DAFTAR PELAYANAN KESEHATAN IBU HAMIL KUNJUNGAN PERTAMA

PUSKESMAS : Ranap Malingping

BULAN : Januari s/d Agustus
TAHUN : 2019 JENIS
NAMA OBSTETRI PELAYANAN YANG DIBERIKAN JAMINAN
KESEHATAN

IBU dan
TENTUKAN STAT

PENDIDIKAN

TDK MAMPU
KONSELING
PENGUKURAN TES LAB.

SUAMI

KELUARGA
UMUR

KELUARGA
MAMPU
USIA US PEMBERIAN RIW

(MISKIN)
NO ALAMAT KET
IBU DAN SUAMI GPA HPHT TP HAMIL PRES IMM PENYAKI

Goldar
TTD HIV-
(Minggu) BB TB LILA TD TFU ENTA DJJ UNIS Hb AIDS HBsAg T
SI ASI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 RENI/RIAN 28 KAUM D3/S1 G2P1A0 04-12-18 11-09-19 6 50 155 24 90/60 - - - T1 √ - - - - - √ - √ BPJS
2 NACI/ARIP 35 KAUM SD/SMA G3P1A1 04-11-18 11-08-19 10 57 150 25 100/64 - - - T2 √ - - - - - √ - √ BPJS
3 ASIH/SUWADI 26 CIBOGO SD/SD G1P0A0 11-11-18 18-08-19 12 54 158 25 100/60 - - - T0 √ - - - - - √ - √ JMPSAL
4 NOVIA/NURDIN 22 PASIRHAUR SMA/SMA G2P1A0 10-12-18 17-09-19 7 58 153 26 112/68 - - - T2 √ - - - - - √ - √ BPJS
5 LIA/ERMA 26 PASIRHAUR SMA/SMA G1P0A0 28-10-18 05-08-19 12 50 161 23 106/63 - - - T0 √ - - - - - √ - √ BPJS
6 HALIMAH/YAHYA 34 PASIRHAUR SD/SD G3P1A1 25-10-18 02-08-19 12 44 152 24 95/61 - - - T4 √ - - - - - √ - √ BPJS
7 RISMA/USIN PASIRHUNI SD/SD G4P3A0 12-10-18 19-07-19 11 49 150 24 90/50 - - - T4 √ - - - - - √ - √ BPJS
8 AAS/SIROJUDIN 18 GIRILAYA SD/SD G1P0A0 25-11-18 02-09-19 8 40 152 22 90/60 - - - T0 √ - - - - - √ - √ BPJS
9 NANI/TISNA 30 CIKADU SD/SD G3P1A1 12-10-18 19-07-19 12 56 156 26 97/66 - - - T4 √ - - - - - √ - √ BPJS
10 ROSTIANAH/ANDI 35 CIKADU SMA/SMA G2P1A0 14-10-18 21-07-19 12 47 158 25 78/60 - - - T2 √ - - - - - √ - √ BPJS
11 RANTI/ ILHAM 19 CIKADU SMU/SMU G1P0A0 31-10-18 07-08-19 11 49 153 25 106/72 - - - T1 √ - - - - - √ - √ BPJS
12 SUMI/UJANG 30 PASIRHAUR SD/SD G3P1A1 26-10-18 03-08-19 12 50 158 25 131/79 - - - T3 √ - - - - - √ - √ BPJS
13 NELA /ERWIN 24 CIKADU SLTA/SD G2P1A0 20-11-18 27-08-19 12 75 150 29 110/70 - - - T2 √ - A - - - √ - √ BPJS
14 MURNAH/DAMAN 30 CIKADU S1/SMU G2P1A0 12-12-18 19-09-19 10 42 150 23 90/60 - - - T2 √ - - - - - √ - √ BPJS
15 JULFAH/BAMBANG 23 TALUBUKUR SMU/SMU G2P1A0 15-12-18 22-09-19 9 39 147 23 90/60 - - - √ - - - - - √ - √ BPJS
16 AYU/HASAN 14 KAUM SD/SD G1P0A0 3BLN - - - √ - - - - - √ - √ UMUM
17 ANI/ FAZAR 32 WULANGSARI S1/S1 G1P0A0 27-11-18 04-9-19 10 55 160 25 150/70 - - - T1 √ - - - - - √ - √ BPJS
18 SUSANTI/ ANGGA 24 KAUM SMP/SMU G2P1A0 05/03/2019 12/03/2020 12 49 157 24 100/60 - - - T2 √ - - - - - √ - √ BPJS
