 33 22 32 0 0 43 29
kader
K TB PARU
1 Jumlah penderita BTA positif baru diobati 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah penderita BTA negatif dan dengan
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
rontgen(+) diobati
Jumlah penderita mengikuti pengobatan
3 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0
lengkap
4 Jumlah penderita TB baru yang sembuh 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0
5 Jumlah penderita kambuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L KUSTA
Jumlah penderita terdaftar (PB/PAUSI
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BASILER+MB.MULTI BASILER)
2 Jumlah penderita baru yang ditemukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Jumlah penderita MB diantara kasus baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Jumlah penderita baru menurut cacat tingkat II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Jumlah penderita MB yang mendapat

5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pengobatan MDT/MULTI DRUG TREATMENT
Jumlah penderita PB yangmendapat
6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pengobatan MDT
Jumlah penderita PB yangmendapat
7 pengobatan MDT Komplit (RFT/RELEASE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
FROM TREATMENT)
Jumlah penderita PB yang mendapat
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pengobatan MDT komplot (RFT)
Mengetahui, Belantih
Kepala Puskesmas KintamaNI III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 Puskesmas : Kintamani III
Yang Melaporkan : Putu Emmy Priyanti
Kabupaten : BANGLI
Bulan & tahun : 2023

LAPORAN BULANAN KEGIATAN PUSKESMAS

Jan Peb Mar Apr Mei Jun Jul Ags Sep Okt Nop Des
No Kegiatan JML
L P L P L P L P L P L P L P L P L P L P L P L P
I KUNJUNGAN PUSKESMAS
1 Jumlah kunjungan Puskesmas 334 338 406 320 299 224 377 256 276 211 359 385 312 422 492 487 502 510
2 Jumlah kunjungan dengan kartu sehat 326 270 380 306 392 321 419 351 395 369 355 387 314 374 326 341 246 274
3 Jumlah kunjungan rawat jalan 1020 329 365 303 392 334 435 412 394 370 359 386 314 375 366 385 387 395
4 Jumlah kunjungan rawat jalan gigi
- Kunjungan lama 0 0 0 0 16 15 0 0 0 0 22 38 0 0 0 0 31 25
- Kunjungan baru 0 0 0 0 35 35 0 0 0 0 22 26 0 0 0 0 24 13
II RAWAT TINGGAL
1 Jumlah penderita yang dirawat 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0
2 Jumlah penderita yang keluar 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0
3 Jumlah hari perawatan (rata-rata) 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 4 0 0
Jumlah ibu hamil, melahirkan, nifas dengan
4 0 0 0 0 0 4 0 2 0 0 0 1 0 0 0 0 0 0
kelainan yang dirawat
Jumlah balita (sakit, dengan kelainan) yang
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
dirawat
6 Jumlah kasus cedra /kecelakaan yang dirawat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah penderita dengan kasus lainya yang
7 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0
dirawat
JUMLAH KEGIATAN KESEHATAN
III
MASYARAKAT
1 Jumlah keluarga dengan TB paru yang dibina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Jumlah keluarga dengan kusta yang dibina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah keluarga dengan ibu hamil melahirkan,
3 0 0 3 0 2 0 0 0 0 0 0 0 0
nifas risti yang dibina
Jumlah keluarga dengan bayi risti (Pneumonia
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
berat, BBLR) yang dibina
Jumlah keluarga yang tetanus neonatorum
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
yang dibina
Jumlah keluarga dengan anak balita risti yang
6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
dibina
7 Jumlah keluarga denga usila risti yang dibina 0 0 0 0 0 0 0 0
Jumlah kelurga dengan resiko lainnya yang
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
dibina
Jumlah keluarga yang mempunyai kartu sehat
9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
dibina
10 Jumlah panti/kelompok khusus yang dibina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Jumlah desa bermasalah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Jumlah desa baru yang dibina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Jumlah desa lama yang dibina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Jumlah keluarga rawan yang ada 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Jumlah keluarga rawan baru yang dibina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Jumlah keluarga rawan lama yang dibina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah kelaurga rawan yang memiliki catatan
