KODE PUSKESMAS : 3671012202

PUSKESMAS : KARANG TENGAH

KECAMATAN : KARANG TENGAH
KABUPATEN / KOTA : KOTA TANGERANG
PROPINSI : BANTEN
DARI BULAN DAN TAHUN : 12-2018 SAMPAI 12-2018

KODE ICD- 0-7hr 8-28hr

No Urut Jenis Penyakit
10 Baru Lama Baru

L P L P L
1 2 3 4 5 6 7 8
1 A00.0 Cholera due to Vibrio cholerae 01, biovar cholerae 0 0 0 0 0
2 A01.0 Demam Tifoid 0 0 0 0 0
3 A01.3 Paratyphoid fever C 0 0 0 0 0
4 A01.4 Paratyphoid fever, unspecified 0 0 0 0 0
5 A09 Diarrhoea and gastroenteritis of presumed infectious origin 0 0 0 0 0
6 A15.3 Tuberculosis of lung, confirmed by unspecified means 0 0 0 0 0
7 A18 Tuberkulosis organ lainnya 0 0 0 0 0
8 A20.2 Pneumonic plague 0 0 0 0 0
9 A30 Kusta 0 0 0 0 0
10 A60 Herpes simplex genitalis 0 0 0 0 0
11 A60.9 Herpes simplex genitalis, tidak spesifik 0 0 0 0 0
12 B00 Herpesviral [herpes simplex] infections 0 0 0 0 0
13 B00.1 Herpesviral vesicular dermatitis 0 0 0 0 0
14 B01 Varicella / Cacar air 0 0 0 0 0
15 B02 Herpes zoster 0 0 0 0 0
16 B18.2 Chronic viral hepatitis C 0 0 0 0 0
17 B20 Human immunodeficiency virus [HIV] disease resulting in infe 0 0 0 0 0
18 B26 Mumps 0 0 0 0 0
19 B30 Viral conjunctivitis 0 0 0 0 0
20 B30.1 Conjunctivitis due to adenovirus 0 0 0 0 0
21 B30.8 Other viral conjunctivitis 0 0 0 0 0
22 B35.4 Tinea corporis 0 0 0 0 0
23 B36.9 Superficial mycosis, unspecified 0 0 0 0 0
24 B37 Candidiasis 0 0 0 0 0
25 B76.9 Hookworm disease, unspecified 0 0 0 0 0
26 C09.9 Tonsil, unspecified 0 0 0 0 0
27 C34.9 Bronchus or lung, unspecified 0 0 0 0 0
28 C69.0 Conjunctiva 0 0 0 0 0
29 C73 Malignant neoplasm of thyroid gland 0 0 0 0 0
30 C94.7 Other specified leukaemias 0 0 0 0 0
31 D11.0 Parotid gland 0 0 0 0 0
32 D36.9 Benign neoplasm of unspecified site 0 0 0 0 0
33 D61.8 Other specified aplastic anaemias 0 0 0 0 0
34 D64 Anemia lainnya 0 0 0 0 0
35 D64.9 Anemia, tidak spesifik 0 0 0 0 0
36 E03.1 Congenital hypothyroidism without goitre 0 0 0 0 0
37 E07.9 Disorder of thyroid, unspecified 0 0 0 0 0
38 E10 Insulin-dependent diabetes mellitus 0 0 0 0 0
39 E11.3 Non-insulin-dependent diabetes mellitus with ophthalmic comp 0 0 0 0 0
40 E11.4 Non-insulin-dependent diabetes mellitus with neurological com 0 0 0 0 0
41 E11.6 Non-insulin-dependent diabetes mellitus with other specified 0 0 0 0 0
42 E14 Diabetes melitus, tidak spesifik 0 0 0 0 0
43 E14.6 Unspecified diabetes mellitus with other specified complicatio 0 0 0 0 0
44 E14.8 Unspecified diabetes mellitus with unspecified complications 0 0 0 0 0
45 E14.9 Unspecified diabetes mellitus without complications 0 0 0 0 0
46 E78 Disorders of lipoprotein metabolism and other lipidaemias 0 0 0 0 0
47 E78.0 Pure hypercholesterolaemia 0 0 0 0 0
48 E78.2 Mixed hyperlipidaemia 0 0 0 0 0
49 E78.5 Hyperlipidaemia, unspecified 0 0 0 0 0
50 E79.0 Hyperuricaemia without signs of inflammatory arthritis and t 0 0 0 0 0
51 F13 Mental and behavioural disorders due to use of sedatives 0 0 0 0 0
52 F20 Schizophrenia 0 0 0 0 0
53 F20.9 Skizofrenia, tidak spesifik 0 0 0 0 0
54 F33 Recurrent depressive disorder 0 0 0 0 0
55 F41.1 Generalized anxiety disorder 0 0 0 0 0
56 F41.9 Anxiety disorder, unspecified 0 0 0 0 0
57 F50 Eating disorders 0 0 0 0 0
58 F80.9 Developmental disorder of speech and language, unspecified 0 0 0 0 0
59 G20 Parkinsons disease 0 0 0 0 0
60 G25.9 Extrapyramidal and movement disorder, unspecified 0 0 0 0 0
61 G50.0 Trigeminal neuralgia 0 0 0 0 0
62 H00 Hordeolum and chalazion 0 0 0 0 0
63 H00.0 Hordeolum and other deep inflammation of eyelid 0 0 0 0 0
64 H02.5 Other disorders affecting eyelid function 0 0 0 0 0
65 H10 Conjunctivitis 0 0 0 0 0
66 H10.8 Other conjunctivitis 0 0 0 0 0
67 H10.9 Konjungtivitis, tidak spesifik 0 0 0 0 0
68 H11.0 Pterygium 0 0 0 0 0
69 H26.9 Katarak, tidak spesifik 0 0 0 0 0
70 H36.0 Diabetic retinopathy 0 0 0 0 0
71 H40.9 Glaukoma, tidak spesifik 0 0 0 0 0
72 H52.1 Myopia 0 0 0 0 0
73 H52.4 Presbyopia 0 0 0 0 0
74 H52.7 Disorder of refraction, unspecified 0 0 0 0 0
75 H60 Otitis externa 0 0 0 0 0
76 H60.9 Otitis externa, unspecified 0 0 0 0 0
77 H65 Nonsuppurative otitis media 0 0 0 0 0
78 H65.2 Chronic serous otitis media 0 0 0 0 0
79 H65.9 Otitis media nonsupuratif 0 0 0 0 0
80 H66 Suppurative and unspecified otitis media 0 0 0 0 0
