DATA IBU HAMIL SESUAI SCORE PUJI ROCHYATI PUSKESMAS LIMA KAUM I

KEADAAN BULAN DESEMBER 2017

JUMLAH
NAMA STATUS GPAH FAKTOR SCORT
UMUR ALAMAT TTP NO.
NO HPHT RESIKO PERTRIBULAN
(thn) TELEPON
IBU SUAMI G P A H I II III III
1 2
1. Mila M Antoni 20 Dobok 24-02-2017 01-12-2017 1 0 0 0 2 2 2 2

2. Roza Kaisi Rahmadanus 38 Cimonai 28-01-2017 04-12-2017 3 2 0 2 Umur Ibu 38 Thn 6 6 6 081363323027

3. Vivi Ermida Renki 27 Kubu Rajo 28-02-2017 05-12-2017 2 0 1 0 Riwayat Abortus 6 6 081378147620

4. Debi Romil 34 Kampung Sudut 27-02-2017 06-12-2017 4 2 1 2 Riwyt Abrts,JK 1 Thn 10 10 10 08126758828

5. Nora M Affandi 31 Dusun Tuo 01-03-2017 08-12-2017 4 2 1 2 Riwyt Abrts,TB 143 10 10 10 10 081374626820

6. Elfina Yenti Ikhwindri 43 Kubu Rajo 04-03-2017 11-12-2017 5 4 0 4 Umur 43,Gravid 5 10 10 10 081363355541

7. Widya S Dasmir 43 Bukit Gombak 04-03-2017 11-12-2017 4 3 0 3 Umur Ibu 43 Thn 6 6 6

8. Erwina Yogi A 30 Parak Juar 05-03-2017 12-12-2017 2 1 0 1 2 2 2 081374800934

9. Yuli Yastri Alfion 31 Dusun Tuo 05-03-2017 12-12-2017 1 0 0 0 2 2 2 085274607722

10. Ira Toni Candra 26 Jati 05-03-2017 12-12-2017 3 2 0 2 2 2 2 082173008666

11. Selviana Yasrianto 31 Aspol Baringin 08-03-2017 15-12-2017 2 1 0 1 2 2 2 081363321840

12. Indah l Indra 30 Kampung Baru 10-03-2017 17-12-2017 2 1 0 1 Jrk Khmln 1 Thn 6 6 6 085263058675

13. Adriati Elyandi 40 Garuda Mas 10-03-2017 17-12-2017 3 2 0 2 Umur Ibu 40 Thn 6 6 6 085375337896

14. Yesi Zailiat 35 Sp.Kiambang 10-03-2017 17-12-2017 2 1 0 1 LILA 23 cm 2 2 2 081261023331

15. Razka Fitri Angga Perdana 25 Malana 10-03-2017 17-12-2017 1 0 0 0 2 2 082360014104

16. Liswati Eko 41 Belakang Pajak 10-03-2017 17-12-2017 5 4 0 3 Jrk Khmln 10 Thn 14 14 14 085375751703

17. Hafizah Ade 23 BL.Bawah 11-03-2017 18-12-2017 1 0 0 0 LILA 22,5 cm 2 2

18. Dina M Taufik H 24 Kubu Rajo 12-03-2017 19-12-2017 1 0 0 0 2 2 2 082385623533

19. Karia Dena Ariyadi 26 Parak Juar 13-03-2017 20-12-2017 3 1 1 1 Jrk Khmln 11 10 10 10 082391113444
Bln,Riwyt Abrts

20. Febrina Ginting 27 Bukit Gombak 13-03-2017 20-12-2017 3 2 0 2 2 2 2 085278345031

21. Lili Rino 32 Koto Gadis 17-03-2017 24-12-2017 2 1 0 1 Jrk Khmln 1 Thn 6 6 6 085830468513
22. Nurhaida David 37 Balai Kaman 18-03-2017 25-12-2017 1 0 0 0 Umur Ibu 37 Thn 6 6 6 085217114149

