FORMAT LAPORAN PENDAMPINGAN BUMIL KEK DAN ANEMIA YG SUDAH LAHIR

TP (TAKSIRAN HB SAAT
NO NAMA UMUR ALAMAT HPHT HB AWAL LILA AWAL LILA SAAT INI PARTUS BBL (gr)
PERSALINAN) INI
1 NUR HIDAYAH 24 KARANGBINANGUN 9 gr% 28 28.3 27/7/2019 3000
2 I'IS KHOLIFATUL 20 KARANGBINANGUN 10 gr% 25 25.4 12/8/2019 3500
3 SAHELLA 20 KARANGBINANGUN 11 19.6 20 12/6/2019 2800
4 NUR SAADAH 28 KARANGBINANGUN 11 22 23 10/10/2019 2300
5 HARLIKA 36 KARANGBINANGUN 10.2 gr% 34 34 25/10/2019 3600
6 MAYANI 32 KARANGBINANGUN 9 gr% 24.5 24.5 8/10/2019 3000
7 LILIK HIDAYATUS SA'DIYAH 23 KARANGBINANGUN 10gr% 23 23.2 16/8/2019 3200
8 DITA SILVIANI 23 KARANGBINANGUN 9,6 gr% 20 21.5 27/6/2019 2900
9 NUR KHOIRIYAH 23 KARANGBINANGUN 10 gr% 21 21 24/4/2019 2400
10 SITI KAPSAH 40 KARANGBINANGUN 23.5 26 16/5/2019 4000
11 RINA PUSPITA SARI 26 KARANGBINANGUN 10.6 gr % 23 23.5 17/6/2019 3100
12 ICTI SINTIANAN SARI 24 KARANGBINANGUN 9 gr% 20 23 23/8/2019 2700
13 MUYASAROH 29 KARANGBINANGUN 9.8 gr% 25 25.2 25/6/2019 3200
14 SITI MUDRIKAH 26 KARANGBINANGUN 9.8gr% 25 25 8/7/2019 3000
15 FENI ROSIDA 27 KARANGBINANGUN 10 gr % 22 22.5 13/5/2019 2900
16 FITAHUL ILMIYAH 20 KARANGBINANGUN 10 gr % 20.5 21 12/10/2019 2800
17 NUR KHASANAH KARANGBINANGUN 10 gr% 26 26.7 17/8/2019 2500
18 Fitri Astutik 21 KARANGBINANGUN 10 gr% 22 22.2 15/6/2019 3100
19 Swara Agni 28 KARANGBINANGUN 10,4 gr % 23 26 20/10/2019 3100
20 MUSTAINA 38 KARANGBINANGUN 10 gr% 30 30 18/6/2019 2100
21 MUFTI FATMAINI 21 KARANGBINANGUN 10 gr% 17 17 18/10/2019 3500
22 PUPUT YULIANTI 25 KARANGBINANGUN 10 ,1 gr% 22 24 2/7/2019 2100
23 FAJAR AYU NINGTYAS 25 KARANGBINANGUN 11 23 23 28/6/2019 Abortus
24 MUTMAINAH 21 KARANGBINANGUN 10 gr% 25 25.5 3/10/2019 3900
25 UNZILLA 28 KARANGBINANGUN 30/01/2019 7/11/2019 10 gr% 10.6 20 24 11/11/2019 3000
26 APRILIA DEWI 21 KARANGBINANGUN 10 gr% 20 20.5 24/9/2019 3100
58 Zumrotus KARANGPILANG 19 cm / 28 mg 24 cm / 38 mg 3700
59 Linda S KARANGPILANG 20 cm / 24 mg 24 cm / 39 mg 2900
60 Arifatul azizah KARANGPILANG 20 cm / 26 mg 25 cm / 38 mg 2800
61 Ririn wahyu N KARANGPILANG 22 cm / 25 mg 24 cm / 39 mg 3300
62 Luluk Nur F KARANGPILANG 22 cm / 24 mg 25 cm / 38 mg 3000
63 Vita Dewi KARANGPILANG 21 cm / 27 mg 24 cm / 39 mg 3500
64 Ayu S KARANGPILANG 22 cm / 24 mg 24 cm / 38 mg 2500
65 Muliawati KARANGPILANG 21 cm / 20 mg 25 cm / 39 mg 3000