81 H66.4 Supuratif Otitis media, tidak spesifik 0 0 0 0 0
82 H81.4 Vertigo of central origin 0 0 0 0 0
83 H92.0 Otalgia 0 0 0 0 0
84 H93.1 Tinnitus 0 0 0 0 0
85 I10 Hipertensi primer/essensial 0 0 0 0 0
86 I11 Hypertensive heart disease 0 0 0 0 0
87 I11.9 Hypertensive heart disease without (congestive) heart failur 0 0 0 0 0
88 I20 Angina pectoris 0 0 0 0 0
89 I25 Chronic ischaemic heart disease 0 0 0 0 0
90 I25.1 Atherosclerotic heart disease 0 0 0 0 0
91 I25.4 Coronary artery aneurysm 0 0 0 0 0
92 I49.9 Cardiac arrhythmia, unspecified 0 0 0 0 0
93 I50 Heart failure 0 0 0 0 0
94 I50.0 Congestive heart failure 0 0 0 0 0
95 I50.9 Penyakit gagal jantung (DC) 0 0 0 0 0
96 I51.7 Cardiomegaly 0 0 0 0 0
97 I63.9 Cerebral infarction, unspecified 0 0 0 0 0
98 I69.4 Sequelae of stroke, not specified as haemorrhage or infarcti 0 0 0 0 0
99 I84 Haemorrhoids 0 0 0 0 0
100 I88.9 Nonspecific lymphadenitis, unspecified 0 0 0 0 0
101 J02 Acute pharyngitis 0 0 0 0 0
102 J02.9 Faringitis akut, tidak spesifik 0 0 0 0 0
103 J06 Acute upper respiratory infections of multiple and unspecifi 0 0 0 0 0
104 J06.8 Other acute upper respiratory infections of multiple sites 0 0 0 0 0
105 J06.9 Infeksi saluran pernapasan atas (ISPA), tidak spesifik 0 0 0 0 0
106 J11 Influenza, virus not identified 0 0 0 0 0
107 J11.1 Influenza 0 0 0 0 0
108 J14 Pneumonia due to Haemophilus influenzae 0 0 0 0 0
109 J18 Pneumonia, organism unspecified 0 0 0 0 0
110 J18.9 Pneumonia, tidak spesifik 0 0 0 0 0
111 J30.3 Other allergic rhinitis 0 0 0 0 0
112 J30.4 Allergic rhinitis, unspecified 0 0 0 0 0
113 J31.0 Chronic rhinitis 0 0 0 0 0
114 J35.0 Chronic tonsillitis 0 0 0 0 0
115 J42 Unspecified chronic bronchitis 0 0 0 0 0
116 J44.1 Chronic obstructive pulmonary disease with acute exacerbatio 0 0 0 0 0
117 J44.9 Chronic obstructive pulmonary disease, unspecified 0 0 0 0 0
118 J45 Asma 0 0 0 0 0
119 J45.8 Mixed asthma 0 0 0 0 0
120 J45.9 Asma, tidak spesifik 0 0 0 0 0
121 K00 Disorders of tooth development and eruption 0 0 0 0 0
122 K00.6 Disturbances in tooth eruption 0 0 0 0 0
123 K01.1 Impacted teeth 0 0 0 0 0
124 K02 karies gigi 0 0 0 0 0
125 K02.0 Caries limited to enamel 0 0 0 0 0
126 K02.1 Caries of dentine 0 0 0 0 0
127 K02.3 Arrested dental caries 0 0 0 0 0
128 K04.0 Pulpitis 0 0 0 0 0
129 K04.1 Necrosis of pulp 0 0 0 0 0
130 K04.2 Pulp degeneration 0 0 0 0 0
131 K04.5 Chronic apical periodontitis 0 0 0 0 0
132 K04.7 Periapical abscess without sinus 0 0 0 0 0
133 K05 Penyakit gusi dan periodontal 0 0 0 0 0
134 K05.0 Acute gingivitis 0 0 0 0 0
135 K05.1 Chronic gingivitis 0 0 0 0 0
136 K05.3 Chronic periodontitis 0 0 0 0 0
137 K05.4 Periodontosis 0 0 0 0 0
138 K06.0 Gingival recession 0 0 0 0 0
139 K07.6 Temporomandibular joint disorders 0 0 0 0 0
140 K08 Gangguan gigi dan jaringan penunjang lainnya 0 0 0 0 0
141 K08.1 Loss of teeth due to accident, extraction or local periodont 0 0 0 0 0
142 K08.3 Retained dental root 0 0 0 0 0
143 K12 Stomatitis and related lesions 0 0 0 0 0
144 K12.0 Sariawan / Recurrent oral aphthae 0 0 0 0 0
145 K28 Gastrojejunal ulcer 0 0 0 0 0
146 K29 Gastritis and duodenitis 0 0 0 0 0
147 K29.6 Gastritis lainnya 0 0 0 0 0
148 K29.7 Gastritis, tidak spesifik 0 0 0 0 0
149 K30 Dispepsia 0 0 0 0 0
150 K35.9 Apedisitis akut, tidak spesifik 0 0 0 0 0
151 K37 Unspecified appendicitis 0 0 0 0 0
152 K40 Hernia inguinalis 0 0 0 0 0
153 K58.0 Irritable bowel syndrome with diarrhoea 0 0 0 0 0
154 K80.2 Calculus of gallbladder without cholecystitis 0 0 0 0 0
155 K82.4 Cholesterolosis of gallbladder 0 0 0 0 0
156 L02 Cutaneous abscess, furuncle and carbuncle 0 0 0 0 0
157 L02.1 Cutaneous abscess, furuncle and carbuncle of neck 0 0 0 0 0
158 L02.4 Cutaneous abscess, furuncle and carbuncle of limb 0 0 0 0 0
159 L02.9 Abses, Furunkel, Karbunkel Kutan 0 0 0 0 0
160 L08.0 Pyoderma 0 0 0 0 0
161 L13.0 Dermatitis herpetiformis 0 0 0 0 0
162 L30 Other dermatitis 0 0 0 0 0
163 L30.8 Other specified dermatitis 0 0 0 0 0
164 L30.9 Dermanitis lain tidak spesifik 1 0 0 0 0
165 L40.9 Psoriasis / Penyakit kulit menahun, tidak spesifik 0 0 0 0 0
166 L80 Vitiligo 0 0 0 0 0
167 L84 Corns and callosities 0 0 0 0 0
168 L97 Ulcer of lower limb, not elsewhere classified 0 0 0 0 0
169 L98.2 Febrile neutrophilic dermatosis [Sweet] 0 0 0 0 0
