Laporan Gangguan Indera 2020

LAPORAN
KEGIATAN PROGRAM GANGGUAN INDERA

Puskesmas :
Bulan/Tahun : Januari 2020
Jumlah Kasus Baru Menurut Golongan Umur Jumlah Jumlah Total Jumlah
No KEGIATAN
0-7 Hr 8-28 Hr 1-11 Bln 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-59 Th >59 Th Kasus Baru Kasus Lama Kunjungan Kasus KET
1 2 L P L P L P L P L P L P L P L P L P L P L P Total L P Total L P Total Dirujuk
I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

a. Katarak : > 3/60 4 5 4 5 9 4 5 9 8
≤ 3/60 0 0 0
b. Kelainan Refraksi 0 0 0
- Miopi 0 0 0
- Hipermetropia 0 0 0
- Presbiopia 0 0 0
- Asrigmatisme 0 0 0
c. Glaukoma 1 1 1 1 0 1 1
d. Lain-lain (sebutkan) : 1 2 1 1 2 1 1 3 2 1 1 9 7 16 9 7 16 9
e. Jumlah Operasi Katarak 0 0 0
f. Follow Up Pasca Operasi Katarak 1 1 1 0 1 1 1
Tajam Penglihatan : 6/12 - 6/18 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
II Jenis Gangguan Pendengaran dan Ketulian ( H60 - H95 )
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 1 1 2 4 4 0 4 4 3
b. Serumen 2 1 3 3 0 3 3 2
c. Presbikusis 0 0 0
d. Tuli Akibat Bising (NIHL) 0 0 0
e. Tuli Kongenital ( Tuli Sejak Lahir ) 0 0 0
f. Lain-lain (sebutkan) : 2 1 3 2 1 3 2 9 5 14 9 5 14
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : Februari 2020
No KEGIATAN

a. Katarak : > 3/60 1 1 2 1 3 2 3 2 5 5 0
≤ 3/60 0
b. Kelainan Refraksi 0
- Miopi 0
- Hipermetropia 0
- Presbiopia 0
- Asrigmatisme 0
c. Glaukoma 0
d. Lain-lain (sebutkan) : 1 1 2 2 1 1 3 2 1 3 4 7 1 0
e. Jumlah Operasi Katarak 0
f. Follow Up Pasca Operasi Katarak 0
Tajam Penglihatan : 6/12 - 6/18 0
< 6/18 - 6/60 0
< 6/60 0
low vision 1 1 1 1 1 0
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 1 1 1 0 1
b. Serumen 1 1 0 1 1
f. Lain-lain (sebutkan) : 1 1 2 2 3 1 1 5 1 1 4 6 5 11
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : Maret 2020
No KEGIATAN

a. Katarak : > 3/60 1 1 2 1 3 2 3 2 5
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
d. Lain-lain (sebutkan) : 1 1 2 2 1 1 3 2 1 3 4 7
f. Follow Up Pasca Operasi Katarak 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
low vision 1 1 0 1 1
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : April 2020
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
d. Lain-lain (sebutkan) : 1 1 1 1 2 2 0 2
f. Follow Up Pasca Operasi Katarak 1 1 1 1 0 1
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : Mei 2020
No KEGIATAN

a. Katarak : > 3/60 1 1 0 1 1 1
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 1 1 1 0 1
d. Lain-lain (sebutkan) : 1 3 1 1 4 1 1 1 4 2 6
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 0 0 0
b. Serumen 1 1 1 2 1 2 1 3
e. Tuli Kongenital ( Tuli Sejak Lahir ) 1 1 1 2 1 1 2 1 2 3 5 2 8 10 1
f. Lain-lain (sebutkan) : 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : Juni 2020
No KEGIATAN

a. Katarak : > 3/60 1 1 1 2 3 1 3 4 4
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 2 2 2 0 2 1
d. Retinopati Diabetikum 0 0 0
e. Low Vision 1 1 1 1 1 1 2 0 1 1 1
f. Lain-lain (sebutkan) : 1 1 2 1 4 1 3 2 5
g. Jumlah Operasi Katarak 0 0 0
h. Follow Up Pasca Operasi Katarak 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 1 1 1 1 2 3 2 1 3 3
b. Serumen 1 1 1 1 1 1 2 2
f. Lain-lain (sebutkan) : 1 2 1 1 1 2 2 2 4 6 2 8
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : Juli 2020
No KEGIATAN

