LAPORAN RUJUKAN KASUS IBU

PUSKESMAS KECAMATAN KALIDERES DESEMBER 2014

NO
NAMA
1 MARIA ULFA
2 ELIS MAISAROH
3 YUNI
4 MUPUS
5 WENI
6 FARIDA FIBRIYANTI
7 MEI MEI
8 WASDANITA
9 SAVIRA
10 SUNINGSIH
11 MUTIAH
12 ENGGELINA PAYER
13 FITRIATI
14 NARTI
15 TENTI GULTOM
16 SUHARTI
17 HENY SETIANINGSIH
18 SITI OKTAVIANINGSIH
19 ATIKAH
20 DESI SUSILAWATI
21 NENIS
22 ELIS MARDIANA
23 IFANA
24 SITI ASIAH
25 RESKI ATAL
26 YUNI LISA
27 ELVALIANA
28 MURATIH

ALAMAT
JL. LINGKUNGAN 10/9
TEGAL ALUR 01/07
JL. MENVO 09/10
SEMANAN 05/04
TEGAL ALUR 12/03
TEGAL ALUR 07/05
TEGAL ALUR 06/10
TEGAL ALUR 07/15
KALIDERES 10/01
KAMAL 05/08
CIPONDOH 03/06
TEGAL ALUR 04/03
SEMANAN 01/09
KEBON KELAPA 07/01
TANJUNG PURA 04/05
TEGAL ALUR 05/08
TEGAL ALUR 05/10
KP. BUARAN 03/08
RAWA LELE 05/10
TEGAL ALUR 09/03
TEGAL ALUR 02/03
KP. MARAN 05/08
KAMAL 04/11
RAWA BEBEK 09/01
SEMANAN 05/08
SEMANAN 10/04
SEMANAN 04/09

UMUR/ GRAVIDA
28 TH / 2.1.0
37 TH / 1.0.0
26 TH / 1.0.0
29 TH / 2.1.0
20 TH / 1.0.0
28 TH / 2.1.0
28 TH / 4.3.0
27 TH / 2.0.1
16 TH / 1.0.0
34 TH / 4.2.1
35 TH / 4.2.1
19 TH / 1.0.0
30 TH / 3.2.0
24 TH / 2.1.0
42 TH / 6.5.0
34 TH / 3.2.0
23 TH / 1.0.0
28 TH / 3.1.1
34 TH / 2.1.0
30 TH / 4.3.0
36 TH / 2.1.0
35 TH / 2.1.0
26 TH / 1.0.0
21 TH / 1.0.0
23 TH / 1.0.0
24 TH / 2.1.0
24 TH / 1.0.0
34 TH / 2.1.0

DIAGNOSA
KALA II LAMA
KPD
KALA I LAMA
PEB
SUNGSANG
APS
OLIGOHIDRAMION
PRETERM
PLR
HAEMOROIDE GD. IV
PEB
PEB
SISA PLASENTA
PRETERM
PEB
POST MATUR
KALA I LAMA
KPD
KALA II LAMA
RIWAYAT SC
RIWAYAT SC
PEB
PER
PRETERM
PRETERM
RIWAYAT SC
SUNGSANG
SUSPEK IUFD

TANGGAL RUJUK
12/1/2014
12/2/2014
12/2/2014
12/2/2014
12/9/2014
12/10/2014
12/12/2014
12/13/2014
12/12/2014
12/15/2014
12/19/2014
12/19/2014
12/21/2014
12/21/2014
12/21/2014
12/23/2014
12/23/2014
12/26/2014
12/27/2014
12/27/2014
12/28/2014
12/28/2014
12/28/2014
12/29/2014
12/29/2014
12/1/2014
12/4/2014
12/15/2014

29 SAFITRI YUSRY
30 SULISTIAWATI
31 NURLAILA
32 SITI MUNAWAROH
33 YANTI
34 MAYANG
35 NURJANAH
36 INDAH
37 INDRI
38 ERNI
39 CYNTIA
40 PUTRI
41 RUMIAH
42 EVA
43 SANI
44 EHA
45 VIVI
46 ELI SUMARTI
47 NENENG
48 YUYUN
49 RIANTI
50 GUSNIATI
51 NITA ALFIAH
52 SAURMA TARULI
53 SEPTIANI
54 ROHANA
55 ROSALIA
56 TAWEN
57 IMAS
58 TIKA
59 INDAH
60 RIANA

SEMANAN 05/03
24
SEMANAN 04/09
22
SEMANAN 09/03
35
KALIDERES 06/07
24
PEGADUNGAN 02/06
34
PEGADUNGAN 07/01
23
PGD 1 02/06 (BIDAN ENDA 28
PGD 1 09/04 (BIDAN MARI) 19
PGD 1 06/07 (BIDAN MARI) 28
PGD 1 06/02 (BIDAN MARI) 37
PGD 1 05/02 (BIDAN MARI) 23
PGD 1 01/11 (BIDAN SULIC 18
PGD 1 06/11 (BIDAN SULIC 34
PGD 1 04/04 (BIDAN SULIC 25
PGD 1 12/01 (BIDAN SULIC 30
PGD 1 02/02 (BIDAN SULIC 18
PGD 1 03/05 (BIDAN SULIC 22
KAMAL 1 02/09
35
KAMAL 1 02/09
29
TEGAL ALUR 1 08/06
30
TEGAL ALUR 1 05/02
27
TEGAL ALUR 1 13/03
26
TEGAL ALUR 1 12/03
30
TEGAL ALUR 1 06/07
45
TEGAL ALUR II 07/10
21
KALIDERES 06/08
30
KAMAL II 01/06
29
KAMAL II 06/03
30
KAMAL II 05/06
30
KAMAL II 02/ 04
25
KALIDERES 02/03
19
KALIDERES 09/11
35

TH / 2.1.0
TH / 2.1.0
TH / 2.1.0
TH / 1.0.0
TH / 3.2.0
TH / 1.0.0
TH / 2.1.0
TH / 1.0.0
TH / 2.1.0
TH / 7.6.0
TH / 1.0.0
TH / 1.0.0
TH / 2.1.0
TH / 1.0.0
TH / 3.2.0
TH / 1.0.0
TH / 1.0.0
TH / 2.1.0
TH / 2.1.0
TH / 2.2.0
TH/ 1.0.0
TH/1.0.0
TH/2.1.0
TH/
TH / 1.0.0
TH/3.2.0
TH/3.2.0
TH/1.0.0
TH/3.2.0
TH / 1.0.0
TH / 1.0.0
TH/ 4.3.0

RIWAYAT SC
PRESENTASI BOKONG
PEB
POST MATUR
PJT
POSTERM
HAP
KAP
RIWAYAT SC
HDK
KPD
SUSPEK CPD
RIWAYAT SC
KPD
KPD
ABORTUS COMPLETUS
CPD
RIWAYAT SC
POSTERM
POST SC
CPD
CPD
MUNTAH BERDARAH
KISTA
POSTERM
PERDARAHAN
HIPERTENSI
PERDARAHAN
GEMELLI
PERDARAHAN
POSTMATUR
RIWAYAT SC

12/22/2014
12/18/2014
12/22/2014
12/18/2014
12/2/2014
12/23/2014
12/5/2014
12/11/2014
12/15/2014
12/21/2014
12/6/2014
12/2/2014
12/13/2014
12/16/2014
12/17/2014
12/26/2014
12/26/2014
12/2/2014
12/16/2014
12/1/2014
12/8/2014
12/22/2014
12/22/2014
12/29/2014
12/30/2014
12/28/2014
12/3/2014
12/9/2014
12/11/2014
12/11/2014
12/1/2014
12/1/2014

61 PUTRI FADILAH
62 FITRAH
63 RIADITA
64 SUMIARTI
65 ATINI
66 RAFIKA
67 MITA HASAN
68 SUMIATI
69 NURHAYATI
70 DEWI MARLIA
71 FITROTUL OLIVIA
72 FAJARIKA YULIANTI
73 WIDIARTI
74 FANI
75 ERILIA
76 ASTRIANI
77 VERA NOPITA
78 SITI NURFADILAH
79 PIKA
80 SUMIYATI
81 RETNO AYU
82 NARTI
83 OFTARIA
84 PARJIANTI
85 SUNARTI
86 CICI NUR KOMALA
87 RATI MAYANG SARI
88 RUKIAH
89 NAIMAH
90 RUSMAH
91 MARLINA
92 JUMINI

KALIDERES 01/11
TEGAL ALUR 07/10
TEGAL ALUR 02/12
KALIDERES 07/01
KAMAL 07/05
TEGAL ALUR 04/09
KAMAL 11/01
KALIDERES 06/03
KAMAL 09/04
KAMAL 09/01
TEGAL ALUR 03/03
KALIDERES 09/11
KALIDERES 11/06
PGD 10/05
KALIDERES 02/13
PGD
TEGAL ALUR 16/05
KAMAL 08/07
KAMAL 10/02
PGD 02/09
KALIDERES 04/03
TEGAL ALUR 11/ 12
KAMAL 13/09
KAMAL 08/08
TEGAL ALUR 05/09
TEGAL ALUR 08/08
PGD 05/08
TEGAL ALUR 02/01
SEMANAN 10/03
KALIDERES 06/03
PGD 01/03
KAMAL 05/09

18
32
21
30
24
17
33
39
27
33
32
27
22
21
32
29
34
26
28
37
25
24
30
29
24
17
23
26
37
25
33
38

TH / 1.0.0
TH/ 3.2.0
TH / 1.0.0
TH/1.0.0
TH /2.1.0
TH/ 1.0.0
TH / 2.1.0
TH / 3.2.0
TH / 2.1.0
TH/4.3.0
TH/ 3.2.0
TH/ 2.1.0
TH /1.0.0
TH/2.0.1
TH/2.1.0
TH / 3.2.0
TH/ 3.2.0
TH/ 2.1.0
TH/ 4.3.0
TH/ 2.1.0
TH / 1.0.0
TH/ 2.1.0
TH/ 2.1.0
TH/ 3.2.0
TH/ 3.2.0
TH / 1.0.0
TH / 1.0.0
TH /2.1.0
TH/ 7.3.3
TH/2.0.1
TH/ 2.1.0
TH/ 2.1.0

ANEMIA
RIWAYAT SC
MIOPI
POSTMATUR
HYPEREMESIS
SUNGSANG
MIOPI
LINTANG
RIWAYAT SC
LUPUS
POST MATUR
RIWAYAT SC
POST MATUR
POST MATUR
RIWAYAT SC
RIWAYAT SC
RIWAYAT SC
RIWAYAT SC
RIWAYAT SC
SPOTTING
SPOTTING
PRESENTASI BOKONG
PRESENTASI BOKONG
ABORTUS IMINENT
POST MATUR
KPD
POST MATUR
POST SC
GEMELLI
SUNGSANG
PLASENTA PREVIA
LINTANG

12/1/2014
12/1/2014
12/1/2014
12/2/2014
12/2/2014
12/2/2014
12/2/2014
12/3/2014
12/3/2014
12/4/2014
12/4/2014
12/4/2014
12/8/2014
12/8/2014
12/8/2014
12/8/2014
12/9/2014
12/10/2014
12/10/2014
12/10/2014
12/11/2014
12/15/2014
12/15/2014
12/15/2014
12/15/2014
12/15/2014
12/16/2014
12/16/2014
12/16/2014
12/18/2014
12/22/2014
12/22/2014

93 SUHARTI
94 SANAH
95 NURLELA
96 INDAH
97 SINTA
98 SITI SURVYA
99 LINA
100 MARIA
101 NURFITRI CAHYA
102 SULASMI
103 NURHAYATI
104 AYUATI
105 KARTIKA
106 SUNARSIH
107 NENENG
108 PURYANTI
109 SITI KHODIJAH
110 JAP NOPITA
111 JESICA
112 HIMATUL ULYA
113 DIAH

TEGAL ALUR 05/09

TEGAL ALUR 08/03
PGD 05/11
KALIDERES 05/01
KALIDERES 10/10
KAMAL 09/01
TEGAL ALUR 06/05
KALIDERES 07/10
KALIDERES 12/06
KAMAL 05/08
PGD 03/09
TEGAL ALUR 09/02
TEGAL ALUR 02/11
SEMANAN 04/06
SEMANAN 08/03
TEGAL ALUR 05/03
KALIDERES 09/01
PGD 05/14
PGD 05/14
KALIDERES 09/10
SEMANAN 02/01

34
28
32
29
38
22
24
30
22
34
36
39
20
35
34
30
28
38
18
29
39

TH/ 3.2.0
TH/ 2.1.0
TH/ 2.1.0
TH/2.1.0
TH/ 2.1.0
TH/ 1.0.0
TH/ 1.0.0
TH/1.0.0
TH/ 1.0.0
TH/ 3.2.0
TH/4.3.0
TH/2.1.0
TH/2.1.0
TH/ 3.1.1
TH /3.2.0
TH/2.1.0
TH/4.3.0
TH/ 2.1.0
TH / 1.0.0
TH/2.0.1
TH/3.2.0

POSTMATUR
POST SC
POST SC
PRESENTASI BOKONG
PRESENTASI BOKONG
PRESENTASI OBLIQUE
CPD
HYPERMETROP
POSTMATUR
POST SC
MIOPI
POST SC
LINTANG
PRESENTASI BOKONG
HYPERTENSI
SUNGSANG
MIOPI
KELAINAN JANTUNG
PRAKTUR PELVIS
HYPEREMESIS
POST MATUR

