LAPORAN

KEGIATAN PROGRAM KESEHATAN INDERA PENGLIHATAN (MATA)

PUSKESMAS : TANDUN II
KECAMATAN : TANDUN BULAN : April 2015
KABUPATEN : ROKAN HULU

Jumlah kasus Baru Menurut Golongan Umur Jumlah Jumlah Total Jumlah KET
NO KEGIATAN <1 BL 1 bl - 1 th 1 - 4 th 5 -14 th 15 - 24 th 25 - 44 th 45 -59 th 60 - 64 th >65 th kasus baru kasus lama kunjungan kasus
L P Total L P Total L P Total L P Total L P Total L P Total L P Total L P Total L P Total L P Total L P Total L P Total Dirujuk

1 Jenis Penyakit :
a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
≤ 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Xeroftalmi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Lain - lain (Sebutkan): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Konjungtivitis dan gangguan lain 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 1 0 1 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 4 1 5 0
konjungtiva
2 a. Jumlah Operasi Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b.Follow up pasca operasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
katarak
Tajam Penglihatan: 6/6-6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 1 0 1 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 4 1 5 0

Mengetahui
Kepala Puskesmas Pelapor : 2 Mei 2015
 dr. A N D I A R YUYUN ERNAWATI
Nip.19760105 200312 1005 Nip.19820106 200502 2 001