Laporan Bulanan Data Kesakitan

LAPORAN BULANAN DATA KESAKITAN
KODE PUSKESMAS :
:
PUSKESMAS PEMBANTU - Ada :
PUSKESMAS PEMBANTU - Lapor :
KABUPATEN/KODYA : BERAU
BULAN : januari 2023
PROPINSI : KAL-TIM
PUSTU : suaran A
JUMLAH KASUS / GOLONGAN UMUR

Kode Nama Penyakit/ Diagnosis 0-7 Hr 8 - 28 Hri 29 Hr < 1 Thn 1 - 4 Thn 5 - 6 Thn 6 - 9 Thn 10 - 11 Thn 12 - 14 Thn 15 - 17 Thn 18 - 19 Thn 20 - 24 Thn 25 - 34 Thn 35 - 44 Thn
ICD-X B L B L B L B L B L B L B L B L B L B L B L B L B
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
A00 Kolera
A01 Thypus perut
A04 Infeksi Bakteri lain, mis Disentri Basi
A06 Amoebiasis
A07 Infeksi Protozoa lain, mis Disentri Amo
A09 Diare & Gastroentritis Non Spesifik
A82 Pes
Penyakit Infeksi Usus Lain2
A15 TB Paru BTA ( + )
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A16 TB Paru Klinis ( Suspect ) BTA ( - )
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A23 Penyakit karena Bakteri lain
A17 Trakhoma
A80 Poliomyelitis Acuta
A82 Penyakit gila anjing
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B18 Hepatitis Chronika
B24 HIV ( + )
B26 Parotitis
Chikingunya
B33 Penyakit karna Virus lain
B50 Malaria Tropika ( P Falciparum )
B51 Malaria Tertiana ( P Vivax )
B52 Malaria Mix ( PF campur PV )
B54 Malaria Klinis
B58 Toxoplasmosis
B60 Penyakit karena Protozoa lain
A53 Sipilis
A54 Infeksi Gonokok
A64 Penyakit Kelamin Lain
B35.6 Tinea Cruris
B35.9 TTinea
B35 iPenyakit Kulit karena Jamur
n
B37.9 eCandidiasis
B77 aAscariasis ( Cacing Gelang )
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
B89 Penyakit Parasit Lain
D17.9 LLipoma
C53 iTumor Ganas : Cervix
p
E01 oGAKI : Gondok Endemik : STRUMA
mKencing Manis ( DM )
a
E02 Hipertorodisme Subklinik
E05 Hipertorodisme
E15 HHipoglikemia
E34 iPenyakit Gangguan Endokrin
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
E50 iDefisiensi Vitamin A
a
E51 Defisiensi Thiamina ( B1 )
E56 Defisiensi Vitamin : Niacin, Asam Folat dll
E63 Defisiensi Zat Gizi Makro Lain