12/22/2014
12/22/2014
12/22/2014
12/22/2014
12/22/2014
12/24/2014
12/24/2014
12/29/2014
12/29/2014
12/29/2014
12/29/2014
12/29/2014
12/29/2014
12/29/2014
12/29/2014
12/29/2014
12/30/2014
12/31/2014
12/31/2014
12/31/2014
12/31/2014

Kepala Puskesmas Kec. Kalideres

Suku Dinas Kesehatan Kota Administrasi
Jakarta Barat

LAPORAN RUJUKAN KASUS IBU

PUSKESMAS KECAMATAN KALIDERES APRIL 2015

NO
NAMA
1 Dewi indah
2 haryanti
3 ribuasih
4 astuti
5 siti dewi usdianah
6 endah restu
7 siti ratih
8 sri swarni
9 sevti anggraeni
10 aisah
11 dinah
12 mimi
13 siti masyitoh
14 rusnaningsih
15 dedi rohayani
16 suryani
17 nurlela
18 anis gusnia
19 siti soleha
20 nursia sundari
21 trinaningsih
22 ida liana
23 yusita fitriana
24 umi aisyah
25 ade diana
26 rini sardewi
27 elsi setiawati
28 ratna s
29 dedeh nurlna
30 riyani

ALAMAT
kamal 8/13
kamal 5/7
kamal 6/3
semanan 6/2
semanan 4/3
semanan 1/6
kamal 9/7
kalideres 8/11
semanan 8/2
tegl lur 7/8
semanan 6/8
tegal alur 7/8
tgal alur 3/3
tegl alur 6/2
cengkareng 9/10
cengkareng 3/3
tegal alur 10/2
kalideres 4/5
tegal alur 5/5
kalideres 6/13
kamal 1/6
semanan 3/1
tegal alur 2/11
tegl alur 11/3
kamal 4/7
kalideres 1/1
pegdungan 11/6
tegal alur 5/1
semanan
tegal alur 11/7

UMUR/ GRAVIDA
21 th/ 2.0.1
40 th/ 7.6.0
37 th/ 1.0.0
22th/ 1.0.0
29 th/ 2.1.0
38 th/ 3.2.0
36 TH/ 2.1.0
37 th/ 4.2.1
31 th/ 4.2.1
23 th/ 2.1.0
24 th/ 3.1.1
25 th/ 1.0.0
35 th/ 4.3.0
24 th/ 1.0.0
25 th/ 1.0.0
32 th/ 2.1.0
27 th/ 1.0.0
23 th/ 1.0.0
33 th/ 3.2.0
31 th/ 2.1.0
31 th/ 3.1.1
42 th/ 2.1.0
22 th/ 1.0.0
38 th/ 4.3.0
32 th/3.2.0
31 th/ 2.1.0
38 th/ 4.2.1
25 th/ 1.0.0
40 th/ 2.1.0
35 th/ 2.1.0

DIAGNOSA
post mature
retensio placenta
preterm
pacenta previa
kpd
PJT
VAGINITIS/ flor albus
TBC
kpd
gamelly
cpd
kpd
kpd
partus tak maju
kpd
peb
kpd
kpd
kondiloma
kpd
tumor vagina
preterm
partus tak maju
obstetrik buruk
bayi besar
post mature
partus tak maju
kpd
peb
pres bokong

TANGGAL RUJUK
1/4/2015
4/4/2015
4/4/2015
5/4/2015
5/4/2015
5/4/2015
5/4/2014
6/4/2015
7/4/2015
7/4/2015
8/4/2015
9/4/2015
9/4/2015
11/4/2015
12/4/2015
14-4-15
14-4-15
15-4-15
16-4-15
16-4-15
18-4-15
18-4-15
19-4-15
19-4-15
20-4-15
21-4-15
21-4-15
22-4-15
22-4-15
23-4-15

31 icah salmiah
32 diana
33 bona
34 nurfirani
35 taminah
36 nurhayati
37 suhartini
38 rohani
39 poli purwati
40 yanti
41 melinda
42 neneng
43 sri ayati
44 ummu habibah
45 siti amiroh
46 isfah
47 anggria
48 yulianti
49 faizah
50 titi sumati
51 sumiati
52 sumiyati
53 anita
54 ratimah
55 elil
56 marsha
57 rumanah
58 astuti
59 yuliana
60 maswat
61 diana
62 susanti

kalideres 7/12
kamal 3/8
semanan 1/7
semanan 1/7
kalideres 10/2
kalideres 5/6
semanan 5/8
kalideres 14/6
kalideres 5/1
tegal alur 9/5
tegl alur 4/5
tegal alur 5/1
tegal alur 14/9
kalideres 11/4
kalideres 2/10
kalideres 2/13
pegadungan
pegadungan 4/11
pegadungan 6/6
pegadungan 5/5
pegadungan 5/6
pegadungan 5/6
pegadungan
pegadungan 5/7
pegaungan 6/7
pegadungan 1/1
pegadungan 9/10
pegadungan 9/10
pegadungan 5/9
pegadungan 3/4
pegadungan 7/1
pegadungan 7/3

28 th/ 2.1.0
21 th/ 1.0.0
36 th/ 1.0.0
24 th/ 3.1.1
39 th/ 2.1.0
32 th/ 2.1.0
37 th/ 4.3.0
39 th/ 2.1.0
24 th/ 2.1.0
33th/ 4.3.0
27 th/ 2.1.0
22th/ 1.0.0
22th/ 1.0.0
2.1.0
3.2.0
1.0.0
28th/ 2.1.0
20 th/ 2.1.0
29th/ 3.2.0
34 th/ 3.1.1
28 th/ 31.1.
44 th/ 4.3.0
25 th/ 1.0.0
30 th/ 2.1.0
28 th/ 2.1.0
26 th/ 2.1.0
38 th/ 3.2.0
38 th/ 3.2.0
35 th/ 3.1.1
30 th/ 2.1.0
24 th/ 1.0.0
26 th/ 2.1.0

partus tak maju

jantung
partus tak maju
post mature
pres bokong
partus tak maju
kpd
partus tak maju
kpd
post sc
post sc
abortus inkompit
abortus inkompit
peb
peb
per
post sc
cpd
sc
per
pres bokong
abortus inkompit
abortus inkompit
abortus inkompit
perdarahan
post sc
kpd
peb
post mature
post mature
abortus inkompit
abortus iminnes

23-4-15
25-4-15
27-4-15
27-4-15
29-4-15
29-4-15
29-4-15
29-4-15
29-4-15
28-4-15
30-4-15
10/4/2015
3/4/2015
21-4-15
24-4-15
28-4-15
7/4/2015
8/4/2015
14-4-15
21-4-15
28-4-15
28-4-15
1/4/2015
8/4/2015
12/4/2015
16-4-15
16-4-15
19-4-15
2/4/2015
4/4/2015
12/4/2015
20-4-15

63 eni
64 sri lestari
65 sri pujii
66 mairatmi
67 marhati
68 sarifah
69 sopiah
70 nasitem
71 nursiah
72 alawiyati
73 suhna
74 sadah
75 winarsih
76 winda yunita
77 ahyi. Q
78 elianty
79 afifah
80 nur widayati
81 maryana
82 endang
83 juliah
84 naila
85 suryani
86 janatun
87 linda erlinda
88 diona
89 nita
90 fitria
91 sopiatun
92 de vi
93 octavia
94 sumini

pegadungan
kamal 4/2
kamal 7/1
pegadungan 7/5
tegal alur 8/5
tegal alur 9/2
tegal alur 7/10
tegal alur 3/8
tegal alur 11/12
semanan 2/8
semanan 1/9
semanan 5/9
semanan 3/3
semanan 5/3
semanan 3/3
semanan 6/3
semanan 6/16
semanan 3/3
semanan 1/9
semanan 2/4
semanan 8/3
semanan 2/4
semanan 4/4
semanan 3/4
semanan 3/4
kalideres 7/12
teagal alur 7/3
kalideres 7/6
pegadungan 4/11
pegadungan 5/1
kal;ideres 5/1
kalideres2/4

24 th/ 1.0.0
3.2.0
4.2.1
30 th/ 2.1.0
32 th/ 3.2.0
23 th/ 4.1.2
39 th/ 5.3.1
30 th/ 4.3.0
34 th/ 4.3.0
31 th/ 3.2.0
29 th/ 2.1.0
30 th/ 2.1.0
28 th/ 2.1.0
32 th/ 1.0.0
30 th/ 2.1.0
28 th/ 2.1.0
36 TH/ 2.1.0
32 th/ 3.2.0
20 th/ 1.0.0
40 th/ 4.3.0
41 th/ 4.3.0
17 th/1.0.0
33 th/ 3.2.0
30 th/ 2.1.0
28 th/ 2.1.0
21 th/ 1,0,0
26 th/ 1,0,0
22 th/ 1,0,0
36 th/ 3,2,0
23 th/ 1,0,0
38 th/ 3,2,0
32 th/4,3,0

oligohidramnion
abortus iminnes
oligohidramnion
post sc
dehidrasi ringan sedang
post polip servic
post sc
post sc
blighted ovum
pres bokong
abortus inkompit
post sc
isk rekurent
abortus inkompit
peb
pres bokong
post sc
post sc
iufd
peb
peb
per
prematur
peb
pres bokong
pres bokong
pres bokong
anemia berat
pres bokong
post mature
post sc
placenta previa

26-4-15
21-4-15
23-4-15
24-4-15
10/4/2015
14-4-5
14-4-15

30-3-15
6/4/2015
9/4/2015
13-4-15
14-4-15
15-4-15
20-4-15
23-4-15
23-4-15
27-4-15
28-3-15
9/4/2015
14-4-15
23-4-15
4/4/2015
20-4-15
4/1/2015
4/1/2015
4/1/2015
4/6/2015
4/6/2015
4/6/2015
4/6/2015

95 fitri
96 siti winda
97 yuanita
98 iis c
99 siti marwati
100 rika
101 wati
102 eviana
103 sopiatun
104 seni
105 dwi ningsih
106 mariyanih
107 novia
108 dwi kusuma
109 sri nurhayati
110 dayani
111 santi sardi
112 anna budiarti
113 esty
114 yuyun
115 lisa n
116 mawarti
117 fitriani
118 misni
119 ropingah
120 nia
121 fifi elawati

kalideres 10/3
pegadungan 2/6
semanan 2/1
kalideres 5/10
pegadungan 4/5
pegadungan 2/15
tegal alur 5/11
pegadungan 4/4
pegadungan4/11
pegadungan 6/3
kamal 4/9
kalideres 6/10
pegadungan 6/6
tegal alur 10/9
tegal alur 7/3
pegadungan 3/4
semanan 6/2
kalideres 3/8
kamal 11/4
pegadungan 4/5
pegadungan 1/6
kalideres 7/12
pegadungan 8/9
tegal alur 7/3
semanan 3/9
kalideres 8/10
tegal alur 11/3

Kepala Puskesmas Kec. Kalideres

Suku Dinas Kesehatan Kota Administrasi
Jakarta Barat

23 th/ 1,0,0
26 th/ 1,0,0
28 th/ 2,1,0
33 th/ 3.2.0
26 th/ 3,2,0
18 th/ 1,0,0
38 th/ 2,1,0
29 th/ 3,2,0
36 th/ 3,2,0
30 th/ 2,1,0
41 th/ 5,3,1
40 th/ 3,1,0
23th/ 1,0,0
23 th/ 1,0,0
23 th/ 1,0,0
30 th/ 1,0,0
26 th/ 3,1,0
24 th/ 1,0,0
34 th/ 3,1,1
29 th/ 2,1,0
29 th/ 3,2,0
39 th/ 3,2,0
18 th/ 1,0,0
20 th/ 2,1,0
37 th/ 4,3,0
35 th/ 5,4,0
25 th/ 2,10

post mature
post mature
post mature
post mature
post sc
pres bokong
pres bokong
depresi
pres bokong
suspect abortus
plasenta previa
depresi
lintang
post mature
pres bokong
abortus iminnes
post mature
kpd
pres bokong
placenta previa
post sc
pres bokong
pres bokong
lilitan tali pusat
asma
miopi -5/-7
post sc

4/6/2015
4/6/2015
4/6/2015
4/6/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/8/2015
4/8/2015
4/9/2015
4/9/2015
4/9/2015
4/9/2015
4/13/2015
4/13/2015
4/14/2015
4/14/2015
4/14/2015
4/15/2015
4/16/2015
4/16/2015
4/16/2015
4/22/2015
4/22/2015
4/30/2015
4/28/2015

dr. H. Darus Sahmedi

NIP 197705242010011016

LAPORAN RUJUKAN KASUS IBU

PUSKESMAS KECAMATAN KALIDERES MEI 2015
NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

NAMA
JULAIHA
SUNARSIH
MEGA
RIA
RUSMANUL
ELIYANTI
NGATINI
HELMIYANA
HOIRIYAH
SUSI
TIKA
SARWIYAH
KARLINAH
NURSHALITA
ERNAWATI
DEBI
ANISA
LILIS SITORUS
TUKIYEM

ALAMAT
KAMAL 3/1
KAMAL 10/1
SEMANAN 7/8
SEMANAN 2/3
SEMANAN 10/8
SEMANAN 6/9
SEMANAN 6/9
SEMANAN 6/9
SEMANAN 3/4
SEMANAN 1/4
SEMANAN 2/4
TEGAL ALUR 2/9
TEGAL ALUR 5/5
TEGAL ALUR 3/11
TEGAL ALUR 15/3
TEGAL ALUR 2/3
TEGAL ALUR 6/6
TEGAL ALUR 5/11
TEGAL ALUR 6/2