23. Sri Rohayani Afrido 32 BL.Atas 18-03-2017 25-12-2017 2 1 0 1 2 2 2 085376624644

24. Dena Diki 26 Parak Juar 18-02-2017 25-12-2017 2 1 0 1 2 2 082391113444

25. Rahmi Taufik 27 Piliang 18-02-2017 25-12-2017 2 1 0 1 2 2 08116694060

26. Verisa A Nofrian A 25 Lantai Batu 19-03-2017 26-12-2017 2 1 0 1 2 2 2 082381343791

27. Gita Mela sari Aris Gianito 29 Koto Gadis 19-02-2017 26-12-2017 4 3 0 3 2 2 085263267425

28. Ade Mega Riski 26 Malana 20-03-2017 27-12-2017 1 0 0 0 2 2 2 081364396954

29. Massaodah Fadhli 30 Baringin 20-03-2017 27-12-2017 3 2 0 2 2 2 081286037197

30. Afri Yanti Ardi 31 Kampung Baru 23-03-2017 30-12-2017 2 2 0 2 Riw Gemeli,SC 14 14 085319943335

31. Sisy Afriyanto 31 Sp.Kiambang 27-03-2017 30-12-2017 4 2 1 2 Riwayat Abortus 6 6 082385374949

32. Linda Dodi yasni 23 Kubu rajo 23-03-2017 30-12-2018 2 1 0 1 2 2 082385449665

33. Eka F Rahdian 29 Dobok 24-03-2017 01-01-2018 1 0 0 0 2 2 2 082388493033

34. Patri Susilawati Dodi 34 Bk.Gombak 24-03-2017 01-01-2018 3 2 0 2 2 2 081374135371

35. Dr Rika Ade D 30 Sigarunggung 25-03-2017 02-01-2018 2 1 0 1 2 2 2 081267844246

36. Meli Dodi Putra 29 Parak Juar 25-03-2017 02-01-2018 2 1 0 1 Jrk Khmln 11 Bln 6 6 6 082170463106

37. Tantri Hendra 30 Malana 25-03-2017 02-01-2018 1 0 0 0 2 2 2 081275958199

38. Nining/Nurmaningsih Hendrizal 28 Bukit Gombak 29-03-2017 06-01-2018 1 0 0 0 2 2 085210832283

39. Mutina Zainal 21 Lantai Batu 31-03-2017 07-01-2018 2 1 0 1 2 2 2

40. Dona Robi S 27 Aspol Baringin 01-04-2017 08-01-2018 1 0 0 0 2 2 2 081275944239

41. Eka Fitria Raditia 29 Piliang 01-04-2017 08-01-2018 1 0 0 0 2 2 2

42. Reski Rahmadona Robi 28 Balai Selasa 01-04-2017 08-01-2018 2 0 1 0 Riwayat Abortus 6 6 082284849904

43. Tri Mutia Fero 27 Bukit Gombak 05-04-2017 12-01-2018 2 1 0 1 2 2 2 082390666660

44. Mega S Reki F 29 Dobok 05-04-2017 12-01-2018 1 0 0 0 2 2 082290408778

45. Roza Evia Roni 38 Sp.Kiambang 06-04-2017 13-01-2018 4 2 1 2 Umur Ibu 38 10 10 10 081367195598
Thn,Rwyt Abrts

46. Feni Gusnita Rio Heri Eka 25 Baringin 07-04-2017 14-01-2018 1 0 0 0 2 2 2 085248843030

47. Vera Wino 40 Dusun Tuo 07-04-2017 14-01-2018 4 3 0 3 Umur Ibu 40 Thn, 10 10 10 082283435173
TB 136

48. Delfi Aroza Demil A 26 Bukit Gombak 07-04-2017 14-01-2018 1 0 0 0 2 2 2 082388142672

49. Liza Hesti Yondri 32 Lantai Batu 07-04-2017 14-01-2018 1 0 0 0 2 2 082386138686

50. Feni Gusnita Rio Heri Eka 25 Sp.Kiambang 07-04-2017 14-01-2018 1 0 0 0 2 2 2 085274843030

51. Sri Saputri Sari Angga 25 Bukit Gombak 12-04-2017 19-01-2018 1 0 0 0 2 2 2 081363838333

52. Rani Septiani Endang S 25 Malana 12-04-2017 19-01-2018 3 2 0 2 2 081261045872

53. Messi Mikel 23 Piliang 14-04-2017 21-01-2018 1 0 0 0 2 2 2 082384564394

54. Debi Nurfin 25 BL.Bawah 15-04-2017 22-01-2018 1 0 0 0 2 2 2 085263181306

55. Zainiar Nora Hartono 39 Dusun Tuo 15-04-2017 22-01-2018 4 2 1 2 Riw Abrts,Umur Ibu 10 10 10 085365866677
39 Thn,HB 10,9 gr %

