FORMAT REKAPITULASI PRAKTIK PROFESI / PELAYANAN KEBIDANAN

Pelayanan : KB
Periode Kegiatan : 01 Januari - 30 Juni 2021 RSIA Sayang Ibu Batusangkar

No Hari / Tanggal Nama Pasien / Klien Umur Diagnosa Tindakan/Pelayanan/Asuhan

1 1/4/2021 Ny Dina Fadila 30 th Akseptor Baru Suntik 3 Bulan
2 1/4/2021 Ny Dwi Endah 35 th Akseptor Baru Suntik 3 Bulan
3 1/5/2021 Ny Vica 27 th Akseptor Baru IUD
4 1/7/2021 Ny Rafny Mustika 30 th Akseptor Lama IUD
5 1/7/2021 Ny Anggi Juliani 25 th Akseptor Baru IUD
6 1/7/2021 Ny Elsa Wineri 27 th Akseptor Lama IUD
7 1/1/2021 Ny Hanna Utami 31 th Akseptor Baru IUD
8 1/15/2021 Ny Zelgi Pilusman 32 th Akseptor Lama Suntik 3 Bulan
9 1/19/2021 Ny Meri Oktarina 27 th Akseptor Baru IUD
10 1/19/2021 Ny Lora Hulandari 34 th Akseptor Baru IUD
11 1/19/2021 Ny Dicolaniarita 25 th Akseptor Lama IUD
12 1/26/2021 Ny Setiani Dewi 31 th Akseptor Baru IUD
13 1/26/2021 Ny Milssa Angria 35 th Akseptor Baru IUD
14 1/26/2021 Ny Nessa Mareta 40 th Akseptor Lama IUD
15 1/28/2021 Ny Desi Sofya 38 th Akseptor Lama Suntik 3 Bulan
16 2/9/2021 Ny Widya Till Husni 24 th Akseptor Baru IUD
17 2/12/2021 Ny Maya 25 th Akseptor Baru IUD
18 2/12/2021 Ny Elvia Amleda 32 th Akseptor Lama IUD
19 2/19/2021 Ny Renzy Agathy 37 th Akseptor Baru Suntik 3 Bulan
20 2/19/2021 Ny Fitriani 28 th Akseptor Baru Suntik 3 Bulan
21 2/22/2021 Ny Fitri Yeni 26 th Akseptor Lama IUD
22 2/22/2021 Ny Novita Duha 22 th Akseptor Lama IUD
23 2/22/2021 Ny Siti Fauzana 27 th Akseptor Lama IUD
24 3/5/2021 Ny Anike 32 th Akseptor Lama IUD
25 3/5/2021 Ny Wulan Sari 28 th Akseptor Lama IUD
26 3/8/2021 Ny Wirhidayati 20 th Akseptor Baru Suntik 3 Bulan
27 3/8/2021 Ny Rike Yunita Sari 38 th Akseptor Baru Suntik 3 Bulan
28 3/8/2021 Ny Indah Putri Pratiwi 29 th Akseptor Baru Suntik 3 Bulan
29 4/5/2021 Ny Rice Anwar 32 th Akseptor Baru IUD
30 4/5/2021 Ny Rosi Anggraini 33 th Akseptor Lama IUD
31 4/9/2021 Ny Rina Fitri Yanti 25 th Akseptor Lama Suntik 3 Bulan
32 4/9/2021 Ny Purwanti 23 th Akseptor Lama Suntik 3 Bulan
33 5/7/2021 Ny Monalisa Purnama 37 th Akseptor Lama Suntik 3 Bulan
34 5/21/2021 Ny Sesmeri Handayani 42 th Akseptor Baru IUD
35 6/7/2021 Ny Desmawati 40 th Akseptor Baru IUD
36 6/7/2021 Ny Desniarti 26 th Akseptor Baru IUD

Mengetahui Batusangkar, 01 Juli 2021

Direktur RSIA Sayang Ibu Batusangkar Bidan

dr. Rika Desviorita M.ARS Fitri Nofianti Amd Keb

 FORMAT REKAPITULASI
PRAKTIK PROFESI / PELAYANAN KEBIDANAN

Pelayanan : KB
Periode Kegiatan : 01 Januari - 30 Juni 2021 RSIA Sayang Ibu Batusangkar

