Formulir 11 PKM Kalibalangan BLN April

LAPORAN B
Puskesmas : Kemalo Abung

Kecamatan : Abung Selatan
Bulan :
Tahun : 2022
No JENIS PENYAKIT ICD 10 0-7 hari 8-28 hari 1-11 bulan
L P L P L P
A KELOMPOK UMUM
Alergi makanan L27.2
Chikungunya A92.0
Demam Berdarah Dengue (DBD) A91
Demam Dengue A90
Filariasis B74
Infeksi pada umbilikus P38
Kandidiasis mulut B37.9
Keracunan makanan T62.2
Lepra A30
Leptospirosis A27.9
Malaria B54
Morbili (Campak) B05.9
Reaksi Anafilatik T78.2
Syok R57.9
TB lain Paru (ekstra Paru) A18
Tuberkulosis (TB) Paru A15
Tuberkulosis (TB) dengan HIV B20.0

Varisela B01.9
DARAH, PEMBENTUKAN DARAH

B
DAN SISTEM IMUN
Anemi defisiansi besi D50.9
HIV/AIDS tanpa komplikasi Z21
Leukemia D55
Limfadenitis B70
Limfoma Maligna C85.9
Lupus Eritematosus Sistematik M32
Thalasemia D56
C DIGESTIVE
Ankilostomiosis B76.0
Apendiksitis K35.9
Askariasis B77.9
Atresia ani dengan atau tanpa fistula Q42
Bibir dan langit-langit sumbing Q37.9
Bibir sumbing Q36.9
Demam Tifoid A01.0
Disentri basiler dan disentri amuba A06.0
Gastritris K29.7
Gastroenteritis (Kolera dan Glardiasis) A09
Gastroschisis D79.3
Hemoroid grade 1-2 I84
Hepatitis A B15
Hepatitis B B16
Hepatitis C B18.2
Intoleransi makanan K90.4
Kolesistitis K81.9
Langit-langit sumbing Q35

Malabsorsi makanan K90.9
Omphalocele Q79.2
Parotitis B26
Perdarahan gastrointestinal K92.2
Peritonitis K65.9
Refluks gastrointestinal K21.9
Skistosomiasis B65.9
Strongiloidiasis B78.9
Taeniasis B68.9
Ulkus mulut K12
D MATA
Astigmatisme H52.2
Benda asing di konjungtiva T15.9
Blefaritis H01.0
Buta senja H53.6
Episkleritis H15.1
Glaoukoma akut H40.21
Glaukoma kronis H40.22
Hifema H21.0
Hipermetropia H52.0
Hordeolum H00.0
Katarak kongenital Q12.0
katarak pada pasien dewasa H26.9
Konjungtivitis alergi H10.1
Konjungtivitis infeksi H10.9
Laserasi kelopak mata S01.1
Low vision H54
Mata kering H04.1
Miopia ringan H52.1

Perdarahan subkonjungtiva H57.8
Presbiopia H52.4
Pterigium H11.0
Retinoblastoma C69.21
Retinopati diabetik H36.0
Trauma kimia mata T26
Trikiasis H02
E TELINGA
Benda asing di telinga T16
Matoditis H70
Otitis Eksterna H60.9
Otitis media akut H65
Otitis media supuratif kronik H66
Presbiakusis H91.1
Serumen prop H61.2
Tuli akibat bising H83
Tuli Kongenital H90
F KARDIVASKULER
Angina pektoris stabil I20.9
Cardiorespiratory arrest R09.2
Gagal Jantung I50
Hipertensi essensial I10
Infark miokard I21.9
Takikardia I47
G MUSKULOSKELETAL
Artritis reumatoid M53.3
Artritis, osteoartritis M19.9
Fraktur terbuka S52.9
Fraktur tertutup S52.9

Lipoma D17.9
Osteoporosis M81.9
Osteosarkoma O41
Polimialgia reumatik M53.3
Reduction deformity Q73.8
Talipes Q66
Vunus T14.1
H NEUROLOGI
Anencephaly Q00.0
Bell's palsy G51.0
Delirium F05.9
Epilepsi G40.9
Kejang demam R56.0
Meningo/encephalocele Q01.9
Migren G43.9
Neublasoma C74.9
Rabies A82.9
Status epileptikus G41.9
Stroke I63.9
Tension headache G44.2
Tetanus A35
Tetanus Neonatorum A33
Transient Ischemic Attack (TIA) G45.9
Vertigo R42
I PSIKIATRI
Dimensia F03
Gangguan anxietas F41.9
Gangguan campuran anxietas dan

F41.2
depresi
Gangguan depresi F33

Gangguan penggunaan napza F19
Gangguan perkembangan dan perilaku F60
Gangguan psikotik F23
Gangguan somatoform F45
Insomnia F51.0
J RESPIRASI
Asma bronkial J45
Asfiksia R09.0
Benda asing di hidung T17
Bronkitis akut (usia<15 th) J20.9
Bronkhitis akut (usia >15 Th) J40
Difteria A36.9
Epistaksis R04.0
Faringitis akut J02.9
Furunkel pada hidung J34.0
Influenza J11
Kanker nasofaing C11.9
Kanker Paru C34.9
Laringitis akut J04.0
Penyakit paru obstruktif kronis J44.9
Pertusis (batuk rejan) A37.9
Pneumonia aspirasi J69.0
Bronkhopneumonia J18.0
Pneumonia J18.9
Pneumotoraks J93.9
Rinitis akut J00
Rinitis alerga J30.4
Rinitis vasomotor J30.0
Sinusitis akut J01

Status asmatikus J46
Tonsilitis akut J03.9
Tonsilitis kronis J35.9
K KULIT
Akne vulgaris ringan L70.0
Cutaneus Larva Migrans B76.9
Dermatitis atopik L20
Dermatitis kontak alergi L23
Dermatitis kontak iritan L24
Dermatitis numularis L20.8
Dermatitis perioral L71.0
Dermatitis popok L22
Dermatitis seboroik L21
Tinea capitis dan tinea barbea B35.0
Tinea corporis B35.4
Tinea cruris B35.6
Tinea manuum B35.2
Tinea pedis B35.3
Tinea ungulum B35.1
Erisipelas A46
Eritrasma L08.1
Exanthematous drug eruption L27.0
Fixed Drug Eruption L27.0
Frambusia RDT (+) konfirmasi/probable A66
Herpes simplek B00.9
Herpes zoster B02.9
Hidradenitis supuratif L73.2
Liken simpleks kronik (Neurudermatitis

L28.0
sirkumkripta)
Luka bakar derajat I dan II T30

Miliria L74.3
Moluskum kontagiosum B08.1
Pedikulosis kapitis B85.0
Pedikulosis pubis B85.3
Abses, furuncke dan carbuncle L02
Impetigo L01
Pioderma L08.0
Pitiriasis rosea L42
Pitiriasis versikolor B36.0
Reaksi gigitan serangga T63.4
Sindrom stevens johnson L51.1
Skabies B86
Skrofuloderma A18.4
Ulkus pada tungkai L98
Urtikaria L50
Veruka vulgaris B07
l METABOLIK ENDOKRIN DAN NUTRISI
Diabetes melitus Tipe 1 E10
Hiperglikemia Hiperosmolar Non Ketotik R73.9
Hiperurisemia-Gout Arthritis E79.0
Hipoglikemia E16.2
Hipertiroid kongenital E03.1
Lipidemia E78.5
Malnutrisi energi protein E46
Obesitas E66.9
Tirotoksikosis E05.9
M GINJAL DAN SALURAN KEMIH
Epispadia Q64.0
Fimosis N47
Hipertropi prostat N40
Hypospodia Q54
Infeksi Saluran Kemih N39.0
Parafimosis N47.2
Penyakit ginjal kronik N03
Pielonefritis tanpa komplikasi N10
N KESEHATAN WANITA
Abortus inkomplit O06.4
Abortus komplit O03.9
Anemia defisiensi besi pada kehamilan O99.0
Cracked nipple O92.12
Eklamsi O15.9
Hiperemisis Gravidarum O21.0
Inverted nipple O92.02
Kanker serviks C53.9
Kehamilam normal O80.9
Ketuban pecah dini O42.9
Mastitis N61
Perdarahan post partum O72.1
Persalinan lama O63.9
Pre eklamsia O14.9
Ruptur perineum tingkat 1-2 O70.0
Tumor payudara C50.9
O PENYAKIT KELAMIN
Flour albus N98.9
Sifilis A53.9
Gonore A54.9
Vaginistis N76.0
Vulvitis N76.2
Mengetahui :
Kepala Puskesmas Kemalo Abung
Ristin Apriani, SKM.MM

NIP. 19780426 200501 2 012
FORMULIR 11
LAPORAN BULANAN KESAKITAN UMUM
Kode Puskesmas : P502020

