KODE PUSKESMAS : 91050801 LB 1

PUSKESMAS : MASNI Halaman :1

KECAMATAN : MASNI Lembar 1 : Untuk Ka Sie P2M Dinkes Kab./Kota
PUSKESMAS PEMBANTU YANG: - ADA Lembar 2 : Untuk Koordinator SP2TP Dinkes Kab./Kota
- LAPOR Lembar 3 : Untuk Koordinator SP2TP Puskesmas
KABUPATEN/KODYA : MANOKWARI (Arsip)
PROPINSI : PAPUA BARAT
Wilayah Pelaporan : Semua Wilayah BULAN : Oktober
Tempat Pemeriksaan : Semua Lokasi Pemeriksaan 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

4009 Myalgia, Athralgia, Keju kemen 1 1 2 2

A04.9 Bacterial intestinal infection 4 1 1 1 2 1 1 4 7 11

A15.3 Tuberculosis of lung, confirme 1 2 1 2 4 2 6

B00.1 Herpesviral vesicular dermatit 1 1 1

B01 Varicella 1 1 1

B02 Herpez Zoster 1 1 1

B02.0 Zoster encephalitis 1 1 1

B24 Unspecified human immunodefici 1 1 1

B30.9 Viral conjunctivitis, unspecif 1 1 1

B35.0 Tinea barbae and tinea capitis 1 1 2 2

B35.4 Tinea corporis 1 1 1

B35.5 Tinea imbricata 1 1 1

B37.0 Candidal stomatitis 1 1 1

B50 Malaria Tropika (P.Faciparum). 1 4 4 1 5

B50.9 Plasmodium falciparum malaria, 1 3 2 1 1 3 1 2 10 4 14

B51 Malaria Tertiana (P. Vivax) 1 1 1 1 1 2 1 4

B51.0 Plasmodium vivax malaria with 1 1 2 2

B51.9 Plasmodium vivax malaria witho 1 1 1 1 1 1 5 1 6

B52 Malaria Mix (P.F.Campur P.V) 1 1 1 1 2

B52.9 Plasmodium malariae malaria wi 1 1 1

B77.9 Ascariasis, 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

D50.9 Iron deficiency anaemia, unspe 1 1 1

E11 Type 2 : NIDDM 1 1 1 1 2

E11.9 Non-insulin-dependent diabetes 2 2 2

E79.0 Hyperuricaemia without signs o 1 1 3 4 1 5

G44.0 Cluster headache syndrome 2 1 1 4 4

G44.2 Tension-type headache 1 1 1

G44.8 Other specified headache syndr 1 1 1

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

H10 Conyungtivitis 1 1 1 1 2

H10.0 Mucopurulent conjunctivitis 1 1 2 2

H10.3 Acute conjunctivitis, unspecif 1 1 1

H10.9 Conjunctivitis, unspecified 1 1 1 2 1 3 3 6

H25.9 Senile cataract, unspecified 1 1 1

H52.0 Hypermetropia 1 1 1

H57.9 Disorder of eye and adnexa, un 1 1 1

H58 Peny. Mata lain-lain 1 1 1

H60 Otitis Externa 1 1 1

H60.0 Abscess of external ear 1 1 1

H60.5 Acute otitis externa, noninfec 1 1 1

H66.9 Otitis media, unspecified 1 1 1 1 1 3 4

H93.9 Disorder of ear, unspecified 1 1 1

I10 Essential (primary) hypertensi 1 1 1 1 2

I15 Hipertensi sekunder 1 1 1 1 2

I15.9 Secondary hypertension, unspec 1 1 1 1 1 1 2 4 6

I96 Hypotensi 1 1 1

I99 Other and unspecified disorder 1 1 1

J00 Acute nasopharyngitis [common 1 8 11 27 34 9 16 5 11 1 3 18 29 5 10 4 2 9 5 1 87 122 209

J02 Pharingitis 2 1 3 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

J02.9 Acute pharyngitis, unspecified 1 2 3 3 1 1 1 5 5 12 17

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

J06.9 Acute upper respiratory infect 2 2 8 7 3 10 3 1 1 11 9 10 9 3 1 1 1 1 40 43 83

