DESEMBER 2014.xls

8/18/2019 DESEMBER 2014.xls

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SURVEILANS TERPADU PENYAKIT TIDAK MENULAR BERBASIS PUSKRSMAS

( KASUS BARU )Nama Puskesmas : Mataram Tahun : 2012

Bulan : Januari

Jum lah Kunjungan :

No Nama Penyakit

RAWAT JALAN Kasus Baru

TotalJantung dan KASUS BARU MENURUT GOLONGAN UMUR (tahun) Mnrt SeksPembuluh arah 0! "# $%$ "# %$ h#&' th ' th * th '0' th ''* th %0 th * th +0+* th !0 ,

LK PR! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P Kun-.

1 2 " # $ % & ' ( 10 11 12 1" 1# 1$ 1% 1& 1' 1( 20 21 22 2" 2# 2$ 2% 2& 2' 2(

1 Jantung dan 1) *i+ertensi 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 1

Pembuluh arah 2) Stroke 0 0 0 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 M dan a) M Ti+e , 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Metabolik b) M Ti+e ,, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 " 1 " 1 0 0 0 0 % 2 '

1) *i+otirodism 0 0 0 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) Struma non toksik-gondok endemik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

") Thyrotoksikosis-hi+ertiroidism 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 0 0 " "

#) Thyrotoksikosis 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 1

" Kanker 1) Kanker !eher .ahim 0 0 0 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) Kanker Payudara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

") Kanker Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

#) Kanker *ati 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

# Kronik dan 1) PP/K 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

egenerati 2) sma Bronkiale ") .heomatoid rtritis 0 0 0 0 0 0 0 0 0 0 0 1 1 2 #0 #" "$ "0 10 & $ ' " 2 (# (" 1'&

$ 3idera dan kibat 1) Ke4elakaan !alu !intas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Ke4elakaan !alu 2) Ke4elakaan .umah Tangga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

!intas ") Kerusuhan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mataram5 Januari 2012

Ke+ala Puskesmas

Mataram

Su/a#12 S So32 MP"

NIP. '*+*'%4' '**%04 ' '%


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Kode Puskesmas : 0 & 0 "

Puskesmas : MT.M B P !B 1 : B P

Ke4ama ke4amatan : MT.M Bulan : 0 1

Puskesmas Pembantu yang ada : 0 1 6ang mela+or : 0 1 Tahun : 2 0 1 #

Kabu+aten - Kota : MT.M

Pro7insi : N8S T9N. B.TLAPORAN BULANAN DATA KESAKITAN

Ju5lah P6n6#1ta

,3 0;& hr ';2' hr 1 bl < 1 th 1;# th $;( th 10 ; 1# th 1$;1( th 20;## th #$;;$# th $$;$( th %0;%( th Total

No = J6n13 P6n7a81t B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B !

!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k P

01 PENYAKIT IN9EKSI PD USUS 1 1 1

0101 00 Kolera

0102 0( iare >termasuk tersangka kolera? 2 2 10 # 2 0 1 1 1 0 0 $ 2 1 2 0

010" 0% isentri >moebiasis? # 1 2 1 1 2 0 1 1 2 2 0 0 2

010# ,neksi +enyakit usus yang lain

01 a) Ti+es Perut > thy+oid@+araty+oid ? " 0 0 0 1 0 0 0 0 1 0 0 1 # 0 0 1 0 0 0

02 PENYAKIT TUBERKULOSA

0201 TB Paru

1$ a) TB Paru BT >@? 1 1 0 " 2 1 0 1 1 1% b)TB Paru Klinis 1 1 " # # " 1 " " 1 1

1( 4 TB Paru dengan ./ >@? ; milier

0202 1' TB Selain Paru > 9ktra Pulnomoner?

0" PENYAKIT BAKTERI

0"01 "0 Kusta ,-T > MB?

0"02 "0 Kusta B-! >PB ?

0"0" "% iteria

0"0# "& Batuk .ejan>Ahoo+ing 4ough?

0"0$ Tetanus

1'0" "" Tetamus neonatorum

"# Tetanus obstetrik

"$ Tetanus klasiikasi lain

0"0% 2$ P e s >rat bite e7er?

0# PENYAKIT VIRUS

0#01 '0 Poliomyelitis akut

0#02 B0$ 3am+ak

0#0" .adang *ati menular

B1$ *e+atitis kut

B1% *e+atitis B kut

B1' *e+atitis B Kronis

B1( *e+atitis >non s+esiik?

0#0# '2 .abies - !yssa

(0 engue e7er

0#0$ (1 * > emam Berdarah engue ? 0 1 0 1

0#0% B01 3a4ar ir 1 0 0 0 1 1 0 0 1 1 0 0

0#0& Penyakit Cirus !ainnya

&1 a) Tra4homa

B00 b) *er+es sim+leks

E&0


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Ju5lah P6n6#1ta

,3 0;& hr ';2' hr 1 bl < 1 th 1;# th $;( th 10 ; 1# th 1$;1( th 20;## th #$;;$# th $$;$( th %0;%( th

No = J6n13 P6n7a81t B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B !

!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr

0$ RIKETSIASIS DAN PENYAKIT

KARENA ANTROPODA LAIN

Malaria dengan +emeriksaan !eb)

0$02 B$0 a) Malaria troika>P)alsi+arum?

0$01 B$1 b) Malaria Ci7aF-tertiana

0$01 B$" 4) Malaria MiF

0$0" B$# Malaria tan+a +em)!ab) >Malr) Klinis?

0$0# 22 nthraF

0% PENYAKIT KELAMIN

0%01 $# ,neksi onokok

0%02 %# ,neksi Non onokok

0%0" Penyakit kelamin !ainnya

$( a) Tri4homoniasis

%0 b) *er+es anogenital

%# 4) luor lbus 0 " 0 0

0& PENY. IN9EKSI KRN PARASIT

DAN AKIBAT KEMUDIAN

0&01 rambusia

0&02 B ilariasis

0&0" Penyakit Ke4a4ingan

B%' Taeniasis

B&% *ookAorm isease

B&& skariasis 0 1 0 0 0 2 0 0 1 0 0 0

B&' Strongyloidiasis

B&( Tri4horiasis

B'0 9nterobiasis

0&0# B'% S 4 a b , e s 1 0 0 0 1 1 0 0 2 0 0 0 0 2 0 0 0 1 0 0

0' GANGGUAN MENTAL DAN

PRILAKU

0'01 angguan Psikotik

20 S4hiDorenia 0 0 # 1 0 0 1 0 0 1 0 0

2$ S4hiDoae4ti7e

"0 9+isode Manik

"1 Bi+olar ekti7e isease

"2 9+isode e+resi 0 1 0 0

0'02 angguan Neurotik

#0 Peny) obi anFietas

#2 Peny) /bsesi kom+ulsi

#$ angguan Somatoorm

0'0" &' .etardasi mental>klasiikasi lain?

