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LAPORAN KEGIATAN PROGRAM GANGGUAN

INDERA DINKES PROVINSI MALUKU UTARA / KOTA


TIDORE KEPULAUAN / PUSKESMAS TOMALOU

Provinsi : Maluku Utara


Kota/ Kab : Kota Tidore Kepulauan
Puskesmas : Puskesmas Tomalou
Bulan Tahun : February 2022

kasus baru (kunjngan pertama kali ke puskesmas)


jumlah kasus baru menurut golongan umur
Jumlah Juumlah
Kode 0-7 hr 8-28 hr 1-11 bln 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20-44 thn 45-59 thn > 59 th Kasus Baru Kasus
No KEGIATAN KET
ICD X

L P L P L P L P L P L P L P L P L P L P L P Total Dirujuk

I Jenis Gangguan Penglihatan Dan Kebutaan (H00.H59)


a. Katarak >3/60 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 3 1 4 5 5
<3/60 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi H52
- Miopi H52.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hipermetropia H52.0 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 H52.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme H52.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma H40.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Retrinopati Diabetikum H36.0 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 H54 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1
f. Renopati Of Prematurity H35.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Lain-Lain (sebutkan)
- Pterygium H11.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1
- Conjungtivitis H10.9 0 0 0 0 2 0 2 2 6 2 2 3 1 0 1 3 0 1 1 2 15 13 28 0

e. Jumlah oprasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 1 3 3


f. Follow up pasca oprasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 1 3 3
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-H96)
a. Otitis Media Supuratif Kronis (OMSK/congek) H66.9 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0
b. Serumen H61.20 0 0 0 0 0 0 0 0 2 1 0 1 0 0 0 1 0 0 0 0 2 3 5 0
c. Presbikusis H91.10 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) H83.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli kongenital ( Tuli Sejak Lahir) h90.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Otitis Eksterna H60.4 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 2 2 4 0

Kunjungan Kasus Lama ( kunjungan ke puskesmas lebih dari 1 kali)


Jumlah kunjungan Menurut Golongan Umur Jumlah
Kode 0-7 hr 8-28 hr 1-11 hr 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th >59 th Kunjungan Jumlah
NO KEGIATAN
ICD X Kunjungan KET
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 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
<3/60 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi H52 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 H52.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hipermetropia H52.0 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 H52.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme H52.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma H40.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Retrinopati Disbetikum H36.0 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 Vispon H54 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. Renopati Of Prematurity H35.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Lain-Lain (sebutkan)
- Pterygium H11.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Conjungtivitis H10.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

e. Jumlah oprasi 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


f. Follow up pasca oprasi 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
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-H96)


a. Otitis Media Supuratif Kronis (OMSK/congek) H66.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Serumen H61.20 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 H91.10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) H83.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli kongenital ( Tuli Sejak Lahir) H90.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f.Otitis Eksetrna H60.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

No JENIS DISABILITAS Jenis Kelamin dan Umur


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 Jumlah Total
L L P L P L P L P L P L P L P L P L P L P
a. Disabilitas Fisik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Disabilitas intelektual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Disabilitas Sensorik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Disabilitas Mental 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengatahui, Tomalou, 25 Februari 2022


Kepala Puskesmas Tomalou Pengelolah Program

Norma Husen,S.ST.Keb dr. Indri Irfanita Ibrahim


Nip: 19730805 199301 2 003 Nip: 19910104 201902 2 004
LAPORAN KEGIATAN PROGRAM GANGGUAN
INDERA DINKES PROVINSI MALUKU UTARA / KOTA
TIDORE KEPULAUAN / PUSKESMAS TOMALOU

Provinsi : Maluku Utara


Kota/ Kab : Kota Tidore Kepulauan
Puskesmas : Puskesmas Tomalou
Bulan Tahun : April 2022

kasus baru (kunjngan pertama kali ke puskesmas)


jumlah kasus baru menurut golongan umur

Kode 0-7 hr 8-28 hr 1-11 bln 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20-44 thn 45-59 thn > 59 th
No KEGIATAN
ICD X

L P L P L P L P L P L P L P L P L P L

I Jenis Gangguan Penglihatan Dan Kebutaan (H00.H59)


a. Katarak >3/60 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
<3/60 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi H52
- Miopi H52.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
- Hipermetropia H52.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Presbiopia H52.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme H52.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma H40.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Retrinopati Diabetikum H36.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Low Vision H54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Renopati Of Prematurity H35.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Lain-Lain (sebutkan)
- Pterygium H11.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Conjungtivitis H10.9 0 0 0 0 0 0 4 0 1 0 0 0 0 0 0 0 0 1 0
- Hordeolum H00.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Blefaritis H01.0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
e. Jumlah oprasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca oprasi katarak 0 0 0 0 0 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 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
>6/60 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-H96)
a. Otitis Media Supuratif Kronis (OMSK/congek) H66.9 0 0 0 0 0 0 0 2 0 0 0 1 0 1 0 1 0 0 0
b. Serumen H61.20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
c. Presbikusis H91.10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) H83.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli kongenital ( Tuli Sejak Lahir) h90.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Otitis Eksterna H60.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0

Kunjungan Kasus Lama ( kunjungan ke puskesmas lebih dari 1 kali)


