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LAPORAN PERSALINAN

PUSKESMAS KALIDONI BULAN DESEMBER 2020

NO NAMA IBU / AYAH UMUR ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI PENYEBAB KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
1 UMAIROH/ KURNIAWAN 28 JL SIKAM RT 16 NO. 109 RW 04 √ BPM BD ZUNIAWATY 22/12/2020 L/2600/47 √ √ √ SPT
2 TRIA ASPARIA/M WAHYUDI 31 JL MAYOR ZEN LR. LEBAK JAYA NO. 26A √ BPM BD ZUNIAWATY 22/12/2020 L/3400 √ √ √ SPT
3 YESIWATI/KUKUBAS 31 JL PASUNDAN LR WAKAF NO.77 KALIDONI √ BPM BD ZUNIAWATY 26/12/2020 P/2900 √ √ √ SPT
4 WIJI ASTUTI/WINARYO 41 JL MAYOR ZEN LR SEGARAN NO.70 √ BPM BD ZUNIAWATY 08/12/2020 P/3000 √ √ √ SPT
5 SULASTRI/AGUNG DWI 41 JL HARAPAN JAYA RT38 NO. 36 √ BPM BD ZUNIAWATY 13/12/2020 P/2800 √ √ √ SPT
6 SURTINI/LIMIN 32 JL URIP SUMAHARJO LR. SUKA DAMAI √ BPM BD LELI KURNIA EKA04/12/2020 L/3300/49 √ √ √ SPT
7 NOVERA/YUDI 32 JL. PERINTIS LR PASUNDAN RT30 √ BPM BD KHRISTIN P 10/12/2020 P/ 2800 √ √ √ SPT
8 SUGIANI/M. SOLEH 29 JL MAY ZEN LR MARGOYOSO √ BPM BD KHRISTIN P 08/12/2020 L/ 3000 √ √ √ SPT
9 EVI YUNIARTI/M. YAHYA 37 JL ANGGADA LR BERSAMA RT 08 √ BPM BD KHRISTIN P 05/12/2020 P/ 2800 √ √ √ SPT
10 LINA/ANDI SAPUTRA 30 JL NO 24 RT 41 KEL SEI SELAYUR √ BPS SAGITA DARMA SARI19/12/2020 L/3750 √ √ √ SPT
11 FITRI/CIKDEN 31 JL URIP SUMAHARJO RT11 √ RS PELABUHAN 02/12/2020 L/3000 √ √ √ SC
12 HERNY/M.T ELLY 25 JL MAY ZEN NO. 33 SEI SELAYUR √ RS PELABUHAN 12/25/2020 P/2800 √ √ √ SC
13 NOVITA SARI/JUNAIDI 28 JL MARGOYOSO RT 07 √ RS PELABUHAN 22/12/2020 P/3800/51 √ √ √ SC
14 DELVA RISKI 25 JL MUARA KELINGI RAYON RT 41 √ RS PELABUHAN 21/12/2020 P/3600 √ √ √ SC
15 MAYUNING/NOVIAN HASANI 39 JL MAYZEN LR SEMENDAWAI RT28 √ RS PUSRI 10/12/2020 P/3800/51 √ √ √ SPT
16 FERAWATI/JOHANSYAH 26 JL DR IRSUTAMI SEI SELAYUR √ RS PUSRI 12/20/2020 L/3000 √ √ √ SPT
17 LIA TORIQAH/FANDI AHMAD 33 JL RW MONGINSIDI RT 16 √ RS AZZAHRA 12/12/2020 L/3000 √ √ √ SC
18 ANGGITA MELINDA/M JEFRI 36 JL PASUNDAN RT39 √ RS AZZAHRA 12/8/2020 L/2800 √ √ √ SPT
19 RUTPRIANTY/HEFNI SASTRA 33 JL PASUNDAN NO 18 RT 30 RW 07 √ RS GRAHA MANDIRI 12/14/2020 P/3000 √ √ √ SC
20 ROSIDA/DENI 42 JL PRAJURIT NAZARUDIN RT 22 √ BPM BD KHRISTIN P 12/22/2020 L/3300 √ √ √ SPT
21 DITA RAHAJENG/HABIBI 20 JL KH AZHARI RT 40 √ RSIA AZZAHRA 12/12/2020 L/3400/51 √ √ √ SPT
22 TIA A/DILI 19 RT 09 KALIDONI √ KLINIK BUDI MULIA 12/18/2020 P/2900/47 √ √ √ SPT
23 AYU ASTUTI/RIDHO 28 KALIDONI NO 69 RT03 √ RS HERMINA 12/1/2020 P/2800 √ √ √ SPT
24 LANA/REZA 28 JL MAYOR ZEN √ RS HERMINA 12/12/2020 L/3200/47 √ √ √ SPT
25 RIANI 29 JL MONGONSIDI √ RS HERMINA 14/12/2020 P/3000/48 √ √ √ SPT
26 AFRIDA 25 JL KELINGI NO 40 √ RS HERMINA 15/12/2020 P/2900/48 √ √ √ SC
27 AYU/FAHRUL 24 KALIDONI NO 69 RT03 √ RS HERMINA 20/12/2020 L/2900/48 √ √ √ SC
28 HANIA/EKO 28 JL RAWA BEBEK √ RS HERMINA 20/12/2020 L/3300/48 √ √ √ SC
29 SUSI SUDIARTI/NURHIDAYAT 33 JL PEDUSTAA II LR SUKADAMAI RT73 √ RS SRIWIJAYA 03/12/2020 L/2500 √ √ √ SPT
30 SITI NURTIKAH/SUYATRIADI 26 LR SUKADAMAI √ RS SRIWIJAYA 05/12/2020 L/3000/46 √ √ √ SC
31 LELY PUSPITA/ MAS AGUS 35 JL PASUNDAN KOM NAVIGASI NO 04 √ RS PUSRI 12/11/2020 P/2880 √ √ √ SC
32 PUTERI NABELA/M ROZIE 26 KALIDONI NO 2519 √ RS PUSRI 17/11/2020 L/3885/46 √ √ √ SC
33 YANTI /ABDURRAHMAN 35 JL KH AZHARI NO 137 √ RS PUSRI 20/11/2020 L/2905/52 √ √ √ SC
34 ELITA AGOFAR/ROHIM 38 JL MAYZEN LR LAMA LAUT RT 20 √ RS PUSRI 24/11/2020 L/3125 √ √ √ SC
35 YUNI LIDIAWATI/RIHCARD 31 JL PASUNDAN RT 30 √ RS PUSRI 25/11/2020 P/3105 √ √ √ SPT
36 YULIANTI/SUKASMIR 32 KALIDONI RT 28 √ BD SAGITA 08/10/2020 L/3600/46 √ √ √ SPT
37 RIANI/SUDARTO 26 POSYANDU MELATI RT 09 √ RS HERMINA 09/10/2020 P/3100/50 √ √ √ SC
38 AGUSTINI/M. FADLI 32 KALIDONI NO 10 √ RS PELABUHAN 05/11/2020 L/3200/50 √ √ √ SC
39 SARIPAH/ADAM 36 JL KALIDONI NO 50 √ RS PELABUHAN 02/11/2020 P/3000/47 √ √ √ R SC 1X
40 DEDEK APRIANA/RICHI 29 JL KH AZHARI NO 21 √ RS PELABUHAN 11/11/2020 L/3400/50 √ √ √ SC
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN DESEMBER 2020

NO NAMA IBU / AYAH UMUR ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI PENYEBAB KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
41 NURISYAH/RIKCY 29 JL MAYZEN LR BAHAGIA √ RS PELABUHAN 18/11/2020 P/ 3200/48 √ √ √ SC
42 SITI KHOARIAH/NURYAMAN 21 JL KALIDONI √ RS PELABUHAN 13/11/2020 L/1600/40 √ √ √ SPT/BBLR
43 LISKA DWI/ DARWIN 28 JL MAYZEN LR KAPLING I √ RS PUSRI 09/10/2020 L/3680 √ √ √ SC
44 SUMARNI/ BASRI 36 JL RW MONGINSISI √ RS PUSRI 09/10/2020 P/2315 √ √ √ SC 2X BBLR
45 RETNO WILIS/ BAMBANG 32 JL TALANG GADING √ RS PUSRI 14/10/2020 P/3946 √ √ √ SC OLIGOHIDRAMION
46 SHERLY/ERICK 24 JL MARGOYOSO NO 77 √ RS PUSRI 15/10/2020 L/2605 √ √ √ R SC 1X
47 ICHA R/ DARMONO 21 JL MAYZEN LR MUSI √ RS PUSRI 15/10/2020 L/3285 √ √ √ SC OLIGOHIDRAMION

MENGETAHUI, PALEMBANG, 30 NOVEMBER 2020


KEPALA PUSKESMAS KALIDONI BIDAN KOORDINATOR

dr. Hj. DOVI YUNIARTI SARASWATI, SST


NIP. 196806221999032001 NIP. 198510232009032006
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN JUNI 2021

UMUR PENYEBAB
NO NAMA IBU / AYAH ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
1 JAHIDAH/ 41 JL MAYOR ZEN LR SEMENDAWA RT 28 √ BPM BD SAGITA 13/06/2021 L/3000/47 √ √ √ SPT
2 PALNI 33 JL URIP SUMAHARJO RT 11 √ BPM BD SAGITA 18/06/2021 L/3400 √ √ √ SPT
3 TRI UTAMI 32 JL ANGGADA GG MURNI RT 08 √ BPM BD SAGITA 20/06/2021 P/3600 √ √ √ SPT
4 EKA RAHMAWATI/ANGGA 31 JL SEGARAN GG SEGAR 9 SEI SELAYUR √ RSIA AZZAHRA 11/06/2021 P/4100 √ √ √ SPT
5 SILVANI/M. DWI 34 JL PIPA LR SRI DADI RT 36 KALIDONI √ RSIA AZZAHRA 21/06/2021 L/3500/49 √ √ √ SPT
6 SAB'A/ MGS. H. DAMSIK 26 RT 36 KALIDONI √ BPM BD FAUZIAH HATTA 07/06/2021 L/3100/50 √ √ √ SPT
7 ELI AMIYANI/AHMAD 29 JL. PELTU RAZALI RT05 √ BPM BD KHRISTIN P 02/06/2021 P/ 3800 √ √ √ SPT
8 FRENYZUMARINI/NURDIN 33 JL PASUNDAN LR PURWO 2 √ BPM BD KHRISTIN P 05/06/2021 L/ 3600 √ √ √ SPT
9 SUMARNI/ADE SYAFARI 42 JL M YAMIN RT13 √ BPM BD KHRISTIN P 09/06/2021 L/2700 √ √ √ SPT
10 SEPTI ARISKA/WILDAN 19 JL MUARA KELINGI RT26 √ BPM BD KHRISTIN P 12/06/2021 L/2320 √ √ √ SPT BBLR
11 NENENG LESTARI/PINTAR 31 JL MAWASA RT 27 √ BPM BD KHRISTIN P 15/06/2021 L/2600 √ √ √ SPT
12 HERIYANTI/SYARIFUDIN 39 JL PASUNDAN RT 27 √ BPM BD KHRISTIN P 6/18/2021 L/3500 √ √ √ SPT
13 EKA SUSIERLINDA/FAHMI 35 JL PASUNDAN RT 27 √ BPM BD KHRISTIN P 19/06/2021 P/2600 √ √ √ SPT
14 MARLINDA SUSANTI/WAHYU 40 JL LINTANG PUTRI KALIDONI √ BPM BD KHRISTIN P 20/06/2021 P/2500 √ √ √ SPT
15 HENI YUNIAR/MAS AGUS 25 JL MARGOYOSO GG DAHLIA √ BPM BD KHRISTIN P 26/05/2021 P/4000/ √ √ √ SPT
16 VERA NOPILIA/TOMI SAPUTRA 37 JL MAYOR ZEN LR AMALIA SEI SELAYUR √ BDN YUSIDA 14/06/2021 P/3800/48 √ √ √ SPT
17 RENA M/SULAIMAN 26 JL ASRAMA BLOK E2 RT 15 KALIDONI √ BD LISNA 6/19/2021 L/3500/49 √ √ √ SPT
18 PUSPA DEWI RETNO/ROY MANOPI 31 JL FAHMI II RT 11 √ BPM LELI KURNIA 6/1/2021 L/3600/48 √ √ √ SPT
19 JUWITA/DHIRA 17 JL MAYORZEN RT 29 √ BPM LELI KURNIA 6/7/2021 P/3300/48 √ √ √ SPT
20 AGNES PUTRI/AFRIANDINATA 23 JL ABDUL BAHRI ALMUBARAK √ BPM LELI KURNIA 6/17/2021 P/3200 √ √ √ SPT
21 YUSNITA/DIAN PATRA 35 JL ISWAHYUDI RT18 √ RS AK GHANI 6/24/2021 L/4200/52 √ √ √ SC
22 SUCI/DIDY 22 JL PRAJURIT NAZARUDIN RT 22 KALIDONI √ BPM BD ZUNIAWATY 6/5/2021 P/2300/46 √ √ √ SPT BBLR
23 WENDA/CECEP 22 JL KH AZHARIRT 38 KALIDONI √ BPM BD ZUNIAWATY 6/6/2021 P/2600/45 √ √ √ SPT
24 LISMAWATI/HANDI 38 JL PASUNDAN RT 30 KALIDONI √ BPM BD ZUNIAWATY 6/9/2021 L/3200/49 √ √ √ SPT
25 ANNISA/ARIANDI 25 JL MAYOR ZEN LR CENDANA RT 16 SS √ BPM BD ZUNIAWATY 6/12/2021 P/3400/49 √ √ √ SPT
26 SITI/WAHIDIN 42 JL PASUNDAN RT 49 √ BPM BD ZUNIAWATY 15/06/2021 L/2900/47 √ √ √ SPT
27 OKTARIANTI/INDRA 39 JL TALANG GADING RT 07 KALIDONI √ BPM BD ZUNIAWATY 17/06/2021 L/2500/46 √ √ √ SPT
28 RISKI/M AKBAR 28 JL PASUNDAN LR NYIUR 3 KALIDONI √ BPM BD ZUNIAWATY 21/06/2021 L/3000/46 √ √ √ SPT
29 FENTY/JAUHARI 41 RT32 KALIDONI √ RS PELABUHAN 01/05/2021 L/3000/49 √ √ √ SC
30 DEWI ANGGARIA/ISMAIL 33 JL DR IR. SUTAMI NO 28 RT 41 KALIDONI √ RS PELABUHAN 02/05/2021 P/2200/43 √ √ √ SC BBLR
31 NOVIANTY/HARRY RIZKY 26 JL FAHMI 5 NO 06 √ RS PELABUHAN 03/05/2021 L/2800/48 √ √ √ SC
32 PUSPA INDAH 26 JL SEGARAN LR H. ABDULAH √ RS PELABUHAN 15/05/2021 L/4400/51 √ √ √ SC
33 NENI TRIANA 23 JL MAYORZEN LR PROGRES √ RS PELABUHAN 15/05/2021 P/2700/48 √ √ √ SC
34 FERAWATI 34 JL MAYOR ZEN LRPERINTIS √ RS PELABUHAN 16/05/2021 L/3700/47 √ √ √ SC
35 SITI HARAH/SYARIF 41 JL TAQWALR PADAT KARYA √ RS PELABUHAN 16/05/2021 L/3400/48 √ √ √ SC
36 AROVAH DINA 28 JL TAQWA NO32 RT 05 √ RS PELABUHAN 20/05/2021 L/4000/51 √ √ √ SPT
37 SEPTIANA EKA PUTRI/AGUS 25 JL PASUNDAN RT 45 KALIDONI √ KLINIK MMC 03/06/2021 L/3600/46 √ √ √ SPT
38 SRI ASTUTI/NURCAHYO 40 JL PRAJURIT YUSUF ZEN NO 19 √ RS HERMINA 07/06/2021 P/3100/50 √ √ √ SC
39 RIKA JUNIARTI/GUNTUR CANDRA 38 RT 15 KALIDONI √ RS PELABUHAN 08/06/2021 L/3200/50 √ √ √ SC
40 WINDI FEBI AULIA/WAHYU 27 JL RW MONGONSIDI RT 18 √ RS HERMINA 07/06/2021 P/3000/47 √ √ √ SPT
41 MARIANI/MULYADI 38 JL PASUNDAN RT 28 √ RS PELABUHAN 01/06/2021 L/3400/50 √ √ √ SPT
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN JUNI 2021