E66 Obesitas
Z05.0 BBLR < 2500 gr
E64 Penyakit Gizi lain
F10 Penyalah Gunaan Alkohol
F17 Penyalahgunaan Tembakau
F19 Penyalah Gunaan Narkoba
F48 Gangguan Neurotik
F29 Gangguan Psikotik
F32 DEPRESI
F99 Gangguan Jiwa Lain
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
G99 uPenyakit susunan Syaraf Lain
r
a
l
g
i
a
H00 Hordeolum ( Bintilan )
H04 Radang Saluran Kelenjar Mata
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H54 Kebutaan / Penglihatan Kurang
H58 Penyakit Mata Lain
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
H62.4 Penyakit Telinga Lain ( mis : Cerumen )
I20 Angina Pectoris
I49 Gangguan Irama Jantung
I50 Gagal Jantung
I52 Penyakit Jantung Lain
I00 Demam Rematik & Peny. Jantung Rematik
I10 Hipertensi Primer
I15 Hipertensi Sekunder
I96 Hipotensi
I84 Wasir
I83 Varises
J00 Nasopharingitis Akuta ( Common Cold, Ispa )
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J06 Infeksi akut lain pd sal Pernafasan atas (Rhinitis)
J11 Influenza, Virus tidak teridentifikasi
J39 Penyakit Lain pd Saluran Pernafasan bag atas
J04 Laringitis
J18 Pnemonia
J20 Bronchitis Acuta
J21 Bronchitis Chronika
J45 ASMA
J94 Pleuritis
J98 Penyakit lain Saluran Pernafasan Bawah
K00 Gangguan Pertumbuhan Gigi dan Erupsi
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
K03 iCalculus dan Deposit Lain
t
K04 iPenyakit Pulpa & Jaringan Periapikal
K05 sPenyakit Gusi & Ginggivitis
K07 KKelainan dento facial termasuk mal-oklus
K09 eKista di Rongga Mulut
l
K12 aSTOMATITIS
K14 iGlosstitis & Penyakit Lidah Lain
n
K08.9 aPenyakit Gigi & Lidah Lain
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
K35 Apendicitis Acuta
t
K36 oApendicitis Chronik
K73 Penyakit Hati Menahun / Cerosis Hepatis
f
K77.8 aPenyakit Saluran Pencernaan & Hati Lain
K80 C cCholelithiasis
i
K26.9 haUUlkus Peptikum
ol
K59.0 K lklKonstipasi
N04 oeuNephrotic Syndrome
nlts
N08 sieGlumerulo Nephritis Acuta
P
N10 trNephritis Acuta
e
ihm
N11 piapNephritis Chronika
t
N14 asiGagal Ginjal Akut
su
N18 kikGagal Ginjal Chronika
u
N20 m sUrolithiasis
m
N21 Batu Kandung Kemih
a
N23 lRenal Kolik
N30 -Cystitis
o
N34.3 kPenyakit Saluran Kencing Lain
N40 lHypertropy Prostate
u
N43 sHydrocele
Q54 Hypospadia
N51.8 Penyakit Alat Kelamin Lain-lain
O03 Keguguran
N76 Peradangan Vagina & Vulva
N81.1 Hernia
N89 viral Hepatitis ( HB < 0-7 Hari )
N94 Dysmenorrhea
N91 Oligomenorrhea
N92 Meno / Metrorhagia
N95 Menopause & Gejala ikutan Lain
N94.9 Penyakit Alat Kelamin Perempuan Lain
O15 Pendarahan masa Kehamilan ( diluar Inpartu )
O72 Pendarahan Post Partum
O85 Infeksi masa Hamil Persalinan & Nifas
O91 Mastitis ( Mastalgia )
O21 Hyperemesis Gravidarum
O64.9 Kelainan Kandungan Langsung Lain
Z39 Perawatan Post Partum = Masa Nifas 1
O84 Melahirkan Ganda
O80 Persalinan Spontan 1
Z34 Supervisi Kehamilan Normal K1 1
Z36 Antenatal Screening K4
Z35.11 Preeclampsia / Eclampsia
Z30.0 Konseling KB ( KIA )
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
Z23.5.2 TT1 Bumil = T3
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
Z24.6 Viral Hepatitis ( HB < 0-7 Hari )
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
A33 Tetanus Neonaturum
P59 Icteric Neonatus sebab tidak jelas
S00 Kecelakaan Lalu Lintas + C45
S00 Trauma Kepala Superfisial
S06 Trauma Intrakranial misal : Comotio Cerebri
S82 FFraktur Patella
S12 F rFraktur Mandibula
ar
S52 F kaFraktur lengan bawah
S92 rtF Fraktur Telapak Kaki
auk
T01 kLtrrLBP ( Open Wound )
au
T14 B tTrauma tidak disebut Bagian Tubuh
rkP
uP
T14.1 traOpen Wound
uM
