By Name Persalinan 2016 PTB

LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT JANUARI 2016
UMUR
IBU GPA SALINAKES FASKES
( th )
KELRH NO NO
BLN N PER KOM NAMA IBU NAMA SUAMI RT/ RW
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 1 Rizki Lestari Abdul Latief 23 4 4 1 0 0
2 2 Tantri Ambarsih Darjuno 26 7 8 2 1 0 1
3 3 Solicha Al Husna Agus Hariyanto 24 1 6 1 0 0 1
4 4 Rahayu Rina L Ramli 28 1 4 2 1 0
5 5 Eka Susilowati Suswoyo 32 6 10 2 1 0 1
6 6 Ike Yuliati Aji Nugroho 36 4 10 1 0 0 1

7 7 Tarini Sutrisno 39 2 10 5 2 2 1
8 8 Fatimah Abdullah 33 4 12 5 4 0
9 9 Sartika Sapto H 24 10 9 2 1 0 1
10 10 Dian Setiawati Dwi Cahyo 22 10 10 1 0 0 1
11 11 Titin Marlina Ahm. Riski 22 7 9 1 0 0
12 12 Riski Handayani Andi K 21 7 9 1 0 0
13 13 Sainah Topori 42 10 10 3 2 0 1
14 14 Lia Risqiana I Gusti Nyoman A 36 10 9 1 0 0 1
JANUARI
Tegalsari
15 15 Yeni Indah M. Soleh 35 4 10 3 2 0

16 16 Susilowati Urip Rozaki 29 3 10 2 1 0 1
17 17 Lidawati Aji Restio 24 1 10 2 1 0 1
18 18 Iswati H Sis Iswanto 37 9 3 4 3 0
19 19 Nurhikmah aryanto 24 2 3 1 0 0
20 20 Ramita Risky Yanto 29 8 3 2 1 0 1
21 21 Ajeng Indah S Safarudin 18 9 3 1 0 0
22 22 Kartikasari Erpan Ade 28 4 2 2 1 0 1
23 23 Titin Fatimah Sudiyono 37 6 3 3 2 0
24 24 Nur azizah Didi Indra S 36 6 3 5 2 2 1
25 25 Istiana Widiarto 21 4 3 1 0 0 1
26 26 Meilani Ahm. Zamroni 29 7 3 2 1 0 1
27 27 Winda Tri Dewi Radian 19 7 1 1 0 0 1
28 28 Anti Pianti Wiro Okto 20 8 1 1 0 0
29 29 Susyanti Nurjaman 30 7 3A 3 2 0 1
30 30 Suidah Sisyanto 32 4 2 3 2 0
31 31 Yuni Kartika Hendrik 20 2 3A 1 0 0 1
Jml 31 31 13 6
UMUR
( th )
NO
KELRH NO
BLN PER NAMA IBU NAMA SUAMI RT/ RW
N KEL KOM
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 32 Kristin Azizah - 16 10 4 1 0 0 1
2 33 Eka Wulan Allan Bagus 24 4 5 2 0 0 1
3 34 Desi Oktavia Tabana 24 2 7 1 0 0 1
4 35 Heni Kristiana Mahardika 23 2 7 1 0 0 1
5 36 Desyarti Windu P 21 8 7 1 0 0 1
6 37 Yeti Waridi 28 1 7 2 1 0 1
7 38 Vony Yanuwati Agus Setiawan 24 8 7 2 1 0
8 39 Estri Nur K Dede W 20 4 3 1 0 0
9 40 Nur Wahidah Rijal P 28 6 4 2 1 0 1
10 41 Faridah Subekhi 35 3 5 3 2 0 1
Kraton
11 42 Jamilah Agus S 37 4 2 4 2 1 1
12 43 Umi Faizah Aditia M 31 4 2 2 1 0 1

13 44 Linda Melina Saeful 36 3 6 1 0 0 1
14 45 Heni Maryani Agung R 39 4 6 3 2 0 1
15 46 Nunung N M. Wahyudi 28 2 9 2 1 0
16 47 Ike Nopiyani Abdul Kodir 30 3 9 2 1 0 1
JANUARI
17 48 Aisyah Faraz 40 4 1 4 2 1 1
18 49 Endriasih M. Diding 23 1 1 1 0 0 1
19 50 Sulistyaningsih M. Soleh 24 8 1 1 0 0 1
20 51 Sri Mulyati Hendro 28 8 4 2 1 0 1
Jml 20 51 15 2
UMUR
( th )
NO
KELRH PER NO
NAMA IBU NAMA SUAMI RT/ RW
N KEL KOM
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 52 Dewi Kartika Karto 27 3 1 2 1 0
2 53 Santi Agus 38 2 2 5 3 1
3 54 Taryuni Cipto 27 4 1 3 1 1
Muarareja
4 55 Kurniasih Agus 37 4 2 3 2 0 1
5 56 Nurhayati Soni A Sidik 25 2 1 1 0 0 1
6 57 Tarnisa Rokis 20 2 1 2 0 1 1
7 58 Sriyanti Solikhin 33 3 3 2 1 0
Jml 7 58 2 1
Total Pusk 58 58 30 9
KOMPLIKA KOMPLIKA
KAEADAA SI
PERSALINAN NON NAKES

SALINAKES FASKES JENIS PARTUS PARTUS N LAHIR L/P BB (gram ) KF KEBIDANA SI
N NEONATAL
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
PN SC VE TGL BLN TH H M L P < 2.5 > 2.5 1 2 3 4
1 1 9 1 16 1 1 3.4 48 + + + + +
1 7 1 16 1 1 3.1 47 + + + + +
1 11 1 16 1 1 3.2 50 + + + + +
1 1 9 1 16 1 1 3.5 51 + + + + +
1 1 1.99 43 + + + + + BBLR
1 24 12 15
1 1 1.96 43 + + + + + BBLR
1 12 1 16 1 1 3.1 49 + + + + + Serotin
1 31 12 15 1 1 3.3 52 + + + + +
1 1 1 1 16 1 1 3.1 48 + + + + +
1 18 1 16 1 1 3 46 + + + + + Anemia; kala I lama
1 18 1 16 1 1 3.3 49 + + + + + Anemia: KPD
1 1 15 1 16 1 1 3.1 48 + + + + +
1 1 23 1 16 1 1 2.9 46 + + + + +
1 22 1 16 1 1 3 48 + + + + +
1 26 1 16 1 1 2.6 47 + + + + + KPD
1 1 15 1 16 1 1 3.3 51 + + + + +
1 11 1 16 1 1 3.2 49 + + + + +
1 11 1 16 1 1 2.9 48 + + + + +
1 1 6 1 16 1 1 4.3 48 + + + + +
1 1 10 1 16 1 1 3.1 48 + + + + +
1 23 12 15 1 1 2.45 44 + + + + + Ikterus
1 1 27 12 15 1 1 2.7 45 + + + + +
1 17 1 16 1 1 2.9 44 + + + + +
1 1 21 1 16 1 1 3.8 50 + + + + +
1 1 1 + + + + +
1 1 1 + + + + +
1 20 1 16 1 1 2.9 49 + + + + +
1 1 1 + + + + +
1 1 1 1 + + + + +
1 2 1 16 1 1 + + + + +
1 1 25 1 16 1 1 3.1 49 + + + + +
1 23 1 16 1 1 2.8 49 + + + + +
2 10 0 0 28 2 1 32 0 17 15
KOMPLIKA
KOMPLIKA
KAEADAA SI
SALINAKES FASKES JENIS PARTUS PARTUS L/P BB (gram ) KF SI

N LAHIR KEBIDANA NEONATAL
N
SALINAKES NON
VIT A
FASKES
PB
TERTANGANI
TERTANGANI
NIFA
(cm) S
PUSK
BPM
TDK
1 17 12 15 1 1 3.1 49 + + + + +
1 20 12 15 1 1 4.2 52 + + + + +
1 19 12 15 1 1 2.5 46 + + + + +
1 15 12 15 1 1 3 48 + + + + +
1 29 12 15 1 1 3 48 + + + + + PEB
1 15 12 15 1 1 3.1 47 + + + + +
1 1 2 1 16 1 1 3.5 50 + + + + +
1 1 20 1 16 1 1 3.3 49 + + + + +
1 26 11 15 1 1 3.6 50 + + + + +
1 27 11 15 1 1 3.1 47 + + + + +
1 1 2.1 42 + + + + + asfiksi
1 24 12 15
1 1 1.9 41 + + + + + asfiksi
1 18 12 15 1 1 3.2 50 + + + + +
1 3 1 16 1 1 2.9 48 + + + + +
1 31 12 15 1 1 2.8 47 + + + + +
1 1 13 1 16 1 1 2.7 48 + + + + +
1 19 1 16 1 1 3 45 + + + + +
1 1 1 16 1 1 2.5 47 + + + + +
1 26 12 15 1 1 3.2 49 + + + + +
1 18 1 16 1 1 2.5 46 + + + + +
1 20 1 16 1 1 3.5 50 + + + + +
1 1 1 0 16 4 0 21 0 12 9
KOMPLIKA
KAEADAA KOMPLIKA
SI

N
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
1 1 3 1 16 1 1 2.9 47 + + + + +
1 1 3 1 16 1 1 2.9 48 + + + + +
1 1 6 1 16 1 1 4 48 + + + + +
1 25 12 15 1 1 3 47 + + + + +
1 31 12 15 1 1 3.1 48 + + + + +
1 31 12 15 1 1 1.1 43 + + + + + BBLSR
1 1 10 1 16 1 1 3.3 48 + + + + +
0 4 0 0 7 0 0 7 0 2 5
3 15 1 0 51 6 1 60 0 31 29 1 42
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
>4X + - - - -
>4X + - - - -
>4X + - - - -
>4X + - - - -
>4X + + + + -
>4X + + + + -
>4X + + + + -
>4X + + + + -
>4X + + + + -
nemia; kala I lama >4X + + + + -
>4X + + + + -
>4X + + + + -
>4X + + + + -
>4X + + + + -
>4X + - - + -
>4X + + + + -
>4X + + + + -
>4X + + + + -
>4X + - + + -
>4X + + + + -
Ikterus >4X + + + + -
>4X + + + + -
>4X + + + + -
>4X + + + + -
>4X + + -
>4X + + -
>4X + + + + -
>4X + + -
>4X + + + + -
>4X + + + + -
>4X + + + + -
>4X + + + + -
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
- - - - - -
>4 + + + + -
>4 + + + + -
>4 - - - - -
>4 + + + + -
>4 - - - - -
>4 - - - - -
>4 - - - - -
>4 - - - - -
>4 - - - - -
asfiksi >4 + + + + -
asfiksi >4 + + + + -
>4 + + + + -
>4 + + + + -
>4 + + + + -
>4 + + + + -
>4 + + + + -
>4 - - - - -
>4 - - - - -
>4 + + + + -
>4 + + + + -
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
>4x + + + +
>4x + + + +
>4x + + + +
>4x + + + +
>4x + + + +
BBLSR >4x + + + +
>4x + + + +
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT FEBRUARI 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 59 Ratna Supriyadi 33 6 5 6 5 0
2 60 Oktavia Supriyatin Jaka Prima 25 1 8 1 0 0 1
3 61 Laeli Saadah Y Asrofie W 27 2 11 2 0 1 1
4 62 Susilowati Riono Santoso 32 7 4 3 1 1 1
5 63 Defi Ika P Joko Setiawan 21 4 6 2 1 0
6 64 Rini Andriyani Setiyono 40 2 8 3 2 0 1
7 65 Nur Chotimah Oki Andiyanto 28 2 9 2 1 0
8 66 Kusmirah Sawiun 33 9 1 4 3 0 1
9 67 Endang M Sudin 38 8 1 3 2 0 1
10 68 Pungky F Chaerul Anwar 20 4 2 1 0 0 1
11 69 Dwi Rahayu Roy Sukma 24 7 2 3 1 1
12 70 Dewi Kusyanti Bayu J 15 4 3A 1 0 0 1
13 71 Solecha Roji Santoso 40 3 3 2 1 0
14 72 Fitri Gimin 22 5 1 2 1 0 1
Februari
Tegalsari
15 73 Candra Agus S 35 2 2 2 1 0
16 74 Ella Sukiyat 36 6 2 5 3 1 1
17 75 Dita Oktavia Cipto 20 5 2 1 0 0
18 76 Saminah Samsul 38 2 2 1 0 0 1
19 77 Jumilah Murdiyono 26 4 1 1 0 0
20 78 Rosilah Suhendro 36 3 3A 4 3 0
21 79 Suryani Budiman 24 8 1 2 1 0
22 80 Silvia Sarudin 22 1 1 1 0 0 1
23 81 Agus Indriyani Agus Faozan 22 2 3 1 0 0
24 82 Wisnu Oktavia Edi Sugianto 26 4 3A 1 0 0 1
25 83 Sumarni Warkani 33 7 9 2 1 0 1
26 84 Kiki Rizki M.Rizki P 22 3 9 1 0 0 1
27 85 Runinia Yulianto 20 8 10 1 0 0
28 86 Linda Marliana Hidayat 24 2 9 2 1 0
29 87 Rumiyati Priyatno 32 2 10 3 2 0
30 88 Cici Triati Dany 30 10 10 2 1 0
Jml 30 88 9 6
UMUR
( th )
KELRH NO NO
N KEL KOM
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 89 Yayah Siti Fani Fahruroji 32 6 4 1 0 0 1

