Bulan : JANUARI

Alamat :

UMUR
NO NAMA IBU/SUAMI ALAMAT GPA HPHT
(Thn)

1 Yesi Susanti / Ari 29 Jl. Demang 3 G2

2 Beby Putri / Frenko 26 Jl. Trikora 3 Lrg. Antara G1 22/12/2019
3 Ana / Indra 24 Jl. Dwikora II Rt 3 rw 4 G2 1/7/2019
4 Lidia Ayu / Ruli 21 Jl. Tanah Merah Rt 39 Rw 11 G1 15/6/2019
5 Karsina / Maryadi 26 Jl. Kancil Putih 1 Rt 35 Rw 10 G1 1/7/2019
6 Najma / Idrus Soleh 20 Jl. Angkatan 45 Rt 41 Rw 12 G1 2/12/2019
7 Yeyen Agustina / Indra Eka Saputra 33 Jl. Macan Kumbang Rt 44 Rw 11 G3 1/10/2019
8 Evi / Eldian 39 Jl. Macan Lindungan Rt 10 G5 10/11/2019
9 Irma / Rudi 38 Jl. Tanah Merah Rt 42 Rw 11 G5
10 Ma'ratul / Fetil 32 Jl. Kali Musi Rt 51 Rw 3 G2 10/10/2019
11 Tri Yanti / Diki Rianto 26 Jl. DLD Rt 2 Rw 1 G2 20/8/2019
12 Yunita Sari / Tovik 22 Jl. Kancil Putih Rt 58 G2 10/9/2019
13 Novalina / Ariansyah 23 Jl. Macan Lindungan Rt 15 Rw 6 G2 15/10/2019
14 Fitriya / Firmansyah 17 Jl. Tanah Merah 4 Rt 29 G1 18/7/2019
15 Carolina / Sumardi 36 Jl. Kancil Putih No. 46 Rw 11 G2 5/5/2019
16 Sasi Mawarda / Fahru Rozi 39 Jl. Musi 1 Rt 3 Rw 7 G3 10/5/2019
17 Rabella / Kholid 23 Jl. Gotong Royong Lrg. Abdi Rt 05 G1 15/6/2019
18 Rena Sri Rezki / M Arma Wijaya 30 Jl. Trikora Lrg. Sepakat G2 25/5/2019
19 Suci Safitri / Min Hadim 24 Jl. Lunjuk Jaya 2 Rt 46 G1 23/10/2019
20 Nurmala Dewi / Dedi Irawan 26 Jl. Gotong Royong Rt 33 Rw 10 G5 15/5/2019
21 Afri / Edi Yanto 25 Jl. Lunjuk Jaya G1 4/11/2019
22 Marsella / Rendy 24 Jl. Musi 9 Rt 3 Rw 9 G2 1/11/2019
23 Vivi Kusuma Wati / Andri Satria 26 Jl. Kancil Putih VI Rt 45 G3 30/10/2019
24 Saraswati / Revalsyah 21 Jl. Angkatan 45 Rt 41 Rw 12 G1 20/10/2019
25 Fitri / M Ardi 40 Jl. Angkatan 45 Rt 39/6 G5 10/8/2019
26 Aipa / Efransyah 29 Jl. Demang Lrbar Daun Rt 11 Rw 43 G3 10/4/2019
27 Atyiah / Sangkut 31 Jl. Gotong Royong Rt 31 Rw 18 G1 31/5/2019
28 Sri Hartati / Denis Sastra W 33 Jl. Swadaya Rt 55 G2
29 Ningsih Supriyatin / Sogun Setiawan 28 Jl. Macan Lindungan Rt 06 G2 20/11/2019
30 Nunung / Dedi Nugroho 28 Jl. Macan Kumbang 7 Rt 40/11 G1 16/5/2019
31 Nirma Yurnita / M Sofian 22 Jl. Gotong Royong Lrg. Abdi G1 12/11/2019
32 Eka Ismainora / Handri 31 Jl. Gotong Royong Rt 36 Rw 11 G3 23/5/2019
33
 LAPORAN IBU HAMIL
PUSKESMAS SEI BAUNG
TAHUN 2020

USIA
STATUS PERSENTAS
TP KEHAMILA BB (Kg) TB (cm) TD (mmHg) LILA (cm) TFU (cm) DJJ (x/menit)
GIZI E
N (Minggu)

