9 September

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 6 1
2
2 Chikungunya A92.0
0
Demam dengue dan demam 3
3
berdarah dengue 0
a. Demam berdarah dengue A91
1
b. Demam dengue A90 15 1
4 Filariasis B74 0
5 Infeksi pada Umbilikus P38 0 1
6 Kandidiasis Mulut B37.9 0 2
7 Keracunan makanan T62.2 0
8 Lepra A30 1 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 30 2
15 Tuberkulosis (TB) Paru A15 282 3
16 Tuberkulosis dengan HIV B20.0 51 4
17 Varisela B01.9 14 5
DARAH, PEMBENTUKAN 6
DARAH DAN SISTEM IMUN
1 Anemia defisiensi besi D50 5 7
2 HIV/ AIDS tanpa komplikasi Z21 2 8
3 Leukemia D55 0 9
4 Limfadenitis B70 1 10
5 Limfoma Maligna C85.9 0

6 Lupus Eritematosus Sistemik M32 2 1
7 Thalasemia D56 2 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 2

7 Demam tifoid A01.0 424
Disentri basiler dan disentri
8
amuba
A06.0 3
9 Gastritis K29.7 1569
Gastroenteritis (Kolera dan
10
Giardiasis)
A09 482
11 Gastroschisis Q79.3 0
12 Hemoroid grade 1-2 I84 36
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 2
18 Langit-langit sumbing Q35 0
19 Malabsorbsi makanan K90.9 0
20 Omphalocele Q79.2 0
21 Parotitis B26 19
22 Perdarahan gastrointestinal K92.2 K62.5 0
23 Peritonitis K65.9 0
24 Refluksgastroesofageal K21.9 6
25 Skistosomiasis B65.9 B65.2 0
26 Strongiloidiasis B78.9 0
27 Taeniasis B68.9 0
28 Ulkus mulut K12 48
MATA
1 Astigmatisme H52.2 0
2 Benda asing di konjungtiva T15.9 5
3 Blefaritis H01.0 0
4 Buta senja H53.6 13
5 Episkleritis H15.1 0
6 Glaukoma akut H40.2 15
7 Glaukoma kronis H40.2 0
8 Hifema H21.0 0
9 Hipermetropia H52.0 24
10 Hordeolum H00.0 26
11 Katarak kongenital Q12.0 0
12 Katarak pada pasien dewasa H26.9 83
13 Konjungtivitis 0
a. Konjungtivitis alergi H10.1 106
b. Konjungtivitis infeksi H10.9 28
14 Laserasi kelopak mata S01.1 0
15 Low vision H54 60
16 Mata kering H04.1 0
17 Miopia ringan H52.1 25
18 Perdarahan subkonjungtiva H57.8 0
19 Presbiopia H52.4 12
20 Pterygium H11.0 7
21 Retinoblastoma C69.2 0
22 Retinopati Diabetik H36.0 2
23 Trauma kimia mata T26 0
24 Trikiasis H02 0
TELINGA
1 Benda asing ditelinga T16 10
2 Mastoiditis H70 34
3 Otitis Eksterna H60.9 68
4 Otitis Media Akut H65 54
5 Otitis Media Supuratif Kronik H66 46
6 Presbiakusis H91.1 1
7 Serumen Prop H61.2 183
8 Tuli akibat bising H83 1
9 Tuli kongenital H90 0
KARDIOVASKULER
1 Angina Pektoris Stabil I20.9 0
2 Cardiorespiratory arrest R09.2 0
3 Gagal Jantung akut dan kronik I50.9 119
4 Hipertensi Esensial I10 2257
5 Infark Miokard I21.9 13
6 Takikardia I47 5
MUSKULOSKELETAL
1 Artritis Reumatoid M53.3 814
2 Artritis, Osteoartritis M19.9 242
3 Fraktur Terbuka T14 13
4 Fraktur tertutup T14 20
5 Lipoma D17.9 1
6 Osteoporosis M81.9 3
7 Osteosarkoma C41 0
8 Polimialgia Reumatik M35.3 212
9 Reduction Deformity Q73.8 0
10 Talipes Q66 0
11 Vulnus T14.1 66
NEUROLOGI
1 Vulnus Q00.0 19
2 Bells Palsy G51.0 3
3 Delirium F05.9 0
4 Epilepsi G40.9 68
5 Kejang Demam R56.0 14
6 Malaria Serebral B50.0 0
7 Meningo/Encephalocele Q01.9 0
8 Migren G43.9 373
9 Neuroblastoma C74.9 0
10 Rabies A82.9 0
11 Status Epileptikus G41.9 4
12 Stroke I63.9 170
13 Tension Headache G44.2 425
14 Tetanus A35 0
15 Tetanus Neonatorum A33 0
16 Transient Ischemic Attack (TIA) G45.9 76
17 Vertigo R42 88
PSIKIATRI
1 Demensia F03 0
2 Gangguan Anxietas F40 11
Gangguan Campuran Anxietas
3
dan Depresi
F41.2 3
4 Gangguan Depresi F33 8
5 Gangguan Penggunaan Napza F10 0
Gangguan Perkembangan dan
6
Perilaku Pada Anak dan Remaja
F80 0
7 Gangguan Psikotik F20 537
8 Gangguan Somatoform F45 3
9 Insomnia F51.0 14
RESPIRASI
1 Asma Bronkial J45 133
2 Asfiksia R09.0 0
3 Benda Asing di Hidung T17.1 0
4 Bronkitis Akut (usia < 15 tahun) J20.9 95
5 Bronkitis Akut (usia > 15 tahun) J40 55
6 Difteria A36.9 0
7 Epistaksis R04.0 2
8 Faringitis Akut J02.9 673
9 Furunkel pada hidung J34.0 348
10 Influenza J11 1628
11 Kanker nasofaring C11.9 1
12 Kanker Paru C34.9 0
13 Laringitis Akut J04.0 8
14 Penyakit Paru Obstruktif Kronis J44.9 97
15 Pertusis (Batuk Rejan) A37.9 0
16 Pneumonia Aspirasi J69.0 44
17 Pneumonia, Bronkopneumonia 0
a. Bronkopneumonia J18.0 0
b. Pneumonia J18.9 40
18 Pneumotoraks J93.9 0
19 Rinitis Akut J00 2281
20 Rinitis Alergi J30.4 10
21 Rinitis vasomotor J30.0 0
22 Sinusitis Akut J01 18
23 Status Asmatikus J46 0
24 Tonsilitis 0
a. Tonsilitis Akut J03.9 30
b. Tonsilitis Kronis J35.9 6
KULIT
1 Akne Vulgaris Ringan L70.0 0
2 Cutaneus Larva Migrans B76.9 0
3 Dermatitis Atopik L20 418
4 Dermatitis Kontak Alergi L23 351
5 Dermatitis Kontak Iritan L24 89
6 Dermatitis Numularis L20.8 246
7 Dermatitis Perioral L71.0 0
8 Dermatitis Popok L22 22
9 Dermatitis Seboroik L21 0
10 Dermatofitosis B35 26
a. Tinea capitis dan tinea
barbea
B35.0 6
b. Tinea corporis B35.4 42
c. Tinea cruris B35.6 1
d. Tinea manuum B35.2 0
e. Tinea pedis B35.3 0
f. Tinea Unguium B35.1 0
11 Erisipelas A46 0
12 Eritrasma L08.1 0
13 Exanthematous drug Eruption L27.0 0
14 Fixed Drug Eruption L27.0 0
Frambusia RDT (+)
15
konfirmasi/probable
A66 0
16 Herpes Simplek B00.9 5
17 Herpes Zoster B02.9 22
18 Hidradenitis supuratif L73.2 0
Liken Simpleks Kronik
19
(Neurodermatitis Sirkumkripta)
L28.0 0
20 Luka bakar derajat I dan II T30 3
21 Miliaria L74.3 1
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 29
b. Impetigo L01 4
c. Pioderma L08.0 22
26 Pitiriasis Rosea L42 0
27 Pitiriasis versikolor B36.0 4
28 Reaksi Gigitan Serangga T63.4 0
29 Sindrom Stevens Johnson L51.1 0
30 Skabies B86 113
31 Skrofuloderma A18.4 0
32 Ulkus pada tungkai I83.0 1
33 Urtikaria L50 84
34 Veruka Vulgaris B07 8
METABOLIK ENDOKRIN DAN
NUTRISI
1 Diabetes Mellitus Tipe 1 E10 210
2 Diabetes Mellitus Tipe 2 E11 1208
Hiperglikemia Hiperosmolar
3
Non Ketotik
R73.9 2
4 Hiperurisemia - Gout Arthritis E79.0 31
5 Hipoglikemia E16.2 0
6 Hipotiroid kongenital E03.1 3
7 Lipidemia E78.5 42
8 Malnutrisi Energi Protein E46 0
9 Obesitas E66.9 309
10 Tirotoksikosis E05.9 2
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 55
6 Parafimosis N47 0
7 Penyakit Ginjal kronik N03 11
8 Pielonefritis tanpa komplikasi N10 0
KESEHATAN WANITA
1 Abortus 0
a. Abortus Inkomplit O06 0
b. Abortus Komplit O03 0
Anemia Defisiensi Besi pada
2
Kehamilan
D50 3
3 Cracked Nipple O92.1 0
4 Eklampsi O15.9 0
5 Hiperemesis Gravidarum O21.0 0
6 Inverted Nipple O92.0 0
7 Kanker Serviks C53.9 0
8 Kehamilan Normal O80.9 413
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 0
14 Ruptur Perineum tingkat I-2 O70.0 1
15 Tumor Payudara C50.9 3
PENYAKIT KELAMIN
1 Fluor Albus N98.9 14
2 Sifilis A53.9 2
3 Gonore A54.9 1
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 96
Diare dengan dehidrasi ringan-sedang
0
Diare dengan dehidrasi berat
0
INFEKSI PADA SALURAN PERNAPASAN
Pneumonia berat 0
INFEKSI UMUM BAKTERI
Demam tifoid probable 39
Demam tifoid konfirmasi 8
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 29
Cedera akibat tenggelam 0
Cedera akibat jatuh 0
Cedera akibat terbakar 0
Cedera akibat digigit ular 0
Cedera atau gangguan kesehatan akibat
kekerasan fisik 0
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 :
1 0 3 2 5 2 1
PUSKESMAS :
SEMEN
BULAN : SEPTEMBER
TAHUN : 2022
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 1
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
1
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 1 1
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
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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
3
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
4 7 1 0
2 1 2 1 2 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 4 0 0
1 1 1 1
0 0 0 0
0 0 0 0
0 0 0 0
4 2 1 0
1 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
Jumlah
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Jumlah
12
0
0
0
5
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
LAP
KODE :
2
PUSKESMAS :
UPTD PUSKESMAS MOJO
BULAN : SEPTEMBER
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 2 1
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
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
9 Furunkel pada hidung J34.0 3 2
10 Influenza J11
b. Pneumonia J18.9
19 Rinitis Akut J00 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
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
2 1 3 1 2
1 1 2 6 3 1
1 1
7 10 16 39 16 21 9 11 2
2 1 3 1 1 4 10 12 8 7
1 2 1 3 1 1
1
1 1 1 1 1
7 7 2 1 1 2 3 1
1 8 17
2 1 1 1 2 12 4 3
2 3 2 1
2 5 4 1
1 1
1 27 11 17 9
1
48 33 26 36 17 22 23 50 14 26
2 1 3 1 2 1 4 1 1
3 1 2 2 1 2 2 2 5
1 1 1 2 1
2 5 5 1
1 1 1 27 13
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
4 8 0 0 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 4 1 3 14
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
49 85 0 0 134
1 2
0 0 0 0 0
24 25 3 7 59
3 7
5 6 0 0 11
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 0 0
0 0 0 5 5
3
0 0 0 0 0
0 0 0 0 0
4 2 0 0 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
13 12 0 0 25
0 0 0 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 61 73
3 44
0 0 0 0 0
4 0 0 0 4
0 0 0 0 0
12 31 0 0 43
5 12
6 2 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 6 6 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 4 4 8
3 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
17 9 29 12 67
2
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
141 177 0 0 318
10 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
7 12 0 0 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
9 13 0 0 22
2
0 0 0 0 0
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 0 8 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 1 36 20 57
8 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
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 2
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
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 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 1 3 17 11
b. Pneumonia J18.9
19 Rinitis Akut J00
24 Tonsilitis

