Formulir 19

LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan Januari

Puskesmas MARGODADI Tahun 2020

Umur
Alamat lengkap (Nama Jalan, kehami
Normal/di
No. Nama Bayi L/P Nama orangtua NKK RT/RW, No. rumah, Desa, Tgl dan jam lahir lan BB/TB
rujuk
Kecamatan, kab/kota,Provinsi) saat
1 2 3 4 5 6 7 lahir
8 9 10
1 By,Ny Sunarti P Sujoko 1812020107190002 Sumber rejo,RW 03 RT 08 10-1-20/14.00wib 39 mg 3100gr/49cm Normal
2 By,Ny Fitri Nurjanah L Ahmad Wakori 1812021203180005 Sumber rejo,RT 12 RW 04 16-1-20/1.300wib 40mg 2900/50cm dirujuk
3 By.Ny Dewi L Sugianto Sumber Rejo RT 08 RW 04 17-1-20/07.35wib 39mg 3200/50 cm Normal
4 By.Ny Dewi L Taufik ariyanto 1812020103116316 Sumber Rejo RT 10 RW 04 29-1-20/06.00Wib 40mg 3000gr/49cm Normal
5 By.Ny Susi P Rudi 1812020103116746 Margodadi RW6 21-1-20/20.00wib 39mg 3000gr/49cm Normal
6 By.Ny.Suparni P Jaya Sutisna Margodadi RW 4 1-1-20/19.25wib 40mg 2200gr/48cm Normal
7 By.Ny. Warnita P Nasyanto Margodadi RW 2 5-1-20/14.45 Wib 39mg 3000gr/49cm Normal
8 By.Ny.Yudiarti P Linto Gunung Menanti 28-1-20/00.45wib 40mg 3000gr/49cm Normal
9 By.Aqila Q.N P Eko Nugroho 1812021905910007 Margomulyo RT 06 RW 02 13-1-20 39mg 3200gr/50cm Normal
10 By.Bagas Laksmono L Agung budi L 0812022304960003 Margomulyo RT 16 RW 05 1/1/2020 40mg 3000gr/49cm Normal
11 By.Fatih Alfa rizki L Gatot Tugino 1802131008850001 Margomulyo RT 17 RW 05 17-1-20 39mg 3100gr/49cm Normal
12 By. Ny.Nidya P Ny.Nidya/Tn.mus Makarti 01-01-2020/06.10 39mg 2900/49cm rujuk
13 By.Ny.eka L Tn.arikosandi Makarti 01-01-2020/23.10 39mg 3000/50cm rujuk
14 By.Ny.Ani P Ny.Ani/Tn.Iwan Makarti 15-01-2020/16.30 40mg 3000/49cm normal
15 By.Ny. Novi P Budi Irawan 1812022802118192 Makarti 16-1-20/13.35wib 40mg 3100/49cm rujuk
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan februari

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama

Umur
Jalan, RT/RW, No. rumah, Normal/di
No. Nama Bayi L/P Nama orangtua NKK Tgl dan jam lahir kehamilan saat BB/TB
Desa, Kecamatan, rujuk
lahir
kab/kota,Provinsi)
1 2 3 4 5 6 7 8 9 10
1 By,Ny weniyati P M. Ikwan Gunung menanti RK 1 15-2-20/01.54 39 mg 3000gr/50cm Normal
2 By,Ny Yuni Astini L Budiman Gunung menanti RK1 16-2-20/08.35 30mg 1200gr/41cm Normal
3 By,Ny Wahyuni P Agus cahyono Gunung menanti RK2 9-2-20/ 39mg 3500gr/50cm Rujuk
4 By,Ny Dalina L alamin Gunung menanti RK3 4/2/2020 40mg 3000gr/50cm Normal
5 By,Ny Rita P Asbihi Gunung menanti RK5 14-02-20/ 39mg 3200gr/50cm Normal
6 By,Ny Dewi L Yudi Gunung menanti RK 6 17-2-20/ 40mg 3300gr/49cm Normal
7 By,Ny Murdewi P Pindi Gunung menanti RK 4 29-2-20/ 02.00 39mg 3400gr/50cm Normal
8 By,Ny shelin P Andi Sumber Rejo RK 1 2-2-20/04.30 wib 40mg 4000gr/50cm Normal
9 By,Ny arini L Agus Sumber Rejo RK 2 20-2-20/02.15 39mg 3700/50cm Rujuk
10 By,Ny Surati L joko Sumber Rejo RK 3 12-2-20/ 03.00 40mg 3300/49cm Normal
11 By,Ny Yuyun L suparaman Sumber Rejo RK 5 7-2-20/07.00 39mg 3800/51cm Rujuk
12 By,Ny Siti Masruroh L Paryanto Sumber Rejo RK 2 27-2-20/01.30 39mg 3300/49cm Normal
13 By,Ny Ratna P Budi Makarti RK 4 24-2-20/10.26wib 39mg 2400/48cm Rujuk
14 By,Ny rohana P Mistam Makarti RK 4 24-2-20/12.00 40mg 2500/48cm Rujuk
15 By,Ny Tri L Edi Makarti RK 1 13-2-20/20.13wib 40mg 3300/50cm Rujuk
16 By,Ny Rini P Wasis Makarti RK 2 14-2-20/11.15wib 40mg 3300/49cm Normal
17 By,Ny Lusi L Hari Makarti RK 2 26-2-20/ 40mg 3100/49cm Rujuk
18 By,Ny Lia Fatmawati L Saiful Margodadi RK 5 2-2-20/16.43 wib 38mg 2800/48cm Normal
19 By,Ny Nurhayati L Aliudin Margodadi RK 8 16-2-20/08.30wib 38mg 3500/52cm Normal
20 By,Ny Ita P Gatot Margodadi RK 4 27-2-20/17.45wib 39mg 2800/48cm Normal
21 By,Ny Yunita L Samsul Margodadi RK 2 29-2-20/23.30wib 40mg 3600/50cm Normal
22 By,Ny Enat Dwi P Tn Utomo Margo Mulyo RK 12-2-20/ 39mg 4200/50cm Normal
23 By,Ny Narmi L nurhasim 1812022606120073 Margo Mulyo RK 7-2-20/ 40mg 3000/49cm Normal
24 By,Ny rizki yuniati L Agus setiawan 181202221090001 Margo Mulyo RK 19-2-20/ 39mg 3100/50 cm Normal
25 By,Ny yanti L Chairul 1812022507160007 Margo Mulyo RK 5-2-20/ 40mg 3100/49 Normal
26 By,Ny susi susanti P johansyah 1812022206110005 Margo Mulyo RK 14-2-20/ 39mg 3000/49 cm Normal