UMUR PENYEBAB
NO NAMA IBU / AYAH ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
42 SUPRIANI/AGUSTINUS 30 JL RT 45 KALIDONI √ RS PELABUHAN 10/06/2021 P/ 3200/48 √ √ √ SPT
43 PUTRI M/ AFANDI 22 JL RW MONGIONSIDI LEBAK JAYA III RT 18 √ RS PELABUHAN 20/06/2021 L/3680 √ √ √ R SC 1X
44 HENY RICA/MUSTOFA 33 JL MARGOYOSO RT 11 √ RSIA AZZAHRA 14/06/2021 P/3300/48 √ √ √ SPT
45 JAMILAH/PAISOL 31 JL MAYZEN RT 07 √ BPM BD LISNA 01/06/2021 P/3946 √ √ √ SPT
46 SERI REJEKI/IMRON 32 JL LR SAHABAT RT 25 √ RS PELABUHAN 06/06/2021 L/2605 √ √ √ R SC MIOMA UTERI
47 VIVI SEPTIANI/OKTA 23 JL MAYZEN LR WANASRI √ RS PUSRI 03/05/2021 P/960 √ √ √ SPT BBLR+ PRESBO
48 HENDRYANTI/RINTO 35 JL MAYZEN √ RS PUSRI 12/05/2021 P/2615 √ √ √ R/ SC+ PEB
49 RIA ARISTA/M ARI 28 JL MAYZEN LR KAPLING II √ RS PUSRI 10/05/2021 P/2820 √ √ √ SC LETLI
50 DEVITA RAHMADANI/DONI 34 JL MAYZEN LR TRISNO √ RS PUSRI 18/05/2021 P/3890 √ √ √ SC DG DKP
51 SRI MUNIRAH/FADLI 38 KOMP AZHAR BLOK AC √ RS PUSRI 19/05/2021 P/2150 √ √ √ R/ SC+ PEB
52 IKA TIARA/DERRY 32 JL P NAZARUDIN NO 09 √ RS PUSRI 19/05/2021 P/2815 √ √ √ SPT
53 RANI OKTAVIANA/RINO 24 JL MAYZEN LR TANAH ABANG √ RS PUSRI 20/05/2021 L/3000 √ √ √ R SC 1X
54 EKA SUSANTI/KARLO ALI 39 JL BAKUNG III NO 174 √ RS PUSRI 21/05/2021 L/3355 √ √ √ R SC 1X
55 MYS FITRI YULIA/SUWITO 36 JL MAYZEN LR SIDOMULYO √ RS PUSRI 22/05/2021 P/3900 √ √ √ SPT OLIGOHIDRAMNION
56 RISMA HANDAYANI/ERMANSYAH 34 JL MAYZEN LR AGUNG √ RS PUSRI 26/05/2021 L/2825 √ √ √ R SC 1X+KPSW+PEB
57 HARYATI/FEBI DIANSYAH 33 JL SIKAM RT 11 KALIDONI √ RS HERMINA 6/4/2021 P/2900/49 √ √ √ R SC 1X
58 SEVNI VELANIKA/SUPTA WIJAYA 37 ASRAMA TNI BLOK CC4 LR MADIUN RT 12 √ RS HERMINA 5/25/2021 P/3100/47 √ √ √ SC
59 DESI/SANDRA 32 JL PHDM 1 NO 145 √ RS HERMINA 6/2/2021 P/3249/47 √ √ √ SC
60 RINA/RIO 30 JL KH AZHARI SUKALILAH √ RS HERMINA 6/3/2021 P/2250/43 √ √ √ SC BBLR
61 LUH AYU/GEDE 26 PERUM KALIDONI INDAH PERMAI √ RS HERMINA 6/6/2021 P/2812/46 √ √ √ SC
62 YESSI/ISMAIL 35 JL MAYZEN RT 26 √ RS HERMINA 6/9/2021 P/2326/46 √ √ √ SC BBLR
63 NURNIVI/HASBULLAH 26 JL URIP SUMAHARJO √ RS HERMINA 6/15/2021 L/3596/49 √ √ √ SC
64 CINDI/DEFRI 24 JL KH AZHARI NO 27 √ RS HERMINA 6/15/2021 P/2611/47 √ √ √ SC
65 MULIANAH 35 JL PASUNDAN LR FAMILY II RT 30 √ RS CHARITAS 6/1/2021 P/2600/46 √ √ √ SC
66 JUNAIDAH 39 JL RAMAYANA RT 10 KALIDONI √ RS BHARI 6/17/2021 L/36/48 √ √ √ SC DG HT+ANEMIA+KPSW
67 DEPITA SAPITRI 26 JL MAYZEN LR SEMENDAWAI RT 28 √ BPM BD MASDAWATI 6/12/2021 L/3700/47 √ √ √ SPT

MENGETAHUI, PALEMBANG, 2 JUNI 2021


KEPALA PUSKESMAS KALIDONI BIDAN KOORDINATOR

dr. Hj. DOVI YUNIARTI SARASWATI, SST


NIP. 196806221999032001 NIP. 198510232009032006
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN JULI 2021

UMUR PENYEBAB
NO NAMA IBU / AYAH ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
1 MELLY K/RENO 24 JL MAYOR ZEN LR SAHABAT RT 25 KEL SS √ BPM BD MASDAWATI 02/07/2021 L/3500/49 √ √ √ SPT
2 YURIKA S/FRENGKI H 21 JL KH AZHARI RT 46 KEL KALIDONI √ BPM BD MASDAWATI 04/07/2021 L/3000/47 √ √ √ SPT
3 AYU P/FREDI 30 JL ANGGADA RT 08 KEL KALIDONI √ BPM BD MASDAWATI 07/07//2021 P/2600/46 √ √ √ SPT
4 DESTIA KURNIA 18 JL PASUNDAN NO 59 KALIDONI √ RS PUSRI 23/06/2021 P/2580/46 √ √ √ SPT
5 MIKE ARDILA/ERWINSYAH 30 LR SIKAM I NO 128 RT 11 KALIDONI √ BPM LISNA HARYATI 12/07/2021 L/3600/49 √ √ √ SPT
6 MAYDESNI/WAHYUDI 33 JL RAMAYANA RT 09 √ BPM BD LELI KURNIA SARI 27/06/2021 L/3100/48 √ √ √ SPT
7 DIAN PRATIWI/FEBRIAN JAMIL 28 JL MAYZEN LR SEGARAN RT 23 SS √ RSIA AZZAHRA 07/07/2021 L/2800/46 √ √ √ SC
8 ADITHA MAHARANI/YERI 35 JL RE MARTADINATA √ RSIA AZZAHRA 07/07/2021 L/ 3300/47 √ √ √ SC
9 RIZKA ADHA/ARI SARIYANTO 28 JL PASUNDAN LR AMIN RT 39 KALIDONI √ RSIA AZZAHRA 15/07/2021 L/3700/48 √ √ √ SC
10 AFSARI/M YUNUS 30 JL KOMP YUKA I RT 28 KALIDONI √ RSIA AZZAHRA 17/07/2021 P/2800/46 √ √ √ SC
11 AISYAH/DAVID CANDRA 18 JL LETKOL A. ROZAK RT 03 KALIDONI √ BPM BD KHRISTIN P 29/06/2021 L/2800 √ √ √ SPT
12 DINI WULAN SARI/ERDIANSYAH 24 JL PASUNDAN LR SELAMAT RT 29 KLD √ BPM BD KHRISTIN P 7/8/2021 P/2900 √ √ √ SPT
13 YULIANI/KASNI 32 JL PASUNDAN LR NYIUR I RT30 √ BPM BD KHRISTIN P 09/07/2021 P/3400/49 √ √ √ SPT
14 DEMI SARI/DENI YASIN 26 JL PASUNDAN LR NYIUR 3 RT 03 √ BPM BD KHRISTIN P 13/07/2021 L/3400 √ √ √ SPT
15 DWI/ILWANI 24 JL HARAPAN JAYA I LR MUHAJIRIN RT 37 KLD √ BPM BD ZUNIAWATY 01/07/2021 L/3100/47 √ √ √ SPT
16 NIKITA/HENDRI 28 JL ISWAHYUDI RT 40 KLD √ BPM BD ZUNIAWATY 03/07/2021 L/4000/47 √ √ √ SPT
17 SITI/ZAINAL 29 JL SIKAM NO 128 RT 01 KLD √ BPM BD ZUNIAWATY 7/5/2021 P/3100/47 √ √ √ SPT
18 DIAN/SUNAYO 34 JL RESIDEN H ABDUL ROZAK RT 12 √ BPM BD ZUNIAWATY 7/6/2021 P/2700/48 √ √ √ SPT
19 LILIS /SEPTRI 36 JL LEBAK JAYA III RT 15 KLD √ BPM BD ZUNIAWATY 7/12/2021 P/3200/47 √ √ √ SPT
20 SUTANTI/FEBRI 30 JL PASUNDAN LR NYIUR RT 34 KLD √ BPM BD ZUNIAWATY 7/15/2021 L/3400/48 √ √ √ SPT
21 RINDY/WILLY 21 JL AZHARI PERUM GRIYA LESTARI RT 46 KLD √ BPM BD ZUNIAWATY 7/17/2021 L/4200/52 √ √ √ SPT
22 EKA/ABDUL 25 JL RW MONGONSIDI RT 26 √ BPM BD ZUNIAWATY 7/24/2021 L/2500/46 √ √ √ SPT
23 MIRA/ARIEF 33 JL ISWAHYUDI RT 18 KLD √ BPM BD ZUNIAWATY 7/9/2021 P/3000/49 √ √ √ SPT
24 YULIA/GERDADI 34 JL PELTU KOHART NO 16 RT 20 √ BPM BD ZUNIAWATY 7/21/2021 P/2900/47 √ √ √ SPT
25 RIMA ANDRIYANI/ALEH 37 JL IR SUTAMI RT 41 SS √ BPM BD YUSIDAH 7/1/2021 L/3500/48 √ √ √ SPT
26 SILVANI/DAHWI 35 RT 36 KLD √ RSIA AZZAHRA 21/06/2021 L/3500/49 √ √ √ SPT
27 LIZA HERMEIYANTI/DEDEK 26 POSY BOUGENVILE RT 47 √ RS HERMINA 23/07/2021 L/5300/53 √ √ √ SC
28 TRIWAHYUNI 39 RT 45 KLD √ RS PELABUHAN 27/05/2021 L/3100/48 √ √ √ SC
29 ULFADILAH/M WILDAN 18 JL LEBAK JAYA RT 17 KLD √ RSIA AZZAHRA 29/06/2021 P/2800/49 √ √ √ SC
30 NETA LARASATI/M HADI 25 JL IR SUTAMI NO 34 RT 13 √ RSIA AZZAHRA 03/07/2021 L/3100/49 √ √ √ SPT
31 WILGA DINA/HERLI FEBRIANTO 30 PERUM GREEN INSANI MULIA √ RSIA AZZAHRA 21/07/2021 P/3500/50 √ √ √ SPT
32 INDAH YUNITA 24 JL MAYZEN LR MARGOYOSO RT 09 SS √ RS PELABUHAN 02/06/2021 L/2500/47 √ √ √ SC
33 SITI AISYAH 23 JL DR IR SUTAMI RT 41 SS √ RS PELABUHAN 02/06/2021 P/2700/48 √ √ √ SPT
34 ELIS ASNAWATI/KRISNA 19 JL MAYOR ZEN RT 37 SS √ RS PELABUHAN 04/06/2021 L/2900/49 √ √ √ SC
35 LIA SAGITA 34 JL MAYZEN RT 18 SS √ RS PELABUHAN 01/06/2021 L/2300/43 √ √ √ SC DG BBLR
36 MEIN SEPTIANI/M FADLAN 25 JL MAYZEN SS √ RS PUSRI 01/06/2021 P/2495 √ √ √ SC DG R/ SC 1X+ BBLR
37 RULIS/NOVA 33 JL MAYZEN LR PASUNDAN RT 33 √ RS PUSRI 05/06/2021 P/3450 √ √ √ SC DG R/ SC 1X
38 DESSY DAMAYANTI/DEFRI 30 JL MAYZEN LR HOKKI NO 50 √ RS PUSRI 07/06/2021 L/3195 √ √ √ SC DG LETLI
39 NURINA JAMALUDIN/HERMANTO 19 JL MAYZEN LR SEGARAN RT 32 RW 008 √ RS PUSRI 09/06/2021 L/2895 √ √ √ SC DG KPSW
40 YULIA KARFALI/BENI 32 JL MAYZEN LR SIDOMULYO RT 05 √ RS PUSRI 12/06/2021 L/3785 √ √ √ SC DG LKPSW
41 VITA APRIANI/MARDIANSYAH 21 JL MAYZEN SS √ RS PUSRI 18/06/2021 L/2530 √ √ √ SCOLIGO+FETAL DISTRESS
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN JULI 2021

UMUR PENYEBAB
NO NAMA IBU / AYAH ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
42 DESTIA/ACEP 17 JL PASUNDAN NO 59 √ RS PUSRI 23/06/2021 P/2580 √ √ √ SPT
43 FITRI/ M ISA 28 JL MAYZEN SS √ RS PUSRI 25/06/2021 L/2860 √ √ √ R SC 1X
44 REHULINA/AMIRUL 23 JL KOMP AZHAR KLD √ RS PUSRI 26/06/2021 L/2570 √ √ √ SC DG R/ SC 1X+ OLIGO
45 NANDA SARI/YOGA S 25 JL DR IR SUTAMI NO 203 √ RS PUSRI 29/06/2021 P/3340 √ √ √ SC DG ANEMIA
46 CORNELIA/HAMER 25 JL PELTU YAHYA √ RS PUSRI 30/06/2021 L/2795 √ √ √ SPT DG R/ RETENSIO PLASENTA
47 VIVIEN/MARWAN 43 JLDR SUTAMI NO 212 √ RSIA TRINANDA 26/05/2021 P/2800/48 √ √ √ SC
48 INDRI/TRIYANTO 38 JL MAYZEN SS √ RSIA TRINANDA 31/05/2021 P/2700/48 √ √ √ SPT
49 SWASTIKA/JUNAIDI 34 JL MAYZEN NO 35 SS √ RSIA TRINANDA 04/06/2021 L/2100/48 √ √ √ SPT DG BBLR
50 YULIANA/RIZAL 23 JL MAYZEN SS √ RSIA TRINANDA 04/06/2021 P/3000/50 √ √ √ SC
51 IKA NAUTY 34 JL PELTU KOHAR NO 621 KLD √ BPM BD SAGITA 22/07/2021 PR/3400 √ √ √ SPT
52 SITI MASPUAH/YUSRI 32 JL PASUNDAN RT 28 KLD √ BPM BD SAGITA 14/07/2021 P/2700/49 √ √ √ SPT
53 RAHMAWATI AYU/CRIS CANDY 28 JL RW MONGONSIDI RT 09 KLD √ RS HAMAMI 22/07/2021 L/2600/48 √ √ √ SPT
54 ROBIAH/YADI/ 35 JL KOMP YUKA RT 28 KLD √ RS PELABUHAN 09/07/2021 P/2800/48 √ √ √ SPT
55 RISA DWI LESTARI/M. IRFAN 24 JL RW MONGONSIDI RT 09 KLD √ RS PUSRI 11/07/2021 P/2600/46 √ √ √ SPT
56 WINTARI/ARRAHMAN 27 JL AZHARI RT 37 KLD √ RS PUSRI 27/07/2021 L/2700/48 √ √ √ SPT
57 DINA MARIANA/SUNARYO 33 RT 12 MADIUN KLD √ RSIA AZZAHRA 7/8/2021 L/2900/48 √ √ √ SPT
58 EKA DESI/YUSMAN 25 JL RW MONGONSIDI RT 10 KLD √ RSIA AZZAHRA 7/22/2021 L/2600/47 √ √ √ SPT
59 YUNITA SARI/AHMAD FAUZAN 27 RT 29 KLD √ BPM BD SAGITA 7/22/2021 P/3100/49 √ √ √ SPT
60 SANITA/SUPRIYONO 42 JL PASUNDAN LR NYIUR I RT 34 KLD √ BPM BD SAGITA 7/6/2021 L/3100/49 √ √ √ SPT
61 JUNIA AYU SAPUTRI/RENO 25 JL MAYZEN LR SEGARAN RT 23 √ KLINIK SAHABIYAH 7/19/2021 L/2850 √ √ √ SPT
62 KUNTARI/RUSTAM EFENDI 20 JL MAYZEN LR SEGARAN RT 36 SS √ RS MUHAMMADIYAH 6/20/2021 L/3300/52 √ √ √ SPT
63 SUCI APRIANI/AHMAD NEFAMUDIN 26 JL SIKAM RT 11 SS √ RSIA AZZAHRA 7/23/2021 L/3596/49 √ √ √ SC
64 YULIANA/ADE 25 JL MAGOYOSO RT 08 SS √ RSIA AZZAHRA 7/2/2021 P/2611/47 √ √ √ SPT
65 MERI SURYANI/MARSEL 28 JL IR SUTAMI RT 41 SS √ RSIA MYRIA CHARITAS 7/8/2021 P/2600/46 √ √ √ SC
66 ROSITA/NI'AN 24 JL MUARA KELINGI SS √ BPM YUSIDAH 7/2/2021 P3200 √ √ √ SPT
67 ANA AGUSTINA/SUKRI 26 JL HARAPAN JAYA II RT 31 SS √ RS CHARITAS 7/17/2021 L/3700/47 √ √ √ SC

