KODE PUSKESMAS : 33080201 LB 1

PUSKESMAS : BOROBUDUR Halaman :1

KECAMATAN : BOROBUDUR Lembar 1 : Untuk Ka Sie P2M Dinkes Kab./Kota
PUSKESMAS PEMBANTU YANG: - ADA 4 Lembar 2 : Untuk Koordinator SP2TP Dinkes Kab./Kota
- LAPOR Lembar 3 : Untuk Koordinator SP2TP Puskesmas
KABUPATEN/KODYA : MAGELANG (Arsip)
PROPINSI : JAWA TENGAH
Wilayah Pelaporan : Semua Wilayah BULAN : Desember
Tempat Pemeriksaan : PUSKESMAS INDUK LAPORAN BULANAN DATA KESAKITAN TAHUN : 2016

JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

A01.0 Typhoid fever 2 1 1 5 1 3 2 4 11 15

A04.9 Bacterial intestinal infection 3 1 3 1 4

A09 Diarrhoea and gastroenteritis 5 4 2 1 1 2 9 9 1 3 5 1 1 1 2 1 1 1 21 24 3 2 50

A15.0 Tuberculosis of lung, confirme 1 1 1 4 5 1 1 12 19

A15.9 Respiratory tuberculosis unspe 1 1 1

A38 Scarlet fever 1 1 1

A54.1 Gonococcal infection of lower 1 1 1

A57 Chancroid 1 1 1 1 1 1 3

A64 Unspecified sexually transmitt 1 1 1

A88.1 Epidemic vertigo 1 2 1 1 1 3 1 5

B00.9 Herpesviral infection, unspeci 1 2 3 3

B01.9 Varicella without complication 1 1 1

B06.9 Rubella without complication 1 1 1

B17.8 Other specified acute viral he 1 1 1

B19.9 Unspecified viral hepatitis wi 1 1 1

B26.9 Mumps without complication 1 1 2 2

B30.9 Viral conjunctivitis, unspecif 1 2 1 1 5 3 1 1 3 1 1 1 10 10 1 21

B35.3 Tinea pedis 1 1 1

B35.4 Tinea corporis 1 3 1 1 4 5

B35.5 Tinea imbricata 1 1 1

B35.8 Other dermatophytoses 1 1 1

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

B37.0 Candidal stomatitis 1 1 1 1 2

B80 Enterobiasis 1 1 1

B86 Scabies 1 2 1 1 2 2 4 3 1 9 5 3 17

C18.7 Malignant neoplasm of sigmoid 1 1 1

C91.0 Acute lymphoblastic leukaemia 1 1 1

D13.1 Benign neoplasm of stomach 1 1 1

D16.3 Benign neoplasm of short bones 1 1 1

D16.4 Benign neoplasm of bones of sk 1 1 1

D17.0 Benign lipomatous neoplasm of 1 1 1

D17.7 Benign lipomatous neoplasm of 1 1 1

D17.9 Benign lipomatous neoplasm, un 1 1 1

D24 Benign neoplasm of breast 2 2 1 3

D26.0 Other benign neoplasm of cervi 1 1 1

D36.9 Benign neoplasm of unspecified 1 1 1

D50.0 Iron deficiency anaemia second 1 1

D50.9 Iron deficiency anaemia, unspe 1 1 1

D52.9 Folate deficiency anaemia, uns 1 1 1

D69.6 Thrombocytopenia, unspecified 2 1 2 1 4 5

E06.3 Autoimmune thyroiditis 1 1 2 2

E11.5 Non-insulin-dependent diabetes 1 1

E11.9 Non-insulin-dependent diabetes 1 1 1 3 3 5 1 3 4 1 2 8 11 2 1 3 6 16 22 7 16 70