E&0


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Ju5lah P6n6#1ta


No = J6n13 P6n7a81t B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B

!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k P

0( PENY SUSUNAN SYARA9

0(01 #0 9+i le+si 0 0 0 1 0 0 1 1 0 0 1 1 0 0 0 1 0 0 $ "

#1 Status 9+ile+tikus

0(02 Penyakit dan kelainan susunan syara lainnya

)20 a) Sindroma Parkinson 1 0 0 0

#" b) Migren 0 2 0 0

## 4) Sindroma sakit ke+ala "" 0 0 0 & 21 0 0 2 11 0 0 0 1 0 0 1 1 0 1 1 0 0 0

#& d) angguan tidur 0 1 0 0

$0 e) angguan Sara trigeminal

$1 ) angguan Sara a4ialis-Bells +alsy 0 1 0 0

$% g) Mononeuro+athy ektremitas atas

$& h) Mononeuro+athy ektremitas baAah

%2 i) Polineuro+athy 0 1 0 0 1 1 0 0

'0 j) 3erebral +alsy

'1 k) *emi+legia

'2 l) Para+legia ;tetra+legia

10 PENYAKIT MATA , ADNEKSA

1001 *#0 laukoma 0 1 0 0 0 1 0 0

1002 Katarak

*2$ a) Katarak senile

*2% b) Katarak lain 0 1 0 0 0 1 0 0 1 0 0 " 1 1 0 0

100" *$" Kelainan .eraksi 1 0 0 0 1 2 0 0 % 12 0 0 " $ 0 0 2 $ 0 0 1 1 0 0 0 1 0 0

100# Kelainan Kornea

*1% a) Keratitis

*1' b) Kelainan kornea lain

100$ Penyakit Mata !ain;lain

*00 a) *ordeolum;kalaDion 1 0 0 0 2 1 0 0

*10 b) Kunjungti7itis 1 0 0 0 # 1 0 0 1 1 0 0 0 2 0 0 2 " 0 0 2 1 0 0 0 1 0 0 0 1 0 0

*11 4) Pterigium-Kelainan konjun4ti7a lain 0 1 0 0 0 1 0 0*$0 d) Strabismus

*$$ e) Nystagmus

11 PENYAKIT TELINGA : MASTOID

*%0 /titis 9ksterna 0 1 0 0 2 2 0 0

*%1 angguan telinga luar lain>serumen? 0 1 0 0 0 2 0 0 0 2 0 0 2 0 0 0

1101 ,neksi telinga tengah

*%$ a) /titis media non su+urati 2 0 0 0 2 1 0 0 0 1 0 0 0 " 0 0 0 1 0 0 1 1 0 0*%% b) /titis media su+urati

1102 *&0 ineksi Mastoid >Mastoiditis?

*'0 /tos4lerosis

*(1 angguan Pendengaran lain

*(2 /talgia

12 PENYAKIT SISTEM SIRKULASI

E&0


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Ju5lah P6n6#1ta



!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k

,1" **@*.

,20 ngina Pektoris

,21 ,nark myo4ard kut-,M

,#2 3ardiomyo+athy

,#' trial ibrilasi

,#( ritmia Jantung

,$0 agal jantung 0 1 1 1 0 0 0 1 1 0 " " 0 0 1 2

,%0 Perdarahan subara4hnoid

,%1 Gerdarahan ,ntra4erebral

,%( ,nark 4erebri

,'% Carises tungkai

,(% *i+otensi 1 1 0 0 2 % 0 0 2 0 0 1 0 0 0

1" PENY. SAL. PERNAPASAN BAG. ATAS

1"01 J0" Tonsili tis kut 1 0 11 12 "2 1" 10 1# 2 2 " &

J"$ Tonsilitis Kronis

1"02 ,neksi kut !ain +d) Sal) Pernaasan Bag) tas

J0%)( ,SP N/N PN98M/N, 1% ' $2 #" "' 2& 1& 1& 10 1" #& %% 21 1" % & $ ( 2 # 1 1

J01 b) Sinusitis kut 0 2 0 0 0 1 0 0

J02 4) aringitis kut $ & 1 0 1 2 % 10 "% %2 $ ( $ # 1 # 2 2

1"0" Penyakit lain +d) Saluran Pernaasan Bag) tas

J11 a) ,nluenDa

J"0 b) .hinitis alergika dan 7asomotor # 1 0 0 10 ' 0 0 $ $ 0 0 # $ 0 0 1 $ 0 0 1# 1# 0 0 1 2 0 0 " 0 0 0 " 0 0 0

J"2 4) Sinusitis Kronis

J"" d) Poli+ nasi

1# PENYAKIT LAIN PADA SAL.

PERNA9ASAN BAWA"

1#01 J1& Pneumonia 1 2 ( #

1#02 J20 Bronkhi tis 1 0 0 0 " 0 0 0 1 1 0 01#0" J#$ sma 1 0 2 # 2 2 0 1 2 0 0 0 " 2 1 1 1 0

J#% Status asmatikus

1#0# Penyakit lain +ada saluran Pernaasan BaAah

J## a) 3hroni4 /bstru4ti7e Pulmonary is-3/P 1 0 0 0

J#& b) Bronkiektasis

J(0 4) 9usi +leura 1 0 0 0

P9N6K,T S,ST9M P9N39.NN

1$ P9N6K,T ./N M8!8T

1$01 K02 Karies igi

a) ,ritasi Pul+a

1$02 K0# Penyakit Pul+a dan Jaringan Peria+ikal

a) *i+eremi Pul+a

b) angraen Pul+a

E&0


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Ju5lah P6n6#1ta




1$0" K0$ ingi7itis dan Penyakit Perodontal

a) .adang usi

b) Poket

4) Karang igi

d) Priodonitis Marginalis

e) Perio4oronitis

) ingi7al bseas

1$0# K0% angguan igi dan Jaringan Penyangga lainnya

a) Persistensi

b) igi terbenam dan ,n+aksi

4) brasi

d) nomalia dentoasialis termasuk Mal oklusi

e) igi oyang-tanggal akibat +enyakit sistemik

1$0$ Penyakit rongga mulut5 kelenjar ludah5 rahang

dan lainnya

K0& a) /steomyelistis-dentoa4ial anomali

K0( b) Kista

K11 4) Penyakit Kelenjar !idah

K12 d) Stomatitis dan lesi ; lesi 1 0 0 0 0 1 0 0 2 1 0 0 1 0 0 0

K1" ) Penyakit bibir dan mukosa mulut

K1# e) Penyakit lidah

K21 9.

