FORMAT REKAPITULASI KEGIATAN PRAKTIK PROFESI Oki New

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FORMAT REKAPITULASI KEGIATAN PRAKTIK PROFESI / PELAYANAN

KEBIDANAN

Pelayanan : Kehamilan
Periode Kegiatan : 2018-2021

No Hari/Tanggal Nama Umur Diagnosa Tindakan/Pelayanan/Asuhan


pasien/klien
1. 06/07/2021 Ny. Rain rubiah 32th G3P2A0 gr Timbang Badan,
40-41mg TTV,Leopold,djj,USG
2. 06/07/2021 Ny. Eka 34 th G3P2A0 gr Timbang Badan
sulistiawati 27-28 mg TTV,Leopold,djj,USG
3. 11/06/2021 Ny. Elda fedlina 23th G1P0A0 gr Timbang Badan
8mg TTV,Leopold,USG
4. 11/06/2021 Ny.Heru 36t G3P2A0 gr Timbang Badan
Marliawati 32-33mg TTV,Leopold,djj,USG
5. 11/06/2021 Ny.Supriyanti 36 th G4P2A1 gr Timbang Badan,
30-31 mg TTV,Leopold,djj,USG
6. 16/06/2021 Ny. Venny 25th G1P0A0 gr Timbang Badan
22-23 mg TTV,Leopold,djj,USG
7. 16/06/2021 Ny. Nurdiana 36 th G3P2A0 gr Timbang Badan
40-41mg TTV,Leopold,djj,USG
8. 23/06/2021 Ny. Sumartini 28 th G2P1A0 gr Timbang Badan,
13 mg TTV,Leopold,USG
9. 23/06/2021 Ny. Nurdianan 36 th G3P2A0 gr Timbang Badan,
41-42 mg TTV,Leopold,DJJ,USG
10. 23/06/2021 Ny. Binti 23th G1P0A0 gr Timbang Badan,
Masruroh 35 mg TTV,Leopold,DJJ,USG
11. 23/06/2021 Ny. Lisdiana 28 th G2P1A0 gr Timbang Badan, TTV,Leopold
39mg DJJ,USG
12. 23/06/2021 Ny. Nurbaiti 26 th G1P0A0 gr Timbang Badan,
40mg TTV,Leopold,DJJ, USG
13. 30/6/2021 Ny. Tumini 30 th G3P1A0 gr Timbang Badan,,Leopold,USG
14 mg
14. 19/07/2021 Ny. Dian 22 th G1p0A0 gr Timbang Badan,
8-9 mg TTV,Leopold,USG
15. 19/07/2021 Ny. Nia 26 th G1P0A0 gr Timbang Badan,
31-32 mg TTV,Leopold,DJJ,USG
16. 19/07/2021 Ny, Khairona 40 th G4P2A1 gr Timbang Badan,
7mg TTV,Leopold,DJJ,USG
17. 26/07/2021 Ny. Dina Marina 26 th G2P1A0 gr Timbang Badan,
20 -21 mg TTV,Leopold,DJJ,USG
18. 26/07/2021 Ny. Venny 25 th G1P0A0 gr Timbang Badan,
28-29 mg TTV,Leopold,DJJ,USG
19. 09/08/2021 Ny. Putri Yusari 25 th G1P0A0 gr Timbang Badan,
12-13 mg TTV,Leopold,USG
20. 04/08/2021 Ny. Maidiana 23 th G1P0A0 gr Timbang Badan,
Damayanti 18 mg TTV,Leopold,DJJ,USG
21. 04/08/2021 Ny. Dewi 25 th G1P0A0 gr Timbang Badan,
Sudarwati 14 mg TTV,Leopold,USG
22. 09/08/2021 Ny. Estria Puspita 26 th G2P1A0 gr Timbang Badan,
29 mg TTV,Leopold,DJJ,USG