2 90 Eka Rizki Sutadji 32 2 9 3 2 0 1
3 91 Dita Wulandari Dimas Pratama 25 7 2 1 0 0
4 92 Vera Mudalisa Faozan 29 8 1 2 1 0
Kraton
5 93 Agustina Fitriani M. Fajar 29 3 2 3 2 0
6 94 Sumarni M. Hariri 34 5 1 3 2 0 1
Kraton 7 95 Sari Noviana Oki Andiyanto 32 2 3 2 1 0 1
8 96 Katimi Mahmud 31 10 4 3 1 0 1
9 97 Desti Rishaningrum Amin Priyono 29 1 5 1 0 0 1
10 98 Adi Susleni A. Salam 41 2 8 4 3 0
11 99 Sutiyaningsih Karyoto 36 6 3 3 2 0
12 100 Ridiyanah Hartono 37 6 3 2 1 0
13 101 Taliyati Joko Giyono 33 4 5 3 2 0
Jml 13 101 5 1
Februari
UMUR
( th )
KELRH NO NO
N PER KOM NAMA IBU NAMA SUAMI RT/ RW
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 102 Megawati Wasto 29 3 1 1 o 0
2 103 Karmini sugiri 27 1 3 2 1 0 1
3 104 Deliah Dedi 20 4 1 1 0 0
4 105 Siti Maesaroh Darwanto 28 4 2 2 1 0
Muarareja
5 106 Siti Faizah Sobirin 30 5 1 2 1 0

6 107 Sri Atun Waidin 35 5 1 4 3 0
7 108 Sri Yanti Solihin 33 3 3 2 1 0
8 109 Rita Nur Ali 29 3 1 2 1 0
9 110 Sinta Amelia Puji S 16 1 3 1 0 0
Jml 9 110 0 1
KOMPLIKA KOMPLIKA
KAEADAA SI

N NEONATAL
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
1 1 15 2 16 1 1 3.4 49 + + + + +
1 28 12 16 1 1 3.1 48 + + + + +
1 18 2 16 1 1 3.1 48 + + + + +
1 19 2 16 1 1 3.1 48 + + + + +
1 1 21 2 16 1 1 3 48 + + + + +
1 21 2 16 1 1 3.1 48 + + + + +
1 1 26 2 16 1 1 3.3 50 + + + + +
1 4 1 16 1 1 2.6 46 + + + + +
1 9 1 16 1 1 3.0 48 + + + + +
1 16 1 16 1 1 3.65 50 + + + + +
1 1 6 2 16 1 1 3.1 48 + + + + +
1 31 1 16 1 1 3.3 48 + + + + +
1 1 30 1 16 1 1 3.4 52 + + + + +
1 31 1 16 1 1 3.1 48 + + + + +
1 1 6 2 16 1 1 3.4 49 + + + + +
1 20 1 16 1 1 4 51 + + + + +
1 1 2 2 16 1 1 2.6 45 + + + + +
1 2 2 16 1 1 2.9 48 + + + + +
1 1 5 2 16 1 1 2.8 45 + + + + +
1 1 7 2 16 1 1 3.4 47 + + + + +
1 1 25 2 16 1 1 2.9 49 + + + + +
1 9 2 16 1 1 2.5 49 + + + + +
1 1 19 2 16 1 1 4 52 + + + + +
1 23 3 16 1 1 3.8 50 + + + + +
1 30 1 16 1 1 3.2 50 + + + + +
1 7 2 16 1 1 2.7 49 + + + + +
1 1 11 2 16 1 1 3.3 49 + + + + +
1 1 18 2 16 1 1 2.9 46 + + + + +
1 1 21 2 16 1 1 3.4 48 + + + + +
1 1 23 2 16 1 1 2.6 46 + + + + +
4 11 0 0 25 5 0 30 0 13 17
KOMPLIKA KOMPLIKA
KAEADAA SI

N NEONATAL
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
TERTANGANI
NIFA
(cm) S
PUSK
BPM
TDK
1 3 1 16 1 1 2.4 43 + + + + + PEB
1 30 1 16 1 1 2.3 43 + + + + +
1 1 12 2 16 1 1 3 46 + + + + +
1 1 29 1 16 1 1 3 48 + + + + +
1 1 27 1 16 1 1 2.6 45 + + + + +
1 25 2 16 1 1 2.5 45 + + + + + Presbo
1 16 1 1 3 49 + + + + +
1 16 1 1 4.3 51 + + + + +
1 16 1 1 3 50 + + + + +
1 1 16 1 1 3 48 + + + + +
1 1 16 1 1 3.4 48 + + + + +
1 1 16 1 1 3.4 48 + + + + +
1 1 16 1 1 3.5 49 + + + + +
1 6 0 0 11 2 0 13 0 7 6
KOMPLIKA KOMPLIKA
KAEADAA SI

N
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
1 1 4 2 16 1 1 + + + + +
1 14 1 16 1 1 3.6 + + + + +
1 1 28 1 16 1 1 + + + + +
1 1 16 1 16 1 1 3.1 + + + + +
1 1 22 2 16 1 1 3 + + + + +
1 1 24 2 16 1 1 3.4 + + + + +
1 1 11 1 16 1 1 3.3 + + + + +
1 1 10 2 16 1 1 3.3 + + + + +
1 1 17 2 16 1 1 2.7 + + + + +
1 7 0 0 8 1 0 9 0 3 6
6 24 0 0 44 8 0 52 0 23 29
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
4x + + - - -
>4x + + - - -
>4x + + - - -
>4x + + - - -
>4x + + - - -
>4x + + - - -
>4x + + - - -
>4x + + +
>4x + + +
>4x + - +
>4x + + +
>4x + - +
>4x + - -
>4x + - -
>4x + + -
>4x + - -
>4x +
>4x +
>4x +
>4x +
>4x + +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
>4x +
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
4x +
3x +
3x +
>4x +
>4x +
>4x +
3x +
>4x +
4x +
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT MARET 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 111 Dian Ambansari M.Nur Cholis 25 5 3A 1 0 0 1
2 112 Soimah Lukman 32 1 3 4 2 1 1
3 113 Susi Yulita Sonhaji 27 5 3A 1 0 0 1
4 114 Eni Santo 29 7 3A 3 1 1 1
5 115 Lutfiyani Hartoyo 25 4 3A 1 0 0
6 116 Nurul Maesaroh Saerun 18 5 2 1 0 0 1
7 117 Resi Ramendah Irwan 27 4 1 1 0 0 1
8 118 Siti Rahayu Ade Fauzi 32 4 3A 5 3 1 1
9 119 Sulistiowati Riyanto 35 1 2 4 2 1 1
10 120 Dewi Yuliati Sudarmono 22 3 2 1 0 0
Tegalsari
11 121 Siti Rofikotul Janah Agus Bakhtiar 17 7 2 1 0 0

Maret
12 122 Eka Kismawati Sukarno 30 8 1 2 1 0 1

13 123 Purwanti Abdul Qodir 32 10 1 2 1 0 1
14 124 Eka Setianingsih M.Hasan 20 5 1 2 1 0 1
15 125 Sasi Rostiana Ovandri 28 6 4 2 1 0
16 126 Dianita Ali Saputro 33 2 8 5 3 1 1
17 127 Titi Rokhayati Deni Iryanto 27 3 8 2 0 1 1
18 128 Rosinta Adi 21 4 4 1 0 0 1
19 129 Dina Marheni Topik 34 4 6 3 2 0 1
20 130 Indah Bariroh Rudi Setiawan 22 4 5 1 0 0
21 131 Efi Apriliana Dirmanto 39 1 8 4 3 0
22 132 Sutirah Sugeng 35
Jml 22 132 1 11 5 6 5 2 0 10 5
UMUR
( th )
NO
BLN KELRH
N PER NO
KOM NAMA IBU NAMA SUAMI RT/ RW
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 133 Yulu Setiawati Andi Dwi 34 6 4 4 3 0

2 134 Rintis Nurhayati Helmi M 22 2 6 2 1 0
3 135 Eti Watiningsih Suprapto 43 4 6 3 2 0
4 136 Rini Anggraeni A. Saefudin 26 6 4 1 0 0
5 137 Rayi Ayu Tahril 29 2 1 1 0 0
6 138 Maria ulfa M.Subekhi 29 4 9 3 1 1
7 139 Khumayiroh Mustofa 21 3 5 2 0 1 1
Kraton
8 140 Nelasari Irwan 27 2 9 2 1 0 1

9 141 Nuni Faturokhmah Slamet R 27 3 7 2 1 0 1
10 142 Kasiyani Royani 29 8 7 3 2 0 1
11 143 Ismiati Sutrisno 36 4 3 3 2 0 1
12 144 Kartika Rismarno 33 4 3 3 2 0
aret
13 145 Pujianah Riswanto 39 8 5 4 2 1
14 146 Ani Maulida Eko J 32 7 5 2 1 0
Jml 14 146 4 6 2 1 5 0
Maret
UMUR
( th )
NO
KELRH PER NO NAMA IBU NAMA SUAMI RT/ RW
N KEL KOM
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 147 Casri Daruni 28 3 1 3 2 0 1
2 148 Yeyen Satrio 25 5 1 1 0 0 1
3 149 Daryati Sapii 37 2 1 4 3 0
4 150 Mustika Purwanto 25 2 1 2 1 0 1
Muarareja
5 151 Rochati Dauri 34 2 1 1 0 0

6 152 Puri Arinta Ah.Solihin 27 4 2 2 1 0
7 153 Novi Rusdi 18 2 1 1 0 0
8 154 Suningsih Waridi 22 2 1 2 1 0
9 155 Tika Santika Tarsono 16 3 3 1 0 0
Jml 9 155 1 1 4 2 1 0 0 0 3
KOMPLIKA KOMPLIKA
KAEADAA SI

N NEONATAL
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
1 10 2 16 1 1 0.6 23 1 + + + +
1 29 2 16 1 1 3.8 47 1 + + + +
1 15 3 16 1 1 3.2 49 1 + + + +
1 24 2 16 1 1 3.6 50 1 + + + +
1 1 5 2 16 1 1 2.5 46 1 + + + +
1 21 3 16 1 1 2.6 46 1 + + + +
1 11 3 16 1 1 3.2 48 1 + + + +
1 16 3 16 1 1 3.1 47 1 + + + +
1 13 2 16 1 1 2.9 48 1 + + + +
1 1 15 2 16 1 1 3.2 48 1 + + + +
1 1 10 3 16 1 1 3.2 49 1 + + + +
1 15 3 16 1 1 3.5 51 1 + + + +
1 21 3 16 1 1 3.5 50 1 + + + +
1 18 3 16 1 1 2.9 47 1 + + + +
1 1 15 2 16 1 1 2.9 45 1 + + + +
1 28 2 16 1 1 2.9 48 1 + + + +
1 7 3 16 1 1 3.3 50 1 + + + +
1 20 2 16 1 1 2.8 46 1 + + + +
1 21 1 16 1 1 2.6 45 1 + + + +
1 1 29 2 16 1 1 3.3 48 1 + + + +
1 1 29 3 16 1 1 2.7 45 1 + + + +
16 1 + + + +
1 5 0 0 20 1 0 20 1 6 15
KOMPLIKA KOMPLIKA
KAEADAA SI
SALINAKES FASKES JENIS PARTUS PARTUS N LAHIR L/P BB (gram ) KF SI

KEBIDANA NEONATAL
N
SALINAKES NON
VIT A
FASKES
PB
TERTANGANI
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
1 1 29 2 16 1 1 2.9 47 1 + + + +
1 1 4 3 16 1 1 3.2 51 1 + + + +
1 1 4 3 16 1 1 3.4 50 1 + + + +
1 1 18 2 16 1 1 2.8 47 1 + + + +
1 1 21 3 16 1 1 3 49 1 + + + +
1 1 27 3 16 1 1 3.2 50 1 + + + +
1 26 3 16 1 1 3.4 48 1 + + + +
1 30 3 16 1 1 3.3 49 1 + + + +
1 2 3 16 1 1 3.2 48 1 + + + +
1 22 3 16 1 1 2.7 46 1 + + + +
1 21 3 16 1 1 3.2 52 1 + + + +
1 1 26 3 16 1 1 3.4 49 1 + + + +
1 1 27 3 16 1 1 4 50 1 + + + +
1 1 28 3 16 1 1 2.8 46 1 + + + +
5 4 0 0 12 2 0 14 0 8 6
KOMPLIKA KOMPLIKA
KAEADAA SI
N
SALINAKES NON
VIT A
FASKES
PB NIFA
TERTANGANI
TERTANGANI
(cm) S
PUSK
BPM
TDK
1 29 2 16 1 1 3.8 48 1 + + + +
1 1 3 16 1 1 3.3 47 1 + + + +
1 1 2 3 16 1 1 4.1 49 1 + + + +
1 6 2 16 1 1 2.7 48 1 + + + +
1 1 19 2 16 1 1 2.8 48 1 + + + +
1 1 27 2 16 1 1 3.7 49 1 + + + +
1 1 11 3 16 1 1 2 40 1 + + + +
1 1 25 3 16 1 1 2.8 47 1 + + + +
1 1 21 3 16 1 1 2.6 45 1 + + + +
1 5 0 0 9 0 0 9 0 4 5
7 14 0 0 41 3 0 43 1 18 26
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
>4x + + + + -
>4x + + + + -
>4x - - - - -
>4x - - - - -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x - - - - -
>4x - - - - -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
>4x + + + + -
>4x + + + + -
>4x - - - - -
>4x - - - - -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x - - - - -
>4x - - - - -
>4x - - - - -
SI
TDK
KOMPLIKA
NEONATAL
3x
3x
3x
4x
FREKUENSI ANC
>4x
>4x
>4x
>4x
>4x
>4x
>4x
-
+
STIKER P4K
-
+
KELAS IBU HAMIL