170 M10 Gout 0 0 0 0 0
171 M13 Artritis lainnya 0 0 0 0 0
172 M17.9 Gonarthrosis, unspecified 0 0 0 0 0
173 M32 Systemic lupus erythematosus 0 0 0 0 0
174 M54.5 Low back pain 0 0 0 0 0
175 M65.03 Abscess of tendon sheath, forearm 0 0 0 0 0
176 M79 Other soft tissue disorders, not elsewhere classified 0 0 0 0 0
177 M79.01 Rheumatism, unspecified, shoulder region 0 0 0 0 0
178 M79.1 Myalgia 0 0 0 0 0
179 M96.1 Postlaminectomy syndrome, not elsewhere classified 0 0 0 0 0
180 N18 Chronic renal failure 0 0 0 0 0
181 N18.9 Chronic renal failure, unspecified 0 0 0 0 0
182 N20 Calculus of kidney and ureter 0 0 0 0 0
183 N20.0 Calculus of kidney 0 0 0 0 0
184 N22.8 Calculus of urinary tract in other diseases classified elsewhere 0 0 0 0 0
185 N28.1 Cyst of kidney, acquired 0 0 0 0 0
186 N30 Cystitis 0 0 0 0 0
187 N39.0 Urinary tract infection, site not specified 0 0 0 0 0
188 N40 Hyperplasia of prostate 0 0 0 0 0
189 N47 Redundant prepuce, phimosis and paraphimosis 0 0 0 0 0
190 N63 Unspecified lump in breast 0 0 0 0 0
191 N73 Other female pelvic inflammatory diseases 0 0 0 0 0
192 N81.4 Uterovaginal prolapse, unspecified 0 0 0 0 0
193 N89.8 Other specified noninflammatory disorders of vagina 0 0 0 0 0
194 N91.2 Amenorrhoea, unspecified 0 0 0 0 0
195 N92.5 Other specified irregular menstruation 0 0 0 0 0
196 N92.6 Irregular menstruation, unspecified 0 0 0 0 0
197 N93.9 Abnormal uterine and vaginal bleeding, unspecified 0 0 0 0 0
198 O03.4 Spontaneous abortion, incomplete, without complication 0 0 0 0 0
199 O26.8 Other specified pregnancy-related conditions 0 0 0 0 0
200 O48 Prolonged pregnancy 0 0 0 0 0
201 O82.0 Delivery by elective caesarean section 0 0 0 0 0
202 O82.9 Delivery by caesarean section, unspecified 0 0 0 0 0
203 P39.0 Neonatal infective mastitis 0 0 0 0 0
204 Q64.0 Epispadias 0 0 0 0 0
205 R00.0 Tachycardia, unspecified 0 0 0 0 0
206 R04.2 Haemoptysis 0 0 0 0 0
207 R05 Batuk 0 0 0 0 0
208 R06 Abnormalities of breathing 0 0 0 0 0
209 R06.0 Dyspnoea 0 0 0 0 0
210 R07.4 Chest pain, unspecified 0 0 0 0 0
211 R10.4 Other and unspecified abdominal pain 0 0 0 0 0
212 R11 Nausea and vomiting 0 0 0 0 0
213 R19.8 Other specified symptoms and signs involving the digestive s 0 0 0 0 0
214 R22.1 Localized swelling, mass and lump, neck 0 0 0 0 0
215 R22.9 Localized swelling, mass and lump, unspecified 0 0 0 0 0
216 R39 Other symptoms and signs involving the urinary system 0 0 0 0 0
217 R50 Demam yang tidak diketahui sebabnya 0 0 0 0 0
218 R50.8 Other specified fever 0 0 0 0 0
219 R50.9 Fever, unspecified 0 0 0 0 0
220 R51 Sakit kepala 0 0 0 0 0
221 R52.9 Pain, unspecified 0 0 0 0 0
222 R56.0 Febrile convulsions 0 0 0 0 0
223 R60.9 Oedema, unspecified 0 0 0 0 0
224 R62.0 Delayed milestone 0 0 0 0 0
225 R68 Gejala dan tanda umum lainnya 0 0 0 0 0
226 R68.8 Other specified general symptoms and signs 0 0 0 0 0
227 R79.9 Abnormal finding of blood chemistry, unspecified 0 0 0 0 0
228 R80 Isolated proteinuria 0 0 0 0 0
229 R87.6 Abnormal findings in specimens from female genital organs, abn 0 0 0 0 0
230 R94.3 Abnormal results of cardiovascular function studies 0 0 0 0 0
231 S05 Injury of eye and orbit 0 0 0 0 0
232 T14.6 Injury of muscles and tendons of unspecified body region 0 0 0 0 0
233 T14.8 Other injuries of unspecified body region 0 0 0 0 0
234 Z09.0 Follow-up examination after surgery for other conditions 0 0 0 0 0
235 Z09.8 Follow-up examination after other treatment for other condit 0 0 0 0 0
236 Z09.9 Follow-up examination after unspecified treatment for other 0 0 0 0 0
237 Z30 Pengelolaan Kontrasepsi 0 0 0 0 0
238 Z30.0 Konseling umum mengenain Kontrasepsi 0 0 0 0 0
239 Z30.8 Pengelolaan kontrasepsi, lainnya 0 0 0 0 0
240 Z30.9 Pengelolaan kontrasepsi, tidak spesifik 0 0 0 0 0
241 Z32.1 Pregnancy confirmed 0 0 0 0 0
242 Z34 Pengawasan terhadap kehamilan normal 0 0 0 0 0
243 Z34.0 Pengawasan terhadap kehamilan pertama normal 0 0 0 0 0
244 Z34.8 Supervision of other normal pregnancy 0 0 0 0 0
245 Z34.9 Pengawasan terhadap kehamilan normal, tidak spesifik 0 0 0 0 0
246 Z36 Pemeriksaan Antenatal 0 0 0 0 0
247 Z47 Other orthopaedic follow-up care 0 0 0 0 0
248 Z86.7 Personal history of diseases of the circulatory system 0 0 0 0 0
Jumlah : 1 0 0 0 0
 Pelapor