KULIT
4 Dermatitis Kontak Alergi L23 2
8 Dermatitis Popok L22 1
b. Tinea corporis B35.4 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
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
vb b b b

MELAPOR

1 1 1 4 1
1 1
1 1 3 1 3 7 5 7
2 2 2
1 2 2
1 1
1
1
2 1
1
1 2 1 1
5 5 6 13
1
1 1 1 1
2
3 5 1 3
1 20 11 2 3
1 1 2 1 1
1 1 1 2 4 1 4 1 2
20 23 5 18 4 11 7 23 2 12
3 1 1 1 2 2 1
1
2 1 1 3
5 10
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
1 0 9 3 13
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
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
9 19 0 0 28
2 5 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
4 2 0 0 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
4 0 0 0 4
2
0 0 0 0 0
1 1 0 0 2
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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
1 0 0 0 1
0 0 0 0 0
2 1 0 0 3
0 1 0 0 1
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 1 0 1
1
0 0 13 28 41
2 10
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
1 1 2 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 3 3
1
5 10 0 0 15
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 1 23 14 38
1
0 0 0 0 0
0 0 0 0 0
6 5 0 0 11
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
5 13 0 0 18
0 0 0 0 0
59 109 0 0 168
3 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
9 6 0 0 15
2
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 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
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 5 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 10 16 26
5 6
0 0 0 0 0
0 0 1 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
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 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

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
LAPO
KODE :
1 0 3 2 5 2 5
PUSKESMAS :
PELAS
BULAN : SEPTEMBER
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 3 1
amuba
9 Gastritis K29.7
Giardiasis) 3 6
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
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
14 Tetanus A35
17 Vertigo R42
PSIKIATRI
1 Demensia F03
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45 1
2 Asfiksia R09.0
4 Bronkitis Akut (usia < 15 tahun) J20.9 4 2 2
6 Difteria A36.9
7 Epistaksis R04.0
10 Influenza J11 1 2 5 7 1
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 1
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 BE
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

