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Format Rekapitulasi Kegiatan Praktik Profesi / Pelayanan Kebidanan

Pelayanan : Keluarga Berencana Lama dan baru


Periode kegiatan : 19 Mei 2017 – 18 Mei 2018

Hari/ Nama Pasien/ Tindakan/ Pelayanan /


No. Umur Diagnosa
Asuhan
Tanggal Klien
Akseptor KB Pemberian suntik KB 3
1 30/05/2017 Ny. Sukma 28th
suntik baru bulanan baru
Akseptor KB Pemberian suntik KB 3
2 30/05/2017 Ny. Indah 38th
Suntik Lama bulanan baru
Akseptor KB Pemberian suntik KB 3
3 09/06/2017 Ny. Indri 25th
Suntik Lama bulanan baru
Akseptor KB Pemberian suntik KB 1
4 03/07/2017 Ny. Dian 23th
suntik baru bulanan baru
Akseptor KB Pemberian suntik KB 1
5 20/08/2017 Ny. Ana 27th
suntik lama bulanan lama
Akseptor KB Pemberian suntik KB 1
6 13/09/2017 Ny. Sisna 25th
suntik lama bulanan lama
Akseptor KB Pemberian suntik KB 3
7 13/10/2017 Ny. Jeni 30th
suntik baru bulanan baru
Akseptor KB Pemberian suntik KB 3
8 06/11/2017 Ny. Alia 31th
suntik baru bulanan lama
Akseptor KB Pemberian suntik KB 3
9 11/12/2017 Ny. Hanida 33th
suntik baru bulanan lama
Akseptor KB Pemberian suntik KB 3
10 17/01/2018 Ny. Susna 28th
Suntik Lama bulanan baru
Akseptor KB Pemberian suntik KB 3
11 31/02/2018 Ny. Soliana 26th
Suntik Lama bulanan lama
Akseptor KB Pemberian suntik KB 3
12 24/3/2018 Ny. Ponita 24th
suntik baru bulanan lama
Akseptor KB Pemberian suntik KB 3
13 17/04/2018 Ny. Susi 28th
suntik lama bulanan baru
Akseptor KB Pemberian suntik KB 3
14 31/04/2018 Ny. Penti 26th
suntik lama bulanan lama
Akseptor KB Pemberian suntik KB 3
15 04/05/2018 Ny. Kusuma 24th
suntik baru bulanan lama

Mengetahui Way kanan , 18 Mei 2018


Atasan langsung Bidan

Dessy Susanti., A.Md.Keb Govinda Dewi., A.Md.Keb

Format Rekapitulasi Kegiatan Praktik Profesi / Pelayanan Kebidanan


Pelayanan : Keluarga Berencana Lama dan baru
Periode kegiatan : 19 Mei 2018 – 18 Mei 2019

Hari/ Nama Pasien/ Tindakan/ Pelayanan /


No. Umur Diagnosa
Tanggal Klien Asuhan

Pemberian suntik KB 3
1 02/06/2018 Ny. Mutiara 30th Akseptor KB suntik baru
bulanan baru

Pemberian suntik KB 3
2 11/07/2018 Ny. Wulandari 20th Akseptor KB Suntik Lama
bulanan baru

Pemberian suntik KB 3
3 24/07/2018 Ny. Yuliana 31th Akseptor KB Suntik Lama
bulanan baru

Pemberian suntik KB 3
4 02/08/2018 Ny. Sinta 27th Akseptor KB suntik baru
bulanan baru

Pemberian suntik KB 3
5 25/09/2018 Ny. Mita Ariyani 25th Akseptor KB suntik lama
bulanan lama

Pemberian suntik KB 3
6 18/10/2018 Ny. Misnah 26th Akseptor KB suntik lama
bulanan lama

Pemberian suntik KB 3
7 20/11/2018 Ny. Denty 23th Akseptor KB suntik baru
bulanan baru

Pemberian suntik KB 3
8 13/12/2018 Ny. Susi 24th Akseptor KB suntik baru
bulanan lama

Pemberian suntik KB 3
9 06/01/2019 Ny. Della 27th Akseptor KB suntik baru
bulanan lama

Pemberian suntik KB 3
10 07/01/2019 Ny. Yulis 29th Akseptor KB Suntik Lama
bulanan baru