Mengetahui, Bidan
Atasan langsung

Hj. Titi Sunarti, S.ST, M. Kes


Nip : 197508062006042015 Oki Purnama Sari, Amd. Keb
23. 09/08/2021 Ny. Melisa 24 th G1P0A0 gr Timbang Badan,
29 mg TTV,Leopold,DJJ,USG
24. 09/08/2021 Ny. Herlina 25 th G1P0A0 gr Timbang Badan,
37 mg TTV,Leopold,DJJ,USG
25. 16/08/2021 Ny. Saudatul 27 th G2P1A0 gr Timbang Badan,
munawaroh 31-32 mg TTV,Leopold,DJJ,USG
26. 18/08/2021 Ny. Eka Safitri 33 th G4P2A1 gr Timbang Badan,
25 mg TTV,Leopold,DJJ,USG
27. 18/08/2021 Ny. Ramawati 26 th G2P1A0 gr 7 Timbang Badan,
mg TTV,Leopold,USG
28. 18/ 08/2021 Ny. Suyanti 37 th G4P2A1 gr Timbang Badan,
21 mg TTV,Leopold,DJJ,USG
29. 20/08/2021 Ny. Lisdiana 28 th G2P1A0 gr Timbang Badan,
42 mg TTV,Leopold,DJJ,USG
30. 20/08/2021 Ny. Ngatiah 26 th G2P1A0 gr Timbang Badan,
41-42 mg TTV,Leopold,DJJ,USG
31. 01/09/2021 Ny. Lila Agustin 27 th G2P1A0 gr Timbang Badan,
34-35 mg TTV,Leopold,DJJ,USG
32. 01/09/2021 Ny. Herawati 26 th G2P1A0 gr Timbang Badan,
32 mg TTV,Leopold,DJJ,USG
33. 01/09/2021 Ny. Elda 25 th G1P0A0 gr Timbang Badan,
36 mg TTV,Leopold,DJJ,USG
34. 01/09/2021 Ny. Risky 24 th G1P0A0 gr Timbang Badan,
36 mg TTV,Leopold,DJJ,USG
35. 01/09/2021 Ny. Ridayani 23 th G1p)A0 gr Timbang Badan,
10 mg TTV,Leopold,USG
36. 01/09/2021 Ny. Daryanti 28 th G2P1A0 gr Timbang Badan,
37-38 mg TTV,Leopold,DJJ,USG
37. 01/09/2021 Ny. Kartini 36 th G3P2A0 gr Timbang Badan,
14-15 mg TTV,Leopold,DJJ,USG
38. 01/09/2021 Ny. Yayuk 21 th G1P0A0 gr Timbang Badan, TTV,USG
4-5 mg
39. 08/09/2021 Ny. Luluk 27 th G2P1A0 gr Timbang Badan,
Ekawati 38-39 mg TTV,Leopold,DJJ,USG
40. 08/09/2021 Ny. Sarah Karlina 25 th G1P0A0 gr Timbang Badan,
32 mg TTV,Leopold,DJJ,USG
41. 08/09/2021 Ny. Siti Arbian 26 th G2P1A0 gr Timbang Badan,
40 mg TTV,Leopold,DJJ,USG
42. 15/09/2021 Ny. Hera 34 th G3P2A0 gr Timbang Badan,
Marliawati 36-37 mg TTV,Leopold,DJJ,USG
43. 15/09/2021 Ny. Yulianti 25 th G1P0A0 gr Timbang Badan,
39-40 mg TTV,Leopold,DJJ,USG
44. 15/09/2021 Ny. Reni sartuti 26 th G1P0A0 gr Timbang Badan,
27-28 mg TTV,Leopold,DJJ,USG
45. 15/09/2021 Ny.Wanti 26 th G2P1A0 r Timbang Badan,
Wulandari 31-32 mg TTV,Leopold,DJJ,USG
46. 17/09/2021 Ny. Ariyani 33 th G3P2A0 gr Timbang Badan,
41 mg TTV,Leopold,DJJ,USG
47. 22/09/2021 Ny. Ririn 25 th G1P0A0 gr Timbang Badan,
29 mg TTV,Leopold,DJJ,USG

Mengetahui, Bidan
Atasan langsung

Hj. Titi Sunarti, S.ST, M. Kes Oki Purnama Sari, Amd. Keb
Nip : 197508062006042015
48. 22/09/2021 Ny. Sukesi 28 th G2P1A0 gr Timbang Badan,
37-38 mg TTV,Leopold,DJJ,USG
49. 22/09/2021 Ny. Eni 29 th G3P1A1 Timbang Badan,
gr28-29 mg TTV,Leopold,DJJ,USG
50. 22/09/2021 Ny. Mugi 37 th G4P3A0M1 Timbang Badan,
gr 35-36 mg TTV,Leopold,DJJ,USG
51. 22/09/2021 Ny. Ratna 25 th G1P0A0 gr Timbang Badan,
29-30 mg TTV,Leopold,DJJ,USG
52. 22/09/2021 Ny. Heru 28 th G3P2A0 Timbang Badan,
g38-39 mg TTV,Leopold,DJJ,USG
53. 27/09/2021 Ny. Titin 33 th G4P1A2 gr Timbang Badan, TTV,USG
14 mg
54. 27/09/2021 Ny. Eviyana 27 th G3P2A0 gr Timbang Badan,
32 mg TTV,Leopold,DJJ,USG
55. 01/10/2021 Ny. Venny 25 th G1P0A0 gr Timbang Badan,
37-38 mg TTV,Leopold,DJJ,USG
56. 01/10/2021 Ny.Tri 24 th G1P0a0 Gr Timbang Badan,
36-37 mg TTV,Leopold,DJJ,USG
57. 01/10/2021 Ny. Siti 33 th G3P2A1 gr Timbang Badan,
23-24 mg TTV,Leopold,DJJ,USG
58. 11/10/2021 Ny. Lilik 26 th G1P0A0 gr Timbang Badan,
34-35 mg TTV,Leopold,DJJ,USG
59. 15/10/2021 Ny. Hasmillah 27 th G2P1A0 gr Timbang Badan,
36-37 mg TTV,Leopold,DJJ,USG
60. 15.10/2021 Ny. Dina 27 th G2P1A0gr Timbang Badan,
32 mg TTV,Leopold,DJJ,USG
61. 22/10/2021 Ny. Irnanda 28 th G2P1A0 gr Timbang Badan,
26 mg TTV,Leopold,DJJ,USG
62. 22/10/2021 Ny. Wiratri 25 th G1P0A0 gr Timbang Badan,
14 m TTV,Leopold,USG
63. 22/10/2021 Ny. Yulianti 34 th G3P2A0 gr Timbang Badan,
34-35 mg TTV,Leopold,DJJ,USG
64. 22/10/2021 Ny. Liyusara 29 th G2P1A0 gr Timbang Badan,
32-33 mg TTV,Leopold,DJJ,USG
65. 29/10/2021 Ny. Dina 27 th G2P1A0gr Timbang Badan,
34 mg TTV,Leopold,DJJ,USG
66. 29/10/2021 Ny. Fitri Nor 25 th G1P0A0 Timbang Badan,
gr32-33 mg TTV,Leopold,DJJ,USG
67. 29/10/2021 Ny. Nuha 24 th G1P0A0 gr Timbang Badan,
26-27 mgg TTV,Leopold,DJJ,USG
68. 29/10/2021 Ny. Listiara 27 th G2P1A0 Timbang Badan,
gr33-34 mg TTV,Leopold,DJJ,USG
69. 29/10/2021 Ny. Gusmiati 28 th G2P1A0 gr Timbang Badan,
36-37 mg TTV,Leopold,DJJ,USG
70. 10/11/2021 Ny. Antika 24 th G1P0A0 gr Timbang Badan,
39 mg TTV,Leopold,DJJ,USG
71. 10/11/2021 Ny. Wida 30 th G4P1A2 gr Timbang Badan,
37 mg TTV,Leopold,DJJ,USG
72. 17/11/2021 Ny. Wida 30 th G4P1A2 gr Timbang Badan,
37-38 mg TTV,Leopold,DJJ,USG
73. 17/11/2021 Ny. Tatik 34 th G3P2A1 gr Timbang Badan,
32 mg TTV,Leopold,DJJ,USG

