Bumil Se Kec

BPJS/ BLN
NO ELLINK NIK IBU

UMUM KETEMU
1 2 3 4 5
1 13183 UMUM 3519157105950002
2 10616 UMUM 3519156505010001
3 006835 BPJS 3519156811900001
4 015462 UMUM 3519155210870004
5 001724 3519156502870001
6 010827 3519154406950001
7 025332 3519155709900003
8 034554 UMUM 3519154607960001
9 014913 UMUM 09/02/2023 3519154507820001
10 3518064301830001
11 1038 UMUM 3519155002900003
12 3519156811900001
13 036472 BPJS 14/02/2023 3519127112950001
14 036183 UMUM 3519116106880001
16 014798 UMUM 3519154910940002
JANUARI 2023
1 031469 BPJS JAN'23 3519155607020001

2 12964 UMUM DES 22 3519156303930001
3 10331 UMUM 3519155212940001
4 023434 BPJS 3519156510900005
5 3496 BPJS 44927 3519156512000003
6 2797 BPJS 44927 3519154808860001
7 44927 3004035711950002
8 1315 BPJS 44927 3519154208950001
9 27731 BPJS 44927 3519157009990001
PEBRUARI 2023
1 14273 BPJS 3519155103980001
2 34632 BPJS 2/26/2023 3519156302880001

3519156809030002
3 14343 BPJS 2/27/2023
4 #VALUE! 2/25/2023 3311096704970001
MARET
16 1620 BPJS 3519157010880001
17 36755 UMUM 3519156607940002
18 026575 BPJS 351915109980002
19 BPJS 3519156003930003
20
21 APRIL
22 UMUM 3519156809030002
14343
23 1620 BPJS
3519157010880000
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
USIA BUMIL
NAMA BUMIL / SUAMI NO HP
TGL LAHIR USIA TH
6 7 8 9
DEWI RATNA SARI / ARIS PRASETYO 31/05/1995 37 085927472853
VICHI ALVERA PUTRI R. 25/05/2001 21 085290953371
AULIYA NUR ROHMAH 28/11/1990 32 085655559583
ALFIDHA PUTRI 32052 35
SITI LIARSIH 25/02/1987 35
NOVIANA / TOFIK H 4/06/1995 27 085708261199
SITI NUR KHASANAH / YUTDI MARSON 17/09/1990 32 081333105634
NI'MATUL KHOIRIYAH / ANDANA 6/07/1996 26 085812489530
SUYATI 07/05/1982 41 085779499968
SRI RAHAYU / MUSTOFA 30319 29
KUSBIANTI/ BUDI DIANTORO 32914 32
AULIA NUROHMAH/TAUFIK R 11/8/1990 32
RIYANG PRASASTI/ FERRY NURDIANTO 21/12/1995 27
SANIYATUN 21/06/1988 34 085895558306
MUJI LESTARI / ZAINUL ARIFIN 09/10/1994 28
MITA KRISTIANA / YUDA PRATAMA 16/07/2002 20 '085648261572

EVI LAILATUL BADRIYAH / KUSNARI 23/03/1993 29 081318362172
SALBIYAH BINTI MULYANI / SUGENG P 12/12/1994 28 082141310389
RIKA YULIANA/ BUDIANTO 25/10/1990 27 085712044874
PUTRI WULANDARI 36540 22 083141604850
LUQVI ERNAWATI/ LAMINO 08/08/1986 36 083851142678
KHANIFATUR ROSIDAH/ ROHMAD 35010 27
EKA YULIATIN 34931 27
NOVITASARI / KRISNA YULI 36413 23
VITA RISTA / TEGUH PRAMONO 11/03/1998 23 081233987119
SUSANTI 23/02/1988 35 088989222496
DILLA SEPTIA RISWAHYUNI 28/09/2003 20 083119565531
ADI KUSUMA DEWI 27/04/1997 25 087822108165
EVI SUSANTI / SHON HAJI 31/10/1988 34 083845713257
NITA SARI / DAVID SUBARKAH 26/07/1994 28 085655569348
ANNISA PUJI HASTUTI / MUH. THOHIR 21/09/1998 24 085733354274
TRINDAWATI / FEBRIANTO 20/03/1993 30 08358993393
20 083119565531
DILLA SEPTIA RISWAHYUNI 28-09-2003
35
EVI SUSANTI 30-10-1988
DATA IB
PENDIDI PEKERJA GRAVIDA

ALAMAT HPHT
KAN IBU AN IBU (G....A…)
10 11 12 13 14
14/04 S1 GURU G1P0A0 7/07/2022
08/03 SMA
KARYAWAN SWASTA
G1P0A0 22/07/2022
SIDOMULYO 14/ 04 S1 GURU G2P1A0 29/07/2022
SIDOMULYO 25/06 SMA IRT G3P2 3/09/2022
SIDOMULYO 03/01 SMP SD GIIIP2A0 LUPA
SIDOMULYO 10 /03 SMA SWASTA G2P1 LUPA
SIDOMULYO RT 01/01D3 KEBIDANAN

SWASTA G1P0 06/06/2022
SIDOMULYO 14/04 S1 IRT G1P0 9/09/2022
SIDOMULYO 26/08 SMP IRT G3P2 5/07/2022
SIDOMULYO 18/06 S1
KARYAWAN SWASTA
G1P0 16/10/2022
SIDOMULYO 25/06 SLTP IRT G2P1 23/08/2022

SIDOMULYO 27/07 SMP IRT G2 P1 23/10/2022
SIDOMULYO 06/02 SMA IRT G2 28/11/2022
SIDOMULYO 02 /01 S1 GURU TK G2 P1 04/12/2022
SIDOMULYO 12 /04 SMA IRT G3P2 09/09/2022
SIDOMULYO 12 /04 SMA IRT G2p1 09/11/2022
SIDOMULYO 12/04 S1 PNS G2P1 09/01/2023
SIDOMULYO 28/08 SMKWIRASWASTA G1P0 20/12/2022
SIDOMULYO 26/8 SMP IRT G1 21/12/2022

SIDOMULYO 12/4 S1 PNS G3 3/1/2023
DATA IBU HAMIL DESA SIDOMULYO
BB
SEBELU SKOR FAKTOR RESIKO
HPL TB LILA
M KSPR LAINNYA
HAMIL
15 16 17 18 19 20
14/04/2023 52 154 24
29/04/2023 58 150 26.5
06/05/2023 54 154 25
10/06/2023 52 157 27
08/03/2023
19/06/2023 50 155 24,5 2
13/03/2023 54 162 26 2
16/06/2023
11/04/2023 60 150 21 10 TUA, JARAK ANAK 11TH
29/05/2023 51.2 155 28 2
27/04/2023 77 155 33 10 BSC
06/05/2023 54.6 154 24 2
23/07/2023 63 163 29 2
30/05/2023
20/05/2023 39 156 19 KEK
06/07/2023 66 153 29,5 2