a. Katarak : > 3/60 1 1 1 1 2 1 1 2
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
d. Low Vision 1 0 1 1
e. Lain-lain (sebutkan) : 2 2 1 1 1 5 6 2 4 6
f. Jumlah Operasi Katarak 0 0 0
g. Follow Up Pasca Operasi Katarak 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 1 1 1 1 0 1
f. Lain-lain (sebutkan) : 1 1 1 2 3 2 5 4 1 5
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : Agustus 2020
No KEGIATAN

a. Katarak : > 3/60 1 1 1 1 2 1 1 1 1 2 3
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 2 1 1 1 1 1 2 1 2 3 1
d. Lain-lain (sebutkan) : 1 2 1 3 1 4 3 1 4 2
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 1 1 1 0 1 1 1
b. Serumen 1 1 3 1 5 1 6 5 1 6
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : September 2020
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
d. Lain-lain (sebutkan) : 0 ### ###
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : Oktober 2020
No KEGIATAN

a. Katarak : > 3/60 1 1 1 1 1 3 4 1 1 2 6 3 9 6
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 1 1 1 1 0 1 1
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 1 1 1 1 1 2 3 1 1 2 2 4 2
b. Serumen 0 0 0
f. Lain-lain (sebutkan) : 1 2 3 3 0 3 3
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : November 2020
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
d. Lain-lain (sebutkan) : 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : Desember 2020
No KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 0 0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Puskesmas : Baebunta
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 1 1 2 2 2 0 2
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 1 1 1 1 0 1
b. Serumen 0 0 0
0 0 0
0 0 0
No Jenis Disabilitas
a. Disabilitas Fisik 0 0 0
b. Disabilitas Intelektual 0 0 0
c. Disabilitas Sensorik 1 1 0 1
d. Disabilitas Mental 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 1 1 1 1 2 1 1 2 2
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
f. Follow Up Pasca Operasi Katarak 1 1 2 1 1 2 2
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
e. Tuli Kongenital ( Tuli Sejak Lahir ) 1 1 1 0 1 1
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
No Jenis Disabilitas
a. Disabilitas Fisik 0 0 0
b. Disabilitas Intelektual 0 0 0
c. Disabilitas Sensorik 0 0 0
d. Disabilitas Mental 0 0 0
2 1 1 1 2 1 1 6 3 9
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
c. Presbikusis 1 1 1 2 1 3 2 1 3
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
c. Presbikusis 1 1 1 1 2 0 2 2
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 1 1 1 1 2 1 1 2
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 1 1 1 1 0 1
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 2 2 2 0 2 2
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Puskesmas :
No KEGIATAN

a. Katarak : > 3/60 ### 0 ###
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 1 1 2 2 4 13 8 15 23
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
f. Follow Up Pasca Operasi Katarak 1 0 1 1
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 2 3 3 1 1 4 6 10
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Puskesmas :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
Sakit Mata 0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
Konjungtivitis 0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
Konjungtivitas 0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
KONJUNGTIFITIS 0 0 0
b. Serumen 0 0 0
SAKIT TELINGA 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
g. Mata Lainnya 0 0 0
b. Serumen 0 0 0
Sakit Telinga Lainnya 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
Konjungtifis 0 0
b. Serumen 0 0 0
Sakit Telinga 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
Konjungtifitis 0 0 0
b. Serumen 0 0 0
Sakit Telinga 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Penglihatan Kabur 0 3 3
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
Sakit Mata/Merah 0 0 0
Konjungtifitis 0 0 0
b. Serumen 0 0 0
Sakit Telinga 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
SAKIT MATA 0 0 0
KONJUNGTIVITIS 0 0 0
PENGLIHATAN KABUR 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60
Total
b. Serumen 0 0 0
SAKIT TELINGA 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
PENGLIHATAN KABUR 0 0 0
PTERYGIUM 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Puskesmas :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0 1
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Puskesmas :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
Otitis Media Nonsupuratif, Otitis eksterna 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
Otitis Media Nonsupuratif, Otitis eksterna 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
OTITIS MEDIA NONSUPURATIF, OTITIS EKSTERNA 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
OTITIS MEDIA NONSUPURATIF, OTITIS EKSTERNA 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Konjungtivitis, pterigium, hardeolum 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 1 1 1 1 5 4 5 4 5 9 9
b. Kelainan Refraksi 1 4 1 1 2 5 2 5 7 7
- Miopi 1 1 0 1 1 1
- Presbiopia 1 1 0 1 1
c. Glaukoma 0 0 0
Konjungtivitis, pyteregium, hardeolum 1 3 9 2 2 1 5 13 5 13 18 12
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 1 2 1 1 4 9 3 4 3 2 13 17 13 17 30 12
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
Otitis media Nonsupuratif, otitis eksterna 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60
b. Kelainan Refraksi
- Miopi 0 0 0
- Presbiopia
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Puskesmas : Luwu Utara
No KEGIATAN