UMUR/ GRAVIDA
2.1.0
2.1.0
18 TH/ 2.1.0
40 TH/ 7.3.3
40 TH/ 4.3.0
28 TH/ 2.1.0
38 TH/ 2.1.0
22 TH/ 1.0.0
30 TH/ 2.1.0
18 TH/ 1.0.0
27 TH/ 3.2.0
34 TH/ 3.1.1
26 TH/ 2.1.0
32 TH/ 1.0.0
21 TH/ 1.0.0
35 TH/ 2.1.0
27 TH/2.1.0
31 TH/ 4.2.1
34 TH/ 1.0.0

DIAGNOSA
POST MATURE
POST MATURE
POST SC
POST SC
POST MATURE
POST MATURE
POST SC
KPD
POST SC
POST MATURE
KET
OBSTETRIK BURUK
PER
ANEMIA
ANEMIA
HYPEREMISIS
SUSP. ABORTUS IMINENS
POST SC
POST MATURE

TANGGAL RUJUK
13-5-2015
19-5-2015
29-4-2015
29-4-2015
20-5-2015
22-5-2015
25-5-2015
26-5-2015
26-5-2015
4/5/2015
27-5-2015
5/5/2015
5/5/2015
7/5/2015
8/5/2015
11/5/2015
15-5-15
19-5-15
28-5-15

20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51

ANISA
NURMA S
PUTRI ISNA
ERIKA
TINI YATI
ROSITA
MULYANI
DEVIANA
YULI
NURHAYATI
NURHAYATI
ROSDIANA
SARAH
MARISA BASUKI
ENDAH PURWANTI
PENI DESTIANA
BUDIARTI
SITI APSARI
SAMSIYATI
UMSIAH
FITRIA SANDI
SLAMET HARTINI
RIYA APRIYANI
PUJIYANTI
JURMIDAH
TOFANI
PUJIATI
ELSA KARMILA
MAS SETOPAH
RIMAH
MASPUPAH
FIFI MASFUFAH

TEGAL ALUR 6/6

TEGAL ALUR 3/11
TEGAL ALUR 5/4
TEGAL ALUR 5/5
TEGAL ALUR 8/10
SEMANAN 7/2
SEMANAN 1/10
SEMANAN 3/10
KAMAL 13/3
KAMAL 7/3
TEGAL ALUR 12/12
TEGAL ALUR 12/12
TEGAL ALUR 1/12
KP MAJA 8/2
BUARAN 3/8
LINGKUNGAN III 4/3
KP. BELAKANG 4/3
TEGAL ALUR 8/3
PETA BARAT 5/7
PINGGIR RAWA 6/3
PERMATA DALAM 7/15
UTAN JATI 4/11
PREPEDAN 2/7
PINGGIR RAWA 2/3
GONDANG 5/13
PULO HARAPAN 9/10
PELOPOR 9/1
RAWA MELATI 9/1
MEDE 8/6
KP. BELAKANG 7/5
SUMUR BOR 4/12
PETA BARAT 1/7

27
31
28
16
35
25
30
20

TH/ 2.1.0
TH/ 3.1.1
TH/ 2.1.0
TH/ 1.0.0
TH/ 3.2.0
TH/ 2.1.0
TH/ 2.1.0
TH/ 2,1,0
1.0.0
1,0,0
35 TH/ 3,2,0
28 TH/ 1,0,0
25 TH/ 1,0,0
43 TH/5,4,0
22 TH/ 1,0,0
29 TH/ 2,1,0
33 TH/ 3,1,1
35 TH/ 5,4,0
34 TH/ 2,1,0
40 TH/ 3,2,0
31 TH/ 4,3,0
38 TH/ 2,1,0
19 TH/ 1,0,0
23 TH/ 1,0,0
33 TH/ 4,3,0
35 TH/ 4,3,0
32 TH/ 2,1,0
23 TH/ 1,0,0
25 TH/ 1,0,0
35 TH/ 2,1,0
36 TH/ 4,3,0
23 TH/ 1,0,0

SUSP. ABORTUS IMINENS

LINTANG
POST MATURE
IUFD
POST SC
ASMA
POST SC
POST SC
BOKONG
PERDARAHAN
PER
POST OP CA OVARIUM
HYPERMIOPI
PRETERTM
PARTUS TAK AMJU
POST SC
KPD
PARTUS TAK AMJU
KPD
PARTUS TAK AMJU
KPD
PRETERTM
PARTUS TAK AMJU
KPD
KPD
POST SC
PRETERTM
OLIOHIDRAMNION
PRETERTM
PLACENTA PREVIA
BOKONG
PRETERTM

28-5-15
7/5/2015
19-5-15
21-5-15
26-5-15

5/5/2015
5/26/2015
5/4/2015
5/9/2015
5/25/2015
5/1/2015
5/1/2015
5/2/2015
5/2/2015
5/3/2015
5/2/2015
5/4/2015
5/4/2015
5/5/2015
5/6/2015
5/6/2015
5/8/2015
5/8/2015
5/9/2015
5/10/2015
5/10/2015
5/12/2015
5/15/2015
5/19/2015

52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83

LINA
NURAINI
UMTIYARTI
KUNARI
USWATUN KHASANAH
ROSITA
NURHASANAH
MARDIAH
WIWIN
WATI
SITI ROMLAH
IMELDA
NOVIA
MAZARLIS
WINA
HERLINA
MINTARSIH
SITI MUSYAFIRIN
AYU
NURA INI
NITA ASRIANI
YUNIA
ESNAWATI
SUSIANI
AIDAH
EVIANA
SITI FITRIA
RODIAH
NURAINI
FITRIANI
UMIYATI
ANITA F

MENCENG RAYA 10/11

UTAN JATI 10/2
PANGKALAN 3/2
KAMAL
KALIDERES
SEMANAN
RAWA LELE 7/7
KALIDERES 3/10
KML 8/7
TEGAL ALUR 5/11
TEGAL ALUR 9/3
PEGADUNGAN 1/6
PEGADUNGAN 4/7
KALIDERES 2/7
TEGALA LUR 2/10
KAMAL 1/7
TEGAL ALUR 8/12
KALIDERES 12/1
TEGAL ALUR 8/4
KALIDERES 11/1
TEGAL ALUR 7/3
KAMAL 11/2
TEGAL ALUR 3/4
KALIDERES 6/10
TEGAL ALUR 7/4
PEGADUNGAN 4/4
KAMAL
PREGADUNGAN 3/9
SEMANAN 4/6
KAMAL 1/3
TEGAL ALUR 4/3
KALIDERES 11/13

32 TH/ 3,2,0
18 TH/ 1,0,0
30 TH/ 2,1,0
32 TH/ 3,1,1
37 TH/ 4,3,0
26 TH/ 2.1.0
21 TH/ 1.0.0
32 TH/ 3,2,0
24 TH/ 1,0,0
38 TH/ 2,1,0
21 TH/ 2,0,1
39 TH/ 2,0,1
18 TH/2,1,0
35 TH/ 3,2,0
27 TH/ 2,1,0
25 TH/ 2,1,0
26 TH/ 3,1,1
26 TH/ 3,1,1
28 TH/ 2,1,0
20 TH/ 1,0,0
26 TH/ 1,0,0
18 TH/ 1,0,0
38 TH/ 3,2,0
31 TH/ 2,1,0
34 TH/ 1,0,0
29 TH/ 3,0,2
21 TH/ 1,0,0
25 TH/ 4,3,0
32 TH/ 3,2,0
18 TH/ 1,0,0
25 TH/ 2,1,0
34 TH/ 3,2,0

POST SC
KPD
PRETERTM
PARTUS TAK AMJU
KPD
KPD
OLIHIDRAMNION
ABORTUS IMINENS
BOKONG
PER
BOKONG
BOKONG
POST SC
POST SC
POST MATURE
POST MATURE
BOKONG
BOKONG
DIARE AKUT
PER
PLACENTA PREVIA
LILITAN TALI PUSAT
POST SC
BOKONG
BOKONG
DEPRESI
BOKONG
POST SC
POST MATURE
KONDILOMA
ANEMIA BERAT
POST SC

5/20/2015
5/20/2015
5/21/2015
5/22/2015
5/24/2015
5/24/2015
5/26/2015
5/4/2015
5/4/2015
5/4/2015
5/4/2015
5/4/2015
5/4/2015
5/4/2015
5/4/2015
5/4/2015
5/4/2015
5/4/2015
5/4/2015
5/5/2015
5/5/2015
5/5/2015
5/6/2015
5/6/2015
5/6/2015
5/6/2015
5/6/2015
5/6/2015
5/6/2015
5/6/2015
5/7/2015
5/7/2015

84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115

SITI MARWATI
RENI
LINA MARLINA
HIMATUL ULYA
FEBBY
RINA
SUMINI
RINA
MUNAYAH
SUGIYANTI
DIAN
RIANAH
SUMIYATI
NOVIANTY
ARYA YUNITA
YAYAN
VERAWATI
LINA WATI
LISBETH
MARISSA
SITI ASMAH
EKA NURJAYANTI
TURSINI
RAUMI
EMIA
EVI
SANISAN DEVI
ESTERIA
YUNI
LIDYA
SRI HARTINI
RUSNI

PEGADUNGAN 4/5
SEMANAN 6/10
KALIDERES 6/6
PEGADUNGAN 9/10
TEGAL ALUR 5/10
SEMANAN 8/2
KALIDERES 2/11
KAMAL 8/7
KAMAL 7/9
KAMAL 1/9
KAMAL 4/7
KAMAL 2/7
KALIDERES 5/6
PEGADUNGAN 6/2
KALIDERES 10/11
KAMAL 3/9
SEMANAN 3/10
PEGADUNGAN 3/4
KALIDERES 6/8
PEGADUNGAN 7/8
PEGADUNGAN 7/1
PEGADUNGAN 6/9
PEGADUNGAN 2/9
TEGAL ALUR 7/3
TEGAL ALUR 7/15
KAMAL 3/7
PEGADUNGAN 1/5
KALIDERES 4/1
KAMAL 9/2
PEGADUNGAN 2/3
PEGADUNGAN 12/4
KAMAL 1/1

26 TH/ 3,2,0
28 TH/ 3,2,0
27 TH/ 2,1,0
30 TH/ 2,1,0
31 TH/ 2,1,0
31 TH/ 3,2,0
32 TH/ 4,3,0
30 TH/ 2,1,0
32 TH/ 2,1,0
41 TH/ 4,3,0
14 TH/ 1,0,0
21 TH/ 2,1,0
29 TH/ 3,1,1
18 TH/ 1,0,0
29 TH/ 1,0,0
36 TH/ 3,2,0
25 TH/ 2,1,0
30 TH/ 3,2,0
27 TH/ 2,1,0
28 TH/ 2,1,0
23 TH/ 2,1,0
22 TH/1,0,0
29 TH/2,1,0
40 TH/ 3,2,0
18 TH/ 1,0,0
23 TH/ 2,1,0
25 TH/ 2,1,0
33 TH/ 4,3,0
31 TH/ 2,1,0
19 TH/ 1,0,0
30 TH/ 1,0,0
30 TH/ 1,0,0

POST SC
POST MATURE
POST SC
POST SC
POST SC
ASMA
BOKONG
POST SC
PERDARAHAN
PER
PERDARAHAN
POST MATURE
POST SC
ANEMIA BERAT
DIABETES GRAVIDARUM
POST MATURE
POST MATURE
PER
POST SC
POST SC
POST MATURE
POST MATURE
POST MATURE
BOKONG
ANEMIA
POST SC
KPD
JANTUNG
POST MATURE
ANEMIA
POST MATURE
POST MATURE

5/11/2015
5/11/2015
5/11/2015
5/11/2015
5/11/2015
5/12/2015
5/12/2015
5/12/2015
5/12/2015
5/12/2015
5/13/2015
5/13/2015
5/13/2015
5/13/2015
5/13/2015
5/18/2015
5/18/2015
5/18/2015
5/18/2015
5/18/2015
5/18/2015
5/18/2015
5/18/2015
5/19/2015
5/19/2015
5/19/2015
5/19/2015
5/19/2015
5/19/2015
5/19/2015
5/19/2015
5/19/2015

116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131

RAWATI
TITIN
SUSILOWATI
ASNAWATI
NURLELA
YOHANA
DINI
SAMILAH
FITRI
NURSIAH
DEWI
PARSIAH
JAYANTI
AGUSTINA
MULYANA
LISA WATI

TEGAL ALUR 2/11

PEGADUNGAN 6/2
PEGADUNGANN
SEMANAN 2/7
TEGAL ALUR 2/11
PEGADUNGAN 1/3
TEGAL ALUR 8/3
KAMAL 6/7
SEMANAN 4/1
KAMAL
TEGAL ALUR 7/6
TEGAL ALUR 1/3
KALIDERES 4/3
TEGAL ALUR 5/16
KALIDERES 6/7
KAMAL 7/9

40
24
32
28
25
23
30
35
30
37
29
35
24
31
36
40

TH/
TH/
TH/
TH/
TH/
TH/
TH/
TH/
TH/
TH/
TH/
TH/
TH/
TH/
TH/
TH/

4,2,1
2,1,0
5,2,2
2,1,0
3,2,1
1,0,0
2,1,0
3,2,0
2,1,0
4,3,0
3,2,0
3,2,0
1,0,0
5,3,1
1,0,0
5,4,0

