8 Agustus

TOTAL R E K A P A N LAPORAN
BERDASARKAN GEJALA, PENY

TOTAL R E K A P A N LAPORAN BULANAN KESAKITAN UMUM PASIEN
REKAP NO
NO JENIS PENYAKIT ICD 10
KELOMPOK UMUM
1 Alergi Makanan L27.2 15 1
2
2 Chikungunya A92.0
0
Demam dengue dan demam 3
3
berdarah dengue 0
a. Demam berdarah dengue A91
6
b. Demam dengue A90 7 1
4 Filariasis B74 0
5 Infeksi pada Umbilikus P38 0 1
6 Kandidiasis Mulut B37.9 1 2
7 Keracunan makanan T62.2 0
8 Lepra A30 5 1
2
9 Leptospirosis A27.9
0
10 Malaria B54 0
11 Morbili (Campak) B05.9 0 1
12 Reaksi Anafilaktik T78.2 0

13 Syok R57.9 0 1
14 TB selain Paru (ekstra Paru) A18 26 2
15 Tuberkulosis (TB) Paru A15 320 3
16 Tuberkulosis dengan HIV B20.0 66 4
17 Varisela B01.9 22 5
DARAH, PEMBENTUKAN 6
DARAH DAN SISTEM IMUN
1 Anemia defisiensi besi D50 3 7
2 HIV/ AIDS tanpa komplikasi Z21 0 8
3 Leukemia D55 0 9
4 Limfadenitis B70 1 10
5 Limfoma Maligna C85.9 0

6 Lupus Eritematosus Sistemik M32 0 1
7 Thalasemia D56 3 2
DIGESTIVE
1 Ankilostomiosis B76.0 0 1
2 Apendisitis Akut K35.9 1

3 Askariasis B77.9 0 1
Atresia (ani) dengan atau tanpa
4
fistula
Q42 0
5 Bibir dan langit-langit sumbing Q37.9 0 1
6 Bibir sumbing Q36.9 0

7 Demam tifoid A01.0 274
Disentri basiler dan disentri
8
amuba
A06.0 10
9 Gastritis K29.7 1263
Gastroenteritis (Kolera dan
10
Giardiasis)
A09 306
11 Gastroschisis Q79.3 13
12 Hemoroid grade 1-2 I84 22
13 Hepatitis A B15 0
14 Hepatitis B B16 0
15 Hepatitis C B18.2 0
16 Intoleransi makanan K90.4 0
17 Kolesistitis K81.9 0
18 Langit-langit sumbing Q35 0
19 Malabsorbsi makanan K90.9 0
20 Omphalocele Q79.2 0
21 Parotitis B26 9
22 Perdarahan gastrointestinal K92.2 K62.5 0
23 Peritonitis K65.9 2
24 Refluksgastroesofageal K21.9 0
25 Skistosomiasis B65.9 B65.2 0
26 Strongiloidiasis B78.9 0
27 Taeniasis B68.9 0
28 Ulkus mulut K12 43
MATA
1 Astigmatisme H52.2 12
2 Benda asing di konjungtiva T15.9 0
3 Blefaritis H01.0 1
4 Buta senja H53.6 12
5 Episkleritis H15.1 0
6 Glaukoma akut H40.2 5
7 Glaukoma kronis H40.2 4
8 Hifema H21.0 0
9 Hipermetropia H52.0 18
10 Hordeolum H00.0 32
11 Katarak kongenital Q12.0 0
12 Katarak pada pasien dewasa H26.9 93
13 Konjungtivitis 0
a. Konjungtivitis alergi H10.1 44
b. Konjungtivitis infeksi H10.9 67
14 Laserasi kelopak mata S01.1 0
15 Low vision H54 37
16 Mata kering H04.1 1
17 Miopia ringan H52.1 14
18 Perdarahan subkonjungtiva H57.8 0
19 Presbiopia H52.4 11
20 Pterygium H11.0 2
21 Retinoblastoma C69.2 0
22 Retinopati Diabetik H36.0 4
23 Trauma kimia mata T26 0
24 Trikiasis H02 0
TELINGA
1 Benda asing ditelinga T16 8
2 Mastoiditis H70 22
3 Otitis Eksterna H60.9 65
4 Otitis Media Akut H65 19
5 Otitis Media Supuratif Kronik H66 27
6 Presbiakusis H91.1 2
7 Serumen Prop H61.2 80
8 Tuli akibat bising H83 0
9 Tuli kongenital H90 3
KARDIOVASKULER
1 Angina Pektoris Stabil I20.9 11
2 Cardiorespiratory arrest R09.2 0
3 Gagal Jantung akut dan kronik I50.9 122
4 Hipertensi Esensial I10 1892
5 Infark Miokard I21.9 11
6 Takikardia I47 1
MUSKULOSKELETAL
1 Artritis Reumatoid M53.3 674
2 Artritis, Osteoartritis M19.9 198
3 Fraktur Terbuka T14 12
4 Fraktur tertutup T14 0
5 Lipoma D17.9 6
6 Osteoporosis M81.9 13
7 Osteosarkoma C41 0
8 Polimialgia Reumatik M35.3 234
9 Reduction Deformity Q73.8 1
10 Talipes Q66 0
11 Vulnus T14.1 102
NEUROLOGI
1 Vulnus Q00.0 0
2 Bells Palsy G51.0 0
3 Delirium F05.9 0
4 Epilepsi G40.9 66
5 Kejang Demam R56.0 9
6 Malaria Serebral B50.0 0
7 Meningo/Encephalocele Q01.9 0
8 Migren G43.9 151
9 Neuroblastoma C74.9 0
10 Rabies A82.9 0
11 Status Epileptikus G41.9 20
12 Stroke I63.9 144
13 Tension Headache G44.2 451
14 Tetanus A35 0
15 Tetanus Neonatorum A33 0
16 Transient Ischemic Attack (TIA) G45.9 0
17 Vertigo R42 67
PSIKIATRI
1 Demensia F03 1
2 Gangguan Anxietas F40 8
Gangguan Campuran Anxietas
3
dan Depresi
F41.2 3
4 Gangguan Depresi F33 9
5 Gangguan Penggunaan Napza F10 1
Gangguan Perkembangan dan
6
Perilaku Pada Anak dan Remaja
F80 1
7 Gangguan Psikotik F20 450
8 Gangguan Somatoform F45 3
9 Insomnia F51.0 12
RESPIRASI
1 Asma Bronkial J45 136
2 Asfiksia R09.0 0
3 Benda Asing di Hidung T17.1 0
4 Bronkitis Akut (usia < 15 tahun) J20.9 105
5 Bronkitis Akut (usia > 15 tahun) J40 29
6 Difteria A36.9 0
7 Epistaksis R04.0 2
8 Faringitis Akut J02.9 0
9 Furunkel pada hidung J34.0 0
10 Influenza J11 1328
11 Kanker nasofaring C11.9 0
12 Kanker Paru C34.9 0
13 Laringitis Akut J04.0 55
14 Penyakit Paru Obstruktif Kronis J44.9 93
15 Pertusis (Batuk Rejan) A37.9 0
16 Pneumonia Aspirasi J69.0 185
17 Pneumonia, Bronkopneumonia 0
a. Bronkopneumonia J18.0 3
b. Pneumonia J18.9 32
18 Pneumotoraks J93.9 0
19 Rinitis Akut J00 1813
20 Rinitis Alergi J30.4 21
21 Rinitis vasomotor J30.0 1
22 Sinusitis Akut J01 27
23 Status Asmatikus J46 0
24 Tonsilitis 0
a. Tonsilitis Akut J03.9 41
b. Tonsilitis Kronis J35.9 0
KULIT
1 Akne Vulgaris Ringan L70.0 0
2 Cutaneus Larva Migrans B76.9 0
3 Dermatitis Atopik L20 178
4 Dermatitis Kontak Alergi L23 363
5 Dermatitis Kontak Iritan L24 49
6 Dermatitis Numularis L20.8 0
7 Dermatitis Perioral L71.0 0
8 Dermatitis Popok L22 25
9 Dermatitis Seboroik L21 1
10 Dermatofitosis B35 33
a. Tinea capitis dan tinea
barbea
B35.0 8
b. Tinea corporis B35.4 34
c. Tinea cruris B35.6 0
d. Tinea manuum B35.2 0
e. Tinea pedis B35.3 1
f. Tinea Unguium B35.1 0
11 Erisipelas A46 0
12 Eritrasma L08.1 1
13 Exanthematous drug Eruption L27.0 0
14 Fixed Drug Eruption L27.0 0
Frambusia RDT (+)
15
konfirmasi/probable
A66 1
16 Herpes Simplek B00.9 8
17 Herpes Zoster B02.9 25
18 Hidradenitis supuratif L73.2 0
Liken Simpleks Kronik
19
(Neurodermatitis Sirkumkripta)
L28.0 0
20 Luka bakar derajat I dan II T30 2
21 Miliaria L74.3 0
22 Moluskum Kontagiosum B08.1 0
23 Pedikulosis Kapitis B85.0 0
24 Pedikulosis Pubis B85.3 7
25 Pioderma 0
a. Abses, furuncke dan
carbuncle
L02 35
b. Impetigo L01 42
c. Pioderma L08.0 17
26 Pitiriasis Rosea L42 0
27 Pitiriasis versikolor B36.0 7
28 Reaksi Gigitan Serangga T63.4 0
29 Sindrom Stevens Johnson L51.1 0
30 Skabies B86 91
31 Skrofuloderma A18.4 0
32 Ulkus pada tungkai I83.0 1
33 Urtikaria L50 58
34 Veruka Vulgaris B07 0
METABOLIK ENDOKRIN DAN
NUTRISI
1 Diabetes Mellitus Tipe 1 E10 175
2 Diabetes Mellitus Tipe 2 E11 915
Hiperglikemia Hiperosmolar
3
Non Ketotik
R73.9 0
4 Hiperurisemia - Gout Arthritis E79.0 16
5 Hipoglikemia E16.2 0
6 Hipotiroid kongenital E03.1 2
7 Lipidemia E78.5 43
8 Malnutrisi Energi Protein E46 1
9 Obesitas E66.9 313
10 Tirotoksikosis E05.9 4
GINJAL DAN SALURAN KEMIH
1 Epispadia Q64.0 0
2 Fimosis N47 0
3 Hipertropi prostat N40 12
4 Hypospadia Q54 0
5 Infeksi Saluran Kemih N39.0 47
6 Parafimosis N47 0
7 Penyakit Ginjal kronik N03 9
8 Pielonefritis tanpa komplikasi N10 3
KESEHATAN WANITA
1 Abortus 0
a. Abortus Inkomplit O06 0
b. Abortus Komplit O03 0
Anemia Defisiensi Besi pada
2
Kehamilan
D50 4
3 Cracked Nipple O92.1 0
4 Eklampsi O15.9 0
5 Hiperemesis Gravidarum O21.0 2
6 Inverted Nipple O92.0 0
7 Kanker Serviks C53.9 0
8 Kehamilan Normal O80.9 425
9 Ketuban Pecah Dini O42.9 0
10 Mastitis N61 2
11 Perdarahan Post Partum O72.1 0
12 Persalinan Lama O63.9 0
13 Pre Eklampsia O14.9 3
14 Ruptur Perineum tingkat I-2 O70.0 0
15 Tumor Payudara C50.9 6
PENYAKIT KELAMIN
1 Fluor Albus N98.9 2
2 Sifilis A53.9 0
3 Gonore A54.9 0
4 Vaginitis N76.0 0
5 Vulvitis N76.2 0
TOTAL R E K A P A N LAPORAN BULANAN KESAKITAN
BERDASARKAN GEJALA, PENYEBAB PENYAKIT ATAU KONDISI
PASIEN
REKAP
GEJALA, PENYEBAB PENYAKIT ATAU KONDISI
PASIEN
INFEKSI PADA USUS

Diare tanpa dehidrasi 18
Diare dengan dehidrasi ringan-sedang
48
Diare dengan dehidrasi berat
0
INFEKSI PADA SALURAN PERNAPASAN
Pneumonia berat 0
INFEKSI UMUM BAKTERI
Demam tifoid probable 22
Demam tifoid konfirmasi 0
INFEKSI UMUM VIRUS
Acute flaccid paralysis (AFP) 0
Hepatitis klinis (ikterik/warna urine seperti
teh) 0
GANGGUAN MATA DAN ADNEKSA
Buta 0
KECELAKAAN DAN KERACUNAN
Cedera akibat kecelakaan transport 7
Cedera akibat tenggelam 0
Cedera akibat jatuh 0
Cedera akibat terbakar 0
Cedera akibat digigit ular 0
Cedera atau gangguan kesehatan akibat
kekerasan fisik 1
Gangguan kesehatan akibat kekerasan mental 0
Gangguan kesehatan akibat kekerasan seksual 0
Keracunan bahan kimia (bukan makanan) 0
keracunan makanan 0
GANGGUAN (CEDERA, PENYAKIT) AKIBAT
KERJA
Sakit akibat kerja 0
Cedera/kecelakaan akibat kerja 0
GANGGUAN MENTAL
Percobaan tindakan bunuh diri 0
PENYAKIT LAINNYA
Trauma lahir 0
KELAINAN BAWAAN LAINNYA
Kembar siam 0
LAPORAN BULANAN KESA
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn 5 - 9 thn

