® y IKATAN BIDAN INDONESIA (IBD CABANG KAIMANA ‘Sekertariat: Jin Cassuerina no 05 Telp ( 0957) 21209 Kaimana Papua Barat FORMAT REKAPITULAS! KEGIATAN PRAKTIK PROFESI/ PELAYANAN KEBIDANAN Pelayanan KIA Periode Kegiatan : DESEMBER 2017 [7 HARI NAMA PASIEN/ ~~] TINDAKAN/ PELAYANANT NO. | TANGGAL KLIEN nee oe ASUHAN 1 | 111272017 | NY.N | 23TH | G3PTAT,UK 1415MG | PELAYANAN BUMIL BARU 2. 3122017,‘ [NY.S "37TH | GSP4A0, UK 24-25MG | PELAYANAN BUMIL LAMA 3. 4212/2017 | NY.RS “27TH | G3P2A0,UK 18-19MG | PELAYANAN BUMIL BARU 4 | 22272017 | NY. KI 20TH | G3P2A0, UK 14-15 MG | PELAYANAN BUMIL LAMA 5 23/12/2017 (F 25TH | G4P2A1,UK 10-11MG | PELAYANAN BUMIL LAMA ; st = 7 ; E a ‘ Bae [10 a [1 2 ‘ 3 14 5 7 7 Kambala, 31 Desember 2017 SITT CHADI Bidan AZIZ, Amd.Keb Dipindai dengan CamScannerIKATAN BIDAN INDONESIA (IBI) CABANG KAIMANA ‘Sekerariat : Jin Casuarina no 05 Teip (0957) 21209 Kamana Papua Barat EE FORMAT REKAPITULASI KEGIATAN PRAKTIK PROFES! / PELAYANAN KEBIDANAN Pelayanan HKIA Periode Kegiatan : AGUSTUS ~ NOVEMBER 2017 a “HARI | NAMA PASIENY | Paaie oIAGNGEA TINDAKAN/ PELAYANAN | TANGGAL KLIEN | ASUHAN |" 1412017] NY.P 26TH | G2P1A0,UK27-28MG | PELAYANAN BUMILLAMA — 30/8/2017 28TH | GSP4A0, UK30-31MG | PELAYANAN BUMIL LAMA — | 89/2017 | NY. 24TH | G2P1AO.UK 18-19MG | PELAYANAN BUMIL LAMA | ses (NR | GiPOAO, UK19-20NG | PELAYANAN BUMIL BARU |S | 2002017] NY.Ss | 27TH] G3P2A0, UK 31-32 MG | PELAYANAN BUMIL BARU Ez [ ~en02017 |NY.M | 24TH | G2PTA0,UK23.24MG | PELAYANAN BUMIL LAMA — “19/10/2017 | 28TH | G3P2A0, “PELAYANAN BUMIL LAMA 6 | 1110/2017 [297TH |” GSP3A1, UK7-8MG |” PELAYANAN BUMIL BARU 10/10/2017 27TH | G3P2A0, UK 34.35 MG | PELAYANAN BUMIL LAMA 27TH | G3P2A0, UK 35-36 MG | PELAYANAN BUMILLAMA 25TH | G2POAt, UK 11-12 MG | PELAYANAN BUMIL BARU 23TH | G3PIA1,UK4-5MG | PELAYANAN BUMILBARU 37TH | GSP4A0,16-17MG | PELAYANAN BUMIL BARU (20TH | G3P2A0, 10-11 MG PELAYANAN BUMIL BARU 24TH | G3P1A7, 13-14MG | PELAYANAN BUMIL BARU 10 | 14/10/2017 14 | 16/10/2017 12 | 10/10/2017 ee 44 | 22017 15 | 3/11/2017 Kambala, 3 November 2017 Bidan PRIA Ac BERUATWARIN, Amd Keb SITTLCHADIJAH AZIZ, Amd Keb = JANA ARFIANA, Al Dipindai dengan CamScanner] CABANG KAIMANA