Revisi Laporan Bulan Desember 2022
Revisi Laporan Bulan Desember 2022
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Revisi Laporan Bulan Desember 2022
Revisi Laporan Bulan Desember 2022
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Muhammad Akbar PrayugaCopyright
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Revisi Laporan Bulan Desember 2022
Revisi Laporan Bulan Desember 2022
Uploaded by
Muhammad Akbar PrayugaCopyright:
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LAPORAN BULANAN
KEGIATAN PROGRAM GANGGUAN INDERA
Puskesmas : Rawat Inap Satelit Jumlah Pasien di Skrining :
Kecamatan : Kedamaian 236
Kota/Kab : B.lampung
Bulan / Tahun : Agustus 2020
Kasus baru (kunjungan pertama kali ke puskesmas)
Jumlah Kunjungan Menurut Golongan Umur Jumlah Jumlah
Kode 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th Kunjungan Kunjungan
NO KEGIATAN KET.
ICD X
L P L P L P L P L P L P L P L P L P L P L P Total Dirujuk
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0 0 4 0 0 4 5 3 5 4 5 6 19 17 36
≤3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 4 2 6 4 6 5 4 6 5 5 25 22 47
- Miopi 0 0 0 0 0 0 0 0 0 4 0 3 4 4 5 0 3 0 0 0 12 11 23
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 4 3 5 6 6 4 0 13 15 28
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 4 5 6 8 14
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 7 7
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 3 0 0 3 3 7 10
d. Retinopati Diabetikum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
hordeolum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 3 0 3
konjungtivitis 0 0 0 0 0 0 0 0 3 4 2 4 4 5 3 5 3 5 6 5 21 28 49
strabismus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pterygium 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 5 0 0 0 0 0 8 8
keratitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 7 0 0 0 11 11
Retinoblastoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 8 10 9 14 24 23 34 28 28 24 31 102 134 236
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 3 1 8 9
Tajam penglihatan: 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif
Kronik (OMSK/Congek) 0 0 0 0 0 0 0 0 0 4 4 0 7 0 3 4 4 3 4 5 22 16 38
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 3 0 5 3 0 0 0 0 8 3 11
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli Konginital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kunjungan/kasus lama (kunjungan ke puskesmas lebih dari 1 kali)
Jumlah Kunjungan Menurut Golongan Umur Jumlah Jumlah KET.
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th Kunjungan Kunjungan
ICD X
L P L P L P L P L P L P L P L P L P L P L P Total Dirujuk
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 2 3 5 6 10 16
≤3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 3 4 5 6 4 5 5 6 5 4 22 25 47
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 2 0 8 5
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Retinopati Diabetikum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
hordeolum 0 0 0 0 0 0 0 0 0 4 6 0 0 0 3 0 2 2 0 0 11 6 17
konjungtivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 3 0 0 0 3 4 7
strabismus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pterygium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
keratitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3 3
Retinoblastoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 9 4 5 10 7 11 13 16 8 11 42 56 98
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 3 0 0 0 4 5 3 3 2 4 12 12 24
Tajam penglihatan: 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif
Kronik (OMSK/Congek) 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 4 3 0 4 0 9 7 16
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 3 0 2 5 5 10
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli Konginital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: B. Lampung , 31 JANUARI 2021
Kepala Puskesmas Rawat Inap Satelit Pengelola program
Adi Waluyo Soerjo, SKM, MHP Emilda Zanimar a
NIP. 19621218 198503 1 003 NIP.197503232007012010
LAPORAN BULANAN
KEGIATAN PROGRAM GANGGUAN INDERA
Puskesmas : Rawat Inap Satelit Jumlah Pasien di Skrining :
Kecamatan : Kedamaian 3715
Kota/Kab : B.lampung
Bulan / Tahun : Desember 2 022
Kasus baru (kunjungan pertama kali ke puskesmas)
Jumlah Kunjungan Menurut Golongan Umur Jumlah Jumlah
Kode 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th Kunjungan Kunjungan
NO KEGIATAN KET.