Mengetahui, Bidan
Atasan langsung

Hj. Titi Sunarti, S.ST, M. Kes


Nip : 197508062006042015 Oki Purnama Sari, Amd. Keb
74. 22/11/2021 Ny. Susanti 27 th G2P1A0 gr Timbang Badan,
18 mg TTV,Leopold,DJJ,USG
75. 22/11/2021 Ny. Yunia 26 th G2P1A0 gr Timbang Badan,
20 mg TTV,Leopold,DJJ,USG
76. 22/11/2021 Ny. Ratna 28 th G2P1A0 gr Timbang Badan,
24 mg TTV,Leopold,DJJ,USG
77. 22/11/2021 Ny. Annisa 29 th G2P1A0 gr Timbang Badan,
39 mg TTV,Leopold,DJJ,USG
78. 22/11/2021 Ny. Deni 30 th G3P2A1 gr Timbang Badan,
15 mg TTV,Leopold,USG
79. 24/11/2021 Ny. Tri astute 25 th G1P0A0 r 41 Timbang Badan,
mg TTV,Leopold,DJJ,USG
80. 02/12/2021 Ny. Suryati 25 th G1P0A0 gr Timbang Badan,
30 mg TTV,Leopold,DJJ,USG
81. 06/12/2021 Ny. Sri 37 th G5P2A2 gr Timbang Badan,
38 mg TTV,Leopold,DJJ,USG
82. 13/12/2021 Ny. Evi 24 th G1P0A0 gr Timbang Badan,
31 mg TTV,Leopold,DJJ,USG
83. 03/01/2022 Ny. Evi 24 th G1P0A0 gr Timbang Badan,
34 mg TTV,Leopold,DJJ,USG
84. 03/01/2022 Ny. Irnanda 28 th G2P1A0 gr Timbang Badan,
36 mg TTV,Leopold,DJJ,USG
85. 03/01/2022 Ny. Rianti 25 th G1P0A0 gr Timbang Badan,
39 mg TTV,Leopold,DJJ,USG
86. 07/01/2022 Ny. Suroh 26 th G2P1A0 gr Timbang Badan,
24 mg TTV,Leopold,DJJ,USG
87. 07/01/2022 Ny. Indah 32 th G3P1A1 gr Timbang Badan,
26 mg TTV,Leopold,DJJ,USG
88. 12/01/2022 Ny. Herlina 27 th G2P1A0 gr Timbang Badan,
17 mg TTV,Leopold,DJJ,USG
89. 12/01/2022 Ny. Leni 36 th G4P3A0 gr Timbang Badan,
34 mg TTV,Leopold,DJJ,USG
90. 12/01/2022 Ny. Tumini 29 th G2P1A0 gr Timbang Badan,
32 mg TTV,Leopold,DJJ,USG
91. 17/01/2022 Ny. Nurjannah 31 th G3P1A1 Timbang Badan,
gr40-41 mg TTV,Leopold,DJJ,USG
92. 17/01/2022 Ny Kiki 25 th G1P0A0 Timbang Badan,
gr34-35 mg TTV,Leopold,DJJ,USG
93. 17/01/2022 Ny. Yoda 24 th G1P0A0 gr Timbang Badan,
26 mg TTV,Leopold,DJJ,USG
94. 21/01/2022 Ny. Melda 35 th G5P2A2 Timbang Badan,
gr28 mg TTV,Leopold,DJJ,USG
95 21/01/2022 Ny. Puji Rahayu 33 th G3P2A0 Timbang Badan,
gr28 mg TTV,Leopold,DJJ,USG
96. 04/02/2022 Ny.Disti 23th G1P0A0 Timbang Badan,
gr16 mg TTV,Leopold,DJJ,USG
97. 04/02/2022 Ny.Deni 34 th G5P1A3 gr Timbang Badan,
30 mg TTV,Leopold,DJJ,USG
98. 11/02/2022 Ny. Sukmawati 23 th G1POA0 gr Timbang Badan,
15 mg TTV,Leopold,USG
99. 11/02/2022 Ny. Risti 23 th G1P0A0 Timbang Badan,
gr19 mg TTV,Leopold,DJJ,USG
100. 11/02/2022 Ny. Lena Sari 26 th G1P)A0 Timbang Badan,
gr36 mg TTV,Leopold,DJJ,USG
Mengetahui, Bidan
Atasan langsung

