Format Askeb Mu Rahayu Fitri

Nama Bidan : RAHAYU FITRI
Pelayanan : ANC
Periode Kegiatan : 2019 - 2020
No Tanggal Nama Pasien Umur Alamat Keluhan
1 4/28/2019 IRMAYANTI 25 GUNUNG TUNYANG KONTROL ANC

2 5/15/2019 SULISTIANA 30 TUNYANG INDUK KONTROL ANC
3 5/16/2019 NOVIANA 26 LAMPAHAN BARAT KONTROL ANC
4 5/17/2019 YATINI 27 LAMPAHAN INDUK KONTROL ANC
5 5/18/2019 NGATIYEM 30 CEKAL KONTROL ANC
6 5/19/2019 MARINEM 34 SUMBER JAYA KONTROL ANC
7 5/19/2019 HENIWATI 35 MEKAR AYU KONTROL ANC
8 6/12/2019 SIPON 31 KAMPUNG BARU 76 KONTROL ANC
9 6/12/2019 RAHMI 24 CEKAL KONTROL ANC
10 6/12/2019 ITA WARNI 28 SIMPANG LAYANG KONTROL ANC
11 6/12/2019 KARNI 30 LAMPAHAN KONTROL ANC
12 6/12/2019 RIMA 38 SUMBER JAYA KONTROL ANC
13 6/12/2019 LINAWATI 33 MEKAR AYU KONTROL ANC
14 6/12/2019 SUKINAH 27 DAMARAN BARU KONTROL ANC
15 6/12/2019 JAMAILAH 23 KENINE KONTROL ANC
16 7/13/2019 LEDIKA 33 FAJAR HARAPAN KONTROL ANC
17 7/13/2019 NURMALASARI 35 BANDAR LAMPAHAN KONTROL ANC
18 7/13/2019 CAHAYA 36 SUMBER JAYA KONTROL ANC
19 7/13/2019 NURBAITI 39 LAMPAHAN KONTROL ANC
20 7/13/2019 Suci Rahmadani 40 SUMBER JAYA KONTROL ANC
21 7/13/2019 Kartina Wati 32 GUNUNG TUNYANG KONTROL ANC
22 7/13/2019 Isnaini 34 GUNUNG TUNYANG KONTROL ANC
23 7/13/2019 YTUMINI 26 TUNYANG INDUK KONTROL ANC
24 9/14/2019 PONISEM 38 LAMPAHAN BARAT KONTROL ANC
25 9/14/2019 YUANITA 42 LAMPAHAN INDUK KONTROL ANC
26 9/14/2019 KIKI WIDYAWATI 37 CEKAL KONTROL ANC
27 9/14/2019 MARSALI 43 SUMBER JAYA KONTROL ANC
28 9/14/2019 MAISARI 29 MEKAR AYU KONTROL ANC
29 9/14/2019 ANGGI 33 KAMPUNG BARU 76 KONTROL ANC
30 10/15/2019 WIDI ARISTA 26 CEKAL KONTROL ANC
31 10/15/2019 AZKIA 38 SIMPANG LAYANG KONTROL ANC
32 10/15/2019 TUMINI 32 LAMPAHAN KONTROL ANC
33 10/15/2019 SULASTRI 44 SUMBER JAYA KONTROL ANC
34 11/20/2019 NGATINAH 40 MEKAR AYU KONTROL ANC
35 11/20/2019 ERLINA 26 DAMARAN BARU KONTROL ANC
36 11/20/2019 ANUM 37 KENINE KONTROL ANC
37 11/20/2019 AMNI 40 FAJAR HARAPAN KONTROL ANC
38 11/20/2019 SUSWANTI 32 BANDAR LAMPAHAN KONTROL ANC
39 11/20/2019 NGATINEM 39 SUMBER JAYA KONTROL ANC
40 12/5/2019 SARNI 27 LAMPAHAN KONTROL ANC
41 12/5/2019 KARIATI 28 SUMBER JAYA KONTROL ANC
42 12/5/2019 SABANIAH 35 GUNUNG TUNYANG KONTROL ANC
43 12/5/2019 FITRIANTI 43 GUNUNG TUNYANG KONTROL ANC
44 12/5/2019 SANTI 36 TUNYANG INDUK KONTROL ANC
45 12/5/2019 YATINI 26 LAMPAHAN BARAT KONTROL ANC
46 12/5/2019 WULAN 29 LAMPAHAN INDUK KONTROL ANC
47 12/5/2019 SHINTA 31 CEKAL KONTROL ANC
48 12/21/2019 KARNI 33 SUMBER JAYA KONTROL ANC
49 12/21/2019 WANDA 26 MEKAR AYU KONTROL ANC
50 12/21/2019 TINA 25 KAMPUNG BARU 76 KONTROL ANC
REKAPITULASI PELAYANAN
ANTENATAL CARE
Pemeriksaan
Taksiran Persalinan
Reflek Patela (+/-)

Usia Kehamilan
Status G P A
TD (mmHg)
LILA (Cm)
TFU (Cm)
BB (Kg)
G1P0A0 21 mg 8/21/2019 58 kg 110/80 mmhg 29 cm - +

G201A0 38 mg 5/29/2019 60 kg 12080 mmhg 30 cm 33 cm +
G201A0 19 mg 9/8/2019 55 kg 100/70 mmhg 25 cm - +
G1P0A0 22 mg 11/20/2019 54 kg 110/80 mmhg 25 cm 31 cm +
G1P0A0 23 mg 8/9/2019 56 kg 120/80 mmhg 26 cm - +
G2P1A0 37 mg 9/20/2019 58 kg 120/80 mmhg 28 cm - +
G3P0A2 16 mgg 12/17/2019 53 kg 110/80 mmhg 25 cm 25 cm +
G1P0A0 15mg 11/16/2019 55 kg 100/80 mmhg 28 cm 26 cm +
G3P2A0 34 mg 7/12/2019 60 kg 110/80 mmhg 30 cm - +
G4P2A1 22 mg 10/1/2019 57 kg 100/80 mmhg 26 cm - +
G1P0A0 26 mg 8/18/2019 68 kg 120/80 mmhg 26cm - +
G4P2A1 21 mg 11/3/2019 52 kg 120/80 mmhg 25 cm - +
G1P0A0 36 mg 9/3/2019 64 kg 120/80 mmhg 29 cm - +
G2P1A0 25 mg 11/11/2019 57 kg 110/80 mmhg 27 cm - +
G3P0A2 18 mg 12/24/2019 58 kg 12080 mmhg 30 cm - +
G2P1A0 30 mg 9/23/2019 60 kg 100/70 mmhg 30 cm - +
G1P0A0 21 mg 11/17/2019 58 kg 120/80 mmhg 26 cm - +
G201A0 16 mg 12/21/2019 55 kg 110/80 mmhg 25 cm - +
G1P0A0 22 mg 1/18/2020 56 kg 12080 mmhg 27 cm 31 cm +
G1P0A0 12 mg 2/13/2020 50 kg 100/70 mmhg 30 cm - +
G2P1A0 24 mg 1/1/2020 59 kg 110/80 mmhg 26cm 25 cm +
G201A0 20 mg 1/24/2020 57 kg 120/80 mmhg 25 cm - +
G201A0 4 mg 5/12/2020 50 kg 120/80 mmhg 25 cm 25 cm +
G2P1A0 15mg 3/4/2020 54 kg 100/80 mmhg 25 cm - +
G2P1A0 19 mg 3/18/2020 55 kg 110/80 mmhg 25 cm - +
G3P0A2 22 mg 4/23/2020 56 kg 12080 mmhg 27 cm - +
G1P0A0 13 mg 5/21/2020 59 kg 110/80 mmhg 26cm - +
G3P2A0 22 mg 4/2/2020 55 kg 120/80 mmhg 25 cm - +
G4P2A1 28 mg 2/8/2020 55 kg 120/80 mmhg 25 cm - +
G4P2A1 21 mg 4/21/2020 57 kg 100/80 mmhg 25 cm - +
G2P1A0 24 mg 3/20/2020 57 kg 120/80 mmhg 27 cm - +
G201A0 21 mg 4/21/2020 55 kg 110/80 mmhg 25 cm +
Nama Kab / Kota :
Nama Kab / Kota : Bener Meriah
Provinsi : Aceh
Pelayanan
PMT Bumil KEK
Pemberian Fe
Ikut Kelas Ibu

DJJ (x/menit)
Komplikasi Tata Laksana Keterangan
140x/menit fe1 - √ - - Ruang Kia

