PEMETAAN BUMIL DAN KANTONG PERSALINAN

DESA MIAU MERAH

BULAN : Peb 2023.

KETERANGAN HB gr%
UMUR RIWAYAT
UMUR
LETAK GOL. RIWAYAT

LILA
Status TT
NO NAMA BUMIL/NIK KEHAM NAMA SUAMI/NIK GPA TB/BB HPHT TP PENYAKIT/ FE TT2+
JANIN FAKTOR DARAH PERSALINAN Terakhir
ILAN RESTI TM I TM III KOMPLIKASI
RESIKO

Ika Suryanti / Powan Prajanto /

1 24 35 +3 III/II/I 153/61 26 6/10/2022 3/17/2023 Test + 9.8 11.7 K6 III TT 2
6106154912980001 6105010904930002

Siti Muninggar / Suyanto /

2 43 37 +6 II/I/0 155/75 28.5 5/26/2022 2/3/2023 Ball 10.2 11.6 K6 III TT2
3175075705791001 3522020709840006

Budi /
3 Surini / 6106154603930001 29 34 +2 II/I/0 155/54 22.5 5/26/2022 2/3/2023 Ball 9.7 11 K6 III TT2
6106151212900003

Susilawati / Wahyu Hidayat /

4 36 33+1 III/II/0 155/58 27 6/20/2022 3/23/2023 Ball 10.4 11.4 K6 III TT2
6106165406860003 6106162303800001

Putri Wulandari /
5 20 33+3 Agus Supriyanto I/0/0 154/50 24 6/27/2022 4/5/2023 Ball 11.2 9.8 K4 3 TT2
6106156909020002
Winda Dya Astuti /
6 24 30 Wahyu Cahyono / I/0/0 153/50 24 7/15/2022 4/22/2023 Ball 10.6 11.9 K4 3 TT2
6106156906980001
Dayang Senian Sutrisno/
7 30 30 II/I/0 150/53 24 7/18/2022 4/25/2023 Ball
/61090157077920001 6106150503880001
10.4 11.1 K4 3 TT3
Roni
8 Sarina/6106155806990001 23 33 II/I/0 151/65 28 6/29/2022 4/6/2023 Kep 9.7 11.6 K4 3 TT 3
6106152509940001

Etti Nurhidayati Sukarno /

9 36 35 +1 IV/III/0 149/50 24 6/14/2022 3/21/2023 Kep 9.6 11.6 A K6 3 TT3
/6106154402860003 6106150404820002

Alvionita Dedi Arifianto

10 29 26 +4 II/I/0 153/50 23.5 8/11/2022 5/18/2023 Ball 11.2 9.4 3 TT2
/6105036004930002 /6112060112900004

11 Susanti / 6106156803870001 35 26+3 Sukidi / III/II/0 158 /74 30 8/13/2022 5/20/2023 Ball 12 B 3 TT5

Wawan
12 Vera /6106154412960001 26 29 II/I/0 153/62 25.5 7/27/2022 5/4/2023 Ball 11.3 O 3 TT2
/6106150711970002

13 Wahyono
Lisa L /6106175804950001 25 25 +6 /6106152511820002 IV/II/I 162/53 24 17/082022 5/24/2023 Ball 10.8 11 O 3 TT2

14
Rumini/ 6106156901930001 29 27 +5 Rokim/ III/I/I 152/57 27 8/4/2022 5/11/2023 Ball 11.2 10.7 O 3 TT3

15 Yuvita kurniati / Abdul Rahman/

6106154707030001 19 18 6105121608960001 I/0/0 150/56 26 10/12/2022 7/19/2023 Ball 10.8 O 3 TTI

MENGETAHUI : YANG MELAKUKAN PEMETAAN

PLT. KEPALA PUSKESMAS SILAT HILIR

Ns. Juanda Sitepu,S.Kep (....................................)

