ABCDEFGHIJKLMNOPQRSTUVWXYZAA
1
FORMAT LAPORAN BULANAN KLINIK / TEMPAT PRAKTIK MANDIRI DOKTER
2
NAMA KLINIK / TPMD
:
UPTD Puskesmas Bojongsari
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BULAN
:
4
TAHUN
:2026
5
NoJENIS PENYAKITJUMLAH KASUS BARU ( Umur dan Jenis Kelamin )JUMLAHJUMLAH KASUS LAMA
6
0-7 Hr 8-28 Hr1-11 bln1 - 4 th 5-9 th 10-14 th15 - 19 th20 - 44 th 45 - 59 th> 60 thLPLP JML
7
LPLPLPLPLPLPLPLPLPLP
8
1Hipertensi00000000000000000000000
9
2
Penyakit Jantung Koroner
00000000000000000000000
10
3Diabtes Melitus00000000000000000000000
11
4Obesitas00000000000000000000000
12
5Hypertiroid00000000000000000000000
13
6Stroke00000000000000000000000
14
7Asma Bronkhial00000000000000000000000
15
8PPOK00000000000000000000000
16
9Penyakit Ginjal Kronis00000000000000000000000
17
10Kanker (Ca) Cerviks00000000000000000000000
18
11Kanker (Ca) Payudara00000000000000000000000
19
12Kanker (Ca) Lainnya00000000000000000000000
20
13Thalasemia00000000000000000000000
21
14Lupus00000000000000000000000
22
15Varicela00000000000000000000000
23
16Rhetinoblastoma00000000000000000000000
24
17Leukemia00000000000000000000000
25
18Hipertropiprostat00000000000000000000000
26
19Cidera akibat transport00000000000000000000000
27
20ISPA00000000000000000000000
28
21Diare00000000000000000000000
29
22
Demam berdarah dengue
00000000000000000000000
30
23Demam dengue00000000000000000000000
31
24Filariasis00000000000000000000000
32
25Morbili (Campak)00000000000000000000000
33
26Bronkitis akut00000000000000000000000
34
27Difteri00000000000000000000000
35
28Bronkopneumonia00000000000000000000000
36
29Tuberkulosis (TB ) Paru00000000000000000000000
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