No Hari / Tanggal Nama Pasien / Klien Umur Diagnosa Tindakan/Pelayanan/Asuhan

1 1/4/2021 Ny Dina Fadila 30 th Akseptor Baru Suntik 3 Bulan
2 1/4/2021 Ny Dwi Endah 35 th Akseptor Baru Suntik 3 Bulan
3 1/5/2021 Ny Vica 27 th Akseptor Baru IUD
4 1/7/2021 Ny Rafny Mustika 30 th Akseptor Lama IUD
5 1/7/2021 Ny Anggi Juliani 25 th Akseptor Baru IUD
6 1/7/2021 Ny Elsa Wineri 27 th Akseptor Lama IUD
7 1/1/2021 Ny Hanna Utami 31 th Akseptor Baru IUD
8 1/15/2021 Ny Zelgi Pilusman 32 th Akseptor Lama Suntik 3 Bulan
9 1/19/2021 Ny Meri Oktarina 27 th Akseptor Baru IUD
10 1/19/2021 Ny Lora Hulandari 34 th Akseptor Baru IUD
11 1/19/2021 Ny Dicolaniarita 25 th Akseptor Lama IUD
12 1/26/2021 Ny Setiani Dewi 31 th Akseptor Baru IUD
13 1/26/2021 Ny Milssa Angria 35 th Akseptor Baru IUD
14 1/26/2021 Ny Nessa Mareta 40 th Akseptor Lama IUD
15 1/28/2021 Ny Desi Sofya 38 th Akseptor Lama Suntik 3 Bulan
16 2/9/2021 Ny Widya Till Husni 24 th Akseptor Baru IUD
17 2/12/2021 Ny Maya 25 th Akseptor Baru IUD
18 2/12/2021 Ny Elvia Amleda 32 th Akseptor Lama IUD
19 2/19/2021 Ny Renzy Agathy 37 th Akseptor Baru Suntik 3 Bulan
20 2/19/2021 Ny Fitriani 28 th Akseptor Baru Suntik 3 Bulan
21 2/22/2021 Ny Fitri Yeni 26 th Akseptor Lama IUD
22 2/22/2021 Ny Novita Duha 22 th Akseptor Lama IUD
23 2/22/2021 Ny Siti Fauzana 27 th Akseptor Lama IUD
24 3/5/2021 Ny Anike 32 th Akseptor Lama IUD
25 3/5/2021 Ny Wulan Sari 28 th Akseptor Lama IUD
26 3/8/2021 Ny Wirhidayati 20 th Akseptor Baru Suntik 3 Bulan
27 3/8/2021 Ny Rike Yunita Sari 38 th Akseptor Baru Suntik 3 Bulan
28 3/8/2021 Ny Indah Putri Pratiwi 29 th Akseptor Baru Suntik 3 Bulan
29 4/5/2021 Ny Rice Anwar 32 th Akseptor Baru IUD
30 4/5/2021 Ny Rosi Anggraini 33 th Akseptor Lama IUD
31 4/9/2021 Ny Rina Fitri Yanti 25 th Akseptor Lama Suntik 3 Bulan
32 4/9/2021 Ny Purwanti 23 th Akseptor Lama Suntik 3 Bulan
33 5/7/2021 Ny Monalisa Purnama 37 th Akseptor Lama Suntik 3 Bulan
34 5/21/2021 Ny Sesmeri Handayani 42 th Akseptor Baru IUD
35 6/7/2021 Ny Desmawati 40 th Akseptor Baru IUD
36 6/7/2021 Ny Desniarti 26 th Akseptor Baru IUD

Mengetahui Batusangkar, 01 Juli 2021

Direktur RSIA Sayang Ibu Batusangkar Bidan

dr. Rika Desviorita M.ARS Fitri Nofianti Amd Keb

 FORMAT REKAPITULASI
PRAKTIK PROFESI / PELAYANAN KEBIDANAN
RSIA SAYANG IBU BATUSANGKAR
Pelayanan : Imunisasi
Periode Kegiatan : Tahun 2018