140x/menit fe3 - √ - - Posyandu
- fe2 - √ - - Posyandu
- fe2 - √ - - Ruang Kia
120X/Menit fe2 - √ - - Posyandu
130X/Menit fe2 - √ - - Ruang Kia
REKAPITUL
KUNJU

Pelayanan : Ibu Nifas
Kunjungan Nifas
No Tanggal Nama Pasien Umur Alamat
KF1 KF2
1 01-04-2020 WARNI 23 SUMBER JAYA 03-04-20 -
2 14-04-2020 MARDIAH 28 GUNUNG TUNYANG 17-04-20 -
3 15-04-2020 NINA 29 TUNYANG INDUK 18-04-20 -
4 16-04-2020 KARLINA 28 LAMPAHAN BARAT 19-04-20 -
5 20-04-2020 MONA 21 LAMPAHAN INDUK 23-04-20 -
6 23-04-2020 YASMIN 28 CEKAL 26-04-20 -
7 24-05-2020 SASA 20 SUMBER JAYA 27-05-20 -
8 28-05-2020 MERLIN 28 MEKAR AYU 01-05-20 -
9 27-05-2020 SHELA 38 KAMPUNG BARU 76 02-05-20 -
10 29-05-2020 HERLIN 37 CEKAL - 06-06-20
11 30-06-2020 PAMELA 28 SIMPANG LAYANG - 07-07-20
12 01-06-2020 NAURA 28 LAMPAHAN - 08-07-20
13 04-06-2020 MARYANI 40 SUMBER JAYA - 10-07-20
14 07-07-2020 RITA 38 MEKAR AYU - 14-08-20
15 09-08-2020 DINA 28 DAMARAN BARU - 16-09-20
16 21-09-2020 UUT PERMATA 30 KENINE - 21-10-20
17 14-09-2020 GITA 28 FAJAR HARAPAN - 21-10-20
18 14-09-2020 HENI 33 BANDAR LAMPAHAN - -
19 17-11-2020 DENI 28 SUMBER JAYA - -
20 23-11-2020 SETIAWATI 23 LAMPAHAN - -
21 04-01-2021 MAISYARAH 27 SUMBER JAYA 07-01-21 -
22 10-01-2021 ZAHRIYANI 34 GUNUNG TUNYANG 13-01-21 -
23 11-01-2021 PONISEM 28 TUNYANG INDUK 14-01-21 -
24 16-01-2021 GIRAH 30 LAMPAHAN BARAT 19-01-21 -
25 17-01-2021 WARTI 28 LAMPAHAN INDUK 20-01-21 -
26 19-01-2021 Fatimah 31 CEKAL - 28-02-21
27 23-01-2021 Syarifah 34 SUMBER JAYA - 29-02-21
28 24-01-2021 Maisyarah 28 MEKAR AYU - 30-02-21
29 25-01-2021 Lusiana 20 KAMPUNG BARU 76 - 01-02-21
30 16-02-2021 Mawaddah 37 CEKAL - 19-03-21
31 17-02-2021 Asmaniar 28 SIMPANG LAYANG - -
32 23-02-2021 Rosita 33 LAMPAHAN - -
33 24-02-2021 Rita Arisna 28 SUMBER JAYA - -
34 26-02-2021 Salmiati 30 MEKAR AYU - -
35 24-11-2021 Latifah 28 DAMARAN BARU - -
36 15-12-2021 Roslina 34 KENINE 18-12-2021 -
37 05-01-2022 Halimah 28 FAJAR HARAPAN 08-01-2022 -
38 10-01-2022 Rosdiana 20 BANDAR LAMPAHAN 13-01-2021 -
39 12-02-2022 Mahbengi 37 SUMBER JAYA 15-02-2022 -
40 18-02-2022 Nur Azizah 28 LAMPAHAN 21-02-2022 -
41 15-03-2022 Jamaliah 33 SUMBER JAYA - 22-04-2022
42 19-03-2022 Ledika Putri 28 GUNUNG TUNYANG - 19-03-2022
43 20-01-2023 Nurmalasari 30 TUNYANG INDUK - -
44 16-04-2023 Cahaya Intani 28 LAMPAHAN BARAT - -
45 27-05-2023 Nurbaiti 28 LAMPAHAN INDUK -
KUNJUNGAN NIFAS
Nama Kab / Kota

Nama Kab / Kota
Provinsi
Kunjungan Nifas Kunjungan Neonatus

KF3 IMD ASI Eksklusif KN1 KN2 KN3 IMD ASI Eksklusif
- √ √ - - - √ √
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13-10-20 √ - - - - √ -
14-12-20 √ √ - - - √ √
18-12-20 √ √ - - - √ √
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16-03-21 √ √ - - - √ √
20-03-21 √ √ - - - √ √
20-03-21 √ √ - - - √ √
21-03-21 √ √ - - - √ √
19-12-21 √ √ - - - √ √
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- √ √ - - - √ √
18-02-2023 √ √ - - - √ √
14-05-2023 √ √ - - - √ √
25-06-2023 √ √ - - - √ √
a Kab / Kota :
a Kab / Kota : Bener Meriah
: Aceh

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REKAPITULASI PEL
KUNJUNGAN NEO

Pelayanan : Neonatus
Kunjungan Nifas
No Tanggal Nama Pasien Umur Alamat
KF1 KF2 KF3
1 01-04-2020 WARNI 23 SUMBER JAYA - - -
2 14-04-2020 MARDIAH 28 GUNUNG TUNYANG - - -
3 15-04-2020 NINA 29 TUNYANG INDUK - - -
4 16-04-2020 KARLINA 28 LAMPAHAN BARAT - - -
5 20-04-2020 MONA 21 LAMPAHAN INDUK - - -
6 23-04-2020 YASMIN 28 CEKAL - - -
7 24-05-2020 SASA 20 SUMBER JAYA - - -
8 28-05-2020 MERLIN 28 MEKAR AYU - - -
9 27-05-2020 SHELA 38 KAMPUNG BARU 76 - - -
10 29-05-2020 HERLIN 37 CEKAL - - -
11 30-06-2020 PAMELA 28 SIMPANG LAYANG - - -
12 01-06-2020 NAURA 28 LAMPAHAN - - -
13 04-06-2020 MARYANI 40 SUMBER JAYA - - -
14 07-07-2020 RITA 38 MEKAR AYU - - -
15 09-08-2020 DINA 28 DAMARAN BARU - - -
16 21-09-2020 UUT PERMATA 30 KENINE - - -
17 14-09-2020 GITA 28 FAJAR HARAPAN - - -
18 14-09-2020 HENI 33 BANDAR LAMPAHAN - - -
19 17-11-2020 DENI 28 SUMBER JAYA - - -
20 23-11-2020 SETIAWATI 23 LAMPAHAN - - -
21 04-01-2021 MAISYARAH 27 SUMBER JAYA - - -
22 10-01-2021 ZAHRIYANI 34 GUNUNG TUNYANG - - -
23 11-01-2021 PONISEM 28 TUNYANG INDUK - - -
24 16-01-2021 GIRAH 30 LAMPAHAN BARAT - - -
25 17-01-2021 WARTI 28 LAMPAHAN INDUK - - -
26 19-01-2021 FATIMAH 31 CEKAL - - -
27 23-01-2021 SYARIFAH 34 SUMBER JAYA - - -
28 24-01-2021 MAISYARAH 28 MEKAR AYU - - -
29 25-01-2021 LUSIANA 20 KAMPUNG BARU 76 - - -
30 16-02-2021 MAWADDAH 37 CEKAL - - -
31 17-02-2021 ASMANIAR 28 SIMPANG LAYANG - - -
32 23-02-2021 ROSITA 33 LAMPAHAN - - -
33 24-02-2021 RITA 28 SUMBER JAYA - - -
34 26-02-2021 SALMIATI 30 MEKAR AYU - - -
35 24-11-2021 LATIFAH 28 DAMARAN BARU - - -
36 15-12-2021 ROSLINA 34 KENINE - - -
37 05-01-2022 HALIMAH 28 FAJAR HARAPAN - - -
38 10-01-2022 ROSDIANA 20 BANDAR LAMPAHAN - - -
39 12-02-2022 MAHBENGI 37 SUMBER JAYA - - -
40 18-02-2022 NUR AZIZAH 28 LAMPAHAN - - -
41 15-03-2022 JAMALIAH 33 SUMBER JAYA - - -
42 19-03-2022 LEDIKA 28 GUNUNG TUNYANG - - -
43 20-01-2023 NURMASARI 30 TUNYANG INDUK - - -
44 16-04-2023 CAHAYA 28 LAMPAHAN BARAT - - -
45 27-05-2023 NURBAITI 28 LAMPAHAN INDUK - - -
KUNJUNGAN NEONATUS
Nama Kab / Kota :