Jumlah kunjungan Menurut Golongan Umur
Kode 0-7 hr 8-28 hr 1-11 hr 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th >59 th
NO KEGIATAN
ICD X
L P L P L P L P L P L P L P L P L P L

I Jenis Gangguan Penglihatan Dan Kebutaan (H00.H59)


a. Katarak >3/60 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
<3/60 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi H52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Miopi H52.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hipermetropia H52.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Presbiopia H52.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme H52.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma H40.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Retrinopati Disbetikum H36.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Low Vispon H54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Renopati Of Prematurity H35.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Lain-Lain (sebutkan)
- Pterygium H11.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Conjungtivitis H10.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Blefaritis H01.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

e. Jumlah oprasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


f. Follow up pasca oprasi katarak 0 0 0 0 0 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 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
>6/60 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-H96)


a. Otitis Media Supuratif Kronis (OMSK/congek) H66.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Serumen H61.20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Presbikusis H91.10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) H83.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli kongenital ( Tuli Sejak Lahir) H90.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f.Otitis Eksetrna H60.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

No JENIS DISABILITAS Jenis Kelamin dan Umur


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 Jumlah
L L P L P L P L P L P L P L P L P L P L
a. Disabilitas Fisik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Disabilitas intelektual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Disabilitas Sensorik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Disabilitas Mental 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengatahui, Tomalou, 28 April 2022


Kepala Puskesmas Tomalou Pengelolah Program

Norma Husen,S.S.T.Keb dr. Indri Irfanita Ibra


Nip: 19730805 199301 2 003 Nip: 19910104 201902
Jumlah Juumlah
> 59 th Kasus Baru Kasus KET

P L P Total Dirujuk

0 0 0 0 0
0 0 0 0 0

0 0 1 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
1 5 2 7 0
0 0 0 0 0
1 1 1 2 0
0 2 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 5 5 0
0 1 0 1 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 1 0

Jumlah
>59 th Kunjungan Jumlah
Kunjungan KET
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

Jumlah Total
P
0 0
0 0
0 0
0 0

Tomalou, 28 April 2022


Pengelolah Program

dr. Indri Irfanita Ibrahim


Nip: 19910104 201902 2 004
LAPORAN KEGIATAN PROGRAM GANGGUAN INDERA DAN FUNGSI
DINAS KESEHATAN PROVINSI MALUKU UTARA
KOTA TIDORE KEPULAUAN/ PUSKESMAS TOMALOU

Provinsi : Maluku Utara


Kota/ Kab : Kota Tidore Kepulauan
Puskesmas : Puskesmas Tomalou
Bulan Tahun : Juli 2022

kasus baru (kunjngan pertama kali ke puskesmas)

Jumlah kasus baru menurut golongan umur


Jumlah Juumlah
Kode Kasus Baru Kasus
No KEGIATAN KET
ICD X 0-7 hr 8-28 hr 1-11 bln 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20-44 thn 45-59 thn > 59 th

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 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 3 1 3 3 6 6
<3/60 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi H52
- Miopi H52.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1
- Hipermetropia H52.0 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 H52.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme H52.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma H40.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Retrinopati Diabetikum H36.0 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 H54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 0 0 1 4 5 5
f. Renopati Of Prematurity H35.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Lain-Lain (sebutkan)
- Pterygium H11.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Conjungtivitis H10.9 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0
- Hordeolum H00.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1
- Blefaritis H01.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0
e. Jumlah oprasi 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
f. Follow up pasca oprasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1
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-H96)
a. Otitis Media Supuratif Kronis (OMSK/congek) H66.9 0 0 0 0 1 0 1 0 2 1 0 2 0 1 0 1 0 0 0 0 4 5 9 0
b. Serumen H61.20 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 H91.10 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) H83.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli kongenital ( Tuli Sejak Lahir) h90.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Otitis Eksterna H60.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kunjungan Kasus Lama ( kunjungan ke puskesmas lebih dari 1 kali)


Jumlah kunjungan Menurut Golongan Umur Jumlah
Kode 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 Kunjungan Jumlah
NO KEGIATAN
ICD X Kunjungan KET
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 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
<3/60 H25.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi H52 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 H52.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hipermetropia H52.0 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 H52.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme H52.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma H40.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Retrinopati Disbetikum H36.0 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 Vispon H54 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. Renopati Of Prematurity H35.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Lain-Lain (sebutkan)
- Pterygium H11.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Conjungtivitis H10.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Blefaritis H01.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Jumlah oprasi 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
f. Follow up pasca oprasi 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
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-H96)


a. Otitis Media Supuratif Kronis (OMSK/congek) H66.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Serumen H61.20 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 H91.10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat Bising (NIHL) H83.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli kongenital ( Tuli Sejak Lahir) H90.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f.Otitis Eksetrna H60.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

No JENIS DISABILITAS Jenis Kelamin dan Umur


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 Jumlah Total
L L P L P L P L P L P L P L P L P L P L P
a. Disabilitas Fisik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Disabilitas intelektual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Disabilitas Sensorik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Disabilitas Mental 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengatahui, Tomalou, 29 Juli 2022


Kepala Puskesmas Tomalou Pengelolah Program

Norma Husen,S.S.T.Keb dr. Indri Irfanita Ibrahim


Nip: 19730805 199301 2 003 Nip: 19910104 201902 2 004

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