K2$ 8lkus aster

K2% 8lkus duodenum

K"0 ys+e+sia 1 0 $ 1 " 2 # ' ( "1 1& 1# 1 2 " $ 10 0 # 0 1

K"$ +endi4itis kut

K#0 *ernia ,nguinal

K#1 *ernia emoral

K#2 *ernia 8mbilikal 1 0 0 0

K$( angguan ungsi intestinal lain >konsti+asi? 1 0 0 0 0 1 0 0

K%0 isura dan istula ani-rekti

K%2 angguan anus-rektum lain >Aasir? 1 1 0 0 0 " 0 0

K(0 ,ntestinal malabsbsor+tion

1% PENYAKIT PADA SALURAN

KEN;ING DAN GENITAL

N00 Ne+hritis kut

N1&

N1' K 1 1 0 0 0 0 1 0

N2" .enal 3oli4

N"0 Systitis 0 1 0 0 1 0 0 0 2 ' 0 0 # " 0 0 0 2 0 0 1 # 0 0

E&0


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N&" P,

Ju5lah P6n6#1ta




N&$ Bartolinitis

N(2 *aid tidak teratur 0 2 0 0

N(" Perdarahan +er7agina dan uterus

N(# ysmenorhea 0 2 0 0

N($ Meno+ause

1& KE"AMILAN2 BAYI BARU

LA"IR DAN NI9AS

/00 Kehamilan ekto+i4

1&01 /0# Keguguran

1&0" Kera4unan kehamilan >9klamsia?

a) +reeklamsi

/12 Kehamilan dg udem@+roteinuria

/1" Kehamilan dg *TH +roteinuria neg

01# Kehamilan dg *T H +roteinuria +os

/1$ b) 9klamsia

1&02 Pendr)+d)kehamilan5 +ersalinan H masa nias

/20 a) Perdarahan +d kehamilan

/#% b) Perdarahan ante+artum

/&2 4) Perdarahan +d masa nias

1&0% /21 *y+eremesis

1&0$ /2" ,neksi +d)masa kehamilan5 +ersalinan

dan nias >,SK dlm kehamilan?

/2# Kehamilan dg M

/2$ Kehamilan dg malnutrisi

/"0 emelli

/"2 Mal+resentasi janin-kelainan letak

/"# 3P>4e+halo;+el7i4 dis+ro+ortion?

/#0 Polyhidramnion

/#2 KP

/#" Kelainan +la4enta>retensio +la4enta?

/## Pla4enta +re7ia

/#$ Solusio +la4enta

1&0# /#' Partus lama

/&1 Trauma obstetrikal >ru+tur uteri?

/'0 Partus s+ontan

/($ Kematian ibu

1' KEADAAN TERTENTU PADA

E&0


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P$& Kern ,kterus

P$' ,kterus berhubungan dg hemolisis

Ju5lah P6n6#1ta




P$( ,kterus sebab lain-isiologis

P&$ ,leus me4onium

P&% /btruksi intestinal

P&& Ne4rotiDing entero4olitis-N93

P'0 *y+otermi

P(2 Masalah +emberian makan

P($ Kematian janin

1( KE;ELAKAAN DAN KERA;UNAN

1(01 Ke4elakaan dan .uda +aksa

S00 1) !uka le4et Ke+ala

S01 2) !uka terbuka ke+ala

S02 ") raktur tulang ke+ala@Aajah

S#0 #) !uka le4et lengan atas

S#1 $) !uka terbuka lengan atas

S#2 %) raktur tulang lengan atas 1 0 0 0

S#" &) islokasi bahu

S$0 ') !uka le4et lengan baAah

S$1 () !uka terbuka lengan baAah

S$2 10) raktur tulang lengan baAah

S$" 11) islokasi sendi siku

S%0 12) !uka le4et +ergelangan @

tela+ak tangan

S%1 1") !uka terbuka +ergelangan@

tela+ak tangan

S%2 1#) raktur tulang +rgelangan @

tela+ak tangan

S%" 1$) islokasi +ergelangan @tela+ak tgn

S&0 1%)!uka le4et tungkai atas

S&1 1& !uka terbuka tungkai atas

S&2 1') raktur emur

S'0 1() !uka le4at tungkai baAah

S'1 20) !uka terbuka tungkai baAah

S'2 21) raktur tulang tungkai baAah 0 0 1 0 1 0 0 0

S(0 22) !uka le4et +ergelangan @

tela+ak kaki

S(1 2") !uka terbuka +ergelangan@

E&0


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T20 2') !uka Bakar Ke+ala leher

T22 2() !uka bakar lengan atas

T2" "0) !uka bakar tela+ak@+gelangan tangan

T2# "1) !uka bakar Tungkai

T2$ "2) !uka bakar tela+ak@+ergelangan kaki 0 2 0 0

Ju5lah P6n6#1ta




1(0" Kera4unan makanan

T%1 1) Kera4unan seaood

T%2 2) Kera4unan makanan lain

20 PENY. KULIT DAN JAR.SUB KUTAN

2001 Penyakit Kulit ,neksi

!00 a) Sindroma ineksi sta+hylo4o44us

!01 b) ,m+etigo

!02 4) bses5 urunkel5 karbunkel 1 0 0 0 1 0 0 0 0 1 0 0 2 2 0 0

!0" d) Selulitis

2002 Penyakit Kulit lergi

!20 a) ermatitis ato+ik

!21 b) ermatitis seboroik

!22 4) ia+her rash

!2" d) ermatitis kontak 1 2 # 12 & $ " # 1 1 2 21 ' % 2 2 # 1 1 0

!2( e) Pruritus

!$0 ) 8rtikar ia 1 0 0 1 2 2 1 2 0 1 2 0200" Penyakit Kulit Karena Jamur

B"$ a) ermato+hytosis 1 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 2 " 0 0 0 2 0 0 0 1 0 0 0 2 0 0

B"& b) 3andidiasis

Penyakit kulit lain

!%0 a) Penyakit kuku

!%" b) lo+e4ia areata

!%% 4) lo+e4ia sikatrikal

!&0 d) kne

!'0 e) Citiligo

!'( ) 8lkus dekubitus

!(& g) 8lkus tungkai baAah

21 Penyakit +ada sistem otot dan jaringan

+engikat >+enyakit tulang belulang5

radang sendi termasuk rematik

M&()1 M 6 ! , 0 1 0 0 1 2 0 0 % 22 0 0 1% 1" 0 0 $ % 0 0 " ' 0 0 " 2 1 0

M10 b) out

M1" 4) rthritis lain " % 0 0 1 1 0 0 " 0 1 1 1 0 1 0

22 P9N6K,T !,NN6

A. P6n7a81t Eno8#1n2 Nut#131

E&0


10/58

911 $) M ti+e ,, 0 0 0 " " 1 ' 1( 0 0 $ # 0 0 1" 1$ 0 0 $ 2

91# %) Koma hi+oglikemia

Ju5lah P6n6#1ta




9#0 &) KAashiorkos

9#1 ') Marasmus

9#2 () Marasmi4 kAashiorkor

9$0 10) eisiensi 7it

9%% 11) /besitas

9&' 12) isli+edemia 0 0 0 " 0 0 1 $ 0 0 1 0

B. P6n7a81t a#ah an o#=an

/65at

a) 3a4at baAaan

1) n4e+hali

2) Mikroseali

") *idrosealus

#) S+ina biida

$) Malormasi telinga

%) Malormasi mata

&) Palato4hisis

') !abio4hisis

() !abio+alato4hisis

10) Polidaktili

11) Synda4tili

12) oAn Syndrome

b) 3a4at yang dida+at

D. Tu5o#

a) Tumor Jinak

12 1) Tumor 4olon5 rektum5 anus dan

anal 4anal

1& 2) !i+oma 0 1 0 0 2 0 0 0 0 2 0 0 1 0 0 0

1' ") *emangioma@lym+hangioma

22 #) Ne7us melanositik

2# $) Tumor mammae >M? 0 1 0 0

2$ %) Myoma uteri

E&0


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3"# ") 3a Bron4hus dan +aru

3"' #) 3a Mediatinum

3#" $) Melanoma

3$0 %) 3a mammae

3$" &) 3a ser7iks

3$% ') 3a o7ary

3%2 () 3a testis

Ju5lah P6n6#1ta



!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !

E. B6na a31n=

T1$ 1) Benda asing di mata

T1% 2) Benda asing di telinga 0 1 0 0

T1& ") Benda asing di saluran naas

9. Kla31?18a31


12/58

!0')0 P,/9.M 1 " 2 ( 0 2 0 2 0 1 # 0 2#

%# N9M,9 !,N 0 2 2

!0')) ,N9KS, 1 1 % # & " 0 1 1 0 & & 1 2 2 0 2 0 #$

K2# 8!K8S P9PT,K8M 1 0 0 0 1

.10)# B/M,N! P,N 0 1 0 0 1

J00 3/MM/N 3/! " 1 0 0 % " 0 0 0 2 0 0 0 2 0 0 " 1 0 0 21

!0# !,MP9N,T,S 0 1 0 0 1

*$# B8T S9NJ 0 1 0 0 1

N0"( 3K 0 1 0 0 1

.0& 3*9ST P,N 0 1 0 0 1 $ 0 0 1 2 0 0 2 2 0 0 1 2 0 0 2 0 0 0 1(

,2$ /M, 0 0 0 1 0 0 1 0 2

.00)0 TK,K., 1 0 0 0 0 0 1 0 2

,$2 3* 0 0 1 0 1

.%0 3.,/M9!, 1 0 0 0 1

M$# T.!, 1 1 0 0 2

*(")1 T,N,T8S 1 1 0 0 1 1 0 0 #

,%# ST./K9 0 0 1 1 0 0 2 0 #

!%0 ,N ./I,N N,! 1 1 0 0 2

N'1 P./!PS 8T9., 0 0 0 1 1

!(1 K9!/, 1 1 0 0 0 1 0 0 "

.1%)2 *9PT/M!, 0 1 0 0 1

N20)0 BT8 ,NJ! 1 0 0 0 1

311)( 3a 3C8M 0 1 0 0 1

0

Mengetahui

Ke+ala Puskesmas Mataram

Koordinator SP2TP Puskesmas Mataram

".Tu#5u-12 S.So3 gnes te5 )Md)Ke+

N1/.'*+040!'*$!04'0' N,P 1($(011%1('2122001


13/58


Puskesmas : MT.M !B 1 :




Pro7insi : N8S T9N. B.T

LAPORAN BULANAN DATA KESAKITAN

Ju5lah P6n6#1ta



!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k

01 PENYAKIT IN9EKSI PD USUS

0101 00 Kolera

0102 0( iare >termasuk tersangka kolera? # % $ % 10 ' & % #

010" 0% isentri >moebiasis? 2 2 $ # 2 $ # 1


01 a) Ti+es Perut > thy+oid@+araty+oid ?


0201 TB Paru

1$ a) TB Paru BT >@?

1% b)TB Paru Klinis



0" PENYAKIT BAKTERI

0"01 "0 Kusta , -T > MB? 2

0"02 "0 Kusta B-! >PB ?

0"0" "% iteria


0"0$ Tetanus





0# PENYAKIT VIRUS


0#02 B0$ 3am+ak


B1$ *e+atitis kut

B1% *e+atitis B kut




(0 engue e7er

0#0$ (1 * > emam Berdarah engue ?

0#0% B01 3a4ar ir 1 2


&1 a) Tra4homa

B00 b *er+es sim+leks 1

E&0


14/58

Ju5lah P6n6#1ta











0$0# 22 nthraF

0% PENYAKIT KELAMIN






%# 4) luor lbus


DAN AKIBAT KEMUDIAN

0&01 rambusia

0&02 B ilariasis


B%' Taeniasis

B&% *ookAorm isease

B&& skariasis


B&( Tri4horiasis

B'0 9nterobiasis

0&0# B'% S 4 a b , e s


PRILAKU


20 S4hiDorenia

2$ S4hiDoae4ti7e

"0 9+isode Manik


"2 9+isode e+resi





0'0" &' . t d i t l>kl iik i l i ?

E&0


15/58

Ju5lah P6n6#1ta





0(01 #0 9+ile+si



)20 a) Sindroma Parkinson

#" b) Migren ' $ 2

## 4) Sindroma sakit ke+ala

#& d) angguan tidur


$1 ) angguan Sara a4ialis-Bells +alsy



%2 i) Polineuro+athy


'1 k) *emi+legia



1001 *#0 laukoma

1002 Katarak


*2% b) Katarak lain

100" *$" Kelainan .eraksi


*1% a) Keratitis



*00 a) *ordeolum;kalaDion 1 1

*10 b) Kunjungti7itis $ $ $ 1*11 4) Pterigium-Kelainan konjun4ti7a lain

*$0 d) Strabismus

*$$ e) Nystagmus


*%0 /titis 9ksterna

*%1 angguan telinga luar lain>serumen?


*%$ a) /titis media non su+urati 1 % ( & #

*%% b) /titis media su+urati


*'0 /tos4lerosis


*(2 /t l i

E&0


16/58

Ju5lah P6n6#1ta




,1" **@*.

,20 ngina Pektoris


,#2 3ardiomyo+athy

,#' trial ibrilasi

,#( ritmia Jantung

,$0 agal jantung



,%( ,nark 4erebri

,'% Carises tungkai

,(% *i+otensi


1"01 J0" Tonsi li tis kut 1% 1& 2$ 2( 2$ "1 20 10 %



J0%)( ,SP N/N PN98M/N, 1 #0 "$ "% $0 %" #1 #0 "$ 22 1$ 10 10 $ 1

J01 b) Sinusitis kut

J02 4) aringitis kut $ 1$ 10 20 10 10 $ $ $ $


J11 a) ,nluenDa

J"0 b) .hinitis alergika dan 7asomotor


J"" d) Poli+ nasi


PERNA9ASAN BAWA"

1#01 J1& Pneumonia 1 1 1 #

1#02 J20 Bronkhi tis

1#0" J#$ sma 1 2



J## a) 3hroni4 /bstru4ti7e Pulmonary is-3/P


J(0 4) 9usi +leura


1$ P9N6K,T ./N M8!8T

1$01 K02 Karies igi

a) ,ritasi Pul+a


a) *i+eremi Pul+a 1 1 1 2 1% 2 " 2 2 2 2 1 1 1 1

b angraen Pul+a 1 2 1 1 1 2 " ' 10 % "0 " # " % 1 1 1 2 1 1

E&0


17/58

Ju5lah P6n6#1ta



!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !


a) .adang usi 1 1 2 1 1 1

b) Poket

4) Karang igi 1 1 1 1


e) Perio4oronitis

) ingi7al bseas 2 " # 2 2 " 1 2 2 1 1 1


a) Persistensi "1 "' % %

b) igi terbenam dan ,n+aksi 1 1 2 1

4) brasi 2 1 " 1 1


e) igi oyang-tanggal akibat +enyakit sistemik " 1 1 2 1 1 1 2 1


dan lainnya


K0( b) Kista


K12 d) Stomatitis dan lesi ; lesi # 1 $ % # 1 1 1 1



K21 9.