J22 Unspecified acute lower respir 1 1 2 2

J39.9 Disease of upper respiratory t 1 1 1 1 1 3 4

K00 Gangguan pertumbuhan gigi dan 3 4 1 3 5 8

K01 Impacted 1 1 1

K02 Carries Gigi 1 3 3 4 2 1 4 8 2 14

K03 Calculus dan deposit lain 1 1 1

K04 Peny pulpa & Jaringan Periapik 1 1 1

K05 Peny gusi & jaringan periodent 1 1 2 2

K12 Stomatitis termasuk pd bibir d 1 1 1

K12.1 Other forms of stomatitis 1 1 1 2 1 3

K25.9 Gastric ulcer, unspecified as 1 1 1

K29 Gastritis 1 2 3 5 1 1 4 8 1 13

K29.7 Gastritis, unspecified 1 1 1 1 3 1 4

K40 Hernia: inguinal 1 1 2 2

K59.1 Functional diarrhoea 1 3 2 1 1 1 1 6 4 10

K99 Peny. lain-lain Gigi & Rongga 1 1 1

L01 Impetigo 1 1 1

L01.0 Impetigo [any organism] [any s 1 1 1 1 2

L02 Abses, furuncle, carbuncle 1 1 1 1 1 4 1 5

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

L24 Dermatitis Kontak iritan 1 1 1 2 1 3

L24.9 Irritant contact dermatitis, u 2 1 1 2 3

L27 Dermatitis alergi 1 1 2 2

L27.9 Dermatitis due to unspecified 1 1 2 1 1 1 5 6

L30 Dermatitis lain 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

L30.9 Dermatitis, unspecified 1 1 1 1 1 1 1 1 4 4 8

L50 Urticaria 1 1 1

M13.9 Arthritis, unspecified 1 1 1 2 1 1 1 5 3 8

M62.9 Disorder of muscle, unspecifie 1 1 1

M70.9 Unspecified soft tissue disord 1 1 1 2 1 4 5

N04 Nephrotic syndrome 1 1 1

R05 Cough 3 6 3 2 6 1 1 4 6 8 5 1 1 1 22 26 48

R10.4 Other and unspecified abdomina 1 1 1

R11 Nausea and vomiting 1 1 2 1 1 3 3 6

R12 Heartburn 1 1 1 1 4 2 1 1 1 2 2 8 9 17

R50 Demam 2 2 1 2 2 1 2 1 1 10 4 14

R51 Headache 2 1 1 3 1 2 18 4 9 1 2 5 5 15 39 54

R52.9 Pain, unspecified 1 3 1 3 4

R53 Malaise and fatigue 1 4 1 2 4 6

R60.9 Oedema, unspecified 1 1 1 1 3 1 4

S05 Trauma Mata 1 1 1

S49.9 Unspecified injury of shoulder 1 1 2 2

S89.9 Unspecified injury of lower le 1 1 1 1 1 3 1 7 2 9

T01 Luka lecet terbuka 1 1 1

T01.9 Multiple open wounds, unspecif 1 2 1 2 1 2 8 1 9

T04.9 Multiple crushing injuries, un 2 2 2

T41 Vulnus 1 1 1

T95 Kontrol Luka 1 1 1 1 1 2 4 3 7

Z30.4 Surveillance of contraceptive 1 1 1

Z304 KB Suntik 2 1 6 1 8 9

Z307 KB Implant 2 2 2

Z34.0 Supervision of normal first pr 1 2 3 3

Z34.8 Supervision of other normal pr 1 1 6 1 7 8

 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

Z341 Supervisi kehamilan normal K1 1 2 5 4 8 4 12

Z342 Supervisi K2 2 10 2 10 12

Z343 Supervisi K3 1 3 1 11 2 14 16

Z39 Perawatan Postpartum 1 1 1

0 1 0 0 0 0 0 0 13 22 0 0 66 64 0 0 40 51 0 0 18 23 0 0 7 21 0 6 82 138 1 43 49 58 0 0 18 14 0 0 38 18 0 0 6 3 0 0 337 413 1 49 0 0 800

MASNI, 05-01-2017

MENGETAHUI PELAPORAN

KEPALA PUSKESMAS PELAKSANA PROGRAM

AMOS SAYORI,AMK IRMA HASIR

19680603 198603 1 025 19811217 201004 2 002