Dedy Setiyawan Amd.RMIK

 LAPORAN BULANAN DATA KESAKITAN

8-28hr 29hr-1thn 1-4thn 5-9thn 10-14thn 15-19thn

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
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
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 1 1 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 3 0 0 0 7 11 0 0 3 2 0 0 1 0 0 0 1 0 0
0 0 0 0 0 0 0 1 3 0 0 2 3 0 0 4 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 1 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 1 2 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 1 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 5 0 0 1 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 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 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 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 1 0
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 1 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 1 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 2 0 0 0 3 5 0 0 0 1 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 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 1 0 0 0 0 0 0 0 1 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 1 0 0 1 0 0 0 0 0 0 0 0 2 0
0 0 0 1 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 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 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 3 0 0 4 2 0 0 2 0 0 0 1 2 0
1 0 0 3 3 0 0 11 15 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 1 0 0 0 0 0 0 0 0 0
0 0 0 11 9 0 0 35 32 0 0 29 38 0 0 13 9 0 0 11 11 0
0 0 0 1 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 5 0 0 2 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 2 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 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 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 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 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 7 3 0 0 1 2 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 1 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 2 0 0 6 4 0 0 2 2 0 0 1 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 6 0 0 0 2 0 2 0 5 4 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 1 0 0 0 3 0 0 0 0 1 0 0 1 3 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 4 12 0 0 3 11 0 0 1 3 0 0 1 4 0 0 1 2 0 0 1
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 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 1 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 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 1 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 1 0 0 0 0 0 0 0 0
0 1 5 0 0 1 1 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0
0 14 21 0 0 13 33 0 0 10 10 0 0 17 25 0 0 25 20 0 0 20
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0
0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 9 0 0 0 1 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 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 36 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 57 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 34 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0
1 231 655 3 7 151 290 1 1 83 151 0 2 93 102 0 2 88 90 2 0 73
 >70thn JUMLAH
Baru Lama Baru Lama Total Total Berdasarkan Gender
P L P L P L P L P L&P
53 54 55 56 57 58 59 60 61 62
0 0 0 1 0 0 0 1 0 1
0 0 0 3 2 0 0 3 2 5
0 0 0 0 1 0 0 0 1 1
0 0 0 2 2 0 0 2 2 4
0 0 0 21 23 0 0 21 23 44
2 0 0 61 49 0 0 61 49 110
0 0 0 0 1 0 0 0 1 1
0 0 0 1 1 0 0 1 1 2
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 2 0 0 1 2 3
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 3 7 0 0 3 7 10
0 0 0 0 1 0 0 0 1 1
1 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 1 0 0 1 1 2
0 0 0 0 2 0 0 0 2 2
0 0 0 0 1 0 0 0 1 1
0 0 0 0 2 0 0 0 2 2
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
2 0 0 28 40 0 0 28 40 68
0 0 0 0 1 0 0 0 1 1
0 0 0 1 4 0 0 1 4 5
0 0 0 2 4 0 0 2 4 6
2 0 0 0 5 0 0 0 5 5
1 0 0 6 11 0 0 6 11 17
0 0 0 1 2 0 0 1 2 3
0 0 0 0 3 0 0 0 3 3
0 0 0 0 2 0 0 0 2 2
0 0 0 1 0 0 0 1 0 1
0 0 0 5 2 0 0 5 2 7
0 0 0 1 1 0 0 1 1 2
0 0 0 0 1 0 0 0 1 1
1 0 0 4 4 0 0 4 4 8
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 2 0 0 0 2 0 2
1 0 0 2 1 0 0 2 1 3
1 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 1 0 0 1 1 2
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 9 7 0 0 9 7 16
0 0 0 2 0 0 0 2 0 2
0 0 0 3 0 0 0 3 0 3
0 0 0 0 1 0 0 0 1 1
0 0 0 5 3 0 0 5 3 8
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
 0 0 0 0 1 0 0 0 1 1
1 0 0 18 26 0 0 18 26 44
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 2 0 0 0 2 0 2
0 0 0 1 0 0 0 1 0 1
0 0 0 1 4 0 0 1 4 5
0 0 0 1 4 0 0 1 4 5
0 0 0 0 1 0 0 0 1 1
2 0 0 4 11 0 0 4 11 15
0 0 0 2 2 0 0 2 2 4
0 0 0 4 0 0 0 4 0 4
12 0 0 51 115 0 0 51 115 166
3 0 0 6 7 0 0 6 7 13
1 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
1 0 0 3 2 0 0 3 2 5
0 0 0 5 2 0 0 5 2 7
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
0 0 0 3 4 0 0 3 4 7
0 0 0 3 3 0 0 3 3 6
0 0 0 2 1 0 0 2 1 3
0 0 0 1 1 0 0 1 1 2
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 4 2 0 0 4 2 6
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
1 0 0 26 16 0 0 26 16 42
0 0 0 19 25 0 0 19 25 44
0 0 0 0 1 0 0 0 1 1
2 0 0 170 207 0 0 170 207 377
0 0 0 3 3 0 0 3 3 6
0 0 0 2 8 0 0 2 8 10
0 0 0 0 1 0 0 0 1 1
0 0 0 0 2 0 0 0 2 2
0 0 0 0 1 0 0 0 1 1
0 0 0 2 0 0 0 2 0 2
0 0 0 2 4 0 0 2 4 6
0 0 0 2 0 0 0 2 0 2
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 0 2 0 0 0 2 2
0 0 0 2 1 0 0 2 1 3
0 0 0 0 1 0 0 0 1 1
0 0 0 8 5 0 0 8 5 13
0 0 0 0 2 0 0 0 2 2
0 0 0 0 1 0 0 0 1 1
0 0 0 1 1 0 0 1 1 2
0 0 0 0 2 0 0 0 2 2
0 0 0 17 31 3 1 20 32 52
0 0 0 0 1 0 0 0 1 1
0 0 0 6 2 0 0 6 2 8
0 1 0 34 48 5 10 39 58 97
0 0 0 1 2 0 0 1 2 3
0 0 0 1 1 1 0 2 1 3
0 0 0 10 10 1 1 11 11 22
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 8 20 0 0 8 20 28
1 0 0 1 2 0 0 1 2 3
1 0 0 0 3 0 0 0 3 3
0 0 0 3 3 0 0 3 3 6
1 0 0 0 1 0 0 0 1 1
1 0 0 2 5 1 0 3 5 8
0 0 0 0 1 0 0 0 1 1
1 0 0 5 7 0 1 5 8 13
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 3 5 0 0 3 5 8
0 0 0 0 2 0 0 0 2 2
0 0 0 9 6 0 0 9 6 15
3 0 0 50 108 0 0 50 108 158
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
1 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 1 0 0 1 1 2
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
0 0 0 6 6 0 0 6 6 12
0 0 0 2 6 0 0 2 6 8
0 0 0 1 0 0 0 1 0 1
2 0 0 30 28 0 0 30 28 58
0 0 0 2 0 0 0 2 0 2
0 0 0 20 27 0 0 20 27 47
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
1 0 0 2 3 0 0 2 3 5
2 0 0 16 54 0 0 16 54 70
0 0 0 3 0 0 0 3 0 3
0 0 0 1 0 0 0 1 0 1
0 0 0 3 12 0 0 3 12 15
0 0 0 0 1 0 0 0 1 1
0 0 0 1 1 0 0 1 1 2
0 0 0 2 2 0 0 2 2 4
1 0 0 5 31 0 0 5 31 36
0 0 0 0 1 0 0 0 1 1
0 0 0 0 3 0 0 0 3 3
0 0 0 5 0 0 0 5 0 5
0 0 0 1 1 0 0 1 1 2
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 3 0 0 0 3 3
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 2 0 0 0 2 2
0 0 0 0 3 0 0 0 3 3
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 0 26 0 0 0 26 26
0 0 0 0 2 0 0 0 2 2
0 0 0 0 2 0 0 0 2 2
0 0 0 0 5 0 0 0 5 5
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 0 1 0 1
1 0 0 42 35 0 0 42 35 77
 0 0 0 1 0 0 0 1 0 1
0 0 0 4 0 0 0 4 0 4
0 0 0 1 1 0 0 1 1 2
0 0 0 3 7 0 0 3 7 10
0 0 0 1 2 0 0 1 2 3
0 0 0 0 1 0 0 0 1 1
0 0 0 0 2 0 0 0 2 2
0 0 0 6 7 0 0 6 7 13
0 0 0 0 1 0 0 0 1 1
0 0 0 5 16 0 0 5 16 21
0 0 0 1 1 0 0 1 1 2
0 0 0 7 11 0 0 7 11 18
0 0 0 21 45 0 0 21 45 66
1 0 0 11 23 0 0 11 23 34
0 0 0 1 0 0 0 1 0 1
1 0 0 1 3 0 0 1 3 4
0 0 0 0 1 0 0 0 1 1
2 0 0 17 38 0 0 17 38 55
0 0 0 2 0 0 0 2 0 2
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 0 1 1
0 0 0 1 0 0 0 1 0 1
0 0 0 6 8 0 0 6 8 14
9 0 0 111 126 0 0 111 126 237
1 0 0 1 2 0 0 1 2 3
0 0 0 0 9 0 0 0 9 9
0 0 0 0 1 0 0 0 1 1
0 0 0 1 10 0 0 1 10 11
0 0 0 0 1 0 0 0 1 1
0 0 0 0 2 0 0 0 2 2
0 0 0 0 39 0 0 0 39 39
0 0 0 0 2 0 0 0 2 2
0 0 0 0 58 0 0 0 58 58
0 0 0 0 2 0 0 0 2 2
0 0 0 0 34 0 0 0 34 34
0 0 0 0 1 0 0 0 1 1
0 0 0 0 1 0 0 0 1 1
64 1 0 1053 1672 11 13 1064 1685 2749