a. Katarak : > 3/60 1 1 1 1 0 1 1
≤ 3/60 0 0 0
- Miopi 1 2 1 1 3 4 1 3 4 3
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
d. Lain-lain (sebutkan) :KONJUNGTIVITIS 1 1 4 2 1 2 6 5 11 6 5 11
e. Jumlah Operasi Katarak 1 1 1 1 2 1 1 2 2
f. Follow Up Pasca Operasi Katarak 1 0 1 1 1
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 2 1 2 1 4 1 1 2 1 10 5 15 10 5 15
f. Lain-lain (sebutkan) : 1 3 1 1 1 3 4 3 7 10
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota : Luwu Utara

No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Katarak 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN

No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Konjungtivitis 2 2 3 1 3 1 2 1 1 6 8 14 6 8 14
visus Menurun 1 1 1 0 1 1
e. Jumlah Operasi Katarak 1 3 3 0 1 1
f. Follow Up Pasca Operasi Katarak 2 1 1 0 3 3
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 1 1 1 2 2 1 2 1 1 1 2 4 5 9 5 6 11
e. Tuli Kongenital ( Tuli Sejak Lahir ) 1 1 0 1
spooling 0 0 0
1 1 3 1 2 7 1 8 7 1 8
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN

No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
- Konjungtivitas 2 4 2 3 1 4 5 11 16 5 11 16
- Post Op Pterygium 11 11 0 11
- Visus Menurun 1 1 1 1 2 3
- Trauma Mata 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 2 2 1 2 3 5
e. Tuli Kongenital ( Tuli Sejak Lahir ) 1 1 0 2 2
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
KONJUNGTIVITIS 1 1 2 1 1 2 4 4 8 12 4 8 12
PTERIGIUM 0 0 0
VISUS MENURUN 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
OTITIS EXTERNAL 0 0 0
OTALGI 2 2 0 2
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 1 1 1 1 2
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
- Konjungtivitis 1 1 1 2 3 2 2 6 10 17 27
- Visus Menurun 0 6 6
- Pterigium 2 1 3
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 1 1 2 1 1 4 2 6
f. Lain-lain (sebutkan) : 1 2 1 1 3 2 5
Otitis Eksternal 2 3 1 1 3 4 7
0 0 0 1
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 2 1 3 0 3
- Miopi 1 1 0 2 2
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
VISUS MENURUN 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 1 2 2 2 3 5
f. Lain-lain (sebutkan) : 1 0 1 1
OTALGIA 1 1 0 1
OSTITIS MEDIA 1 2 2 1 1 4 3 7
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 1 2 2 1 2 4 6
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 1 3 3 2 3 1 5 2 11 9 20
d. Lain-lain (sebutkan) : 1 1 0 1
Visus Menurun 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 1 3 4 1 2 7 4 11
Otitis External 2 2 1 2 3 5
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 1 1 0 1
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Konjungtivitis 1 1 3 4 3 2 1 3 7 10
Visus Menurun 1 0 0 0
Pterigium 0 1 1
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 2 1 3 1 3 4 7
OMSA 1 2 2 1 3
TINDAKAN SPOOLING 1 1 0 1
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Konjungtivitis 1 6 1 1 3 1 10 3 13
Visus Menurun 1 0 1
< 6/18 - 6/60 0 0 0
< 6/60 1 1 0 1
b. Serumen 1 1 1 1 2 1 1 6 7
OTITIS EXTERNAL 5 1 1 6 1 7
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Konjuntivitis 1 1 2 2 4 1 2 2 10 5 15
Visus Menurun 1 0 1 1
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 3 1 20 16 2 4 1 2 1 2 26 26 52
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Konjngtivitis 1 2 1 1 2 1 1 6 3 9
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 3 4 7 9 3 1 1 1 1 14 16 30
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Puskesmas :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : Februari
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 1 1 0 1
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN

Bulan/Tahun : April
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
Bulan/Tahun : Desember
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Puskesmas :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
- Konjungtivitas
- Pterigium 0 0 0
- Hordeolum
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
a. Otitis Media Supuratif Kronik (OMSK/Congek ) 0 0
b. Serumen
TOTAL :
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Konjungtivitas
Pterigium 0 0 0
Hordeolum 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
TOTAL
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Konjungtivitas
Pterigium
Hordeolum
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
a. Otitis Media Supuratif Kronik (OMSK/Congek )
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Puskesmas :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Pteregium 0 0 0
Hordeolum 0 0 0
Corneal Ulcer 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
Disorder of ear 0 0 0
Tinitus 0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Puskesmas :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
OTITIS MEDIA PERFORASI MEMBRANE TIMPANI 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Gangguan Penglihatan 0 2 2
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
Infeksi Kelopak Mata 0 0 0
b. Serumen 0 0 0
Timitus 0 0 0
Otitis Media Non Supuratif 0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Starbismus (H50)
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
Gangguan Penglihatan (H53) 0 0 0
b. Serumen 0 0 0
Otalgia 0 0 0
Otitis Media Non Supratif (H65) 3 1 4
Tinnitus 0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 1 1 1 1 2 1 1 2 2
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
d. Lain-lain (sebutkan) : 3 1 1 3 1 2 3 6 9 1 1 2 4 7 11
Hardeolum 0 0 0
Tajam Penglihatan : 6/12 - 6/18 1 1 1 0 1 1
< 6/18 - 6/60 1 1 1 0 1 1 1
< 6/60 1 1 1 2 1 3 2 1 3
0 0 0
b. Serumen 0 0 0
f. Lain-lain (sebutkan) : 1 1 1 1 0 1
otitis media non supuratif 1 1 0 1 1
otitis eksterna 0 0 0
keratitis 0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
Penurunan Pengihatan 0 0 0
< 6/18 - 6/60
< 6/60
Pterygium 0 0 0
Keratitis 0 0 0
b. Serumen 0 0 0
Otitis Eksterna 0 0 0
……………………………., …. ……………. 2020

Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
PENGLIHATAN MENURUN 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
……………………………., …. ……………. 2020
Pengelola Program,
LAPORAN
Puskesmas :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LMBONG
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Puskesmas : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LMBONG
Kab/Kota : SEKO
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Puskesmas :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : RAMPI
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : RAMPI
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : RAMPI
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota : RAMPI
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN
Kab/Kota :
No KEGIATAN

a. Katarak : > 3/60 0 0 0
≤ 3/60 0 0 0
- Miopi 0 0 0
- Presbiopia 0 0 0
c. Glaukoma 0 0 0
< 6/18 - 6/60 0 0 0
< 6/60 0 0 0
0 0 0
b. Serumen 0 0 0
0 0 0
0 0 0
……………………………., …. ……………. 2019
Pengelola Program,
LAPORAN

Bulan/Tahun : Januari - Desember 2020
No KEGIATAN

a. Katarak : > 3/60 ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
≤ 3/60 ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
b. Kelainan Refraksi ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
- Miopi ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF! #REF!
- Hipermetropia ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
- Presbiopia ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
- Asrigmatisme ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
c. Glaukoma ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
d. Lain-lain (sebutkan) : ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
e. Jumlah Operasi Katarak ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
f. Follow Up Pasca Operasi Katarak ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
Tajam Penglihatan : 6/12 - 6/18 ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
< 6/18 - 6/6 ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
< 6/60 ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF! #REF!
#REF!
a. Otitis Media Supuratif Kronik
### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
(OMSK/Congek ) #REF! #REF!
b. Serumen ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
c. Presbikusis ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
d. Tuli Akibat Bising (NIHL) ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
e. Tuli Kongenital ( Tuli Sejak Lahir ) ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
f. Lain-lain (sebutkan) : ### ### ### ### ### ### ### ### #REF! #REF! ### ### ### ### ### ### ### ### ### ### ### ### #REF! ### ### #REF! ### ### #REF! #REF!
Mengetahui, Masamba , 2020

An. Kepala Dinas
Kasi P2 PTM & Keswa Pengelola Program,
( HARMIYANTI, SKM ) (SRI MAHARANI ANDA,S.ST )

Nip. 19800419 200604 2 021 Nip. 19841128 200901 2 003
LAPORAN

No KEGIATAN

a. Katarak : > 3/60
≤ 3/60
- Miopi
- Hipermetropia
- Presbiopia
- Asrigmatisme
c. Glaukoma
d. Lain-lain (sebutkan) :
e. Jumlah Operasi Katarak
f. Follow Up Pasca Operasi Katarak
Tajam Penglihatan : 6/12 - 6/18
< 6/18 - 6/60
< 6/60