K2$ 8lkus aster

K2% 8lkus duodenum

K"0 ys+e+sia 1 "0 "$ "0 "0 10

K"$ +endi4itis kut

K#0 *ernia ,nguinal

K#1 *ernia emoral

K#2 *ernia 8mbilikal

K$( angguan ungsi intestinal lain >konsti+asi?


K%2 angguan anus-rektum lain >Aasir? 2



KEN;ING DAN GENITAL

N00 Ne+hritis kut

N1&

N1' K

N2" .enal 3oli4

N"0 Systi tis 2 2

E&0


18/58

N&" P,

Ju5lah P6n6#1ta




N&$ Bartolinitis

N(2 *aid tidak teratur


N(# ysmenorhea

N($ Meno+ause


LA"IR DAN NI9AS


1&01 /0# Keguguran


a) +reeklamsi




/1$ b) 9klamsia








/2# Kehamilan dg M


/"0 emelli/"2 Mal+resentasi janin-kelainan letak


/#0 Polyhidramnion

/#2 KP


/## Pla4enta +re7ia




/'0 Partus s+ontan

/($ Kematian ibu


E&0

P$& Kern ,kterus


19/58

P$& Kern ,kterus


Ju5lah P6n6#1ta



!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k P


P&$ ,leus me4onium



P'0 *y+otermi


P($ Kematian janin






S#0 #) !uka le4et lengan atas 1 2 2 "

S#1 $) !uka terbuka lengan atas ( $ 1 1

S#2 %) raktur tulang lengan atas







tela+ak tangan


tela+ak tangan


tela+ak tangan




S&2 1') raktur emur



S'2 21) raktur tulang tungkai baAah


tela+ak kaki


E&0

T20 2' !uka Bakar Ke+ala leher


20/58





T2$ "2) !uka bakar tela+ak@+ergelangan kaki

Ju5lah P6n6#1ta










!01 b) ,m+etigo " "

!02 4) bses5 urunkel5 karbunkel 1 $ "

!0" d) Selulitis

2002 Penyakit Kulit lergi 2 $ ' $ 10 & &

!20 a) ermatitis ato+ik 2 1 1 2 2 1 1


!22 4) ia+her rash

!2" d) ermatitis kontak 1 $ 1" $ 10 $ 1# 1% $ $ #

!2( e) Pruritus

!$0 ) 8rtikaria

200" Penyakit Kulit Karena Jamur

B"$ a) ermato+hytosis

B"& b) 3andidiasis $ 10

Penyakit kulit lain




!&0 d) kne

!'0 e) Citiligo






M&()1 M 6 ! , "# 21 1( 1& $ 1 2

M10 b) out % $ & ' 2

M1" 4) rthritis lain

22 P9N6K,T !,NN6

A P6n7a81t Eno8#1n Nut#131

E&0

911 $) M ti+e ,,


21/58

+


Ju5lah P6n6#1ta




9#0 &) KAashiorkos

9#1 ') Marasmus



9%% 11) /besitas

9&' 12) isli+edemia


/65at

a) 3a4at baAaan

1) n4e+hali

2) Mikroseali

") *idrosealus

#) S+ina biida


%) Malormasi mata

&) Palato4hisis

') !abio4hisis


10) Polidaktili

11) Synda4tili

12) oAn Syndrome


D. Tu5o#

a) Tumor Jinak


anal 4anal

1& 2) !i+oma



2# $) Tumor mammae >M?

E&0



22/58


3#" $) Melanoma

3$0 %) 3a mammae

3$" &) 3a ser7iks

3$% ') 3a o7ary

3%2 () 3a testis

Ju5lah P6n6#1ta




E. B6na a31n=


T1% 2) Benda asing di telinga


9. Kla31?18a31


23/58

%# N9M,9 !,N

!0')) ,N9KS,

K2# 8!K8S P9PT,K8M

.10)# B/M,N! P,N

J00 3/MM/N 3/!

!0# !,MP9N,T,S

*$# B8T S9NJ

N0"( 3K

.0& 3*9ST P,N

,2$ /M,

.00)0 TK,K.,

,$2 3*

.%0 3.,/M9!,

M$# T.!,

*(")1 T,N,T8S

,%# ST./K9

!%0 ,N ./I,N N,!

N'1 P./!PS 8T9.,

!(1 K9!/,

.1%)2 *9PT/M!,

N20)0 BT8 ,NJ!

311)( 3a 3C8M


P k MT.M li kh !B 1


24/58

Puskesmas : MT.M +oli khusus !B 1 :






Ju5lah P6n6#1ta




01 PENYAKIT IN9EKSI PD USUS 1 2 "

0101 00 Kolera

0102 0( iare >termasuk tersangka kolera?

010" 0% isentri >moebiasis?




0201 TB Paru


1% b)TB Paru Klinis



0" PENYAKIT BAKTERI

0"01 "0 Kusta , -T > MB? "

0"02 "0 Kusta B-! >PB ?

0"0" "% iteria


0"0$ Tetanus





0# PENYAKIT VIRUS


0#02 B0$ 3am+ak


B1$ *e+atitis kut

B1% *e+atitis B kut




(0 engue e7er


0#0% B01 3a4ar ir


&1 a) Tra4homa


E&0


25/58

Ju5lah P6n6#1ta











0$0# 22 nthraF

0% PENYAKIT KELAMIN






%# 4) luor lbus


DAN AKIBAT KEMUDIAN

0&01 rambusia

0&02 B ilariasis


B%' Taeniasis

B&% *ookAorm isease

B&& skariasis


B&( Tri4horiasis

B'0 9nterobiasis

0&0# B'% S 4 a b , e s


PRILAKU


20 S4hiDorenia

2$ S4hiDoae4ti7e

"0 9+isode Manik


"2 9+isode e+resi





0'0" &' . t d i t l>kl iik i l i ?

E&0

Ju5lah P6n6#1ta

,3 0 & h ' 2' h 1 bl 1 th 1 # th $ ( th 10 1# th 1$ 1( th 20 ## th #$ $# th $$ $( th %0 %( th &0


26/58





0(01 #0 9+ile+si 1



)20 a) Sindroma Parkinson 1 1 2

#" b) Migren


#& d) angguan tidur


$1 ) angguan Sara a4ialis-Bells +alsy 1





'1 k) *emi+legia



1001 *#0 laukoma 1

1002 Katarak

*2$ a) Katarak senile 1 2 1

*2% b) Katarak lain

100" *$" Kelainan .eraksi 1 1


*1% a) Keratitis



*00 a) *ordeolum;kalaDion

*10 b) Kunjungti7itis 1

*11 4) Pterigium-Kelainan konjun4ti7a lain

*$0 d) Strabismus

*$$ e) Nystagmus


*%0 /titis 9ksterna



*%$ a) /titis media non su+urati



*'0 /tos4lerosis


*(2 /talgia

E&0

Ju5lah P6n6#1ta


27/58

Ju5lah P6n6#1ta




,1" **@*.

