Data Kelahiran 2021

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Formulir 19

LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan Januari

Puskesmas MARGODADI Tahun 2021


Umur
Alamat lengkap (Nama Jalan, kehami
Normal/di
No. Nama Bayi L/P Nama orangtua NKK RT/RW, No. rumah, Desa, Tgl dan jam lahir lan BB/TB
rujuk
Kecamatan, kab/kota,Provinsi) saat
1 2 3 4 5 6 7 lahir
8 9 10
1 Adelia L Amsiyah MD Rk 2 8-1-2021/11.00 39mg 2500/45 SC/rujuk
2 Eka L Santo MD Rk 2 2-1-2021/ 40mg 2900/48 normal
3 Dewi L Pardi MD Rk 7 01-01-2021/20.30 40mg 3200/50 normal
4 Nova L Nova MD Rk 6 08-01-2021/ 39mg 2600/ SC/rujuk
5 Dewi P Suryadi MD Rk 6 17-01-2021/19.30 40mg 3200/51 normal
6 Miatiah P Miatiah MD Rk 3 17-01-2021/20.00 39mg 3800/52 SC/rujuk
7 Muhammad Dafa El L Irma/Yudi Margo Mulyo Rk 6 1/10/2021 39mg 3300/ normal
8 by ny aminah L Aminah/Masyanto Margo Mulyo Rk 1 01-01-2020/ 39mg 3000 / normal
9 by ny Sevi Novita Sari P Sevi/rian Margo Mulyo Rk 1 02-01-2021/ 39mg 3500/ normal
10 by ny Riska L Riska/Taruk MKR 4 01-01-2021/ 32mg 2200/ normal
11 by ny Samsiah P Samsiah/Sulis MKR 3 09/01/2021/ 38mg 3800/ normal
12 by ny umi P Umi/Pendi MKR 4 10-01-2021/ 36mg 2800/ normal
13 by ny Triani P Triani/Rianto MKR 3 10-01-2021/ 36mg 2800/ normal
14 by ny Tini L Tini/Erik MKR 4 13-01-2021/ 36mg 3000/ normal
15 by ny Yani L Yani/Imam MKR 3 17-01-2021/ 36mg 2600/ normal
LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan Februari

Puskesmas MARGODADI Tahun 2021

Alamat lengkap (Nama Jalan, Umur


Tgl dan jam Normal/di
No. Nama Bayi L/P Nama orangtua NKK RT/RW, No. rumah, Desa, kehamilan BB/TB
lahir rujuk
Kecamatan, kab/kota,Provinsi) saat lahir
1 2 3 4 5 6 7 8 9 10
1 by ny khalim L Tn. Anton Makarti rk 2 7 FEB 21/01.2539 mg 3000gr normal
2 by ny lasia P Tn. Giar Makarti rk 1 21 feb 21/18.1540mg 2400gr normal
3 by ny ami L Tn. Mujiono Makarti 15 feb 21/19.1539mg 2800gr SC
4 by ny trinose L Tn. Makarti 19 feb 21/14.1138mg 3200gr normal
5 by ny trisna P Tn. Muhlisin Makarti 5 feb 21/02.00 40mg 2700gr normal
6 by ny titin P Tn. Anang P Makarti 15 feb 21/03.2439mg 2750gr SC
7 by ny liana L Tn. Andri Gunung Menanti rk 1 5 feb 21/ 40 mg 3600gr/49 normal
8 by ny kartini L Tn. Hamid Gunung Menanti rk 6 7 feb 21/ 38 mg 4100gr/50 normal
9 by ny suprihatin P Tn. Makin Gunung Menanti rk 2 8 feb 21/08.30 39mg 3100gr/49 normal
10 by ny isnaini L Tn. Adi S Gunung Menanti rk 2 14 feb 21/ 40mg 3000gr/48 normal
11 by ny leli L Tn. Jumino Margo Mulyo rk 5 3 feb 21/ 38mg 3000gr/49 SC
12 by ny yuli Tn. Adi Margo Mulyo rk 3 15 feb 21/04.4539mg 3300gr/49 normal
13 by ny hardi ningsih L Tn. Margo Mulyo 29 jan 21/
14 by ny lia Tn. Arif Margo Mulyo 31 jan 21/
15 by ny fatmala L Tn. Ahmad Margo Mulyo RK 2 25 feb 21/ 39mg 3300gr normal
16 by ny dian P Tn. Salim Margo Mulyo rk 1 20 jan 21/ 34mg 2400gr/46 SC
17 by ny nurjanah P Tn. Arif Margo Mulyo rk 1 31 jan 21/ 38mg 3000gr/48 normal
18 by ny hepi L Tn. Agus Margo Mulyo rk 3 22 jan 21/ 39mg 2700gr/48 normal
19 by ny riana L Tn. Edi Margodadi rk 7 39mg rujuk
20 by ny siti L Tn. Budi Margodadi rk 4 14 feb 21/04.1039mg 2800gr/49 normal
21 by ny susi L Tn. Hendrik Margodadi rk 2 40mg 2900gr/50 normal
22 by ny fika P Tn. Margodadi 28 feb 21/21.2039mg 3000gr/50 normal
23 by ny nanik Tn. Margono Sumberjo rk 2 feb 21/ SC
24 by ny ari Tn. Sumberjo rk 3 feb 21/ SC
25 by ny sintia Tn. Sumberjo rk 4 feb 21/ SC
26 by ny lilis Tn. Sumberjo rk 14 feb 21/ SC
27 by ny harianti Tn. Sumberjo rk 15 feb 21/ normal
28 by ny yani Tn. Muhajir Sumberjo rk 20 feb 21/ normal
29 by ny lini Tn. Sumberjo rk 27 feb 21/ SC
Kecamatan Tumijajar
Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes
NIP.197011141990122002 NIP.197005051990122002
LAPORAN BULANAN DATA KELAHIRAN DI PUSKESMAS