Jumlah Puskesmas Pembantu :1 Jumlah Puskesmas Pembantu melapor
Jumlah Poskesdes/Bidan Desa :6 Jumlah Poskesdes/Bidan Desa melapor
JUMLAH KASUS BARU (UMUR DAN JENIS KELAMIN)
1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
L P L P L P L P L P L P L P
mas Pembantu melapor :1
es/Bidan Desa melapor :6
JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Kemalo Abung, 2022
Pengelola SIP
Dwi Rahayu Kusumaningtyas, S.Tr.KG

NIP. 199603132019032003
LAPORAN B

Bulan :
Tahun : 2022
L P L P L P
A KELOMPOK UMUM
Chikungunya A92.0
Demam Dengue A90
Filariasis B74
Lepra A30
Leptospirosis A27.9
Malaria B54
Syok R57.9

Varisela B01.9

B
DAN SISTEM IMUN
Leukemia D55
Limfadenitis B70
Thalasemia D56
C DIGESTIVE
Apendiksitis K35.9
Askariasis B77.9
Bibir sumbing Q36.9
Demam Tifoid A01.0
Gastritris K29.7
Gastroschisis D79.3
Hepatitis A B15
Hepatitis B B16
Hepatitis C B18.2
Kolesistitis K81.9

Omphalocele Q79.2
Parotitis B26
Peritonitis K65.9
Taeniasis B68.9
Ulkus mulut K12
D MATA
Astigmatisme H52.2
Blefaritis H01.0
Buta senja H53.6
Episkleritis H15.1
Hifema H21.0
Hipermetropia H52.0
Hordeolum H00.0
Low vision H54
Mata kering H04.1
Miopia ringan H52.1

Presbiopia H52.4
Pterigium H11.0
Trikiasis H02
E TELINGA
Matoditis H70
Presbiakusis H91.1
Serumen prop H61.2
Tuli Kongenital H90
F KARDIVASKULER
Gagal Jantung I50
Takikardia I47
G MUSKULOSKELETAL

Lipoma D17.9
Osteoporosis M81.9
Osteosarkoma O41
Talipes Q66
Vunus T14.1
H NEUROLOGI
Anencephaly Q00.0
Bell's palsy G51.0
Delirium F05.9
Epilepsi G40.9
Kejang demam R56.0
Migren G43.9
Neublasoma C74.9
Rabies A82.9
Stroke I63.9
Tetanus A35
Vertigo R42
I PSIKIATRI
Dimensia F03

F41.2
depresi

Insomnia F51.0
J RESPIRASI
Asma bronkial J45
Asfiksia R09.0
Difteria A36.9
Epistaksis R04.0
Influenza J11
Kanker Paru C34.9
Pneumonia J18.9
Pneumotoraks J93.9
Rinitis akut J00
Sinusitis akut J01

K KULIT
Tinea cruris B35.6
Tinea manuum B35.2
Tinea pedis B35.3
Tinea ungulum B35.1
Erisipelas A46
Eritrasma L08.1
Herpes zoster B02.9

L28.0
sirkumkripta)

Miliria L74.3
Impetigo L01
Pioderma L08.0
Skabies B86
Skrofuloderma A18.4
Urtikaria L50
Veruka vulgaris B07
Hipoglikemia E16.2
Lipidemia E78.5
Obesitas E66.9
Epispadia Q64.0
Fimosis N47
Hypospodia Q54
Parafimosis N47.2
N KESEHATAN WANITA
Eklamsi O15.9
Mastitis N61
Pre eklamsia O14.9
O PENYAKIT KELAMIN
Flour albus N98.9
Sifilis A53.9
Gonore A54.9
Vaginistis N76.0
Vulvitis N76.2
Mengetahui :

NIP. 19780426 200501 2 012
FORMULIR 11

1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Kemalo Abung, 2022
Pengelola SIP

NIP. 199603132019032003
LAPORAN B
Puskesmas : Kalibalangan
Bulan Mei
Tahun : 2023
L P L P L P
A KELOMPOK UMUM
Chikungunya A92.0
Demam Dengue A90
Filariasis B74
Lepra A30
Leptospirosis A27.9
Malaria B54
Syok R57.9

Varisela B01.9

B
DAN SISTEM IMUN
Leukemia D55
Limfadenitis B70
Thalasemia D56
C DIGESTIVE
Apendiksitis K35.9
Askariasis B77.9
Bibir sumbing Q36.9
Demam Tifoid A01.0
Gastritris K29.7
Gastroschisis D79.3
Hepatitis A B15
Hepatitis B B16
Hepatitis C B18.2
Kolesistitis K81.9

Omphalocele Q79.2
Parotitis B26
Peritonitis K65.9
Taeniasis B68.9
Ulkus mulut K12
D MATA
Astigmatisme H52.2
Blefaritis H01.0
Buta senja H53.6
Episkleritis H15.1
Hifema H21.0
Hipermetropia H52.0
Hordeolum H00.0
Low vision H54
Mata kering H04.1
Miopia ringan H52.1

Presbiopia H52.4
Pterigium H11.0
Trikiasis H02
E TELINGA
Matoditis H70
Presbiakusis H91.1
Serumen prop H61.2
Tuli Kongenital H90
F KARDIVASKULER
Gagal Jantung I50
Takikardia I47
G MUSKULOSKELETAL

Lipoma D17.9
Osteoporosis M81.9
Osteosarkoma O41
Talipes Q66
Vunus T14.1
H NEUROLOGI
Anencephaly Q00.0
Bell's palsy G51.0
Delirium F05.9
Epilepsi G40.9
Kejang demam R56.0
Migren G43.9
Neublasoma C74.9
Rabies A82.9
Stroke I63.9
Tetanus A35
Vertigo R42
I PSIKIATRI
Dimensia F03

F41.2
depresi

Insomnia F51.0
J RESPIRASI
Asma bronkial J45
Asfiksia R09.0
Difteria A36.9
Epistaksis R04.0
Influenza J11
Kanker Paru C34.9
Pneumonia J18.9
Pneumotoraks J93.9
Rinitis akut J00
Sinusitis akut J01

K KULIT
Tinea cruris B35.6
Tinea manuum B35.2
Tinea pedis B35.3
Tinea ungulum B35.1
Erisipelas A46
Eritrasma L08.1
Herpes zoster B02.9

L28.0
sirkumkripta)

Miliria L74.3
Impetigo L01
Pioderma L08.0
Skabies B86
Skrofuloderma A18.4
Urtikaria L50
Veruka vulgaris B07
Hipoglikemia E16.2
Lipidemia E78.5
Obesitas E66.9
Epispadia Q64.0
Fimosis N47
Hypospodia Q54
Parafimosis N47.2
N KESEHATAN WANITA
Eklamsi O15.9
Mastitis N61
Pre eklamsia O14.9
O PENYAKIT KELAMIN
Flour albus N98.9
Sifilis A53.9
Gonore A54.9
Vaginistis N76.0
Vulvitis N76.2
Mengetahui :
Kepala Puskesmas Kalibalangan
Ns.Ani Yusti Whara,S.Kep

NIP. 198306042011012004
FORMULIR 11

Jumlah Puskesmas Pembantu 4 Jumlah Puskesmas Pembantu melapor
1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
2 2 10 13 7 11 7 8 2 5
1 1 2 2 2 2 1 1
18 16 22 26 30 29
1 1 1 3 4 5
7 10 12 10 13 15
1 1 3 4 3 3
1 3 1 4 3 3 0 2
3 2 3 3 2 2
1 2 3 3 5 7 10 12 10 5 7
7 3 5 5
mas Pembantu melapor 4
JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
28 39 67 28 39 67
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
6 6 12 6 6 12
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
70 71 141 70 71 141
0 0 0 0
0 0 0 0
6 9 15 7 8 15
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
32 35 67 32 35 67
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
7 8 15 7 8 15
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 12 17 5 12 17
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
10 5 15 10 5 15
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
36 29 65 41 24 65
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
12 8 20 12 8 20
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Kalibalangan, 2023
Pengelola SIP
Nina Oktariana,Amd.Kep
NIP. 199010032012122001
LAPORAN B
Puskesmas : Kalibalangan
Bulan : September
Tahun : 2022
L P L P L P
A KELOMPOK UMUM
Alergi makanan L27.2 0 0 0 0 0 0
Chikungunya A92.0 0 0 0 0 0 0
Demam Berdarah Dengue (DBD) A91 0 0 0 0 0 0
Demam Dengue A90 0 0 0 0 0 0
Filariasis B74 0 0 0 0 0 0
Infeksi pada umbilikus P38 0 0 0 0 0 0
Kandidiasis mulut B37.9 0 0 0 0 0 0
Keracunan makanan T62.2 0 0 0 0 0 0
Lepra A30 0 0 0 0 0 0
Leptospirosis A27.9 0 0 0 0 0 0
Malaria B54 0 0 0 0 0 0
Morbili (Campak) B05.9 0 0 0 0 0 0
Reaksi Anafilatik T78.2 0 0 0 0 0 0
Syok R57.9 0 0 0 0 0 0
TB lain Paru (ekstra Paru) A18 0 0 0 0 0 0
Tuberkulosis (TB) Paru A15 0 0 0 0 0 0
Tuberkulosis (TB) dengan HIV B20.0 0 0 0 0 0 0