56. Nining /Yuninda Riko 34 Kubu Rajo 16-04-2017 23-01-2018 2 1 0 1 2 2 2 081363389558

57. Weni R Misra 30 Piliang 20-04-2017 27-01-2018 3 2 0 2 2 2 2 085274769487

58. Dwi Indah Niko 25 Garuda Mas 20-04-2017 27-01-2018 1 0 0 0 2 2 082383790063

59. Putri AS Reno V 24 Kubu Rajo 00-04-2017 00-01-2018 2 1 0 1 2 2 082364842333

60. Getri Syaiful 23 Baringin 23-04-2017 30-01-2018 1 0 0 0 2 2 2 085667720056

61. Feru Windani Arsen 28 Parak Juar 23-04-2017 30-01-2018 3 2 0 2 2 2 081363038592

62. Imatul Khairat Peni Rama 27 Arai Pinang 24-04-2017 31-01-2018 1 0 0 0 2 2 2 08123837174

63. Leni Erik 27 BL.Bawah 25-04-2017 02-02-2018 1 0 0 0 2 2 2 085263498820

64. Deni Efendy 40 Dobok 25-04-2017 02-02-2018 3 2 0 2 Lila 23,Umur Ibu 2 2 2 2 082136937206

40 Thn
65. Leni Kusuma Erik Fernandes 27 Balai Batu 25-04-2017 02-02-2018 1 0 0 0 2 2

66. Julianda P Melki 27 Parak Juar 26-04-2027 03-02-2018 1 0 0 0 2 2 2 08238848006

67. Gusnaweti Basriwandi 33 Talago Kb.Rajo 26-04-2017 03-02-2018 3 2 0 2 2 2 2 081267942591

68. Dian R Febria N 26 Malana 27-04-2017 04-02-2018 2 1 0 1 2 2 2 085363894179

69. leli Ferry 32 Dobok 30-04-2017 08-02-2018 3 2 0 2 2 2 081374841806

70. Elvi Safitri Akmal 28 Parak Juar 02-05-2017 09-02-2018 3 1 1 1 Riwayat Abortus 2 2 2 082240345967

71. Weni Sri L Yuli Syafrizal 40 Kubu Rajo 02-05-2017 09-02-2018 4 3 0 3 Umur Ibu 40 Thn 6 6 6 081363226530

72. Dexa Anugrah Voni Fernandes 26 Perum Koppas 02-05-2017 09-02-2018 1 0 0 0 2 2 081364523835

73. Yulia Rizky Wahyu 18 Parak Juar 03-05-2017 10-02-2018 1 0 0 0 Umur Ibu 18 Thn 2 2 2 081270159545

74. Yarniwati Suginoto 26 Koto Baranjak 04-05-2017 11-02-2018 3 2 0 2 2 2 2 082285452688

75. Sri Siska Dewi Rice 23 Kampung Baru 05-05-2017 12-02-2018 1 0 0 0 2 2 085274204304

76. Ester Diana Sari Saryoko 26 Parak Juar 05-05-2017 12-02-2018 2 1 0 1 2 2 082285253115

77. Widia Beni 29 Malana 05-05-2017 12-02-2018 2 1 0 1 2 2

78. Mutia Afrinalto 29 BL.Atas 07-05-2017 14-02-2018 1 0 0 0 2 2 2

79. Feni Rahmat 30 Kubu Rajo 08-05-2017 15-02-2018 3 2 0 2 2 2 085271888662

80. Novi Ernov 26 BL.Bawah 09-05-2017 16-02-2018 1 0 0 0 2 2 2 085274546477

81. Susi Welson Jati 05-05-2017 17-02-2018 3 2 0 2 2 2

82. Roza Indra 25 Kampung Baru 11-05-2017 18-02-2018 3 2 0 2 2 2 2 081266646236

83. Sisri Ramadani Robi 25 Piliang 12-05-2017 19-02-1018 4 1 2 1 Riwayat Abortus 6 6 082285027761

84. Muthia M Zulkhairi 35 Dobok 10-05-2017 17-02-2018 2 1 0 1 Lila 23 cm 2 2 085271713856

85. Fitri Riki 24 Dusun Tuo 13-05-2017 20-02-2018 2 1 0 1 2 2 2

86. Heni N Elfi Syukri 35 Koto Gadis 13-05-2017 20-02-2018 2 1 0 1 2 2 2 082112321689

87. Lany Fitri Andra Mairoza 29 Tiga Tumpuk 15-05-2017 22-02-2018 3 1 1 1 Riwayat Abortus 6 6 6 085274444633

88. Mia Z Romi N 27 Balai Batu 15-05-2017 22-02-2018 1 0 0 0 2 2 2 08126609914

89. Ferawati Antoni 41 Malana 15-05-2017 22-02-2018 3 2 0 2 Umur Ibu 41 Thn 6 6 081368222093

90. Leni Marlina Rozi Ardiansyah 42 Piliang 15-05-2017 22-02-2018 3 2 0 2 Umur ibu 42 Thn 6 6 6 081363580559

91. Nela Mulyadi 24 Dusun Tuo 17-05-2017 24-02-2018 3 2 0 2 2 2 082386940298

92. Rika Riswandi 35 Bukit Gombak 17-05-2017 24-02-2018 4 3 0 3 2 2 081267012385

93. Risa Deni 32 Piliang 19-05-2017 26-02-2018 2 1 0 1 2 2 081372284900

94. Engra Arita Adek 30 Dobok 20-05-2017 27-02-2018 4 2 1 2 Riwayat Abortus 6 6 6 082210891414

95. Serli Endo 19 Dusun Tuo 20-05-2017 27-02-2018 1 0 0 0 Umur Ibu 19 thn 6 6

96. Jusmaniar Edi Karman 48 Kampung Baru 22-05-2017 29-02-2018 8 6 1 6 Umur Ibu 48 14 14 14 082386222452
Thn,Grav 8,Riw Abrts