Provinsi : Aceh
jungan Nifas Kunjungan Neonatus

Komplikasi Tata Laksana
IMD ASI Eksklusif KN1 KN2 KN3 IMD ASI Eksklusif
√ √ 03-04-20 - - √ √ - -
√ √ 17-04-20 - - √ √ - -
√ √ 18-04-20 - - √ √ - -
√ √ 19-04-20 - - √ √ - -
√ √ 23-04-20 - - √ √ - -
√ - 26-04-20 - - √ √ - -
√ √ 27-05-20 - - √ √ - -
√ √ 01-05-20 - - √ √ - -
√ - 02-05-20 - - √ √ - -
√ √ - 06-06-20 - √ √ - -
√ √ - 07-07-20 - √ √ - -
√ √ - 08-07-20 - √ √ - -
√ - - 10-07-20 - √ √ - -
√ √ - 14-08-20 - √ √ - -
√ √ - 16-09-20 - √ √ - -
√ √ - 21-10-20 - √ √ - -
√ √ - 21-10-20 - √ √ - -
√ - - - 13-10-20 √ √ - -
√ √ - - 14-12-20 √ √ - -
√ √ - - 18-12-20 √ √ - -
√ √ 07-01-21 - - √ √ - -
√ √ 13-01-21 - - √ √ - -
√ √ 14-01-21 - - √ √ - -
√ √ 19-01-21 - - √ √ - -
√ √ 20-01-21 - - √ √ - -
√ √ - 28-02-21 - √ √ - -
√ √ - 29-02-21 - √ √ - -
√ √ - 30-02-21 - √ √ - -
√ √ - 01-02-21 - √ √ - -
√ √ - 19-03-21 - √ √ - -
√ √ - - 16-03-21 √ √ - -
√ √ - - 20-03-21 √ √ - -
√ √ - - 20-03-21 √ √ - -
√ √ - - 21-03-21 √ √ - -
√ √ - - 19-12-21 √ √ - -
√ √ 18-12-2021 - - √ √ - -
√ √ 08-01-2022 - - √ √ - -
√ √ 13-01-2021 - - √ √ - -
√ √ 15-02-2022 - - √ √ - -
√ √ 21-02-2022 - - √ √ - -
√ √ - 22-04-2022 - √ √ - -
√ √ - 19-03-2022 - √ √ - -
√ √ - - 18-02-2023 √ √ - -
√ √ - - 14-05-2023 √ √ - -
√ √ - - 25-06-2023 √ √ - -
Keterangan
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Rumah Ibu
Pelayanan : IMUNISASI
Jenis Kelamin
No Nama Bayi Tgl Lahir Nama Orang Tua
P L
1 JULIMA 7/7/2019 √ LUSI

2 ABIU 7/15/2019 √ SARNI
3 ANDANI 8/2/2019 √ WATI
4 PUTRI 9/20/2019 √ BONIEM
5 MUHAMMAD 10/15/2019 √ PARNI
6 JAYANTAKA 1/5/2020 √ WULAN
7 MIQAD 2/10/2020 √ SISKA
8 MAHARDIKA 3/4/2020 √ MAHLINA
9 ARGANI 3/17/2020 √ SANTI
10 HILYA 4/28/2020 √ ANGGI
11 KHANSA 5/20/2020 √ RISA
12 AINI 6/14/2020 √ DINDA
13 CHIKA 7/10/2020 √ TINA
14 CANTIKA 1/5/2021 √ LELI
15 FAIZ 3/8/2021 √ YANI
16 RASYID 3/16/2021 √ JULI
17 ANDRIAN 4/2/2021 √ APRIL
18 BISMA 5/16/2021 √ PUTRI
19 HUMAIRA 6/23/2021 √ DEVI
20 AIDAN 7/3/2021 √ RATNA
21 FARZAN 8/10/2021 √ SENTIA
22 HAFIZ 9/30/2021 √ SARAH
23 PUTRIANI 10/14/2021 √ MELA
24 MADANI 11/20/2021 √ ZELIN
25 EMIRA 11/27/2021 √ LINA
26 ZAKIYA 12/11/2021 √ EKA
27 GITA 12/19/2021 √ RINI
28 JAYANTI 1/4/2022 √ DINI
29 YULIANA 1/15/2022 √ NELI
30 PUTRA 1/16/2022 √ IRUM
31 CANTIKA 1/17/2022 √ ERNI
32 KHADIJJAH 1/19/2022 √ LINDA
33 ASYIFA 1/31/2022 √ YUNITA
34 RAHMAN 1/25/2022 √ NURMA
35 YOGI 1/13/2022 √ JUMIAT
36 ARIGA 2/19/2022 √ EVI
37 ARKI 2/26/2022 √ JARNIATI
38 KIO ANARA 3/22/2022 √ SIROS
39 SHAKILA 3/22/2022 √ KHAIRANI
40 WAHYUNI 4/6/2022 √ ZENAP
41 MAHARANI 4/11/2023 √ INTAN
42 RAUDAHTUNISA 5/25/2023 √ MELAN
43 CAHYANI 5/28/2023 √ NIK
44 GIBRAN HALIL 6/11/2023 √ TINEM
45 FAHLEFI 6/8/2023 √ ERSANTI
46 JAENAB 7/11/2023 √ SUSI
47 RIA 7/25/2023 √ CINTA
48 PONISEM 7/28/2023 √ JEJE
49 SANTI 7/11/2023 √ TARI
50 TINA 7/8/2023 √ RINA
IMUNISASI
Imunisasi Dasar
Alamat HB 0 DPT / HB DPT / HB DPT / HB
BCG
Uniject COMBO 1 COMBO 2 COMBO 3
SUKA DAMAI 7/7/2019 8/9/2019 9/17/2019 10/7/2019 11/17/2019
BUKIT MULIE 7/15/2019 8/18/2019 9/18/2019 10/15/2019 11/20/2019
SUMBER JAYA 8/2/2019 9/5/2019 10/5/2019 11/2/2019 12/5/2019
TIMANG RASA 9/20/2019 10/22/2019 11/19/2019 12/20/2019 1/23/2020
TUNYANG 10/15/2019 11/25/2019 18/012/2020 1/15/2020 2/18/2020
SUKA DAMAI 1/5/2020 2/8/2020 3/9/2020 4/18/2020 5/8/2020
MEKAR AYU 2/10/2020 3/11/2020 4/16/2020 5/15/2020 6/15/2020
BANDAR LAMPAHAN 3/4/2020 4/5/2020 5/7/2020 6/6/2020 7/8/2020
CEKAL 3/17/2020 4/27/2020 5/29/2020 6/28/2020 7/29/2020
SUMBER JAYA 4/28/2020 5/21/2020 6/22/2020 7/23/2020 8/30/2020
SUKA DAMAI 5/20/2020 6/22/2020 7/23/2020 8/25/2020 9/25/2020
BUKIT MULIE 6/14/2020 7/17/2020 9/25/2020 10/27/2020 11/28/2020
SUMBER JAYA 7/10/2020 8/11/2020 9/12/2020 10/13/2020 11/15/2020
SIMPANG LAYANG 1/5/2021 2/7/2021 3/11/2021 4/10/2021 5/15/2021
LAMPAHAN 3/8/2021 4/18/2021 5/20/2021 6/21/2021 7/10/2021
SUMBER JAYA 3/16/2021 4/18/2021 5/18/2021 6/19/2021 7/18/2021
MEKAR AYU 4/2/2021 5/5/2021 6/11/2021 7/10/2021 8/5/2021
DAMARAN BARU 5/16/2021 6/16/2021 7/25/2021 8/26/2021 9/19/2021
KENINE 6/23/2021 7/23/2021 8/23/2021 10/25/2021 11/26/2021
FAJAR HARAPAN 7/3/2021 8/3/2021 9/6/2021 10/5/2021 11/8/2021
BANDAR LAMPAHAN 8/10/2021 9/10/2021 10/14/2021 11/15/2021 1812/2021
SUMBER JAYA 9/30/2021 10/30/2021 11/28/2021 12/29/2021 1/30/2022
LAMPAHAN INDUK 10/14/2021 11/15/2021 12/21/2021 1/18/2022 2/20/2022
SUKA DAMAI 11/20/2021 12/21/2021 1/24/2022 2/24/2022 4/25/2022
FAJAR HARAPAN 11/27/2021 12/27/2021 1/28/2022 29/02/2022 3/29/2021
TIMANG RASA 12/11/2021 1/12/2022 2/18/2022 3/15/2022 4/19/2022
KENINE 12/19/2021 1/19/2022 2/20/2022 3/21/2022 4/23/2022
BANDAR LAMPAHAN 1/4/2022 2/6/2022 3/11/2022 4/10/2022 5/14/2022
DAMARAN BARU 1/15/2022 2/18/2022 3/21/2022 4/20/2022 5/22/2022
KARANG JADI 1/16/2022 2/19/2022 3/20/2022 4/21/2022 5/26/2022
LAMPAHAN BARAT 1/17/2022 2/21/2022 3/21/2022 4/22/2022 5/20/2022
GUNUNG TUNYANG 1/19/2022 2/21/2022 3/20/2022 4/25/2022 5/29/2022
CEKAL BARU 1/31/2022 3/1/2022 4/2/2022 5/1/2022 6/4/2022
KAMPUG BARU 76 1/25/2022 2/28/2022 3/29/2022 4/28/2022 5/23/2022
SUMBER JAYA 1/13/2022 2/18/2022 3/18/2022 4/18/2022 5/23/2022
GUNUNG TUNYANG 2/19/2022 3/21/2022 4/22/2022 5/21/2022 6/22/2022
TUNYANG INDUK 2/26/2022 3/25/2022 4/25/2022 5/28/2022 6/23/2022
LAMPAHAN BARAT 3/22/2022 2/25/2022 3/25/2022 4/27/2022 5/29/2022
LAMPAHAN INDUK 3/22/2022 4/27/2022 5/28/2022 6/29/2022 7/30/2022
CEKAL 4/6/2022 5/9/2022 6/12/2022 7/11/2022 8/10/2022
SUMBER JAYA 4/11/2023 5/15/2023 6/24/2023 7/25/2023 8/27/2023
BANDAR LAMPAHAN 5/25/2023 6/27/2023 7/27/2023 8/28/2023 9/26/2023
LINUNG BALE 5/28/2023 6/30/2023 7/28/2023 8/30/2023 25/0/92023
SUKA DAMAI 6/11/2023 7/15/2023 8/16/2023 9/18/2023 10/19/2023
SETIE 6/8/2023 7/10/2023 8/13/2023 9/11/2023 10/18/2023
SUMBER JAYA 7/11/2023 8/15/2023 9/24/2023 10/25/2023 11/27/2023
BANDAR LAMPAHAN 7/25/2023 8/27/2023 9/27/2023 10/28/2023 11/26/2023
LINUNG BALE 7/28/2023 8/30/2023 9/28/2023 10/30/2023 25/011/2023
SUKA DAMAI 7/11/2023 8/15/2023 9/16/2023 10/18/2023 11/19/2023
SETIE 7/8/2023 8/10/2023 9/13/2023 10/11/2023 11/18/2023
:
Provinsi : Aceh
Imunisasi Dasar
Keterangan
Polio 1 Polio 2 Polio 3 Polio 4 Campak
8/9/2019 9/17/2019 10/7/2019 11/17/2019 1/18/2021 POSYANDU

