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19Format Rekapitulasi Kegiatan Praktik Profesi / Pelayanan Kebidanan

Pelayanan :
Periode kegiatan :

No. Hari/ Nama Umur Diagnosa Tindakan/ Pelayanan /


Tanggal Pasien/ Asuhan
Klien
1. 7/12/22 Nuraidah 20 Akseptor kb 1 bulan KB
2. Zariyah 21 Akseptor kb 1 bulan KB
3. Qurotul 21 Akseptor kb 1bulan KB
4 Badriyah 22 Akseptor kb 1 bulan KB
5 Winayah 20 Akseptor kb 1 bulan KB
6 Mun 22 Akseptor kb 3 bula KB
7 Rod 24 Akseptor kb 3 bulan KB
8 Mar 22 Aksepto kb 3 bulan KB
9 Dofah 21 Akseptor kb 1 bulan KB
10 Nadirah 22 Akseptor kb 1 bulan KB
11 Bad 22 Akseptor kb 1 bulan KB
12 Tuniyah 22 Akseptor kb 3 bulan KB
13 Maharani 24 Akseptor kb 1 bulan KB
14 8/12/22 Rosilawati 24 Akseptor kb 3 bulan KB
15 15/12/22 Badriyah 26 Akseptor kb 3 bulan KB
16 10/12/22 Nurhasanah 31 Akseptor kb 3 bulan KB
17 21/12/22 Janawiyah 26 Akseptor kb 3 bulan KB
18 27/12/22 Halimah 30 Akseptor kb 1 bulan KB
19 Qurotul 31 Akseptor kb 1 bulan KB
20 Nuraidah 30 Akseptor kb 3 bulan KB
21 Solihat 40 Aksepor kb 3 bulan KB
22 29/12/22 Satiyah 42 Akseptor kb 3 bulan KB
23 30/12/22 Raudoh 26 Akseptor kb 3 bula KB
24 Muslihat 29 Akseptor kb 3 bulan KB
25 2/1/23 Erna 27 Aksepor kb 3 bulan KB
26 3/1/23 Ufro 26 Akseptor kb 3 bulan KB
27 Saripah 24 Akseptor kb 3 bulan KB
28 Sintia 22 Akseptor kb 3 bulan KB
29 Jariyah 35 Akseptor kb 3 bulan KB
30 Daroh 38 Akseptor kb 3 bulan KB
31 10/1/23 Yunah 31 Akseptor kb 3 bulan KB
32 Winayah 25 Akseptor kb 3 bulan KB
33 8/1/23 Nadiroh 28 Akseptor kb 1 bulan KB
34 9/1/23 Ulfah 29 Akseptor kb 3 bulan KB
35 10/1/23 Septi 28 Akseptor kb 1 bulan KB
36 13/1/23 Nurbeti 29 Akseptor kb 3 bulan KB
37 15/1/23 Badi’ah 20 Akseptor kb 3 bulan KB
38 Mastuah 27 Akseptor kb 3 bulan KB
39 6/1/23 Nabil 20 Akseptor kb 3 bulan KB
40 21/23 Suaebah 23 Akseptor kb 3 bulan KB
41 Rohudoh 27 Akseptor kb 3 bulan KB
42 Masrifah 26 Akseptor kb 3 bulan KB
43 24/1/23 Saropah 23 Akseptor kb 3 bulan KB
44 25/1/25 Masrifah 25 Akseptor kb 3 bulan KB
45 28/1/23 Rohimah 25 Akseptor kb 3 bulan KB
46 30/1/24 Rodiah 35 Akseptor kb 3 bulan KB
47 31/1/23 Fatmawati 25 Akseptor kb 3 bulan KB
48 Halimah 27 Akseptor kb 1 bulan KB
49 Maharani 28 Akseptor kb 1 bulan KB
50 1/2/23 Faimah 31 Akseptor kb 3 bulan KB
51 2/2/23 Ulfah 32 Akseptror kb 3 buln KB
52 3/2/23 Usmiah 21 Akseptor kb 3 bulan KB
53 Salbiyah 37 Akseptor kb 3 bulan KB
56 Nujdejah 36 Akseptor kb 3 bulan KB
57 6/2/23 Saroyah 40 Akseptor kb pil KB
58 Robiyatul 29 Aksepto kb 3 bulan KB
7 Nadiroh 20 Akseptor kb 1 bulan KB
60 7/2/23 Halimah 31 Akseptor kb 3 bulan KB
61 Samsiah 25 Akseptor kb 3 bulan KB
62 8/2/23 Musfiroh 23 Akseptor kb pil PIL KB
63 Astuti 25 Akseptor kb 3 bulan KB
64 10/2/23 Humaeroh 21 Akseptor kb 1 bulan KB
65 17/2/23 Maesaroh 33 Akseptor kb 3 bulan KB
66 23/2/23 Sanah 34 Akseptor kb 3 bulan KB
67 24/2/23 Muhayati 27 Akseptor kb 3 bulan KB
68 26/2/23 To’atul 24 Akseptor kb 3 bulan KB
69 Maesaroh 35 Aksepor kb 3 bulan KB
70 7/2/23 Halimah 30 Akseptor kb 1 bulan KB
71 Nurbaliyah 26 Akseptor kb 3 bulan KB
72 1/3/24 Qurotul aini 29 Akseptor kb 1 bulan KB