97. Fadila Khairul amri 21 Surau Kariang 22-05-2017 29-02-2018 1 0 0 0 2 2 081270904896

98. Rasyidah Wahyu 23 Baringin 22-05-2017 29-02-2017 2 0 1 0 Riwayat Abortus 6 6 6 081267806799

99. Rahmi Menrizal 28 Pincuran Tujuh 26-05-2017 03-03-2018 2 1 0 1 2 2 2 082388460008

100 Dwi Guna N Dani 23 Bendang 26-05-2017 03-03-2018 3 1 1 1 Riwayat Abortus 6 6 6 082170402494

101 Nursalma Jondri Indra 30 Kubu Rajo 26-05-2017 03-03-2017 2 1 0 1 2 2

102 Fitri Satriadi 25 Tabek Biri 26-05-2017 03-03-2018 2 1 0 1 2 083180853222

103 Denada Rahmat 20 Bukit Gombak 26-05-2017 03-03-2018 2 1 0 1 2 081261885598

104 Sinta Merizal 34 Malana 29-05-2017 06-03-2018 3 2 0 2 2 2 2 082169648884

105 Widya EP Nanda 30 Malana 27-05-2017 06-03-2018 1 0 0 0 2 2 2 081261934600

106 Primadona P Jusdirman 29 Arai Pinang 30-05-2017 07-03-2018 1 0 0 0 2 2 2 081374888152

107 Kumi Ikeda Oza 25 Kubu Rajo 31-05-2017 07-03-2018 1 0 0 0 2 2 2 085212220248

108 Afniarti Wandi 37 Piliang 01-06-2017 08-03-2018 5 4 0 4 Umur Ibu 37,Grav 5 10 10 10

109 Ratih Ziko 28 Malana 02-06-2017 09-03-2018 2 1 0 1 Jrk Khmln !,5 Thn 6 6 6

110 Mayang Gusfikal 24 Pincuran Tujuh 03-06-2017 10-03-2018 1 0 0 0 2 2 2 081277312725

111 Yelfira Ari F 27 Bukit Gombak 04-05-2017 11-03-2018 1 0 0 0 2 2 082170415335

112 Nela Sahid 28 Balai Selasa Brg 05-06-2017 12-03-2018 2 1 0 1 2 082390058656

113 Sri Oktavia Ardi 23 Kubu Rajo 06-06-2017 13-03-2018 1 0 0 0 2 2 2 082388738883

114 Tika Agustina Siddiq 26 Lantai Batu 06-06-2017 13-03-2018 1 0 0 0 2 2 08238562487

115 Elia Novita Rio 24 Bukit Gombak 08-06-2017 15-03-2018 4 1 2 1 Riw Abortus 6 6

116 Wisratati Dodi Sumadi 33 Dusun Tuo 09-06-2017 16-03-2018 3 2 0 2 2 2 2 085274871975

117 Alvi Syukriati Ardoni E 39 Bendang 10-06-2017 17-03-2018 5 3 1 3 14 14 14 082391260634

118 Mike Meldona Rusdianto 35 Koto Baranjak 11-06-2017 18-03-2018 3 2 0 2 2 2 085364145152

119 Siska Karta Wirano 24 Malana 10-06-2017 22-03-2018 1 0 0 0 2 2 082384341431

120 Yossy Akmal Sholeh 30 Bendang 15-06-2017 22-03-2018 2 1 0 1 2 2 2 081280186711

121 Dena Ilham 21 Kampung Baru 16-06-2017 22-03-2018 1 0 0 0 2 2 081378579272

122 Sri Putri Dede 30 Dusun Tuo 16-06-2017 23-03-2018 1 0 0 0 2 2 2 085263713006

123 Putri Ayu Danil Dasrianto 24 BL.Bawah 18-06-2017 25-03-2018 1 0 0 0 2 2 2 082284507133

124 Eka Novitri Deni Syafrizal 33 Koto Gadis 18-06-2017 25-03-2018 2 1 0 1 2 2 2 081977566159

125 Ainun Rakhimah Syaiful B 32 Kubu Rajo 18-06-2017 25-03-2018 2 1 0 1 2 2 2 081364382154

126 Weri Susanti Satral 31 Lantai Batu 19-06-2017 26-03-2018 3 2 0 2 2 2 2 082387045406

127 Sonya Setiani Devit 25 Bl.Jumat 19-06-2017 26-03-2018 2 1 0 1 2 2 2 081266970729

128 Nilawati Devi 32 Kubu Rajo 20-08-2017 27-03-2018 1 0 0 0 Lila 23 Cm 2 2 2 081374400605

129 Hilmiati Hartedi 31 Koto Gadis 21-05-2017 28-03-2018 1 0 0 0 2 2 2 081266023024

130 Agustia AP Ahmad W 24 Kampung Baru 19-06-2017 26-03-2018 2 0 1 0 Riwayat Abortus 6 6 6

131 Yulia Rizki Wahyu 31 Parak Juar 21-06-2017 27-03-2018 1 0 0 0 2 2 2 081270159545

132 Desi Latifatul Ibrahim 23 Tabek Biri 22-06-2017 29-03-2018 1 0 0 0 2 2 2 081378269416

133 Hafizah R Ryan N 32 Dusun Tuo 22-06-2017 29-03-2018 4 3 0 3 Jrk Khmln 1 Thn 6 6 6 081374880709

134 Zikra Afrinaldi 35 Tiga Tumpuk 23-06-2017 30-03-2018 4 1 2 0 Riw Abrts,IUFD 10 10 10

135 DiraTriana Nur Ardiansyah 24 Perum Griya 23-06-2017 30-03-2018 1 0 0 0 2 2 2 085272650167

136 Masna M Syahrial 38 Malana 23-06-2017 30-03-2018 6 4 1 4 Umur 38 Thn ,Grav 8, 14 14

Riwyt Abrts

137 Leni Marlina Hengki A 35 BL.Bawah 23-06-2017 30-03-2018 6 5 0 4 Gravid 6 6

138 Mardianis Erianto 38 BL.Bawah 24-06-2017 31-03-2018 8 7 0 6 Umur 38,Grav 8 10 10 10

139 Indi Elisa Ilvan 32 Baringin 24-06-2017 01-04-2018 4 3 0 3 2 2 2

140 Meri Surya Ningsih Maifal 34 Kampung Baru 25-06-2017 08-04-2018 4 3 0 3 2 2 082381231151

141 Loli Putri Mardian C 25 Tabek Biri 26-06-2017 03-04-2018 2 1 0 1 2 2 2 081266360419

142 Rani Wahyuni Fahrul R 25 Garuda Mas 27-06-2017 04-04-2018 1 0 0 0 2 2 2

143 Rini Melrianti Beni Romata 39 Dobok 27-06-2017 04-04-2018 3 2 0 2 Umur ibu 39 Thn 6 6 6 081363323919

144 Firmayanti Pesker 32 Piliang 28-06-2017 05-04-2018 4 3 0 3 2 2

145 Fitri Ramadani Jauardi 25 Jati 29-06-2017 06-04-2018 1 0 0 0 2 2 2

146 Revis M Afrizal 27 Malana 29-06-2017 06-04-2018 1 0 0 0 2 2 2 081374238882

147 Rafaatul Fitri Arif 30 Pasar 30-06-2017 07-04-2018 2 1 0 1 2 2 2 081384835423

148 Dini Angraini Akmal 17 Lantai batu 01-07-2017 08-04-2018 1 0 0 0 Umur Ibu 17 Thn 2 2 2 082387843772