JENIS PENYAKIT ICD 10 Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
L P L P L P L P L P L P L P L P L P L
KELOMPOK UMUM
1 Alergi Makanan L27.2
2 Chikungunya A92.0
3 Demam dengue dan demam
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
5 Infeksi pada Umbilikus P38
6 Kandidiasis Mulut B37.9
7 Keracunan makanan T62.2
8 Lepra A30
10 Malaria B54
11 Morbili (Campak) B05.9
12 Reaksi Anafilaktik T78.2
13 Syok R57.9
14 TB selain Paru (ekstra Paru) A18
15 Tuberkulosis (TB) Paru A15
16 Tuberkulosis dengan HIV B20.0
17 Varisela B01.9
DARAH, PEMBENTUKAN DARAH
DAN SISTEM IMUN
1 Anemia defisiensi besi D50
2 HIV/ AIDS tanpa komplikasi Z21
3 Leukemia D55
4 Limfadenitis B70
5 Limfoma Maligna C85.9
6 Lupus Eritematosus Sistemik M32
7 Thalasemia D56
DIGESTIVE
1 Ankilostomiosis B76.0
2 Apendisitis Akut K35.9
3 Askariasis B77.9
4 Atresia (ani) dengan atau tanpa Q42
fistula
5 Bibir dan langit-langit sumbing Q37.9
6 Bibir sumbing Q36.9
7 Demam tifoid A01.0
8 Disentri basiler dan disentri A06.0
amuba
9 Gastritis K29.7
10 Gastroenteritis (Kolera dan A09
Giardiasis)
11 Gastroschisis Q79.3
12 Hemoroid grade 1-2 I84
13 Hepatitis A B15
14 Hepatitis B B16
15 Hepatitis C B18.2
16 Intoleransi makanan K90.4
17 Kolesistitis K81.9
18 Langit-langit sumbing Q35
19 Malabsorbsi makanan K90.9
20 Omphalocele Q79.2
21 Parotitis B26
22 K92.2 K62.5
Perdarahan gastrointestinal
23 Peritonitis K65.9
24 Refluksgastroesofageal K21.9
25
Skistosomiasis B65.9 B65.2
26 Strongiloidiasis B78.9
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
1 Astigmatisme H52.2
2 Benda asing di konjungtiva T15.9
3 Blefaritis H01.0
4 Buta senja H53.6
5 Episkleritis H15.1
6 Glaukoma akut H40.2
7 Glaukoma kronis H40.2
8 Hifema H21.0
9 Hipermetropia H52.0
10 Hordeolum H00.0
11 Katarak kongenital Q12.0
12 Katarak pada pasien dewasa H26.9
13 Konjungtivitis
a. Konjungtivitis alergi H10.1

b. Konjungtivitis infeksi H10.9
14 Laserasi kelopak mata S01.1
15 Low vision H54
16 Mata kering H04.1
17 Miopia ringan H52.1
18 Perdarahan subkonjungtiva H57.8
19 Presbiopia H52.4
20 Pterygium H11.0
21 Retinoblastoma C69.2
22 Retinopati Diabetik H36.0
23 Trauma kimia mata T26
24 Trikiasis H02
TELINGA
1 Benda asing ditelinga T16
2 Mastoiditis H70
3 Otitis Eksterna H60.9
4 Otitis Media Akut H65
5 Otitis Media Supuratif Kronik H66
6 Presbiakusis H91.1
7 Serumen Prop H61.2
8 Tuli akibat bising H83
9 Tuli kongenital H90
KARDIOVASKULER
1 Angina Pektoris Stabil I20.9
2 Cardiorespiratory arrest R09.2
3 Gagal Jantung akut dan kronik I50.9
4 Hipertensi Esensial I10
5 Infark Miokard I21.9
6 Takikardia I47
MUSKULOSKELETAL
1 Artritis Reumatoid M53.3
2 Artritis, Osteoartritis M19.9
3 Fraktur Terbuka T14
4 Fraktur tertutup T14
5 Lipoma D17.9
6 Osteoporosis M81.9
7 Osteosarkoma C41
8 Polimialgia Reumatik M35.3
9 Reduction Deformity Q73.8
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
5 Kejang Demam R56.0
6 Malaria Serebral B50.0
7 Meningo/Encephalocele Q01.9
8 Migren G43.9
9 Neuroblastoma C74.9
10 Rabies A82.9
11 Status Epileptikus G41.9
12 Stroke I63.9
13 Tension Headache G44.2
14 Tetanus A35
15 Tetanus Neonatorum A33
16 Transient Ischemic Attack (TIA) G45.9
17 Vertigo R42
PSIKIATRI
1 Demensia F03
2 Gangguan Anxietas F40
3 Gangguan Campuran Anxietas dan F41.2
Depresi
4 Gangguan Depresi F33
5 Gangguan Penggunaan Napza F10
6 Gangguan Perkembangan dan
F80
7 Gangguan Psikotik F20
8 Gangguan Somatoform F45
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
3 Benda Asing di Hidung T17.1
4 Bronkitis Akut (usia < 15 tahun) J20.9
5 Bronkitis Akut (usia > 15 tahun) J40
6 Difteria A36.9
7 Epistaksis R04.0
8 Faringitis Akut J02.9
9 Furunkel pada hidung J34.0
10 Influenza J11
11 Kanker nasofaring C11.9
12 Kanker Paru C34.9
13 Laringitis Akut J04.0
14 Penyakit Paru Obstruktif Kronis J44.9
15 Pertusis (Batuk Rejan) A37.9
16 Pneumonia Aspirasi J69.0
17 Pneumonia, Bronkopneumonia
a. Bronkopneumonia J18.0
b. Pneumonia J18.9
18 Pneumotoraks J93.9
19 Rinitis Akut J00
20 Rinitis Alergi J30.4
21 Rinitis vasomotor J30.0
22 Sinusitis Akut J01
23 Status Asmatikus J46
24 Tonsilitis
a. Tonsilitis Akut J03.9

b. Tonsilitis Kronis J35.9
KULIT
1 Akne Vulgaris Ringan L70.0
2 Cutaneus Larva Migrans B76.9
3 Dermatitis Atopik L20
4 Dermatitis Kontak Alergi L23
5 Dermatitis Kontak Iritan L24
6 Dermatitis Numularis L20.8
7 Dermatitis Perioral L71.0
8 Dermatitis Popok L22
9 Dermatitis Seboroik L21
10 Dermatofitosis B35
a. Tinea capitis dan tinea barbea B35.0
b. Tinea corporis B35.4
c. Tinea cruris B35.6
d. Tinea manuum B35.2
e. Tinea pedis B35.3
f. Tinea Unguium B35.1
11 Erisipelas A46
12 Eritrasma L08.1
13 Exanthematous drug Eruption L27.0
14 Fixed Drug Eruption L27.0
15 Frambusia RDT (+) A66
konfirmasi/probable
16 Herpes Simplek B00.9
17 Herpes Zoster B02.9
18 Hidradenitis supuratif L73.2
19 Liken Simpleks Kronik L28.0
20 Luka bakar derajat I dan II T30
21 Miliaria L74.3
22 Moluskum Kontagiosum B08.1
23 Pedikulosis Kapitis B85.0
24 Pedikulosis Pubis B85.3
25 Pioderma
a. Abses, furuncke dan carbuncle L02

b. Impetigo L01
c. Pioderma L08.0
26 Pitiriasis Rosea L42
27 Pitiriasis versikolor B36.0
28 Reaksi Gigitan Serangga T63.4
29 Sindrom Stevens Johnson L51.1
30 Skabies B86
31 Skrofuloderma A18.4
32 Ulkus pada tungkai I83.0
33 Urtikaria L50
34 Veruka Vulgaris B07
NUTRISI
1 Diabetes Mellitus Tipe 1 E10
3 Hiperglikemia Hiperosmolar Non R73.9
Ketotik
4 Hiperurisemia - Gout Arthritis E79.0
5 Hipoglikemia E16.2
6 Hipotiroid kongenital E03.1
7 Lipidemia E78.5
8 Malnutrisi Energi Protein E46
9 Obesitas E66.9
10 Tirotoksikosis E05.9
1 Epispadia Q64.0
2 Fimosis N47
3 Hipertropi prostat N40
4 Hypospadia Q54
5 Infeksi Saluran Kemih N39.0
6 Parafimosis N47
7 Penyakit Ginjal kronik N03
8 Pielonefritis tanpa komplikasi N10
KESEHATAN WANITA
1 Abortus
a. Abortus Inkomplit O06

b. Abortus Komplit O03
2 Anemia Defisiensi Besi pada D50
Kehamilan
3 Cracked Nipple O92.1
4 Eklampsi O15.9
5 Hiperemesis Gravidarum O21.0
6 Inverted Nipple O92.0
7 Kanker Serviks C53.9
8 Kehamilan Normal O80.9
9 Ketuban Pecah Dini O42.9
10 Mastitis N61
11 Perdarahan Post Partum O72.1
12 Persalinan Lama O63.9
13 Pre Eklampsia O14.9
14 Ruptur Perineum tingkat I-2 O70.0
15 Tumor Payudara C50.9
PENYAKIT KELAMIN
1 Fluor Albus N98.9

2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
Keterangan : L = Laki / P = Perempuan
LAPORAN BULANAN KESAKITAN BERDASARKAN GEJALA,
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn 5 - 9 thn

Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
GEJALA, PENYEBAB PENYAKIT
KODE UNIK
ATAU KONDISI PASIEN
L P L P L P L P L P L P L P L P L P L
INFEKSI PADA USUS
1 Diare tanpa dehidrasi

2 Diare dengan dehidrasi ringan-
sedang
3 Diare dengan dehidrasi berat
INFEKSI PADA SALURAN
PERNAPASAN
1 Pneumonia berat

1 Demam tifoid probable
2 Demam tifoid konfirmasi
INFEKSI UMUM VIRUS

1 Acute flaccid paralysis (AFP)
2 Hepatitis klinis (ikterik/warna
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta
1 Cedera akibat kecelakaan

transport
2 Cedera akibat tenggelam
3 Cedera akibat jatuh
4 Cedera akibat terbakar
5 Cedera akibat digigit ular
6 Cedera atau gangguan kesehatan
akibat kekerasan fisik
7 Gangguan kesehatan akibat
kekerasan mental
kekerasan seksual
9 Keracunan bahan kimia (bukan
makanan)
10 keracunan makanan
GANGGUAN (CEDERA, PENYAKIT)

AKIBAT KERJA
1 Sakit akibat kerja

2 Cedera/kecelakaan akibat kerja
GANGGUAN MENTAL
1 Percobaan tindakan bunuh diri
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam
ORAN BULANAN KESAKITAN UMUM
JML. PUSKESMAS PEMBANTU JML. POSKESDES/BIDAN DESA
JML. PUSKESMAS PEMBANTU YANG JML. POSKESDES/BIDAN DESA YANG

MELAPOR MELAPOR
5 - 9 thn 10 - 14 thn 15 - 19 thn 20 - 44 thn 45 - 59 thn >59 thn Total
Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
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
1 1 8 17
3 4 1 1 5 7 2 3 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
ERDASARKAN GEJALA, PENYEBAB PENYAKIT ATAU KONDISI PASIEN
JML. PUSKESMAS PEMBANTU JML. POSKESDES/BIDAN DESA

MELAPOR MELAPOR
5 - 9 thn 10 - 14 thn 15 - 19 thn 20 - 44 thn 45 - 59 thn >59 thn Total
Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
L P L P
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
Jumlah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
27
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Jumlah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
LAP
KODE :
0 2
PUSKESMAS :
UPTD PUSKESMAS MOJO
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

JENIS PENYAKIT ICD 10 Baru Lama Baru Lama Baru Lama Baru Lama
L P L P L P L P L P L P L P L
KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7 1
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
22 Perdarahan gastrointestinal K92.2 K62.5
25 Skistosomiasis B65.9 B65.2
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
6 Gangguan Perkembangan dan F80
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11 6 10
b. Pneumonia J18.9
5 Rinitis Akut J00 5 4
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
LAPORAN BULANAN KESAKITAN B
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

Baru Lama Baru Lama Baru Lama Baru Lama
KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
Acute flaccid paralysis (AFP)
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam
LAPORAN BULANAN KESAKITAN UMUM
JML. PUSKESMAS PEMBANTU 2
JML. PUSKESMAS PEMBANTU YANG

MELAPOR
1 - 4 thn 5 - 9 thn 10 - 14 thn 15 - 19 thn 20 - 44 thn 45 - 59 thn

Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
1 1 1 1 1
1 1 2 2 1 1
1 1
1 4 1 1
3 2 10 17 33 11 16 6 6
1 4 4 5 7 11 7 9
3 2 2 1 3 2
1
2 2
1 1 2 1 1 1 2 2 2
1 1 2
5 7 5 14
2 2 4 4 5 10 2 1 4 10
2 1 1
1 2 4 3 3
1 3 1 1
22 11 8 1
1 1 1
10 14 20 14 11 5 13 15 3 9
8 6 13 6 11 7 6 24 8 10
1 1 1 3 3
1 1 2 3 2
3 1 1 1 1 3 1
3 4 4 9
LANAN KESAKITAN BERDASARKAN GEJALA, PENYEBAB PENYAKIT ATAU KONDISI PASIEN
JML. PUSKESMAS PEMBANTU