No Tanggal Nama Bayi Umur Diagnosa Tindakan/Pelayanan/Asuhan

1 1/1/2018 By Ny Elfitra 0 Hari Bayi Baru Lahir Imunisasi Hb 0
2 1/1/2018 By Ny Silvia Mayanti 0 Hari Bayi Baru Lahir Imunisasi Hb 0
3 1/1/2018 By Ny Dina Rezita 0 Hari Bayi Baru Lahir Imunisasi Hb 0
4 1/7/2018 By Ny Nelli 0 Hari Bayi Baru Lahir Imunisasi Hb 0
5 1/7/2018 By Ny Risnawati 0 Hari Bayi Baru Lahir Imunisasi Hb 0
6 1/7/2018 By Ny Welly Febrianti 0 Hari Bayi Baru Lahir Imunisasi Hb 0
7 1/7/2018 By Ny Sri Itra Dewi 0 Hari Bayi Baru Lahir Imunisasi Hb 0
8 1/10/2018 By Ny Gusti Ayu 0 Hari Bayi Baru Lahir Imunisasi Hb 0
9 1/10/2018 By Ny Eldani Wasilah 0 Hari Bayi Baru Lahir Imunisasi Hb 0
10 1/10/2018 By Ny Zulmi Eliza 0 Hari Bayi Baru Lahir Imunisasi Hb 0
11 1/10/2018 By Ny Nova Oktavia 0 Hari Bayi Baru Lahir Imunisasi Hb 0
12 1/15/2018 By Ny Rahmaita 0 Hari Bayi Baru Lahir Imunisasi Hb 0
13 2/5/2018 By Ny Roza 0 Hari Bayi Baru Lahir Imunisasi Hb 0
14 2/5/2018 By Ny Dona 0 Hari Bayi Baru Lahir Imunisasi Hb 0
15 2/5/2018 By Ny Resky 0 Hari Bayi Baru Lahir Imunisasi Hb 0
16 2/7/2018 By Ny Lidia 0 Hari Bayi Baru Lahir Imunisasi Hb 0
17 2/7/2018 By Ny Hartika 0 Hari Bayi Baru Lahir Imunisasi Hb 0
18 2/7/2018 By Ny Putri Novebrina 0 Hari Bayi Baru Lahir Imunisasi Hb 0
19 2/8/2018 By Ny Lisa 0 Hari Bayi Baru Lahir Imunisasi Hb 0
20 2/8/2018 By Ny Ririn 0 Hari Bayi Baru Lahir Imunisasi Hb 0
21 2/8/2018 By Ny Marta 0 Hari Bayi Baru Lahir Imunisasi Hb 0
22 2/14/2018 By Ny Silvi 0 Hari Bayi Baru Lahir Imunisasi Hb 0
23 2/14/2018 By Ny Risa Yuliani 0 Hari Bayi Baru Lahir Imunisasi Hb 0
24 2/14/2018 By Vindy 0 Hari Bayi Baru Lahir Imunisasi Hb 0
25 2/16/2018 By Ny Ria 0 Hari Bayi Baru Lahir Imunisasi Hb 0
26 2/16/2018 By Ny Meilani 0 Hari Bayi Baru Lahir Imunisasi Hb 0
27 2/16/2018 By Ny Putri 0 Hari Bayi Baru Lahir Imunisasi Hb 0
28 3/9/2018 By Ny Dwi 0 Hari Bayi Baru Lahir Imunisasi Hb 0
29 3/10/2018 By Ny Faizunnis 0 Hari Bayi Baru Lahir Imunisasi Hb 0
30 3/10/2018 By Ny Maisyarah 0 Hari Bayi Baru Lahir Imunisasi Hb 0
31 3/10/2018 By Ny Oktavera 0 Hari Bayi Baru Lahir Imunisasi Hb 0
32 3/14/2018 By Ny Andri 0 Hari Bayi Baru Lahir Imunisasi Hb 0
33 3/14/2018 By Ny Nana Oktara 0 Hari Bayi Baru Lahir Imunisasi Hb 0
34 3/16/2018 By Ny Nelawati 0 Hari Bayi Baru Lahir Imunisasi Hb 0
35 3/20/2018 By Ny Risa Febrina 0 Hari Bayi Baru Lahir Imunisasi Hb 0
36 3/20/2018 By Ny Irma Suryani 0 Hari Bayi Baru Lahir Imunisasi Hb 0

Mengetahui Batusangkar, 06 Juni 2018

Direktur RSIA Sayang Ibu Batusangkar Bidan
dr. Rika Desviorita M.ARS Fitri Nofianti Amd Keb
 FORMAT REKAPITULASI
PRAKTIK PROFESI / PELAYANAN KEBIDANAN
RSIA SAYANG IBU BATUSANGKAR
Pelayanan : Imunisasi
Periode Kegiatan : Tahun 2017