18/07/2023 48 147 26
11/02/2023 54 146 23,5 2 27/06/2022, PKM SARADAN
30/07/2023 67 150 32 2
05/09/2023 58 158 28.5 2
11/09/2023 55 145 29 16 BSC,JARAKANAK,USIA IBU
16/06/2023 52 148 26 2
16/08/2023 47 156 21 2 KEK
03/08/2023 68.8 157 29 2
24/08/2023 58 159 25 2
12/10/2023 55 154 24 2 TUA
28/09/2023 45 146.5 22 2 KEK
21/10/2023 70.3 160 31 2
16/10/2023 64 153 27 6 UAT 10 TH
27/09/2023 56 160 27 2
22/09/2023 70 158 33
76 165
28/9/2023 44 156 22 2
10/10/2023 64 152 27 10 USIA,ABORTUS1X
PEMERIKSAAN LABORAT TRIM 1
SIPILIS HBSAG
TGL LAB HIV (R/NR)
(R/NR) (R/NR)
HB GDA
21 22 23 24 25 26
44868 NR NEG NEG 103
44873 NR NEG NEG 111
1 DESEMBER 2022 NR NEG NEG 93
08 DESEMBER 2022 NR NEG NEG 110
3-Nov-22 NR NEG NEG 12.8 87
22 DESEMBER 2022 NR NEG NEG 12.5 84
22 DESEMBER 2022 NR NEG NEG 11,0 116
09/2/2023 NR NEG NEG 8.2 120
14/02/2023 NR NEG NEG 11,8 117
29 DESEMBER 2022 NR NEG NEG 12,5 100
12/01/2023 NR NEG NEG 11,2 95
12/01/2023 NR NEG NEG 12,6 85

12/01/2023 NR NEG NEG 12,6 138
27/06/2022, PKM SARADAN NR NEG NEG 13,1 124
2/03/2023 NR NR NR 12,0 108
16/02/2023 NR NEG NEG 12,9 100
23/02/202 NR NEG NEG 12,6 117
16/03/2023 NR NEG NEG 12,2 107
09/03/2023 NR NR NR 12,2 88
16/03/2023 NR NEG NEG 11,6 101
16/03/2023 NR NEG NEG 12,6 109
08/03/2023 NR NR NR 12,6 93
TRIM 1 PEMERIKSAAN LABORAT TRIM 3
PROTEIN
GOLDA AU REDUKSI TGL LAB GDA
URINE
27 28 29 30 31 32
O+ 3.5 NEG NEG
AB+
O+
AB+
O+ 4.5 NEG NEG
B+
O+
A+
A+
A+ 4,6
O+
O+
O+
A 24/01/2023 86
B+
O+
O+
AB+
A+
B+
AB+
O+
IKSAAN LABORAT TRIM 3
KETERANGAN ( bln
partus/abortus)
HB PROTEIN URINE
URINE REDUKSI
33 34 35 36
12,6 NEG NEG
DATA IB
1
UMUM USIA BUMIL
PENDIDIKAN
NO ELLINK BLN KETEMU NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT IBU PEKERJAAN GRAVIDA HPHT
BPJS TGL LAHIR USIA TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 034897 2022 3519154407990002 ERIKA DIAH P/M IKSAN 04/07/1999 22 089679476174 03/1 SMP IRT GIP0A0 15/03/2022
2 31846 2022 351910708920001 RISKA / ERRY 30/08/1992 30 085645781404 03/1 SI GURU G2P1A0 14/04/2022
3 2022 3506224811940005 BINTI LILIN / RIFKY 08/11/1994 28 08/02 SI IRT G1P0A0 26/05/2022
4 12665 2022 3519155908870001 PIFIT NUR C / SURADYANTO 19/08/1987 35 0822257594761 04/01 SMA IRT G2P1A0 14/07/2022
5 019391 BPJS 2022 3275026101000031 LINDA NUR F / DEVI W 21/01/2000 22 081330345172 04/01 D3 PABRIK G1P0A0 02/07/2022
6 2022 LAILATUL F / HUSEN RIVAI 30 10/02 SMA IRT G2P1A0 20/06/2022
7 030279 2022 3519154203000001 NOFA DWI S / AHMAD 2/03/2000 22 085230648495 09/02 SMA IRT G1P0A0 16/07/2022
8 035301 2022 3519155207910002 ANIS KURNIAWATI / DODIK 12/07/1991 31 088801749647 09/02 SMA IRT G2P1A0 02/07/2022
9 31197 2022 3519156702960001 FITRIA K / SAIFUL 27/2/1996 26 085748848493 11/02 SMA IRT G1P0A0 20/07/2022
10 2022 3501026605950005 YAYANG IAVI APIT 27 07/01 S1 SWASTA G2P1A0 6/8/2022
11 2022 3519157108020001 DWI INTANSARI / KHANIF 20 09/02 SMA IRT G1P0A0 30/6/2022
12 031594 BPJS 2022 3519104503880002 IDA SUKMAWATI 3/5/1988 34 082139637161 12/02 SMP IRT G2P1A0 14/09/2022
13 026298 BPJS 2022 3519114710910001 AINUL SHOLEKHAHI / AGUS 07/10/1991 31 085704404820 10/02 SMA IRT G2P1A0 20/09/2022
14 031090 BPJS 3519155705960001 KHUSNUL MU'ASYAROH / 17/05/1996 26 081357118331 BANCONG 03/01 S1 GURU G2P1 03/08/2022
15 035338 BPJS 3518175705010001