Hj. Titi Sunarti, S.ST, M. Kes


Nip : 197508062006042015 Oki Purnama Sari, Amd. Keb
FORMAT REKAPITULASI KEGIATAN PRAKTIK PROFESI / PELAYANAN
KEBIDANAN

Pelayanan : Persalinan
Periode Kegiatan : 2018-2021

No Hari/Tanggal Nama Umur Diagnosa Tindakan/Pelayanan/Asuhan


pasien/klien
1. 11/10/2018 Ny. Feny 28 th G2P0A1 gravid aterm, Sectio Caesarea (SC)
Letak
Oblique,Oligohidramnion
2. 12/10/2018 Ny. Asti 24 th G1P0A0 gr 38 mg,KPD Sectio Caesarea (SC)
3. 13/10/2018 Ny. Iin 24 th G1P0A0 gr Aterm,letak Sectio Caesarea (SC)
oblique
4. 14/10/2018 Ny. Heti 27 th G2P0A1gr aterm.letak Sectio Caesarea (SC)
Yulita oblique
5. 15/10/2018 Ny. Risky 21 th G2P1A0 gravid Persalinan normal
aterm,inpartu
6. 18/10/2018 Ny. Sri 38 th G2P0A0 gravid aterm Persalinan Normal
maryana inpartu
7. 18/10/2018 Ny. 35 th G3P2A0 gravid Sectio Caesarea (SC)
Marlena aterm,PTM
8. 23//10/2018 Ny. Hani 39 th G6P3A2 gr 43 Sectio Caesarea (SC)
mg,presentasi
kaki,KPD,makrosomia
9. 02/11/1018 Ny.Ririn 39 th G4P3A0 gravid aterm Sectio Caesarea (SC)
post Sc,MOW
10. 15/11/2018 Ny. Siti 31 th G2P1A0 gr38 mg bekas Sectio Caesarea (SC)
Marfuah SC
11. 17/11/2018 NY. 21 th G1P0A0 gr aterm inpartu Persalinan normal
Meriana kala II
12. 18/11/2018 Ny.lia 24 th G1P0A0 gr aterm inpartu Persalinan normal
oktariana
13. 29/11/2018 Ny.Sutarsih 28 th G#P2A0 gr aterm,Bekas Sectio Caesarea (SC)
SC
14. 30/11/2018 Ny.dr. Rika 31 th G#P2A0 gr 40 mg belitan Sectio Caesarea (SC)
tali pusat,letak oblique
15. 01/12/2018 Ny. Tiara 22 th G1P0A0 gr aterm letak Sectio Caesarea (SC)
Dewi oblique
16. 01/12/2018 Ny. Nur 24 th G2P0A1 gr 35 mg Sectio Caesarea (SC)
soimah plasenta letak rendah,
Presentasi bokong
17. 10/12/2018 Ny. Ani 37 th G3P2A0 gr 41 Sectio Caesarea (SC)
Sayekti mg,oligohidramnion
18. 12/12/2018 Ny. sepril 34 th G2P1A0 gr 38-39 mg, Sectio Caesarea (SC)
Bekas SC,Varises
19. 13/12/2018 Ny. Reni 37 th G1P0A0 gr 38 mg letak Sectio Caesarea (SC)
merina Oblique
20. 20/12/2018 Ny.evi 27 th G2P1A0 gr aterm bekas Sectio Caesarea (SC)
riantika SC
21. 23/12/2018 Ny. Siti.K 26 th G2P1A0 graterm, Bekas Sectio Caesarea (SC)
SC