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar
 Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes
NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan Maret

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama

Umur
Jalan, RT/RW, No. rumah, Normal/di
No. Nama Bayi L/P Nama orangtua NKK Tgl dan jam lahir kehamilan saat BB/TB
Desa, Kecamatan, rujuk
lahir
kab/kota,Provinsi)
1 2 3 4 5 6 7 8 9 10
1 BY Ny.Syafiga D.A P Ardianto Margo mulyo 10/3/2020 40mg 3100gr/49cm Normal
2 Ny .Eka P andi Sumber Rejo 26/3/2020 40 mg 3200gr/50cm normal
3 By.Ny dwi P sugianto Sumber Rejo 22/3/2020 39 mg 2900gr/49cm normal
4 By.Ny.Haryani P ROJALI MARGODADI 2/3/2020 40mg 3000gr/48cm normal
5 By.Ny Suwarni L/P SUTRISNA 1812022106120078 MARGODADI 4/3/2020 40 mg 2900/49cm normal
6 By Ny.Yuliana P YASIN 1812022606122004 MARGODADI 7/3/2020 39 mg 3400gr/49cm normal
7 By.NyPUPUT L/P HERI 1812021612190004 MARGODADI 8/3/2020 40mg 2900/47cm normal
8 By.Ny,Ruti L/P RUTI 18120220010160010 MARGODADI 13/3/2020 40 mg 2700gr/44cm normal
9 By.Ny.Mey Lidya P FERI.C MARGODADI 17/3/2020 39 mg 3200/50cm normal
10 By.Ny.Yati L/P SUHAIMI MARGODADI 20/3/2020 40mg 3000gr/48cm normal
11 By.Ny.desi Ayu L/P PETRIK 1812022810190001 MARGODADI 23/3/20 40 mg 2900/47cm normal
12 By.Ny. Susi Megawati P SLAMET B MARGODADI 24/3/2020 39 mg 2700gr/44cm normal
13 By.Ny.Trimah L/P NANAK MARGODADI 25/3/2020 40 mg 3200/50cm normal
14 By.Ny. Anjarini L/P HERI KISWANTO MARGODADI 26/3/2020 39 mg 3000gr/48cm normal
15 By.Ny.Kinanti P MAKARTI 5 4/2/2020 40mg 3000/50cm Rujuk/sc
16 By.Ny.Lulu maria U P MIFTAHUL 1812021119190002 MAKARTI 5 7/3/2020 40 mg 2800/49cm normal
17 By.Ny.anisa L KIKI MAKARTI 4 13/3/20 39 mg 3000/49cm normal
18 By,Ny Rita P PUJI 1812020509180002 MAKARTI 4 20/3/20 40 mg 2900gr/49cm normal
19 By.ny. Nurma P WINIH 1812021403140002 MAKARTI 4 27/3/20 39 mg 3000gr/48cm normal
20 By.Ny. Marni P SURAJI MAKARTI 3 9/3/2020 40mg 2900/49cm Rujuk/sc
21 By.Ny.Yuliati L Riswandi gunung menanti 18/3/2020 40 mg 3000/49cm normal
22 By. Ny.Hayani P Joni gunung menanti 21/3/2020 39 mg 3200gr/49cm normal
23
24
25
26

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar
 Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes
NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan April

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama

Umur
Jalan, RT/RW, No. rumah, Normal/di
No. Nama Bayi L/P Nama orangtua NKK Tgl dan jam lahir kehamilan saat BB/TB
Desa, Kecamatan, rujuk
lahir
kab/kota,Provinsi)
1 2 3 4 5 6 7 8 9 10
1 By.Ny. Yuni L Tn.Suyusno Sumber Rejo 23/4/20,pkl 13.00wib 30mg 2200/43cm normal
2 By.Ny Ninik ismawati L Tn.Suhardi Sumber Rejo 20/4/20,pkl 10.00wib 39mg 2800/48cm normal
3 By.Ny Apri novi rini P Tn.Haryanto Sumber Rejo 13/4/20.pkl 14.00wib 40mg 3000/50cm normal
4 By.Ny misni L Tn.Samsuri Sumber Rejo 15/4/20.pkl13.00wib 40mg 4600/52cm Rujuk/sc
5 By.Ny Sri Wahyuni L Tn. Triyanto Sumber Rejo 12/4/20,pkl 23.00wib 41mg 3300/50cm Normal
6 By.Ny Rodiah P Tn. Efendi Sumber Rejo 19/4/20. Pkl 15.00wib 40mg 3200/49cm normal
7 By.NyTitik L Tn. Kartolo Sumber Rejo 11/4/20 Pkl 11.00wib 35mg 2500/47cm Normal
8 By.Ny Yuli I P Tn.Budi Margomulyo 16/4/20. PKL21.00 wib 39mg 2500/47cm Sc
9 By.Ny yuli II P Tn.Budi Margomulyo 16/4/20pkl 15.00 wib 39mg 2100/46cm SC
10 By.Ny Muryati L Tn. Untung Margomulyo 30/4/20 pkl 18.00wib 40mg 3200/50cm Normal
11 By.Ny rosa L Tn.Wawan Margomulyo 18/4/20 pkl 04.00 wib 41mg 3000/ 50cm Normal
12 By.Ny Tri Utami L Tn.Eko Y Margomulyo 24/4/20 pkl 09.00wib 40mg 2900/48cm Normal
13 By.Ny. Jeniela P Tn. Nanda S Margomulyo 23/4/20 pkl 15.00wib 38mg 2600/48cm Normal
14 By.Ny aprilia L Tn. edi Margomulyo 25/4/20pkl 21.00 wib 39mg 3800/51cm Normal
15 By.Ny Narni L Tn. Kasil Margomulyo 20/4/20 39mg 3100/51cm Rujuk/sc
16 By.Ny Dian Komala sari P Tn.Dikin Margomulyo 17/4/20 40mg 3500/50cm Rujuk/sc
17 By.Ny. Sumarni P Tn. Ahmad Gunung menanti 26/4/20 39mg 2600/50cm normal
18 By.Ny Liawati L Tn. Tarmizi Gunung menanti 15/4/20 40mg 2700/50cm normal
19 By.Ny Sintiawati L Tn. Mansur Gunung menanti 28/4/20 Bayi( +) Lindukun
20 By.Ny Sutria L Tn. Reno Makarti 7/4/20.pkl 02.00wib 39mg 3000/50cm normal
21 By.Ny sikim L Tn.Joko Makarti 9/4/20 pkl 13,30wib 39mg 2600/48cm normal
22 By.Ny marsini P Tn.Biyan Makarti 20/4/20 pkl14.30 40mg 2800/49cm normal
23 By.Ny indah L Tn. Jaini Makarti 20/4/20pkl10.15wwib 39mg 3000/49cm normal
24 By.Ny sukaisih L Tn. Wiwid Makarti 26/4/20 pkl 19.00wib 40mg 3300/50cm Rujuk/sc
25 By.Ny ngatinem L Tn. Wahid Margodadi 29/4/20 39mg 3200/50cm normal
26 By.Ny sundari P Tn. Teguh Margodadi 7/4/2020 39mg 3500/49cm normal
27 By.Ny IIS P Tn. Joko Margodadi 5/4/2020 40mg 3200/49cm normal
28 By.Ny idawati P Tn Sukardi Margodadi 8/4/2020 41mg 2800/48cm normal
29 By.Ny Nita Sari P Tn. Siswanto Margodadi 1/4/2020 40mg 2700/48cm normal
30 By.Ny dewi L Tn.Puja Margodadi 2/4/2020 40mg 3000/49cm normal

