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LAPORAN
KEGIATAN PROGRAM GANGGUAN INDERA
Provinsi : JAWA BARAT
Kota/Kab : SUKABUMI
Tahun : 2020
Kasus baru (kunjungan pertama kali ke puskesmas)
Jumlah Kasus Baru Menurut Golongan Umur
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn
ICD X
L P L P L P L P L P L P L P
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
≤3/60 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
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 12 17
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 4 7
- Presbiopia 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
c. Glaukoma 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
e. Low Vision 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
g. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam penglihatan: 6/12 - 6/18 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
< 6/60 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 0 0 0 0 0 0 0 0 0 1 1 0 0 0
(OMSK/Congek)
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 2 0
c. Presbikusis 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
e. Tuli Konginital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 1 0
f. lain-lain (sebutkan): 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
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn
ICD X
L P L P L P L P L P L P L P
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
≤3/60 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
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 12 17
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 4 7
- Presbiopia 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
c. Glaukoma 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
e. Low Vision 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
g. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam penglihatan: 6/12 - 6/18 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
< 6/60 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 0 0 0 0 0 0 0 0 0 1 1 0 0 0
(OMSK/Congek)
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 2 0
c. Presbikusis 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
e. Tuli Kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 1 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui
Kepala UPTD Puskesmas Pabuaran
H.Mudrikah, SKM,.MM
NIP. 196901141995031002
INDERA
Golongan Umur Jumlah Jumlah
20-44 th 45-59 th >59 th kasus baru Kasus KET.
L P L P L P L P Total Dirujuk
0 47 64 51 76 67 140 165 305 4
0 0 5 3 10 6 15 9 24 0
0 0 0 0 0 0 0 0 0 0
15 9 27 11 14 9 68 46 114 0
9 7 11 17 8 4 32 35 67 0
0 0 7 5 10 7 17 12 29 0
0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 2 3 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 0 0 0 0 0 0 0 0 0
0 0 1 1 3 2 4 3 7 4
0 0 1 1 3 2 4 3 7 4
0 0 0 0 3 1 3 1 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 1 1 2 0
1 1 3 1 3 2 9 4 13 0
0 0 7 5 14 14 21 19 40 0
0 0 2 0 1 0 3 0 3 0
3 1 5 3 3 3 12 7 19 0
0 0 0 0 0 0 0 0 0 0
Golongan Umur Jumlah Jumlah
20-44 th 45-59 th >59 th Kunjungan Kunjungan KET.
L P L P L P L P Total Dirujuk
0 47 64 51 76 67 140 165 305 4
0 0 5 3 10 6 15 9 24 0
0 0 0 0 0 0 0 0 0 0
15 9 27 11 14 9 68 46 114 0
9 7 11 17 8 4 32 35 67 0
0 0 7 5 10 7 17 12 29 0
0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 2 3 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 0 0 0 0 0 0 0 0 0
0 0 1 1 3 2 4 3 7 4
0 0 1 1 3 2 4 3 7 4
0 0 0 0 3 1 3 1 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 1 1 2 0
1 1 3 1 3 2 9 4 13 0
0 0 7 5 14 14 21 19 40 0
0 0 2 0 1 0 3 0 3 0
3 1 5 3 3 3 12 7 19 0
0 0 0 0 0 0 0 0 0 0
Pabuaran, Januari 2020
Pengelola program Indera
Ujang Zenal efendi siregar, AM.Kep
LAPORAN
KEGIATAN PROGRAM GANGGUAN INDERA
Provinsi : JAWA BARAT
Kota/Kab : SUKABUMI
Tahun : 2020
Kasus baru (kunjungan pertama kali ke puskesmas)
Jumlah Kasus Baru Menurut Golongan Umur
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn
ICD X
L P L P L P L P L P L P L P
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
≤3/60 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
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hipermetropia 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
- Astigmatisme 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
d. Retinopati Diabetikum 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
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam penglihatan: 6/12 - 6/18 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
< 6/60 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(OMSK/Congek)
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Presbikusis 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
e. Tuli Konginital (tuli sejak lahir) 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
Kunjungan/kasus lama (kunjungan ke puskesmas lebih dari 1 kali)
Jumlah Kunjungan Menurut Golongan Umur
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn
ICD X
L P L P L P L P L P L P L P
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
≤3/60 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
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hipermetropia 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
- Astigmatisme 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
d. Retinopati Diabetikum 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
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam penglihatan: 6/12 - 6/18 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
< 6/60 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(OMSK/Congek)
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Presbikusis 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
e. Tuli Kongenital (tuli sejak lahir) 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
Mengetahui
Kepala UPTD Puskesmas Pabuaran
H.Mudrikah, SKM,.MM
NIP. 196901141995031002
INDERA
Golongan Umur Jumlah Jumlah
20-44 th 45-59 th >59 th kasus baru Kasus KET.