AZIZAH NURUL IMAMAH / MUH. ARIS SUSANTO
17/03/2001 23 085791316126 BANCONG 11/02 SMP WIRASWASTAG2P1 28/10/2022
JANUARI 2023
1 Jan-23 3519155507010002 SURYA SRI SETYA S/ANDIKA 7/15/2001 22 088989916896 08/02/- SMA IRT GIP0A0 06/12/2022
2 Jan-23 3519156703950004 PUTRI NURFA A/RESPATI 3/27/1995 27 04/01/- S1 IRT G1P0A0 19/06/2022
PEBRUARI 2023
1 12964 peb-23 3519156303930000 EVI LAILATUL/ KUSNANI 23/03/1993 30 08/02/- SMA IRT G2P1A0 11/10/2022
2 36646 peb-23 3519135902930003 SEFFI RAHMAWATI / ALFIN 19/02/1993 30 10/02/- SMA IRT G1P0A0 11/01/2023
MARET
1 nihil
DATA IBU HAMIL DESA BANCONG
PEMERIKSAAN LABORAT TRIM 1 PEMERIKSAAN LABORAT TRIM 3
BB SBL SKOR
HPL HAMIL TB LILA KSPR FAKTOR RESIKO LAINNYA
HIV SIPILIS HBSAG PROTEIN PROTEIN URINE
BULAN LAB (R/NR) (R/NR) (R/NR) HB GDA GOLDA AU URINE REDUKSI BULAN LAB GDA HB URINE PROTEIN
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
21/12/2022 41 155 23.5 2 8 JULI 2022 NR NR NR 11.0 B+ NEG 1+
20/01/2023 61 157 30 6 UAT , 2 TH 16 AGUSTUS 2022 NR NR NR 14.5 90 O+ 4.4 NEG NEG
02/03/2023 46 158 23 2 05/09/2022 NR NR NR 11,3 74 A 02/02/2023
18/04/2023 46 158 23 6 15-Sep-22 NR NR NR 12 102 O+ 3.4 NEG NEG
09/04/2023 41 148 20,5 2 KEK 8-Sep-22 NR NR NR 11.2 109 A 4.1 NEG NEG 22/02/2023 79 13 NEG NEG
27/03/2023 76 152 33 2
22/04/2023 50 153 23.5 2 29-Sep-22 NR NR NR 11.6 103 A+ 3.1 NEG NEG
07/04/2023 55 150 27 2 8-Sep-22 NR NR NR 14.6 98 A 4.7 NEG NEG
27/04/2023 33.5 143 6 TERLALU PENDEK 8 OKTOBER 2022 NR NR NR 12,1 106 B+ 3,4 NEG NEG
12/5/2023 65 162 30 10 BSC
7/4/2023 73 160 32 2
21/06/2023 58 160 27.5 6 UAT 13 TH 21-Nov-22 NR POSITIF NEG 12,1 97 B+
26/06/2023 41 155 23,5 2 8 DESEMBER 2022 NR NEG NEG 12,6 90 B+
08/05/2023 45 152 25 6 UAT 21-01-2022 09/03/2023 NR NR NR 12,1 92 B+
4/08/2023 39 150,5 26,5 2 3/02/2023 NR NEG NEG 12,8 119 AB+

13/09/2023 48 162 24 2 02/02/2023 NR NEG NEG 12,1 97 O+
26/03/2023 65 161 27 2
16/07/2023 46 147 26 10 BSC
18/10/2023 60 164 27.5 2

KETERANGAN ( bln
partus/abortus)
36
12/27/2023
1/20/2023
2/25/2023
ABORTUS
DATA
UMUM USIA BUMIL
NO ELINK BLN KETEMU NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT PENDIDIKAN IBU PEKERJAAN IBU
1 2 3 4 5 6 7 8 9 10 11 12
1 034867 BPJS 2022 3518015004980002 MUN FARIDAH / DANANG ANJASMORO 10/04/1996 26 08978257799 07/04 SMP IRT
2 035055 BPJS 2022 3519154802880001 SERAWATI DINIA RAHAYU / ANDHIKA 08/02/1988 34 085790624444 10/06 D3 PERAWAT
3 002869 BPJS 2022 3519156103010001 SUSANTI / DADANG KURNIAWAN 21/03/2001 21 085895668190 09/05 SMA IRT
4 035773 BPJS 2022 3519116506960001 SITI INDAH WAHYUNI / HENDRO 25/06/1996 26 081315603469 08/05 SMK IRT
5 035633 BPJS 2022 6402036406780003 PUNGKY DWITA / DADANG L 24/06/1998 24 081359922550 01/01 D3 PERAWAT
6 004281 BPJS 2022 3519154607810002 DWI SUSANTI / EKO GUNTORO 7/6/1981 41 085649656044 BANYUKAMBANG 04/02 S1 GURU PAUD
7 009929 BPJS 2022 3519155904990002 VIOLA AFRILIA / AHMAD MIFTAKHUL ARIFIN 19/04/1999 23 088216296489 BANYUKAMBANG 07/04 SMA KARYAWAN SWASTA
8 021341 BPJS 2022 3519154807950003 WINDA AYU PRATIWI / AHMAD MUSYADAD 8/07/1995 27 085843029636 BANYUKAMBANG 8/5 S1 SWASTA
9 035102 BPJS 2022 3519155804970001 LUTHFI TRI H/DANANG H 18/04/1997 25 085707958706 BANYUKAMBANG 01/01 S1 SWASTA
JANUARI 2023
10 014209 BPJS JAN '23 3519156911920001 ANIK NURYANI / RANGGA PERMADI 29/11/1992 30 BANYUKAMBANG 11/06 D3 KEPERAWATAN PERAWAT
11 BPJS JAN '23 3519084807980001 REKHA ADELIA SAPUTRI/ FAHRUL EKO NUGROHO 25 088228547050 BANYUKAMBANG 06/04 SMA SWASTA
PEBRUARI
12 21216 BPJS FEB'23 3519154801980002 TRI INDRI WATI / ANDI WAHYU BUDI S 08/01/1998 25 0882010094655 BANYUKAMBANG 11/06 SMK IRT
13 36651 BPJS FEB'23 3519105706850001 SAWITRI / AHMAD FAUZI 6/17/1985 38 081234345224 BANYUKAMBANG 11/06 SMP IRT
14 .7097 BPJS FEB'23 3519154612890001 HANUM LESTARI / EDI HERMAWAN 12/6/1989 34 081904283006 BANYUKAMBANG 02/01 SMA SWASTA
MARET
15 6674 BELUM MARET'23 3519095709870001 NAINI MAR ATUS SOLIKHAH/SLAMET HARIANTO 17/09/1987 36 0895364925631 BANYUKAMBANG 04/02 S1 IRT
16 14252 BPJS MARET'23 41 085655782211 BANYUKAMBANG 07/04 S1 GURU
3519156701820003 IDA AFRIANI/ARIEF PRASETYO EKO WICAKSONO 27/01/1982
17 13409 BELUM MARET'23 3519156807850002 SRI RAHAYU/RUDI SALAM 7/28/1985 38 085704986845 BANYUKAMBANG 04/02 SLTA SWASTA
20
21
22
23
24
25
26
27
28
29
30
DATA IBU HAMIL DESA BANYUKAMBANG
GRAVIDA BB SBL SKOR