NIP. 198906132011011001
 PEMETAAN BUMIL DAN KANTONG PERSALINAN
DESA MIAU MERAH
BULAN : Peb 2023

UMUR KETERANGAN HB gr% RIWAYAT

UMUR
KEHAMI LETAK FAKTOR GOL. RIWAYAT PENYAKIT/

LILA
Status TT
NO NAMA BUMIL/NIK LAN NAMA SUAMI/NIK GPA TB/BB HPHT TP JANIN RESIKO RESTI TM I TM III DARAH PERSALINAN KOMPLIKASI FE Terakhir TT2+
Ragil Dwi
Fauzi Nur Khasanah/
1 27 23 Prakoso/3671082007930 II/I/0 144/50 26 9/4/2022 6/11/2023 Ball 10.4 O 3 TT2 TT3
6106155705950001
002
Nindi Ariska / Angga
2 26 18 +5 I/0/0 157/52 23.5 10/6/2022 7/13/2023 Ball 10.9 B 2 TT1
6106035606960002 /6106151001920001
Ita purnama s/ Munjayin/
3 29 22 +1 IV/III/0 150/54 25 9/11/2022 6/18/2023 Ball 11.1 2 TT3
6106156606930001 61050305860010
Lika haniza/ Deni nur A/
4 25 16 I/0/0 161/50 24 10/25/2022 8/2/2023 Ball 13.3 2 TT1
3328076206970006 332806150492015
Yopi dirganta
5 Kristina/ 61056011980002 24 16 +6 III/II/0 145/78 34 10/15/2022 7/22/2023 Ball 12.6 2 TT3
/6101040809920010

Siska Sulistya/ Rizal Sanjaya

6 22 15 +3 I/0/0 158/53 27 10/28/2022 8/5/2023 Ball 12.3 O 2 TT1
6106155605000001 /6105062707960001

Anita setiana Antonius Ada/

7 21 38 I/0/0 149/53 24 5/23/2022 30/02/2023 Kep 10.8 A 2 TT1
/6106154805020003 6106152012920003
Ai Dewi /
8 33 13 Ucok Efendi S. III/II/0 144/50 26 11/14/2022 8/21/2023 Test + 10.8 2 TT3
6105015205900007
Tony Agusty /
9 Nuryani /6106157101990002 25 12 II/I/0 152/48 24 23/112022 8/30/2023 Test + 12.8 2 TT2
6106150308960001

10 Tuti yustina / 33 30 +1 Fahri junaidi / III/II/0 154/46 23 7/19/2022 4/26/2023 Kep 10.2 10 9 3 TT3

11 Lestari /6106155007990001 24 18 +2 Edi Ramia Putra I/0/0 153/47 26 10/10/2022 7/17/2023 Ball 11.2 2 TT1

12 Siti Halifah/ 19 11 +6 Mesidi I/0/0 148/63 30 11/20/2022 8/27/2023 Test + 12 2 TT 1

Sulaiman
13 Elis /3203274510850010 36 25 +3 IV/III/0 152/75 29 8/21/2022 5/28/2023 Ball 10.2 9.7 2 TT3
/3203271007820004

Laura Septiani/ Hendrik /

14 31 25 +6 I/0/0 155/64 27 8/16/2022 5/23/2023 Ball 12.4 2
1606065209940001 6106152407770001

Irma Defitri Sana Wijaya

15 26 10 I/0/0 155/44 26 12/7/2022 9/14/2023 Test + 11.2 2 TT1
/6105094206970001 /6106150105940003

Norma Susilasari Aldho Mulya A

16 28 7 +3 I/0/0 152/61 29 12/25/2022 10/2/2023 Test + 11.7 K1 1 TT1
/6106155105960002 /1312033005960002

17

MENGETAHUI : YANG MELAKUKAN PEMETAAN

PLT. KEPALA PUSKESMAS SILAT HILIR

Ns. Juanda Sitepu,S.Kep (...................................)

NIP. 198906132011011001