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar

Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes

NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan Mei

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama
Jalan, RT/RW, No. Umur
No. Nama Bayi L/P Nama orangtua NKK rumah, Desa, Tgl dan jam lahir kehamilan BB/TB Normal/di rujuk
Kecamatan, saat lahir
1 2 3 4 5 kab/kota,Provinsi)
6 7 8 9 10
1 By.Ny.Yatik p Tn. Totok Makarti Rk 4 5/5/2020 39 mg 2900 gr/ 49 cm
2 By.Ny.Lita L Tn.wawan Makarti Rk 6 1/5/2020 39 mg 3200 gr/ 49 cm SC/ Rujuk
3 By.Ny.Haryanti p Tn. Hariyanto Makarti Rk 6 16-5-2020 40 mg 2900 gr/ 49 cm Normal
4 By,NY siti Rohana p TN. Miswan Makarti Rk 2 14-5-2020 39 mg 3300 gr/ 50 cm Normal
5 By.Ny. Indah L Tn. Saefudin Makarti Rk 2 18-5-2020 39 mg 2700 gr/ 49 cm Normal
6 By.Ny siti P Tn. Iwan Makarti Rk 2 22-5-2020 40 mg 2900 gr/ 49 cm Normal
7 By.Ny. Iis P Makarti Rk 3 1/5/2020 40 mg 3800 gr/ 50 cm SC/ Rujuk
8 By.Ny. Anggi P Tn. Irawan Gunung Menanti 24/5/20 39 mg 2600 gr/49 cm Normal
9 By.Ny.Nur Apriani P Tn.Utomo Gunung Menanti 15/5/20 40 mg 2700/48 cm Normal
10 By.Ny. Nurjanah P Tn. Edi Gunung Menanti 14/5/20 40 mg 3300 gr/ 50 cm Normal
11 By.Ny.Nurbaiti(kembar) P Tn. Agus Gunung Menanti 21/5/20 38 mg 2200/47 cm Normal
12 By.Ny. Nurbaiti P Tn. Agus Gunung Menanti 21/5/20 38mg 1700/45 cm Normal
13 By.Ny. Fitriani P Tn. Adiyanto Gunung Menanti 5/5/2020 39 mg 3200/ 50 cm Normal
14 By.Ny. Susanti P Tn.Arwan Gunung Menanti 6/5/2020 40 mg 2800/49cm Normal/ dukun
15 By.Ny.Waspiah P Tn.andis Margodadi 1/5/2020 39 mg 3200 gr/ 49 cm Normal
16 By.Ny.supatmi P Tn.lenianto Margodadi 12/5/2020 39 mg 2900 gr/ 49 cm Normal
17 By.Ny. Risa Winarni P Tn. Vicki indra Margodadi 14/5/20 40 mg 3300 gr/ 50 cm Normal
18 By.Ny. Wisa Apriana P agung Budiarto Margodadi 13/5/20 39 mg 2700 gr/ 49 cm Normal
19 By.Ny. Nurjanah P Tn. Edi s Margodadi 14/5/20 39 mg 2900 gr/ 49 cm Normal
20 By.Ny. Laili P Tn.Harno Margodadi 13/5/20 40 mg 3800 gr/ 50 cm Sc/rujuk
21 By. Ny. Trimiasih L Tn. Margomulyo 11/5/2020 39 mg 1800 gr/ 47 cm Sc/rujuk
22 By.Ny Ratna L Tn.Busroni Margomulyo 28/5/20 40 mg 3900 gr/ 50cm Sc/rujuk
23 By.Ny Yanti P Tn.Yanto Margomulyo 21/5/20 39 mg 3200/ 50 cm Normal
24 By. Ny. Apri L Tn. Margomulyo 15/5/20 39 mg 2800/49cm Normal
25 By.Ny. Juhriah P Tn. Supri Margomulyo 14/5/20 40 mg 3200 gr/ 49 cm Normal
26 By.Ny Nur Amanah P Tn.Kristanto Margomulyo 13/5/20 40mg 3100 gr/ 50 cm Normal
27 By.Ny . Nurul Azizah L Tn. Abd khafid Sumber Rejo 5/5/2020 40 mg 3900 gr/ 50cm Normal
28 By.Ny.Linda Lestari L Tn. Hendri Sumber Rejo 4/4/2020 39 mg 3200/ 50 cm Normal
29 By. Ny. Mulyani P Tn. Lukman Sumber Rejo 17/5/2020 39 mg 2800/49cm Normal
30 By.Ny. Linda P Tn. Irwan Sumber Rejo 20/5/20 40 mg 3200 gr/ 49 cm Normal
31 By.Ny. Atin P Tn. Fatoni Sumber Rejo 21/5/2020 40mg 28000 gr/ 50 cm Normal