Pemberian suntik KB 3
11 31/01/2019 Ny. Santi 28th Akseptor KB Suntik Lama
bulanan lama

Pemberian suntik KB 3
12 24/02/2019 Ny. Dinda 26th Akseptor KB suntik baru
bulanan lama

Pemberian suntik KB 3
13 07/03/2019 Ny. Hermada 29th Akseptor KB suntik lama
bulanan baru

Pemberian suntik KB 3
14 31/04/2019 Ny. Dina 28th Akseptor KB suntik lama
bulanan lama

Pemberian suntik KB 3
15 14/05/2019 Ny. Ninda 26th Akseptor KB suntik baru
bulanan lama

Mengetahui Way kanan , 18 Mei 2019


Atasan langsung Bidan

Dessy Susanti., A.Md.Keb Govinda Dewi., A.Md.Keb

Format Rekapitulasi Kegiatan Praktik Profesi / Pelayanan Kebidanan


Pelayanan : Keluarga Berencana Lama dan baru
Periode kegiatan : 19 Mei 2019 – 18 Mei 2020

Hari/ Nama Pasien/ Tindakan/ Pelayanan /


No. Umur Diagnosa
Tanggal Klien Asuhan
Pemberian suntik KB 3
1 30/05/2019 Ny. Melani 25th Akseptor KB suntik baru
bulanan baru
Pemberian suntik KB 3
2 27/06/2019 Ny. Irvana 27th Akseptor KB Suntik Lama
bulanan baru
Pemberian suntik KB 3
3 20/07/2019 Ny. Indri 25th Akseptor KB Suntik Lama
bulanan baru
Pemberian suntik KB 1
4 27/07/2019 Ny. Cristina 19th Akseptor KB suntik baru
bulanan baru
Pemberian suntik KB 1
5 20/08/2019 Ny. Nurahma 27th Akseptor KB suntik lama
bulanan lama
Pemberian suntik KB 1
6 13/09/2019 Ny. Rani 31th Akseptor KB suntik lama
bulanan lama
Pemberian suntik KB 3
7 13/09/2019 Ny. yesa 28th Akseptor KB suntik baru
bulanan baru
Pemberian suntik KB 3
8 06/10/2019 Ny. ovi 26th Akseptor KB suntik baru
bulanan lama
Pemberian suntik KB 3
9 31/11/2019 Ny. Penti 29th Akseptor KB suntik baru
bulanan lama
Pemberian suntik KB 1
10 23/12/2019 Ny. Supriatun 30th Akseptor KB Suntik Lama
bulanan baru
Pemberian suntik KB 1
11 16/01/2020 Ny. Suniam 31th Akseptor KB Suntik Lama
bulanan lama
Pemberian suntik KB 1
12 09/02/2020 Ny. Hikmah 34th Akseptor KB suntik baru
bulanan lama
Pemberian suntik KB 1
13 10/03/2020 Ny. Wati 27th Akseptor KB suntik lama
bulanan lama
Pemberian suntik KB 1
14 18/04/2020 Ny. Berti 31th Akseptor KB suntik lama
bulanan lama
Pemberian suntik KB 3
15 17/05/2020 Ny. Anti 28th Akseptor KB suntik baru
bulanan baru