Tangerang , 04 Januari 2019

 Mengetahui
Kepala PKM Karang Tengah

drg. Dwi Lestari

NIP.197504112005012008
KODE PUSKESMAS : 3671012202
PUSKESMAS : KARANG TENGAH
KECAMATAN : KARANG TENGAH
KABUPATEN / KOTA : KOTA TANGERANG
PROPINSI : BANTEN
DARI BULAN DAN TAHUN : 12-2018 SAMPAI 12-2018

KODE ICD- 0-7hr

No Urut Jenis Penyakit
10 Baru

L P
1 2 3 4 5
1 J06.9 Infeksi saluran pernapasan atas (ISPA), tidak spesifik 0 0
2 Z09.8 Follow-up examination after other treatment for other condit 0 0
3 I10 Hipertensi primer/essensial 0 0
4 K30 Dispepsia 0 0
5 A15.3 Tuberculosis of lung, confirmed by unspecified means 0 0
6 K04.1 Necrosis of pulp 0 0
7 R05 Batuk 0 0
8 M13 Artritis lainnya 0 0
9 E14 Diabetes melitus, tidak spesifik 0 0
10 R51 Sakit kepala 0 0
11 L30 Other dermatitis 0 0
12 Z34.8 Supervision of other normal pregnancy 0 0
13 R68 Gejala dan tanda umum lainnya 0 0
14 K02.1 Caries of dentine 0 0
15 L30.9 Dermanitis lain tidak spesifik 1 0
16 A09 Diarrhoea and gastroenteritis of presumed infectious origin 0 0
17 H52.7 Disorder of refraction, unspecified 0 0
18 J06 Acute upper respiratory infections of multiple and unspecifi 0 0
19 J02.9 Faringitis akut, tidak spesifik 0 0
20 Z34 Pengawasan terhadap kehamilan normal 0 0
Jumlah : 1 0

Pelapor
Dedy Setiyawan Amd.RMIK
0-7hr 8-28hr 29hr-1thn
Lama Baru Lama Baru Lama

L P L P L P L P L P
6 7 8 9 10 11 12 13 14 15
0 0 0 0 0 0 11 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 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 3 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 3 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 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 1 0 0 20 16 0 0
 LAPO

1-4thn 5-9thn 10-14thn

Baru Lama Baru Lama Baru

L P L P L P L P L P
16 17 18 19 20 21 22 23 24 25
35 32 0 0 29 38 0 0 13 9
2 3 0 0 4 0 0 0 3 1
0 0 0 0 0 0 0 0 0 0
1 0 0 0 5 0 0 0 0 2
1 3 0 0 2 3 0 0 4 0
0 0 0 0 6 0 0 0 2 0
10 9 0 0 7 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 1 0 0 1 0
2 5 0 0 4 0 0 0 5 3
0 0 0 0 0 0 0 0 0 0
1 1 0 0 1 2 0 0 3 0
0 2 0 0 6 4 0 0 2 2
3 1 0 0 5 0 0 0 1 0
7 11 0 0 3 2 0 0 1 0
0 0 0 0 2 0 0 0 3 5
11 15 0 0 1 0 0 0 0 0
2 3 0 0 4 2 0 0 2 0
0 0 0 0 0 0 0 0 0 0
75 85 0 0 79 55 0 0 40 22
 LAPORAN BULANAN DATA KESAKITAN

Jumlah Penderita
10-14thn 15-19thn 20-44thn
Lama Baru Lama Baru Lama

L P L P L P L P L P
26 27 28 29 30 31 32 33 34 35
0 0 11 11 0 0 31 58 0 0
0 0 3 4 0 0 14 21 0 0
0 0 0 0 0 0 3 22 0 0
0 0 0 6 0 0 16 48 0 0
0 0 2 3 0 0 32 31 0 0
2 0 5 4 0 1 8 30 0 5
0 0 2 2 0 0 8 9 0 0
0 0 0 0 0 0 3 20 0 0
0 0 0 0 0 0 1 1 0 0
0 0 2 1 0 0 8 17 0 0
0 0 2 2 0 0 7 8 0 0
0 0 0 1 0 0 0 57 0 0
0 0 1 0 0 0 4 12 0 0
0 0 1 2 2 0 5 14 1 0
0 0 0 0 0 0 6 11 0 0
0 0 1 0 0 0 4 6 0 0
0 0 0 1 0 0 5 8 0 0
0 0 0 0 0 0 1 3 0 0
0 0 1 2 0 0 7 6 0 0
0 0 0 3 0 0 0 36 0 0
2 0 31 42 2 1 163 418 1 5
 45-54thn 55-59 60-64thn
Baru Lama Baru Lama Baru

L P L P L P L P L P
36 37 38 39 40 41 42 43 44 45
11 22 0 0 10 10 0 0 5 8
13 33 0 0 10 10 0 0 17 25
16 33 0 0 9 23 0 0 5 13
12 25 0 0 4 12 0 0 5 5
6 5 0 0 3 1 0 0 2 1
2 10 0 1 3 3 0 2 4 0
5 4 0 0 2 3 0 0 4 1
4 17 0 0 3 8 0 0 3 5
7 12 0 0 4 13 0 0 7 6
2 14 0 0 2 8 0 0 5 2
2 6 0 0 1 2 0 0 2 0
0 0 0 0 0 0 0 0 0 0
3 11 0 0 1 3 0 0 1 4
1 3 0 0 1 1 0 0 1 3
2 8 0 0 0 5 0 0 0 1
2 2 0 0 0 1 0 0 0 0
1 7 0 0 1 0 0 0 2 0
0 0 0 0 1 3 0 0 1 0
6 2 0 0 2 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
95 214 0 1 57 106 0 2 65 74
60-64thn 65-69thn >70thn
Lama Baru Lama Baru Lama

L P L P L P L P L P
46 47 48 49 50 51 52 53 54 55
0 0 7 8 0 0 7 2 0 0
0 0 25 20 0 0 20 9 0 0
0 0 13 12 0 0 5 12 0 0
0 0 3 7 0 0 4 3 0 0
0 0 7 0 0 0 2 2 0 0
0 1 4 1 2 0 0 0 1 0
0 0 2 0 0 0 2 1 0 0
0 0 0 2 0 0 3 2 0 0
0 0 6 6 0 0 3 2 0 0
0 0 1 2 0 0 0 0 0 0
0 0 1 0 0 0 1 2 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 2 0 0 1 2 0 0
0 1 0 0 0 0 0 0 0 0
0 0 1 1 0 0 1 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 1 4 0 0 3 1 0 0
0 0 0 0 0 0 1 0 0 0
0 0 1 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 2 73 66 2 0 53 39 1 0
 JUMLAH
Baru Lama Total Total Berdasarkan Gender
L P L P L P L&P
56 57 58 59 60 61 62
170 207 0 0 170 207 377
111 126 0 0 111 126 237
51 115 0 0 51 115 166
50 108 0 0 50 108 158
61 49 0 0 61 49 110
34 48 5 10 39 58 97
42 35 0 0 42 35 77
16 54 0 0 16 54 70
28 40 0 0 28 40 68
21 45 0 0 21 45 66
30 28 0 0 30 28 58
0 58 0 0 0 58 58
17 38 0 0 17 38 55
17 31 3 1 20 32 52
20 27 0 0 20 27 47
21 23 0 0 21 23 44
18 26 0 0 18 26 44
19 25 0 0 19 25 44
26 16 0 0 26 16 42
0 39 0 0 0 39 39
752 1138 8 11 760 1149 1909

