Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Rekap k1, Bersalin, Risti 2023-1

Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 113

DATA BUMIL K 1 TAHUN 2023

BULAN : JANUARI

USIA IBU NO HP IBU NO KK


NAMA IBU HAMIL NIK IBU STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN

1 Siti Maesaroh/ Aditya 4/9/2000 22 CRJ 6/1 - 351003490400002 - G1P0A0 12/6/2022 9/13/2023 7
Prasetyana

2 Srinanda Rahayu - 27 Bl.sari 1/3 - 3510044667960004 - G1P0A0 12/20/2022 9/27/2023 6

3 Ely Ernawati/ M.Eko 6/24/1995 27 KB 4/1 - 3510036906950003 - G2P1A0 11/27/2022 9/4/2023 6


Saputra

4 Dewi/ Budiono 8/17/2022 36 GP 4/1 - 3510035708870004 - G3P2A0 11/12/2022 8/19/2023 6

5 Fitria Ganesha/ 5/15/1994 29 GP 1/1 - 351003550940003 G3P2A0 12/10/2022 9/19/2023 5


Supriyono

6 Desy vikasari/ Riyono 12/29/1993 30 SBJT 2/4 3510036912930002 G2P1A0

7 Nikmatus sadiyah/ 36 GRJ.PNTI 5/3 G4P3A0 10/2/2022 7/9/2023 12


David

8 Ririn Riyaningsih/ 4/5/1985 37 SB.Jati 2/5 G3P2A0 11/15/2022 8/22/2023 8


Hariawan

9 Sutaminingsih/ Agus 6/27/1994 SB.Jati 4/3 G2P1A0 12/1/2022 9/8/2023 6


Hariyono

SUMBERASRI

1 Wagini/Poniran 10/2/1987 36 Gb.Kandel 3/2 - 3510034210870001 0002727490904 G2P1A0 11/2/2022 8/9/2023 8

GLAGAHAGUNG

1 Dian Resti/ Aris 6/8/1992 31 Jatirejo 5/2 81235557364 3510034806920001 0000115378007 G3P1A1 12/11/2022 9/18/2023 4
Setiyawan

2 Sulastri Eka/ Frenda 6/25/1996 27 Jatirejo 10/1 82142517751 3510236506960002 G1POAO 11/30/2022 9/6/2023 8
Eka

3 Ifa Fatmawati/ Tafid 8/20/1987 35 JTM 6/2 G2P1A0 12/15/2022 9/22/2023 6

4 Evi Uswatus/ 2/21/1988 25 JTL 4/2 G2P1A0 11/16/2022 8/23/2023 6


Mariyanto

5 Titik Lusiani/ Suwito 7/17/1990 33 JTM 5/1 G2P1A0 10/28/2022 8/4/2023 2

6 Pipin Ayu / Risman 9/3/2022 20 JTM 9/2 G1POAO 11/23/2022 8/30/2023 6

DATA BUMIL K 1 TAHUN 2023


BULAN : FEBRUARI

USIA IBU NO KK
NAMA IBU HAMIL NO HP IBU NIK IBU STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN
1 Anifah/ Jumanto 4/21/1987 36 GP 4/2 3510034107880040 G2P1A0 12/28/2022 9/29/2023 7

2 Enggar Ayu Sekar 1/11/1995 28 GP 4/3 3510035101950004 G3P2A0 12/24/2022 10/1/2023 7


Kinanti/ Ari Prasetyo

3 Karina Dwi Anjani/ 7/19/2005 18 KB 6/3 35100359060500031 G2P1A0 1/6/2023 10/13/2023 6


M.Rafik

4 Sri Wahyuni/ Miroji 9/29/1989 34 GP 1/1 3510036909890004 G5P2A2 8/26/2022 6/3/2023 20

5 Cici L. / Febri Eko 11/23/1995 28 GP 2/3 G2P1A0 12/18/2022 9/25/2023 7

6 Seftina Ningrum/ 11/6/2000 23 BL.SARI 5/1 085231236172 G3P2A0 11/6/2022 8/13/2023 13


Budi Prayogi

7 Lisa Astrika/ Rifan 12/13/1992 31 BL.SARI 3/3 082312895424 3510025312910001 G2P1A0 12/17/2022 9/24/2023 8
Ardiansyah

8 Vera Dwi Novitasari/ 9/21/2001 22 KB 3/3 0821448685 3510034403010001 G1P0A0 7/3/2002 4/10/2023 32
Rergki

9 Eni Sagita/ Endi 3/10/2003 20 SB.JATI 4/5 08560497680 3510085003030002 G1P0A1 12/23/2022 9/30/2023 9
Pradana

SUMBERASRI

1 Ayu Lestari/Agung 12/18/1993 29 Gb.Kandel 4/4 081216044815 5171045812930003 - G2P1A0 1/5/2023 10/12/2023 6
Darmoko

2 Vera Putri Vinata/ Adi 8/20/2003 19 Gb.Kandel 1/2 085607589416 3510036008030006 0000698134588 G1P0A0 9/25/2022 7/2/2023 18
Saputra

3 Ida Nihayatun/ 9/7/1987 36 Gb.Kandel 4/3 - 3510046706870003 - G2P1A0 12/19/2023 9/26/2023 7


Bahrudin

Siti Robiatul
4 Adawiyah/ Musyafa 9/11/2003 19 Sb.asri 4/5 087704622366 3510035109050002 0000698018499 G2P0A1 12/27/2023 10/4/2023 7
Ali Rohman

GLAGAHAGUNG

1 Jehan Desi/ Yanuari 12/26/1989 34 Jt.Mulyo 2/2 085292214016 3510036612890001 0003291402993 G3P2A0 1/10/2023 10/17/2023 6

2 Nina/ Firman 10/18/1991 32 Jt.luhur 089678390791 3510035810910001 G2P1A0 12/29/2022 10/6/2023 8

3 Naimah/ Budiyanto 9/28/1981 41 Jt.Mulyo 7/2 081237035412 3510056809810002 G2P1A0 12/16/2022 9/23/2023 9

4 Rina/ Rokhim 4/11/1990 31 Jt.Rejo 7/1 082234831772 3510035104900003 G3P2A0 11/16/2023 10/10/2023 12

5 Dewi intan/ Deni 6/4/1984 39 Jt.Luhur 2/2 3510034406840005 G1P0A0 1/2/2023 10/9/2023 4

6 Linda Dwi/ Agus 1/2/1987 36 Jt.Luhur 10/1 3510034201870001 G2P1A0 11/15/2022 8/22/2023 12

7 Nurul/ Abd.Rohman 7/14/1992 31 Jt.rejo 9/2 G4P3A0 8/20/2022 5/27/2023 28

KARETAN

1 Natalia Widianti/ - 34 Sidodadi 4/1 886987632861 3510034105980003 - G2P1A0 1/7/2023 10/14/2023 8


Hendrik s. Karetan

2 Purwanti/ Nur 5/1/1998 28 Sidodadi 3/3 - 3510036512890001 - G1P0A0 6/6/2022 3/12/2023 36


Amanu Karetan
DATA BUMIL K 1 TAHUN 2023
BULAN : MARET

USIA IBU NO KK
NAMA IBU HAMIL NO HP IBU NIK IBU STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN

1 Erni Susana/Toni 6/20/2003 20 KP.Baru 085855070959 3510036903040001 G1P0A0 1/1/2023 10/8/2023 8


Amirul

2 Ratna Wahyu /Restu 3/12/2007 16 sumberjati 085784348565 KTP BLM G1P0A0 1/25/2023 11/2/2023 8
Bagus

3 Yuli/Yusuf Priyono 5/5/1991 32 sumberjati 1/4 085236507263 3510034505910005 G2P1A0 7/30/2022 5/7/2023 34

4 Tri Winarti 2/2/1989 34 sumberjati 1/4 85331443146 3510034202890003 G3P2A0 1/20/2023 10/27/2023 10

KHUSNUL
5 KHOTIMAH / 7/10/1993 30 GP 3/1 "0000696657328 G2P1A0 17/1/23 24/10/23 6
LEGIMIN

NOVITA AYU 3510035307930006/35


6 WARDANI / BUDI 13/7/93 30 KB 1/2 G2P1A0 28/1/23 6/11/2023 5
10031001890005
HARTONO

MUROTUL
7 MUTHOMIMAH/ 21/8/03 20 KB 3/1 3510036107030002 / G1P0A0 10/9/2022 17/6/23 26
CAHYO 3510061609940002
HERLAMBANG

8 MITA INDRIANI / 7/7/1999 24 GP 2/2 3510039607990003/ G1P0A0 19/8/22 26/5/23 29


ANDI PRANATA 3510030102940001

9 Rita aprelia 11/4/1991 32 bulusari1/5 3510031104910002 G2P1A0 2/2/2023 9/11/2023 6

10 Nindhita desy 5/12/1995 28 curahjati 3510034512950001 G2P1A0 5/7/2022 12/4/2023 36

11 Anik yuniarsih 24/6/1989 34 bulusari 3510026406890002 G3P2A0 28/8/2022 29/5/2023 31

SUMBERASRI

1 Shelva anindiya/ 11/5/2001 22 Gebangkandel 3510035105010006 G1P0A0 18/2/2023 11/23/2025 5


Andika

2 Ika husnul khotimah/ 31-03-1995 28 Bloksolo 1/3 85321246447 3510037103950001 G2P1A0 10/1/2023 17/10/2023 8
Nur alim

Ida wahidatun
3 nikmah / M. nanang 15-05-1995 28 82232834583 3510035505950002 G2P1A0 14/01/2023 21/10/2023 7
akhlis Gbk 1/4

4 Titia widyarini/ Dwi 16-07-1996 27 Bloksolo 1/3 3510035807860002 G5P2A2 20/01/2023 27/10/2023 7
ari pubantoro

5 Citra dian titisari / 25/12/1994 28 Bloksolo 3/4 81344775504 3510036512940002 G3P2A0 28/01/2023 5/11/2023 6
joko pariyanto

6 wiwik utami / 15/06/1985 38 Bloksolo 3/2 3510031912780001 G3P2A0 1/1/2023 8/10/2023 11


supriyanto

7 Vita octaviana / Rio 7/10/1994 29 krajan 1/3 3510034710940001 G2P1A0 13/02/2023 20/11/2023 6
satriawan

8 Nur hayati/ Nur 10/1/1990 33 Bloksolo2/3 85238861712 G2P1A0 22/01/23 29/10/2023 8


wahid

GLAGAHAGUNG

BETRIS AYU 3510032408220002


1 FIMASIKA/ROBI 7/23/2001 22 Thn Jatiluhur 6/1 083111558460 3510030107010004 G1P0A0 1/2/2023 10/9/2023 8
PANGESTU 3510040303980003
LATIFATUL
2 MASINTAN/AAN 3/4/1998 25 Thn Jatimulyo 6/1 081357798967 3510034403980001 G1P0A0 12/20/2022 9/26/2023 12
3510031409920006
SYARIFUL HABIB

IFA 3510030906090013
3 FATMAWATI/HAFID 8/20/1987 35Thn Jatimulyo 6/2 082245234387 3510036008870007 G2P1A0 12/15/2022 9/22/2023 12
KUSAIRI 3510032909830002

4 FRESIKA/NUR AMIN 5/5/2000 23 Thn Jatimulyo 4/2 082234613477 3510224505000002 G1P0A0 2/21/2023 11/28/2023 5
3510032506000001

ELY 3510030707200002
5 ALVIANTI/HARIYON 6/3/1982 41 Thn Jatiluhur 8/1 085852037614 3510034306820002 0000697848546 G2P1A0 10/11/2022 7/18/2023 20
O 3510060704850002

3510030809220034
6 RESTI DWI/RIKI DWI 3/4/2003 20 Thn Jatimulyo 4/2 083852126842 3510084403030001 G1P0A0 2/17/2023 9/24/2023 6
3510032805990003

KARETAN

NIHIL

DATA BUMIL K 1 TAHUN 2023


BULAN : APRIL

USIA IBU NO KK
NAMA IBU HAMIL NO HP IBU NIK IBU STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN
YESSY APRILIA /
1 VIKTOR KIYAN 4/4/2001 22 GP 3/3 G1 3/5/2023 12/12/2023 4
SABANA
3510036906950003 /
2 ELY ERMAWATI / 6/29/1975 28 KB 4/1 3510032604880003 G3P1A1 1/27/2023 11/4/2023 10
M.EKO SAPUTRO

3 MIFTAHUL JANAH / 5/28/1988 34 SUMBERJATI 2/1 3510036805880004 G2 2/19/2023 11/26/2023 5


SUGIYANTO

4 THERESIA SUSANTI / 5/15/1983 40 SUMBERJATI 3/4 3510035501830001 G2 2/10/2023 11/17/2023 5


JOKO PITONO

5 NENE SHEVIA ARI 11/17/2000 23 curahjati 4/2 "351003571100004 G1 3/12/2023 12/19/2023 5

SUMBERASRI

1 ENI SUSANTI 4/7/1995 28 sb.rejeki 3/1 G4 10/23/2023 7/30/2023 24

2 Sugiyati/ Suhermanto 25/12/94 39 Bloksolo 1/4 81231159589 3510035806840003 G4P1A2 30/01/23 06/11/23 8

Munfaridatul
3 khusniah / M.ansori 25/06/99 23 Gebangkandel 1/4 85236723512 3510035111990004 G1P0A0 07/12/23 14/09/23 17
safii

4 Tika Gebangkandel 81334655496 G3P2A0 9/11/2022 6/17/2023 33

GLAGAHAGUNG

1 KHUSNUL 6/21/2000 23 Jatimulyo G1 2/23/2023 11/30/2023 6


KHOTIMAH

KHOIRUL
2 NIKMAH/M.FATA 2/14/1999 24 JATIREJO 9/2 085227970055 0 G1 1/31/2023 11/7/2023 12
HABIB

3 INDAH/FURI 12/2/2022 34 JATIMULYO 10/2 082335754432 0 G4 12/17/2022 9/24/2023 28


4 FANI RULIANA/HADI 11/18/1991 32 JATILUHUR 1/2 082346652776 3510035811910002 0 G2 2/25/2023 10/2/2023 8
SUCIPTO

KARETAN

1 SINTA/AGAM 6/5/1995 27 SIDODADI 1/1 081252669683 3510035506950002 0 G1 3/15/2023 12/22/2023 6

2 SUNDARI 34 SIDODADI 4/3 85707016827 3510025203890005 G2 12/1/2022 9/8/2023 13

DATA BUMIL K 1 TAHUN 2023


BULAN : MEI

USIA IBU NO KK
NAMA IBU HAMIL NO HP IBU NIK IBU STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN

1 ISTIKOMAH / 8/17/1985 38 GP 2/1 3510035708850007 G3P1A1 2/1/2023 11/8/2023 12


FATHUR ROHMAN

2 LUVIANA DEWI / 5/6/1996 27 KB 3/3 3510034605970002 G2 3/26/2023 12/31/2023 6


AROFIQ

3 TIWING ARIYANI / 5/6/1999 24 KB 6/3 3510064605990002 "0003510944616 G1 1/23/2023 10/30/2023 18


RENO

4 YULAIKAH / ASMADI 4/1/1985 39 KB 3/2 3510039104850003 "0002521845178 G3 2/22/2023 11/29/2023 10

5 ELOK ADITIYARINI / 8/9/1994 29 KB 4/2 3510034908940002 "0002805667266 G2 2/4/2023 11/11/2023 14


IRAWANTO
6 LUSIATI / PARNO 11/4/1980 43 GP 2/1 3510036601850001 G7P2A4 1/15/2023 10/22/2023 17
BUDIONO

7 FIDIA NUREVALINA / 8/26/2002 21 CURAHJATI 085780582210 601076508820003 G1P0A0 3/27/2023 1/4/2024 5


RIYAN HIDAYAT

8 DESI YULIANI / BERY 4/4/1993 30 SUMBERJATI 085784748011 3510034404930007 G2P1A0 3/19/2023 12/26/2023 6
RENALDI

9 GUSTRIANI / 8/23/1996 27 GRAJAGAN 085604834580 3510036308960003 G2P1A0 4/7/2023 1/14/2023 7


HARMOKO

10 novi elasari 1/5/1986 36 curahjati 1/3 "3510093651860002 G2P1A0 3/23/2023 12/30/2023 8

11 sriwahyuni 5/30/1988 35 sumberjati "3510037005880005 G2P1A0 3/20/2023 12/27/2023 9

SUMBERASRI

1 Nanik agus prastiwi/ 23/08/91 32 gebangkandel 2/1 081235815408 3510034808910004 G2P1A0 13/5/23 5/4/2023 5
Bhendrik

2 Elok fai qotun nikmah 26/2/96 27 gebangkandel 3/4 081333290445 3510036602960002 0000697908025 G2P1A0 14/5/23 22/3/23 7
/ Hamdan maulana

3 BUDIARTI/ 4/14/1980 42 BLOKSOLO 2/2 3510034404800007 G3P2A0 5/3/2023 2/12/2023 11


HARIADI

NOFITA
4 RAHMAWATI/AGUS 12 BLOKSOLO1/5 3510035008100002 00003515722334 G1P0A0 5/24/2023 11/20/2023 27
M

5 TRI RAHAYU /BERY 7/7/2001 22 BLOKSOLO 3510029202010003 G1P0A0 5/3/2023 2/22/2023 12


RENALDI

SEPTI GEBANGKANDEL
6 ARIYANTI/AGUS 9/13/1992 31 3510035309920003 00001596691899 G4P1A2 5/31/2023 4/14/2023 6
PURNOMO 1/5

7 SRI WAHYUNI /IMAM 12/9/1986 37 SUMBEREJEKI 3510035912860003 0000698347901 G2P1A0 5/21/2023 2/5/2023 14
SHOLIHIN 4/2

GLAGAHAGUNG

FRISKA 3510032610220005351
1. HELVINA/BAGUS 4/6/1998 25 JATILUHUR 8/2 087740541606 0054604980009351003 G1 3/5/2023 12/12/2023 8
SURYA ANDIKA 1207970001

2. YUNI LESTARI/RISKY 6/20/2001 22 JATIMULYO 2/1 081515329395 G1 2/20/2023 11/27/2023 12


FERDIANSYAH

3510032504110002351
3 RINA APRILIYANI/M. 4/11/1990 33 JATIREJO 7/1 083847752061 0035104900000335100 G3 11/25/2022 9/7/2023 24
NUR ROHIM 30707850008