-
+
ANC TERPADU
-
+
PPIA
-
-
KB YG DIPAKAI
KET
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT APRIL 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 156 Sopiyanti Sukarman 40 4 3 4 0 3 1
2 157 Rina Dian Novita Hartoyo 25 4 3A 4 2 1 1
3 158 Susmaeni W Riyanto 18 2 1 1 0 0
4 159 Wahyu Lestari Ade. M 25 1 2 3 2 0
5 160 Widia Rosa Indah Kasmuri 35 1 3 4 3 0
6 161 Irma Saykiti Wahyudi 29 1 2 2 1 0
7 162 Suswanti Ali 24 10 2 2 1 0
8 163 Darningsih Rohedi 27 4 2 3 2 0
9 164 Puri Rahyu Aris 21 4 3 1 0 0 1
10 165 Siti Munaeni Mulyadi 25 7 2 5 3 1
11 166 Marlinda Soni 27 4 2 2 1 0
12 167 Upi Haryani Joko N 28 2 3A 2 1 0 1
13 168 Eli Suryani Ali Firmansyah 25 2 3 1 0 0 1
14 169 Surni Sutarsono 40 7 1 3 2 0
15 170 Ifrani Raksa 15 9 3 1 0 0 1
16 171 Khumaeroh Mustofa 23 4 3 1 0 0 1
17 172 Indah Kurniasih Wandah 25 2 3 3 2 0
18 173 Anur Fitriyah Andri S 25 2 2 1 0 0
19 174 Dewi Oktavia Diantoro 31 7 4 3 2 0
Tegalsari
20 175 Titin Erdiyati Decky 32 9 4 2 1 0

April
21 176 Dina Aries Zaenal 30 6 5 1 0 0 1

22 177 Mujiati Feri Cahyo 32 6 5 4 3 0
23 178 Hanum Ayu M Amin Subiyanto 30 5 5 4 1 2
24 179 Sukasih Widiastuti Suciono 41 7 8 2 0 1 1
25 180 Iim Nurlina Indra Sanjaya 25 1 11 2 0 1 1
26 181 Yuli Susanti Raharjo 35 8 4 3 2 0 1
27 182 Yuniar Adi P Ruswandi 19 2 11 1 0 0
28 183 Nur Indrayani Aryoso 27 5 4 2 1 0
29 184 Sri Redjeki M. Ariri 32 4 6 6 3 2 1
30 185 Amelia Dwi Darsa 20 6 5 1 0 0 1
31 186 Nisani A Eko Riski 17 3 4 1 0 0
32 187 Siti Suryani Agung 20 9 9 1 0 0 1
33 188 Atika Nuridin 31 10 9 2 1 0 1
34 189 Sugiarti Tarsono 39 9 9 4 3 0
35 190 Hutami Ageng Purnomo 28 3 9 2 1 0 1
36 191 Evi Nurmala Firman H 27 1 10 2 1 0 1
37 192 Tia Tri Susanti Rizki A 27 3 12 2 1 0 1
38 193 Warsih Lindari Koiman 34 2 12 5 3 1 1
39 194 Kanti Taryono 24 10 9 2 1 0 1
40 195 Suci R Ozan 26 3 9 1 0 0
Jml 40 195 4 6 16 8 3 3 0 20
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 196 Ayu Widya Budi L 18 2 9 1 0 0 1
2 197 Malikhatun Sulistio 24 3 9 3 1 1
3 198 Sri Murti M. Taefur 32 8 6 3 1 1
4 199 Tita Rohayati Ari Hidayat 21 7 1 2 0 1
5 200 Lucky Handayani M. Nurrohman 21 6 1 1 0 0 1
6 201 Fatikhah Ali Aryanto 30 6 1 3 2 0 1
7 202 Apriyana Andi Yuniar 28 1 6 1 0 0
8 203 Laelatul Badriyah Eko M 30 8 6 3 2 0 1
9 204 Fitria Ida Jamiati Khariri 29 7 2 3 2 0
10 205 Lina Yuliani Kasirin 35 9 1 3 2 0
11 206 Siti Maryam Soleh 32 2 2 2 1 0
12 207 Shopaeni Moh. Hasan 32 4 6 3 2 0
13 208 Cholidah Wirofyan 32 7 2 4 3 0 1
14 209 Siti Fauziah Herman 40 7 2 7 6 0
Kraton
April
15 210 Fatimah Mukhsin 35 5 1 1 0 0 1

16 211 Fitria M - 34 7 1 1 0 0
17 212 Nuryati M.Nurul I 31 3 3 3 1 1 1
18 213 Suginah Takim 40 1 3 4 3 0
19 214 Dewi Ekayani Kuswantoro 26 3 3 2 1 0
20 215 Dyah Mitrianasari Imam W 37 5 3 2 1 0 1
21 216 Tobiah Yusuf 26 2 4 2 1 0 1
22 217 Sutriyowati Deden S 33 1 4 3 2 0
23 218 Desi Arisandi Sunori 36 10 4 5 3 1
24 219 Yunike Rizka Abdul Aziz 25 4 7 1 0 0 1
25 220 Dina Daniati Rucitra 21 5 7 2 1 0 1
26 221 Nurul Azizah Ahmad S 26 2 8 2 1 0 1
27 222 Susanti Adi Cahyo 37 4 3 3 2 0 1
28 223 Siti Umayah Nurofik 35 3 4 1 0 0 1
29 224 Juni Listiana Carto 22 8 7 1 0 0
Jml 29 224 1 5 6 8 7 2 0 14
UMUR
( th )
NO
BLN KELRH PER NO NAMA IBU NAMA SUAMI RT/ RW
N KEL KOM
NO
N KEL KOM
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 225 Novi Daryono 24 5 1 2 1 0
2 226 Siswanti Jully S 18 3 3 1 0 0
3 227 Nur Khamidah Romi 23 4 1 1 0 0
4 228 Rumarni Carkidin 30 1 2 3 1 1 1
5 229 Nur Azizah Ah. Jaeni 39 4 2 3 2 0 1
6 230 Karsiti Tri Sufaldi 31 4 2 3 2 0
7 231 Desi Nur H Aenur 20 1 2 1 0 0 1
Muarareja
April
8 232 Maghfirotul Ahm. Sochin 20 3 3 1 0 0

9 233 Erni Nugiarti Casyudi 31 3 1 4 3 0
10 234 Sri Rejeki Karimun 30 1 1 3 2 0
11 235 Nungki A Doni 20 3 1 1 0 0 1
12 236 Leli Indah Darsono 24 1 3 3 1 1
13 237 Carini Anggriani Nurdianto 24 4 3 2 1 0
14 238 Tri Mulyasih Rizal 19 2 1 1 0 0 1
15 239 Suci Nano 30 4 1 3 2 0
Jml 15 239 2 7 0 5 1 0 0 5
Total Pusk 84 239 39
KOMPLIKA
KAEADAAN SI

SALINAKES FASKES JENIS PARTUS PARTUS LAHIR L/P BB (gram ) KF KEBIDANA
SALINAKES NON N
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 22 3 16 1 1 2.2 47 1 + + + +
1 29 3 16 1 1 2.7 48 1 + + + +
1 1 6 4 16 1 1 3 48 1 + + + +
1 1 8 3 16 1 1 3.7 50 1 + + + +
1 1 6 4 16 1 1 3.5 50 1 + + + +
1 1 10 4 16 1 1 2.9 47 1 + + + +
1 1 2 4 16 1 1 3.3 49 1 + + + +
1 1 9 4 16 1 1 2.9 49 1 + + + +
1 11 4 16 1 1 2.3 47 1 + + + +
1 1 12 4 16 1 1 3.6 52 1 + + + +
1 1 21 4 16 1 1 3.6 50 1 + + + +
1 12 4 16 1 1 2.3 49 1 + + + +
1 10 4 16 1 1 1.9 47 1 + + + +
1 1 13 4 16 1 1 2.8 48 1 + + + +
1 13 4 16 1 1 2.9 48 1 + + + +
1 26 3 16 1 1 3.3 48 1 + + + +
1 1 21 4 16 1 1 4.5 54 1 + + + +
1 1 19 4 16 1 1 3.8 52 1 + + + +
1 1 3 4 16 1 1 3.3 48 1 + + + +
1 1 30 3 16 1 1 3 49 1 + + + +
1 9 3 16 1 1 2.8 47 1 + + + +
1 1 26 3 16 1 1 2.9 46 1 + + + +
1 1 31 3 16 1 1 4.1 54 1 + + + +
1 6 4 16 1 1 2.4 46 1 + + + +
1 26 3 16 1 1 3.1 48 1 + + + +
1 27 3 16 1 1 3 48 1 + + + +
1 1 13 4 16 1 1 3 49 1 + + + +
1 1 20 4 16 1 1 3.3 48 1 + + + +
1 4 4 16 1 1 2.2 46 1 + + + +
1 19 4 16 1 1 2 45 1 + + + +
1 1 23 4 16 1 1 2.9 49 1 + + + +
1 5 4 16 1 1 1.6 41 1 + + + +
1 5 4 16 1 1 2.1 45 1 + + + +
1 1 29 3 16 1 1 3.2 48 1 + + + +
1 5 4 16 1 1 2.6 46 1 + + + +
1 7 3 16 1 1 2.7 46 1 + + + +
1 31 3 16 1 1 2.6 48 1 + + + +
1 21 3 16 1 1 2.7 48 1 + + + +
1 10 4 16 1 1 2.7 47 1 + + + +
1 1 28 4 16 1 1 3 50 1 + + + +
2 6 12 0 0 29 11 0 40 0 16 24
KOMPLIKA
KAEADAAN SI
SALINAKES FASKES JENIS PARTUS PARTUS L/P BB (gram ) KF

LAHIR KEBIDANA
N
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 1 4 16 1 1 3 48 1 + + + +
1 1 2 4 16 1 1 3.5 45 1 + + + +
1 1 27 3 16 1 1 3.2 48 1 + + + +
1 1 8 3 16 1 1 3.4 48 1 + + + +
1 8 4 16 1 1 3.3 49 1 + + + +
1 8 4 16 1 1 3.5 50 1 + + + +
1 1 14 4 16 1 1 2.8 47 1 + + + +
1 11 4 16 1 1 3.6 52 1 + + + +
1 1 16 4 16 1 1 3 48 1 + + + +
1 1 22 4 16 1 1 4 53 1 + + + +
1 1 17 4 16 1 1 3.4 47 1 + + + +
1 1 17 4 16 1 1 3.2 51 1 + + + +
1 7 4 16 1 1 2.6 48 1 + + + +
1 1 23 1 16 1 1 2.4 45 1 + + + +
1 18 4 16 1 1 2.6 47 1 + + + +
1 1 12 4 16 1 1 1.2 40 1 + + + +
1 1 4 16 1 1 3.7 48 1 + + + +
1 1 5 4 16 1 1 3.7 49 1 + + + +
1 1 13 4 16 1 1 2.8 49 1 + + + +
1 1 4 16 1 1 3.8 45 1 + + + +
1 4 4 16 1 1 3.3 48 1 + + + +
1 1 11 4 16 1 1 3.2 49 1 + + + +
1 1 9 4 16 1 1 4 49 1 + + + +
1 17 4 16 1 1 3 48 1 + + + +
1 16 4 16 1 1 2.2 43 1 + + + +
1 7 4 16 1 1 3.7 51 1 + + + +
1 23 4 16 1 1 3.6 51 1 + + + +
1 20 4 16 1 1 2.7 46 1 + + + +
1 1 26 4 16 1 1 3.3 49 1 + + + +
4 3 6 1 1 24 5 0 28 1 13 16
KOMPLIKA
KAEADAAN SI

LAHIR KEBIDANA
N
SALINAKES NON
VIT A
FASKES
PB NIFA
(cm) S
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
NIFA
PUSK (cm) S
BPM
TDK
RB
1 1 25 3 16 1 1 4 50 1 + + + +
1 1 23 3 16 1 1 2.6 48 1 + + + +
1 1 4 4 16 1 1 3 48 1 + + + +
1 1 3 16 1 1 3.6 50 1 + + + +
1 23 3 16 1 1 3.5 46 1 + + + +
1 1 22 3 16 1 1 3.1 47 1 + + + +
1 14 3 16 1 1 3 48 1 + + + +
1 1 16 3 16 1 1 2.6 46 1 + + + +
1 1 6 4 16 1 1 2.8 47 1 + + + +
1 1 25 3 16 1 1 3.1 48 1 + + + +
1 6 4 16 1 1 3 46 1 + + + +
1 1 9 4 16 1 1 3.5 40 1 + + + +
1 1 13 4 16 1 1 2.9 48 1 + + + +
1 10 4 16 1 1 3 48 1 + + + +
1 1 9 4 16 1 1 3.9 50 1 + + + +
4 0 6 0 0 13 2 0 15 0 5 10
10 9 24 1 1 66 18 0 83 1 34 50
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL

FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + -
>4x + + + + -
>4x - - - - -
>4x - - - - -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x - - - - -
>4x - - - - -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + -
>4x + + + + -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x - - - - -
>4x + + + + -
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
3x
3x
3x
3x
3x
3x
3x
3x
3x
4x
FREKUENSI ANC
>4x
>4x
>4x
>4x
>4x
STIKER P4K
KELAS IBU HAMIL
ANC TERPADU
PPIA
KB YG DIPAKAI
KET
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT MEI 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 240 Widya Setiani A. Mustakin 24 5 3A 2 0 1 1
2 241 Niken Widiastuti Wasono 32 8 3 2 1 0 1
3 242 Warningsih Imamudin 27 9 3 2 1 0 1
4 243 Devi Widianingrum Taufik Ardi 23 9 2 1 0 0 1
5 244 Desi Arisandi Wasis 40 7 3A 2 1 0 1
6 245 Kurita Tarwadi 36 7 3A 3 2 0
7 246 Mariah Ramadania - 15 7 3A 1 0 0 1
8 247 Tuti Trianda Mus Mulyadi 34 9 3 4 2 1 1
9 248 Kusriyati Main 34 10 2 3 2 0
10 249 Amelia Edward 33 10 3 3 1 1
11 250 Devit Saul Iswandi 25 4 3A 1 0 0
12 251 Meliana Cipto 25 6 4 2 1 0 1
13 252 Wahyuningsih Ratno 28 10 4 2 1 0 1
14 253 Farida Subandi 24 5 4 1 0 0 1
15 254 Nita Kristina Muamas Isbakhi 22 8 4 1 0 0 1
16 255 Rose Ameliani Darwin 28 7 4 2 1 0
Tegalsari
17 256 Fitrianah Abdul Asid 26 6 5 2 1 0

