PEMERINTAH KABUPATEN LUWU UTARA

DINAS KESEHATAN
UPT PUSKESMAS LARA I
Desa Beringin Jaya, Kecamatan Baebunta Selatan
E-mail : puskesmaslara18251002@gmail.com Kode Pos 92965

Pelayanan : Intranatal Care (INC) dan Bayi Baru Lahir

Peiode Kegiatan : 2019
Nama : Tirta Nirwana, A.Md.Keb

TANGGAL
NO NAMA PASIEN UMUR ALAMAT GPA TD JK HASIL PEMERIKSAAN
PARTUS
BB 3300, Pb 48, Lk
1 09/01/2019 Ny. Hera 26 Thn Mukti Jaya GIP0A0 110/70 Perempuan 32, Ld 33, salep
mata, Vit. K, HB0

BB 3400, Pb 52, Lk
2 18/01/2019 Ny. Desti 23 Thn Lara GIP0A0 120/80 Laki-laki 33, Ld 34, salep
mata, Vit. K, HB0

BB 2800, Pb 50, Lk
3 12/02/2019 Ny. Andini 28 Thn Lara GIIPIA0 90/60 Perempuan 32, Ld 33, salep
mata, Vit. K, HB0

BB 3200, Pb 50, Lk
4 25/02/2019 Ny. Fania 24 Thn Mekar Sari Jaya G1P0A0 110/80 Laki-laki 31, Ld 32, salep
mata, Vit. K, HB0

BB 3500, Pb 49, Lk
5 16/03/2019 Ny. Diana 32 Thn Lara GIIPIA0 100/70 Perempuan 32, Ld 34, salep
mata, Vit. K, HB0

BB 3300, Pb 49, Lk
6 05/04/2019 Ny. Sari 30 Thn Sumpira GIIIPIIA0 110/70 Perempuan 31, Ld 32, salep
mata, Vit. K, HB0

BB 3200, Pb 48, Lk
7 20/05/2019 Ny. Alia 28 Thn Marannu GIIPIA0 120/70 Laki-laki 31, Ld 32, salep
mata, Vit. K, HB0

BB 3000, Pb 48, Lk
8 23/05/2019 Ny. Demita 28 Thn Marannu GIIPIA0 130/80 Perempuan 32, Ld 33, salep
mata, Vit. K, HB0

BB 3300, Pb 50, Lk
9 09/06/2019 Ny. Dian 27 Thn Lara GIIPIA0 100/70 Laki-laki 31, Ld 32, salep
mata, Vit. K, HB0

BB 2700, Pb 47, Lk
10 19/07/2019 Ny. Anggita 31 Thn Beringin Jaya GIIPIA0 110/80 Laki-laki 32, Ld 33, salep
mata, Vit. K, HB0

BB 3000, Pb 48, Lk
11 08/08/2019 Ny. Fitri 28 Thn Beringin Jaya GIP0A0 120/70 Laki-laki 32, Ld 31, salep
mata, Vit. K, HB0

BB 3400, Pb 49, Lk
12 25/09/2019 Ny. Farida 31 Thn Mukti Tama GIIIPIIA0 100/70 Perempuan 32, Ld 31, salep
mata, Vit. K, HB0

Mengetahui,
Kepala UPT Puskesmas Lara I Bidan

Maha Amin,SKM Tirta Nirwana, A.Md.Keb

Nip. 197412031995031001
 PEMERINTAH KABUPATEN LUWU UTARA
DINAS KESEHATAN
UPT PUSKESMAS LARA I
Desa Beringin Jaya, Kecamatan Baebunta Selatan
E-mail : puskesmaslara18251002@gmail.com Kode Pos 92965

Pelayanan : Intranatal Care (INC) dan Bayi Baru Lahir

Peiode Kegiatan : 2020
Nama : Tirta Nirwana, A.Md.Keb

TANGGAL
NO NAMA PASIEN UMUR ALAMAT GPA TD JK HASIL PEMERIKSAAN
PARTUS

BB 3400, Pb 51, Lk 32,

1 16/01/2020 Ny. Ningsi 27 Thn Lara G2P1A0 110/70 Laki-laki Ld 33, salep mata, Vit.
K, HB0