DEVITA OKTAVIA
4 RAHAYU/ANDI 10/28/1995 28 JATIREJO 9/2 083837260211 3510036810950002351 G1 3/25/2023 1/2/2024 8
PRASETIYA 0042707950005

MITHA SIWI 3510141706200005351


5 RAHAJENG/AHMAD 1/20/1999 24 JATILUHUR 1/2 087769232459 0036001990001351014 00000029435131 G2 2/26/2023 11/18/2023 12
IBNIL 1207970005 78

3510030306220004351
6 LAELA ZULFI/NANA 7/1/1994 29 JATIREJO 9/1 081235815594 0234107940003351003 G2 3/18/2023 12/18/2023 8
INDRAYANA 2108940004

7 FATMAWATI 9/7/1989 34 JATILUHUR 3212014709890009 G2 3/22/2023 12/29/2023 8


/LUKMAN

8 MAYA P. /SAIFUL 3/19/1997 26 JATILUHUR 10/1 3510035903970001 G1 4/7/2023 1/14/2024 6

9 MENTARI K. 6/26/1993 30 JATIMULYO 3510036606930001 G2 8/29/2022 6/6/2023 32


/RAHMAN
KARETAN

1 SRI SUSANTI 1/11/1993 30 SIDODADI 1/2 3510015101930001 0002240429095 G2P1A0 3/11/2023 12/17/2023 8
DATA BUMIL K 1 TAHUN 2023
BULAN : JUNI

NO KK
USIA IBU NO HP IBU NIK IBU
NAMA IBU HAMIL STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN
INTAN PUSPITASARI/
1 MOH.NURSODIK 6/26/1999 24 BULUSARI 5/5 085792181935 3510036606990003 - G1P0A0 3/27/2023 1/4/2024 9 mgg

WULAN PUTRI / REMI


2 PASELAH 8/12/1999 24 BULUSARI 2/2 085808398418 3510035208990004 - G1P0A0 11/20/2022 9/5/2023 24

Niluh ayu Juliantari/


3 Purwadi 7/12/2001 22 curahjati 3/5 085792999749 5107045207010002 - G1P0A0 12/5/2022 9/12/2023 26

JUMITASARI/ GAE
4 PRAKOSO 3/1/1991 32 GRAJAGAN PANTAI 085850142962 3509034103910008 - G3P1A0 5/19/2023 2/26/2024 5

5 ITA MULIA/ SUGIANTO 11/5/1990 32 SUMBERJATI 1/1 085232938317 3510034511900003 G2P1A0 4/16/2023 1/23/2024 9

SITI
6 FATIMAH/NURHUDAYA 6/17/1986 37 GRAJ PANTAI 2/2 3510065706840008 G2P1A0 21/2/1023 11/28/2023 20
NTO

LUTFI ROFIATUL/ ULUL


7 ABSHUR 4/29/2002 21 GRAJAGAN PANTAI 085790402484 3510036904020001 G1P0A0 12/20/2022 10/3/2023 26

FITA SARI / DEWA


8 ALDIANSYAH 7/1/2008 15 GP 4/3 3510074107080031 G1P0A0 3/2/2023 12/9/2023 14

9 GISKA ARI RAMADANI 10/9/2005 17 curahjati 5/2 35100349910040004 G1P0A0 3/23/2023 12/30/2023

10 FICA APRIONE 4/2/2003 19 curahjati 3510034204030005 G1P0A0 12/10/2022 9/17/2023

SUMBERASRI

1 LIA YUNITA/ HARIONO 6/24/1991 32 GBK 4/4 081359787808 3510036406910000 G2P1A0 4/6/2023 11/13/2023 8

2 SRIATI / SUJARNO 2/17/1985 38 SBR 3/1 081779333932 3510035702850000 000698330171 G4P3A0H1 10/18/2022 10/25/2023 21

3 MUJIARTI 11/10/1981 42 GBK 4/4 081370332552 3510035011810000 G2P1A0 4/28/2023 2/5/2024 9

LABIBATUL
4 MUSTAFIDAH/ 10/11/1988 35 KRAJAN 2/1 SB.ASRI 081237472801 3510035110880003 G3P2A0 4/8/2023 1/15/2024 8
MOH.LAZIM

GLAGAHAGUNG

LIAN 3510030711130002351003
1. SIHMIATI/HARIYANTO 8/19/1991 32 JATIREJO 7/1 5808910003 GIV 11/5/2022 7/17/2023 28

TRIANITA/MOH
2. LUKMAN 10/3/2000 23 JATILUHUR 8/2 087728029247 3510034310000001 GI 3/30/2023 1/2/2024 12

KARETAN

1 MELINDA DWI P 5/23/2004 21 KARETAN 0737334270 351116305040005 G1P0A0 8/4/2023 5/21/2023 32

DATA BUMIL K 1 TAHUN 2023


BULAN : JULI

NO KK
USIA IBU NO HP IBU NIK IBU
NAMA IBU HAMIL STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN

1. Ika Novia Mega 12/11/1995 28 KP Baru 1/3 81368219070 3509115211930003 G1 2/6/2023 8/3/2024 5

2 FITA MEGA SARI 7/7/1997 29 KP.BARU 4/3 3509084707970007 G2P1A0 5/24/2023 3/1/2024 6

3 ERMA ANDI IRAWAN 9/28/1993 30 KP.BARU 1/1 3510036809930001 G2P1A0 5/6/2023 1/13/2024 8

4 ULFA MAULINA 10/5/1991 32 KP.BARU 1/1 3510074510910009 G2P1A0 10/5/1991 6/16/2023 5

5 TITA APRELIA 4/18/1993 30 KP.BARU 4/2 3510036804960005 G4P2A1 6/27/2023 4/2/2024 7

6 Tria nia 24 curahjati 4/3 "3510026909000003 g3 18/5/2023 2/24/2025 10

7 Fernanda ade 23 curahjati 2/6 g1 22/6/2023 29/3/2024 7

8 okta nur pradini 30/10/1993 30 Bulusari 2/2 "3510037010930006 g2 9/12/2022 16/09/2023 35

9 zunia Candra tyas 25/09/1988 35 sumberjati 5/1 "3502156509880001 g5p3A1 15/3/2023 22/12/2023 20

SUMBERASRI

1Prafita uji nurani/IKHSANUDIN15 Oktober 1988 35 Krajan 3/3 085231220439 '3510031507770010 0001706055996 G3P2A0 15 April 2023 21 Januari 2024 11 MGG

GLAGAHAGUNG

FARIDA
1. ANGGRAINI/MOHAMMA 8/30/2023 21 JTM 8/1 085231220439 3510037008020002 G1 5/24/2023 3/1/2023 8
D IMAM

KARETAN

1 Rizqi Lutviana 11/30/1997 25 Sidodadi 1/2 081237298499 3510057011970002 G1 6/15/2023 3/27/2024 5

DATA BUMIL K 1 TAHUN 2023


BULAN : AGUSTUS

NO KK
USIA IBU NO HP IBU NIK IBU
NAMA IBU HAMIL STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN

Desi dwi ananda sari/Diky


1 12/3/1998 25 Bl.sari 4/4 - 3510034312980005 - G1P0A0 6/28/2023 3/5/2023 7
ramadani

2 Ella natalinda/Eko yulianto 12/25/1991 32 SBJT 3/2 - 3510036501880002 - G2P1A0 7/18/2023 4/25/2023 6

3 ayu fatmawati 24 bulusari 3/1 "3510066708990004 g2 6/24/2023 4/1/2024 9

4 eka dian ferdiyanti 33 Bulusari 5/2 "1803054801930001 g3 7/6/2023 4/13/2024 7

5 tanesia 24 curahjati 1/1 g2 7/9/2023 4/16/2024 7

6 LILIK INDAHWATI 44 CJATI 5/3 3510034610790004 G3P2A0 6/7/2023 3/14/2024 6

7 RUMIYATI 3/23/1999 23 KP.BARU 3/1 3509036303990005 G2P1A0 4/18/2023 1/25/2024 13

8 SANTI EKA WATININGSIH 7/22/1988 30 G.PANTAI 4/2 3510036207880002 G3P1A1 7/14/2023 4/21/2024 4

SUMBERASRI

1 Yeni risky 8/5/1999 26 Gebangkandel 1/5 "3510054508000005 g2 5/11/2023 2/18/2024 15


KHOTIMBATUL
2 20 Oktober 1996 27 GEBANGKANDEL 3/2 - 3510036010960001 G1P0A0 14 Juli 2023 21 April 2024 5 MGG
UMMAMAH/DIKI SUGANDA

UCIK KHOIRUNISA/ LEGO


3 1-Jun-97 26 GEBANGKANDEL 2/5 08213941105 351504410797001 G2P1A0
JOKO

KURNIATI / AAN
4 6-Jan-94 29 GEBANGKANDEL 1/2 08966568000 3524164601940001 G2P1A1 1-Jul-23 6-Apr-24 8 MGG
MASRULLAH

5 LUSI AMANDA/IVAN 29-Sep-03 20 BLOKSOLO 1/3 087731283155 351003490930003 G1P0A0 3-Mar-23 10-Nov-23

6 BELLA SANGKILANG 2/21/1996 27 KRAJAN 3/2 7106046102960001 000908608307 G2PIAO 7/16/2023 4/22/2024 6

GLAGAHAGUNG

MAYA PUSPITA/SAIPUL
1. 3/19/1997 26 JATILUHUR 10/1 3510035903970001 GI 4/7/2023 1/14/2024 16
ANWAR

RHISMA EVINA/ARDILLA
2. 7/1/1999 22 JATIREJO 5/2 3510024107990028 GI 5/8/2023 2/15/2024 12
FIRGA

3. DEFFI MEGA/M.ARIADI 7/19/1994 29 JATILUHUR 5/2 083199818700 3510035907940002 GII 7/21/2023 4/28/2024 5

4. JUMAROH/SUGIMAN 8/17/1985 39 JATILUHUR 6/1 GIV 6/23/2023 3/30/2024 8

5. NINGSIH/SUROSO 1/10/1982 41 JATIMULYO 6/1 082145866638 3510035001820008 GIII 4/21/2023 1/28/2024 16

6. SITI CHOLIFATUL/AINUL 3/3/1998 25 JATILUHUR 5/2 3510034303000002 GI 6/28/2023 4/4/2024 8

KARETAN

1 MARTHA INDAH LESTARI 3/24/1989 34 SIDOAGUNG 3/1 3515186403890003 G1 7/8/2023 4/15/2024 5

2 PUTRI INDAH LESTARI 8/13/2001 22 SIDOAGUNG 1/2 3510035308010003 G1 6/23/2023 3/30/2024 6

DATA BUMIL K 1 TAHUN 2023


BULAN : SEPTEMBER

NO KK
USIA IBU NO HP IBU NIK IBU
NAMA IBU HAMIL STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN

1. Rina Istiani 6/1/1995 28 Sumberjati 5/4 85144396179 3510034601950002 G1 26-04-2023 3/2/2023 20

2. Windi Yulianti 14-07-1998 25 Sumberjati6/2 85258686607 3510035407980001 G2P1A0 17-08-2023 24-05-2023 5

3 SITI NAFISAH 7/29/1998 25 KP.BR 3/2 3574030907980005 "0000785648395 G1 7/23/2023 4/30/2024 6

4 DINA RESTU 7/23/1995 28 G.PNT 3/1 3510236307950001 G3 5/15/2023 2/22/2024 16

5 NINING SURYANI 3/7/1990 30 G.PNT 2/3 3510034703900005 G4 4/6/2023 1/13/2024 22

6 BELLA ELOK SORAYA 8/27/1990 33 G.PNT 2/3 3510026708900005 G3 5/20/2023 2/25/2024 16

7 VIKA PATRICIA 10/5/2002 21 G.PNT 3/2 3510034510020006 G1 8/2/2023 5/9/2024 6

8 NENNY MALIN KINANTI 1/21/1992 31 G.PNT 5/1 3510036101920001 G2 7/23/2023 4/30/2024 8

9 ANA SUSANTI 10/20/1987 36 KP.BR 2/2 5101026010870001 G4P3A1 5/19/2023 2/26/2024 18

10 RIKA SAPUTRI 4/9/1996 27 KP.BR 2/3 3510034904960005 G1 7/22/2023 4/29/2024 9


11 SUMARNI 5/7/1992 31 G.PNT 2/3 3510034705920003 G3 5/25/2023 3/2/2024 18

12 ABEL AAS SEPTIANA 9/10/2003 23 G.PNT 1/2 "3510035004030000 G1 9/10/2023 6/17/2024 6

13 Putri khusnul 22 curahjati 1/1 "3510014408010002 g1 8/4/2023 5/11/2024 7

14 yeti disfita rani 27 grajagan pantai "3510036212960005 g2 6/30/2023 4/7/2024 12

SUMBERASRI

Dini isma wulandari/Eko adi


1 10/10/2002 21 Bloksolo 2/2 085730160290 3510065010020002 G1P0A0 7/21/2023 4/28/2024 6
prasetyo

Binti nur pujiani/Alek iljamul


2 9/17/1994 29 krajan 1/1 081246502408 3510035709900003 G2P1A0 8/3/2023 5/11/2024 6
khoir

Erna watiningsih/Kurdian
3 6/23/1990 33 Gebangkandel 1 /2 081934888667 3507056306900006 G1P0AO 3/23/2023 12/28/2023 25
utomo

4 Dewi evita/ M.asrori 7/9/1995 28 Gebangkandel 3/3 087816511857 3510034907950004 G2P1AO 7/26/2023 5/4/2024 8

5 Hestina ainun habibah/ Deni pr 7/24/1999 24 Gebangkandel 1/2 085604814700 3510036407990001 G1POAO 8/3/2023 5/10/2024 7

6 Elisa yulistiya 27 Gebangkandel 2/5 "3510034707960003 G1POAO 3/30/2023 1/5/2024 23

GLAGAHAGUNG

1 Deffi megawati 7/19/1994 29 JTL "3510035907940002 g2 7/21/2023 4/28/2024 8

2 MIRA AGUSTIN/ZAINURI 37 JTL 1/2 0000697863453 G4 6/8/2023 3/15/2024 8

ZENI NUR
3 8/18/1984 39 JTR 10/1 3510035808840001 0000697247921 G3 8/22/2023 5/29/2024 6
HASTUTI/SUPARMAN
AFIFATUN NUR'AINI/M.IVAN
4 7/18/1995 28 JTM 2/1 3510035807950004 G1 1/11/2023 10/18/2023 36
NUR
SHERINA NOVITA/AJI
5 9/1/1999 24 JTM 3/2 3510034109990002 G1 8/18/2023 5/25/2024 4
TIMUR

DYAH AYU
6 PRAMESWARI/M.RESKI 5/10/2000 23 JTR 3/1 3510035005000002 G1 6/29/2023 4/6/2023 12
PORNOMO

7 SITI KHOLIFATUL/AINUL 3/3/1998 25 JTL 5/2 3510034303000002 G1 6/29/2023 4/6/2024 12

FIKA APRELIA/RYO
8 4/14/2000 23 JTL 9/2 3510035404000003 G2 6/28/2023 4/5/2024 12
CEMPAKA
FITRI DEWI L./ANDIK
9 3/11/1994 29 JTL 4/1 3510045103940003 G2 6/1/2023 3/8/2024 12
LUFIANTO
KARETAN

1 YUYUN NISWATI 1/2/1982 41 SIDODADI 3/3 G3P1A1 7/6/2023 4/13/2024 8

2 APRIANINGSIH/ANDI 8/17/2001 23 SIDODADI 1/3 085730643743 350035708000003 G2P1AO 8/18/2023 5/25/2024 6


DATA BUMIL K 1 TAHUN 2023
BULAN : OKTOBER

NO KK
USIA IBU NO HP IBU NIK IBU
NAMA IBU HAMIL STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN

1. Siti Alifatul Maula 7/8/2001 22 Curahjati 5/1 82230412475 3510044708010003 G1P0000 12/9/2023 19/06/2024 7

2. Sofi Yuli Nurmidia 31/07/2005 18 Grajagan pantai 3/2 88102617920 3510037107050003 G1P0000 28/07/2023 5/5/2024 14

3 Wahyuning Asih 6/10/1998 25 Bulusari 81939713587 3510031610980001 G2P1001 25/08/2023 2/6/2024 7

4 Yuni Savira 1/6/1995 28 Curahjati 82232437700 3510034203970004 G2P1001 8/8/2023 15/05/2024 9

5 FIOLA ANJELIKA 3/8/2005 18 G.PNT 1/1 3510034803050005 G1P0A0 6/28/2023 4/5/2024 13

6 DWI WIJAYANTI 4/4/2000 23 G.PNT 3/1 3510074404000007 G2P1A0 4/30/2023 1/27/2024 23

7 PUJIATI 8/18/1989 34 K.BARU 2/2 3510035208890004 G2P1A0 8/20/2023 5/27/2024 6

8 DITA MAULIAN 6/1/2002 21 K.BARU 2/3 3510030106020003 G1P0A0 9/14/2023 6/21/2024 6

9 Tika fita dwi lestari 5/20/1993 30 Bulusari 5/3 "3510036005930002 g2 7/20/2023 5/20/2024 11

10 ana dianawati 34 sumberjati 4/3 "3510034205890006 g3 8/18/2023 5/25/2024 7

11 iis dinawati 32 curahjati 3/6 "3510036911910003 g2 9/8/2023 6/15/2024 5

12 novita rahayu 23 curahjati2/5 "3510036411000005 g1 9/13/2023 6/20/2024 5

13 siska andriyani 31 bulusari 5/5 "3510035304920002 g2 9/8/2023 6/15/2024 7

14 dwi ikawati 31 curahjati "3510135506920005 g2 2/21/2023 11/28/2023 30

SUMBERASRI

1 yayuk winarsih 2/9/1992 32 gebangkandel 3/5 "3510034802920003 g2 8/10/2023 5/17/2024 12

2 Marfu"ah / Dwi handoko 6/4/1983 42 sumberejeki 1/2 82138902681 3510034607810002 G2P1A0 8/29/2023 6/7/2024 6

Titin sri wahyuni/ agus


3 susanto 11/16/1995 28 bloksolo 4/2 82124368754 3510035611950003 G2P1A0 8/15/2023 5/22/2024 10
4 Reni fatmawati/ Zaini 1/21/1985 38 bloksolo 3/2 81523754821 G3P2A1 6/21/2023 9/28/2024 16