1
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
2

YANG MELAPOR
2

1 2
1 1
1 2
2 2 2 1 1 1 2 2 4 2 5 1 1 1 4 2 3 6
1 3 3 3 1 1 3 4 1 6 10 4 6 5 5 2 10
2 1 1 3 4 1 2
1 1 1 1
1 1 1
2 2 1 2 1 1
1 2 1
1 1
4 2 2 1
2
4 5 5 9 10 3 6 71
1
1
3 2 3 3
1 2
4 1 1 2 4 1 6
1 1 1 2 1
2 1
1 4
2 1 2 1 1 2
1 2 1 2 1
1 3 2 1 2 4
1 1 2 2 4
1
1 1
2 41 10 8 7
1
2
1 4
2 1 2 1 1 3
5 1 1 2 1 1 3 4 2
1 1 1 1 1
1 4 13 5 9 5 4 1 9 6 3 2 6 6 2 3 7 8 2
1
2 2 3 1 2
1 1 2 1 3 1 1
1 1
2 1 2 1
1
1 1 1 1
1 1 1
1
2 1 8 14 5 3 9 51
2
2 1 10
1 2 1 1
1 1 1
1
2
1
NAN KESAKITAN BERDASARKAN GEJALA, PENYEBAB PENYAKIT ATAU KONDISI PASIEN
JML. PUSKESMAS
PEMBANTU

YANG MELAPOR
1 1 2 2 1 2 1 3 1
2 3 2 2 3 3 4
JML. POSKESDES/BIDAN
DESA
7

YANG MELAPOR
7
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 2 0 3
1 0 1 2 4
2
1 0 2 0 3
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
18 9 13 15 55
5 1 3
0 0 0 0 0
24 28 8 22 82
4 6 1 3
10 13 3 1 27
2 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 1 5
1
0 0 0 0 0
0 0 0 0 0
1 1 2 4 8
2 3
0 0 0 0 0
4 0 0 6 10
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 3 0 1 4
1 1 0 0 2
0 0 0 0 0
2 6 0 1 9
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 3 3 6
3 1
17 11 36 150 214
3 3 25 70
0 0 2 1 3
2
0 0 0 0 0
1 0 0 0 1
2 6 2 6 16
2 3
0 0 1 4 5
2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 5 6 19 34
4 11
0 0 0 0 0
0 0 0 0 0
4 1 5 0 10
1 2
0 0 0 0 0
1 2 0 0 3
0 0 0 0 0
0 0 0 5 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 1 5 5 14
2 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 0 3 4 11
1 3
3 5 2 8 18
2 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 3 6 6 17
1 1 4 1
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
0 0 1 1 2
0 0 0 0 0
0 0 0 0 0
1 2 52 17 72
1 3
0 0 1 0 1
0 2 0 0 2
2 2 2 5 11
2 2 1
0 0 0 0 0
0 0 0 0 0
7 4 7 0 18
10 2 7 2 21
1
0 0 0 0 0
0 0 0 0 0
2 4 0 0 6
1
0 0 0 0 0
45 52 15 9 121
4 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 0 0 1
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 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
4 2 0 5 11
1
6 3 0 1 10
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
2 2 1 3 8
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 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
2 0 0 0 2
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 1 0 3 6
1
0 0 0 0 0
0 0 0 0 0
2 0 0 1 3
0 0 0 0 0
0 0 1 0 1
9 8 29 101 147
2 4 12 36
0 0 0 2 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 4 18 23
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 0
3 0 3 1 7
2
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 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 7 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 2 0 2
1 0 0 0 1
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
10 2 1 3 16
2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
15 0 0 5 20
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
LAP
KODE :
PUSKESMAS :
NGADILUWIH
BULAN : SEPTEMBER
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 4 1
amuba
9 Gastritis K29.7 1 1
Giardiasis) 5 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

b. Konjungtivitis infeksi H10.9 1 1
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 2
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 2
11 Kanker nasofaring C11.9 1
b. Pneumonia J18.9 1 3 2
19 Rinitis Akut J00 1 1 3 3 6 8 45
24 Tonsilitis

KULIT
4 Dermatitis Kontak Alergi L23 1 1 3 6
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 3 4 1 1 4 4 1
1 1 2 4 1 4 2 2 1 7 18 8 4 10 1 8
1 1 1 3 2 1
1 1 1 1 1
1
2 1
1 1 2 1 1 1
1 1 1
1 3 2 2
3 4 1 1 1 1 4 1
1 3 2 1 3 7 5 20
1 1 3 1 1 3 1 2 2 2 1 2
5 11
1 1 1 1
2 3 2 3 3
1 1 1 1 8 7 2 4 1 7 1 3
1 1
2 1 13 8 12 6
1 6
6 8 1 6 3 1 1 2 6 6 4 1 3 8 1 1
6 6 5 8 3 4 7 19 4 2 7 1 2
2 26 18 11 9 13 18 5 2 11 13 4 1 14 36 4 8 6 16 2 3
3 1
25 2 6 1 1 5 2 5 2 7 2 6 1 2 2
2 1 3 2 4 12 1 1 4 5 2
3 1
1 1 2 1 1 1
1 1 4 1 1 1 2
1 1 3 2 1 3
1
1 1 2 2 3 5 20
1 1 1 2 2 3 2
1 5 47 110

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
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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 13 0 0 25
0 0 0 0 0
17 36 8 25 86
1 5 4
11 4 2 0 17
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 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 2 0 1 3
0 0 0 0 0
3 3 0 1 7
1 1 1 2 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 5 0 0 8
0 0 0 0 0
0 0 2 0 2
0 0 0 0 0
4 10 2 0 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
7 13 9 23 52
3 3 2 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
10 4 4 2 20
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 16 16
0 0 0 0 0
0 0 0 0 0
0 1 2 1 4
3 2 5 3 13
13 14 3 8 38
1
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 25 14 42
0 0 0 0 0
0 0 0 0 0
0 1 0 6 7
0 0 0 0 0
0 0 0 0 0
23 29 4 2 58
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
23 45 1 6 75
0 0 0 0 0
71 104 26 26 227
1 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
0 0 0 0 0
0 0 0 0 0
1 3 2 4 10
0 0 0 0 0
12 21 53 51 137
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
13 20 1 3 37
4 1 6 4 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
1 4 1 1 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 0 0 0
0 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 3 2 0 11
0 0 0 0 0
0 0 0 0 0
4 2 2 8 16
5
0 0 0 0 0
0 3 0 0 3
2
3 4 5 24 36
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
3 4 3 2 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 48 0 115 163
0 0 0 0 0
0 0 0 0 0
0 0 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

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 :
1 0 3 2 5 2 8
PUSKESMAS :
WATES
BULAN : SEPTEMBER
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
amuba 1
9 Gastritis K29.7 1
Giardiasis) 1 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
4 Bronkitis Akut (usia < 15 tahun) J20.9 1
6 Difteria A36.9
7 Epistaksis R04.0
8 Faringitis Akut J02.9 1 3 2 1 10 14 13
10 Influenza J11 1 2 1 2 1 2 8
b. Pneumonia J18.9
19 Rinitis Akut J00 2 3 4
24 Tonsilitis

KULIT
4 Dermatitis Kontak Alergi L23 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 :
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

1 1
1 1 3 2 6 6 0 2 6 8
1 1 1 2 11 11 1 0 2 13
1
1 1 1
1
1 2 3 2 1 4 8 1 5 13 37 3 4 9 23
3 1 2 5 1 2
1
1 1
3 1
1 1 1 1
1 1
1 2 2 1 1 2
1 1 1
1
1 3 1 1 1 1 1 1 1
1 1 2 1 1 7 3
2 5 7 10 2 11 14 60
1
1 2 1 5 1
1 1 1 3 1 2 8 2 1 5 4
2 2 3
1
1 2
1 1
40 23 1 9 8
1 2 2 1 4 4
19 18 15 24 18 5 8 10 17 6 6 8 12 6 8 14 51 2 10 8 34
1
9 2 2 4 4 2 1 5 1 1 3 3 2 7 6 6 22 1 6 6 6
1 1
6 1 1 9 8 1 3 7 1 1 5 2 1 1 8 9 1 1 8 6
1 1
1
1 2 1 3 2 2 2 10 1 8 8
1 1 1 3 1 1 4
1
1
1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 2 5
1 1 2 1 1 4 7 18