54 150 110/70 25 X X BAIK X

29/9/2020 72 150 130/80 26 BALT X X X
8/4/2020 68 154 110/80 25 16 145 BAIK KEP
22/3/2020 58 159 100/70 25 23 155 BAIK KEP
8/4/2020 60 152 110/70 25 18 132 BAIK KEP
9/9/2020 59 158 100/60 25 BALT X X X
8/7/2020 71 155 120/70 25 BALT X X X
17/8/2020 67 152 110/80 26 BALT X BAIK X
64 155 110/70 26 BALT X X X
17/7/2020 65 154 110/70 24 BALT X BAIK X
27/5/2020 73 148 120/80 26 16 132 BAIK KEP
17/6/2020 54 149 110/70 25 BALT X BAIK X
22/7/2020 48 154 100/60 24 BALT X BAIK X
25/4/2020 48 154 110/70 26 BALT X BAIK X
12/2/2020 48 148 100/70 26 25 134 BAIK KEP
17/2/2020 108 159 140/90 30 28 143 BAIK KEP
22/3/2020 59 159 110/70 24 26 145 BAIK kEP
2/3/2020 73 149 110/70 29 25 154 BAIK KEP
30/7/2020 37 150 120/80 23 BALT X BAIK X
22/2/2020 64 160 130/80 27 27 144 BAIK KEP
11/8/2020 49 150 130/90 24 BALT X BAIK X
8/8/2020 51 158 100/90 24 BALT X BAIK X
6/8/2020 61 154 110/80 26 BALT X BAIK X
27/7/2020 67 170 100/60 27 BALT X X X
17/5/2020 69 157 110/70 30 18 142 BAIK KEP
17/1/2020 67 154 140/100 26 30 145 BAIK KEP
7/2/2020 63 156 110/80 27 25 145 BAIK KEP
55 160 150/80 25 BALT X BAIK X
27/8/2020 48 155 100/60 24 BALT X BAIK X
23/2/2020 59 159 110/60 25 28 134 BAIK KEP
19/8/2020 48 153 110/60 23 BALT X BAIK X
30/7/2020 57 159 100/60 27 BALT X BAIK X
 LABORATORIUM
STATUS
IMUNISASI FE GOLONGAN PROTEIN
TT HB HBSAG HIV SYPHILIS
DARAH URIN

X √ X X X X NR NR
X √ X X X X NR NR
X √ X X X X X X
X √ X X X X X X
10/1 √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
Bula: FEBRUARI
Alam:

UMUR
NO NAMA IBU/SUAMI ALAMAT GPA
(Thn)

1 Adelia Putri / Rahmat 23 Jl. Kali Musi Gotong Royong G2

2 Nery Dariyanti / Dedek Irawan 24 Jl. Tanah Merah IV Rt 39 Rw 11 G1
3 Maya Sari / Agustaiawan 32 Jl. Gotong Royong Rt 31 Rw 10 G2
4 Yuniarti / Cecep 27 Jl. Dwikora II YKP II Rt 07 Rw 02 G2
5 Winda Widia / Andi 32 Jl. DLD Rt 53 Rw 15 G2
6 Herni / Sandra 22 Jl. Demang IV Rt 53 G2
7 Jamiyatun / Amirudin 31 Jl. DLD G2
8 Ayu Lestari / Muslim 26 Jl. DLD Rt 53 Rw 15 G1
9 Sri Lestari / Medi 22 Jl. Macan Kumbang IX Rt 44 Rw 11 G1
10 Yulis / Andre 22 Jl. Anyelir Rt 34 G1
11 Eliana / Hasbullah 29 Jl. Demang Lebar Daun G1
12 Eka Eliyana / Iskandar 26 Jl. Macan Lindungan G2
13 Siti Koriah / Johan Wahyudi 23 Jl. Dwikora G2
14 Tanti Amalia / M Ariska 26 Jl. DLD Lrg. Gembira Rt 28 G2
15 Vira / Rama 19 Jl. Macan Kumbang Rt 40 G1
16 Maya Sanova / Raper 27 Jl. Tanah Merah Rt 39 Rw 8 G3
17 Hety / Andri 26 Jl. Tanah Merah Rt 18 Rw 3 G3
18 30 Jl. Trikora Lrg. Sepakat G2
19 24 Jl. Lunjuk Jaya 2 Rt 46 G1
20 26 Jl. Gotong Royong Rt 33 Rw 10 G5
21 25 Jl. Lunjuk Jaya G1
22 24 Jl. Musi 9 Rt 3 Rw 9 G2
23 26 Jl. Kancil Putih VI Rt 45 G3
24 21 Jl. Angkatan 45 Rt 41 Rw 12 G1
25 40 Jl. Angkatan 45 Rt 39/6 G5
26 29 Jl. Demang Lrbar Daun Rt 11 Rw 43 G3
27 31 Jl. Gotong Royong Rt 31 Rw 18 G1
28 33 Jl. Swadaya Rt 55 G2
29 28 Jl. Macan Lindungan Rt 06 G2
30 28 Jl. Macan Kumbang 7 Rt 40/11 G1
31 22 Jl. Gotong Royong Lrg. Abdi G1
32 31 Jl. Gotong Royong Rt 36 Rw 11 G3
33
 LAPORAN IBU HAMIL
PUSKESMAS SEI BAUNG
TAHUN 2020