8/18/2019 9/18/2019 10/15/2019 11/20/2019 1/18/2021 POSYANDU
9/5/2019 10/5/2019 11/2/2019 12/5/2019 2/20/2021 POSYANDU
10/22/2019 11/19/2019 12/20/2019 1/23/2020 3/25/2021 POSYANDU
11/25/2019 18/012/2020 1/15/2020 2/18/2020 4/20/2021 POSYANDU
2/8/2020 3/9/2020 4/18/2020 5/8/2020 7/10/2021 POSYANDU
3/11/2020 4/16/2020 5/15/2020 6/15/2020 8/25/2021 POSYANDU
4/5/2020 5/7/2020 6/6/2020 7/8/2020 9/10/2021 POSYANDU
4/27/2020 5/29/2020 6/28/2020 7/29/2020 9/30/2021 POSYANDU
5/21/2020 6/22/2020 7/23/2020 8/30/2020 10/28/2021 POSYANDU
6/22/2020 7/23/2020 8/25/2020 9/25/2020 11/27/2021 POSYANDU
7/17/2020 9/25/2020 27/010/2020 11/28/2020 1/15/2022 POSYANDU
8/11/2020 9/12/2020 10/13/2020 11/15/2020 1/25/2022 POSYANDU
2/7/2021 3/11/2021 4/10/2021 5/15/2021 7/19/2022 POSYANDU
4/18/2021 5/20/2021 6/21/2021 7/10/2021 9/11/2022 POSYANDU
4/18/2021 5/18/2021 6/19/2021 7/18/2021 9/8/2022 POSYANDU
5/5/2021 6/11/2021 7/10/2021 8/5/2021 10/15/2022 POSYANDU
6/16/2021 7/25/2021 8/26/2021 9/19/2021 11/22/2022 POSYANDU
7/23/2021 8/23/2021 10/25/2021 11/26/2021 1/27/2023 POSYANDU
8/3/2021 9/6/2021 10/5/2021 11/8/2021 1/10/2023 POSYANDU
9/10/2021 10/14/2021 11/15/2021 12/18/2021 2/22/2023 POSYANDU
10/30/2021 11/28/2021 12/29/2021 1/30/2022 3/28/2023 POSYANDU
11/15/2021 12/21/2021 1/18/2022 2/20/2022 4/24/2023 POSYANDU
12/21/2021 1/24/2022 2/24/2022 4/25/2022 6/21/2023 POSYANDU
12/27/2021 1/28/2022 29/02/2022 3/29/2022 5/21/2023 POSYANDU
1/12/2022 2/18/2022 3/15/2022 4/19/2022 6/16/2023 POSYANDU
1/19/2022 2/20/2022 3/21/2022 4/23/2022 6/26/2023 POSYANDU
2/6/2022 3/11/2022 4/10/2022 5/14/2022 7/17/2023 POSYANDU
2/18/2022 3/21/2022 4/20/2022 5/22/2022 7/27/2023 POSYANDU
2/19/2022 3/20/2022 4/21/2022 5/26/2022 7/28/2023 POSYANDU
2/21/2022 3/21/2022 4/22/2022 5/20/2022 7/21/2023 POSYANDU
2/21/2022 3/20/2022 4/25/2022 5/29/2022 7/28/2023 POSYANDU
3/1/2022 4/2/2022 5/1/2022 6/4/2022 8/5/2023 POSYANDU
2/28/2022 3/29/2022 4/28/2022 5/23/2022 7/23/2023 POSYANDU
2/18/2022 3/18/2022 4/18/2022 5/23/2022 7/23/2023 POSYANDU
3/21/2022 4/22/2022 5/21/2022 6/22/2022 8/22/2023 POSYANDU
3/25/2022 4/25/2022 5/28/2022 6/23/2022 8/28/2023 POSYANDU
2/25/2022 3/25/2022 4/27/2022 5/29/2022 8/29/2023 POSYANDU
4/27/2022 5/28/2022 6/29/2022 7/30/2022 9/29/2023 POSYANDU
5/9/2022 6/12/2022 7/11/2022 8/10/2022 10/10/2023 POSYANDU
5/15/2023 6/24/2023 7/25/2023 8/27/2023 10/12/2023 POSYANDU
6/27/2023 7/27/2023 8/28/2023 9/26/2023 11/16/2023 POSYANDU
6/30/2023 7/28/2023 8/30/2023 9/25/2023 11/26/2023 POSYANDU
7/15/2023 8/16/2023 9/18/2023 10/19/2023 12/20/2023 POSYANDU
7/10/2023 9/24/2023 9/13/2023 10/18/2023 12/20/2023 POSYANDU
8/15/2023 9/27/2023 10/25/2023 11/27/2023 1/12/2024 POSYANDU
8/27/2023 9/28/2023 10/28/2023 11/26/2023 1/16/2024 POSYANDU
8/30/2023 9/16/2023 10/30/2023 25/011/2023 1/26/2024 POSYANDU
8/15/2023 9/13/2023 10/18/2023 11/19/2023 1/20/2024 POSYANDU
8/10/2023 8/13/2023 10/11/2023 11/18/2023 1/20/2024 POSYANDU
REKAPITULASI PELAYANAN KB