MELAPOR
JML. POSKESDES/BIDAN DESA
JML. POSKESDES/BIDAN DESA YANG

MELAPOR
>59 thn Total Jumlah
Baru Lama Baru Lama
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
2 3 0 0 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 3 3 3 10
2
0 0 1 1 2
6 1 0 0 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
63 42 0 0 105
1
0 0 0 0 0
21 32 0 0 53
3 1
7 6 0 0 13
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2 2
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 3 4 7
1 2
0 0 0 0 0
0 0 0 0 0
8 6 0 0 14
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
2 2 0 0 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 15 28 43
5 7
0 0 0 0 0
0 0 0 0 0
8 7 20 25 60
11 5
0 0 0 0 0
3 1 0 1 5
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 5 8 13
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 3 0 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
8 1 23 11 43
1
0 0 0 0 0
0 0 0 0 0
1 0 0 2 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
69 71 0 0 140
6 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
55 66 0 0 121
4 9
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 7 0 0 13
4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 5 0 0 9
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
5 4 1 1 11
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 8 19 27
1 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
15 Tuberkulosis (TB) Paru A15 1
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis) 3 1
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
5 Otitis Media Supuratif Kronik H66 1
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9 1
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11 2 2 19 8
b. Pneumonia J18.9
19 Rinitis Akut J00
21 Rinitis vasomotor J30.0 1
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
14
Ruptur Perineum tingkat I-2 O70.0
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR

1 1
2 3 1 6 3 8
2 2 2 1 1 2
1 1
1
1
1 1
4 5 6 4 1
7 11 24
1 1
1 2
1 1 1 1
2
1 1 2
1
1
18 11 2 1
1 1 2 1
8 11 9 4 1 10 10 26 6 11
2 1
1
1 1 1 1 1
1 1 1
1 1 1
1 1
2 6 9
1 1
2 1
1

MELAPOR

MELAPOR
Baru Lama Baru Lama
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 2 2 4
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
9 22 0 0 31
3 5
7 8 0 0 15
1
0 0 0 0 0
4 0 1 0 5
3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 0 0 0 4
3
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 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
2 1 0 0 3
0 0 0 0 0
10 10 0 0 20
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 17 42 59
6 11
1 1 0 0 2
0 0 0 0 0
0 0 0 0 0
4 3 0 0 7
3 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 2 1 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2 2
1 3 0 0 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 21 12 33
1
0 0 0 0 0
0 0 0 0 0
5 4 0 0 9
3 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
59 80 0 0 139
4 8
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 1 0 0 3
0 0 0 0 0
0 1 0 0 1
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 3 0 0 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2 0 0 3
0 0 0 0 0
0 0 0 0 0
2 3 0 0 5
1 2
0 0 0 0 0
0 0 0 0 0
0 0 10 23 33
4 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0 2 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 3 0 0 3
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
NGADILUWIH
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
7 Demam tifoid A01.0 1 2 3 1
amuba
9 Gastritis K29.7
Giardiasis) 1 6 1 2
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11 1 1 2 1
b. Pneumonia J18.9
19 Rinitis Akut J00 1 2 4 3 7 7 9 32
24 Tonsilitis

KULIT
4 Dermatitis Kontak Alergi L23 1 1 1 1 1 3 1
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0 4
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR

1 8 1 1 1 2 2 1 1
2 1 1 2 3 3 1 3 2 2 4 15 5 11 2 14 5 4
1 1 2 1 1 1 9 9 3 6 1 1
1 4 2
1 1 1 2
2 2 4 2 1 1 1 2 2 1
1 1 2
1 1 2 2 3 15 14 31
5 6 1 2 2 1 1 6 4 6 4 5 3 1 3
2 1 10 1 1 1
3 1 3 1 6 9 6 9
1 1
1 1 1 20 7 1 8 10
2 1 1 1 1 2 2 1 1 4 1
5 7 4 1 2 1 1 12 9 2 3 5 3 1 2
1 1 2 1 1 1 1 3 1 2 5 2 5 3
5 16 7 9 8 13 5 1 4 8 4 1 7 10 7 3 12 8 14 3 6
23 3 3 1 5 1 2 2 4 2 2 2 10 6 1 3 3
3
3 1 1 1 3 1 1 3
1
1 1 2 1 1 1 2
1 2 1 1 2 1
2
1 2 3 1 5 8 26
2
3 2 47 104

MELAPOR

MELAPOR
Baru Lama Baru Lama
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
7 15 2 1 25
0 0 0 0 0
11 35 14 20 80
24 14 7 1 46
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 4 0 3 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 3 1 0 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 11 1 2 18
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 3 0 4
4 19 15 43 81
2 1 9
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
16 17 9 8 50
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2 1 12 16
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
9 10 9 10 38
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 2 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 1 29 17 49
0 0 0 0 0
0 0 0 0 0
5 8 3 1 17
0 0 0 0 0
0 0 0 0 0
26 20 5 7 58
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
8 13 5 5 31
0 0 0 0 0
57 39 18 42 156
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
19 31 46 42 138
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 4 2 4 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 7 2 1 14
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 4 0 1 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 3 2 3 9
0 0 0 0 0
0 0 0 0 0
0 1 2 5 8
0 0 0 0 0
0 4 0 0 4
2
2 7 8 30 47
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 2 0 0 2
0 0 0 0 0
0 0 0 0 0
0 50 0 106 156
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAPORAN
KODE :
PUSKESMAS : WATES
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
10 Gastroenteritis (Kolera dan A09 1 2 1 2
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
8 Faringitis Akut J02.9 2 2 11 11
10 Influenza J11
13 Laringitis Akut J04.0 4 5
b. Pneumonia J18.9
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
LAPORAN BULANAN KESAKITAN BERDA
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR

1
2 7 1 2 7
2 2 4 13 10 1 1 12
1 1
1 1 2 3 2 1 2
1
15 8 5 21 17 4 5 6 9 3 4 4 8 4 12 12 22 2 2 4 15
3 6 5 1 2 5 5 1 1
1 2
1
1
1
1 1 1 2
4
1 1 1 5 2 2 7 18
1 1 2
2
2
KESAKITAN BERDASARKAN GEJALA, PENYEBAB PENYAKIT ATAU KONDISI PASIEN

MELAPOR
JML.
POSKESDES/
BIDAN DESA
JML.
POSKESDES/BIDAN
DESA YANG
MELAPOR
Baru Baru Lama
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 1 0 0 1
1 1 5 18 25
1
3 4 17 24 48
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 1 2
0 0 0 0 0
0 0 0 0 0
1 4 8 10 23
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 1 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
28 42 63 94 227
3 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
23 21 0 0 44
5 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 5 0 0 6
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 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 1 1
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
4 1 0 0 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 3 9 12
6 4 18 51 79
3 1
0 0 0 0 0
1 0 1 1 3
1
0 0 0 0 0
0 0 0 0 0
1 1 1 3 6
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 3 0 3
0 0 0 0 0
0 2 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 3 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
JML.
POSKESDES/
BIDAN DESA
JML.
POSKESDES/BIDAN
DESA YANG
MELAPOR
Baru Baru Lama

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
LAP
KODE :
PUSKESMAS : SIDOMULYO
AGUSTUS
BULAN : 2022
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
a. Demam berdarah dengue A91 1 1
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
7 Demam tifoid A01.0 1 1 3
amuba
9 Gastritis K29.7 4 3 4 2
Giardiasis) 1 1 2 1
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0 1
13 Konjungtivitis
a. Konjungtivitis alergi H10.1 1 3

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
Perilaku Pada Anak dan Remaja 1
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
13 Laringitis Akut J04.0 1
a. Bronkopneumonia J18.0 1 2
b. Pneumonia J18.9
19 Rinitis Akut J00 1 7 13 1 1 28 31 10
24 Tonsilitis

KULIT
3 Dermatitis Atopik L20 1 1
4 Dermatitis Kontak Alergi L23 1 1
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50 1
NUTRISI
3 Hiperglikemia Hiperosmolar Non
R73.9
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
5 Infeksi Saluran Kemih N39.0 1 1
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)
AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR
2 1 1
1 2 1 1 12 14 4 7
2 1 6 3
1
1 1 1
2 1 3 3 5 1 4 4 3 2 2 1 3 3 2 5 2 2 3 2
1
1 1 7 3 1 2 1 1 3 6 4 2 5 22 1 8 36
1 1 1 1 6 3 2 2 1 1 1
1 2 1 3 1
1 1 2 1
1
1 1
1 1 1
2 1 2 1
3 1 1 1 1
1 1 2 2
3 5 2 2 11 29
1 1 1
1 1 3 4 3 3 11 28
1 5 8 12 22 25
2
2 2 2 5 1 2 6
1
5 1 1 5 9
1 1 1 5 1 2 1
3 1 2
1 22 10 1 7 7
2 1 1 1 1 1 1 1 1
4 1 2 2 1 2 1 1 1 1 4 8 6 1 3 1
1 1
1 1
17 21 23 11 10 14 12 3 4 13 6 3 7 7 37 25 16 20 40 8 12
1 1
1 1 1 1 1 2
3 1 1 1 2 2 1 3 1 4 1 3 3 4
1 `
1 4 1 1 1 2 6 1
1 1
1 1
2
1 1 1 2 1 2 1 1 1 1
2 1
1 3 5
1 1 17 52
1 4 2
3 10
1 1 2 1 1
1 1 1
1
ANAN KESAKITAN BERDASARKAN GEJALA, PENYEBAB PENYAKIT ATAU KONDISI PASIEN

MELAPOR

1 1 1
JML. POSKESDES/BIDAN
DESA
YANG MELAPOR
Baru Lama Baru Lama
L P L P L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 1 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 4 0 4
0 0 29 35 64
11 11
2 1 6 3 12
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 2 1 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
15 15 11 19 60
2
0 0 1 0 1
15 10 44 87 156
1 4 17 17
8 9 6 4 27
1 1
4 3 3 2 12
2 2
0 0 3 2 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 2 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 1 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 0 0 1 3
0 0 0 0 0
0 0 0 1 1
0 0 0 0 0
4 0 0 0 4
2 0 3 1 6
2 1
0 0 0 0 0
0 2 2 4 8
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 5 2 7
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 1 0 1
0 0 0 0 0
1 0 6 7 14
4 4
4 7 19 95 125
2 2 8 61
0 0 0 0 0
0 0 0 0 0
0 0 1 3 4
1
3 3 29 49 84
14 16
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
12 15 31 78 136
4 2 9 48
0 0 0 0 0
0 0 0 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 3
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 1 4 17 24
4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 2 3
1 1
1 13 5 22 41
3 4 13
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 0 3 8 13
1
0 0 0 0 0
1 0 5 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 0 0 1
2 0 30 19 51
1 2
0 0 0 0 0
0 0 0 0 0
1 3 4 4 12
1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
9 11 13 12 45
2 2
0 0 0 0 0
3 0 0 0 3
0 0 0 0 0
0 0 0 0 0
1 0 0 2 3
0 0 3 1 4
2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2 0 0 3
0 0 0 0 0
0 0 0 0 0
117 176 73 75 441
6 14 12 8
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 6 4 11
2
7 7 10 14 38
3 3
2 0 0 0 2
1
### 0 0 2 #VALUE!
2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 6 5 8 19
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
1 0 0 1 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 1 0 2
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
1 2 5 4 12
0 0 0 0 0
0 0 0 0 0
0 0 2 3 5
1
0 0 0 0 0
0 0 4 9 13
1 3
4 3 34 86 127
4 2 17 33
0 0 0 0 0
0 1 2 6 9
2
0 0 0 0 0
0 0 0 0 0
0 0 2 20 22
2 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 0 1
0 0 0 0 0
2 1 2 4 9
1
0 0 0 0 0
0 0 2 2 4
1
0 0 2 0 2
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
JML. POSKESDES/BIDAN
DESA

YANG MELAPOR
Baru Lama Baru Lama

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
1 1 1 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
LAP
KODE :
PUSKESMAS :
PUNCU
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9 1 2 0
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis) 3 1 0 0 5 5 0
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26 1 1 0
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis
a. Konjungtivitis alergi H10.1 1 1 0

b. Konjungtivitis infeksi H10.9 1 1 0
15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70 1 1 0
3 Otitis Eksterna H60.9 1 1 0
7 Serumen Prop H61.2 1 1 0
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11 13 14 3 4 20 29 2
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis
a. Tonsilitis Akut J03.9 1 1 0

KULIT
3 Dermatitis Atopik L20 1 1 0
4 Dermatitis Kontak Alergi L23 1 1 0
5 Dermatitis Kontak Iritan L24 1 1 0
8 Dermatitis Popok L22 2 4 2 2 2 2 1
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
PUNCU
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang 3 1 0 0 5 5 0
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

3

MELAPOR
2

1 1 0 0 1 1 0 0 2 3 0 0 2 2 0 1
0 0 1 0 0 0 0 1 0 0 2
1 0 1 0 1 1 3 3 1 2 3 3
0 2 2 1 1 1 2
0 0 1 1
2 3 0 0 2 2 0 0 3 3 0 0 3 2 0 0
5 7 1 1 14 16 3 3 12 14 2 3 17 22 3 3
0 8 5 0 0 3 2 0 0 1 4 0 0 5 4 0 0 1 0 0 0
0 2 2 0 0 1 1 0 0
1 1 1 1 1 1 0 0 1 1 0 0
0 0 1 2
0 1 1 0 1 2
0 1 1 0 0 0
2 2 1 1
1 1 2 2
0 2 2 0 0 2 2 1 1 1 1 0 0 1 1 0 0
0 2 3 1 1 1 1 0 0 1 1 0 0 2 2 0 0 1 1 0 0
0 2 2 1 1 1 1 0 0 1 1 0 0 1 1 0 0
0 0 1 2
3 4 8 9 4 5 9 14
22 28 7 11 23 26 12 14
2 2 1 1 3 3 2 2
1 1 0 0 1 1 0 0
0 0 3 2 0 0 4 3
1 1 2 2 1 1 2 2
0 0 2 4
3 4 2 2 4 6 2 3
1 1 2 2 1 1
0 0 3 3 0 0 3 3
1 1 1 1 1 1 2 2
1 1 2 2 1 1 3 3
1 1 0 0 4 4 0 0 7 7 0 0 5 6 0 0
3 9 11 1 1 10 12 1 1 11 14 1 1 22 24 1 1 25 28 2 3
1 1 2 2 1 1 3 3
0 1 0 1
0 1 2 2 2 3 3 1 2
0 1 1 0 0 1 1 0 0 1 1 2 2 1 1 0 0 3 4 0 0
0 1 1 0 0 1 1 0 0 1 1 1 1 2 2 0 0 2 3 0 0
0 1 2 0 0 1 1 1 1 1 1 0 0 2 3 0 0 2 2 0 0
1 1 0 0 1 1 0 0 1 1 2 2 1 1 2 2 1 1 1 2
2 2 1 1
1 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0
1 1 0 0 1 1 1 1 2 2 0 0
1 1 10 11
1 1 1 1 1 1 1 1
0 1 0 0 0 1 0 0