149 Endang sri Sahrul Siregar 28 Baringin 01-07-2017 08-04-2018 2 1 0 1 2 2 2

150 Noni Intan Ferdian 30 Tabek boto 01-07-2017 08-04-2018 2 1 0 1 2 2 082169913332

151 Yova Elvira Syakra 35 Batu Batikam 02-07-2017 09-04-2018 4 2 1 2 Riwayat Abortus 6 6 6

152 Miftahul h Dudi Deka 26 Kubu Rajo 02-07-2017 09-04-2018 1 0 0 0 2 2 2 085263926171

153 Nelfi Yanti Rio Purnama 24 Piliang 03-07-2017 10-04-2018 1 0 0 0 2 2 2

154 Ofiyanti Delfrison 34 BL.Bawah 05-07-2017 12-04-2018 4 3 0 3 2 2 2 081267215116

155 Ratemi Andi 35 Kubu Rajo 04-07-2017 11-04-2018 2 1 0 1 2 2 2

156 Netridawati Refdinal 42 Balai Batu 08-07-2017 15-04-2018 3 2 0 2 Umur Ibu 42 Thn 6 6 6

157 Lusi Agus 34 BL.Bawah 08-07-2017 15-04-2018 4 3 0 3 2 2 2 085274531725

158 Sulastri Dedi Saputra 26 Koto gadis 10-07-2017 17-04-2018 2 1 0 1 2 2 2

159 Rahmi Dian Fitri Hendra 32 Balai Jumat 10-07-2017 17-04-2018 2 1 0 1 2 2 082384062284

160 Reski Putri Rinaldi P 32 baringin 10-07-2017 17-04-2018 2 1 0 1 2 2

161 Citra Dewi Yuli Hendri 32 Sp.Kiambang 13-07-2017 20-04-2018 3 1 1 1 Riwayat Abortus 6 6 6 082283136290

162 Sari Indra 23 Parak Juar 13-07-2017 20-04-2018 2 1 0 1 2 2 2

163 Endah Mutia Harfeldo 27 Koto Baranjak 14-07-2017 21-04-2018 1 0 0 0 2 2 2 085274619288

164 Yasni 36 BL.Atas 14-07-2017 21-04-2018 4 3 0 3 6 6

165 Nadia Febrina Fahmi Ardi 24 Lantai Batu 15-07-2017 22-04-2018 2 1 0 1 Jrk Khmln 15 Bln 6 6 081372211212

166 Nila Devi 27 Parak Juar 15-07-2017 22-04-2018 2 1 0 1 Jrk Khmln 10 Bln 2 2 2

167 Dila rizki Y Rizky 27 Kampung Sudut 16-07-2017 23-04-2018 1 0 0 0 2 2 2 085263000094

168 Sulastri Zulfikar 36 Malana 18-07-2017 25-04-2018 4 3 0 3 Umur ibu 36 Thn 6 6 6

169 Zulfia Afrizal 30 Blkng Pajak 19-07-2017 26-04-2018 4 2 1 2 Riw Abrts 6 6 082390529903

170 Fauziah Roni Akbar 18 Piliang 20-07-2017 27-04-2018 1 0 0 0 2 2

171 Elva Yolanda Ade Putra 27 Kubu Rajo 20-07-2017 27-04-2018 3 2 0 2 2 2 085763205520

172 Widia Rionada 28 Batu Batikam 20-07-2017 27-04-2018 1 0 0 0 2 2 2 082285878922

173 Ayu Hendrik 21 Bukit Gombak 21-07-2017 28-04-2018 1 0 0 0 2 2 082391046054

174 Hermayanti Alman 37 Kubu Rajo 21-07-2017 28-04-2018 4 3 0 2 Umur Ibu 37 Thn 6 6

175 Devi Anggraini Hendrios 27 Malana 04-07-2017 28-04-2018 2 1 0 1 Jrk Khmln 12 Bln 6 6 081267727478

176 Desi Asridawati M Hudson 33 Sp.Kiambang 21-07-2017 28-04-2018 4 2 1 2 Riw Abortus 6 6 085272985789

177 Lina M Beni 26 Dusun Tuo 23-07-2017 30-04-2018 2 1 0 1 2 2 2 082169075709

178 Aci Ayu Keken arles 29 Koto gadis 24-07-2017 01-05-2018 2 0 1 0 Riw Abortus 6 081363432206

179 Lara Aprilia Firman Efendi 18 Baringin 25-07-2017 02-05-2018 1 0 0 0 Umur Ibu 18 Thn 6 6 -

180 Isari Refcel 27 Piliang 28-07-2017 03-05-2018 3 2 0 2 2 2 2 081364749711

181 Marnis Mendra 45 Malana 27-07-2017 04-05-2018 5 4 0 4 Umur 45 Thn,Grav 5, 10 10 081268255173

182 Yelfi Rahmi Andri 25 Balai Jumat 30-07-2017 07-05-2018 2 1 0 1 Jrk Khmln 1,5 Thn 6 6 08129844483

183 Putri eysa Dodi Saputra 23 Dobok Indah 01-08-2017 08-05-2018 1 0 0 0 2 2 2 082283095015

184 Fitria Suburhan 32 Parak Juar 05-08-2017 12-05-2018 3 2 0 2 2 2 085381003013

185 Ratnawati Oskardi 41 Dobok 05-08-2017 12-05-2018 1 0 0 0 TB 144 cm 6 6

186 Fani Diki 27 Parak Juar 06-08-2017 13-05-2018 2 1 0 1 Jrk Khmln 2 Bln 6 6

187 Dea Ananda Arnedi 33 Pincuran Tujuh 06-08-2017 13-05-2018 5 4 0 4 Riw Sc 10 10 082283857183

188 Ayeng Dayat 28 Caniago 07-08-2017 14-05-2018 2 1 0 1 2 2 082386219557

189 Sysia Roman 27 Sigarunggung 08-08-2017 15-05-2018 2 1 0 1 2 2 2

190 Milfa Febriani Sepri Arlas 32 Dusun Tuo 10-08-2017 17-05-2018 1 0 0 0 2 2 082387200639

191 Yulia Ariani Eki 26 Dobok 10-08-2017 17-05-2018 2 1 0 1 Jrk Khml 1,5 Thn 6 6 6 085365966695

192 Mila H Eri Yanto 21 Aspol Baringin 08-08-2017 19-05-2018 1 0 0 0 2 2 2 082392476494

193 Reni Hendra 23 Malana 12-08-2017 19-05-2018 2 1 0 1 2 2 2 081297231040

194 Ilka Susanti Zulkifli 24 Malana 12-08-2017 19-05-2018 2 1 0 1 Jrk Khmln 18 Bln 2 2 081270116500

195 Ilfaturahmi Iswanto 30 Piliang 13-08-2017 20-05-2018 3 2 0 2 Jrk Khmln 17 Bln 6 6 6 085365282056

196 Maria S Firman 34 Balai Batu 20-08-2017 27-05-2018 4 3 0 3 2 2 085385071092

197 Aridiana Presely 34 BL.Atas 20-08-2017 27-05-2018 2 1 0 1 2 2 082298322770

198 Nola Ilham 18 Lantai Batu 20-08-2017 27-05-2018 1 0 0 0 Umur Ibu 18 Thn 6 6 -

199 Fauzana Feri arif 26 BL.Bawah 21-08-2017 28-05-2018 3 2 0 2 Jrk Khmln 1 Thn 6 6 085215611806
200 Giva Emil 26 Lantai Batu 21-08-2017 28-05-2018 2 1 0 1 2 2 081372220104