Varisela B01.9 0 0 0 0 0 0

B
DAN SISTEM IMUN
Anemi defisiansi besi D50.9 0 0 0 0 0 0
HIV/AIDS tanpa komplikasi Z21 0 0 0 0 0 0
Leukemia D55 0 0 0 0 0 0
Limfadenitis B70 0 0 0 0 0 0
Limfoma Maligna C85.9 0 0 0 0 0 0
Lupus Eritematosus Sistematik M32 0 0 0 0 0 0
Thalasemia D56 0 0 0 0 0 0
C DIGESTIVE
Ankilostomiosis B76.0 0 0 0 0 0 0
Apendiksitis K35.9 0 0 0 0 0 0
Askariasis B77.9 0 0 0 0 0 0
Atresia ani dengan atau tanpa fistula Q42 0 0 0 0 0 0
Bibir dan langit-langit sumbing Q37.9 0 0 0 0 0 0
Bibir sumbing Q36.9 0 0 0 0 0 0
Demam Tifoid A01.0 0 0 0 0 0 0
Disentri basiler dan disentri amuba A06.0 0 0 0 0 0 0
Gastritris K29.7 0 0 0 0 0 0
Gastroenteritis (Kolera dan Glardiasis) A09 0 0 0 0 0 0
Gastroschisis D79.3 0 0 0 0 0 0
Hemoroid grade 1-2 I84 0 0 0 0 0 0
Hepatitis A B15 0 0 0 0 0 0
Hepatitis B B16 0 0 0 0 0 0
Hepatitis C B18.2 0 0 0 0 0 0
Intoleransi makanan K90.4 0 0 0 0 0 0
Kolesistitis K81.9 0 0 0 0 0 0
Langit-langit sumbing Q35 0 0 0 0 0 0

Malabsorsi makanan K90.9 0 0 0 0 0 0
Omphalocele Q79.2 0 0 0 0 0 0
Parotitis B26 0 0 0 0 0 0
Perdarahan gastrointestinal K92.2 0 0 0 0 0 0
Peritonitis K65.9 0 0 0 0 0 0
Refluks gastrointestinal K21.9 0 0 0 0 0 0
Skistosomiasis B65.9 0 0 0 0 0 0
Strongiloidiasis B78.9 0 0 0 0 0 0
Taeniasis B68.9 0 0 0 0 0 0
Ulkus mulut K12 0 0 0 0 0 0
D MATA
Astigmatisme H52.2 0 0 0 0 0 0
Benda asing di konjungtiva T15.9 0 0 0 0 0 0
Blefaritis H01.0 0 0 0 0 0 0
Buta senja H53.6 0 0 0 0 0 0
Episkleritis H15.1 0 0 0 0 0 0
Glaoukoma akut H40.21 0 0 0 0 0 0
Glaukoma kronis H40.22 0 0 0 0 0 0
Hifema H21.0 0 0 0 0 0 0
Hipermetropia H52.0 0 0 0 0 0 0
Hordeolum H00.0 0 0 0 0 0 0
Katarak kongenital Q12.0 0 0 0 0 0 0
katarak pada pasien dewasa H26.9 0 0 0 0 0 0
Konjungtivitis alergi H10.1 0 0 0 0 0 0
Konjungtivitis infeksi H10.9 0 0 0 0 0 0
Laserasi kelopak mata S01.1 0 0 0 0 0 0
Low vision H54 0 0 0 0 0 0
Mata kering H04.1 0 0 0 0 0 0
Miopia ringan H52.1 0 0 0 0 0 0

Perdarahan subkonjungtiva H57.8 0 0 0 0 0 0
Presbiopia H52.4 0 0 0 0 0 0
Pterigium H11.0 0 0 0 0 0 0
Retinoblastoma C69.21 0 0 0 0 0 0
Retinopati diabetik H36.0 0 0 0 0 0 0
Trauma kimia mata T26 0 0 0 0 0 0
Trikiasis H02 0 0 0 0 0 0
E TELINGA
Benda asing di telinga T16 0 0 0 0 0 0
Matoditis H70 0 0 0 0 0 0
Otitis Eksterna H60.9 0 0 0 0 0 0
Otitis media akut H65 0 0 0 0 0 0
Otitis media supuratif kronik H66 0 0 0 0 0 0
Presbiakusis H91.1 0 0 0 0 0 0
Serumen prop H61.2 0 0 0 0 0 0
Tuli akibat bising H83 0 0 0 0 0 0
Tuli Kongenital H90 0 0 0 0 0 0
F KARDIVASKULER
Angina pektoris stabil I20.9 0 0 0 0 0 0
Cardiorespiratory arrest R09.2 0 0 0 0 0 0
Gagal Jantung I50 0 0 0 0 0 0
Hipertensi essensial I10 0 0 0 0 0 0
Infark miokard I21.9 0 0 0 0 0 0
Takikardia I47 0 0 0 0 0 0
G MUSKULOSKELETAL
Artritis reumatoid M53.3 0 0 0 0 0 0
Artritis, osteoartritis M19.9 0 0 0 0 0 0
Fraktur terbuka S52.9 0 0 0 0 0 0
Fraktur tertutup S52.9 0 0 0 0 0 0

Lipoma D17.9 0 0 0 0 0 0
Osteoporosis M81.9 0 0 0 0 0 0
Osteosarkoma O41 0 0 0 0 0 0
Polimialgia reumatik M53.3 0 0 0 0 0 0
Reduction deformity Q73.8 0 0 0 0 0 0
Talipes Q66 0 0 0 0 0 0
Vunus T14.1 0 0 0 0 0 0
H NEUROLOGI
Anencephaly Q00.0 0 0 0 0 0 0
Bell's palsy G51.0 0 0 0 0 0 0
Delirium F05.9 0 0 0 0 0 0
Epilepsi G40.9 0 0 0 0 0 0
Kejang demam R56.0 0 0 0 0 0 0
Meningo/encephalocele Q01.9 0 0 0 0 0 0
Myalgia M79.1 0 0 0 0 0 0
Neublasoma C74.9 0 0 0 0 0 0
Rabies A82.9 0 0 0 0 0 0
Status epileptikus G41.9 0 0 0 0 0 0
Stroke I63.9 0 0 0 0 0 0
Tension headache G44.2 0 0 0 0 0 0
Tetanus A35 0 0 0 0 0 0
Tetanus Neonatorum A33 0 0 0 0 0 0
Transient Ischemic Attack (TIA) G45.9 0 0 0 0 0 0
Vertigo R42 0 0 0 0 0 0
I PSIKIATRI
Dimensia F03 0 0 0 0 0 0
Gangguan anxietas F41.9 0 0 0 0 0 0

F41.2 0 0 0 0 0 0
depresi
Gangguan depresi F33 0 0 0 0 0 0

Gangguan penggunaan napza F19 0 0 0 0 0 0
Gangguan perkembangan dan perilaku F60 0 0 0 0 0 0
Gangguan psikotik F23 0 0 0 0 0 0
Gangguan somatoform F45 0 0 0 0 0 0
Insomnia F51.0 0 0 0 0 0 0
J RESPIRASI
Asma bronkial J45 0 0 0 0 0 0
Asfiksia R09.0 0 0 0 0 0 0
Benda asing di hidung T17 0 0 0 0 0 0
Bronkitis akut (usia<15 th) J20.9 0 0 0 0 0 0
Bronkhitis akut (usia >15 Th) J40 0 0 0 0 0 0
Difteria A36.9 0 0 0 0 0 0
Epistaksis R04.0 0 0 0 0 0 0
Faringitis akut J02.9 0 0 0 0 0 0
Furunkel pada hidung J34.0 0 0 0 0 0 0
Influenza J11 0 0 0 0 0 0
Kanker nasofaing C11.9 0 0 0 0 0 0
Kanker Paru C34.9 0 0 0 0 0 0
Laringitis akut J04.0 0 0 0 0 0 0
Penyakit paru obstruktif kronis J44.9 0 0 0 0 0 0
Pertusis (batuk rejan) A37.9 0 0 0 0 0 0
Pneumonia aspirasi J69.0 0 0 0 0 0 0
Bronkhopneumonia J18.0 0 0 0 0 0 0
Pneumonia J18.9 0 0 0 0 0 0
Pneumotoraks J93.9 0 0 0 0 0 0
Rinitis akut J00 0 0 0 0 2 3
Rinitis alerga J30.4 0 0 0 0 0 0
Rinitis vasomotor J30.0 0 0 0 0 0 0
Sinusitis akut J01 0 0 0 0 0 0