,20 ngina Pektoris

,21 ,nark myo4ard kut-,M 1 2 " 1

,#2 3ardiomyo+athy

,#' trial ibrilasi

,#( ritmia Jantung

,$0 agal j antung 1 1



,%( ,nark 4erebri

,'% Carises tungkai

,(% *i+otensi


1"01 J0" Tonsilitis kut



J00 a) Naso+haringitis-4ommon 4old


J02 4) aringitis kut 1 1


J11 a) ,nluenDa

J"0 b) .hinitis alergika dan 7asomotor # % 1


J"" d) Poli+ nasi


PERNA9ASAN BAWA"

1#01 J1& Pneumonia

1#02 J20 Bronkhitis

1#0" J#$ sma 1 1 2 2 2 " 1 1





J(0 4) 9usi +leura


1$ P9N6K,T ./N M8!8T

1$01 K02 Karies igi

a) ,ritasi Pul+a


a *i+eremi Pul+a

E&0

Ju5lah P6n6#1ta


28/58

Ju5lah P6n6#1ta





a) .adang usi

b) Poket

4) Karang igi


e) Perio4oronitis

) ingi7al bseas


a) Persistensi


4) brasi




dan lainnya


K0( b) Kista


K12 d) Stomatitis dan lesi ; lesi



K21 9.

K2$ 8lkus aster

K2% 8lkus duodenum

K"0 ys+e+sia 1 1 1 2

K"$ +endi4itis kut

K#0 *ernia ,nguinal

K#1 *ernia emoral




K%2 angguan anus-rektum lain >Aasir?



KEN;ING DAN GENITAL

N00 Ne+hritis kut

N1&

N1' K

N2" .enal 3oli4

N"0 S titi

E&0

N&" P,


29/58

Ju5lah P6n6#1ta


No = J6n13 P6n7a81t B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B !!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr

N&$ Bartolinitis



N(# ysmenorhea

N($ Meno+ause


LA"IR DAN NI9AS


1&01 /0# Keguguran


a) +reeklamsi




/1$ b) 9klamsia








/2# Kehamilan dg M


/"0 emelli



/#0 Polyhidramnion

/#2 KP


/## Pla4enta +re7ia




/'0 Partus s+ontan

/($ Kematian ibu


E&0

P$& Kern ,kterus



30/58

g g

Ju5lah P6n6#1ta





P&$ ,leus me4onium



P'0 *y+otermi


P($ Kematian janin















tela+ak tangan


tela+ak tangan


tela+ak tangan




S&2 1') raktur emur





tela+ak kaki


E&0




31/58




Ju5lah P6n6#1ta










!01 b) ,m+etigo

!02 4) bses5 urunkel5 karbunkel

!0" d) Selulitis




!22 4) ia+her rash

!2" d) ermatitis kontak 2 "

!2( e) Pruritus

!$0 ) 8rtikaria



B"& b) 3andidiasis

Penyakit kulit lain




!&0 d) kne

!'0 e) Citiligo






M0$ a) .heumatoid arhritis sero+ositi

M10 b) out

M1" 4) rthritis lain 1 1 1

22 P9N6K,T !,NN6

E&0

911 $) M ti+e ,, 2 2 # 1$ & 12 1% 21 ( "



32/58

Ju5lah P6n6#1ta




9#0 &) KAashiorkos

9#1 ') Marasmus



9%% 11) /besitas

9&' 12) isli+edemia 1 " & 1 # " " 2


/65at

a) 3a4at baAaan

1) n4e+hali

2) Mikroseali

") *idrosealus

#) S+ina biida


%) Malormasi mata

&) Palato4hisis

') !abio4hisis


10) Polidaktili

11) Synda4tili

12) oAn Syndrome


D. Tu5o#

a) Tumor Jinak


anal 4anal

1& 2) !i+oma




2$ % M i

E&0




33/58

3#" $) Melanoma

3$0 %) 3a mammae

3$" &) 3a ser7iks

3$% ') 3a o7ary

3%2 () 3a testis

Ju5lah P6n6#1ta




E. B6na a31n=




9. Kla31?18a31


34/58

!0')) ,N9KS,

K2# 8!K8S P9PT,K8M

.10)# B/M,N! P,N

J00 3/MM/N 3/!

!0# !,MP9N,T,S

*$# B8T S9NJ

N0"( 3K

.0& 3*9ST P,N

,2$ /M,

.00)0 TK,K.,

,$2 3*

.%0 3.,/M9!,

M$# T.!,

*(")1 T,N,T8S

,%# ST./K9

!%0 ,N ./I,N N,!

N'1 P./!PS 8T9.,

!(1 K9!/,

.1%)2 *9PT/M!,

N20)0 BT8 ,NJ!

311)( 3a 3C8M


Puskesmas : MT.M !B 1 : B P

Ke4amatke4amatan : MT.M Bulan : 0 1


35/58

Ke4amatke4amatan : MT.M Bulan : 0 1

Puskesmas Pembantu yang ada : 0 1 6ang mela+or : 0 1 Tahun : 2 0 1 "




Ju5lah P6n6#1ta





0101 00 Kolera

0102 0( iare >termasuk tersangka kolera?

010" 0% isentri >moebiasis?




0201 TB Paru


1% b)TB Paru Klinis



0" PENYAKIT BAKTERI

0"01 "0 Kusta ,-T > MB?

0"02 "0 Kusta B-! >PB ?

0"0" "% iteria


0"0$ Tetanus





0# PENYAKIT VIRUS

0#01 '0 Poliomyelit is akut

0#02 B0$ 3am+ak


B1$ *e+atitis kut

B1% *e+atitis B kut




(0 engue e7er


0#0% B01 3a4ar ir


&1 a) Tra4homa


E&0

Ju5lah P6n6#1ta

,3 0 & hr ' 2' hr 1 bl < 1 th 1 # th $ ( th 10 1# th 1$ 1( th 20 ## th #$ $# th $$ $( th %0 %( th E&0


36/58











0$0# 22 nthraF

0% PENYAKIT KELAMIN






%# 4) luor lbus


DAN AKIBAT KEMUDIAN

0&01 rambusia

0&02 B ilariasis


B%' Taeniasis

B&% *ookAorm isease

B&& skariasis


B&( Tri4horiasis

B'0 9nterobiasis

0&0# B'% S 4 a b , e s


PRILAKU


20 S4hiDorenia

2$ S4hiDoae4ti7e

"0 9+isode Manik


"2 9+isode e+resi





0'0" &' .etardasi mental>klasiikasi lain?