ICD X
L P L P L P L P L P L P L P L P L P L P L P Total Dirujuk
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0 0 9 12 8 17 14 23 20 34 50 60 101 146 247
≤3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 60 70 117 115 200 311 110 120 98 113 585 729 1 314
- Miopi 0 0 0 0 0 0 0 0 12 15 10 14 40 26 20 40 30 35 14 12 126 142 268
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 26 27 60 70 55 44 38 25 179 166 345
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 42 50 38 36 28 110 108 218
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 14 14 15 10 17 46 46 92
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 7 6 3 5 3 16 13 29
d. Retinopati Diabetikum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 60 65 80 100 140 240
e. Low Vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
hordeolum 0 0 0 0 0 0 0 0 20 18 15 25 30 25 37 18 14 16 0 0 116 102 218
konjungtivitis 0 0 0 0 0 0 15 25 35 28 30 50 42 55 45 37 22 38 17 26 206 259 465
strabismus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pterygium 0 0 0 0 0 0 0 0 0 0 0 0 10 15 15 29 26 38 14 22 65 104 169
keratitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 22 10 22 22 18 48 62 110
Retinoblastoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 15 25 67 61 124 17 127 328 045 361 3 392 463 36 9 404 1 6982 017 3715
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 5 0 3 1 10 11
Tajam penglihatan: 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif
Kronik (OMSK/Congek) 0 0 0 0 0 0 0 0 0 4 4 0 7 0 3 4 4 3 4 5 22 16 38
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 3 0 5 3 0 0 0 0 8 3 11
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli Konginital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kunjungan/kasus lama (kunjungan ke puskesmas lebih dari 1 kali)
Jumlah Kunjungan Menurut Golongan Umur Jumlah Jumlah KET.
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th Kunjungan Kunjungan
ICD X
L P L P L P L P L P L P L P L P L P L P L P Total Dirujuk
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 2 3 5 6 10 16
≤3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 3 4 5 6 4 5 5 6 5 4 22 25 47
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 2 0 8 5
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Retinopati Diabetikum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
hordeolum 0 0 0 0 0 0 0 0 0 4 6 0 0 0 3 0 2 2 0 0 11 6 17
konjungtivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 3 0 0 0 3 4 7
strabismus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pterygium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
keratitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3 3
Retinoblastoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 9 4 5 10 7 11 13 16 8 11 42 56 98
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 3 0 0 0 4 5 3 3 2 4 12 12 24
Tajam penglihatan: 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif
Kronik (OMSK/Congek) 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 4 3 0 4 0 9 7 16
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 3 0 2 5 5 10
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli Konginital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: B. Lampung , 31 DESEMBER 2022
Kepala Puskesmas Rawat Inap Satelit Pengelola program
dr. Tria Yune Eriartasari, Mars Emilda Zanimar a
NIP. 198206102008042002 NIP.197503232007012010
LAPORAN BULANAN
KEGIATAN PROGRAM GANGGUAN INDERA
Puskesmas : Rawat Inap Satelit Jumlah Pasien di Skrining :
Kecamatan : Kedamaian 236
Kota/Kab : B.lampung
Bulan / Tahun : Agustus 2020
Kasus baru (kunjungan pertama kali ke puskesmas)
Jumlah Kunjungan Menurut Golongan Umur Jumlah Jumlah
Kode 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th Kunjungan Kunjungan
NO KEGIATAN KET.
ICD X
L P L P L P L P L P L P L P L P L P L P L P Total Dirujuk
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0 0 4 0 0 4 5 3 5 4 5 6 19 17 36
≤3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 4 2 6 4 6 5 4 6 5 5 25 22 47
- Miopi 0 0 0 0 0 0 0 0 0 4 0 3 4 4 5 0 3 0 0 0 12 11 23
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 4 3 5 6 6 4 0 13 15 28
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 4 5 6 8 14
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 7 7
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 3 0 0 3 3 7 10
d. Retinopati Diabetikum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
hordeolum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 3 0 3
konjungtivitis 0 0 0 0 0 0 0 0 3 4 2 4 4 5 3 5 3 5 6 5 21 28 49
strabismus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pterygium 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 5 0 0 0 0 0 8 8
keratitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 7 0 0 0 11 11
Retinoblastoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 8 10 9 14 24 23 34 28 28 24 31 102 134 236
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 3 1 8 9
Tajam penglihatan: 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif
Kronik (OMSK/Congek) 0 0 0 0 0 0 0 0 0 4 4 0 7 0 3 4 4 3 4 5 22 16 38
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 3 0 5 3 0 0 0 0 8 3 11
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli Konginital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kunjungan/kasus lama (kunjungan ke puskesmas lebih dari 1 kali)
Jumlah Kunjungan Menurut Golongan Umur Jumlah Jumlah KET.