3

MELAPOR
2
0 8 5 0 0 3 2 0 0 1 4 0 0 5 4 0 0 1 0 0 0
2 3 0 0 2 2 0 0 3 3 0 0 3 2 0 0
0/4

MELAPOR
0/0
Baru Lama Baru Lama
L P L P L P L P
6 7 0 1 14
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 3 1 4
3 3 10 10 26
0 0 3 4
0 0 0 0 0
4 6 1 1 12
0 0 1 1 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
11 11 0 0 22
1 1 0 0
0 0 0 0 0
80 103 13 16 212
32 44 4 6
26 22 0 0 48
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
4 4 0 0 8
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 1 1 8
0 0 0 0 0
1 1 3 5 10
1 1 2 3
0 0 0 0 0
4 2 0 1 7
2 2 0 0 4
0 0 0 0 0
4 6 4 4 18
2 4 3 3
0 0 0 0 0
2 2 4 4 12
1 1 2 2
0 0 0 0 0
0 0 0 0 0
0 0 1 1 2
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
7 7 1 1 16
8 10 1 1 20
0 1 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 6 1 1 14
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2 7 8 18
1 2 6 6
21 26 32 40 119
14 17 15 17
0 0 0 0 0
0 0 0 0 0
70 90 33 43 236
25 36 14 18
9 10 6 7 32
4 5 3 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 3 0 0 6
1 1 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 7 5 12
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 3 6 6 18
1 1 2 2
0 0 0 0 0
0 0 0 0 0
1 1 7 11 20
1 1 5 7
0 0 0 0 0
10 14 8 10 42
3 4 4 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 2 2 2 8
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 9 9 18
0 0 3 3
0 0 0 0 0
0 0 1 1 2
0 0 1 1
3 3 5 5 16
1 1 2 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 3 6 6 18
1 1 1 1
0 0 0 0 0
0 0 0 0 0
19 ### 0 0 #VALUE!
2 0 0
0 0 0 0 0
143 176 15 19 353
33 44 4 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 4 9 10 26
1 2 4 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 1 2
0 0 0 0 0
0 0 0 0 0
5 6 3 4 18
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
9 11 4 4 28
1 2 2 2
10 12 1 1 24
2 3 0 0
9 11 1 1 22
1 1 0 0
0 0 0 0 0
0 0 0 0 0
4 6 3 3 16
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 7 6 7 26
1 2 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 2 1 1 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 4 2 2 12
0 0 0 0 0
0 0 0 0 0
5 5 2 2 14
1 1 1 1
0 0 0 0 0
0 0 0 0 0
2 2 21 25 50
1 1 11 14
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 3 3 3 12
1 1 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 2 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0/4

MELAPOR
0/0
Baru Lama Baru Lama

L P L P
L P L P
0 0 0 0 0
26 22 0 0 48
0 1 0
0 0 0 0 0
0 0 0 0 0
11 11 0 0 22
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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7 1
Giardiasis) 1
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
8 Faringitis Akut J02.9 4 5 2 4 14 9 14
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
4 Dermatitis Kontak Alergi L23 2 1 1 3 4
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR

1
2 1 1
1 1 1 2
1
2 5 1 9 17
2 3 1 5 9
2 1 5 9
4 2
21 16 2 3
2 2 1 4
9 8 9 16 21 7 4 9 11 3 2 3 5 2 3 24 31 2 4 14
1
5 2 3 1 2 2 1 2 5 9 2 5
1 2 1 2 2 3
2 5 4 5
2 3

MELAPOR

MELAPOR
Baru Lama Baru Lama
L P L P L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 5 6
2
0 0 3 3 6
1 0 0 1 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 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 22 41 64
11 19
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 10 18 29
3 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 9 15 24
2 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 6 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 23 21 44
2
0 0 0 0 0
0 0 0 0 0
0 0 4 8 12
3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
38 34 85 102 259
13 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 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 9 21 29 59
4 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 5 12 18
3 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 10 14 25
1 4 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 2 4 6
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

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
PAGU
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
1 Ankilostomiosis B76.0 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
2 Apendisitis Akut K35.9 Baru Lama Baru Lama Baru Lama Baru Lama
3 Askariasis B77.9 L P L P L P L P L P L P L P L
fistula
amuba
9 Gastritis K29.7 2
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
5 Episkleritis H15.1 Baru Lama Baru Lama Baru Lama Baru Lama
6 Glaukoma akut H40.2 L P L P L P L P L P L P L P L
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
1 Angina Pektoris Stabil I20.9 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
2 Cardiorespiratory arrest R09.2 Baru Lama Baru Lama Baru Lama Baru Lama
3 Gagal Jantung akut dan kronik I50.9 L P L P L P L P L P L P L P L
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
2 Gangguan Anxietas F40 Baru Lama Baru Lama Baru Lama Baru Lama
Depresi L P L P L P L P L P L P L P L
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11 1 3 2
b. Pneumonia J18.9
24 Tonsilitis

KULIT
1 Akne Vulgaris Ringan L70.0 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
2 Cutaneus Larva Migrans B76.9 Baru Lama Baru Lama Baru Lama Baru Lama
3 Dermatitis Atopik L20 L P L P L P L P L P L P L P L
4 Dermatitis Kontak Alergi L23 1 1 2
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
32 Ulkus pada tungkai I83.0 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
33 Urtikaria L50 Baru Lama Baru Lama Baru Lama Baru Lama
34 Veruka Vulgaris B07 L P L P L P L P L P L P L P L
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR

1 3 4 4 9 6
1

1 3
2 3 6 13 2 8 1 7 5 10 14 16 18 18 8 17 9 16
1 1 1 1 1 2 3 1
1 2
1 2
1 1 2
1 1 1
1

7 12 11 18
1 1 5

1 1 19 6 3 5 5
1 1 1 1 1
2 1 1 3 1 1 1 1
1 5 5 1 3 2 1 4 3 2 5 3 8 2
1 1 2 2 2 1 2
1 1 1
1 4 10 2 5 2 4 1 16 26 2 8 8 10 2
1 2 3

1 1 1 1 3 1 1 4 4 1 1 7
1 2
1 2
1 2 1 1 7 4 4 2 1
2 1 1 11 16

MELAPOR

MELAPOR
Baru Lama Baru Lama
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 16 12 28
1
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
Total
>59 thn
Baru Lama
Baru Lama
L P L P
L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 1 0 0 5
1
0 0 0 0 0
41 64 43 81 229
8 8 9 29
2 6 1 2 11
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Total
>59 thn
Baru Lama
Baru Lama
L P L P
L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 2 0 3
0 0 0 0 0
0 2 0 5 7
1 3
0 0 0 0 0
2 2 0 0 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 2 0 3
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
Total
>59 thn
Baru Lama
Baru Lama
L P L P
L P L P
14 20 31 73 138
7 8 20 55
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 5 9 16
2 4 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Total
>59 thn
Baru Lama
Baru Lama
L P L P
L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 4 25 11 41
1
0 0 0 0 0
0 0 0 0 0
0 1 4 2 7
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
6 4 1 1 12
0 0 0 0 0
31 36 2 13 82
13 16 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 2 8 4 17
5 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 1 0 3
0 0 0 0 0
42 63 3 17 125
5 11 1 4
0 0 0 0 0
0 0 0 0 0
4 2 0 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Total
>59 thn
Baru Lama
Baru Lama
L P L P
L P L P
8 17 3 14 42
4 8
0 2 0 1 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 3 0 0 4
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
14 7 3 2 26
1 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
Total
>59 thn
Baru Lama
Baru Lama
L P L P
L P L P
0 0 0 0 0
1 4 32 37 74
3 19 21
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
ADAN - ADAN
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
8 Disentri basiler dan disentri A06.0 2
amuba
9 Gastritis K29.7 1
10 Gastroenteritis (Kolera dan A09 3 1
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12 1
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1 1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
13 Tension Headache G44.2 1
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
8 Faringitis Akut J02.9 2 3
b. Pneumonia J18.9 1 1
19 Rinitis Akut J00 4 6 23 26
20 Rinitis Alergi J30.4 2 1
22 Sinusitis Akut J01 1
24 Tonsilitis
a. Tonsilitis Akut J03.9 1

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
16 Herpes Simplek B00.9 1
21 Miliaria L74.3
25 Pioderma
a. Abses, furuncke dan carbuncle L02 1

b. Impetigo L01 2
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
5 Infeksi Saluran Kemih N39.0 1
6 Parafimosis N47
7 Penyakit Ginjal kronik N03 1
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR

4
5 7 4 3
1 2 4 1 6 11 1 4 6 6 1 3
3 2 1 1 1 3 1
1 1
1 2 1
1 3 1
1 1 1
1 1 1 1 1 1
1
2 1 5 6
2 3 1 7 3 7 4 8
1 1 2 5 3
1 2 3 3 9 1 3 3 14 8
1
1 1 1 1
1 2 1 1 2 4
1 3 1 1 1 1
1 1
1
1 1 1
1
1 5 5 1 1 2
1
5 4 1 1 3 1 3 3 1 2 1
1 1 3
2 1 2 1
29 13 1 15 11 7 17 15 42 7 22
1 1 2 1 1 1 1 1
2 1
1 1 1 2
1
1 1 1 5 1
1
1
1 1
2 2 1 1 1 1 2 1
2 1 2 1 2 2
2 1 1 1
2 3 1
2
1 5 1 2 1 11
1 1 1
1 2

MELAPOR
1 1 1

MELAPOR
Baru Lama Baru Lama
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 4 4
0 0 13 10 23
4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 0 0 0 2
1 6 2 6 19 26 4 13 62
2 9 9 0 0 18
0 0 0 0 0
2 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 2 0 0 5
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
1 0 0 1 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 2 2 6 1 0 9
0 0 0 0 0
0 0 0 0 0
1 3 1 0 0 4
0 0 0 0 0
1 5 2 0 0 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 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 1 0 1
0 0 0 0 0
0 2 0 0 2
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 5 1 2 7 11 21
1 3 16 13 6 13 21 28 68
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 3 1 3 2 9 1 8 20
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
1
0 0 0 0 0
3 5 3 7 12 31 4 18 65
1 0 0 0 1
0 0 0 0 0
1 2 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 0 0 2 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 5 1 2 1 9 6 18
1 3 4 1 2 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2 1 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
1 1 0 1 3
0 0 0 1 1
0 0 0 0 0
2 0 6 7 15
0 0 0 0 0
0 0 0 0 0
1 0 1 1 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 16 15 0 1 32
0 0 0 0 0
2 5 0 0 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 4 1 2 0 6 4 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 0 0 2
0 0 0 0 0
14 13 2 1 114 150 2 2 268

5 7 0 0 12
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
2 2 0 0 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 1 0 1 5
0 1 0 0 1
2 4 7 0 1 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 1 0 0 2
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 0 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 7 4 1 1 13
1 1 6 3 2 3 14
3 2 0 0 5
0 0 0 0 0
1 3 4 0 0 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 1 0 1 2
0 0 0 0 0
1 0 0 1 2 3
2 4 17 1 4 10 29 44
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
1 2 1 0 2 0 3
0 0 0 0 0
1 2 0 0 3
0 0 0 0 0
1 3 1 0 1 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 3 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
1 1 1 0 2 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis
15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis
KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma
b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus
Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1 Acute flaccid paralysis (AFP)
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)
AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR


MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
PUHJARAK
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
a. Demam berdarah dengue A91 1
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis) 1 1 2
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
6 Presbiakusis H91.1 1
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
4 Bronkitis Akut (usia < 15 tahun) J20.9 2 1
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11 3 2 3 4 1 2 1 3 2
b. Pneumonia J18.9 2 1 3 4 1
19 Rinitis Akut J00
24 Tonsilitis

KULIT
3 Dermatitis Atopik L20 1
9 Dermatitis Seboroik L21 1
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam
JML. PUSKESMAS PEMBANTU 5

MELAPOR

1 1
2
1 1 1 1 2 3
2 4 2 2 3
1 1
1 1 1 1
1 2 1 4 1 3
1 1 1 1 1 2 3 1 1
1 1 1
1 1
1 1 1
1 1 1 2
1 1 1
1
2 1 1
1
1 2 2 1
1 1 1 1
1 2 3
1 3 28 46 3 8 102 140
1 2
1
1 1 1
3 1 2 1 2 2
2 1 2 4 1
1 1 1 1 1
1 1 2 3 2 2 4 1
1 3 1 1 1 2
1 1
1 2 1 16 6 11 5
1
1 1 1 1
3 1 1 1 1 2 1 3 1 1 1
2 1 1 3 2 2 1
1 1 1 1 2 1 9 12 2 1 8 4 4 8
1 2 1
1 1 1 1 1 3 1 1
1 1
1
4 1 1 1
1 2
1
1
1 1
2 1
1 1 1 1
1 1 1
1 3
2 5 1 12
1
2 1
1 1 1
1 1
68 30