HPHT HPL TB LILA FAKTOR RESIKO LAINNYA
(G....A…) HAMIL KSPR
BULAN LAB HIV (R/NR)SIPILIS (R/ HBSAG (R/ HB GDA GOLDA AU PROTEIN UREDUKSI TG LAB. GDA HB PROTEIN U
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
G2P1A0 05/04/2022 12/01/2023 42.6 153 20.5 2 KEK 6 JULI 2022 NR NR NR 12.7 B NEG NEG
G3P1A1 20/05/2022 27/02/2023 80 160 34 6 HDK 18 AGUSTUS 2022 NR NR NR 13.6 90 O RH+ 5.7 NEG NEG
G1P0A0 13/05/2022 20/02/2023 57 156 27 2 LETSU (11/1/23) 8-Sep-22 NR NR NR 10.6 117 A 5.5 NEG NEG 11 JANUARI 2023 98 12,3 NEG
G1P0A0 10/07/2022 17/04/2023 45 154 22 2 KEK 8-Nov-22 NR NEG NEG 11,0 98 B+ 2,1
G1P0A0 6/8/2022 13/5/2023 62 152 27 2 28 DESEMBER 2022 NR NEG NEG 11,6 114 B+
G2P1A0 3/9/2022 10/6/2023 57 159 28 10 TUA, JARAK ANAK 17 TH 05/01/2023 NR NEG NEG 12,6 97 B+
G1P0 2/09/2022 9/06/2023 40 147 22.5 2 KEK
GIIP1A0 20/08/2022 27/05/2023 60 155 26 10 RIWAYAT SC 3-Nov-22 NR NEG NEG 12.3 116 AB+ 3.8 NEG NEG
G1P0A0 09/10/2022 16/07/2023 45 150 23 2 15DESEMBER 2022 NR NEG NEG 12.9 102 B+
G1P0 17/05/2022 24/02/2023 45 160 22 6 KEK 5/ 01/2023 NR NEG NEG 11,5 PROTEIN URINE
NEG
G1P0 30/11/2022 07/09/2023 37 158 24 2
G1P0 1/10/2022 08/07/2023 35 154 16,5 6 KEK 23/02/2023 NR NEG NEG 11,2 121 O+
G1P0 10/08/2022 17/05/2023 50 156 24 6 ANEMIA 15/02/2023 NR NEG NEG 10.9 94 NEG NEG
G1P0 03/01/2022 10/10/2023 67 156 29.5 2
G4P30003 10/12/2022 17/09/2023 58 150 29 6 USIA > 35TH

G1P0 14/01/2023 21/10/2023 67 156 30 6 USIA > 35TH
G2P1A0 15/02/2023 22/11/2023 41 143 24 10 USIA > 35TH, RIWAYAT SC

3
KETERANGAN ( bln
partus/abortus)
URINE PRO
35 36
PARTUS JANUARI 23
NEG
DATA IBU HAMIL DESA BUDURAN
UMUM USIA BUMIL

NO ELINK BLN NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT PENDIDIKAN PEKERJAAN IBU GRAVIDA HPHT
KETEMU IBU (G....A…)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 032542 BPJS 2022 3519155007910002 WIDAYANTI / HENDIK 7/10/1991 32 085853853871 12/04 SLTA IRT G3P2 5/28/2022
2 035679 UMUM 2022 3603084209860002 DIANA SORAYA / SUGENG 2/9/1986 36 10/04 SLTA IRT G3P2 5/11/2022
3 36407 UMUM 2022 3519154506820004 SETYOWATI/JAYANTO 05/06/1982 40 11/04 SLTA IRT G2P1 5/30/2022
4 000383 BPJS 2022 3312025607900001 NUR IKAWATI / EKO 16/07/1990 30 085888308267 04/02 SLTA IRT G2P1 3/8/2022
5 035827 BPJS 2022 3519155006860006 SRI LESTARI / RENDI SUTIONO 10/06/1986 36 09/03 SLTP IRT G4P2A1 21/07/2022
6 030302 UMUM 2022 3301215903860002 AISYAH / CATUR 19/03/1986 36 087723002679 11/04 SLTA IRT G3P2 04/07/2022
7 27618 BPJS 2022 3519156601980001 EKA RATNASARI/MOH. CECEP 29/09/1985 24 03/01 SLTA IRT G1P0 21/7/2022
8 35749 BPJS 2022 3519134105930001 TRI UTAMI/HARI AGUS SETIANTO 29 16/06 SMK IRT G2P1 18/09/2022
9 BPJS 2022 HARYANTI / BUDI 36 09/03 IRT G3P2 10/09/2022
10 36062 2022 3519155802840001 FIDIA DEWI / WAWAN S 28/02/1984 38 085755006400 16/06 SMA IRT G2P1 29/06/2022
11 35768 UMUM 3519126311990004 DIAH ERNAWATI / JOVANCA 23/11/1999 23 085259435410 BUDURAN 04/02 SMK IRT G1P0 26/09/2022
12 31051 BPJS 2022 3519155402880002 WAHYU NUR W /SUBROTO 14/2/1988 34 085850321004 12/04 SMA IRT G2P1 4/7/2022
13 13512 2022 3519154311990001 NOVELIA AMALINDA 3/11/1999 08953281311558 18/07 SMA SWASTA G1P0 25/09/2022
14 BPJS 2022 SUYATI / MIANTO 42 08/03 SLTP IRT G3P2 11/7/2022
JANUARI 2023
1 036179 BPJS JAN 3519156506910001 INTANG KUSMININGSIH/ BUDI SETIAWA 25/06/1991 31 08573580373 BUDURAN 06/03 SMK SWASTA G2P1 11/10/2022
2 JAN 3519157008950003 RIRIN KHOIRIYAH / JOKO PANGALASAN 7/30/1995 27 BUDURAN 14/05 SMK IRT G1P0 10/10/2022
3 JAN 3520106704880001 RINI TRI W/ ARIEF UTOMO 4/27/1988 34 85655267409 BUDURAN 03/01 SMK IRT G2P1 26/10/2022
UMUM USIA BUMIL
BLN PENDIDIKAN GRAVIDA
NO ELINK KETEMU NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT IBU PEKERJAAN IBU (G....A…) HPHT
4 JAN 3519154107880001 YULI YANTI / RIYAN S 7/1/1988 34 BUDURAN 12/04 SMA IRT G1P0 05/08/2022
PEBRUARI
6 15211 BPJS PEB 3519155311930002 PUJI RAHAYU / AHMAD SYAIFUDIN 13/11/1993 27 BUDURAN 10/04 SMK SWSTA G2P1 10/12/2022
7 3383 BPJS PEB 3519106202990002 MIA FEBRIYANTI - ARDI WIBOWO 22/02/1999 24 BUDURAN 19/07 SMA IRT G1P0 23/09/2022
8 36265 UMUM PEB 3519154302900001 VERA TRIANA - ANSELMUS LAPE 03/02/1990 33 BUDURAN 09/03 SLTP IRT G3P2 LUPA
9 UMUM PEB 3519134512890003 DEVITA TRI LIANA - SUNARYO 05/12/1989 34 BUDURAN 09/03 SLTA IRT G4P3 08/07/2022
MARET
11 UMUM MAR 3519134506890003 RENY YUNITA - BASUKI 6/5/1989 34 BUDURAN 10/04 SLTA IRT G2P1 11/21/2022
12 UMUM MAR 3519155212900002 NANIK KHUSNUL K - M. MASTUR 12/12/1990 33 085784958158 BUDURAN 16/06 SLTA IRT G2P1 12/12/2022
13
14
15
16
17
18
19
20
21
22
23
24
UMUM USIA BUMIL
BLN PENDIDIKAN GRAVIDA
NO ELINK KETEMU NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT IBU PEKERJAAN IBU (G....A…) HPHT
25
26
27
28
29
30
31
32
33
34
35
36
37
BB PEMERIKSAAN LABORAT TRIM 1 PEMERIKSAAN LABORAT TRIM 3
HPL SEBELU TB LILA SKOR FAKTOR RESIKO KETERANGAN ( bln
M KSPR LAINNYA partus/abortus)
HAMIL HIV SIPILIS HBSAG PROTEIN PROTEIN URINE
TGL LAB (R/NR) (R/NR) (R/NR)
HB GDA GOLDA AU
URINE
REDUKSI TGL LAB GDA HB
URINE PROTEIN
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
3/5/2023 49 157 24 2 10/27/2022 NR NR NR 11 98 A+ 16/02/2023 95 12,4 NEG NEG
2/18/2023 52 156 24 6 USIA TUA 10/27/2022 NR NR NR 11,2 108 O+ 9/2/2023 93 12,5 NEG NEG
3/7/2023 64 158 30 12 UAT 17 TH 8/10/2022 NR NR NR 12,0 122 B+
10/5/2023 72 158 32 12/15/2022 NR NEG NEG 12.4 184 O+
28/04/2023 55 149 25 18 TUA, BSC, UAT 1 TH 12/7/2022 NR NEG NEG 10,1 108 A+
11/04/2023 60 152 28 6 UAT 1 TH 11/17/2022 NR NEG NEG 10,9 86 O+
28/04/2023 42 153 24 NR NEG NEG 11,2 180 O+ 2,3 NEG NEG
USG 11/7/2023 83 163 33 NR NEG NEG 12,5 116 B+
17/06/2023 24 6
6/04/2023 23 6 NR NEG NEG 12.5 119 A+
03/07/2023 46 151,5 24 2 08/03/2023 NR NR NR 12,5 151 B+
1/14/2023 6 UAT 11 TH 10/9/2022 NR NR NR 10.9 98 A+ 4.9 NEG NEG
02/07/2023 2 NR NEG NEG 12.2 101 O+
4/18/2023 46 147 24 6
18/07/2023 62 153 25 2 12/29/2022 NR NEG NEG 11,3 125 A+
17/07/2023 48 153 21 2 ANEMIA 1/9/2023 NR NEG NEG 9 O NEG
03/08/2023 56 160 26 10 BSC