Mei
18 257 Rosi Rostiana Tholib 20 1 5 2 1 0 1

19 258 Syahidah R Rusmanto 25 1 6 1 0 0
20 259 Nur Hidayah M. Sorikhi 26 5 5 1 0 0 1
21 260 Nur Rita Tarudin 34 5 8 2 1 0
22 261 Tri Mulyana M. Bagus 27 4 4 1 0 0 1
23 262 Tiko Riyanti Soenardi 34 2 6 4 3 0 1
24 263 Zawiyatun M. Rifai 22 2 4 2 1 0
25 264 Aely Nursasih Tatang Ariyanto 36 1 8 3 2 0 1
26 265 Halimah Puji Lestari Beni Setiawan 30 4 10 1 0 0
27 266 Ami Atmajaya Indra 28 3 10 2 1 0
28 267 Dewi Ratnasari Fiki Irfani 24 9 9 3 1 1
29 268 Masrokha Eka Widodo 21 3 9 1 0 0 1
30 269 Kumala Rahma Dwi Cahyo 22 6 10 1 0 0 1
31 270 Iin Kurniah Urip Widodo 36 1 10 4 3 0
32 271 Kapsah Zulman 39 2 12 4 3 0 1
33 272 Junjung Irawati Andi 28 10 9 2 1 0
34 273 Bunga Sofian 21 10 10 1 0 0
Jml 34 273 19
UMUR
( th )
NO
N KEL KOM
NO
BLN KELRH
N PER NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 274 Sri Ningsih Imam Budi 41 2 4 3 2 0 1
2 275 Ani Yuliati Tris Mulyono 34 2 5 4 3 0 1
3 276 Fera Yuliati Tomi S 27 4 5 3 2 0 1
4 277 Yulistia Firmansyah 21 7 5 1 0 0
5 278 Nila Safitri Zazuli 19 1 3 1 0 0
6 279 Farkhatunnisa Ibnu Syafiq 28 3 3 4 1 2
7 280 Nuraeni Mulyanto 40 4 5 1 0 0
8 281 Eti Kurniasih Urip Sugianto 34 8 6 3 1 1 1
Kraton
9 282 Nur Inayah Eko 23 6 6 1 0 0

Mei
10 283 Sri Pujiati Adi Subekhi 28 3 5 2 1 0

11 284 Nuraeni Heri Setiono 28 6 4 4 2 1 1
12 285 Castirah Minggu Priana 26 2 9 3 2 0 1
13 286 Ratna Mariska Eko Santoso 36 2 9 3 2 0 1
14 287 Yuni Irmasari Tri Heri S 34 9 1 2 1 0 1
15 288 Farchanah Sholeh 28 4 6 1 0 0 1
16 289 Mahdalena Junaedi 30 2 2 2 1 0 1
17 290 Karnita Tarjono 39 6 4 4 2 1 1
Jml 17 290 11
1 291 Siti Daruni Riyanto 24 3 1 3 1 1
2 292 Marpuah Sustomo 30 5 1 2 1 0
3 293 Ade Selfitia Hendra 19 4 3 1 0 0
4 294 Intansari Tamrin 23 3 3 2 0 1
5 295 Leli Puji Mulyono 25 2 1 2 1 0
6 296 Intan Fitria Satrianto 20 4 1 1 0 0
7 297 Ely Rahayu Nurokhman 27 1 2 2 1 0 1
8 298 Dewi Kristiawati Gunadi 28 4 1 2 1 0
Muarareja
9 299 Maryati Rukijan 36 5 2 3 2 0

Mei
10 300 Anita Waryo 26 1 2 1 0 0 1

11 301 Renita Islalhudin 19 3 2 1 0 0
12 302 Karsih Irmanto 29 4 2 2 1 0 1
13 303 Putri Ningsih Sunarto 17 4 2 1 0 0
14 304 Surinah M. Ali Faridin 35 2 1 2 1 0
15 305 Daerah Heri 30 2 2 2 1 0
16 306 Megadaru Warsito 32 2 2 1 0 0
17 307 Afini Prasetyo 30 1 3 2 1 0
18 308 Nur Faizah Rahmat 26 1 2 2 1 0
Jml 18 308 3
KOMPLIKA
KAEADAAN SI

N
SALINAKES NON
PB VIT A
FASKES
(cm) NIFA
S
TERTANGANI
PUSK
BPM
TDK
RB
1 4 4 16 1 1 3.3 49 + + + + +
1 19 4 16 1 1 2.7 46 + + + + +
1 25 4 16 1 1 3 48 + + + + +
1 8 5 16 1 1 3.1 49 + + + + +
1 8 5 16 1 1 2.7 45 + + + + +
1 1 25 3 16 1 1 3 48 + + + + +
1 16 5 16 1 1 2.5 48 + + + + +
1 17 5 16 1 1 2.7 48 + + + + +
1 1 23 3 16 1 1 2.9 45 + + + + +
1 1 15 5 16 1 1 3.1 49 + + + + +
1 1 6 5 16 1 1 3.3 49 + + + + +
1 4 5 16 1 1 3.9 49 + + + + +
1 7 5 16 1 1 3.2 46 + + + + +
1 20 4 16 1 1 3 46 + + + + +
1 4 5 16 1 1 3.3 48 + + + + +
1 1 15 5 16 1 1 3.4 48 + + + + +
1 1 20 4 16 1 1 3.3 48 + + + + +
1 5 5 16 1 1 + + + + +
1 1 12 5 16 1 1 3.8 48 + + + + +
1 15 5 16 1 1 3.6 51 + + + + +
1 1 13 5 16 1 1 3.5 50 + + + + +
1 18 5 16 1 1 3 49 + + + + +
1 13 5 16 1 1 3.7 49 + + + + +
1 1 12 5 16 1 1 3 49 + + + + +
1 3 5 16 1 1 3.2 48 + + + + +
1 1 7 5 16 1 1 2.3 45 + + + + +
1 1 28 4 16 1 1 2.5 46 + + + + +
1 1 6 5 16 1 1 3 45 + + + + +
1 15 5 16 1 1 2.5 50 + + + + +
1 27 5 16 1 1 3.4 49 + + + + +
1 1 14 5 16 1 1 3.3 49 + + + + +
1 15 5 16 1 1 + + + + +
1 1 23 5 16 1 1 + + + + +
1 1 23 4 16 1 1 + + + + +
0 1 14 0 0 25 9 0 34 0 17 17
KOMPLIKA
KAEADAAN SI

LAHIR KEBIDANA
N
SALINAKES NON
VIT A
FASKES
PB NIFA
(cm) S
SALINAKES NON
VIT A
FASKES
PB
(cm) NIFA
S
TERTANGANI
PUSK
BPM
TDK
RB
1 16 5 16 1 1 4.1 + + + + +
1 5 5 16 1 1 2.1 + + + + +
1 24 5 16 1 1 2.8 + + + + +
1 1 14 4 16 1 1 3.2 + + + + +
1 1 14 5 16 1 1 2.9 + + + + +
1 1 16 5 16 1 1 3.1 + + + + +
1 1 24 5 16 1 1 2.9 + + + + +
1 3 5 16 1 1 3.1 48 + + + + +
1 1 14 5 16 1 1 3 48 + + + + +
1 1 13 5 16 1 1 3.1 48 + + + + +
1 1 1 3.1 + + + + +
1 29 4 16 1 1 2 42 + + + + +
1 1 1 2.8 + + + + +
1 10 5 16 1 1 3.4 49 + + + + +
1 13 5 16 1 1 2.7 42 + + + + +
1 11 5 16 1 1 2.2 + + + + +
1 18 5 16 1 1 3 48 + + + + +
1 3 2 0 0 13 4 0 17 0 7 10
1 1 29 3 16 1 1 + + + + +
1 1 23 4 16 1 1 3.1 48 + + + + +
1 1 1 1 + + + + +
1 1 14 4 16 1 1 3.4 48 + + + + +
1 1 9 5 16 1 1 3.9 50 + + + + +
1 1 8 3 16 1 1 3.6 51 + + + + +
1 18 4 16 1 1 + + + + +
1 1 14 5 16 1 1 3 48 + + + + +
1 1 18 4 16 1 1 3.7 49 + + + + +
1 19 2 16 1 1 2.9 + + + + +
1 1 7 5 16 1 1 3 47 + + + + +
1 3 5 16 1 1 3.3 49 + + + + +
1 1 15 4 16 1 1 3.5 48 + + + + +
1 1 11 5 16 1 1 3 49 + + + + +
1 1 16 5 16 1 1 2.9 48 + + + + +
1 1 24 4 16 1 1 2.8 48 + + + + +
1 1 22 5 16 1 1 2.8 48 + + + + +
1 1 17 2 16 1 1 3.4 49 + + + + +
3 1 11 0 0 15 3 0 18 0 14 4
4 5 27 0 0 53 16 0 69 0 38 31
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL

FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT JUNI 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 309 Irawati A.M.Karim 20 10 2 2 0 1
2 310 Sami Hartati Wasnu 37 6 2 5 3 1 1
3 311 Warningrum A.Koji 26 3 2 1 0 0
4 312 Susilowati Imam M 30 3 2 3 2 0 1
5 313 Dianawati Dian S 31 5 2 2 1 0
6 314 Supriyatun Antoni 30 2 2 3 2 0 1
7 315 Siti Nur Azizah Tarmudi 25 8 2 3 2 0 1
8 316 Oktavianti Ratmono 20 1 2 1 0 0
9 317 Tri Kusumaningsih Yunedi 27 9 3 3 0 2 1
10 318 Dwi Riyanti Suwaryo 17 7 3 1 0 0 1
11 319 Kustiyanti M.Nur Yasin 29 10 3 2 1 0 1
12 320 Indriyani Ami 30 1 2 3 1 1 1
13 321 Dwi Elsani - 16 2 3A 1 0 0 1

14 322 Dewi Sartika Edi susanto 35 5 3 1 0 0
15 323 Nurma Mutia Toto 21 5 2 1 0 0
16 324 Taryamah Casmad 36 9 3 5 3 1
Tegalsari
17 325 Rosita Umam 31 5 1 2 1 0 1

Juni
18 326 Wiwi Astuti Karman 23 10 2 2 0 1 1

19 327 Devi Lia Suwandi 20 5 3A 1 0 0 1
20 328 Pepbiyanti Wahyu Jatmiko 31 5 1 2 1 0
21 329 Hartati Sugeng 28 4 3A 4 2 1 1
22 330 Nurul Chusnul Vendi 20 4 3A 1 0 0 1
23 331 Oktavianti Diki Arif 23 7 5 2 1 0
24 332 Siti Aisyah Joni Putra 31 6 5 2 1 0
25 333 Hestiana Tarono 26 2 8 1 0 0
26 334 Neny Triana Ayub Kusnandar 24 4 11 1 0 0 1
27 335 Niken Widi Astuti Wasono 32 9 5 2 1 0 1
28 336 Fajar Kurniasih Yanuar Sandi 36 2 6 2 1 0 1
29 337 Siti Chodijah M.Zaenal Arifin 35 7 5 3 2 0
30 338 Yuliatin Ah. Noval 29 3 9 2 1 0 1
31 339 Retno Dwi Jayanti Rahmat Hidayat 28 3 10 2 1 0 1
32 340 Anisah Poniman 34 6 9 3 2 0
33 341 Rohani Darsono 32 3 10 2 1 0 1
34 342 Ayu Ika Enricus 26 7 10 1 0 0 1
35 343 Ayu Khemawati Alam 32 2 10 2 1 0 1
Jml 35 343 2 8 9 11 5 0 0 22
UMUR
( th )
NO
N KEL KOM
NO
N KEL KOM
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 344 Tri Novia Agianti Asep Ridwan 24 3 4 1 0 0
2 345 Tati Novianti Muksin S 31 4 5 3 2 0 1
3 346 Febriyani Lestari Dede S 22 1 5 1 0 0
4 347 Maemunah M. Zaen 28 2 7 2 1 0 1
5 348 Suciani Kasidin 26 2 5 1 0 0 1
6 349 Nuraeni Rosidi 42 5 3 2 1 0 1
7 350 Dewi Sudati Adi Hardi 28 1 4 3 1 1
8 351 Oktaviani Dedi Rizki 1 2 4 1 0 0 1
9 352 Nurkorinawati Pandam 32 1 3 2 1 0 1
10 353 Indah Kasanudin 22 8 7 1 0 0 1
11 354 Wulan Suci Moh. Fatoni 26 3 5 2 1 0
Kraton
12 355 Astika N Suroso 22 1 6 1 0 0

Juni
13 356 Eka Reni Syahrudin 32 8 1 3 1 1 1

14 357 Rosyidah Henu Reskyana 30 4 4 2 1 0 1
15 358 Bani Qonatu Koko Aryanto 24 4 4 2 1 0
16 359 Hidayah M. Agus 30 4 2 2 1 0
17 360 Anipah Arip E 28 3 9 1 0 0
18 361 Ayu W Moh Riski 20 10 5 1 0 0 1
19 362 Julianti Puji Subekti 33 3 5 3 2 0 1
20 363 Wahyuningrum Kusnul Y 23 1 2 2 1 0
21 364 Imanis Ghina Fikri Yunus 17 6 1 1 0 0 1
22 365 Fitrawati Aji Bakar 24 9 2 2 1 0
23 366 Ferna Sri U Sucipto 36 5 6 1 0 0 1
Jml 23 366 1 9 5 6 1 1 0 13
UMUR
( th )
NO
BLN KELRH
NO
PER NAMA IBU NAMA SUAMI RT/ RW
N KOM
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
1 367 Pipit Arbiansyah 24 5 1 1 0 0 RS

2 368 Solicha Triana Aris 19 3 3 1 0 0
Muarareja
3 369 Desi Nur O Rosandi 25 4 1 1 0 0