Pelayanan : KB
Periode Kegiatan : 20219 / 2023
PELAYANAN KB
AKBK / IMPLAN
NO TANGGAL NAMA PASIEN UMUR PASIEN ALAMAT
IUD
1 5/16/2019 ERLINDA 35 Suka Damai ─ ─
2 5/23/2019 NURJANNAH 30 LAMPAHAN ─ ─
3 6/13/2019 CHAYANI 34 SUMBER JAYA ─ ─
4 6/11/2019 EMA 35 MEKAR AYU ─ ─
5 7/18/2019 WAHYUNI 31 DAMARAN BARU ─ ─
6 7/28/2019 DIANAWATI 24 KENINE ─ ─
7 8/15/2019 AMY 28 FAJAR HARAPAN ─ ─
8 8/22/2019 GEMMA 29 BANDAR LAMPAHAN ─ ─
9 9/19/2019 LISA 33 SUMBER JAYA ─ ─
10 9/4/2019 INDAH 26 LAMPAHAN ─ ─
11 1/10/2020 ZURA 38 SUMBER JAYA ─ ─
12 2/15/2020 GINI 32 GUNUNG TUNYANG ─ ─
13 2/21/2020 WARNI 28 SUMBER JAYA ─ ─
14 3/4/2020 MARDIAH 30 GUNUNG TUNYANG ─ ─
15 3/17/2020 NINA 26 TUNYANG INDUK ─ ─
16 4/28/2020 KARLINA 37 LAMPAHAN BARAT ─ ─
17 5/11/2020 MONA 40 LAMPAHAN INDUK ─
18 5/19/2020 YASMIN 32 CEKAL ─ ─
19 6/23/2020 SASA 39 SUMBER JAYA ─ ─
20 6/30/2020 MERLIN 27 MEKAR AYU ─ ─
21 1/5/2021 SHELA 28 KAMPUNG BARU 76 ─ ─
22 1/8/2021 HERLIN 35 CEKAL ─ ─
23 1/23/2021 PAMELA 43 SIMPANG LAYANG ─ ─
24 2/2/2021 NAURA 36 LAMPAHAN ─ ─
25 2/16/2021 MARYANI 26 SUMBER JAYA ─ ─
26 2/23/2021 RITA 29 MEKAR AYU ─ ─
27 3/3/2021 DINA 31 DAMARAN BARU ─ ─
28 3/10/2021 UUT PERMATA 33 KENINE ─ ─
29 3/30/2021 GITA 26 FAJAR HARAPAN ─ ─
30 4/14/2021 HENI 25 BANDAR LAMPAHAN ─ ─
31 1/4/2022 DENI 27 SUMBER JAYA ─ ─
32 3/15/2022 SETIAWATI 28 LAMPAHAN ─ ─
33 3/16/2022 MAISYARAH 35 SUMBER JAYA ─ ─
34 4/11/2022 SARI MURNI 23 GUNUNG TUNYANG ─ ─
35 4/29/2022 BONITA 33 LAMPAHAN ─ ─
36 1/10/2023 ANIK 35 SUMBER JAYA ─ ─
37 3/21/2023 MISINEM 36 MEKAR AYU ─ ─
38 5/19/2023 LEGINI 39 DAMARAN BARU ─ ─
39 6/12/2023 VIKA 25 KENINE ─ ─
40 7/15/2023 SERIYANI 32 FAJAR HARAPAN ─ ─
41 8/21/2023 TATIK 36 BANDAR LAMPAHAN ─ ─
42 9/14/2023 SIFA YANTI 39 SUMBER JAYA ─ ─
43 9/22/2023 RATNA WATI 27 LAMPAHAN ─ ─
44 9/5/2023 LINDA SUSIATI 28 SUMBER JAYA ─ ─
45 10/15/2023 SARINAH 30 GUNUNG TUNYANG ─ ─
YANAN KB
Nama Kab / Kota :

Provinsi : Aceh
PELAYANAN KB LAIN-LAIN
SUNTIK
PIL
KOMPLIKASI KETERANGAN
─ ─ ─ TIDAK ADA RUANG KIA

3 BULAN ─ ─ TIDAK ADA RUANG KIA
REKAPITULASI PELAYANAN INTENATAL CA

Pelayanan : INC
Periode Kegiatan : 2019 / 2024
Jenis Kelamin
No NAMA IBU UMUR NAMA SUAMI ALAMAT TANGGAL BERSALIN
P
1 Laila Fitri 29 ONGKI SUMBER JAYA 9/10/2019

2 Hamidah 31 NANDA TIMANG RASA 9/10/2019
3 Fatimah 33 FANDI BUMI AYU 10/27/2019
4 Syarifah 26 ANDRI GEGUR SEPAKAT 19/10/019 √
5 Maisyarah 25 SANTO SIMPANG LAYANG 10/11/2019 √
6 Lusiana 32 KADRI SUKA DAMAI 11/17/2019 √
7 Mawaddah 36 TAMAN BUKIT MULIE 11/19/2019
8 Asmaniar 39 RAKA SUMBER JAYA 12/22/2019 √
9 Rosita 27 PUTRA TIMANG RASA 2/10/2020 √
10 Rita Arisna 28 ANTON TUNYANG 3/4/2020
11 Salmiati 35 REZA SUMBER JAYA 3/17/2020
12 Latifah 25 YUDI GUNUNG TUNYANG 4/28/2020 √
13 Roslina 32 SUPRI TUNYANG INDUK 5/11/2020
14 Halimah 26 UNANG LAMPAHAN INDUK 5/19/2020
15 Rosdiana 36 YOSA SUKA DAMAI 6/23/2020 √
16 Nur Azizah 39 REXI MEKAR AYU 6/30/2020
17 Jamaliah 27 HERU BANDAR LAMPAHAN 7/6/2020 √
18 Ledika Putri 28 RIKI CEKAL 7/14/2020
19 Nurmalasari 36 IWAN SUMBER JAYA 8/10/2020 √
20 Cahaya Intani 31 SAIFAN SUKA DAMAI 1/8/2021 √
21 Nurbaiti 33 JEIS BUKIT MULIE 1/23/2021 √
22 Suci Rahmadani 26 GUMARA SUMBER JAYA 2/2/2021 √
23 Kartina Wati 27 ALDI TIMANG RASA 2/16/2021
24 Israwati 28 BAGUS BUMI AYU 2/23/2021
25 Ema Rahmah 35 DIKI BANDAR LAMPAHAN 3/3/2021 √
26 Mawaddah 43 ARI GEGUR SEPAKAT 3/10/2021
27 Yusriana 36 SELAMET BUKIT MULIE 3/30/2021
28 Dinda Jelita 26 DANES BUKIT MULIE 11/22/2022
29 Faridah 29 KELVIN SIMPANG LAYANG 12/6/2022 √
30 MAHATE 31 CHANDRA LAMPAHAN 12/22/2022
31 SILVIA 33 WANTO SUMBER JAYA 12/22/2022
32 RIKA 26 DONI MEKAR AYU 1/11/2023
33 ANANDI 24 ADI DAMARAN BARU 3/11/2023
34 SITA 28 PRIANTO KENINE 5/9/2023 √
35 FANI 30 ALVIN FAJAR HARAPAN 6/21/2023
36 NANI 33 NGGONO BANDAR LAMPAHAN 7/5/2023
37 TATI 33 RADEN SUMBER JAYA 8/22/2023
38 LINA 27 RIZKI LAMPAHAN INDUK 9/4/2023 √
39 Yusriana 23 WIRA SUKA DAMAI 9/11/2023 √
40 TASYA 33 AGGUNNG FAJAR HARAPAN 9/25/2023 √
41 INDRI 26 HENDRA FAJAR HARAPAN 10/5/2023 √
42 WENSI 24 ALIF KENINE 10/9/2023 √
43 LENI 28 INDRA FAJAR HARAPAN 11/6/2023 √
44 SASTRI 30 YUDHA BANDAR LAMPAHAN 12/5/2023 √
45 UUT 38 HUDRI SUMBER JAYA 12/26/2023 √
NAN INTENATAL CARE
Nama Kab / Kota :

Provinsi : Aceh
Jenis Kelamin
BB PB TEMPAT BERSALIN KETERANGAN
L
√ 2500 Kg 49 cm POLINDES NORMAL

√ 3000 kg 49 cm POLINDES NORMAL
2500 Kg 50 cm POLINDES NORMAL
3000 kg 49 cm POLINDES NORMAL
√ 2500 Kg 49 cm POLINDES NORMAL
51 5/20/2020 ARA 28 TIMANG RASA KONTROL ANC