17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
keperawatan (BP1)
18 Jumlah keluarga rawan selesai dibina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Jumlah kelompok khusus yang ada 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Jumlah kelompok khusus yang dibina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Jumlah kunjungan kelompok khusus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Jumlah kasus yang perlu ditindaklanjuti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah kasus tindak lanjut yang pertama (Baru)
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
dijaring
24 Jumlah tindak lanjut (lama) yang dijaring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah kasus tindak lanjut yang selesai
25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
menerima asuhan keperawatan
Jumlah kasus yang memiliki catatan
26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
keperawatan (LB 1)
Jumlah kasus yang dirawat di puskesmas ruang
27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
rawat inap
Jumlah kasus dirawat di puskesmas RRI yang
28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
memiliki catatan keperawatan (BP 1)
PELAYANAN MEDIK DASAR KESEHATAN
IV
GIGI
1 Jumlah tambalan sementara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Jumlah penambalan gigi tetap 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 14
3 Jumlah pencabutan gigi tetap 0 0 0 0 8 0 0 0 0 0 45 0 0 0 0 0 8 9
Jumlah murid SD yang perlu perawatan
4 0 0 0 0 73 85 0 0 0 0 73 85 0 0 0 0 58 68
kesehatan Gigi
Jumlah murid SD yang mendapat perawatan
5 0 0 0 0 20 27 0 0 0 0 20 27 0 0 0 0 15 21
selesai kesehatan gigi
6 Jumlah perawat mounth rinsing/karang gigi 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 4 1
7 Jumlah kunjungan baru rawat jalan gigi bumil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Jumlah kunjungan lama rawat jalan gigi bumil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Jumlah kunjungan baru rawat jalan gigi APRAS 0 0 0 0 0 0 0 0 0 0 22 26 0 0 0 0 0 0
10 Jumlah kunjungan lama rawat jalan gigi APRAS 0 0 0 0 0 0 0 0 0 0 22 38 0 0 0 0 0 0
V KEGIATAN PELAYANAN JPKM
1 Jumlah kunjungan askes 112 96 133 112 134 134 134 134 133 126 121 129
Jumlah kunjungan peserta asuransi kesehatan
2 0 0 0 0 0 0 0 0 0 0 0 0
lainnya Jamkesmas
VI KESEHATAN SEKOLAH
Jumlah sekolah dasar (SD) klas I dengan
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0
kegiatan penjaringan kesehatan
Jumlah sekolah menengah pertama dengan
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0
kegiatan penjaringan kesehatan
Jumlah sekolah menengah atas (SMA) dengan
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
dengan kegiatan penjaringan kesehatan
Jumlah sekolah yang diperiksa sarana
4 kesehatan lingkungan ( air bersih, jamban & air 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0
limbah)
Jumlah sekolah yang memenuhi syarat
5 kesehatan lingkungan ( tempat sampah, air 18 18 18 18 18 18 18 18 0 0
bersih dan saluran air limbah)
6 Jumlah kunjungan pembinaan UKS ke sekolah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah SMA yang memperoleh konseling
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kesehatan remaja
Jumlah taman kanak-kanak (TK) melaksanakan
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kesehatan anak pra sekolah (Apras)
VII KESEHATAN OLAH RAGA
1 Jumlah kelompok olah raga yang dibina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah yang mendapatkan pelayanan
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kesehatan olah raga
KEGIATAN PENYULUHAN KESEHATAN
VIII
MASYARAKAT
Frekuensi penyuluhan dalam wilayah
1 0 10 2 14 0 20 4 20 4 12 2 14 3 15 6 19 5 10
puskesmas untuk kelompok potensial
2 Frekuensi penyuluhan dalam puskesmas 5 9 3 6 4 5 10 6 5 3 4 6 6 7 5 8 3 6
Mengetahui, Belantih
Kepala Puskesmas KintamaNI III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 Puskesmas : Kintamani III
Yang Melaporkan : Putu Emmy Priyanti
Kabupaten : BANGLI
Bulan & tahun : 2023