66 Umi Ayu KARANGPILANG 22 cm / 22 mg 24 cm / 38 mg 3200
67 anggun widya 21 PUCUK 30-1-2019 6/10/2019 11,5 12 22 23 6/10/2019 2700
68 nashrul istirocha 25 PUCUK 29-1-2019 6/10/2019 12 12,1 21 22 6/10/2019 3400
69 mar'atul islamiyah 27 PUCUK 25-9-2018 2/7/2019 10 10,2 25 26 2/7/2019 3800
70 ella retnosari 21 PUCUK 13/3/2019 20/12/2019 11,9 12 21 23
71 laily ni'mah 36 PUCUK 13-8-2018 20-5-2019 12,1 12 22,5 25 20-5-2019 3000
72 dewi masitah 26 PUCUK 10/5/2019 17-2-2020 12,3 12,2 22,5 23,5
73 nella sari 29 PUCUK 4/9/2018 11/6/2019 12,2 12,7 22 24 11/6/2019 12/9/1907
74 febi dianisa 19 PUCUK 13-12-2018 20-9-2019 9,8 9,5 22,5 24 20-9-2019 2800
75 dike novita 21 PUCUK 13-4-2019 20-1-20 8,7 8,7 23,5 23,5
76 khusnul khotimah 23 PUCUK 8/12/2019 18-9-2019 10,3 11 22 24,5 18-9-2019 3000
77 iis kasmawati 28 PUCUK 5/9/2018 12/6/2019 11,5 12 23 24 12/6/2019 3300
78 nur rohmawati 25 PUCUK 3/5/2019 10/2/2019 11 11.7 23,5 25
79 srigati 38 PUCUK 28-8-2018 5/5/2019 11.7 12 22 24 5/5/2019 3200
80 dewi maisah 37 PUCUK 13-3-2019 20-12-2019 10,3 11 26 27
81 nuratika laila 24 PUCUK 8/12/2018 15-9-2019 12 12,5 22,5 25 15-9-2019 3700
82 wasi' 26 PUCUK 3/12/2018 10/9/2019 11,9 12,3 19 23 10/9/2019 3100
83 wiwik puji a 35 PUCUK 5/10/2018 12/7/2019 10,2 11 23,5 25 12/7/2019 2900
84 sylomyta 26 PUCUK 4/6/2019 11/3/2020 10,2 10,8 23,5 24,5
85 siti nuswati 29 PUCUK 20-9-2018 27-6-2019 11,8 12,5 23 24,5 27-6-2019 3000
86 sutini indahyani 34 PUCUK 25-2-2019 2/12/2019 10,2 10,6 23 24
87 naiz faizah 29 PUCUK 22-8-2018 27-5-2019 10 10,3 23 24 29-5-2019 2900
88 ana nurhidayati 23 PUCUK 21-5-2019 28-2-2020 11,8 12,3 22 24
89 siti asiyah 24 PUCUK 13-8-2018 20-5-2019 12 12,5 22 24 20-5-2019 3400
90 tri winarseh 32 PUCUK 23-5-2019 30-2-2020 12,5 12,3 21 24
91 ziniyah murtoha 23 PUCUK 31-9-2018 7/7/2019 12,2 12 22,5 24 7/7/2019 3000
92 ana nurhidayati 23 PUCUK 15-4-2019 22-1-2020 10,9 10,9 22,5 22,5
 93 eni rahmawati 27 PUCUK 28-11-2019 5/9/2019 12,4 12,2 22,5 24,5 5/9/2019
94 andina 22 PUCUK 15-9-2018 22-6-2019 10,2 11 22,5 24,4 21-6-2019 3200
95 nela w 25 PUCUK 11/3/2019 18-12-2019 12,1 12 22,5 23,5
96 MINTHUK 29 th Kanyar 10/18/2018 7/25/2019 11 gr % 12 gr5 19 cm 23 cm 7/22/2019 3100 gr
97 ARIS DWI 22 th Ngelo 8/30/2018 6/6/2019 11 gr % 12 gr % 20 cm 23 cm 6/15/2019 3300 gr
