PUSKESMAS: UPT RAWAT INAP GALALA

BULAN: JULI 2017

Pend. Sukarela/Pemberitahuan Pemeriksa Kontak Survey School Survey lain/RVS Jumlah Pend.Baru Murni Tingkat Cacat
Umur<15THN

Jumlah Di Di
NO Nama Desa Penderita Baru Penderita Baru Diperiksa Penderita Baru Diperiksa Penderita Baru
pddk Periksa periksa
PB A PB D MB A MB D PM MB Tkt 0 Tkt 1 Tkt 2

Orang PB A PB D MB A MB D Orang PB A PB D MB A MB D Orang Orang

PB A PB D MB A MB D PB A PB D MB A MB D
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Galala 0 0 0 0 0 0 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 guraping 0 0 0 0 0 0 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 Kaiyasa 0 0 0 0 0 0 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 Gosale 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Balbar 0 0 0 0 0 0 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 Sofifi 0 0 0 0 0 0 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 Bukit Durian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ampera 0 0 0 0 0 0 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 Akekolano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Oba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Somahode 0 0 0 0 0 0 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 Gorajou 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kusu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Galala , 30 Agustus 2017

Kepala Puskesmas Pengelolah Program
ROSMINI ABD KADIR. S. Kep HARDIYANTO ESA, Amd.Kep
NIP. 19810823 200212 2 001 Nip: 19830501 200902 1 004
 LAPORAN BULANAN PROGRAM KESEHATAN JIWA TAHUN 2017

PUSKESMAS :UPT RAWAT INAP GALALA

KECAMATAN :OBA UTARA
KABUPATEN KOTA :TIDORE KEPULAUAN
PROPINSI :MALUKU UTARA
BULAN :AGUSTUS 2017
Pencapaian Kinerja (%) :

PUSKESMAS
KODE
No JENIS PENYAKIT JUMLAH KASUS PERGOLONGAN UMUM
ICD-X

0-7 HR 8-28 HR <1 THN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-54 THN 55-59 THN 60-69 ≥ 70THN PASIEN
1 Gangguan Mental Organik F00 B L B L B L B L B L B L B L B L B L B L B L B L Rujuk Rawat Pulang
2
Gangguan Penggunaan NAPZA F10 L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
3 Skisoprenia & Gangguan Psikotik Kronik lainnya F20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Gangguan Psikotok Akut F23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Gangguan Bipolar F31 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Gangguan Depresi F32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Gangguan Neurotik F40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Retardasi Mental F70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Gangguan Kesehatan Anak dan Remaja F80-90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Epilepsi G40 0 0 0 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
11 Usaha Bunuh Diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH

Mengetahui Galala 30 Agustus 2017

Kepala UPT Puskesmas Rawat Inap Galala Pengelolah Program

RUSMINI ABD. KADER,S.Kep HARDIYANTO ESA, Amd.Kep

Nip: 19810823 200212 2 001 Nip: 19830501 200902 1 004
LAMPIRAN LAPORAN P2 KUSTA
BULAN: AGUSTUS 2017 NO

Nomor Status KEADAAN CACAT PEMERKOSAAN KONTAK 1

Tanggal
NO Nama Penderita Alamat Type Umur SEX Awal Akhir Jumlah Kontak di 2
Regestrasi Desa Regestrasi Baru Ulang
Umum Score Umum Scokre Kontak Periksa 3
1 FAUJIA 13/07/17 BALBAR MB L 55 P 0 0 4
2 RIFANDI 17/07/17 GOSALE MB L 19 L 0 0 5
3 HADIJA 3/7/2017 SOFIFI MB L 14 P 0 0 6
4 ABDUL RAJAK M 13/07/17 SOFIFI MB L 31 L 0 0 7
5 BURHAN 28/08/17 GALALA MB B 21 L 0 0 8
6 9
7 10
8 11
9 12
10 13
11 14
12 15
13
14
15

Mengetahui Galala 31 Agustus 2017

Kepala Puskesmas Pengelolah Program

ROSMINI
Nip: 1981
ROSMINI ABD KADIR, S. Kep HARDIYANTO ESA, Amd.Kep
Nip: 19810823 200212 2 001 Nip: 19830501 200902 1 004
 PENGOBATAN
TAHUN 2017 TAHUN 2017
1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12

18 16 16 14 13 12
24 22 22 20 17 16
9 7 8 6 6 4 3 2
17 17 13 12
28

Mengetahui Galala 31 Agustus 2017

Kepala Puskesmas Pengelolah Program Kusta

ROSMINI ABD KADIR, S. Kep HARDIYANTO ESA, Amd.Kep

Nip: 19810823 200212 2 001 Nip: 19830501 200902 1 004