USIA
STATUS
HPHT TP KEHAMILA BB (Kg) TB (cm) TD (mmHg) LILA (cm) TFU (cm) DJJ (x/menit)
GIZI
N (Minggu)

10/12/2019 17/9/2020 52 155 110/70 25 X X BAIK

26/12/2019 02/10/2020 54 153 120/70 25 BALT X BAIK
10/12/2019 17/9/2020 64 158 110/80 20 BALT X BAIK
28/5/2019 4/3/3030 72 155 100/70 29 25 155 BAIK
13/7/2019 20/4/2020 60 144 120/70 24 18 132 BAIK
10/11/2019 17/8/2020 57 149 100/60 30 BALT X X
5/12/2019 12/9/2002 65 152 120/70 28 BALT X X
31/12/2019 7/10/2020 67 158 110/80 25 BALT X BAIK
19/5/2019 26/2/2020 81 155 110/70 26 28 154 BAIK
27/12/2019 3/10/2020 53 155 110/70 26 BALT X BAIK
25/9/2019 2/7/2020 46 155 110/60 25 16 132 BAIK
8/12/2019 15/9/2020 47 151 110/70 27 BALT X BAIK
5/1/2020 12/10/2020 46 159 120/80 25 BALT X BAIK
10/10/2019 17/8/2020 44 162 110/70 30 15 X BAIK
10/9/2019 17/6/2020 42 150 100/70 24 BALT X BAIK
22/11/2019 29/8/2020 54 153 110/70 26 BALT X BAIK
25/8/2019 1/6/2020 61 158 110/70 24 BALT X BAIK
25/5/2019 2/3/2020 73 149 110/70 29 25 154 BAIK
23/10/2019 30/7/2020 37 150 120/80 23 BALT X BAIK
15/5/2019 22/2/2020 64 160 130/80 27 27 144 BAIK
4/11/2019 11/8/2020 49 150 130/90 24 BALT X BAIK
1/11/2019 8/8/2020 51 158 100/90 24 BALT X BAIK
30/10/2019 6/8/2020 61 154 110/80 26 BALT X BAIK
20/10/2019 27/7/2020 67 170 100/60 27 BALT X X
10/8/2019 17/5/2020 69 157 110/70 30 18 142 BAIK
10/4/2019 17/1/2020 67 154 140/100 26 30 145 BAIK
31/5/2019 7/2/2020 63 156 110/80 27 25 145 BAIK
55 160 150/80 25 BALT X BAIK
20/11/2019 27/8/2020 48 155 100/60 24 BALT X BAIK
16/5/2019 23/2/2020 59 159 110/60 25 28 134 BAIK
12/11/2019 19/8/2020 48 153 110/60 23 BALT X BAIK
23/5/2019 30/7/2020 57 159 100/60 27 BALT X BAIK
 LABORATORIUM
STATUS
PERSENTAS
IMUNISASI FE GOLONGAN PROTEIN
E HB HBSAG HIV SYPHILIS
TT DARAH URIN

X X √ X X X X NR NR
X X √ X X X X NR NR
X X √ X X X X X X
KEP 9/2 √ X X X X X X
KEP 9/2 √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
KEP X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
Bula: MARET
Alam:

UMU
NO NAMA IBU/SUAMI R ALAMAT GPA HPHT
(Thn)