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar

Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes

NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan juni

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama
Jalan, RT/RW, No. Umur
No. Nama Bayi L/P Nama orangtua NKK rumah, Desa, Tgl dan jam lahir kehamilan BB/TB Normal/di rujuk
Kecamatan, saat lahir
1 2 3 4 5 kab/kota,Provinsi)
6 7 8 9 10
1 BY.NY. Yeni L Tn. Hadi Makarti 7-6-2020/07.30 wib 39 mg 2900 gr/ 49 cm Normal
2 BY.NY.Karin P Tn. Heru Makarti 21-6-2020/22.00 wib 39 mg 3200 gr/ 49 cm Normal
3 BY.NY. Cindi P Tn.Markus Makarti 23-6-2020/13.30wib 40 mg 2900 gr/ 49 cm Normal
4 BY.NY. Indah P Tn. Saeful Makarti 26-6-2020/19.30wib 39 mg 3300 gr/ 50 cm Normal
5 BY.NY.Lisa P Tn.Rudi Makarti 29-6-2020/18.30wib 39 mg 2700 gr/ 49 cm Normal
6 BY.NY.eka P Tn.Didi Margodadi 11-6-2020/08.00wib 40 mg 2900 gr/ 49 cm Normal
7 BY.NY. Septa Nia sari p Tn.Hasanudin Margodadi 19-6-2020/19.30wib 40 mg 3800 gr/ 50 cm Normal
8 BY.NY. Rina Umani p Tn.Zimin Margodadi 27-6-2020/19.35wib 39 mg 2600 gr/49 cm Normal
9 BY.NY.Neli Setiani L Tn. Rohmat Gunung Menanti 06-6-2020/15.15wib 40 mg 2900/48 cm Normal
10 BY.NY.Sriani L Tn.Adi Saputra Gunung Menanti 09-6-2020/07.20 wib 40 mg 3300 gr/ 50 cm Normal
11 BY.NY. Maryana L Tn.Fendi Margomulyo 9-6-2020/18.00 wib 38 mg 3200 gr/ 49 cm Normal
12 BY.NY. Siti Farida L Tn. Maman Margomulyo 12-6-2020/ 38mg 3100 gr/ 50 cm Normal
13 BY.NY. Siti Nurwati P Tn.Tri Anggo Margomulyo 21-6-2020 39 mg 3200 gr/ 50cm Rujuk/SC
14 BY.NY.Dwi Yuniarti P Tn. Warjito Sumber Rejo 04-6-2020/00.10 wib 40 mg 2800/49cm Normal
15 BY.NY.Itasari P Tn.Sutikno Sumber Rejo 19-6-2020/09.00wib 39 mg 3200 gr/ 49 cm Normal
16 BY.NY.Rizatul hasanah L Tn.Budi Utumo Sumber Rejo 19-6-20202/16.30wib 39 mg 2900 gr/ 49 cm Normal
17 BY.NY. Eriyani L Tn Paino. Sumber Rejo 29-6-20202/10.30wib 40 mg 3300 gr/ 50 cm Normal
18 BY.NY.Siti latifah P Tn.Krisjayadi Sumber Rejo 10/6/2020 39 mg 2700 gr/ 49 cm Rujuk/SC
19 BY.NY. Damayanti P Tn. Romi Andika Sumber Rejo 30-6-2020 39 mg 2900 gr/ 49 cm Normal
20
21
22

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar

Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes

NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan juli

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama
Jalan, RT/RW, No. Umur
No. Nama Bayi L/P Nama orangtua NKK rumah, Desa, Tgl dan jam lahir kehamilan BB/TB Normal/di rujuk
Kecamatan, saat lahir
1 2 3 4 5 kab/kota,Provinsi)
6 7 8 9 10
1 By.Ny. Esha L Tn. Alfa Margodadi 1/7/20,02.15 wib 39 mg 2900 gr/ 49 cm
2 By.Ny.Sri Kanti P Tn. Budi setiana Margodadi 6/7/20,02.00wib 39 mg 3200 gr/ 49 cm SC/ Rujuk
3 By.Ny.Uswatun L Tn.Sanusi Margodadi 8/7/20,17.45wib 40 mg 2900 gr/ 49 cm Normal
4 By.Ny.Sulastri L Tn. Emon Margodadi 17/7/20,12.45wib 39 mg 3300 gr/ 50 cm Normal
5 By.Ny.Wahyu puji P Tn.Lukman Margodadi 16/7/20,18.50wib 39 mg 2700 gr/ 49 cm Normal
6 By.Ny. Sri Ekawati P Tn.Budi Margodadi 18/7/20,19.20 wib 40 mg 2900 gr/ 49 cm Rujuk /sc
7 By.Ny. Pon p Tn.pon Margodadi 23/7/20,18.05wib 40 mg 3000 gr/ 50 cm normal
8 By.Ny.Melisna P Tn.Suranto Gunung menanti 17/7/20,10.30 wib 39 mg 2600 gr/49 cm Normal
9 By.Ny.Desi L Tn.Helni Gunung menanti 23/7/20 40 mg 2700/48 cm Normal/ dukun
10 By.Ny.Yeni P Tn.Ari Gunung menanti 22/7/20/ 40 mg 3300 gr/ 50 cm Normal/ dukun
11 By.Ny.Hadijah L Tn.Hanusi Gunung menanti 7/7/2020 38 mg 2200/47 cm Normal/ dukun
12 Idawati P Sapto Gunung menanti 2/7/2020 38mg 1700/45 cm Normal
13 By.Ny. Darmawati L Tn.darmawan Gunung menanti 22/7/20 39 mg 3200/ 50 cm Normal
14 By.Ny.Mutiah L Tn.Untung Margomulyo 7/7/2020 40 mg 2800/49cm Rujuk /sc
15 By.Ny.Muryanti L Tn.Untung Margomulyo 11/7/2020 39 mg 3200 gr/ 49 cm Normal
16 By.Ny.Dita P Tn.Febi Margomulyo 16/7/20 39 mg 2900 gr/ 49 cm Normal
17 By.Ny.Azidah L Tn.Bambang Margomulyo 15/7/20 40 mg 3300 gr/ 50 cm Normal
18 By.Ny.Samsiah L Tn.Triono Margomulyo 17/7/20 39 mg 2700 gr/ 49 cm Normal
19 By.Ny.Laila L Tn.Gusti Margomulyo 16/7/20 39 mg 2900 gr/ 49 cm Normal
20 By.Ny.Eva L Tn.yayak Margomulyo 23/7/20 40 mg 3800 gr/ 50 cm Normal
21 By.Ny.izah P Tn. Kadi Margomulyo 24/7/20 39 mg 2900gr/49cm Normal
22 By.Ny.Susanti p Tn.jumli Margomulyo 26/7/20 40 mg 3900 gr/ 50cm Normal
23 By.Ny.Nindi L Margomulyo 27/7/20 39 mg 3200/ 50 cm Normal
24 By.Ny.Suparmi L suparmi Makarti 11/7/2020 39 mg 2800/49cm Normal
25 By.Ny. Wenda P wenda Makarti 15/7/20 40 mg 3200 gr/ 49 cm Normal
26 By.Ny.Isnanik P isnanik Makarti 16/2/20 40mg 3100 gr/ 50 cm Normal
27 By.Ny.Jaryatik L jaryatik Makarti 24/7/20 40 mg 3900 gr/ 50cm Normal
28 By.Ny.Anggun P anggun Makarti 24/7/20 39 mg 3200/ 50 cm Normal
29 By.Ny.Ayu L&L heru Makarti 26/7/20 39 mg 2800/2400 gr Normal
30 By.Ny.Susi L Tn. Sumber Rejo 24/7/20 40 mg 3200 gr/ 49 cm Normal
31 By.Ny.Nurwana L Tn Sunarto Sumber Rejo 8/7/2020 39 mg 3200/ 50 cm Normal
32 By.Ny. Jubaidah P Tn.Iwan Sumber Rejo 17/7/20 39 mg 2800/49cm Normal
33 By.Ny. Elistiana Tn.Hamim Makarti 20/7/20 40mg 28000 gr/ 50 cm Normal

