DATA INDIKATOR JATENG GAYENG NGINCENG WONG METENG

PUSKESMAS TIRTOMOYO II

FAKTOR RESIKO TINGGI

ALAMAT LENGKAP GOLD JARAK RIWAYAT

NO NAMA BUMIL NIK HPL PRIMIGR JML TINGGI
(DESA/KEL.RT,RW ) A/ RH PERSALI KEK ANEMIA HIPERTE
AVIDA ANAK BADAN
NAN NSI

DESA SUKOHARJO

1 Tri Harsini-Joko Sukoharjo,01/II 332105470597000-2 B 9/18/2016 V

2 Nafisah -Katiman Sukoharjo,01/II 331205630282000-3 A 10/17/2016

3 Mery Fitriyani-Rista Tulakan.02/III 331205460395000-1 B 8/24/2016 V

4 Nur Cahyati-Bibit Pule,01 /VI 331205460591000-1 B 9/12/2016 V

5 Mulwanti-Rahman Dadapan,06 /VI 331205680180000-1 O 10/23/2016

6 Nuryani-Agung Dadapan,02 /VI 331205510196000-4 O 9/26/2016 V

7 Ika Novitasari-Haryanto Dadapan,02/VI 331205530597000-2 O 3/11/2016 V

8 Lastri-Slamet Dadapan,02/VI 331205520683000-1 B 12/30/2016

9 Parwini-Paryadi Dadapan,01 /VI 331205680890000-1 B 12/30/2016 V

10 Susi-Wawan Dadapan /VI 331205680890000-1 O 11/29/2016

11 Nadia-Triyadi Dadapan,05/VI 331205451297000-1 B 11/1/2016 V

12 Tarwini-Setiawan Bon Agung/VII 331205470487000-3 B 12/8/2016

13 Nita-Marsudi Sendangsari/IX 332105700894000-1 O 11/14/2016 V

14 Lia Lestari-Bibit Sendangsari/IX 332105630394000-2 B 12/8/2016 V

15 Tutik Rusmiyati-Albi Ngroto,02/X 332105511199000-1 A 10/23/2016 V

16 Susana Riawati-Iwan Ngandong,05/XI 33120568089000-1 B 12/19/2016

17 Yuli Astutik-Lukman Ngandong 04/XI 331205540793000-1 O 11/16/2016

18 Dewi Fitriyani-Anas Dalangede,02/VIII 332105430293000-1 O 10/7/2016

19 Anis Pratiwi-Sugiyatno Jati/IV 332105690400000-1 B 4/9/2017 V

20 Sri Purwaningsih-Santoso Dadapan /VI 331205441091000-1 A 10/28/2016 V

21 Widiyani-Sunarno Dadapan,02 /VI 332105660896000-2 AB 5/25/2016 V

22 Lusita-Oktobrata Ngandong 02/XI 332105420392000-2 AB 3/7/2017 V

23 Rita Sahari-Saryono Ngroto/X 331205600378000-3 O 12/8/2016

24 Sumini-Warsito Dadapan,03 /VI 331205500776000-2 AB 12/25/2016

25 Marbiwi-Purwanto Dadapan ,03/VI 331205490987000-1 O 12/20/2016

26 Tri Ernawati-Purwanto Ngandong,02/XI 332105540280000-3 A 9/1/2016

27 Dwi Ningsih-Dwi Pujiyanto Dadapan,06/VI 331216650196000-2 A 4/16/2017 V

28 Widayati-Suprapto Ngandong,04/XI 331205520487000-2 A 1/26/2017

DESA HARGOSARI

29 Sunarti-Suroto Sengon,01/I 331205631296000-5 O 10/1/2016 V

30 Tri Juariningsih-Adin.S Sengon,02/I 320112480792000-4 A 12/9/2016 V V

31 Nining-Abdul B sengon,01/I 331205420196000-2 A 1/2/2017 V

32 Puput Ida-Paryanto Pagersari.01/II 331205680792000-3 B 1/29/2017

33 Narmi-Suratno Jalakan,02/III 331205300289000-3 O 12/22/2016

34 Azizah-Asmuri Jalakan,01/III 337201620692000-3 A 4/22/2017 V

35 Nanik E-Suwandi Plumbon,01/IV 331205520895000-2 B 11/13/2017 V

36 Rohwi-Rustandi Plumbon,03/IV 331205591287000-1 O 12/3/2016

37 Siti Mufida-Samsuri Pundung,01/V 350106501090000-3 B 9/16/2016 V

38 Wuryanti-Untung Sobo,01/VI 331205460484000-1 O 10/20/2016

39 Supiyarni-Artiyono Sobo,03/VI 331205710593000-2 B 9/18/2016 V

40 Wahyuningsih-Ibnu Sobo,04/VI 331205580395000-1 B 10/16/2016 V

41 Narsi-Sarno Sobo,01/VI 331205590195000-2 B 12/27/2016 V V

42 Katinem-Sutino Jajar,01/VII 331205411078000-1 B 9/13/2016

43 Narni-Iswanto Jajar,02/VII 331205640697000-1 O 11/15/2016 V

44 Sriyati-Rato Beji,02/VIII 331205461195000-1 A 12/29/2016 V

45 Ika Narsih-Andi Beji,02/VIII 3312050508955730 O 2/27/2017 V

46 Tukini-Paryadi Watugede,03/IX 331205450494000-3 O 11/9/2016 V

47 Surani-Maryanto Watugede,04/IX 331205520695000-1 B 1/30/2017 V

48 Sri Anik-Saryono Jalakan/III 331205570593000-3 O 1/20/2017