5 yesi selfiana 27 krajan "3510036805600002 g1 8/31/2023 6/8/2024 8

Mafrula Mala Ferari/


6 Jarni Prasetyo 1/25/1996 27 Gebang Kandel 3/2 0859191711144 G1 7/28/2023 5/5/2024 12

GLAGAHAGUNG

1 lutfiana winda 26 jatimulyo 1/2 "3510036709970002 g2 9/28/2023 7/5/2024 6

2 TARI ROSA/I PUTU 3/13/2000 23 JTL 2/2 081333373772 351003430400001 G1 9/14/2023 6/21/2024 4

VINASTIKA
3 BARRID/APRI TINGGI 3/26/1997 26 JTM 7/2 082139743841 3510036603970002 G1 8/31/2023 5/9/2024 8

PINARI RETNO/ADI
4 WIBISONO 3/26/1997 26 JTM 7/1 081259920988 3515055708880002 G3 6/18/2023 3/25/2024 16

5 ARINA ROSADA/ZEVICK 4/23/1999 24 JTM 3/1 085784039755 3506016304990002 G2 3/27/2023 12/4/2023 28

SONIA ERIKA/FEBRI
6 SEPTIAWAN 9/13/1995 28 JTR 2/2 081232854402 3510035309950003 G2 4/16/2023 1/23/2024 24

IKE SRI REJEKI/HAPPY


7 PRADANA 7/1/2000 23 JTL 3/1 085236745074 3510034107000001 G1 8/19/2023 5/26/2024 8

KARETAN

RENI SETYANINGSIH/
1 ENDRIK 10/1/1994 29 SIDODADI 1/3 3510034110940002 G1 7/23/2023 0/4/2024 12

DATA BUMIL K 1 TAHUN 2023


BULAN : NOVEMBER

NO KK
USIA IBU NO HP IBU NIK IBU
NAMA IBU HAMIL STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN

1 Sumiati 7/8/1991 32 Grajagan Pantai 4/3 85746559244 5171034708910017 G2P1001 21/05/2023 28/2/2024 24 mgg

2 Vita Listiani 19/07/2003 20 Curahjati 6/2 83846656457 3510035907030003 G1P0000 17/10/2023 24/07/2024 6 mgg

3 Bella Aldamayanti 29/07/2005 18 Curahjati 6/4 82333181080 3510036907050001 G1P0000 5/6/2023 3/12/2024 20 mgg

4 Anggi Virgi Raca Siwi 6/6/2001 22 Curahjati 4/1 081703590523 3510034606010006 G1P0000 10/9/2023 17/06/2024 8 mgg

5 Ita Anati 7/8/1990 33 Curahjati 4/1 +886974045119 3510034708900006 G2P1001 18/9/2023 25/6/2024 8 mgg

6 Gendis Lilin Valentina 1/12/1999 24 Curahjati 1/2 081252899952 3510044111000003 G1P0000 27/6/2023 4/4/2024 18 mgg

7 Marsela Bella Setya Asih 1/3/199 24 sumberjati 081358302577 7371100103990001 G1P0000 14/10/2023 21/7/2024 5 mgg

8 FITRIYAH 2/19/1984 39 K.BARU 1/2 3510035902840004 G3P2A0 9/21/2023 6/28/2024 7

9 JUMA'ATI 6/6/1976 47 K.BARU 4/1 351003460760001 G5PP4A0 5/15/2023 2/22/2024 28

10 ELA 1/16/1992 31 K.BARU 1/3 3510034601920001 G2P1A0 4/27/2023 2/4/2024 28

11 ERMA YUNITA 4/10/1985 38 K.BARU 5/1 3510035004840010 G3P2A0 10/10/2023 7/17/2024 7

12 tutus andriani 18 bulusari g1 9/28/2023 7/5/2024 7

13 dian ratnasari 3/15/1991 32 bulusari 3/2 "35100355039100007 g2 10/9/2023 7/16/2024 6

14 diana citrasari 32 curahjati 5/2 "35100352009910005 g2 7/21/2023 4/28/2024 8

SUMBERASRI

CINDY ERMAWATI
1 /ANGGA PRATAMA 04 Juni 2001 22 BLOKSOLO 2/2 08123265069 3510034406010007 G2P1A0 26 Oktober 2023 02 Agustus 2024 4

NADIA SALSABILA / MUH


2 SIFAK 24 Januari 2003 20 bloksolo 3/3 082215767065 3510036401030001 G1P0A0 14 September 2023 21 Juni 2024 6

3 Noor rokhimatus sakdiah 38 dsn sumberejeki 2/2 "3510035112850008 G5P4A3 10/7/2023 7/14/2024 6

GLAGAHAGUNG
MILA SARI
1. ARISTIANI/LUKMAN ADI 2/1/2005 18 JATILUHUR 1/2 085785257283 3510034102050006 G1 8/12/2023 5/19/2024 12

CITRA DEWI/DIAN
2. KRISTANTO 7/9/1986 37 JATIMULYO 9/1 081803114684 3510034907860002 G2 8/4/2023 5/11/2024 12

INDAH PUJI
3. LESTARI/M.KHAMIM 1/17/2002 21 JATILUHUR 7/2 085733558337 351003570102003 G1 10/4/2023 7/11/2024 16

4. MUNA/YUVI 1/12/2000 23 JATILUHUR 1/1 085257492866 3510035201000001 G1 8/22/2023 5/29/2024 12

5. WANDA/FAUZI 5/24/2003 20 JATILUHUR 11/1 082234733445 3510046405030003 G1 9/22/2023 6/29/2024 8

KARETAN

1 Tugimah 43 Sidodadi 4/2 085648715028 3510035010800009 G3P2A0 24

2 Tryas Setia Ningrum 30 Sidoagung 2/1 081259245972 3510036809930004 0000698396837 G2P1A0 6/29/2023 4/6/2024 20

3 Inne Dwi Indriyani 24 Sidoagung 3/2 085859815998 3510036208990002 G1 9/19/2023 6/24/2024 8

DATA BUMIL K 1 TAHUN 2023


BULAN : DESEMBER

NO KK
USIA IBU NO HP IBU NIK IBU
NAMA IBU HAMIL STATUS
NO NAMA SUAMI TGL LAHIR IBU ALAMAT NO BPJS IBU GRAVIDA HPHT HPL UK (mgg)
( TH )
NO HP SUAMI NIK SUAMI
NIK SUAMI
GRAJAGAN

1 Tri Sustiani/Budiono 23/11/1992 31 Bulusari 082257573383 3507116311890001 G2P10001 4/11/2023 11/8/2024 4-5 mgg

Dewi Setyowati/Ahmad
2 Susilo 4/7/1993 30 Sumberjati 4/3 082332935266 3509074407930002 G3P20002 1/10/2023 8/7/2024 9-10 mgg

Reni Hayuningtyas/
3 Riyan Hadi Setyawan 12/4/1997 26 Sumberjati 081216982798 3510045204970004 G2P10001 27/10/2023 7/8/2024 8 mgg

Nurlayla/Rian Ari
4 Pangestu 27/2/2001 22 Curahjati 2/5 085236769743 3510036703010004 G1P00000 29/10/2023 6/8/2024 8 mgg

JUMITASARI / GATE
5 PRAKOSO 3/1/1991 32 G.PANTAI 5/3 3509034103910008 "0001039788617 G4P2A1 5/25/2023 3/2/2024 28

ISWAHYUNINGSIH /
6 NURMUHAMAD 6/10/1985 38 K.BARU 4/3 3521095006850006 "00007440117681 G5P2A2 10/28/2023 8/5/2024 6

7 JULAIKAH / MASDUKI 3/19/1983 40 K.BARU 1/1 3510035903830001 G4P2A1 9/20/2023 6/27/2024 14

NUR IMAMAH / NUR


8 SALIM 5/7/1982 41 G.PANTAI 1/1 3510034705820001 G3P2A0 9/27/2023 7/4/2024 12

SUMBERASRI

1 siska desi pratiwi/ 06/19/93 30 GBK 1/5 081252891705 3510034612930002 - G2P1A0 10/10/2023 7/17/2024 9
imam maliki /3510020601850003

Rosidah umarul
2 umah/ M. Rudi 7/21/1992 31 bloksolo 2/4 082228654274 3510036107920002 - G2P1A0 10/28/2023 6/21/2023 6
syahputra

3 Risa tri yunita / 10/5/2000 23 Krajan 1/2 085850287053 3510034510000007 0000697419753 G1P0A0 10/23/2023 7/30/2024 8

4 revi arinta 10/28/1998 25 gebangkandel 1/3 "3510036810980001 g2 10/15/2023 7/22/2024 7

5 lilik ekayani 31 gebangkandel 1/5 "3510036510920005 g3 7/1/2023 4/8/2024 21

6 rhada krisnawati 12/27/1998 25 sumberejeki 4/2 "3510036712980002 g1 10/26/2023 8/4/2024 7

APRILIANA DINGKI
7 VERNANDA / RIZAL 4/30/2001 22 Gebangkandel 3/1 081238840236 3510033004010001 0002508552459 G2P0A0 11/8/2023 8/17/2024 5-Jun
ANDIKA PUTRA

GLAGAHAGUNG
1. MARSINI/SAIDIONO 5/31/1978 45 JTM 10/2 085258557026 3510037105780001 G2 4/2/2023 1/9/2024 38

2. ERVINA
NATALIA/JARKASI 12/26/1997 26 JTR 6/1 087752921736 3510034107980009 G1 6/15/2023 3/5/2024 24

TRI
3. RAHMAWATI/KASIYANT 5/30/1984 39 JTM 3/1 3510137005840005 G3 8/3/2023 5/9/2024 16
O

4. WIWIN PUJI/HERMANTO 5/1/1993 30 JTM 11/2 3510034105930002 G3 9/7/2023 6/14/2024 12

KARETAN

1 Anggi Aprilia/M.eksan 4/2/2003 20 Sidoagung 3/1 3510034204030004 G1 8/7/2023 5/14/2024 16

Elvacena Cahyania Putri/


2 Pingky Tinta Sugara 6/7/2003 20 Sidoagung 2/1 3510034706030003 G1 11/4/2023 8/11/2024 7

Furi Faradila/Bagus
3 Ahmad Sajidin 12/31/2001 22 Sidoagung 2/1 3510037112010002 G1 10/11/2023 7/18/2023 11

4 Sri Sukamti/Aditya Nur 2/4/2023 20 Sidoagung 4/1 3510034402030006 G1 10/21/2023 7/28/2023 8

5 Iren Yulianes 6/6/2008 15 Sidodadi 1/3 G1 7/5/2023 4/12/2024 24

6 Tari Sidodadi G3
LABORAT FAKTOR RESIKO SKOR NAMA KADER
TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING
TPHA,HBSAG) (TERDEKAT)

160/84/35 - - 2 Lusi

148/55/30 - - 2 Lusi

153/55/28 - - 2 IKA Mangga Yusmi

152/79/31 - Usia>35 6 Klinik ST Srikoyo Hanif

157/61/31 - - 2 Klinik ST Srikoyo Hanif

150/52/28 2 Klinik ST Srikoyo Hanif

148/50/30 6 Cisilia S.H Cumi2 Sri Wulandari

154/57/30 2 Cisilia S.H Bougenvile Nyomi

161/61/29 6 Cisilia S.H Seruni 2 Mujiati

160/84/33 - Jarak>13 Th 10 Suwarni Wortel Ratna


Usia >35

144/46/22,2 HB 13,3 Abortus 1x 14 Novia Jambu Minarni


Gol O TB <145cm

163/46/24,5 - 2 Novia Jeruk 2 Vida

143/54/27 BSC 14 Novia Kenitu Mirah


TB<

157/62/24 Jarak anak > 6 Pipit Belimbing Erni

153/60/29 - 2 Pipit Pepaya 1 Lisa

149/47/23 Lila< 6 Pipit Nangka Suswati

LABORAT FAKTOR RESIKO SKOR NAMA KADER


TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING
TPHA,HBSAG) (TERDEKAT)
Usia>35Th
148/61/32 Jrak Anak>10 10 IKA Srikoyo Hanif
Th

156/65/32 Jarak Anak <2 Th 6 IKA Apel Khoir

148/53/38 Jarak Anak<2 Th 6 IKA Apel Khoir

159/69/31 Kegagalan Hamil 6 IKA Srikoyo Hanif

155/30 2 Klinik ST Nusa Indah Novi

150/83/34 BSC 10 Cisilia S.H Bougenvile 1Sriati

150/40/22,5 Lila< 6 Cisilia S.H Bougenvile 1Sriati

152/51/24 2 Cisilia S.H

153/42/24 2 Cisilia S.H Seruni 2 Mujiati

153/74/32 - Bekas SC 10 Citra Pepaya 1 Sulisyani

150/55/23.5 Gol O Usia>35 Th 6 Citra Wortel Ratna


HB 12

156/61/29 - Bekas SC Usia>35 14 Citra Wortel Ratna


Th

146/36/21,5 Gol AB Abortus 1x 14 Citra Apel 1 Binti


Usia>35Th Lila<

158/60/25 BSC 10 Novia Kenitu Mirah

152/39/20 Lila< 6 Pipit Mangga Ana

155/53/25 Usia>35 Th Jarak 10 Novia Kenitu Mirah


>10 Th

158/59/25 2 Pipit Jeruk 1 Uut

155/70/27 Usia>35 Th 6 Pipit Pepaya 2 Katini

149/45/26 Usia>35 Th Jarak 10 Pipit Pepaya 3 Katini


>10 Th

160/66/27 Jarak<2Th 10 Pipit Jambu Minarni


Terlalu bnyk anak

160/70/29 - Jarak 12 th 6 ANGGA Mawar 2 Pipit

155/65/24 HB 12,1 - 2 ANGGA Mawar 3 Suji


Gol O
LABORAT FAKTOR RESIKO SKOR NAMA KADER GAKIN / NON
TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING GAKIN
TPHA,HBSAG) (TERDEKAT)

157/45/24 2 CISILIA Seruni 2 Yusmiati Non

151/46/24 USIA MUDA 6 CISILIA Bougenvil 1 Mujiati Non

JARAK ANAK
148/62/26 TERLALU DEKAT 6 CISILIA Seruni 1 Nyominingsih Non
11 BLN

150/86/32 Obesitas 6 CISILIA Bougenvil Srimulyati Non

145/50/26 BSC 10 IKA SRIKOYO WAHYU GAKIN

145/52/27 GEMELI 6 IKA MANGGA YUSMIATI Non

154/57/23.5 2 IKA MANGGA YUSMIATI Non

159/58/24 2 IKA SRIKOYO WAHYU Non

147/39/20,5 Lila < 6 lusi Anggrek 1 Lusi Non

150/68/30 Jarak < 2Th 6 lusi Melati 1 Yosi Non

162/73/31 Jarak < 2Th 6 lusi Seruni 1 Sugiarsih Non

154/40/22 Lila < 6 citra Pepaya 1 sulis Non

146/50/25,5 2 Suwarni Mangga Rosidah Non

160/52/25,5 2 Suwarni Pepaya 1 sulis Non

151/90/36 10 Suwarni Mangga Rosidah Non

155/79/33 2 Suwarni Mangga Sudartati Non

155/81/29,5 usia >35 6 Suwarni Jambu indra Non

161/72/31 2 Suwarni Manggis Ida yuliani Non

152/64/29 2 Suwarni Mangga Rosidah

167/58/28 2 Nofia Belimbing Yentik Non Gakin


150/49/27 2 Nofia Pisang 2 Hanis Non Gakin

143/54/27 TB > 145cm(143 cm) 6 Nofia Kenitu Nalik Non Gakin

151/33/19 Lila > 23,5cm(19 cm) 6 Nofia Kenitu Nalik Non Gakin

146/74/34 Usia >35 Thn(41Thn) 6 Nofia Belimbing Yentik Non Gakin

150/90/37 2 Nofia Kenitu Nalik Gakin

LABORAT FAKTOR RESIKO SKOR NAMA KADER GAKIN / NON


TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING GAKIN
TPHA,HBSAG) (TERDEKAT)

161/63/28 2 IKA NUSA INDAH NOVIA

153/56/29,5 ABORTUS 6 IKA MANGGA YUSMIATI

155/40/24 2 KLINIK

155/85/ USIA > 35 6 KLINIK

160/69/25 2 LUSI Mawar 1 Non Gakin

Bekas SC ,
155/63/26 Jarak 14 Suwarni Nanas Nenok Non Gakin
Anak

usia >35 , Abortus


155/79/34,5 2x, jarak >10 th, 22 Suwarni Mangga sudartatik Non gakin
Bsc

159/47/23,5 2 Suwarni Non gakin

154/73/30 2 EVA Non gakin

149/60/28 2 Non Gakin

158/52/27 2 Nofia Karunia Jeruk 2 B.VIDA

Terlalu banyak
anak 4 atau
lebih(hamil ke
152/62/30 4),Pernah 10 Nofia Karunia Nangka B.SIAMAH
kegagalan
kehamilan(abortu
s 1x)
Jarak anak lebih
149/47/26 dari 10 thn(usia 6 Nofia Karunia Belimbing B.YENTIK
anak 13 thn)

150/50/23,5 2 ANGGA MAWAR 2 PIPIT

153/67/24 2 ANGGA MAWAR 3 INDAH

LABORAT FAKTOR RESIKO SKOR NAMA KADER GAKIN / NON


TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING GAKIN
TPHA,HBSAG) (TERDEKAT)

149,5/67/32,5 ABORTUS, USIA > 10 IKA SRIKOYO WAHYU


35

172/114/42 2 IKA APEL KHOIR

163/60/27 2 IKA APEL KHOIR

TINGGI <145,
143/60/32 USIA >35, JARAK 14 IKA MANGGA YUSMIATI
ANAK >

152/50/25 JARAK ANAK > 6 IKA APEL KHOIR


147/51/27 ABORTUS, USIA > 14 IKA SRIKOYO WAHYU
35, HAMIL > 4,

153/47/25 2 CISILIA MAWAR 1 KASIYATI

155/50/25 2 CISILIA BOUGENVIL SRIMULYATI


E1

145/61/24 2 CISILIA SRIKOYO WAHYU

JARAK ANAK >


151/59/27 Umur >35 10 lusi melati 1 RIRIN non gakin
Th
JARAK ANAK >
150/51/26 Umur >35 10 lusi melati 2 SUMARTIK non gakin
Th