No Tanggal Nama Bayi Umur Diagnosa Tindakan/Pelayanan/Asuhan

1 10/10/2017 By Ny Yusmi Pesrita 0 Hari Bayi Baru Lahir Imunisasi Hb 0
2 10/10/2017 By Ny Ana Sari Hasmira 0 Hari Bayi Baru Lahir Imunisasi Hb 0
3 10/12/2017 By Ny Siska Afriani 0 Hari Bayi Baru Lahir Imunisasi Hb 0
4 10/12/2017 By Ny Ani ratna 0 Hari Bayi Baru Lahir Imunisasi Hb 0
5 10/12/2017 By Ny Elsa purnama 0 Hari Bayi Baru Lahir Imunisasi Hb 0
6 10/12/2017 By Ny Yolla novita 0 Hari Bayi Baru Lahir Imunisasi Hb 0
7 10/15/2017 By Ny Yulia Ningsih 0 Hari Bayi Baru Lahir Imunisasi Hb 0
8 10/15/2017 By Ny Yulia Putri 0 Hari Bayi Baru Lahir Imunisasi Hb 0
9 10/16/2017 By Ny Zurni Purnama sari 0 Hari Bayi Baru Lahir Imunisasi Hb 0
10 10/16/2017 By Ny Ervis 0 Hari Bayi Baru Lahir Imunisasi Hb 0
11 10/16/2017 By Ny Yovita apriliya 0 Hari Bayi Baru Lahir Imunisasi Hb 0
12 10/16/2017 By Ny Gita Gemisha 0 Hari Bayi Baru Lahir Imunisasi Hb 0
13 10/16/2017 By Ny Riri putri agustia 0 Hari Bayi Baru Lahir Imunisasi Hb 0
14 10/19/2017 By Ny Delvita 0 Hari Bayi Baru Lahir Imunisasi Hb 0
15 10/22/2017 By Ny Rian Soneta 0 Hari Bayi Baru Lahir Imunisasi Hb 0
16 11/1/2017 By Ny Mega Purnamawati 0 Hari Bayi Baru Lahir Imunisasi Hb 0
17 11/1/2017 By Ny Rosma Dona 0 Hari Bayi Baru Lahir Imunisasi Hb 0
18 11/5/2017 By Ny Hidayatul fajri 0 Hari Bayi Baru Lahir Imunisasi Hb 0
19 11/5/2017 By Ny Sri melani 0 Hari Bayi Baru Lahir Imunisasi Hb 0
20 11/6/2017 By Ny Mimi helmiati 0 Hari Bayi Baru Lahir Imunisasi Hb 0
21 11/7/2017 By Ny Leni Prita 0 Hari Bayi Baru Lahir Imunisasi Hb 0
22 11/7/2017 By Ny Maya Lestari 0 Hari Bayi Baru Lahir Imunisasi Hb 0
23 11/7/2017 By Ny Purnamawati 0 Hari Bayi Baru Lahir Imunisasi Hb 0
24 11/10/2017 By Ny Yelly Zabet 0 Hari Bayi Baru Lahir Imunisasi Hb 0
25 11/10/2017 By Ny Hasrita 0 Hari Bayi Baru Lahir Imunisasi Hb 0
26 11/10/2017 By Ny Rini Mariani 0 Hari Bayi Baru Lahir Imunisasi Hb 0
27 11/10/2017 By Ny Winda Eliza 0 Hari Bayi Baru Lahir Imunisasi Hb 0
28 12/1/2017 By Ny Halimah Tusadiah 0 Hari Bayi Baru Lahir Imunisasi Hb 0
29 12/1/2017 By Ny Siti Fadhilah 0 Hari Bayi Baru Lahir Imunisasi Hb 0
30 12/1/2017 By Ny Nana Andrio 0 Hari Bayi Baru Lahir Imunisasi Hb 0
31 12/1/2017 By Ny Masniyeti 0 Hari Bayi Baru Lahir Imunisasi Hb 0
32 12/1/2017 By Ny Aulia Mitri 0 Hari Bayi Baru Lahir Imunisasi Hb 0
33 12/5/2017 By Ny Nika Fitri Ningsih 0 Hari Bayi Baru Lahir Imunisasi Hb 0
34 12/5/2017 By Ny Desi Indrawati 0 Hari Bayi Baru Lahir Imunisasi Hb 0
35 12/5/2017 By Ny Fitri Anita 0 Hari Bayi Baru Lahir Imunisasi Hb 0
36 12/5/2017 By Ny Stella Rahma Fitri 0 Hari Bayi Baru Lahir Imunisasi Hb 0

Mengetahui Batusangkar, 31 Desember 2017

Direktur RSIA Sayang Ibu Batusangkar Bidan

dr. Rika Desviorita M.ARS Fitri Nofianti Amd Keb

 FORMAT REKAPITULASI
PRAKTIK PROFESI / PELAYANAN KEBIDANAN
RSIA SAYANG IBU BATUSANGKAR
Pelayanan : Persalinan
Periode Kegiatan : Tahun 2018

No Hari/ Tanggal Nama Pasien Umur Diagnosa Tindakan/Pelayanan/Asuhan

1 1/1/2018 Ny Elfitra 32 th G3P2A0H2 gr aterm + KPD Pervaginam / PI
2 1/1/2018 Ny Silvia Mayanti 24 th G1P0A0HO gr 38-39 mg + KPD Pervaginam / PI
3 1/1/2018 Ny Dina Rezita 35 th G4P3A0H3 gr aterm + inpartu Pervaginam / PI
4 1/6/2018 Ny Nelli 35 th G2P1A0H1 gr aterm + oligohidramnion Pervaginam / PI
5 1/6/2018 Ny Risnawati 28 th G2P1A0H1 gr aterm + oligohidramnion Pervaginam / PI
6 1/7/2018 Ny Welly Febrianti 25 th G1P0A0H0 gr 38-39 mg + KPD Pervaginam / PI
7 1/7/2018 Ny Sri Itra Dewi 31 th G2P1A0H1 gr aterm Pervaginam / PI
8 1/9/2018 Ny Gusti Ayu 32 th G2P1A0H1 gr 38-39 mg + KPD Pervaginam / PI
9 1/10/2018 Ny Eldani Wasilah 26 th G3P2A0H0 gr aterm + KPD Pervaginam / PI
10 1/10/2018 Ny Zulmi Eliza 37 th G4P3A0H3 gr aterm Pervaginam / PI
11 1/10/2018 Ny Nova Oktavia 35 th G4P2A1H1 gr aterm + KPD Pervaginam / PI
12 1/14/2018 Ny Rahmaita 29 th G3P2A0H1 gr aterm Pervaginam / PI

Mengetahui Batusangkar, 30 Januari 2018

Direktur RSIA Sayang Ibu Batusangkar Petugas

dr. Rika Desviorita M.ARS Fitri Nofianti Amd Keb

 FORMAT REKAPITULASI
PRAKTIK PROFESI / PELAYANAN KEBIDANAN
RSIA SAYANG IBU BATUSANGKAR
Pelayanan : Imunisasi
Periode Kegiatan : Tahun 2019