MENGETAHUI, PALEMBANG, 31 JULI 2021


KEPALA PUSKESMAS KALIDONI BIDAN KOORDINATOR

dr. Hj. DOVI YUNIARTI SARASWATI, SST


NIP. 196806221999032001 NIP. 198510232009032006
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN JULI 2021
UMUR PENYEBAB
NO NAMA IBU / AYAH IBU ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI KEMATIAN KETERANGAN
JK/BB/PB
DOKTER BIDAN DUKUN HIDUP MATI
1 MELLY K/RENO 24 JL MAYOR ZEN LR SAHABAT RT 25 KEL SS √ BPM BD MASDAWATI 02/07/2021 L/3500/49 √ √ √ SPT
2 YURIKA S/FRENGKI H 21 JL KH AZHARI RT 46 KEL KALIDONI √ BPM BD MASDAWATI 04/07/2021 L/3000/47 √ √ √ SPT
3 AYU P/FREDI 30 JL ANGGADA RT 08 KEL KALIDONI √ BPM BD MASDAWATI 07/07//2021 P/2600/46 √ √ √ SPT
4 DESTIA KURNIA 18 JL PASUNDAN NO 59 KALIDONI √ RS PUSRI 23/06/2021 P/2580/46 √ √ √ SPT
5 MIKE ARDILA/ERWINSYAH 30 LR SIKAM I NO 128 RT 11 KALIDONI √ BPM LISNA HARYATI 12/07/2021 L/3600/49 √ √ √ SPT
6 MAYDESNI/WAHYUDI 33 JL RAMAYANA RT 09 √ BPM BD LELI KURNIA SARI 27/06/2021 L/3100/48 √ √ √ SPT
7 DIAN PRATIWI/FEBRIAN JAMIL 28 JL MAYZEN LR SEGARAN RT 23 SS √ RSIA AZZAHRA 07/07/2021 L/2800/46 √ √ √ SC
8 ADITHA MAHARANI/YERI 35 JL RE MARTADINATA √ RSIA AZZAHRA 07/07/2021 L/ 3300/47 √ √ √ SC
9 RIZKA ADHA/ARI SARIYANTO 28 JL PASUNDAN LR AMIN RT 39 KALIDONI √ RSIA AZZAHRA 15/07/2021 L/3700/48 √ √ √ SC
10 AFSARI/M YUNUS 30 JL KOMP YUKA I RT 28 KALIDONI √ RSIA AZZAHRA 17/07/2021 P/2800/46 √ √ √ SC
11 AISYAH/DAVID CANDRA 18 JL LETKOL A. ROZAK RT 03 KALIDONI √ BPM BD KHRISTIN P 29/06/2021 L/2800 √ √ √ SPT
12 DINI WULAN SARI/ERDIANSYAH 24 JL PASUNDAN LR SELAMAT RT 29 KLD √ BPM BD KHRISTIN P 7/8/2021 P/2900 √ √ √ SPT
13 YULIANI/KASNI 32 JL PASUNDAN LR NYIUR I RT30 √ BPM BD KHRISTIN P 09/07/2021 P/3400/49 √ √ √ SPT
14 DEMI SARI/DENI YASIN 26 JL PASUNDAN LR NYIUR 3 RT 03 √ BPM BD KHRISTIN P 13/07/2021 L/3400 √ √ √ SPT
15 DWI/ILWANI 24 JL HARAPAN JAYA I LR MUHAJIRIN RT 37 KLD √ BPM BD ZUNIAWATY 01/07/2021 L/3100/47 √ √ √ SPT
16 NIKITA/HENDRI 28 JL ISWAHYUDI RT 40 KLD √ BPM BD ZUNIAWATY 03/07/2021 L/4000/47 √ √ √ SPT
17 SITI/ZAINAL 29 JL SIKAM NO 128 RT 01 KLD √ BPM BD ZUNIAWATY 7/5/2021 P/3100/47 √ √ √ SPT
18 DIAN/SUNAYO 34 JL RESIDEN H ABDUL ROZAK RT 12 √ BPM BD ZUNIAWATY 7/6/2021 P/2700/48 √ √ √ SPT
19 LILIS /SEPTRI 36 JL LEBAK JAYA III RT 15 KLD √ BPM BD ZUNIAWATY 7/12/2021 P/3200/47 √ √ √ SPT
20 SUTANTI/FEBRI 30 JL PASUNDAN LR NYIUR RT 34 KLD √ BPM BD ZUNIAWATY 7/15/2021 L/3400/48 √ √ √ SPT
21 RINDY/WILLY 21 JL AZHARI PERUM GRIYA LESTARI RT 46 KLD √ BPM BD ZUNIAWATY 7/17/2021 L/4200/52 √ √ √ SPT
22 EKA/ABDUL 25 JL RW MONGONSIDI RT 26 √ BPM BD ZUNIAWATY 7/24/2021 L/2500/46 √ √ √ SPT
23 MIRA/ARIEF 33 JL ISWAHYUDI RT 18 KLD √ BPM BD ZUNIAWATY 7/9/2021 P/3000/49 √ √ √ SPT
24 YULIA/GERDADI 34 JL PELTU KOHART NO 16 RT 20 √ BPM BD ZUNIAWATY 7/21/2021 P/2900/47 √ √ √ SPT
25 RIMA ANDRIYANI/ALEH 37 JL IR SUTAMI RT 41 SS √ BPM BD YUSIDAH 7/1/2021 L/3500/48 √ √ √ SPT
26 SILVANI/DAHWI 35 RT 36 KLD √ RSIA AZZAHRA 21/06/2021 L/3500/49 √ √ √ SPT
27 LIZA HERMEIYANTI/DEDEK 26 POSY BOUGENVILE RT 47 √ RS HERMINA 23/07/2021 L/5300/53 √ √ √ SC
28 TRIWAHYUNI 39 RT 45 KLD √ RS PELABUHAN 27/05/2021 L/3100/48 √ √ √ SC
29 ULFADILAH/M WILDAN 18 JL LEBAK JAYA RT 17 KLD √ RSIA AZZAHRA 29/06/2021 P/2800/49 √ √ √ SC
30 NETA LARASATI/M HADI 25 JL IR SUTAMI NO 34 RT 13 √ RSIA AZZAHRA 03/07/2021 L/3100/49 √ √ √ SPT
31 WILGA DINA/HERLI FEBRIANTO 30 PERUM GREEN INSANI MULIA √ RSIA AZZAHRA 21/07/2021 P/3500/50 √ √ √ SPT
32 INDAH YUNITA 24 JL MAYZEN LR MARGOYOSO RT 09 SS √ RS PELABUHAN 02/06/2021 L/2500/47 √ √ √ SC
33 SITI AISYAH 23 JL DR IR SUTAMI RT 41 SS √ RS PELABUHAN 02/06/2021 P/2700/48 √ √ √ SPT
34 ELIS ASNAWATI/KRISNA 19 JL MAYOR ZEN RT 37 SS √ RS PELABUHAN 04/06/2021 L/2900/49 √ √ √ SC
35 LIA SAGITA 34 JL MAYZEN RT 18 SS √ RS PELABUHAN 01/06/2021 L/2300/43 √ √ √ SC DG BBLR
36 MEIN SEPTIANI/M FADLAN 25 JL MAYZEN SS √ RS PUSRI 01/06/2021 P/2495 √ √ √ SC DG R/ SC 1X+ BBLR
37 RULIS/NOVA 33 JL MAYZEN LR PASUNDAN RT 33 √ RS PUSRI 05/06/2021 P/3450 √ √ √ SC DG R/ SC 1X
38 DESSY DAMAYANTI/DEFRI 30 JL MAYZEN LR HOKKI NO 50 √ RS PUSRI 07/06/2021 L/3195 √ √ √ SC DG LETLI
39 NURINA JAMALUDIN/HERMANTO 19 JL MAYZEN LR SEGARAN RT 32 RW 008 √ RS PUSRI 09/06/2021 L/2895 √ √ √ SC DG KPSW
40 YULIA KARFALI/BENI 32 JL MAYZEN LR SIDOMULYO RT 05 √ RS PUSRI 12/06/2021 L/3785 √ √ √ SC DG LKPSW
41 VITA APRIANI/MARDIANSYAH 21 JL MAYZEN SS √ RS PUSRI 18/06/2021 L/2530 √ √ √ SCOLIGO+FETAL DISTRESS
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN JULI 2021

NO NAMA IBU / AYAH UMUR ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI PENYEBAB KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
42 DESTIA/ACEP 17 JL PASUNDAN NO 59 √ RS PUSRI 23/06/2021 P/2580 √ √ √ SPT
43 FITRI/ M ISA 28 JL MAYZEN SS √ RS PUSRI 25/06/2021 L/2860 √ √ √ R SC 1X
44 REHULINA/AMIRUL 23 JL KOMP AZHAR KLD √ RS PUSRI 26/06/2021 L/2570 √ √ √ SC DG R/ SC 1X+ OLIGO
45 NANDA SARI/YOGA S 25 JL DR IR SUTAMI NO 203 √ RS PUSRI 29/06/2021 P/3340 √ √ √ SC DG ANEMIA
46 CORNELIA/HAMER 25 JL PELTU YAHYA √ RS PUSRI 30/06/2021 L/2795 √ √ √ SPT DG R/ RETENSIO PLASENTA
47 VIVIEN/MARWAN 43 JLDR SUTAMI NO 212 √ RSIA TRINANDA 26/05/2021 P/2800/48 √ √ √ SC
48 INDRI/TRIYANTO 38 JL MAYZEN SS √ RSIA TRINANDA 31/05/2021 P/2700/48 √ √ √ SPT
49 SWASTIKA/JUNAIDI 34 JL MAYZEN NO 35 SS √ RSIA TRINANDA 04/06/2021 L/2100/48 √ √ √ SPT DG BBLR
50 YULIANA/RIZAL 23 JL MAYZEN SS √ RSIA TRINANDA 04/06/2021 P/3000/50 √ √ √ SC
51 IKA NAUTY 34 JL PELTU KOHAR NO 621 KLD √ BPM BD SAGITA 22/07/2021 PR/3400 √ √ √ SPT
52 SITI MASPUAH/YUSRI 32 JL PASUNDAN RT 28 KLD √ BPM BD SAGITA 14/07/2021 P/2700/49 √ √ √ SPT
53 RAHMAWATI AYU/CRIS CANDY 28 JL RW MONGONSIDI RT 09 KLD √ RS HAMAMI 22/07/2021 L/2600/48 √ √ √ SPT
54 ROBIAH/YADI/ 35 JL KOMP YUKA RT 28 KLD √ RS PELABUHAN 09/07/2021 P/2800/48 √ √ √ SPT
55 RISA DWI LESTARI/M. IRFAN 24 JL RW MONGONSIDI RT 09 KLD √ RS PUSRI 11/07/2021 P/2600/46 √ √ √ SPT
56 WINTARI/ARRAHMAN 27 JL AZHARI RT 37 KLD √ RS PUSRI 27/07/2021 L/2700/48 √ √ √ SPT
57 DINA MARIANA/SUNARYO 33 RT 12 MADIUN KLD √ RSIA AZZAHRA 7/8/2021 L/2900/48 √ √ √ SPT
58 EKA DESI/YUSMAN 25 JL RW MONGONSIDI RT 10 KLD √ RSIA AZZAHRA 7/22/2021 L/2600/47 √ √ √ SPT
59 YUNITA SARI/AHMAD FAUZAN 27 RT 29 KLD √ BPM BD SAGITA 7/22/2021 P/3100/49 √ √ √ SPT
60 SANITA/SUPRIYONO 42 JL PASUNDAN LR NYIUR I RT 34 KLD √ BPM BD SAGITA 7/6/2021 L/3100/49 √ √ √ SPT
61 JUNIA AYU SAPUTRI/RENO 25 JL MAYZEN LR SEGARAN RT 23 √ KLINIK SAHABIYAH 7/19/2021 L/2850 √ √ √ SPT
62 KUNTARI/RUSTAM EFENDI 20 JL MAYZEN LR SEGARAN RT 36 SS √ RS MUHAMMADIYAH 6/20/2021 L/3300/52 √ √ √ SPT
63 SUCI APRIANI/AHMAD NEFAMUDI 26 JL SIKAM RT 11 SS √ RSIA AZZAHRA 7/23/2021 L/3596/49 √ √ √ SC
64 YULIANA/ADE 25 JL MAGOYOSO RT 08 SS √ RSIA AZZAHRA 7/2/2021 P/2611/47 √ √ √ SPT
65 MERI SURYANI/MARSEL 28 JL IR SUTAMI RT 41 SS √ RSIA MYRIA CHARITAS 7/8/2021 P/2600/46 √ √ √ SC
66 ROSITA/NI'AN 24 JL MUARA KELINGI SS √ BPM YUSIDAH 7/2/2021 P3200 √ √ √ SPT
67 ANA AGUSTINA/SUKRI 26 JL HARAPAN JAYA II RT 31 SS √ RS CHARITAS 7/17/2021 L/3700/47 √ √ √ SC

MENGETAHUI, PALEMBANG, 31 JULI 2021


KEPALA PUSKESMAS KALIDONI BIDAN KOORDINATOR

dr. Hj. DOVI YUNIARTI SARASWATI, SST


NIP. 196806221999032001 NIP. 198510232009032006
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN AGUSTUS 2021

NO

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
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41

LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN AGUSTUS 2021

NO

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN AGUSTUS 2021
UMUR PENYEBAB
NAMA IBU / AYAH IBU ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI KEMATIAN KETERANGAN
JK/BB/PB
DOKTER BIDAN DUKUN HIDUP MATI
ALEN MENDINI/RIYANDA 32 JL LEBAK JAYA III NO 23 RT 18 KLD √ RS PUSRI 01/07/2021 P/3200/47 √ √ √ SC DG R/ SC 1X
ANGGUN ASTRIAN/DWI 27 JL MAYZEN LR SEGARAN SEI SELAYUR √ RS PUSRI 08/07/2021 L/3710/46 √ √ √ SPT
MARDIAH/NAGIB 26 JL TAQWA LR SEI JAWI NO. 83 SEI SELAYUR √ RS PUSRI 11/07/2021 L/3450/47 √ √ √ SC DG R/ SC 1X+PEB
NUR INDAH/ADE 30 JL PASUNDAN NO 901 RT 3 KLD √ RS PUSRI 13/07/2021 L/3275/46 √ √ √ SC DG R/ SC 1X
SUSANTI/DASRIEL 36 JL TAQWA RT 38 SEI SELAYUR √ RS PUSRI 14/07/2021 P/2770/47 √ √ √ SC DG R/ SC 1X+ LETLI
FRANSISKA/DENI 37 JL PASUNDAN NO 72 KLD √ RS PUSRI 15/07/2021 L/2720/47 √ √ √ SC DG R/ SC 1X
WIRDA KRISTINA/AHMAD 31 JL TAQWA LR KERAMIK NO 38 SS √ RS PUSRI 23/07/2021 P/3275/48 √ √ √ SC DG R/ SC 1X
FARIDA/ ANDIKHA 32 JL MAYZEN INTAN SENG KUNYIT NO 86 SS √ RS PUSRI 25/07/2021 P/3400/46 √ √ √ SC DG R/ SC 1X
WILYA/YAYAN 30 JL PRAJURIT NAZARUDIN RT 32 √ RS PUSRI 28/07/2021 L/3575/48 √ √ √ SC DG R/ SC 1X
RATNA 28 JL MAYZEN RT 13 SEI SELAYUR √ BPM BD SAGITA 03/08/2021 P/3100/47 √ √ √ SPT
NOVITA 17 JL DR IR SUTAMI RT 41 SS √ BPM BD SAGITA 04/08/2021 P/2400 √ √ √ SPT DG BBLR
DESTINA 30 LR TEMBUS NO 1742 RT 18 SS √ BPM BD SAGITA 8/11/2021 L/3400 √ √ √ SPT
ARFA/DIKO 31 JL URIP SUMAHARJO KLD √ KLINIK TRINANDA 08/08/2021 L/3500/50 √ √ √ SC DG R / SC 1X
TRI PERTIWI/ DODI HARYANTO 23 JL MUARA KELINGI RT 14 SEI SELAYUR √ KLINIK TRINANDA 06/08/2021 L/2800/ √ √ √ SPT
ENAH/EDI SAPUTRA 35 JL DR IR SUTAMI RT 41 SS √ BPM BD YUSIDAH 21/08/2021 L/3000/47 √ √ √ SPT
CINTA KASIH/NICO ARSA 30 JL ISWAHYUDI NO 18 RT 16 KLD √ RSIA AZZAHRA 06/08/2021 L/3500/48 √ √ √ SC
MAHA RETNO/ FIRLY ISKANDAR 31 JL PASUNDAN NO 42 KLD √ RSIA AZZAHRA 8/13/2021 P/3200/47 √ √ √ SPT
MARETA ARYANI/M RIZKI FAUZI 32 JL PASUNDAN PERMAI RT 45 KLD √ RSIA AZZAHRA 8/14/2021 L/3600/49 √ √ √ SC
RENI ANGGRAINI/ M FAHRUL 35 JL MAYZEN LR MARGOYOSO RT 09 SS √ RSIA AZZAHRA 8/19/2021 L/2700/47 √ √ √ SC
ENDAH PUSPITA/ AGUNG PRASTYO 31 JL LEBAK JAYA II RT 18 RW 05 KLD √ RSIA AZZAHRA 8/21/2021 P/3100/48 √ √ √ SPT
TUTI/RUTRA 29 JL MUHAJIRIN IV RT 44 RW 13 √ RS HERMINA 8/7/2021 L/3241/50 √ √ √ SC
NURAINI/MALIK 26 JL PRAJURIT NAZARUDIN RT 17 RW 01 √ RS HERMINA 8/7/2021 P/2735/46 √ √ √ SC
FERA SEPTARIA/YADI ISMAIL 30 SELAYUR √ RS MYRIA 7/22/2021 P/3900/50 √ √ √ SC
RATIH/ILBAN 30 JL PRAJURIT NAZARUDIN RT 17 RW 01 √ RS HERMINA 8/9/2021 P/3362/48 √ √ √ SC
SUHONI/IWAN 26 JL RW MONGONSIDI NO 02 RT 10 RW 02 √ RS HERMINA 8/10/2021 L/2832/47 √ √ √ SC
TITIN/RIZA 29 JL TALANG GADING KOMP. KENCANA NO 03 √ RS HERMINA 12/08/2021 P/3406/49 √ √ √ SC
LIDYA/SOFIYAN 26 POSY BOUGENVILE RT 47 √ RS HERMINA 23/07/2021 L/5300/53 √ √ √ SC
YUSNITA/ARI 34 JL MUHAJIRIN IV RT 44 RW 13 √ RS HERMINA 14/08/2021 P/3044/47 √ √ √ SC
SARTIKA/ BAMBANG 29 JL PRAJURIT NAZARUDIN RT 17 RW 01 √ RS HERMINA 14/08/2021 P/3451 √ √ √ SC
BARIA/IWAN 24 JL URIP SUMAHARJO RT 18 RW 10 KLD √ RS HERMINA 15/08/2021 L/3677/48 √ √ √ SC
ILINA/CHAIRUL 29 JL DR IR SUTAMI RT 41 RW 01 SS √ RS HERMINA 15/08/2021 L/2823/48 √ √ √ SC
EKA SANJAYA/ARDI 30 JL HARAPAN JAYA NO 31 RT 31 RW 08 KLD √ RS HERMINA 20/08/2021 P/2963/47 √ √ √ SC
RETNO/SISKY 25 JL SOSIAL LR LEBAK JAYA NO 489NKLD √ RS HERMINA 21/08/2021 L/2798/48 √ √ √ SC
YUNITA/AIDIL 24 PERM. PERMATA AZHARI RECIDEN BLOK G √ RS HERMINA 18/08/2021 L/3284/48 √ √ √ SC
OKTARINA/HAFIZ 23 PERM. PERMATA AZHARI RECIDEN BLOK G √ RS HERMINA 20/08/2021 P/3428/49 √ √ √ SC
NYAYU/REDI 35 PERM. PERMATA AZHARI RECIDEN BLOK G √ RS HERMINA 22/08/2021 P/3192/48 √ √ √ SC
SUCI RAHAYU/BUDI SUTRISNA 19 JL LEBAK JAYA III NO 01 √ RSIA AZZAHRA 06/08/2021 L/2000/44 √ √ √ SPT DG BBLR
LARISKA PRATAMA/NOVA 27 ASRAMA TNI AD BLOK X2 √ RSIA AZZAHRA 06/08/2021 L/3400/48 √ √ √ SC
SELFIYANI/DWI AGUNG 23 JL MAYZEN SS √ RSIA AZZAHRA 04/08/2021 P/2700/46 √ √ √ SPT
FITRI/JHONIUS 21 JL SIKAM RT 4 KLD √ BPM BD ZUNIAWATY 30/07/2021 P/2900 √ √ √ SPT
ANTIK/TANAJI 25 JL MAYZEN SS √ BPM BD ZUNIAWATY 02/08/2021 P/3900/50 √ √ √ SPT

LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN AGUSTUS 2021

NAMA IBU / AYAH UMUR ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI PENYEBAB KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
RINA/MEISANTO 35 JL PASUNDAN √ BPM BD ZUNIAWATY 03/08/2021 L/3400 √ √ √ SPT
WENI/WIDI 30 JL MAYZEN LR MARGOYOSO √ BPM BD ZUNIAWATY 11/08/2021 P/3700 √ √ √ SPT
ASMIANA/YUDI 27 JL ANGGADA RT 08 KLD √ BPM BD ZUNIAWATY 15/08/2021 L/3300/52 √ √ √ SPT
ASMELLI/EVI 33 JL ANGGADA RT 08 KLD √ BPM BD ZUNIAWATY 17/08/2021 L/3600 √ √ √ SPT
SRI AGUSTINI/MUHAMMAD 35 JL PASUNDAN KLD √ BPM BD KRISTIN 25/07/2021 L/2900/48 √ √ √ SPT
SRI MULYANI/DITA 28 JL PASUNDAN LR TEMBUS √ BPM BD KRISTIN 27/07/2021 L/2600 √ √ √ SPT
HENI RAFLESIANA/NOVRI 26 JL KH.AZHARI √ BPM BD KRISTIN 03/08/2021 P/2200 √ √ √ SPT DG BBLR
NURAINI/ YUDINA 30 JL PASUNDAN LR AMIN √ BPM BD KRISTIN 18/08/2021 P/2400 √ √ √ SPT DG BBLR
SUSILAWANI/IRWAN 32 JL PASUNDAN RT 27 √ BPM BD KRISTIN 20/08/2021 L/3200 √ √ √ SPT
TUKIJA/M ASEP 28 JL DARUSSALAM √ BPM BD KRISTIN 19/08/2021 P/3000 √ √ √ SPT
NOVITRIANI/AHMAD 29 JL RW MONGONSIDI RT 09 KLD √ RS PUSRI 28/08/2021 P/2700/49 √ √ √ SPT
RICA/TATANG SUKANTI 37 JL SUKA DAMAI I RT 14 KLD √ RSIA AZZAHRA 12/08/2021 L/2600/48 √ √ √ SPT
DEMI SARI/ DENI YASIN 27 JL PASUNDAN RT 30 KLD √ BPM BD KRISTIN 05/08/2021 P/2800/48 √ √ √ SPT
LIDIA AMELIA/M ALI 27 JL RW MONGONSIDI RT 10 KLD √ BPM BD KRISTIN 07/08/2021 P/2600/46 √ √ √ SPT
ERSI/HERU 34 JL H AZHARI YUKA IIRAWA BEBEK RT 38 √ BPM BD ZUNIAWATY 23/08/2021 L/2700/48 √ √ √ SPT
NARMIK/JUNAIDI 38 JL LETKOL EFENDI KLD √ RS PUSRI 8/8/2021 L/2900/48 √ √ √ SPT
RISKI OKTAVIANI/RAHMAD 28 JL ISWAHYUDI RT 17 KLD √ RSIA AZZAHRA 22/08/2021` L/2600/47 √ √ √ SC
FIFIN MAYASARI/M ARIF 30 JL PASUNDAN RT 45 KLD √ BPM BD SAGITA 8/12/2021 P/3100/49 √ √ √ SPT
DIAN PRATIWI/FEBRIAN 28 JL HARAPAN JAYA SS √ RS PUSRI 8/2/2021 L/3100/49 √ √ √ SPT
DESI ANGGRAINI/SUKARDI 29 JL MAYZEN RT 07 √ RS PELABUHAN 8/15/2021 L/2850 √ √ √ SPT
NINA ASTRIA/MAWARDI 31 JL ISWAHYUDI KLD √ RS PELABUHAN 7/1/2021 L/2700/49 √ √ √ SC
ZEISA/SUHARDI 21 JL MAYZEN LR MARGOYOSO RT 8 SS √ RS PELABUHAN 7/19/2021 P/2300/44 √ √ √ SC
KESI WAHYUNI/LAMORA 34 JL URIP SUMAHARJO RT 12 KLD √ RS PELABUHAN 7/10/2021 L/2800/46 √ √ √ SC DG PRESBO
GUSTIN /TEGUH SAKTI 22 JL MAYZEN SS √ RS PELABUHAN 7/12/2021 L/2800/50 √ √ √ SC
DIANA PURNAMA/MINHAR 35 KOMP AZHARI BLOK D NO 04 √ RS PELABUHAN 7/30/2021 L/2900/48 √ √ √ SC
SILVIA DONA/MUSTOFA 32 JL TAQWA SS √ RS PELABUHAN 7/2/2021 P/2800/48 √ √ √ SC
SRI AGUSTINA/SAIHUL 17 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 8/30/2021 P/2400/44 √ √ √ SPT DG BBLR
NUZLI FITRIA/AHMAD FITRIANSA 23 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 7/19/2021 P/2700/45 √ √ √ SC
DESI DAMAYANTI/IMAM 28 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 7/21/2021 P/2500/46 √ √ √ SC
ANISA/JAJANG SUGANDA 26 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 7/22/2021 P/3300/49 √ √ √ SC
SISKA PUTRI/BAGJA RANDI 26 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 7/16/2021 L/3000/49 √ √ √ SC
KIKI MARINI/ZULFADLI 37 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 7/23/2021 L/2400/46 √ √ √ SC
EMI NURKHOTIMAH/YENI SALEH 24 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 7/30/2021 L/370/50 √ √ √ SC

MENGETAHUI, PALEMBANG, 31 AGUSTUS 2021


KEPALA PUSKESMAS KALIDONI BIDAN KOORDINATOR

dr. Hj. DOVI YUNIARTI SARASWATI, SST


NIP. 196806221999032001 NIP. 198510232009032006
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN SEPTEMBER 2021

NO

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
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41

LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN AGUSTUS 2021

NO

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN SEPTEMBER 2021
UMUR PENYEBAB
NAMA IBU / AYAH IBU ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI KEMATIAN KETERANGAN
JK/BB/PB
DOKTER BIDAN DUKUN HIDUP MATI
FITRIYANI/DEDI UTOMO 34 JL TALANG GADING NO I RT 06 KALIDONI √ BPM MASDEWATI 11/09/2021 L/3300/48 √ √ √ SPT
MARLINA/ARHAM 39 JL MAYZEN LR SAHABAT RT 025 SEI SELAYUR √ BPM MASDEWATI 24/08/2021 L/2900/48 √ √ √ SPT
MARSELIA/M SYAMUGI 28 JL MAYZEN NO 80 RT 27 SEI SELAYUR √ BPM MASDEWATI 03/09/2021 L/4000/50 √ √ √ SPT
CHARLIANTI/M ADI T 19 JL MAYZEN LR SEGARAN SEI SELAYUR √ BPM MASDEWATI 17/09/2021 L/2800/47 √ √ √ SPT
PRADINAM S/M FICKRIANSYAH 26 JL KOMP MUARA KELINGI RT 41 SEI SELAYUR √ BPM MASDEWATI 24/09/2021 P/2200/45 √ √ √ SPT DG BBLR
RINI RISNAWATI/FITRIAWAN 40 JL SEGARAN RT 21 SEI SELAYUR √ BPM LENI WAHYUNI 21/09/2021 P/2500/46 √ √ √ SPT
RIRIN HANDAYANI 32 LR SEGARAN NO 66 RT 22 SEI SELAYUR √ BPM SAGITA 03/09/2021 P/3100/48 √ √ √ SPT
RAHMAWATI 29 JL HARAPAN JAYA NO 31 KLD √ BPM SAGITA 09/09/2021 P/3600/50 √ √ √ SPT
MARLINA 32 LR DARSONO RT 24 SEI SELAYUR √ BPM SAGITA 15/09/2021 L/3500/47 √ √ √ SPT
NITA KARTINI/AHMAD SAIRONI 33 LR SAHABAT RT 25 SEI SELAYUR √ BPM YUSIDA 23/09/2021 P/3100/48 √ √ √ SPT
FINKA/ALDINO 21 JL HARAPAN JAYA RT 23 SEI SELAYUR √ BPM YUSIDA 24/09/2021 P/3000/47 √ √ √ SPT
FIFIN MAYA/MUHAMMMAD ARI 31 JL PASUNDAN LR WAKAB 2 RT 45 KALIDONI √ RSIA AZZAHRA 9/3/2021 L/3500/49 √ √ √ SPT
DESI AMALIA/ AHMAD TORIK 25 ASRAMA SEKOJO BLOK D NO 2 KALIDONI √ RSIA AZZAHRA 03/09/2021 P/3200/47 √ √ √ SC
SHERLY YUNISCA/BAMBANG W 27 JL MAYZEN LR SIDOMULYO RT 36 SS √ RSIA AZZAHRA 05/09/2021 L/2700/47 √ √ √ SC
CITRA MAYA/MARADONA 28 JL RESIDEN A ROZAK PHDM II NO 108 KLD √ RSIA AZZAHRA 06/09/2021 P/3700/50 √ √ √ SC
CINTA KASIH/NICO ARSA 30 JL ISWAHYUDI NO 18 RT 16 KLD √ RSIA AZZAHRA 06/08/2021 L/3500/48 √ √ √ SC
MARLINDA/MIRSA JUANDA 28 JL PRAJURIT NAZARUDIN RT 23 KALIDONI √ RSIA AZZAHRA 9/7/2021 P/3200/48 √ √ √ SPT
DESMIATI SASMITA/RM JOKO P 36 JL PASUNDAN LR NYIUR I NO 64 RT 34 KLD √ RSIA AZZAHRA 9/9/2021 P/1400/38 √ √ √ SC DG BBLR+ R/ SC
MARLELA/WAHYU SATRIYADI 43 JL MAYZEN LEBAK JAYA III RT 19 SS √ RSIA AZZAHRA 9/9/2021 P/2600/48 √ √ √ SC
RISKA TRI W/HENGKI FIRNANDES 24 JL URIP SUMAHARJO LR SUKADAMAI RT 14 KLD √ RSIA AZZAHRA 9/13/2021 L/320048 √ √ √ SC
DORA SEPRIANTIKA/ERIYANTO 20 JL PASUNDAN NO 51 RT 34 KALIDONI √ RSIA AZZAHRA 9/17/2021 P/3500/49 √ √ √ SC
FRAHMADAYANI/ALIA FURGAN 26 JL MAYZEN LR MARGOYOSO RT 11 SS √ RSIA AZZAHRA 9/18/2021 L/320048 √ √ √ SC
SYARIFAH/ANTON 41 JL MAYZEN RT 23 SS √ RSIA AZZAHRA 9/22/2021 P/2500/46 √ √ √ SC
NOVITRIANI/TAUFIK 29 JL RW MONGONSIDI LR HANOMAN KLD √ RS PUSRI 8/1/2021 L/2900/48 √ √ √ SPT
DEWI PERMATA/ABU 25 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/6/2021 P/2540/45 √ √ √ SC R/SC1X+KALA II LAMA
SONIA/CHANDRA 21 JL PRAJURIT NAZARUDIN RT 32 KLD √ BPM LELI KURNIA EKASARI 15/09/2021 P/2500/46 √ √ √ SPT
LILI ERVINA/DIAN OKTO N 30 JL TAQWA MATA MERAH KLD √ BPM LELI KURNIA EKASARI 21/09/2021 L/4000/50 √ √ √ SPT
ELSA/JHONI 41 JL PRAJURIT NAZARUDIN RT 01 KLD √ BPM LELI KURNIA EKASARI 06/09/2021 L/3000/48 √ √ √ SPT
MUSTIKA NUR/ HASANUDIN 23 JL HARAPAN JAYA 1 RT 12 KLD √ BPM ZUNIAWATI 28/08/2021 L/3700/48 √ √ √ SPT
ITA MARIANA/ ANDY 40 JL MAYOR ZEN LR CENDANA RT 16 KLD √ BPM ZUNIAWATI 30/08/2021 P/3200/49 √ √ √ SPT
ZALEHA/JATAN 24 JL RW MONGONSIDI LR ANILA RT 10 KLD √ BPM ZUNIAWATI 04/09/2021 L/3600/48 √ √ √ SPT
EMI/AHMAD 39 JL PASUNDAN NO 69 RT 29 KLD √ BPM ZUNIAWATI 18/08/2021 P/3100/49 √ √ √ SPT
WAHYU PUTRI/YUGI NOVRIASYAH 32 JL H AZHARI YUKA II RAWA BEBEK NO 24 KLD √ BPM ZUNIAWATI 16/09/2021 P/3500/48 √ √ √ SPT
NURHAYATI/MASTUR 31 JL PASUNDAN KOMP YUKA KLD √ BPM KRISTIN PURWANTI 18/08/2021 L/3284/48 √ √ √ SC
RISKA YULIANA/DEDEK ANDREAN 29 JL HARAPAN JAYA 1 RT 30 SEI SELAYUR √ RS YK MADIRA 16/09/2021 P/2600/48 √ √ √ SC
RIKA S/ HERMANSYAH 27 JL SIKAM 3 RT 011 KLD √ RS PELABUHAN 06/08/2021 P/3100/48 √ √ √ SC
APRIYANTUM/AMBURANSYAH 24 JL PASUNDAN RT 19 NO 51A KLD √ RS PELABUHAN 08/08/2021 L/1900/43 √ √ √ SC DG BBLR+ R/ SC
APRIYANTUM/AMBURANSYAH 24 JL PASUNDAN RT 19 NO 51A KLD √ RS PELABUHAN 08/08/2021 L/2100/45 √ √ √ SC DG BBLR+ R/ SC
DESI ANGGRAINI/SUKARDI 28 JL MAYZEN RT 07 SEI SELAYUR √ RS PELABUHAN 11/08/2021 P/2700/46 √ √ √ SC
RIKA PEMATASARI/UMAR 21 JL DR IR SUTAMI RT 41 SEI SALAYUR √ RS PELABUHAN 15/08/2021 L/3000/49 √ √ √ SC
NADIA MUNIFAH 27 RT 18 KLD √ RS HERMINA 26/09/2021 L/3400/50 √ √ √ SC

LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN AGUSTUS 2021

NAMA IBU / AYAH UMUR ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI PENYEBAB KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
LILI AGUSTINI/ERWIN SAPUTRA 26 JL MAYZEN LR HARAPAN JAYA I SS √ RS CHARITAS 07/08/2021 P/3000/51 √ √ √ SPT
NOVI LAITA R/MARIO PRASETYO 29 KOMP PHDM XII 25 RT 3 KLD √ RS CHARITAS 04/08/2021 P/3100/48 √ √ √ SPT
SABELA SAFIRA/DELIANSYAH P 22 ASRAMA TNI BLOK FF NO 04 RT21 KLD √ RS CHARITAS 28/07/2021 P/2350/44 √ √ √ SC
ASDEWI/ADAM 31 KALIDONI RT 35 √ RS PELABUHAN 04/08/2021 L/2900/48 √ √ √ SC
WAHYU SRI/DEDI TRI 41 RT 04 SEI SELAYUR √ RS PELABUHAN 07/08/2021 P/3100/48 √ √ √ SPT
HERWINDA/KAMADI 36 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 11/08/2021 L/3500/48 √ √ √ SC
RIZA/AGUS SETIAWAN 23 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 11/08/2021 P/3100/48 √ √ √ SC
YULIANTINI/NURMAN 41 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 30/08/2021 L/3400/49 √ √ √ SC DG PRESBO
EVLINE/SADDAM 29 JL KALIDONI √ RS PUSRI 01/08/2021 L/2805/47 √ √ √ SPT
LINDA/YOKI 29 JL KALIDONI √ RS PUSRI 02/08/2021 P/2680/48 √ √ √ SPT
LENI MARLENA/JOKO 24 JL KALIDONI √ RS PUSRI 03/08/2021 P/3055/47 √ √ √ SC DG R/ SC1X+LETLI
DARFINA/ADRIAN 40 JL MAYZEN SEI SELAYUR √ RS PUSRI 04/08/2021 L/3095/49 √ √ √ SPT DG OLIGO+PER
REKA Y/HENDRI 40 JL MAYZEN SEI SELAYUR √ RS PUSRI 06/08/2021 P/3185/48 √ √ √ SC DG R/ SC2X+LETLI
DAHLIA/TAUFIK 33 JL KALIDONI √ RS PUSRI 08/08/2021 P/2540/45 √ √ √ SC DG KPSW+R/ SC 2X
NURAINUN/TAMRIN 38 JL KALIDONI √ RS PUSRI 08/08/2021 P/2890/46 √ √ √ SC DG LETLI+PEB
FEBI/FANDI 35 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/8/2021 L/3070/47 √ √ √ SPT
NURWENI/FAUZI 28 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/10/2021 P/2560/45 √ √ √ SC DG R/ SC
VIVIN/BASKORO 26 JL KALIDONI √ RS PUSRI 8/12/2021 P/3300/49 √ √ √ SPT DG KPSW
SRI HASTUTI/JAYEN 42 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/12/2021 P/2785/46 √ √ √ SC DG PEB+GAGAL INDUKSI
IDA K/APRIYADI 23 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/14/2021 P/3040/47 √ √ √ SC DG R/ SC
DELVIA/YANZORI 20 JL KALIDONI √ RS PUSRI 8/16/2021 L/2885/45 √ √ √ SPT DG KPSW
PUTRI DEWI/RAHMAT 21 JL KALIDONI √ RS PUSRI 8/17/2021 P/2805/46 √ √ √ SC DG KPSW
WULAN RAMADHAN/SRI WIDODO 24 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/18/2021 L/3835/49 √ √ √ SPT DG KPSW
ASWARINI/HERIYANTO 36 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/18/2021 P/2380/47 √ √ √ SC DG R/SC + HBSAG(+)
RIESKA/BAGUS 33 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/19/2021 L/3200/48 √ √ √ SPT DG KPSW
YUNITA/ANDREY 36 JL KALIDONI √ RS PUSRI 8/19/2021 L/2735/46 √ √ √ SC DG KPSW
INDO INTANG/DEVI 35 JL KALIDONI √ RS PUSRI 8/19/2021 L/2880/46 √ √ √ SC DG PRESBO+PEB
PUTRI OKTAVIA/DEDI 27 JL KALIDONI √ RS PUSRI 8/20/2021 P/2880/47 √ √ √ SC DG KPSW+PEB
LIA PRATIWI/M ALEX 34 JL KALIDONI √ RS PUSRI 8/20/2021 P/2810/45 √ √ √ SC DG R/ SC1X+KPSW
PUTRIAH/GUNAWAN 25 JL KALIDONI √ RS PUSRI 8/21/2021 P/3000/51 √ √ √ SC
SENY MARHALIA/M RIO 36 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/24/2021 L/2970/48 √ √ √ SC DG PRESBO+PKPSW+R/ SC
ANELA AUDIRZA/M AHYADI 24 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/25/2021 P/3500/50 √ √ √ SC DG GAGAL INDUKSI
SUSILAWATI/NARDI 40 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/26/2021 L/3500/48 √ √ √ SPT DG R/ SC1X
WINDI/M FREANDY 27 JL KALIDONI √ RS PUSRI 8/27/2021 L/3860/47 √ √ √ SC DG EPILEPSI+PER
ERNI EDI/MUSTI HARI 37 JL KALIDONI √ RS PUSRI 8/27/2021 P/3195/48 √ √ √ SC DG R/ SC+R/ DM
NURMALA UTARI/RIDHO 30 JL KALIDONI √ RS PUSRI 8/27/2021 P/2685/46 √ √ √ SC DG KPD +R/ SC 2X
ELI/M SALEH 27 JL KALIDONI √ RS PUSRI 8/29/2021 L/3370/47 √ √ √ SC DG R/ SC
EMILIA/AGUS 30 JL MAYZEN SEI SELAYUR √ RS PUSRI 8/31/2021 P/3200/48 √ √ √ SC DG OLIGO+POSTERM
LISA/OKKY 25 JL KALIDONI √ RS PUSRI 8/31/2021 L/3370/47 √ √ √ SC
MIRANDA/HAIDIR 26 JL KALIDONI √ RS PUSRI 8/31/2021 L/3180/48 √ √ √ SC DG DKP

MENGETAHUI, PALEMBANG, 30 SEPTEMBER 2021


KEPALA PUSKESMAS KALIDONI BIDAN KOORDINATOR

dr. Hj. DOVI YUNIARTI SARASWATI, SST


NIP. 196806221999032001 NIP. 198510232009032006
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN NOVEMBER 2021

NO

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
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41

LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN NOVEMBER 2021

NO

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN NOVEMBER 2021
UMUR PENYEBAB
NAMA IBU / AYAH IBU ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI KEMATIAN KETERANGAN
JK/BB/PB
DOKTER BIDAN DUKUN HIDUP MATI
BASIE R/ROMI 21 JL HARAPAN JAYA RT 34 SS √ BPM LISNA 03/11/2021 P/3200/50 √ √ √ SPT
KURNIA/WINDHA 33 JL PASUNDAN RT 30 KLD √ BPM KRISTIN PURWANTI 29/10/2021 L/2700/50 √ √ √ SPT
ASTRIANI/BASTIAN 32 KOMP. YUKA 2 RAWA BEBEK SS √ BPM KRISTIN PURWANTI 01/11/2021 P/3700/50 √ √ √ SPT
RITA/YOGA 22 JL NUNGCIK LR RAMBUTAN KLD √ BPM KRISTIN PURWANTI 09/11/2021 P/2400/45 √ √ √ SPT DG BBLR
LINDAWATI/ANDRIYANTRI 32 SRI MULYA RT 15 KLD √ BPM KRISTIN PURWANTI 15/10/2021 L/3100/47 √ √ √ SPT
INDRI BUNGA VIANI/RUDI 18 JL PASUNDAN RT 30 KLD √ BPM KRISTIN PURWANTI 21/11/2021 L/3300/50 √ √ √ SPT
DENTI PURNAMA SARI/NGADI 31 JL KALIDONI √ BPM KRISTIN PURWANTI 21/11/2021 P/3100/47 √ √ √ SPT
WILDA/SUHERMAN 34 JL MAYZEN RT 28 SS √ BPM ZUNIAWATI 31/10/2021 P/3700/50 √ √ √ SPT
FEBRIYANTI/BENY 29 JL MAYZEN LR MARGOYOSO RT 30 SS √ BPM ZUNIAWATI 02/11/2021 L/3500/48 √ √ √ SPT
FITRI FEBRIANI/PODO 24 JL MONGONSIDI RT 10 KLD √ BPM ZUNIAWATI 07/11/2021 P/2900/46 √ √ √ SPT
RIA AGUSTI/AAN ANWARI 35 JL H AZHARI RAWA BEBEK RT 38 SS √ BPM ZUNIAWATI 13/11/2021 L/3600/48 √ √ √ SPT
FARIDA/ALPIAN 38 JL MAYZEN RT 36 SS √ BPM ZUNIAWATI 11/15/2021 L/3800/51 √ √ √ SPT
BERLYAN/IKBAL 17 JL KALIDONI √ BPM ZUNIAWATI 16/11/2021 L/3600/48 √ √ √ SPT
WIDYA/WIDIANTO 21 JL MAYZEN RT 50 SS √ BPM ZUNIAWATI 25/11/2021 L/3000/48 √ √ √ SPT
WIDAYANTI/HARYANTO 30 JL MAYZEN RT 08 √ BPM ZUNIAWATI 28/10/2021 p/3000/49 √ √ √ SPT
SUNDARI/MOTO 35 JL KALIDONI √ BPM ZUNIAWATI 17/11/2021 L/3100/49 √ √ √ SPT
MUSRINA/RIZKI 33 JL MAYZEN SS √ BPM ZUNIAWATI 11/18/2021 P/3500/48 √ √ √ SPT
YULI HARTINI/EKA 39 JL PASUNDAN KLD √ BPM ZUNIAWATI 11/18/2021 P/3100/47 √ √ √ SPT
YESMITA/EKA CANDRA 30 JL RW MONGONSIDI √ BPM ZUNIAWATI 11/19/2021 L/35600/50 √ √ √ SPT
HANISA/WAHYU 30 JL MONGONSIDI RT 10 KLD √ BPM ZUNIAWATI 11/23/2021 L/3200/48 √ √ √ SPT
YULIANA/DEDI 30 JL KALIDONI √ BPM ZUNIAWATI 11/24/2021 L/3000/46 √ √ √ SPT
NURJANAH/BAMBANG 28 JL MAYZEN RT 06 SS √ BPM ZUNIAWATI 10/31/2021 P/3100/49 √ √ √ SPT
CIK AYU/M FAHRUL 31 JL RAWA BEBEK √ BPM ZUNIAWATI 10/31/2021 P/2900/48 √ √ √ SPT
FATIMAH/SULAIMAN 37 JL MAYZEN LR LEBAK JAYA SS √ BPM ZUNIAWATI 11/2/2021 L/2900/48 √ √ √ SPT
VINNY MASALA/TRI 29 JL KALIDONI √ BPM ZUNIAWATI 11/4/2021 P/3200/47 √ √ √ SPT
WULANDARI/RIANY 29 JL PASUNDAN RT 37 NO 68 KLD √ BPM ZUNIAWATI 05/11/2021 L/3500/48 √ √ √ SPT
DEWI/SURYA 27 JL KALIDONI √ BPM ZUNIAWATI 05/11/2021 P/3400/48 √ √ √ SPT
SUHARTI/SYRIF 40 JL KALIDONI √ BPM ZUNIAWATI 13/11/2021 P/3000/47 √ √ √ SPT
YESI/DEDI 24 JL KALIDONI √ BPM ZUNIAWATI 13/11/2021 P/3100/47 √ √ √ SPT
HENI/SLAMET 34 JL MAYZEN LR SEGARAN NO 22 √ BPM ZUNIAWATI 17/11/2021 L/3500/48 √ √ √ SPT
ITA ARIANA/ANDI 24 JLMAYZEN LR RAMAYANA RT 4 SS √ BPM ZUNIAWATI 17/11/2021 P/3900/50 √ √ √ SPT
KOMARIA/ANDRIANTO 29 LR SEGARAN RT 23 SS √ RS PELABUHAN 10/11/2021 L/4000/55 √ √ √ SPT
OKTA PRIANI/ENDANG 23 JL PASUNDAN RT 45 √ RS PELABUHAN 06/10/2021 L/3500/51 √ √ √ SC
JUWATIR/DHANU 28 JL HARAPAN JAYA RT 19 SS √ RSMH 07/10/2021 P/3000/47 √ √ √ SC
BUNGA/AGUSTIK 31 JL KH AZHARI RT 46 KLD √ RS PELABUHAN 23/11/2021 L/2700/46 √ √ √ SC
HENDRYTA/RANDY 28 JL IR. SUTAMI RT 41 SS √ BPM YUSIDA 16/11/2021 L/3700/50 √ √ √ SPT
HASANAH/SUHAILI 20 JL IR SUTAMI RT 41 SS √ BPM YUSIDA 18/11/2021 L/3000/48 √ √ √ SPT
RINA FEBRIANA/INDRA 26 JL KALIDONI RT 38 √ RS HERMINA 24/11/2021 L/3800/51 √ √ √ SC
DESI WULANDARI/GAMEL 27 JL URIP SUMAHARJO √ RSIA AZZAHRA 18/11/2021 P/3000/48 √ √ √ SC
SEPTI WINARTI/SURYA 29 JL URIP SUMAHARJO √ BPM LENI 27/10/2021 P/3500/47 √ √ √ SPT
SITI KHOLILAH/JONI 28 JL HARAPAN JAYA RT 38 SS √ RS PELABUHAN 17/11/2021 P/2600/47 √ √ √ SPT

LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN NOVEMBER 2021

NAMA IBU / AYAH UMUR ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI PENYEBAB KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
FADILAHTUL/AGUNG 22 JL KALIDONI √ RS PUSRI 01/10/2021 L/3655 √ √ √ R/ SC 1X
ARNA MEGA/DEDI 28 JL KALIDONI √ RS PUSRI 01/10/2021 P/3980 √ √ √ KPSW+ R/ SC 1X
NURAINI/ARMANSYAH 24 JL MAYZEN SEI SELAYUR √ RS PUSRI 01/10/2021 P/3010 √ √ √ SPT
MAYANG SARI/BAZAR 22 JL MAYZEN SEI SELAYUR √ RS PUSRI 03/10/2021 P/3655 √ √ √ SPT
OKI WINARSIH/TRIYANTO 32 RT 04 SEI SELAYUR √ RS PUSRI 04/10/2021 P/3250 √ √ √ SPT
ZAKINAH/USMAN 31 JL KALIDONI √ RS PUSRI 05/10/2021 L/2975 √ √ √ SPT
MEGA PUSPITA/FADHIL 35 JL MAZEN LR MARGOYOSO SS √ RS PUSRI 05/10/2021 P/2920/50 √ √ √ SPT
EKA SUSANTI/SAYIDINA 35 JL KALIDONI √ RS PUSRI 05/10/2021 P/3500/50 √ √ √ SC DG PEB+ R/ SC1X
NIA HALAWANI/M IRHAM 36 JL KALIDONI √ RS PUSRI 06/10/2021 L/3865 √ √ √ SC PEB+ GAGAL INDUKSI
NOPITA SARI/BUSTAN 25 JL MAYZEN SEI SELAYUR √ RS PUSRI 07/10/2021 P/2930 √ √ √ SPT
FATIMAH/ALI 25 JL KALIDONI √ RS PUSRI 07/10/2021 L/3205 √ √ √ SPT
FRANSISCA/PHILIPUS 39 JL KH AZHARI KLD √ RS PUSRI 07/10/2021 P/3045 √ √ √ SPT
DESI WAHYUNI/FEDRY 27 JL KALIDONI √ RS PUSRI 08/10/2021 L/2925 √ √ √ SC DG R/ SC1X
LATIFAH/AHMAD 25 JL KH AZHARI KLD √ RS PUSRI 08/08/2021 P/2415 √ √ √ SC DG PPI+KPSW+RW SC 1X+BBLR
SY SHAKILAH 23 JL KALIDONI √ RS PUSRI 09/10/2021 L/2350 √ √ √ SC DG KPSW+BBLR
CHERLY RIKA/M FIRDAUS 31 JL HARAPAN JAYA 1 SS √ RS PUSRI 10/10/2021 L/3060 √ √ √ SC DG R/ SC1X+ LILIPUT
CHINDRA/PASTRA 26 JL PHDM KLD √ RS PUSRI 10/11/2021 P/3000/51 √ √ √ SC R/SC 1X+ANEMIA
INDRI PUJI/ELFIANDI 29 JL KALIDONI √ RS PUSRI 11/11/2021 P/2860 √ √ √ SC DG KPSW
MARDIAH SIDIK/JATRA 34 JL KALIDONI √ RS PUSRI 10/11/2021 P/3120 √ √ √ SC
ROHANI/HASAN BASRI 41 JL MONGONSIDI KLD √ RS PUSRI 10/12/2021 P/3200/48 √ √ √ SC DG KPSW
SHINTA/DENI 34 JL KALIDONI √ RS PUSRI 10/13/2021 P/3490/48 √ √ √ SC DG R/SC 1X
SILVIANE/IMAM 33 JL KALIDONI √ RS PUSRI 10/13/2021 L/2840 √ √ √ SC
SALEHAH/MAT SARI 48 JL KALIDONI √ RS PUSRI 13/102021 P/2300 √ √ √ SPT DG BBLR
FITRIYANTI/RAWIT 31 JL KALIDONI √ RS PUSRI 10/14/2021 L/2420 √ √ √ SC DG FETAL DISTRESS+BBLR
TRI MEGA/ADI 33 JL PRAJURIT NAZARUDIN KLD √ RS PUSRI 10/15/2021 L/3115 √ √ √ SPT DG PPI
NURHASANAH/EDWI 34 JL MAYZEN SEI SELAYUR √ RS PUSRI 10/15/2021 P/2960 √ √ √ SC DG R/SC 1X
VIVIAN ANDI/KRIS DAFIANSYAH 30 JL KALIDONI √ RS PUSRI 10/15/2021 L/3530 √ √ √ SC DG R/SC 1X
SELDA/TARMIZI 27 JL MAYZEN SEI SELAYUR √ RS PUSRI 10/15/2021 L/2940 √ √ √ SPT DG KPSW+ANEMIA
YOLANDA SARI/ADI 27 JL KALIDONI √ RS PUSRI 10/15/2021 P/3115 √ √ √ SPT DG KPSW
MEGA PUTRI/RIZKY 21 JL URIP SUMAHARJO KLD √ RS PUSRI 10/17/2021 L/2230 √ √ √ SC DG R/SC 1X+BBLR
ERLIN NOPAS/MUKLIS 24 KOMP AZHAR KLD √ RS PUSRI 10/18/2021 L/3070 √ √ √ SC DG PEB
FEBIANA/RUDIMIN 29 JL MAYZEN LR MARGOYOSO SS √ RS PUSRI 10/18/2021 P/2775 √ √ √ SPT DG PER
SIENTYA/ALDHI 26 JL KALIDONI √ RS PUSRI 10/18/2021 L/2310 √ √ √ SC DG KPSW
RIZKY 1/RANGGA 27 JL KALIDONI √ RS PUSRI 10/18/2021 P/2340 √ √ √ SC DG KPD+GEMELI
RIZKY 2/RANGGA 27 JL KALIDONI √ RS PUSRI 10/18/2021 P/2165 √ √ √ SC DG KPD+GEMELI
EVIZA/A HIDAYAT 37 JL MAYZEN SEI SELAYUR √ RS PUSRI 10/19/2021 L/2985 √ √ √ SPT DG KPSW
NAZIHA/ACHMAD 25 JL KALIDONI √ RS PUSRI 10/19/2021 L/3120 √ √ √ SPT
FASMA/YOGI 26 JL KALIDONI √ RS PUSRI 10/19/2021 P/2835 √ √ √ SC DG KPSW
SAKINAH/SAID 32 JL RAWA BEBEK SS √ RS PUSRI 10/20/2021 L/3495 √ √ √ SPT
PUTI RAYU/RIKCY 22 JL KALIDONI √ RS PUSRI 10/22/2021 L/2665 √ √ √ SPT DG KPSW
LEDI DIANA/DESTIAR 32 JL PASUNDAN KLD √ RS PUSRI 10/23/2021 L/3785 √ √ √ SC DG OLIGO
YULVINA/SUBIYAKTO 27 JL PASUNDAN KLD √ RS PUSRI 10/23/2021 L/3205 √ √ √ SPT DG PRESENTASI KAKI
RIKA YOGA/HENGKY 27 JL MAYZEN SEI SELAYUR √ RS PUSRI 10/23/2021 P/2835 √ √ √ SC DG R/ SC 1X
NURLELA HAMID/ENDANG 33 JLPASUNDAN KLD √ RS PUSRI 10/23/2021 P/3085 √ √ √ SC DG PEB
WULANDARI/ROMI 34 JL MAYZEN SEI SELAYUR √ RS PUSRI 10/23/2021 P/2510 √ √ √ SPT
METARIANI/RIKO 27 JL PASUNDAN KLD √ RS PUSRI 10/24/2021 L/2980 √ √ √ SC
FERA/RICKY 37 JL PASUNDAN KLD √ RS PUSRI 10/25/2021 L/2855 √ √ √ SPT
YUSIDA/HERI 36 JL MAYZEN SEI SELAYUR √ RS PUSRI 10/25/2021 L/3350 √ √ √ SC DG R/SC 1X
RATNA DEWI/EKA 22 JL KALIDONI √ RS PUSRI 10/25/2021 P/3210 √ √ √ SC DG KPSW+ FETAL DISTRESS
AYU W/HERIANSYAH 31 JL MAYZEN SEI SELAYUR √ RS PUSRI 10/25/2021 P/2645 √ √ √ SC DG R/ SC 1X
ULANDARI/SAHRIAL 26 KOMP AZHAR KLD √ RS PUSRI 10/26/2021 P/3630 √ √ √ SC DG KPSW
UMI K/GHEVI 35 JL KALIDONI √ RS PUSRI 10/26/2021 P/2750 √ √ √ SC DG R/ SC 1X
SEPTIA K/RANGGA 29 JL KALIDONI √ RS PUSRI 10/27/2021 L/3355 √ √ √ SC DG KALA II LAMA
TOWIYAH/KRISNO 35 JL KALIDONI √ RS PUSRI 10/28/2021 L/2775 √ √ √ SPT DG PPI
AMINAH/SAUGI 33 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/29/2021 L/2810 √ √ √ SC DG R/ SC 3X+HT
URAI USSY/FALI 33 JL PASUNDAN KLD √ RS PUSRI 11/29/2021 L/2850 √ √ √ SC DG R/ SC 1X
INDRI/SARDIKA 22 JL KALIDONI √ RS PUSRI 11/29/2021 P/2600 √ √ √ SC DG R/ SC 1X
FADILA/HERMAWAN 23 JL KALIDONI √ RS PUSRI 11/29/2021 P/3900 √ √ √ SPT
SANTI SANUSI/DEDI 31 JL PASUNDAN LR TAQWA √ RS PUSRI 11/30/2021 P/3435 √ √ √ SPT DG KPSW
DEWI PUSPITA/IDWAR 26 JL MAYZEN LR TAQWA √ RS PUSRI 11/30/2021 P/3645 √ √ √ SC DG KPSW
RANIA ADILA/M RIFQI 24 JL KALIDONI √ RS PUSRI 11/30/2021 L/2550 √ √ √ SPT DG PER
NURLESTARI/M TAUFIK 23 JL KALIDONI √ BPM LELI KURNIA EKASARI 11/4/2021 L/2800/48 √ √ √ SPT
YUNI RIZA/YUDI PRATAMA 29 JL PASUNDAN KLD √ BPM LELI KURNIA EKASARI 11/5/2021 L/2600/48 √ √ √ SPT
SEPTI ANA/DENNY PRASETYA 22 JL PASUNDAN KLD √ BPM LELI KURNIA EKASARI 11/5/2021 P/3400/48 √ √ √ SPT
TIKA NIRMALA/MARDIANTO 25 JL KALIDONI √ BPM LELI KURNIA EKASARI 11/6/2021 L/3600/50 √ √ √ SPT
LINA/YANDRA 26 JL KALIDONI √ BPM LELI KURNIA EKASARI 11/7/2021 P/2700/48 √ √ √ SPT
WENTI SEPTIANA/AGUNG 33 JL MAYZEN SEI SELAYUR √ BPM LELI KURNIA EKASARI 11/12/2021 P/3300/47 √ √ √ SPT
MILDA AYU/OKTAVIANDA 27 JL MAYZEN SEI SELAYUR √ BPM LELI KURNIA EKASARI 11/14/2021 L/3300/48 √ √ √ SPT
HERA SARIKAWATI/TUNGGUN S 27 JL MAYZEN SEI SELAYUR √ BPM LELI KURNIA EKASARI 11/18/2021 L/3600/50 √ √ √ SPT
DWINDA/FIRMAN R 26 JL MAYZEN SEI SELAYUR √ BPM LELI KURNIA EKASARI 11/22/2021 P/2600/48 √ √ √ SPT
LILIS SUYANI 26 JL KH AZHARI RT 46 KLD √ BPM SAGITA 11/2/2021 L/3300/48 √ √ √ SPT
ANI 39 JL KALIDONI √ BPM SAGITA 11/2/2021 P/2400/46 √ √ √ SPT DG BBLR
RIA PARAMITA 43 JL MARGOYOSO RT 37 KLD √ BPM SAGITA 11/7/2021 L/3800/50 √ √ √ SPT
SUSANTI 16 JL IR SUTAMI RT 14 SS √ BPM SAGITA 11/18/2021 P/3000/51 √ √ √ SPT
SRI/FADLI 25 LR SEGARAN SS √ RSIA TRINANDA 10/30/2021 P/2500/45 √ √ √ SPT
LIZA/ADI 22 LR SEGARAN SS √ RSIA TRINANDA 11/2/2021 P/1900/45 √ √ √ SPT DG BBLR
ADAWIYAH/HAMZAH 44 JL MAYZEN N0 43 SS √ RSIA TRINANDA 11/6/2021 L/1900/45 √ √ √ SPT DG BBLR
KHOIRIDA/PRIHANTATO 36 LR SEGARAN SS √ RSIA TRINANDA 11/7/2021 P/3100/52 √ √ √ SPT
NYAYU OPA/RAKA 21 JL DR SUTAMI SS √ BPM MASDEWATI 10/29/2021 L/2200/45 √ √ √ SPT DG BBLR
LENI MARLENA/M CHAIRUL 30 JL MAYZEN LR MARGOYOSO SS √ BPM MASDEWATI 11/3/2021 P/3000/48 √ √ √ SPT
DIAH RIZKIA/SUKI 40 JL MAYZEN LR SEGARAN SS √ BPM MASDEWATI 11/16/2021 L/2200/45 √ √ √ SPT DG BBLR
YULIANA/SYAIFUL ANWAR 38 JL MAYZEN SEI SELAYUR √ RSIA AZZAHRA 11/2/2021 P/2300/47 √ √ √ SPT
TIARA MARETA/YOAN PERMANA 26 JL RW MONGONSIDI KLD √ RSIA AZZAHRA 11/3/2021 P/3000/48 √ √ √ SPT
PIMI OKTARIA/RIAN 26 JL SIKAM KLD √ RSIA AZZAHRA 11/6/2021 L/3300/48 √ √ √ SC
KIKI OKTAVIA/EFOD SINADI 29 JL RW MONGONSIDI KLD √ RSIA AZZAHRA 11/9/2021 P/2800/46 √ √ √ SC
HERNI JULIANTI/ARI PURWOKO 37 JL MAYZEN SEI SELAYUR √ RSIA AZZAHRA 11/9/2021 P/3300/47 √ √ √ SPT
INDIRA/ALDO 26 JL ISWAHYUDI NO 28 KLD √ RSIA AZZAHRA 11/17/2021 L/2800/45 √ √ √ SPT
NOPIYANTI/LOENADRUS H 30 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 9/2/2021 P/3400/48 √ √ √ SC DG PRESBO
UMI KULSUM/ALI MUDIN 34 JL KH AZHARI RT 46 KLD √ RS PELABUHAN 9/27/2021 P/4400/51 √ √ √ SC
SURYANI/ASEP 33 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 9/27/2021 L/2700/49 √ √ √ SC DG PRESBO
RATIH/M NUR 33 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 9/30/2021 P/2900/47 √ √ √ SC
KIKI JANUARTI/M RAFI 33 JL KALIDONI √ RS PELABUHAN 9/30/2021 P/2800/46 √ √ √ SPT
JAYANTI/SUPRI 27 JL URIP SUMAHARJO KLD √ RS PELABUHAN 9/30/2021 L/3100/49 √ √ √ SPT
EKA SUSANTI/AGUNG 38 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 9/30/2021 P/2800/47 √ √ √ SC
DELLA IRWANI/KARNODI 25 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 9/9/2021 P/3400/48 √ √ √ SC
APRILIA/ERWINSYAH 29 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 11/11/2021 P/3300/47 √ √ √ SC
YANI/NANIK AHMAD 34 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 9/13/2021 L/3300/49 √ √ √ SC
SUKINI/ILYAS 31 JL KALIDONI √ RS PELABUHAN 9/21/2021 P/3300/47 √ √ √ SC
SITI HAJAR/SUDARMONO 23 JL KALIDONI √ RS PELABUHAN 9/21/2021 L/3100/47 √ √ √ SC
NOVIA PAHLENI/RISMAN LEO 30 JL KALIDONI √ RS PELABUHAN 9/23/2021 L/3000/46 √ √ √ SC
SINTA/TOMI 26 JL KALIDONI √ RS PELABUHAN 9/21/2021 L/3100/47 √ √ √ SC
RAFIKA SALEH YAHYA 34 JL KALIDONI √ RS PELABUHAN 9/19/2021 L/3000/49 √ √ √ SC
RITA/ANSORI 37 JL MAYZEN SEI SELAYUR √ RS PELABUHAN 9/11/2021 L/3300/50 √ √ √ SC