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th Kunjungan Kunjungan
ICD X
L P L P L P L P L P L P L P L P L P L P L P Total Dirujuk
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 2 3 5 6 10 16
≤3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 3 4 5 6 4 5 5 6 5 4 22 25 47
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 2 0 8 5
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Retinopati Diabetikum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
hordeolum 0 0 0 0 0 0 0 0 0 4 6 0 0 0 3 0 2 2 0 0 11 6 17
konjungtivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 3 0 0 0 3 4 7
strabismus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pterygium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
keratitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3 3
Retinoblastoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 9 4 5 10 7 11 13 16 8 11 42 56 98
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 3 0 0 0 4 5 3 3 2 4 12 12 24
Tajam penglihatan: 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif
Kronik (OMSK/Congek) 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 4 3 0 4 0 9 7 16
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 3 0 2 5 5 10
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli Konginital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: B. Lampung , 31 MARET 2021
Kepala Puskesmas Rawat Inap Satelit Pengelola program
Adi Waluyo Soerjo, SKM, MHP Emilda Zanimar a
NIP. 19621218 198503 1 003 NIP.197503232007012010
LAPORAN BULANAN
KEGIATAN PROGRAM GANGGUAN INDERA
Puskesmas : Rawat Inap Satelit Jumlah Pasien di Skrining :
Kecamatan : Kedamaian 236
Kota/Kab : B.lampung
Bulan / Tahun : Agustus 2020
Kasus baru (kunjungan pertama kali ke puskesmas)
Jumlah Kunjungan Menurut Golongan Umur Jumlah Jumlah
Kode 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th Kunjungan Kunjungan
NO KEGIATAN KET.
ICD X
L P L P L P L P L P L P L P L P L P L P L P Total Dirujuk
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0 0 4 0 0 4 5 3 5 4 5 6 19 17 36
≤3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 4 2 6 4 6 5 4 6 5 5 25 22 47
- Miopi 0 0 0 0 0 0 0 0 0 4 0 3 4 4 5 0 3 0 0 0 12 11 23
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 4 3 5 6 6 4 0 13 15 28
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 4 5 6 8 14
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 7 7
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 3 0 0 3 3 7 10
d. Retinopati Diabetikum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
hordeolum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 3 0 3
konjungtivitis 0 0 0 0 0 0 0 0 3 4 2 4 4 5 3 5 3 5 6 5 21 28 49
strabismus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pterygium 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 5 0 0 0 0 0 8 8
keratitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 7 0 0 0 11 11
Retinoblastoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 8 10 9 14 24 23 34 28 28 24 31 102 134 236
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 3 1 8 9
Tajam penglihatan: 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif
Kronik (OMSK/Congek) 0 0 0 0 0 0 0 0 0 4 4 0 7 0 3 4 4 3 4 5 22 16 38
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 3 0 5 3 0 0 0 0 8 3 11
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli Konginital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kunjungan/kasus lama (kunjungan ke puskesmas lebih dari 1 kali)
Jumlah Kunjungan Menurut Golongan Umur Jumlah Jumlah KET.
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th Kunjungan Kunjungan
ICD X
L P L P L P L P L P L P L P L P L P L P L P Total Dirujuk
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 2 3 5 6 10 16
≤3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 3 4 5 6 4 5 5 6 5 4 22 25 47
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 2 0 8 5
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Retinopati Diabetikum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
hordeolum 0 0 0 0 0 0 0 0 0 4 6 0 0 0 3 0 2 2 0 0 11 6 17
konjungtivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 3 0 0 0 3 4 7
strabismus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pterygium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
keratitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3 3
Retinoblastoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 9 4 5 10 7 11 13 16 8 11 42 56 98
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 3 0 0 0 4 5 3 3 2 4 12 12 24
Tajam penglihatan: 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif
Kronik (OMSK/Congek) 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 4 3 0 4 0 9 7 16
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 3 0 2 5 5 10
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli Konginital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: B. Lampung , 31 APRIL 2021
Kepala Puskesmas Rawat Inap Satelit Pengelola program
dr. Tria Yune Eriartasari, Mars Emilda Zanimar a