(OMSK/Congek )
b. Serumen
c. Presbikusis
d. Tuli Akibat Bising (NIHL)
e. Tuli Kongenital ( Tuli Sejak Lahir )
f. Lain-lain (sebutkan) :

An. Kepala Dinas

Nip. 19800419 200604 2 021 Nip. 19841128 200901 2 003
LAPORAN

Bulan/Tahun : Januari - Desember
No KEGIATAN

a. Katarak : > 3/60
≤ 3/60
- Miopi 0
- Hipermetropia
- Presbiopia
- Asrigmatisme
c. Glaukoma
< 6/18 - 6/60
< 6/60

(OMSK/Congek )
b. Serumen
c. Presbikusis

An. Kepala Dinas

Nip. 19800419 200604 2 021 Nip. 19841128 200901 2 003
LAPORAN

No KEGIATAN

a. Katarak : > 3/60
≤ 3/60
- Miopi
- Hipermetropia
- Presbiopia
- Asrigmatisme
c. Glaukoma
Konjungtivitis, Pterigium, Hardeolum
< 6/18 - 6/60
< 6/60

(OMSK/Congek )
b. Serumen
c. Presbikusis
Ototis Media Nonsupuratif, Otitis Eksterna

An. Kepala Dinas

Nip. 19800419 200604 2 021 Nip. 19841128 200901 2 003
LAPORAN

No KEGIATAN

a. Katarak : > 3/60
≤ 3/60
- Miopi
- Hipermetropia
- Presbiopia
- Asrigmatisme
c. Glaukoma
< 6/18 - 6/60
< 6/60
Konjungtifitis
(OMSK/Congek )
b. Serumen
c. Presbikusis

An. Kepala Dinas

Nip. 19800419 200604 2 021 Nip. 19841128 200901 2 003
LAPORAN

No KEGIATAN

a. Katarak : > 3/60
≤ 3/60
- Miopi 0
- Hipermetropia
- Presbiopia
- Asrigmatisme
c. Glaukoma
< 6/18 - 6/60
< 6/60

(OMSK/Congek )
b. Serumen
c. Presbikusis
g. Penyakit Lain

An. Kepala Dinas

Nip. 19800419 200604 2 021 Nip. 19841128 200901 2 003
LAPORAN

No KEGIATAN

a. Katarak : > 3/60
≤ 3/60
- Miopi
- Hipermetropia
- Presbiopia
- Asrigmatisme
c. Glaukoma
Konjungtivitis
Visus Menurun
< 6/18 - 6/60
< 6/60

(OMSK/Congek )
b. Serumen
c. Presbikusis

An. Kepala Dinas
( HARMIYANTI, SKM ) (SRI MAHARANI ANDA, S.ST )
Nip. 19800419 200604 2 021 Nip. 19841128 200901 2 003
LAPORAN

No KEGIATAN

a. Katarak : > 3/60
≤ 3/60
- Miopi
- Hipermetropia
- Presbiopia
- Asrigmatisme
c. Glaukoma
- Konjuntivitis
- Pterigum
< 6/18 - 6/60
< 6/60

(OMSK/Congek )
b. Serumen
c. Presbikusis

An. Kepala Dinas
Nip. 19800419 200604 2 021 Nip. 19841128 200901 2 003
LAPORAN

No KEGIATAN

a. Katarak : > 3/60
≤ 3/60
- Miopi
- Hipermetropia
- Presbiopia
- Asrigmatisme
c. Glaukoma
< 6/18 - 6/60
< 6/60

(OMSK/Congek )
b. Serumen
c. Presbikusis

An. Kepala Dinas

Nip. 19800419 200604 2 021 Nip. 19841128 200901 2 003

Laporan Gangguan Indera 2020

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Laporan Gangguan Indera 2020

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Hak Cipta:

Format Tersedia

LAPORAN

KEGIATAN PROGRAM GANGGUAN INDERA

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

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I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

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I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

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I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

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I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

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I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

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I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

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I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

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I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

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I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2019

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2020

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2019

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2019

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2019

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2019

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2019

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )

……………………………., …. ……………. 2019

I Jenis Gangguan Penglihatan dan Kebutaan ( H00 - H59 )