52 5/21/2020 TINA 35 TUNYANG KONTROL ANC
53 5/22/2020 RIA 25 SUMBER JAYA KONTROL ANC
54 5/23/2020 TANTI 32 GUNUNG TUNYANG KONTROL ANC
55 5/24/2020 IRMA 26 TUNYANG INDUK KONTROL ANC
56 5/25/2020 WATI 36 LAMPAHAN BARAT KONTROL ANC
57 5/26/2020 FARADISA 39 KARABF JADI KONTROL ANC
58 6/12/2020 YESI 27 SUMBER JAYA KONTROL ANC
59 6/13/2020 JULI 28 SIMPANG LAYANG KONTROL ANC
60 6/14/2020 APRIL 36 BL RONGKA KONTROL ANC
61 15/06/200 MEISARAH 31 PANTAN KEMUNING KONTROL ANC
62 6/16/2020 NURMA 33 BUKIT MULIE KONTROL ANC
63 6/17/2020 SULASTRI 26 SETIE KONTROL ANC
64 6/18/2020 VIKA 27 TIMANG RASA KONTROL ANC
65 6/18/2020 BONIEM 28 SUKA DAMAI KONTROL ANC
66 7/15/2020 YANI 35 LAMPAHAN INDUK KONTROL ANC
67 7/16/2020 LELI 43 GEGUR SEPAKAT KONTROL ANC
68 7/17/2020 LESI 36 SIMPANG LAYANG KONTROL ANC
69 7/18/2020 RIA 26 SUKA DAMAI KONTROL ANC
70 7/19/2020 HEMA 29 BUKIT MULIE KONTROL ANC
71 7/20/2020 LUSI 31 SUMBER JAYA KONTROL ANC
72 7/21/2020 ELMA 33 TIMANG RASA KONTROL ANC
73 7/22/2020 TARI 26 TUNYANG KONTROL ANC
74 8/14/2020 KESYA 24 SUMBER JAYA KONTROL ANC
75 8/15/2020 NARA 28 GUNUNG TUNYANG KONTROL ANC
76 9/16/2020 WIDIA 30 TUNYANG INDUK KONTROL ANC
77 9/17/2020 NORA 33 LAMPAHAN BARAT KONTROL ANC
78 9/18/2020 RUMIATI 33 LAMPAHAN INDUK KONTROL ANC
79 10/20/2020 JESIKA 27 CEKAL KONTROL ANC
80 10/20/2020 RISA 28 SUMBER JAYA KONTROL ANC
81 10/20/2020 IIN 24 MEKAR AYU KONTROL ANC
82 10/20/2020 MALA 25 KAMPUNG BARU 76 KONTROL ANC
83 10/20/2020 MARIA 32 SUKA DAMAI KONTROL ANC
84 10/20/2020 IKA 26 BUKIT MULIE KONTROL ANC
85 11/16/2020 FANI 36 SUMBER JAYA KONTROL ANC
86 11/17/2020 ERNI 39 TIMANG RASA KONTROL ANC
87 11/20/2019 SUSI 27 TUNYANG KONTROL ANC
88 11/22/2020 ELSI 28 SUMBER JAYA KONTROL ANC
89 11/25/2020 ARSY 36 GUNUNG TUNYANG KONTROL ANC
90 12/5/2020 ASHANTI 31 TUNYANG INDUK KONTROL ANC
91 12/6/2020 CACA 33 LAMPAHAN BARAT KONTROL ANC
92 12/7/2020 LISA 26 LAMPAHAN INDUK KONTROL ANC
93 12/8/2020 INDAH 27 CEKAL KONTROL ANC
94 12/9/2020 PUTRI 28 SUMBER JAYA KONTROL ANC
95 12/10/2020 JENI 35 MEKAR AYU KONTROL ANC
96 12/11/2020 ANDANI 43 KAMPUNG BARU 76 KONTROL ANC
97 12/12/2020 LILIS 36 LAMPAHAN INDUK KONTROL ANC
98 12/13/2020 AYU 26 CEKAL KONTROL ANC
99 12/20/2020 MAHBENGI 29 SUMBER JAYA KONTROL ANC
100 12/21/2020 PINTE 31 MEKAR AYU KONTROL ANC
Pemeriksaan
Taksiran Persalinan
Reflek Patela (+/-)

Usia Kehamilan
Status G P A
TD (mmHg)
LILA (Cm)
TFU (Cm)
BB (Kg)
G2P1A0 8 MG 12/13/2020 50 KG 110/80 mmhg 25 cm - +
G1P0A0 22 MG 9/14/2020 57 kg 12080 mmhg 28 cm 24 cm +
G2P1A0 16 mgg 10/25/2020 55 kg 120/80 mmhg 25 cm - +
G2P1A0 14 mg 11/28/2020 63 kg 120/80 mmhg 30 cm - +
G2P1A0 15mg 12/3/2020 58 kg 120/80 mmhg 29 cm - +
G2P1A0 37 mg 9/21/2020 58 kg 120/80 mmhg 28 cm - +
G1P0A0 15mg 11/16/2020 55 kg 100/80 mmhg 28 cm 26 cm +
G1P0A0 34 mg 7/15/2020 60 kg 110/80 mmhg 30 cm - +
G1P0A0 22 mg 10/3/2020 57 kg 100/80 mmhg 26 cm - +
G3P1A1 26 mg 8/20/2020 68 kg 120/80 mmhg 26cm - +
G3P1A1 21 mg 11/5/2020 52 kg 120/80 mmhg 25 cm - +
G3P1A1 36 mg 9/5/2020 64 kg 120/80 mmhg 29 cm - +
G2P1A0 25 mg 11/12/2020 57 kg 110/80 mmhg 27 cm - +
G2P1A0 18 mg 12/23/2020 58 kg 12080 mmhg 30 cm - +
G1P0A0 30 mg 9/23/2020 60 kg 100/70 mmhg 30 cm - +
G1P0A0 21 mg 11/25/2020 58 kg 120/80 mmhg 26 cm - +
G1P0A0 16 mg 12/21/2020 55 kg 110/80 mmhg 25 cm - +
G1P0A0 12 mg 2/13/2021 50 kg 100/70 mmhg 30 cm - +
G3P1A1 24 mg 1/5/2021 59 kg 110/80 mmhg 26cm 25 cm +
G1P0A0 20 mg 1/20/2021 57 kg 120/80 mmhg 25 cm - +
G3P1A1 15mg 3/4/2021 54 kg 100/80 mmhg 25 cm - +
G3P1A1 19 mg 3/18/2021 55 kg 110/80 mmhg 25 cm - +
G3P1A1 22 mg 4/24/2021 56 kg 12080 mmhg 27 cm - +
G2P1A0 13 mg 5/12/2021 59 kg 110/80 mmhg 26cm - +
G1P0A0 22 mg 4/12/2021 55 kg 120/80 mmhg 25 cm - +
G1P0A0 24 mg 3/8/2021 55 kg 120/80 mmhg 25 cm - +
G3P1A1 20 mg 4/21/2020 57 kg 100/80 mmhg 25 cm - +
G2P1A0 25 mg 3/20/2020 57 kg 120/80 mmhg 27 cm - +
G3P0A1 22 mg 4/21/2020 55 kg 110/80 mmhg 25 cm +
Pelayanan
PMT Bumil KEK
Ikut Kelas Ibu