E16.4 Abnormal secretion of gastrin 1 1 1

E78.0 Pure hypercholesterolaemia 2 2 2

F20.9 Schizophrenia, unspecified 3 1 1 3 1 1 8 8 21

F29 Unspecified nonorganic psychos 2 1 1 1 2 1 2 1 6

F41.1 Generalized anxiety disorder 1 1 1

F99 Mental disorder, nos 1 1 1

G40.9 Epilepsy, unspecified 1 1 1

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

G58.9 Mononeuropathy, unspecified 1 1 1

G81.9 Hemiplegia, unspecified 1 1

H00.0 Hordeolum and other deep infla 1 1 1 1 2 2 4

H10.0 Mucopurulent conjunctivitis 1 1 1

H10.9 Conjunctivitis, unspecified 1 1 1 2 1 8 1 1 3 1 1 1 1 5 16 2 1 24

H25.0 Senile incipient cataract 1 1 1

H26.4 After-cataract 1 1 1

H52.1 Myopia 1 1 1

H52.7 Disorder of refraction, unspec 1 1 2 1 4 2 1 1 1 4 10 14

H58.0 Anomalies of pupillary functio 1 1 1

H60.9 Otitis externa, unspecified 1 1 1 2 1 3

H61.0 Perichondritis of external ear 1 1 1

H61.2 Impacted cerumen 1 1 1 2 1 3 2 1 6

H62.4 Otitis externa in other diseas 1 1 1

H66.9 Otitis media, unspecified 1 2 2 1 2 1 1 1 2 8 1 11

H81.3 Other peripheral vertigo 1 1 1

H81.4 Vertigo of central origin 3 1 4 2 1 2 1 3 11 2 16

I10 Essential (primary) hypertensi 1 1 1 4 1 2 2 3 2 2 2 6 2 2 3 2 2 7 13 9 9 3 16 57

I11.0 Hypertensive heart disease wit 1 1 1

I15.9 Secondary hypertension, unspec 1 1 1 2 1 3

I20.9 Angina pectoris, unspecified 2 1 2 1 2 2 1 1 6

I21.9 Acute myocardial infarction, u 1 1

I25.9 Chronic ischaemic heart diseas 1 1 3 1 1 4 3 1 2 10

I49.9 Cardiac arrhythmia, unspecifie 1 1 1

I50.0 Congestive heart failure 1 1 1 1 3

I63.8 Other cerebral infarction 1 1 1

I64 Stroke, not specified as haemo 1 1 1 1 1 3

I84.9 Unspecified haemorrhoids witho 1 1 1 1 1 3 2 5

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

I86.1 Scrotal varices 1 1 1

I89.1 Lymphangitis 1 1 1

J00 Acute nasopharyngitis [common 1 2 6 4 2 7 2 2 2 1 1 12 13 2 1 3 2 1 2 34 30 2 66

J01.8 Other acute sinusitis 1 1 1

J02.0 Streptococcal pharyngitis 1 1 1 1 1 3 4

J02.8 Acute pharyngitis due to other 1 1 1

J02.9 Acute pharyngitis, unspecified 4 1 2 1 10 9 3 4 2 1 18 19 37

J03.0 Streptococcal tonsillitis 1 1 1

J03.9 Acute tonsillitis, unspecified 3 3 1 4 3 7

J04.0 Acute laryngitis 1 1 1

J06.0 Acute laryngopharyngitis 1 2 1 2 2 4

J06.9 Acute upper respiratory infect 2 1 11 9 4 1 8 6 4 1 2 1 12 29 1 7 16 8 8 8 7 2 1 64 79 4 2 149