T20 t(raCombostio ( Luka bakar )
le
T50 eO nKeracunan Obat
dl
T
T60 penlKeracunan Pestisida
ieg
T62 lbanKeracunan Makanan
aa
T65 unKeracunan Bahan Kimia
pW
l
aVulnus Laceratum / Lecet2 / Scissum
bo
D50 aukAnemia : Deff Fe
D51 nK wAnemia : Deff B12
da
D52 ahAnemia : Asam Folat
k
D53 )iAnemia Lain2
L01 Impetigo
L02 Abses, Furuncle, Carbuncle
L03 Cellulitis
L08 Penyakit Kulit Infeksi Lain
L20 Atopic Dermatitis
L21 Dermatitis Veneamata
L23 Penyakit Kontak Alergi
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
imPenyakit Kulit Lain
I61 paStroke Non Hemorrhage
rh
I64 iStroke Hemorrhage
o
M08 laRheumatoid Arthritis Lain
M10 yGOUT
x
M13 Arthritis tidak Spesifik
M54.3 Ischialgia
M79.1 M Myalgia
yPenyakit Otot & Jaringan Pengikat Lain
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
R53 eMalaise 0r Fatique
s
R56 m sKejang Demam
ai
R59 aPembesaran Kelenjar Limpa
R11 VVomiting / Emesis
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
X29 nKontak Tanaman & Binatang Beracun
gPenyebab External Kesakitan Lain
Q85.9 H
/Hematoma
Z41.2 eSunat / Sirkumsisi
m
E
Z14.3 aTindakan ( GV, Tindik dll )
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
Total
DATA UNTUK OLAH 10 BESAR PENYAKIT
NAMA PENYAKIT JUMLAH
Kolera 0
Thypus perut 0
Infeksi Bakteri lain, mis Disentri Basi 0
Amoebiasis 0
Infeksi Protozoa lain, mis Disentri Amo 0
Diare & Gastroentritis Non Spesifik 0
Pes 0
Penyakit Infeksi Usus Lain2 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Paru Klinis ( Suspect ) BTA ( - ) 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Penyakit karena Bakteri lain 0
Trakhoma 0
Poliomyelitis Acuta 0
Penyakit gila anjing 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
Hepatitis Chronika 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Penyakit karna Virus lain 0
Malaria Tropika ( P Falciparum ) 0
Malaria Tertiana ( P Vivax ) 0
Malaria Mix ( PF campur PV ) 0
Malaria Klinis 0
Toxoplasmosis 0
Penyakit karena Protozoa lain 0
Sipilis 0
Infeksi Gonokok 0
Penyakit Kelamin Lain 0
Tinea Cruris 0
Tinea 0
Penyakit Kulit karena Jamur 0
Candidiasis 0
Ascariasis ( Cacing Gelang ) 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Penyakit Parasit Lain 0
Lipoma 0
Tumor Ganas : Cervix 0
GAKI : Gondok Endemik : STRUMA 0
Kencing Manis ( DM ) 0
Hipertorodisme Subklinik 0
Hipertorodisme 0
Hipoglikemia 0
Penyakit Gangguan Endokrin 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Defisiensi Vitamin A 0
Defisiensi Thiamina ( B1 ) 0
Defisiensi Vitamin : Niacin, Asam Folat dll 0
Defisiensi Zat Gizi Makro Lain 0
Obesitas 0
BBLR < 2500 gr 0
Penyakit Gizi lain 0
Penyalah Gunaan Alkohol 0
Penyalahgunaan Tembakau 0
Penyalah Gunaan Narkoba 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Gangguan Jiwa Lain 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Penyakit susunan Syaraf Lain 0
Hordeolum ( Bintilan ) 0
Radang Saluran Kelenjar Mata 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Kebutaan / Penglihatan Kurang 0
Penyakit Mata Lain 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Penyakit Telinga Lain ( mis : Cerumen ) 0
Angina Pectoris 0
Gangguan Irama Jantung 0
Gagal Jantung 0
Penyakit Jantung Lain 0
Demam Rematik & Peny. Jantung Rematik 0
Hipertensi Primer 0
Hipertensi Sekunder 0
Hipotensi 0
Wasir 0
Varises 0
Nasopharingitis Akuta ( Common Cold, Ispa ) 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
Infeksi akut lain pd sal Pernafasan atas (Rhinitis) 0
Influenza, Virus tidak teridentifikasi 0