Status asmatikus J46 0 0 0 0 0 0
Tonsilitis akut J03.9 0 0 0 0 0 1
Tonsilitis kronis J35.9 0 0 0 0 0 0
K KULIT
Akne vulgaris ringan L70.0 0 0 0 0 0 0
Cutaneus Larva Migrans B76.9 0 0 0 0 0 0
Dermatitis atopik L20 0 0 0 0 0 0
Dermatitis kontak alergi L23 0 0 0 0 0 0
Dermatitis kontak iritan L24 0 0 0 0 0 0
Dermatitis numularis L20.8 0 0 0 0 0 0
Dermatitis perioral L71.0 0 0 0 0 0 0
Dermatitis popok L22 0 0 0 0 0 0
Dermatitis seboroik L21 0 0 0 0 0 0
Tinea capitis dan tinea barbea B35.0 0 0 0 0 0 0
Tinea corporis B35.4 0 0 0 0 0 0
Tinea cruris B35.6 0 0 0 0 0 0
Tinea manuum B35.2 0 0 0 0 0 0
Tinea pedis B35.3 0 0 0 0 0 0
Tinea ungulum B35.1 0 0 0 0 0 0
Erisipelas A46 0 0 0 0 0 0
Eritrasma L08.1 0 0 0 0 0 0
Exanthematous drug eruption L27.0 0 0 0 0 0 0
Fixed Drug Eruption L27.0 0 0 0 0 0 0
Frambusia RDT (+) konfirmasi/probable A66 0 0 0 0 0 0
Herpes simplek B00.9 0 0 0 0 0 0
Herpes zoster B02.9 0 0 0 0 0 0
Hidradenitis supuratif L73.2 0 0 0 0 0 0

L28.0 0 0 0 0 0 0
sirkumkripta)
Luka bakar derajat I dan II T30 0 0 0 0 0 0

Miliria L74.3 0 0 0 0 0 0
Moluskum kontagiosum B08.1 0 0 0 0 0 0
Pedikulosis kapitis B85.0 0 0 0 0 0 0
Pedikulosis pubis B85.3 0 0 0 0 0 0
Abses, furuncke dan carbuncle L02 0 0 0 0 0 0
Impetigo L01 0 0 0 0 0 0
Pioderma L08.0 0 0 0 0 0 0
Pitiriasis rosea L42 0 0 0 0 0 0
Pitiriasis versikolor B36.0 0 0 0 0 0 0
Reaksi gigitan serangga T63.4 0 0 0 0 0 0
Sindrom stevens johnson L51.1 0 0 0 0 0 0
Skabies B86 0 0 0 0 0 0
Skrofuloderma A18.4 0 0 0 0 0 0
Ulkus pada tungkai L98 0 0 0 0 0 0
Urtikaria L50 0 0 0 0 0 0
Veruka vulgaris B07 0 0 0 0 0 0
Diabetes melitus Tipe 1 E10 0 0 0 0 0 0
Hiperglikemia Hiperosmolar Non Ketotik R73.9 0 0 0 0 0 0
Hiperurisemia-Gout Arthritis E79.0 0 0 0 0 0 0
Hipoglikemia E16.2 0 0 0 0 0 0
Hipertiroid kongenital E03.1 0 0 0 0 0 0
Lipidemia E78.5 0 0 0 0 0 0
Malnutrisi energi protein E46 0 0 0 0 0 0
Obesitas E66.9 0 0 0 0 0 0
Tirotoksikosis E05.9 0 0 0 0 0 0
Epispadia Q64.0 0 0 0 0 0 0
Fimosis N47 0 0 0 0 0 0
Hipertropi prostat N40 0 0 0 0 0 0
Hypospodia Q54 0 0 0 0 0 0
Infeksi Saluran Kemih N39.0 0 0 0 0 0 0
Parafimosis N47.2 0 0 0 0 0 0
Penyakit ginjal kronik N03 0 0 0 0 0 0
Pielonefritis tanpa komplikasi N10 0 0 0 0 0 0
N KESEHATAN WANITA
Abortus inkomplit O06.4 0 0 0 0 0 0
Abortus komplit O03.9 0 0 0 0 0 0
Anemia defisiensi besi pada kehamilan O99.0 0 0 0 0 0 0
Cracked nipple O92.12 0 0 0 0 0 0
Eklamsi O15.9 0 0 0 0 0 0
Hiperemisis Gravidarum O21.0 0 0 0 0 0 0
Inverted nipple O92.02 0 0 0 0 0 0
Kanker serviks C53.9 0 0 0 0 0 0
Kehamilam normal O80.9 0 0 0 0 0 0
Ketuban pecah dini O42.9 0 0 0 0 0 0
Mastitis N61 0 0 0 0 0 0
Perdarahan post partum O72.1 0 0 0 0 0 0
Persalinan lama O63.9 0 0 0 0 0 0
Pre eklamsia O14.9 0 0 0 0 0 0
Ruptur perineum tingkat 1-2 O70.0 0 0 0 0 0 0
Tumor payudara C50.9 0 0 0 0 0 0
O PENYAKIT KELAMIN
Flour albus N98.9 0 0 0 0 0 0
Sifilis A53.9 0 0 0 0 0 0
Gonore A54.9 0 0 0 0 0 0
Vaginistis N76.0 0 0 0 0 0 0
Vulvitis N76.2 0 0 0 0 0 0
Mengetahui :
Kepala Puskesmas Kalibalangan
Ns.Ani Yusti Whara,S.Kep

NIP. 19830604 201101 2 006
FORMULIR 11

Jumlah Puskesmas Pembantu 4 Jumlah Puskesmas Pembantu melapor
1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 18 8 12 17 20 22 18 14 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 1 4 2
0 0 0 0 0 1 0 0 0 3 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 22 30 26 24 30 33
0 0 0 0 0 0 0 0 0 0 0 0 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 3 4 3 3
0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 12 15 18 22 27 28 32 35 34 36
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 12 15 18 24 12 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2 0 3 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 5 5 6 3 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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5 7 7 10 12 15 18 22 17 27 24 21 20 19
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
mas Pembantu melapor 4
JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
64 88 152 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5 3 8 0 0 0
0 4 4 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 3 3 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
78 87 165 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
7 8 15 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
133 126 259 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
43 55 98 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 5 6 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
10 12 22 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 1 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 2 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
105 124 229 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
14 12 26 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
12 15 27 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Kalibalangan, 2022
Pengelola SIP
Nina Oktariana,A.Md.Kep
NIP. 19901003 201212 2 001
LAPORAN B

Bulan : Agustus
Tahun : 2022
L P L P L P
A KELOMPOK UMUM
Lepra A30 0 0 0 0 0 0
Malaria B54 0 0 0 0 0 0
Syok R57.9 0 0 0 0 0 0

Varisela B01.9 0 0 0 0 0 0

B
DAN SISTEM IMUN
Leukemia D55 0 0 0 0 0 0
C DIGESTIVE
Askariasis B77.9 0 0 0 0 0 0
Demam Tifoid A01.0 0 0 0 0 0
Gastritris K29.7 0 0 0 0 0 0
Hepatitis C B18.2 0 0 0 0 0 0

Taeniasis B68.9 0 0 0 0 0 0
D MATA
Blefaritis H01.0 0 0 0 0 0 0
Buta senja H53.6 0 0 0 0 0 0
Hifema H21.0 0 0 0 0 0 0
Hordeolum H00.0 0 0 0 0 0 0
Low vision H54 0 0 0 0 0 0
Mata kering H04.1 0 0 0 0 0 0

Presbiopia H52.4 0 0 0 0 0 0
Pterigium H11.0 0 0 0 0 0 0
E TELINGA
F KARDIVASKULER
G MUSKULOSKELETAL

Lipoma D17.9 0 0 0 0 0 0
Talipes Q66 0 0 0 0 0 0
Vunus T14.1 0 0 0 0 0 0
H NEUROLOGI
Bell's palsy G51.0 0 0 0 0 0 0
Delirium F05.9 0 0 0 0 0 0
Epilepsi G40.9 0 0 0 0 0 0
Migren G43.9 0 0 0 0 0 0
Neublasoma C74.9 0 0 0 0 0 0
Rabies A82.9 0 0 0 0 0 0
Stroke I63.9 0 0 0 0 0 0
Tetanus A35 0 0 0 0 0 0
Vertigo R42 0 0 0 0 0 0
I PSIKIATRI
Dimensia F03 0 0 0 0 0 0

F41.2 0 0 0 0 0 0
depresi

Insomnia F51.0 0 0 0 0 0 0
J RESPIRASI
Asfiksia R09.0 0 0 0 0 0 0
Difteria A36.9 0 0 0 0 0 0
Epistaksis R04.0 0 0 0 0 0 0
Kanker Paru C34.9 0 0 0 0 0 0
Pneumonia J18.9 0 0 0 0 0 0

K KULIT
Tinea pedis B35.3 0 0 0 0 0 0
Eritrasma L08.1 0 0 0 0 0 0

L28.0 0 0 0 0 0 0
sirkumkripta)

Miliria L74.3 0 0 0 0 0 0
Impetigo L01 0 0 0 0 0 0
Pioderma L08.0 0 0 0 0 0 0
Skabies B86 0 0 0 0 0 0
Lipidemia E78.5 0 0 0 0 0 0
Obesitas E66.9 0 0 0 0 0 0
Epispadia Q64.0 0 0 0 0 0 0
Fimosis N47 0 0 0 0 0 0
N KESEHATAN WANITA
Eklamsi O15.9 0 0 0 0 0 0
Mastitis N61 0 0 0 0 0 0
O PENYAKIT KELAMIN
Flour albus N98.9 0 0 0 0 0 0
Sifilis A53.9 0 0 0 0 0 0
Gonore A54.9 0 0 0 0 0 0
Vaginistis N76.0 0 0 0 0 0 0
Vulvitis N76.2 0 0 0 0 0 0
Mengetahui :

