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Blangko LB 1

This document appears to be a table containing health facility utilization data from several community health posts and village sub-posts in Indonesia. The table includes data on patient visits by age group, gender, payment status, type of service received, and referrals to the main hospital. The data is summarized for 12 different community health facilities.

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Juliadi Amd
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31 views5 pages

Blangko LB 1

This document appears to be a table containing health facility utilization data from several community health posts and village sub-posts in Indonesia. The table includes data on patient visits by age group, gender, payment status, type of service received, and referrals to the main hospital. The data is summarized for 12 different community health facilities.

Uploaded by

Juliadi Amd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

Jumlah Jumlah Total Kunjungan Menurut Kelompok Umur JK Status Pembayaran Jenis Pelayanan Jumlah Rujukan Ket.

NO TEMPAT PELAYANAN Pustu BPJS Non BPJS Rawat Jalan Tingkat Pertama ( RJTP ) Rawat Inap BPJS NON Tempat
< 1 Th 1 - 4 th 5 - 45 th > 45 Th Lk Pr
Polindes Penduduk Kunjungan PBI Non PBI Bayar Tunai [Link] [Link] [Link] [Link] [Link] [Link] PBI Non PBI BPJS Rujukan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

1 Puskesmas RS

2 Pustu Sari Makmur

3 Pustu Cepala

4 Pustu Sempadian

5 Pustu Tekarang

6 Poskesdes Merubung

7 Poskesdes Cepala

8 Poskesdes Sempadian

9 Poskesdes Tekarang

10 Poskesdes Rambayan

11 Poskesdes Sari Makmur

12 Poskesdes Matang Segarau

JUMLAH
UMUR / KELAMIN
Kode Penyakit 0-7 hr 8-18 hr 1 bl -< 1 th 1 - 4 th 5 - 9 th 10 - 14 th 15 - 19 th 20 - 44 th 45 - 54 th 55 - 59 th 60 - 69 th > 70 th
L P L P L P L P L P L P L P L P L P L P L P L P
102/DIARE
1901/KLL
704/CACING
901/EPILEPSI
1005/MATA
1201/HT
1302/ISPA
1303/[Link] lain
1306/FARINGITIS
1403/ASMA
1505/SARIAWAM
1501/KARIES GIGI
1502/JARINGAN GIGI
1503/ABSES GIGI
2001/KULIT INFEKSI
2002/ALERGI
2003/JAMUR
21/REMATIK
3303/DM
1402/BRONKHITIS
4801/FEBRIS
1405/FLU
1605/[Link] kencing
1101/OMA
4102/MAGH
406/CACAR
4004/STROKE

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