158/61/29 jarak anak 14 suwarni wortel ratna non gakin


>10,Bsc

152/69/30 IUFD 2 suwarni pepaya 1 sulis gakin

64/157/30 UMUR IBU >35 10 suwarni MANGGA NUR ROSIDAH non gakin

43/148/22 UMUR IBU 10 suwarni MANGGA NUR ROSIDAH gakin


<20,LILA < 25

47/163/23,5 2 CISILIA MANGGA NUR ROSIDAH non gakin

62/158/26 Abortus 2x 10 CISILIA pepaya 2 sulis gakin

UMUR IBU
53/163/26 <20,Jarak Anak 10 LUSI Nanas NENOK gakin
>2th ( 17 th )

158/60,5/29,5 2 NOFIA MANGGA ANA ALIF GAKIN


KARUNIA

153/50/25 2 NOFIA PISANG 1 LISA


KARUNIA

158/59/25 2 NOFIA JERUK 1 MUJIENI


KARUNIA

150/45/23,5 2 NOFIA JAMBU ERNIASIH NON GAKIN


KARUNIA

151/52,2/28 2 NOFIA PEPAYA 1 EGA


KARUNIA

155/60/28 2 NOFIA JERUK 2 YESSY NON GAKIN


KARUNIA

145/58/30 ABORTUS 1X 6 NOFIA BELIMBING YENTIK


KARUNIA

150/50/24 2 NOFIA PEPAYA 2 KATINI


KARUNIA

149/3/68 ABORTUS 1X 6 NOFIA KENITU NALIK


KARUNIA

156/48,5/23,5 - 2 ANGGA MAWAR 1 WIWIT NONGAKIN


LABORAT FAKTOR RESIKO SKOR NAMA KADER
GAKIN / NON
TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING
GAKIN
TPHA,HBSAG) (TERDEKAT)

148/70/32 - - 2 CISILIA , S.H KENANGA SULISTIYOWATI

155/66/31 2 CISILIA , S.H SRIATI

165/64/26 2 CISILIA , S.H MELATI 2 YAYUK

SC,JARAK ANAK, TB
133/49/37 PENDEK 18 CISILIA , S.H MANGGA YUSMIATI

162/53/24 2 CISILIA , S.H SERUNI 2 MUJIATI

155/90/33 UMUR>35 6 IKA SRIKOYO VITA

161/69/27 2 CISILIA , S.H MANGGA YUSMIATI

144/39/22 NR USIA IBU, TB <, 10 IKA NUSA INDAH NOVI

160/56/27' 2 LUSI MELATI 1 SRI HARIATI NON

160/55/27 2 LUSI MAWAR 1 KASIYATI NON

153/64/29,5 JARAK ANAK > 10 THN 6 Suwarni PEPAYA 1 SULIS NON GAKIN

USIA > 35, TINGGI <


136/50/ 140 CM 10 Suwarni NANAS NINOK GAKIN

USIA > 35, JARAK


155/65/28 ANAK > 10 TH 10 Suwarni PEPAYA 1 SULIS NON GAKIN

153/52/27 USIA 35 TH 6 Suwarni WORTEL NONIK NON GAKIN

1.Terlalu cepat
hamil(jarak <2thn)
152/58/25,5 2.Jumlah anak 4 atau 10 Nofia karunia jeruk 1 MUJIENI NON GAKIN
lebih

160/65/25 2 Nofia karunia Mangga ERNA NON GAKIN

160/65/23 2 ANGGA MAWAR 3 INDAH NON GAKIN


LABORAT FAKTOR RESIKO SKOR NAMA KADER
GAKIN / NON
TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING
GAKIN
TPHA,HBSAG) (TERDEKAT)

166/72/29 2 Cisilia Non Gakin

157/59/30 2 IKA APEL KHOIR

145/55/27,5 2 IKA MANGGA YUSMIATI

151/66/31,5 2 IKA MANGGA YUSMIATI

153/70/26 ABORTUS 1X 6 DIDIN MANGGA YUSMIATI

152/50/24 ABORTUS 1X 6 lusi melati 1 RIRIN non gakin

160/44/22 2 lusi mawar 1 KASIYATI non gakin

148/60/26 2 lusi anggrek 1 Lusi non gakin

154/67/29 ABORTUS 1X 6 lusi seruni 2 MUJIATI

NON GK BPJS
155/57/25 - 2 SUWARNI APEL 2 Prafita MANDIRI

148/40/17 Lila <23,5 (17 cm) 6 nofia pisang 2 Hanis Non Gakin

148/46/23,5 2 Angga Mawar 2 Pipit Non Gakin

LABORAT FAKTOR RESIKO SKOR NAMA KADER


GAKIN / NON
TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING
GAKIN
TPHA,HBSAG) (TERDEKAT)

145/70/30 - - 2 Lusi Anggrek 1 welas asih

163/70/30 - - 2 indah bugenvil 1 sri mulyati

148/54/26 12 lusi anggrek 1 non gakin

140/44/23 6 lusi anggrek 1 non gakin

154/64/31 2 lusi anggrek 1 non gakin

USIA >,
154/64/29 10 KLINIK Melati 1 Yayuk
JARAK ANAK > 10

154/51/24 JARAK ANAK < 2TH 6 IKA MANGGA YUSMIATI GAKIN

ABORTUS,
156/60/28 10 IKA SRIKOYO WAHYU NON GAKIN
ANAK > 10 TH

158/60/26 2 CITRA non gakin


155/57/26 - 2 CITRA WORTEL RATNA NON BPJS

164/67/28 2 CITRA WORTEL RATNA NON BPJS

BSC,Jarak anak
159/48/23 14 CITRA WORTEL RATNA NON BPJS
11Bulan

160/47/22 2 CITRA MANGGA NUR ROSIDAH NON BPJS

155/67/29 2 CITRA MANGGIS IFA BPJS MANDISRI

155/50/25 2 NOFIA PEPAYA2 KATINI NON GAKIN

166/67/28 2 NOFIA JAMBU MINARNI NON GAKIN

152/50/24 2 NOFIA BELIMBING YENTIK NON GAKIN

USIA >35 thn,Jumlah


148/78/30 10 NOFIA PEPAYA2 KATINI NON GAKIN
Anak >4

USIA >35 thn,Jarak


158/60/27 10 NOFIA PISANG 2 HANIS NON GAKIN
anak >10 th

157/55/26 2 NOFIA BELIMBING YENTIK NON GAKIN

163/75/25 2 HENI ANGGREK 1 SUDARTIK NON GAKIN

165/47/22 LILA< 6 HENI ANGGREK 3 SITI FATIMAH NON GAKIN

LABORAT FAKTOR RESIKO SKOR NAMA KADER


GAKIN / NON
TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING
GAKIN
TPHA,HBSAG) (TERDEKAT)

157/54/24 2 Cisilia

151/60/29 2 Cisilia

152/59/31 2 IKA MANGGA YUSMIATI NON

149/40/22 NR 2 IKA SRIKOYO WAHYU

150/60/30 2 IKA NUSA INDAH NOVIA NON

148/55/30 NR 2 IKA NUSA INDAH NOVIA NON

155/56/28 2 IKA SRIKOYO WAHYU

147/71/31 NR USIA ANAK > 10 TH 6 IKA SRIKOYO WAHYU NON

ABORTUS, USIA > 35,


170/70/30 18 IKA MANGGA YUSMIATI
BSC

155/45/23 2 IKA APEL KHOIR NON


160/59/28 2 IKA NUSA INDAH NOVIA

160/171/30 2 DIDIN SRIKOYO WAHYU NON

152/63/29 2 lusi MELATI 1 ANIK non gakin

153/69/28 2 lusi SRIKOYO WAHYU non gakin

153/58/26 2 suwarni JAMBU INDRA non gakin

Hb 12, GD neg,
168/58/23,5 pitc Nr,tpha Jarak anak >10 thn 6 suwarni MANGGIS IDA YULIANI non gakin
Nr,hbsag NR

157/60/26 2 suwarni WORTEL RATNA non gakin

150/46/24 lahir premature 6 suwarni JERUK NONIK non gakin

159/54/27 2 suwarni WORTEL RATNA non gakin

148/49/26 2 suwarni WORTEL RATNA non gakin

159/56/27 BSC 10 Nofia Karunia non gakin

150/99/36 Usia >35 thn,Abortus 1x 10 Nofia Karunia Pepaya 2 Katini

150/52/24 Usia >35 thn, 6 Nofia Karunia Jambu Minarni

150/44,5/20 Lila < 23,5 6 Nofia Karunia Pisang 1 Lisa N. Non Gakin

157/46,6/24 2 Nofia Karunia Kenitu Kasmirah Non Gakin

149/50/27 2 Nofia Karunia Jeruk 1 Mujieni

153/53/24,5 2 Nofia Karunia Belimbing Yentik

169/62/27 2 Nofia Karunia Mangga Erna

160/50/24 2 Nofia Karunia Belimbing Yentik

159/55/24 2 ANGGA MAWAR 3 INDAH

155/50/24 2 ANGGA MAWAR 1 SULIS


LABORAT FAKTOR RESIKO SKOR NAMA KADER
GAKIN / NON
TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING
GAKIN
TPHA,HBSAG) (TERDEKAT)

159/40/23 2 Cisilia Mawar 1 Kasiyati

154/45/24 Usia 6 Cisilia Srikoyo Wahyu

163/57/29 2 Cisilia Seruni 1 Hartini

147/38/22 2 Cisilia Melati 1 Tri

155/55/26 2 IKA APEL KHOIR NON

154/60/23 2 IKA SRIKOYO WAHYU

JARAK ANAK > 10


149/65/34 TH 6 IKA YUSMIATI MANGGA

158/46/24 2 IKA APEL KHOIR

155/49/22 2 lusi Anggrek 1 Welas NON

150/59/27 2 lusi Seruni 1 Wiwik NON

157/68/28 2 lusi Melati 1 Tri NON

154/50/25 2 lusi Mawar 1 Kasiyati NON

160/59/28 2 lusi Anggrek 1 Welas NON

155/49/22 2 lusi Melati 2 Sri NON

163/70/31 Jarak anak > 6 lusi Pepaya 2 Katini NON

153/69/31 Usia>35, jarak > 10 10 suwarni Apel 1 Wiwit NON

153/61/29 2 suwarni Mangga Nurrosidah NON


160/62/24 Umur> , Abortus 1x 10 suwarni Mangga Nurrosidah NON

161/55/26 2 lusi NON

156/41/23 2 6 suwarni Pepaya 2 Katini NON

153/62/29 2 Nofia NON

155/50/25 2 Nofia Pepaya 2 Katini

156/55/27,5 2 Nofia Kenitu Umi asriah

158/62/32 2 Nofia Pisang 2 Hanis

162/60/26,5 2 Nofia Pisang 1 Lisa

155/58/24,5 2 Nofia Jeruk 2 Siti Kosiyah

160/53/25 2 Nofia Belimbing Yentik

LILA<
143/35/21 TB< 10 ANGGA MAWAR 3 INDAH

LABORAT FAKTOR RESIKO SKOR NAMA KADER


GAKIN / NON
TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING
GAKIN
TPHA,HBSAG) (TERDEKAT)

162/77/30 2 Cisilia Nusa Indah Novi

156/51/25,5 2 Cisilia Mawar 1 Kasiyati

161/55/23,5 usia ibu 6 Cisilia Melati 2 Yayuk

153/49/27 2 Cisilia Melati1 Sri Widodo

158/65/31 Jarak anak 6 Cisilia Melati 2 Sri Widodo

165/42/20 lila 6 Cisilia Mawar 1 Kaiyati

160/68/28 2 Cisilia Bougenvile Sri Mulyani

UMUR > 35, TB <


143/52/28 145 CM 10 IKA MANGGA YUSMIATI
UMUR > 35, ANAK >
4 10 IKA MANGGA ULIK
UMUR ANAK > 10
60/150/30 TH 6 LISTITAH APEL KHOIR NON GAKIN
UMUR > 35, JARAK
163/78/26 ANAK > 10 10 LISTITAH MANGGA ULIK NON GAKIN

158/40/21 2 lusi non gakin

153/55/27 2 lusi non gakin

159/56/27 2 lusi non gakin

150/38/21 Lila < 2 suwarni mangga nur rosidah non gakin

137/50/29 TB, < 6 suwarni mangga nur rosidah non gakin

150/65/30 UMUR > 35, Abortus 10 lusi Apel Wiwit non gakin
145/45/25 USIA < 20 THN 6 Nofia PEPAYA2 KATINI

157/52/24,5 USIA >35 THN 6 Nofia PISANG 2 HANIS

158/48/23,5 2 Nofia MANGGA ERNA

155/49/23,5 2 Nofia BELIMBING ERNI

157/46/23 LILA <23,5 6 Nofia PEPAYA 2 KATINI

159/85/37 USIA >35 THN 6 Angga Vilasta Mawar 1 Lis

160/60/25 2 Heni Wahyuni Anggrek 1 Erlis

150/54/24 2 Heni Wahyuni Anggrek 3 Fatimah

LABORAT FAKTOR RESIKO SKOR NAMA KADER


GAKIN / NON
TB / BB / LILA (HB,GD,PITC,
HAMIL KSPR NAMA BIDAN POSYANDU PENDAMPING
GAKIN
TPHA,HBSAG) (TERDEKAT)

162/64/30 Riwayat SC 10 Cisilia

148,5/52,3/28 2 Cisilia

163/57/26 2 Cisilia

165/74/32 2 Cisilia

134/55/28 ABORTUS, TB < 145 CM, BSC18 IKA NUSA INDAH NOVI GAKIN

65/149/33 ABORTUS,USIA > 35, BSC 18 IKA APEL KHOIR GAKIN

69/148/33 ABORTUS,USIA > 35 10 IKA MANGGA YUSMIATI

60/150/31 UMUR > 35, JARAK ANAK > 1010 IKA SRIKOYO WAHYU

149/45/23,5 2 suwarni non gakin ### 100/70

149/51/27 Abortus, BSC 14 suwarni Jambu Indra non gakin ### 100/70

152/43/23,5 2 suwarni manggis ida yuliani GK ( PBI ) ### 120/80

159/59/27 2 lusi non gakin

150/40/21 10 lusi wiwin non gakin

150/55/26 2 lusi non gakin

158/62/33 2 CISILIA Pepaya 1 Sulis GK PBI ( BER ### 120/80


USIA >35
146/55/27 THN,JARAK 10 NOFIA NANGKA SIAMAH NON GAKIN
ANAK >10THN

160/63/24 2 NOFIA JERUK 1 ENI

153/70,9/30 USIA >35THN 6 NOFIA PISANG 1 LISA

155/44/22 LILA>23,5 6 NOFIA NANGKA SIAMAH GAKIN

165/58/27 2 Heni Anggrek 1 Sudartik

160/56,3/28 2 Heni Anggrek 1 Tuti Handayani

147/47/24 2 Heni Anggrek 1 Tuti Handayani

162/52/28 2 Heni Anggrek 3 Siti Fatimah

ANGGA

ANGGA
DATA IBU BERSALIN TAHUN 2023
BULAN : JANUARI

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN
Afrisca Fatma Reza/Yogi
1 Riyanto 1/31/1995 27 Sb.jati G2P1A0 PMB LUSI 1/7/2023

Eli Ernawati/ Doni


2 Novianto Curahjati G2P1A0 PMB LUSI 1/10/2023

Vita Oktaviasari /
3 Yuda Bayu Aldi 10/15/2003 20 Grj.Pnti G1P0A0 PMB LUSI 1/18/2023

Nita Purnamasari/
4 Nurohmah 10/20/1992 31 Sb.Jati G2P1A0 PMB LUSI 1/28/2023

5 Lilik Sindi 1/4/2003 20 Crj G1P0A0 RS.ARROHMAH 1/10/2023

6 Yenny Fondi/Bibi 4/21/1998 25 Bl.Sari 5/2 G2P1A0 RS.GRAHA 1/12/2023

Lutfi Amanda/Andre
7 Setiawan 4/21/1997 26 CRJ 4/3 G1P0A0 RS.ARROHMAH 1/4/2023

8 Diana / Sulis Wantoro 12/31/1982 40 KB 2/3 G4P3A0 PMB IKA 12/30/2023

RS.GRAHA
9 Siti Holipah/ Mustain 6/5/1982 40 KB 1/1 G2P1A0 MEDIKA 1/21/2023

Sutiyani/ Agus
10 Hariyanto 6/5/1990 32 KB 3/2 G6P2A3 KLINIK ST 1/1/2023

Desi Wulandari/
11 Mulyadi 12/3/1986 36 KB 1/1 G3P2A0 PMB.CISILIA 1/2/2023

Mei lusi Andani/ Fendi RS.RAHAYU


12 Pratama 5/14/2000 23 KB 6/2 G1P0A0 MEDIKA 1/4/2023

Wiwik Winarti/ Ringga


13 Supri 12/14/1996 26 CRJ 1/6 G2P1A0 PMB.CISILIA 1/13/2023

14 Yeni Zigria/ Hadi 5/10/1988 35 SBJ 1/3 G2P1A0 PMB.CISILIA 1/14/2023

15 Ida Aprilia/ Subiantoro 4/21/1989 34 BL. SARI 3/4 G2P1A0 PMB.CISILIA 1/15/2023

16 Irawati 6/28/1981 42 BL. SARI 1/5 G2P1A0 RS 1/9/2023

17 Eka Rima Yanti 10/25/1982 41 BL. SARI 3/5 G2P1A0 RS 1/20/2023

SUMBERASRI
Ineke Kartika Sari/
1 Fahreza 4/10/1997 25 Krajan 1/1 G1P0A0 RS.GRAHA 1/18/2023
Ardiansyah
2 Umardiyah/ M.Nasir 9/24/1995 37 Sb.Rejeki 1/2 G2P1A0 RS.MMC 1/27/2023