LAPORAN BULANAN KEGIATAN PUSKESMAS

Jan Peb Mar Apr Mei Jun Jul Ags Sep Okt Nop Des
No Kegiatan JML
L P L P L P L P L P L P L P L P L P L P L P L P
I KESEHATAN LINGKUNGAN
1 Jumlah kelompok pemakai air yang aktif 14 14 14 14 14 14
Jumlah sarana air bersih yang di inspeksikan
2 59 59 59 63 63 63
saniatsi
Jumlah sarana air bersih yang mempunyai
3 0 0 0 0 0 0
resiko pencemaran amat tinggi dan tinggi (AT,T)
Jumlah sarana air bersih ynag mempunyai
4 59 59 59 63 63 63
resiko pencemaran sedang dan rendah (R,S)
Jumlah sampel air yang memenuhi syarat fisik
5 13 13 13 16 16 16
air
Jumlah tempat pengelolaan makanan (TPM)
6 69 69 69 69 69 69
yang diperiksa
7 Jumlah TPM yang memenuhi syarat 69 69 69 69 69 69
Jumlah rumah yang diperiksa kesehatan
8 0 0 0 0 0 0
lingkungan (gunakan kartu rumah)
Jumlah rumah yang memenuhi syarat sanitasi
9 dasar (tempat sampah, sarana air bersih, 0 0 0 0 0 0
jamban dan saluran air limbah)
Jumlah tempat pengelolaan pestisida (TP2)
10 0 0 0 0 0 0
yang diperiksa
11 Jumlah TP2 yang memenuhi syarat 0 0 0 0 0 0
Jumlah tempat-tempat umum (TTU) yang
12 119 119 119 119 119 119
diperiksa
13 Jumlah TTU yang memenuhi syarat 116 116 116 116 116 116
II LABORATORIUM
1 Jumlah spesimen darah yang diperiksa 10 39 12 33 19 38 9 39 23 47 22 49 19 36 27 65 33 38 29 50
2 Jumlah spesimen air seni yang diperiksa 0 0 0 0 0 27 0 24 33 33 0 17 0 25 0 34 0 21 0 23
3 Jumlah spesimen tinja yang diperiksa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Jumlah pemeriksa BTA/BTC (sputum) 2 2 1 1 0 1 0 1 0 1 0 0 0 0 0 0 2 1 2 1
5 Jumlah pemeriksa BTA/BTC (sputum) positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Jumlah pemeriksaan darah untuk malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Jumlah pemeriksaan darah untuk malaria positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah pemeriksaan darah untuk malaria positif
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P. Falsiparum
9 Jumlah pemeriksa BTA/Kusta (Reitz serum) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah pemeriksa BTA/Kusta (Reitz serum)
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
positif
11 Jumlah pemeriksaan laboratorium lainnya 17 117 17 122 36 195 17 213 43 313 42 201 32 224 51 355 42 194 57 235

88

Mengetahui, Belantih
Kepala Puskesmas KintamaNI III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
 RAWAT JALAN

NO KUNJUNGAN B L JML

L P L P L
DESA AWAN 0 0 6 8
DESA SERAI 0 0 3 6
DESA GUNUNG BAU 0 0 8 8
DESA ULIAN 0 0 8 17
DESA BUNUTIN
DESA BELANGA 0 0 14 31
DESA SELULUNG 0 0 23 24
DESA PENGEJARAN 0 0 14 11
DALAM WILAYAH
1 DESA BATUKAANG 0 0 5 7
DESA MENGANI 0 1 10 26
DESA BINYAN 0 0 12 15
DESA CATUR 1 2 1 9
Poli Umum 20 26 94 75
Poli Gigi
Poli KIA
UGD
21 29 198 237 219
LUAR WILAYAH
Poli Umum 0 1 0 3
Poli Gigi
1. LUAR WILAYAH DLM KABUPATEN
Poli KIA
UGD
2 Pustu
0 1 0 3 0
Poli Umum 0 1 2 7
Poli Gigi
2. LUAR WILAYAH LUAR KABUPATEN Poli KIA
UGD
0 1 2 7 2

september
RAWAT JALAN
NO KUNJUNGAN B L JML
L P L P L
DESA AWAN 0 0 6 8
DESA SERAI 0 0 5 7
DESA GUNUNG BAU 0 0 9 11
DESA ULIAN 0 0 12 14