Tangerang , 04 Januari 2019

Mengetahui
Kepala PKM Karang Tengah
 drg. Dwi Lestari
NIP.197504112005012008
KODE PUSKESMAS : 32.75………………….. LB 3
Halaman 3
PUSKESMAS : Karang Tengah Lembar 1 : Untuk koordinator SP3 Dinkes DT.II
KECAMATAN : Karang Tengah Lembar 2 : Untuk koordinator SP3 Puskesmas (arsip)
PUSKESMAS PEMBANTU YANG :
- ADA :( )( ) Bulan : ( 0) ( 3)
- LAPOR : ( ) ( ) Tahun : ( 1 ) ( 8)
JUMLAH POSYANDU YANG :
- ADA :(3)(8)
- MELAKSANAKAN KEGIATAN
- IMUNISASI :( )( )
- PENANGGULANGAN DIARE :( )( )
- PENANGGULANGAN ISPA :( )( )
- PELAYANAN LAIN (selain diatas) :( )( )

KOTA TANGERANG
PROPINSI BANTEN

LAPORAN BULANAN PEMBERANTASAN PENCEGAHAN PENYAKIT

NO. PEMBERANTASAN PENCEGAHAN PENYAKIT

1 2
I. IMMUNISASI
1 Jumlah Bayi (0-11 bln) yang divaksinasi BCG
2 Jumlah Bayi (0-11 bln) yang divaksinasi Polio 1
3 Jumlah Bayi (0-11 bln) yang divaksinasi Hepatitis B1
4 Jumlah Bayi (0-11 bln) yang divaksinasi Hepatitis B3
5 Jumlah Bayi (2-11 bln) yang divaksinasi DPT 1
6 Jumlah Bayi (2-11 bln) yang divaksinasi DPT 3
7 Jumlah Bayi (3-11 bln) yang divaksinasi Polio 4
8 Jumlah Bayi (9-11 bln) yang divaksinasi Campak
9 Jumlah Bumil (kehamilan 0-8 bln) yang divaksinasi Td 1
10 Jumlah Bumil (kehamilan 0-8 bln) yang divaksinasi Td 2

II. PENGAMATAN PENYAKIT MENULAR

A. MALARIA
1 Jumlah Kasus Baru Penyakit Malaria
2 Jumlah Sediaan Darah Diperiksa ACD
3 Jumlah Sediaan Darah Diperiksa PCD
4 Jumlah Sediaan Darah yang Positif ACD
5 Jumlah Sediaan Darah yang Positif PCD
6 Jumlah Kasus Indigenous
7 Jumlah Pengobatan Radikal
8 Jumlah Bumil yang Diprofilaksis
 B. D.H.F. (DEMAM BERDARAH DENGUE)
1 Jumlah Kasus Baru Penyakit DHF
2 Jumlah Penderita yang Meninggal
3 Jumlah Kelurahan / desa endemis
4 Jumlah Kelurahan / desa AS dengan ABJ > 90 %
5 Jumlah Kelurahan / desa yang dilakukan Abatisasi Seletif (AS)
6 Jumlah Fokus DBD yang difogging

C. RABIES
1 Jumlah Orang yang Divaksin Anti Rabies
2 Jumlah Orang yang Divaksin Lengkap
3 Jumlah Orang yang Digigit Hewan Penular Rabies

D. PENYAKIT KELAMIN
1 Jumlah Pemeriksaan Smear GO & STS dari Keluarga Risti

E. DIARE
1 Jumlah Kasus Baru Penyakit Diare gol. Umur (0-1) th
2 Jumlah Kasus Baru Penyakit Diare gol. Umur (1-4) th
3 Jumlah Kasus Baru Penyakit Diare gol. Umur ( >5) th

LB 3
Halaman 4
1 2
4 Jumlah Kasus Baru Penyakit Diare semua golongan umur
5 Jumlah Penderita Diare gol. Umur (0-1) th yang meninggal
6 Jumlah Penderita Diare gol. Umur (1-4) th yang meninggal
7 Jumlah Penderita Diare gol. Umur ( >5) th yang meninggal
8 Jumlah Penderita Diare semua golongan umur yang meninggal
9 Jumlah Penderita Diare gol. Umur (0-1) th yg ditemukan kader
10 Jumlah Penderita Diare gol. Umur (1-4) th yg ditemukan kader
11 Jumlah Penderita Diare gol. Umur ( >5) th yg ditemukan kader
12 Jumlah Penderita Diare semua golongan umur yg ditemukan kader
13 Jumlah Penderita Diare gol. Umur (0-1) th yg meninggal ditemukan kader
14 Jumlah Penderita Diare gol. Umur (1-4) th yg meninggal ditemukan kader
15 Jumlah Penderita Diare gol. Umur ( >5) th yg meninggal ditemukan kader
16 Jumlah Penderita Diare semua gol. umur yg meninggal ditemukan kader
17 Jumlah Penderita yang diberikan oralit
18 Jumlah Penderita yang diinfus
19 Jumlah Penderita yang diberikan zinc
20 Jumlah Penderita yang diberikan oralit oleh kader
21 Jumlah Pemakaian Oralit

F. PROGRAM ISPA
1 Jumlah Kasus Baru Penyakit Pneumonia
2 Jumlah Kasus Pneumonia Berat gol. Umur 0-2 bl
3 Jumlah Kasus Pneumonia Berat gol. Umur 2 bl - 1 th
4 Jumlah Kasus Pneumonia Berat gol. Umur 1 - < 5 th
5 Jumlah Kasus Pneumonia Berat gol. Umur => 5 th
6 Jumlah Kasus Pneumonia gol. Umur 0-1 th yg meninggal
7 Jumlah Kasus Pneumonia gol. Umur 1 th - < 5 thyg meninggal
8 Jumlah Kasus Pneumonia gol. Umur => 5 th yg meninggal
9 Jumlah Kasus Pneumonia yang ditemukan oleh kader