Lia Indah Ika Nurwati/


3 Iding Listyovianto 6/29/1997 26 Krajan 3/1 G2P1A0 RS.MMC 1/3/2023

4 Ermita Dwi Astutik Krajan 2/2 G2P1A0 PMB Cisilia SH 1/18/2023

GLAGAHAGUNG

Reni Lestari/Joko
1 Ismawan 2/13/1987 36 JTL 6/2 G3P2A0 MMC 1/17/2023

Putri Lia/ Aris


2 Kurniawan 4/30/1993 30 JTM 9/1 G2P1A0 PMB 1/23/2023

Rian Turningsih/ Rio


3 Candra 8/18/2022 21 JTL 8/1 G1P0A0 PMB 12/29/2022

4 Ros Widyawati/ Roki 9/27/1988 34 JTR 4/1 G2P1A0 PMB 1/26/2023

5 Reni Lestari/ Joko 2/13/1987 35 JLH 6/2 G2P1A0 RS. MMC 1/23/2023
DATA IBU BERSALIN TAHUN 2023
BULAN : FEBRUARI

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN
Sri Mulyani/ Imam
1 Santoso 33 CRJ G2P1A0 PMB Lusiana 2/9/2023

Novita Adi
2 Setyaningrum 11/3/1996 27 CRJ G2P1A0 PMB Lusiana 2/9/2023

3 Tuti Susanti/ Rudi 33 SB.Jati G2P1A0 PMB Lusiana 2/23/2023

4 Vivi Zuliastuti 7/22/1987 36 CRJ G2P1A0 PMB Lusiana 2/26/2023

5 Saniyah/ Alfandi 2/17/1988 34 GP 4/2 G3P2A0 PMB IKA 2/16/2023

Siti Nurjanah/ Imam


6 Hanafi 6/10/1987 37 KB 6/3 G4P3A0 PMB IKA 2/17/2023

Diva Yuliasari/ Uwan


7 Ardiyanto 6/6/2006 16 GP 4/3 G1P0A0 KLINIK ST 2/7/2023

8 Tunik/ Suroso 1/11/1983 40 KB 3/2 G5P4A0 KLINIK ST 2/15/2023

Lisa Ommysari/
9 Yunianto 10/7/1995 28 CRJ 3/5 G1P0A0 KLINIK ST 2/8/2023

Sulfianti/ Wayan
10 Sumarko 22 BL SARI 4/4 G2P1A0 PMB CISILIA 2/6/2023

11 Asih/ Budi 5/7/1986 37 SB.JATI 1/2 G2P1A0 PMB CISILIA 2/9/2023

Reni Anggraeni/ Rino


12 Kharisma 6/25/1998 25 SB.JATI 1/2 G1P0A0 PMB CISILIA 2/16/2023

Lestari/ Arif Eko


13 Saputro 5/17/1993 31 CRJ 2/2 G2P1A0 PMB CISILIA 2/18/2023

14 Ayuk/ Tatang Adi 26 CRJ G2P1A0 RS 2/10/2023

SUMBERASRI

Warti Purwaningsih/
1 Siswanto 10/18/1998 34 Gb.Kandel 3/7 G2P1A0 PMB MUJIATI 2/9/2023
Wahyuningsih/ Ahmad
2 Arif 6/1/2022 20 Krajan 3/1 G1POAO PMB SUWARNI 2/13/2023

Layinnatus Sadiyah/ RS.GRAHA


3 Agung Darmawan 7/30/1989 34 Gb.Kandel 4/3 G2P1A0 MEDIKA 2/10/2023

Roselina Liontin/ Angre RS.RAHAYU


4 Satria Wibawa 8/23/1993 29 Gb.Kandel 2/5 MEDIKA 2/4/2023

Niluh Margareta/ Alan


5 Budi Santoso 10/8/1992 30 Krajan 3/3 G3P1A1 RS.ALROHMAH 2/25/2023

Siti Fatimah/
6 M.Komarudin 1/12/1991 31 Krajan 3/1 G2P1A0 RS.ALROHMAH 2/25/2023

Siti Rodiyah/ Nanang


7 Karisma 12/19/2001 21 Bloksolo 1/2 G1POAO PMB SUWARNI 2/13/2023

GLAGAHAGUNG

1 Rina/ Ari 1/21/1995 27 Jtr 6/2 G2P1A0 RS.ALHUDA 2/3/2023

2 Erni/ Aziz 9/23/1994 28 JTM 10/1 G2P1A0 PMB 2/11/2023

3 Luki Okta Vina/ Fendik 10/4/2001 22 JTM 1/2 G1P0A0 PMB 2/22/2023

4 Riski Eka/ Rivaldo 1/14/2000 23 JTM 9/1 G1P0A0 RS 2/10/2023

5 Kurnia/ Yazid 5/25/1993 30 JTL 4/1 G1P0A0 RS 1/5/2023

6 Nindi Fransisca/ David 2/2/1996 27 JTM 12/2 G1P0A0 PMB 2/20/2023

7 Refita/ Ahmad 7/11/1995 27 JTL 8/2 G1P0A0 RS.ARROHMAH 2/7/2023

KARETAN
Siti Syahyana/
1 Poniman 2/2/1989 33 Sidodadi 3/2 G1P0A0 BPM 2/19/2023

2 Mega Kumala/Krisna 5/5/1996 26 Sidoagung 5/2 G1P0A0 Klinik dr.Berry 2/5/2023


DATA IBU BERSALIN TAHUN 2023
BULAN : MARET

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN
Mega silviandari/Al-
1 Karjianto G2 P1 A0 PMB 3/7/2023
12/8/1994 29 Sumberjati 03/04
Puput Indah/Gama
2 Ananta 7/20/1995 27 curahjati 02/02 G1 P0 A0 RS Graha 3/10/2023

Nilam cahya/khoirul
3 anas 9/7/2001 22 kp baru 02/03 G1 P0 A0 PMB 3/14/2023

Ayu Wulansari/saswan
4 safiqi 10/7/2001 22 Grj pt 02/03 G2 P1 A0 RS Graha 3/24/2023

Sri wahyuni/M Nur


5 Hafidz 5/19/1997 26 kp baru 01/03 G1 P0 A0 RS Graha 3/27/2023

6 Vera Dwi Nofitasari/ 3/4/2001 22 kp baru 03/03 G1 P0 A0 PMB 3/28/2023


7 TUTUS SAFITRI 15/8/95 27 KB 4/1 G2 PUSTU 1/3/2023

8 ERLINA FEBRIANTI 26/2/89 33 KB 4/3 G4P3 MUJIATI 25/3/23

9 Nurkholifianti 5/6/1994 29 sumberejeki G2P3 PMB 30/3/2023

SUMBERASRI
Deva Indriyani / ahmad
1 priadi 13/06/99 23 bloksolo 2/2 G1P0A0 PMB Suwarni 14/03/23

Fara diba octa urulia/


2 Dwi abdul rohman 28 gebangkandel 4/4 G2P1A0 PMB Suwarni 21/03/23

Unsa Aulia Rosanti/


3 Rivan Ardi 2/21/1998 gebangkandel 4/5 G1P0A0 PMB 3/1/2023

GLAGAHAGUNG
SITI
SUPRIHATIN(35100347
1. 03030002)/BARTOLOM 3/7/2003 20Thn Jatirejo 2/2 GI PMB 3/7/2023
UES EKA
LINA
2. WAWIARNI(351003681 11/28/1989 34Thn Jatirejo 4/2 G3 RAHAYU MEDIKA 3/18/2023
1890004)/KAMAL

PUPUT
DEVITASARI(35100352
3. 07930003)/A.YAYAD 7/12/1993 30Thn Jatimulyo 3/2 G2 RAHAYU MEDIKA 3/21/2023
HIDAYAT

VIVI
NURMALASARI(351003
4. 5807940001)/JAENAL 7/8/1994 29Thn Jatimulyo12/2 G2 AL ROHMAH 3/28/2023
FANANI

TRI
5. WAHYUNI(3510034406 6/4/1991 31 Thn Jatirejo G2 RS JANNAH 3/3/2023
910001)/IRAWAN

IRAWATI(35091258029
6. 70004)/FAHROKI 2/18/1997 25 Thn Jatiluhur 1/1 G1 RS AL HUDA 3/11/2023

EVA
7. AYU(351003450986000 9/5/1986 36 Thn Jatiluhur 1/2 G2 PMB 3/21/2023
5)/SUPRIYANTO
KARETAN

1 Kristiana 8/8/1980 42 sidodadi G3 PMB 3/23/2023

2 Purwati/ Nur Amanu 36 Sidodadi 3/3 G1 Klinik dr.Berry 3/3/2023

Lailatri Kumala/ Ardi


3 Gunawan 1/25/1995 27 Sidoagung 3/1 G2 Klinik dr.Berry 3/29/2023
DATA IBU BERSALIN TAHUN 2023
BULAN : APRIL

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN

1 MEI PUSPITASARI 5/29/1990 32 GP 1/1 G3 IKA 4/11/2023

2 ALIFA NURUL 12/8/2020 22 GP 5/3 G2 KLINIK 3/26/2023

3 INTAN PURNAMASARI 12/24/1986 37 KB 2/2 G2 KLINIK 4/1/2023

4 RISKA DWI PALUPI 4/5/1998 25 BULUSARI 4/5 KLINIK 4/16/2023

5 YULIA KALINA 7/7/2001 21 Graj.Pantai 2/1 G1 IKA 4/30/2023

6 OKTAVIANI 10/21/2003 19 KB 2/1 G1 RS 4/11/2023

RS.GRAHA
7 YUNIAR ANI RAHMAN 43 KP.BARU 4/2 2 MEDIKA 4/27/2023

8 Listia rahma eka 6/5/1994 18 kp baru G1 PMB 4/17/2023

9 Nindhita desy 12/5/1995 28 curahjati G2 PMB 4/18/2023

10 DEVI DWI LAILI 1/4/1998 CRJ 4/3 PMB 4/9/2023


11 TRIA NIA DENI 9/29/1999 CRJ 4/3 PMB 4/13/2023

12 YULIATUN 7/15/1990 SB.JATI 1/5 PMB 4/24/2023

13 DWI WULANSARI 1/21/2001 CRJ 1/5 PMB 4/25/2023

14 CRISTINA DWI 11/8/1987 SB.JATI 5/4 PMB 4/25/2023

15 WINDA NOVITASARI 18 SB.JATI 5/4 RS.ALHUDA 4/8/2023

SUMBERASRI

Umi masruroh/
1 Muhammad yahya 01/01/2000 23 Gebangkandel3/3 G1P0A0 PMB 23/04/23

Reza diah putri


2 permadani/ Hafidzul 11/3/2000 22 Bloksolo2/2 G1P0A0 Rs 25/04/23
Ulum
Luluk irawati/ Rizki
3 mijaya 23 Gebangkandel 3/2 G1P0A0 RSUD GENTENG 30/04/23

GEBANGKANDEL
4 WAGINI / PONIRI 10/2/1987 32 3/2 G2P1A0 RS MMC 4/24/2023

FITA DEWI
5 ROHMAWATI 5/5/1991 32 Sumberejeki 1/1 G2 P1A0 RS AR ROHMAH 4/15/2023

GLAGAHAGUNG

EKA PURNAMA PUSKESMAS


1. SARI(35100355108900 10/15/1989 34 JATIMULYO 10/2 G3 TEGALDLIMO 4/3/2023
03)/DUWI EKO

ANGGI PUSPITA
2. DEWI(35100368069900 6/26/1999 24 JATIMULYO 6/1 G1 RS AL ROHMAH 4/7/2023
04)/NUKI ADILIKA

SINTA
3. KARTIKA(35100353039 3/14/1993 30 JATIMULYO 12/2 G3 PMB 4/11/2023
30005)/EKO WAHYUDI

RIRIN
MARTAWATI(35100354
4. 12900001)/EPIN 12/14/1990 33 JATIMULYO 7/2 G2 RS 4/14/2023
PUSPITO

IIS
5. NURKHOLIS(351003650 5/5/1988 34 JATIMULYO 6/1 G2 PMB 4/15/2023
5880007)/NUR HASAN

6. GAYUH RIZKY/AZHAR 6/15/1994 29 JATIREJO 1/1 G1 RS MMC 4/30/2023

KARETAN
1 SEPTIANA MANDASARI 9/3/1992 31 SIDODADI 5/1 G2 RS 4/1/2023

SUKMA MELATI
2 26 SIDOAGUNG 6/2 G1 PMB 4/11/2023
3510037107960002
LOVA TRI WAHYUNI
3 3510036305010002 21 SIDOAGUNG 5/2 G1 PMB 4/11/2023

DATA IBU BERSALIN TAHUN 2023


BULAN : MEI

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN

1 YUYUN WIJAYANTI 2/12/1981 41 KB 1/3 G4 PMB 5/23/2023


2 SRI WAHYUNI 9/2/1989 34 GP 1/1 G5P3A1 RAHAYU MEDIKA 5/19/2023

MARIA
3 MARINA/PAULUS JONI 10/23/1987 36 BL.SARI 4/3 G1 SUMBER SENTOSA 5/6/2023

4 LUTFIATUL KHASANAH 10/14/1989 34 SUMBERJATI P20002 RUMAH SAKIT 5/2/2023

5 DWI DARIANTI 2/3/1988 35 SUMBERJATI P40004 PMB 5/9/2023

6 yully antika 18/06/1988 35 kp baru 1/3 g2/p1 pmb 06/05/2023

7 wiwik rahayu 07/03/1990 33 sumberjati 6/1 g2/p1 pmb 08/05/2023

8 ella dian 02/08/1992 31 curahjati 5/2 g1 RS UMUM 27/05/2023

9 febi ardianty 2/10/1996 27 curahjati 2/1 g1 pmb 5/11/2023

10 yeti maesaroh 5/25/1997 26 bulusari g2/p1 RS MMC 5/14/2023

SUMBERASRI
winda utaminingrum/
1 andri wibowo 15/10/93 30 krajan 2/1 G2P1A0 PMB 7/5/23

megawati kusumaning
2 firdaus/ dedi kuswoyo 6/8/91 32 gebangkandel 1/2 G2P1A0 PMB 13/5/23

dita desinta mariyuda/


3 febriyanto 27/12/91 32 krajan 4/3 G2P1A0 Rs 16/5/23

4 ika yulianti/supriyanto 11/7/1985 38 gebangkandel 4/4 G2P1A0 Rs 20/5/23

5 tarisa susmita/ rio wahyu 2/7/2021 22 sumber rejeki 1/3 G1P1A0 Rs 27/5/23

NURI VINA M/YOKI


6 SAPUTRA 7/22/1998 25 KRAJAN 4/3 G2P1A0 PMB 9/05/2023

GLAGAHAGUNG

1 Ayu nur pratiwi 2/11/1999 24 jatimulyo g1 pmb 5/30/2023

ANDINI PRAVITA/ARI
2 NUR 4/4/1991 32 JATILUHUR 3/2 G2 PMB 5/3/2023

VIDYA IDAMAN
3 HATI/DIKO APRESANDI 5/3/1992 31 JATILUHUR 4/1 G1 RS ALHUDA 5/3/2023

ANGGI NUR
4 WIDAYANTI/RENGGA 1/1/1996 27 JATILUHUR 7/1 G1 RSIA ABDI FAMILY 5/17/2023
ADISTIAN
ERTA
5 NOVIYAWATI(3510034 12/4/1991 32 JATILUHUR 2/2 G1 RS AL ROHMAH 5/29/2023
412910001)/BAYU DWI

KARETAN

1 Meyra natalia 5/15/2002 21 sidoagung G1 pmb 16/5/2023

2 IRA SUSANTI sidoagung 4/2 G1 RS 1/5/2023

3 LENI RAHAYU 28 SIDODADI G2 RS 23/5/2023

DATA IBU BERSALIN TAHUN 2023


BULAN : JUNI

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN

1 YULIAH/ NURHADI 6/5/1993 30 Graj.Pantai 4/1 P20002 BPM 6/1/2023

2 YULI / YUSUF 5/5/1991 32 SUMBERJATI 1/4 P20002 BPM 6/3/2023

SISIL NOVIA/ ARGO


3 ARIFKA 11/26/1998 25 BULUSARI 4/5 P20002 BPM 6/19/2023

4 MIKE ALFIAN/ BAIDI 12/7/1997 25 SUMBERJATI 3/5 P20002 RS 6/19/2023

PUJI NINGSIH/
5 SULISTYONO 8/16/1987 36 CURAHJATI 2/2 P20002 BPM 6/23/2023

MUTYARI NURULITA/
6 TRI YOGA 8/16/1995 28 CURAHJATI 4/3 P10001 RS 6/27/2023

RS GRAHA
7 NURUL AIDA 11/5/1999 24 GP 1/1 G1 MEDIKA 6/2/2023

8 MUROTUL 7/1/2003 20 KB 5/1 G1 IKA 6/4/2023

9 NOVIA AJENG SARI 5/6/2000 23 GP 2/1 G1 RS RAHAYU MEDIKA 6/6/2023

10 MITA INDRIANI 7/16/1999 24 GP 2/2 G1 RS MMC 6/12/2023

11 SITI MUNADIROH 4/4/1990 33 KB 3/3 G2 IKA 6/18/2023


12 AYU ANISTA 8/9/2003 20 KB 2/3 G1 IKA 6/21/2023

13 NIKMATUS SAKDIA 5/15/1985 37 G4 5/3 G4P2A1 IKA 6/24/2023

RINDA DEWI
14 PUSPITASARI 10/8/1997 26 KB 1/1 G2 IKA 6/26/2023

15 LULUK ANDASARI 1/17/1998 25 KB 5/3 G2P0A1 IKA 6/26/2023

16 safitri 19/01/1999 24 curahjati 3/6 g1p0 pmb 03/06/2023

17 lilik ekayani 25/10/1992 31 gebangkandel 1/5 g1p0 pmb 07/06/2023

18 irma dilawati 15/05/1983 40 curahjati 1/3 g3p2 pmb 10/06/2023

SUMBERASRI

1 CICI YUNIA 6/9/1999 23 GBK 2/1 G2P1A0 BIDAN 11/6/23

DWI RATNA
2 SETYANINGRUM 3/16/1995 28 BULUSARI 6/4 G4P2A1 BIDAN 6/12/2023

3 VERA PUTRI VINATA 8/20/2023 20 GBK 2/1 G1P0A0 BIDAN 6/19/2023

4 INDAH DWI RATNASARI 5/7/1998 25 GBK 1/3 G1P0A0 BIDAN 6/22/2023

5 ULVA MUVIDA 5/18/1998 25 BLOKSOLO 3/3 G1P1A0 RS 6/20/2023

6 FEBRIKA YUSI SAPUTRI 2/8/2000 23 GBK 2/2 GIPIAO RS 6/29/2023

GLAGAHAGUNG

ELI VIA
RS RAHAYU
1. MAHARANI/MOH. 3/2/2000 23 JATIMULYO 5/2 G1 MEDIKA 5/24/2023
HASAN
NURUL SITI Z./ABDUR
2. ROHMAN 7/14/1992 31 JATIREJO 9/2 GIV PMB 6/3/2023