15. Wati Doni 30 Koto Gadis 22-08-2017 29-05-2018 2 1 0 1 2 2 2 085263479400

16. Yona Sultoni 27 Bukit Gombak 23-08-2017 30-05-2018 1 0 0 0 2 2 081378720604

17. Elvira Nofrizal 28 Blkng.Pajak 24-08-2017 01-06-2018 2 1 0 1 2 2 085365596566

18. Rina Lusia Adrial 34 Piliang 27-08-2017 04-06-2018 6 5 1 4 Riwayat Abortus 2 2 085364650868

19. Yarnis Zamburdin 43 Lantai Batu 28-08-2017 05-06-2018 4 3 0 3 Umur 43,Riwt ab 10 10 081276115652

20. Rica anggraini Afdizal 28 Aspol Baringin 30-08-2017 07-06-2018 2 1 0 1 2 2 081374993483

21. Nofri Yeni Erwin 37 Kampung Baru 30-08-2017 07-06-2018 3 2 0 2 Umur Ibu 37 Thn 6 6 081267343304

22. Yulia Mido 25 Arai Pinang 31-08-2017 07-06-2018 2 1 0 1 2 2

23. Fika Oktalia Verdi 32 Koto Gadis 02-09-2017 09-06-2018 5 3 1 3 Riw Abortus 10 10

24. Meriza Nazif 34 Bk.Gombak 02-09-2017 09-06-2018 2 1 0 1 2 2 081317039438

25. Fitria Sandi H 31 Jati 02-09-2017 09-06-2018 3 2 0 2 2 2

26. Ronaliza Hariadi 31 Lantai Batu 03-09-2017 10-06-2018 4 3 0 3 2 085274441452

27. Nurkhairiyah Rudi 36 Piliang 03-09-2017 10-06-2018 3 2 0 2 Umur Ibu 36 Thn 6 6 085356741365

28. Amelia R Taufik S 32 Kubu Rajo 03-09-2017 10-06-2018 4 3 0 3 Jrk Khmln 1 Thn 6 6 085263052062

29. Wulan Adek 25 Parak Juar 04-09-2017 11-06-2018 1 0 0 0 2 2

30. Lili/Oktaliani Aidil Fikri 38 Blkng.Pajak 04-09-2017 11-06-2018 2 1 0 1 Umur 38 Thn 6 6 6

31. Desfa Yusra Harten Firman 36 Koto Baranjak 04-09-2017 11-06-2018 5 4 0 4 Umur Ibu 36,Grav 5 10 10 081274542929

32. Yesi Anggraini Martono 39 Balai Batu 05-09-2017 12-06-2018 2 1 0 1 Umur Ibu 39 Thn 6 081267062778

33. Nola Fedriko 26 Dobok Piliang 07-09-2017 14-06-2018 1 0 0 0 2 2 081260/6659691

34. Mimi Rosmita Men Hendri 35 BL.Bawah 06-09-2017 13-06-2018 2 1 0 1 2 2 085375517373

35. Elis Kumala Yulifa E 30 Balai Batu 08-09-2017 15-06-2018 3 1 1 1 Jrk Khm1 Th,Riw Ab 10 10 081395404231

36. Widayenti yodi 24 Kampung Sudut 08-09-2017 15-06-2018 2 1 0 1 2 2 085263686952

37. Enah Mulyana Windra Wilson 41 Bukit Gombak 08-09-2017 15-06-2018 5 2 2 2 Umur 41,Grav 5,Riw 14 14 082285828864
abrts

38. Bilqis Jefri 30 Dobok Piliang 09-09-2017 16-06-2018 2 1 0 1 2 2 2 -

39. Sri Handayani Toni Firman 27 Surau Kariang 10-09-2017 17-06-2018 3 2 0 2 2 2 2 081298843048
40. Sri M Anta 37 Garuda Mas 10-09-2017 17-06-2018 2 1 0 1 Umur Ibu 37 Thn 6 6 081372752149