J09 Influenza due to identified av 1 1 1

J10.8 Influenza with other manifesta 1 1 1 2 4 1 5

J11.8 Influenza with other manifesta 1 1 2 1 3 4

J30.3 Other allergic rhinitis 1 1 1

J30.4 Allergic rhinitis, unspecified 1 1 1

J32.8 Other chronic sinusitis 1 1 1

J34.0 Abscess, furuncle and carbuncl 1 1 1

J40 Bronchitis, not specified as a 1 1 1

J42 Unspecified chronic bronchitis 3 1 3 1 4

J44.9 Chronic obstructive pulmonary 1 1 2 3

J45.9 Asthma, unspecified 1 4 1 1 6 1 2 9

K00.3 Mottled teeth 1 1 1

K00.6 Disturbances in tooth eruption 3 14 1 2 3 1 1 5 20 25

K01.1 Impacted teeth 1 1 1

K02.0 Caries limited to enamel 1 1 1

K02.1 Caries of dentine 2 3 3 1 3 5 1 9

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

K02.2 Caries of cementum 2 1 1 2 2 4

K03.1 Abrasion of teeth 1 1 1 1 2

K03.6 Deposits [accretions] on teeth 2 1 3 3

K04.0 Pulpitis 1 2 1 2 2 4

K04.1 Necrosis of pulp 2 2 1 2 3 3 1 5 9 14

K04.6 Periapical abscess with sinus 1 2 1 1 1 2 4 6

K04.7 Periapical abscess without sin 1 1 1 1 2

K05.0 Acute gingivitis 1 1 1

K05.1 Chronic gingivitis 1 2 1 2 3

K05.3 Chronic periodontitis 1 1 2 1 3 2 5

K06.1 Gingival enlargement 1 1 1 1 2 3

K07.3 Anomalies of tooth position 1 1 1

K08.3 Retained dental root 1 1 1 1 1 2 1 1 2 1 3 7 2 12

K12.1 Other forms of stomatitis 1 1 1 1 1 1 4 5

K13.7 Other and unspecified lesions 1 1 1

K29.1 Other acute gastritis 1 1 1 1 2

K29.6 Other gastritis 1 1 1 1 2 2 3 1 1 7

K29.7 Gastritis, unspecified 1 1 2 5 1 4 5 14 1 5 8 3 5 7 2 1 1 8 24 48 1 1 2 2 78