19 SRI N / ASEP 28 KAUM S1/S1 G3P1A1 13-12-18 04-10-19 9 58 150 27 90/60 - - - T2 √ - - - - - √ - √ BPJS
20 LELI / RULI 15 CINAGROG TS/SMP G1P0A0 11-01-19 18-10-19 6 40 146 24 124/76 - - - T0 √ - - - - - √ - √ BPJS
21 LENI/DEDE 29 SAWAHBARU SD/SMP G2P1A0 08-12-18 15-09-19 10 69 162 27 90/60 - - - T1 √ - A - - - √ - √ BPJS
22 SUMI / GENDA 26 PASIRHAUR SD/SMU G2P1A0 13-11-18 20-08-19 12 56 155 29 90/60 - - - T2 √ - - - - - √ - √ BPJS
23 ST ROFIKOH/H.ALI 28 PASIRHAUR SMP/SD G2P1A0 15-11-18 22-08-19 12 61 150 25 118/72 - - - T2 √ - - - - - √ - √ BPJS
24 ANA / YUSUF 25 PASIRHAUR SMP/SMP G2P1A0 02-12-18 09-09-19 9 42 157 22 110/70 - - - T2 √ - - - - - √ - √ BPJS
25 SANTI/SURADI 28 PASIRHUNI SMP/SMP G1P0A0 12-11-18 19-08-19 11 50 148 26 160/100 - - - T1 √ - - - - - √ - √ BPJS
26 ARYANI / M.SURYANA 22 SAWAHBARU S1/S1 G1P0A0 08-01-19 15-10-19 10 39 153 20 84/44 - - - T1 √ - A - - - √ - √ BPJS
27 NITA/SAEFUL BAHRI 30 PASIRHAUR SMP/SMA G2P1A0 13-01-19 20-10-19 10 40 150 22 89/56 - - - T2 √ - - - - - √ - √ BPJS
28 NINGRUM/TENDI 26 PASIRHAUR SD/SMA G3P2A0 28-12-18 05-10-19 12 48 154 23 97/64 - - - T4 √ - - - - - √ - √ JMPSAL
29 YANTI/HERA 28 KAUM SLTA/SLTA G2P1A0 27-12-18 05-10-19 10 56 150 29 100/70 - - - T2 √ - - - - - √ - √ BPJS
30 RIYANI /AGUS 28 PASIRHAUR SMU/SMU G3P2A0 27-12-18 04-10-19 7 58 158 26 106/68 - - - T4 √ - - - - - √ - √ JMPSAL
31 MEGA/ROHMAT 20 PASIRHAUR SMK/SMP G1P0A0 14-02-19 21-09-19 12 43 145 25 120/70 - - - T0 √ - - - - - √ - √ BPJS
32 YENI/ADE 37 CIKADU SD/SMP G3P2A0 15-01-19 22-10-19 9 65 155 27 111/78 - - - T3 √ - - - - - √ - √ BPJS
33 WILDA/E.KOSASIH 32 CIKADU SD/SMP G9P6A2 15-12-18 22-09-19 11 55 160 27 110/70 - - - T5 √ - - - - - √ - √ BPJS
34 AI/DEDE 22 GIRILAYA SMU/SMP G1P0A0 10-01-19 17-10-19 11 47 151 26 90/60 - - - T1 √ - - - - - √ - √ BPJS
35 MILA/TETENG 24 GIRILAYA S1/S1 G1P0A0 30-12-18 07-10-19 11 41 157 24 90/60 - - - T2 √ - - - - - √ - √ BPJS
36 ST AOSAH/AGUS 20 GIRILAYA SD/SD G1P0A0 05-02-18 12-10-19 11 45 150 24 00/60 - - - T1 √ - - - - - √ - √ BPJS
37 ST.HAJAR 36 GIRILAYA SD/SMU G3P2A0 08-01-19 17-10-19 11 69 158 26 120/80 - - - T4 √ - - - - - √ - √ BPJS
38 WARNI/EMAN 28 CIKADU SD/SD G3P2A0 28-01-19 05-10-19 11 47 149 24 100/70 - - - T3 √ - - - - - √ - √ BPJS
39 RISNA/RESTA 23 PASIRHAUR SMA/SMA G1P0A0 14-01-19 21-10-19 12 46 154 24 110/60 - - - T3 √ - - - - - √ - √ BPJS
40 MARYANI/LUKMAN PASIRHAUR SMU/SD G2P1A0 06-02-19 13-11-19 9 52 153 24 100/70 - - - T2 √ - - - - - √ - √ BPJS