BB 3200, Pb 49, Lk 33,

2 06/03/2020 Ny. Jusmayanti 27 thn Mukti Jaya G1P0A0 120/80 Perempuan Ld 34, salep mata, Vit.
K, HB0

BB 3800, Pb 50, Lk 32,

3 01/04/2020 Ny. Rayani 28 thn Marannu G2P1A0 90/60 Laki-laki Ld 33, salep mata, Vit.
K, HB0

BB 3200, Pb 52, Lk 31,

4 01/05/2020 Ny. Lia 32 thn Lara GIVPIIIA0 110/80 Perempuan Ld 32, salep mata, Vit.
K, HB0

BB 3200, Pb 48, Lk 32,

5 21/5/2020 Ny. Nur Ain 22 thn Mukti Tama G1P0A0 100/70 Laki-laki Ld 34, salep mata, Vit.
K, HB0

BB 2800, Pb 48, Lk 31,

Lembang -
6 16/06/2020 Ny. Marika 30 thn GIP0A0 90/60 Laki-laki Ld 32, salep mata, Vit.
Lembang
K, HB0

BB 2800, Pb 49, Lk 31,

7 17/7/2020 Ny. Hasmini 32 thn Lara GVPIVA0 90/70 Perempuan Ld 32, salep mata, Vit.
K, HB0

BB 3400, Pb 50, Lk 32,

8 24/7/2020 Ny. Misri 39 thn Marannu GVPIIIAI 130/80 Laki-laki Ld 33, salep mata, Vit.
K, HB0

BB 3100, Pb 47, Lk 31,

9 13/8/2020 Ny. Yusnina 32 thn Marannu GIIPIA0 100/70 Perempuan Ld 32, salep mata, Vit.
K, HB0

BB 4200, Pb 50, Lk 32,

10 10/09/2020 Ny. Uni 34 thn Mukti Tama GIIIPIIA0 110/80 Laki-laki Ld 33, salep mata, Vit.
K, HB0

BB 3300, Pb 50, Lk 32,

11 25/11/2020 Ny. Jumaria 34 thn sumpira GIP0A0 90/60 Perempuan Ld 31, salep mata, Vit.
K, HB0

BB 3900, Pb 49, Lk 32,

12 15/12/2020 Ny. Hamida 20 thn sumpira GIP0A0 100/70 Perempuan Ld 31, salep mata, Vit.
K, HB0

Mengetahui,
Kepala UPT Puskesmas Lara I Bidan

Maha Amin,SKM Tirta Nirwana, A.Md.Keb

Nip. 197412031995031001
 PEMERINTAH KABUPATEN LUWU UTARA
DINAS KESEHATAN
UPT PUSKESMAS LARA I
Desa Beringin Jaya, Kecamatan Baebunta Selatan
E-mail : puskesmaslara18251002@gmail.com Kode Pos 92965

Pelayanan : Intranatal Care (INC) dan Bayi Baru Lahir

Peiode Kegiatan : 2021
Nama : Tirta Nirwana, A.Md.Keb

TANGGAL
NO NAMA PASIEN UMUR ALAMAT GPA TD JK HASIL PEMERIKSAAN
PARTUS

BB 3100, Pb 50, Lk 32,

1 12/02/2021 Ny. Halia 35 Thn Marannu GIVPIIIA0 110/70 Perempuan Ld 33, salep mata,
Vit. K, HB0

BB 3000, Pb 50, Lk 33,

2 24/2/2021 Ny. Isabellah 34 Thn Marannu GIIIPIIA0 120/80 Perempuan Ld 34, salep mata,
Vit. K, HB0

BB 2700, Pb 50, Lk 32,

3 08/03/2021 Ny. Andani 30 Thn Lara GIIPIA0 90/60 Perempuan Ld 33, salep mata,
Vit. K, HB0

BB 3000, Pb 50, Lk 31,

4 19/4/2021 Ny. Salmiah 18 thn Sumpira G1P0A0 110/80 Perempuan Ld 32, salep mata,
Vit. K, HB0

BB 2500, Pb 49, Lk 32,

5 16/5/2021 Ny. Nurliana 32 Thn Mukti Jaya GIIPIA0 100/70 Perempuan Ld 34, salep mata,
Vit. K, HB0