K30 Dyspepsia 2 1 1 2 4 2 1 1 1 8 7 1 16

K40.2 Bilateral inguinal hernia, wit 1 1 1

K40.3 Unilateral or unspecified ingu 1 1 1

K40.9 Unilateral or unspecified ingu 1 1 1

K41.0 Bilateral femoral hernia, with 1 1 1

K52.0 Gastroenteritis and colitis du 2 2 2

K59.0 Constipation 1 1 1

K74.5 Biliary cirrhosis, unspecified 1 1 1

K90.4 Malabsorption due to intoleran 1 1 1 1 2

K91.0 Vomiting following gastrointes 1 1 1

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

K92.1 Melaena 1 1 1

K92.2 Gastrointestinal haemorrhage, 1 1 1

K92.9 Disease of digestive system, u 1 1 1

L01.0 Impetigo [any organism] [any s 1 1 1

L02.4 Cutaneous abscess, furuncle an 1 1 1

L02.8 Cutaneous abscess, furuncle an 1 1 1 1 2 3

L02.9 Cutaneous abscess, furuncle an 1 1 1 1 1 2 2 1 5

L04.8 Acute lymphadenitis of other s 1 1 1

L04.9 Acute lymphadenitis, unspecifi 1 1 1

L08.0 Pyoderma 1 1 1

L08.8 Other specified local infectio 1 1 1 1 2 3

L20.0 Besnier's prurigo 1 1 1

L20.8 Other atopic dermatitis 1 1 1 2 1 3

L20.9 Atopic dermatitis, unspecified 1 1 1 1 1 1 1 1 4 3 1 8

L21.8 Other seborrhoeic dermatitis 1 1 1

L21.9 Seborrhoeic dermatitis, unspec 1 1 1

L23.4 Allergic contact dermatitis du 1 1 1

L23.8 Allergic contact dermatitis du 1 1 1 2 1 1 1 6 7

L29.9 Pruritus, unspecified 1 1 1

L30.8 Other specified dermatitis 1 1 1 1 1 1 1 1 4 4 8

L30.9 Dermatitis, unspecified 2 2 1 4 1 2 5 2 4 1 1 2 1 2 2 13 16 1 2 1 33

L50.0 Allergic urticaria 1 1 1

L50.3 Dermatographic urticaria 1 1 1

L50.8 Other urticaria 1 1 1 1 2

L50.9 Urticaria, unspecified 1 1 1

L60.8 Other nail disorders 1 1 1

L60.9 Nail disorder, unspecified 1 1 1

L66.2 Folliculitis decalvans 1 1 1 2 1 3

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

L74.2 Miliaria profunda 1 1 1

M05.8 Other seropositive rheumatoid 1 1 1

M10.0 Idiopathic gout 1 1 1 1 2 1 4

M10.06 Idiopathic gout, lower leg 1 1 1

M10.4 Other secondary gout 1 1 1

M13.06 Polyarthritis, unspecified, lo 1 1 1

M13.8 Other specified arthritis 2 3 1 1 1 1 6 1 8

M13.85 Other specified arthritis, pel 1 1 1

M13.87 Other specified arthritis, ank 1 1 2 2

M13.89 Other specified arthritis, uns 1 2 2 1 1 5 6

M13.9 Arthritis, unspecified 1 3 1 1 7 5 2 6 1 2 22 1 2 27

M13.96 Arthritis, unspecified, lower 1 1 1

M19.8 Other specified arthrosis 1 1 1

M19.9 Arthrosis, unspecified 1 1 1

M24.34 Pathological dislocation and s 1 1 1

M25.58 Pain in joint, other sites 1 1 1

M54.5 Low back pain 1 2 3 2 1 3 1 1 4 8 1 1 14

M62.66 Muscle strain, lower leg 1 1 1

M79.0 Rheumatism, unspecified 1 2 3 2 5

M79.06 Rheumatism, unspecified, lower 1 1

M79.08 Rheumatism, unspecified, other 1 1 1

M79.1 Myalgia 4 6 3 5 1 1 1 2 3 1 11 14 2 1 1 29

M79.2 Neuralgia and neuritis, unspec 1 1 1

M79.29 Neuralgia and neuritis, unspec 1 1 1

M86.1 Other acute osteomyelitis 1 1 1

N13.2 Hydronephrosis with renal and 1 1 1

N18.9 Chronic renal failure, unspeci 1 1 1 2

N20.0 Calculus of kidney 1 1 1

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

N23 Unspecified renal colic 1 1 2 2

N30.8 Other cystitis 1 1 2 2

N34.3 Urethral syndrome, unspecified 1 1 1

N39.0 Urinary tract infection, site 2 4 2 1 2 3 8 11

N43.3 Hydrocele, unspecified 1 1 1

N45.9 Orchitis, epididymitis and epi 1 1 2 2

N47 Redundant prepuce, phimosis an 1 1 1

N64.8 Other specified disorders of b 1 1 1

N76.2 Acute vulvitis 1 1 1