Penyakit Lain pd Saluran Pernafasan bag atas 0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
Bronchitis Chronika 0
ASMA 0
Pleuritis 0
Penyakit lain Saluran Pernafasan Bawah 0
Gangguan Pertumbuhan Gigi dan Erupsi 0
Pulpitis 0
Impacted 0
Carries Gigi 0
Calculus dan Deposit Lain 0
Penyakit Pulpa & Jaringan Periapikal 0
Penyakit Gusi & Ginggivitis 0
Kelainan dento facial termasuk mal-oklus 0
Kista di Rongga Mulut 0
STOMATITIS 0
Glosstitis & Penyakit Lidah Lain 0
Penyakit Gigi & Lidah Lain 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Apendicitis Chronik 0
Penyakit Hati Menahun / Cerosis Hepatis 0
Penyakit Saluran Pencernaan & Hati Lain 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephrotic Syndrome 0
Glumerulo Nephritis Acuta 0
Nephritis Acuta 0
Nephritis Chronika 0
Gagal Ginjal Akut 0
Gagal Ginjal Chronika 0
Urolithiasis 0
Batu Kandung Kemih 0
Renal Kolik 0
Cystitis 0
Penyakit Saluran Kencing Lain 0
Hypertropy Prostate 0
Hydrocele 0
Hypospadia 0
Penyakit Alat Kelamin Lain-lain 0
Keguguran 0
Peradangan Vagina & Vulva 0
Hernia 0
viral Hepatitis ( HB < 0-7 Hari ) 0
Dysmenorrhea 0
Oligomenorrhea 0
Meno / Metrorhagia 0
Menopause & Gejala ikutan Lain 0
Penyakit Alat Kelamin Perempuan Lain 0
Pendarahan masa Kehamilan ( diluar Inpartu ) 0
Pendarahan Post Partum 0
Infeksi masa Hamil Persalinan & Nifas 0
Mastitis ( Mastalgia ) 0
Hyperemesis Gravidarum 0
Kelainan Kandungan Langsung Lain 0
Perawatan Post Partum = Masa Nifas 1
Melahirkan Ganda 0
Persalinan Spontan 1
Supervisi Kehamilan Normal K1 1
Antenatal Screening K4 0
Preeclampsia / Eclampsia 0
Konseling KB ( KIA ) 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
Viral Hepatitis ( HB < 0-7 Hari ) 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Tetanus Neonaturum 0
Icteric Neonatus sebab tidak jelas 0
Kecelakaan Lalu Lintas + C45 0
Trauma Kepala Superfisial 0
Trauma Intrakranial misal : Comotio Cerebri 0
Fraktur Patella 0
Fraktur Mandibula 0
Fraktur lengan bawah 0
Fraktur Telapak Kaki 0
LBP ( Open Wound ) 0
Trauma tidak disebut Bagian Tubuh 0
Open Wound 0
Combostio ( Luka bakar ) 0
Keracunan Obat 0
Keracunan Pestisida 0
Keracunan Makanan 0
Keracunan Bahan Kimia 0
Vulnus Laceratum / Lecet2 / Scissum 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia : Asam Folat 0
Anemia Lain2 0
Impetigo 0
Abses, Furuncle, Carbuncle 0
Cellulitis 0
Penyakit Kulit Infeksi Lain 0
Atopic Dermatitis 0
Dermatitis Veneamata 0
Penyakit Kontak Alergi 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Penyakit Kulit Lain 0
Stroke Non Hemorrhage 0
Stroke Hemorrhage 0
Rheumatoid Arthritis Lain 0
GOUT 0
Arthritis tidak Spesifik 0
Ischialgia 0
Myalgia 0
Penyakit Otot & Jaringan Pengikat Lain 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Malaise 0r Fatique 0
Kejang Demam 0
Pembesaran Kelenjar Limpa 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Kontak Tanaman & Binatang Beracun 0
Penyebab External Kesakitan Lain 0
Hematoma 0
Sunat / Sirkumsisi 0
Tindakan ( GV, Tindik dll ) 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
35 - 44 Thn 45 - 54 Thn 55 - 59 Thn 60 - 64 Thn 65 - 69 Thn >=70 Thn KASUS BARU
L B L B L B L B L B L B L LAMA
L P L P L P L P L P L P L P L P L P L P L P L P L P
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 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 1 1
0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 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
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : februari 2023
PROPINSI : KAL-TIM
PUSTU : suaran a