1 Eliana / Hasbullah 29 Jl. Demang Lebar Daun G1 25/9/2019

2 Tanti Amalia / M. Ariska 26 Jl. DLD Lrg. Gembira Rt 28 G2 10/10/2019
3 Siti Koriah / Johan Wahyudi 23 Jl. Dwikora G2 5/1/2020
4 Rizkita / Mustofa 31 Jl. DLD Lrg. Sandes Rt 24 G3 21/1/2020
5 Agustina / M. Ridwan 35 Jl. Trikora Lrg. Swakarya No. H1 Rt 9 Rw 2 G3 10/12/2019
6 Rika Damayanti / Fariono 20 Jl. DLD Gg Damai Rt 01 Rw 01 G1 18/12/2019
7 Nia / Hendro 28 Jl. Macan Kumbang 9 Rt 44 Rw 11 No. 4225B G1 28/1/2019
8 Ayu Lestari / Dedi Munizar 31 Jl. Macan Lindungan Rt 17 G3 30/10/2019
9 Tety Kurnianty / Catur Raharjo 30 Jl. Dwikora i Lrg. Langgar Umum Rt 28 Rw 10 G1 15/10/2019
10 Vivi Kusuma / Andari Satria 26 Jl. Kancil Putih VI Rt 46 Rw 10 G3 30/10/2019
11 Ranjani / Roni 21 Jl. Macan Kumbang Rt 49 Rw 11 G1 10/1/2020
12 Artila / Airi 27 Jl. DLD Lrg. Gembira Rt 28 Rw 07 G2 20/2/2020
13 Sari Puspa / Suryadi 20 Jl. Macan Lindungan Tunggal 5 G1 14/9/2019
14 Isnaini / Isla 24 Jl. Dwikora G2 16/10/2019
15 Marida Sunia / Febrianto 26 Jl. Demang IV Rt 53 Rw 15 G1 16/1/2020
16 Nani / Hitami 34 Jl. Demang Lrg. Daun Rt 28 G2 1/2/2020
17 Haryati / Riki Rikardo 24 Jl. Macan Lindungan G2 27/7/2019
18 30 Jl. Trikora Lrg. Sepakat G2 25/5/2019
19 24 Jl. Lunjuk Jaya 2 Rt 46 G1 23/10/2019
20 26 Jl. Gotong Royong Rt 33 Rw 10 G5 15/5/2019
21 25 Jl. Lunjuk Jaya G1 4/11/2019
22 24 Jl. Musi 9 Rt 3 Rw 9 G2 1/11/2019
23 26 Jl. Kancil Putih VI Rt 45 G3 30/10/2019
24 21 Jl. Angkatan 45 Rt 41 Rw 12 G1 20/10/2019
25 40 Jl. Angkatan 45 Rt 39/6 G5 10/8/2019
26 29 Jl. Demang Lrbar Daun Rt 11 Rw 43 G3 10/4/2019
27 31 Jl. Gotong Royong Rt 31 Rw 18 G1 31/5/2019
28 33 Jl. Swadaya Rt 55 G2
29 28 Jl. Macan Lindungan Rt 06 G2 20/11/2019
30 28 Jl. Macan Kumbang 7 Rt 40/11 G1 16/5/2019
31 22 Jl. Gotong Royong Lrg. Abdi G1 12/11/2019
32 31 Jl. Gotong Royong Rt 36 Rw 11 G3 23/5/2019
33
 LAPORAN IBU HAMIL
PUSKESMAS SEI BAUNG
TAHUN 2020

USIA
STATUS PERSENTAS
TP KEHAMILA BB (Kg) TB (cm) TD (mmHg) LILA (cm) TFU (cm) DJJ (x/menit)
GIZI E
N (Minggu)

2/8/2020 52 155 100/60 25 X X BAIK X

17/7/2020 46 162 120/70 30 16 132 BAIK KEP
12/10/2020 46 158 110/80 25 BALT X BAIK X
28/10/2020 53 154 110/70 25 BALT X BAIK X
17/9/2020 62 155 120/70 25 BALT X BAIK X
25/9/2020 40 157 100/70 25 BALT X X X
4/10/2020 52 158 90/60 26 BALT X X X
6/8/2020 59 161 110/80 24 15 145 BAIK KEP
22/7/2020 55 164 110/70 26 17 154 BAIK KEP
6/8/2020 66 154 130/80 24 15 132 BAIK KEP
17/10/2020 46 158 110/60 27 BALT X BAIK X
27/11/2020 43 145 110/70 26 BALT X BAIK X
21/6/2020 45 150 110/70 25 16 144 BAIK KEP
23/7/2020 48 155 90/60 25 15 133 BAIK kEP
23/10/2020 51 157 100/70 27 BALT X BAIK X
8/11/2020 68 155 110/70 25 BALT X BAIK X
03/5/2020 73 155 130/80 34 18 134 BAIK KEP
2/3/2020 73 149 110/70 29 25 154 BAIK KEP
30/7/2020 37 150 120/80 23 BALT X BAIK X
22/2/2020 64 160 130/80 27 27 144 BAIK KEP
11/8/2020 49 150 130/90 24 BALT X BAIK X
8/8/2020 51 158 100/90 24 BALT X BAIK X
6/8/2020 61 154 110/80 26 BALT X BAIK X
27/7/2020 67 170 100/60 27 BALT X X X
17/5/2020 69 157 110/70 30 18 142 BAIK KEP
17/1/2020 67 154 140/100 26 30 145 BAIK KEP
7/2/2020 63 156 110/80 27 25 145 BAIK KEP
55 160 150/80 25 BALT X BAIK X
27/8/2020 48 155 100/60 24 BALT X BAIK X
23/2/2020 59 159 110/60 25 28 134 BAIK KEP
19/8/2020 48 153 110/60 23 BALT X BAIK X
30/7/2020 57 159 100/60 27 BALT X BAIK X
 LABORATORIUM
STATUS
IMUNISASI FE GOLONGAN PROTEIN
TT HB HBSAG HIV SYPHILIS
DARAH URIN