Juni
4 370 Suniti Kalimun 33 3 1 2 1 0

5 371 Wuningsih Hendrik 26 4 2 2 1 0
Jml 5 371 1 1 2 1 0 0 0 0
KOMPLIKA
KAEADAAN SI

SALINAKES NON N
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 1 29 5 16 1 1 2.5 47 + + + + +
1 27 4 16 1 1 3 47 + + + + +
1 1 21 5 16 1 1 3 48 + + + + +
1 2 6 16 1 1 3.4 48 + + + + +
1 1 1 6 16 1 1 3.4 49 + + + + +
1 2 6 16 1 1 3 48 + + + + +
1 2 6 16 1 1 2.6 46 + + + + +
1 1 31 5 16 1 1 2.7 46 + + + + +
1 6 6 16 1 1 3 49 + + + + +
1 5 6 16 1 1 3.4 49 + + + + +
1 7 6 16 1 1 2.9 47 + + + + +
1 1 1.1 44
1 8 6 16 + + + + +
1 1 1.1 44
1 9 6 16 1 1 2.9 45 + + + + +
1 1 10 6 16 1 1 3.1 48 + + + + +
1 1 7 6 16 1 1 3.6 50 + + + + +
1 1 14 6 16 1 1 2.9 48 + + + + +
1 16 6 16 1 1 2.9 50 + + + + +
1 15 6 16 1 1 3 49 + + + + +
1 11 5 16 1 1 2.6 46 + + + + +
1 1 1 6 16 1 1 3.5 50 + + + + +
1 26 6 16 1 1 3.9 49 + + + + +
1 23 6 16 1 1 3.8 50 + + + + +
1 1 25 5 16 1 1 3 + + + + +
1 1 24 5 16 1 1 2.8 46 + + + + +
1 1 24 5 16 1 1 3.2 49 + + + + +
1 23 6 16 1 1 3.1 49 + + + + +
1 29 4 16 1 1 3 48 + + + + +
1 4 6 16 1 1 3 49 + + + + +
1 1 23 6 16 1 1 3.4 48 + + + + +
1 1 6 16 1 1 3.1 47 + + + + +
1 8 6 16 1 1 3.4 49 + + + + +
1 1 19 6 16 1 1 3.5 49 + + + + +
1 6 5 16 1 1 3.1 48 + + + + +
1 12 6 16 1 1 3.1 50 + + + + +
1 26 6 16 1 1 4.4 50 + + + + +
4 2 7 0 0 27 7 1 35 1 18 18
KOMPLIKA
KAEADAAN SI

N
SALINAKES NON
VIT A
FASKES
PB NIFA
(cm) S
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
NIFA
PUSK (cm) S
BPM
TDK
RB
1 1 13 6 16 1 1 3.3 49 + + + + +
1 2 6 16 1 1 2.8 47 + + + + +
1 1 7 6 16 1 1 3.1 49 + + + + +
1 2 5 16 1 1 3.4 + + + + +
1 3 6 16 1 1 3.1 47 + + + + +
1 23 6 16 1 1 2.7 + + + + +
1 1 22 6 16 1 1 2.8 + + + + +
1 25 6 16 1 1 2.8 + + + + +
1 9 4 16 1 1 3 + + + + +
1 28 6 16 1 1 + + + + +
1 1 5 6 16 1 1 3.5 49 + + + + +
1 1 2 6 16 1 1 3.2 47 + + + + +
1 28 5 16 1 1 3.1 51 + + + + +
1 12 5 16 1 1 3.1 49 + + + + +
1 1 31 5 16 1 1 3.1 48 + + + + +
1 1 30 5 16 1 1 2.2 43 + + + + +
1 1 20 5 16 1 1 2.7 47 + + + + +
1 13 6 16 1 1 2.3 + + + + +
1 8 6 16 1 1 3.3 + + + + +
1 1 8 6 16 1 1 3.8 51 + + + + +
1 16 1 1 2.7 + + + + +
1 1 6 6 16 1 1 35 48 + + + + +
1 10 6 16 1 1 2.8 47 + + + + +
1 1 8 0 0 20 3 0 23 0 10 13
KOMPLIKA
KAEADAAN SI

LAHIR KEBIDANA
N
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 1 5 6 16 1 1 3 48 + + + + +
1 1 21 5 16 1 1 2.4 45 + + + + +
1 1 16 4 16 1 1 3.2 48 + + + + +
1 1 26 5 16 1 1 3.5 50 + + + + +
1 1 2 6 16 1 1 3.5 49 + + + + +
4 1 0 0 0 4 1 0 5 0 1 4
9 4 15 0 0 51 11 1 63 1 29 35
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL

FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT JULI 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 372 Syefira Priotri 24 4 7 2 1 0
2 373 Nur Afiyati Nur Iman 25 6 7 3 2 0
3 374 Nurneni M. Soleh 18 5 9 1 0 0 1
4 375 Fika Yulianti Tarsono 20 10 9 1 0 0
5 376 Nofia Kusuma D Subechi M 20 1 12 1 0 0 1
6 377 Kusriyanti Ilham Nazril 26 2 7 1 0 0
7 378 Nurjanah Waryo 25 10 9 2 1 0 1
8 379 Fauzan Hayati Dwi Agus 35 3 3 3 1 1
9 380 Ningsih Kardyan 21 8 3 1 0 0 1
10 381 Lilis Saroni 22 8 1 1 0 0
11 382 Wika Mustafa 30 1 2 2 1 0 1
12 383 Fitri Tarmudi 26 4 2 3 2 0
13 384 Dewi Purwanti M. Jamroni 19 2 2 1 0 0
14 385 Nur Laela Sigit 21 4 2 1 0 0
15 386 Liska Zaenal 20 10 2 1 0 0
16 387 Indah Novita Rasmani 18 8 1 1 0 0
Tegalsari
17 388 Umi Maesaroh Sabar 18 7 1 1 0 0

Juli
18 389 Ardin Rinanti Eki 23 7 1 2 1 0 1

19 390 Novi P Bambang H 20 7 1 1 0 0 1
20 391 Nurul Choidah Agung 25 6 3A 1 0 0 1
21 392 Tanti Asih Kasnani 33 8 3 4 3 0 1
22 393 Sukesih Siswanto 35 9 2 3 2 0
23 394 Rasminah Tasman 43 4 3 3 2 0 1
24 395 Indah Tresnani A. Saefudin 22 4 1 1 0 0
25 396 Nuripah Sehulani 31 10 2 3 2 0
26 397 Ratna Nanang 37 2 3A 7 5 1 1
27 398 Wiwi M. Sofyan 22 6 5 1 0 0 1
28 399 Nur Asih Tarpuji 32 7 4 2 1 0 1
29 400 Mei Dwi P Febri Rizki 30 6 4 1 0 0 1
30 401 Uun Mariana Yogi Yudas 28 9 4 2 1 0 1
31 402 Marliya M A. Rozaki 33 7 4 3 2 0
32 403 Marlina Rustanto 25 9 4 3 2 0
33 404 Aprilia Susanti Eko 23 4 5 1 0 0 1
Jml 33 404 4 12 7 6 3 1 0 16
UMUR
( th )
NO
KELRH NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 405 Hana Febriana Syahroni 29 5 3 1 0 0 1

Kraton
Juli
2 406 Ayu Kresna Suyono 28 3 4 2 1 0
3 407 Fenni Purwanti Abdul Gafar 32 1 7 1 0 0 1
Kraton 4 408 Kerlina Rinoso 23 2 7 2 1 0
Juli
5 409 Dinayah Wasikin 24 4 2 1 0 0

6 410 Patmi Ardiansyah 35 7 4 2 1 0 1
7 411 Nur Khodijah Ade Purwanto 23 3 5 2 1 0 1
8 412 Winni Chrishani Sukamdani 26 8 6 1 0 0 1
Jml 8 412 0 3 3 1 1 0 0 5
UMUR
( th )
NO
BLN KELRH
N PER NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 413 Dina Mariana Wirja 32 3 3 2 1 0
2 414 Warinah Sirin 24 2 1 1 0 0
3 415 Bella Okatavia Waryono 17 4 1 1 0 0
4 416 Rani Stevalia Tri Mulyo 21 2 2 2 0 1
Muarareja
5 417 Wiwit Safari 24 2 2 1 0 0 1

Juli
6 418 Widiawati Warto 28 1 2 1 0 0

7 419 Tnyanah Kholik 28 3 2 1 0 0
8 420 Nuraeni A Antoro 21 4 2 2 1 0 1
9 421 Devi Wasnali 27 2 1 4 2 1
Jml 9 421 1 4 3 1 0 0 0 2
KOMPLIKA
KAEADAAN SI

SALINAKES NON N
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 1 11 7 16 1 1 3.9 51 + + + + +
1 1 24 6 16 1 1 3.4 49 + + + + +
1 13 7 16 1 1 2.8 48 + + + + +
1 1 15 7 16 1 1 3.3 46 + + + + +
1 6 7 16 1 1 2.9 46 + + + + +
1 1 20 5 16 1 1 3.5 50 + + + + +
1 6 6 16 1 1 2.7 50 + + + + +
1 1 8 7 16 1 1 3.1 49 + + + + +
1 9 7 16 1 1 3.7 48 + + + + +
1 1 21 6 16 1 1 3.4 48 + + + + +
1 11 7 16 1 1 3.5 50 + + + + +
1 1 27 6 16 1 1 3 48 + + + + +
1 1 13 7 16 1 1 3.1 47 + + + + +
1 1 13 7 16 1 1 2.8 46 + + + + +
1 1 30 6 16 1 1 3.8 49 + + + + +
1 1 22 6 16 1 1 3 48 + + + + +
1 1 28 6 16 1 1 2.8 48 + + + + +
1 21 6 16 1 1 3.2 48 + + + + +
1 20 4 16 1 1 3.3 48 + + + + +
1 29 6 16 1 1 46 + + + + +
1 16 7 16 1 1 2.9 50 + + + + +
1 1 24 6 16 1 1 3.7 48 + + + + +
1 4 7 16 1 1 3.2 48 + + + + +
1 1 25 6 16 1 1 2.85 48 + + + + +
1 1 17 7 16 1 1 2.6 46 + + + + +
1 20 7 16 1 1 2.8 47 + + + + +
1 27 5 16 1 1 2.8 47 + + + + +
1 30 6 16 1 1 3.3 47 + + + + +
1 7 7 16 1 1 3.3 49 + + + + +
1 9 7 16 1 1 2.9 48 + + + + +
1 1 6 7 16 1 1 2.9 50 + + + + +
1 1 28 7 16 1 1 3.4 49 + + + + +
1 17 7 16 1 1 3.2 47 + + + + +
6 1 10 0 0 26 7 0 33 0 19 14
KOMPLIKA
KAEADAAN SI
SALINAKES FASKES JENIS PARTUS PARTUS LAHIR L/P BB (gram ) KF

KEBIDANA
N
SALINAKES NON
VIT A
FASKES
PB
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK

RB
1 7 7 16 1 1 2.9 47 + + + + + 1
1 1 14 7 16 1 1 3 47.5 + + + + +
1 3 7 16 1 1 3.4 49 + + + + + 1
1 1 13 7 16 1 1 3.6 52 + + + + +
1 1 5 7 16 1 1 4 49 + + + + +
1 19 6 16 1 1 3.1 + + + + +
1 24 6 16 1 1 2.5 47 + + + + +
1 16 7 16 1 1 3.1 46 + + + + +
0 0 3 0 0 6 2 0 8 0 3 5
KOMPLIKA
KAEADAAN SI

KEBIDANA
N
SALINAKES NON
VIT A
FASKES
PB
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 1 20 6 16 1 1 2.7 45 + + + + +
1 1 5 7 16 1 1 3 49 + + + + +
1 1 21 6 16 1 1 3.9 50 + + + + +
1 1 29 5 16 1 1 2.8 47 + + + + +
1 15 7 16 1 1 3 50 + + + + +
1 1 17 6 16 1 1 3.4 48 + + + + +
1 1 26 6 16 1 1 3.2 49 + + + + +
1 30 6 16 1 1 3.2 48 + + + + +
1 1 15 7 16 1 1 2.7 48 + + + + +
2 1 4 0 0 8 1 0 9 0 5 4
8 2 17 0 0 40 10 0 50 0 27 23
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL

FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
1 >4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
1 >4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
1 >4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT AGUSTUS 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 422 Eriyani Dwi Prayitno 21 2 3A 2 1 0
2 423 Prihatin Dargo 32 5 3A 4 3 0 1
3 424 Sumiyati Sunarto 32 7 1 3 2 0
4 425 Jariyah Mahalil 29 7 1 3 2 0
5 426 Putri Wulandari Kusnedi 20 5 3 2 1 0
6 427 Sri Rahayu Suyana 20 8 1 1 0 0 1
7 428 Rani Sabarudin 21 10 2 1 0 0
8 429 Diana Yugo 30 2 3 2 1 0 1
9 430 Wiji Lestari Endiarto 30 8 2 2 1 0
10 431 Wijayanti Suheli 41 6 3 1 0 0 1
11 432 Ade Rita Yanti Jumali 29 3 2 2 1 0
12 433 Nur Zamaaniyyati Alan Jamaludin 23 2 3A 1 0 0
13 434 Linda Novita Imam Sarwono 21 3 3A 1 0 0 1
14 435 Mega Surinto 30 7 3A 2 1 0 1
Agustus
Tegalsari
15 436 Tsani Yasin Afin Septiyan 24 5 7 2 1 0 1