MENGETAHUI, PALEMBANG, 30 NOVEMBER 2021


KEPALA PUSKESMAS KALIDONI BIDAN KOORDINATOR

dr. Hj. APRIYANTI,M.Kes SARASWATI, SST


NIP. 197104262001102001 NIP. 198510232009032006
570788759.xlsx

LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN OKTOBER 2021

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570788759.xlsx

LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN OKTOBER 2021

NAMA IBU / AYAH UMUR ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI PENYEBAB KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
KARTINI/ADI PUTRA 26 KALIDONI √ BPM LELI KURNIA SARI 16/10/2021 P/3000/51 √ √ √ SPT
SETRIA NINGSIH/RIANTO 30 JL PASUNDAN NO 120 RT 49 KLD √ BPM LELI KURNIA SARI 23/10/2021 P/3100/50 √ √ √ SPT
WINARNI/MULYADI 27 KALIDONI √ BPM LELI KURNIA SARI 17/10/2021 P/3300/50 √ √ √ SPT
YULIANA/AHMAD SUKRI 32 SEI SELAYUR √ BPM LELI KURNIA SARI 27/10/2021 P/2900/48 √ √ √ SPT
SUZIAN/DIKI 28 JL TALANG GADING RT 007 KLD √ BPM ZUNIAWATY 26/09/2021 P/3000/46 √ √ √ SPT
NURLENA/YOPI 35 JL MAYOR ZEN LR ABADI SS √ BPM ZUNIAWATY 10/10/2021 L/3200/48 √ √ √ SPT
YUNIAR/ADE FIRDAUS 22 JL ANGGADA LR SINTA RT 08 KLD √ RSIA AZZAHRA 02/10/2021 L/2800/45 √ √ √ SC
ANGGUN RATI P/RYANDI HAKIM 27 LR FAMILI RT 033 KLD √ RSIA AZZAHRA 06/10/2021 L/3500/48 √ √ √ SPT
APRIYANTI/RIZKI KOMARUDIN 21 JL MAYZEN SEI SELAYUR √ RSIA AZZAHRA 13/10/2021 P/2600/44 √ √ √ SC
EKA PUTRI/KURNIADI 24 JL URIP SUMAHARJO KLD √ RSIA AZZAHRA 04/10/2021 L/3800/52 √ √ √ SC
MARINDA/RODRICK 26 KALIDONI √ RSIA AZZAHRA 08/10/2021 P/2600/46 √ √ √ SPT
SITI KOMARIA/FAJAR INDRA 28 JL MAYZEN LR LEBAK JAYA 3 RT 17 SS √ BPM MASDEWATI 18/10/2021 P/3500/48 √ √ √ SPT
MARINI/M RIZKY 29 KALIDONI √ BPM LENI WAHYUNI 27/09/2021 L/4500 √ √ √ SPT
EVIN M/BAYU B 24 JL KALIDONI √ BPM LENI WAHYUNI 03/10/2021 P/3100/50 √ √ √ SPT
HELDA AULIA/ TRI HASAN 19 JL KALIDONI √ BPM LENI WAHYUNI 16/10/2021` P/3000 √ √ √ SPT
YULIANA/AFANDI 29 KALIDONI √ BPM SAGITA 10/2/2021 L/2500 √ √ √ SPT
MIRA/YANTO 35 KALIDONI √ BPM SAGITA 10/2/2021 L/3700 √ √ √ SPT
NUR SITI KHOLIFAH/APRIYANTO 24 JL KALIDONI √ BPM SAGITA 10/2/2021 P/3600 √ √ √ SPT
ULFA AFRIZKY/HARI 26 JL DR IR SUTAMI RT 2 SS √ BPM SAGITA 10/2/2021 P/3100/50 √ √ √ SPT
SITI FATIMAH/M YOGA 21 KALIDONI √ BPM SAGITA 10/3/2021 P/3200/48 √ √ √ SPT
RITA PURNAMA/DEDI 26 JL URIP SUMAHARJO RT 14 KLD √ BPM SAGITA 10/10/2021 L/3700 √ √ √ SPT
DESVI YANTI P/HERMAN 29 SEI SELAYUR √ BPM SAGITA 10/12/2021 P/3000 √ √ √ SPT
ANGGUN/HERMAWAN 23 SEI SELAYUR √ BPM SAGITA 10/12/2021 L/3500/48 √ √ √ SPT
FITRI SUCI DESTIANA/REZA 21 KALIDONI √ BPM SAGITA 10/12/2021 L/3500 √ √ √ SPT
HETY/MUSYOFA 29 JL RW MONGONSIDI RT 26 SS √ BPM SAGITA 10/14/2021 P/3400 √ √ √ SPT
SARAH/BAGUS 16 JL MAYZEN SEI SELAYUR √ BPM SAGITA 10/14/2021 L/3400 √ √ √ SPT
IRA SAHARA/RAGIL 25 KALIDONI √ BPM SAGITA 10/16/2021 L/3800 √ √ √ SPT
DIAN KUSUMAWATI 34 JL KALIDONI √ BPM SAGITA 10/17/2021 L/3500 √ √ √ SPT
RIKA NOVIYANTI/SAMSUDIN 36 JL DR IR SUTAMI SS √ BPM SAGITA 10/19/2021 P/4200 √ √ √ SPT
RENA ASEPA/YUDI 37 JL KALIDONI √ BPM SAGITA 10/18/2021 P/2500 √ √ √ SPT
ANIS MARSELA/ABDUL GOFAR 25 KALIDONI √ BPM SAGITA 10/20/2021 P/3500 √ √ √ SPT
NINDA IMELDA S/ANANG 29 KALIDONI √ BPM SAGITA 10/20/2021 P/2900/48 √ √ √ SPT
PUTRI WULANDARI/M IMAM 28 JL HARAPAN JAYA SS √ BPM SAGITA 10/22/2021 L/4000 √ √ √ SPT
ERFI NOTYRANTY/NOFIANSYAH 27 KALIDONI √ BPM SAGITA 10/22/2021 P/3700 √ √ √ SPT
ANITA/SAMSURIJAL 44 KALIDONI √ BPM SAGITA 10/24/2021 L/3500 √ √ √ SPT
ANITA/MUTAFIS 28 JL SIKAM KALIDONI √ RS HERMINA 10/2/2021 P/3337/47 √ √ √ SC
RANIA/AANG 25 SEI SELAYUR √ RS HERMINA 10/3/2021 L/3452/49 √ √ √ SC
RIFIYANG/HENDRO 26 KALIDONI √ RS HERMINA 10/4/2021 L/3213/48 √ √ √ SC
DIAN/NURMA 36 JL URIP SUMAHARJO KALIDONI √ RS HERMINA 10/11/2021 L/3068/49 √ √ √ SPT
IKA/SYAFRA 28 SEI SELAYUR √ RS HERMINA 10/15/2021 L/3391/47 √ √ √ SPT
THASSA/ADE 20 JL MAYZEN LR SEGARAN SS √ BPM APRIYANTI 10/6/2021 P/2300/46 √ √ √ SPT DG BBLR
NAZLA/RADIT 18 KALIDONI √ BPM APRIYANTI 10/7/2021 P/2700/47 √ √ √ SPT
WINDA SAPUTRI/LEO 22 JL LEBAK JAYA RT 18 SS √ BPM KRISTINPURWANTI 9/26/2021 P/2100 √ √ √ SPT DG BBLR
570788759.xlsx

TIEN PERMATA SARI/HERI 27 JL PASUNDAN KALIDONI √ BPM KRISTINPURWANTI 10/6/2021 P/3000 √ √ √ SPT
YULI PUSPITA SARI/BAMBANG 30 JL PASUNDAN KALIDONI √ BPM KRISTINPURWANTI 10/7/2021 P/3000 √ √ √ SPT
PUTRI AYU ANDINI/ARI 24 JL PASUNDAN KALIDONI √ BPM KRISTINPURWANTI 10/12/2021 L/3400 √ √ √ SPT
NUR DEWI/RIO 24 JL TALANG GADING RT 007 KLD √ BPM KRISTINPURWANTI 10/12/2021 P/2200 √ √ √ SPT DG BBLR
SYARIFAH AMNAH/SURYADI 32 KALIDONI √ BPM KRISTINPURWANTI 10/24/2021 P/3100/50 √ √ √ SPT
DEWI TRIANA/FAHRUL ROZI 40 JL KALIDONI √ RSIA AZZAHRA 10/2/2021 P/2800 √ √ √ SPT
FITRI YANI/DEDI UTOMO 34 JL TALANG GADINGRT 006 KLD √ BPM MASDEWATI 9/11/2021 L/3300/48 √ √ √ SPT
MARLINA/ARHAM 39 JL MAYZEN LR SAHABAT RT 25 SEI SELAYUR √ BPM MASDEWATI 9/24/2021 L/2900/48 √ √ √ SPT
MARSELIA/M SYAMULI 28 JL MAYZEN NO 080 RT 27 SEI SELAYUR √ BPM MASDEWATI 9/3/2021 L/4000/50 √ √ √ SPT
CHARLIANTI/ADI 19 JL MAYZEN RT 29 SEI SELAYUR √ BPM MASDEWATI 9/17/2021 L/2800/47 √ √ √ SPT
PRADINA/M FIKRIANSYAH 26 JL KOMP MUARA KELINGI RT 41 SS √ BPM MASDEWATI 9/24/2021 P/22/45 √ √ √ SPT
FINKA EDITIANA D/ALDINO 21 JL HARAPAN JAYA 3 KLD √ BPM YUSIDA 9/24/2021 P/3000/47 √ √ √ SPT
ELLA/DAYAT 33 JL MAYZEN SEI SELAYUR √ BPM YUSIDA 9/23/2021 L/3100/47 √ √ √ SPT
WIDIA/WIDIYANTO 40 JL MAYZEN LR MUFAKAT RT 50 SS √ BPM ZUNIAWATY 10/22/2021 P/3300/50 √ √ √ SPT
ADE RATNA DEWI/SEPTADI 26 JL PASUNDAN NO 96 RT 39 KLD √ BPM ZUNIAWATY 10/13/2021 L/2700 √ √ √ SPT
CHINDRA DEWI 26 JL HARAPAN JAYA 3 RT 44 SS √ RS PUSRI 10/22/2021 P/2600/45 √ √ √ SPT
SYARAH HAFSARI/ ARIF MAULAN 34 JL MAYZEN LR MARGOYOSO RT 10 SS √ RSIA AZZAHRA 10/17/2021 P/2800 √ √ √ SC
HENI PUSPASARI/RIZKI HARIZ 32 JL PRAJURIT NAZARUDIN RT 31 KLD √ BPM SAGITA 10/18/2021 L/3100/47 √ √ √ SPT
DINI WULANDARI/ERDIANSYAH 25 JL PASUNDAN RT 29 KLD √ BPM SAGITA 10/7/2021 P/2900/48 √ √ √ SPT
RIA KURNIATI/PERI SETIAWAN 26 JL PASUNDAN RT 29 KLD √ BPM SAGITA 10/1/2021 L/2800 √ √ √ SPT
WARDIA/JULI 33 JL PELTU KOHAR RT 20 KLD √ BPM SAGITA 10/27/2021 L/3400 √ √ √ SPT
OKTARIANI/ENDANG 24 JL AZHARI YUKA 1 KLD √ RS PELABUHAN 10/5/2021 L/3200/48 √ √ √ SPT
EKA SUSANTI/SAYIDINA ALI 35 JL MAYZEN LR MARGOYOSO RT 06 SS √ BPM SAGITA 10/6/2021 P/2700/47 √ √ √ SPT
KURNIA AFRIKA/HERYANTO 35 JL MAYZEN RT 26 SS √ BPM MASDEWATI 10/29/2021 P/3000 √ √ √ SPT
DWI YESI/HERU 34 KALIDONI √ RS PUSRI 9/10/2021 P/2775 √ √ √ SPT
YULIA DESMIRA/EDI 37 KALIDONI √ RS PUSRI 9/14/2021 L/2425 √ √ √ SPT DG BBLR
APRILYANTI/JUMAIDI 41 KALIDONI √ RS PUSRI 9/14/2021 P/2390 √ √ √ SPT DG BBLR
JIHAN/TAMMA 25 KALIDONI √ RS PUSRI 9/15/2021 L/2880 √ √ √ SPT
TRI YANTI/WICO 36 SEI SELAYUR √ RS PUSRI 9/16/2021 L/3140 √ √ √ SPT
NAZILA/HASAN 19 KALIDONI √ RS PUSRI 9/19/2021 L/2910 √ √ √ SPT
CORNELIA PUTRI/M TRISNO 28 SEI SELAYUR √ RS PUSRI 9/21/2021 P/2900/48 √ √ √ SPT
SUCI YOHANDRI/EBNI 26 KALIDONI √ RS PUSRI 9/21/2021 P/3345 √ √ √ SPT
MUTIARA SARI/DEDI 30 SEI SELAYUR √ RS PUSRI 9/22/2021 L/3335 √ √ √ SPT
KHUSNUL/RUDI 23 KALIDONI √ RS PUSRI 9/24/2021 L/3350 √ √ √ SPT
DEVI ADELIA/PARDOMUAN 35 KALIDONI √ RS PUSRI 9/24/2021 P/2890 √ √ √ SPT
PUSPITA/SUDARMAN 34 SEI SELAYUR √ RS PUSRI 9/24/2021 L/3015 √ √ √ SPT

MENGETAHUI, PALEMBANG, 31 OKTOBER 2021


KEPALA PUSKESMAS KALIDONI BIDAN KOORDINATOR

dr. Hj. DOVI YUNIARTI SARASWATI, SST


NIP. 196806221999032001 NIP. 198510232009032006
LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN DESEMBER 2021

NO

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LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN DESEMBER 2021

NO

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LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN DESEMBER 2021
UMUR PENYEBAB
NAMA IBU / AYAH IBU ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI KEMATIAN KETERANGAN
JK/BB/PB
DOKTER BIDAN DUKUN HIDUP MATI
RAMDANA/ARI AFRIAWAN 30 JL ANGGADA LR LINTANG KLD √ BPM KRISTIN PURWANTI 27/11/2021 L/2900/50 √ √ √ SPT
NURUL FADILA/ZAINAL 24 LR SUTAMI RT 14 KLD √ BPM KRISTIN PURWANTI 07/12/2021 P/2500/46 √ √ √ SPT
WIWIK/FAJAR 34 JL PASUNDAN RT 30 KLD √ BPM KRISTIN PURWANTI 09/12/2021 P/2500/46 √ √ √ SPT
NETI UTAMI/FERI 35 JL DARMA BAKTI KLD √ BPM KRISTIN PURWANTI 09/12/2021 L/3300/47 √ √ √ SPT
UTAMI NURDINI/DWI 30 JL PASUNDAN RT 34 KLD √ BPM KRISTIN PURWANTI 10/12/2021 L/3200/48 √ √ √ SPT
YUDITH PUSPITA/JAJA RAHARD 40 JL MARGOYOSO RT 10 KLD √ BPM KRISTIN PURWANTI 12/12/2021 P/3300/50 √ √ √ SPT
RENI/INDRA 39 JL MAYZEN LR LEBAK JAYA SS √ BPM ZUNIAWATI 25/11/2021 P/3100/46 √ √ √ SPT
RESKA/HERIYANTO 35 JL MUARA KELINGI SS √ BPM ZUNIAWATI 24/11/2021 P/3200/45 √ √ √ SPT
DELA SAPIKA/DOQI 26 JL MAYZEN SS √ BPM ZUNIAWATI 25/11/2021 P/2400/47 √ √ √ SPT DG BBLR
YANI/ANTON 38 JL PASUNDAN RT 49 KLD √ BPM ZUNIAWATI 03/12/2021 P/3300/50 √ √ √ SPT
HOLIDI/ANDRI 37 JL ISWAHYUDI KLD √ BPM ZUNIAWATI 28/11/2021 P/2900/49 √ √ √ SPT
FITRI/EMI 34 JL KALIDONI √ BPM ZUNIAWATI 11/30/2021 P/4000/48 √ √ √ SPT
NONIAM/SOLEH 26 JL MAYOR ZEN LR SETIA SS √ BPM ZUNIAWATI 25/11/2021 P/3100/47 √ √ √ SPT
SENTIYA/AGUS 28 JL KALIDONI √ BPM ZUNIAWATI 25/11/2021 L/4100/49 √ √ √ SPT
ROSIDA/BROTO 30 JL MAYZEN SS √ BPM ZUNIAWATI 28/11/2021 L/2900/52 √ √ √ SPT
SEPTI/RINO 23 JL HARAPAN JAYA SS √ BPM ZUNIAWATI 30/11/2021 P/2400/43 √ √ √ SPT DG BBLR
RINI/SWALUDIN 36 JL KALIDONI √ BPM ZUNIAWATI 12/5/2021 L/3700/47 √ √ √ SPT
DINA/SUGIANTO 36 JLMAYZEN SS √ BPM ZUNIAWATI 12/7/2021 P/3500/49 √ √ √ SPT
DONARIA/IMAM 31 JL RW MONGONSIDI KLD √ BPM ZUNIAWATI 12/7/2021 L/4000/49 √ √ √ SPT
APRILIA/RIZKY 34 JL ABDUL ROZAK LR MADIUN RT 12 KLD √ BPM LENI 10/27/2021 P/3500/47 √ √ √ SPT
TYA WAHYUNI/SUKARMAN 35 JL ABDUL ROZAK LR MADIUN RT 12 KLD √ RS HERMINA 12/10/2021 L/3000/48 √ √ √ SPT
MEILIY KURNIAWAN/ADI SURYA 32 JL ABDUL ROZAK LR MADIUN RT 12 KLD √ RS CHARITAS 11/10/2021 P/2800/49 √ √ √ SC
RIA/RIANTO 30 JL PASUNDAN RT 49 KLD √ BPM LELI 10/23/2021 L/3100/50 √ √ √ SPT
RAHMADIANA/AFFAR DARMAWA 31 JL PASUNDAN RT 29 KLD √ RS CHARITAS 12/9/2021 L/3200/49 √ √ √ SPT
KOMARILA/SUSENO 34 JL KALIDONI √ RS SRIWIJAYA 09/12/2021` P/2400/45 √ √ √ SPT DG BBLR
PUTRI PERMATASARI/ 20 JL MAYZEN SS √ BPM SAGITA 06/12/2021 P/3200/45 √ √ √ SPT
NUHAIMIN/JULI 27 JL ISWAHYUDI KLD √ RSUD SITI FATIMAH 25/11/2021 L/2900/47 √ √ √ SC DG CPD
ULFA TIKA/ 25 JL KALIDONI √ BPM SAGITA 07/12/2021 P/3300/50 √ √ √ SPT
SHINTA SILVIA 29 JL KALIDONI √ BPM SAGITA 07/12/2021 L/3200/47 √ √ √ SPT
LENI MARLINA 44 JL MAYZEN SS √ BPM SAGITA 14/12/2021 L/3100/50 √ √ √ SPT
YUNI SHARA 33 JL MAYZEN SS √ BPM SAGITA 18/12/2021 L/3800/51 √ √ √ SPT
EVA RAMAWATI 19 JL KALIDONI √ BPM SAGITA 19/12/2021 L/3700/50 √ √ √ SPT
MISRIYANI 37 JL KALIDONI √ BPM SAGITA 20/12/2021 L/3200/48 √ √ √ SPT
MELITA ANDRIANI 29 JL MARGOYOSO RT 10 KLD √ BPM SAGITA 21/12/2021 P/3300/50 √ √ √ SPT
DEWI PURNAMA 26 JL HARAPAN JAYA 1 SS √ BPM SAGITA 21/12/2021 P/2600/47 √ √ √ SPT
PIPIT ARISANDI 32 JL KALIDONI √ BPM SAGITA 21/12/2021 L/4200/50 √ √ √ SPT
LISA ARYANI 18 JL IR SUTAMI RT 41 SS √ BPM SAGITA 22/12/2021 L/3300/47 √ √ √ SPT
EKA/ALI 34 JL MAYZEN SS √ BPM LELI KURNIA EKASARI 07/12/2021 P/3500/50 √ √ √ SPT
AGUSTRIANA/HAJI WIDODO 30 JL PASUNDAN NO 125 RT 34 √ BPM LELI KURNIA EKASARI 09/12/2021 P/3500/49 √ √ √ SPT
FAUZIAH/ 35 JL KALIDONI √ BPM LELI KURNIA EKASARI 10/12/2021 L/2700/48 √ √ √ SPT
MELLY ANGGRAINI 26 JL MAYZEN SS √ BPM LELI KURNIA EKASARI 13/12/2021 P/2600/47 √ √ √ SPT