X √ X X X X NR NR
X √ X X X X NR NR
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
X √ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
Bulan: APRIL
Alama:

UMUR
NO NAMA IBU/SUAMI ALAMAT GPA HPHT
(Thn)

1 Riris / Abdul Gafur 32 Jl. Tanah Merah No. 4761 Rt 39 Rw 11 G3 07/3/2020

2 Yulia Asmawati / Dedi Riki 32 Jl. Dwikora 1 G3 24/1/2020
3 Mutiara / Agus 28 Jl. Demang IV Rt 53 Rw 15 G2
4 Endra / Andri 21 Jl. Gotong Royong Rt 33 Rw 10 G1 21/2/2020
5 Nirwana / Marun 35 Jl. Kancil Putih 6 G2 30/12/2019
6 Elsa Elfira / Yusmudya 23 Jl. Kancil Putih Rt 54 Rw 10 G1 8/2/2020
7 Linda Sukowati / Sodar 22 Jl. Gotong Royong Rt 35 G5 5/11/2019
8 Firda Anila / Hendra 30 Jl. Kancil Putih Rt 1 Rw 5 G3 25/2/2020
9 Hilda / Robbi 29 Jl. DLD No. 09 Rt 45 Rw 13 G2 19/1/2020
10 Dwi / Rizal 29 Jl. Gotong Royong Rt 32 G1 23/2/2020
11 Milayu Andri / A. Firdaus 26 Jl. Kancil putih VI RTt 46 G1 25/10/2019
12 Yulianti / M. Cecep 25 Jl. Macan Kumbang Rt 40 G1 2/9/2019
13 Tanti Analia / M. Ariska 27 Jl. Demang Lebar Daun G2 3/10/2019
14 Sari Puspa / Suryadi 20 Jl. Macan Lindungan Tunggal 5 G1 14/9/2019
15 Nia / Hendro 28 Jl. Macan Kumbang 9 Rt 44 Rw 11 No. 4225 B G1 28/1/2020
16 Rika Damayanti / Tariono 20 Jl. DLD Gg Damai Rt 01 Rw 01 G1 18/12/2019
17 Rizkita / Mustofa 31 Jl. DLD Lrg. Sandes Rt 24 G3 21/1/2020
18 30 Jl. Trikora Lrg. Sepakat G2 25/5/2019
19 24 Jl. Lunjuk Jaya 2 Rt 46 G1 23/10/2019
20 26 Jl. Gotong Royong Rt 33 Rw 10 G5 15/5/2019
21 25 Jl. Lunjuk Jaya G1 4/11/2019
22 24 Jl. Musi 9 Rt 3 Rw 9 G2 1/11/2019
23 26 Jl. Kancil Putih VI Rt 45 G3 30/10/2019
24 21 Jl. Angkatan 45 Rt 41 Rw 12 G1 20/10/2019
25 40 Jl. Angkatan 45 Rt 39/6 G5 10/8/2019
26 29 Jl. Demang Lrbar Daun Rt 11 Rw 43 G3 10/4/2019
27 31 Jl. Gotong Royong Rt 31 Rw 18 G1 31/5/2019
28 33 Jl. Swadaya Rt 55 G2
29 28 Jl. Macan Lindungan Rt 06 G2 20/11/2019
30 28 Jl. Macan Kumbang 7 Rt 40/11 G1 16/5/2019
31 22 Jl. Gotong Royong Lrg. Abdi G1 12/11/2019
32 31 Jl. Gotong Royong Rt 36 Rw 11 G3 23/5/2019
33
 LAPORAN IBU HAMIL
PUSKESMAS SEI BAUNG
TAHUN 2020