No Tanggal Nama Bayi Umur Diagnosa Tindakan/Pelayanan/Asuhan

1 1/1/2019 By Ny Susi Amelia 0 Hari Bayi Baru Lahir Imunisasi Hb 0
2 1/1/2019 By Ny Itra Darmayanti 0 Hari Bayi Baru Lahir Imunisasi Hb 0
3 1/1/2019 By Ny Efnita Yendra 0 Hari Bayi Baru Lahir Imunisasi Hb 0
4 1/1/2019 By Ny Gusmalia 0 Hari Bayi Baru Lahir Imunisasi Hb 0
5 1/2/2019 By Ny Yarnelis 0 Hari Bayi Baru Lahir Imunisasi Hb 0
6 1/2/2019 By Ny Rici Noviendra 0 Hari Bayi Baru Lahir Imunisasi Hb 0
7 1/2/2019 By Ny Yuliana Novilia 0 Hari Bayi Baru Lahir Imunisasi Hb 0
8 1/2/2019 By Ny Heliza Syafitri 0 Hari Bayi Baru Lahir Imunisasi Hb 0
9 1/9/2019 By Ny Zumratu atiya 0 Hari Bayi Baru Lahir Imunisasi Hb 0
10 1/9/2019 By Ny Novita Yolanda 0 Hari Bayi Baru Lahir Imunisasi Hb 0
11 1/9/2019 By Ny Reni Susanti 0 Hari Bayi Baru Lahir Imunisasi Hb 0
12 1/10/2019 By Ny Gusti marlina 0 Hari Bayi Baru Lahir Imunisasi Hb 0
13 1/10/2019 By Ny Rani Eka Putri 0 Hari Bayi Baru Lahir Imunisasi Hb 0
14 1/10/2019 By Ny Lisa Andriani 0 Hari Bayi Baru Lahir Imunisasi Hb 0
15 1/17/2019 By Ny Siska febriani 0 Hari Bayi Baru Lahir Imunisasi Hb 0
16 1/17/2019 By Ny Tuti rasmeri 0 Hari Bayi Baru Lahir Imunisasi Hb 0
17 1/17/2019 By Ny Syafitri Elni Roza 0 Hari Bayi Baru Lahir Imunisasi Hb 0
18 1/17/2019 By Ny Eka Susanti 0 Hari Bayi Baru Lahir Imunisasi Hb 0
19 1/17/2019 By Ny Elvi Rahmi 0 Hari Bayi Baru Lahir Imunisasi Hb 0
20 1/25/2019 By Ny Nofrita 0 Hari Bayi Baru Lahir Imunisasi Hb 0
21 1/25/2019 By Ny Susi Laski 0 Hari Bayi Baru Lahir Imunisasi Hb 0
22 1/25/2019 By Ny Media Trisna 0 Hari Bayi Baru Lahir Imunisasi Hb 0
23 1/26/2019 By Ny Rosita 0 Hari Bayi Baru Lahir Imunisasi Hb 0
24 1/26/2019 By Ny Mega Eriani 0 Hari Bayi Baru Lahir Imunisasi Hb 0
25 1/26/2019 By Ny Afri Melda 0 Hari Bayi Baru Lahir Imunisasi Hb 0
26 1/26/2019 By Ny Riza Rahmawati 0 Hari Bayi Baru Lahir Imunisasi Hb 0
27 1/26/2019 By Ny Atilla 0 Hari Bayi Baru Lahir Imunisasi Hb 0
28 2/3/2019 By Ny Yayuk Triani 0 Hari Bayi Baru Lahir Imunisasi Hb 0
29 2/4/2019 By Ny Wirda Ningsih 0 Hari Bayi Baru Lahir Imunisasi Hb 0
30 2/11/2019 By Ny Rina novitri 0 Hari Bayi Baru Lahir Imunisasi Hb 0
31 2/11/2019 By Ny Yunita Mulia 0 Hari Bayi Baru Lahir Imunisasi Hb 0
32 2/11/2019 By Ny Diana P 0 Hari Bayi Baru Lahir Imunisasi Hb 0
33 2/11/2019 By Ny Sri Wulandari 0 Hari Bayi Baru Lahir Imunisasi Hb 0
34 2/11/2019 By Ny Ernatati 0 Hari Bayi Baru Lahir Imunisasi Hb 0
35 2/18/2019 By Ny Fitria 0 Hari Bayi Baru Lahir Imunisasi Hb 0
36 2/18/2019 By Ny Delia 0 Hari Bayi Baru Lahir Imunisasi Hb 0

Mengetahui Batusangkar, 10 Maret 2019

Direktur RSIA Sayang Ibu Batusangkar Bidan

dr. Rika Desviorita M.ARS Fitri Nofianti Amd Keb

 FORMAT REKAPITULASI
PRAKTIK PROFESI / PELAYANAN KEBIDANAN
RSIA SAYANG IBU BATUSANGKAR
Pelayanan : ANC
Periode Kegiatan : Tahun 2018