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar

Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes

NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan agustus

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama
Jalan, RT/RW, No. Umur
No. Nama Bayi L/P Nama orangtua NKK rumah, Desa, Tgl dan jam lahir kehamilan BB/TB Normal/di rujuk
Kecamatan, saat lahir
1 2 3 4 5 kab/kota,Provinsi)
6 7 8 9 10
1 By.Ny.Widanti P Ny.Widanti Makarti 5/8/2020 39 mg 2700/49cm Normal
2 By.Ny.Purwanti L Tn. A. Subeji Makarti 12/8/2020 40mg 3200/50cm Normal
3 By.Ny. Wulan L Ny.Wulan Makarti 25-8-2020 40mg 3000/50cm Normal
4 By.Ny. Irva Ny.Irva Makarti 23-8-2020 39 mg 3600/50cm Normal
5 By.Ny.Nur P Ny.Nur Makarti 27-8-2020 39 mg 3300/49cm SC/Rujuk
6 By.Ny.Yani Ny.Yani Makarti 8/8/2020 39 mg 3000/49cm Normal
7 By.Ny. Supariyem Ny.supariyem Makarti 5/8/2020 39 mg 3100/50cm Normal
8 By.Ny.Muslimah Ny.Muslimah Makarti 29-8-2020 39 mg 3000/49cm Normal
9 By.Ny. Amara L Tn Nanang Margomulyo 7/8/2020 39mg 2600/45cm SC/Rujuk
10 By.Ny.Amara L Tn Nanang Margomulyo 7/8/2020 39mg 2300/45cm SC/Rujuk
11 By.Ny.Umrotul L Tn.Imron Sumber Rejo 1/8/2020 41mg 3200/49cm SC/Rujuk
12 By.Ny.Dwi fitri P Tn.Maryanto Margodadi 2/8/2020 40mg 3400/50cm Normal
13 By.Ny.Susana P Tn.Khoirul Huda Margodadi 13-8-2020 40mg 2900/50cm Normal
14 By.Ny.Ismatul P Tn. Eko Margodadi 12/8/2020 39 mg 3400/50cm Normal
15 By.Ny. Reni Melda P Tn. Jefri Margodadi 13-8-2020 39 mg 3000/40cm Normal
16 By.Ny. Devi Handayani L Tn. Roni Margodadi 30/8/2020 39 mg 2800/48cm Normal
17 By.Ny.Riami P Tn. Andre Margodadi 12/8/2020 40mg 3300/50cm SC/Rujuk
18 By.Ny.Desi P Tn.Wijaya Margodadi 15-8-2020 39mg 3000/50cm normal
19 By.Ny.Martina P Tn.Exnatius Margodadi 11-8-2020 37mg 2800/47cm SC/Rujuk
20 By.Ny.Martina P Tn.Exnatius Margodadi 11/8/2020 37mg 2600/47cm SC/Rujuk
21
22
23
24
25
26
27
28
29
30
31