Mengetahui, Bidan
Atasan langsung

Hj. Titi Sunarti, S.ST, M. Kes


Nip : 197508062006042015 Oki Purnama Sari, Amd. Keb
22. 29/12/2018 Ny.iis.S 33 th G2P0A1 gr aterm,letak Sectio Caesarea (SC)
oblique
23. 29/12/2018 Ny.Supiatu 30 th G1P0A0 gr aterm,letak Sectio Caesarea (SC)
n lintang
24. 31/12/2018 Ny. Anitaria 35 th G4P2A1 gr aterm, Bekas Sectio Caesarea (SC)
SC
25. 01/01/2019 Ny. Fitri A 37 th G4P3A1 gr aterm inpartu Persalinan normal
26. 04/01/2019 Ny.Herlis A 33 th G2P1A0 gr 40-41 mg, Sectio Caesarea (SC)
Bekas SC
27. 05/01/2019 Ny. Nia H 29 th G2P1A0 gr aterm, Bekas Sectio Caesarea (SC)
SC
28. 12/01/2019 Ny. 25 th G1P0A0 gr aterm Sectio Caesarea (SC)
Adelia .R KPD,PTM
29. 13/02/2019 Ny. Widi.R 21 th G1P0A0 gr 37 mg, Sectio Caesarea (SC)
hipertensi kehamilan
30. 15/01/2019 Ny. Tanti.S 34 th G4P2A1 gr aterm, Bekas Sectio Caesarea (SC)
Sc
31. 05/02/2019 Ny.Anita 26 th G2P1A0 gr 39-40 mg, Sectio Caesarea (SC)
Bekas SC
32. 06/02/2019 Ny. 25 th G1P0A0 gr 41 mg,CPD Sectio Caesarea (SC)
Lisnawati
33. 06/02/2019 Ny. Rahmi 41th G6P4A1 gr 37 mg, Sectio Caesarea (SC)
Belitan tali pusat
34. 11/02/2019 Ny. 28 th G2P1A0 gr aterm, Persalinan Normal
Arifyani Inpartu
35. 14/02/2019 Ny. Sofiah 22 th G2P1A0 gr aterm, Persalinan normal
inpartu
36. 17/02/2019 Ny. 41 th G4P3A0 gr aterm, Persalinan Normal
Waginem Inpartu
37. 23/02/2019 Ny. Vera 38 th G1P0A0 gr aterm Sectio Caesarea (SC)
PTM,Oligohidramnion
38. 06/03/2019 Ny. 31 th G3P1A1 gr 37-38 mg Sectio Caesarea (SC)
Rodiana.S letak oblique,bekas SC
39. 06/03/2019 Ny. Siti.M 33 th G2P1A0 gr Sectio Caesarea (SC)
aterm,gemeli,letak
lintang
40. 18/03/2019 Ny.Tri.P 39 th G2P1A0 gr aterm inpartu Persalinan Normal
41. 19/03/2019 Ny. Ria 25 th G2P1A0M1 gr aterm Persalinan Normal
inpartu
42. 20/03/2019 Ny. Yulia 27 th G1P0A0 gr 38 Sectio Caesarea (SC)
Resti mg,riw.Infertilitas,Letak
oblique
43. 20/03/2019 Ny. Sarwati 30 th G1P0A0 gr 37 Sectio Caesarea (SC)
mg,KPD,Letak Oblique
44. 23/03/2019 Ny.Rosi 30 th G1P0A0 gr aterm,KPD Sectio Caesarea (SC)
45. 22/03/2018 Ny. Eva.M 34 th G2P1A0 gr 39 mg,bekas Sectio Caesarea (SC)
SC
46. 22/03/2019 Ny. Dwi 28 th G2P1A0 gr aterm,miopi Sectio Caesarea (SC)
berat,bekas SC
47. 23/03/2019 Ny. Sri S 23 th G4P3A0 gr aterm, Persalinan Normal
inpartu

Mengetahui, Bidan
Atasan langsung

Hj. Titi Sunarti, S.ST, M. Kes Oki Purnama Sari, Amd. Keb
Nip : 197508062006042015
48. 24/03/2019 Ny. 39 th G3P2A0 gr 39 mg HT Sectio Caesarea (SC)
Margareta kronis,letak lintang
49. 28/03/2019 Ny. Yuliana 34 th G3P1A1 gr aterm letak Sectio Caesarea (SC)
oblique
50. 31/03/2019 Ny. Ari S 28 th G2PaA0M1 gr 37-38 mg Sectio Caesarea (SC)
letak oblique, bekas SC
51. 31/03/2019 Ny. Citrani 30 th G4P2A1 gr 36 mg letak Sectio Caesarea (SC)
oblique,HT
gestasional,bekas SC
52. 03/04/2019 Ny. Diana 31 th G3P2A0 gr aterm inpartu Persalinan Normal
53. 07/04/2019 Ny. Asiah 26 th G1P0A0 gr aterm, PTM Sectio Caesarea (SC)
Rahma
54. 07/04/2019 Ny. 30 th G3P1A1 gr 39 mg,KPD Sectio Caesarea (SC)
Dedeh.S
55. 09/04/2019 Ny. Erniasih 37 th G3P2A0 gr aterm inpartu Persalinan Normal
56. 12/04/2019 Ny. 34 th G3P2A0 gr 41 mg Sectio Caesarea (SC)
Dr.Dyah Oligohidramnion
57. 15/04/2019 Ny. Putriana 24 th G1P0A0 gr 34 mg Persalinan Normal
inpartu
58. 16/04/2019 Ny. Resma 38 th G3P2A0 gr aterm Inpartu Persalinan Normal
sari
59. 18/04/2019 Ny. Siti.S 35 th
G3P2A0 gr 40-41 mg, Persalinan normal
oligohidramnion
60. 20/04/2019 Ny. Tiara 36 th G3P2A0 gr 38 mg,Bekas Sectio Caesarea (SC)
haliza SC
61. 20/04/2019 Ny. Vera 38 th G6P4A1 gr 37 mg Sectio Caesarea (SC)
Siska Riwayat SC, HT
gestasional
62. 20/04/2019 Ny. Lilis 36 th G2P0A1 gr 40 mg letak Sectio Caesarea (SC)
Nur Indah Oblique, lilitan tali Pusat
63. 02/05/2019 Ny. Evitama 29 th G1P0A0 gr 38 mg Sectio Caesarea (SC)
Gemeli
64. 03/05/2019 Ny. Vera 30 th G2P1A0 gr 37-38 mg Sectio Caesarea (SC)
Marseli Bekas Sc
65. 03/05/2019 Ny. Safitri 24 th G1P0A0 gr 41 mg aal Sectio Caesarea (SC)
Handayani Induksi
66. 06/05/2019 Ny. 40 th G5P4A0 gr aterm Bekas Sectio Caesarea (SC)
Vibriyanti Sc
67. 09/05/2019 Ny. 40 th G3P2A0 gr aterm, Persalinan Normal
Munjainatu Inpartu
n
68. 16/05/2019 Ny. Elsa 16 th G1P0A0 gr aterm Inpartu Persalinan Normal
69. 16/05/2019 Ny. Sindi 28 th G1P0A0 gr aterm, Letak Sectio Caesarea (SC)
Wulandari oblique
70. 09/06/2019 Ny. Melisa 29 th G#P2A0 gr aterm inpartu Persalinan Normal
71. 12/06/2019 Ny. Nurvi 22 th G1P0A0 gr aterm Persalinan normal
Fitriani inpartu
72. 12/06/2019 Ny. Nurul 22 th G1P0A0 gr 38 mg Persalinan normal
Fitriyani inpartu
73. 17/06/2019 Ny. Ema 25 th G1P0A0 gr aterm Inpartu Persalinan Normal
Novita
74. 23/06/2019 Ny. Endang 28 th G3P2A0 gr 37-38 mg, Sectio Caesarea (SC)
Riwayat SC

