FHSIS Monthly Report: June 2021
Uploaded by
Erwin BasconFHSIS Monthly Report: June 2021
Uploaded by
Erwin BasconFHSIS REPORT for the MONTH: JUNE
YEAR: 2021
Name of Health Facility:
M2
Name of Barangay:
Name of Municipality/City: ESPERANZA
Name of Province: AGUSAN DEL SUR
Projected Population of the Year:
For submission to the next administrative level
ICD- 29 days- 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69
10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o ≥ 70 y/o Total TOTAL
Disease
Cod y/o y/o y/o y/o y/o y/o y/o y/o y/o y/o y/o y/o Both
Sex
e M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
Other Diseases
ARI in below 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ARI for 5 and above 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
COPD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Diseases of the heart 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
FUO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Skin diseases 0 0 0 0 0 0 1 6 1 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 2 7 9
Tuberculosis (All 0
forms) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hepatitis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 3 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 6 6
Parasitism 0 0 0 0 0 0 0 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 1 1
UTI 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 8 0 4 0 6 0 4 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 28 28
A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Abdominal Pain 0 0 0 0 0 0 0 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 1 1
Abnominal Colic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Abdominal Mass 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Abcess 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Abrasion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acute Appendicitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acute Bronchitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acute Cholecystitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acute Coronary 0
Syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acute Gastritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acute Kidney Injury 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acute Peptic Ulcer 0
Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acute Respiratory 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AGE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Allergy (All forms) 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 1 0 1
Amoebiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anaphylaxis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 1 0 2 0 3 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 12 12
Angina Pictoris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anxiety 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Arthritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asthma 0 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 1 1
Athlets Foot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Avitamonisis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ARTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Acute Pyelonephritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Abortion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ANIMAL BITE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bacterial Vaginosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Bleeding (All types) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Body Malaise 0 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 1 1
Body Pain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Boils 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Burns 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bronchial Asthma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cancer (All forms) 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 1 0 1
Cardiac Dysrhytmia 0 0 0 0 0 0 0 0 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 1
Cerebrovascular 0
Accident 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cellulitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cephalic CS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chicken Pox 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chronic Pleural 0
Effusion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Close Fracture 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Acquired 0
Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Congestive Heart 0
Failure 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Conjunctivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Contact Dermatitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Contusion and 0
Abrasion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Costochondritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cough & Cold 0 0 0 0 3 1 0 2 3 3 0 0 2 5 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 10 14 24
Cardiovascular 0
Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Coronary Heart 0
Failure 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0
Dental Problem 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 1 0 0 0 0 0 0 0 1 2 3
Dehydration 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Depression 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Diabetes Mellitus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Diarrhea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dizzeness 0 0 0 0 0 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 2 2
DRT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dyspepsia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ear Problem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eclampsia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
EENT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Edema 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Epigastric Pain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Essentialy Well 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eye Irritation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fever 0 0 0 0 1 1 5 4 2 2 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 11 23
Foliculitis-Head 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gallstone Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gastritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gastrointestina 0
Problem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gingivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GERD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hand Foot and Mouth 0
Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Headache 0 0 0 0 0 0 0 0 0 0 0 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 1
Hemorrhoids 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hernia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Herpes Zooster 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hetero 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hookworm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Hordeolum (right eye) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Hormonal Imbalance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hyperacidity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hypertension 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 1 0 0 0 0 1 2 1 1 0 5 4 9
Hyperthyoidism 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hypersensitivity 0
Reaction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Hypovolemic Shock 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Hypertensive Urgency 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hyperactive Airway 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ileus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Impetigo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Indigestion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Indometrial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Infected Varicella 0
Lesions 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Inflamation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Inguinal Hernia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Insomia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Intestinal Obstruction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Infected Wound 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 0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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
Laceration 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
loss of Appetite 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mass 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mastitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mentally III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mild Head Injury 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mumps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Muscle Spasm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Musculoskeletal 0