16 437 Nurochmah Ahmad Buchori 18 9 9 2 0 1 1
17 438 Amalia Kuzulfa Arif Saefudin 22 3 9 1 0 0 1
18 439 Silfiana Aji. P 21 3 10 1 0 0 1
19 440 Eka Desi Setiawati Yussan Akrom 28 1 12 3 2 0
20 441 Aulia Rachmah Zakaria 22 2 12 1 0 0 1
21 442 Yuli Sintawati Syarifudin 29 4 10 2 1 0
22 443 Rosiana Irwantoro 27 10 10 1 0 0
23 444 Suciasih Kusmedi 34 1 10 4 2 1
24 445 Lisa Anggraeni Suwanto 32 6 4 1 0 0 1
25 446 Rostania Putri Amin Saputra 25 7 4 1 0 0 1
26 447 Suparti Slamet Susanto 29 5 5 5 4 0
27 448 Yuni Trisna Janudin 25 3 8 1 0 0 1
28 449 Harningsih Susilo 27 4 4 1 0 0 1
29 450 Suci Amalia Sujarwo 31 4 11 3 2 0 1
Jml 29 450 16
1 451 Nur Kholipah Sanggit A 22 2 4 2 1 0 1
2 452 Suhernih Sapei 25 10 4 1 0 0 1
3 453 Rike Sista Silvi Casmudianto 30 10 4 1 0 0 1
4 454 Chaulia Nur Slamet 29 6 5 2 1 0
5 455 Ratih Ratnasari Madya 34 5 5 3 2 0 1
Agustus
6 456 Wiwik Wastar 31 2 7 2 1 0

Kraton
7 457 Elva Novitasari Eko Murdiono 21 1 7 1 0 0 1

8 458 Marcella C Tony 23 2 8 1 0 0
9 459 Rizky Khairun Edy Kuswoyo 29 3 5 1 0 0 1
10 460 Evi Rizki Wandis 20 10 5 1 0 0 1
11 461 Uci Andani Rusadi 22 4 6 2 1 0 1
12 462 Yuni Anjani Andriyanto 28 5 6 1 0 0 1
Jml 12 462 9
1 463 Kurotunnisa Warno 18 3 2 1 0 0
2 464 Kustianingsih Jaenal 22 2 2 1 0 0
3 465 Kurniasih Rustam 35 4 2 4 2 1
4 466 Siti Badaroh Rasjuki 32 4 2 5 3 1 1
Muarareja
Agustus
5 467 Siti Sulicha M. Haryanto 26 4 2 3 2 0 1

6 468 Bugar Romi 26 5 1 1 0 0
7 469 Suci Ahmad 23 1 3 3 1 1
8 470 Sariti Febri 19 1 1 1 0 0
9 471 Lilis Wahyuni Rusdianto 19 2 1 1 0 0

Jml 9 471 1 4 3 1 0 0 0 2
KOMPLIKA
KAEADAAN SI

SALINAKES NON N
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 1 1 8 16 1 1 3 46 + + + + +
1 1 8 16 1 1 2.7 45 + + + + +
1 1 5 8 16 1 1 3 49 + + + + +
1 1 20 7 16 1 1 2.7 46 + + + + +
1 1 16 4 16 1 1 3.4 50 + + + + +
1 13 8 16 1 1 + + + + +
1 1 17 8 16 1 1 2.8 48 + + + + +
1 18 8 16 1 1 3.4 48 + + + + +
1 1 11 7 16 1 1 3.1 48 + + + + +
1 6 8 16 1 1 3.3 47 + + + + +
1 1 29 8 16 1 1 2.6 47 + + + + +
1 1 28 8 16 1 1 3 48 + + + + +
1 26 7 16 1 1 3.7 49 + + + + +
1 28 7 16 1 1 3.6 49 + + + + +
1 5 8 16 1 1 2.1 + + + + +
1 26 7 16 1 1 3.3 + + + + +
1 11 8 16 1 1 2.5 + + + + +
1 30 7 16 1 1 2.6 + + + + +
1 1 13 7 16 1 1 3 + + + + +
1 3 8 16 1 1 3.8 + + + + +
1 1 8 8 16 1 1 3.2 + + + + +
1 1 24 8 16 1 1 2.9 + + + + +
1 1 28 8 16 1 1 3.4 + + + + +
1 17 7 16 1 1 2.5 46 + + + + +
1 18 8 16 1 1 3.8 49 + + + + +
1 1 19 7 16 1 1 3 48 + + + + +
1 28 7 16 1 1 2.3 46 + + + + +
1 20 8 16 1 1 1.8 46 + + + + +
1 23 8 16 1 1 3.4 50 + + + + +
2 2 9 0 0 22 7 0 27 2 14 15
1 3 8 16 1 1 3.4 50 + + + + +
1 10 8 16 1 1 3.3 49 + + + + +
1 7 8 16 1 1 3.3 49 + + + + +
1 1 15 8 16 1 1 3.2 49 + + + + +
1 1 7 16 1 1 3.5 50 + + + + +
1 1 26 8 16 1 1 3.5 46 + + + + +
1 26 8 16 1 1 4.2 51 + + + + +
1 1 30 7 16 1 1 3.3 48 + + + + +
1 27 7 16 1 1 3 49 + + + + +
1 18 8 16 1 1 3.5 50 + + + + +
1 7 8 16 1 1 3.4 48 + + + + +
1 26 7 16 1 1 2.1 46 + + + + +
1 1 1 0 0 6 6 0 12 0 8 4
1 1 21 6 16 1 1 3.3 47 + + + + +
1 1 15 7 16 1 1 3.2 49 + + + + +
1 1 22 5 16 1 1 3 48 + + + + +
1 30 7 16 1 1 2.9 46 + + + + +
1 8 6 16 1 1 + + + + +
1 1 17 8 16 1 1 3.4 46 + + + + +
1 1 18 7 16 1 1 3.2 47 + + + + +
1 2.5 46 + + + + +
1 1 15 7 16 1
1 2.7 47 + + + + +
1 1 12 8 16 1 1 2.8 46 + + + + +
4 0 3 0 0 9 0 0 9 0 4 6
7 3 13 0 0 37 13 0 48 2 26 25
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL

FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT SEPTEMBER 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 471 Defi Lestari Slamet Safari 33 8 4 1 0 0 1
2 472 Adi Mulyani Muldis 40 1 4 3 2 0 1
3 473 Sri Wulandari Dwi Heri 23 8 4 1 0 0 1
4 474 Ika Nurdyanti Nanang K 33 1 11 4 3 0
5 475 Nurandini Asep Arifin 15 6 7 1 0 0 1
6 476 Umu Habibah Agus NY 22 3 7 1 0 0
7 477 Kanti Ginasih Alamudin 33 6 10 2 1 0 1
8 478 Alkuriyah Eko Suwito 30 10 10 3 2 0 1
9 479 Fitria Alimatul 19 1 10 1 0 0
10 480 Tri Winarni Saeful P 31 1 10 1 0 0 1
September
11 481 Andi Sarah Irwan 21 9 10 2 1 0

Tegalsari
12 482 Rohayatun Tobari 34 1 9 4 3 0 1

13 483 Marsaeni Tarjaya 40 6 9 3 2 1 1
14 484 Rini Ardianti Edy Rusmanto 27 3 10 2 1 0
15 485 Evi Novita Riski 22 2 2 3 1 1
16 486 Ida Amelia Aang B 30 4 2 1 0 0
17 487 Wasliah Eko S 24 7 3 3 2 0
18 488 Rita Purwati M. Nuryatin 21 3 2 1 0 0 1
19 489 Indah K Syahroni 23 5 2 1 0 0 1
20 490 Nur Hayati Riyadi 35 7 3 4 3 0 1
21 491 Alinda Slamet 31 6 3 2 1 0
22 492 Umi Salamah Tofik 38 5 3A 3 2 0 1
23 493 Dita Ayu Kukuh Sugeng 16 3 3 1 0 0 1
Jml 23 493 14
UMUR
( th )
NO
KELRH NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 494 Hidayah Fajar S 33 3 6 2 1 0

2 495 Indriyati Syek H 36 5 6 2 1 0 1
3 496 Murniati M Yanuar 30 2 9 2 1 0
4 497 Nia Kurniasari Mayo 31 9 4 2 1
5 498 Tri Nuryanti Fandy 36 4 9 3 2 0
6 499 Wati Suprayadi 21 7 2 1 0 0
7 500 Siti Azizah A Muzaki 27 8 2 1 0 0 1
8 501 Wijayanti Imam Safi'i 25 3 5 1 2 0
September
9 502 Tuningsih Yrasin 33 9 5 3 1 1

10 503 Sari Santika Wahyudi 25 8 4 3 2 0
Kraton
11 504 Kris Rahayu Saefudin 35 6 4 3 2 0

September
Kraton
12 505 Heni Ariestanti Komar R 37 2 4 2 1 0 1
13 506 Sri Rejeki Juyanto 33 5 4 5 3 1 1
14 507 Upik putriyani Agus N 25 5 4 1 0 0 1
15 508 Kustiah Tasori 35 10 4 3 2 0
16 509 Sri Wanti Kariman 23 10 4 3 2 0
17 510 Diyah Dwi M Ruli 27 1 8 3 1 0 1
18 511 Kusrini Adi Prakoso 24 2 3 1 0 0 1
19 512 Tika Wiranti Willy K 24 2 5 1 0 0 1
20 513 Astrid Pradita Diki Andreas 19 8 5 1 0 0 1
Jml 20 513 9
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 514 Rini Nopianti Jayadi 32 1 3 2 1 0
2 515 Asih Widyanti Nurohman 24 1 2 1 0 0 1
September
3 516 Pupul Elfandari Raga 23 4 1 2 1 0 1

Muarareja
4 517 Lasputri Sudirman 17 1 2 1 0 0

5 518 Kunayah Rindiyanto 26 4 2 3 1 1
6 519 Tunirah Durki 31 2 3 2 1 0 1
7 520 Dian Okta Sugito 18 2 3 1 0 0

Jml 7 520 1 4 3 1 0 0 0 3
KOMPLIKA
KAEADAAN SI

SALINAKES NON N
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 17 8 16 1 1 3.1 + + + + +
1 6 8 16 1 1 2.6 49 + + + + +
1 31 8 16 1 1 3.5 50 + + + + +
1 1 21 9 16 1 1 3.2 50 + + + + +
1 2 9 16 1 1 3.35 47 + + + + +
1 1 18 9 16 1 1 2.9 48 + + + + +
1 25 9 16 1 1 3.1 47 + + + + +
1 6 9 16 1 1 2.8 48 + + + + +
1 1 28 8 16 1 1 3.2 48 + + + + +
1 22 8 16 1 1 2.6 46 + + + + +
1 1 11 9 16 1 1 2.5 44 + + + + +
1 27 8 16 1 1 3.74 49 + + + + +
1 11 9 16 1 1 2.7 47 + + + + +
1 1 8 9 16 1 1 3.5 48 + + + + +
1 1 9 16 1 1 2.9 48 + + + + +
1 1 3 9 16 1 1 2.9 49 + + + + +
1 1 7 9 16 1 1 3.5 48 + + + + +
1 13 7 16 1 1 4 52 + + + + +
1 25 8 16 1 1 3.4 48 + + + + +
1 19 9 16 1 1 2.8 46 + + + + +
1 1 19 9 16 1 1 3.4 49 + + + + +
1 19 9 16 1 1 3.3 48 + + + + +
1 18 9 16 1 1 1.5 45 + + + + +
3 2 4 0 0 18 5 0 22 1 14 9
KOMPLIKA
KAEADAAN SI

LAHIR KEBIDANA
N
SALINAKES NON
VIT A
FASKES
PB
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK

RB
1 1 23 8 16 1 1 2.6 48 + + + + +
1 28 8 16 1 1 2.9 + + + + +
1 1 7 9 16 1 1 3.1 47 + + + + +
1 1 5 9 16 1 1 2.9 46 + + + + +
1 1 18 9 16 1 1 3.1 46 + + + + +
1 1 3 8 16 1 1 2.45 47 + + + + +
1 22 9 16 1 1 2 45 + + + + +
1 1 16 9 16 1 1 2.7 47 + + + + +
1 1 24 9 16 1 1 3.8 52 + + + + +
1 1 29 9 16 1 1 3.1 46 + + + + +
1 1 29 9 16 1 1 2.5 46 + + + + +
1 7 9 16 1 1 2.8 50 + + + + +
1 13 9 16 1 1 2.8 + + + + +
1 17 9 16 1 1 1.7 + + + + +
1 1 8 9 16 1 1 4.2 + + + + +
1 1 20 9 16 1 1 3 46 + + + + +
1 1 9 16 1 1 3,185 52 + + + + +
1 24 9 16 1 1 3.3 50 + + + + +
1 30 8 16 1 1 2.6 47 + + + + +
1 13 9 16 1 1 2.6 48 + + + + +
4 6 1 0 0 14 5 1 20 0 8 12
KOMPLIKA
KAEADAAN SI

KEBIDANA
N
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 1 30 7 16 1 1 3 49 + + + + +
1 27 6 16 1 1 2.1 45 + + + + +
1 3 8 16 1 1 3.2 48 + + + + +
1 1 7 8 16 1 1 3.2 50 + + + + +
1 1 15 9 16 1 1 2.8 48 + + + + +
1 1 2.6 47 + + + + +
1 34 9 16
1 1 2.7 48 + + + + +
1 1 28 9 16 1 1 3.3 48 + + + + +
0 0 4 0 0 5 2 0 8 0 3 5
7 8 9 0 0 37 12 1 50 1 25 26
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL

FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
>4x + + + + +
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT OKTOBER 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 521 Farchanah Edi Susanto 34 6 4 2 1 0 1
2 522 Emi Susilowati Imam T 32 10 4 2 1 0 1
3 523 Fitri Windasari Hendra E 23 7 8 1 0 0
4 524 Inayah Nur Waryo 27 2 11 1 0 0
5 525 Triyani Taryudi 38 3 6 3 1 1
6 526 Mutia Stevanus 28 6 4 2 1 0 1
7 527 Nurlaela Suparjjo 38 1 11 1 0 0
8 528 Peni Laras Andi Kriswanto 25 10 9 2 1 0
9 529 Dian Yunita Sumandar 31 8 9 3 2 0 1
10 530 Diana Suprapti Danu Wirawan 34 4 10 4 2 1 1
11 531 Linda Hidayanti Wahyu Yanuar 33 3 7 2 1 0 1
12 532 Siswanti Tasripin 25 7 1 2 1 0 1
Oktober
Tegalsari
13 533 Eni Hidayati Husni 35 9 1 2 1 0