MELAPOR
3 2 1 2 5 1 2
1 1 1
2 2 1 1 2 2

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 1 0 2
3 5 12 16 36
1
2 2 15 24 43
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 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 3 0 1 4
0 1 1 0 2
7 13 38 87 145
1 3 9 15
8 10 2 0 20
2 2
0 0 0 0 0
0 2 0 0 2
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 1 2
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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
0 1 3 0 4
0 0 0 0 0
1 1 1 1 4
0 0 0 0 0
0 0 0 1 1
0 0 0 0 0
0 0 1 1 2
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 1 3 4
3
0 0 0 0 0
0 2 5 10 17
1 2 3
0 0 0 0 0
0 0 0 0 0
0 2 3 3 8
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
1 0 0 0 1
2 2 5 2 11
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
2 1 12 12 27
4 7
5 22 40 115 182
1 6 19 45
0 0 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
0 0 0 0 0
0 0 0 0 0
0 1 1 8 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 2 9 17 31
1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 2 5 5 14
2 2 3
0 0 1 0 1
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
1 0 0 1 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 53 39 93
4 8
0 0 0 0 0
0 0 0 0 0
0 4 16 7 27
12 1
0 0 0 0 0
0 0 0 0 0
1 0 0 0 1
0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
53 67 88 168 376
3 3 10 17
0 1 0 0 1
19 23 34 51 127
3 1 2 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 3 0 4
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
8 7 40 39 94
1 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
2 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
1 4 13 26 44
1
0 2 3 9 14
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 1 0 0 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 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
1 2 0 1 4
0 0 0 0 0
0 0 0 0 0
0 2 4 2 8
0 0 0 0 0
0 2 1 6 9
5 6 21 47 79
3 1 12 28
0 0 0 0 0
0 0 1 0 1
1
0 0 0 0 0
0 0 0 0 0
0 0 1 2 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 1 0 1
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 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

MELAPOR
Baru Lama Baru Lama

L P L P
L P L P
5 4 3 5 17
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 0 0
6 4 0 0 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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
LAP
KODE : SIDOMULYO
PUSKESMAS :
SEPTEMBER
2022
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
7 Demam tifoid A01.0 5 3 1
amuba
Giardiasis) 6 4
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12 2 2
MATA
3 Blefaritis H01.0
4 Buta senja H53.6
8 Hifema H21.0
10 Hordeolum H00.0
13 Konjungtivitis

b. Konjungtivitis infeksi H10.9 1
15 Low vision H54
19 Presbiopia H52.4
20 Pterygium H11.0
24 Trikiasis H02
TELINGA
2 Mastoiditis H70
4 Otitis Media Akut H65 1 1
KARDIOVASKULER
3 Gagal Jantung akut dan kronik I50.9 1
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
8 Faringitis Akut J02.9 1 4 4 1
10 Influenza J11 1 2 1 2
19 Rinitis Akut J00 2 11 5 5 32 23 9
24 Tonsilitis

KULIT
3 Dermatitis Atopik L20 1 1
4 Dermatitis Kontak Alergi L23 3 2
6 Dermatitis Numularis L20.8 1 1 1
11 Erisipelas A46
12 Eritrasma L08.1
konfirmasi/probable
17 Herpes Zoster B02.9 1
21 Miliaria L74.3 1
25 Pioderma

b. Impetigo L01 1
c. Pioderma L08.0
30 Skabies B86 1 2
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 1
3 1 1
3 2 4 6 11 13 8 16
2
1
2 10 8 1 9 4 8 3 8 2 6 1 2 2 10 4 5 10 6 2 6
3 3 5 2 5 3 9 4 3 2 5 6 5 6 13 2 7 5 35
3 1 1 1 3 1 1 2
1 2
1
1 1 1
1 1
1 2 1 1 1 1
1 1 2 1 2 2
1 1
1 1
1 11 1 7 2 2 1
2 6 2 1
1 5
2 7 2 8 22 65
1
2 2 3 3 2 6 4
1 1 1 5 17 8 35
1 1
1 1 2 3 2 1 4 31
2 2 1 1 1 1
1 1 2 1 1 1 2 7 1 11
2 1 3
2 1 5 4 6
3 1
1 2 1 1 3
2 17 3 9 5
7 4 2 4 2 7 1 5 6 5 16 4 3 8
3 6 1 1 4 5 6
1 1 1 1 4 1
16 35 34 19 14 28 16 8 9 9 10 5 3 9 37 11 24 13 34 8 19
1
1
1 1 1 1 2 3 1 3
1 1 2 2 2 1 2 3
1 1 1 1 6 1 3
1
1
1
1 1
2 1
3 1 3 2 2 1 1 1
1 1 1 1
3 2
3 5 2 3 44
1 1 2 14
2
4 5
1 2
3
1

MELAPOR

1 1 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
1 1 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 1 4 0 5
0 0 41 40 81
11 7
0 0 2 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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
34 43 12 34 123
1 2 2
0 0 0 0 0
20 27 22 82 151
3 6 2 15
13 3 6 4 26
2 1
0 0 0 0 0
0 1 0 2 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 4 1 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 3 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 3 3 6
2 2
0 0 0 0 0
5 0 3 1 9
1
1 0 0 0 1
0 0 0 0 0
3 2 0 6 11
1 1
0 0 0 0 0
0 0 1 0 1
1
0 0 0 0 0
0 0 0 0 0
0 0 2 1 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 1 1 2
9 4 13 1 27
0 4 0 7 11
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 4 12 16
2 7
2 8 50 139 199
26 67
0 0 1 0 1
0 0 0 0 0
5 8 11 17 41
2 4 3 10
1 1 28 62 92
15 9
0 0 0 0 0
0 0 0 2 2
0 0 0 0 0
0 0 2 0 2
0 0 0 0 0
2 3 21 82 108
1 14 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
1 0 5 4 10
1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 4 6 22 33
1 2 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 4 6 10
1 3
15 8 4 7 34
15 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 0 4 5
1
0 0 0 0 0
0 0 5 5 10
1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 30 11 41
2 3
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
31 8 20 31 90
1 3 2
0 21 0 8 29
2 1
0 3 4 8 15
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 0 1
1
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
0 0 0 0 0
141 185 69 98 493
13 20 4 8
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
1 1 1 0 3
8 5 5 5 23
1 1 3
0 0 0 0 0
0 1 7 9 17
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2 2 12 17
2 1
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 1 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 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 0 2
1 0 0 3 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 0 10 5 17
0 0 0 0 0
0 0 0 0 0
0 0 2 2 4
0 0 0 0 0
0 0 3 3 6
1
2 3 18 67 90
2 1 12 18
0 0 0 0 0
0 0 5 17 22
2 2
0 0 0 0 0
0 0 0 3 3
1
0 0 0 13 13
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 3 0 3
1
0 0 0 0 0
0 0 1 3 4
1
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 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 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

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
2 2 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
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 :
PUSKESMAS :
PUNCU
BULAN : SEPTEMBER
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 1 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) 2 1 0 0 6 7 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

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
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 18 21 4 4 16 24 3
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 2 1
8 Dermatitis Popok L22 2 3 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 : SEPTEMBER
TAHUN : 2022
NO 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn

KODE UNIK
ATAU KONDISI PASIEN
INFEKSI PADA USUS

2 1 0 0 6 7 0
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 1 1 1 1 1
0 1 0 3
0 1 2 3 0 1 2 3 0 0 5 5
0 1 2 1 1 0 1
0 1 0 1
1 1 0 0 2 2 0 0 2 3 0 0 3 3 0 0
6 8 3 3 15 17 3 4 16 22 2 4 21 27 4 6
0 4 2 0 0 3 1 0 0 1 1 0 0 2 2 0 0 1 1 0 0
0 2 2 1 1 1 1 1 1 2 2 0 0
2 2 0 0 1 1 0 0 1 1 0 0 1 1 0 0
0 0 0 0 0 1 2 0 0 1 2 0 0 2 2 1 1
2 2 1 1 1 2 1 1
4 4 3 3
1 2 1 1 2 3 1 1
0 2 2 1 1 1 1 0 0 2 2 0 0 3 4 1 1 2 2 0 0
0 1 2 1 1 2 3 0 0 1 2 1 1 1 1 0 0 1 1 0 0
1 1 0 0 1 1 0 0
1 1 0 0 1 1 1 1 1 1 1 1
2 2
4 6 8 9 5 7 12 19
22 31 8 11 24 33 9 11
2 4 1 1 2 2 1 1
2 1 0 0 1 2 0 0
2 1 1 1 1 3 1 1
0 0 5 3 0 0 3 3
2 3 2 2 4 4 2 2
1 1 3 4
4 6 2 2 5 6 2 2
1 1 1 1 1 1 1 1
0 0 5 5 0 0 4 6
1 1 1 2 1 1 2 3
1 2 1 2 1 1 2 3
2 3 0 0 3 4 0 0 6 7 0 0 4 4 0 0
5 33 35 4 4 31 34 5 6 28 36 4 6 32 38 6 8 32 38 6 8
1 1 7 11
0 1 0 1
0 2 2 1 1 1 1 0 0 1 1 0 0
1 1 1 1 0 1 0 1
0 1 2 1 1 3 3 1 1 1 1 0 0 1 2 0 0 1 2 1 1
1 2 2 1 1 1 1 2 2 1 1 0 0 3 3 1 1 2 2 1 1
1 2 0 0 1 1 1 1 2 2 1 1 3 5 1 1 1 1 1 1
2 2 1 1 2 3 1 1 2 3 1 1
1 1 1 1 1 1 0 0
1 1 0 0 1 2 1 1 1 1 0 0 1 1 0 0
2 2 1 1 1 2 1 1
0 0 6 7
2 2 1 1 1 1 1 1
0 1 0 1

3

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

MELAPOR
0/0
Baru Lama Baru Lama
L P L P L P L P
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 2 3 6
0 0 2
2 2 16 14 34
2 0 7 3
0 0 0 0 0
2 4 1 1 8
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 0 0 0 0
0 0 0 0 0
0 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 11 0 0 19
0 2 0 0
0 0 0 0 0
82 102 18 24 226
24 28 6 7
21 15 0 0 36
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
6 6 2 2 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 5 0 0 10
0 0 0 0 0
2 2 4 4 12
2 2 4 4
0 0 0 0 0
5 7 1 1 14
3 5 2 2 12
0 1 0 0
0 0 0 0 0
10 11 5 6 32
6 7 2 3
0 0 0 0 0
6 9 4 5 24
3 4 2 3
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
11 13 2 2 28
0 1 0 0
8 12 2 2 24
1 2 0 0
2 2 0 0 4
0 0 0 0 0
0 0 0 0 0
3 3 2 2 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 6 8 16
1 1 4 6
28 40 32 42 142
19 27 12 14
0 0 0 0 0
0 0 0 0 0
90 120 45 53 308
44 56 28 31
11 14 5 6 36
7 8 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
0 0 0 0
5 6 4 4 19
2 2 2 2
0 0 0 0 0
0 0 0 0 0
0 0 8 6 14
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
9 11 7 9 36
3 4 3 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 2 8 10 22
1 1 5 6
12 17 7 8 44
3 5 3 4
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 11 13 24
0 0 2 2
0 0 0 0 0
0 0 1 1 2
1 1
2 2 6 8 18
0 0 3 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 4 6 9 22
1 1 3 4
0 0 0 0 0
0 0 0 0 0
16 19 0 0 35
1 1 0 0
0 0 0 0 0
231 270 41 52 594
41 44 9 11
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 3 19 27 51
1 2 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 1 0 1 2
0 0 0 0 0
0 0 0 0 0
5 5 1 1 12
1 2 1 2 6
0 0 0 0 0
0 0 0 0 0
11 15 5 7 38
3 4 2 4
14 16 7 9 46
4 5 1 3
9 13 6 6 34
1 2 2 2
0 0 0 0 0
0 0 0 0 0
4 5 3 3 15
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
9 11 4 5 29
3 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
3 3 1 1 8
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
4 5 1 1 11
0 0 0 0 0
0 0 0 0 0
4 5 2 3 14
1 1 0 1
0 0 0 0 0
0 0 0 0 0
2 3 17 19 41
2 3 11 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 4 2 2 12
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 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 0 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
21 15 0 0 36
2 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
8 11 0 0 19
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
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 :
ADAN - ADAN
BULAN : SEPTEMBER
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
10 Gastroenteritis (Kolera dan A09 2 1 2 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 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
b. Pneumonia J18.9 2 1 2 1
19 Rinitis Akut J00 6 4 25 23
24 Tonsilitis

KULIT
3 Dermatitis Atopik L20 2
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 1

b. Impetigo L01
c. Pioderma L08.0
27 Pitiriasis versikolor B36.0 1
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
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 :
ADAN - ADAN
BULAN : SEPTEMBER
TAHUN : 2022
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
1 5 7 1 5 3
1 2 1 3 2 1 3 4 11 1 11 2 12 1 8
3 2 1 1 2 2 4
1 1
1 1 1
1 1 1 1
1 1 1 1
9 7 3 4 1 2 2 6
1
2 3 1
4 1 4 4
2 3 16 1 4 5 44
6 1 12
7 2 6
4 2 5 10 5 21 1
1 1 2 1 1
1 1 1 1
1 1
2 2 3 2 7
2 2 3 8 1 6
1 1 2
1 2 1
5 2 3 3 1 1 6 9 2
2 4 11 1 5 7 2 4 1 1 22 1 12
31 22 1 29 16 1 1 8 10 30 58 16 32 1
1 2 8 1
1 1 1 5 1 1
1 3 1 1
1 1
1 2 2 1 1 1 2 2 1 4
1 1 3 2 1 2 1 1
1 1 1
2 1
1 1 1 1
1 1 4 6 2 2 19
1 1
1 1 1
1 1 2 1
1 1 4

MELAPOR
2 3

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
1 1 1 11 10 23
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 10 1 16 15 40 6 38 99
1 10 13 0 0 23
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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
3 2 1 1 4 4 1 1 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 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
1 1 1 1 4
0 0 0 0 0
1 1 18 15 1 3 37
0 1 0 0 1
0 0 0 0 0
3 3 2 0 6 4 12
0 0 0 0 0
4 8 4 1 8 12 25
2 5 6 57 5 12 11 117 145
0 0 0 0 0
0 0 0 0 0
1 6 0 0 2 24 26
2 1 2 1 4 14 2 1 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
3 9 1 9 17 42 2 9 70
0 0 0 0 0
0 0 0 0 0
1 3 5 0 0 8
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 1 1 4
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
2 3 4 4 3 5 13 25
1 4 2 5 0 20 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
1 1 0 1 3 5
0 0 0 0 0
0 0 0 0 0
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 0 0 0 0
0 0 0 0 0
1 16 18 0 0 34
0 0 0 0 0
1 12 4 2 42 45 93
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 2 0 0 6
0 0 0 0 0
11 19 1 156 184 2 3 345