BB 3200, Pb 50, Lk 31,

6 09/06/2021 Ny. Tika 22 Thn Mukti Tama GIP0A0 90/60 Perempuan Ld 32, salep mata,
Vit. K, HB0

BB 3200, Pb 48, Lk 31,

7 01/07/2021 Ny. Mawar 28 Thn Lara GIP0A0 90/70 Perempuan Ld 32, salep mata,
Vit. K, HB0

BB 2800, Pb 48, Lk 32,

8 04/07/2021 Ny. Saka 30 Thn Marannu GIIPIA0 130/80 Perempuan Ld 33, salep mata,
Vit. K, HB0

BB 3400, Pb 49, Lk 31,

9 15/8/2021 Ny. Sania 27 Thn Beringin Jaya GIIIPIIA0 100/70 Laki-laki Ld 32, salep mata,
Vit. K, HB0

BB 2700, Pb 47, Lk 32,

10 19/9/2021 Ny. Nisa 31 Thn Beringin Jaya GIP0A0 110/80 Laki-laki Ld 33, salep mata,
Vit. K, HB0

BB 3000, Pb 50, Lk 32,

11 10/10/2021 Ny. Darhani 48 Thn Lawewe GIVPIIIA0 90/60 Laki-laki Ld 31, salep mata,
Vit. K, HB0

BB 4200, Pb 49, Lk 32,

12 13/12/2021 Ny. Herliyanti 35 Thn Sumpira GIIIPIIA0 100/70 Laki-laki Ld 31, salep mata,
Vit. K, HB0

Mengetahui,
Kepala UPT Puskesmas Lara I Bidan

Maha Amin,SKM Tirta Nirwana, A.Md.Keb

Nip. 197412031995031001
 PEMERINTAH KABUPATEN LUWU UTARA
DINAS KESEHATAN
UPT PUSKESMAS LARA I
Desa Beringin Jaya, Kecamatan Baebunta Selatan
E-mail : puskesmaslara18251002@gmail.com Kode Pos 92965

Pelayanan : Intranatal Care (INC) dan Bayi Baru Lahir

Peiode Kegiatan : 2022
Nama : Tirta Nirwana, A.Md.Keb

TANGGAL
NO NAMA PASIEN UMUR ALAMAT GPA TD JK HASIL PEMERIKSAAN
PARTUS

BB 3500, Pb 51, Lk 32,

1 01/04/2022 Ny. Yurniati 34Thn Mukti tama GIIIPIIA0 110/70 Perempuan Ld 33, salep mata, Vit.
K, HB0

BB 3000, Pb 49, Lk 33,

2 24/1/2022 Ny.Indun 20 Thn Kalitata G1P0A0 120/80 Laki-laki Ld 34, salep mata, Vit.
K, HB0

BB 3700, Pb 50, Lk 32,

3 12/02/2022 Ny. Nur Safika 18 Thn Sumpira G1P0A0 90/60 Laki-laki Ld 33, salep mata, Vit.
K, HB0

BB 3200, Pb 52, Lk 31,

4 23/2/2022 Ny. Dope 42 Thn Sumpira GIVPIIIA0 110/80 Perempuan Ld 32, salep mata, Vit.
K, HB0

BB 3200, Pb 48, Lk 32,

5 25/2/2022 Ny. Evi 25 thn Beringin Jaya G1P0A0 100/70 Laki-laki Ld 34, salep mata, Vit.
K, HB0

BB 2800, Pb 48, Lk 31,

6 26/2/2022 Ny. Sahriani 32 thn Lawewe GIP0A0 90/60 Laki-laki Ld 32, salep mata, Vit.
K, HB0

BB 2800, Pb 49, Lk 31,

7 04/03/2022 Ny. Ria 22 Thn Sumpira G1P0A0 90/70 Perempuan Ld 32, salep mata, Vit.
K, HB0

BB 3400, Pb 50, Lk 32,

8 04/04/2022 Ny. Nurmi 35 thn Lara GVPIVA0 130/80 Laki-laki Ld 33, salep mata, Vit.
K, HB0

BB 3100, Pb 47, Lk 31,

9 16/5/2022 Ny. Fitriani 30 thn Lara GIIPIA0 100/70 Perempuan Ld 32, salep mata, Vit.
K, HB0

