LAPORAN BULANAN KEGIATAN PROGRAM KESEHATAN PENGLIHATAN (MATA)

PUSKESMAS TELEN TAHUN 2018

BULAN : Januari

Jumlah Kasus Baru Menurut Golongan Umur Jumlah Jumlah Total

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th 25-44 th 45-59 th 60-64 th > 65 th Kasus Baru Kasus Lama Kunjungan
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L
1 Jenis Penyakit :
a. Katarak : > 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 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 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. Glaukoma 0 0 0 0 0 0 0 0 0 0 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. Xeroftalmi 0 0 0 0 0 0 0 0 0 0 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. Lain-lain (sebutkan) :

JUMLAH 0 0 0 0 0 0 0 0 0 0 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 a. 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 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca 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 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 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 0 0 0 0 0 0 0 0 0 0 0
6/18 - 6/6 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
6/6 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

JUMLAH 0 0 0 0 0 0 0 0 0 0 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 : Pelapor,30 Januari 2018

Pimpinan Puskesmas Telen

Kiswanto dr jon Siregar

NIP. 19810621 200604 1 012 NIP. 198404052014031003
 Total Jumlah
Kunjungan Kasus KET
P Jlh Dirujuk

0 0
0 0
0 0
0 0
0 0

0 0

0 0
0 0
0 0
0 0
0 0

0 0
 LAPORAN BULANAN KEGIATAN PROGRAM KESEHATAN PENGLIHATAN (MATA)
PUSKESMAS TELEN TAHUN 2018

BULAN : Februari

Jumlah Kasus Baru Menurut Golongan Umur Jumlah Jumlah Total Jumlah
NO KEGIATAN
Kasus LamaKunjungan Kasus KET
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th 25-44 th 45-59 th 60-64 th > 65 thKasus Baru
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P JlhDirujuk
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 0 0 0 00 0 0 0 0 0 0 0 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. Kelainan Refraksi 0 0 0 00 0 0 0 0 0 0 0 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. Glaukoma 0 0 0 00 0 0 0 0 0 0 0 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. Xeroftalmi 0 0 0 00 0 0 0 0 0 0 0 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. Lain-lain (sebutkan) :

JUMLAH 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 00 0 0 0 0 0 0 0 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. Follow up pasca operasi katarak 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6/18 - 6/60 0 0 0 00 0 0 0 0 0 0 0 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 0 0 0 0 00 0 0 0 0 0 0 0 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 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 0 0 0 0

Mengetahui : Pelapor,28 Februari

Pimpinan Puskesmas Telen

Kiswanto dr jon Siregar

NIP. 19810621 200604 1 012 NIP. 198404052014031003
 LAPORAN BULANAN KEGIATAN PROGRAM KESEHATAN PENGLIHATA
PUSKESMAS TELEN TAHUN 2018

BULAN : Maret

Jumlah Kasus Baru Menurut Golongan Umur

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th 25-44 th 45-59 th
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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 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
d. Xeroftalmi 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) :

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 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
6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui :
Pimpinan Puskesmas Telen

Kiswanto
NIP. 19810621 200604 1 012
HATAN PENGLIHATAN (MATA)
N 2018

gan Umur Jumlah Jumlah Total Jumlah

60-64 th > 65 thKasus Baru
Kasus LamaKunjungan Kasus KET
L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh Dirujuk

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pelapor,30 Maret 2018

dr jon Siregar
NIP. 198404052014031003
 LAPORAN BULANAN KEGIATAN PROGRAM KESEHATAN PENG
PUSKESMAS TELEN TAHUN 2018

BULAN : April

Jumlah Kasus Baru Menurut Golongan Umur

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th 25-44 th 45-59 th
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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 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
d. Xeroftalmi 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) :

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 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
6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui :
Pimpinan Puskesmas Telen

Kiswanto
NIP. 19810621 200604 1 012
M KESEHATAN PENGLIHATAN (MATA)
TAHUN 2018

ngan Umur Jumlah Jumlah Total Jumlah

60-64 th > 65 th Kasus Baru Kasus Lama Kunjungan Kasus KET
L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh Dirujuk

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 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

Pelapor,30 April 2018

dr jon Siregar
NIP. 198404052014031003
 LAPORAN BULANAN KEGIATAN PROGRAM KESEHATAN PE
PUSKESMAS TELEN TAHUN 2018

BULAN : Mei

Jumlah Kasus Baru Menurut Golongan Umur

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th 25-44 th 45-59 th
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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 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
d. Xeroftalmi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan) :

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 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
6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui :
Pimpinan Puskesmas Telen

Kiswanto
NIP. 19810621 200604 1 012
 AM KESEHATAN PENGLIHATAN (MATA)
EN TAHUN 2018

Golongan Umur Jumlah Jumlah Total Jumlah

45-59 th 60-64 th > 65 th Kasus Baru Kasus Lama Kunjungan Kasus KET
P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh Dirujuk

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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pelapor,30 Mei 2018

dr jon Siregar
NIP. 198404052014031003
 LAPORAN BULANAN KEGIATAN PROGRAM KESEHATAN P
PUSKESMAS TELEN TAHUN 2018

BULAN : Juni

Jumlah Kasus Baru Menurut Golongan Umur

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th 25-44 th
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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 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
d. Xeroftalmi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan) :

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 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
6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui :
Pimpinan Puskesmas Telen