MELAPOR
JML. POSKESDES/BIDAN DESA 12

MELAPOR
Baru Lama Baru Lama
L P L P L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 1 0 0 3
2 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 3 5 9
0 0 7 7 14
1
0 0 1 1 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2 1 0 4
0 0 0 0 0
2 7 0 6 15
1 1 1
3 10 2 3 18
1 1
0 0 0 0 0
0 1 1 1 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 2 1 4
1 1
0 0 0 0 0
0 0 0 0 0
1 1 0 1 3
0 0 0 0 0
1 4 5 6 16
3 4 4
0 0 0 0 0
0 0 0 0 0
2 1 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 1 0 1
1
0 0 0 1 1
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 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 4 3 1 8
1 3
0 2 0 0 2
1 4 2 1 8
0 0 0 0 0
0 2 1 0 3
1
0 1 3 3 7
2 1
0 0 0 0 0
2 1 5 9 17
1 1 3 6
9 20 202 282 513
5 9 72 96
0 0 1 1 2
1 1
0 0 0 0 0
0 0 0 0 0
2 3 0 0 5
1 1
0 1 0 0 1
0 0 0 0 0
2 2 0 0 4
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
6 2 2 2 12
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 2 7 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 10 3 14
8 1
3 5 4 8 20
2 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 4 4 5 15
1 3 2
0 0 0 0 0
0 0 0 0 0
1 0 1 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 1 33 14 50
5 3
0 1 0 0 1
0 0 0 0 0
0 1 3 2 6
2
0 0 0 0 0
0 0 0 0 0
6 6 6 10 28
1 4 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 6 2 1 12
0 0 0 0 0
31 33 14 19 97
4 8 4 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 9 1 10
6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
11 9 5 1 26
1 1 2 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 2 0 0 2
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 3 1 0 4
1 1
3 6 0 2 11
2 1 1
1 1 0 2 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 0 1
0 0 0 0 0
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
1 1 0 0 2
1 2 0 1 4
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
2 2 0 0 4
0 0 0 0 0
0 0 0 0 0
1 1 0 1 3
0 0 0 0 0
0 0 3 9 12
3 5
0 2 15 44 61
1 13 27
0 0 0 0 0
0 0 0 1 1
1
0 0 0 0 0
0 1 0 0 1
0 3 1 1 5
1 1
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
1
0 0 0 0 0
0 0 0 0 0
0 0 4 0 4
3
0 0 0 0 0
1 1 2 0 4
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 1 0 1 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 68 0 30 98
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 3 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
KODE : JML. PUSKESMAS PEMBANTU JML. POSKESDES/BIDAN DESA

PUSKESMAS : MELAPOR MELAPOR
UPTD PUSKESMAS KELING
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn 5 - 9 thn 10 - 14 thn 15 - 19 thn 20 - 44 thn 45 - 59 thn >59 thn Total Jumlah
JENIS PENYAKIT ICD 10 Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
KELOMPOK UMUM
1 Alergi Makanan L27.2 0 0 0 0 0
2 Chikungunya A92.0 0 0 0 0 0
3 Demam dengue dan demam 0 0 0 0 0
berdarah dengue
a. Demam berdarah dengue A91 0 0 0 0 0
b. Demam dengue A90 0 0 0 0 0
4 Filariasis B74 0 0 0 0 0
5 Infeksi pada Umbilikus P38 0 0 0 0 0
6 Kandidiasis Mulut B37.9 0 0 0 0 0
7 Keracunan makanan T62.2 0 0 0 0 0
8 Lepra A30 1 0 2 0 3
2 1
9 Leptospirosis A27.9 0 0 0 0 0
10 Malaria B54 0 0 0 0 0
11 Morbili (Campak) B05.9 0 0 0 0 0
12 Reaksi Anafilaktik T78.2 0 0 0 0 0
13 Syok R57.9 0 0 0 0 0
14 TB selain Paru (ekstra Paru) A18 0 0 0 0 0
15 Tuberkulosis (TB) Paru A15 0 0 21 14 35
1 1 2 4 6 12 3 4 2
16 Tuberkulosis dengan HIV B20.0 0 0 1 0 1
1
17 Varisela B01.9 0 0 0 0 0
DAN SISTEM IMUN
1 Anemia defisiensi besi D50 0 0 0 0 0
2 HIV/ AIDS tanpa komplikasi Z21 0 0 0 0 0
3 Leukemia D55 0 0 0 0 0
4 Limfadenitis B70 0 0 0 0 0
5 Limfoma Maligna C85.9 0 0 0 0 0
6 Lupus Eritematosus Sistemik M32 0 0 0 0 0
7 Thalasemia D56 0 0 0 0 0
DIGESTIVE
1 Ankilostomiosis B76.0 0 0 0 0 0
2 Apendisitis Akut K35.9 0 0 0 0 0
3 Askariasis B77.9 0 0 0 0 0
4 Atresia (ani) dengan atau tanpa Q42 0 0 0 0 0
fistula
5 Bibir dan langit-langit sumbing Q37.9 0 0 0 0 0
6 Bibir sumbing Q36.9 0 0 0 0 0
7 Demam tifoid A01.0 0 1 0 0 1
1
8 Disentri basiler dan disentri A06.0 0 0 0 0 0
amuba
9 Gastritis K29.7 15 30 0 0 45
2 2 1 7 12 21
10 Gastroenteritis (Kolera dan A09 12 19 0 0 31
Giardiasis) 3 2 1 3 3 4 7 4 2 2
11 Gastroschisis Q79.3 0 1 0 0 1
1
12 Hemoroid grade 1-2 I84 0 0 0 0 0
13 Hepatitis A B15 0 0 0 0 0
14 Hepatitis B B16 0 0 0 0 0
15 Hepatitis C B18.2 0 0 0 0 0
16 Intoleransi makanan K90.4 0 0 0 0 0
17 Kolesistitis K81.9 0 0 0 0 0
18 Langit-langit sumbing Q35 0 0 0 0 0
19 Malabsorbsi makanan K90.9 0 0 0 0 0
20 Omphalocele Q79.2 0 0 0 0 0
21 Parotitis B26 0 0 0 0 0
22 Perdarahan gastrointestinal K92.2 K62.5 0 0 0 0 0
23 Peritonitis K65.9 0 0 0 0 0
24 Refluksgastroesofageal K21.9 0 0 0 0 0
25 Skistosomiasis B65.9 B65.2 0 0 0 0 0
26 Strongiloidiasis B78.9 0 0 0 0 0
27 Taeniasis B68.9 0 0 0 0 0
28 Ulkus mulut K12 0 0 0 0 0
MATA
1 Astigmatisme H52.2 0 0 0 0 0
2 Benda asing di konjungtiva T15.9 0 0 0 0 0
3 Blefaritis H01.0 0 0 0 0 0
4 Buta senja H53.6 0 0 0 0 0
5 Episkleritis H15.1 0 0 0 0 0
6 Glaukoma akut H40.2 0 0 0 0 0
7 Glaukoma kronis H40.2 0 0 0 0 0
8 Hifema H21.0 0 0 0 0 0
9 Hipermetropia H52.0 0 0 0 0 0
10 Hordeolum H00.0 1 0 0 0 1
1
11 Katarak kongenital Q12.0 0 0 0 0 0
12 Katarak pada pasien dewasa H26.9 2 3 0 0 5
2 3
13 Konjungtivitis 0 0 0 0 0
a. Konjungtivitis alergi H10.1 0 0 0 0 0
b. Konjungtivitis infeksi H10.9 1 1 0 0 2

1 1
14 Laserasi kelopak mata S01.1 0 0 0 0 0
15 Low vision H54 1 0 0 0 1
1
16 Mata kering H04.1 0 0 0 0 0
17 Miopia ringan H52.1 0 0 0 0 0
18 Perdarahan subkonjungtiva H57.8 0 0 0 0 0
19 Presbiopia H52.4 0 0 0 0 0
20 Pterygium H11.0 0 0 0 0 0
21 Retinoblastoma C69.2 0 0 0 0 0
22 Retinopati Diabetik H36.0 0 0 0 0 0
23 Trauma kimia mata T26 0 0 0 0 0
24 Trikiasis H02 0 0 0 0 0
TELINGA
1 Benda asing ditelinga T16 0 0 0 0 0
2 Mastoiditis H70 0 0 0 0 0
3 Otitis Eksterna H60.9 6 6 0 0 12
1 2 3 2 2 2
4 Otitis Media Akut H65 0 0 0 0 0
5 Otitis Media Supuratif Kronik H66 0 0 0 0 0
6 Presbiakusis H91.1 0 0 0 0 0
7 Serumen Prop H61.2 0 0 0 0 0
8 Tuli akibat bising H83 0 0 0 0 0
9 Tuli kongenital H90 0 0 0 0 0
KARDIOVASKULER
1 Angina Pektoris Stabil I20.9 0 0 0 0 0
2 Cardiorespiratory arrest R09.2 0 0 0 0 0
3 Gagal Jantung akut dan kronik I50.9 9 4 0 0 13
9 4
4 Hipertensi Esensial I10 7 13 12 21 53
4 3 8 18 7 13
5 Infark Miokard I21.9 0 0 0 0 0
6 Takikardia I47 0 0 0 0 0
MUSKULOSKELETAL
1 Artritis Reumatoid M53.3 0 0 0 0 0
2 Artritis, Osteoartritis M19.9 0 0 0 0 0
3 Fraktur Terbuka T14 4 2 0 0 6
4 2
4 Fraktur tertutup T14 0 0 0 0 0
5 Lipoma D17.9 0 0 0 0 0
6 Osteoporosis M81.9 0 0 0 0 0
7 Osteosarkoma C41 0 0 0 0 0
8 Polimialgia Reumatik M35.3 0 0 0 0 0
9 Reduction Deformity Q73.8 0 0 0 0 0
10 Talipes Q66 0 0 0 0 0
11 Vulnus T14.1 16 8 0 0 24
4 2 3 2 5 4 4
NEUROLOGI
1 Vulnus Q00.0 0 0 0 0 0
2 Bells Palsy G51.0 0 0 0 0 0
3 Delirium F05.9 0 0 0 0 0
4 Epilepsi G40.9 0 0 5 1 6
3 2 1
5 Kejang Demam R56.0 1 0 0 0 1
1
6 Malaria Serebral B50.0 0 0 0 0 0
7 Meningo/Encephalocele Q01.9 0 0 0 0 0
8 Migren G43.9 0 0 0 0 0
9 Neuroblastoma C74.9 0 0 0 0 0
10 Rabies A82.9 0 0 0 0 0
11 Status Epileptikus G41.9 0 0 0 0 0
12 Stroke I63.9 8 3 0 0 11
3 5 3
13 Tension Headache G44.2 40 41 0 0 81
12 14 17 12 11 15
14 Tetanus A35 0 0 0 0 0
15 Tetanus Neonatorum A33 0 0 0 0 0
16 Transient Ischemic Attack (TIA) G45.9 0 0 0 0 0
17 Vertigo R42 0 0 0 0 0
PSIKIATRI
1 Demensia F03 0 0 0 0 0
2 Gangguan Anxietas F40 0 0 0 0 0
3 Gangguan Campuran Anxietas dan F41.2 0 0 0 0 0
Depresi
4 Gangguan Depresi F33 0 0 0 0 0
5 Gangguan Penggunaan Napza F10 0 0 0 0 0
6 Gangguan Perkembangan dan F80 0 0 0 0 0
7 Gangguan Psikotik F20 0 0 16 15 31
11 9 2 5 3 1
8 Gangguan Somatoform F45 0 0 0 0 0
9 Insomnia F51.0 0 0 0 0 0
RESPIRASI
1 Asma Bronkial J45 7 5 0 3 15
3 1 4 4 3
2 Asfiksia R09.0 0 0 0 0 0
3 Benda Asing di Hidung T17.1 0 0 0 0 0
4 Bronkitis Akut (usia < 15 tahun) J20.9 0 0 0 0 0
5 Bronkitis Akut (usia > 15 tahun) J40 0 0 0 0 0
6 Difteria A36.9 0 0 0 0 0
7 Epistaksis R04.0 0 0 0 0 0
8 Faringitis Akut J02.9 0 0 0 0 0
9 Furunkel pada hidung J34.0 0 0 0 0 0
10 Influenza J11 0 0 0 0 0
11 Kanker nasofaring C11.9 0 0 0 0 0
12 Kanker Paru C34.9 0 0 0 0 0
13 Laringitis Akut J04.0 0 0 0 0 0
14 Penyakit Paru Obstruktif Kronis J44.9 0 0 0 0 0
15 Pertusis (Batuk Rejan) A37.9 0 0 0 0 0
16 Pneumonia Aspirasi J69.0 0 0 0 0 0
17 Pneumonia, Bronkopneumonia 0 0 0 0 0
a. Bronkopneumonia J18.0 0 0 0 0 0
b. Pneumonia J18.9 0 0 0 0 0
18 Pneumotoraks J93.9 0 0 0 0 0
19 Rinitis Akut J00 142 153 0 0 295
2 22 20 17 14 24 19 46 51 18 29 13 20
20 Rinitis Alergi J30.4 0 0 0 0 0
21 Rinitis vasomotor J30.0 0 0 0 0 0
22 Sinusitis Akut J01 0 0 0 0 0
23 Status Asmatikus J46 0 0 0 0 0
24 Tonsilitis 0 0 0 0 0
a. Tonsilitis Akut J03.9 0 0 0 0 0
b. Tonsilitis Kronis J35.9 0 0 0 0 0
KULIT
1 Akne Vulgaris Ringan L70.0 0 0 0 0 0
2 Cutaneus Larva Migrans B76.9 0 0 0 0 0
3 Dermatitis Atopik L20 1 2 0 0 3
2 1
4 Dermatitis Kontak Alergi L23 6 0 0 0 6
6
5 Dermatitis Kontak Iritan L24 0 0 0 0 0
6 Dermatitis Numularis L20.8 0 0 0 0 0
7 Dermatitis Perioral L71.0 0 0 0 0 0
8 Dermatitis Popok L22 0 0 0 0 0
9 Dermatitis Seboroik L21 0 0 0 0 0
10 Dermatofitosis B35 0 0 0 0 0
a. Tinea capitis dan tinea barbea B35.0 0 0 0 0 0
b. Tinea corporis B35.4 0 0 0 0 0
c. Tinea cruris B35.6 0 0 0 0 0
d. Tinea manuum B35.2 0 0 0 0 0
e. Tinea pedis B35.3 0 0 0 0 0
f. Tinea Unguium B35.1 0 0 0 0 0