POST MATURE
ABORTUS IMINENS
BOKONG
POST SC
POST SC
POST MATURE
POST SC
POST SC
BOKONG
POST SC
POST MATURE
BOKONG
POST MATURE
POST MATURE
PERDARAHAN
POST MATURE

5/19/2015
5/19/2015
5/20/2015
5/20/2015
5/21/2015
5/21/2015
5/21/2015
5/21/2015
5/21/2015
5/21/2015
5/25/2015
5/25/2015
5/25/2015
5/25/2015
5/25/2015
5/25/2015

Kepala Puskesmas Kec. Kalideres

Suku Dinas Kesehatan Kota Administrasi
Jakarta Barat

dr. H. Darus Sahmedi

NIP 197705242010011016

LAPORAN RUJUKAN KASUS IBU

PUSKESMAS KECAMATAN KALIDERES JUNI 2015

NO

NAMA

ALAMAT

UMUR/ GRAVIDA

DIAGNOSA

TANGGAL
RUJUK

SARCE

PEGADUNGAN 1/9

39TH/ 3,1,1

POST OP KET

6/1/2015

AYU. M

TEGAL ALUR 8/4

28 TH/ 2,1,0

PLACENTA PREVIA

6/1/2015

OOM MUHAROMAH

KALIDERES 4/13

28 TH/ 2,1,0

POST MATURE

6/1/2015

HARYATI

KALIDERES 3/10

33 TH/ 1,0,0

POST MATURE

6/1/2015

AIDA

TEGAL ALUR 7/4

34 TH/ 1,0,0

BOKONG

6/1/2015

ISMA

PEGADUNGAN 9/9

24 TH/ 2,1,0

GEMELLI

6/3/2015

ETMINI

TEGAL ALUR 1/1

35 TH/ 4,3,0

PER

6/3/2015

ENDANG

TEGAL ALUR 5/1

27 TH/ 2,1,0

HYPERTIROID

6/3/2015

LINA

KALIDERES 6/6

27 TH/ 2,1,0

POST SC

6/3/2015

10

NOVIA

PEGADUNGAN 4/7

18 TH/ 2,1,0

POST SC

6/3/2015

11

SUMIYATI

KALIDERES 5/10

37 TH/ 2,1,0

POST SC

6/4/2015

12

NITA

TEGAL ALUR 10/2

21 TH/ 1,0,0

GAMELLI

6/4/2015

13

LINDA

KALIDERES 7/1

29 TH/ 3,2,0

KPD+BOKONG

6/4/2015

14

NURAINAH

PEGADUNGAN 2/9

22 TH/ 1,0,0

POST MATURE

6/8/2015

15

MIMI

KALIDERES 5/6

26 TH/ 3,2,0

PER

6/8/2015

16

RODIYAH

PEGADUNGAN 3/9

25 TH/ 4,3,0

POST SC

6/8/2015

17

SUPRIYATIN

KAMAL 5/3

40 TH/ 4,2,1

SUSPECT DIABETES

6/9/2015

18

DIAN

PEGADUNGAN

31 TH/ 4,1,2

POST SC

6/9/2015

19

ANE

KALIDERES 9/11

21 TH/ 2,1,0

POST SC

6/9/2015

20

YANTI

PEGADUNGAN 2/4

25 TH/ 2,1,0

ABORTUS IMINENS

6/9/2015

21

NURAISAH

TEGAL ALUR 5/3

32 TH/ 3,1,1

MIOPI

6/9/2015

22

TITIN

SEMANAN 2/1

22 TH/1,0,0

SUSPECT BAYI BESAR

6/9/2015

23

RUSMAYANTI

PEGADUNGAN 2/6

34TH/4,1,2

PEB

6/9/2015

24

MAYSAROH

CENGKARENG

34 TH/ 3,2,0

POST SC

6/10/2015

25

SUPRAPTI

KALIDERES 3/8

33 TH/2,1,0

POST SC

6/10/2015

ABORTUS

6/10/2015

26

SUMIYATI

KAMAL 2/9

34 TH / 3,2,0

27

HIMATUL ULIYA

PEGADUNGAN 9/10

30 TH / 2,0,1

POST OP KET

6/10/2015

28

MARISA

PEGADUNGAN 7/5

28 TH/ 2,1,0

POST SC

6/10/2015

29

DWI PRATIWI

TEGAL ALUR 7/6

29 TH/ 3,2,0

POST MATURE

6/10/2015

30

RUMIATI

TEGAL ALUR 10/9

36 TH/ 5,2,2

POST SC

6/10/2015

31

ERNI

KALIDERS 7/8

23 TH/ 2,1,0

POST SC

6/10/2015

32

RASIYEM

SEMANAN 2/6

27 TH/ 2,1,0

BOKONG

6/15/2015

33

NURFITRIAH

KALIDERES 5/10

29 TH/ 4,3,0

TUMOR

6/15/2015

34

SUMIATI

KALIDERES 5/6

29 TH/ 3,1,1

POST MATURE

6/15/2015

35

FITRIANI

SEMANAN 8/5

30 TH/ 1,0,0

POST OP KISTA

6/15/2015

36

ANITA NUR

PEGADUNGAN 5/2

29 TH/ 2,1,0

POST MATURE

6/15/2015

37

EVIANA

PEGADUNGAN 4/4

29 TH/ 3,0,2

BOKONG

6/16/2015

38

LIHAYANI

KALIDERES 5/1

26 TH/ 2,1,0

POST SC

6/16/2015

39

ENDANG

KALIDERES 6/8

25 TH/ 3,1,1

HIS +

6/16/2015

40

DAEMAH

KALIDERES 7/4

31 TH/ 3,1,1

ANEMIA

6/16/2015

41

MARLIA

TEGAL ALUR 8/3

30 TH/ 2,1,0

BOKONG

6/17/2015

42

ASNAWATI

KAMAL 6/1

29 TH/ 2,1,0

MERAH-MERAH KAKI

6/17/2015

43

DIAH NURUL

KAMAL 10/9

23 TH/ 2,1,0

SUSPECT HYPERTIROID

6/22/2015

44

SONATA H

TEGAL ALUR 6/5

31 TH/ 4,2,1

SUSPECT DIABETES

6/22/2015

45

INDRIYATI

SEMANAN 2/9

33 TH/ 3,2,0

HIS +

6/22/2015

46

NURAINI

PEGADUNGAN 4/9

38 TH/ 3,2,0

POST SC

6/22/2015

47

YAYAN

KAMAL 3/9

36 TH/ 3,2,0

TD 180/100 MMHG

6/22/2015

48

HERDIANA

TANGERANG 4/5

42 TH/3,2,0

SUSPECT ABORTUS

6/23/2015

49

YENI

TEGAL ALUR 5/15

38 TH/2,1,0

BOKONG

6/23/2015

50

MEILANI

PEGADUNGAN 2/11

33 TH/3,2,0

POST SC

6/23/2015

51

DIANA

PEGADUNGAN 6/9

25 TH/1,0,0

BOKONG

6/23/2015

52

DIAH

KALIDERES 15/5

28 TH/4,3,0

OBLIQ

6/23/2015

MAMENUN

KALIDERES 1/12

37 TH/3,1,1

POST SC

6/23/2015

54

YEYEN

TEGAL ALUR 4/11

31 TH/3,1,1

POST SC

6/23/2015

55

RAHMAN

TEGAL ALUR 6/2

20 TH/2,1,0

POST SC

6/24/2015

56

TIFANY

KALIDERES 9/6

24 TH/1,0,0

PER

6/24/2015

57

NURMAYENTI

SEMANAN 11/11

37 TH/4,3,0

TYPOID

6/24/2015

53

58

ACIH

KAMAL 4/1

35 TH/3,2,0

SUSPECT HYPERTIROID

6/25/2015

59

ROFIATUNISA

PEGADUNGAN 10/4

29 TH/2,1,0

DM GESTASIONAL

6/25/2015

60

SHANTI

TEGAL ALUR 6/5

39 TH/6,5,0

GRANDEMULTI

6/25/2015

61

ESTU

KALIDERES 9/6

26 TH/2,1,0

POST SC

6/25/2015

62

WATI

PEGADUNGAN 1/7

35 TH/3,1,1

POSTMATUR

6/25/2015

63

DEWI R

SEMANAN 1/15

31 TH/2,0,1

ABORTUS IMINENS

6/26/2015

64

NANI

PEGADUNGAN 6/2

23 TH/1,0,0

POSTMATUR

6/26/2015

65

LILIA

PEGADUNGAN

35 TH/2,1,0

PLASENTA PREVIA

6/26/2015

66

IMAS

KALAIDERES 1/11

22 TH/2,1,0

PASTMATUR

6/26/2015

67

SUSTINA

TEGAL ALUR 8/3

33 TH/2,1,0

POST SC

6/30/2015

68

ERNI

KALIDERES 7/8

23 TH/2,1,0

POST SC

6/30/2015

69

GUSTI

PEGADUNGAN 5/6

23 TH/1,0,0

KELAINAN KATUB

6/30/2015

70

HERNI

KALIDERES 5/10

30 TH/2,1,0

POST SC

6/30/2015

71

reva aulia

31TH/3.2.0

KPD 8 JAM

72

siti romlah

21TH/201

KPD 12 JAM

73

rawati manalu

41TH/430

PER&KALA 1MEMANJANG

74

enno afianah

21TH/100

KPD&HIPERTENSI

75

ernawati

28TH/320

RIWAYAT SC

76

siti fitrianah

23TH/GI

FETAL DISTRESS&KALA II LAMA

77

suryaningsih

32TH/210

PRESENTASI BOKONG

78

sri nurhayati

21TH/GI

SUSPECT PLASENTA PREVIA

79

sujawi

40TH/320

KPD 16 JAM HIPERTENSI

80

fatimah

36TH/311

PERTERM

81

nofiah

26TH/201

PRETERM

82

yusnidar lase

25TH/100

PRESENTASI KAKI

83

rajanah

35TH/421

PEB

84

eva sulistia

20TH/GIPOAO

PRETERM

85

irma maryana

40TH/G5P4A0

PER

86

widianti

27TH/G4P3A0

87

marni marlina

88

baby sumarni

35TH/430

PRESENTASI BOKONG

89

al tuti

39TH/G5P3A1

PRETERM

PEB
BBLR+ PREMATUR

99

diana s

27TH/GIP0A0

KPD 12 JAM +BOKONG

100

suana

35TH/311

PEB

101

susana iponah

33TH/100

KONDILOMA

102

nurhasanah

35TH/G3P2A0

KETUBAN PECAH 3,5 JAM

103

ningsih

PEG RT03/RW01

G2P1A0

ABORTUS IMINENS

104

hartipah

TA RT01/RW02

29TH/G1P0A0

ATREM&PLASENTAPREVIA

6/18/2015

105

novianti

RT01/RW02

23TH/G1P0A0

PEB &ATREM

106

mulyani

MIRINDA RW03

34TH/G3P2A0

POST TREM KALA II MEMANJANG

107

yanti

TA 9/15

33TH/G4P3A0

HAMIL 36MG DGN PRESTOKT RIW.SC

6/1/2015

108

mustinah

TA 4/5

37TH/G3P2A0

HAMIL 36MG DGN PRESBOK

6/8/2015

109

tukiyem

TA 6/2

34TH/G2P1A0

POST MATUR

6/18/2015

110

hafstiah.k

TA 7/2

19TH/G1P0A0

TUEMIA SDG

6/19/2015

111

hikmawati

KP GAJU 7/3

31TH/G3P2A0

HAMIL 41 MGG DGN POST MATUR

6/1/2015
6/8/2015

112

erni.k

KP.TANAH RJI

27TH/G2P1A0

HAMIL 41 MGG DGN GERAK JANIN KURANG+POST

MATUR

113

suljinas

KP.GANG 4/4

35TH/G2P1A0

HAMIL 38 MGG PEB+LETSU

6/8/2015

114

tika

KP.ALASTUA 2/4

27TH/G3P2A0

HAMIL 13 MGG DGN PERDARAHAN

6/15/2015

115

lenni

KP.GANG 7/7

33TH/G1P0A0

HAMIL 36 MMG LETSU

6/15/2015

116

puji.r

KP.LAMPORAN 6/8

39TH/G5P3A1

HAMIL 34 MGG RIWAYAT SC

6/19/2015

117

rosidah

KP.CIPONDOH 10/8

40TH/G4P3A0

HAMIL 34 MGG RIWAYAT SC

6/22/2015

118

fifi citra .d

KP.CIPONDOH 9/8

33TH/G2P1A0

HAMIL 35 MGG RIWAYAT SC

6/24/2015

119

ani

KP.GAGA 7/3

40TH/G5P4A0

HAMIL 40 MGG DGN PEB

6/24/2015

120

yeni.r

KP.GAGA 6/4

32TH/G2P1A0

HAMIL 35 MGG RIWAYAT SC

6/25/2015

121

tarinah

KAMAL 4/7

G3P2A0

RIWAYAT SC

6/4/2015

122

khusnul