G. TBC PARU-PARU
1 Jumlah Kasus Baru Penyakit TB. Paru BTA Positif bulan ini
2 Jumlah Kasus Kambuhan Penyakit TB. Paru BTA Positif bulan ini
3 Jumlah Kasus Baru Penyakit TB. Paru BTA Negatif bulan ini
4 Jumlah Kasus Baru TB. Paru BTA Positif gol. Umur 0 - < 15 th
5 Jumlah Kasus Baru TB. Paru BTA Positif gol. Umur = >15 th
6 Jumlah Pemeriksaan Dahak Tersangka
7 Jumlah Penderita BTA (+) yang diobati
8 Jumlah Penderita BTA (-) yang diobati
9 Jumlah Kunjungan Puskesmas ke Poliklinik TB
10 Jumlah Pemeriksaan Suspek TB bulan ini
11 Jumlah Kasus TB Paru yg diobati Paket Obat Anti TB (OAT) kategori 1
12 Jumlah Kasus TB Paru yg diobati Paket Obat Anti TB (OAT) kategori 2
13 Jumlah Kasus TB Paru yg diobati sisipan Paket (OAT) kategori 1
14 Jumlah Kasus TB Paru yg diobati sisipan Paket (OAT) kategori 2
15 Jumlah Kasus TB Paru yg diobati 2-3 bl yg lalu dg Paket OAT
kategori 1 yang telah konversi
16 Jumlah Kasus TB Paru yg diobati 2-3 bl yg lalu dg Paket OAT
kategori 2 yang telah konversi
17 Jumlah Kasus TB Paru yang telah sembuh
18 Jumlah Kasus TB Paru yang telah pengobatan lengkap
19 Jumlah Kasus TB Paru teregister yang meninggal
20 Jumlah Kasus TB Paru yang pindah bulan ini
21 Jumlah Kasus TB Paru yang gagal
22 Jumlah Kasus TB Paru yang telah default

1 2
H. KUSTA
1 Jumlah Kasus Baru Penyakit Kusta PB
2 Jumlah Kasus Baru Penyakit Kusta MB
3 Jumlah Penderita Kusta Type PB yg mendapat pengobatan MDT
4 Jumlah Penderita Kusta Type MB yg mendapat pengobatan MDT
5 Jumlah Penderita Kusta Type PB yg mendapat MDT dinyatakan RFT
6 Jumlah Penderita Kusta Type MB yg mendapat MDT dinyatakan RFT
7 Jumlah Temuan Cacat Tingkat II bulan ini
8 Jumlah Kusta Type PB yang DO
9 Jumlah Kusta Type MB yang DO

I. KERACUNAN MAKANAN
1 Jumlah Kasus Keracunan Makanan
2 Jumlah Frekuensi Kejadian
3 Jumlah Penderita yang Meninggal

Pelapor
Dedy Setiyawan Amd.RMIK
AHAN PENYAKIT

JUMLAH
JUMLAH
JPS-BK UMUM SWASTA
3 4 5 6

44
44
41
40
41
40
41
26
45
22

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0
0
0
0
0
0
0
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0
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3
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3 4 5 6
44
0
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0
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0
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132
0
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170
20
20
138
290
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 0

LB 3
Halaman 5
3 4 5 6

0
0
0
0
0
0
0
0
0

0
0
0

Tangerang , 04 Januari 2019

Mengetahui
Kepala PKM Karang Tengah
 drg. Dwi Lestari
NIP.197504112005012008
KODE PUSKESMAS : 32.75.…………………. LB 4
Halaman 1
PUSKESMAS : KARANG TENGAH Lembar 1 : Untuk koordinator SP3 Dinkes DT.II
KECAMATAN : KARANG TENGAH Lembar 2 : Untuk koordinator SP3 Puskesmas (arsip)
PUSKESMAS PEMBANTU YANG :
- ADA :( )( ) Bulan
- LAPOR : ( ) ( ) Tahun
KOTA : TANGERANG
PROPINSI : BANTEN

LAPORAN BULANAN KEGIATAN PUSKE

I. KUNJUNGAN PUSKESMAS
1 Jumlah Kunjungan Puskesmas
2 Jumlah Kunjungan Baru
3 Jumlah Kunjungan Lama
4 Jumlah Kunjungan Rawat Jalan Umum
5 Jumlah Kunjungan Rawat Jalan KIA
6 Jumlah Kunjungan Rawat Jalan KB
7 Jumlah Kunjungan Rawat Jalan Gigi
8 Jumlah Kunjungan Lain - lain(Laboratorium, Gizi, Poli TB, MTBS,Mata)
9 Jumlah Penderita yang dirujuk ke Rumah Sakit (Askes dan Umum)
10 Jumlah rujukan dari kader, Posyandu, BP, sekolah, dll
11 Jumlah Kunjungan Dokter Ahli
12 Jumlah Rujukan dari Rumah Sakit ke Puskesmas
13 Jumlah Kunjungan Peserta BPJS PBI
14 Jumlah Kunjungan Peserta BPJS NON PBI
15 Jumlah Kunjungan Pasien Umum
16 Jumlah peserta Kartu Sehat terdaftar di Puskesmas
17 Jumlah peserta Kartu Sehat yang dirujuk ke Rumah Sakit

II. KEGIATAN PERAWATAN KESEHATAN MASYARAKAT

1 Jumlah Kasus tindak lanjut perawatan yang selesai dibina
2 Jumlah Kunjungan pembinaan kasus tindak lanjut perawatan yg selesai
dibina
3 Jumlah Keluarga Rawan tercatat di Puskesmas
4 Jumlah Kunjungan ke Keluarga Rawan
5 Jumlah Kunjungan pembinaan ke Keluarga Rawan yang selesai dibina
6 Jumlah Kunjungan Dokter Ahli Kebidanan
7 Jumlah Kunjungan Dokter Ahli Anak
8 Jumlah Bumil risiko yang memperoleh asuhan keperawatan
9 Jumlah Balita yang memperoleh asuhan keperawatan
10 Jumlah Kelompok Khusus / panti yang dibina
11 Jumlah Kelompok Usila / Pagujuban / Posbindu yang dibina
12 Jumlah Usila yang dibina dalam Kelompok / Pagujuban/ Posbindu
13 Jumlah pemeriksaan kesehatan bagi kelompok Usila
14 Jumlah Panti Wreda yang dibina
15 Jumlah Usila di Panti Wreda
16 Jumlah Kader Usila terlatih

III. KEGIATAN KESEHATAN MATA

1 Jumlah Penderita Katarak yang Ditemukan
2 Jumlah Mata yang Menderita Katarak
3 Frekuensi Operasi Katarak Masal
4 Jumlah Mata calon operasi katarak yang datang ke lokasi operasi
5 Jumlah Mata yang Dioperasi
6 Jumlah Mata yang Batal Dioperasi
7 Jumlah Kegiatan Operasi Katarak Individuil
 IV. KEGIATAN PELAYANAN MEDIK DASAR KESEHATAN GIGI
A. PELAYANAN DI BP. GIGI
1 Jumlah Kunjungan Baru Rawat Jalan Gigi
2 Jumlah Tumpatan Pada Gigi Tetap
3 Jumlah Pencabutan Gigi Tetap
4 Jumlah Hari Buka BP Gigi

LB 4
Halaman 2
5 Jumlah Tumpatan Gigi Sulung
6 Jumlah Pengobatan Pulpa
7 Jumlah Pengobatan Periodental
8 Jumlah Kelainan Karies Gigi
9 Jumlah Kelainan Pulpa dan Jaringan Periapikal
10 Jumlah Kelainan Penyakit Gusi dan Jaringan Periodental

B. PELAYANAN U K G S
1 Jumlah Tumpatan pada Gigi Tetap
2 Jumlah Pencabutan Gigi Tetap
3 Jumlah Tumpatan Gigi Sulung
4 Jumlah Pencabutan Gigi Sulung
5 Jumlah Pembinaan ke SD UKGS
6 Jumlah Murid SD UKGS
7 Jumlah Murid SD UKGS yang perlu Perawatan
8 Jumlah Murid SD UKGS yang Mendapatkan Perawatan