11 Erisipelas A46 0 0 0 0 0
12 Eritrasma L08.1 0 0 0 0 0
13 Exanthematous drug Eruption L27.0 0 0 0 0 0
14 Fixed Drug Eruption L27.0 0 0 0 0 0
15 Frambusia RDT (+) A66 0 0 0 0 0
konfirmasi/probable
16 Herpes Simplek B00.9 0 0 0 0 0
17 Herpes Zoster B02.9 0 0 0 0 0
18 Hidradenitis supuratif L73.2 0 0 0 0 0
19 Liken Simpleks Kronik L28.0 0 0 0 0 0
20 Luka bakar derajat I dan II T30 0 0 0 0 0
21 Miliaria L74.3 0 0 0 0 0
22 Moluskum Kontagiosum B08.1 0 0 0 0 0
23 Pedikulosis Kapitis B85.0 0 0 0 0 0
24 Pedikulosis Pubis B85.3 0 0 0 0 0
25 Pioderma 0 0 0 0 0
a. Abses, furuncke dan carbuncle L02 0 0 0 0 0
b. Impetigo L01 0 0 0 0 0
c. Pioderma L08.0 0 0 0 0 0
26 Pitiriasis Rosea L42 0 0 0 0 0
27 Pitiriasis versikolor B36.0 0 0 0 0 0
28 Reaksi Gigitan Serangga T63.4 0 0 0 0 0
29 Sindrom Stevens Johnson L51.1 0 0 0 0 0
30 Skabies B86 3 3 0 0 6
3 3
31 Skrofuloderma A18.4 0 0 0 0 0
32 Ulkus pada tungkai I83.0 0 0 0 0 0
33 Urtikaria L50 3 7 0 0 10
2 3 1 4
34 Veruka Vulgaris B07 0 0 0 0 0
NUTRISI
1 Diabetes Mellitus Tipe 1 E10 0 0 1 3 4
1 3
2 Diabetes Mellitus Tipe 2 E11 24 0 11 19 54
14 24 11 5
3 Hiperglikemia Hiperosmolar Non R73.9 0 0 0 0 0
Ketotik
4 Hiperurisemia - Gout Arthritis E79.0 0 0 0 0 0
5 Hipoglikemia E16.2 0 0 0 0 0
6 Hipotiroid kongenital E03.1 0 0 0 0 0
7 Lipidemia E78.5 0 0 0 0 0
8 Malnutrisi Energi Protein E46 0 0 0 0 0
9 Obesitas E66.9 0 0 0 0 0
10 Tirotoksikosis E05.9 0 0 0 0 0

1 Epispadia Q64.0 0 0 0 0 0
2 Fimosis N47 0 0 0 0 0
3 Hipertropi prostat N40 0 0 0 0 0
4 Hypospadia Q54 0 0 0 0 0
5 Infeksi Saluran Kemih N39.0 0 0 0 0 0
6 Parafimosis N47 0 0 0 0 0
7 Penyakit Ginjal kronik N03 0 0 0 0 0
8 Pielonefritis tanpa komplikasi N10 0 0 0 0 0
KESEHATAN WANITA
1 Abortus 0 0 0 0 0
a. Abortus Inkomplit O06 0 0 0 0 0
b. Abortus Komplit O03 0 0 0 0 0

2 Anemia Defisiensi Besi pada D50 0 0 0 0 0
Kehamilan
3 Cracked Nipple O92.1 0 0 0 0 0
4 Eklampsi O15.9 0 0 0 0 0
5 Hiperemesis Gravidarum O21.0 0 0 0 0 0
6 Inverted Nipple O92.0 0 0 0 0 0
7 Kanker Serviks C53.9 0 0 0 0 0
8 Kehamilan Normal O80.9 0 0 0 0 0
9 Ketuban Pecah Dini O42.9 0 0 0 0 0
10 Mastitis N61 0 0 0 0 0
11 Perdarahan Post Partum O72.1 0 0 0 0 0
12 Persalinan Lama O63.9 0 0 0 0 0
13 Pre Eklampsia O14.9 0 0 0 0 0
14 Ruptur Perineum tingkat I-2 O70.0 0 0 0 0 0
15 Tumor Payudara C50.9 0 0 0 0 0
PENYAKIT KELAMIN
1 Fluor Albus N98.9 0 0 0 0 0
2 Sifilis A53.9 0 0 0 0 0
3 Gonore A54.9 0 0 0 0 0
4 Vaginitis N76.0 0 0 0 0 0
5 Vulvitis N76.2 0 0 0 0 0
LAPORAN BULANAN KESAKITAN BERDASARKAN GEJALA, PENYEBAB PENYAKIT ATAU KONDISI PASIEN
KODE : JML. PUSKESMAS PEMBANTU JML. POSKESDES/BIDAN DESA

PUSKESMAS : MELAPOR MELAPOR
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn 5 - 9 thn 10 - 14 thn 15 - 19 thn 20 - 44 thn 45 - 59 thn >59 thn Total Jumlah
Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
KODE UNIK L P L P
ATAU KONDISI PASIEN
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
INFEKSI PADA USUS
1 Diare tanpa dehidrasi 0 0 0 0 0

2 Diare dengan dehidrasi ringan- 0 0 0 0 0
sedang
3 Diare dengan dehidrasi berat 0 0 0 0 0
PERNAPASAN
1 Pneumonia berat 0 0 0 0 0

1 Demam tifoid probable 0 0 0 0 0
2 Demam tifoid konfirmasi 0 0 0 0 0
INFEKSI UMUM VIRUS

1 0 0 0 0 0
2 Hepatitis klinis (ikterik/warna 0 0 0 0 0

urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta 0 0 0 0 0
1 Cedera akibat kecelakaan 0 0 0 0 0

transport
2 Cedera akibat tenggelam 0 0 0 0 0
3 Cedera akibat jatuh 0 0 0 0 0
4 Cedera akibat terbakar 0 0 0 0 0
5 Cedera akibat digigit ular 0 0 0 0 0
6 Cedera atau gangguan kesehatan 0 0 0 0 0
7 Gangguan kesehatan akibat 0 0 0 0 0
kekerasan mental
8 Gangguan kesehatan akibat 0 0 0 0 0
kekerasan seksual
9 Keracunan bahan kimia (bukan 0 0 0 0 0
makanan)
10 keracunan makanan 0 0 0 0 0

AKIBAT KERJA
1 Sakit akibat kerja 0 0 0 0 0

2 Cedera/kecelakaan akibat kerja 0 0 0 0 0
GANGGUAN MENTAL
1 Percobaan tindakan bunuh diri 0 0 0 0 0
PENYAKIT LAINNYA
1 Trauma lahir 0 0 0 0 0
1 Kembar siam 0 0 0 0 0
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
KUNJANG
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
1 Alergi Makanan L27.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Chikungunya A92.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Demam berdarah dengue A91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Demam dengue A90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Filariasis B74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Infeksi pada Umbilikus P38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kandidiasis Mulut B37.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Keracunan makanan T62.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Lepra A30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Leptospirosis A27.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Malaria B54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Morbili (Campak) B05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Reaksi Anafilaktik T78.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Syok R57.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 TB selain Paru (ekstra Paru) A18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Tuberkulosis (TB) Paru A15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Tuberkulosis dengan HIV B20.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Varisela B01.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DAN SISTEM IMUN
1 Anemia defisiensi besi D50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HIV/ AIDS tanpa komplikasi Z21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Leukemia D55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Limfadenitis B70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Limfoma Maligna C85.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Lupus Eritematosus Sistemik M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DIGESTIVE
1 Ankilostomiosis B76.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Apendisitis Akut K35.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Askariasis B77.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Atresia (ani) dengan atau tanpa Q42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
fistula
5 Bibir dan langit-langit sumbing Q37.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bibir sumbing Q36.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Demam tifoid A01.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Disentri basiler dan disentri A06.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
amuba
9 Gastritis K29.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Gastroenteritis (Kolera dan A09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Giardiasis)
11 Gastroschisis Q79.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hemoroid grade 1-2 I84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis A B15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hepatitis B B16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Hepatitis C B18.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Intoleransi makanan K90.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Kolesistitis K81.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Langit-langit sumbing Q35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Malabsorbsi makanan K90.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Omphalocele Q79.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Parotitis B26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Peritonitis K65.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Refluksgastroesofageal K21.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Skistosomiasis B65.9 B65.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Strongiloidiasis B78.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Taeniasis B68.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Ulkus mulut K12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MATA
1 Astigmatisme H52.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Benda asing di konjungtiva T15.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Blefaritis H01.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Buta senja H53.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Episkleritis H15.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Glaukoma akut H40.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Glaukoma kronis H40.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Hifema H21.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Hipermetropia H52.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Hordeolum H00.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Katarak kongenital Q12.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Katarak pada pasien dewasa H26.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Konjungtivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Konjungtivitis alergi H10.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Konjungtivitis infeksi H10.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Laserasi kelopak mata S01.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Low vision H54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Mata kering H04.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Miopia ringan H52.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Perdarahan subkonjungtiva H57.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Presbiopia H52.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pterygium H11.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Retinoblastoma C69.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Retinopati Diabetik H36.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Trauma kimia mata T26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Trikiasis H02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TELINGA
1 Benda asing ditelinga T16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mastoiditis H70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Otitis Eksterna H60.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Otitis Media Akut H65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Otitis Media Supuratif Kronik H66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Presbiakusis H91.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Serumen Prop H61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Tuli akibat bising H83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tuli kongenital H90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KARDIOVASKULER
1 Angina Pektoris Stabil I20.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Cardiorespiratory arrest R09.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal Jantung akut dan kronik I50.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Hipertensi Esensial I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Infark Miokard I21.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Takikardia I47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSKULOSKELETAL
1 Artritis Reumatoid M53.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Artritis, Osteoartritis M19.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Fraktur Terbuka T14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Fraktur tertutup T14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lipoma D17.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Osteoporosis M81.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Osteosarkoma C41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Polimialgia Reumatik M35.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Reduction Deformity Q73.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Talipes Q66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Vulnus T14.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NEUROLOGI
1 Vulnus Q00.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Bells Palsy G51.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Delirium F05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Epilepsi G40.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kejang Demam R56.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Malaria Serebral B50.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Meningo/Encephalocele Q01.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Migren G43.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Neuroblastoma C74.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Rabies A82.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Status Epileptikus G41.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Stroke I63.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tension Headache G44.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Tetanus A35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Tetanus Neonatorum A33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Transient Ischemic Attack (TIA) G45.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Vertigo R42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PSIKIATRI
1 Demensia F03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Gangguan Anxietas F40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gangguan Campuran Anxietas dan F41.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Depresi
4 Gangguan Depresi F33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Gangguan Penggunaan Napza F10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Gangguan Perkembangan dan F80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Gangguan Psikotik F20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Gangguan Somatoform F45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Insomnia F51.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESPIRASI
1 Asma Bronkial J45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Asfiksia R09.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Benda Asing di Hidung T17.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bronkitis Akut (usia < 15 tahun) J20.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bronkitis Akut (usia > 15 tahun) J40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Difteria A36.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Epistaksis R04.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Faringitis Akut J02.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Furunkel pada hidung J34.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Influenza J11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Kanker nasofaring C11.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Kanker Paru C34.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Laringitis Akut J04.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Penyakit Paru Obstruktif Kronis J44.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Pertusis (Batuk Rejan) A37.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pneumonia Aspirasi J69.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Pneumonia, Bronkopneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Bronkopneumonia J18.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Pneumonia J18.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Pneumotoraks J93.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Rinitis Akut J00 0 0 0 0 0 0 0 0 2 3 0 0 11 7 0
20 Rinitis Alergi J30.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Rinitis vasomotor J30.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Sinusitis Akut J01 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Status Asmatikus J46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tonsilitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Tonsilitis Akut J03.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tonsilitis Kronis J35.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KULIT
1 Akne Vulgaris Ringan L70.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Cutaneus Larva Migrans B76.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dermatitis Atopik L20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Dermatitis Kontak Alergi L23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Dermatitis Kontak Iritan L24 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
6 Dermatitis Numularis L20.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Dermatitis Perioral L71.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Dermatitis Popok L22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Dermatitis Seboroik L21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Dermatofitosis B35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Tinea capitis dan tinea barbea B35.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tinea corporis B35.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tinea cruris B35.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tinea manuum B35.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tinea pedis B35.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Tinea Unguium B35.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Erisipelas A46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Eritrasma L08.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Exanthematous drug Eruption L27.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Fixed Drug Eruption L27.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Frambusia RDT (+) A66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
konfirmasi/probable
16 Herpes Simplek B00.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Herpes Zoster B02.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Hidradenitis supuratif L73.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Liken Simpleks Kronik L28.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Luka bakar derajat I dan II T30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Miliaria L74.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Moluskum Kontagiosum B08.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Pedikulosis Kapitis B85.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Pedikulosis Pubis B85.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Pioderma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Abses, furuncke dan carbuncle L02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Impetigo L01 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Pioderma L08.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Pitiriasis Rosea L42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pitiriasis versikolor B36.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Reaksi Gigitan Serangga T63.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Sindrom Stevens Johnson L51.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Skabies B86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Skrofuloderma A18.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Ulkus pada tungkai I83.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Urtikaria L50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Veruka Vulgaris B07 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NUTRISI
1 Diabetes Mellitus Tipe 1 E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hiperglikemia Hiperosmolar Non R73.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ketotik
4 Hiperurisemia - Gout Arthritis E79.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Hipoglikemia E16.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Hipotiroid kongenital E03.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lipidemia E78.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Malnutrisi Energi Protein E46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Obesitas E66.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Tirotoksikosis E05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Epispadia Q64.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Fimosis N47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipertropi prostat N40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Hypospadia Q54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Infeksi Saluran Kemih N39.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Parafimosis N47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Ginjal kronik N03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Pielonefritis tanpa komplikasi N10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KESEHATAN WANITA
1 Abortus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Abortus Inkomplit O06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Abortus Komplit O03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Anemia Defisiensi Besi pada D50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kehamilan
3 Cracked Nipple O92.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Eklampsi O15.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Hiperemesis Gravidarum O21.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Inverted Nipple O92.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kanker Serviks C53.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kehamilan Normal O80.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ketuban Pecah Dini O42.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mastitis N61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Perdarahan Post Partum O72.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Persalinan Lama O63.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Pre Eklampsia O14.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Ruptur Perineum tingkat I-2 O70.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Tumor Payudara C50.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT KELAMIN
1 Fluor Albus N98.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Sifilis A53.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gonore A54.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Vaginitis N76.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Vulvitis N76.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KODE :
PUSKESMAS :
KUNJANG
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS
1 Diare tanpa dehidrasi 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0