Kiswanto
NIP. 19810621 200604 1 012
GRAM KESEHATAN PENGLIHATAN (MATA)
ELEN TAHUN 2018

ut Golongan Umur Jumlah Jumlah Total Jumlah

25-44 th 45-59 th 60-64 th > 65 th Kasus Baru Kasus Lama Kunjungan Kasus KET
Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh Dirujuk

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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pelapor,30 Juni 2018

dr jon Siregar
NIP. 198404052014031003
 LAPORAN BULANAN KEGIATAN PROGRAM KESEHATAN PENGL
PUSKESMAS TELEN TAHUN 2018

BULAN : Juli

Jumlah Kasus Baru Menurut Golongan Umur

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th 25-44 th 45-59 th
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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 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
d. Xeroftalmi 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) :

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 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
6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui :
Pimpinan Puskesmas Telen

Kiswanto
NIP. 19810621 200604 1 012
 KESEHATAN PENGLIHATAN (MATA)
TAHUN 2018

ngan Umur Jumlah Jumlah Total Jumlah

60-64 th > 65 th Kasus Baru Kasus LamaKunjungan Kasus KET
L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh Dirujuk

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

Pelapor,Juli 2018

dr jon Siregar
NIP. 198404052014031003
 LAPORAN BULANAN KEGIATAN PROGRAM KESEHATAN PE
PUSKESMAS TELEN TAHUN 2018

BULAN : Agustus

Jumlah Kasus Baru Menurut Golongan Umur

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th 25-44 th 45-59 th
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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 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
d. Xeroftalmi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan) :

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 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
6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui :
Pimpinan Puskesmas Telen

Kiswanto
NIP. 19810621 200604 1 012
AM KESEHATAN PENGLIHATAN (MATA)
EN TAHUN 2018

olongan Umur Jumlah Jumlah Total Jumlah

45-59 th 60-64 th > 65 th Kasus Baru Kasus Lama Kunjungan Kasus KET
P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh Dirujuk

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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pelapor,30 Agustus 2018

dr jon Siregar
NIP. 198404052014031003
 LAPORAN BULANAN KEGIATAN PROGRAM KESEHA
PUSKESMAS TELEN TAHUN 2

BULAN : September

Jumlah Kasus Baru Menurut Golongan Umur

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Xeroftalmi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan) :

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 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
6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui :
Pimpinan Puskesmas Telen

Kiswanto
NIP. 19810621 200604 1 012
N PROGRAM KESEHATAN PENGLIHATAN (MATA)
MAS TELEN TAHUN 2018

Menurut Golongan Umur Jumlah Jumlah Total Jumlah

25-44 th 45-59 th 60-64 th > 65 th Kasus Baru Kasus Lama Kunjungan Kasus KET
L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh Dirujuk

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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pelapor,30 September 2018

dr jon Siregar
NIP. 198404052014031003
 LAPORAN BULANAN KEGIATAN PROGRAM KESEHA
PUSKESMAS TELEN TAHUN

BULAN : Oktober

Jumlah Kasus Baru Menurut Golongan Umur

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Xeroftalmi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan) :

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 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
6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui :
Pimpinan Puskesmas Telen

Kiswanto
NIP. 19810621 200604 1 012
 PROGRAM KESEHATAN PENGLIHATAN (MATA)
MAS TELEN TAHUN 2018

Menurut Golongan Umur Jumlah Jumlah Total Jumlah

25-44 th 45-59 th 60-64 th > 65 th Kasus Baru Kasus Lama Kunjungan Kasus KET
L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh Dirujuk

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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pelapor,30 Oktober 2018

dr jon Siregar
NIP. 198404052014031003
 LAPORAN BULANAN KEGIATAN PROGRAM KESEH
PUSKESMAS TELEN TAHUN

BULAN : November

Jumlah Kasus Baru Menurut Golongan Um

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Xeroftalmi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan) :

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 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
6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui :
Pimpinan Puskesmas Telen

Kiswanto
NIP. 19810621 200604 1 012
N PROGRAM KESEHATAN PENGLIHATAN (MATA)
SMAS TELEN TAHUN 2018

u Menurut Golongan Umur Jumlah Jumlah Total Jumlah

25-44 th 45-59 th 60-64 th > 65 th Kasus Baru Kasus Lama Kunjungan Kasus KET
L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh Dirujuk

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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pelapor,30 November 2018

dr jon Siregar
NIP. 198404052014031003
 LAPORAN BULANAN KEGIATAN PROGRAM KESEH
PUSKESMAS TELEN TAHUN

BULAN : Desember

Jumlah Kasus Baru Menurut Golongan Umu

NO KEGIATAN
< 1 bln 1 bln-1 th 1-4 th 5-14 th 15-24 th
1 2 L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh
1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 3/60 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 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Xeroftalmi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain-lain (sebutkan) :
konjungtivitis Akut
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam Pengliahatan : 6/6 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6/18 - 6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6/6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui :
Pimpinan Puskesmas Telen

Kiswanto
NIP. 19810621 200604 1 012
TAN PROGRAM KESEHATAN PENGLIHATAN (MATA)
ESMAS TELEN TAHUN 2018

u Menurut Golongan Umur Jumlah Jumlah Total Jumlah

25-44 th 45-59 th 60-64 th > 65 th Kasus Baru Kasus Lama Kunjungan Kasus
L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh L P Jlh Dirujuk

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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pelapor,30 Desember 208

dr jon Siregar
NIP. 198404052014031003
KET