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z39 Perawatan Post Partum = Masa Nifas 1 1
O80 Persalinan Spontan 1 1
Z34 Supervisi Kehamilan Normal K1 4
Z36 Antenatal Screening K4 2
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8 0 0
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
Penyakit Lain pd Saluran Pernafasan bag atas 0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
Pendarahan masa Kehamilan ( diluar Inpartu ) 0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 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 2 2
0 0 0 4 4
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 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
10
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : 2022
PROPINSI : KAL-TIM
PUSTU :

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z39 Perawatan Post Partum = Masa Nifas
O80 Persalinan Spontan
Z34 Supervisi Kehamilan Normal K1
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
Penyakit Lain pd Saluran Pernafasan bag atas
0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
Pendarahan masa Kehamilan ( diluar Inpartu )
0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : 2022
PROPINSI : KAL-TIM
PUSTU :

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : 2022
PROPINSI : KAL-TIM
PUSTU :

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : 2022
PROPINSI : KAL-TIM
PUSTU :

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : 2022
PROPINSI : KAL-TIM
PUSTU :

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : 2022
PROPINSI : KAL-TIM
PUSTU :

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : 2022
PROPINSI : KAL-TIM
PUSTU :

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : 2022
PROPINSI : KAL-TIM
PUSTU :

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : 2022
PROPINSI : KAL-TIM
PUSTU :

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z30.4 KB Suntik
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Petugas ,
(....................................................)
KODE PUSKESMAS :
:
BULAN : Januari 2023
PROPINSI : KAL-TIM
PUSTU :

A00 Kolera
A01 Thypus perut
A06 Amoebiasis
A82 Pes
A15.A TB Relaps
A15B TB Kategori I
A16.C TB Kategori 2
A16.D TB Kategori 3
A18 TB Organ Lain
A22 Anthrax
A27 Leptospirosis
A25 Pes
A30 Kusta PB
A36 Difteria
A17 Trakhoma
A90 Dengue Fever
A91 DHF
B01 Varicella
B02 Herpes Zooster
B00 Herpes Simplex
B24 HIV ( + )
B26 Parotitis
Chikingunya
B54 Malaria Klinis
B58 Toxoplasmosis
A53 Sipilis
A54 Infeksi Gonokok
B35.6 Tinea Cruris
B35.9 TTinea
n
B37.9 eCandidiasis
B76 Cacing Tambang
B80 Cacing Kremi
B86 Scabies
D17.9 LLipoma
p
a
E05 Hipertorodisme
E15 HHipoglikemia
p
E40 oKwashiorkor
E41 gMarasmus
l
E43 iKEP Berat
E44 kKEP Sedang
e
E44.A m
KEP Ringan
a