KAMAL 10/7

G2P1A0

RIWAYAT SC

6/9/2015

123

inne

KAMAL 7/1

G3P2A0

POST MATUR

6/9/2015

124

novi

KAMAL 8/12

G1P0A0

ABORTUS

6/23/2015

125

hani

JL.SEKOLAH 7/11

30TH/G2P1A0

PRESBO&POST SC

6/1/2015

126

sarkem

JL,TRISULA8/10

37TH/G4P3A0

POST SC

6/11/2015

127

eko prihasin

JL.MENCENG 8/10

22TH/G1P0A0

CPD

6/22/2015

128

yulyulyanah

KP.BELAKANG 13/3

G1P0A0

POST SC

6/1/2015

129

reni.J

KP.BELAKANG 1/3

G2P1A0

POST SC

6/15/2015

130

tini

KP.BELAKANG 4/3

G5P4A0

PERDARAHAN

6/27/2015

131

rina

PRAWA LELE

24TH/G2P1A0

PLACENTA PREVIA

6/1/2015

134

ayu

KP.MAJA 8/5

17TH/G1P0A0

ABORTUS INKOMPLIT

6/3/2015

135

nyami

JL 1 MARET

37TH/G4P3A0

DGN PARTUS KAL II LAMA

6/16/2015

136

franciska

BULAK SIMPUL

28TH/GIP0A0

DGN PARTUS KAL II LAMA

6/21/2015

137

hajjul

KP.BARU

24TH/G1P0A0

PARTUS KALA II LAMA

6/16/2015

138

henny

PINGGIR RAWA 3/3

39TH/GIP0A0

PARTUS KALA II LAMA

6/23/2015

139

latifatun nasiah

RAWA LELE 1/10

20TH/GIPOAO

PEB

6/1/2015

140

diah

GOJAN 12/6

30TH/G3P2A0

post sc

6/2/2015

141

serli

TUMPANG 12/1

19TH/G1P0A0

KPD

6/3/2015

142

yussi

RAWA LELE 6/10

38TH/G2P1A0

PARTUS KALA II LAMA

6/5/2015

143

dian

BULAK TEKO 9/11

32TH/G2P1A0

KPD&LETAK LINTANG

6/6/2015

144

nurhayati

RAWA LELE 9/10

27TH

perdarahan

6/10/2015

145

samsiatun

RAWA LELE 7/10

39TH/G3P2A0

POST MATUR

6/15/2015

146

nurhikmah

RAWA LELE

30TH/G2P1A0

POST MATUR

6/13/2015

147

yuliana

JL.PETA BARAT 2/7

29TH/G3P1A0

perdarahan

6/20/2015

148

mayesvi

KP.WADAS 1/6

35TH/G3P2A0

post sc

6/23/2015

Kepala Puskesmas Kec. Kalideres

Suku Dinas Kesehatan Kota Administrasi
Jakarta Barat

dr. H. Darus Sahmedi

NIP 197705242010011016

LAPORAN RUJUKAN KASUS IBU

PUSKESMAS KECAMATAN KALIDERES JULI 2015
NO

NAMA

1 DWI MULYANTI
2 FATMAWATI
3 NURYANAH
4 ANDRI KUMALADEWI
5 ISNAENI
6 RUMIYATI
7 ROMLAH
8 MARLIA
9 YULITA HERMANTO
10 MIMI MAESAROH
11 NADIA
12 NURYANTI
13 NURMAYENTI
14 NIJI
15 MARLINA
16 FATIMAH BT USAMIR
17 SOFIYATUNNISSA
18 ANIS STYANINGSIH
19 SITI ROHMAH
20 IIN HINDASAH
21 RAHAYU NINGSIH
22 SUHARTI

ALAMAT

UMUR/ GRAVIDA
37
31
26
34
39
36
41
30
41
24
41
30
37
22
20
29
18
24
33
37
25
35

TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH

/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/

4,2,0
1,0,0
2,1,0
2,1,0
4,3,0
5,4,0
4,2,1
2,1,0
2,1,0
1,0,0
1,0,0
4,3,0
4,3,0
1,0,0
1,0,0
2,1,0
1,0,0
1,0,0
2,1,0
4,2,1
1,0,0
4,2,1

DIAGNOSA
PEB
KPD
KPD
CPD
KALA II MEMANJANG, FETAL DISTRES
RIWAYAT SC, HIPERTENSI, RESTI UMUR
RESTI UMUR LETAK KAKI
PEB
RESTI UMUR, KPD, PARTUS LAMA
KPD, HIPERTENSI
PEB, RESTI UMUR
OLIGOHIDRAMNION
RESTI UMUR, PRETERM, KPD
KPD
PRETERM
KPD, FETAL DISTRES
RESTI UMUR, PRETERM
PEB, KPD
PER
RESTI UMUR, PEB
POSTMATUR
KALA II MEMANJANG

TANGGAL
RUJUK

23 ASTUTI
24 DELFIANA
25 ERIKA
26 SRI RAHMAWATI
27 YESI KANIATI
28 ASTRI
29 JUMAIDAH
30 HARTINI
31 NURHAYATI
32 AISAH
33 DEWI KOMALA
34 SITI BADRIYAH
35 NUR INAYAH
36 WIKE YULIANITA
37 PEBRIYANTI
38 ANDRIYANI
39 RADA SARI
40 ZAKIYAH
41 EPI HERIYANTI
42 EPAH
43 FITRIYANI
44 AYU
45 LIDYA R
46 LISTIANAH
47 SOPIYAH
48 LILIS
49 ARYANI
50 EVI SHOLIHAH
51 NURYANTI
52 SITI HANDAYANI
53 EVIANA
54 DIAN

SEMANAN 8/5
TEGAL ALUR 8/4
PEGADUNGAN 2/5
KALIDERES 2/3
TEGAL ALUR 7/5
KALIDERES 2/5
TEGAL ALUR 6/4
KAMAL 6/5
KALIDERES 4/6
TEGAL ALUR 4/1
PEGADUNGAN 4/4
PULOGADUNG

23
21
16
22
20
18
31
35
20
23
34
38
25
24
27
21
18
38
39
27
30
28
19
27
27
29
40
26
30
32
29
31

TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH
TH

/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/

1,0,0
1,0,0
1,0,0
2,0,1
1,0,0
1,0,0
3,2,0
4,1,2
2,0,1
2,1,0
2,1,0
3,2,0
2,1,0
1,0,0
2,1,0
1,0,0
1,0,0
3,2,0
5,4,0
2,1,0
1,0,0
2,1,0
1,0,0
3,1,1
2,1,0
2,1,0
1,0,0
2,1,0
4,3,0
2,1,0
3,0,2
4,1,2

GAWAT JANIN
PRETERM
PRETERM, KPD
PRETERM
KPD
PRETERM
HIPERTENSI
KPD, KELAINAN LETAK
POST MATUR
PRETERM, KPD
GAGAL INDUKSI
KALA I MEMANJANG
KALA II MEMANJANG
KPD, KALA II MEMANJANG
PER
PER, KPD
PEB, RESTI UMUR
RESTI UMUR, RETENSIO PLASENTA
RESTI UMUR, GRANDE MULTI
GEMELI
KISTA
PLASENTA PREVIA TOTALIS
ANEMIA
CPD
POST MATUR
ABORTUS
ANEMIA
POSTMATUR
POSTMATUR
POSTMATUR
DEPRESI DISERTAI UNSPECIFIED
RIWAYAT SC

7/1/2015
7/1/2015
7/2/2015
7/2/2015
7/6/2015
7/6/2015
7/6/2015
7/6/2015
7/6/2015
7/7/2015
7/7/2015
7/7/2015

55 ALVIAH
56 SUPRAPTI
57 NOPITASARI
58 RASIKEM
59 RUBINGAH
60 EKA OKTAVIANI
61 TITI ISTIARTI
62 ROHIMAH
63 MAIMUNAH
64 YETY
65 TIUR
66 DWI ARTI
67 HURAINI
68 WIWIN
69 FITRI
70 SUCI
71 ROHMA
72 JAMILAH
73 DEWI PUSPITA
74 MAEMUN
75 FIDA ALVIA
76 ROFINA TINI
77 SUCI DAMAYANTI
78 ANA
79 IIS
80 NUNUNG
81 SUENI
82 HARIANA
83 LINAWATI
84 HANI PUJI
85 STEFANI
86 SRI

PULOGADUNG 09/03
KALIDERES 3/8
PEGADUNGAN 7/4
PEGADUNGAN 04/04
KAMAL 03/09
PEGADUNGAN 10/7
KAMAL 3/1
PEGADUNGAN 10/11
KAMAL 4/2
TEGAL ALUR 7/5
TEGAL ALUR 3/3
KALIDERES 6/11
PEGADUNGAN 4/9
KALIDERES 2/1
TEGAL ALUR 2/3
KALIDERES 6/13
TEGAL ALUR 6/2
KAMAL 5/7
PEGADUNGAN 1/6
KALIDERES 1/12
PEGADUNGAN 7/5
PEGADUNGAN 10/4
KALIDERES 6/13
TEGAL ALUR 4/9
PEGADUNGAN 8/3
SEMANAN 6/7
KALIDERES 4/8
KALIDERES 3/1
PEGADUNGAN 3/4
SEMANAN 7/1
DAAN MOGOT
PEGADUNGAN 8/4

27 TH / 5,2,2
33 TH / 2,1,0
22TH / 1,0,0
28 TH / 3,1,1
28 TH / 2,1,0
20 TH / 1,0,0
26 TH / 1,0,0
33 TH / 3,2,0
33 TH / 2,1,0
36 TH / 3, 1,1
22 TH 2,0,1
30 TH / 4,1,2
38 TH / 4,3,0
38 TH / 7,4,2
32 TH / 5,1,3
21 TH / 1,0,0
20 TH / 2,1,0
26 TH / 2,1,0
26 TH / 4,3,0
37 TH / 3,1,1
20 TH / 1,0,0
29 TH / 2,1,0
21 TH / 1,0,0
26 TH / 1,0,0
20 TH / 1,0,0
39 TH / 2,0,1
27 TH / 2,1,0
34 TH / 2,1,0
30 TH / 3,2,0
33 TH / 2,1,0
25 TH / 2,1,0
37 TH / 3,1,1

ABORTUS
POST SC
SUSP, PJT
SUSP, BD
POST SC
POSTMATUR
POSTMATUR
POSTMATUR
POST SC
POST SC
POST MATUR
POST SC
POST SC
PEB
PROTEIN + 3
GEMELI
POST SC
ABORTUS
ANSEFAL
POST SC
PERDARAHAN
DM
GEMELI
POSTOP KISTA
REDUKSI PROTEIN 3
GEMELI
HB 7,2 gr%
LINTANG
TD 150/100 Mmhg
POST SC
POST SC, HIPERMIOPI
HEMATURIA MASIF

7/8/2015
7/8/2015
7/12/2015
7/12/2015
7/12/2015
7/14/2015
7/14/2015
7/14/2015
7/14/2015
7/14/2015
7/15/2015
7/15/2015
7/15/2015
7/23/2015
7/23/2015
7/23/2015
7/23/2015
7/23/2015
7/23/2015
7/23/2015
7/23/2015
7/23/2015
7/27/2015
7/27/2015
7/27/2015
7/27/2015
7/28/2015
7/28/2015
7/28/2015
7/29/2015
7/29/2015
7/29/2015

87 SEPTI LIA
88 FITI
89 NOERITA
90 RIKA YANTI
91 FITRIA
92 ENDANG YUSNI
93 IIS SETIAWATI
94 HENNY
95 NURBAITI
96 KUSWATI
97 MUSLICHA
98 OKTI
99 PUTIKAH
100 NURASIAH
101 FETTI
102 FEBRIANTI

KALIDERES 8/3
TEGAL ALUR 1/7
TEGAL ALUR 8/11
TEGAL ALUR 5/7
KAMAL 6/9
WADAS 1/7
KP MAJA 6/2
PINGGIR RAWA 3/3
BAMBU LARANGAN 1/9
PINGGIR RAWA 2/3
KOANG 9/4
RAWA LELE
PINGGIR RAWA 8/3
PINGGIR RAWA 6/3
SEMANAN 9/3
SEMANAN 9/3

21
31
24
35
32
37
26
40
25
29
32
24
20
22
28
24

TH / 2,1,0
TH / 4,2,1
TH / 1,0,0
TH / 2,1,0
TH / 2,1,0
TH/ 3,2,0
TH/ 3,2,0
TH/ 1,0,0
TH/ 1,0,0
TH/ 2,1,0
TH/ 1,0,0
TH/ 1,0,0
TH/ 1,0,0
TH/ 1,0,0
TH/ 5,4,0
TH/ 2,1,0

POST MATUR
POST SC
KPD, OLIGO
PLASENTA PREVIA
TD 150/90 Mmhg
KISTA
HAP
PARTUS TAK MAJU
KPD
OLIGOHIDRAMNION
KPD
LETAK SUNGSANG
KPD
LETAK SUNGSANG
PLACENTA PREVIA
POST MATURE

Kepala Puskesmas Kec. Kalideres

Suku Dinas Kesehatan Kota Administrasi
Jakarta Barat

dr. H. Darus Sahmedi

NIP 197705242010011016

LAPORAN RUJUKAN KASUS IBU

7/29/2015
7/30/2015
7/30/2015
7/30/2015
7/30/2015
7/14/2015
7/1/2015
7/3/2015
7/6/2015
7/20/2015
7/8/2015
7/15/2015
7/19/2015
7/20/2015
7/6/2015
7/6/2015