No Tanggal Nama Ibu Umur

1 Wulan sari 28 thn
2 Wirhidayati 20 thn
3 Rike Yunita Sari 38 thn
4 Indah Putri Pratiwi 29 thn
5 Rice Anwar 32 thn
6 Rosi Anggraini 33 thn
7 Rina Fitri yanti 25 thn
8 Purwanti 23 thn
9 Monalisa Purnama 37 thn
10 Sesmeri handayani 22 thn
11 Desmawati 42 thn
12 Desniarti 40 thn
13 Desfita Ratna 26 thn
14 Misra .S 40 thn
15 Susi Yusefa 38 thn
16 Mega Anwar 30 thn
17 Ade irma Suryani 33 thn
18 Eka Esmita 42 thn
19 Ayu lina Putri 26 thn
20 Yunita Mulia 20 thn
21 Diana P 25 thn
22 Sri Wulandari 26 thn
23 Ernatati 26 thn
24 Fitria 19 thn
25 Delia 32 thn
26 Ika Rika Susandra 32 thn
27 Silvi Pratiwi 35 thn
28 Yulia Fatmawati 23 thn
29 Susi susanti 20 thn
30 Susi Amelia 26 thn
31 Itra Darmayanti 40 thn
32 Efnita Yendra 41 thn
33 Gusmalia 27 thn
34 Yarnelis 33 thn
35 Rici Noviendra 32 thn
36 Yuliana Novilia 22 thn
37 Heliza Syafitri 26 thn
38 Zumratu atiya 23 thn
39 Novita Yolanda 24 thn
40 Reni Susanti 33 thn
41 Gusti marlina 24 thn
42 Rani Eka Putri 31 thn
43 Lisa Andriani 30 thn
44 Siska febriani 20 thn
45 Tuti rasmeri 23 thn
46 Syafitri Elni Roza 30 thn
47 Eka Susanti 35 thn
48 Elvi Rahmi 35 thn
49 Nofrita 41 thn
50 Susi Laski 34 thn
51 Media Trisna 28 thn
52 Rosita 30 thn
53 Mega Eriani 30 thn
54 Afri Melda 31 thn
55 Riza Rahmawati 39 thn
56 Atilla 37 thn
57 Yayuk Triani 20 thn
58 Wirda Ningsih 31 thn
59 Rina novitri 25 thn
60 Yeni Sasnita 33 thn
61 Yusmi Pesrita 34 thn
62 Ana Sari Hasmira 33 thn
63 Siska Afriani 21 thn
64 Ani ratna 28 thn
65 Elsa purnama 29 thn
66 Yolla novita 22 thn
67 Yulia Ningsih 36 tn
68 Yulia Putri 20 thn
69 Zurni Purnama sari 25 thn
70 Ervis 23 thn
71 Yovita apriliya 25 thn
72 Gita Gemisha 26 thn
73 Riri putri agustia 34 thn
74 Delvita 37 thn
75 Rian Soneta 22 thn
76 Mega Purnamawati 22 thn
77 Rosma Dona 32 thn
78 Hidayatul fajri 30 thn
79 Sri melani 21 thn
 80 Mimi helmiati 28 thn
81 Leni Prita 39 thn
82 Maya Lestari 32 thn
83 Purnamawati 42 thn
84 Yelly Zabet 34 thn
85 Hasrita 38 thn
86 Rini Mariani 31 thn
87 Winda Eliza 22 thn
88 Halimah Tusadiah 29 thn
89 Siti Fadhilah 30 thn
90 Nana Andrio 40 thn
91 Masniyeti 32 thn
92 Aulia Mitri 46 thn
93 Nika Fitri Ningsih 22 thn
94 Desi Indrawati 25 thn
95 Fitri Anita 37 thn
96 Stella Rahma Fitri 19 thn
97 Yeni Rahman 24 thn
98 Rina Nofitri 23 thn
99 Lena Chandra 38 thn
100 Mulda Fitri 28 thn
 FORMAT REKAPITULASI
RAKTIK PROFESI / PELAYANAN KEBIDANAN
RSIA SAYANG IBU BATUSANGKAR