Mengetahui, Bidan
Atasan langsung

Hj. Titi Sunarti, S.ST, M. Kes Oki Purnama Sari, Amd. Keb
Nip : 197508062006042015
75. 29/06/2019 Ny. Maria Ulfa 34 th G2P1A0 gr aterm, Sectio Caesarea (SC)
Bekas Sc
76. 03/07/2019 Ny. Eviliana 36 th G*P5A2 gr aterm, Sectio Caesarea (SC) +
letak lintang,MOW MOW
77. 07/07/2019 Ny. Marfela 29 th G2P1A0 gr aterm Persalinan Normal
Bekas SC
78. 10/07/2019 Ny.Mir’atul 22 th G1P0A0 gr aterm Sectio Caesarea (SC)
Hasanah PER
79. 06/07/2019 Ny. Eliyana 24 th G1P0A0 gr aterm Persalinan Normal
inpartu
80. 11/07/2019 Ny. Septi F 34 th G5P2A1 graterm Sectio Caesarea (SC)
letak oblique
81. 13/07/2019 Ny. Yunita Sari 29 th G2P1A0 gr 39 mg Persalinan Normal
inpartu
82. 14/07/2019 Ny.Ponsilawati 29 th G2P1A0 gr 37 mg Sectio Caesarea (SC)
letak oblique
83. 15/07/2019 Ny. Desmalia 39 th G2P1A0 gr 37 mg Sectio Caesarea (SC)
letak oblique
84. 24/07/2019 Ny. Sri Mulyani 34 th G4P3A0 gr 39 mg Persalinan normal
inpartu
85. 29/07/2019 Ny, Putri hartati 37 th G2P1A0 gr 37 mg Sectio Caesarea (SC)
bekas SC
86. 03/08/2019 Ny.Hani Caya 34 th G3P2A0 gr 38mg Sectio Caesarea (SC)
LGA, letak oblique
87. 03/08/2019 Ny. Sri S 40 th G3P2A0 gr 42-43 Sectio Caesarea (SC)
mg oligohidramnion,
letak oblique
88. 03/08/2019 Ny. Desti N 31 th G1P0A0 gr aterm Sectio Caesarea (SC)
letak oblique
89. 06/08/2019 Ny. Darwati 27 th G1P0A0 gr 41 mg Sectio Caesarea (SC)
oligohidramnion,
letak oblique
90. 07/08/2019 Ny. Siti. A 23 th G1P0A0 gr39 m Sectio Caesarea (SC)
LGA, obesitas
91. 11/08/2019 Ny. Mulya 18 th G1P0A0 gr aterm Sectio Caesarea (SC)
KPD
92. 17/08/2019 Ny Rika.A 32 th G3P2A0 gr 38 mg Sectio Caesarea (SC)
letak oblique
93. 18/08/2019 NY. Waliyanti 26 th G1P0A0 gr40 mg Sectio Caesarea (SC)
letak oblique, KPD
94. 18/08/2019 Ny. Nindiyana 32 th G1P0A0 gr 37 mg Sectio Caesarea (SC)
riwayat SC2x
95. 21/08/2019 Ny. Reni.S 38 th G3P2A0 gr aterm Sectio Caesarea (SC)
bekas SC, Letak
oblique
96. 22/08/2019 Ny.Fredica.M 32 th G#P2A0 gr aterm Sectio Caesarea (SC)
bekas SC, letak
Oblique

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Atasan langsung

Hj. Titi Sunarti, S.ST, M. Kes


Nip : 197508062006042015 Oki Purnama Sari, Amd. Keb
FORMAT REKAPITULASI KEGIATAN PRAKTIK PROFESI / PELAYANAN KEBIDANAN

