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 : November
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 3 2 1 1 1 1 2 8 10

A04.9 Bacterial intestinal infection 2 1 1 3 1 4

A16.0 Tuberculosis of lung, bacterio 1 1 1

B00 Herpes Simplex 1 1 1

B01 Varicella 1 1 1

B02 Herpez Zoster 2 2 2

B30.1 Conjunctivitis due to adenovir 1 1 1

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

B51 Malaria Tertiana (P. Vivax) 1 1 1 1 2 3

B51.0 Plasmodium vivax malaria with 1 1 1

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

B52.9 Plasmodium malariae malaria wi 1 1 1 1 2

D53 Anemia lain 1 1 1

E11 Type 2 : NIDDM 2 2 2

E14.9 Unspecified diabetes mellitus 1 1 1

E54 Ascorbic acid deficiency 1 1 1

F51.0 Nonorganic insomnia 1 1 1 1 2

G44.0 Cluster headache syndrome 1 1 1

H10 Conyungtivitis 1 1 1

H10.9 Conjunctivitis, unspecified 1 1 1

H66 Otitis media 1 1 2 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

H66.9 Otitis media, unspecified 1 2 1 2 2 4

I10 Essential (primary) hypertensi 2 1 2 1 1 5 6

I15 Hipertensi sekunder 1 1 1

I84 Wasir (Hemorhoid) 1 1 1

J00 Acute nasopharyngitis [common 6 3 13 17 3 6 5 3 1 3 13 19 6 7 3 2 4 3 1 54 64 118

J02 Pharingitis 1 2 1 4 4

J02.9 Acute pharyngitis, unspecified 1 3 1 3 4

J06.9 Acute upper respiratory infect 1 1 12 11 5 3 1 3 3 14 1 1 1 1 3 1 1 27 36 63

J22 Unspecified acute lower respir 1 1 1

J99.8 Respiratory disorders in other 1 1 1

K00 Gangguan pertumbuhan gigi dan 1 1 1 1 2

K02 Carries Gigi 1 1 1 1 2 3

K08.9 Disorder of teeth and supporti 1 1 1

K12.1 Other forms of stomatitis 1 1 1

K29 Gastritis 1 4 14 3 5 2 5 1 2 12 25 37

K29.7 Gastritis, unspecified 1 1 1 1 2

K30 Dyspepsia 2 2 2

K59.1 Functional diarrhoea 1 1 1 1 2

L01 Impetigo 1 1 2 2

L02 Abses, furuncle, carbuncle 1 2 3 3

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

L20 Atopic dermatitis 1 1 1 1 2 3

L20.9 Atopic dermatitis, unspecified 1 1 1 1 2

L27 Dermatitis alergi 1 1 2 2 2 4

L27.9 Dermatitis due to unspecified 1 1 2 2

L29.9 Pruritus, unspecified 1 1 1

L30 Dermatitis lain 1 1 2 2

L30.9 Dermatitis, unspecified 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

L98.9 Disorder of skin and subcutane 2 2 2

M13.9 Arthritis, unspecified 4 1 1 6 6

M25.9 Joint disorder, unspecified 1 1 3 4 1 5

M79 Myalgia 5 3 3 5 1 2 4 13 10 23

R05 Cough 1 5 10 3 5 2 3 2 10 2 1 2 2 1 14 35 49

R10 Nyeri perut dan panggul 1 1 1

R10.4 Other and unspecified abdomina 1 1 1

R11 Nausea and vomiting 1 2 1 2 2 4

R12 Heartburn 3 3 3

R50 Demam 1 2 2 1 4 2 6

R51 Headache 1 3 1 1 3 15 4 3 1 1 3 4 2 13 29 42

R52.9 Pain, unspecified 1 1 1 1 2 2 4

S05 Trauma Mata 1 1 1

S06.9 Intracranial injury, unspecifi 1 1 1

T00 Luka lecet 2 1 1 1 3 4

T01 Luka lecet terbuka 1 1 1 1 2

T41 Vulnus 1 1 1 1 2

T95 Kontrol Luka 1 1 1 1 2 2 4

Z30.4 Surveillance of contraceptive 1 2 1 8 3 1 8 12

Z304 KB Suntik 1 1 3 1 4 5

Z307 KB Implant 1 1 1 1 2

Z34.0 Supervision of normal first pr 1 6 7 7

Z34.8 Supervision of other normal pr 1 1 16 1 17 18

Z341 Supervisi kehamilan normal K1 1 5 1 1 5 1 7

Z342 Supervisi K2 1 6 1 6 7

Z343 Supervisi K3 2 2 4 4
 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

Z39 Perawatan Postpartum 1 1 1

0 0 0 0 0 0 0 0 12 5 0 0 43 50 0 0 21 19 0 0 8 13 0 0 3 12 0 4 43 127 1 37 21 34 0 0 13 18 0 0 32 13 0 0 6 6 0 0 202 297 1 41 0 0 541

MASNI, 05-01-2017

MENGETAHUI PELAPORAN

KEPALA PUSKESMAS PELAKSANA PROGRAM

AMOS SAYORI,AMK IRMA HASIR

19680603 198603 1 025 19811217 201004 2 002