0 0 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
2 1 1 7 9 1 1 18
1 1 2 0 8 11
1 1 5 0 1 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 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
7 10 0 2 19
0 0 0 0 0
2 1 4 7 4 0 15
0 0 0 0 0
1 3 0 0 4
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 4 0 0 4
0 0 0 0 0
0 1 2 1 4
1 10 24 1 4 16 49 70
0 0 0 0 0
0 0 0 0 0
0 0 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
2 2 0 0 4
0 0 0 0 0
1 1 0 1 4 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 2 0 9 11
1 4
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
5 0 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
LAP
KODE :
PUSKESMAS :
BULAN : SEPTEMBER
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
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
Giardiasis) 1 7 12 29
13 Hepatitis A B15
14 Hepatitis B B16
21 Parotitis B26
27 Taeniasis B68.9
28 Ulkus mulut K12
MATA
1 Astigmatisme H52.2 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
2 Benda asing di konjungtiva T15.9 Baru Lama Baru Lama Baru Lama Baru Lama
3 Blefaritis H01.0 L P L P L P L P L P L P L P L
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
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
3 Gangguan Campuran Anxietas dan F41.2 L P L P L P L P L P L P L P L
Depresi
9 Insomnia F51.0
RESPIRASI
1 Asma Bronkial J45
2 Asfiksia R09.0
6 Difteria A36.9
7 Epistaksis R04.0
b. Pneumonia J18.9 2 8 4
19 Rinitis Akut J00
23 Status Asmatikus J46 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
24 Tonsilitis
a. Tonsilitis Akut J03.9 L P L P L P L P L P L P L P L
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
31 Skrofuloderma A18.4 0 - 7 hr 8 - 28 hr 1-11 bln 1 - 4 thn
32 Ulkus pada tungkai I83.0 Baru Lama Baru Lama Baru Lama Baru Lama
33 Urtikaria L50 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
2
1 1 1

2 2 3 1 1 1
3 2 3 1 3 7 1 9 22 6 15 9 13 8 18
16 25 11 17 17 14 17 23 6 12
1 1
1
1 1
1 1 2 1
2 1
1

1 3 6 19 4 11 49 101
1 1 2 2 1

1 14 9 11 7
1 1
1 1 1 2 1 1 1
6 7 4 6 2 2 2 7 7 1 3 5 1
1 2 2 1
2 2 1 1
2 7 5 2 6 7 6 15 2 14

2 1 1 1 3
3 2 2 1
1 4 15 10 9 70 72

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 1 1
0 0 0 2 2
0 0 0 0 0
2 1 0 0 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
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
6 4 0 0 10
0 0 0 0 0
35 53 29 57 174
11 3 15 22
93 141 0 0 234
13 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
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
1 1 0 0 2
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 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 0 0 0 0
0 0 0 0 0
2 2 1 0 5
0 3 0 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
Baru Lama Baru Lama
L P L P L P L P
12 35 152 249 448
7 21 97 129
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 8 7 20
1 1 6 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
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 5 25 16 47
1 4
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
5 3 1 0 9
1
0 0 0 0 0
32 37 0 4 73
9 9
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 4 3 2 11
1 2 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
10 9 1 0 20
0 0 0 0 0
27 49 0 0 76
6 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Total Jumlah
>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
0 0 0 0 0
1 3 5 10 19
4 7
0 4 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 Jumlah
>59 thn
Baru Lama
Baru Lama
L P L P
L P L P
0 0 0 0 0
0 0 0 0 0
11 24 130 167 332
1 14 56 80
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 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 :
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 :
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

2

PUSKESMAS : MELAPOR MELAPOR
UPTD PUSKESMAS KELING
2
BULAN : SEPTEMBER
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
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
2 Chikungunya A92.0 0 0 0 0
3 Demam dengue dan demam 0 0 0 0
berdarah dengue
a. Demam berdarah dengue A91 0 0 0 0
b. Demam dengue A90 0 0 0 0
4 Filariasis B74 0 0 0 0
5 Infeksi pada Umbilikus P38 0 0 0 0
6 Kandidiasis Mulut B37.9 0 0 0 0
7 Keracunan makanan T62.2 0 0 0 0
8 Lepra A30 0 0 1 0
1
9 Leptospirosis A27.9 0 0 0 0
10 Malaria B54 0 0 0 0
11 Morbili (Campak) B05.9 0 0 0 0
12 Reaksi Anafilaktik T78.2 0 0 0 0
13 Syok R57.9 0 0 0 0
14 TB selain Paru (ekstra Paru) A18 0 0 0 0
15 Tuberkulosis (TB) Paru A15 0 0 13 11
1 1 4 3 6 4 3 2
16 Tuberkulosis dengan HIV B20.0 0 0 1 0
1
17 Varisela B01.9 0 0 0 0
DAN SISTEM IMUN
1 Anemia defisiensi besi D50 0 0 0 0
2 HIV/ AIDS tanpa komplikasi Z21 0 0 0 0
3 Leukemia D55 0 0 0 0
4 Limfadenitis B70 0 0 0 0
5 Limfoma Maligna C85.9 0 0 0 0
6 Lupus Eritematosus Sistemik M32 0 0 0 0
7 Thalasemia D56 0 0 0 0
DIGESTIVE
1 Ankilostomiosis B76.0 0 0 0 0
2 Apendisitis Akut K35.9 0 0 0 0
3 Askariasis B77.9 0 0 0 0
4 Atresia (ani) dengan atau tanpa Q42 0 0 0 0
fistula
5 Bibir dan langit-langit sumbing Q37.9 0 0 0 0
6 Bibir sumbing Q36.9 2 0 0 0
1 1
7 Demam tifoid A01.0 0 0 0 0
8 Disentri basiler dan disentri A06.0 0 0 0 0
amuba
9 Gastritis K29.7 31 36 0 3
5 1 5 4 7 3 8 14 11 5 7
10 Gastroenteritis (Kolera dan A09 11 5 0 0
Giardiasis) 2 1 1 1 3 3 5
11 Gastroschisis Q79.3 0 0 0 0
12 Hemoroid grade 1-2 I84 5 0 0 0
3 2
13 Hepatitis A B15 0 0 0 0
14 Hepatitis B B16 0 0 0 0
15 Hepatitis C B18.2 0 0 0 0
16 Intoleransi makanan K90.4 0 0 0 0
17 Kolesistitis K81.9 0 0 0 0
18 Langit-langit sumbing Q35 0 0 0 0
19 Malabsorbsi makanan K90.9 0 0 0 0
20 Omphalocele Q79.2 0 0 0 0
21 Parotitis B26 0 0 0 0
22 Perdarahan gastrointestinal K92.2 K62.5 0 0 0 0
23 Peritonitis K65.9 0 0 0 0
24 Refluksgastroesofageal K21.9 0 0 0 0
25 Skistosomiasis B65.9 B65.2 0 0 0 0
26 Strongiloidiasis B78.9 0 0 0 0
27 Taeniasis B68.9 0 0 0 0
28 Ulkus mulut K12 0 0 0 0
MATA
1 Astigmatisme H52.2 1 0 0 0
1
2 Benda asing di konjungtiva T15.9 0 0 0 0
3 Blefaritis H01.0 0 0 0 0
4 Buta senja H53.6 0 0 0 0
5 Episkleritis H15.1 0 0 0 0
6 Glaukoma akut H40.2 0 0 0 0
7 Glaukoma kronis H40.2 0 0 0 0
8 Hifema H21.0 0 0 0 0
9 Hipermetropia H52.0 0 0 0 0
10 Hordeolum H00.0 0 2 1 1
2 1 1
11 Katarak kongenital Q12.0 0 0 0 0
12 Katarak pada pasien dewasa H26.9 0 0 0 0
13 Konjungtivitis 0 0 0 0
a. Konjungtivitis alergi H10.1 0 0 0 0
b. Konjungtivitis infeksi H10.9 0 2 1 1