41. Yuliana Khairisman Doni C 36 Dusun Tuo 11-09-2017 18-06-2018 2 1 0 1 Umur Ibu 36 6 6 085263663535
Thn,LILA 22,5 cm

42. Juita Y Delvito 31 Kubu Rajo 11-09-2017 18-06-2018 2 1 0 1 2 2 08126798332

43. Tuti Ronaldi 26 Bukit Gombak 09-09-2017 18-06-2018 1 0 0 0 2 2

44. Umi Kalsum Mukhsin 29 Kampung Baru 11-09-2017 18-06-2018 2 1 0 1 2 2 085238002422

45. Hesti Dofil 29 Kubu Rajo 11-09-2017 18-06-2018 2 1 0 1 Lila 23 cm 2 2 081534761848

46. Ochi Arisanti Berixtri 29 Arai Pinang 12-09-2017 19-06-2018 2 1 0 1 Jrk Khmln 1 thn 6 6 085263988680

47. Elna Naldo 27 Parak Tinggi 12-09-2017 19-06-2018 1 0 0 0 2 2 2 085274484944

48. Nurul Fitri Redo 20 Tiga Tumpuk 12-09-2017 19-06-2018 1 0 0 0 2 2

49. Liza Oreani Defri antoni 33 Sp.Kiambang 13-09-2017 20-06-2018 1 0 0 0 2 2 085372643987

50. Desi RY Efridon 25 Munggu Dama 14-09-2017 21-06-2018 1 0 0 0 2 2 085376118033

51. Surti dwi Kasih Gazalmi 26 Koppas 15-09-2017 22-06-2018 2 0 1 0 Riw Abortus 6 6 085363042354

52. Tisna Fitria Suhelmi 23 BL.Atas 15-09-2017 22-06-2018 1 0 0 0 2 2 082387306104

53. Rina Hastati Andi Rahman 39 Bk.Gombak 16-09-2017 23-06-2018 3 1 1 1 Umur Ibu 39 Thn 6 6 6 081363141322

54. Ezi Hartati Ade Ulfa 26 Balai Batu 16-09-2017 23-06-2018 1 0 0 0 2 2 085364128010

55. Nefi Mogi 24 Kubu Rajo 18-09-2017 25-06-2018 1 0 0 0 Lila 23 cm 2 2 081534761848

56. Denda Susandi 22 Surau Gudang 18-09-2017 25-06-2018 1 0 0 0 2 2 085278719984

57. Yelfi Ardinal 33 Parak Juar 20-09-2017 27-06-2018 2 1 0 1 LILA 18,5 cm,BB 31 2

58. Mardelena Setria 25 Malana 20-09-2017 27-06-2018 2 1 0 1 2 2 2 085263695366

59. Riri Syamsul A 40 BL.Atas 20-09-2017 27-06-2018 5 4 0 4 Umur 40,Grav 5 10 10 -

60. Afyunita Gushendra 33 Baringin 20-09-2017 27-06-2018 3 2 0 2 2 2

61. Reginang Daniel 30 Bk.Gombak 21-09-2017 28-06-2018 3 2 0 2 2 2 085263077390

62. Rezi Septa 27 Bukit Gombak 21-09-2017 28-06-2018 1 0 0 0 2 2

63. Dewi Irwandi 28 Sigarunggung 23-06-2017 30-06-2018 2 1 1 0 Riwayat Abortus 6 6

64. Arsi Ratih Enin 40 BL.Atas 23-09-2017 30-06-2018 5 4 1 3 Riw Abrts,Umur 40 14 085272824397
Thn,Riw IUFD

65. Anggi Y Yendri 25 BL.Atas 24-09-2017 31-06-2018 1 0 0 0 2 2 082382460702

66. Yuli Firdaus 27 Piliang 25-09-2017 02-07-2018 1 0 0 0 2 2 085356008955

67. Adeloira Dodi Afrinaldi 30 Dobok 26-09-2017 03-07-2018 2 1 0 1 2 2 0812678713

68. Siti Jenifer Oktaveri 26 BL.Bawah 28-09-2017 05-07-2018 2 1 0 1 2

69. Elva Nila Doni Saputra 35 Bsd Baringin 29-09-2017 06-07-2018 6 3 2 3 Grav 6,Riw Abort 10 10 081363224814

70. Rafika T M Ravendra 30 Luak Sarunai 30-09-2017 07-07-2018 1 0 0 0 2 2 081363271662

71. Maida Hendra 28 Dobok 30-09-2017 07-07-2018 1 0 0 0 2 2 085375745912

72. Saswita Zaidul Akrim 26 Piliang 30-09-2017 07-07-2018 1 0 0 0 2 2 085263744661

73. Angelina N Aidil 20 Kampung Baru 02-10-2017 09-07-2018 1 0 0 0 2 2

74. Mardianis Heru 27 Bukit Gombak 05-10-2017 12-07-2018 4 3 0 3 2 2

75. Widiawati Ivan 37 Kubu Rajo 06-10-2017 13-07-2018 3 2 0 2 Umur 37 Thn 6 6 085263734560

76. Tari Devi R 26 Dobok 07-10-2017 14-07-2018 2 1 0 1 2 2

77. Gianti N Febi A P 31 Tabek Biri 07-10-2017 14-07-2018 4 3 0 3 2 2 082348598554

78. Nani Amelia Sadri Haqiqi 29 Dusun Tuo 07-10-2017 14-07-2018 1 0 0 0 2 2 081266755068

79. Desrita (abrts 11- Kamal 42 Dobok 07-10-2017 14-07-2018 3 2 0 2 Umur Ibu 42 Thn 6 6 081378285545

12-2017)
80. Indrayati Hardison 34 BL.Bawah 09-10-2017 16-07-2018 5 3 1 3 Riw Abortus 10 10 081363158777