Diagnosa Tindakan/Pelayanan/Asuhan
G1P0A0H1 gr 31-32 mg + Obs Inpartu
G3P2A0H3 gr aterm + Inpartu Kala 1 + KPD
G2P1A0H1 graterm + KPD
G1P0A0H1 gr aterm + KPD
G3P2A0H3 gr 37-38 mg + KPD
G1P0A0H1 gr 40-41 mg + KPD
G1P0A0H1 gr aterm + Oligohidramnion
G5P3A1H3 gr aterm + Inpartu
G2P1A0H1 gr 24-25 mg + KPD + bekas SC
G1P0A0H1 gr 38-39 mg + inpartu
G6P2A2H2 gr 37-38 + kala 1 Fase Aktif
G4P3A0H3 gr 36 -37 mg + CHPP
G1P0A0H0 gr 40-41 mg + oligohidramnion
G2P1A0H1 gr 40 - 41 mg + KPD
G3P2A0H3 gr aterm + inpartu
G2P1A0H0 gr aterm + inpartu
G3P2A0H3 gr aterm + KPD
G4P1A0H3 gr atrem+ Inpartu
G2P1A0H1 gr38-39 mg +letsu + KPD
G1P0A0H0 gr post term + IUGR
G3P2A0H3 gr aterm + obs inpartu
G1P0A0H1 gr aterm + inpartu
G1P0A0H0 gr aterm + Inpartu
G3P2A0H2 gr aterm + obs inpartu
G3P2A0H2 gr post term + inpartu
G1P0A0H0 gr 36-37 mg + IUFD
G1P0A0H0 gr 39-40 mg + obs inpartu+ KPD
G2P1A0H1 gr aterm+ inpartu
G2P1A0H1 gr 38-39 mg + inersia uteri
G2P1A0H1 gr 36-37 mg + kala I fase laten
G4P1A0H3 gr atrem + KPD
G4P3A0H3 gr 39-40 mg + Obs Inpartu
G2P1A0H1 gr40-41 mg + KPD
G2P1A0H1 gr40-41 mg + KPD + inersia uteri
G4P2A1H2 gr 40 41 mg + KPD
G1P0A0H1 gr40-41 mg + Oligohidramnion
G1P0A0H1 gr 39-40 mg + susp. CPD + Oligohidramnion
G1P0A0H1 gr40-41 mg +inpartu
G1P0A0H1 gr aterm + KPD
G3P2A0H3 gr aterm + Oligohidramnion
G1P0A0H0 gr post term + oligihidramnion
G1P0A0H0 gr post term + oligihidramnion
G3P2A0H2 gr aterm + KPD
G1P0A0H0 gr aterm + inpartu
G1P0A0H0 gr 38-39 mg + KPD
G2P1A0H1 gr 39-40 mg + prolong labour
G2P1A0H1 gr aterm + kala 1 fase aktif
G2P1A0H1 gr aterm + kala 1 fase aktif + KPD
G4P3A0H3 gr 40-41 mg + KPD + Oligohidramnion
G2P1A0H1 gr 36-37 mg + inpartu
G3P2A0H3 gr aterm + KPD + oligohidramnion
G2P1A0H1 gr aterm + oligohidrmanion
G2P1A0H1 gr aterm + KPD + inpartu
G4P3A0H3 gr 38-39 mg + oligohidramnion
G3P2A0H3 gr aterm + KPD
G1P0A0H1 gr aterm + inpatu + kala II
G2P1A0H1 gr aterm + KPD + inpartu
G2P1A0H1 gr aterm + KPD + inpartu
G1P0A0H1 gr 38-39 mg + inpartu
G2P1A0H1 gr 35-36 mg + IUFD
G2P1A0H1 gr aterm + KPD
G2P1A0H1 gr arem + Obs Inpartu
G2P1A0H1 35 -36 mg + KPD
G2P1A0H1 gr 40 - 41 mg + Oligohidramnion
G2P1A0H1 gr aterm + kala 1 fase aktif
G2P1A0H1 gr aterm + KPD
G3P2A0H3 gr aterm + KPD
G1P0A0H1 gr aterm + KPD + kala 1 Fase Aktif
G1P0A0H1 gr aterm + Oligohidramnion
G1P0A0H1 gr aterm + Partus Lama
G1P0A0H1 gr aterm + kala 1 Fase Aktif
G1P0A0H1 gr 37-38 mg + Obs Inpartu
G4P3A0H3 gr 39 -40 mg + Obs Inpartu
G3P2A0H3 gr aterm + Inersia Uteri + Oligohidramnion
G2P1A0H1 gr aterm KPD
G2P1A0H1 gr 40-41mg + Oligohidramnion
G2P1A0H1 gr aterm + Let Kep
G2P1A0H1 gr aterm + KPD
G1P0A0H1 gr 35-36 mg + KPD
G3P2A0H3 gr 40-41 mg + Inpartu Kala I fase laten
G5P3A1H5 gr 28-29 mg + IUFD
G2P1A0H1 graterm + Kala 1 Fase Aktif
G2P1A0H1 graterm + Obs.Inpartu
G2P1A0H1 gr aterm + Kala II
G4P3A0H3 gr 39-40 mg + Obs Inpartu
G2P1A0H1 graterm + KPD
G3P2A0H3 gr aterm + Inpartu Kala I
G2P1A0H1 gr 40 -41 mg + Oligohidramnion
G3P2A0H2 gr atrm + PEB
G3P2A0H3 gr 41-42 mg
G4P3A0H3 gr 38-39 mg + oligohidramnion
G1P0A0H1 gr 37-38 mg + inpartu
G2P1A0H1 gr aterm + CPD + KPD
G3P2A0H3 gr aterm + KPD + inersia uteri
G1P0A0H1 gr aterm + KPD + prolong fase laten
G1P0A0H1 gr aterm + KPD
G1P0A0H1 gr aterm + KPD
G1P0A0H1 gr aterm + inpartu
G1P0A0H1 gr 38-39 mg + inpartu
G2P1A0H1 gr 37-38 mg + Oligohidramnion
 FORMAT REKAPITULASI
PRAKTIK PROFESI / PELAYANAN KEBIDANAN
RSIA SAYANG IBU BATUSANGKAR
Pelayanan : Persalinan
Periode Kegiatan : Tahun 2019