N81.4 Uterovaginal prolapse, unspeci 1 1 1

N89.8 Other specified noninflammator 1 1 1

N91.0 Primary amenorrhoea 1 1 1

N92.0 Excessive and frequent menstru 1 1 1

N92.1 Excessive and frequent menstru 2 1 2 1 3

N92.6 Irregular menstruation, unspec 1 1 1

N93.9 Abnormal uterine and vaginal b 1 1 1

N94.6 Dysmenorrhoea, unspecified 1 1 1

N97.8 Female infertility of other or 1 1 1

N98.9 Complication associated with a 1 1 1 1 2

O14.9 Pre-eclampsia, unspecified 1 1 1

O20.0 Threatened abortion 1 1 1

O20.9 Haemorrhage in early pregnancy 1 1 1

O21.0 Mild hyperemesis gravidarum 1 1 1

O34.2 Maternal care due to uterine s 3 5 3 5 4 12

O42.9 Premature rupture of membranes 1 1 1

O47.1 False labour at or after 37 co 1 1 1

O48 Prolonged pregnancy 2 1 2 1 1 4

O60 Preterm delivery 1 1 1

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

O63.0 Prolonged first stage (of labo 2 2 2

O80.0 Spontaneous vertex delivery 1 1 1

O80.9 Single spontaneous delivery, u 1 1 1

O83.0 Breech extraction 1 1 1

O85 Puerperal sepsis 1 1 1

O91.1 Abscess of breast associated w 1 1 1

P07.1 Other low birth weight 1 1 1

P21.9 Birth asphyxia, unspecified 1 1 1

Q66.0 Talipes equinovarus 1 1 1

R00.0 Tachycardia, unspecified 1 1 1

R02 Gangrene, not elsewhere classi 1 1 1 1 2 4

R05 Cough 1 3 1 1 6 6

R07.4 Chest pain, unspecified 1 1 1 1 2 3

R10.0 Acute abdomen 1 1 1

R10.1 Pain localized to upper abdome 1 1 1

R10.3 Pain localized to other parts 1 1 2 2

R10.4 Other and unspecified abdomina 2 1 1 1 1 4 5

R11 Nausea and vomiting 4 1 1 1 5 6

R33 Retention of urine 1 1 1 1 3 1 4

R46.3 Overactivity 1 1 1

R50.0 Fever with chills 1 2 3 2 4 6

R50.1 Persistent fever 1 1 1

R50.9 Fever, unspecified 4 5 6 2 7 9 13 17 1 7 3 1 1 1 1 2 1 40 39 1 1 81

R51 Headache 2 2 6 6 2 1 1 1 3 1 4 1 12 17 1 30

R53 Malaise and fatigue 1 1 2 1 1 1 3 1 4 7 11

R56.0 Febrile convulsions 1 1

R60.1 Generalized oedema 1 1 1

S00.0 Superficial injury of scalp 1 1 1 1 2

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

S00.8 Superficial injury of other pa 1 1 1

S01.0 Open wound of scalp 1 2 1 1 1 3 3 6

S01.5 Open wound of lip and oral cav 1 1 1

S01.8 Open wound of other parts of h 1 1 1

S50.1 Contusion of other and unspeci 1 1 1

S50.9 Superficial injury of forearm, 1 1 1

S59.7 Multiple injuries of forearm 1 1 1

S60.8 Other superficial injuries of 1 1 1

S60.9 Superficial injury of wrist an 1 1 1

S61.0 Open wound of finger(s) withou 1 1 2 2

S61.7 Multiple open wounds of wrist 1 1 1

S61.8 Open wound of other parts of w 1 1 1

S80.0 Contusion of knee 1 1 1

S80.1 Contusion of other and unspeci 1 1 1

S80.8 Other superficial injuries of 1 1 1

S90.7 Multiple superficial injuries 1 1 2 2

S90.8 Other superficial injuries of 1 1 1

S90.9 Superficial injury of ankle an 1 1 1

S91.3 Open wound of other parts of f 1 2 1 2 3

S92.9 Fracture of foot, unspecified 1 1 1

S99.8 Other specified injuries of an 1 1 1 1 2 2 4

T00.0 Superficial injuries involving 1 1 1

T00.8 Superficial injuries involving 1 1 1

T14.9 Injury, unspecified 1 1 1 1 2

T20.1 Burn of first degree of head a 1 1 1 1 2

T23.1 Burn of first degree of wrist 1 1 1

T74.1 Physical abuse 1 1 2 2

T94.0 Sequelae of injuries involving 1 1 1

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

T94.1 Sequelae of injuries, not spec 1 3 2 3 1 1 1 6 5 5 2 3 3 2 1 2 4 2 1 1 2 1 19 15 11 7 4 5 61