L P L P L P L P Total Dirujuk
0 0 5 7 9 13 14 20 34 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 5 9 6 6 8 15 19 34 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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 2 2
0 0 0 0 2 0 2 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
Golongan Umur Jumlah Jumlah
20-44 th 45-59 th >59 th Kunjungan Kunjungan KET.
L P L P L P L P Total Dirujuk
0 47 64 51 72 64 180 162 342 22
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 3 0 2 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 74 68 82 75 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Pabuaran, Februari 2020
Pengelola program Indera
Ujang Zenal efendi siregar, AM.Kep
LAPORAN
KEGIATAN PROGRAM GANGGUAN INDERA
Provinsi : JAWA BARAT
Kota/Kab : SUKABUMI
Tahun : 2020
Kasus baru (kunjungan pertama kali ke puskesmas)
Jumlah Kasus Baru Menurut Golongan Umur
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn
ICD X
L P L P L P L P L P L P L P
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
≤3/60 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
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hipermetropia 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
- Astigmatisme 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
d. Retinopati Diabetikum 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
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam penglihatan: 6/12 - 6/18 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
< 6/60 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 0 0 0 0 0 0 0 0 2 1 3 3 1 0
(OMSK/Congek)
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Presbikusis 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
e. Tuli Konginital (tuli sejak lahir) 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
Kunjungan/kasus lama (kunjungan ke puskesmas lebih dari 1 kali)
Jumlah Kunjungan Menurut Golongan Umur
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn
ICD X
L P L P L P L P L P L P L P
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
≤3/60 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
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hipermetropia 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
- Astigmatisme 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
d. Retinopati Diabetikum 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
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam penglihatan: 6/12 - 6/18 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
< 6/60 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(OMSK/Congek)
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Presbikusis 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
e. Tuli Kongenital (tuli sejak lahir) 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
Mengetahui
Kepala UPTD Puskesmas Pabuaran
H.Mudrikah, SKM,.MM
NIP. 196901141995031002
INDERA
Golongan Umur Jumlah Jumlah
20-44 th 45-59 th >59 th kasus baru Kasus KET.
L P L P L P L P Total Dirujuk
0 0 5 7 9 15 14 22 36 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 3 5 3 4 3 13 9 22 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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 4 2 6 0
0 0 0 0 4 2 4 2 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 6 4 10 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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
Golongan Umur Jumlah Jumlah
20-44 th 45-59 th >59 th Kunjungan Kunjungan KET.