NIP. 19780426 200501 2 012
FORMULIR 11

1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
9 4 13 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
4 1 5 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 5 5 0 0 0
5 8 13 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3 10 13 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8 11 19 0 0 0
0 1 1 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
5 14 19 0 0 0
9 12 21 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 2 3 0 0 0
0 0 0 0 0 0
5 0 5 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3 3 6 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
22 34 56 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
26 26 52 0 0 0
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 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5 6 11 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
4 2 6 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
4 23 27 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Kemalo Abung, 2022
Pengelola SIP

NIP. 199603132019032003
LAPORAN B

Bulan : Juli
Tahun : 2022
L P L P L P
A KELOMPOK UMUM
Lepra A30 0 0 0 0 0 0
Malaria B54 0 0 0 0 0 0
Syok R57.9 0 0 0 0 0 0

Varisela B01.9 0 0 0 0 0 0

B
DAN SISTEM IMUN
Leukemia D55 0 0 0 0 0 0
C DIGESTIVE
Askariasis B77.9 0 0 0 0 0 0
Gastritris K29.7 0 0 0 0 0 0
Hepatitis C B18.2 0 0 0 0 0 0

Taeniasis B68.9 0 0 0 0 0 0
D MATA
Blefaritis H01.0 0 0 0 0 0 0
Buta senja H53.6 0 0 0 0 0 0
Hifema H21.0 0 0 0 0 0 0
Hordeolum H00.0 0 0 0 0 0 0
Low vision H54 0 0 0 0 0 0
Mata kering H04.1 0 0 0 0 0 0

Presbiopia H52.4 0 0 0 0 0 0
Pterigium H11.0 0 0 0 0 0 0
E TELINGA
F KARDIVASKULER
G MUSKULOSKELETAL

Lipoma D17.9 0 0 0 0 0 0
Talipes Q66 0 0 0 0 0 0
Vunus T14.1 0 0 0 0 0 0
H NEUROLOGI
Bell's palsy G51.0 0 0 0 0 0 0
Delirium F05.9 0 0 0 0 0 0
Epilepsi G40.9 0 0 0 0 0 0
Migren G43.9 0 0 0 0 0 0
Neublasoma C74.9 0 0 0 0 0 0
Rabies A82.9 0 0 0 0 0 0
Stroke I63.9 0 0 0 0 0 0
Tetanus A35 0 0 0 0 0 0
Vertigo R42 0 0 0 0 0 0
I PSIKIATRI
Dimensia F03 0 0 0 0 0 0

F41.2 0 0 0 0 0 0
depresi

Insomnia F51.0 0 0 0 0 0 0
J RESPIRASI
Asfiksia R09.0 0 0 0 0 0 0
Difteria A36.9 0 0 0 0 0 0
Epistaksis R04.0 0 0 0 0 0 0
Kanker Paru C34.9 0 0 0 0 0 0
Pneumonia J18.9 0 0 0 0 0 0

K KULIT
Tinea pedis B35.3 0 0 0 0 0 0
Eritrasma L08.1 0 0 0 0 0 0

L28.0 0 0 0 0 0 0
sirkumkripta)

Miliria L74.3 0 0 0 0 0 0
Impetigo L01 0 0 0 0 0 0
Pioderma L08.0 0 0 0 0 0 0
Skabies B86 0 0 0 0 0 0
Lipidemia E78.5 0 0 0 0 0 0
Obesitas E66.9 0 0 0 0 0 0
Epispadia Q64.0 0 0 0 0 0 0
Fimosis N47 0 0 0 0 0 0
N KESEHATAN WANITA
Eklamsi O15.9 0 0 0 0 0 0
Mastitis N61 0 0 0 0 0 0
O PENYAKIT KELAMIN
Flour albus N98.9 0 0 0 0 0 0
Sifilis A53.9 0 0 0 0 0 0
Gonore A54.9 0 0 0 0 0 0
Vaginistis N76.0 0 0 0 0 0 0
Vulvitis N76.2 0 0 0 0 0 0
Mengetahui :

NIP. 19780426 200501 2 012
FORMULIR 11

1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 0 1 0 0 5 0 0 1 5 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 1 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0
1 0 1 0 0 0 0 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 2 11 4 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 5 2 8 4 3
0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 1 1 2 8 2 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 1 0 2 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 6 4 6 0 1 1 6 5 2 11 2 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 1 0 1 2 0 0 1 1 1 3 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 2 5 12 1 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
10 5 15 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2 2 4 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
2 2 4 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
6 17 23 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
7 16 23 0 0 0
0 1 1 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
5 14 19 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
4 0 4 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3 3 6 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
26 26 52 0 0 0
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 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
10 4 14 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
7 19 26 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Kemalo Abung, 2022
Pengelola SIP

NIP. 199603132019032003
FORMULIR 11
Puskesmas : Kemalo Abung Kode Puskesmas : P502020

Kecamatan : Abung Selatan Jumlah Puskesmas Pembantu :1 Jumlah Puskesmas Pembantu melapor :1
Bulan : Juni Jumlah Poskesdes/Bidan Desa :6 Jumlah Poskesdes/Bidan Desa melapor :6
Tahun : 2022

JUMLAH KASUS LAMA
SEMUA UMUR
No JENIS PENYAKIT ICD 10 0-7 hari 8-28 hari 1-11 bulan 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th + Semua Umur
L P L P L P L P L P L P L P L P L P L P L P TOTAL L P TOTAL
A KELOMPOK UMUM
Alergi makanan L27.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chikungunya A92.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Demam Berdarah Dengue (DBD) A91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Demam Dengue A90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Filariasis B74 0 0 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 pada umbilikus P38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kandidiasis mulut B37.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Keracunan makanan T62.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lepra A30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Leptospirosis A27.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malaria B54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Morbili (Campak) B05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Reaksi Anafilatik T78.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Syok R57.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TB lain Paru (ekstra Paru) A18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tuberkulosis (TB) Paru A15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tuberkulosis (TB) dengan HIV B20.0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 5 0 5 3 10 5 15 0 0 0
Varisela B01.9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0

B
DAN SISTEM IMUN
Anemi defisiansi besi D50.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

HIV/AIDS tanpa komplikasi Z21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Leukemia D55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Limfadenitis B70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Limfoma Maligna C85.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lupus Eritematosus Sistematik M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C DIGESTIVE
Ankilostomiosis B76.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Apendiksitis K35.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Askariasis B77.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Atresia ani dengan atau tanpa fistula Q42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bibir dan langit-langit sumbing Q37.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bibir sumbing Q36.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Demam Tifoid A01.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0
Disentri basiler dan disentri amuba A06.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gastritris K29.7 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 1 2 3 0 0 0
Gastroenteritis (Kolera dan Glardiasis) A09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gastroschisis D79.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hemoroid grade 1-2 I84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0
Hepatitis A B15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hepatitis B B16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hepatitis C B18.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Intoleransi makanan K90.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kolesistitis K81.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Langit-langit sumbing Q35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malabsorsi makanan K90.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Omphalocele Q79.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Parotitis B26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Perdarahan gastrointestinal K92.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Peritonitis K65.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Refluks gastrointestinal K21.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Skistosomiasis B65.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Strongiloidiasis B78.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Taeniasis B68.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ulkus mulut K12 0 0 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 MATA
Astigmatisme H52.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Benda asing di konjungtiva T15.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Blefaritis H01.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Buta senja H53.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Episkleritis H15.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Glaoukoma akut H40.21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Glaukoma kronis H40.22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hifema H21.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hipermetropia H52.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hordeolum H00.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Katarak kongenital Q12.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
katarak pada pasien dewasa H26.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 0 3 2 5 0 0 0
Konjungtivitis alergi H10.1 0 0 0 0 0 0 0 0 0 1 0 0 1 2 1 1 0 3 0 0 2 7 9 0 0 0
Konjungtivitis infeksi H10.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Laserasi kelopak mata S01.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Low vision H54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mata kering H04.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Miopia ringan H52.1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0 0
Perdarahan subkonjungtiva H57.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Presbiopia H52.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pterigium H11.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Retinoblastoma C69.21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Retinopati diabetik H36.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Trauma kimia mata T26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Trikiasis H02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E TELINGA
Benda asing di telinga T16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Matoditis H70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Otitis Eksterna H60.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Otitis media akut H65 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 3 0 0 0 0 0 4 4 0 0 0