Problem 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Myalgia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Metabolic Syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 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 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0
N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Neuritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
OB-Gyne Problem 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 1 1
Osteoarthritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Otitis Media 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ovarian Growth 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Open Fracture 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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
Pain (All forms) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Panic Attack 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Parkinsons Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Peripheral 0
Neurophaty 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pharyngitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Poisoning (All types) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pregnancy Uterine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Posterior Parietal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pulmonary Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puncture 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustules 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PTB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pulmonary 0
Congestion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0
Q 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Radiculophaty 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Rheumatoid Arthritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rhinitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Scabies 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Seizure 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sepsis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Soft Tissue Infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore Eyes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore Throat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sprain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Spondylolisthesis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Spontaneous Del. 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 1 1
Stiff Neck 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Stomach Ulcer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Syncope 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Systematic Viral 0
Infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Skin Allergy 0 0 0 0 0 0 2 2 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 2 3 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tention Headache 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tonsilitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T/C Gout 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
U 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ulcer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Urolithiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
URTI 0 0 0 0 2 0 0 2 4 4 0 0 0 0 2 0 0 0 1 3 0 1 0 0 0 2 0 2 1 0 2 0 0 0 0 0 12 14 26
UTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
V 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vaginal Spotting 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vertigo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Viral Infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vehicular Accident 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Watery Bowel 1
Movement 0 0 0 0 0 0 0 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 1
Wound (All forms) 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Y 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Z 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 6 2 8 16 11 12 3 5 4 16 5 11 2 9 5 16 0 7 0 0 2 8 2 3 2 1 2 8 3 1 1 1 56 116 172
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Agsabu
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 874
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
Hepatitis
Parasitism
UTI 0 1
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
H
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 1
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 1 0 3 0 1 0 1
0 3 0 8 0 4 0 6 0 4 0 1 0 1
0 4 0 1 0 2 0 3 0 1 0 1
0 8 0 9 0 9 0 9 0 5 0 0 0 2 0 1 0 0 0 2
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 6 6
0 0 0
0 28 28
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 12
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 46 46
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Aguinaldo
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Anolingan
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 1775
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough & Cold 2 2
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever 2 2 2 2 2 2
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms) 1 0
TOTAL 0 0 0 0 0 0 2 2 4 4 3 2
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
2 3
1 0 1 0
2 3 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 5 9
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 6 12
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 3
0 0 0
0 0 0
0 0 0
0 0 0
0 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 11 24
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Bakingking
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Balubo
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Bentahon
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Bunaguit
Name of Municipality/City: Esperanza
Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Catmonon
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Cebulan
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 465
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough & Cold 1 1
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever 3 2
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 3 2 1 1 0 0
une YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
2 2
2 2
2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 3 6
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 4 9
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 7 15
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Concordia
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Crossing Luna
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Cubo
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Dakutan
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Duangan
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 1,711
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Guadalupe
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Guibonon
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Hawilian
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 2,538
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases 0 2
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
Tubercolosis
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 2 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 1
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 2 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 3
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Calabuan
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Kinamaybay
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Labao
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 1,001
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Langag
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Maasin
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Mac-Arthur
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Mahagcot
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Maliwanag
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 319
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Milagros
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases 1 1 1 1
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 1 1 1 1 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 2 4
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 2 4
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Nato
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 1,848
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Arrest
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough 1 1
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound 0 1
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
Multiple Organ Injury
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 1 1 0 0 0 0 0 1
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 1
1 0
0 1
0 1
0 1
0 1 0 1 1 0
0 1 0 1
1 2 1 0 0 0 0 1
1
0 1
0 1
0 1
0 1 0 0 0 0 1 2 0 1 0 0 1 4 2 0 1 1 0 5
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 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 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 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 0
0 0 0