L P L P L P L P Total Dirujuk
0 47 64 51 72 64 180 162 342 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 1 0 3 0 2 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 74 68 82 75 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Pabuaran, Mei 2020
Pengelola program Indera
Ujang Zenal efendi siregar, AM.Kep
LAPORAN
KEGIATAN PROGRAM GANGGUAN INDERA
Provinsi : JAWA BARAT
Kota/Kab : SUKABUMI
Tahun : 2019
Kasus baru (kunjungan pertama kali ke puskesmas)
Jumlah Kasus Baru Menurut Golongan Umur Jumlah Jumlah
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 kasus baru Kasus 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 0 0 0 0 0 0 3 4 4 7 7 11 18 0
≤3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 1 3 3 5 8 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
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 9 3 4 6 6 4 0 1 19 14 33 0
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 6 2 2 2 8 7 15 0
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 1 2 3 5 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 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 3 7 2 2 12 11 23 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 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 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 0
g. 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
h. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0
i. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0
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 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 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 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif Kronik 0 0 0 0 0 0 0 0 2 1 3 3 1 0 0 0 0 0 0 0 6 4 10 0
(OMSK/Congek)
b. Serumen 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. Presbikusis 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. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 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 3 1 1 0 0 0 0 1 4 5 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
Kunjungan/kasus lama (kunjungan ke puskesmas lebih dari 1 kali)
Jumlah Kunjungan Menurut Golongan Umur Jumlah Jumlah
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 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 0 0 0 0 0 0 5 7 9 15 14 22 36 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 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
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hipermetropia 0 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 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 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 3 5 3 4 3 13 9 22 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 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 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 0
g. 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
h. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 4 2 6 6
i. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 4 2 6 6
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 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 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 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif Kronik 0 0 0 0 0 0 0 0 2 1 3 3 1 0 0 0 0 0 0 0 6 4 10 0
(OMSK/Congek)
b. Serumen 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. Presbikusis 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. Tuli Akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0
e. Tuli Kongenital (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 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
Mengetahui Pabuaran, November 2019
Kepala UPTD Puskesmas Pabuaran Pengelola program Indera
H.Mudrikah, SKM,.MM Ujang Zenal efendi siregar, AM.Kep
NIP. 196901141995031002
LAPORAN
KEGIATAN PROGRAM GANGGUAN
Provinsi : JAWA BARAT
Kota/Kab : SUKABUMI
Tahun : 2020
Kasus baru (kunjungan pertama kali ke puskesmas)
Jumlah Kasus Baru Menurut
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th
ICD X
L P L P L P L P L
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0
≤3/60 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0
- Miopi 0 0 0 0 0 0 0 0 0
- Hipermetropia 0 0 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0
d. Retinopati Diabetikum 0 0 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0 0 0
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0
g. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0
h. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0
i. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0
Tajam penglihatan: 6/12 - 6/18 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0
< 6/60 0 0 0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif Kronik 0 0 0 0 0 0 0 0
(OMSK/Congek) 0
b. Serumen 0 0 0 0 0 0 0 0 0
c. Presbikusis 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0
e. Tuli Konginital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0
Kunjungan/kasus lama (kunjungan ke puskesmas lebih dari 1 kali)
Jumlah Kunjungan Menurut G
Kode
NO KEGIATAN
ICD X
Kode
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th
ICD X
L P L P L P L P L
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0
≤3/60 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0
- Miopi 0 0 0 0 0 0 0 0 0
- Hipermetropia 0 0 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0
d. Retinopati Diabetikum 0 0 0 0 0 0 0 0 0
e. Low Vision 0 0 0 0 0 0 0 0 0
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 0 0 0
g. Lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0
h. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0
i. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0
Tajam penglihatan: 6/12 - 6/18 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0
< 6/60 0 0 0 0 0 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian (H60-H95)
a. Otitis Media Supuratif Kronik 0 0 0 0 0 0 0 0 0
(OMSK/Congek)
b. Serumen 0 0 0 0 0 0 0 0 0
c. Presbikusis 0 0 0 0 0 0 0 0 0
d. Tuli Akibat Bising (NIHL) 0 0 0 0 0 0 0 0 0
e. Tuli Kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan): 0 0 0 0 0 0 0 0 0
Mengetahui
Kepala UPTD Puskesmas Pabuaran
H.Mudrikah, SKM,.MM
NIP. 196901141995031002
LAPORAN
ROGRAM GANGGUAN INDERA
Kasus Baru Menurut Golongan Umur Jumlah Jumlah
5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th kasus baru Kasus KET.
P L P L P L P L P L P L P Total Dirujuk
0 0 0 0 0 0 0 0 0 2 0 2 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 2 0 2 0 2 2
0 0 0 0 0 0 0 0 0 2 0 2 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
Kunjungan Menurut Golongan Umur Jumlah Jumlah
KET.
5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th Kunjungan Kunjungan KET.
P L P L P L P L P L P L P Total 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
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pabuaran, Januari 2020
Pengelola program Indera
Ujang Zenal efendi siregar, AM.Kep
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