DALAM WILAYAH
1
 DESA BUNUTIN 0 0 5 5
DESA BELANGA 0 0 21 42
DESA SELULUNG 2 2 19 24
DESA PENGEJARAN 0 0 7 24
DALAM WILAYAH
1 DESA BATUKAANG 5 7 4 6
DESA MENGANI 0 0 6 27
DESA BINYAN 0 0 12 15
DESA CATUR 2 4 1 7
Poli Umum 22 11 85 61
Poli Gigi
Poli KIA
UGD 22 18 84 48
53 42 276 299 329
LUAR WILAYAH
Poli Umum 0 1 0 3
Poli Gigi
Poli KIA
1. LUAR WILAYAH DLM KABUPATEN
UGD 23 18 8 11
Pustu 1 0 0 0
2
24 19 8 14 32
Poli Umum 3 4 5 6
Poli Gigi
2. LUAR WILAYAH LUAR KABUPATEN Poli KIA
UGD 8 6 10 5
11 10 15 11 26
LAN JENIS KUNJUNGAN
KUNJUNGAN KASUS

JML UMUM JKN Non PBI JKN PBI JML B L KKL

P L P L P L P L P L P L P L P
4 5 0 0 2 3 4 4 2 4
0 0 0 0 3 6 0 0 3 6
1 1 0 0 7 7 8 8 0 0
7 15 0 0 0 0 0 0 8 17

0 0 3 2 11 29 0 0 14 22 1 9
0 0 2 2 21 22 0 0 23 24
3 2 10 7 1 2 0 0 2 4
0 0 0 0 5 7 0 0 5 7
1 2 1 1 10 27 3 15 7 12
2 2 1 1 9 11 9 8 1 3
0 0 1 5 1 6 2 7 0 4
15 26 11 3 88 72 59 52 55 49

266 33 53 29 21 158 192 220 266 85 94 120 152 1 9

0 2 0 0 0 2 0 2 0 2

4 0 2 0 0 0 2 0 4 0 2 0 2 0 0
6 6 0 1 2 1 7 6 1 2

8 6 6 0 1 2 1 8 8 7 6 1 2 0 0

LAN JENIS KUNJUNGAN KUNJUNGAN KASUS

JML UMUM JKN Non PBI JKN PBI JML B L KKL
P L P L P L P L P L P L P L P
4 5 0 0 2 3 4 4 2 4 0 0
0 0 0 0 5 7 0 0 5 7 0 0
3 1 0 0 2 3 9 11 0 0 0 0
11 10 0 0 1 4 0 0 12 14 0 0
 0 0 0 0 5 5 0 0 5 5 0 0
0 0 2 2 19 40 0 0 15 31 6 11
0 0 2 4 19 22 0 0 21 26 0 0
2 1 0 4 6 18 0 0 2 4 5 20
2 0 0 0 7 13 5 7 4 6 0 0
1 3 0 1 5 23 2 8 4 19 6 27
2 2 1 1 9 11 9 8 1 3 1 2
1 2 1 0 1 9 3 8 0 3 0 0
25 11 15 6 67 55 43 34 64 38 0 0

38 33 0 0 68 33 37 36 69 30 0 0
341 89 68 21 18 216 246 326 332 112 116 204 190 18 60

0 2 0 0 0 2 0 1 0 3 0 0

24 13 0 0 7 6 23 18 8 11 0 0
1 0 0 0 0 0 1 0 0 0 0 0
33 25 15 0 0 7 8 32 23 24 19 8 14 0 0
6 8 0 1 2 1 4 5 4 5 0 0