Sekertaat: Jn Cassuarina no 05 Telp (0957) 21209 Kaimana Papua Barat i IKATAN BIDAN INDONESIA (IBD ®) N PRAKTIK PROFESI / PELAYANAN FORMAT REKAPITULASI KEGIATAI KEBIDANAN Pelayanan KIA Periode Kegiatan : NOVEMBER - DESEMBER 2017 | HARI | NAMA PASIENT ] TINDAKAN/ PELAYANAN / No. | | UMUR DIAGNOSA | | TANGGAL Kuen | | ASUHAN [a] toroi7 Ny 24TH | G2P1A0.UK26-29MG | PELAYANAN BUMIL LAMA rz 10/11/2017 ‘29TH | GSP3AT, UK 13-14MG | PELAYANAN BUMIL LAMA [3 | 2anwveoi7 7 NY. MW ‘28TH | G3P2A0,UK29-30MG | PELAYANAN BUMIL LAMA (4 2011/2017 [NY.SO [25TH | G2POAT, UK 15-16 MG PELAYANAN BUMIL LAMA 5 | aio [N.S 37TH | GSP4A0, UK 20.21 MG | PELAYANAN BUMIL LAMA 6 | 231172017 | NY.FK 25TH | G4P2A7,UK6-7MG | PELAYANAN BUMIL BARU [7] 33707 NY. SN ZiTH | GAPSATUK 12-19 MG | PELAYANAN BUMIL BARU 8 | 2eniaoi_ [NVA 28TH | PELAVANAN BUMIL TAMA [8 | tiiaor7_[NY.NR 23TH | GSPIAT, UKT-8MG | PELAVANAN BUMIL LAMA | to | 2072017 [NY..NR [23TH | G3PIA7, UK6-9MG | PELAYANAN BUMIL LAMA [sonnet | NYS 25TH | G4P3A0, UKS-6MG_| PELAYANAN BUMIL BARU 72 | enzo | NY.M ‘24TH | G2PTAO.UK32-33MG | PELAYANAN BUMIL LAMA [3] aa2017 | NY. RK 29TH | GSP3AT, UK 16-19MG | PELAYANAN BUMIL LAMA [4 | taraaoi7 [NYS 20TH | GiPOAO.UK3537MG | PELAYANAN BUMIL LAMA 18 | 10122017 | NY.SO 25TH | G2POAt,UK20-21MG | PELAYANAN BUMIL LAMA Kambala, 10 Desember 2017 Mengetahui, KGeadaiesnastd sn Koordinator a i SITTLCHADUAH AZIZ, Amd Keb Dipindai dengan CamScannerCABANG KAIMANA “dn Cassuarina no 05 Telp (0957) 21208 Kaimana Papua Barst. @) IKATAN BIDAN INDONESIA (IBD Sekertariat: FORMAT REKAPITULASI KEGIATAN PRAKTIK PROFESI/ PELAYANAN KEBIDANAN Pelayanan KIA Periode Kegiatan: JANUARI~ MARET 2017 wo) Pane NAMA PASIEN/ con Rasncas TINDAKAN/ PELAYANAN / | TANGGAL KLIEN ASUHAN 1 | 242017 | NY.R 27TH | G2P1A0,UK 35-36 MG PELAYANAN BUMIL LAMA 2 | toro |NY.H 28TH | G4P3A0,UK 25-26 MG PELAYANAN BUMIL LAMA 3. 