BB 2600, Pb 50, Lk 32,

10 23/5/2022 Ny. Rahayu 33 thn Marannu GIIPIA0 110/80 Laki-laki Ld 33, salep mata, Vit.
K, HB0

BB 3300, Pb 50, Lk 32,

11 30/5/2022 Ny. Mita 25 Thn Mukti tama GIVPIIA1 90/60 Laki-laki Ld 31, salep mata, Vit.
K, HB0

BB 3800, Pb 49, Lk 32,

12 25/6/2022 Ny. Hamiza 31 Thn Mukti Jaya GIIPIA0 100/70 Perempuan Ld 31, salep mata, Vit.
K, HB0

Mengetahui,
Kepala UPT Puskesmas Lara I Bidan

Maha Amin,SKM Tirta Nirwana, A.Md.Keb

Nip. 197412031995031001
 PEMERINTAH KABUPATEN LUWU UTARA
DINAS KESEHATAN
UPT PUSKESMAS LARA I
Desa Beringin Jaya, Kecamatan Baebunta Selatan
E-mail : puskesmaslara18251002@gmail.com Kode Pos 92965

Pelayanan : Intranatal Care (INC) dan Bayi Baru Lahir

Peiode Kegiatan : 2023
Nama : Tirta Nirwana, A.Md.Keb

TANGGAL
NO NAMA PASIEN UMUR ALAMAT GPA TD JK HASIL PEMERIKSAAN
PARTUS
BB 3500, Pb 50, Lk
1 15/01/2023 Ny.Lisa 32 Thn Beringin Jaya GIIPIA0 110/70 Perempuan 32, Ld 33, salep
mata, Vit. K, HB0

BB 3000, Pb 50, Lk
2 21/01/2023 Ny.Dian 24 Thn Lara GIIIPIIA0 120/80 Perempuan 33, Ld 34, salep
mata, Vit. K, HB0

BB 2900, Pb 50, Lk
3 07/02/2023 Ny.Rahma 28 Thn Lara GIP0A0 90/60 Perempuan 32, Ld 33, salep
mata, Vit. K, HB0

BB 3200, Pb 50, Lk
4 09/03/2023 Ny.Dini 26 Thn Sumpira GIIPIA0 110/80 Laki-laki 31, Ld 32, salep
mata, Vit. K, HB0

BB 2500, Pb 49, Lk
5 07/03/2023 Ny.Ratna 33 Thn Marannu GIIIPIIA0 100/70 Perempuan 32, Ld 34, salep
mata, Vit. K, HB0

BB 3200, Pb 50, Lk
6 12/03/2023 Ny.Hismi 37 Thn Marannu GIP0A0 90/60 Perempuan 31, Ld 32, salep
mata, Vit. K, HB0

BB 3200, Pb 48, Lk
7 21/03/2023 Ny.Liana 28 Thn Mukti Jaya GIP0A0 90/70 Perempuan 31, Ld 32, salep
mata, Vit. K, HB0

BB 2800, Pb 48, Lk
8 29/03/2023 Ny.Riska 19 Thn Lara GIIPIA0 130/80 Perempuan 32, Ld 33, salep
mata, Vit. K, HB0

BB 3400, Pb 49, Lk
9 10/04/2023 Ny.Putri Askina 29 Thn Beringin Jaya GIIIPIIA0 100/70 Laki-laki 31, Ld 32, salep
mata, Vit. K, HB0

BB 2500, Pb 47, Lk
10 20/04/2023 Ny.Lilis 30 Thn Beringin Jaya GIP0A0 110/80 Laki-laki 32, Ld 33, salep
mata, Vit. K, HB0

BB 3000, Pb 48, Lk
11 24/04/2023 Ny.Rina 32 Thn Sumpira GIVPIIIA0 90/60 Laki-laki 32, Ld 31, salep
mata, Vit. K, HB0

BB 3600, Pb 49, Lk
12 26/04/2023 Ny.Atmayani 39 Thn Lara GIVPIIIA0 100/70 Perempuan 32, Ld 31, salep
mata, Vit. K, HB0

Mengetahui,
Kepala UPT Puskesmas Lara I Bidan

Maha Amin,SKM Tirta Nirwana, A.Md.Keb

Nip. 197412031995031001