Pelayanan : Imunisasi Bayi


Periode Kegiatan : 2018-2021

No Hari/Tanggal Nama Umur Diagnosa Tindakan/Pelayanan/Asuhan


pasien/klien
1. 04/05/2018 By. Ny.Inda 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
2. 05/05/2018 By. Ny. Efriyanti 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
3. 05/05/2018 By. Ny. 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
Oktaviana
4. 13/05/2018 BY. Ny.Lela 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
5. 13/05/2018 By. Ny. Arsianse 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
6. 16/05/2018 By. Ny. Karlina 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
7. 18/05/2018 By. Ny. Suyanti 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
8. 18/05/2018 By. Ny. heni 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
9. 19/05/2018 By. Ny.Dwi .A 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
10. 25/05/2018 By. Ny. Elvira 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
11. 25/05/2018 By. Ny. Fera 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
12. 26/05/2018 By. Ny. Erni 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
13. 27/05/2018 By. Ny. Dian 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
Elida
14. 27/05/2018 By. Ny. Suartiza 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
15. 29/05/2018 By. Ny. Eli.S 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
16. 30/05/2018 By. Ny. Pujiyanti 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
17. 31/05/2018 By. Ny. Nenti. M 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
18. 03/06/2018 By. Ny. Prima 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
19. 03/06/2018 By. Ny.Anggraini 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
F
20. 04/06/2018 By. Ny. Siti M 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
21. 05/06/2018 By. Ny. Sriyani 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
22. 06/06/2018 By. Ny. Sigit 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
23. 06/06/2018 By. Ny. Sri M 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
24. 09/06/2018 By. Ny. Anna F 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
25. 13/06/2018 By.Ny. Evadiana 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
26. 20/06/2018 By. Ny. Tumini 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
27. 23/06/2018 By. Ny Suprati 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
28. 23/06/2018 By. Ny. Intan 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
29. 23/06/2018 By. Ny. 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
Kusmiyati
30. 27/06/2018 By. Ny. Riska T 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
31. 03/07/2018 By. Ny. Lia D 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
32. 04/07/2018 By. Ny. Sri 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
33. 04/07/2018 By. Ny. Isnaini 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
34. 10/07/2018 By.Ny. Pepra Ria 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
35. 13/07/2018 By. Ny. Sri hartati 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
36. 15/07/2018 By. Ny.Ria 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
37. 16/07/2018 By. Ny. Tuti 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
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Atasan langsung

Hj. Titi Sunarti, S.ST, M. Kes Oki Purnama Sari, Amd. Keb
Nip : 197508062006042015
38. 19/07/2018 By. Ny.Asti S 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
39. 27/07/2018 By.Ny.Irnanda 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
Kurnia
40. 28/07/2018 By. Ny. Pepinawati 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
41. 02/08/2018 By. Ny.heriyanti 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
42. 10/08/2018 By. Ny. Neneng 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
sundari
43. 11/08/2018 By. Ny. Rian Afifah 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
44. 14/08/2018 By. Ny. Nurjanah 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
45. 14/08/2018 By. Ny. Palinda sari 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
46. 14/08/2018 By. Ny. Yuliana 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
Putri
47. 15/08/2018 By. Ny.Lusiyana 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
48. 17/08/2018 By. Ny.Tari 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
Oktarina
49. 24/08/2018 By. Ny. Pamawati 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
50. 24/08/2018 By.Ny. Yunita Sari 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
51. 27/08/2018 By. Ny. Suminah 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
52. 01/09/2018 By. Ny. Leni 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
Agustin
53. 01/09/2018 By.Ny. Tiara 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
54. 02/09/2018 By. Ny.Nuni Latifah 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
55. 02/09/2018 By. Ny. Yetiza.A 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
56. 09/09/2018 By. Ny. Neti 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
Septiani
57. 09/09/2018 By. Ny. Tri Ningsih 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
58. 11/09/2018 By.Ny.Ema Dania 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
59. 11/09/2019 By. Ny. Junida Sari 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
60. 17/09/2018 By. Ny.Uun safitri 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
61. 12/09/2018 By. Ny.Meri 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
Ramayanti
62. 24/09/2018 By. Ny.Mujiati 0 hr Bayi Baru lahir Imunisasi HB0 + Polio
63. 24/09/2018 By. Ny Septiani.B 0 hr Bayi Baru lahir Imunisasi HB0 + Polio

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Atasan langsung

Hj. Titi Sunarti, S.ST, M. Kes


Nip : 197508062006042015 Oki Purnama Sari, Amd. Keb
FORMAT REKAPITULASI KEGIATAN PRAKTIK PROFESI / PELAYANAN
KEBIDANAN