98 ENDANG 28 th Brumbun 10/31/2018 8/7/2019 10,5 gr % 12 gr % 25 cm 27 cm 8/13/2019 3300 gr
99 YOLANDA 28 th Kambangan 2/20/2019 11/27/2019 9,7 gr % 11 gr % 26 cm 27,5 cm 11/12/2019 3100 gr
100 SUNDARI 27 th Ngeblek 10,6 gr % 12 gr% 30 cm 31,5 cm 10/25/2019 2900 gr
101 ANIA 24 th Kambangan 11/6/2018 8/13/2019 9,8 gr% 12 gr % 20 cm 23 cm 7/22/2019 3100 gr
102 TRI SULISTYOWATI 23 th Dongpoh 8/26/2018 6/2/2019 9,5 gr % 11,5 gr 5 24 cm 25 cm 5/28/2019 3000 gr
103 ESA IMANULKURIN 20 th Duren 10/25/2018 7/22/2019 9,8 gr % 11 gr % 25 cm 26 cm 7/17/2019 3000 gr
104 ANGGI 28 th Lawak 12/25/2018 10/2/2019 8 gr % 11 gr 5 25 cm 25 cm 9/6/2019 3000 gr
105 IFA LATIFAH 19 th Jejel 10/6/2018 7/13/2019 9 gr% 11.2 gr% 19 cm 22.5 cm 11/7/2019 3300 gr
106 UMAROH 19 th Jejel 1/25/2019 10/31/2019 10.2 gr% 11 gr% 24 cm 26 cm 2/9/2019 2800 gr
107 RUSMINTEN 26 th Kumprit 7/13/2018 4/20/2019 10,5 gr % 12 gr% 25 cm 25,5 cm 5/17/2019 3400 gr
108 ANIS DWI N 24 th Ngangkrik lor 4/29/2018 1/6/2019 10,2 gr% 12,2 gr% 24 cm 25 cm 9/6/2019 3200 gr
109 VIANNIKA 22 th Ngangkrik kidul 10-07-18 7/14/2019 9,9 gr% 11,8 gr% 26,5 cm 26,5 cm 7/20/2019 3400 gr
110 LILIS 28 th Curing 5/8/2018 12/5/2019 9,6 gr% 10,2 gr% 23 cm 23,5cm 10/5/2019 3100 gr
111 SETYOWATI 29 th Wotan 2/12/2018 9/9/2019 10,2 gr% 11,3 gre% 19 cm 20 cm 8/20/2019 3200 gr
112 SITI COLIPAH 30 th Wotan 12/26/2018 3/9/2019 12 gr% 12 gr% 19 cm 20 cm 6/9/2019 3800 gr
113 KARTINI 35 th Katar 9/1/2018 6/8/2019 9 gr% 11 gr% 30 cm 32 cm 6/4/2019 3600 gr
114 IFA NASUKHA 22 th Kakat 10/2/2018 7/9/2019 12 gr% 13 gr% 19 cm 22 cm 7/24/2019 3300 gr
115 NURUL AINUN 18 th Kakat 10.3 gr% 11.7 gr% 26 cm 28 cm 05-09019 3000 gr
116 TINARIYAH 36 th Gurit 9/23/2018 6/30/2019 11 gr % 11.5 gr% 22 cm 23 cm 6/4/2019 2700 gr
117 SITI MARIA 23 th Gurit 9/1/2018 6/8/2019 9.7 gr% 11 gr% 24 cm 25 cm 6/5/2019 2800 gr
118 SULIASIH 39 th Brajak 10/4/2018 7/11/2019 10.5 gr% 11.5 gr% 23.5 cm 24 cm 7/9/2019 3100 gr
119 WIWIK 26 th Brajak 11/30/2018 9/25/2019 11.5 gr% 12 gr% 20 cm 22 cm 9/24/2019 3000 Ggr
120 Uswatun khoiroh 24 th Soko 12/15/2018 9/22/2019 10.5 12 23 24 9/14/2019 2800
121 Siti Sifa'us Sariroh 25 Wedoro 12/20/2018 9/27/2019 11.1 10.9 22 25 10/3/2019 2800
122 Lailatul Izzah 23 Karangturi 9/26/2018 7/3/2019 11.9 12.5 20 22 7/9/2019 3000