73 Sri 35 Akseptor kb 1 bulan KB
74 Marwati 40 Akseptor kb 3 bulan KB
75 5/3/23 Rosilah wati 23 Akseptor kb 3 bulan KB
76 6/3/23 Nuraida 20 Akseptor kb 3 bulan KB
77 7/3/23 Nadiroh 23 Akseptor kb 1 bulan KB
78 Maharam 21 Akseptor kb 1 bulan KB
79 8/3/23 Rohayati 26 Akseptor kb 3 bulan KB
80 9/3/23 Zakiyatul 19 Akseptor kb 3 bulan KB
81 Artaiyah 31 Akseptor kb 3 bulan KB
82 Humaeroh 21 Akseptor kb 3 bulan KB
83 13/3/23 Sahrowiyah 38 Akseptor kb pil Pil kb
84 Asnawati 40 Akseptor kb 3 bulan KB
85 17/3/23 Masruroh 36 Akseptor kb 3 bulan KB
86 20/3/24 Muslihat 27 Akseptor kb 3 bulan KB
87 18/3/23 Sairoh 32 Akseptor pil Pil kb
89 20/3/23 Hudiyah 37 Akseptor kb 3 bulan KB
90 24/3/23 Amah 31 Akseptor kb 3 bulan KB
91 Sarnimah 40 Akseptor kb 3 bulan KB
92 26/3/23 Heriyah 19 Akseptor kb 3 bulan KB
93 Raudoh 26 Akseptor kb 3 bulan KB
94 27/3/23 Nurhasanah 31 Akseptor kb 3 bulan KB
95 28/3/23 Undayah 42 Akseptor kb 3 bulan KB
96 Suihat 21 Akseptor kb 3 bulan KB
97 Munajah 20 Akseptor kb 3 bulan KB
98 Sri 35 Akseptor kb 1 bulan KB
99 Qurotulaini 26 Akseptor kb 1 bulan KB
100 Muslihat 24 Akseptor kb 3 bulan KB
101 1/4/23 Marni 29 Akseptor kb 3 bulan KB
102 Saripah 24 Akseptor kb 3 bulan KB
103 2/4/23 Ufro 24 Akseptor kb 3 bulan KB
104 3/4/23 Nada 38 Akseptor kb 3 bulan KB
105 Yunah 30 Aksepor kb 3 bulan KB
106 4/4/23 Salbiah 37 Akseptor kb 3 bulan KB
107 Sajaroh 31 Akseptor kb 3 bulan KB
108 5/4/23 Nadiroh 21 Akseptor kb 1 bulan KB
109 12/4/23 Ulfa 29 Akseptor kb 3 bulan KB
11 13/4/23 Badiah 20 Akseptor kb 3 bulan KB
O
111 19/4/23 Mastuah 22 Akseptor kb 3 bulan KB
112 21/4/23 Siti nurbeti 21 Akseptor kb 3 bulan KB
113 Absoriah 30 Akseptor kb 1 bulan KB
114 23/4/23 Mutoharoh 34 Akseptor kb 1 bulan KB
115 Masrifah 35 Akseptor kb 3 bulan KB
116 Yanah 42 Akseptor kb 3 bulan KB
117 Yati 30 Akseptor kb 3 bulan KB
118 24/4/23 Adawiyah 40 Akseptor kb 3 bulan KB
119 26/4/23 Maiyah 32 Akseptor kb 3 bulan KB
120 Rodiah 35 Akseptor kb 3 bulan KB
121 1/5/23 Manaroh 32 Akseptor kb 3 bulan KB
123 Maimunah 35 Akseptor kb3 bulan KB
124 Lelah 41 Akseptor kb 3 bulan KB
125 22/5/23 Absoriah 21 Akseptor kb 3 bulan KB
126 24/5/23 Qurotul 31 Akseptor kb 1 bulan KB
127 26/5/23 Maesaroh 30 Akseptor kb 3 bulan KB
128 Toaful 45 Akseptorr kb pil Pil kb
129 27/5/23 Saniah 35 Akseptor kb 3 bulan KB
130 Riska 32 Akseptor kb 3 bulan KB
131 28/5/23 Marwati 41 Akseptor kb 3 bulan KB
132 27/5/23 Riska 43 Akseptor kb 3 bulan KB
134 31/5/23 Rodiah 32 Akseptor kb 3 bulan KB
135 2/6/23 Wilsa 40 Akseptor kb 3 bulan KB
136 3/6/23 Rositawati 29 Akseptor kb 3 bulan KB
137 4/6/23 Nuraida 46 Akseptor kb 3 bulan KB
138 Nuraida 31 Akseptor kb 3 bulan KB
139 Maemah 21 Akseptor kb 3 bulan KB
140 Holisoh 32 Akseptor kb 3 bulan KB
141 5/6/23 Rohayati 32 Akseptor kb 3 bulan KB
142 6/6/23 Humaeroh 41 Akseptor kb 3 bulan KB
143 7/6/23 Artaiyah 42 Akseptor kb 3 bulan KB
144 Zakiyah 40 Akseptor kb 3 bulan KB
145 Nadiroh 42 Akseptor kb 1 bulan KB
Mengetahui, ................................,........................
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