ELVIRA
3. DAMAYANTI/DANI EKO 4/2/2001 22 JATIMULYO 5/1 GII RS AL ROHMAH 6/8/2023

ELMA DWI/AGIN
4. AHMAD 6/4/1999 24 JATILUHUR 4/1 GI RS AL ROHMAH 6/20/2023

SRI
5. HANDAYANI/ERWIN 8/18/1996 27 JATIMULYO 5/1 GI RS AL HUDA 6/17/2023

TRIA FIDIYANTI/YOGI
6. SETYA 4/20/1998 25 JATIMULYO 2/1 GI RS AL HUDA 6/24/2023

UMI LATIFAH/IMAM
7. MUHTADI 3/2/1988 35 JATIMULYO 7/2 GI RS GRAHA 6/19/2023
LINA WANTIKA/NOFA
8. SUSILA 7/1/1988 35 JATIMULYO 2/1 GI PMB 6/21/2023

KARETAN

1 WIWIK 28 SIDOAGUNG 2/1 G1 PMB 6/7/2023

2 YUNIA 24 SIDOAGUNG 2/2 G1 PMB 6/26/2023

DATA IBU BERSALIN TAHUN 2023


BULAN : JULI

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN

Selli Agustiani / Rohman


1. Abidin 7/8/2004 19 Sumberjati 1/5 G2 PMB 18/07/2023

Anggun Kuswinda Asih/


2. Zenny Zugri 28/01/1997 26 Bulusari 3/2 G1 PMB 21/07/2023

Nenden Purwati/ Edi


3. Santoso 29/09/1989 34 Grajagan Pantai 2/3 G2 PMB 27/07/2023

4 IMALA ANDA LUSIA 2/9/2002 21 KP.BARU 1/2 G2P0A1 PUSTU 7/8/2023

5 NOVITA SARI 11/10/2000 23 KP.BARU 2/3 G3P1A1 PUSTU 7/27/2023

6 YENI WIDADARI 6/25/1982 42 KP.BARU 1/3 G2P0A1 RS GRAHA 7/3/2023


7 MALIKATUL G1P0AO RS AR ROHMAH 7/11/2023

8 Septina Ningrum 25 bulusari g3 RSud genteng 22/7/2023

SUMBERASRI

1 Nike Alinea 1/2/2002 21 Bloksolo 2/1 G1P0A0 BIDAN 06 Juli 2023

2 Denti wahyuningsih 10/20/2000 23 SBR 3/2 G4P2A0 BIDAN 07 Juli 2023

3 Nofita rahmadani 8/10/2010 13 Bloksolo 1/4 G1P0A0 RS 17 Juli 2023

4 Rida tri wahyuni 23 Krajan 2/1 G1P0A0 RS 19 Juli 2023

5 Vira ayu sekar 4/8/1998 25 SBR 1/3 G1P1A0 BIDAN 31 Juli 2023

GLAGAHAGUNG

EVI USWATUS
1. SHOLIHAH(3510036102 2/21/1988 35 JTL 6/1 G2 MMC 7/5/2023
880001)/MARIYANTO

INDAH DWI
ROCHAYATI(351003701
2. 2920002)/ 12/30/1992 31 JTM 2/2 G2 AL-HUDA 5/16/2023
ADITYA INDRA

MENTARI
KINASIH(35100366069
3. 30001)/ 12/15/1991 32 JTM 1/2 G1 MMC 6/6/2023
RAHMAN

LIAN
SEHMIATI(3510035908
4. 910003)/ 8/19/1991 32 JTR 7/1 G4 BPM 7/5/2023
HARIYANTO

ESTI DWI
LESTARI(35100340090
5. 00007)/ 9/9/2000 23 JTL 6/1 G1 BPM 7/8/2023
SAIFUL ANWAR

TITIS YENI/NUR
6. MAHMUDI 9/15/1997 27 JTL 9/2 G2 AL- ROHMAH 7/8/2023

ELY
ALFIANTI(3510034306
7. 820002)/ 6/3/1982 41 JTL 8/1 G2 MMC 7/15/2023
HARIYONO

KARETAN

1 Melinda 5/23/2004 Sidodadi 2/3 G1 BIDAN 7/22/2023


DATA IBU BERSALIN TAHUN 2023
BULAN : AGUSTUS

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN
RIRIN RIYANINGSIH/
1 8/4/1994 29 Sb.jati 2/5 G2P1A0 PMB CICILIA 8/17/2023
HARIAWAN

WULAN PUTRI A/RONI


2 8/12/1999 24 Bl.Sari 2/2 G1P0A0 PMB CICILIA 8/18/2023
PASELAH

SUTAMININGSIH/AGUS
3 6/27/1994 29 Sb.jati 4/3 G2P1A0 PMB CICILIA 8/29/2023
HARJOKO

4 eni sagita 24 sumberjati 4/1 g1 pmb 8/23/2023

DEVI FATMASARI / DEVI


5 10/29/1993 30 SUMBERJATI 1/3 G2P1A0 KLINIK SUMBER 8/5/2023
KRISYANTO

6 DEVI VIKASARI/ RIYONO 12/29/1993 30 SUMBERJATI 2/4 G2P1A0 KLINIK SUMBER 8/20/2023

7 DEWI GUSNIA / BUDIONO 8/17/1987 36 G.PANTAI 4/1 G3P2A0 RS RAHAYU MEDIKA 8/8/2023

WIWIK HIDAYATI /
8 1/4/1988 39 KP.BARU 4/1 G3P2A0 IKA 8/3/2023
MURSYID

9 ZULFI DEWI WARDANI 9/6/1992 31 G.PANTAI 1/2 G3P1A1 IKA 8/3/2023

10 HERMIN DEWI WARDANI 8/6/1999 40 KP.BARU 1/3 G2P1A0 IKA 8/8/2023

11 LUSIATI PARNO 1/16/1985 29 G.PANTAI 2/1 G7P2A4 IKA 8/13/2023

12 SITI MUTAMIMAH 12/28/1995 28 G.PANTAI 2/2 G1P0A0 IKA 8/16/2023

13 FITRIA GANESHA 5/5/1994 37 KP.BARU 3/2 G3P2A0 IKA 8/28/2023

SUMBERASRI

1 ANIS WIDAYAH 4/25/1988 35 Purwoagung G3P2A0 SUWARNI 8/17/2023

2 IDA NIHAYATUN NIMAH 36 GB.Kandel 4/3 G2P1A0 SUWARNI 8/31/2023

GLAGAHAGUNG
LINDA DWI ASTUTI/AGUS
1. RIYANTO(35100342018700 1/2/1987 36 JATILUHUR 10/1 GII PMB 8/22/2023
01)
NAIMAH/
2. BUDIANTO(3510058809610 9/24/1981 42 JATIMULYO 7/2 GII RS ALHUDA 8/11/2023
002)
EVI NURMAWATI/HENDRO
3. SAEFULLOH(35100344089 8/4/1994 29 JATIMULYO GII RAHAYU MEDIKA 8/2/2023
40001)
LATIFATUL
4. MASINTAN/AHSANAL(3510 3/4/1998 25 JATIMULYO 6/1 GI RSUD GENTENG 8/1/2023
034403980001)

JUMAIDAH/EDWIN
5. 8/16/1992 31 JATIMULYO 2/3 GII MMC 8/3/2023
BUDHI(3510035605850002)

SULASTRI EKA/FRENDA
6. 6/25/1996 27 JATIREJO 10/1 GI PMB 8/24/2023
EKA(3510236508960002)

KARETAN

NIHIL

DATA IBU BERSALIN TAHUN 2023


BULAN : SEPTEMBER

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN

1 Niluh Ayu Juliantari/ Purwadi 12/7/2001 22 Curahjati 3/5 P10001 RS 3/9/2023

Nurul Afia Nurhasanah/ Deni


2 2/2/1999 23 Sumberjati 3/1 P30003 PMB 17/09/2023
Irawan
Siti Robiatul
3 11/9/2003 20 Sumberasri P10001 PMB 25/09/2023
Adawiyah/Musyafa

4 ain kholifiana ulfa 11/30/1993 30 bulusari 5/2 g2 pmb 9/2/2023


5 lisa astrika windiana 13/12/1991 32 bulusari3/3 g2 pmb 06/09/2023

6 fica apri one 4/2/2003 18 krajan g1 pmb 9/8/2023

7 okta nur pradini 10/30/1993 30 bulusari 2/2 g2 pmb 9/10/2023

8 ayu dewi ulfayanti 6/17/2002 19 sumberejeki g1 pmb 9/20/2023

9 Gisca aei ramadhani 10/9/2003 18 curahjati g1 pmb 9/28/2023

10 sri nandha rahayu 9/10/1995 28 bulusari g1 pmb 9/29/2023

Klinik Sumber
11 Mergilia Oktri navila 5/20/2004 19 Curahjati 3/1 G1POAO 9/2/2023
Sentosa

SUMBERASRI

1 sarah wulan rahmawati 2/4/2002 21 gebangkandel 3/3 G1P0AO BIDAN 9/7/2023

2 munfaridatul khusniah 6/25/1999 22 gebangkandel 1/4 G1AOP0 BIDAN 9/14/2023

3 SITI ROBIATUL ADAWIYAH 9/11/2003 Sumberrejeki 4/5 G1P0A0 BIDAN 9/25/2023

4 AYUK LESTARI 12/18/1993 GBK 4/4 G2P1A0 RS GRAHA 9/27/2023

5 FICA APRIONE 4/2/2003 KRAJAN BIDAN 9/8/2023

6 AYU DEWI ULFAYANTI 6/17/2002 SUMBEREJEKI BIDAN 9/20/2023

GLAGAHAGUNG
RINA APRILIYANI/M. NUR
1. ROKHIM(351003510490000 4/11/1990 33 JTR 7/1 G3 PMB 9/9/2023
3)
PIPIN AYU/RISMA
2. 9/3/2002 21 JTM 9/2 G1 MMC 9/7/2023
DWI(3510044202010004)
DIAN RESTI/ARIS
3. SETIAWAN(3510034806920 8/8/1992 31 JTR 5/2 G3 RS 9/19/2023
0001)
INDAH NUR A./FURI
4. 12/2/1988 35 JTM 10/2 G4 RS ABDI FAMILY 9/3/2023
(3510034212880007)

JEHAN
5. DESI/YANUARI(3510036612 12/26/1989 34 JTM 2/2 G3 GRAHA MEDIKA 9/28/2023
890001)

KARETAN

1 SUNDARI 33 SIDODADI 4/3 G2 RS 9/23/2023

2 SUSIAN 34 SIDODADI 4/3 BPM 9/4/2023


DATA IBU BERSALIN TAHUN 2023
BULAN : OKTOBER

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN

1. Mujianah 15/01/1999 24 Curahjati 3/5 P20002 PMB 2/10/2023

2. Tri Winarti 2/2/1989 34 Sumberjti 1/4 P30003 PMB 26/10/2023

3 KARINA DWI ANJANI 6/9/2005 19 KP BARU 6/3 G2P1AO RS MMC 10/4/2023

4 CICI LIONTIN 11/4/1995 28 G.PANTAI 3/2 G2P1AO PMB 10/2/2023

5 ANIFAH 7/1/1988 35 G.PANTAI 4/2 G2P1AO PMB 10/10/2023

6 ENI SUSANA 3/19/2004 19 K.BARU 6/3 G1P0A0 PMB 10/14/2023

7 KHUSNUL KHOTIMAH 10/7/1993 30 G.PANTAI 3/1 G2P1AO BSC RS MMC 10/24/2023

8 enggar ayu sekar 1/11/1995 28 curahjati g3 pmb 10/8/2023

9 Rita aprelia 02/04/1991 32 bulusari3/3 g2 pmb 10/10/2023

SUMBERASRI

1 Ika khusnul khotimah 3/31/1995 28 bloksolo 2/3 G2P1AO BIDAN 10/7/23


2 wiwik utami 6/15/1985 38 bloksolo 3/2 G3P2A0 BIDAN 10/8/2023

3 sugiyati 6/18/1984 39 bloksolo 1/4 G4P1A2 RS 10/17/2023

4 ida wahidatun nikmah 5/15/1995 28 gebangkandel 1/4 G2P1A0 RS 10/23/2023

5 citra dian titisari 12/25/1994 29 bloksolo 3/4 G3P2A0 BIDAN 10/30/2023

6 nuhayati 1/10/1990 33 bloksolo 2/3 G2P1A0 RS 10/30/2023

GLAGAHAGUNG

NINA
1. OKTAVIANA/FIRMAN(3 10/18/1991 32 JTL 8/2 G2 RS AL HUDA 10/2/2023
510035810910001)

IFA
2. FATMAWATI/HAFID 8/20/1987 36 JTM 6/2 G2 RS RAHAYU 9/22/2023
(3510036008870007)

BETRIS
3. AYU/ROBY(351003010 7/23/2001 22 JTL 6/1 G1 PMB 10/13/2023
7010004)

AFIFATUN/M.IVAN
4. NUR(351003580795000 7/18/1995 28 JTM 2/1 G1 MMC 10/11/2023
4)

SINTA
INDRAWATI/EKO
5. JONIARTO(3510026906 6/29/1989 34 JTL 5/2 G3 PKM TEGALDLIMO 10/13/2023
890001)

DEWI INTANSARI/DENI
6. JUNIARNO(3510034406 6/4/1984 39 JTL 2/2 G1 RS AR ROHMAH 10/16/2023
840005)

KARETAN

1 VINGKI G1 RS 10/19/2023

Sidodadi 4/1
2 NATALIA 34 Karetan G2 KLINIK 10/12/2023

DATA IBU BERSALIN TAHUN 2023


BULAN : NOVEMBER

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN
NAMA IBU NAMA STATUS TEMPAT
NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN

Miftahul
1 Jannah/Sugiyanto 28/05/1988 35 Sumberjati P20002 PMB 19/11/2023

2 NOVITA AYU WARDANI 7/13/1993 30 K.BARU 1/2 G2P1A0 PUSTU 10/30/2023

3 ELY ERMAWATI 6/29/1995 28 K.BARU 4/1 G3P1A1 PUSTU 11/1/2023

4 TIWING ARIYANI 5/6/1999 24 K.BARU 6/3 G1P0A0 RS.GRAHA 10/23/2023

5 RENA SAFITRI 5/3/1995 28 SETAIL GENTENG G1P0A0 PUSTU 11/9/2023

6 LUVIANA DEWI 5/6/1996 29 K.BARU 3/3 G2P1A0 RS AR ROHMAH 11/9/2023

7 ELOK ADITIYARANI 8/9/1994 29 K.BARU 4/3 G2P1A0 PUSTU 11/10/2023

8 SITI FATIMAH 6/17/1986 37 G.PANTAI 2/2 G2P1A0 PUSTU 11/14/2023

9 YULAIKAH 4/1/1985 38 K.BARU 3/2 G3P0A0 RS AR ROHMAH 11/15/2023

10 ISTIKOMAH 8/17/1985 38 G.PANTAI 2/1 G2P1A0 PUSTU 11/21/2023

11 DWI WIJAYANTI 4/4/2000 23 G.PANTAI 3/1 G2P1A0 PUSTU 11/23/2023

12 dinda aurelia 7/12/1999 24 sumberjati g2 pmb 11/1/2023

13 nene shevia 11/17/2000 23 bulusari 3/4 g1 pmb 11/27/2023

14 dwiikawati 31 curahjati g2 rs alhuda 11/22/2023

SUMBERASRI

TRI RAHAYU / BERYL


1 RENALDI 11/22/2001 22 bloksolo 2/3 P10001 PMB CISILIA 17 November 2023

2 shelpa anindia 5/11/2001 22 gbk 4/4 P10001 pmb lusi 11/25/2023

TITIS WIDYA WARNI /


3 DWI ARI P 7/16/1986 37 bloksolo 1/3 P50005 RS 11/8/2023

GLAGAHAGUNG

KHOIRUL
RS GRAHA
1. NIKMAH/M.FATA 2/14/1999 24 JATIREJO 9/2 G1 MEDIKA 11/6/2023
HABIB
MITHA SIWI
RS GRAHA
2. RAHAJENG/AHMAD 1/20/1999 24 JATILUHUR G2 MEDIKA 11/21/2023
NADHIF

Manis Triwahyuni/
3 Kadek Eki Wilguna 1/3/1993 30 Glagah agung P20002 RS 1/11/2023

Yuni Lestari/ Risky


4 Ferdiansyah 20/06/2001 22 Glagah agung P10001 PMB 23/11/2023
5 resti dwi kanti 3/4/2003 20 jatimulyo4/2 g1 pmb 11/21/2023