123 Rohmatul Ummah 27 Bangkok 8/9/2018 5/16/2019 12.6 12.5 19.5 20.5 5/1/2019 3500
124 Amylia Ayu S 24 Margoanyar 12/11/2018 9/18/2019 12.7 11.7 22 25 9/18/2019 3600
125 Ny Kurniawati 32 Karangagung 12/4/2018 9/11/2019 12.5 12.5 22 23 9/1/2019 3100
126 Puji Purwanti 23 Jatirenggo 1/10/2018 10/17/2019 12.7 12.7 23 24.5 10/21/2019 2900
127 Winda Wida 18 Pasi 6/8/2018 3/15/2019 11.5 12 18 20 4/6/2019 2500
128 Khoiriyah 32 Pasi 9/20/2018 7/27/2019 11.2 12 21 23.5 7/31/2019 3200
129 Ani Kholisatu 21 Rayung Gumuk 7/15/2018 4/22/2019 11.2 12 22 24 4/5/2019 2700
130 nanda Juwita 28 12/2/2018 9/8/2109 12.1 12.5 22.5 23 8/20/2019 3000
131 Novita 19 Gempol Pendowo 1/10/2019 10/16/2019 12.2 12.7 21 23.5 10/12/2019 3000
132 MINTHUK 29 th Kanyar 10/18/2018 7/25/2019 11 gr % 12 gr5 19 cm 23 cm 7/22/2019 3100 gr
133 ARIS DWI 22 th Ngelo 8/30/2018 6/6/2019 11 gr % 12 gr % 20 cm 23 cm 6/15/2019 3300 gr
134 ENDANG 28 th Brumbun 10/31/2018 8/7/2019 10,5 gr % 12 gr % 25 cm 27 cm 8/13/2019 3300 gr
135 YOLANDA 28 th Kambangan 2/20/2019 11/27/2019 9,7 gr % 11 gr % 26 cm 27,5 cm 11/12/2019 3100 gr
136 SUNDARI 27 th Ngeblek 10,6 gr % 12 gr% 30 cm 31,5 cm 10/25/2019 2900 gr
137 ANIA 24 th Kambangan 11/6/2018 8/13/2019 9,8 gr% 12 gr % 20 cm 23 cm 7/22/2019 3100 gr
138 TRI SULISTYOWATI 23 th Dongpoh 8/26/2018 6/2/2019 9,5 gr % 11,5 gr 5 24 cm 25 cm 5/28/2019 3000 gr
139 ESA IMANULKURIN 20 th Duren 10/25/2018 7/22/2019 9,8 gr % 11 gr % 25 cm 26 cm 7/17/2019 3000 gr
140 ANGGI 28 th Lawak 12/25/2018 10/2/2019 8 gr % 11 gr 5 25 cm 25 cm 9/6/2019 3000 gr
141 IFA LATIFAH 19 th Jejel 10/6/2018 7/13/2019 9 gr% 11.2 gr% 19 cm 22.5 cm 11/7/2019 3300 gr
142 UMAROH 19 th Jejel 1/25/2019 10/31/2019 10.2 gr% 11 gr% 24 cm 26 cm 2/9/2019 2800 gr
143 RUSMINTEN 26 th Kumprit 7/13/2018 4/20/2019 10,5 gr % 12 gr% 25 cm 25,5 cm 5/17/2019 3400 gr
144 ANIS DWI N 24 th Ngangkrik lor 4/29/2018 1/6/2019 10,2 gr% 12,2 gr% 24 cm 25 cm 9/6/2019 3200 gr
145 VIANNIKA 22 th Ngangkrik kidul 10-07-18 7/14/2019 9,9 gr% 11,8 gr% 26,5 cm 26,5 cm 7/20/2019 3400 gr
146 LILIS 28 th Curing 5/8/2018 12/5/2019 9,6 gr% 10,2 gr% 23 cm 23,5cm 10/5/2019 3100 gr
147 SETYOWATI 29 th Wotan 2/12/2018 9/9/2019 10,2 gr% 11,3 gre% 19 cm 20 cm 8/20/2019 3200 gr
148 SITI COLIPAH 30 th Wotan 12/26/2018 3/9/2019 12 gr% 12 gr% 19 cm 20 cm 6/9/2019 3800 gr