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar

Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes

NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan juli

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama
Jalan, RT/RW, No. Umur
No. Nama Bayi L/P Nama orangtua NKK rumah, Desa, Tgl dan jam lahir kehamilan BB/TB Normal/di rujuk
Kecamatan, saat lahir
1 2 3 4 5 kab/kota,Provinsi)
6 7 8 9 10
1 By.Ny. Esha L Tn. Alfa Margodadi 1/7/20,02.15 wib 39 mg 2900 gr/ 49 cm
2 By.Ny.Sri Kanti P Tn. Budi setiana Margodadi 6/7/20,02.00wib 39 mg 3200 gr/ 49 cm SC/ Rujuk
3 By.Ny.Uswatun L Tn.Sanusi Margodadi 8/7/20,17.45wib 40 mg 2900 gr/ 49 cm Normal
4 By.Ny.Sulastri L Tn. Emon Margodadi 17/7/20,12.45wib 39 mg 3300 gr/ 50 cm Normal
5 By.Ny.Wahyu puji P Tn.Lukman Margodadi 16/7/20,18.50wib 39 mg 2700 gr/ 49 cm Normal
6 By.Ny. Sri Ekawati P Tn.Budi Margodadi 18/7/20,19.20 wib 40 mg 2900 gr/ 49 cm Rujuk /sc
7 By.Ny. Pon p Tn.pon Margodadi 23/7/20,18.05wib 40 mg 3000 gr/ 50 cm normal
8 By.Ny.Melisna P Tn.Suranto Gunung menanti 17/7/20,10.30 wib 39 mg 2600 gr/49 cm Normal
9 By.Ny.Desi L Tn.Helni Gunung menanti 23/7/20 40 mg 2700/48 cm Normal/ dukun
10 By.Ny.Yeni P Tn.Ari Gunung menanti 22/7/20/ 40 mg 3300 gr/ 50 cm Normal/ dukun
11 By.Ny.Hadijah L Tn.Hanusi Gunung menanti 7/7/2020 38 mg 2200/47 cm Normal/ dukun
12 Idawati P Sapto Gunung menanti 2/7/2020 38mg 1700/45 cm Normal
13 By.Ny. Darmawati L Tn.darmawan Gunung menanti 22/7/20 39 mg 3200/ 50 cm Normal
14 By.Ny.Mutiah L Tn.Untung Margomulyo 7/7/2020 40 mg 2800/49cm Rujuk /sc
15 By.Ny.Muryanti L Tn.Untung Margomulyo 11/7/2020 39 mg 3200 gr/ 49 cm Normal
16 By.Ny.Dita P Tn.Febi Margomulyo 16/7/20 39 mg 2900 gr/ 49 cm Normal
17 By.Ny.Azidah L Tn.Bambang Margomulyo 15/7/20 40 mg 3300 gr/ 50 cm Normal 24
18 By.Ny.Samsiah L Tn.Triono Margomulyo 17/7/20 39 mg 2700 gr/ 49 cm Normal 26
19 By.Ny.Laila L Tn.Gusti Margomulyo 16/7/20 39 mg 2900 gr/ 49 cm Normal 22
20 By.Ny.Eva L Tn.yayak Margomulyo 23/7/20 40 mg 3800 gr/ 50 cm Normal 30
21 By.Ny.izah P Tn. Kadi Margomulyo 24/7/20 39 mg 2900gr/49cm Normal 31
22 By.Ny.Susanti p Tn.jumli Margomulyo 26/7/20 40 mg 3900 gr/ 50cm Normal 19
23 By.Ny.Nindi L Margomulyo 27/7/20 39 mg 3200/ 50 cm Normal 33
24 By.Ny.Suparmi L suparmi Makarti 11/7/2020 39 mg 2800/49cm Normal 20
25 By.Ny. Wenda P wenda Makarti 15/7/20 40 mg 3200 gr/ 49 cm Normal 23
26 By.Ny.Isnanik P isnanik Makarti 16/2/20 40mg 3100 gr/ 50 cm Normal 30
27 By.Ny.Jaryatik L jaryatik Makarti 24/7/20 40 mg 3900 gr/ 50cm Normal 31
28 By.Ny.Anggun P anggun Makarti 24/7/20 39 mg 3200/ 50 cm Normal
29 By.Ny.Ayu L&L heru Makarti 26/7/20 39 mg 2800/2400 gr Normal 289
30 By.Ny.Susi L Tn. Sumber Rejo 24/7/20 40 mg 3200 gr/ 49 cm Normal
31 By.Ny.Nurwana L Tn Sunarto Sumber Rejo 8/7/2020 39 mg 3200/ 50 cm Normal
32 By.Ny. Jubaidah P Tn.Iwan Sumber Rejo 17/7/20 39 mg 2800/49cm Normal
33 By.Ny. Elistiana Tn.Hamim Makarti 20/7/20 40mg 28000 gr/ 50 cm Normal

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar

Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes

NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan sept

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama
Jalan, RT/RW, No. Umur
No. Nama Bayi L/P Nama orangtua NKK rumah, Desa, Tgl dan jam lahir kehamilan BB/TB Normal/di rujuk
Kecamatan, saat lahir
1 2 3 4 5 kab/kota,Provinsi)
6 7 8 9 10
1 By.Ny.Tri Wahyuni L Triono Margodadi 5/9/2020 39 mg 2900 gr/ 49 cm Normal
2 By.Ny.Sumiyanti L Herianto Margodadi 6/9/2020 39 mg 3200 gr/ 49 cm Normal
3 By.Ny.Binti maysaroh L Sumarjo Margodadi 9/9/2020 40 mg 2900 gr/ 49 cm Normal
4 By.Ny.Siti Royana P Agus setiawan Margodadi 8/9/2020 39 mg 3300 gr/ 50 cm Normal
5 By.Ny.Rani P Medi Margodadi 19-9-2020 39 mg 2700 gr/ 49 cm SC/ Di rujuk
6 By.Ny. Manis P PUR Margodadi 21-9-2020 40 mg 2900 gr/ 49 cm Normal
7 By.Ny.Mistinah L Agus suwito sumber Rejo 8/9/2020 40 mg 3000 gr/ 50 cm Normal
8 By. Ny.Suriati L Rudi hartono sumber Rejo 5/9/2020 39 mg 3200 gr/49 cm SC/ Meninggal
9 By.Ny.Rohyati L Edi sumber Rejo 2/9/2020 40 mg 3200/48 cm Normal
10 By.Ny. Ana Safitri L sugi Hartono sumber Rejo 8/9/2020 40 mg 3300 gr/ 50 cm Normal
11 By.Ny.Khoirunisa P Khoirunisa sumber Rejo 23-9-2020 38 mg 3400/47 cm Normal
12 By.Ny. Amalia L Indri wiranto Margomulyo 20-9-2020 38mg 2700/49 cm Normal
13 By.Ny.Anggi L suprapto Margomulyo 25-9-2020 39 mg 3200/ 50 cm Normal
14 By.Ny.Dwi L aan Margomulyo 27-9-2020 40 mg 2800/49cm Normal
15 By.Ny.Evi L Joko Makarti 3/9/2020 39 mg 3200 gr/ 49 cm SC/Dirujuk
16 By.Ny.anita P Sumarji Makarti 11/9/2020 39 mg 2900 gr/ 49 cm Normal
17 By.Ny.Nisa L Amad Makarti 12/9/2020 40 mg 3300 gr/ 50 cm Normal
18 By.Ny.Nur safitri L Zulkarnaen Makarti 13-9-2020 39 mg 2700 gr/ 49 cm Normal
19 By.Ny.Putri L Dedek Makarti 22-9-2020 39 mg 2900 gr/ 49 cm Normal
20 By.Ny.Nurjanah P Imron Makarti 24-9-2020 39 mg 3800 gr/ 50 cm Normal
21 By.Ny.Endang P Jasmani Makarti 28-9-2020 40 mg 2900gr/49cm Normal
22 By.Ny.Rina P Adi Makarti 5/9/2020 39 mg 3900 gr/ 50cm SC/ Di rujuk
23 By.NyPartiyem P partiyem Makarti 29-8-2020 39 mg 3200/ 50 cm Normal
24 By.Ny.
25 By.Ny.
26 By.Ny.
27 By.Ny.