14 534 Ichi Susilowati A. Adnan 23 10 2 1 0 0
15 535 Kuenaeni Sumarto 34 8 1 2 1 0
16 536 Sutirah Darna 29 1 1 2 1 0
17 537 Ratna I Imam. G 33 4 1 2 1 0 1
18 538 Ike Sandori 24 3 1 2 1 0
19 539 Yuni Retno Hermawan 27 2 3 2 1 0
20 540 Kaenah M.Nurcholid 35 8 3 2 1 0
21 541 Tri Handayani A. Sutiono 28 8 1 3 2 0
22 542 Anita Rajiman 32 10 1 4 1 2 1
23 543 Yuni Indrayati Edi Sunandar 35 4 2 4 3 0
24 544 Nur Hikmah Wira 26 3 1 1 0 0
25 545 Ema Ratna Agung P 30 3 3 2 1 0
26 546 Kuspraptiningsih Husni M 30 3 3A 1 0 0 1
Jml 26 546 10
UMUR
( th )
NO
N KOM
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 547 Deniati Diarto 30 8 7 3 2 0 1

2 548 Afrizka Agustin Sukma Dwi 19 7 5 1 0 0 1
3 549 Agnes Tanjung Cahyanto 23 7 5 1 0 0 1
4 550 Suswanti Kasmudi 28 4 7 1 0 0
5 551 Mega Renawati Jamaludin 21 3 8 1 0 0
6 552 Elfa Anisa Hari Putra 27 3 8 2 1 0 1
7 553 Cristyana A Mugi R 27 3 8 1 0 0 1
8 554 Eti Solekha M. Baiquni 32 8 3 3 1 1 1
Oktober
Kraton
Oktober
Kraton
9 555 Ade Nisa Febriyani M. Yasir A 29 6 7 ? ? ? 1
10 556 Mujianti Prayitno 29 10 4 1 0 0 1
11 557 Desi Dwi Ahmad Rifai 24 4 7 2 1 0
12 558 Eti Susanti Faizaj 22 8 4 1 0 0
13 559 Dwi Riski H Taufik 24 3 2 1 0 0
14 560 Sri Nurtiningsih Tohari 34 3 5 3 2 0 1
15 561 Prihatin Fredi Permana 28 8 1 1 0 0 1
16 562 Heni Utami Edi Susilo 39 3 2 3 2 0 1
17 563 Yeni Kristanti Moh. Amin 38 9 4 2 1
Jml 17 563 11
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 564 Parenti Kutniadi 20 2 1 1 0 0
2 565 Siti Nurjanah Husni 19 2 1 1 0 0
3 566 Ade Kiswanti Winoto 23 2 1 1 0 0
4 567 Sri Rohimi Daryanto 28 4 1 2 1 0
5 568 Indah Kurniasih Sahroni 23 5 1 1 0 0 1
6 569 Maezun A. Nahrawi 33 4 2 2 1 0
Oktober
Muarareja
7 570 Trisna Ifia Aji Yulia 25 3 2 1 0 0 1
8 571 Dewi Maruyati Darkasih 27 2 1 2 1 0

9 572 Erika Agus 19 2 2 1 0 0
10 573 Anita Dirman 23 2 2 2 1 0
11 574 Kiki Septiana Hengki 16 2 3 1 0 0
12 575 Murni Sutiman 33 4 1 3 2 0 1
Jml 12 575 1 4 3 1 0 0 0 3
KOMPLIKA
KAEADAAN SI

SALINAKES NON N
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 14 9 16 1 1 3.5 50 + + + + + Presbo
1 9 10 16 1 1 2.7 45 + + + + +
1 1 1 10 16 1 1 2.7 47 + + + + +
1 1 5 10 16 1 1 2.6 47 + + + + +
1 1 19 10 16 1 1 3.8 49 + + + + +
1 22 10 16 1 1 3.2 49 + + + + +
1 1 27 10 16 1 1 2.1 45 + + + + +
1 1 3 10 16 1 1 3.8 50 + + + + +
1 14 10 16 1 1 3.4 51 + + + + + Letli
1 6 10 16 1 1 3.2 49 + + + + + Riw SC
1 14 10 16 1 1 3.4 48 + + + + + PP
1 4 10 16 1 1 2.6 45 + + + + +
1 1 2 10 16 1 1 3.7 47 + + + + +
1 1 29 10 16 1 1 2.8 43 + + + + +
1 1 5 10 16 1 1 3.2 50 + + + + +
1 1 24 10 16 1 1 3.5 48 + + + + +
1 29 10 16 1 1 3 48 + + + + +
1 1 28 10 16 1 1 3 50 + + + + +
1 1 10 10 16 1 1 2.9 48 + + + + +
1 1 3 10 16 1 1 3 46 + + + + +
1 1 5 10 16 1 1 2.5 45 + + + + +
1 23 10 16 1 1 2.7 49 + + + + +
1 1 25 10 16 1 1 3.3 46 + + + + +
1 1 30 10 16 1 1 2.8 46 + + + + +
1 1 20 10 16 1 1 2.5 43 + + + + +
1 29 10 16 1 1 3.9 52 + + + + +
4 1 11 0 0 17 9 0 26 0 16 10
KOMPLIKA
KAEADAAN SI

N
SALINAKES NON
VIT A
FASKES
PB NIFA
TERTANGANI
(cm)
S
PUSK
BPM
TDK

RB
1 27 10 16 1 1 3.1 47 + + + + + KPD
1 6 10 16 1 1 2.2 - 45 + + + + + Kala 1 lama
1 17 10 16 1 1 3.2 47 + + + + +
1 1 30 10 16 1 1 3.7 50 + + + + +
1 1 1 10 16 1 1 3.5 45 + + + + +
1 25 10 16 1 1 3.2 48 + + + + +
1 19 10 16 1 1 3.2 50 + + + + +
1 27 10 16 1 1 3.6 50 + + + + + Riw SC
1 4 10 16 1 1 3.2 49 + + + + + Riw SC
1 27 10 16 1 1 2.8 48 + + + + + KPD
1 1 15 10 16 1 1 2.8 47 + + + + +
1 1 5 10 16 1 1 3.6 47 + + + + +
1 1 28 10 16 1 1 2.7 48 + + + + +
1 14 10 16 1 1 3.2 49 + + + + +
1 6 10 16 1 1 2.9 47 + + + + +
1 16 10 16 1 1 3 46 + + + + +
1 1 27 10 16 1 1 3 46 + + + + +
2 1 3 0 0 15 2 0 17 0 6 11
KOMPLIKA
KAEADAAN SI

KEBIDANA
N
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 1 13 9 16 1 1 3 46 + + + + + KPD
1 1 9 10 16 1 1 3 46 + + + + +
1 1 22 8 16 1 1 3.1 49 + + + + +
1 1 12 6 16 1 1 2.8 47 + + + + +
1 25 8 16 1 1 3.4 49 + + + + +
1 1 5 9 16 1 1 3 46 + + + + +
1 1 2.2 46 + + + + +
1 3 10 16
1 1 2.1 44 + + + + +
1 1 26 9 16 1 1 3.7 45 + + + + +
1 1 7 9 16 1 1 3.1 50 + + + + +
1 1 29 9 16 1 1 4 47 + + + + +
1 1 30 9 16 1 1 3 52 + + + + +
1 19 9 16 1 1 3.1 47 + + + + + Lintang
3 0 6 0 0 8 4 0 13 0 6 7
9 2 20 0 0 40 15 0 56 0 28 28
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL

FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
IUGR >4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
Asfiksia >4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT NOVEMBER 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 576 Indah Sulis Satyo Bima 29 8 4 2 1 0 1
2 577 Khodijah Agus 33 10 4 2 1 0 1
3 578 Setyowulan Yuyun M 39 1 8 3 2 0 1
4 579 Lani Susanti Toto P 39 1 4 5 4 0
5 580 Devi Puji a Ahm. Nur S 26 2 6 1 0 0 1
6 581 Mirfat Khan Widodo 29 5 5 4 3 1
7 582 Triana Indra 28 9 4 2 1 0
8 583 Dewi Setyowati Teguh Budi 25 10 4 4 1 2 1
9 584 Retno asih Agus 32 2 8 2 1 0 1
10 585 Nurul Khalimah Arif B 24 1 10 1 0 0
11 586 Eka Dwi Ningsih Ahmad Naufal 30 2 10 3 2 0
12 587 Rimayanti Dulwahid 32 9 9 2 1 0 1
13 588 Yuliatin Warsih Tio Tinggal P 34 7 9 4 3 0
14 589 Nurbaeti Sulaiman 36 1 2 2 1 0 1
15 590 Kustiati Eko Purwanto 42 3 10 2 1 0
November
16 591 Upi ekawati Himawan 30 2 7 3 1 1

Tegalsari
17 592 Umi Herawati Nurkholis 32 2 7 2 1 0

18 593 Indah Suhesti Yusmar 30 1 7 3 2 0
19 594 Nurhayati Darwanto 36 3 2 3 2 0
20 595 Leni haryati Rosikin 27 3 1 2 1 0
21 596 Dewi Kusrini Susmono 29 4 1 2 1 0
22 597 Eva Tresnawati Dedi Priyono 30 3 3 1 0 0 1
23 598 Dariyan Iman K 22 3 3 2 1 0
24 599 Sumiyati Subekhi 34 9 3 3 2 0
25 600 Siti Jumaroh saroni 24 6 1 1 0 0
26 601 Devi Ayu Dono 20 2 1 1 0 0
27 602 Ida Rosada Agung 29 2 3A 2 1 0
28 603 Endang Rokas Riyanto 40 1 1 3 2 0
29 604 Waidah wardi 32 5 3A 4 2 1
30 605 Istuning Wah Riyanto 32 10 2 2 1 0
31 606 Roisah Sodikin 38 10 2 5 4 0
32 607 Tri Hartati Suherman 37 2 3A 5 3 1
33 608 Tuti W Sutarto 30 3 2 3 2 0
Jml 33 608 10
UMUR
( th )
KELRH NO NO
N KEL KOM
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 609 Nurhayati Topo 31 8 6 2 1 0
2 610 Suneti Ahimsa K 22 8 2 2 1 0 1
3 611 indah Dwi Sigit arie 19 6 4 2 1 0
4 612 Maulidawati Rahmat 18 7 1 1 0 0
5 613 Yesi Tri Susanti Moh. Iqbal 27 3 3 2 1 0 1
November
6 614 Golis Lindra Irwan R 34 1 3 7 4 2

Kraton
7 615 Nur Rizki Rizki R 16 8 3 1 0 0

8 616 Dini Febriani Suleman 28 4 3 2 1 0 1
9 617 Dwi Andri Hendro D 29 8 7 2 1 0 1
10 618 Winda Apriatin M. Nababuri 25 1 7 1 0 0 1
11 619 Frizka Yulita Aditya 23 1 8 1 0 0 1
12 620 Sulis Sehaningsih Joko P 31 5 3 2 1 0 1
Jml 12 620 7
UMUR
( th )
NO
BLN KELRH
NO
PER NAMA IBU NAMA SUAMI RT/ RW
N KOM
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RS
1 621 Karwi Muniroh Kirmanto 34 5 1 3 2 0
2 622 Widyaningsih Waryoto 21 2 1 1 0 0
3 623 Nuriyah heri 26 5 2 2 1 0
November
Muarareja
4 624 Teti anugrah Wahyudi 21 4 1 1 0 0

5 625 Sinta debi 18 1 2 1 0 0
6 626 Niken septiana M. Rio Septian 18 1 2 1 0 0
7 627 lela Nur Kasim 23 3 2 1 0 0
8 628 Sumiyati Nurhasan 31 4 2 3 1 1
Jml 8 628 1 4 3 1 0 0 0 0
KOMPLIKA
KAEADAAN SI

SALINAKES NON N
PB VIT A
FASKES
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 4 11 16 1 1 3 49 + + + + +
1 28 8 16 1 1 2.8 49 + + + + +
1 16 10 16 1 1 3.4 49 + + + + +
1 1 13 11 16 1 1 3.8 50 + + + + +
1 20 11 16 1 1 2.8 48 + + + + +
1 16 11 16 1 1 3.2 47 + + + + +
1 1 20 11 16 1 1 3.2 50 + + + + +
1 22 11 16 1 1 3.7 49 + + + + +
1 16 11 16 1 1 3.3 48 + + + + +
1 1 1 11 16 1 1 2.9 48 + + + + +
1 1 12 11 16 1 1 3.1 47 + + + + +
1 13 11 16 1 1 3.6 48 + + + + +
1 1 12 11 16 1 1 2.8 47 + + + + +
1 6 9 16 1 1 3.1 50 + + + + +
1 1 16 11 16 1 1 3.6 48 + + + + +
1 1 18 11 16 1 1 2.8 50 + + + + +
1 1 12 11 16 1 1 2.8 48 + + + + +
1 1 27 11 16 1 1 2.9 45 + + + + +
1 1 5 11 16 1 1 3.2 48 + + + + +
1 1 5 11 16 1 1 2.4 48 + + + + +
1 1 5 11 16 1 1 3.1 51 + + + + +
1 2 11 16 1 1 2.4 51 + + + + + 1
1 1 9 11 16 1 1 4.1 51 + + + + +
1 1 9 11 16 1 1 3 + + + + +
1 1 11 11 16 1 1 3.2 47 + + + + +
1 1 17 11 16 1 1 3 47 + + + + +
1 1 10 11 16 1 1 3.6 52 + + + + +
1 1 15 11 16 1 1 3.1 47 + + + + + 1
1 1 4 11 16 1 1 2.8 47 + + + + +
1 1 23 11 16 1 1 3.4 48 + + + + +
1 1 24 11 16 1 1 2.8 48 + + + + +
1 1 29 11 16 1 1 3 48 + + + + +
1 1 21 11 16 1 1 3.1 45 + + + + +
7 3 13 0 0 29 4 0 33 0 12 21 2
KOMPLIKA
KAEADAAN SI
SALINAKES FASKES PERSALINAN NON NAKES JENIS PARTUS PARTUS LAHIR L/P BB (gram ) KF KEBIDANA
N
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
NIFA
(cm) S
PUSK
BPM
TDK
RB
1 1 11 11 16 1 1 2.5 49 + + + + +
1 15 11 16 1 1 3 49 + + + + + 1
1 1 28 11 16 1 1 3.1 49 + + + + +
1 1 23 11 16 1 1 3.6 + + + + +
1 13 11 16 1 1 3.1 47 + + + + +
1 1 11 11 16 1 1 4.2 + + + + +
1 1 17 11 16 1 1 3.3 47 + + + + +
1 16 11 16 1 1 2.7 46 + + + + +
1 8 11 16 1 1 3.6 48 + + + + +
1 4 11 16 1 1 3 48 + + + + +
1 4 11 16 1 1 3.8 46 + + + + +
1 25 11 16 1 1 3.3 49 + + + + +
2 0 3 0 0 11 1 0 12 0 7 5 1
KOMPLIKA
KAEADAAN SI