USIA
STATUS
TP KEHAMILA BB (Kg) TB (cm) TD (mmHg) LILA (cm) TFU (cm) DJJ (x/menit)
GIZI
N (Minggu)

14/12./2020 54 154 110/60 26 BALT X BAIK

31/10/2020 47 156 110/70 25 BALT X BAIK
43 153 110/80 24 BALT X BAIK
28/11/2020 53 155 100/60 26 BALT X BAIK
6/10/2020 60 150 120/70 28 BALT X BAIK
15/11/2020 59 150 100/70 25 BALT X KEP
12/8/2020 63 158 110/70 25 16 132 BAIK
3/12/2020 54 156 110/80 26 BALT X BAIK
26/10/2020 62 155 110/70 25 BALT X BAIK
1/12/2020 50 154 130/80 24 BALT X BAIK
1/8/2020 42 155 110/60 24 15 130 BAIK
8/6/2020 57 155 110/70 24 23 145 BAIK
10/7/2020 45 150 110/70 25 16 144 BAIK
21/6/2020 48 150 100/70 25 18 133 BAIK
4/11/2020 50 158 100/70 26 BALT X BAIK
25/9/2020 41 157 100/60 25 BALT X BAIK
28/10/2020 54 154 120/80 25 BALT X BAIK
2/3/2020 73 149 110/70 29 25 154 BAIK
30/7/2020 37 150 120/80 23 BALT X BAIK
22/2/2020 64 160 130/80 27 27 144 BAIK
11/8/2020 49 150 130/90 24 BALT X BAIK
8/8/2020 51 158 100/90 24 BALT X BAIK
6/8/2020 61 154 110/80 26 BALT X BAIK
27/7/2020 67 170 100/60 27 BALT X X
17/5/2020 69 157 110/70 30 18 142 BAIK
17/1/2020 67 154 140/100 26 30 145 BAIK
7/2/2020 63 156 110/80 27 25 145 BAIK
55 160 150/80 25 BALT X BAIK
27/8/2020 48 155 100/60 24 BALT X BAIK
23/2/2020 59 159 110/60 25 28 134 BAIK
19/8/2020 48 153 110/60 23 BALT X BAIK
30/7/2020 57 159 100/60 27 BALT X BAIK
 LABORATORIUM
STATUS
PERSENTAS
IMUNISASI FE GOLONGAN PROTEIN
E HB HBSAG HIV SYPHILIS
TT DARAH URIN

X X √ X X X X NR NR
X X √ X X X X NR NR
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
kEP 2/4 √ X X X X X X
KEP X √ X X X X X X
KEP X √ X X X X X X
kEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
KEP X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
Bulan: MEI
Alama:

UMUR
NO NAMA IBU/SUAMI ALAMAT GPA
(Thn)

1 Fitri Yanti / Heri yadi 30 Jl. Gotong Royong No. 3862 Rt 31 Rw 08 G3

2 Rosmala Dewi / Yogi 28 Jl. Sei Selan Rt 2 Rw 1 No. 155 G1
3 Indah Pratiwi / Theo 27 Jl. Tanjung Barangan G2
4 Lia Lestari / M. Nurdin 24 Jl. DLD Rt 26 G1
5 Fitriana / Riko 28 Jl. Demang G2
6 Yusnia / Windi 34 Jl. Musi V A Lrg. Teratai Rt 38 Rw 11 G3
7 Nofita Sari / Alimin 21 Jl. Musi Raya 3 Rt 38 Rw 11 G1
8 Riska / Agus Cik 31 Jl. Kancil Putih Rt 35 Rw 10 G3
9 Yoki Aprina / Ardani 27 Jl. Musi 5A Rt 38 Rw 11 G2
10 Karmila / Haryono 32 Jl. Macan Lindungan 51
11 26 G1
12 25 G1
13 27 G2
14 20 G1
15 28 G1
16 20 G1
17 31 G3
18 30 G2
19 24 G1
20 26 G5
21 25 G1
22 24 G2
23 26 G3
24 21 G1
25 40 G5
26 29 G3
27 31 G1
28 33 G2
29 28 G2
30 28 G1
31 22 G1
32 31 G3
33
 LAPORAN IBU HAMIL
PUSKESMAS SEI BAUNG
TAHUN 2020

USIA
HPHT TP KEHAMILA BB (Kg) TB (cm) TD (mmHg) LILA (cm) TFU (cm) DJJ (x/menit)
N (Minggu)