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar

Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes

NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan Agustus

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama
Jalan, RT/RW, No. Umur
No. Nama Bayi L/P Nama orangtua NKK rumah, Desa, Tgl dan jam lahir kehamilan BB/TB Normal/di rujuk
Kecamatan, saat lahir
1 2 3 4 5 kab/kota,Provinsi)
6 7 8 9 10
1 BY.Ny.Suyati L Daryono Sumber Rejo 3/10/2020 39 mg 3100gr/50 cm Dirujuk/ SC
2 BY.Ny.Sri rahayu L Herman Sumber Rejo 17/10/2020 41mg 3500gr/49 cm Normal
3 BY.Ny.Suratin P Lasno Sumber Rejo 29/10/2020 38mg 3100gr/50 cm Normal
4 BY.Ny.Saniatul L Gilang Sumber Rejo 5/10/2020 40mg 3700gr/50 cm Dirujuk/ SC
5 BY.Ny.Karlina L Hardin Sumber Rejo 25/10/2020 36mg 2400gr/48 cm Normal
6 BY.Ny.Siti Fatimah L Rifai Sumber Rejo 25/10/2020 40mg 3100gr/50 cm Normal
7 BY.Ny.Elsa Gita L Atabrani Sumber Rejo 23/10/2020 39mg 3200gr/50 cm Normal
8 BY.Ny.Sonya P Sonya Sumber Rejo 22/10/2020 40mg 3100gr/50 cm Normal
9 BY.Ny. Jumatun L Tatak Margomulyo 1/10/2020 39mg 3100gr/50 cm Normal
10 BY.Ny.Melita L Agus Margomulyo 3/10/2020 40mg 3500gr/49 cm Normal
11 Hepi L Heru Margomulyo 4/10/2020 39mg 3100gr/50 cm Normal
12 BY.Ny.Anggi Tri L Suprapto Margomulyo 16/10/2020 40mg 3100gr/50 cm Normal
13 BY.Ny.Sari L Margomulyo 6/10/2020 39mg 3500gr/49 cm Normal
14 BY.Ny.Endang L Bagus Margomulyo 18/10/2020 40mg 3100gr/50 cm Dirujuk/ SC
15 BY.Ny.Ririn L Anggo Margomulyo 20/10/2020 39mg 3100gr/50 cm Normal
16 BY.Ny.Surti L Joni Margomulyo 22/10/2020 40mg 3100gr/50 cm Dirujuk/ SC
17 BY.Ny.Susi p Yakub Makarti 2/10/2020 39mg 3100gr/50 cm Normal
18 BY.Ny.Tini p Surahan Makarti 3/10/2020 41mg 3900/49cm Normal
19 BY.Ny.Nanik p Jasmani Makarti 7/10/2020 39mg 2400gr/48 cm Normal
20 BY.Ny.Purwanti L Purwati Makarti 10/10/2020 39mg 3100gr/49 cm Normal
21 BY.Ny.Wulan L Wulan Makarti 29/10/2020 39mg 2800gr/50 cm Normal
22 BY.Ny.Evi L Yogi Makarti 7/10/2020 39mg 2700gr/50 cm Dirujuk/ SC
23 BY.Ny.Sulistiawati p anas Makarti 1/10/2020 39mg 3100gr/50 cm Normal
24 BY.Ny.Leli p Joko Makarti 5/10/2020 39mg 2800gr/48 cm Normal
25 BY.Ny.Sri Wahyuni/ l Supardi Gunung Menanti 27/10/2020 39mg 2600/48cm Dirujuk/ SC
26 BY.Ny.Rohmah p usup Gunung Menanti 26/10/2020 38mg 2700/50cm Normal
27 BY.Ny.Retnowati P Jumeno Margodadi 5/10/2020 39mg 3100gr/49 cm Normal
28 BY.Ny.Indah P Agus Margodadi 5/10/2020 39mg 2800gr/50 cm Normal
29 BY.Ny.Nilawati L Johan Margodadi 6/10/2020 39mg 2700gr/50 cm Normal
30 BY.Ny.Aseh L Andika Margodadi 26/10/2020 38mg 3100gr/50 cm Normal
31
32
33