Otitis media supuratif kronik H66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Presbiakusis H91.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Serumen prop H61.2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0
Tuli akibat bising H83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tuli Kongenital H90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F KARDIVASKULER
Angina pektoris stabil I20.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cardiorespiratory arrest R09.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gagal Jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hipertensi essensial I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 8 4 7 6 17 23 0 0 0
Infark miokard I21.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Takikardia I47 0 0 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 MUSKULOSKELETAL
Artritis reumatoid M53.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 2 1 3 5 5 10 0 0 0
Artritis, osteoartritis M19.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fraktur terbuka S52.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fraktur tertutup S52.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lipoma D17.9 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 2 2 0 0 0
Osteoporosis M81.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Osteosarkoma O41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Polimialgia reumatik M53.3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 2 3 5 8 0 0 0
Reduction deformity Q73.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Talipes Q66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vunus T14.1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 1 0 0 2 2 4 0 0 0
H NEUROLOGI
Anencephaly Q00.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bell's palsy G51.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Delirium F05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Epilepsi G40.9 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0
Kejang demam R56.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Meningo/encephalocele Q01.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Migren G43.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Neublasoma C74.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rabies A82.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Status epileptikus G41.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Stroke I63.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tension headache G44.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tetanus A35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tetanus Neonatorum A33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Transient Ischemic Attack (TIA) G45.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vertigo R42 0 0 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 PSIKIATRI
Dimensia F03 0 0 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 anxietas F41.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 1 2 0 0 4 3 7 0 0 0

F41.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
depresi
Gangguan depresi F33 0 0 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 penggunaan napza F19 0 0 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 perkembangan dan perilaku F60 0 0 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 psikotik F23 0 0 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 somatoform F45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Insomnia F51.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J RESPIRASI
Asma bronkial J45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0
Asfiksia R09.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Benda asing di hidung T17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bronkitis akut (usia<15 th) J20.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0 0 0
Bronkhitis akut (usia >15 Th) J40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Difteria A36.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Epistaksis R04.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Faringitis akut J02.9 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 2 0 0 0
Furunkel pada hidung J34.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Influenza J11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kanker nasofaing C11.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kanker Paru C34.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Laringitis akut J04.0 0 0 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 paru obstruktif kronis J44.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pertusis (batuk rejan) A37.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pneumonia aspirasi J69.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bronkhopneumonia J18.0 0 0 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 J18.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pneumotoraks J93.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rinitis akut J00 0 0 0 0 0 0 0 0 6 6 3 0 1 1 1 11 3 6 1 2 15 26 41 0 0 0
Rinitis alerga J30.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rinitis vasomotor J30.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sinusitis akut J01 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Status asmatikus J46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tonsilitis akut J03.9 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0
Tonsilitis kronis J35.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K KULIT
Akne vulgaris ringan L70.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cutaneus Larva Migrans B76.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dermatitis atopik L20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dermatitis kontak alergi L23 0 0 0 0 0 0 0 0 1 1 0 0 2 0 1 3 0 3 0 0 4 7 11 0 0 0
Dermatitis kontak iritan L24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dermatitis numularis L20.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dermatitis perioral L71.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dermatitis popok L22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dermatitis seboroik L21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tinea capitis dan tinea barbea B35.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tinea corporis B35.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tinea cruris B35.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tinea manuum B35.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tinea pedis B35.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tinea ungulum B35.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Erisipelas A46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eritrasma L08.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Exanthematous drug eruption L27.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fixed Drug Eruption L27.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Frambusia RDT (+) konfirmasi/probable A66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Herpes simplek B00.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Herpes zoster B02.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hidradenitis supuratif L73.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

L28.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
sirkumkripta)
Luka bakar derajat I dan II T30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Miliria L74.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Moluskum kontagiosum B08.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pedikulosis kapitis B85.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pedikulosis pubis B85.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Abses, furuncke dan carbuncle L02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Impetigo L01 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pioderma L08.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pitiriasis rosea L42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pitiriasis versikolor B36.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Reaksi gigitan serangga T63.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sindrom stevens johnson L51.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Skabies B86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Skrofuloderma A18.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ulkus pada tungkai L98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Urtikaria L50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Veruka vulgaris B07 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Diabetes melitus Tipe 1 E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 13 5 4 9 18 27 0 0 0
Diabetes melitus Tipe 2 E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hiperglikemia Hiperosmolar Non Ketotik R73.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hiperurisemia-Gout Arthritis E79.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hipoglikemia E16.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hipertiroid kongenital E03.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lipidemia E78.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malnutrisi energi protein E46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Obesitas E66.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tirotoksikosis E05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Epispadia Q64.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fimosis N47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hipertropi prostat N40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0
Hypospodia Q54 0 0 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 Saluran Kemih N39.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0 0 0
Parafimosis N47.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit ginjal kronik N03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pielonefritis tanpa komplikasi N10 0 0 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 KESEHATAN WANITA
Abortus inkomplit O06.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Abortus komplit O03.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anemia defisiensi besi pada kehamilan O99.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cracked nipple O92.12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eklamsi O15.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hiperemisis Gravidarum O21.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Inverted nipple O92.02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kanker serviks C53.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kehamilam normal O80.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ketuban pecah dini O42.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mastitis N61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Perdarahan post partum O72.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Persalinan lama O63.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pre eklamsia O14.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ruptur perineum tingkat 1-2 O70.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tumor payudara C50.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 2 0 0 0
O PENYAKIT KELAMIN
Flour albus N98.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sifilis A53.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gonore A54.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vaginistis N76.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vulvitis N76.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui : Kemalo Abung, 2022
Kepala Puskesmas Kemalo Abung Pengelola SIP
Ristin Apriani, SKM.MM Dwi Rahayu Kusumaningtyas, S.Tr.KG

NIP. 19780426 200501 2 012 NIP. 199603132019032003
LAPORAN B

Bulan : Mei
Tahun : 2022
L P L P L P
A KELOMPOK UMUM
Lepra A30 0 0 0 0 0 0
Malaria B54 0 0 0 0 0 0
Syok R57.9 0 0 0 0 0 0

Varisela B01.9 0 0 0 0 0 0

B
DAN SISTEM IMUN
Leukemia D55 0 0 0 0 0 0
C DIGESTIVE
Askariasis B77.9 0 0 0 0 0 0
Gastritris K29.7 0 0 0 0 0 0
Hepatitis C B18.2 0 0 0 0 0 0

Taeniasis B68.9 0 0 0 0 0 0
D MATA
Blefaritis H01.0 0 0 0 0 0 0
Buta senja H53.6 0 0 0 0 0 0
Hifema H21.0 0 0 0 0 0 0
Hordeolum H00.0 0 0 0 0 0 0
Low vision H54 0 0 0 0 0 0
Mata kering H04.1 0 0 0 0 0 0

Presbiopia H52.4 0 0 0 0 0 0
Pterigium H11.0 0 0 0 0 0 0
E TELINGA
F KARDIVASKULER
G MUSKULOSKELETAL

Lipoma D17.9 0 0 0 0 0 0
Talipes Q66 0 0 0 0 0 0
Vunus T14.1 0 0 0 0 0 0
H NEUROLOGI
Bell's palsy G51.0 0 0 0 0 0 0
Delirium F05.9 0 0 0 0 0 0
Epilepsi G40.9 0 0 0 0 0 0
Migren G43.9 0 0 0 0 0 0
Neublasoma C74.9 0 0 0 0 0 0
Rabies A82.9 0 0 0 0 0 0
Stroke I63.9 0 0 0 0 0 0
Tetanus A35 0 0 0 0 0 0
Vertigo R42 0 0 0 0 0 0
I PSIKIATRI
Dimensia F03 0 0 0 0 0 0

F41.2 0 0 0 0 0 0
depresi

Insomnia F51.0 0 0 0 0 0 0
J RESPIRASI
Asfiksia R09.0 0 0 0 0 0 0
Difteria A36.9 0 0 0 0 0 0
Epistaksis R04.0 0 0 0 0 0 0
Kanker Paru C34.9 0 0 0 0 0 0
Pneumonia J18.9 0 0 0 0 0 0

K KULIT
Tinea pedis B35.3 0 0 0 0 0 0
Eritrasma L08.1 0 0 0 0 0 0

L28.0 0 0 0 0 0 0
sirkumkripta)

Miliria L74.3 0 0 0 0 0 0
Impetigo L01 0 0 0 0 0 0
Pioderma L08.0 0 0 0 0 0 0
Skabies B86 0 0 0 0 0 0
Lipidemia E78.5 0 0 0 0 0 0
Obesitas E66.9 0 0 0 0 0 0
Epispadia Q64.0 0 0 0 0 0 0
Fimosis N47 0 0 0 0 0 0
N KESEHATAN WANITA
Eklamsi O15.9 0 0 0 0 0 0
Mastitis N61 0 0 0 0 0 0
O PENYAKIT KELAMIN
Flour albus N98.9 0 0 0 0 0 0
Sifilis A53.9 0 0 0 0 0 0
Gonore A54.9 0 0 0 0 0 0
Vaginistis N76.0 0 0 0 0 0 0
Vulvitis N76.2 0 0 0 0 0 0
Mengetahui :