16/9/2019 23/6/2020 58 154 110/60 26 27 143

22/3/2020 29/12/2020 44 155 110/70 25 BALT X
18/3/2020 25/12/2020 51 150 120/80 26 BALT X
6/4/2020 13/1/2021 54 155 100/60 24 BALT X
1/9/2019 8/6/2020 62 152 140/100 26 26 132
17/3/2020 21/12/2020 60 155 100/70 26 BALT X
6/2/2020 13/11/2020 53 150 90/60 25 BALT X
16/4/2020 23/1/2021 59 155 110/80 30 BALT X
3/4/2020 10/1/2021 51 150 110/70 25 BALT X
18/2/2020 25/11/2020 51 150 130/80 26 BALT X
25/10/2019 1/8/2020 42 155 110/60 24 15 130
2/9/2019 8/6/2020 57 155 110/70 24 23 145
3/10/2019 10/7/2020 45 150 110/70 25 16 144
14/9/2019 21/6/2020 48 150 100/70 25 18 133
28/1/2020 4/11/2020 50 158 100/70 26 BALT X
18/12/2019 25/9/2020 41 157 100/60 25 BALT X
21/1/2020 28/10/2020 54 154 120/80 25 BALT X
25/5/2019 2/3/2020 73 149 110/70 29 25 154
23/10/2019 30/7/2020 37 150 120/80 23 BALT X
15/5/2019 22/2/2020 64 160 130/80 27 27 144
4/11/2019 11/8/2020 49 150 130/90 24 BALT X
1/11/2019 8/8/2020 51 158 100/90 24 BALT X
30/10/2019 6/8/2020 61 154 110/80 26 BALT X
20/10/2019 27/7/2020 67 170 100/60 27 BALT X
10/8/2019 17/5/2020 69 157 110/70 30 18 142
10/4/2019 17/1/2020 67 154 140/100 26 30 145
31/5/2019 7/2/2020 63 156 110/80 27 25 145
55 160 150/80 25 BALT X
20/11/2019 27/8/2020 48 155 100/60 24 BALT X
16/5/2019 23/2/2020 59 159 110/60 25 28 134
12/11/2019 19/8/2020 48 153 110/60 23 BALT X
23/5/2019 30/7/2020 57 159 100/60 27 BALT X
 LABORATORIUM
STATUS
STATUS PERSENTAS
IMUNISASI FE GOLONGAN PROTEIN
GIZI E HB HBSAG HIV
TT DARAH URIN

BAIK X X √ X X X X NR
BAIK X X √ X X X X NR
BAIK X X √ X X X X X
BAIK X X √ X X X X X
BAIK kEP X √ X X X X X
KEP X X √ X X X X X
BAIK X X √ X X X X X
BAIK X X √ X X X X X
BAIK X X √ X X X X X
BAIK X X √ X X X X X
BAIK kEP 2/4 √ X X X X X
BAIK KEP X √ X X X X X
BAIK KEP X √ X X X X X
BAIK kEP X √ X X X X X
BAIK X X √ X X X X X
BAIK X X √ X X X X X
BAIK X X √ X X X X X
BAIK KEP X √ X X X X X
BAIK X X √ X X X X X
BAIK KEP X √ X X X X X
BAIK X X √ X X X X X
BAIK X X √ X X X X X
BAIK X X √ X X X X X
X X X √ X X X X X
BAIK KEP X √ X X X X X
BAIK KEP X √ X X X X X
BAIK KEP X √ X X X X X
BAIK X X √ X X X X X
BAIK X X √ X X X X X
BAIK KEP X √ X X X X X
BAIK X X √ X X X X X
BAIK X X √ X X X X X
√ X X X X X
√ X X X X X
√ X X X X X
√ X X X X X
√ X X X X X
√ X X X X X
SYPHILIS

NR
NR
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Bula : JUNI
Alam:

UMUR
NO NAMA IBU/SUAMI ALAMAT GPA HPHT
(Thn)