NIP.198206102008042002 NIP.197503232007012010
KEGIAT
Puskesmas : Rawat Inap Satelit
Kecamatan : Kedamaian
Kota/Kab : B.lampung
Bulan / Tahun : JULI 2021
Kasus baru (kunjungan pertama kali ke puskesmas)
Jumlah Ku
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th
ICD X
L P L P L P L
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/ 0 0 0 0 0 0 0
≤3/60 0 0 0 0 0 0 0
b. Kelainan Refrak 0 0 0 0 0 0 0
- Miopi 0 0 0 0 0 0 0
- Hipermetropia 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0
d. Retinopati Dia 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0
f. Retinopati of prematurity
0 0 0 0 0 0 0
e. Lain-lain (sebu 0 0 0 0 0 0 0
hordeolum 0 0 0 0 0 0 0
konjungtivitis 0 0 0 0 0 0 0
strabismus 0 0 0 0 0 0 0
pterygium 0 0 0 0 0 0 0
keratitis 0 0 0 0 0 0 0
Retinoblastoma 0 0 0 0 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. Jumlah operas 0 0 0 0 0 0 0
f. Follow up pasc 0 0 0 0 0 0 0
Tajam penglih 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis
Media
Supurati
f Kronik
(OMSK/
Congek) 0 0 0 0 0 0 0
b. Serumen 0 0 0 0 0 0 0
c. Presbikusis 0 0 0 0 0 0 0
d. Tuli akibat Bisi 0 0 0 0 0 0 0
e. Tuli Konginital (t 0 0 0 0 0 0 0
f. lain-lain (sebutk 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
Kunjungan/kasus lama (kunjungan ke puskesmas lebih dari 1 kali)
Jumlah Ku
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th
ICD X
L P L P L P L
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/ 0 0 0 0 0 0 0
≤3/60 0 0 0 0 0 0 0
b. Kelainan Refrak 0 0 0 0 0 0 0
- Miopi 0 0 0 0 0 0 0
- Hipermetropia 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0
d. Retinopati Dia 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0
f. Retinopati of prematurity
0 0 0 0 0 0 0
e. Lain-lain (sebu 0 0 0 0 0 0 0
hordeolum 0 0 0 0 0 0 0
konjungtivitis 0 0 0 0 0 0 0
strabismus 0 0 0 0 0 0 0
pterygium 0 0 0 0 0 0 0
keratitis 0 0 0 0 0 0 0
Retinoblastoma 0 0 0 0 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. Jumlah operas 0 0 0 0 0 0 0
f. Follow up pasc 0 0 0 0 0 0 0
Tajam penglih 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis
Media
Supurati
f Kronik
(OMSK/
Congek) 0 0 0 0 0 0 0
b. Serumen 0 0 0 0 0 0 0
c. Presbikusis 0 0 0 0 0 0 0
d. Tuli akibat Bisi 0 0 0 0 0 0 0
e. Tuli Konginital (t 0 0 0 0 0 0 0
f. lain-lain (sebutk 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
Mengetahui:
Kepala Puskesmas Rawat Inap Satelit
Adi Waluyo Soerjo, SKM, MHP
NIP. 19621218 198503 1 003
LAPORAN BULANAN
KEGIATAN PROGRAM GANGGUAN INDERA
Jumlah Kunjungan Menurut Golongan Umur
1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th
P L P L P L P L P L
0 0 0 4 0 0 4 5 3 5
0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 4 6 5 4
0 0 4 0 3 4 4 5 0 3
0 0 0 0 0 0 4 3 5 6
0 0 0 0 0 0 0 0 3 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 4 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 1 0 2
0 3 4 2 3 3 3 3 5 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 3 0 5 0
0 0 0 0 0 0 0 0 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 3 8 10 9 14 22 23 34 28
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 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 4 4 0 7 0 3 4 4
0 0 0 0 0 3 0 5 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
lebih dari 1 kali)
Jumlah Kunjungan Menurut Golongan Umur
1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th
P L P L P L P L P L
0 0 0 0 0 0 0 0 3 3
0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 5 6 4 5 5
0 0 0 0 0 0 0 0 3 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 6 0 0 0 3 0 2
0 0 0 0 0 0 4 0 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 4 9 4 5 10 7 11 13
0 0 0 0 0 0 0 0 0 0
0 0 0 3 0 0 0 4 5 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 3 2 4 3
0 0 0 0 0 0 0 2 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
Jumlah Pasien di Skrining :
236
Jumlah Jumlah
Kunjung
45-59 th >59 th Kunjungan KET.
an
P L P L P Total Dirujuk
4 5 6 19 17 36
0 0 0 0 0 0
6 5 5 25 22 47
0 0 0 12 11 23
6 4 0 13 15 28
0 4 5 6 8 14
0 0 7 0 7 7
0 0 3 3 7 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 3 0 3
5 6 5 21 28 49
0 0 0 0 0 0
0 0 0 0 8 8
7 0 0 0 11 11
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
28 24 31 102 132 234
0 0 0 0 0 0
3 0 3 1 8 9
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3 4 5 22 16 38
0 0 0 8 3 11
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Jumlah Jumlah KET.
45-59 th >59 th Kunjungan Kunjungan
P L P L P Total Dirujuk
2 3 5 6 10 16
0 0 0 0 0 0
6 5 4 22 25 47
3 0 2 0 8 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
2 0 0 11 6 17
0 0 0 3 4 7
0 0 0 0 0 0
0 0 0 0 0 0
3 0 0 0 3 3
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
16 8 11 42 56 98
0 0 0 0 0 0
3 2 4 12 12 24
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 4 0 9 7 16
3 0 2 5 5 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
B. Lampung , 31 JULI 2020
Pengelola program
Emilda Zanimar a
NIP.197503232007012010
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