Kode Bulan Februari

Puskesmas MARGODADI Tahun 2021

Alamat lengkap (Nama Jalan, Umur


Tgl dan jam Normal/d
No. Nama Bayi L/P Nama orangtua NKK RT/RW, No. rumah, Desa, kehamilan BB/TB
lahir i rujuk
Kecamatan, kab/kota,Provinsi) saat lahir
1 2 3 4 5 6 7 8 9 10
1 by ny khalim L Tn. Anton Makarti rk 2 7 FEB 21/01.2539 mg 3000gr normal
2 by ny lasia P Tn. Giar Makarti rk 1 21 feb 21/18.1540mg 2400gr normal
3 by ny ami L Tn. Mujiono Makarti 15 feb 21/19.1539mg 2800gr SC
4 by ny trinose L Tn. Makarti 19 feb 21/14.1138mg 3200gr normal
5 by ny trisna P Tn. Muhlisin Makarti 5 feb 21/02.00 40mg 2700gr normal
6 by ny titin P Tn. Anang P Makarti 15 feb 21/03.2439mg 2750gr SC
7 by ny liana L Tn. Andri Gunung Menanti rk 1 5 feb 21/ 40 mg 3600gr/49 normal
8 by ny kartini L Tn. Hamid Gunung Menanti rk 6 7 feb 21/ 38 mg 4100gr/50 normal
9 by ny suprihatin P Tn. Makin Gunung Menanti rk 2 8 feb 21/08.30 39mg 3100gr/49 normal
10 by ny isnaini L Tn. Adi S Gunung Menanti rk 2 14 feb 21/ 40mg 3000gr/48 normal
11 by ny leli L Tn. Jumino Margo Mulyo rk 5 3 feb 21/ 38mg 3000gr/49 SC
12 by ny yuli Tn. Adi Margo Mulyo rk 3 15 feb 21/04.4539mg 3300gr/49 normal
13 by ny hardi ningsih L Tn. Margo Mulyo 29 jan 21/
14 by ny lia Tn. Arif Margo Mulyo 31 jan 21/
15 by ny fatmala L Tn. Ahmad Margo Mulyo RK 2 25 feb 21/ 39mg 3300gr normal
16 by ny dian P Tn. Salim Margo Mulyo rk 1 20 jan 21/ 34mg 2400gr/46 SC
17 by ny nurjanah P Tn. Arif Margo Mulyo rk 1 31 jan 21/ 38mg 3000gr/48 normal
18 by ny hepi L Tn. Agus Margo Mulyo rk 3 22 jan 21/ 39mg 2700gr/48 normal
19 by ny riana L Tn. Edi Margodadi rk 7 39mg rujuk
20 by ny siti L Tn. Budi Margodadi rk 4 14 feb 21/04.1039mg 2800gr/49 normal
21 by ny susi L Tn. Hendrik Margodadi rk 2 40mg 2900gr/50 normal
22 by ny fika P Tn. Margodadi 28 feb 21/21.2039mg 3000gr/50 normal
23 by ny nanik Tn. Margono Sumberjo rk 2 feb 21/ SC
24 by ny ari Tn. Sumberjo rk 3 feb 21/ SC
25 by ny sintia Tn. Sumberjo rk 4 feb 21/ SC
26 by ny lilis Tn. Sumberjo rk 14 feb 21/ SC
27 by ny harianti Tn. Sumberjo rk 15 feb 21/ normal
28 by ny yani Tn. Muhajir Sumberjo rk 20 feb 21/ normal
29 by ny lini Tn. Sumberjo rk 27 feb 21/ SC
Pengelola Margodadi, Tanggal.................................. 2020 2021
Kepala UPTD Puskesmas Non Rawat Inap Margodadi
Kecamatan Tumijajar
Tuti Erdjayanti Amd.Keb SRI MARLENI, S.ST., M.Kes
NIP.197011141990122002 NIP.197005051990122002

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