Pelayanan : KB
Periode Kegiatan : 2018-2021

No Hari/Tanggal Nama Umur Diagnosa Tindakan/Pelayanan/Asuhan


pasien/klien
1. 14/04/2019 Ny. Yessi 25 th KB Suntik Injeksi Tryclofem
2. 15/04/2019 Ny. Yanah 30 th KB Suntik Injeksi Tryclofem
3. 17/04/2019 Ny. Leni 34 th KB Suntik Injeksi Cyclofem
4. 17/04/2019 Ny. Suryani 28 th KB Suntik Injeksi Tryclofem
5. 17/04/2019 Ny.Elis 27 th KB Suntik Injeksi Depo
6. 17/04/2019 Ny. Nurwida 34 th KB Suntik Injeksi Depo
7. 18/04/2019 Ny. Eva 22 th KB Suntik Injeksi Depo
8. 20/04/2019 Ny. 27 th KB Suntik Injeksi Depo
Sukamiatin
9. 21/04/2019 Ny. Yeni 37 th KB Suntik Injeksi Tryclofem
10. 22/04/2019 Ny. Halimah 35 th KB Suntik Injeksi Tryclofem
11. 23/04/2019 Ny. Aniah 28 th KB Suntik Injeksi Depo
12. 23/04/2019 Ny. Suhati 24 th KB Suntik Injeksi Depo
13. 25/04/2019 Ny. Rohani 26 th KB Suntik Injeksi Tryclofem
14. 02/05/2019 Ny. Nurul 29 th KB Suntik Injeksi Depo
15. 06/05/2019 Ny. Listiana 32 th KB Suntik Injeksi Cyclofem
16. 10/05/2019 Ny. Asmalia 36 th KB Suntik Injeksi Depo
17. 14/05/2019 Ny. Jumiati 28 th KB Suntik Injeksi Depo
18. 16/06/2019 Ny. Sri 30 th KB Suntik Injeksi Depo
19. 17/05/2019 Ny. Asni 33 th KB Suntik Injeksi Depo
20. 19/05/2019 Ny. Supartini 32 th KB Suntik Injeksi Depo
21. 21/05/2019 Ny. Yuni 27 th KB Suntik Injeksi Depo
22. 28/05/2019 Ny.Hodizah 36 th KB Suntik Injeksi Depo
23. 28/05/2019 Ny. rohliyah 29 th KB Suntik Injeksi Tryclofem
24. 04/06/2019 Ny. Buinah 36 th KB Suntik Injeksi Tryclofem
25. 05/06/2019 Ny. Rita 27 th KB Suntik Injeksi Depo
26. 05/06/2019 Ny. Cici. R 26 th KB Suntik Injeksi Depo
27. 05/06/2019 Ny. Nunung 24 th KB Suntik Injeksi Depo
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Hj. Titi Sunarti, S.ST, M. Kes Oki Purnama Sari, Amd. Keb
Nip : 197508062006042015
28. 06/06/2019 Ny. Mastunah 35 th KB Suntik Injeksi Triclofem
29. 08/06/2019 Ny. Maryani 26 th KB Suntik Injeksi Depo
30. 13/06/2019 Ny. Santi 24 th KB Suntik Injeksi tryclofem
31. 22/06/2019 Ny. Patari 28 th KB Suntik Injeksi tryclofem
32. 22/06/2019 Ny. Eli 31 th KB Suntik Injeksi Depo
33. 23/06/2019 Ny.eli 29 th KB Suntik Injeksi Depo
34. 25/06/2019 Ny. Eligati 34 th KB Suntik Injeksi Depo
35. 27/06/2019 Ny. Yuli 23 th KB Suntik Injeksi Tryclofem
36. 27/06/2019 Ny. Irma 26 th KB Suntik Injeksi Cyclofem
37. 30/06/2019 Ny. Dewi R 33 th KB Suntik Injeksi Depo
38. 01/07/2019 Ny. Rita 24 th KB Suntik Injeksi Depo
39. 03/07/2019 Ny. Karlina 35 th KB Suntik Injeksi Depo
40. 04/07/2019 Ny. Iis 26 th KB Suntik Injeksi Tryclofem
41. 05/07/2019 Ny. Nurhayati 33 th KB Suntik Injeksi Depo
42. 05/07/2019 Ny. Dewi 25 th KB Suntik Injeksi Tryclofem
43. 07/07/2019 Ny. Suryani 35 th KB Suntik Injeksi Depo
44. 08/07/2019 Ny. Amelia 33 th KB Suntik Injeksi tryclofem
45. 09/07/2019 Ny. Leni 23 th KB Suntik Injeksi tryclofem
46. 09/07/2019 Ny. Maydayanti 34 th KB Suntik Injeksi Tryclofem
47. 10/07/2019 Ny. Elis 33 th KB Suntik Injeksi Depo
48. 11/07/2019 Ny. Eva 25 th KB Suntik Injeksi Depo
49. 13/07/2019 Ny. Sukatmiah 33 th KB Suntik Injeksi Depo
50. 13/07/2019 Ny. Ruji 37 th KB Suntik Injeksi Depo
51. 14/07/2019 Ny. Yeni 28 th KB Suntik Injeksi tryclofem
52. 15/07/2019 Ny. Amah 26 th KB Suntik Injeksi Depo
53. 15/07/2019 Ny. Halimah 33 th KB Suntik Injeksi Tryclofem
54. 19/07/2019 Ny. Dian 27 th KB Suntik Injeksi Tryclofem
55. 22/07/2019 Ny. Yuli 33 th KB Suntik Injeksi Cyclofem
56. 29/07/2019 Ny. Yunita 33 th KB Suntik Injeksi Cyclofem
57. 29/07/2019 Ny. Sulimah 37 th KB Suntik Injeksi Depo
58. 01/08/2019 Ny. Marleni 22 th KB Suntik Injeksi Cyclofem
59. 09/08/2019 Ny. Asni 36 th KB Suntik Injeksi Depo
60. 11/08/2019 Ny. Supartini 36 th KB Suntik Injeksi Depo
61. 12/08/2019 Ny. Sri 33 th KB Suntik Injeksi Depo
62. 17/08/2019 Ny. Sunarti 29 th KB Suntik Injeksi Depo

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Hj. Titi Sunarti, S.ST, M. Kes Oki Purnama Sari, Amd. Keb
Nip : 197508062006042015

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