2 1 1
14 Laserasi kelopak mata S01.1 0 0 0 0
15 Low vision H54 0 1 0 0
1
16 Mata kering H04.1 0 0 0 0
17 Miopia ringan H52.1 0 0 0 0
18 Perdarahan subkonjungtiva H57.8 0 0 0 0
19 Presbiopia H52.4 0 0 0 0
20 Pterygium H11.0 0 0 0 0
21 Retinoblastoma C69.2 0 0 0 0
22 Retinopati Diabetik H36.0 0 0 0 0
23 Trauma kimia mata T26 0 0 0 0
24 Trikiasis H02 0 0 0 0
TELINGA
1 Benda asing ditelinga T16 3 2 0 0
3 2
2 Mastoiditis H70 0 0 0 0
3 Otitis Eksterna H60.9 5 8 0 0
3 1 2 2 2 2 1
4 Otitis Media Akut H65 0 0 0 0
5 Otitis Media Supuratif Kronik H66 0 0 0 0
6 Presbiakusis H91.1 0 0 0 0
7 Serumen Prop H61.2 0 0 2 0
1 1
8 Tuli akibat bising H83 0 0 0 0
9 Tuli kongenital H90 0 0 0 0
KARDIOVASKULER
1 Angina Pektoris Stabil I20.9 0 1 0 0
1
2 Cardiorespiratory arrest R09.2 0 0 0 0
3 Gagal Jantung akut dan kronik I50.9 0 0 2 4
2 4
4 Hipertensi Esensial I10 10 15 9 28
1 3 3 9 12 9 25
5 Infark Miokard I21.9 0 0 0 0
6 Takikardia I47 0 0 0 0
MUSKULOSKELETAL
1 Artritis Reumatoid M53.3 14 24 7 14
14 24 7 14
2 Artritis, Osteoartritis M19.9 0 0 0 0
3 Fraktur Terbuka T14 0 0 0 0
4 Fraktur tertutup T14 14 3 0 0
14 3
5 Lipoma D17.9 0 0 0 0
6 Osteoporosis M81.9 0 0 0 0
7 Osteosarkoma C41 0 0 0 0
8 Polimialgia Reumatik M35.3 0 0 0 0
9 Reduction Deformity Q73.8 0 0 0 0
10 Talipes Q66 0 0 0 0
11 Vulnus T14.1 8 2 6 1
8 2 6 1
NEUROLOGI
1 Vulnus Q00.0 0 0 0 0
2 Bells Palsy G51.0 0 0 0 0
3 Delirium F05.9 0 0 0 0
4 Epilepsi G40.9 0 0 0 0
5 Kejang Demam R56.0 2 0 0 2
2 2
6 Malaria Serebral B50.0 0 0 0 0
7 Meningo/Encephalocele Q01.9 0 0 0 0
8 Migren G43.9 0 0 0 2
2
9 Neuroblastoma C74.9 0 0 0 0
10 Rabies A82.9 0 0 0 0
11 Status Epileptikus G41.9 0 0 0 0
12 Stroke I63.9 0 0 0 0
13 Tension Headache G44.2 0 0 0 0
14 Tetanus A35 0 0 0 0
15 Tetanus Neonatorum A33 0 0 0 0
16 Transient Ischemic Attack (TIA) G45.9 0 0 0 0
17 Vertigo R42 3 5 0 0
3 5
PSIKIATRI
1 Demensia F03 0 0 0 0
2 Gangguan Anxietas F40 0 0 0 0
3 Gangguan Campuran Anxietas dan F41.2 0 0 0 0
Depresi
4 Gangguan Depresi F33 0 0 0 0
5 Gangguan Penggunaan Napza F10 0 0 0 0
6 Gangguan Perkembangan dan F80 0 0 0 0
7 Gangguan Psikotik F20 2 0 17 11
2 11 7 6 4
8 Gangguan Somatoform F45 0 0 0 0
9 Insomnia F51.0 0 0 0 0
RESPIRASI
1 Asma Bronkial J45 0 3 0 6
2 3 1 3
2 Asfiksia R09.0 0 0 0 0
3 Benda Asing di Hidung T17.1 0 0 0 0
4 Bronkitis Akut (usia < 15 tahun) J20.9 0 0 0 0
5 Bronkitis Akut (usia > 15 tahun) J40 0 0 0 0
6 Difteria A36.9 0 0 0 0
7 Epistaksis R04.0 0 1 0 0
1
8 Faringitis Akut J02.9 0 0 0 0
9 Furunkel pada hidung J34.0 0 0 0 0
10 Influenza J11 0 0 0 0
11 Kanker nasofaring C11.9 0 0 0 0
12 Kanker Paru C34.9 0 0 0 0
13 Laringitis Akut J04.0 0 0 0 0
14 Penyakit Paru Obstruktif Kronis J44.9 0 0 0 0
15 Pertusis (Batuk Rejan) A37.9 0 0 0 0
16 Pneumonia Aspirasi J69.0 0 0 0 0
17 Pneumonia, Bronkopneumonia 0 0 0 0
a. Bronkopneumonia J18.0 0 0 0 0
b. Pneumonia J18.9 0 0 0 0
18 Pneumotoraks J93.9 0 0 0 0
19 Rinitis Akut J00 121 132 77 35
30 25 20 15 28 24 6 10 60 74 51 10 3 9
20 Rinitis Alergi J30.4 0 0 0 0
21 Rinitis vasomotor J30.0 0 0 0 0
22 Sinusitis Akut J01 0 0 0 0
23 Status Asmatikus J46 0 0 0 0
24 Tonsilitis 0 0 0 0
a. Tonsilitis Akut J03.9 0 0 0 0
b. Tonsilitis Kronis J35.9 0 0 0 0
KULIT
1 Akne Vulgaris Ringan L70.0 0 0 0 0
2 Cutaneus Larva Migrans B76.9 0 0 0 0
3 Dermatitis Atopik L20 28 11 10 4
17 2 10 4 11 9
4 Dermatitis Kontak Alergi L23 0 0 0 0
5 Dermatitis Kontak Iritan L24 0 0 0 0
6 Dermatitis Numularis L20.8 0 0 0 0
7 Dermatitis Perioral L71.0 0 0 0 0
8 Dermatitis Popok L22 0 0 0 0
9 Dermatitis Seboroik L21 0 0 0 0
10 Dermatofitosis B35 0 0 0 0
a. Tinea capitis dan tinea barbea B35.0 0 0 0 0
b. Tinea corporis B35.4 0 0 0 0
c. Tinea cruris B35.6 0 0 0 0
d. Tinea manuum B35.2 0 0 0 0
e. Tinea pedis B35.3 0 0 0 0
f. Tinea Unguium B35.1 0 0 0 0