PUSKESMAS KECAMATAN KALIDERES agustus 2015

NO

NAMA

1 sarlina m benu
2 anis lesatri
3 sri lestari
4 suningsih
5 iim daryanti
6 suminah
7 siti rohmah
8 neneng u
9 rochyati
10 holilah
11 asmi sahayati
12 neneng u
13 anastasia
14 widdyawati
15 nenik
16 sri wahyuni
17 anna
18 puji astuti
19 netty herawatty
20 anisa bella dina
21 endang sulastri
22 mulyati
23 sania
24 candra
25 masenun
26 yanti
27 siti istiqomah
28 anis

ALAMAT

UMUR/ GRAVIDA
26
19
37
23
25
35
33
31
35
34
20
37
25
20
34
25
26
26
35
20
28
41
27
21
33
29
26
19

th/ 2,1,0
th/ 1,0,0
th/ 4,3,0
th/ 1,0,0
th/1,0,0
th/8,5,2
th/ 2,1,0
th/ 4,3,0
th/ 2,1,0
th/ 3,2,0
th/ 1,0,0
th/ 3,2,0
th/ 1,0,0
th/ 1,0,0
th/ 2,1,0
th/ 2,1,0
th/ 4,3,0
th/ 4,3,0
th/2,1,0
th/ 1,0,0
th/ 3,1,0
th/ 4,3,0
th/ 1,0,0
th/ 1,0,0
th/ 3,2,0
th/ 2,1,0
th/ 1,0,0
th/ 1,0,0

DIAGNOSA
per
sup pjt
gawat janin
peb
partus tak maju
kpd
peb
bokong
kpd
partus tak maju
kpd
kpd
oligohidramnion
per
bokong
post sc
partus tak maju
pjt
peb
per
kpd
peb
bokong
oligohidramnion
peb
gamelli
kpd
abortus

TANGGAL
RUJUK

29 sri wiyanti
30 susanti
31 hardiawati
32 santi
33 juminah
34 septiana
35 siti khodijah
36 vena
37 nurhayati
38 nana
39 kurniawati
40 therresia
41 rinawati
42 yelfi
43 istiwi
44 emi
45 rosmaniah
46 rochayati
47 saroyah
48 retno
49 nyanyu
50 yuli hasan
51 minarti
52 siti umamah
53 nyanyu
54 siti nemah
55 sri mulyati
56 mardiah
57 rosiah
58 suwinah
59 lani
60 fitriah

prima 9/5
menceng 8/5
pelopor
menceng 5/10
menceng 7/6
rawa kompeni
rawa bebek
tergal alur 5/6
cengkareng
tegal alur 9/7
koang
maja 8/5
pegadungan 6/8
preped 6/11
tegal alur 12/9
kamal 9/2
kamal 4/2
kaml 11/9
kamal 3/1
kamal 1/8
tegal alur 12/3
kamal 11/9
kamal 8/2
tegal alur 3/3
kalideres
kalideres 6/7
rawa lele
veteran 6/6
maja 1/2

41 th/ 3,2,0
22 th/ 1,0,0
28 th/ 2,1,0
33 th/ 1,0,0
40 th/ 2,1,0
30 th/ 1,0,0
26 th/ 1,0,0
29 th/3,2,0
27 th/ 1,0,0
33 th/ 4,3,0
33 th/ 3,2,0
40 th/ 2,1,0
38 th/ 4,2,1
27 th/ 1,0,0
4,3,1
2,1,0
2,1,0
35 th/ 2,1,0
34 th/ 3,2,0
29 th/ 3,2,0
28 th/ 1,0,0
33 th/ 3,1,0
29 th/ 2,0,1
24 th/ 2,1,0
28 th/ 1,0,0
20 th/ 2,1,0
22 th/ 2,1,0
3,2,0
4,3,0
36 th/ 1,0,0
32 th/ 4,1,2
5,3,1

kpd
partus tak maju
odem
post sc
peb
miopi
abortus
kpd
peb
post mature
post sc
post sc
abortus
bayi besar
premature
epilepsi
abortus
post mature
lain-lin
lain-lain
lain-lain
abortus
abortus
lain-lain
post mature
post sc
hap
miopia
anemia
miopi
bokong
partus tak maju

8/4/2015
8/4/2015
8/10/2015
8/24/2015
8/25/2015
8/2/2015
8/22/2015
8/5/2015
8/14/2015
8/24/2015
8/17/2015
8/28/2015
8/31/2015
8/3/2015
8/4/2015
8/11/2015
8/13/2015
8/13/2015
8/14/2015
8/20/2015
8/20/2015
8/20/2015
8/25/2015
8/31/2015
8/28/2015
8/28/2015
8/11/2015
8/19/2015
8/3/2015

61 nurlela
62 nursiah
63 juriah
64 johana
65 warnih
66 ria
67 linda
68 lala
69 erna
70 nengsih
71 linda
72 fitriah
73 tanti
74 peni handriyanti
75 tati
76 indriyati
77 lusianan
78 neneg
79 sri h
80 lasmiatun
81 maryana
82 nopiayani
83 devi
84 fitri
85 oyih
86 nenih
87 sarifah
88 teti
89 nunung
90 maida riani
91 konaah
92 muniroh

maja 4/2
wadas 4/6
wadas 4/6
wadas 2/6
wadas 2/6
kumbang
kp. Baru 1/1
bulak sere 7/1
kp duri 5/4
bulak teko 5/11
rw lele 6/7
wadas
utan jati
kalideres 14/6
kalideres 9/10
semanan 2/9
pegadungan 5/7
pegadungan 4/5
pegadungan 8/4
kamal 6/3
kalideres 4/13
pegadungan 8/3
kalideres
kamal 9/2
pegadungam 7/3
kamal 4/1
tegal alur 9/2
pegadungan 4/11
semanan 3/7
kalideres 9/10
kamal 4/9
tegal alur 7/8

1,0,0
3,2,0
23 th/ 1,0,0
26 th/ 1,0,0
30 th/ 2,1,0
30 th/ 2,1,0
32 th/ 6,5,0
21 th/1,0,0
25 th/ 1,0,0
43 th/ 6,4,1
29 th/ 2,1,0
20 th/ 2,1,0
27 th/ 2,1,0
21 th/ 1,0,0
30 th/ 2,1,0
33 th/ 3,2,0
28 th/ 2,1,0
37 th/ 3,2,0
37 th/ 3,1,0
31 th/ 2,1,0
28 th/ 2,1,0
31 th/ 5,3,1
24 th/ 1,0,0
23 th/ 1,0,0
33 th/ 4,3,0
34 th/ 2,1,0
23 th/ 4,3,0
29 th/ 2,1,0
39 th/ 2,1,0
35 th/ 3,2,0
32 th/ 2,1,0
39 th/ 3,2,0

post mature
partus tak maju
hap
post mature
kpd
kpd
abortus
kpd
partus tak maju
hap
post mature
abortus
abortus
lilitan tali pusat
post sc
premature
post mature
per
lnfeksi kemih
post sc
post mature
post mature
per
gamelli
bokong
lain-lain
polip
post sc
gemelli
bayi besar
sc
abortus

8/14/2015
8/12/2015
8/19/2015
8/19/2015
8/20/2015
8/1/2015
8/4/2015
8/19/2015
8/23/2015
8/26/2015
8/26/2015
8/26/2015
8/26/2015
8/3/2015
8/3/2015
8/3/2015
8/3/2015
8/3/2015
8/3/2015
8/4/2015
8/5/2015
8/5/2015
8/6/2015
8/6/2015
10-Aug
8/10/2015
8/10/2015
8/10/2015
8/10/2015
8/10/2015
8/10/2015
8/11/2015

93 siti sarah
94 muslimah
95 robiatul
96 fitri
97 astuti
98 linda
99 indah
100 yeni
101 rahmainah
102 siti maysaroh
103 dwi ningsih
104 sugianti
105 sonata
106 sri umiatun
107 gita
108 sella puspita
109 nengsih
110 dwi
111 neneng
112 robiatul
113 stefanni

pegadungan
kalideres
tegal alur
trgal alur 1/7
tegal alur 5/5
kalideres 1/3
kamal 3/6
tegal alur 8/15
kalideres 5/13
kalideres 2/3
kamal 4/5
tegal alur 13/9
tegal alur
pegadungan 5/3
tegal alur 9/10
tegal alur 5/11
kamal 9/3
kalideres 5/2
tegal alur
tegal alur 12/9
daan mogot

Kepala Puskesmas Kec. Kalideres

Suku Dinas Kesehatan Kota Administrasi
Jakarta Barat

dr. H. Darus Sahmedi

NIP 197705242010011016

20th 1,0,0
23 th/ 4,3,0
28 th/ 5,2,2
31 th/ 4,2,1
38 th/5,2,2
32 th/ 5,2,2
21 th/ 1,0,0
38 th/ 2,1,0
30 th/ 2,1,0
28 th/ 3,1,0
41 th/ 5,3,1
36 th/ 4,3,0
31 th/ 4,3,0
22 th/ 1,0,0
21 th/ 1,0,0
27 th/ 3,2,0
31 th/ 3,2,0
24 th/ 2,1,0
29 th/ 3,2,0
28 th 5,2,2
25 th/ 2,10

post mature
abortus
post sc
post sc
peb
post sc
varises
post mature
sc
post mature
plasenta letak rendah
post mature
dm gestasional
anemia
anemia
sc
sc
podt mature
sc
sc
sc

8/11/2015
8/12/2015
8/13/2015
8/13/2015
8/13/2015
8/13/2015
8/18/2015
8/18/2015
8/18/2015
8/18/2015
8/18/2015
8/19/2015
8/19/2015
8/19/2015
8/24/2015
8/24/2015
8/24/2015
8/24/2015
8/25/2015
8/26/2015
8/27/2015

PUSKESMAS KECAMATAN KALIDERES SEPTEMBER 2015

NO

NAMA

1 NANIK T
2 MUNIATI
3 MUJHUL
4 JUMROTUL
5 MARLINA
6 NENIK
7 STEVI
8 YENI
9 SUSIATI
10 HENA
11 ROPIANTA
12 LINDA
13 MARETA
14 SIANIH
15 SARWINAH
16 SAROYAH
17 NARTI
18 SUPRIYANI
19 FITRI YULIANTI
20 FUJIANTI
21 MARIA
22 ANNA
23 YOHANI
24 ROPIAH
25 SARAH

ALAMAT
SEMANAN 8/8
SEMANAN 9/3
SEMANAN 1/3
SEMANAN 3/11
SEMANAN 3/3
SEMANAN 6/8
SEMANAN 1/9
SEMANAN 2/9
SEMANAN 6/8
SEMANAN 5/3
SEMANAN 6/3
SEMANAN 29
SEMANAN 5/9
SEMANAN 3/4
KAMAL 3/8
KAMAL 9/2
TEGAL ALUR 2/9
TRGAL ALUR 8/3
TEGAL ALUR 8/9
KAMAL 7/1
PEGADUNGAN RW 7
PEGADUNGAN 4/5
KAMAL 3/5
KAMAL 7/2
KAMAL 7/3

UMUR/ GRAVIDA
36 TH/2,1,0
39 TH/4,2,1
29 TH/ 2,1,0
36 TH/ 2,1,0
34 TH/3,2,0
24 TH/ 1,0,0
25 TH/ 2,1,0
32 TH/3,2,0
18 TH/1,0,0
32 TH/ 2,1,0
32 TH/2,1,0
38 TH/3,2,0
19 TH/2,1,0
32 TH/2,1,0
2,1,0
3,2,0
1,0,0
2,1,0
3,2,0
3,1,1
31 TH/ 2,1,0
40 TH/ 4,2,1
4,1,2
3,0,2
2,1,0

DIAGNOSA
PER
LETAK SUNGSANG
POST MATUR
POST SC
KELINAN JANTUNG
OLIGOHYDRAMNION
ASMA
PRETERM
POST MATUR
POST SC
KPD
POST MATURE
POST SC
HAP
POST MATURE
ANAMIA
PJT
PLACENTA PREVIA
PLACENTA PREVIA
POST MATUR
POST SC
POST SC
POST SC
HAP
POST SC

TANGGAL
RUJUK
9/3/2015
9/7/2015
9/7/2015
9/11/2015
9/11/2015
9/16/2015
9/16/2015
9/18/2015
9/23/2015
9/11/2015
9/12/2015
9/16/2015
9/28/2015
9/28/2015
9/3/2015
9/8/2015
9/22/2015
9/22/2015
9/29/2015
9/29/2015
9/23/2015
9/14/2015
9/3/2015
9/3/2015
9/10/2015

26 AFRIYANTI
27 MARLINA
28 YUNANI
29 RENNY W
30 HENNY
31 RIATMI
32 AWALIAH
33 SRI SUNARTI
34 WARNI
35 THERESIA
36 REZKI
37 NUR FAUZIYAH
38 DESKA
39 MUTIAH
40 SULIS AGUSTINA
41 IRMAYANTI
42 TITIN
43 SITI ROHYANTI
44 PUJIANTO
45 NARIYAH
46 MARYATI
47 SUMINI
48 DYAH
49 ITA
50 LUCY
51 APRIYANI
52 SURATIH
53 RONATA
54 ERLINA
55 RAMADANIA
56 YESMIAWATI
57 IAN