SEBELU SKOR FAKTOR RESIKO KETERANGAN ( bln
HPL M TB LILA KSPR LAINNYA partus/abortus)
TGL LAB (R/NR) (R/NR) (R/NR) HB GDA GOLDA AU URINE REDUKSI TGL LAB GDA HB URINE PROTEIN
12/05/2023 52 155 23 2 ANEMIA 11/5/2022 NR NEG NEG 10.2 B
17/09/2023 44 143 24 14 BSC+RIWAYAT PE 16/02/2023 NR NEG NEG 12,8 124 O+
30/06/2023 54 160 26 2 07/03/2023 NR NR NR 11,8 111 O+
53 143 25 4 TB <145
15/04/2023 54 160 24 6 USIA IBU, ANAK KE 4
8/28/2023 58 150 29 2
9/19/2023 66.5 162 29 2

SEBELU SKOR FAKTOR RESIKO KETERANGAN ( bln
HPL M TB LILA KSPR LAINNYA partus/abortus)
TGL LAB (R/NR) (R/NR) (R/NR) HB GDA GOLDA AU URINE REDUKSI TGL LAB GDA HB URINE PROTEIN
USIA BUMIL GRAVID
BPJS / PENDI PEKERJAAN A
NO ELLINK UMUM BLN NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT DIKAN IBU (G....A…
TGL LAHIR USIA TH IBU )
1 2 3 4 5 6 7 8 9 10 11 12 13
1 016248 MEI 3519155909910001 DWI MUSTIKA SARI / DIMAS 19/09/1991 30 082231147808 20/09 D3 IRT G2P1A0
2 RINI SETYOWATI / HARKO SUSANTO 31 25/11 SMA IRT G2P1A0
3 4951 BPJS JUNI 3519155007920001 ISTIKOMAH / JOKO NURBIANTO 10/07/1992 30 083168555229 06/02 SMP IRT G2P1A0
4 034978 BPJS JUNI 3519156807870002 SUSANDRA / MARIYANTO 28/08/1986 35 08816058801 08/03 SD PETANI G2P1A0
5 34260 UMUM AGUS 3519154511950001 ANGGA DEWI PRATAMA / AGUS PAMBUDI 05/11/1995 26 085288851837 18/08 SMP IRT G2P1A0
6 021290 UMUM AGUS 3519116511870002 INDAH SRIANI / HANDOKO 25/11/1987 34 082245753122 23/10 SMA IRT G3P2A0
7 035821 UMUM SEPT 3519076905970001 MEI RAGIL HARIYANTI / AJI SUMADIYO 29/05/1997 25 085812391696 11 / 05 SMA IRT G1P0A0
8 26689 BPJS SEPT 3519154510990001 SRI YULIANI / ARIF NUR CAHYO 05/10/1999 23 087753889590 07/03 SMA
KARYAWAN SWASTA
G1P0A0
9 034657 BPJS SEPT 3519156010000001 VITA SARI / MUKAMAD MASQURI 20/10/2000 22 085606002135 11/05 SMA
KARYAWAN SWASTA
G1P0A0
10 15510 BPJS SEPT 3519154403940001 GYSTALIA JENNY R. /SYAHLAN FAJAR 04/03/1994 28 085704236798 06/02 S1 FARMASI PNS G2P0A1
11 035501 BPJS SEPT 3519154601940001 WAHYU PUJI LESTARI / JOKO RIDO 06/01/1994 28 081333997709 17/08 SMA IRT G1P0A0
12 035952 BPJS OKT 3519156203940001 EMI RIDOWATI / JOKO SUDIBYO 22/03/1994 28 082117645720 NGADIREJO 15/07 SMP IRT G2P1
13 035953 BPJS OKT 3519155412910001 LEVY DESTASARI / REKO RISDIANTO 14/12/1991 32 081286036341 NGADIREJO 25/11 S1
KARYAWAN SWASTA
G1P0
14 035239 UMUM OKT 3519157004960001 RINNA ASTUTIK / FARISY AQIMUDIN 30/04/1996 26 085736447214 NGADIREJO 16/07 S1 GURU G1P0
15 025956 BPJS OKT 3519154710960001 DEPI SUSANTI / PONCO TEGUH WIBOWO 7/10/1996 26 089523978369 NGADIREJO 24/11 SMA IRT G1P0
16 004889 UMUM OKT 3519156408900001 LILIK NURJANNAH/RUDI HARTONO 24/08/1990 32 085749372440 NGADIREJO 16/07 S1 IRT G2P1
17 014446 UMUM OKT 3519155912970001 DYAH ANUGRAH MUSTIKO/ALDIS FAMORA 19/12/1997 25 085859441408 NGADIREJO 10/04 S1 IRT G2P1
18 001497 BPJS OKT 3519155903900002 YUYUN WARIYANI / EKO RESTIONO 19/03/1990 32 083845868876 NGADIREJO 24/11 SMA SWASTA G3P2
19 9858 BPJS OKT 3519154509950001 SEPTI KURNIA PUTRI /YOGI PURWANTO 5/09/1995 26 085704289914 NGADIREJO 06/02 SMP IRT G1P0
DATA IBU HAMIL DESA NGADIREJO
BB PEMERIKSAAN LABORAT TRIM 1