6 fani rulina 11/8/1991 34 jaterjo 10/1 g2 pmb 11/26/2023

HUSNUL
7 KHOTIMAH/NANANG 6/21/2000 23 JATIMULYO 6/2 G1 RS ABDI FAMILY 11/10/2023
BUDI

KARETAN

1 Maylinda 5/23/2004 21 Sidodadi 3/3 G1 RS.ALROHMAH 11/10/2023

DATA IBU BERSALIN TAHUN 2023


BULAN : DESEMBER

NAMA IBU NAMA STATUS TEMPAT


NO SUAMI TGL LAHIR IBU USIA IBU ALAMAT (G/P) PERSALINAN TGL PERSALINAN

GRAJAGAN

1 Della Riski / M Rohim 30-11-1993 30 Bulusari P20002 PMB 12/5/2023

2 NINING SURYANI 3/7/1990 33 G.PANTAI 2/3 G4P3A0 RS MMC 12/20/2023

3 RUMIYATI 3/23/1999 24 K.BARU 3/1 G4P3A0 PUSTU 12/21/2023

4 sri wahyuni 30/05/1988 35 curahjati g2 pmb 02/12/2023

5 yuli triawati 7/15/1992 31 sumberjati g2 pmb 12/6/2023

6 zunia candra 9/25/1988 35 sumberjati g5 pmb 12/12/2023

7 novi elasari 11/25/1986 38 curahjati 1/3 g2 pmb 12/23/2023

SB.ASRI

1 Erna wtiningsih 6/23/1996 33 gebangkandel 1/2 G1P0A0 Bidan SUWARNI 12/24/2023

2 siti barokah 7/12/1999 24 sumberejeki g2 pmb 12/1/2023

3 Elisa yulistiya 7/7/1996 26 gbk 2/5 g1 pmb 12/11/2023


ELOK FAIQOTUN GEBANGKANDEL
4 N/HAMDAN MAULANA 6/24/2000 23 3/4 P20001 Bidan Lusiana L 12/18/2023

GLAGAHAGUNG

LAELA ZULFI/NANA RSU RAHAYU


1 INDRA(3510234107940 7/1/1994 29 JTR 9/1 G2 MEDIKA 12/9/2023
003)

FRISKA
2 HELVINA/BAGUS(35100 4/6/1998 25 JTL 8/2 G1 RSU MMC 12/6/2023
54604980009)

3 FANI RULIANA/HADI 11/18/1991 32 JTR 10/1 G2 PMB 11/26/2023

4 YUNI LESTARI/RISKY 6/20/2001 22 JTM 2/1 G1 PMB 11/23/2023

ARINA
5 ROSADA/ZHEVICK 4/23/1999 24 JTM 3/1 G2 PMB 12/15/2023

6 Trianita 3/10/2000 23 Jatirejo P10001 PMB 22/12/2023

7 MARSINI/SAIDIONO 5/31/1978 45 JTM 10/2 G2 MMC 12/16/2023

KARETAN

1 Sri Susanti 1/11/1993 30 Sidodadi 1/2 G2 RS.ALHUDA 2/2/2023


KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl
l)

SPT Tdk ada L/2800/49/30 Tdk ada

SPT Tdk ada P/3500/51/30 Tdk ada

SPT Tdk ada P/2900/49/30 Tdk ada

SPT Tdk ada L/3900/51/30 Tdk ada

SC KPD L/2800/48/29 Tdk ada

SC BSC L/3200/49/30 Tdk ada

SC TFU 40 cm P/3700/50/30 Tdk ada

SPT L/3200/50/34 Tdk ada

SPT PEB P/3000/50/31 Tdk ada

SPT L/3300/50/34 Tdk ada

SPT L/3800/52/33 Tdk ada

SC KPD P/3300/50/34 Tdk ada

SPT L/3700/50/33 Tdk ada

SPT L/3700/50/33 Tdk ada

SPT P/3100/47/33 Tdk ada

SC P/2400/46/30 Tdk ada

SC L/3500/50/33 Tdk ada

SPT KPD L/2700/48/32 Tdk ada


Asma HT Usia>35
SPT Th P/3600/52/36 Tdk ada
Jarak Anak 13 Th

SC CPD P/2700/49/32 Tdk ada

SPT - P/3100/49/32 Tdk ada

SC KPD L/3000/49/32 Tdk ada

SPT P/3400/50/32 Tdk ada

SPT L/3400/49/32 Tdk ada

SPT L/4000/50/34 Tdk ada

SC L/3000/50/33 Tdk ada


KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SPT P/3000/49/30 Tdk Ada

SPT P/2800/48/30 Tdk Ada


LUSI
SPT L/3800/50/33 Tdk Ada

SPT L/2500/49/30 Tdk Ada

SPT L/3400/51/34 Tdk Ada

SPT P/2400/45/32 BBLR

SPT L/3200/50/30 Tdk Ada IKA

SPT L/3000/46/30 Tdk Ada

SPT P/2700/47/32 Tdk Ada

SPT P/2800/49/33 Tdk Ada

SPT P/2650/45/32 Tdk Ada

SPT P/2800/49/33 Tdk Ada CISILIA

SPT L/3700/50/33 Tdk Ada

P/1900/45/30 Aspyksia
SC Gemelly P/2400/45/30 BBLR

SPT BBLR P/2200/46/30 Tdk Ada


SPT - P/2500/47/30 Tdk Ada

SC BSC P/3200/50/36 Aspyksia

Perpanjangan Kala
SC 1 P/3800/51/34 Tdk Ada CITRA

SC BSC L/3100/50/39 Tdk Ada

SC Riwayat Kista L/3250/51/32 Tdk Ada

SPT - P/2800/48/32 Tdk Ada

SPT L/3400/50 Tdk Ada

SPT P/3400/50 Tdk Ada

SPT L/3200/51 Tdk Ada


NOVIA
SPT P/2200/48 Tdk Ada

SC KPD P/3100/52 Tdk Ada

SPT L/2700/50 Tdk Ada

Partus lama, bayi MARKINDA


SC besar L/4400/53/34 Tdk Ada H

SPT - L/3000/47/30 Tdk Ada ANGGA

SPT - P/2700/50/30 Tdk Ada HENI


KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SPONTAN P/3700/49/34

Perpanjangan kala
SC 1 L/3300/47/33

SPONTAN L/3400/48/33
B.CISILIA
Perpanjangan kala
SC 2 L/3200/50/32

Perpanjangan kala
SC 1 L/3650/51/34

SPONTAN l/2700/48/32
SPT P/3100/50/34
IKA
SPT P/3000/49/34

SPT P/2600/49/30 LUSI

Spt - P/3500/50/35 -

Spt - L/3000/48/32 - CITRA

Spt - L/3100/47/33 -

SPT L/2500gr/50cm

SPT L/3700gr/52 cm

NOVIA
SPT L/3100gr/50cm

SC KPD L/3950gr/51cm

SPT P/3500gr/51cm

SC P/3100gr/50cm B.MARKIN

SPT P/3700gr/51cm

SPT P/3200/50/31
ANGGA
SPT L/3100/52/31

SPT L/3200/50/30 HENI


KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SPT P/3100/50/34

SPT L/3200/49/

SPT P/3000/48
IKA
SPT P/2800/49

SPT L/3500/48

SC PEB L/3100/49/

SC P/3400/51

SPT P/2800/49/31
LUSI
SPT P/3800/50/31

SPT P/2200/47
SPT L/2500/47 Asfiksi

SPT L/3300/48

CISILIA
SPT L/3000/48

SPT P/2200/47

Ruptur
SC uteri+Solusio L/4100/49 IUFD
placenta

Spt - P/2900/50/32 -

Spt - L/3000/50/32 -

CITRA
Sc HT P/3000/48/32

SOLUSIO
SC PLACENTA P/650/31/24

SPT PREMATUR L/1800/39/26 BBLR

SPT P/3300/49/33

SC CPD P/2750/49/32

SPT P/3300/49/34

NOVIA

SC KPD L/3300/52/33

SPT L/3300/48/34

SC CPD L/3000/49/32
SC BSC L/3000/49/32 ANGGA

SPT L/3100/50 HENI

SPT L/3700/52 HENI

KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SPT L/3200/50/36

IKA
SC P/2900/48/36 IKA

SPT P/2900/49/36

PARTUS KALA 2
SC LAMA P/3100/50/33
CISILIA
SPT L/4000/50/34

SPT P/2900/49/31

SPT p/3100/50/31

SC P/2690/50/30 LUSI

SPT p/2800/49/30

SC p/3300/50/31

spt - L/4100/50/32

spt - L/4400/52/36

sc post date L/3800/50/35


SUWARNI

sc postdate P/2800/50/32

spt Kpd L/3300/50/34

spt - L/2900/48/32

SPT L/3400/50/31

SPT L/3100/49/32

SPT L/3360/50/32

SC KPD L/3700/50/32
SPT P/2690/49/32

spt L/2800/49/31 HENI

SC P/3000/47/48 HENI

SC L/2775/31/48 ANGGA

KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SPT P/2750/48/33

SPT L/3500/50/34 ASFIKSI SEDANG

SPT L/3700/49/34
B.CISILIA
SC P/3600/50/34

SPT P/2850/48/33

SC P/3500/50/34

MENINGGAL
SC KPD, PREMATUR P/2200/45/31 7/6/23 DI RS

SPT L/3400/47/33

SC LETSU L/3100/49/34

SPT BAYI BESAR L/4100/51/36

SPT P/3900/50/34 IKA


IKA

SPT L/3400/48/33

SPT L/3100/49/34

SPT L/3100/45/32

SPT P/3100/48/34

SPT L/2900/49/31

SPT P/2300/47/30 LUSI

SPT L/4000/50/31

SPT - L/3000/48/34

SPT - L/3200/50/33

SPT L/3400/50/35
CITRA
SPT - L/3100/50/33

SC SUNGSANG P/2800/48/31

SC POSTDATE P/3300/51/35

SC KPD P/3000/50/32

SPT L/3800/56/32

SC CPD P/2500/50/32

SC PARTUS LAMA P/3550/50/32


VIA
SPT L/3055/49/32

SPT P/2380/46/30

SC KPD P/3100/49/32
SPT P/3300/49/32

SPT P/2600/32 HENI

SPT L/3100/50 HENI

KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SPT P/3000/46/33

SPT P/3400/49/34
CISILIA S.H

SPT L/3500/48/34

SPT P/3.000/48/34

SPT P/3.900/48/34
IKA
SPT L/2.650/50/33
IKA

SC P/3.550/51/33

sc Bsc P/3200/50/32 LUSI

SPT - L/3200/50/33

SPT - P/3500/49/35

SC Usia < 20 thn P/2800/51/33 CITRA

SC KPD P/2600/48/31

SPT P/3400/50/33

SPT L/3100/50/32

SC L/3400/52/32

SC L/3300/51/32

SPT L/3300/49/32 NOVIA

SPT L/3250/50/32

SC L/3200/48/32

SPT L/3000/50/32

SPT L/3500/49/33 Angga


KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SPT Tdk ada P/3400/49/30 Tdk ada

SPT Tdk ada P/3500/51/30 Tdk ada CISILIA

SPT PE L/3000/49/30 Tdk ada

SPT L/2900/49/31 LUSI

SPT L/2800/47

SPT P/3000/50

SC P/2100/48

SPT P/3100/49

SPT P/3700/49 IKA

SPT P/3900/49

SPT IUFD P/700/30

SPT P/3100/50

SPT P/3100/49

SPT L/4000/52/35
SUWARNI
SC P/3000/49/32

SPT P/3000/48/32
SPT P/2900/49/32

SC KPD P/3200/49/32

VIA
BY PREMATUR(IBU
SPT L/1500/47/27
POST OP KISTA)

SC BSC P/3500/50/32

SPT P/2600/47/31

KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SC KPD P/2700/48/33

SPT P/3400/50/34 B.CISILIA

SPT P/3100/48/33

SPT L/3200/50/31
SPT L/2900/49/31

SPT P/2900/49/31

SPT P/3100/49/31 LUSI

SPT L/2900/49/31

SPT P/2500/48/30

SPT L/3000/49/31

KLINIK SBR
spt P/2900/45/31
SENTOSA

SPT P/3200/49/32

SPT P/3100/49/33

SPT P/3100/48/32
CITRA
SC POST DATE P/2400/48/32

SPT L/2900/49/31

SPT P/2900/49/31

SPT P/3200/48/32

SC KPD P/3500/49/32

SC CPD L/3500/49/32 NOVIA

SPT P/3100/49/32

SC BSC P/2900/50/32

SC L/4100/38/37

SPT L/2300/48/38
KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SPT L/3700/50/34
CISILIA
SPT L/3500/50/34

SC L/2700/49/32

SPT P/3600/49/34

SPT P/3500/49/34 IKA

SPT L/2900/48/32

SC P/2450/47/32

SPT P/3300/50/31
LUSI
SPT L/2100/45/29

SPT L/3500/49/34

CITRA
SPT P/2400/45/30

SC BSC, HT P/2950/49/32
CITRA
SC FETAL DISTRESS L/3200/53/33

SPT L/3000/49/32

SC POSDATE P/2500/48/31

SPT P/3325/51/32

SC KPD L/2700/48/31

SPT P/3800/50/32

SC PARTUS LAMA L/3000/50/32

SPT P/3300/50/32

SC PARTUS LAMA P/2900/50/32

SC L/3300/48/32

SPT L/3900/51/32

KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)
KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SPT P/3400/50/34

SPT P/2700/45/33

SPT P/3100/47/32

SC PEB P/3000/48/33

SPT P/2900/47/32

SC PEB P/2100/32

SPT P/3400/49/34

SPT P/3700/48/34

SC L/2650/43/32

SPT L/3300/48/33

SPT P/3400/49/34

SPT L/3200/50/31

SPT L/2700/49/30

SPT L/3220/50/30

SPT P/3100/50/34

SPT L/3400/50/31

OLIGOHIDRAMNI
SC ON P/3200/49/34

SPT HBSAg Reaktif P/3450/51/32

SPT L/3700/50/32

SC L/4000/52/34

SPT P/2700/48/33
SPT l/4000/52/32

SPT L/2700/49/29

SC SUNGSANG+KPD L/2500/48/30

Spontan P/2380/46/32

KOMPLIKASI
LAHIR KOMPLIKASI NEONATAL
SPT/SC KEBIDANAN L/P/BB/PB/LK (aspyksi/bblr/dl BIDAN
l)

SPT L/3500/50/34

SC KPD L/2400/46/33

SPT L/3200/48/34

SPT L/3200/49/30

SPT P/3000/49/31

SPT P/3100/49/31

SPT L/3600/50/31

SPT L/3400/51/33

SPT L/4300/52/32

SPT L/3000/49/30
SPT L/4800/52/34

SC KPD L/3500/51/32

SPT L/3500/51/32

SPT L/2700/45/30

SPT P/2700/48/30

SPT L/3400/50/32

SPT L/3200/46/33

SPT P/2900/48/30

SC P/2865/48/30
BUMIL RISTI JANUARI 2023

USIA IBU (TH)


NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH

GRAJAGAN
1 Dewi Gusniati 35 Budiono 3510035708870004 G3P2A0
2 Nikmatus Sholiha 36 David G4P3A0
3 Sutaminingsih 29 Agus Harjoko G2P1A0
SUMBERASRI

1 Wagini 35 Poniran 3510034210870001 0002727490904 G2P1A0

GLAGAHAGUNG

1 Dian Resti 31 Aris Setiyawan 3510034806920001 0000115378007 G3P1A1

2 Ifa Fatmawati 35 Hafid G2P1A0

3 Evi Uswatun 25 Mariyanto G2P1A0

4 Pipin Ayu 20 Risman G1P0A0

BUMIL RISTI FEBRUARI 2023


USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH

GRAJAGAN

1 Anifah/ Jumanto 36 Jumanto 3510034107880040 G2P1A0

2 Enggar Ayu Sekar 28 Ari Prasetyo 3510035101950004 G3P2A0


Kinanti/ Ari Prasetyo

3 Karina Dwi Anjani/ 18 Mrafik 35100359060500031 G2P1A0


M.Rafik

4 Sri Wahyuni/ Miroji 34 Miroji 3510036909890004 G5P2A2

5 Septina Ningrum/ Budi 23 Budi Prayogi 3510036509000001 G3P2A0


Prayogi
6 Lisa Astrika/ Rifan 31 Rifan Ardiansyah 3510025312910001 G2P1A0
Ardiansyah

