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    Liliyana Natsir Albanjary
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    1. This is a medical report from BPM Rabiutal clinic located in JL Raya Batulicin Gang Karya STIHL RT 01 No 11 Desa Kampung Baru, Kelurahan Simpang Empat documenting patient cases from July 2022. 2. It includes data on 50 different medical conditions seen at the clinic organized by diagnosis code and number of patients seen within 0-7 days and 8-26 days for each age group. 3. The report found that in July 2022 there were no patients (0) for any of the 50 listed medical conditions seen within the specified day ranges for each age group.

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    03 JULI 2022

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    1. This is a medical report from BPM Rabiutal clinic located in JL Raya Batulicin Gang Karya STIHL RT 01 No 11 Desa Kampung Baru, Kelurahan Simpang Empat documenting patient cases from July 2022. 2. It includes data on 50 different medical conditions seen at the clinic organized by diagnosis code and number of patients seen within 0-7 days and 8-26 days for each age group. 3. The report found that in July 2022 there were no patients (0) for any of the 50 listed medical conditions seen within the specified day ranges for each age group.

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    © All Rights Reserved
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    5 views20 pages

    03 Juli 2022

    Uploaded by

    Liliyana Natsir Albanjary
    1. This is a medical report from BPM Rabiutal clinic located in JL Raya Batulicin Gang Karya STIHL RT 01 No 11 Desa Kampung Baru, Kelurahan Simpang Empat documenting patient cases from July 2022. 2. It includes data on 50 different medical conditions seen at the clinic organized by diagnosis code and number of patients seen within 0-7 days and 8-26 days for each age group. 3. The report found that in July 2022 there were no patients (0) for any of the 50 listed medical conditions seen within the specified day ranges for each age group.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    of 20

    A.

    DATA UMUM
    NO. URAIAN
    1 NAMA KLINIK
    2 ALAMAT LENGKAP

    3 TELEPON / HP
    4 EMAIL KLINIK
    5 BULAN
    6 TAHUN
    DATA
    BPM RABIATUL A
    JL RAYA BATULICIN GANG KARYA STIHL RT 01 NO 11 DESA KAMPUNG BARU
    KELURAHAN SIMPANG EMPAT
    08125176116
    rabiatul.977adawiyah@gmail.com
    JULI
    2022
    NO JENIS PENYAKIT KODE ICD 0-7 Hari 8-26 Hari
    L P L
    1 DERMATITIS L23.3 0 0 0
    2 COMMOND COLD J00 0 0 0
    3 VERTIGO H81 0 0 0
    4 DM E11 0 0 0
    5 ARTALGIA M26.6 0 0 0
    6 DYSPEPSIA K30 0 0 0
    7 ISPA J06 0 0 0
    8 GASTRITIS K29 0 0 0
    9 OBS FEBRIS R50 0 0 0
    10 CEFALGIA G44. 0 0 0
    11 MYALGIA M79 0 0 0
    12 VOMITUS R11 0 0 0
    13 ISK N91 0 0 0
    14 PIODERMA L08 0 0 0
    15 TYFOID FEVER A01.9 0 0 0
    16 PTERIGIUM H11.0 0 0 0
    17 GINGIVITIS K05 0 0 0
    18 GEA A09 0 0 0
    19 PULPITIS K04.0 0 0 0
    20 HAEMOROID K64.0 0 0 0
    21 KOLK ABDOMEN R10.4 0 0 0
    22 HIPERTENSI I10 0 0 0
    23 FARINGITIS J02 0 0 0
    24 VULNUS LASERATUM T14.1 0 0 0
    25 GOUT M10.9 0 0 0
    26 RHINITIS ALLERGI J30.9 0 0 0
    27 RHINITIS AKUT J30.0 0 0 0
    28 SCABIES B86 0 0 0
    29 TINEA CORPORIS B35.4 0 0 0
    30 ( GO ) GONORRHOEA A54 0 0 0
    31 GERD K21.0 0 0 0
    32 IMPETIGO L01.3 0 0 0
    33 URTIKARIA L50 0 0 0
    34 HERNIA K40 0 0 0
    35 LBP M54.5 0 0 0
    36 HYPERKOLESTROL E78 0 0 0
    37 TENSION TAPE HEADCHE/TTH G44 0 0 0
    38 CONJUCTIVITIS H10 0 0 0
    39 MUSCLE STRAIN M62.6 0 0 0
    40 OMA H66.9 0 0 0
    41 FOLIKULITIS L66.4 0 0 0
    42 INSOMNIA G47.0 0 0 0
    43 ABD PAIN R10.9 0 0 0
    44 POST KLL A16 0 0 0
    45 ASMA J45 0 0 0
    46 VARICELA B01.9 0 0 0
    47 BRONKHITIS J20 0 0 0
    48 CORPUS ALENIUM T16.9 0 0 0
    49 HERPES B00 0 0 0
    50 TONLSILITIS AKUT J03 0 0 0