81. Muslimah Ujang rahmat 29 Bukit Gombak 09-10-2017 16-07-2018 2 1 0 1 2 2

82. Dewi Anugrah Harri saputra 27 Malana 21-10-2017 18-07-2018 1 0 0 0 2 2 085263957321

83. Melia Sasmita Devit 27 Lantai Batu 12-10-2017 19-07-2018 1 0 0 0 2 2 082385168285

84. Fatma Riza Alvendri 25 Sp.Kiambang 13-10-2017 20-07-2018 1 0 0 0 2 2 085274716574

85. Nila Beri 25 Kubu Rajo 14-10-2017 21-07-2018 1 0 0 0 2 2 082384836588

86. Ance Pikit Joni Hendra 33 Jati 17-10-2017 24-07-2018 5 4 0 4 Grav 5 6 6 085274766908

87. Puspita Riko 27 Pincuran Tujuh 17-10-2017 24-07-2018 2 1 0 1 2 2 085363005379

88. Alena Hardis 26 Piliang 20-10-2017 27-07-2018 3 2 0 2 2 2 081268788163

89. Fita Rozana Fredi 34 Kampung Baru 21-10-2017 28-07-2018 2 1 0 1 2 2

90. Dona Jonri Faldi 34 Parak Juar 25-1--2017 02-08-2018 1 0 0 0 2 2 082391128383

91. Megawati Ardi W 23 Piliang 25-10-2017 02-08-2018 1 0 0 0 2 2 085365215094

92. Anita Medrianto 29 Malana 28-10-2017 04-08-2018 3 2 0 2 2 2 082384451051

93. Reni Zen Roni 29 Lantai Batu 01-11-2017 08-08-2018 4 3 0 3 2 2 085375012931

94. Silvia Sastra Azwar S 33 Kampung Baru 01-11-2017 08-08-2018 3 2 0 2 2 2 081316784841

95. Sonia Budi 31 Tiga Tumpuk 07-11-2017 14-08-2018 4 3 0 3 2 2

96. Novita Sari Afrianto 25 Piliang - - 3 2 0 2 6 6

Diketahui Lima Kaum,23 November 2017

Ka.UPT.Puskesmas Wil.Ker.Lima Kaum I Pengelola Program Ibu Puskesmas Lima Kaum I

Dr Hj.Susi Julianti Mia Oktaviana Amd.Keb

NIP.19710719 200312 2 001 NIP.19771006 200701 2 004

NO NAMA IBU UMUR ALAMAT HPHT DAN STATUS GPAH FAKTOR RESIKO YANG JUMLAH SCORT
DAN SUAMI TTP DIMILIKI PERTRIBULAN
G P A H I II III.1 III.2
1. Riska Andani 25 Baringin 30-01-2017 2 1 0 0 Riwayat SC 10 10 10 10
 Riswandi 07-11-2017
2. Meri Deswati 43 Surau 02-02-2017 4 3 0 3 Umur Ibu 43 Thn 6 6 6 6
Idris Gudang 09-11-2017
3. Gita 26 Lantai Batu 28-01-2017 3 2 0 2 2 2 2 2
Taufik 05-11-2017
4. Fina Indrawati 31 Pincuran 07-02-2017 3 2 0 2 2 2 2 2
Rudi Winata Tujuh 14-11-2017
5. Nela Rosa 28 Bukit 07-02-2017 1 0 0 0 2 2 2 2
Firdaus Gombak 14-11-2017
6. Adriati 40 Garuda 10-03-2017 3 2 0 2 Umur Ibu 40 Thn 6 6 6 6
Elyandi Mas 17-12-2017
7. Nurhaida 37 Balai 18-03-2017 1 0 0 0 Umur Ibu 37 Thn 6 6 6 6
David Kaman 25-12-2017
8. Elfina Yenti 43 Kubu Rajo 04-03-2017 5 4 0 4 Umur Ibu 43 Thn,Kehamilan 10 10 10 10
Ikhwindri 11-12-2017 ke 5
9. Feni Gusnita 25 Baringin 07-04-2017 1 0 0 0 2 2 2
Rio Heri Eka P 14-01-2017
Messi 23 Piliang 14-04-2017 1 0 0 0 2 2 2
Mikel 21-01-2017
Vera 40 Dusun Tuo 07-04-2017 4 3 0 3 Umur Ibu 40 Thn,TB 136 cm 10 10 10
Wino 14-01-2018
Ulianita 35 Balai 18-02-2017 4 3 0 3 2 2 2 2
Harsah Kusuma Labuh Atas 23-11-2017
Sri Saputri Sari 25 Bukit 12-04-2017 1 0 0 0 2 2 2
Angga Gombak 19-01-2017
Nora 31 Dusun Tuo 01-03-2017 4 1 1 1 Riwayat Abortus,TB 143 cm 10 10 10
M.Affandi 08-12-2017
Dina 28 Baringin 01-02-2017 2 1 0 1 2 2 2 2
Suryadi 08-11-2017
Yesi 35 Simpang 10-03-2017 2 1 0 1 2 2 2
Zailiat Kiambang 17-12-2017
Yuli Yastri 31 Dusun Tuo 05-03-2017 1 0 0 0 2 2 2
Alfion 12-12-2017
Mutina 21 Lantai Batu 31-03-2017 2 1 0 1 2 2 2
Zainal 07-01-2018
Getri 23 Baringin 23-04-2017 1 0 0 0 2 2 2
Saiful 30-01-2018
Leni 27 BL.Bawah 25-04-2017 1 0 0 0 2 2 2
Erik 02-02-2018
Meli 29 Parak Juar 25-03-2017 2 1 0 1 Jarak Kehamilan 11 Bulan 6 6 6
 Dodi Putra 02-01-2018
Yossi 32 Parak Juar Lupa 7 4 2 4 Kehamilan ke 7 10 10 10
Hendra
Nining 28 Bukit 29-03-2017 1 0 0 0 2 2 2
Hendrizal Gombak 06-01-2018
Afriyanti 31 Kampung 23-03-2016 2 2 0 2 Riwayat Gemeli 6 6 6
Ardi Baru 30-12-2017
Fitri 24 Dusun Tuo 13-05-2017 2 1 0 1 2 2 2
Riki 20-02-2018

NO NAMA IBU UMUR ALAMAT HPHT DAN STATUS GPAH FAKTOR RESIKO YANG JUMLAH SCORT
DAN SUAMI TTP DIMILIKI PERTRIBULAN
G P A H I II III.1 III.2
NO NAMA IBU UMUR ALAMAT HPHT DAN STATUS GPAH FAKTOR RESIKO YANG JUMLAH SCORT
DAN SUAMI TTP DIMILIKI PERTRIBULAN
G P A H I II III.1 III.2
NO NAMA IBU UMUR ALAMAT HPHT DAN STATUS GPAH FAKTOR RESIKO YANG JUMLAH SCORT
DAN SUAMI TTP DIMILIKI PERTRIBULAN
G P A H I II III.1 III.2
NO NAMA IBU UMUR ALAMAT HPHT DAN STATUS GPAH FAKTOR RESIKO YANG JUMLAH SCORT
DAN SUAMI TTP DIMILIKI PERTRIBULAN
G P A H I II III.1 III.2
Diketahui Tanggal

Pimpinan Puskesmas Pengelola Program Ibu Puskesmas