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

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

2 Anemia Defisiensi Besi pada D50 0 0 0 0
Kehamilan
3 Cracked Nipple O92.1 0 0 0 0
4 Eklampsi O15.9 0 0 0 0
5 Hiperemesis Gravidarum O21.0 0 0 0 0
6 Inverted Nipple O92.0 0 0 0 0
7 Kanker Serviks C53.9 0 0 0 0
8 Kehamilan Normal O80.9 0 0 0 0
9 Ketuban Pecah Dini O42.9 0 0 0 0
10 Mastitis N61 0 0 0 0
11 Perdarahan Post Partum O72.1 0 0 0 0
12 Persalinan Lama O63.9 0 0 0 0
13 Pre Eklampsia O14.9 0 0 0 0
14 Ruptur Perineum tingkat I-2 O70.0 0 0 0 0
15 Tumor Payudara C50.9 0 0 0 0
PENYAKIT KELAMIN
1 Fluor Albus N98.9 0 0 0 0
2 Sifilis A53.9 0 0 0 0
3 Gonore A54.9 0 0 0 0
4 Vaginitis N76.0 0 0 0 0
5 Vulvitis N76.2 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
Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama 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 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 2 4 1 2

2 4 1 2
2 Diare dengan dehidrasi ringan- 0 0 0 0
sedang
3 Diare dengan dehidrasi berat 0 0 0 0
PERNAPASAN
1 Pneumonia berat 0 0 0 0

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

1 0 0 0 0
2 Hepatitis klinis (ikterik/warna 0 0 0 0
urine seperti teh)
GANGGUAN MATA DAN

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

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

AKIBAT KERJA
1 Sakit akibat kerja 0 0 0 0

2 Cedera/kecelakaan akibat kerja 0 0 0 0
GANGGUAN MENTAL
1 Percobaan tindakan bunuh diri 0 0 0 0
PENYAKIT LAINNYA
1 Trauma lahir 0 0 0 0
1 Kembar siam 0 0 0 0
Jumlah
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
24
1
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
70
16
0
5
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
0
0
0
0
4
0
1
0
0
0
0
0
0
0
0
0
5
0
13
0
0
0
2
0
0
1
0
6
62
0
0
59
0
0
17
0
0
0
0
0
0
17
0
0
0
0
4
0
0
2
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
30
0
0
9
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
365
0
0
0
0
0
0
0
0
0
53
0
0
0
0
0
0
0
0
0
0
0
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
0
0
22
8
10
34
0
0
0
0
0
0
0
0
0
0
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
Jumlah
9
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 :
KUNJANG
BULAN : SEPTEMBER
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 1 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 0 0 0 5 8 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 0 0 0 0 1 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 : SEPTEMBER
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 0 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 2 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
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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

MELAPOR
Baru Lama Baru Lama

L P L P
L P L P
0 1 0 0 1 5 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 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 : SEPTEMBER
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
29 dispepsia k30
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

25 Inf.saluran pernafasan J0.69 1
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

3 1 1 1 1 2 1 1 5 2 2 5 5 5 13
2 1 2 1 5 3 1 3
2 1 2 1 1 2 1 2 1 2
1 1 1 2 1 1 1 2
1 2 1 1
1 4
9 15 19
1 3 1 4 4
1 3 1 1 3
1 2 1 1
20 15 7 6 15 15 3 6 12 9 2 2 13 34 6 29 5 25 9 14
1 2 1 1 1 2 2 1 5 4 2 1 10 3
1 1 1 1 2 1
12 1 17
3 2
2 1
4 3 4 4 3 1 13 32 11 58 7 31 26 62

MELAPOR

1 1
7

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
11 11 13 20 55
1 5 1
11 7 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 0 0 0 0
0 0 0 0 0
0 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 0 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
0 0 0 0 0
0 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 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 1 6 7
2
1 0 25 47 73
1 10 19
0 0 0 0 0
0 0 0 0 0
0 0 0 2 2
2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 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
2 1 11 13 27
1 7 6
0 0 0 0 0
2 7 0 0 9
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 1 0 2 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
6 6 9 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 11 19 12 48
1 4 7
0 2 1 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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 4 39 44
1 3 10
0 0 0 0 0
0 0 4 2 6
1
0 0 0 0 0
0 0 0 0 0
0 0 1 2 3
0 0 0 0 0
33 79 50 147 309
2 9 12 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

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 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
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 : SEPTEMBER
1 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 2 1 6 3 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
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
13 4 1
2 4 5 2 1 1 1 2 5 1 2 10 10 1
1 2 2 1 2 1 2
1 1 1
4
1 1 1 1 2
1 1
6 6 20 20
2 2
1 4
1 1
12 3 1 13 3
1 1
30 9 22 20 11 7 17 35 16 39
2 1 2 1 2 3 7 5 7
1 1 1
2 1 3 1 1
1 5
1 2 3 1 2 13 44
1
8 22

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 1 0 1
0 0 15 5 20
2
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
2 0 0 0 2
0 0 0 0 0
20 26 4 4 54
3 3 1
2 6 4 0 12
1
0 0 0 0 0
0 2 1 2 5
1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 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 2 2 4
2 1
0 0 0 0 0
3 3 0 1 7
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 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 3 3
3
1 7 28 46 82
1 1 8 20
0 0 0 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
3 2 0 0 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 1 6 1 8
2 1
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
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 29 6 36
4
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
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
107 122 2 0 231
5 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 15 19 1 35
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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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
6 2 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 2 7 9
1 2
1 4 25 77 107
1 10 30
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 8 0 22 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

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 : SEPTEMBER
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 3 2 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 3 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 1 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 15 32 5 2 16 31 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 28 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 12 26 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

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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 2
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 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 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 3 0 1 5 8 2 3 4 9 1 1 32 50 17 34 17 29 10 13
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 4 0 0 1 0 0 0 0 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 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 10 12 1 0 9 16 1 0 4 6 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 10 13 39 64 11 17 39 74
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 17 39 14 19 16 29 8 13
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 2 1 2 4 6
0 0 0 0 0 0 0 0 0 0 0 0 0 32 13 24 20 37 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 12 19 5 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 12 5 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 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 2 0 0 3 5 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
2 12 25 2 4 2 3 0 0 3 7 0 0 8 23 0 1 2 5 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 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
8 9 13 3 0 12 23 1 0 1 0 1 1 29 40 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
9 16 20 0 3 12 21 0 0 10 13 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 9 13 21 26 7 8 14 24
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 7 1 7 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 3 0 0 3 119 2 83 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 5 3 8
0 0 0 0
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 3 3
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
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
74 128 40 67 309
15 29 10 15
12 9 3 2 26
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
24 38 2 1 65
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
25 39 99 174 337
4 9 21 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
5 4 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
55 96 31 42 224
22 28 9 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
1 3 10 10 24
0 0 1 2
85 79 39 45 248
16 14 5 9
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
22 35 9 10 76
10 16 4 5
13 12 5 6 36
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
8 22 2 4 36
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
59 127 14 10 210
1 1 0 0
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
84 105 8 20 217
2 6 0 0
33 29 0 0 62
1 2 0 0
0 0 0 0 0
0 0 0 0
76 115 16 22 229
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 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
21 28 47 72 168
2 5 12 19
3 10 8 37 58
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 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
3 122 2 83 210
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 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

9 September

Diunggah oleh

Informasi Dokumen

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

9 September

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 30 2

15 Tuberkulosis (TB) Paru A15 282 3

16 Tuberkulosis dengan HIV B20.0 51 4

2 HIV/ AIDS tanpa komplikasi Z21 2 8

5 Limfoma Maligna C85.9 0

2 Apendisitis Akut K35.9 1

6 Bibir sumbing Q36.9 2

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

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

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

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

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