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar

Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes

NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan November

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama
Jalan, RT/RW, No. Umur
No. Nama Bayi L/P Nama orangtua NKK rumah, Desa, Tgl dan jam lahir kehamilan BB/TB Normal/di rujuk
Kecamatan, saat lahir
1 2 3 4 5 kab/kota,Provinsi)
6 7 8 9 10
1 By. Ny Nur Fitri L Gufron Sumber rejo 3/11/2020 39 mg 3300 gr/ 49 cm Normal
2 By. Ny sapngatub L Tohir Sumber rejo 10/11/2020 39 mg 3200 gr/ 49 cm Normal
3 By. Ny Reka P Iwan Sumber rejo 13/11/2020 40 mg 2900 gr/ 49 cm Rujuk/ SC
4 By. Ny.Hesti L Hesti Sumber rejo 19/4/2020 39 mg 3300 gr/ 50 cm Normal
5 By. Ny. Nur L Prayitno Sumber rejo 24/11/2020 24mg Rujuk/ Meninggal
6 By.NY. Novi L Heri Sumber rejo 29/11/2020 40 mg 2900 gr/ 49 cm Rujuk /sc
7 By. Ny.Yulianti L Witono Sumber rejo 29/11/2020 40 mg 3000 gr/ 50 cm normal
8 By. Ny Ninaya l herman Makarti 2/11/2020 39 mg 2600 gr/49 cm Normal
9 By. Ny idah l hasan Makarti 10/11/2020 40 mg 2700/48 cm Normal
10 By. Ny.Erna p erna Makarti 10/11/2020 40 mg 3300 gr/ 50 cm Normal
11 By. Ny Nur Fadilah l mat karofi Makarti 11/11/2020 38 mg 3200/47 cm Rujuk/SC
12 By. Ny leni p murod Makarti 22/11/2020 38mg 3100/49 cm Normal
13 By. Ny Yuni p sukamto Makarti 9/11/2020 39 mg 3200/ 50 cm Normal
14 By. Ny Widayati l misnadi Makarti 14/11/2020 40 mg 2800/49cm Normal
15 By. Ny Leli l leli Makarti 1/11/2020 39 mg 3200 gr/ 49 cm Normal
16 By. Ny Yuliani l Edi saputra Gunung Menanti 1/11/2020 39 mg 4000 gr/ 49 cm Normal
17 By. Ny Saida l Saida Gunung Menanti 13/11/2020 40 mg 3300 gr/ 50 cm Rujuk/SC
18 By. Ny Fitriani l Fitriani Gunung Menanti 15/11/2020 39 mg 2700 gr/ 49 cm Normal
19 By. Ny, Noviana l Noviana Margodadi 3/11/2020 39 mg 2900 gr/ 49 cm Normal
20 By. Ny Rita l Rita Margodadi 7/11/2020 40 mg 3800 gr/ 50 cm Normal
21 By ny Nursidah l Nursidah Margodadi 20/11/2020 39 mg 2900gr/49cm Normal
22 By. Ny Yuliani l yuliani Margodadi 28/11/2020 40 mg 3900 gr/ 50cm Normal
23 By. Ny Aprilia l aprilia Margodadi 29/11/2020 39 mg 3200/ 50 cm Normal
24 By. NyEmi l emi Margodadi 29/11/2020 39 mg 2800/49cm Normal
25 By. Ny kesiana p nurrohman Margomulyo 4/11/2020 40 mg 3200 gr/ 49 cm Normal
26 By. Ny kevin l agus Margomulyo 14/10/20 40mg 3100 gr/ 50 cm rujuk/sc
27 By. Ny Fitriani l jumadi Margomulyo 21/11/20 40 mg 3900 gr/ 50cm Normal
28 By. Ny Rangga sanjaya l Ruslan Margomulyo 18/10/20 39 mg 3200/ 50 cm Normal
29 By. Ny keisya adelia p eko w Margomulyo 4/10/2020 39 mg 2800/2400 gr Normal
30 By. Ny emi nurhadina l sarwanto Margomulyo 29/11/20 40 mg 3200 gr/ 49 cm Normal
31 By. Ny.retno p retno Margomulyo 7/11/2020 39 mg 3200/ 50 cm Normal
32
33

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar

ss

Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes

NIP.197011141990122002 NIP.197005051990122002
 LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan Desember

Puskesmas MARGODADI Tahun 2020

Alamat lengkap (Nama
Jalan, RT/RW, No. Umur
No. Nama Bayi L/P Nama orangtua NKK rumah, Desa, Tgl dan jam lahir kehamilan BB/TB Normal/di rujuk
Kecamatan, saat lahir
1 2 3 4 5 kab/kota,Provinsi)
6 7 8 9 10
1 By.Ny.Yani P Tn.Aris Makarti 3/12/2020 39 mg 2900 gr/ 49 cm Normal
2 By.Ny. Desi L Tn.Eko Makarti 13-12-2020 39 mg 3200 gr/ 49 cm Normal
3 By.Ny Jarmiasih P Tn.Khoiri Makarti 18-12-2020 40 mg 2900 gr/ 49 cm Normal
4 By.Ny.Supri P supri Gunung Menanti 5/12/2020 39 mg 3300 gr/ 50 cm Normal
5 By.Ny.Novi okta fenti P Toni Sanjaya Gunung Menanti 4/12/2020 39 mg 2200 gr/ 49 cm SC/ di Rujuk
6 By.Ny.Lia Sari P Herman Gunung Menanti 22-12-2020 40 mg 2900 gr/ 49 cm SC/ di Rujuk
7 By.Ny.Puput L Tn. Heri Margomulyo 17-12-2020 40 mg 3000 gr/ 50 cm Normal
8 By.Ny.Afa L Tn. Pujuanto Margomulyo 9/11/2020 39 mg 2600 gr/49 cm Normal
9 By.NyLintang P Tn.Eko Margomulyo 30-11-2020 40 mg 2700/48 cm Normal
10 By.Ny Jian Noverta L Puji Margomulyo 12/12/2020 40 mg 3300 gr/ 50 cm Normal
11 By.Ny.sisilia Eva l Fransiskus Margomulyo 23-12-2020 39 mg 2700 gr/ 49 cm Normal
12 By.Ny.Sri Armiyati P Heru Margomulyo 24-12-2020 39 mg 2900 gr/ 49 cm Normal
13 By.Ny. Yuli L Witono Sumber Rejo 8/12/2020 38 mg 2600/47 cm Normal
14 By.Ny.Siti Nurjanah P Purwadi Sumber Rejo 19-12-2020 38mg 2700/48 cm Normal
15 By.Ny.Wiwid P Rudi Sumber Rejo 7/12/2020 39 mg 3200/ 50 cm Normal
16 By.Ny.Intan Arnita L Dian Sumber Rejo 21-12-2020 40 mg 2800/49cm Normal
17 By.Ny.Hartuti P Hendri Sumber Rejo 26-12-2020 39 mg 3200 gr/ 49 cm Normal
18 By.Ny. Lela P Umar Sumber Rejo 28-12-2020 39 mg 2900 gr/ 49 cm Normal
19 By.Ny.eka trisnawati L Efriadi Margodadi 15-12-2020 40 mg 3300 gr/ 50 cm Normal
20 By.Ny.susanti l Suharsono Margodadi 28-11-2020 40 mg 3800 gr/ 50 cm Normal

Pengelola Margodadi, Tanggal.................................. 2020

Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar

Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes

NIP.197011141990122002 NIP.197005051990122002