SEBEL SKOR FAKTOR RESIKO
HPHT HPL UM TB LILA KSPR LAINNYA SIPILIS HBSAG PROTEIN
HAMIL TGL LAB HIV (R/NR) (R/NR) (R/NR) HB GDA GOLDA AU URINE REDUKSI
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
28/03/2022 02/01/2023 61 160 25 6 JUNI 2022 NR NR NR 12,4 102 A+ 3,7 NEGATIF NEGATIF
08/04/2022 15/01/2023 31
09/04/2022 16/01/2023 52 156.5 2 19 JULI 2022 NR NR NR A+ 3,0 NEG NEG
09/04/2022 25/12/2022 62.1 153.5 24.5 6 UAT 11 TH, USIA TUA 22 JULI 2022 NR NR NR 12.8 B NEG NEG
20/07/2022 27/04/2023 62.4 156 28.5 2 22-Sep-22 NR NR NR 12.8 142 B+ 6.2 NEG NEG
11/07/2022 18/04/2023 62 153.5 27.5 2 27 OKTOBER 2022 NR NR NR 11,4 70
26/07/2022 02/05/2023 46 146 25.5 2 15-Nov-22 NR NEG NEG 135 A+ 3,7
28/07/2022 05/05/2023 42 151.5 20 2 3-Nov-22 NR NEG NEG 90 O+ 3,1
15/07/2022 22/04/2023 65.2 160 27.5 2 29-Sep-22 NR NEG NR 13.2 142 A+ 3.9 NEG NEG
21/03/2023 63 156 28 6 PERNAH ABORTUS 13 OKTOBER 2022 NR NEG NR 11,9
07/07/2022 14/04/2023 52 157.5 22.5 6 NIKAH 6 TH 29-Sep-22 NR NR NR 13.1 122 AB+
18/09/2022 25/06/2023 46.6 160 1 DESEMBER 2022 NR NEG NEG 23 99 O+
11/07/2022 18/04/2023 50 152 24 1 DESEMBER 2022 NR NEG NEG 87 AB+
6/09/2022 13/06/2023 40.8 153 24-Nov-22 NR NEG NEG 20.5 109 O+
6/09/2022 13/06/2023 37.2 145 24-Nov-22 NR NEG NEG 20 113 B+
31/08/2022 7/6/2023 59.5 164 24 24-Nov-22 NR NEG NEG 124 A+
22/08/2022 29/05/2023 49 153 23.5 24-Nov-22 NR NEG NEG 91 A+

24/8/2022 31/5/2023 63 148 28 2 9-Nov-22 NR NEG NEG 147 O+
3/9/2022 10/6/2023 59 160 24 17-Nov-22 NR NEG NEG 101 O+

PROTEIN URINE
TGL LAB. GDA HB URINE REDUKSI
31 32 33 34 35
23 DESEMBER 2022 88 13,2 NEG NEG
15 DESEMBER 2022 86 POSITIF NEG
13/03/2023 89 12.1 NEG NEG
30/03/2023 74 13 NEG NEG
20/03/2023 84 12,4 NEG NEG
13/03/2023 95 13.4 NEG NEG
13/03/2023 92 11.6 NEG NEG

USIA BUMIL
BPJS/ BULAN PENDI PEKERJAA GRAVIDA
NO ELLINK UMUM KETEMU NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT DIKAN N IBU (G....A…) HPHT HPL
TGL LAHIR USIA TH IBU
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 035570 UMUM 1402025607990002 ANA YULIA PUTRI / ROHMAD 16/7/1999 23 085772931561 01/02 SLTA IRT G1P0A0 12/07/2022 19/04/2023
2 030976 BPJS 3519155005930001 ST MUNAWAROH / BAYU A 10/05/1993 29 085645654211 03/02 SLTA SWASTA G2P1A0 06/07/2022 13/04/2023
3 36390 UMUM 3277014406810002 KATIYEM / SUTOMO 4/06/1981 42 088230356450 09/02 SLTP IRT G3P2A0 07/07/2022 14/04/2023
4 35935 UMUM 3519067101930001 INTAN YUNITA / SYAIFUL 31/01/1993 29 085707310969

JATIREJO 15/01
SLTA IRT G2P1A0 24/06/2022 31-03-2023
5 35756 BPJS LW 3519156512930001 DESI S / RENDY E 25/02/1993 30 085645457360 05/02 SLTA IRT G2P1A0 18/08/2022 25/05/2023
6 36392 BPJS NON AKTIF 3519156901880001 YULIANA / SUGITO 29/01/1988 35 085336178870 19/03 SD IRT G2P1A0 22/08/2022 29/05/2023
7 MIRA / TEGAR 06/07/2001 22 20/03 SLTA IRT G1P0
8 35756 UMUM 3519156512930001 DESY SUSANTI / RENDY EKO 25/12/1993 29 085645457360

JATIREJO 05/02
SLTA IRT G2P1A0 18/8/2022 25/5/2023
JANUARI 2023
1 3519084201010002 FIRAWATI / DANANG P 02/01/2001 22 20/03 SLTA SWASTA G1P0A0 17/10/2022 24/07/2023
2 27154 UMUM 3519154507990002 MARIANI / EDI P 5/07/1999 24 21/03 SLTA SWASTA G1P0 28/11/2022 05/09/2023
3 21554 UMUM 3519155303980002 ARLITA M / YAMATNO 13/03/1998 25 85707572632 06/02 SLTP IRT G1P0 30/11/2022 07/09/2023
4 36391 BPJS LW 3519156402910001 ANISA DU / YOYOK 24/02/1991 32 081515725007 17/01 SLTA IRTG3P11002, GEMELLI
11/07/2022 18/04/2023
PEBRUARI 2023
NIHIL
MARET 2023
1 08983 bpjs 3519155108850001 BINTI UMIATUN / AGUS BAMBANG 11/08/1985 37 18/01 SD IRT G3P2 15/01/2023
2 6676 UMUM 3519156005770001 WIJI ASTUTIK / SUJIANTO 20/05/1977 46 RT 2/02 SMP IRT G2P1 15/09/2022 22-6-2023
3 36849 BPJS ELVIRA IKA / RENDI W 7/7/2003 19 82009156001 RT 7 /2 SLTA IRT G1P0 24/6/2022 31-03-2023
4 36851 BPJS INDAH . U / PENI DEDI 7/1/1986 37 RT 9 /2 SD IRT G5P3A1 25-06-2022 1/4/2023
DATA IBU HAMIL DESA JATIREJO
BB PEMERIKSAAN LABORAT TRIM 1 PEMERIKSAAN LABORAT