LAPORAN PERSALINAN
PUSKESMAS KALIDONI BULAN DESEMBER 2021

NAMA IBU / AYAH UMUR ALAMAT LENGKAP PENOLONG PERSALINAN ALAMAT TEMPAT TGL LAHIR VIT.K Hb O KONDISI BAYI PENYEBAB KETERANGAN
IBU JK/BB/PB KEMATIAN
DOKTER BIDAN DUKUN HIDUP MATI
INDAH LESTARI/AJI SUSANTO 21 JL PASUNDAN RT 32 KLD √ BPM LELI KURNIA EKASARI 13/12/2021 P/3100/52 √ √ √ SPT
MUT MAINAH/SARNO 21 JL MAYZEN SEI SELAYUR √ BPM LELI KURNIA EKASARI 17/12/2021 L/3500/51 √ √ √ SPT
YULI YANI/AHMAD SOBIRI 30 JL MAYZEN SEI SELAYUR √ BPM LELI KURNIA EKASARI 18/12/2021 P/3400/50 √ √ √ SPT
EMA NUR CILVIANA/SUKMA E 33 JL KALIDONI √ BPM LELI KURNIA EKASARI 18/12/2021 P/3500/50 √ √ √ SPT
DIAH WULANDARI/ARY SYAH 19 JL MAYZEN SEI SELAYUR √ BPM LELI KURNIA EKASARI 21/12/2021 P/2800/48 √ √ √ SPT
SITI HAWA/EKO APRIANTO 24 JL PRAJURIT NAZARUDIN KLD √ BPM LELI KURNIA EKASARI 22/12/2021 P/3200/48 √ √ √ SPT
FITRYANI/YUNUS 24 JL MAYZEN SEI SELAYUR √ BPM LELI KURNIA EKASARI 23/12/2021 P/3200/48 √ √ √ SPT
MUSTIKA/HENDRO 25 JL KALIDONI √ RS PUSRI 13/10/2021 L/2525/45 √ √ √ SPT
CHOBIETA/SYAH HABIB 25 JL KALIDONI √ RS PUSRI 01/11/2021 L/2565/46 √ √ √ SC DG KPD+OLIGO
MUMA H/ABDUL 34 JL PRAJURIT NAZARUDIN KLD √ RS PUSRI 02/11/2021 P/2975/47 √ √ √ SC DG PEB
FETTY T/YAN 36 JL MAYZEN SEI SELAYUR √ RS PUSRI 03/11/2021 L/3160/50 √ √ √ SPT DG PEB
SISKA MURTI/REZA 25 JL MAYZEN SEI SELAYUR √ RS PUSRI 03/11/2021 L/3235/48 √ √ √ SPT
HERMA LINDA/HERIADI 32 JL KALIDONI √ RS PUSRI 05/11/2021 L/3345/49 √ √ √ SC DG OBLIG
SITI NUR/RIZKY 27 JL ISWAHYUDI NO 28 KLD √ RS PUSRI 05/11/2021 P/2935/46 √ √ √ SC DG PRESBO+ANEMI
HERA YANTI/ARPANI 35 JL KALIDONI √ RS PUSRI 05/11/2021 L/3295/48 √ √ √ SC DG R/SC 2X+KISTEKTOMI
RIYANA/ILHAM 23 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/5/2021 L/2430/49 √ √ √ SC DG KPD+ GAWAT JANIN
AENYOSI/ANDRIKO 34 JL KALIDONI √ RS PUSRI 11/6/2021 L/2950/50 √ √ √ SC DG R/ SC 1X
SUMIYATI/MUHAMMAD FAJRIN 27 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/5/2021 L/3250/50 √ √ √ SC DG KPSW
APRILIA/NOPRRIANSYAH 31 JL KALIDONI √ RS PUSRI 11/7/2021 L/2825/47 √ √ √ SPT
NANI/ABU 21 JL KALIDONI √ RS PUSRI 11/7/2021 L/2615/45 √ √ √ SPT
FATIMAH/HASAN 33 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/8/2021 L/2800/48 √ √ √ SPT
NIA RAMA/MORRI 29 JL KALIDONI √ RS PUSRI 11/8/2021 L/2360/47 √ √ √ SPT
RITA/YANTO 26 JL KALIDONI √ RS PUSRI 11/8/2021 P/2900/47 √ √ √ SC DG R/ SC1X
DESI SRI/ANDIKA 27 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/9/2021 P/3080/48 √ √ √ SPT
DEVI APRIANI/HUMEIDY 33 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/9/2021 L/3090/48 √ √ √ SPT DG PPI
DESI HARTINI/ M JILI 19 JL KALIDONI √ RS PUSRI 11/9/2021 P/2980/49 √ √ √ SPT
NADYA YUNIKA/ANDIKA 27 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/9/2021 L/3460/48 √ √ √ SPT
ISTIQOMAH/FAHRIZAL 29 JL KALIDONI √ RS PUSRI 11/9/2021 P/2985/47 √ √ √ SPT
APRIDA/JOHAN 22 JL KALIDONI √ RS PUSRI 11/9/2021 P/3195/46 √ √ √ SPT
INDAH PERMATA/SULAIMAN 29 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/10/2021 L/3385/47 √ √ √ SPT
INTAN/FIRMAN 33 JL KALIDONI √ RS PUSRI 11/11/2021 P/3165/48 √ √ √ SPT DG KPSW
DWI MARTINA/FIRTA 36 JL KALIDONI √ RS PUSRI 11/11/2021 L/2705/48 √ √ √ SPT
MUNYATI/SANDI 30 JL MAYZEN NO 06 SEI SELAYUR √ RS PUSRI 11/11/2021 P/3675/49 √ √ √ SC DG DKP+R/ SC
WENTI INDAH/HENDRA 35 JL KALIDONI √ RS PUSRI 11/11/2021 P/3195/46 √ √ √ SPT
ELIYANI/M TAUFIK 42 JL KALIDONI √ RS PUSRI 11/11/2021 L/2680/45 √ √ √ SPT
LENI/ADI 36 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/12/2021 L/3120/47 √ √ √ SPT
ENDAH/BUDI 35 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/12/2021 P/3940/46 √ √ √ SPT
OKTARIA/ACHMAD 26 JL MAYZEN LR SEGARAN SS √ RS PUSRI 11/15/2021 P/3175/48 √ √ √ SC DG R/ SC 1X
RIHASTUTI/LEPRIYANSAH 37 JL MAYZEN LR SEGARAN SS √ RS PUSRI 11/15/2021 L/3065/49 √ √ √ SPT
SHAHNAZ/AHMAD ISA 29 JL KALIDONI √ RS PUSRI 11/15/2021 11/15/2021 √ √ √ SPT
MUALLIMAH/NUR HADI 30 JL KALIDONI √ RS PUSRI 11/16/2021 L/2590/45 √ √ √ SPT
RIZKI JULIA/IBRO 22 JL KALIDONI √ RS PUSRI 11/17/2021 L/3040/47 √ √ √ SPT
KEN JAUZA/WIRA 24 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/17/2021 P/3110/48 √ √ √ SPT
NAMIRA/ROSIADI 34 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/19/2021 P/2560/46 √ √ √ SPT
LISDIANA/HADI 25 JL KALIDONI √ RS PUSRI 11/19/2021 L/3325/50 √ √ √ SPT
RADHITA N/ IMAM 22 JL KALIDONI √ RS PUSRI 11/21/2021 L/3325/50 √ √ √ SPT
YUDIA/ASPANDI 24 KOMP. KALIDONI INDAH PERMAI F21 √ RS HERMINA 12/12/2021 L/2960/50 √ √ √ SC
SAGITA/TAUFIK 29 JL KALIDONI √ RS PUSRI 11/21/2021 L/2730/48 √ √ √ SPT
RINA SERANAP/ANGGIK 29 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/22/2021 L/2840/48 √ √ √ SPT
UNI SISKA/YUDA 23 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/23/2021 P/3350/48 √ √ √ SPT
ASTRI BUHARI/BAGUS 27 JL KALIDONI √ RS PUSRI 11/23/2021 P/2420/45 √ √ √ SPT DG BBLR
ROSITA/HAMBALI 26 JL KALIDONI √ RS PUSRI 11/25/2021 L/3170/49 √ √ √ SPT
YEYEN/RICKY 31 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/25/2021 P/2760/49 √ √ √ SPT
ST ZAENAB/SYEH ACHMAD 21 JL KALIDONI √ RS PUSRI 11/25/2021 P/2620/47 √ √ √ SPT
DEWI AGUSTINA/M AKMAL 33 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/26/2021 P/2865/48 √ √ √ SPT
SUHARTINI/HERI 31 JL KALIDONI √ RS PUSRI 11/26/2021 L/3270/50 √ √ √ SPT
DESI YANTI/M RAWDATU 24 JL KALIDONI √ RS PUSRI 11/26/2021 P/2770/48 √ √ √ SPT
FITRI YANTI/FACHRURROZI 39 JL HARAPAN JAYA 1 SS √ RS PUSRI 11/26/2021 L/2760/49 √ √ √ SC DG R/ SC 1X
SRI WULANDARI/M NURDIN 24 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/26/2021 L/3345/49 √ √ √ SPT
SITI MUNAWAR/ RAHMAD 30 JL KALIDONI √ RS PUSRI 11/27/2021 L/3175/49 √ √ √ SPT
DIANA LESTARI/NOVIKO 28 JL KALIDONI √ RS PUSRI 11/27/2021 P/2730/48 √ √ √ SPT
INDAH M/ DODDY K 32 JL KALIDONI √ RS PUSRI 11/28/2021 L/3350/49 √ √ √ SPT
HUSNA Y/APRIYADI 33 JL MAYZEN SEI SELAYUR √ RS PUSRI 11/29/2021 P/3005/49 √ √ √ SPT
YULI ANA/ LAODE RAHMAD 30 JL MARGOYOSO RT 11 KLD √ RSIA AZZAHRA 12/1/2021 L/3100/47 √ √ √ SC
MERIANTI/M HAMDANI 30 JL LEBAK JAYA 3 SS √ RSIA AZZAHRA 12/3/2021 L/3200/48 √ √ √ SPT
RETNO INDAH/REDY FARTIUS 33 JL ISWAHYUDI NO 53 RT 18 KLD √ RSIA AZZAHRA 12/13/2021 L/1500/41 √ √ √ SC DG BBLR
MEGA SARTIKA/IRFAN 22 JL LETKOL HM EFFENDI RT 34 KLD √ RSIA AZZAHRA 12/14/2021 L/3500/51 √ √ √ SC
RISKI DITA/M DANI 28 JL MAYZEN LR MUFAKAT RT 01 SS √ RSIA AZZAHRA 12/21/2021 L/2700/46 √ √ √ SPT
DESI TRIANGGULASI/JUARDAN G 35 JL PASUNDAN GG ELING NO 54 KLD √ RSIA AZZAHRA 12/22/2021 P/2900/48 √ √ √ SPT
FRANSISCHA N /SUARDI 24 JL KALIDONI √ RSIA AZZAHRA 12/12/2021 P/3200/45 √ √ √ SC
SEPTIANA/JULI FIKRIANSYAH 32 JL MAYZEN LR KEMAYORAN NO 13 A SS √ RSIA AZZAHRA 12/23/2021 L/3000/47 √ √ √ SC
HENNY FEBRIYANTI/MINARDI 41 JL MAYZEN SEI SELAYUR √ RSIA AZZAHRA 12/28/2021 L/3500/52 √ √ √ SPT
RISKA ADELA/ERIK SETIADI 23 JL MAYZEN LR WANA ASRI NO 98 SS √ RSIA AZZAHRA 12/25/2021 L/3000/46 √ √ √ SC
ERNA AGUSTINA/EKO PRIONO 39 JL KALIDONI √ RSIA AZZAHRA 12/27/2021 L/3500/48 √ √ √ SPT
OLIVIA/HENDRA 27 JL KALIDONI √ RSIA TRINANDA 12/1/2021 P/2600/45 √ √ √ SPT
NOVA/AGUS 31 JL MAYZEN SEI SELAYUR √ RSIA TRINANDA 12/6/2021 P/3100/49 √ √ √ SC
AYU/AHMAD 27 JL MAYZEN SEI SELAYUR √ RSIA TRINANDA 12/8/2021 L/2800/50 √ √ √ SPT
ELKE/ADITYA 29 JL KALIDONI √ RSIA TRINANDA 12/10/2021 P/2800/51 √ √ √ SPT
FEMOLA/JOKO 21 JL KALIDONI √ RSIA TRINANDA 12/12/2021 P/3200/52 √ √ √ SPT
MARYAM/AHMAD 28 JL KALIDONI √ RSIA TRINANDA 12/12/2021 L/3200/52 √ √ √ SPT
DIAN/ADIL 35 JL KALIDONI √ RSIA TRINANDA 12/14/2021 P/4000/52 √ √ √ SC
RATIH/BUDIMAN 28 JL MAYZEN SEI SELAYUR √ RSIA TRINANDA 12/16/2021 L/2500/47 √ √ √ SC
PITRI/IRAWANSYAH 21 JL MAYZEN SEI SELAYUR √ RSIA TRINANDA 12/19/2021 P/2700/48 √ √ √ SPT
GUSNI/RIAN 31 JL MAYZEN SEI SELAYUR √ RSIA TRINANDA 12/20/2021 L/3100/50 √ √ √ SPT
GUSNAWATI/ARDI 23 JL KALIDONI √ RSIA TRINANDA 12/20/2021 L/2900/50 √ √ √ SPT
REZA/RIKAL 32 JL KALIDONI √ RSIA TRINANDA 12/24/2021 P/3100/49 √ √ √ SPT
DYA/REAGEN 28 JL KALIDONI √ RSIA TRINANDA 12/24/2021 P/2500/46 √ √ √ SPT
VERA//SUNTORO 23 JL MAYZEN SEI SELAYUR √ RSIA TRINANDA 12/25/2021 P/2800/48 √ √ √ SPT
NURMALA/ASOKI 27 JL KALIDONI √ RSIA TRINANDA 12/25/2021 L/2900/50 √ √ √ SC
SAHLAH/M RAMADHAN 21 JL MAYZEN LR SAHABAT RT 25 SEI SELAYUR √ BPM MASDEWATI 11/29/2021 P/2500/47 √ √ √ SPT
SUNAMA/SUGIHARTO 41 KOMP. MUARA KELINGI SEI SELAYUR √ BPM MASDEWATI 12/2/2021 P/3700/50 √ √ √ SPT
LAELI/M RIZKY 23 JL HARAPAN JAYA RT 31 SEI SELAYUR √ BPM MASDEWATI 12/4/2021 P/2700/48 √ √ √ SPT
RESTI JUNIARTI/HAMZAH 31 JL PASUNDAN KALIDONI √ BPM MASDEWATI 12/10/2021 L/3500/49 √ √ √ SPT
HASANAH/SUHAIRI 20 JL IR SUTAMI RT 41 SS √ BPM MASDEWATI 12/22/2021 L/3100/49 √ √ √ SPT
EFNI RAMADANI/M TEGUH 32 JL MAYZEN RT 13 SS √ RS PUSRI 12/16/2021 P/2800/47 √ √ √ SC
PRAMANINGSIH/ IWAN S 25 JL KALIDONI RT 10 √ RS PUSRI 12/16/2021 P/3400/48 √ √ √ SC

MENGETAHUI, PALEMBANG, 31 DESEMBER 2021


KEPALA PUSKESMAS KALIDONI BIDAN KOORDINATOR

dr. Hj. APRIYANTI,M.Kes SARASWATI, SST


NIP. 197104262001102001 NIP. 198510232009032006

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