18 11 0 0 0 0 58 45 70 56 0 0
21 24 19 0 1 2 1 26 21 62 50 74 61 0 0
N KASUS

JML

L P

206 255

0 4

8 8

N KASUS
JML
L P
334 366

32 33

136 111
 10 BESAR PENYAKIT PUSKESMAS KINTAMANI III
TAHUN 2023

KODE JENIS PENYAKIT JAN PEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES TOTAL RANGK
A09.1 Diare & gastroenteritis 42 29 38 40 20 17 29 215 6
B24 AIDS 12 12 24
E10 Diabetes Millitus 22 17 19 13 19 20 26 136 9
H10 Conjungtivitis 11 11
I10 Hipertensi 67 54 51 55 56 60 92 99 92 626 1
ISPA 33 29 36 54 47 48 71 71 70 459 2
J02 Faringitis akut 15 40 22 30 31 29 39 50 20 276 5
K02 Karies Gigi 14 40 10 64
K04 Penyakit pulpa dan jaringan periapikal 31 31
K29.7 Gastritis 44 41 30 38 31 28 30 58 46 346 4
L25 Dermatitis 15 11 14 15 22 34 27 11 29 178 7
M10 Gout 11 11
M13 Artritis lainnya 43 46 32 57 46 39 62 46 51 422 3
M 54.5 Low Back Pain (LBP) 10 10
M79.1 Myalgia 15 16 15 46
N 39.0 Susp.ISK 15 15
R 51 Chepalgia 16 32 18 24 26 23 139 8
Z 03.8 Obs.fibris 15 14 18 47 10
GHPR 22 17 31 27 17 66 74 43 38 335

Mengetahui Belantih
Kepala UPT Puskesmas Kintamani III Yang melapor

I Wayan Wardana, SKM Putu Emmy Priyanti

NIP. 196905141990031008 NIP. 198804152010012000
Diare 42
Diabetes
Millitus 22 Januari
Hipertensi 67
ISPA 33 67
Faringitis 15 44
42 43
Karies Gigi 14 33
22
Gastritis 44 15 14 15 16
s i PA tis gi
Dermatitis 15 a re itu ns IS gi i ti s tis ya gi
a
Di ill tr e in sG tri ati i nn al
Artritis
43 s M pe a r
rie as rm s la hep
lainnya
et
e Hi F
Ka G De ti C
tri
Chepalgia 16 ab Ar
Di

Diare 29 Pebruari
AIDS 12
Diabetes Millit 17
54
Hipertensi 54 46
ISPA 29 40 41
Faringitis 40
29 29
Gastritis 41
Dermatitis 11 17
Artritis lainnya 46 12 11 10
LBP 10 s s P
re DS itu ns
i PA tis ti tis ya LB
Di
a
AI ill te IS gi s tri ati i nn
r in
s M pe a r Ga rm sl
a
te Hi F De ti
e tri
ab Ar
Di

Diare 38
Hipertensi 51 Maret
ISPA 36
Faringitis 22
Karies Gigi 40 51
Penyakit
pulpa (gigi) 31 40
38 36
Gastritis 30 31 30 32
Dermatitis 14 22
Artritis lainnya 32 14 15
Obs.fibris 15
re i PA tis gi i) s tis ya is
ns gi
i ig ti br
Di
a
te IS
sG (g tri ati i nn .fi
r rin rie pa Ga
s
rm la s
pe Fa ul s Ob
Hi Ka De ti
ki t p tri
ya Ar
n
Pe

Diare 40
AIDS 12 April
Diabetes Millit 19
Hipertensi 55
55 57
54

40 38

30
 April
55 57
ISPA 54 54

Faringitis 30 40 38

Gastritis 38 30
Dermatitis 15
19
Artritis lainnya 57 15 14
12
Obs.fibris 14
s PA s is
re DS itu ns
i
tis ti tis ya br
Di
a AI ill te IS gi tri ati i nn .s fi
M r rin as a
s pe Fa G rm sl Ob
te Hi De ti
e tri
ab Ar
Di
 Diabetes Millit 13
Hipertensi 56 Mei
ISPA 47
Faringitis 31 56
Gastritis 31 47 46
Dermatitis 22
Artritis lainnya 46 31 31
Myalgia 15 22
Susp.ISK 15 13 15
Chepalgia 32
s si PA s s s a ia
itu en IS gi
ti r i ti
ati
ti ny lg
ill rt st in ya sp
sM pe ri n Ga rm la M Su
t e Hi Fa De ri ti
s
be Ar
t
D ia