149 KARTINI 35 th Katar 9/1/2018 6/8/2019 9 gr% 11 gr% 30 cm 32 cm 6/4/2019 3600 gr
150 IFA NASUKHA 22 th Kakat 10/2/2018 7/9/2019 12 gr% 13 gr% 19 cm 22 cm 7/24/2019 3300 gr
151 NURUL AINUN 18 th Kakat 10.3 gr% 11.7 gr% 26 cm 28 cm 05-09019 3000 gr
152 TINARIYAH 36 th Gurit 9/23/2018 6/30/2019 11 gr % 11.5 gr% 22 cm 23 cm 6/4/2019 2700 gr
153 SITI MARIA 23 th Gurit 9/1/2018 6/8/2019 9.7 gr% 11 gr% 24 cm 25 cm 6/5/2019 2800 gr
154 SULIASIH 39 th Brajak 10/4/2018 7/11/2019 10.5 gr% 11.5 gr% 23.5 cm 24 cm 7/9/2019 3100 gr
155 WIWIK 26 th Brajak 11/30/2018 9/25/2019 11.5 gr% 12 gr% 20 cm 22 cm 9/24/2019 3000 Ggr
156 Ida rusdiana/ Shodikin 36 Moropelang 20/8/2019 27/5/2019 12,5 12,8 17 18,5 23/5/2019 21.9
157 Atik B / Slamet 24 Moropelang 20/7/2018 27/4/2019 8,3 10,6 22 23,5 3/5/2019 3.4
158 Imroatul /Ibnu khidin 24 Moropelang 7/8/2018 14/5/2019 9,9 10,4 23 24,3 26/5/2019 2.7
159 Mukholifatur/M.Toyib 27 Moropelang 8/10/2018 15/7/2019 12,5 12,8 21 232,3 13/7/2019 3
160 Umaiyah /Sahamsah 35 Moropelang 23/12/2018 30/9/2019 11 11,5 21 23,3 21/9/2019 3
161 Rinda dwi/ Arif R 18 Moropelang 2/8/2018 9/5/2019 11 11,6 21 22,5 11/4/2019 2.7
162 Syaidatul/Muthakul 25 Moropelang 5/9/2019 12/6/2019 10,9 12,2 28 30.5 20/5/2019 3.6
163 Dewi Tutik/Deni 25 Moropelang 3/10/2018 4/7/2019 12,5 12,4 20 23,5 1/7/2019 3
164 Reti Yuliana/ Ardianto 19 Moropelang 12/102018 10/8/2019 9,7 11,9 29 30,3 3/6/2019 3
165 Siwin Kaslan/ Kaslan 27 Moropelang 15/9/2018 22/6/2019 10,1 11,8 25 27,4 7/6/2019 3.7
166 Siti Ramdini/ Rofii 33 Moropelang 13/8/2018 20/5/2019 10,9 12,2 28 30,5 20/5/2019 3.6
167 Khalimatus/ Agus.p 25 Moropelang 8/8/2018 8/5/2019 9,6 11,5 26 28,4 9/62019 3.1
168 Zulianah /Rawi 44 Moropelang 22/9/2018 18/6/2019 10 11 24 26 10/7/2019 3
169 Siti Zuhriyah/Maszudi 19 Moropelang 27/12019 4/1/2019 10,1 11,3 23,5 25,5 25/9/2019 3.1
170 Siti Makrufah/Nanang 24 Moropelang 3/10/2018 10/7/2019 10,4 12 24,5 26,5 6/7/2019 3.5
171 Nuraini /Darmuji 21 Moropelang 17/82018 25/52019 9,6 10,9 27 29 12/5/2019 3,1
172 Mamluatul/M Arya 22 Moropelang 7/10/2018 14/7/2019 11 11,5 23 23,5 19/7/2019 2,6
173 Anita nada/ Budi 17 Moropelang 25/9/2019 2/7/2019 10,9 11,5 26,5 28 29/6/2019 3.5
174 Ririn Ismawati/ Suhrmk 19 Moropelang 3/1/2019 10/10/2019 11,5 12 23 24 8/10/2019 3.4
175 Siti ayu / Shodikin 22 Moropelang 17/9/2018 24/6/2019 14,4 14,5 21 22 9/6/2019 2.9