41 SRI FITRI/ SANDI 22 SAWAHBARU SMA/SMA G3P2A0 25-01-19 02-11-19 12 44 146 24 100/60 - - - T2 √ - - - - - √ - √ BPJS
42 RATIH/CATUR 25 SAWAHBARU SMU/SMU G1P0A0 04-02-19 11-11-19 10 35 146 22 80/60 - - - T1 √ - O - - - √ - √ BPJS
43 YULIANA P/ ALFAN 20 CINAGROG SMU/SMU G1P0A0 02-02-19 09-11-19 11 80 159 30 100/60 - - - T1 √ - - - - - √ - √ BPJS
44 TUTI/ELPISON 35 PASIRHAUR SMP/SMU G4P3A0 27-02-19 05-11-19 10 100 150 26 100/80 - - - T4 √ - - - - - √ √ - UMUM
45 IRMA/ROMI 23 PASIHAUR SMP/SD G1P0A0 12-03-19 19-12-19 11 67 162 26 80/60 - - - T1 √ - A - - - √ - √ BPJS
46 RUMIATI/IRFAN 22 PASIRHAUR SMP/SMU G1P0A0 17-03-19 24-12-19 10 48 154 26 80/60 - - - T1 √ - - - - - √ - √ BPJS
47 AAS/ALI 23 CINAGROG SMP/SMP G2P1A0 25-02-19 02-12-19 12 39 149 22 100/60 - - - T2 √ - - - - - √ - √ BPJS
48 AYU/ M.AJI 19 PASIRHAUR SMU/SMU G1P0A0 27-2-19 04-12-19 11 56 157 24 120/70 - - - T0 √ - - - - - √ - √ BPJS
49 PEMI/M.AJI 26 PASIRHAUR SMU/SMP G2P1A0 08-03-19 15-12-19 8 48 150 25 100/80 - - - T2 √ - - - - - √ - √ BPJS
50 PUAH/ ASEP 21 CIKADU SD/SD G1P0A0 10-03-19 17-12-19 11 49 160 25 110/70 - - - T1 √ - O - - - √ - √ BPJS
51 LINA/SAMSUDIN 32 CIKADU SD/SD G2P1A0 18-02-19 25-11-19 12 47 157 22 110/70 - - - T3 √ - - - - - √ - √ BPJS
52 ST.SUHERNI/MAJID 24 GIRILAYA SMP/SD G1P0A0 8MG - - - T1 √ - - - - - √ - √ BPJS
53 SELA/AGUS 27 PASIRHUNI SMU/SMU G2P1A0 23-03-19 30-12-19 12 46 150 24 150/90 - - - T2 √ - - - - - √ - √ BPJS
54 NENENG/UDUNG 26 CIBOGO SD/SD G3P2A0 03/03/2019 10/12/2019 12 55 158 26 90/60 - - - T3 √ - - - - - √ - √ BPJS
55 FELI/KUSWARA 29 PASIRHAUR SMU/SMU G2P1A0 08-04-17 15-01-20 11 52 158 26 110/70 - - - T3 √ - - - - - √ - √ BPJS
56 SELA/YULISTIA 24 PASIRHAUR SMU/SMU G1P0A0 15-04-19 22-01-20 10 56 150 24 90/70 - - - T1 √ - - - - - √ - √ BPJS
57 IIS/CARMADI 19 PASIRHAUR SMP/SD G2P0A1 15-03-19 22-12-19 12 40 156 20 90/60 - - - T0 √ - AB - - - √ - √ BPJS
58 HENI/ROHANI 43 CINAGROG SD/SD G5P4A0 6MG - - - √ - - - - - √ - √ BPJS
59 DEWI/DIDIN 19 KAUM SMU/SMU G1P0A0 13/03/2019 20/03/2020 11 45 154 24 100/60 - - - T0 √ - - - - - √ - √ BPJS
60 KARIAWATI/ISLAH 37 WULANGSARI SMU/S1 G3P2A0 24/04/2019 31/01/2020 10 53 158 25 120/80 - - - T4 √ - - - - - √ - √ BPJS
61 SURYAMAH/JOHAR 29 GIRILAYA SMP/SMP G2P1A0 05-04-19 12-01-20 11 65 150 27 160/80 - - - T2 √ - - - - - √ - √ BPJS
62 TARI/ARIP 33 GIRILAYA SD/SD G4P3A0 8MG - - - √ - - - - - √ - √ BPJS
63 JARINAH 25 CIBOGO SD/SD G2P1A0 28-03-19 05-01-120 12 69 157 27 90/60 - - - T2 √ - - - - - √ - √ BPJS