Diabetes
Millitus 19
Hipertensi 60 Juni
ISPA 48
Faringitis 29
60
Gastritis 28
10 Dermatitis 34 48
Artritis 39
P lainnya 39 34
LB 29 28
Myalgia 16
19 16
Chepalgia 18
Obs.fibris 18
s PA s a
itu ns
i
tis ti tis ya gi
ill te IS gi tri ati nn ya
l
al
g
M r rin as rm l ai M ep
s pe Fa G tis h
et
e Hi De C
tri
ab Ar
Di

Diare 20
Conjungtivitis 11 Juli
Hipertensi 92
ISPA 71 92
15 Faringitis 39
71
Karies Gigi 10 6
is Gastritis 30
br
s .fi
Ob
Dermatitis 27 39
Artritis 30 27
lainnya 62 20
Chepalgia 24 11 10
ar
e
vi tis ns
i PA tis i gi ti s tis ya
Di tr e IS gi sG tri ati nn
gti in as a i
un pe ar rie G rm sl
nj Hi F Ka De iti
Co
A rtr
 JENIS
PENYAKI
T AGS
Agustus
Diare 17
Diabetes
Millitus 20 99
14 Hipertensi 99
ISPA 71 71
58
Faringitis 50 50 46
is
br Gastritis 58
.s fi
Ob Dermatitis 11 17 20
11 11
Gout 11 i
ar
e
itu
s
ns PA tis tis tis ut ya
Artritis Di ill te IS gi tri ati Go nn
46 r in as i
lainnya M pe ar G rm sl
a
te
s Hi F
De iti
Chepalgia 26 ab
e
A rtr
Di
 Diare 29
ei Diabetes Millit 26 September
Hipertensi 92
ISPA 70 92
46
Faringitis 20
70
Gastritis 46
32 Dermatitis 29 46
Artritis lainnya 51 29 26 29
22 20
15 15 Myalgia 15
s i PA s
re itu ns tis ti tis
Chepalgia 23 Di
a ill tr e IS gi s tri ati
M in
s a ia K a s Hi
pe a r Ga rm
ati
ti
in
ny
ya
lg p.
IS
al
gi
et
e F De
rm la M us he
p
ab A
Di
S
De ri ti
s C
t
Ar

39
34

16 18 18

a is
tis ya l gi gi
a
br
ati nn ya al .s fi
ai ep
rm sl M
Ch Ob
iti
A rtr

62

30 27 24
10
i gi ti s tis ya gi
a
tri ati i nn al
as a ep
G rm sl h
De iti C
A rtr
s

46
26
11 11
tis ut ya gi
a
ati Go i nn al
rm sl
a
hep
De iti C
A rtr
 September

70

46 51

29
20 23
15
PA s a
tis riti tis ya l gi gi
a
gi st ati nn ya al
rin ai ep
Fa Ga rm sl M h
De ti C
tri
Ar
No. Desa L P JUMLAH
1 DESA AWAN 666 691 1357
2 DESA SERAI 623 550 1173
3 DESA GUNUNG BAU 336 289 625
4 DESA ULIAN 516 463 979
5 DESA BUNUTIN 518 508 1026
6 DESA BELANGA 316 288 604
7 DESA SELULUNG 1220 1128 2348
8 DESA PENGEJARAN 401 392 793
9 DESA BATUKAANG 318 322 640
10 DESA MENGANI 552 541 1093
11 DESA BINYAN 185 170 355
12 DESA CATUR 1048 970 2018
13 DESA DAUP 385 387 772
14 DESA BELANTIH 1309 1293 2602
JUMLAH 8393 7992 16385

Jumlah penduduk = 16385

Jumlah kunjungan poli umum = 168
Jumlah kunjungan poli gigi = 101
Jumlah kunjungan poli KIA = 53
Jumlah kunjungan IGD =189 untuk yg di ranap = 2
Jumlah tempat tempat umum = 1 (pasar catur)
Jumlah specimen yg diuji = 88/ juni karena bulan juli oka masih cuti gk ada ngirim laporan
jumlah balita = 997