2 Diare dengan dehidrasi ringan- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
sedang
3 Diare dengan dehidrasi berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PERNAPASAN
1 Pneumonia berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Demam tifoid probable 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Demam tifoid konfirmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INFEKSI UMUM VIRUS
1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Hepatitis klinis (ikterik/warna 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Cedera akibat kecelakaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

transport
2 Cedera akibat tenggelam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Cedera akibat jatuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Cedera akibat terbakar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Cedera akibat digigit ular 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Cedera atau gangguan kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Gangguan kesehatan akibat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kekerasan mental
8 Gangguan kesehatan akibat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kekerasan seksual
9 Keracunan bahan kimia (bukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
makanan)
10 keracunan makanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

AKIBAT KERJA
1 Sakit akibat kerja 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 Cedera/kecelakaan akibat kerja 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN MENTAL
1 Percobaan tindakan bunuh diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT LAINNYA
1 Trauma lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Kembar siam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MELAPOR

0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 0 0 1 2 0 2 2 2 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 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 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 1 9 0 0 2 8 0 0 0 4 0 0 3 2 4 9
0 1 1 0 0 0 0 0 0 0 2 0 0 1 0 0 0 0 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 11 16 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MELAPOR
0 1 3 0 0 1 0 0 0 0 4 0 0 0 2 0 0 1 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MELAPOR
Baru Lama Baru Lama
L P L P L P L P
0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 3 5 2 3 6 11 6 26
0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 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 1 0 0 1
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2 0 4 8 8 23 8 17 56
0 0 0 0 2 5 0 0 7
0 0 0 0 0 0 0 0 0
1 0 0 0 2 0 0 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 0 0 0 0 0 0
0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0
1 1 0 0 1 1 0 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 0 0 3
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 1 1 0 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 1 2 0 0 3
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 2 1 0 0 3
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 5 0 0 5
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 2 0 0 1 2 0 0 3
16 26 27 25 33 60 42 36 171
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 9 0 0 1 10 0 0 11
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
8 4 0 0 8 4 0 0 12
0 0 0 0 0 0 0 0 0
0 0 3 6 0 0 3 6 9
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 1 1 5
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 4 2 1 1 9 2 1 13
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 4 3 0 0 6 6 12
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 2 0 0 1 2 0 0 3
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
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0 0 1 0 0 0 1 0 1
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
8 8 1 2 62 62 1 2 127
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
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0 0 0 0 1 0 0 0 1
0 2 0 0 2 4 0 0 6
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0 0 0 0 3 1 0 0 4
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0 0 0 0 0 0 0 0 0
4 14 12 16 6 25 28 27 86
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

L P L P
L P L P
0 0 0 0 7 11 0 0 18
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
LAP
KODE :
1 0 3 2 5 5 3
PUSKESMAS :
TIRON
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

3

MELAPOR
2

1 3 1 1 1 1 2 1 6 5 2 9
2 1 1 1 2 2 1 4
1 1 1 1 1 2
2 1 8
4 1 7 30
1 2 6 5
18 8 1 4 6 4 2 2 2 3 1 3 5 24 2 15 3 15 5 11
1 1 3 1 1 1 1
3 1 5 1 4 1 1 4 3 4 2 8 2
10 7 19
3 2 1
1 1 1 2 1 2 3 17 26 16 56 14 26 28 73

MELAPOR
9

MELAPOR
0
Baru Lama Baru Lama
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
3 11 4 17 35
2
6 9 0 0 15
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
1 2 2 2 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 5 15 20
4 5
0 1 16 55 72
9 21
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 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 13 23
3 6
0 0 0 0 0
36 57 15 42 150
2 3 4 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 3 1 1 11
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
3 16 21 10 50
8 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 16 35 51
9 6
0 0 0 0 0
0 0 2 1 3
2
0 0 0 0 0
0 0 0 0 0
0 0 2 7 9
3
0 0 0 0 0
36 62 57 158 313
1 6 11 28
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BANGSONGAN
BULAN : AGUSTUS
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9 1
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7 1 1 2
Giardiasis) 1
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
3 Otitis Eksterna H60.9 2 2
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1 1 1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00 1 1 2 3 3 7 11 7
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR

1
1 12 3 3
1 3 3 7 7 10 5 5 5 5 3 4 2
1 2 2 1 1
1
3 5 2 4 2 10
3 1 1
1 2
5 8 1 15 7 29
4 1 1
2 1
13 2 13 1
1
21 9 1 5 6 4 3 8 22 7 19
2 2 1 3 2 7 7 2 7 1
1 1 1 2 1
6
2 4 3 3 48
14

MELAPOR

MELAPOR
Baru Lama Baru Lama
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
1 0 0 0 1
1 6 15 0 22
3
0 0 0 0 0
0 0 1 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
15 18 22 9 64
4 2 1 1 8
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
19 0 0 7 26
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 4 2 3 9
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 2 3 5
1 1
3 24 19 53 99
2 4 12 16
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
5 1 0 2 8
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 4 0 4
2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 3 0 0 5
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 28 3 31
2
0 0 0 0 0
0 0 0 0 0
1 0 1 1 3
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
60 82 11 4 157
7 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
24 12 0 3 39
3 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
2 4 0 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 7 8
1 1
20 5 14 69 108
3 2 11 19
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 14 0 0 14
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
2 Chikungunya A92.0
berdarah dengue
b. Demam dengue A90
4 Filariasis B74
8 Lepra A30
10 Malaria B54
13 Syok R57.9
17 Varisela B01.9
DAN SISTEM IMUN
3 Leukemia D55
4 Limfadenitis B70
7 Thalasemia D56
DIGESTIVE
3 Askariasis B77.9
fistula
amuba
9 Gastritis K29.7
Giardiasis)
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
KARDIOVASKULER
6 Takikardia I47
MUSKULOSKELETAL
5 Lipoma D17.9
7 Osteosarkoma C41
10 Talipes Q66
11 Vulnus T14.1
NEUROLOGI
1 Vulnus Q00.0
2 Bells Palsy G51.0
3 Delirium F05.9
4 Epilepsi G40.9
8 Migren G43.9
10 Rabies A82.9
12 Stroke I63.9
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
21 Miliaria L74.3
25 Pioderma

b. Impetigo L01
c. Pioderma L08.0
30 Skabies B86
33 Urtikaria L50
NUTRISI
Ketotik
7 Lipidemia E78.5
9 Obesitas E66.9
1 Epispadia Q64.0
2 Fimosis N47
4 Hypospadia Q54
6 Parafimosis N47
KESEHATAN WANITA
1 Abortus

Kehamilan
4 Eklampsi O15.9
10 Mastitis N61
PENYAKIT KELAMIN
1 Fluor Albus N98.9
2 Sifilis A53.9
3 Gonore A54.9
4 Vaginitis N76.0
5 Vulvitis N76.2
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

MELAPOR


MELAPOR

MELAPOR
Baru Lama Baru Lama
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MELAPOR
Baru Lama Baru Lama

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
LAP
KODE :
PUSKESMAS :
BADAS
BULAN :
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KELOMPOK UMUM
1 Alergi Makanan L27.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Chikungunya A92.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Demam berdarah dengue A91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Demam dengue A90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Filariasis B74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Infeksi pada Umbilikus P38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kandidiasis Mulut B37.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Keracunan makanan T62.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Lepra A30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Leptospirosis A27.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Malaria B54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Morbili (Campak) B05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Reaksi Anafilaktik T78.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Syok R57.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 TB selain Paru (ekstra Paru) A18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Tuberkulosis (TB) Paru A15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Tuberkulosis dengan HIV B20.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Varisela B01.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DAN SISTEM IMUN
1 Anemia defisiensi besi D50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HIV/ AIDS tanpa komplikasi Z21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Leukemia D55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Limfadenitis B70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Limfoma Maligna C85.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Lupus Eritematosus Sistemik M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DIGESTIVE
1 Ankilostomiosis B76.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Apendisitis Akut K35.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Askariasis B77.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
fistula 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bibir dan langit-langit sumbing Q37.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bibir sumbing Q36.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Demam tifoid A01.0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0
amuba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Gastritis K29.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Giardiasis) 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0
11 Gastroschisis Q79.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hemoroid grade 1-2 I84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis A B15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hepatitis B B16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Hepatitis C B18.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Intoleransi makanan K90.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Kolesistitis K81.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Langit-langit sumbing Q35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Malabsorbsi makanan K90.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Omphalocele Q79.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Parotitis B26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Peritonitis K65.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Refluksgastroesofageal K21.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Skistosomiasis B65.9 B65.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Strongiloidiasis B78.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Taeniasis B68.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Ulkus mulut K12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MATA
1 Astigmatisme H52.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Benda asing di konjungtiva T15.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Blefaritis H01.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Buta senja H53.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Episkleritis H15.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Glaukoma akut H40.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Glaukoma kronis H40.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Hifema H21.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Hipermetropia H52.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Hordeolum H00.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Katarak kongenital Q12.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Katarak pada pasien dewasa H26.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Konjungtivitis
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Konjungtivitis alergi H10.1 0 0 0 0 1 0 0 0 0 0 2 0 3 4 0
b. Konjungtivitis infeksi H10.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Laserasi kelopak mata S01.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Low vision H54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Mata kering H04.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Miopia ringan H52.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Perdarahan subkonjungtiva H57.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Presbiopia H52.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pterygium H11.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Retinoblastoma C69.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Retinopati Diabetik H36.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Trauma kimia mata T26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Trikiasis H02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TELINGA
1 Benda asing ditelinga T16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mastoiditis H70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Otitis Eksterna H60.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Otitis Media Akut H65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Otitis Media Supuratif Kronik H66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Presbiakusis H91.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Serumen Prop H61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Tuli akibat bising H83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Tuli kongenital H90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KARDIOVASKULER
1 Angina Pektoris Stabil I20.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Cardiorespiratory arrest R09.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal Jantung akut dan kronik I50.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Hipertensi Esensial I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Infark Miokard I21.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Takikardia I47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSKULOSKELETAL
1 Artritis Reumatoid M53.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Artritis, Osteoartritis M19.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Fraktur Terbuka T14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Fraktur tertutup T14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lipoma D17.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Osteoporosis M81.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Osteosarkoma C41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Polimialgia Reumatik M35.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Reduction Deformity Q73.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Talipes Q66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Vulnus T14.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NEUROLOGI
1 Vulnus Q00.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Bells Palsy G51.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Delirium F05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Epilepsi G40.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kejang Demam R56.0 0 0 0 0 0 0 0 0 1 0 0 0 2 4 0
6 Malaria Serebral B50.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Meningo/Encephalocele Q01.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Migren G43.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Neuroblastoma C74.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Rabies A82.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Status Epileptikus G41.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Stroke I63.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tension Headache G44.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Tetanus A35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Tetanus Neonatorum A33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Transient Ischemic Attack (TIA) G45.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Vertigo R42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PSIKIATRI
1 Demensia F03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Gangguan Anxietas F40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Depresi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Gangguan Depresi F33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Gangguan Penggunaan Napza F10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Perilaku Pada Anak dan Remaja 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Gangguan Psikotik F20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Gangguan Somatoform F45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Insomnia F51.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESPIRASI
1 Asma Bronkial J45 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1
2 Asfiksia R09.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Benda Asing di Hidung T17.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bronkitis Akut (usia < 15 tahun) J20.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bronkitis Akut (usia > 15 tahun) J40 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
6 Difteria A36.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Epistaksis R04.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Faringitis Akut J02.9 0 0 0 0 0 0 0 0 0 0 0 0 2 5 0
9 Furunkel pada hidung J34.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Influenza J11 0 0 0 0 0 0 0 0 11 23 5 12 25 41 6
11 Kanker nasofaring C11.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Kanker Paru C34.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Laringitis Akut J04.0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0
14 Penyakit Paru Obstruktif Kronis J44.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Pertusis (Batuk Rejan) A37.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pneumonia Aspirasi J69.0 0 0 0 0 0 0 0 0 0 0 0 0 2 5 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Bronkopneumonia J18.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Pneumonia J18.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Pneumotoraks J93.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Rinitis Akut J00 0 0 0 0 0 0 0 0 0 0 0 0 10 14 0
20 Rinitis Alergi J30.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Rinitis vasomotor J30.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Sinusitis Akut J01 0 0 0 0 0 0 0 0 0 0 0 0 2 6 0
23 Status Asmatikus J46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tonsilitis
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Tonsilitis Akut J03.9 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0
b. Tonsilitis Kronis J35.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KULIT
1 Akne Vulgaris Ringan L70.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Cutaneus Larva Migrans B76.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dermatitis Atopik L20 0 0 0 0 0 0 0 0 0 0 0 0 13 18 0
4 Dermatitis Kontak Alergi L23 0 0 0 0 0 0 0 0 0 0 0 0 8 4 0
5 Dermatitis Kontak Iritan L24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Dermatitis Numularis L20.8 0 0 0 0 0 0 0 0 0 0 0 0 2 6 0
7 Dermatitis Perioral L71.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Dermatitis Popok L22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Dermatitis Seboroik L21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Dermatofitosis B35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Tinea capitis dan tinea barbea B35.0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0
b. Tinea corporis B35.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tinea cruris B35.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tinea manuum B35.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tinea pedis B35.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Tinea Unguium B35.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Erisipelas A46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Eritrasma L08.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Exanthematous drug Eruption L27.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Fixed Drug Eruption L27.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
konfirmasi/probable 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Herpes Simplek B00.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Herpes Zoster B02.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Hidradenitis supuratif L73.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(Neurodermatitis Sirkumkripta) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Luka bakar derajat I dan II T30 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
21 Miliaria L74.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Moluskum Kontagiosum B08.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Pedikulosis Kapitis B85.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Pedikulosis Pubis B85.3 0 0 0 0 0 0 0 0 0 0 0 0 2 3 0
25 Pioderma
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Abses, furuncke dan carbuncle L02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Impetigo L01 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Pioderma L08.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Pitiriasis Rosea L42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pitiriasis versikolor B36.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Reaksi Gigitan Serangga T63.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Sindrom Stevens Johnson L51.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Skabies B86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Skrofuloderma A18.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Ulkus pada tungkai I83.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Urtikaria L50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Veruka Vulgaris B07 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NUTRISI
Ketotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Hiperurisemia - Gout Arthritis E79.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Hipoglikemia E16.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Hipotiroid kongenital E03.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lipidemia E78.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Malnutrisi Energi Protein E46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Obesitas E66.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Tirotoksikosis E05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Epispadia Q64.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Fimosis N47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hipertropi prostat N40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Hypospadia Q54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Infeksi Saluran Kemih N39.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Parafimosis N47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Ginjal kronik N03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Pielonefritis tanpa komplikasi N10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KESEHATAN WANITA
1 Abortus
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Abortus Inkomplit O06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Abortus Komplit O03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Cracked Nipple O92.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Eklampsi O15.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Hiperemesis Gravidarum O21.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Inverted Nipple O92.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kanker Serviks C53.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kehamilan Normal O80.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ketuban Pecah Dini O42.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mastitis N61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Perdarahan Post Partum O72.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Persalinan Lama O63.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Pre Eklampsia O14.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Ruptur Perineum tingkat I-2 O70.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Tumor Payudara C50.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT KELAMIN
1 Fluor Albus N98.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Sifilis A53.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gonore A54.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Vaginitis N76.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Vulvitis N76.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KODE :
PUSKESMAS :
BULAN :
TAHUN :
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