NIP. 19780426 200501 2 012
FORMULIR 11

1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
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JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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2 1 3 0 0 0
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0 0 0 0 0 0
1 0 1 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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3 0 3 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 2 3 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 4 4 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 1 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Kemalo Abung, 2022
Pengelola SIP

NIP. 199603132019032003
LAPORAN B

Bulan : April
Tahun : 2022
L P L P L P
A KELOMPOK UMUM
Lepra A30 0 0 0 0 0 0
Malaria B54 0 0 0 0 0 0
Syok R57.9 0 0 0 0 0 0

Varisela B01.9 0 0 0 0 0 0

B
DAN SISTEM IMUN
Leukemia D55 0 0 0 0 0 0
C DIGESTIVE
Askariasis B77.9 0 0 0 0 0 0
Gastritris K29.7 0 0 0 0 0 0
Hepatitis C B18.2 0 0 0 0 0 0

Taeniasis B68.9 0 0 0 0 0 0
D MATA
Blefaritis H01.0 0 0 0 0 0 0
Buta senja H53.6 0 0 0 0 0 0
Hifema H21.0 0 0 0 0 0 0
Hordeolum H00.0 0 0 0 0 0 0
Low vision H54 0 0 0 0 0 0
Mata kering H04.1 0 0 0 0 0 0

Presbiopia H52.4 0 0 0 0 0 0
Pterigium H11.0 0 0 0 0 0 0
E TELINGA
F KARDIVASKULER
G MUSKULOSKELETAL

Lipoma D17.9 0 0 0 0 0 0
Talipes Q66 0 0 0 0 0 0
Vunus T14.1 0 0 0 0 0 0
H NEUROLOGI
Bell's palsy G51.0 0 0 0 0 0 0
Delirium F05.9 0 0 0 0 0 0
Epilepsi G40.9 0 0 0 0 0 0
Migren G43.9 0 0 0 0 0 0
Neublasoma C74.9 0 0 0 0 0 0
Rabies A82.9 0 0 0 0 0 0
Stroke I63.9 0 0 0 0 0 0
Tetanus A35 0 0 0 0 0 0
Vertigo R42 0 0 0 0 0 0
I PSIKIATRI
Dimensia F03 0 0 0 0 0 0

F41.2 0 0 0 0 0 0
depresi

Insomnia F51.0 0 0 0 0 0 0
J RESPIRASI
Asfiksia R09.0 0 0 0 0 0 0
Difteria A36.9 0 0 0 0 0 0
Epistaksis R04.0 0 0 0 0 0 0
Kanker Paru C34.9 0 0 0 0 0 0
Pneumonia J18.9 0 0 0 0 0 0

K KULIT

Tinea pedis B35.3 0 0 0 0 0 0
Eritrasma L08.1 0 0 0 0 0 0

L28.0 0 0 0 0 0 0
sirkumkripta)

Miliria L74.3 0 0 0 0 0 0
Impetigo L01 0 0 0 0 0 0
Pioderma L08.0 0 0 0 0 0 0
Skabies B86 0 0 0 0 0 0
Lipidemia E78.5 0 0 0 0 0 0
Obesitas E66.9 0 0 0 0 0 0
Epispadia Q64.0 0 0 0 0 0 0
Fimosis N47 0 0 0 0 0 0
N KESEHATAN WANITA
Eklamsi O15.9 0 0 0 0 0 0
Mastitis N61 0 0 0 0 0 0
O PENYAKIT KELAMIN
Flour albus N98.9 0 0 0 0 0 0
Sifilis A53.9 0 0 0 0 0 0
Gonore A54.9 0 0 0 0 0 0
Vaginistis N76.0 0 0 0 0 0 0
Vulvitis N76.2 0 0 0 0 0 0
Mengetahui :

NIP. 19780426 200501 2 012
FORMULIR 11

1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 1 0 3 4 4 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2 5 19 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 2 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 2 2 0 0 0
2 0 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
10 25 35 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
4 9 13 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
6 15 21 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
7 5 12 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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 6 7 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
11 12 23 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5 27 32 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Kemalo Abung, 2022
Pengelola SIP

NIP. 199603132019032003
LAPORAN B

Bulan : Maret
Tahun : 2022
L P L P L P
A KELOMPOK UMUM
Lepra A30 0 0 0 0 0 0
Malaria B54 0 0 0 0 0 0
Syok R57.9 0 0 0 0 0 0

Varisela B01.9 0 0 0 0 0 0

B
DAN SISTEM IMUN
Leukemia D55 0 0 0 0 0 0
C DIGESTIVE
Askariasis B77.9 0 0 0 0 0 0
Gastritris K29.7 0 0 0 0 0 0
Hepatitis C B18.2 0 0 0 0 0 0

Taeniasis B68.9 0 0 0 0 0 0
D MATA
Blefaritis H01.0 0 0 0 0 0 0
Buta senja H53.6 0 0 0 0 0 0
Hifema H21.0 0 0 0 0 0 0
Hordeolum H00.0 0 0 0 0 0 0
Low vision H54 0 0 0 0 0 0
Mata kering H04.1 0 0 0 0 0 0

Presbiopia H52.4 0 0 0 0 0 0
Pterigium H11.0 0 0 0 0 0 0
E TELINGA
F KARDIVASKULER
G MUSKULOSKELETAL

Lipoma D17.9 0 0 0 0 0 0
Talipes Q66 0 0 0 0 0 0
Vunus T14.1 0 0 0 0 0 0
H NEUROLOGI
Bell's palsy G51.0 0 0 0 0 0 0
Delirium F05.9 0 0 0 0 0 0
Epilepsi G40.9 0 0 0 0 0 0
Migren G43.9 0 0 0 0 0 0
Neublasoma C74.9 0 0 0 0 0 0
Rabies A82.9 0 0 0 0 0 0
Stroke I63.9 0 0 0 0 0 0
Tetanus A35 0 0 0 0 0 0
Vertigo R42 0 0 0 0 0 0
I PSIKIATRI
Dimensia F03 0 0 0 0 0 0

F41.2 0 0 0 0 0 0
depresi

Insomnia F51.0 0 0 0 0 0 0
J RESPIRASI
Asfiksia R09.0 0 0 0 0 0 0
Difteria A36.9 0 0 0 0 0 0
Epistaksis R04.0 0 0 0 0 0 0
Kanker Paru C34.9 0 0 0 0 0 0
Pneumonia J18.9 0 0 0 0 0 0

K KULIT
Tinea pedis B35.3 0 0 0 0 0 0
Eritrasma L08.1 0 0 0 0 0 0

L28.0 0 0 0 0 0 0
sirkumkripta)

Miliria L74.3 0 0 0 0 0 0
Impetigo L01 0 0 0 0 0 0
Pioderma L08.0 0 0 0 0 0 0
Skabies B86 0 0 0 0 0 0
Lipidemia E78.5 0 0 0 0 0 0
Obesitas E66.9 0 0 0 0 0 0
Epispadia Q64.0 0 0 0 0 0 0
Fimosis N47 0 0 0 0 0 0
N KESEHATAN WANITA
Eklamsi O15.9 0 0 0 0 0 0
Mastitis N61 0 0 0 0 0 0
O PENYAKIT KELAMIN
Flour albus N98.9 0 0 0 0 0 0
Sifilis A53.9 0 0 0 0 0 0
Gonore A54.9 0 0 0 0 0 0
Vaginistis N76.0 0 0 0 0 0 0
Vulvitis N76.2 0 0 0 0 0 0
Mengetahui :

NIP. 19780426 200501 2 012
FORMULIR 11

1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 2 2 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 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
11 13 24 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
4 9 13 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
6 15 21 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
24 16 40 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2 1 3 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
4 8 12 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2 14 16 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 3 3 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Kemalo Abung, 2022
Pengelola SIP

NIP. 199603132019032003
LAPORAN B

Bulan : Februari
Tahun : 2022
L P L P L P
A KELOMPOK UMUM
Lepra A30 0 0 0 0 0 0
Malaria B54 0 0 0 0 0 0
Syok R57.9 0 0 0 0 0 0

Varisela B01.9 0 0 0 0 0 0

B
DAN SISTEM IMUN
Leukemia D55 0 0 0 0 0 0
C DIGESTIVE
Askariasis B77.9 0 0 0 0 0 0
Gastritris K29.7 0 0 0 0 0 0
Hepatitis C B18.2 0 0 0 0 0 0

Taeniasis B68.9 0 0 0 0 0 0
D MATA
Blefaritis H01.0 0 0 0 0 0 0
Buta senja H53.6 0 0 0 0 0 0
Hifema H21.0 0 0 0 0 0 0
Hordeolum H00.0 0 0 0 0 0 0
Low vision H54 0 0 0 0 0 0
Mata kering H04.1 0 0 0 0 0 0

Presbiopia H52.4 0 0 0 0 0 0
Pterigium H11.0 0 0 0 0 0 0
E TELINGA
F KARDIVASKULER
G MUSKULOSKELETAL