SEBELU SKORE
M TB LILA KSPR FAKTOR RESIKO LAINNYA SIPILIS HBSAG PROTEIN
TGL LAB. HIV (R/NR)
(R/NR) (R/NR)
HB GDA GOLDA AU
URINE
REDUKSI TGL AB. GDA HB
HAMIL
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33
82 168 28 2 13 OKTOBER 2022 NR NR NR 11,9 128 A+ 3,3 POS 1 POS 1
56 150 26 2 K5 PEBR 23 20 OKTOBER 2022 NR NR NR 11,8 116 B+ 4,8 NEG NEG
55 153 28 10
72 159 30 2 30-Nov-22 NR NEG NEG 12.2 120 O+
48 150 24 6
46 155 26 10 TUA, UAT 15 TH 16/03/2023 NR NEG NEG 12,8 107 O+
48 150 24 3-Nov-22 NR NEG NEG 12,4 86 O+ 3,5
42 151 23 2 ABORTUS MARET 2023
38,5 143 23 6 6-Feb-23 NR NEG NEG 11,0 109 O+
53 160 27 10 8-Feb-23 NR NEG NEG 12,9 87 O+ 4,1 NEG NEG
73 154,5 31 DM ABORTUS MARET 2023

46 146,5 23,5 TUA, JARAK ANAK 15 TH 29-03-2023 NR NEG NEG 12,8 104 O*
64 152 27 26-02-2023 NR NEG NEG 12,6 110 B* NEG NEG
65 158 30 USIA IBU 37 DAN ANAK KE 4 5/1/2023 NR NEG NEG 10,3 O* NEG NEG
KETERANGAN ( bln
PROTEIN URINE partus/abortus)
URINE REDUKSI
34 35 36
ABORTUS
ABORTUS
DATA IBU HAMIL DESA PURWOSARI
BPJS USIA BUMIL

BLN PENDIDI PEKERJAAN GRAVIDA
NO ELLINK KETEM NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT
U KAN IBU IBU (G....A…)
UMUM TGL LAHIR USIA TH
1 2 3 4 5 6 7 8 9 10 11 12 13
1 12948 3519135908930002 AYU DEWI PERWITASARI 19/08/1993 29 085785970419 04/01 G2P0A1
2 001210 3519155106850003 SUSWATI 11/06/1985 37 085785629332 18/06 SMA WIRASWASTA GIIIP1A1
3 CICI A 22 14/04 G1
4 7057 BPJS 3519154706980002 ELSA JUWININGSIH /ARIF RIKI 7/06/1998 24 PURWOSARI 08/02 SMA KARYAWAN SWASTA G1
5 ENDAH TRI W / SUPRIYANTO 28 19/06 G1
6 9363 BPJS 3519155905990002 HILDA RATNA S / SUYONO 19/05/1999 23 17/06 SMA IRT G1
7 ASTRI K / SUPRIYONO 24 18/06 G1
8 545 BPJS 3519154812970001 DIAS RAHMAYANTI/ MUMAZI ZAINI 08/12/1997 25 12/03 SMP IRT G2P1A0
9 030411 BPJS 3519156807980001 SUCI RUSTININGRUM 28/07/1998 24 06/02 SMA IRT G1P0
10 015300 BPJS 3519156809020002 BERLIANA PURWIANTARI / RIO FALENTINO 28/09/20002 20 081217886032 PURWOSARI 12/03 SMA IRT G1P0
11 13015 BPJS 3519156105950001 DITA SAPUTRI/YUSUF SANTOSA WIBOWO 21/05/1995 27 082244741623 05/01 SMA PENJUAL PENTOL G2P1
12 3519066212000001 DONA SUKO WARDHANI / M. AJI BAYU PANGESTU 36882 22 SK 16/5 SMK IRT G1
13
JANUARI 2023
1 3116 UMUM 3519155807840003 ATIK SRI RAHYU / SUDARSONO 7/18/1984 38 PURWOSARI SMK IRT G3P2
2 35725 BPJS 3519155110910001 LILIANA INTAN DEWI / SISSAK FRAMANA PUTRA 10/11/1991 32 PURWOSARI 13/4 SMA IRT G2P1
3 BPJS 3519084210840003 ALIMANASYAMIAH / RUDYY EKO SISWONO 10/2/1984 38 PURWOSARI 11/3 SMA IRT G6P5
4 8867 UMUM 3519155909930002 HEPPY TRISNA PUTRI / DONI SUTRISNO 9/19/1993 30 PURWOSARI 16/5 SMA GURU G2P1
5 11113 BPJS 3519156401960001 FARIDA MUSTIKANINGRUM / NUHAN HIDAYATI 1/24/1996 26 PURWOSARI 7/2 SMK IRT G2P1
PEBRUARI
1 026732 BPJS 07/02/2023 3519156208930001 LIA DWI SANJAYA / SUGENG HARIANTO 22/08/1993 30 PURWOSARI 13/04 SMP IRT G2P1
2 21769 BPJS 3519157003940001 FOURY CHRISTYA Y. /BAYU TRI CAHYONO 30/03/1994 29 081290766945 PURWOSARI 12/03 D3 FARMASI
KARYAWAN SWASTAG3P1A1
3 006233 BPJS 3519156508000001 EVA SRI PUSPITASARI / WIYANTO 25/08/2000 23 082338865538 PURWOSARI 13/04 SMA SWASTA G1P0
MARET
ARINA MITA SRI S / BAHLAWI PL 14/4 IRT G2P1
036781 BPJS 3403144601010001 VINA PRASASTI / BAGUS SETYAWAN 06/01/2001 22 0881036658936 TEMPLEK 06/02 SMP IRT G3P1A1
BB FAKTOR RESIKO
HPHT HPL SEBELU TB LILA KSPR PROTEI REDUK PROTEI URINE
M HAMIL LAINNYA HIV SIPILIS HBSAG
TGL LAB (R/NR) (R/NR) (R/NR) HB GDA GOLDA AU N SI TGL LAB GDA HB N REDUK
URINE URINE SI
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
08/03/2022 15/12/2022 30 JUNI 2022 NR NR NR 13.5 120 O NEGATIFNEGATIF
27/03/2022 28/12/2022 64 155 25 23 JUNI 2022 NR NR NR 12.9 155 B+ 4.5 NEGATIFNEGATIF
20/07/2022 27/03/2023 24 2
10/07/2022 17/04/2023 65 153 25 2 1/12/2022 NR NEG NEG 11,6 160 B+ 30/03/2023 71 12.9 NEG NEG
13/07/2022 20/04/2023 28 2
08/06/2022 15/03/2023 53 162 26 2 16-Nov-22 NR NEG NEG 143 O+ 4,8
13/07/2022 30/04/2023 26 2
29/09/2022 06/07/2023 53 153 25 2 8-Nov-22 NR NEG NEG 114 B+ 4,3
27/08/2022 4/06/2023 89 155 40 24-Nov-22 NR NEG NEG 91 A+
08/07/2022 15/04/2023 48 160 19 2 KEK 29-Nov-22 NR NEG NEG 10 70 14/02/2023 85 12,6 NEG NEG
1/09/2022 8/06/2023 39 158 19.5 2 13 DESEMBER 2022 NR NEG NEG 12,3 B+
03/05/2022 10/02/2023
LUPA 62 163 29 6 T.TUA
25/09/2022 03/07/2023 46 142 24 6 T.LM HML LG
13/04/2022 20/01/2023 54 159 26
20/11/2022 27/08/2023 55 154 27
LUPA 58 152 27 T. CPT .HML. LAGI