Pemberian Fe
DJJ (x/menit)
Komplikasi
Tata LaksanaKeterangan

101 5/14/2021 PAINI 23 SUMBER JAYA KONTROL ANC

102 5/15/2021 RESA 28 GUNUNG TUNYANG KONTROL ANC
103 5/16/2021 PETI 29 TUNYANG INDUK KONTROL ANC
104 5/17/2021 RATU 28 LAMPAHAN BARAT KONTROL ANC
105 5/18/2021 WIDIA 21 LAMPAHAN INDUK KONTROL ANC
106 5/19/2021 DENI 28 CEKAL MUAL MUNTAH
107 5/19/2021 LISA 20 SUMBER JAYA KONTROL ANC
108 6/12/2021 INDAH 28 MEKAR AYU KONTROL ANC
109 6/12/2021 JULI 38 KAMPUNG BARU 76 KONTROL ANC
110 6/12/2021 LELI 37 CEKAL KONTROL ANC
111 6/12/2021 EVI 28 SIMPANG LAYANG KONTROL ANC
112 6/12/2021 RINA 28 LAMPAHAN KONTROL ANC
113 6/12/2021 NOVIA 40 SUMBER JAYA KONTROL ANC
114 6/12/2021 RITA 38 MEKAR AYU KONTROL ANC
115 6/12/2021 DINA 28 DAMARAN BARU KONTROL ANC
116 7/13/2021 ANURA 30 KENINE KONTROL ANC
117 7/13/2021 ULFA 28 FAJAR HARAPAN KONTROL ANC
118 7/13/2021 SEMI 33 BANDAR LAMPAHAN KONTROL ANC
119 7/13/2021 MAHARA 28 SUMBER JAYA KONTROL ANC
120 7/13/2021 BENGI 23 LAMPAHAN KONTROL ANC
121 7/13/2021 RIA 27 SUMBER JAYA KONTROL ANC
122 7/13/2021 DINDA 34 GUNUNG TUNYANG KONTROL ANC
123 7/13/2021 SURYANI 28 TUNYANG INDUK KONTROL ANC
124 9/14/2021 LILI 30 LAMPAHAN BARAT KONTROL ANC
125 9/14/2021 TARI 28 LAMPAHAN INDUK KONTROL ANC
126 10/20/2021 ZIVA 31 CEKAL KONTROL ANC
127 10/20/2021 KARTIK 34 SUMBER JAYA KONTROL ANC
128 10/20/2021 SARNI 28 MEKAR AYU KONTROL ANC
129 10/20/2021 RATINEM 20 KAMPUNG BARU 76 KONTROL ANC
130 10/20/2021 PASRAH 37 CEKAL KONTROL ANC
131 10/20/2021 MURNI 28 SIMPANG LAYANG KONTROL ANC
132 11/16/2021 DIAN 33 LAMPAHAN KONTROL ANC
133 11/17/2021 NITA 28 SUMBER JAYA KONTROL ANC
134 11/20/2021 SITI 30 MEKAR AYU KONTROL ANC
135 11/22/2021 AISYAH 28 DAMARAN BARU KONTROL ANC
136 11/25/2021 TANTI 34 KENINE KONTROL ANC
137 12/5/2021 IRMA 28 FAJAR HARAPAN KONTROL ANC
138 12/6/2021 KARTIKA 20 BANDAR LAMPAHAN KONTROL ANC
139 12/7/2021 MELA 37 SUMBER JAYA KONTROL ANC
140 12/8/2021 DEVI 28 LAMPAHAN KONTROL ANC
141 12/9/2021 TIKA 33 SUMBER JAYA KONTROL ANC
142 12/10/2021 YUSRI 28 GUNUNG TUNYANG KONTROL ANC
143 12/11/2021 TALIA 30 TUNYANG INDUK KONTROL ANC
144 12/12/2021 SINAH 28 LAMPAHAN BARAT KONTROL ANC
145 12/13/2021 NGATINI 28 LAMPAHAN INDUK KONTROL ANC
146 12/20/2021 FITRI 30 MEKAR AYU KONTROL ANC
147 12/21/2021 DEA 28 DAMARAN BARU KONTROL ANC
148 12/22/2021 MILEN 34 KENINE KONTROL ANC
149 12/22/2021 ICA 28 FAJAR HARAPAN KONTROL ANC
150 12/22/2021 LYDIA 20 BANDAR LAMPAHAN KONTROL ANC
Pemeriksaan
Taksiran Persalinan
Reflek Patela (+/-)

Usia Kehamilan
DJJ (x/menit)
Status G P A
TD (mmHg)
LILA (Cm)
TFU (Cm)
BB (Kg)
G201A0 20 mg 9/21/2021 58 kg 110/80 mmhg 29 cm - + 140x/menit
G1P0A0 36 mg 5/28/2021 60 kg 12080 mmhg 30 cm 33 cm + 140x/menit
G1P0A0 20 mg 9/8/2021 55 kg 100/70 mmhg 25 cm - + -
G2P1A0 23 mg 11/20/2021 54 kg 110/80 mmhg 25 cm 31 cm + -
G1P0A0 22 mg 8/10/2021 56 kg 120/80 mmhg 26 cm - + 120X/Menit
G201A0 14 mg 11/25/2021 50 kg 120/80 mmhg 25 cm 25 cm + -
G201A0 20 mg 11/23/2021 59 kg 120/80 mmhg 27 cm 24 cm + 130X/Menit
G1P0A0 38 mg 9/25/2021 58 kg 120/80 mmhg 28 cm - + -
G1P0A0 18 mgg 12/18/2021 53 kg 110/80 mmhg 25 cm 25 cm + 140x/menit
G2P1A0 13 mg 12/2/2021 50 kg 100/80 mmhg 25 cm 33 cm + 140x/menit
G2P1A0 16 mg 11/16/2021 55 kg 100/80 mmhg 28 cm 26 cm + 130X/Menit
G2P1A0 32 mg 7/12/2021 60 kg 110/80 mmhg 30 cm - + -
G2P1A0 22 mg 10/3/2021 57 kg 100/80 mmhg 26 cm - + 140x/menit
G1P0A0 25 mg 8/19/2021 68 kg 120/80 mmhg 26cm - + 130X/Menit
G2P1A0 18 mg 12/25/2021 58 kg 12080 mmhg 30 cm - + -
G2P1A0 16 mg 12/21/2021 55 kg 110/80 mmhg 25 cm - + -
G3P0A2 22 mg 1/18/2022 56 kg 12080 mmhg 27 cm 31 cm + 140x/menit
G1P0A0 24 mg 1/4/2022 59 kg 110/80 mmhg 26cm 25 cm + 140x/menit
G201A0 7 mg 3/18/2022 55 kg 120/80 mmhg 25 cm 24 cm + -
G201A0 4 mg 5/14/2022 50 kg 120/80 mmhg 25 cm 25 cm + -
G1P0A0 16 mgg 3/12/2022 55 kg 120/80 mmhg 25 cm 33 cm + 140x/menit
G2P1A0 15mg 3/5/2022 54 kg 100/80 mmhg 25 cm - + -
G201A0 19 mg 18/03/202 55 kg 110/80 mmhg 25 cm - + 130X/Menit
G201A0 22 mg 4/23/2022 56 kg 12080 mmhg 27 cm - + 130X/Menit
G1P0A0 13 mg 5/21/2022 59 kg 110/80 mmhg 26cm - + -
G2P0A1 22 mg 4/23/2022 57 kg 120/80 mmhg 27 cm 33 cm + 140x/menit
G4P2A1 20 mg 4/21/2022 55 kg 110/80 mmhg 25 cm + 140x/menit
G1P0A0 29 mg 2/23/2022 58 kg 12080 mmhg 30 cm 26 cm + 130X/Menit
Pelayanan
PMT Bumil KEK
Ikut Kelas Ibu

Pemberian Fe
fe1 - √ - - Ruang Kia

fe3 - √ - - Posyandu
Status G P A
151 4/15/2022 SARI 23 SUMBER JAYA KONTROL ANC G201A0