Lipoma D17.9 0 0 0 0 0 0
Talipes Q66 0 0 0 0 0 0
Vunus T14.1 0 0 0 0 0 0
H NEUROLOGI
Bell's palsy G51.0 0 0 0 0 0 0
Delirium F05.9 0 0 0 0 0 0
Epilepsi G40.9 0 0 0 0 0 0
Migren G43.9 0 0 0 0 0 0
Neublasoma C74.9 0 0 0 0 0 0
Rabies A82.9 0 0 0 0 0 0
Stroke I63.9 0 0 0 0 0 0
Tetanus A35 0 0 0 0 0 0
Vertigo R42 0 0 0 0 0 0
I PSIKIATRI
Dimensia F03 0 0 0 0 0 0

F41.2 0 0 0 0 0 0
depresi

Insomnia F51.0 0 0 0 0 0 0
J RESPIRASI
Asfiksia R09.0 0 0 0 0 0 0
Difteria A36.9 0 0 0 0 0 0
Epistaksis R04.0 0 0 0 0 0 0
Kanker Paru C34.9 0 0 0 0 0 0
Pneumonia J18.9 0 0 0 0 0 0

K KULIT
Tinea pedis B35.3 0 0 0 0 0 0
Eritrasma L08.1 0 0 0 0 0 0

L28.0 0 0 0 0 0 0
sirkumkripta)

Miliria L74.3 0 0 0 0 0 0
Impetigo L01 0 0 0 0 0 0
Pioderma L08.0 0 0 0 0 0 0
Skabies B86 0 0 0 0 0 0
Lipidemia E78.5 0 0 0 0 0 0
Obesitas E66.9 0 0 0 0 0 0
Epispadia Q64.0 0 0 0 0 0 0
Fimosis N47 0 0 0 0 0 0
N KESEHATAN WANITA
Eklamsi O15.9 0 0 0 0 0 0
Mastitis N61 0 0 0 0 0 0
O PENYAKIT KELAMIN
Flour albus N98.9 0 0 0 0 0 0
Sifilis A53.9 0 0 0 0 0 0
Gonore A54.9 0 0 0 0 0 0
Vaginistis N76.0 0 0 0 0 0 0
Vulvitis N76.2 0 0 0 0 0 0
Mengetahui :

NIP. 19780426 200501 2 012
FORMULIR 11

1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 0 0 7
0 0 0 0 0 0 0 0 1 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 2 1 1
0 0 0 0 0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 3 1 3 4 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 1 2 0 0 0 0
0 0 0 0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 2 1 5 2 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 3 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 1 0 2 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 2 1 3 1 1 1 7 12 4 6 2 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 1 2 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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 10 3 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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 7 8 0 0 0
1 2 3 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2 0 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 3 4 0 0 0
1 1 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2 0 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
6 9 15 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2 2 4 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
3 11 14 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3 1 4 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
4 2 6 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
4 3 7 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
19 24 43 0 0 0
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 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3 3 6 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
4 12 16 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Kemalo Abung, 2022
Pengelola SIP

NIP. 199603132019032003
LAPORAN B

Bulan : Januari
Tahun : 2022
L P L P L P
A KELOMPOK UMUM
Lepra A30 0 0 0 0 0 0
Malaria B54 0 0 0 0 0 0
Syok R57.9 0 0 0 0 0 0

Varisela B01.9 0 0 0 0 0 0

B
DAN SISTEM IMUN
Leukemia D55 0 0 0 0 0 0
C DIGESTIVE
Askariasis B77.9 0 0 0 0 0 0
Gastritris K29.7 0 0 0 0 0 0
Hepatitis C B18.2 0 0 0 0 0 0

Taeniasis B68.9 0 0 0 0 0 0
D MATA
Blefaritis H01.0 0 0 0 0 0 0
Buta senja H53.6 0 0 0 0 0 0
Hifema H21.0 0 0 0 0 0 0
Hordeolum H00.0 0 0 0 0 0 0
Low vision H54 0 0 0 0 0 0
Mata kering H04.1 0 0 0 0 0 0

Presbiopia H52.4 0 0 0 0 0 0
Pterigium H11.0 0 0 0 0 0 0
E TELINGA
F KARDIVASKULER
G MUSKULOSKELETAL

Lipoma D17.9 0 0 0 0 0 0
Talipes Q66 0 0 0 0 0 0
Vunus T14.1 0 0 0 0 0 0
H NEUROLOGI
Bell's palsy G51.0 0 0 0 0 0 0
Delirium F05.9 0 0 0 0 0 0
Epilepsi G40.9 0 0 0 0 0 0
Migren G43.9 0 0 0 0 0 0
Neublasoma C74.9 0 0 0 0 0 0
Rabies A82.9 0 0 0 0 0 0
Stroke I63.9 0 0 0 0 0 0
Tetanus A35 0 0 0 0 0 0
Vertigo R42 0 0 0 0 0 0
I PSIKIATRI
Dimensia F03 0 0 0 0 0 0

F41.2 0 0 0 0 0 0
depresi

Insomnia F51.0 0 0 0 0 0 0
J RESPIRASI
Asfiksia R09.0 0 0 0 0 0 0
Difteria A36.9 0 0 0 0 0 0
Epistaksis R04.0 0 0 0 0 0 0
Kanker Paru C34.9 0 0 0 0 0 0
Pneumonia J18.9 0 0 0 0 0 0

K KULIT
Tinea pedis B35.3 0 0 0 0 0 0
Eritrasma L08.1 0 0 0 0 0 0

L28.0 0 0 0 0 0 0
sirkumkripta)

Miliria L74.3 0 0 0 0 0 0
Impetigo L01 0 0 0 0 0 0
Pioderma L08.0 0 0 0 0 0 0
Skabies B86 0 0 0 0 0 0
Lipidemia E78.5 0 0 0 0 0 0
Obesitas E66.9 0 0 0 0 0 0
Epispadia Q64.0 0 0 0 0 0 0
Fimosis N47 0 0 0 0 0 0
N KESEHATAN WANITA
Eklamsi O15.9 0 0 0 0 0 0
Mastitis N61 0 0 0 0 0 0
O PENYAKIT KELAMIN
Flour albus N98.9 0 0 0 0 0 0
Sifilis A53.9 0 0 0 0 0 0
Gonore A54.9 0 0 0 0 0 0
Vaginistis N76.0 0 0 0 0 0 0
Vulvitis N76.2 0 0 0 0 0 0
Mengetahui :

NIP. 19780426 200501 2 012
FORMULIR 11

1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th 60 th +
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 1 0 1 0 0 0 0 3 1 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH KASUS LAMA

SEMUA UMUR
Semua Umur
L P TOTAL L P TOTAL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 4 4 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 0 0 0
3 3 6 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Kemalo Abung, 2022
Pengelola SIP

NIP. 199603132019032003

Formulir 11 PKM Kalibalangan BLN April

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LAPORAN B

Puskesmas : Kemalo Abung

No JENIS PENYAKIT ICD 10 0-7 hari 8-28 hari 1-11 bulan

Alergi makanan L27.2

Demam Berdarah Dengue (DBD) A91

Demam Dengue A90

Infeksi pada umbilikus P38

Kandidiasis mulut B37.9

Keracunan makanan T62.2

Morbili (Campak) B05.9

Reaksi Anafilatik T78.2

TB lain Paru (ekstra Paru) A18

Tuberkulosis (TB) Paru A15

Tuberkulosis (TB) dengan HIV B20.0

DARAH, PEMBENTUKAN DARAH

Anemi defisiansi besi D50.9

HIV/AIDS tanpa komplikasi Z21

Limfoma Maligna C85.9

Lupus Eritematosus Sistematik M32

Atresia ani dengan atau tanpa fistula Q42

Bibir dan langit-langit sumbing Q37.9

Bibir sumbing Q36.9

Demam Tifoid A01.0

Disentri basiler dan disentri amuba A06.0

Gastroenteritis (Kolera dan Glardiasis) A09

Hemoroid grade 1-2 I84

Intoleransi makanan K90.4

Langit-langit sumbing Q35

Perdarahan gastrointestinal K92.2

Refluks gastrointestinal K21.9

Ulkus mulut K12

Benda asing di konjungtiva T15.9

Buta senja H53.6

Glaoukoma akut H40.21

Glaukoma kronis H40.22

Katarak kongenital Q12.0

katarak pada pasien dewasa H26.9

Konjungtivitis alergi H10.1

Konjungtivitis infeksi H10.9

Laserasi kelopak mata S01.1

Low vision H54

Mata kering H04.1

Miopia ringan H52.1

Retinopati diabetik H36.0

Trauma kimia mata T26

Benda asing di telinga T16

Otitis Eksterna H60.9

Otitis media akut H65

Otitis media supuratif kronik H66

Serumen prop H61.2

Tuli akibat bising H83

Tuli Kongenital H90

Angina pektoris stabil I20.9

Cardiorespiratory arrest R09.2

Gagal Jantung I50

Hipertensi essensial I10

Infark miokard I21.9

Artritis reumatoid M53.3

Artritis, osteoartritis M19.9

Fraktur terbuka S52.9

Fraktur tertutup S52.9

Polimialgia reumatik M53.3

Reduction deformity Q73.8