C. PELAYANAN U K G M D
1 Jumlah Pembinaan ke Desa UKGMD
2 Jml Penduduk yg Mendapatkan Pelayanan Gigi Sederhana oleh Kader
3 Jumlah Posyandu dengan UKGMD

V. USAHA KESEHATAN SEKOLAH

1 Jumlah SD/sederajat yang Melaksanakan Penjaringan
2 Jumlah SMTP / sederajat yang Melaksanakan Penjaringan
3 Jumlah SMTA / sederajat yang Melaksanakan Penjaringan
4 Jumlah Murid kelas I SD, SMTP, SMTA yang Diperiksa
5 Jumlah Murid kelas I SD dengan Hb < 12 gr/%
6 Jumlah Murid kelas I SMTP dengan Hb < 12 gr/%
7 Jumlah Murid kelas I SMTA dengan Hb < 12 gr/%
8 Jumlah Murid kelas I dengan BB sesuai TB
9 Jumlah Murid yang Mendapatkan PMT AS
10 Jumlah Murid yang Mendapat PMT AS di Desa Tertinggal
11 Jumlah Murid yang Mendapatkan Tablet Kecacingan
12 Jumlah Anak Luar Biasa yang Dibina
13 Jumlah Anak Luar Biasa yang Dirujuk
14 Jumlah Anak Sekolah yang Sakit Berobat di Puskesmas
15 Jumlah Anak Sekolah yang Sakit Dirujuk ke Rumah Sakit
16 Jumlah MCK yang ada di sekolah
 VI. KESEHATAN LINGKUNGAN
1 Jumlah rumah yang ada
2 Jumlah rumah yang diperiksa
3 Jumlah rumah yang memenuhi syarat
4 Jumlah jamban keluarga yang ada
5 Jumlah jamban keluarga yang diperiksa
6 Jumlah jamban keluarga yang memenuhi syarat
7 Jumlah Sarana Air Bersih (SAB) yang ada
8 Jumlah SAB yang diperiksa
- Jumlah SAB dengan tingkat resiko yang rendah
- Jumlah SAB dengan tingkat resiko yang sedang
- Jumlah SAB dengan tingkat resiko yang tinggi
- Jumlah SAB dengan tingkat resiko yang amat tinggi
9 Jumlah SAB yang diambil sampel
- Jumlah SAB yang diambil sampel secara kimia
- Jumlah SAB yang diambil sampel secara bakteriologi
10 Jumlah SPAL yang ada
11 Jumlah SPAL yang diperiksa
- Jumlah SPAL tertutup
- Jumlah SPAL terbuka
12 Jumlah TTU yang ada / diperiksa
- Tempat peribadatan (mesjid, wihara, gereja, dll)
- Sekolah
- Industri
- RS, RB, BP
- Kolam Renang

LB 4
Halaman 3
- Hotel
- Bioskop
- Lain- lain
13 Jumlah TPS yang ada
14 Jumlah TPS yang diperiksa
15 Jumlah TPS yang memenuhi syarat
16 Jumlah TPA yang ada
17 Jumlah TPA yang diperiksa
18 Jumlah TPA yang memenuhi syarat
19 Jumlah Tempat Pengelolaan Pestisida (TP3) yang ada
20 Jumlah TP3 yang diperiksa
21 Jumlah TP3 yang memenuhi syarat kesehatan

VII. PENGAWASAN MAKANAN DAN MINUMAN

1 Jumlah Rumah Makan / Restoran yang ada / terdaftar
2 Jumlah Rumah Makan / Restoran yang diperiksa / dibina
3 Jumlah Rumah Makan / Restoran yang memenuhi syarat
4 Jumlah Desa pengrajin makanan yang ada / terdaftar
5 Jumlah Desa pengrajin makanan yang diperiksa / dibina
6 Jumlah Desa pengrajin makanan yang memenuhi syarat kesehatan
7 Jumlah Lokasi Makanan Jajanan yang ada / terdaftar
8 Jumlah Lokasi Makanan Jajanan yang diperiksa / dibina
9 Jumlah Lokasi Makanan Jajanan yang memenuhi syarat kesehatan
10 Jumlah Industri Makanan yang ada / terdaftar
11 Jumlah Industri Makanan yang diperiksa / dibina
 12 Jumlah Industri Makanan yang memenuhi syarat kesehatan
13 Jumlah Jasa Boga / Catering yang ada / terdaftar
14 Jumlah Jasa Boga / Catering yang diperiksa / dibina
15 Jumlah Jasa Boga / Catering yang memenuhi syarat kesehatan
16 Jumlah Toko Makanan yang ada / terdaftar
17 Jumlah Toko Makanan yang diperiksa / dibina
18 Jumlah Toko Makanan yang memenuhi syarat kesehatan
19 Jumlah TPM lainnya (PK 5) yang ada / terdaftar
20 Jumlah TPM lainnya (PK 5) yang diperiksa / dibina
21 Jumlah TPM lainnya (PK 5) yang memenuhi syarat kesehatan
22 Jumlah Depot Air Minum Isi Ulang yang ada / terdaftar
23 Jumlah Depot Air Minum Isi Ulang yang diperiksa / dibina
24 Jumlah Depot Air Minum Isi Ulang yang memenuhi syarat kesehatan

VII. KEGIATAN PENYULUHAN KESEHATAN MASYARAKAT

1 Jumlah peserta Dana Sehat / JPKM (KK)
2 Jumlah kader aktif
3 Jumlah Rumah Tangga PHBS
4 Jumlah Sekolah PHBS
5 Jumlah Tempat Ibadah PHBS
6 Jumlah Pustu PHBS

VIII. KEGIATAN LABORATORIUM

1 Pemeriksaan Spesimen Darah
2 Pemeriksaan Spesimen Air Seni (Urine )
3 Pemeriksaan Spesimen Tinja
4 Pemeriksaan Spesimen Sputum
5 Pemeriksaan Spesimen Lain
6 Spesimen Sample Yang Dirujuk

Pelapor
Pelaksana Program

Dedy Setiyawan Amd.RMIK

 Halaman 1
Lembar 1 : Untuk koordinator SP3 Dinkes DT.II
Lembar 2 : Untuk koordinator SP3 Puskesmas (arsip)

: ( 0) ( 3)
:( 1)( 8 )

LAPORAN BULANAN KEGIATAN PUSKESMAS

B, MTBS,Mata)

atan yg selesai

selesai dibina
HATAN GIGI

na oleh Kader
at kesehatan

YARAKAT

Tangerang, 04 Januari 2019

Mengetahui,
Kepala PKM Karang Tengah

drg. Dwi Lestari

NIP.197504112005012008
JUMLAH
2,967
389
2,578
1,815
157
18
227
493
557
51
0
0
1,458
1,066
443
0
0

4
4
0
75
4
4
0
0
0
0
0
8
96
96
0
0
39

0
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0
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0
0
0
 96
92
30
25

8
77
121
31
161
51

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0

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0
0
0
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16,773
120
120
16,773
120
120
120
120
120
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0
0
0
120
120

3
3
0
0
2

0
0
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39
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6
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195
300
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