T95.0 Sequelae of burn, corrosion an 1 1 1

T95.8 Sequelae of other specified bu 1 1 1

V18.0 Pedal cyclist injured in nonco 1 1 1

V19.3 Pedal cyclist [any] injured in 1 1 1

V28.4 Motorcycle rider injured in no 1 1 1

V99 Unspecified transport accident 1 2 1 1 1 2 1 1 6 4 10

W06 Fall involving bed causing acc 1 1 1

W50 Hit, struck, kicked, twisted, 1 1 2 2

W55 Bitten or struck by other mamm 1 1 1

W57 Bitten or stung by nonvenomous 2 1 2 1 3

Y72.1 Otorhinolaryngological devices 1 1 1

Z00.0 General medical examination 1 1 3 3 1 1 1 2 1 4 9 1 14

Z00.1 Routine child health examinati 1 1 1

Z00.3 Examination for adolescent dev 2 3 9 7 11 10 21

Z00.8 Other general examinations 1 2 1 2 3 1 6 4 10

Z01.7 Laboratory examination 1 3 2 6 6

Z02.0 Examination for admission to e 1 1 2 2

Z02.1 Pre-employment examination 1 2 3 3 1 1 7 4 11

Z02.5 Examination for participation 3 1 4 4

Z02.8 Other examinations for adminis 1 2 1 10 20 1 1 1 13 24 37

Z03.0 Observation for suspected tube 1 1 1

Z04.3 Examination and observation fo 1 1 1

Z20.4 Contact with and exposure to r 1 1 1 1 2 3

Z20.5 Contact with and exposure to v 2 2 2

Z23.2 Need for immunization against 1 2 3 3

Z23.5 Need for immunization against 2 1 1 6 1 1 1 9 2 12

Z23.6 Need for immunization against 1 1 1

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

Z23.7 Need for immunization against 1 1 1

Z24.0 Need for immunization against 1 1 1

Z24.4 Need for immunization against 1 1 1 1 2

Z24.5 Need for immunization against 1 1 1 1 2 3

Z27.1 Need for immunization against 1 1 1

Z27.3 Need for immunization against 1 1 1 1 2

Z27.4 Need for immunization against 1 1 1

Z30.0 General counselling and advice 1 6 1 6 1 7 1 7 15

Z30.1 Insertion of (intrauterine) co 2 1 1 1 3 2 5

Z30.4 Surveillance of contraceptive 11 15 2 3 13 18 31

Z30.5 Surveillance of (intrauterine) 3 2 3 2 5

Z30.8 Other contraceptive management 1 1 1

Z30.9 Contraceptive management, unsp 1 1 1

Z32.0 Pregnancy, not (yet) confirmed 1 1 1

Z34.0 Supervision of normal first pr 1 1 17 1 1 18 1 20

Z34.8 Supervision of other normal pr 3 44 1 1 48 1 49

Z34.9 Supervision of normal pregnanc 4 1 39 8 43 9 52

Z35.4 Supervision of pregnancy with 1 1 1

Z36.0 Antenatal screening for chromo 1 1 1

Z36.9 Antenatal screening, unspecifi 12 2 12 2 14

Z37.0 Single live birth 1 1 1

Z39.2 Routine postpartum follow-up 1 3 4 4

Z41.2 Routine and ritual circumcisio 1 2 3 3

Z41.3 Ear piercing 1 1 1

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

Z48.9 Surgical follow-up care, unspe 1 1 1

0 1 0 0 1 1 0 0 10 17 1 0 47 49 6 7 60 63 3 1 36 31 2 1 47 74 2 4 180 449 20 58 82 145 9 22 35 64 5 12 60 57 20 18 30 43 4 5 588 994 72 128 48 72 1.902

BOROBUDUR, 03-01-2017

MENGETAHUI PELAPORAN

KEPALA PUSKESMAS PELAKSANA PROGRAM

dr. YUNIAR, M.P.H SHINTA DEVIANTI, A.Md

19700609 200212 2 002 19870708 200903 2 006