sedang
PERNAPASAN
1 Pneumonia berat

INFEKSI UMUM VIRUS

1
urine seperti teh)
GANGGUAN MATA DAN

ADNEKSA
1 Buta

transport
kekerasan mental
kekerasan seksual
makanan)

AKIBAT KERJA

GANGGUAN MENTAL
PENYAKIT LAINNYA
1 Trauma lahir
1 Kembar siam

2

MELAPOR
0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 4 0 0 4 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 6 5 3 2 2 0 1 0 5 2 2 2 2 5 2 1 1 2 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 1 2 0 1 3 8 0 1 3 7 1 1 38 19 17 31 15 26 4 10
0 2 1 0 0 3 0 0 0 3 0 0 0 1 2 2 2 0 4 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 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 4 7 0 0 2 5 2 0 1 2 0 0 6 9 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 2 0 0 1 2 0 3 0 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 0 1 0 3 1 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 5 0
0 2 5 0 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 5 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 5 0 0 0 3 0 1 2 2 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 2 3 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 0 2 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 1 1 2 2 0 0 0 0
0 1 0 0 0 0 1 0 0 2 0 0 0 0 4 0 2 0 1 0 0
0 3 4 0 1 2 2 0 0 0 0 0 0 2 1 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 1 0 0 0 0 2 0 0 0 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 1 0 1 0 1 0 0 0 0 0 0 1 0 1 1 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 2
0 0 0 0 0 0 0 0 0 0 0 0 0 5 8 31 54 9 12 36 71
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 4
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 1 0 0 0 0 0 0 0 1 41 57 17 27 39 68 26 38
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 5 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 1 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 12 23 4 6 10 16 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 2 2 3 4 7
0 0 0 0 0 0 0 0 0 0 0 0 0 29 46 14 6 36 52 10 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 6 0 0 4 4
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 3 2 5 0 0
0 0 1 0 0 2 3 0 0 0 4 0 0 3 6 0 0 1 2 1 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 3 7 0 1 0 0 0 0 1 0 1 0 0 1 0 1 1 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 5 4 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
0 4 11 0 0 0 1 0 0 0 0 0 0 1 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 12 22 2 4 2 3 0 0 4 7 0 0 33 42 12 16 10 16 3 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 6 9 0 0 0 0 0 0 0 0 0 0 4 9 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 10 13 0 3 8 7 4 1 5 3 0 2 10 14 2 3 5 2 0 0
0 3 4 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 0 0 0 1 0 0 0 1 0 0 2 2 0 0 1 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 0 5 3 0 2 3 1 0 1 0 1 1 9 10 3 9 3 5 0 2
0 5 4 0 0 3 1 0 0 2 0 0 0 13 17 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
5 6 8 1 3 2 1 0 0 1 3 0 0 21 29 7 1 5 6 9 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 2 0 0 0 0 0 0 0 0 0 0 2 2 0 2 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 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 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 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 1 0 2 0 2 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 0 0 1 2 0 0 1 0 1 0 2 3 1 2 1 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 0 2 5 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 2 0 0 3 5 4 11 16 4 4 8 24
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 1 5 4 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 2 0 0 1 0 1 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 3 104 2 39 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MELAPOR

MELAPOR
Baru Lama Baru Lama
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 1 0 1
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 2 1 3
0 0 0 0
1 0 8 7 16
0 0 2 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 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
19 17 9 5 50
0 1 0 0
0 1 0 0 1
0 0 0 0
72 81 22 44 219
12 19 0 0
11 8 3 2 24
0 0 0 0
0 0 0 0 0
0 0 0 0
2 0 0 3 5
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
13 23 2 0 38
0 0 0 0
1 4 0 7 12
0 0 0 2
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
3 4 2 3 12
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
4 2 8 4 18
4 0 3 4
4 6 2 0 12
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 7 17 24
0 0 2 4
0 0 0 0 0
0 0 0 0
9 14 2 1 26
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
3 6 1 0 10
0 1 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 1 1 2
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
3 0 2 0 5
0 0 0 0
1 1 2 2 6
0 0 0 0
3 6 0 2 11
0 0 0 0
7 7 0 1 15
0 0 0 0
2 5 0 0 7
0 1 0 0
0 0 0 0 0
0 0 0 0
5 4 2 1 12
0 1 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
1 2 0 0 3
0 0 0 0
0 0 0 0 0
0 0 0 0
1 0 2 4 7
0 0 1 2
17 26 83 161 287
3 6 16 36
0 0 3 4 7
0 0 0 0
0 0 0 1 1
0 0 0 0
99 147 48 69 363
19 22 5 2
7 14 0 0 21
4 9 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
1 0 0 0 1
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 1 1 2
0 0 0 0
4 4 0 0 8
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
24 44 4 6 78
2 5 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
2 3 10 11 26
0 0 1 2
81 112 29 31 253
16 14 5 9
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
6 4 0 2 12
4 0 0 0
0 0 0 0 0
0 0 0 0
0 0 1 0 1
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 2 4 6
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 8 10 18
0 0 0 0
0 0 0 2 2
0 0 0 1
2 5 0 3 10
0 0 0 0
7 20 2 4 33
1 2 0 2
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
5 9 1 3 18
0 0 0 0
6 5 0 0 11
1 0 0 0
0 0 0 0 0
0 0 0 0
1 0 0 0 1
0 0 0 0
7 19 0 0 26
0 0 0 0
0 0 0 0 0
0 0 0 0
105 164 30 52 351
8 10 2 3
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
3 5 0 0 8
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
12 23 0 0 35
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
50 56 6 9 121
2 3 0 0
5 4 0 0 9
0 0 0 0
0 0 0 0 0
0 0 0 0
4 11 0 0 15
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
7 8 0 0 15
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
30 47 8 18 103
2 6 0 0
33 29 0 0 62
1 2 0 0
0 0 0 0 0
0 0 0 0
37 53 17 18 125
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
1 4 0 0 5
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 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 5 0 2 10
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 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
2 5 0 0 7
0 0 0 0
0 0 0 0 0
0 0 0 0
2 0 0 0 2
0 0 0 0
0 0 0 0 0
0 0 0 0
0 3 0 4 7
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
7 6 2 4 19
0 0 0 0
0 0 0 0 0
0 0 0 0
1 0 0 0 1
1 0 0 0
3 8 0 0 11
0 0 0 0
0 0 0 0 0
0 0 0 0
12 12 33 62 119
0 2 14 19
1 5 7 36 49
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 1 0 1
0 0 1 0
0 0 0 0 0
0 0 0 0
2 1 0 5 8
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 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
3 104 2 39 148
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0

MELAPOR
Baru Lama Baru Lama

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

8 Agustus

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

8 Agustus

Diunggah oleh

Hak Cipta:

Format Tersedia

TOTAL R E K A P A N LAPORAN

BERDASARKAN GEJALA, PENY

12 Reaksi Anafilaktik T78.2 0

14 TB selain Paru (ekstra Paru) A18 26 2

15 Tuberkulosis (TB) Paru A15 320 3

16 Tuberkulosis dengan HIV B20.0 66 4

2 HIV/ AIDS tanpa komplikasi Z21 0 8

5 Limfoma Maligna C85.9 0

2 Apendisitis Akut K35.9 1

6 Bibir sumbing Q36.9 0

INFEKSI PADA USUS

NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn 5 - 9 thn

a. Konjungtivitis alergi H10.1

a. Tonsilitis Akut J03.9

a. Abses, furuncke dan carbuncle L02

GINJAL DAN SALURAN KEMIH

a. Abortus Inkomplit O06

1 Fluor Albus N98.9

LAPORAN BULANAN KESAKITAN BERDASARKAN GEJALA,

NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn 5 - 9 thn

INFEKSI PADA USUS

1 Diare tanpa dehidrasi

INFEKSI UMUM BAKTERI

INFEKSI UMUM VIRUS

GANGGUAN MATA DAN

1 Cedera akibat kecelakaan

GANGGUAN (CEDERA, PENYAKIT)

1 Sakit akibat kerja

KELAINAN BAWAAN LAINNYA

JML. PUSKESMAS PEMBANTU JML. POSKESDES/BIDAN DESA

JML. PUSKESMAS PEMBANTU YANG JML. POSKESDES/BIDAN DESA YANG

5 - 9 thn 10 - 14 thn 15 - 19 thn 20 - 44 thn 45 - 59 thn >59 thn Total

ERDASARKAN GEJALA, PENYEBAB PENYAKIT ATAU KONDISI PASIEN

JML. PUSKESMAS PEMBANTU JML. POSKESDES/BIDAN DESA

JML. PUSKESMAS PEMBANTU YANG JML. POSKESDES/BIDAN DESA YANG

NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

a. Konjungtivitis alergi H10.1

a. Tonsilitis Akut J03.9

a. Abses, furuncke dan carbuncle L02

a. Abortus Inkomplit O06

LAPORAN BULANAN KESAKITAN B

NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

INFEKSI PADA USUS

1 Diare tanpa dehidrasi

INFEKSI UMUM BAKTERI

INFEKSI UMUM VIRUS

GANGGUAN MATA DAN

KECELAKAAN DAN KERACUNAN

1 Cedera akibat kecelakaan

GANGGUAN (CEDERA, PENYAKIT)

1 Sakit akibat kerja

KELAINAN BAWAAN LAINNYA

JML. PUSKESMAS PEMBANTU 2

JML. PUSKESMAS PEMBANTU YANG

1 - 4 thn 5 - 9 thn 10 - 14 thn 15 - 19 thn 20 - 44 thn 45 - 59 thn

JML. PUSKESMAS PEMBANTU

JML. PUSKESMAS PEMBANTU YANG

JML. POSKESDES/BIDAN DESA YANG

>59 thn Total Jumlah

Baru Lama Baru Lama

JML. POSKESDES/BIDAN DESA

JML. POSKESDES/BIDAN DESA YANG

Baru Lama Baru Lama