176 Fani azizatul 25 Moropelang 16/9/2018 23/6/2019 11,3 11,7 21 23,5 16/7/2019 3
177 EkA PUTRI 20 Moropelang 18/9/2018 25/6/2019 10,9 11 23 24 1/7/2019 2.7
178 Lutfiatul /M Roni 32 Moropelang 12/9/2018 19/6/.2019 9,8 10 22 23 26/5/2019 2.3
179 Miftah zuliana 25 Moropelang 10/102018 10/7/2019 10,5 11 26 27 16/7/2019 3
180 Ike Wahyuning 26 Moropelang 23/8/2018 30/5/2019 10,5 11,2 24 28 2/6/2019 2,8
 BIAYA PENDAMPINGAN
NAMA PENDAMPING
MANDIRI PROMKES PMT
v Sri Rahayu
v Siti Umamah
v jamila
v Sriwati
v Nurhamdanah
v Siti Mahfazah
v Hajar Fitriyah
v Yuni khatin
v Sukaemi
v Miftahul khoirimah
v Indayati
v Rina Rohmanah
v Muzdalifah
v Yayuk Arwani
v Riani
v Umaiyah
v Julaikha
v Sri Hayati
v Kristi Amaliyah
v Chayatun
v Istirohah
v Suaimah
v Sirul Hani'ah
v Sri Paenah
v Suparmiati
v Mardliyah
v Yuliatin
v Sawitri
v Azizah Sri
v Ifa Nur Laila
v Zumrotus
v Winarti
v Sriatun
v Suswati
v Selvia Devi
V nur handayani
V nur handayani
V masitah
V masitah
V sri
V sri
V lilies setyo
V lilies setyo
V lilies setyo
V ramayati
V indah liana
V indah liana
V musamah
V musamah
V siti qurotul
V hartini
V lilik puji
V lilik puji
V khumaimah
V khumaimah
V maskanah
V maskanah
V dewi kusnul
V dewi kusnul
V nurwati
V nurwati
V laeli yusrotin
V ma'rifah
V ma'rifah
V Rista Kuswandari
V Suciawan
V Rista Kuswandari
V Rista Kuswandari
V Suciawan
V Rista Kuswandari
V Cicik
V Cicik
V Cicik
V Tutik
V Suminten
V Tatik
V Hesti Diana
V Hesti Diana
V Citra
V Cindah
V Citra
V Suhartatik
V Solicha
V Solicha
V Indah Suwarni
V Warmi
V Indah Suwarni
V Warmi
V Ny dartik
V Ny Qomariah
V Ny Evi Eka S
V Ny Umu Fadillah
V Ny Purwati
V Ny Asnah
V Ny Suwarti
V Ny Sulaemah
V Ny Retno Wenti
V Ny Indarseh
V Ny nanik
V Ny Nanik
V Rista Kuswandari
V Suciawan
V Rista Kuswandari
V Rista Kuswandari
V Suciawan
V Rista Kuswandari
V Cicik
V Cicik
V Cicik
V Tutik
V Suminten
V Tatik
V Hesti Diana
V Hesti Diana
V Citra
V Cindah
V Citra
V Suhartatik
V Solicha
V Solicha
V Indah Suwarni
V Warmi
V Indah Suwarni
V Warmi
V Fatimah
V Sutianah
V Yatiah
V Lismurni
V Srinapsiah
V Mujianah
V Siti Asiyanah
V Wiwik
V Anis Nur
V Ismawati
V Fanjayawati
V Tasmiatun
V Herlilik
V Anik
V Tuminah
V Fitriyah
V Nurul faizah
V Tutik m
V Istirokah
V Robiatus
V Zubaidah
V Dewi Lisaadah
V Sudarwati
V Sheni Erna
V Siti Zumaroh