PEMETAAN BUMIL DAN KANTONG PERSALINAN

DESA MIAU MERAH

BULAN : Jan-23

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

Fitri Ida Rahayu Sukirman/

1 30 37 +1 II/I/0 161/70 24 27/4/2022 4-Feb-22 Ball 10.7 11 K6 III TT2
/6106154504920001 6106152406880001

Mega Ayu Anjani Wahyu Saputra /

2 25 37 I /0/0 159/70 25 31-Mar-22 7-Dec-23 Ball 11.2 12.1 III TT2
/6105145706970002 6106151202970001

Anselmus Aheng /
3 Benak / 6106155905980002 25 34 +2 III/II/0 145/50 24 19-May-22 26-Feb-23 Ball 11 11.7 K6 III TT 3
6106152802690001

Ika Suryanti / Powan Prajanto /

4 24 30+6 III/II/I 153/60 26 10-Jun-22 17-Mar-23 Test + 9.8 11.7 K4 III TT 2
6106154912980001 6105010904930002

Siti Muninggar / Suyanto /

5 43 33 II/I/0 155/72 28.5 26-May-22 3-Feb-23 Ball 10.2 11.2 K4 III TT2
3175075705791001 3522020709840006
Budi /
6 Surini / 6106154603930001 29 30+6 II/I/0 155/51 22 26-May-22 3-Feb-23 Ball 9.7 10.7 K4 III TT2
6106151212900003
Susilawati / Wahyu Hidayat /
7 36 33+1 III/II/0 155/55 26 27-Jun-22 4-Apr-23 Ball 10.4 11.4 K4 III TT2
6106165406860003 6106162303800001

Putri Wulandari /
8 20 28 +2 Agus Supriyanto I/0/0 154/49 24 27-Jun-22 5-Apr-23 Ball 11.2 3 TT2
6106156909020002

Winda Dya Astuti /

9 24 24 Wahyu Cahyono / I/0/0 153/48 24 15-Jul-22 22-Apr-23 Ball 10.6 3 TT2
6106156906980001

Dayang Senian Sutrisno/

10 30 26+1 II/I/0 150/51 23.5 18-Jul-22 25-Apr-23 Ball
/61090157077920001 6106150503880001
10.4 3 TT3

Roni
11 Sarina/6106155806990001 23 28+1 II/I/0 151/63 28 29-Jun-22 6-Apr-23 Kep 9.7 3 TT 3
6106152509940001

Etti Nurhidayati Sukarno /

12 36 30+2 IV/III/0 149/47 23.5 14-Jun-22 21-Mar-23 Kep 9.6 10.7 A K4 3 TT3
/6106154402860003 6106150404820002

Alvionita Dedi Arifianto

13 29 22 II/I/0 153/45 21.5 11-Aug-22 18-May-23 Ball 11.2 3 TT2
/6105036004930002 /6112060112900004

14 Susanti / 6106156803870001 35 21+4 Sukidi / III/II/0 158 /73 30 13-Aug-22 20-May-23 Ball 12 B 3 TT5

Wawan
15 Vera /6106154412960001 26 24 II/I/0 153/60 25.5 27-Jul-22 4-May-23 Ball 11.3 O 3 TT2
/6106150711970002

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 : Jan-23

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+
1 Wahyono
Lisa L /6106175804950001 25 21+1 /6106152511820002 IV/II/I 162/51 23.5 17/08/2022 24-May-23 Ball 10.8 O 3 TT2

2
Rumini/ 6106156901930001 29 23 Rokim/ III/I/I 152/54 25 4-Aug-22 11-May-23 Ball 11.2 O 3 TT3

3 Yuvita kurniati / Abdul Rahman/

6106154707030001 19 13+3 6105121608960001 I/0/0 150/52 26 12-Oct-22 19-Jul-23 Ball 10.8 O 3 TTI
Ragil Dwi
4 Fauzi Nur Khasanah/ Prakoso/3671082007930
6106155705950001 27 18+3 002 II/I/0 144/48 26 4-Sep-22 11-Jun-23 Ball 10.2 O 3 TT2

5 Nindi Ariska / Angga

6106035606960002 26 14 /6106151001920001 I/0/0 157/50 23 6-Oct-22 13-Jul-23 Ball 10.7 B 2 TT1

6 Ita purnama s/ Munjayin/

6106156606930001 29 17+4 61050305860010 IV/III/0 150/50 27 11-Sep-22 18-Jun-23 Ball 11.1 2 TT3

7 Lika haniza/ Deni nur

3328076206970006 25 11+2 A/3328061504920015 I/0/0 161/51 25.5 25-Oct-22 2-Aug-23 Ball 11.3 2

8 Yopi dirganta
Kristina/ 61056011980002 24 13 /6101040809920010 III/II/0 145/76 34 15-Oct-22 22-Jul-23 Ball 11.7 2 TT3

9 Siska Sulistya/ Rizal Sanjaya

6106155605000001 22 10+6 /6105062707960001 I/0/0 158/52 27 28-Oct-22 5-Aug-23 Ball 12.3 O 2 TT1

10 Anita setiana Antonius Ada/

/6106154805020003 21 33+3 6106152012920003 I/0/0 149/49 24 23-May-22 30/02/2023 Kep 10.8 KI Akses/ pindahan A 1 TT1

11 Ai Dewi /
6105015205900007 33 8+3 Ucok Efendi S. III/II/0 144/49 26 14-Nov-22 21-Aug-23 Test + 10.6 KI 1 TT3

12 Tony Agusty /
Nuryani /6106157101990002 25 7+1 6106150308960001 II/I/0 152/46 24 23/112022 30-Aug-23 Test + 9.8 KI 1 TT2

13
Tuti yustina / 33 25 +1 Fahri junaidi / III/II/0 154/45 23 19-Jul-22 26-Apr-23 Kep 3 TT3

14
Lestari /6106155007990001 24 13+3 Edi Ramia Putra I/0/0 153/45 26 10-Oct-22 17-Jul-23 Test + 11.2 KI 1 TT1

15
Siti Halifah/ 19 7 +3 Mesidi I/0/0 148/62 30 20-Nov-22 27-Aug-23 Test + 12 KI 1 TT 0

16 Sulaiman
Elis /3203274510850010 36 20 +4 /3203271007820004 IV/III/0 152/75 29 21-Aug-22 28-May-23 Ball 10.2 K I Akses 1 TT3

17 Laura Septiani/ Hendrik /

1606065209940001 31 34 +3 6106152407770001 I/0/0 155/62 27 16-May-22 23-Feb-23 Kep 12.4 K I Akses 1

18 Irma Defitri Sana Wijaya

/6105094206970001 26 5 +1 /6106150105940003 I/0/0 155/47 26 7-Dec-22 14-Sep-23 Test + 10.7 KI 1 TT1

19

MENGETAHUI : YANG MELAKUKAN PEMETAAN

PLT. KEPALA PUSKESMAS SILAT HILIR

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

NIP. 198906132011011001