    KETERANGAN : BPM MASIH BELUM BUKA / ISTIRAHAT


    LAPORAN PENYAKIT DATA KESAKITAN BPM RABIATUL
    BULAN JULI 2022
    KISARAN UMUR
    8-26 Hari 18 bln - 1 Thn 1-4 Thn 5-9 Thn 10-14 THn
    P L P L P L P L P
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    ATUL

    KISARAN UMUR
    15-19 Thn 20-44 Thn 45-54 Thn 55-59 Thn 60-69 Thn
    L P L P L P L P L
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    60-69 Thn > 70 Thn JUMLAH JUMLAH
    P L P L P
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0 0
    NO JENIS PENYAKIT KODE ICD 0-7 Hari
    L P
    1 DERMATITIS L23.3 0 0
    2 COMMOND COLD J00 0 0
    3 VERTIGO H81 0 0
    6 DYSPEPSIA K30 0 0
    7 ISPA J06 0 0
    8 GASTRITIS K29 0 0
    9 OBS FEBRIS R50 0 0
    11 MYALGIA M79 0 0
    12 VOMITUS R11 0 0
    13 ISK N91 0 0
    14 PIODERMA L08 0 0
    17 GINGIVITIS K05 0 0
    18 GEA A09 0 0
    19 PULPITIS K04.0 0 0
    20 HAEMOROID K64.0 0 0
    22 HIPERTENSI I10 0 0
    23 FARINGITIS J02 0 0
    26 RHINITIS ALLERGI J30.9 0 0
    27 RHINITIS AKUT J30.0 0 0
    28 SCABIES B86 0 0
    31 GERD K21.0 0 0
    32 IMPETIGO L01.3 0 0
    33 URTIKARIA L50 0 0
    38 CONJUCTIVITIS H10 0 0
    45 ASMA J45 0 0
    46 VARICELA B01.9 0 0
    47 BRONKHITIS J20 0 0
    LAPORAN PENYAKIT DATA KESAKITAN BPM RABIATUL
    BULAN JULI 2022
    KISARAN UMUR
    8-26 Hari 18 bln - 1 Thn 1-4 Thn 5-9 Thn 10-14 THn
    L P L P L P L P L
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0
    N BPM RABIATUL

    KISARAN UMUR
    10-14 THn 15-19 Thn 20-44 Thn 45-54 Thn 55-59 Thn 60-69 Thn
    P L P L P L P L P L
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0
    60-69 Thn > 70 Thn JUMLAH
    P L P L P
    0 0 0 0 0
    0 0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0
    DATA KESAKITAN TERBANYAK
    NO. JENIS PENYAKIT KODE ICD JUMLAH KASUS BARU
    1 GASTRITIS K29 0
    2 DYSPEPSIA K30 0
    3 ISPA J06 0
    4 VOMITUS R11 0
    JUMLAH KASUS LAMA
    0
    0
    0
    0
    DATA KUNJUNGAN KLINIK
    NO. KEGIATAN
    1 Jumlah Kunjungan Pasien di Klinik
    2 Jumlah Kunjungan Peserta JKN
    3 Jumlah Kunjungan Peserta Asuransi Lainnya
    4 Jumlah pasien yang dirujuk ke Puskesmas,klinik rawat inap.
    5 Jumlah pasien yang dirujuk ke Fasilitas,Kesehatan Rujukan Tingkat Lanjut (FKRTL)
    6 Jumlah pasien penyakit tidak menular dirujuk ke FKRTL
    7 Jumlah pasien yang dirujuk balik dari Puskesmas dan klinik rawat inap.
    8 Jumlah pasien yang dirujuk balik dari FKRTL
    AN KLINIK
    KASUS LAMA KASUS BARU
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    0 0
    Data Pasien Rawat Inap (apabila Klinik menyelenggarakan pelayanan rawat inap)

    NO. KEGIATAN
    1 Jumlah pasien rawat inap
    2 Jumlah ibu hamil,melahirkan, nifas dengan gangguan kesehatan dirawat inap
    n rawat inap)

    DATA
    0
    0

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