E&0

Ju5lah P6n6#1ta



E&0


37/58




0(01 #0 9+ile+si



)20 a) Sindroma Parkinson

#" b) Migren


#& d) angguan tidur


$1 ) angguan Sara a4ialis-Bells +alsy





'1 k) *emi+legia



1001 *#0 laukoma

1002 Katarak


*2% b) Katarak lain

100" *$" Kelainan .eraksi


*1% a) Keratit is



*00 a) *ordeolum;kalaDion

*10 b) Kunjungti7itis

*11 4) Pterigium-Kelainan konjun4ti7a lain

*$0 d) Strabismus

*$$ e) Nystagmus


*%0 /titis 9ksterna



*%$ a) /titis media non su+urati



*'0 /tos4lerosis


Ju5lah P6n6#1ta

,3 0;& hr ';2' hr 1 bl < 1 th 1;# th $;( th 10 ; 1# th 1$;1( th 20;## th #$;;$# th $$;$( th %0;%( th E&0


38/58

,3 0 & hr ' 2' hr 1 bl 1 th 1 # th $ ( th 10 1# th 1$ 1( th 20 ## th #$ $# th $$ $( th %0 %( th



,1" **@*.

,20 ngina Pektoris


,#2 3ardiomyo+athy

,#' trial ibri lasi

,#( ritmia Jantung

,$0 agal jantung



,%( ,nark 4erebri

,'% Carises tungkai

,(% *i+otensi


1"01 J0" Tonsil itis kut

J"$ Tonsil it is Kronis


J0%)( ,SP N/N PN98M/N,


J02 4) aringitis kut


J11 a) ,nluenDa

J"0 b) .hinitis alergika dan 7asomotor


J"" d) Pol i+ nasi


PERNA9ASAN BAWA"

1#01 J1& Pneumonia

1#02 J20 Bronkhitis

1#0" J#$ sma





J(0 4) 9usi +leura


1$ P9N6K,T ./N M8!8T

1$01 K02 Karies igi

a) ,ritasi Pul+a


a *i+eremi Pul+a

&0

Ju5lah P6n6#1ta

,3 0;& hr ';2' hr 1 bl < 1 th 1;# th $;( th 10 ; 1# th 1$;1( th 20;## th #$;;$# th $$;$( th %0;%( th E&0


39/58




a) .adang usi

b) Poket

4) Karang igi


e) Perio4oronitis

) ingi7al bseas


a) Persistensi


4) brasi




dan lainnya


K0( b) Kista


K12 d) Stomatitis dan lesi ; lesi



K21 9.

K2$ 8lkus aster

K2% 8lkus duodenum

K"0 ys+e+sia

K"$ +endi4itis kut

K#0 *ernia ,nguinal

K#1 *ernia emoral




K%2 angguan anus-rektum lain >Aasir?



KEN;ING DAN GENITAL

N00 Ne+hritis kut

N1&

N1' K

N2" .enal 3oli4

N"0 Systi tis

N&" P,


40/58

Ju5lah P6n6#1ta


No = J6n13 P6n7a81t B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B !!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr

N&$ Bartolinitis



N(# ysmenorhea

N($ Meno+ause


LA"IR DAN NI9AS


1&01 /0# Keguguran


a) +reeklamsi




/1$ b) 9klamsia

1&02 Pendr)+d)kehamilan5 +ersal inan H masa ni as







/2# Kehamilan dg M


/"0 emelli



/#0 Polyhidramnion

/#2 KP


/## Pla4enta +re7ia




/'0 Partus s+ontan

/($ Kematian ibu


E&0

P$& Kern ,kterus



41/58

Ju5lah P6n6#1ta

,3 0;& hr ';2' hr 1 bl < 1 th 1;# th $;( th 10 ; 1# th 1$;1( th 20;## th #$;;$# th $$;$( th %0;%( thNo = J6n13 P6n7a81t B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B !



P&$ ,leus me4onium



P'0 *y+otermi


P($ Kematian janin















tela+ak tangan


tela+ak tangan


tela+ak tangan




S&2 1') raktur emur





tela+ak kaki


E&0





42/58



Ju5lah P6n6#1ta










!01 b) ,m+etigo

!02 4) bses5 urunkel5 karbunkel

!0" d) Selul iti s




!22 4) ia+her rash

!2" d) ermatitis kontak

!2( e) Pruri tus

!$0 ) 8rtikaria



B"& b) 3andidiasis

Penyakit kulit lain




!&0 d) kne

!'0 e) Ci til igo






M&()1 M 6 ! ,

M10 b) out

M1" 4) rthritis lain

22 P9N6K,T !,NN6

E&0

911 $) M ti+e ,,



43/58

Ju5lah P6n6#1ta




9#0 &) KAashiorkos

9#1 ') Marasmus



9%% 11) /besitas

9&' 12) isli+edemia


/65at

a) 3a4at baAaan

1) n4e+hali

2) Mikroseali

") *idrosealus

#) S+ina biida


%) Malormasi mata

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10) Polidaktili

11) Synda4tili

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D. Tu5o#

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SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS RUTIN@SENTINEL

( KASUS BARU )

Tahun : 201#

Bulan : Januari


46/58

Bulan : Januari

Nama Puskesmas : Mataram Jum lah Kunjungan :

No Na5a P6n7a81tGolon=an U5u# Total

Total0! "# $%$ "# %$ h#&' th ' th * th '0' th ''* th %0 th * th +0+* th !0 ,

LK PR! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P Kunjungan

1 2 " # $ % & ' ( 10 11 12 1" 1# 1$ 1% 1& 1' 1( 20 21 22 2" 2# 2$ 2% 2& 2' 2(

1 Kolera > 0101 ? 0 0 0 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 iare > 0102 ? 0 0 # % & ' 20 12 ( % $ 1 1 0 0 $ 2 1 0 0 2 0 0 0 $0 "( '(

" iare Berdarah > 010" ? 0 0 0 0 # 1 # " % 2 # " $ # 2 2 2 0 0 0 0 0 0 2 2& 1& ##

# Tius +erut Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ Tius +erut Iidal >@? > 010# ? 0 0 0 0 0 0 0 0 " 0 1 0 0 1 1 # 1 0 0 0 0 0 0 0 % $ 11

% TB3 Paru BT >@? > 0201 ? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2

& Tersangka TB3 Paru 0 0 0 0 0 1 0 0 0 1 0 0 1 0 " # # " 1 " " 0 1 1 1" 1" 2%

' Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0( Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 3am+ak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 iteri 0 0 0 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 Batuk .ejan 0 0 0 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" Tetanus 0 0 0 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# *e+atitis Klinis > 0#0" ? 0 0 0 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$ a) Malaria troika>P)alsi+arum? 0 0 0 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% b) Malaria Ci7aF-tertiana 0 0 0 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) Malaria MiF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Malaria tan+a +em)!ab) >Malr) Klini 0 0 0 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' engue e7er 0 0 0 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( * > emam Berdarah engue ? 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 2 2

20 Pnemonia 0 0 0 0 1 2 10 $ 1 # 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 11 2"

21 ,neksi onokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

22 ,neksi Non onokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2" rambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2# ilariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2$ ,nluenDa >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

2% *i+ertensi >12? 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 12& #) M ti+e , 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2' $) M ti+e ,, 0 0 0 0 0 0 " 1 " 1 0 0 0 0 % 2 '

!a+oran Aal- Perbaikan >lingkari Pilihan ? Mataram5 11 Januari 201#

Jumlah Puskesmas Pembantu mela+or bulan la+oran Ke+ala Puskesmas

Jumlah Puskesmas +embantu mela+or te+at Aaktu bulan la+oran

".Tu#5u-12 S.So3

N1/.'*+040!'*$!04'0'