64 SANI 21 CIBOGO SMA/SD G1P0A0 24-03-19 31-12-19 12 45 150 24 100/70 - - - T0 √ - - - - - √ - √ BPJS
65 JANAH/ANDREW 26 PASIRHAUR SD/SMA G2P1A0 06-05-19 13-02-20 11 44 148 24 90/60 - - - T2 √ - - - - - √ - √ BPJS
66 SUMI/SURYANA 26 CINAGROG SMP/SMP G2P1A0 21-05-19 28-02-20 10 55 150 27 90/60 - - - T2 √ - O - - - √ - √ BPJS
67 ANIAH/DEBI 24 SAWAHBARU SMP/SMU G2P0A1 10/05/2019 17/02/2020 11 47 150 24 90/60 - - - T1 √ - - - - - √ - √ BPJS
68 FARADHITA 25 WULANGSARI D3/D3 G2P1A0 29-04-19 06-02-20 11 74 155 30 90/60 - - - T2 √ - - - - - √ - √ BPJS
69 ATIKAH/MAMAD 35 KAUM SMP/SD G3P2A0 10/03/2019 17/03/2020 12 57 161 27 90/70 - - - T4 √ - - - - - √ - √ BPJS
70 ATIN/KARYA 28 KAUM SMP/SMP G2P1A0 04/03/2019 11/03/2020 12 60 153 27 90/60 - - - T2 √ - - - - - √ - √ BPJS
71 ENUR/DEDI 32 CIKADU SD/SMP G3P2A0 09-04-19 16-01-20 8 51 153 26 90/60 - - - T3 √ - - - - - √ - √ BPJS
72 NIA/YASIN 30 GIRILAYA SD/SD G3P2A0 02-03-19 09-12-19 10 57 155 27 100/70 - - - T3 √ - - - - - √ - √ BPJS
73 RAHMA/YUDI 21 GIRILAYA SMK/SMA G1P0A0 23-05-19 '30-02-20 10 55 150 24 140/90 - - - T1 √ - - - - - √ - √ BPJS
74 ADE/GUNUTR 35 PASIRHUNI SMU/SMU G3P2A0 08-06-19 16-03-20 7 52 158 24 100/70 - - - T3 √ - - - - - √ √ - UMUM
75 SARNI/MARJEN 24 CIBOGO SD/SD G2P1A0 20-05-19 27-02-20 10 48 155 25 100/70 - - - T2 √ - - - - - √ - √ BPJS
76 JAMSI/ELI 29 GIRILAYA SMP/SMU G2P1A0 16-06-19 23-03-20 6 58 160 26 100/70 - - - T2 √ - - - - - √ - √ BPJS
77 SAMSIAH/ROHMAT 26 GIRILAYA SD/SD G2P1A0 20-06-19 27-03-20 9 52 165 24 90/60 - - - T2 √ - - - - - √ - √ BPJS
78 SARTI/KAMSUDIN 35 PASIRHUNI SD/SMP G4P3A0 28-04-19 05-02-20 11 46 158 25 100/70 - - - T3 √ - - - - - √ - √ BPJS
79 SUSI/ERIK 29 PASIRHAUR SD/ SMP G2P1A0 02-06-19 09-03-20 8 65 162 27 110/70 - - - T2 √ - - - - - √ - √ BPJS
80 HANDAYANI/ BENI 17 PASIRHAUR SD/SMP G1P0A0 26-05-19 03-03-20 12 32 150 19 76/50 - - - T0 √ - O - - - √ - √ BPJS
81 EKA/JAMALUDIN PASIRHAUR 3BL - - - √ - - - - - √ - √ BPJS
82 ERNA/YADI 17 CINAGROG SMP/SD G1P0A0 20-06-19 27-03-20 153 - - - √ - - - - - √ - √ BPJS
83 NIA/ECID 27 CINAGROG SD/SD G2P1A0 22-06-19 29-03-20 9 43 150 24 80/60 - - - T2 √ - - - - - √ - √ BPJS
84 ROHANAH/WAHYUDIN 35 SAWAHBARU SD/SD G5P4A0 22-05-19 29-02-20 12 57 157 27 90/60 - - - T4 √ - - - - - √ - √ BPJS
85 NINA/AEP KAUM 3BLN - - - √ - - - - - √ - √ BPJS
86 HETY/SURYO PASIRHAUR SMU/SD G2P1A0 24-06-19 31-03-20 7 53 152 25 100/70 - - - T2 √ - - - - - √ - √ BPJS
87 DIAN/DAVIL CIKADU - G1P0A0 01-07-19 08-04-20 6 45 150 23 90/60 - - - T0 √ - - - - - √ - √ BPJS