49 Erna Aprilia Watugede/IX 331205440401000-4 AB 2/25/2016 V

50 Nur Halimah-Nano Jalakan,02/III 331205421188000-1 B 2/22/2017

DESA WIROKO

51 Anik W-Sutarto Taman Wetan,03/I 331205601285000-3 B 11/21/2016

52 Dwi Puryani-Abu Taman Wetan,01/I 331205590084000-2 B 11/20/2016 V

53 Cucut-Adi Taman Wetan,04/I 331205660883000-2 AB 12/5/2016 V

54 Rima-Triyatno Koripan,02/V 331205430899000-4 A 11/10/2016 V

55 Eka Supiana-Julianto Blarakan,02/VI 331205700997000-4 O 19010-2016 V

56 Tri Lesari-Suradi Blarakan,02/VI 331205280597000-2 O 12/1/2016 V

57 Hesti-Dwi Blarakan,01/VI 331205500877000-1 O 12/1/2016 V

58 Sholikah-Heri Talang,02/VIII 331205521294000-2 O 9/22/2106 V

59 Liawati-Hendro Talang,02/VIII 331205670393000-3 B 1/13/2017 V

60 Giyarni-Topik Waduk/IX 331205520175000-3 O 2/22/2017

61 Sri Hartatik-Sutarmo Blarakan,01/VI 331205520875000-1 A 2/17/2017 V

62 Nur Hayati-Heri Taman Wetan,01/I 332105530286000-1 A 2/17/2017 V

63 Lia Dwi-Wisnu Taman Wetan,03/I 332105460789000-1 AB 12/19/2016 V

64 Tri Ernawati-Adika Tirisan Kulon/III 332105660897000-2 O 3/15/2017 V

65 Risa Widya-Agus W Taman Kulon,03/II 331205680887000-2 O 3/27/2017 V

DESA HARGOREJO

66 Katmi-Triwanto Damon,01/IV 331205550489000-2 B 1/27/2017

67 Eka-Windi Nglorog,02/V 331205601196000-1 AB 9/19/2016 V

68 Asri-Burhan Nglorog,01/V PROSES CARI KK O 1/17/2017

69 Sri Wahyuni-Tofik Nglorog,01/V 331205440287000-1 B 12/17/2016

70 Evi-Sugino Nglorog,01/V 331205230215000-7 B 1/24/2016

71 Katni-Kecuk Ngrejo,01/VII 332105420877000-1 AB 8/27/2016

72 Kamti-Supri Ngrejo,02/VII 331205530882000-1 O 3/18/2017

73 Yatin-Bandi Dawuhan,01/VIII 331205410785000-7 O 9/23/2016

74 Ika-Kamto Dawuhan,01/VIII 331205710590000-1 O 9/27/2016

75 Eka-Arif Dawuhan,03/VIII 331205210997000-1 B 10/21/2016 V

76 Sarmini-Sumadi Dawuhan,01/VIII 331205610684000-1 B 3/21/2017

77 Devi-Piko Dawuhan,01/VIII 331205700691000-1 B 12/8/2016

DESA DLEPIH

78 Suprihati-Paryanto Dlepih,01/VII 331205590982000-7 B 12/4/2016

79 Suwarni-Yanto Bangunsari,02/IX 331205650185000-1 B 9/13/2016

80 Saryati-Nardi Bangunsari,01/IX 33120555047000-1 O 9/10/2016

81 Siti Revitasari-Aris Sumberejo,03/X 331205430296000-2 O 9/21/2016 V

82 Erni Yulianti-Agus N Sumberejo,03/X 331205441098000-1 B 9/21/2016 V

83 Endang Tri L-Sulisno Sumberejo,03/X 331205601196000-4 O 11/12/2016 V

84 Dwi Ristiati-Suparman Bangunsari,03/IX 332105450899000-3 AB 2/11/2017 V

85 Nia Budi-Kabul Natah,01/I 331205500493000-1 O 8/27/2016 V

86 Tri Puji L-Joko Sugihan,01/II 332105521187000-1 B 9/20/2016

87 Sri Misning-Sugeng P Sugihan,02/II 332105551081000-4 B 11/14/2016 V

88 Harmi-Rahmat Sugihan,02/II 332105461076000-2 B 11/18/2016 V

89 Bekti Utami-Ahmad I Sugihan,02/II 332105600492000-1 B 12/4/2016 V

90 Yuli Astutik-Sigit P Sugihan,02/II 331205590790000-1 B 19/10/2016

91 Maya Istianti-Tarwadi Sumberejo,03/X 332105570693000-1 B 9/2/2016

92 Lilis Sartika-Supriyanto Ngrejeng,02/III 331205600696000-1 O 9/9/2016 V

Mengetahui
Kepala Puskesmas Tirtomoyo II

dr.H.Suwardi,MM
NIP: 19650502 200112 1 006
ETENG

FAKTOR RESIKO TINGGI

RIWAYAT
RIWAYAT RIWAYAT RIWAYAT
PENYAKI PERSALI KELAINA KELAINA
KEHAMIL NIFAS SAKIT
T NAN N JML. N BESAR KELAINA
AN KOMPLIK KELUAR N LETAK
KRONIS KOMPLIK JANIN JANIN
BURUK ASI GA & POSISI
ASI
JANIN
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V
V

V
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V
Tirtomoyo,1 September 2106

Bidan

Maryani,Am.Keb
NIP: 19711216 199103 2 002