1 Laura / Edo Supartus 20 Jl. Demang Lebar Daun G1

2 Sella / Dodi 26 Jl. Demang Lebar Daun G1 20/4/2020
3 Nurhayati / Sudardi 43 Jl. Macan Kumbang G1
4 Imelda / Lupiadi 28 Jl. Macan Kumbang IV Rt 40 Rw 11 G4 17/4/2020
5 Teti / Usman 22 Jl. Gotong Royong G1 27/11/2019
6 Laila / Restu 22 Jl. Macan KUmbang Rt 56 Rw 11 G1 5/9/2019
7 Halima Tusa"diah / Sulaiman 21 Jl. Tanjung Barangan Rt 1 Rw 3 G1 14/2/2020
8 Rini A / Kgs. M. Toyib 34 Jl. Tanjung Barangan G4 10/4/2020
9 Nur Hasanah / Yogi 30 Jl. Kancil Putih VI Rt 46 Rw 10 G2 26/4/2020
10 Yulia Citra / Jaya Mahindra 20 Jl. Macan Lindungan Rt 3 Rw 3 54 4/5/2020
11 Siti Asmawati / Jimmy Pratama 23 Jl. Demang Lebar Daun Rt 50 Rw 10 G1 28/4/2020
12 Widia / Apriansyah 23 Jl. Family IV Rt 5 Rw 6 G2 26/4/2020
13 Wulandari / Sumansa 23 Jl. Demang IV Rt 53 Rw 15 G1 15/11/2019
14 Kiki Queen / Sandi Indrias 29 Jl. Tanjung Barangan Blok b 40 G1 8/11/2019
15 Ayu / Herianto 25 Jl. Macan Lindungan G2 18/11/2019
16 Lisa Eviyanti / Febryansyah 27 Jl. Macan Lindungan XXI G1 10/5/2020
17 Eli Rimawati / Rahman 29 Jl. Tanjung Barangan G2
18 Herlinda / Holidi 34 Jl. Demang Rt 45 G2 1/1/2020
19 Berti / Taufik 27 Jl. Macan Lindungan G3 1/4/2020
20 26 G5 15/5/2019
21 25 G1 4/11/2019
22 24 G2 1/11/2019
23 26 G3 30/10/2019
24 21 G1 20/10/2019
25 40 G5 10/8/2019
26 29 G3 10/4/2019
27 31 G1 31/5/2019
28 33 G2
29 28 G2 20/11/2019
30 28 G1 16/5/2019
31 22 G1 12/11/2019
32 31 G3 23/5/2019
33
 LAPORAN IBU HAMIL
PUSKESMAS SEI BAUNG
TAHUN 2020

USIA
STATUS
TP KEHAMILA BB (Kg) TB (cm) TD (mmHg) LILA (cm) TFU (cm) DJJ (x/menit)
GIZI
N (Minggu)

54 154 110/60 24 BALT X BAIK

27/1/2021 60 158 110/70 25 BALT X BAIK
50 155 120/80 26 BALT X BAIK
24/1/2021 56 162 100/60 24 BALT X BAIK
4/9/2020 58 155 120/80 24 17 132 BAIK
12/6/2020 60 154 100/70 26 26 145 KEP
21/11/2020 40 155 110/70 25 8 132 BAIK
17/1/2021 71 168 110/80 26 BALT X BAIK
3/2/2021 40 150 110/70 24 BALT X BAIK
11/1/2020 54 150 110/70 24 BALT X BAIK
5/2/2021 43 159 110/60 24 BALT X BAIK
3/2/2021 47 150 110/70 24 BALT X BAIK
22/8/2020 48 150 110/70 24 14 144 BAIK
18/8/2020 79 158 100/70 25 18 133 BAIK
25/8/2020 68 150 100/70 26 17 134 BAIK
17/2/2021 53 155 100/60 25 BALT X BAIK
61 155 130/110 28 BALT X BAIK
8/10/2020 42 151 120/70 24 BALT X BAIK
8/1/2021 67 154 120/80 20 BALT X BAIK
22/2/2020 64 160 130/80 27 27 144 BAIK
11/8/2020 49 150 130/90 24 BALT X BAIK
8/8/2020 51 158 100/90 24 BALT X BAIK
6/8/2020 61 154 110/80 26 BALT X BAIK
27/7/2020 67 170 100/60 27 BALT X X
17/5/2020 69 157 110/70 30 18 142 BAIK
17/1/2020 67 154 140/100 26 30 145 BAIK
7/2/2020 63 156 110/80 27 25 145 BAIK
55 160 150/80 25 BALT X BAIK
27/8/2020 48 155 100/60 24 BALT X BAIK
23/2/2020 59 159 110/60 25 28 134 BAIK
19/8/2020 48 153 110/60 23 BALT X BAIK
30/7/2020 57 159 100/60 27 BALT X BAIK
 LABORATORIUM
STATUS
PERSENTAS
IMUNISASI FE GOLONGAN PROTEIN
E HB HBSAG HIV SYPHILIS
TT DARAH URIN

X X √ X X X X NR NR
X X √ X X X X NR NR
X X √ X X X X X X
X X √ X X X X X X
kEP X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
kEP X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
KEP X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
KEP X √ X X X X X X
X X √ X X X X X X
X X √ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X
√ X X X X X X