152 4/16/2022 RATNA 28 GUNUNG TUNYANG KONTROL ANC G1P0A0
153 4/17/2022 TATIK 29 TUNYANG INDUK KONTROL ANC G1P0A0
154 4/17/2022 PUSPA 28 LAMPAHAN BARAT KONTROL ANC G2P1A0
155 4/17/2022 MEIDI 21 LAMPAHAN INDUK KONTROL ANC G1P0A0
156 4/18/2022 AYU 28 CEKAL KONTROL ANC G201A0
157 4/18/2022 LESA 20 SUMBER JAYA KONTROL ANC G201A0
158 4/18/2022 RATIH 28 MEKAR AYU KONTROL ANC G1P0A0
159 4/18/2022 INDUN' 38 KAMPUNG BARU 76 KONTROL ANC G1P0A0
160 4/19/2022 BENGI 37 CEKAL KONTROL ANC G2P1A0
161 4/19/2022 AINI 28 SIMPANG LAYANG KONTROL ANC G2P1A0
162 4/20/2022 DARSIH 28 LAMPAHAN KONTROL ANC G2P1A0
163 4/20/2022 INDAH 40 SUMBER JAYA KONTROL ANC G3P0A2
164 4/20/2022 WARSIH 38 MEKAR AYU KONTROL ANC G2P1A0
165 5/3/2022 JUMIATUN 28 DAMARAN BARU KONTROL ANC G1P0A0
166 5/4/2022 TARI 30 KENINE KONTROL ANC G3P2A0
167 5/5/2022 SELA 28 FAJAR HARAPAN KONTROL ANC G2P0A1
168 5/6/2022 DANI 33 BANDAR LAMPAHAN KONTROL ANC G4P2A1
169 5/7/2022 RAHMAH 28 SUMBER JAYA KONTROL ANC G1P0A0
170 5/8/2022 PASRAH 23 LAMPAHAN KONTROL ANC G2P1A0
171 6/11/2022 IRA 27 SUMBER JAYA KONTROL ANC G4P2A1
172 6/12/2022 DENI 34 GUNUNG TUNYANG KONTROL ANC G1P0A0
173 6/13/2022 YULI 28 TUNYANG INDUK KONTROL ANC G2P1A0
174 6/14/2022 RESA 30 LAMPAHAN BARAT KONTROL ANC G3P0A2
175 6/15/2022 SUSI RATINEM 28 LAMPAHAN INDUK KONTROL ANC G2P1A0
176 6/16/2023 WATIK 31 CEKAL KONTROL ANC G1P0A0
177 6/17/2023 KARTIK 34 SUMBER JAYA KONTROL ANC G201A0
178 7/18/2023 NATA 28 MEKAR AYU KONTROL ANC G1P0A0
179 7/19/2023 SARTIK 20 KAMPUNG BARU 76 KONTROL ANC G201A0
180 7/19/2023 WANTI 37 CEKAL KONTROL ANC G1P0A0
181 7/20/2023 IRMA 28 SIMPANG LAYANG KONTROL ANC G1P0A0
182 7/21/2023 DESI 33 LAMPAHAN KONTROL ANC G2P1A0
183 8/1/2023 FANI 28 SUMBER JAYA KONTROL ANC G1P0A0
184 8/2/2023 RANI 30 MEKAR AYU KONTROL ANC G201A0
185 8/3/2023 NAURA 28 DAMARAN BARU KONTROL ANC G201A0
186 8/4/2023 NURMA 34 KENINE KONTROL ANC G1P0A0
187 9/13/2023 AMNI 28 FAJAR HARAPAN KONTROL ANC G1P0A0
188 9/14/2023 WAHYU 20 BANDAR LAMPAHAN KONTROL ANC G2P1A0
189 9/15/2023 BILA 37 SUMBER JAYA KONTROL ANC G2P1A0
190 9/16/2023 MURNI 28 LAMPAHAN KONTROL ANC G2P1A0
191 10/22/2023 LILIS 33 SUMBER JAYA KONTROL ANC G3P0A2
192 10/23/2023 SASTRI 28 GUNUNG TUNYANG KONTROL ANC G2P1A0
193 10/24/2023 WENSI 30 TUNYANG INDUK KONTROL ANC G1P0A0
194 12/17/2023 LAILA 28 LAMPAHAN BARAT KONTROL ANC G3P2A0
195 12/18/2023 TUTIK 28 LAMPAHAN INDUK KONTROL ANC G2P0A1
196 12/18/2023 TINEM 30 MEKAR AYU KONTROL ANC G4P2A1
197 12/19/2023 MARHAMAH 28 DAMARAN BARU KONTROL ANC G1P0A0
198 12/25/2023 SIPON 34 KENINE KONTROL ANC G2P1A0
199 12/26/2023 PONIYEM 28 FAJAR HARAPAN KONTROL ANC G4P2A1
200 12/27/2023 SINTA 20 BANDAR LAMPAHAN KONTROL ANC G1P0A0
Pemeriksaan
Taksiran Persalinan
Reflek Patela (+/-)

Usia Kehamilan
DJJ (x/menit)
TD (mmHg)
LILA (Cm)
TFU (Cm)
BB (Kg)
8 mg 12/13/2022 50 KG 110/80 mmhg 25 cm - + -
22 mg 9/14/2022 57 kg 12080 mmhg 28 cm 24 cm + 130X/Menit
20 mg 9/15/2022 70 kg 100/70 mmhg 30 cm 24 cm + 130X/Menit
16 mgg 10/25/2022 55 kg 120/80 mmhg 25 cm - + -
14 mg 11/28/2022 63 kg 120/80 mmhg 30 cm - + -
15mg 12/3/2022 58 kg 120/80 mmhg 29 cm - + -
37 mg 9/21/2022 58 kg 120/80 mmhg 28 cm - + -
16 mgg 12/19/2022 53 kg 110/80 mmhg 25 cm 25 cm + 140x/menit
14 mg 12/4/2022 50 kg 100/80 mmhg 25 cm 33 cm + 140x/menit
15mg 11/16/2022 55 kg 100/80 mmhg 28 cm 26 cm + 130X/Menit
34 mg 7/15/2022 60 kg 110/80 mmhg 30 cm - + -
19 mg 10/25/2022 54 kg 100/80 mmhg 25 cm 29 cm + -
22 mg 10/3/2022 57 kg 100/80 mmhg 26 cm - + 140x/menit
26 mg 8/20/2022 68 kg 120/80 mmhg 26cm - + 130X/Menit
32 mg 9/23/2022 62 kg 120/80 mmhg 29 cm 25 cm + -
21 mg 11/5/2022 52 kg 120/80 mmhg 25 cm - + 130X/Menit
18 mg 12/23/2022 58 kg 12080 mmhg 30 cm - + -
16 mg 12/21/2022 55 kg 110/80 mmhg 25 cm - + -
22 mg 1/18/2023 56 kg 12080 mmhg 27 cm 31 cm + 140x/menit
24 mg 1/5/2023 59 kg 110/80 mmhg 26cm 25 cm + 140x/menit
7 mg 3/19/2023 55 kg 120/80 mmhg 25 cm 24 cm + -
4 mg 5/12/2023 50 kg 120/80 mmhg 25 cm 25 cm + -
16 mgg 3/16/2023 55 kg 120/80 mmhg 25 cm 33 cm + 140x/menit
14 mg 4/30/2023 50 kg 110/80 mmhg 25 cm 26 cm + -
15mg 3/4/2023 54 kg 100/80 mmhg 25 cm - + -
22 mg 4/24/2023 56 kg 12080 mmhg 27 cm - + 130X/Menit
13 mg 5/12/2023 59 kg 110/80 mmhg 26cm - + -
12 mg 6/11/2023 55 kg 120/80 mmhg 25 cm 25 cm + -
8 mg 7/21/2023 53 kg 100/80 mmhg 25 cm 25 cm + -
21 mg 4/23/2023 57 kg 120/80 mmhg 27 cm 33 cm + 140x/menit
13 mg 6/13/2023 55 kg 120/80 mmhg 28 cm 26 cm + -
8 mg 7/13/2023 55 kg 120/80 mmhg 26 cm 29 cm + -
22 mg 4/21/2023 55 kg 110/80 mmhg 25 cm + 140x/menit
27 mg 2/23/2023 58 kg 12080 mmhg 30 cm 26 cm + 130X/Menit
Pelayanan
PMT Bumil KEK
Ikut Kelas Ibu

Pemberian Fe


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Nama Bidan : RAHAYU FITRI

No Tanggal Nama Pasien Umur Alamat Keluhan

1 4/28/2019 IRMAYANTI 25 GUNUNG TUNYANG KONTROL ANC

Reflek Patela (+/-)

G1P0A0 21 mg 8/21/2019 58 kg 110/80 mmhg 29 cm - +

Ikut Kelas Ibu

Komplikasi Tata Laksana Keterangan

140x/menit fe1 - √ - - Ruang Kia

Nama Bidan : RAHAYU FITRI

Nama Kab / Kota

Kunjungan Nifas Kunjungan Neonatus

Komplikasi Tata Laksana Keterangan

Nama Bidan : RAHAYU FITRI

Nama Kab / Kota :

jungan Nifas Kunjungan Neonatus

1 JULIMA 7/7/2019 √ LUSI

8/9/2019 9/17/2019 10/7/2019 11/17/2019 1/18/2021 POSYANDU

Nama Bidan : RAHAYU FITRI

Nama Kab / Kota :

─ ─ ─ TIDAK ADA RUANG KIA

Nama Bidan : RAHAYU FITRI

1 Laila Fitri 29 ONGKI SUMBER JAYA 9/10/2019

Nama Kab / Kota :

√ 2500 Kg 49 cm POLINDES NORMAL

51 5/20/2020 ARA 28 TIMANG RASA KONTROL ANC

Reflek Patela (+/-)

PMT Bumil KEK

Ikut Kelas Ibu

- fe1 - √ - - Ruang Kia

101 5/14/2021 PAINI 23 SUMBER JAYA KONTROL ANC

Reflek Patela (+/-)

PMT Bumil KEK

Ikut Kelas Ibu

Komplikasi Tata Laksana Keterangan

fe1 - √ - - Ruang Kia

151 4/15/2022 SARI 23 SUMBER JAYA KONTROL ANC G201A0

Reflek Patela (+/-)

PMT Bumil KEK

Ikut Kelas Ibu

Komplikasi Tata Laksana Keterangan

fe1 - √ - - Ruang Kia

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