SUMBERASRI

1 Ayu Lestari 29 Agung Darmoko 5171045812930003 - G2P1A0

2 Vera Putri Vinata 19 Adi Saputra 3510036008030006 0000698134588 G1P0A0

3 Ida Nihayatun 36 Bahrudin 3510046706870003 - G2P1A0

4 Siti Robiatul Adawiyah 19 Musyafa Ali Rohman 3510035109050002 0000698018499 G2P0A1

GLAGAHAGUNG
1 Jehan Desi 34 Yanuari 3510036612890001 0003291402993 G3P2A0

2 Nina 32 Firman 3510035810910001 G2P1A0

3 Naimah 41 Budiyanto 3510056809810002 G2P1A0

4 Dewi intan 39 Deni 3510034406840005 G1P0A0

5 Linda Dwi 36 Agus 3510034201870001 G2P1A0

6 Nurul 31 Abd.Rohman G4P3A0

KARETAN

1 Natalia Widianti 34 Hendrik Setiawan 3510036512890001 - G2P1A0


BUMIL RISTI MARET 2023
USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH

GRAJAGAN

1 Ratna Wahyu 16 Restu Bagus KTP belum punya G1P0A0

2 Yuli 32 Yusuf Priyono 3510034505910005 G2P1A0

3 Tri Winarti 34 3510034202890003 G3P2A0

4 KHUSNUL KHOTIMAH 30 LEGIMIN "0000696657328 G2P1A0

5 NOVITA AYU WARDANI 30 BUDI HARTONO 3510035307930006 G2P1A0

6 Rita aprelia 32 3510031104910002 G2P1A0

7 nindhita desy 28 3510034512950001 G2P1A0

8 Anik yuniarsih 34 3510026406890002 G3P2A0

SUMBERASRI

1 Titia widyarini 27 Dwi Ari purbantoro 3510035807860001 G5P2A2H2

2 wiwik utami 38 Supriyanto 3510031912780001 G3P2A0H2

3 Shelva anindiya 22 Andika 3510035105010006 G1P0A0

GLAGAHAGUNG

1. IFA FATMAWATI 35 HAFID KUSAIRI 3510036008870007 0 G2

2. FRESHA 23 NUR AMIN 3510224505000002 0 G1P0A0

3. ELY ALVIANTI 41 HARIYONO 3510034306820002 0 G2

KARETAN

NIHIL

BUMIL RISTI APRIL 2023


USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH
GRAJAGAN

1 ELY ERMAWATI 28 M.EKO SAPUTRO 3510036906950003 G3P1A1

2 THERESIA SUSANTI 40 JOKO PITONO 3510035501830001 G2

SUMBERASRI

1 ENI SUSANTI 28 USTAJI G4

2 Sugiyati 39 Suhermanto 3510035806840003 G4P1A2

GLAGAHAGUNG

1. INDAH 34 FURI G4

2. FANI RULIANA 32 HADI SUCIPTO 3510035811910002 G2

KARETAN

NIHIL

BUMIL RISTI MEI 2023


USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH

GRAJAGAN

1 ISTIKOMAH 38 FATHUR ROHMAN 3510035708850007 G3P1A1


2 YULAIKAH 39 ASMADI 3510039104850003 "0002521845178 G3P1A1

3 ELOK ADITIYARINI 29 IRAWANTO 3510034908940002 "0002805667266 G2

4 LUSIATI 43 PARNO BUDIONO 3510036601850001 G7P2A4

5 novi elasari 36 "3510093651860002 G2P1A0

6 sriwahyuni 35 "3510037005880005 G2P1A0

SUMBERASRI

1 nanik agus prastiwi 32 bhendrik 3510034808910004 G2P1A0

2 NOFITA RAHMAWATI 12 AGUS M 3510035008100002 0003515722334 G1P0A0

3 SEPTI ARIYANTI/ 31 AGUS PURNOMO 3510035309920003 0001596691899 G4P1A2

4 SRI WAHYUNI /IMAM 37 IMAM SHOLIHIN 3510035912860003 0000698347901 G2P1A0


SHOLIHIN

GLAGAHAGUNG
1. FATMAWATI 34 LUKMAN 3212014709890009 G2

2. MENTARI K. 30 RAHMAN 3510036606930001 G2

KARETAN

NIHIL

BUMIL RISTI JUNI 2023


USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH

GRAJAGAN

1 SITI FATIMAH 37 NURHUDAYANTO 3510065706840008 G2P1A0

2 FITA SARI 15 DEWA ALDIANSYAH 3510074107080031 G1

SUMBERASRI

1 SRIATI 38 SUJARNO 3510035702850002 0000698330171 G4P3A0H1

2 MUJIARTI 42 FREDI SULISTYO 3510035011810006 G2P1A0

LABIBATUL
3 MUSTAFIDAH/ 35 MOH.LAZIM 3510035110880003 G3P2A0
MOH.LAZIM

GLAGAHAGUNG
1. LIAN SIHMIATI 32 HARIYANTO 3510035808910003 GIV

KARETAN

NIHIL

BUMIL RISTI JULI 2023


USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH

GRAJAGAN

1 TITA APRELIA 30 NURHADI 3510036804960005 G4P2A1

2 Tria nia 24 Yudi "3510026909000003 g3

3 zunia Candra tyas 35 Herman "3502156509880001 g5p3A1

SUMBERASRI

NIHIL

GLAGAHAGUNG

1. FARIDA ANGGRAINI 21 MOHAMMAD IMAM 3510037008020002 G1P0A0

KARETAN

NIHIL

BUMIL RISTI AGUSTUS 2023


USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH

GRAJAGAN

1 ayu fatmawati 24 "3510066708990004 g2

2 eka dian ferdiyanti 33 "1803054801930001 g3

3 LILIK INDAHWATI 44 HIDAYAT 3510034610790004 G3P2A0

4 RUMIYATI 23 WAHYU P 3509036303990005 G2P1A0


SANTI EKA
5 30 LUKMAN HAKIM 3510036207880002 G3P1A1
WATININGSIH
SUMBERASRI

1 KURNIATI 29 AAN MASRULLAH 3524164601940001 G2P1A1

GLAGAHAGUNG

1 JUMAROH 39 SUGIMAN GIV

2 NINGSIH 41 SUROSO 3510035001820008 GIII

KARETAN

1 PUTRI INDAH LESTARI 22 ADITYA 3510035308010003 G1

BUMIL RISTI SEPTEMBER 2023


USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH

GRAJAGAN

1 NENNY MALIN KINANTI 31 HADI ISWANTO 3510036101920001 G2

2 ANA SUSANTI 36 KHOSI HILMI 5101026010870001 G4P3A1

SUMBERASRI

1 Binti nur pujiani 29 Alek iljamul khoir 3510035709900003 G2P1A0

2 Dewi evita 28 M. Asrori 3510034907950004 G2Pa1Pre1A0H


0

GLAGAHAGUNG

1. MIRA AGUSTIN 31 ZAINURI 0000697863453 G4

2. ZENI NUR HASTUTI 39 SUPARMAN 3510035808840001 G3

3 Deffi megawati 29 "3510035907940002 g2

4 AFIFATUN NUR'AINI 28 M.IVAN NUR 3510035807950004 G1

KARETAN

NIHIL

BUMIL RISTI OKTOBER 2023


USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH

GRAJAGAN

1 Sofi Yuli Nurmidia 18 3510037107050003 88102617920 G1P0000

2 PUJIATI 34 AGUS PRASETYO 3510035208890004 G2P1A0

SUMBERASRI

1 yayuk winarsih 32 "3510034802920003 g2

2 Marfu'ah 42 dwi handoko 3510034607810002 G2P1A0

3 Reni fatmawati 38 Zaini G3P2A1

GLAGAHAGUNG

NIHIL

KARETAN
1 RENI SETYANINGSIH/ 29 ENDRIK 3510034110940002 G1
ENDRIK

BUMIL RISTI NOVEMBER 2023


USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
< 20 20-35 >35 GPAPIAH

GRAJAGAN

1 FITRIYAH 39 SUGENG HARIYANTO 3510035902840004 G3P2A0

2 JUMA'ATI 47 YASIN 351003460760001 G5PP4A0

3 ELA 31 SAPTO 3510034601920001 G2P1A0

4 Bella Aldamayanti 18 3510036907050001 G1P0000

5 Ita Anati 33 3510034708900006 G2P1A0

6 Gendis Lilin Valentina 24 3510044111000003 G1P0000

7 ERMA YUNITA 38 IMAM MUKLIS 3510035004840010 G3P2A0

SUMBERASRI

1 Noor rokhimatus 38 "3510035112850008 G5P4A0


sakdiah

2 NADIA SALSABILA / 20 3510036401030001 G1P0A0


MUH SIFAK

GLAGAHAGUNG

1. MILA SARI ARISTIANI 18 LUKMAN ADI 3510034102050006 G1P0A0

2. CITRA DEWI 37 DIAN KRISTANTO 3510034907860002 G2P1A0

3. WANDA 20 FAUZI G1P0A0

KARETAN

1 Tugimah 43 Suroso 3510035010800009 G3P2A0

BUMIL RISTI DESEMBER 2023


USIA IBU (TH)
NO NAMA IBU HAMIL NAMA SUAMI NIK BPJS STATUS
GPAPIAH
< 20 20-35 >35
GRAJAGAN

1. Tri Sustiani 31 Budiono 3507116311890001 G2P10001

2 JUMITASARI / GATE 32 3509034103910008 "0001039788617 G4P2A1


PRAKOSO

3
ISWAHYUNINGSIH / 38 3521095006850006 "00007440117681 G5P2A2
NURMUHAMAD

4 JULAIKAH / MASDUKI 40 3510035903830001 G4P2A1

5
NUR IMAMAH / NUR 41 3510034705820001 G3P2A0
SALIM

SUMBERASRI

Rosidah umarul
1 umah/ M. Rudi 31 M.RUDI SYAHPUTRA 3510036107920002 G2P1A0
syahputra

GLAGAHAGUNG

1. MARSINI 45 SAIDIONO 3510037105780001 G2

2. TRI RAHMAWATI 39 KASIYANTO 3510137005840005 G3

3. WIWIN PUJI 30 HERMANTO 3510034105930002 G3

KARETAN

NIHIL
HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING

11/12/2022 6 Umur > 35 Th 6 Hanif Grajagan Pantai 4/1


10/2/2022 12 Umur > 35 Th 6 Sri Wulansari Grajagan Pantai 5/3
12/1/2022 6 Jarak Anak lbh 10 th 6 Mujiati Sumber Jati 4/3

11/2/2022 8 Usia 35 th, Jarak 10 Ratna Ginawati Dsn.Gebang Kandel 3/2


anak>13 Th

Lila <
12/11/2022 4 14 Minarni Jatirejo 5/2
Abortus 1x
TB < 145 CB
Pernah Operasi SC
12/15/2022 6 14 Mirah Jatirejo 6/2
TB <

11/16/2022 6 Jarak > 6 Erni Jatiluhur 4/2

11/23/2022 6 Lila < 6 Suwati Jatimulyo 9/2

HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING

12/28/2022 7 Usia>35Th Jrak 10 Hanif Grajagan Pantai 4/2


Anak>10 Th

12/24/2022 7 Jarak Anak <2 Th 6 Khoir Grajagan Pantai 4/3

1/6/2023 6 Jarak Anak<2 Th 6 Khoir Kampung Baru 6/3

8/26/2022 20 Kegagalan Hamil 6 Hanif Grajagan Pantai 1/1

11/6/2022 13 BSC 10 Sriati BL.SARI 5/1


12/17/2022 8 Lila< 6 Sriati BL.SARI 3/3

1/5/2023 6 Bekas SC 10 Sulisyani Gb.Kandel 4/4

9/25/2022 18 Usia>35 Th 6 Ratna Gb.Kandel 1/2

12/19/2023 7 Bekas SC 14 Ratna Gb.Kandel 4/3


Usia>35 Th

Abortus 1x
12/27/2023 7 Usia>35Th 14 Binti Sb.asri 4/5
Lila<

1/10/2023 6 BSC 10 Mirah Jt.Mulyo 2/2

12/29/2022 8 Lila< 6 Ana Jt.luhur

12/16/2022 9 Usia>35 Th 10 Mirah Jt.Mulyo 7/2


Jarak >10 Th

1/2/2023 4 Usia>35 Th 6 Katini Jt.Luhur 2/2

11/15/2022 12 Usia>35 Th 10 Katini Jt.Luhur 10/1


Jarak >10 Th

8/20/2022 28 Jarak<2 Th 10 Minarni Jt.Rejo 9/2


Anak ke 4

1/7/2023 8 Jarak >12 Th 6 Pipit Dsn.Sidodadi 4/1,


Karetan
HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING

1/25/2023 8 usia muda 6 Mujiati sumberjati

7/30/2022 34 jarak anak 11 tahun 6 Nyominingsih sumberjati 1/4

1/20/2023 10 Obesitas 6 Srimulyati sumberjati 1/4

17/1/23 6 BSC 10 WAHYU GP 3/1

28/1/23 5 GEMELI 6 YUSMIATI KB 1/2

2/2/2023 6 Lila < 6 Lusi bulusari1/5

5/7/2022 36 Jarak < 2Th 6 Yosi curahjati

28/8/2022 31 Jarak < 2Th 6 Sugiarsih bulusari

20/01/23 7-8 G5, Abortus 2x 10 Rosidah Bloksolo 1/3

1/1/2023 11/12 usia >35 6 indra bloksolo 3/2

18/2/2023 5 Lila < 6 Sulis Gebangkandel

12/15/2022 12 TB > 145cm(143 cm) 6 Nalik Jatimulyo 6/2

2/21/2023 5 Lila < 23,5cm(19 cm) 6 Nalik Jatimulyo 4/2

10/11/2023 20 Usia >35 Thn(41Thn) 6 Belimbing Jatiluhur 8/1

HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING
1/27/2023 10 ABORTUS 6 YUSMIATI KB 4/1

2/10/2023 5 MG USIA > 35 6 YOUMININGSIH SUMBERJATI 3/4

10/23/2023 24 Bekas SC , 14 NENOK sb.rejeki 3/1


Jarak Anak

30/01/23 8 usia >35 , Abortus 2x, 22 sudartatik Bloksolo 1/4


jarak >10 th, Bsc

Terlalu banyak anak 4


12/17/2022 28 atau lebih(hamil ke 10 B.SIAMAH JATIMULYO 10/2
4),Pernah kegagalan
kehamilan(abortus 1x)

2/25/2023 8 Jarak anak lebih dari 10 6 B.YENTIK JATILUHUR 1/2


thn(usia anak 13 thn)

HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING

2/1/2023 12 ABORTUS, USIA > 35 6 WAHYU GP 2/1


2/22/2023 10 TINGGI <145, USIA >35, 14 YUSMIATI KB 3/2
JARAK ANAK >

2/4/2023 14 JARAK ANAK > 6 APEL KB 4/3

1/15/2023 17 ABORTUS, USIA > 35, 14 WAHYU GP 2/1


HAMIL > 4,

3/23/2023 8 JARAK ANAK > 10 RIRIN curahjati 1/3


Umur >35 Th

3/20/2023 9 JARAK ANAK > 10 SUMARTIK sumberjati


Umur >35 Th

5/4/23 5 jarak anak >10, Bsc 14 ratna gebangkandel 2/1

11/20/2022 27 UMUR IBU <20,LILA < 25 10 NUR ROSIDAH BLOKSOLO1/5

4/14/2023 6 Abortus 2x 10 sulis gebangkandel 1/5

2/5/2023 14
UMUR IBU <20,Jarak 10 NENOK SUMBEREJEKI 4/2
Anak >2th ( 17 th )

3/22/2023 8 ABORTUS 1X 6 YENTIK JATILUHUR

8/29/2022 32 ABORTUS 1X 6 NALIK JATILMULYO

HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING

21/2/1023 20 USIA > 35 TH 6 VITA GRAJAGAN PANTAI 2/2

3/2/2023 14 USIA IBU, TB <, 10 NOVI Grajagan Pantai 4/3

1/18/2023 21 MGG USIA >35, TINGGI < 140 10 NINOK SBR 3/1
CM

4/28/2023 9 MGG USIA > 35, JARAK ANAK 10 SULIS GBK 4/4
> 1O TH

4/8/2023 8 USIA 35 TH 6 NONIK KRAJAN 2/1 SB.ASRI


1.Terlalu cepat
11/5/2022 28 hamil(jarak <2thn) 10 mujieni JATIREJO 7/1
2.Jumlah anak 4 atau
lebih

HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING

6/27/2023 7 PERNAH ABORTUS 6 YUSMIATI KP.BARU 4/2

18/5/2023 10 PERNAH ABORTUS 6 RIRIN curahjati 4/3

15/3/2023 20 PERNAH ABORTUS 6 MUJIATI sumberjati 5/1

5/24/2023 8 LILA < 23,5(17cm) 6 HANIS JTM 8/1

HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING

6/24/2023 9 BSC, Jarak anak kurang 12 Welas Asih bulusari 3/1

Jarak anak kurang, TB


7/6/2023 7 6 Welas Asih Bulusari 5/2
kurang

USIA >,
6/7/2023 6 10 Yayuk CJATI 5/3
JARAK ANAK > 10

4/18/2023 13 JARAK ANAK < 2TH 6 YUSMIATI KP.BARU 3/1


ABORTUS,
7/14/2023 4 10 WAHYU G.PANTAI 4/2
ANAK > 10 TH

BSC,
1-Jul-23 8 MGG 14 RATNA GEBANGKANDEL 1/2
Jarak anak 11Bulan

USIA >35 thn,


6/23/2023 8 10 KATINI JATILUHUR 6/1
Jumlah Anak >4
USIA >35 thn,
4/21/2023 16 Jarak anak >10 10 HANIS JATIMULYO 6/1
th

6/23/2023 6 LILA< 6 SITI FATIMAH SIDOAGUNG 1/2


HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING

7/23/2023 8 USIA ANAK > 10 TH 6 WAHYU G.PNT 5/1

ABORTUS, USIA > 35,


5/19/2023 18 18 YUSMIATI KP.BR 2/2
BSC

8/3/2023 6 Jarak anak >10 th 6 Ida yuliani Krajan 1/1

7/26/2023 8 Partus prematur 6 Nonik Gebangkandel 3/3

6/8/2023 12 Usia >35 thn,Abortus 1x 10 KATINI JTL 1/2

8/22/2023 4 Usia >35 thn, 6 MINARNI JTR 10/1

7/21/2023 8 BSC 10 JTL

1/11/2023 36 Lila < 23,5 6 LISA JTM 2/1

HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING

28/07/2023 14 mgg Usia 6 Grajagan pantai 3/2

8/20/2023 6 USIA ANAK > 10 TH 6 YUSMIATI K.BARU 2/2

8/10/2023 12 Jarak Anak > 6 Katini gebangkandel 3/5

8/29/2023 6 Jarak anak >10 th, usia 10 Wiwit SBR 1/2


>35 th

6/21/2023 16 Umur> , Abortus 1x 10 Nurrosidah bloksolo 3/2


7/23/2023 12 LILA< 10 INDAH SIDODADI 1/3
TB<

HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING

9/21/2023 7 UMUR > 35, TB < 145 CM 10 YUSMIATI K.BARU 1/2

5/15/2023 28 UMUR > 35, ANAK > 4 10 ULIK K.BARU 4/1

4/27/2023 28 UMUR ANAK > 10 TH 6 KHOIR K.BARU 1/3

5/6/2023 20 UMUR > 35 6 Yayuk Melati 2

18/9/2023 8 Jarak anak 6 Sri Widodo Melati 2

27/6/2023 18 lila 6 Kaiyati Mawar 1

10/10/2023 7 UMUR > 35, JARAK 10 ULIK K.BARU 5/1


ANAK > 10

10/7/2023 6 UMUR > 35, Abortus 10 Apel Wiwit

14/9/2023 6 TB, < 6 mangga nur rosidah

8/12/2023 12 USIA < 20 THN 6 KATINI JATILUHUR 1/2

8/4/2023 12 USIA >35 THN 6 HANIS JATIMULYO 9/1

9/22/2023 8 LILA <23,5 6 KATINI JATILUHUR 11/1

24 USIA >35 THN 6 lis Sidodadi 4/2

HPHT UK (mnggu) FAKTOR RESIKO HAMIL SKOR KSPR NAMA KADER ALAMAT
PENDAMPING
4/11/2023 5 mgg Riwayat SC 10 Bulusari

5/25/2023 28 ABORTUS, TB < 145 18 NOVI G.PANTAI 5/3


CM, BSC

10/28/2023 6 ABORTUS,USIA > 35, 18 KHOIR K.BARU 4/3


BSC

9/20/2023 14 ABORTUS,USIA > 35 10 YUSMIATI K.BARU 1/1

9/27/2023 12 UMUR > 35, JARAK 10 WAHYU G.PANTAI 1/1


ANAK > 10

10/28/2023 6 Abortus, BSC 14 Indra bloksolo 2/4

4/2/2023 38 USIA >35 THN,JARAK 10 SIAMAH JTM 10/2


ANAK >10THN

8/3/2023 16 USIA >35THN 6 LISA JTM 3/1

9/7/2023 12 LILA<23,5 6 SIAMAH JTM 11/2

You might also like