0 1 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 1 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
1 0 1 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 0
0 0 0
0 0 0
0 0 0
1 2 3
0 0 0
0 0 0
0 0 0
0 0 0
1 2 3
0 0 0
0 0 0
0 0 0
0 0 0
0 2 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 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
2 1 1 5 4 9
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 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 0 0
0 0 0
0 0 0
3 1 1 1 10 18 28
FHSIS REPORT for the MONTH: June
Name of Health Facility: New Gingoog
Name of Barangay: New Gingoog
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 568
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
Influenza like illness 0 1
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 1
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
1 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 1 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 1 2
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Odiong
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Oro
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Piglawigan
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 2,025
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases 0 2
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI 2 3
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 2 2 3 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 2 0 2 0 1
0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 1 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 2 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 8 10
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 10 12
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Poblacion
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Remedios
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Salug
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5 0
ARI for 5 and above 0
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: San Isidro
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 414
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
Influenza like Illness 1 1
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 1 1 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
1 1
0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 2 4
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 2 4
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: San Jose
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: San Toribio
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 2,609
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI 2 0 0 2
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 2 0 0 2 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
1 0 1 0 2 0
0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 2 8
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 2 8
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: San Vicente
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Santa Fe
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Segunda
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 315
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Sinakungan
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Tagabase
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 879
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases 0 1
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough & Cold 2 0
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever 1 1
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Pneumonia
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 3 1 0 1 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
1 0
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 1 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 2 6
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Taganahaw
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough & Cold 0 2
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 2 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
1 0
0 2
0 2 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 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 4
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 5
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Tagbalili
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Tahina
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 828
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy 2 2 0 1
T
Tention Headache
Tonsilitis
T/C Gout
Tubercolosis
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 2 2 0 1 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 1
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 3 5
0 0 0
0 0 0
0 0 0
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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 4 6
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Tandang Sora
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year: 897
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI 2 1
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 2 1 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
1 0 0 1 0 1 0 1 1 0
0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 4 8
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 4 8
FHSIS REPORT for the MONTH: June
Name of Health Facility:
Name of Barangay: Valentina
Name of Municipality/City: Esperanza
Name of Province: Agusan del Sur
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
ur
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH:
Name of Health Facility:
Name of Barangay:
Name of Municipality/City:
Name of Province:
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH:
Name of Health Facility:
Name of Barangay:
Name of Municipality/City:
Name of Province:
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0
FHSIS REPORT for the MONTH:
Name of Health Facility:
Name of Barangay:
Name of Municipality/City:
Name of Province:
Projected Population of the Year:
For submissi
29 days-
ICD-10 0-6 days 7-28 days 11 mos 1-4 y/o 5-9 y/o 10-14 y/o
Disease
Code M F M F M F M F M F M F
Other Diseases
ARI in below 5
ARI for 5 and above
COPD
Diseases of the heart
FUO
Skin diseases
Tuberculosis (All forms)
UTI
A
Abdominal Pain
Abnominal Colic
Abdominal Mass
Abcess
Abrasion
Acute Appendicitis
Acute Bronchitis
Acute Cholecystitis
Acute Coronary Syndrome
Acute Gastritis
Acute Kidney Injury
Acute Peptic Ulcer Disease
Acute Respiratory
AGE
Allergy (All forms)
Amoebiasis
Anaphylaxis
Anemia
Angina Pictoris
Anxiety
Arthritis
Asthma
Athlets Foot
Avitamonisis
ARTI
Acute Pyelonephritis
Abortion
ANIMAL BITE
B
Bacterial Vaginosis
Bleeding (All types)
Body Malaise
Body Pain
Boils
Burns
Bronchial Asthma
C
Cancer (All forms)
Cardiac Dysrhytmia
Cerebrovascular Accident
Cellulitis
Cephalic CS
Chicken Pox
Chronic Pleural Effusion
Close Fracture
Community Acquired
Pneumonia
Congestive Heart Failure
Conjunctivitis
Contact Dermatitis
Contusion and Abrasion
Costochondritis
Cough
Cardiovascular Disease
Coronary Heart Failure
D
Dental Problem
Dehydration
Depression
Diabetes Mellitus
Diarrhea
Dizzeness
DRT
Dyspepsia
E
Ear Problem
Eclampsia
EENT
Edema
Epigastric Pain
Essentialy Well
Eye Irritation
F
Fever
Foliculitis-Head
G
Gallstone Disease
Gastritis
Gastrointestina Problem
Gingivitis
GERD
Hand Foot and Mouth Disease
Headache
Hemorrhoids
Hernia
Herpes Zooster
Hetero
Hookworm
Hordeolum (right eye)
Hormonal Imbalance
Hyperacidity
Hypertension
Hyperthyoidism
Hypersensitivity Reaction
Hypovolemic Shock
Hypertensive Urgency
Hyperactive Airway
I
Ileus
Impetigo
Indigestion
Indometrial
Infected Varicella Lesions
Inflamation
Inguinal Hernia
Insomia
Intestinal Obstruction
Infected Wound
L
Laceration
loss of Appetite
M
Mass
Mastitis
Mentally III
Mild Head Injury
Mumps
Muscle Spasm
Musculoskeletal Problem
Myalgia
MSP
Metabolic Syndrome
N
Neuritis
O
OB-Gyne Problem
Osteoarthritis
Otitis Media
Ovarian Growth
Open Fracture
P
Pain (All forms)
Panic Attack
Parkinsons Disease
Peripheral Neurophaty
Pharyngitis
Poisoning (All types)
Pregnancy Uterine
Posterior Parietal
Pulmonary Disease
Puncture
Pustules
PTB
Pulmonary Congestion
Q
R
Radiculophaty
Rheumatoid Arthritis
Rhinitis
RTI
S
Scabies
Seizure
Sepsis
Soft Tissue Infection
Sore Eyes
Sore Throat
Sprain
Spondylolisthesis
Spontaneous Del.
Stiff Neck
Stomach Ulcer
Syncope
Systematic Viral Infection
Skin Allergy
T
Tention Headache
Tonsilitis
T/C Gout
U
Ulcer
Urolithiasis
URTI
UTI
V
Vaginal Spotting
Vertigo
Viral Infection
Vehicular Accident
W
Watery Bowel Movement
Wound (All forms)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
YEAR: 2021
For submission to the next administrative level
15-19 y/o 20-24 y/o 25-29 y/o 30-34 y/o 35-39 y/o 40-44 y/o 45-49 y/o 50-54 y/o 55-59 y/o 60-64 y/o
M F M F M F M F M F M F M F M F M F M F
SECTION A.1 MORBIDITY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M2
65-69 y/o ≥ 70 y/o Total TOTAL
M F M F M F Both Sex
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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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