No Hari/ Tanggal Nama Pasien Umur Diagnosa Tindakan/Pelayanan/Asuhan

1 1/10/2019 Fitria Larasakti 25 th G1P0A0H0 gr aterm + KPD Pervaginam / PI
2 1/11/2019 Venny Melinda 22 th G3P2A0H3 gr aterm + Inpartu Kala 1 + KPD Pervaginam / PI
3 1/11/2019 Suzan Z 36 th G2P1A0H1 graterm + KPD Pervaginam / PI
4 1/15/2019 Nurafni Lubis 24 th G1P0A0H1 gr aterm + KPD Pervaginam / PI
5 1/17/2019 Dian Destiani 31 th G3P2A0H3 gr 37-38 mg + KPD Pervaginam / PI
6 1/17/2019 Maulidia Candra 36 th G1P0A0H1 gr 40-41 mg + KPD Pervaginam / PI
7 1/21/2019 Kharisma Syafira 33 th G1P0A0H1 gr aterm + Oligohidramnion Pervaginam / PI
8 1/22/2019 Ria Ningsih 49 th G5P3A1H3 gr aterm + Inpartu Pervaginam / PI
9 1/27/2019 Febrina Melisa 25 th G1P0A0H0 gr 40-41 mg + oligohidramnion Pervaginam / PI
10 1/30/2019 Amira Zakila 20 th G2P1A0H1 gr 40 - 41 mg + KPD Pervaginam / PI
11 1/30/2019 Henik Widayati 36 th G3P2A0H3 gr aterm + inpartu Pervaginam / PI
12 1/30/2019 Nuraroswari 27 th G2P1A0H0 gr aterm + inpartu Pervaginam / PI
13 2/4/2019 Ralini 20 th G3P2A0H3 gr aterm + KPD Pervaginam / PI
14 2/4/2019 Sari Puteri 29 th G4P1A0H3 gr atrem+ Inpartu Pervaginam / PI
15 2/5/2019 Endang 29 th G2P1A0H1 gr38-39 mg + KPD Pervaginam / PI
16 2/8/2019 Mardiana 35 th G1P0A0H0 gr post term + IUGR Pervaginam / PI
17 2/9/2019 Toimatul 31 th G3P2A0H3 gr aterm + inpartu Pervaginam / PI
18 2/13/2019 Marta 22 th G1P0A0H1 gr aterm + KPD Pervaginam / PI
19 2/13/2019 Wildiana 21 th G1P0A0H0 gr aterm + oligohidramnion Pervaginam / PI
20 2/13/2019 Richa Putri 27 th G3P2A0H2 gr aterm + inpartu Pervaginam / PI
21 2/25/2019 Naddia 33 th G3P2A0H2 gr post term + inpartu Pervaginam / PI
22 3/1/2019 Prita Happy 32 th G1P0A0H1 gr40-41 mg +inpartu Pervaginam / PI
23 3/1/2019 Ina Herlina 43 th G3P1A1H1 gr aterm + KPD Pervaginam / PI
24 3/4/2019 Suci Putri 37 th G3P2A0H3 gr aterm + Oligohidramnion Pervaginam / PI
25 3/5/2019 Miranti Permata Sari 35 th G2P1A0H1 gr post term + oligihidramnion Pervaginam / PI
26 3/5/2019 Dewi MS 31 th G1P0A0H0 gr post term + oligihidramnion Pervaginam / PI
27 3/12/2019 Jenni 33 th G3P2A0H2 gr aterm + KPD Pervaginam / PI
28 3/15/2019 Fauza 26 th G1P0A0H0 gr aterm + inpartu Pervaginam / PI
29 3/17/2019 Desi A 21 th G1P0A0H0 gr 38-39 mg + KPD Pervaginam / PI
30 3/17/2019 Argadona 40 th G3P2A0H3 gr aterm + inpartu Pervaginam / PI
31 3/17/2019 Noor Muliah 28 th G1P0A0H1 gr aterm + KPD Pervaginam / PI
32 3/19/2019 Siti Asma 28 th G1P0A0H1 gr aterm + Oligohidramnion Pervaginam / PI
33 3/19/2019 Pertiwi 19 th G1P0A0H1 gr40-41 mg +inpartu Pervaginam / PI
34 3/20/2019 Vanesa 22 th G1P0A0H0 gr aterm + oligohidramnion Pervaginam / PI
35 3/23/2019 Ainani Tajrian 29 th G1P0A0H0 gr aterm + oligohidramnion Pervaginam / PI
36 3/23/2019 Dewi Febrianti 32 th G3P2A0H2 gr aterm + KPD Pervaginam / PI

Mengetahui Batusangkar, 30 Maret 2019

Direktur RSIA Sayang Ibu Batusangkar Petugas

dr. Rika Desviorita M.ARS Fitri Nofianti Amd Keb