KAMAL 6/3
KAMAL 3/4
TEGAL ALUR 6/5
TEGAL ALUR 4/5
TEGAL ALUR 4/15
TEGAL ALUR 6/10
TEGAL ALUR 1/2
TEGAL ALUR 7/2
TEGAL ALUR 6/11
CENGKARENG 22/16
TEGAL ALUR 5/11
TRGAL ALUR 7/12
TEGAL ALUR 5/12
PEGADUNGAN 9/1
PEGADUNGAN
PEGADUNGAN
PEGADUNGAN 2/7
PEGADUNGAN 5/6
PEGADUNGAN 9/2
PEGADUNGAN 3/2
PEGADUNGAN 8/1
PEGADUNGAN 12/1
PEGADUNGAN 6/10
PEGADUNGAN
PEGADUNGAN 5/7
PEGADUNGAN 11/1
PEGADUNGAN 5/5
PEGADUNGAN
PEGADUNGAN 11/11
PEGADUNGAN
PEGADUNGAN 6/11
PEGADUNGAN 6/7

1,0,0
5,4,0
30 TH/ 3,,1,1
33 TH/3,2,0
37 TH/2,1,0
40 TH/ 6,3,2
25 TH/ 1,0,0
30 TH/3,2,0
26 TH/ 4,1,2
40 TH/ 2,1,0
29 TH/ 1,0,0
25 TH/ 1,0,0
23 TH/1,0,0
31 TH/ 3,1,0
31 TH/3,2,0
28 TH/ 2,1,0
34 TH/3,2,0
36 TH/ 5,3,1
35 TH/ 2,1,0
30 TH/2,1,0
29 TH/ 2,1,0
22 TH/ 1,0,0
25 TH/ 1,0,0
24 TH/ 3,1,0
32 TH/ 3,2,0
29 TH/ 1,0,0
30 TH/ 2,1,0
22 TH/ 1,0,0
21 TH/2,1,1
30 TH/ 1,0,0
42 TH/ 4,3,0
38 TH/ 4,1,2

FLOUR ALBOUS
POST SC
EKTOPIK
POST SC
POST SC
ABORTUS
KPD
POST SC
PERDARAHAN
POST SC
MIOPI
POST OP KISTA
HAP
POST SC
HAP
BOKONG
GAMELLY
MIOMA
POST MATURE
POST MATURE
KPD
HAP
ABORTUS
ABORTUS
KPD
PARTUS TAK MAJU
ABORTUS
POST MATURE
ABORTUS
PRETERM
POST SC
KPD

9/17/2015
9/22/2015
9/1/2015
9/4/2015
9/15/2015
9/28/2015
9/22/2015
9/1/2015
9/2/2015
9/4/2015
9/8/2015
9/2/2015
9/16/2015
9/8/2015
9/8/2015
9/22/2015
9/25/2015
9/29/2015
9/1/2015
9/4/2015
9/12/2015
9/2/2015
9/2/2015
9/3/2015
9/6/2015
9/15/2015
9/15/2015
9/17/2015
9/19/2015
9/21/2015
9/25/2015
9/26/2015

58 DWI
59 EKA
60 DAMAYANTI
61 NURHAYATI
62 SUMARSINI
63 DWI PURWANTI
64 MUJI
65 DEVI
66 FITRI
67 MAYA
68 EVA
69 LINDA
70 LINA WATI
71 TRI S
72 NITA
73 TATI ROHAYATI
74 HURIYAH
75 FITI
76 ERVINA
77 ROSIDAH
78 NINA LESTARI
79 LASMARIA
80 SUMISIH
81 HENI
82 NURHAYATI
83 ASNI
84 DWI NINGSIH
85 SUSILAWATI
86 SITI ROHMAH
87 DEBORAH
88 ALVIAH
89 HAFIATI

KALIDERES 5/10
TEGAL ALUR 1/3
KALIDERES
PEGADUNGAN 1/3
KALIDERES 2/1
KALIDERES 4/5
CENGKARENG
KALIDERES
KALIDERES 4/7
TEGAL ALUR
KAMAL 7/1
TEGAL ALUR 8/3
PEGADUNGAN 3/9
TEGAL ALUR 8/1
TEGAL ALUR 11/11
KALIDERES 9/10
PEGADUNGAN 3/2
KALIDERES 9/2
TEGAL ALUR 7/5
KAMAL
TEGAL ALUR 2/4
TEGAL ALUR 4/11
KALIDERES 5/10
KALIDERES 11/10
KALIDERES 8/1
TEGAL ALUR 11/3
KAMAL 4/9
PEGADUNGAN 3/4
KALIDERES 10/13
PEGADUNGAN 1/5
PEGADUNGAN 9/3
TEGAL ALUR 3/8

23
26
35
26
37
32
21
24
36
20
22
27
30
30
30
30
30
23
31
40
32
34
30
34
32
46
41
36
32
27
27
32

TH/ 1,0,0
TH/ 2,1,0
TH/ 1,0,0
TH/ 1,0,0
TH/ 5,2,2
TH/ 3,2,0
TH/ 2,1,0
TH/ 1,0,0
TH/3,1,1
TH/1,0,0
TH/ 2,1,0
TH/ 2,1,0
TH/ 3,2,0
TH/ 2,1,0
TH/ 2,1,0
TH/ 2,1,0
TH/ 3,2,1
TH/ 1,0,0
TH/ 4,3,0
TH/ 3,2,0
TH/ 4,1,2
TH/ 2,1,0
TH/ 3,2,0
TH/ 4,2,0
TH/ 3,2,0
TH/8,4,3
TH/ 5,3,1
TH/ 4,2,1
TH/ 4,2,1
TH/1,0,0
TH/ 5,2,2
TH/ 3,2,0

SINDROM NEFROTIK
POST SC
MIOPIA
OBLIQ
POST SC
PLACENTA PREVIA
BLIGHTED OVUM
PEB
BOKONG
POST MATURE
POST SC
POST SC
GINJAL
BOKONG
POST SC
POST SC
POST MATURE
GAMELLY
POST SC
HYPERTENSI
BOKONG
POST SC
POST SC
POST SC
LINTANG
AMENORHEA SEKUNDER
PLASENTA LETAK RENDAH
ABORTUS IMMINENS
HIPERMIOPIA
ABORTUS IMMINENS
HAP
POST SC

9/1/2015
9/1/2015
9/1/2015
9/1/2015
9/1/2015
9/1/2015
9/1/2015
9/2/2015
9/3/2015
9/3/2015
9/3/2015
9/7/2015
9/7/2015
9/7/2015
9/7/2015
9/7/2015
9/8/2015
9/8/2015
9/9/2015
9/10/2015
9/10/2015
9/10/2015
9/14/2015
9/14/2015
9/14/2015
9/14/2015
9/14/2015
9/14/2015
9/14/2015
9/15/2015
9/15/2015
9/17/2015

90 ENITHA
91 HAYATUNNISA
92 EVITASARI
93 PENIH
94 ULANDARI
95 ANDRIYATI
96 DEWI P
97 SUENI
98 DEWI LESTARI
99 NILA MAYA SARI
100 TONAH
101 ENI
102 SITI MASITOH

TEGAL ALUR 1/7

SEMANAN 5/4
TEGAL ALUR 10/2
PEGADUNGAN 2/4
PEGADUNGAN 8/3
TEGAL ALUR 6/5
KALIDERES 4/5
KALIDERES 4/8
KALIDERES 10/13
SEMANAN 1/6
TEGAL ALUR
TEGAL ALUR 2/13
PEGADUNGAN 10/11

Kepala Puskesmas Kec. Kalideres

Suku Dinas Kesehatan Kota Administrasi
Jakarta Barat

dr. H. Darus Sahmedi

NIP 197705242010011016

26 TH/ 1,0,0
30 TH/ 3,2,0
25 TH/ 1,0,0
28 TH/ 2,1,0
25 TH/2,1,0
36 TH/ 3,2,0
32 TH/3,2,0
27 TH/ 2,1,0
35TH/3,2,0
28 TH/1,0,0
27 TH/ 2,1,0
28 TH/1,0,0
24 TH/ 3,2,0

DIABETES GESTASIONAL
POST SC
POST MATURE
POST SC
DIABETES GESTASIONAL
HAP
PLASENTA PREVIA
POST SC
POST SC
MIOPIA
POST MATURE
MIOPIA
PEB

9/17/2015
9/17/2015
9/23/2015
9/23/2015
9/28/2015
9/28/2015
9/28/2015
9/28/2015
9/28/2015
9/28/2015
9/29/2015
9/29/2015
9/30/2015

U
EMBER 2014

RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.
RS.

TEMPAT RUJUKAN
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG

ASAL RUJUKAN
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
RB
PKL SEMANAN II
PKL SEMANAN II
PKL SEMANAN II

RS. CENGKARENG
RS. ANGGREK MAS
RS. ANGGREK MAS
RS. CENGKARENG
RS. CENGKARENG
RS. CENGKARENG
RS. HERMINA
RS. CENGKARENG
RS. CENGKARENG
RS. CENGKARENG
RS. HERMINA
RS. BUDA LESTARI
RS. ANGGREK MAS
RS. HERMINA
RS. CENGKARENG
RS. CENGKARENG
RS. CENGKARENG
RS. HERMINA
RS.CENGKARENG
RS. CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG

PKL SEMANAN II
PKL SEMANAN II
PKL SEMANAN II
PKM KALIDERES II
BPU
BPU
BPM HJ. ENDANG
BPM MARI SENTONO
BPM MARI SENTONO
BPM MARI SENTONO
BPM MARI SENTONO
BPM HJ. SULICHAH
BPM HJ. SULICHAH
BPM HJ. SULICHAH
BPM HJ. SULICHAH
BPM HJ. SULICHAH
BPM HJ. SULICHAH
BPU KPL KAMAL 1
BPU KAMAL 1
PKL TA 1
PKL TA 1
PKL TA 1
PKL TA 1
PKL TA 1
PKL TA II
BPM DEWI NURUL
PKL II
PKL KAMAL II
PKL KAMAL II
PKL KAMAL II
KIA PKC KALIDERES
KIA PKC KALIDERES

RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS. CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG

KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA

PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC

KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES

U
PRIL 2015

RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG
RS.HARAPAN KITA
RS.CENGKARENG
RS.CENGKARENG
RS.CENGKARENG

Pengelola Program KIA

Puskesmas Kec,. Kalideres
Jakarta Barat

Sumarni
NIP : 197108031991032004

KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA

PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC

KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES

rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud

TEMPAT RUJUKAN
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng

rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb
rb

ASAL RUJUKAN
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres

rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rs bunda tsu chi
rs bunda tsu chi
rsud cengkareng
rsud cengkareng
rsud cengkareng
rs hermina
rs hermina
rsud cengkareng
rs hermina
rs hermina
rs hermina
rs hermina
rs hermina
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rs budi kemuliaan
rs bunda tsu chi
rsud cengkareng

rb pkc kalideres
rb pkc kalideres
rb pkc kalideres
rb pkc kalideres
rb pkc kalideres
rb pkc kalideres
rb pkc kalideres
rb pkc kalideres
rb pkc kalideres
pkl tegal alur I
pkl tegal alur I
pkl tegal alur I
pkl tegal alur I
pkl kalideres II
pkl kalideres II
pkl kalideres II
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I
pkl peadungan I

rs hermina
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rs bunda tsu chi
rsud cengkareng
rsud cengkareng
rs hermina
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rs hermina
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng

pkl peadungan I
pkl kamal I
pkl kamal I
pkl pegadungan II
pkl tegal alur II
pkl tegal alur II
pkl tegal alur II
pkl tegal alur III
pkl tegal alur III
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkl semanan II
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres

rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud

cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng

Pengelola Program KIA

Puskesmas Kec,. Kalideres
Jakarta Barat

pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc

kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres

Sumarni
NIP : 197108031991032004

U
MEI 2015
TEMPAT RUJUKAN
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RS HERMINA
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RS HERMINA
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSU KALIDERES
RS HERMINA
RS BUDHA TSU CHI
RSU KALIDERES

ASAL RUJUKAN
PKL KAMAL 2
PKL KAMAL 2
PKL SEMANAN 2
PKL SEMANAN 2
PKL SEMANAN 2
PKL SEMANAN 2
PKL SEMANAN 2
PKL SEMANAN 2
PKL SEMANAN 2
PKL SEMANAN 2
PKL SEMANAN 2
PKL TEGAL ALUR 1
PKL TEGAL ALUR 1
PKL TEGAL ALUR 1
PKL TEGAL ALUR 1
PKL TEGAL ALUR 1
PKL TEGAL ALUR 1
PKL TEGAL ALUR 1
PKL TEGAL ALUR 1

RS HERMINA
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RS BUDHA TSU CHI
RSUD CENGKARENG
RS BUDHA TSU CHI
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG

PKL TEGAL ALUR 1

PKL TEGAL ALUR 2
PKL TEGAL ALUR 2
PKL TEGAL ALUR 2
PKL TEGAL ALUR 2
PKL SEMANAN 1
PKL SEMANAN 1
PKL SEMANAN 1
PKL KAMAL 2
PKL KAMAL 2
PKL TEGAL ALUR 3
PKL TEGAL ALUR 3
PKL TRGAL ALUR 3
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES

RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD

CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG

RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES
PKC KALIDERES

RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD

CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG

PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC

KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES

U
UNI 2015

RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD

CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG

Pengelola Program KIA

Puskesmas Kec,. Kalideres
Jakarta Barat

Sumarni
NIP : 197108031991032004

PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC

KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES

TEMPAT RUJUKAN

ASAL RUJUKAN

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

PKC KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSUD CENGKARENG

RSU KALIDERES

RSU KALIDERES

PKM KALIDERES 2

RSU CENGKARENG

BPM ERNA

RSUD CENGKARENG

BPM ERNA

BUDHA TSUCHI

BPM FIRNIA SANTI

RSUD CENGKARENG

PKL TA I

RS BUDHA TSUCI

PKL TA I

RS BUDHA TSUCI

PKL TA I

RSUD CENGKARENG

PKL TA I

RSUD CENGKARENG

PKM.SEMANAN 2

RSUD CENGKARENG

PKM.SEMANAN 2

RSUD CENGKARENG

PKM.SEMANAN 2

RSUD CENGKARENG

PKM.SEMANAN 2

RSUD CENGKARENG

PKM.SEMANAN 2

RSUD CENGKARENG

PKM.SEMANAN 2

RSUD CENGKARENG

PKM.SEMANAN 2

RSUD CENGKARENG

PKM.SEMANAN 2

RSUD CENGKARENG

PKM.SEMANAN 2

RSUD CENGKARENG

PKM.SEMANAN 2

RSKB CINTA KASIH

PKC.KAMAL 1

RSUD CENGKARENG

PKC.KAMAL 1

RSUD CENGKARENG

PKC.KAMAL 1

RSUD CENGKARENG

PKC.KAMAL 1

RSUD CENGKARENG

TEGAL ALUR 2

RSUD CENGKARENG

TEGAL ALUR 2

RSUD CENGKARENG

TEGAL ALUR 2

RSUD CENGKARENG

PKL KAMAL 2

RSUD CENGKARENG

PKL.KAMAL 2

RSUD CENGKARENG

PKL.KAMAL 2

RSUD CENGKARENG

BPM.MARISINTONO/ PKL
PEGADUNGAN 1

RS.BERKAH IBU

BPM.MARISINTONO

RSUD.CENGKARENG

BPM.MARISINTONO/PKL
PEGADUNGAN 1

RSUD.CENGKARENG
RSUD.CENGKARENG
RSUD.CENGKARENG
RSUD.CENGKARENG
RSUD.CENGKARENG
RSUD.CENGKARENG
RSUD.CENGKARENG
RSUD.CENGKARENG
RSUD.CENGKARENG
RSUD.CENGKARENG
RSUD.CENGKARENG
RS.HERMINA
RS.HERMINA

Pengelola Program KIA

Puskesmas Kec,. Kalideres
Jakarta Barat

Sumarni
NIP : 197108031991032004

BPM.MARISINTONO/PKL
PEGADUNGAN 1
BPM.MARISINTONO/PKL
PEGADUNGAN 1
BPM.MARISNTONO/PKL
PEGADUNGAN 1
BPM.HJ.S.SULISHA/PKL
PEGADUNGAN 1
BPM.HJ.S.SULISHA/PKL
PEGADUNGAN 1
BPM.HJ.S.SULISHA/PKL
PEGADUNGAN 1
BPM.HJ.S.SULISHA/PKL
PEGADUNGAN 1
BPM.HJ.S.SULISHA/PKL
PEGADUNGAN 1
BPM.HJ.S.SULISHA/PKL
PEGADUNGAN 1
BPM.HJ.S.SULISHA/PKL
PEGADUNGAN 1
BPM.HJ.S.SULISHA/PKL
PEGADUNGAN 1
BPM.HJ.S.SULISHA/PKL
PEGADUNGAN 1
PKL.PEGADUNGAN 1

U
ULI 2015
TEMPAT RUJUKAN
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD
RSUD

CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG

ASAL RUJUKAN
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU
RSU

KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES

RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RS CIPTO M
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
HERMINA DAAN MOGOT

RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
RSU KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES

HERMINA DAAN MOGOT

RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
HERMINA DAAN MOGOT
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
HERMINA DAAN MOGOT
RSUD CENGKARENG

KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA
KIA

PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC

KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES

RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
HERMINA DAAN MOGOT
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
HERMINA DAAN MOGOT
RS BUNDA TSU CHI
RSUD CENGKARENG
RS BUNDA TSU CHI
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG

Pengelola Program KIA

Puskesmas Kec,. Kalideres
Jakarta Barat

Sumarni
NIP : 197108031991032004

KIA PKC KALIDERES

KIA PKC KALIDERES
KIA PKC KALIDERES
KIA PKC KALIDERES
PKL PEGADUNGAN I
PKL PEGADUNGAN I
PKL PEGADUNGAN I
PKL PEGADUNGAN I
PKL PEGADUNGAN I
PKL PEGADUNGAN I
PKL PEGADUNGAN I
PKL PEGADUNGAN I
PKL PEGADUNGAN I
PKL PEGADUNGAN I
PKL SEMANAN II
PKL SEMANAN II

ustus 2015
TEMPAT RUJUKAN
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud
rsud

cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng
cengkareng

ASAL RUJUKAN
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk
rsuk

kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres

rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
hermina
rsuk kalideres
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rs budha tsu chi
rsud cengkareng
rs anggrek mas
rsuk kalideres
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsuk kalideres
rsuk kalideres
rsuk kalideres
rsud cengkareng
rsud cengkareng
rsuk kalideres
rsud cengkareng
rsud cengkareng
rsuk kalideres
rsud cengkareng
rsuk kalideres
rs budha tsu chi
rsud cengkareng
rsud cengkareng

rsuk kalideres
rsuk kalideres
rsuk kalideres
tegal alur 2
trgal alur 2
tegal alur 2
tegal alur 2
tegal alur 2
tegal alur 1
tegal alur 1
tegal alur 1
tegal alur 1
tegal alur 1
pegadungan 2
pegadungan 2
pegadungan 2
pegadungan 2
kamal 1
kamal 1
kamal 1
kamal 1
kamal 1
kamal 1
kamal 1
kamal 1
kamal 1
kamal 1
kalideres 2
kalideres 2
pegadungan 1
pegadungan 1
pegadungan 1

rs hermina
rsud cengkareng
rsuk kalideres
rs hermina
rs usad isnani
rsud cengkareng
rsud cengkareng
rs anggrek mas
rs anggrek mas
hermina
rs anggrek mas
rs hermina
hermina
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng

pegadungan 1
pegadungan 1
pegadungan 1
pegadungan 1
pegadungan 1
pegadungan 1
pegadungan 1
pegadungan 1
pegadungan 1
pegadungan 1
pegadungan i
pegadungan 1
pegadungan 1
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres
pkc kalideres

rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
rsud cengkareng
hermina

Pengelola Program KIA

Puskesmas Kec,. Kalideres
Jakarta Barat

Sumarni
NIP : 197108031991032004

pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc
pkc

kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres
kalideres

EMBER 2015
TEMPAT RUJUKAN
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS

HERMINA DAAN MOGOT

HERMINA DAAN MOGOT
CENGKARENG
HERMINA DAAN MOGOT
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
ANGGREK MAS
ANGGREK MAS
ANGGREK MAS
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
IKKT
CENGKARENG
BUDHA TZU CHI
CENGKARENG
BUDHA TZU CHI

ASAL RUJUKAN
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
PKL SEMANA 2
KAMAL 1
KAMAL I
KAMAL 1
KAMAL 1
KAMAL 1
KAMAL 1
PEGADUNGAN II
PEGADUNGAN II
KAMAL II
KAMAL II
KAMAL II

RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS

CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
HERMINA DAAN MOGOT
CENGKARENG
CENGKARENG
HERMINA DAAN MOGOT
BUDHA TZU CHI
CENGKARENG
CENGKARENG
HERMINA DAAN MOGOT
CENGKARENG
HERMINA DAAN
HERMINA DAAN
CENGKARENG
CENGKARENG
CENGKARENG
HERMINA DAAN
HERMINA DAAN
HERMINA DAAN
TANGERANG
HERMINA DAAN
HERMINA DAAN
HERMINA DAAN
HERMINA DAAN
CENGKARENG
ANGGREK MAS
CENGKARENG

MOGOT
MOGOT

MOGOT
MOGOT
MOGOT
MOGOT
MOGOT
MOGOT
MOGOT

KAMAL II
KAMAL II
TEGAL ALUR 2
TEGAL ALUR 2
TEGAL ALUR 2
TEGAL ALUR 2
TEGAL ALUR I
TEGAL ALUR I
TEGAL ALUR I
TEGAL ALUR I
TEGAL ALUR I
TEGAL ALUR III
TEGAL ALUR III
PEGADUNGAN I
PEGADUNGAN I
PEGADUNGAN I
PEGADUNGAN I
PEGADUNGAN I
PEGADUNGAN I
PEGADUNGAN 1
PEGADUNGAN 1
PEGADUNGAN 1
PEGADUNGAN I
PEGADUNGAN I
PEGADUNGAN I
PEGADUNGAN 1
PEGADUNGAN 1
PEGADUNGAN I
PEGADUNGAN I
PEGADUNGAN I
PEGADUNGAN I
PEGADUNGAN I

RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS

CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
HERMINA DAAN MOGOT
HERMINA DAAN MOGOT
HERMINA DAAN MOGOT
CENGKARENG
HERMINA DAAN MOGOT
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
BUDHA TZU CHI
CENGKARENG
CENGKARENG
HERMINA DAAN MOGOT
CENGKARENG
CENGKARENG
BUDHA TZU CHI
CENGKARENG
CENGKARENG
CENGKARENG
HERMINA DAAN MOGOT
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
HERMINA DAAN MOGOT
CENGKARENG

PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC

KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES

RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS
RS

CENGKARENG
HERMINA DAAN MOGOT
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
HERMINA DAAN MOGOT
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG
CENGKARENG

Pengelola Program KIA

Puskesmas Kec,. Kalideres
Jakarta Barat

Sumarni
NIP : 197108031991032004

PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC
PKC

KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES
KALIDERES

LAPORAN RUJUKAN
PUSKESMAS KECAMATAN KAL
NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44

NAMA
MARYANIH
JUBAIDAH JIMUN
GEOVANI
MUHANI
ARI SINTA
EIS KOMALASARI
ERFA NINGSIH
SITI HADIJAH
YULAMINI
NUR RAHMAWATI
ATIK KAPTILAH
ASNI
KRISNA
ANISA
TURINI
MELATI
MUNAROH
MARIYA
MAIDAH SARI
AYU LESTARI
NADIYA
NURUL NOVITASARI
VERA WIDIASTUTI
AYU SUSANTI
DEVI MAISAROH
ANGGI NURHALIMAH
MUAMDAYANTI
SARIFAH
SITI SULIYARIAH
MARIA ULFA
NISAH
SUNENGSIH
EVI YOHANA
GUSNIYATI
SUMINTEN

ALAMAT
SEMANAN 5/4
PEGADUNGAN 1/4
TEGAL ALUR 1/7
TEGAL ALUR 4/3
TEGAL ALUR 4/11
CENGKARENG 7/7
KALIDERES 1/7
KALIDERES 4/4
KAMAL MUARA 1/1
TEGAL ALUR 6/2
SEMANAN 7/3
TEGAL ALUR 6/3
SEMANAN 6/4
RAYA KAMAL 12/9
RAYA KAMAL 3/6
RAYA KAMAL 14/9
TEGAL ALUR 2/11
SEMANAN 3/10
TEGAL ALUR 13/3
KAMAL 10/7
KALIDERES 11/5
TEGAL ALUR 7/8
SEMANAN 11/10
KAMAL 6/3
KALIDERES 11/5
KALIDERES 2/2
PEGADUNGAN 7/9
PEGADUNGAN 2/6
KAMAL 1/6
PEGADUNGAN 6/5
TEGAL ALUR 2/1
TEGAL ALUR 8/3
KALIDERES 2/6
TEGAL ALUR 13/3
KALIDERES 9/6

UMUR/ GRAVIDA
26 TH/2.1.0
33 TH/1.0.0
18 TH/ 1.0.0
36 TH/ 3.2.0
34 TH/ 1.0.0
23 TH/ 1.0.0
33 TH/ 3.1.1
40 TH/ 3.2.0
37 TH/ 4.3,0
30 TH/ 2.1.0
38 TH/ 3.2.0
35 TH/ 2.1.0
28 TH/ 2,1,0

45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92

93
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LAPORAN RUJUKAN KASUS IBU

SKESMAS KECAMATAN KALIDERES JANUARI 2015
DIAGNOSA
PARTUS TAK MAJU
VARICES VAGINA
KPD
KPD
MIOPI (-8)
PRETERM
KPD
KPD
PEB
PEBRIS
PLASENTA PREVIA
PARTUS TAK MAJU
PEB
KETUBAN HIJAU
RUPTURE GRADE 4
FEBRIS
KPD
KPD
PARTUS TAK MAJU
OLIGOHIDRAMNION
LETAK KAKI
KPD
KPD
KPD
GAWAT JANIN
IUFD
GAWAT JANIN
POST MATURE
PEB
HAP
PEB
KPD
PEB
APS
BAYI BESAR

TANGGAL RUJUK
TEMPAT RUJUKAN
1/1/2015 RSUD CENGKARENG
1/2/2015 RSUD CENGKARENG
1/3/2015 RSUD CENGKARENG
1/4/2014 RSUD CENGKARENG
1/4/2015 RSUD CENGKARENG
1/5/2015 RSUD CENGKARENG
1/6/2015 RSUD CENGKARENG
1/6/2015 RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG
RSUD CENGKARENG

ASAL RUJUKAN
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES
RB PKC KALIDERES