Mengetahui Way kanan , 18 Mei 2020


Atasan langsung Bidan

Dessy Susanti., A.Md.Keb Govinda Dewi, A.Md.Keb

Format Rekapitulasi Kegiatan Praktik Profesi / Pelayanan Kebidanan

Pelayanan : Keluarga Berencana Lama dan baru


Periode kegiatan : 19 Mei 2020 – 18 Mei 2021

Hari/ Nama Pasien/ Tindakan/ Pelayanan /


No. Umur Diagnosa
Tanggal Klien Asuhan
Pemberian suntik KB 3
1 Ny. Rina 28th Akseptor KB suntik baru
28/05/2020 bulanan baru
Pemberian suntik KB 3
2 Ny. Siska 22th Akseptor KB Suntik Lama
30/05/2020 bulanan baru
Pemberian suntik KB 3
3 Ny. Sumirah 24th Akseptor KB Suntik Lama
24/06/2020 bulanan baru
Pemberian suntik KB 3
4 Ny. Mira 30th Akseptor KB suntik baru
02/07/2020 bulanan baru
Pemberian suntik KB 3
5 Ny. Kusnah 34th Akseptor KB suntik lama
25/08/2020 bulanan lama
Pemberian suntik KB 3
6 Ny. Selvi 33th Akseptor KB suntik lama
18/09/2020 bulanan lama
Pemberian suntik KB 3
7 20/10/2020 Ny. Devi 29th Akseptor KB suntik baru
bulanan baru
Pemberian suntik KB 3
8 13/11/2020 Ny nita 29th Akseptor KB suntik baru
bulanan lama
Pemberian suntik KB 3
9 06/12/2020 Ny. Suyati 19th Akseptor KB suntik baru
bulanan lama
Pemberian suntik KB 3
10 17/01/2021 Ny. Surti 31th Akseptor KB Suntik Lama
bulanan baru
Pemberian suntik KB 3
11 31/01/2021 Ny. Cinta 30th Akseptor KB Suntik Lama
bulanan lama
Pemberian suntik KB 3
12 24/02/2021 Ny. Sukma 31th Akseptor KB suntik baru
bulanan lama
Pemberian suntik KB 3
13 06/03/2021 Ny. Sindi 29th Akseptor KB suntik lama
bulanan baru
Pemberian suntik KB 3
14 26/04/2021 Ny. Solehah 29th Akseptor KB suntik lama
bulanan lama
Pemberian suntik KB 3
15 05/05/2021 Ny. Riska 19th Akseptor KB suntik baru
bulanan lama

Mengetahui Way kanan , 18 Mei 2021


Atasan langsung Bidan

Dessy Susanti., A.Md.Keb Govinda Dewi., A.Md.Keb

Format Rekapitulasi Kegiatan Praktik Profesi / Pelayanan Kebidanan

Pelayanan : Keluarga Berencana Lama dan baru


Periode kegiatan : 19 Mei 2021 – 18 Mei 2022
Hari/ Nama Pasien/ Tindakan/ Pelayanan /
No. Umur Diagnosa
Tanggal Klien Asuhan
Pemberian suntik KB 3
1 Ny. Kira 27th Akseptor KB suntik baru
25/06/2021 bulanan baru
Pemberian suntik KB 3
2 28/6/2021 Ny. Widya 25th Akseptor KB Suntik Lama
bulanan baru
Pemberian suntik KB 3
3 11/07/2021 Ny. Fatmala 27th Akseptor KB Suntik Lama
bulanan baru
Pemberian suntik KB 3
4 20/07/2021 Ny. Ajeng 32th Akseptor KB suntik baru
bulanan baru
Pemberian suntik KB 3
5 03/08/2021 Ny. Rara 30th Akseptor KB suntik lama
bulanan lama
Pemberian suntik KB 3
6 26/08/2021 Ny. tri mantina 31th Akseptor KB suntik lama
bulanan lama
Pemberian suntik KB 3
7 09/09/2021 Ny. Wati sari 21th Akseptor KB suntik baru
bulanan baru
Pemberian suntik KB 3
8 02/10/2021 Ny. Tamala 23th Akseptor KB suntik baru
bulanan lama
Pemberian suntik KB 3
9 25/10/2021 Ny. Fitri 25th Akseptor KB suntik baru
bulanan lama
Pemberian suntik KB 3
10 24/011/2022 Ny. Fifi 29th Akseptor KB Suntik Lama
bulanan baru
Pemberian suntik KB 3
11 28/02/2022 Ny. Parti 28th Akseptor KB Suntik Lama
bulanan lama
Pemberian suntik KB 3
12 11/02/2022 Ny. Sri khasanah 24th Akseptor KB suntik baru
bulanan lama
Pemberian suntik KB 3
13 19/032022 Ny. Siti asiah 30th Akseptor KB suntik lama
bulanan lama
Pemberian suntik KB 3
13 04/04/2022 Ny. Murni 31th Akseptor KB suntik lama
bulanan lama
Pemberian suntik KB 3
15 03/05/2022 Ny. Wiwik 21th Akseptor KB suntik baru
bulanan baru

Mengetahui Way kanan , 18 Mei 2022


Atasan langsung Bidan

Dessy Susanti., A.Md.Keb Govinda Dewi., A.Md.Keb

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