KEBIDANA
N
SALINAKES NON
VIT A
FASKES
PB
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
RB
1 1 4 11 16 1 1 3.5 49 + + + + +
1 1 30 10 16 1 1 3 47 + + + + +
1 1 13 7 16 1 1 3.6 50 + + + + +
1 1 28 8 16 1 1 2.9 + + + + +
1 1 8 11 16 1 1 3.5 49 + + + + +
1 1 18 11 16 1 1 3.2 47 + + + + +
1 1 12 11 16 1 1 + + + + +
1 1 11 11 16 1 1 3 46 + + + + +
1 0 7 0 0 8 0 0 8 0 6 2
10 3 23 0 0 48 5 0 53 0 25 28
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL

FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
KOMPLIKA
SI
NEONATAL KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TERTANGANI
TDK
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT DESEMBER 2016
UMUR
( th )
KELRH NO NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 629 Rantisah Purwadi 29 6 2 2 1 0 1
2 630 Triwanti Imam. S 25 2 1 1 0 0 1
3 631 Mei Lohanti Wanadi 33 10 3 2 1 0 1
4 632 Kustiyawati Ade R 32 10 2 2 1 0
5 633 Krisyuliana Yoki A 30 9 1 3 2 0 1
6 634 Nurul Chikmah Rasepta 26 2 2 1 0 0 1
7 635 Dian Ambansari Nurcholis 26 5 3A 2 1 0 1
8 636 Fabiola Widyaning Nurman 25 8 1 1 0 0 1
9 637 Raswati Witono 33 2 2 3 2 0 1
10 638 Nur Khotimah Surip 28 1 2 4 1 2 1
11 639 Christina Wahyu Aji 28 8 3 1 0 0 1
12 640 Fenti Ariani Nur Aji 22 5 3 1 0 0
Desember
Tegalsari
13 641 Anis Komariyah Hendra P 27 1 3A 3 2 0

14 642 Turyani Raswadi 22 2 1 2 1 0
15 643 Listianingsih Rudiansyah 29 3 6 4 3 0 1
16 644 Aline Hanif Isal 20 1 11 1 0 0
17 645 Rochyani Ropik 36 5 8 3 1 0 1
18 646 Emma Widiastuti Darmono 30 6 5 2 1 0
19 647 Astri N Mulyanto 25 5 11 1 0 0 1
20 648 Riris Hardian imam Santoso 28 5 5 2 1 0 1
21 649 Dinar Rizal 29 5 4 1 0 0 1
22 650 Sariah Agus Riyanto 36 2 8 2 1 0 1
23 651 Proborini Prima N Yuda Tri S 25 4 6 2 1 0 1
24 652 Nungki Suci Teguh M 21 2 10 1 0 0 1
25 653 Lutfiyani Alexa 27 6 9 1 0 0
26 654 Deasyi Paulasari Warto 29 2 12 2 1 0
Jml 26 654 15 3
UMUR
( th )
NO
N KEL KOM
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 655 Sulastri Daniel 39 11 5 3 2 0 1

2 656 Daroyani Suro 24 8 4 1 0 0
3 657 Elvi Sukaesih Waskito 30 8 2 3 2 0 1
Desember
4 658 Sofuroh M.Jupriadi 33 4 9 5 1 3 1

Kraton
5 659 Sakinah Safik 35 9 2 4 3 0

6 660 Fenty Sujeki 36 7 1 2 1 0 1
7 661 Frisca Ayu P Saiful A 25 8 5 3 2 0
8 662 Eka Kuntari Samsudin 28 1 7 2 1 0 1
Dese Jml 8 662 3 2
UMUR
( th )
NO
KELRH NO
KEL
20-24
25-29
30-34
35-39
40-44
45-49
< 20
G P A
RB
RS
1 663 Rini Gunawan 24 3 1 2 1 0 1
2 664 Kartika Pahing 39 5 1 3 2 0 1
Desember
3 665 Dewi Novianti Tomi 22 4 1 1 0 0

Muarareja
4 666 Heti Kurasih Raimah 20 2 2 1 0 0

5 667 Marlina Didin 26 2 2 2 1 0
6 668 Siti Qosidah A Taroni 27 3 2 2 1 0
7 669 Tarwin Junianto 17 2 2 1 0 0
Jml 7 669 1 4 3 1 0 0 0 0 2
KOMPLIKA KOMPLIKA
KAEADAAN SI

SALINAKES FASKES JENIS PARTUS PARTUS LAHIR L/P BB (gram ) KF KEBIDANA SI
N NEONATAL
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
1 30 11 16 1 1 3.8 49 + + + + + Riw.SC
1 25 11 16 1 1 3.1 49 + + + + +
1 2 12 16 1 1 2.9 49 + + + + + PP
1 1 7 12 16 1 1 3.8 49 + + + + +
1 6 11 16 1 1 4 46 + + + + +
1 15 12 16 1 1 3.4 49 + + + + + HbSag +
1 6 11 16 1 1 1.8 38 + + + + +
1 5 12 16 1 1 3 49 + + + + +
1 17 12 16 1 1 3.2 47 + + + + +
1 6 12 16 1 1 3.7 49 + + + + +
1 15 12 16 1 1 3.1 49 + + + + +
1 1 9 12 16 1 1 3.1 49 + + + + +
1 1 20 12 16 1 1 3.5 49 + + + + +
1 1 1 12 16 1 1 3.2 46 + + + + +
1 30 11 16 1 1 3.5 49 + + + + +
1 1 1 12 16 1 1 3 48 + + + + +
1 23 11 16 1 1 3.4 49 + + + + +
1 1 20 12 16 1 1 4 47 + + + + +
1 3 12 16 1 1 2.9 46 + + + + +
1 16 12 16 1 1 3.4 49 + + + + +
1 7 12 16 1 1 3.3 48 + + + + +
1 13 12 16 1 1 3.2 49 + + + + + 1
1 23 12 16 1 1 3.3 47 + + + + +
1 29 11 16 1 1 3.1 49 + + + + +
1 1 6 12 16 1 1 2.9 45 + + + + +
1 1 6 12 16 1 1 3 48 + + + + +
2 6 0 0 19 7 0 26 0 11 15 1
KOMPLIKA
KAEADAAN SI KOMPLIKA

LAHIR KEBIDANA NEONATAL
N
SALINAKES NON
PB VIT A
FASKES
TERTANGANI
TERTANGANI
NIFA
(cm) S
PUSK
BPM
TDK
1 30 11 16 1 1 3.5 50 + + + + +
1 1 13 12 16 1 1 2.2 45 + + + + + 1
1 27 11 16 1 1 2.7 49 + + + + +
1 2 12 16 1 1 3.1 49 + + + + +
1 1 12 12 16 1 1 3.8 51 + + + + +
1 24 12 16 1 1 3.3 49 + + + + +
1 1 9 12 16 1 1 3 48 + + + + +
1 14 12 16 1 1 3.6 49 + + + + +
0 3 0 0 6 2 0 8 0 2 6 1
KOMPLIKA KOMPLIKA
SALINAKES FASKES
JENIS PARTUS PARTUS KAEADAAN L/P BB (gram ) KF SI SI
LAHIR KEBIDANA
NEONATAL
N
SALINAKES NON
VIT A
FASKES
PB
TERTANGANI
TERTANGANI
(cm) NIFA
S
PUSK
BPM
TDK
1 17 10 16 1 1 3.3 48 + + + + +
1 17 11 16 1 1 3.2 47 + + + + +
1 1 7 11 16 1 1 3.3 47 + + + + +
1 1 8 11 16 1 1 3.2 46 + + + + +
1 1 23 11 16 1 1 3.1 47 + + + + +
1 1 14 12 16 1 1 3.5 48 + + + + +
1 1 17 12 16 1 1 3.2 46 + + + + +
0 5 0 0 7 0 0 7 0 3 4
2 14 0 0 32 9 0 41 0 16 25
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
KOMPLIKA
SI
NEONATAL
KELAS IBU HAMIL
FREKUENSI ANC
KB YG DIPAKAI
ANC TERPADU
STIKER P4K
PPIA
KET
TDK
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -
>4x + + + + -

By Name Persalinan 2016 PTB

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LAPORAN BY NAME PERSALINAN PUSKESMAS TEGAL BARAT JANUARI 2016

5 5 Eka Susilowati Suswoyo 32 6 10 2 1 0 1

6 6 Ike Yuliati Aji Nugroho 36 4 10 1 0 0 1

15 15 Yeni Indah M. Soleh 35 4 10 3 2 0

12 43 Umi Faizah Aditia M 31 4 2 2 1 0 1

PERSALINAN NON NAKES

SALINAKES FASKES JENIS PARTUS PARTUS L/P BB (gram ) KF SI

PN SC VE TGL BLN TH H M L P < 2.5 > 2.5 1 2 3 4

SALINAKES FASKES JENIS PARTUS PARTUS L/P BB (gram ) KF SI

1 89 Yayah Siti Fani Fahruroji 32 6 4 1 0 0 1

5 106 Siti Faizah Sobirin 30 5 1 2 1 0

PERSALINAN NON NAKES

SALINAKES FASKES JENIS PARTUS PARTUS N LAHIR L/P BB (gram ) KF KEBIDANA SI

PN SC VE TGL BLN TH H M L P < 2.5 > 2.5 1 2 3 4

SALINAKES FASKES JENIS PARTUS PARTUS L/P BB (gram ) KF SI

11 121 Siti Rofikotul Janah Agus Bakhtiar 17 7 2 1 0 0

12 122 Eka Kismawati Sukarno 30 8 1 2 1 0 1

1 133 Yulu Setiawati Andi Dwi 34 6 4 4 3 0

8 140 Nelasari Irwan 27 2 9 2 1 0 1

5 151 Rochati Dauri 34 2 1 1 0 0

PERSALINAN NON NAKES

SALINAKES FASKES JENIS PARTUS PARTUS N LAHIR L/P BB (gram ) KF SI

PN SC VE TGL BLN TH H M L P < 2.5 > 2.5 1 2 3 4

KELAS IBU HAMIL

20 175 Titin Erdiyati Decky 32 9 4 2 1 0

21 176 Dina Aries Zaenal 30 6 5 1 0 0 1

15 210 Fatimah Mukhsin 35 5 1 1 0 0 1

8 232 Maghfirotul Ahm. Sochin 20 3 3 1 0 0

PERSALINAN NON NAKES

SALINAKES FASKES JENIS PARTUS PARTUS L/P BB (gram ) KF

SALINAKES FASKES JENIS PARTUS PARTUS L/P BB (gram ) KF

KELAS IBU HAMIL

KELAS IBU HAMIL

17 256 Fitrianah Abdul Asid 26 6 5 2 1 0

18 257 Rosi Rostiana Tholib 20 1 5 2 1 0 1

9 282 Nur Inayah Eko 23 6 6 1 0 0

10 283 Sri Pujiati Adi Subekhi 28 3 5 2 1 0

9 299 Maryati Rukijan 36 5 2 3 2 0

10 300 Anita Waryo 26 1 2 1 0 0 1

PERSALINAN NON NAKES

SALINAKES FASKES JENIS PARTUS PARTUS L/P BB (gram ) KF

KELAS IBU HAMIL

12 320 Indriyani Ami 30 1 2 3 1 1 1

13 321 Dwi Elsani - 16 2 3A 1 0 0 1

17 325 Rosita Umam 31 5 1 2 1 0 1

18 326 Wiwi Astuti Karman 23 10 2 2 0 1 1

12 355 Astika N Suroso 22 1 6 1 0 0

13 356 Eka Reni Syahrudin 32 8 1 3 1 1 1

1 367 Pipit Arbiansyah 24 5 1 1 0 0 RS

3 369 Desi Nur O Rosandi 25 4 1 1 0 0

4 370 Suniti Kalimun 33 3 1 2 1 0

PERSALINAN NON NAKES

SALINAKES FASKES JENIS PARTUS PARTUS LAHIR L/P BB (gram ) KF KEBIDANA

SALINAKES FASKES JENIS PARTUS PARTUS L/P BB (gram ) KF

KELAS IBU HAMIL

17 388 Umi Maesaroh Sabar 18 7 1 1 0 0

18 389 Ardin Rinanti Eki 23 7 1 2 1 0 1

1 405 Hana Febriana Syahroni 29 5 3 1 0 0 1

5 409 Dinayah Wasikin 24 4 2 1 0 0

5 417 Wiwit Safari 24 2 2 1 0 0 1

6 418 Widiawati Warto 28 1 2 1 0 0

PERSALINAN NON NAKES

SALINAKES FASKES JENIS PARTUS PARTUS LAHIR L/P BB (gram ) KF

PN SC VE TGL BLN TH H M L P < 2.5 > 2.5 1 2 3 4