47/58


Puskesmas : MT.M !B 1

Ke4ama ke4amatan : MT.M Bulan

Puskesmas Pembantu yang ada : 0 1 6ang mela+or : 0 1 Tahun



48/58



LAPORAN BULANAN DATA KESAKITANJu5lah P6n6#1ta


No = J6n13 P6n7a81t B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B

!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr


0101 00 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0102 0( iare >termasuk tersangka kolera? 0 0 0 0 # % 0 0 & ' 0 0 20 12 0 0 ( % 0 0 $ 1 0 0 1 0 0 0 0 $ 0 0 2 1 0 0 0 0 0 0 2 0 0 0 0 0010" 0% isentri >moebiasis? # 1 0 0 # " 0 0 % 2 0 0 # " 0 0 $ # 0 0 2 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 2


01 a) Ti+es Perut > thy+oid@+araty+oid ? 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 1 # 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0


0201 TB Paru

1$ a) TB Paru BT >@? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 " 2 1 0 1 0 0 0 0 0 0 0 1 0 0 0

1% b)TB Paru Klinis 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 " # 0 0 # " 0 0 1 " 0 0 " 0 0 0 1 1

1( 4 TB Paru dengan ./ >@? ; milier 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0202 1' TB Selain Paru > 9ktra Pulnomoner? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0" PENYAKIT BAKTERI

0"01 "0 Kusta ,-T > MB? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0"02 "0 Kusta B-! >PB ? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0"0" "% iteria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0"0# "& Batuk .ejan>Ahoo+ing 4ough? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0"0$ Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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" "" Tetamus neonatorum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

"# Tetanus obstetrik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

"$ Tetanus klasiikasi lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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$ P e s >rat bite e7er? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0# PENYAKIT VIRUS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0#01 '0 Poliomyelitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0#02 B0$ 3am+ak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0#0" .adang *ati menular 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B1$ *e+atitis kut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B1% *e+atitis B kut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B1' *e+atitis B Kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B1( *e+atitis >non s+esiik? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 .abies - !yssa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

(0 engue e7er 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00#0$ (1 * > emam Berdarah engue ? 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% B01 3a4ar ir 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 " 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 a) Tra4homa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B00 b) *er+es sim+leks 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

B02 4 *er7es Doster 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 2 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0

E&

Ju5lah P6n6#1ta


No = J6n13 P6n7a81t B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B !


49/58

!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !




0$02 B$0 a) Malaria troika>P)alsi+arum? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0$01 B$1 b) Malaria Ci7aF-tertiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0$01 B$" 4) Malaria MiF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0$0" B$# Malaria tan+a +em)!ab) >Malr) Klinis? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0$0# 22 nthraF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0% PENYAKIT KELAMIN

0%01 $# ,neksi onokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0%02 %# ,neksi Non onokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


$( a) Tri4homoniasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

%0 b) *er+es anogenital 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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) luor lbus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 " 0 0 0 0 0 0 0 0 0 0 0 0 0 0


DAN AKIBAT KEMUDIAN

0&01 rambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0&02 B ilariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0&0" Penyakit Ke4a4ingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B%' Taeniasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B&% *ookAorm isease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B&& skariasis 0 0 0 0 0 1 0 0 0 2 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

B&' Strongyloidiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B&( Tri4horiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B'0 9nterobiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0&0# B'% S 4 a b i e s 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0


PRILAKU

0'01 angguan Psikotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

20 S4hiDorenia 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 1 0

2$ S4hiDoae4ti7e 0 0 0 0 0 0 0 0 0 0 0 0 0 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+isode Manik 0 0 0 0 0 0 0 0 0 0 0 0 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 Bi+olar ekti7e isease 0 0 0 0 0 0 0 0 0 0 0 0 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 9+isode e+resi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0'02 angguan Neurotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

#0 Peny) obi anFietas 0 0 0 0 0 0 0 0 0 0 0 0 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 Peny) /bsesi kom+ulsi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

#$ angguan Somatoorm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0'0" &' .etardasi mental>klasiikasi lain? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0'0# angguan Kesehatan JiAa bermula +d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bayi5nak .emaja dan Perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Ju5lah P6n6#1ta


No = J6n13 P6n7a81t B ! B ! B ! B ! B ! B ! B ! B ! B ! B ! B !

!k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !k Pr !


50/58


0(01 #0 9+ile+si 0 0 0 0 0 0 0 1 0 0 1 1 0 0 2 1 0 0 0 1 0 0 $ " 0 0 0 0 0 0 0 0 0 0 0 0

#1 Status 9+ile+tikus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0(02 Penyakit dan kelainan susunan syara lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

)20 a) Sindroma Parkinson 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 1 0

#" b) Migren 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

## 4) Sindroma sakit ke+ala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "" 0 0 0 & 21 0 0 2 11 0 0 0 1 0 0 1 1 0 1

#& d) angguan tidur 0 0 0 0 0 0 0 0 0 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 e) angguan Sara trigeminal 0 0 0 0 0 0 0 0 0 0 0 0 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 ) angguan Sara a4ialis-Bells +alsy 0 0 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

$% g) Mononeuro+athy ektremitas atas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$& h) Mononeuro+athy ektremitas baAah 0 0 0 0 0 0 0 0 0 0 0 0 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 i) Polineuro+athy 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 j) 3erebral +alsy 0 0 0 0 0 0 0 0 0 0 0 0 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 k) *emi+legia 0 0 0 0 0 0 0 0 0 0 0 0 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 l) Para+legia ;tetra+legia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


*#0 laukoma 0 0 0 0 0 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

1002 Katarak

*2$ a) Katarak senile 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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% b) Katarak lain 0 0 0 0 0 0 0 0 0 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 1 0 0 "

100" *$" Kelainan .eraksi 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 0 0 % 12 0 0 " $ 0 1 2 $ 0 0 1 1 0 0


*1% a) Keratitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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' b) Kelainan kornea lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


*00 a) *ordeolum;kalaDion 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

*10 b) Kunjungti7itis 0 0 0 0 0 0 0 0 1 0 0 0 # 1 0 0 % % 0 0 $ 1 0 0 0 2 0 0 2 " 0 0 2 1 0 0 0 0 1 0 0 1 0 0

*11 4) Pterigium-Kelainan konjun4ti7a lain 0 0 0 0 0 0 0 0 0 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 d) Strabismus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

*$$ e) Nystagmus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


*%0 /titis 9ksterna 0 0 0 0 0 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 2 2 0 0 0 0 0 0

*%1 angguan telinga luar lain>serumen? 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 2 0 0 0


*%$ a) /titis media non su+urati 0 0 0 0 0 0 0 0 0 0 0 0 " 0 0 0 ' 10 0 0 & $ 0 0 0 0 0 0 0 " 0 0 0 1 0 0 0 0 0 0 1 1 0 0

*%% b) /titis media su+urati 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1102 *&0 ineksi Mastoid >Mastoiditis? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

*'0 /tos4lerosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 angguan Pendengaran lain 0 0 0 0 0 0 0 0 0 0 0 0 0 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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