23/1/2017 | NY. FK 3TH | G3PTAT,UK 13-14MG | PELAYANAN BUMIL LAMA 4 ao [NY 26TH | G4P3A0,UK 27-28 MG | PELAYANAN BUMIL LAMA 5 73722017 | NY.R "37TH | G2P1A0,UK 37-38 MG | PELAYANAN BUMIL LAMA 6 3722017 | NY. ME 22TH | G2PIAD.UK 24-25MG | PELAYANAN BUMIL BARU “7 | t3rao17 | NY. NY 26TH | G4P3A0,UK35.36MG | PELAVANAN BUMIL LAMA 8 24722017 | NY. FK 23TH | G3P1A1,UK32-33MG | PELAYANAN BUMIL LAMA 3 | 20amoi7 | NY.FK TeTH | GIPOADUK 24-25MG | PELAYANAN BUMIL BARU 132017 | NY. : 28TH | G4P3A0,UK 30-31 MG PELAYANAN BUMIL LAMA 2am2017 ‘| NY. Mi ‘25TH | GéP3A0,UK 27-28 MG_| PELAYANAN BUMIL LAMA 12 | 1s0i7_| NY.ME ‘22TH | G2P1A0,UK27-28MG | PELAYANAN BUMIL LAMA 13 | 201372017 _| NY. FK 3TH | G3PTA1,UK35-36MG | PELAYANAN BUMIL LAMA 14 | 217372017 _| NY. FK 8TH | GiPOA0,UK28-29MG | PELAYANAN BUMIL LAMA, 75 | 270372017 | NY.A | 18TH | GSPIA1,UK21-22MG | “PELAYANAN BUMIL BARU — Kambala, 31 Maret 2017 na Mengetahi / Kepala Paskesmas fan Koordinator Biden iz eee RIK A BERUATWARIN, Amd.Keb SITTI CHADIJAH AZIZ, Amd. Keb Dipindai dengan CamScanner® IKATAN BIDAN INDONESIA (IBI) CABANG KAIMANA ‘Sekertariat : Jn Cassuarina no 05 Telp (0957) 21209 .Kaimana Papua Barat aS FORMAT REKAPITULASI KEGIATAN PRAKTIK PROFESI / PELAYANAN KEBIDANAN Polayanan KIA Periode Kegiatan : APRIL - AGUSTUS 2017 io HAR | NAMA PASIEN | aun | : aoa TINDAKAN/ PELAYANAN / TANGGAL KLIEN ‘ASUHAN 1 714i2017 | NY. FK 18TH | G1POA0,UK30-31MG | PELAYANAN BUMIL LAMA 2. | 72017 | NY.P 26TH | G2PIAQUK9-10MG | PELAYANAN BUMIL BARU 3 wai? | NYAR 37TH | G4P2AT,UK19-20MG | PELAYANAN BUMIL LAMA 4] 1342017 | NY. ME 22TH | G2PIA0.UK31-32MG | PELAVANAN BUMIL LAMA 5 | 3062017 | NY. MW 28TH | G3P2A0,UK45MG | PELAYANAN BUMIL BARU 6 | 22017 | NY.T ‘24TH | G2PTA0,UK7-8MG | PELAYANAN BUMIL BARU 7 | se2017 | NY.A 18TH | G3PTA1,UK 36-37 MG NAN BUMIL LAMA 8 201672017 | NY.P 26TH | G2P1A0,UK17-18MG | PELAYANAN BUMIL LAMA’ 9 67/2017 | NY. ME 22TH | G2P1A0,.UK 34-35 MG | PELAVANAN BUMILLAMA 10 772017 | NY. MS "28TH | G5P4A0,UK 26-27 MG _| PELAYANAN BUMIL BARU 1 1017 NY.T 24TH | G2P1A0,UK 12-13 MG | PELAYANAN BUMIL LAMA 12 | 172017 | NY.P 26TH | G2P1A0,UK22-23MG |” PELAYANAN BUMIL LAMA “43 | ee2017 | NY.E ‘31TH | G11P10A0,UK 18-19MG | PELAYANAN BUMIL BARU 14 | 6762017) NY.M 24TH | G2PIA0,UK 14-15MG |” PELAYANAN BUMIL BARU 18 | 1wen0i7 [NYT 24TH | G2P1A0,UK 17-18MG | PELAYANAN BUMIL BARU Kambala, 14 Agustus 2017 Mengetabui, Bidan Koordinator a ee N . ;ERUATWARIN, Amd Keb SITTI CHADIJAH AZIZ, Amd,Keb Dipindai dengan CamScanner