E66 Obesitas
Z05.0 BBLR < 2500 gr
F32 DEPRESI
G00 Meningitis
G05.1 Mumps
G04 Enchephalitis
G40 Epilepsi
G43 Migraine
G51 Bell,s Palsy
G62 Polineurophaty
G47.0 Insomnia
G80 Cerebral palsy
G81 Hydrocepalus
G50 NNeuralgia
e
r
a
l
g
i
a
H10 Conjungtivitis
H11 Pterigium
H16 Keratitis
H25 Katarak
H40 Glaukoma
H60 Otitis Externa
H66 Otitis Media
H91 Tuli
H92.0 Otalgia
I20 Angina Pectoris
I50 Gagal Jantung
I96 Hipotensi
I84 Wasir
I83 Varises
J02 Pharingitis
A16.6 Rhinitis
J03 Tonsilitis
J04 Laringitis
J18 Pnemonia
J45 ASMA
J94 Pleuritis
K04.0 PPulpitis
K01 uImpacted
l
K02 pCarries Gigi
t
l
K12 aSTOMATITIS
n
K25 nTukak Lambung
K29 dGastritis
K30 eDyspepsia
n
t
f
i
ol
nlts
P
e
ihm
t
su
u
N20 m sUrolithiasis
m
a
N23 lRenal Kolik
N30 -Cystitis
o
u
N43 sHydrocele
Q54 Hypospadia
O03 Keguguran
N81.1 Hernia
N94 Dysmenorrhea
N91 Oligomenorrhea
Z39 Perawatan Post Partum = Masa Nifas 1
O80 Persalinan Spontan 1
Z30.4 KB Suntik 0
KB Lain-lain
Z23.2 BCG
TT2 Bumil = T4
Z24.0 Polio 1
Polio 2
Polio 3
Polio 4
Z24.4 Campak Bayi
HB 1
HB 2
HB 3
Z27.1 DPT 1
Z27.3 DPT 2
DPT 3
KIRKES
P10 Trauma Lahir
ar
auk
au
rkP
uP
T14.1 traOpen Wound
uM
le
dl
T
ieg
aa
pW
l
bo
da
k
D53 )iAnemia Lain2
L01 Impetigo
L03 Cellulitis
L40 Psoriasis
L50 Urticaria
L70 Acne Vulgaris
L29 Pruritus
L74.3 M Miliaria
L30.1 iPPompholyx
lo
rh
o
M10 yGOUT
x
M54.3 Ischialgia
M79.1 M Myalgia
a
R20 P lParastesia
R50.9 agFFebris
rei
R60 O Oedema
ba
R63.0 ersAnorexia
dt
i
s
R56 m sKejang Demam
ai
oVertigo
m
3-024 iMalnutrisi
W19 tJatuh
i
Q85.9 H
/Hematoma
m
E
m
te
os 0
m
i 0
as
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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
Total
Kolera 0
Thypus perut 0
Amoebiasis 0
Pes 0
TB Paru BTA ( + ) 0
TB Relaps 0
TB Kategori I 0
TB Kategori 2 0
TB Kategori 3 0
TB Organ Lain 0
Anthrax 0
Leptospirosis 0
Pes 0
Kusta PB 0
Difteria 0
Trakhoma 0
Dengue Fever 0
DHF 0
Varicella 0
Herpes Zooster 0
Herpes Simplex 0
HIV ( + ) 0
Parotitis 0
Chikingunya 0
Malaria Klinis 0
Toxoplasmosis 0
Sipilis 0
Infeksi Gonokok 0
Tinea Cruris 0
Tinea 0
Candidiasis 0
Cacing Tambang 0
Cacing Kremi 0
Scabies 0
Lipoma 0
Hipertorodisme 0
Hipoglikemia 0
Kwashiorkor 0
Marasmus 0
KEP Berat 0
KEP Sedang 0
KEP Ringan 0
Obesitas 0
BBLR < 2500 gr 0
Gangguan Neurotik 0
Gangguan Psikotik 0
DEPRESI 0
Meningitis 0
Mumps 0
Enchephalitis 0
Epilepsi 0
Migraine 0
Bell,s Palsy 0
Polineurophaty 0
Insomnia 0
Cerebral palsy 0
Hydrocepalus 0
Neuralgia 0
Conjungtivitis 0
Pterigium 0
Keratitis 0
Katarak 0
Glaukoma 0
Otitis Externa 0
Otitis Media 0
Tuli 0
Otalgia 0
Angina Pectoris 0
Gagal Jantung 0
Hipertensi Primer 0
Hipotensi 0
Wasir 0
Varises 0
Pharingitis 0
Rhinitis 0
Tonsilitis 0
0
Laringitis 0
Pnemonia 0
Bronchitis Acuta 0
ASMA 0
Pleuritis 0
Pulpitis 0
Impacted 0
Carries Gigi 0
STOMATITIS 0
Tukak Lambung 0
Gastritis 0
Dyspepsia 0
Apendicitis Acuta 0
Cholelithiasis 0
Ulkus Peptikum 0
Konstipasi 0
Nephritis Acuta 0
Gagal Ginjal Akut 0
Urolithiasis 0
Renal Kolik 0
Cystitis 0
Hydrocele 0
Hypospadia 0
Keguguran 0
Hernia 0
Dysmenorrhea 0
Oligomenorrhea 0
0
Melahirkan Ganda 0
KB Suntik 0
KB Lain-lain 0
BCG 0
TT1 Bumil = T3 0
TT2 Bumil = T4 0
Polio 1 0
Polio 2 0
Polio 3 0
Polio 4 0
Campak Bayi 0
HB 1 0
HB 2 0
HB 3 0
DPT 1 0
DPT 2 0
DPT 3 0
KIRKES 0
Trauma Lahir 0
Fraktur Patella 0
Fraktur Mandibula 0
Open Wound 0
Keracunan Obat 0
Keracunan Makanan 0
Anemia : Deff Fe 0
Anemia : Deff B12 0
Anemia Lain2 0
Impetigo 0
Cellulitis 0
Atopic Dermatitis 0
Psoriasis 0
Urticaria 0
Acne Vulgaris 0
Pruritus 0
Miliaria 0
Pompholyx 0
Stroke Hemorrhage 0
GOUT 0
Ischialgia 0
Myalgia 0
Parastesia 0
Febris 0
Oedema 0
Anorexia 0
Kejang Demam 0
Vomiting / Emesis 0
Vertigo 0
Malnutrisi 0
Jatuh 0
Hematoma 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
JUMLAH
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 0 0
0
0 0 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 2 0 1
3
Petugas ,
(....................................................)

Laporan Bulanan Data Kesakitan

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LAPORAN BULANAN DATA KESAKITAN

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

JUMLAH KASUS / GOLONGAN UMUR

E63 Defisiensi Zat Gizi Makro Lain

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