LUPA 21/04/2023 96 157,5 38 6 OBESTITAS, SKRENING PE+ 7/2/2023 NR NEG NEG 12,9 107 A+ 21/03/2023 85 12,7 NEG NEG
5/06/2022 12/03/2023 65 153 25 14 BSC, RIWAYAT ABORTUS 27/02/2023 NR NEG NEG 11,8 124 O+
9/12/2022 16/09/2023 48 146 23 KEK 2/03/2023 NR NR NR 13,4 108 A+
06/08/2022 13/05/2023
20/01/2023 27/10/2023 59 158 32 6 RIWAYAT ABORTUS 24/03/2023 NR NEG NEG 12,1 112 O+
KETERANGAN ( bln
partus/abortus)
36
DA
USIA BUMIL
NO REG
BPJS/ BULAN
NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT
PENDIDIKAN PEKERJAA GRAVIDA
HPHT
UMUM KETEMU IBU N IBU (G....A…)
TGL LAHIR USIA TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 035299 2022 3519155005910002 WATINI / KUSAIRI 10/05/1991 31 07/03 SMP IRT G2P1 17/06/2022
2 004837 2022 3577026001970001 SAKA MARCELINE / PRINCA 20/01/1997 25 082228404324 01/01 D4 IRT G2P1A0 08/07/2022
3 25284 UMUM 2022 3520184704950001 SUSI WIDIYANTI 07/04/1995 27 04/02 SMA IRT G2P0A1 27/07/2022
4 030423 BPJS 2022 3519106706920003 TUTIK INDRA SUSILOWATI 27/06/1992 30 082244935550 09/04 S1
KARYAWAN SWASTA
G1P0A0 25/07/2022
5 bpjs 2022 3308106303990005 LUTHFI SHOLIKHAH / NANANG 23/3/1999 23 89601126681 RT 01 / 01 SMA IRT G1P0A0 18/07/2022
6 bpjs 2022 6403055706840002 KHOLIFATUL M / ZAINAL 17/5/1984 38 81250322440 RT 10 /04 SMA IRT G3P2 9/8/2022
7 18931 BPJS 2/02/2023 3519155103900002 AMALYA TRI SUCI DEWANTI/FAUZUL BADDAROUDIN 11/03/1990 33 082234213073 KLITIK 01/01 S1 PNS G2P1 18/08/2022
JANUARI
8 003754 UMUM 3519156111950001 HINDUN RULIYANA / ARIS 21/11/1995 27 085859868116 KLITIK 05/02 SMA IRT G2P1 16/10/2022
10 3521100204950002 SUPRIYANI/WARTOYO 4/2/1995 28 87861046853 KLITIK 4/2 SMA IRT G2P1 01/11/2022
11 3519155212970003 QURROTUL AINI/NAFI 12/12/1997 26 83114385043 KLITIK 4/2 SMA IRT G1P0A0 15/12/2022
PEBRUARI
15 18680 BPJS 3519156605040002 RETNO DYAH AYU SEKAR / MUH. TEGAR RIZKI 26/05/2004 18 083894868582 KLITIK 04/02 SMP IRT G1P0 8/08/2022
MARET
17 34337 3519156810020002 NILA NURLAILIA / AHMAD ZIKRON HAQIQI 28/10/2002 21 087887944951 KLITIK 10/04 SMA IRT G1P0 18/09/2022
18 028787 BPJS 3519155209020001 NANDA RIZKY W / GATOT JOKO S 12/09/2002 20 085834649089 KLITIK 12/04 SMK IRT G1P0 26/12/2022
19 3519156204850003 HERLIN NURCAHYANI/DESI EKO ARISANDI 22/4/1985 38 085708285287 KLITIK 11/5 SMA
KARYAWAN SWASTA
G3P1A1
20 3519156908970001 YUNDA MAHARANI / SUSILO 29/08/1997 26 KLITIK 02/01 D3 PERAWAT G1P0 23/06/2022
21 3519154404920001 CHUSNAH MIFADHOR /RIKI HAMDANI 04/04/1992 31 KLITIK 05/02 SMP IRT G2P1 15/01/2023
22 3519155504830001 ANIK SUPRIATIN / PARISTYO 25/04/1983 40 085706794479 KLITIK 02/01 SMA IRT G3P1A1 15/01/2023
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
DATA IBU HAMIL DESA KLITIK

BB
SKORE
HPL SEBELUM TB LILA FAKTOR RESIKO LAINNYA
KSPR
HAMIL HIV SIPILIS HBSAG PROTEIN REDUKSI
TGL LAB HB GDA GOLDA AU TG LAB. GDA HB PROTEIN URINE
(R/NR) (R/NR) (R/NR) URINE
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
24/03/2023 50 150 28 8-Sep-22 NR NR NR 12.8 101 A 3.7 NEG NEG
15/04/2023 81 167 31 RIWAYAT PARTUS PREMATUR, SKRENING PE 15-Sep-22

+ NR NR NR 11.7 99 O+ 3.9 NEG NEG 16/03/2023 70 12,6 NEG
03//05/2023 40 148 22.5 RIWAYAT ABORTUS 4-Nov-22 NR NEG NEG 12.6 89 O+ 4.1 NEG NEG
26/04/2023 58 154,5 25 LAMA NIKAH 6 TH 8 DESEMBER 2022 NR NEG NEG 10,1 93 A+
25/05/2023 57 163 24
16/05/2023 60 156 28
25/05/2023 59 160 27 02/02/2023 NR NEG NEG 10,5 117 A+
23/07/2023 61 155 26 29 DESEMBER 2022 NR NEG NEG 11,3 100 2,5
08/08/2023 47 150 25
22/09/2023 50 155 27
15/05/2023 45 154 23 6 KEK+ ANEMIA 07/03/2023 NR NR NR 8,0 75 O+
23/06/2023 40 154 18,5 6 KEK 27/03/2023 NR NEG NEG 11,8 141 AB+
03/10/2023 53 153.5 24,5 10/03/2023 NR NR NR 13,2 100 O+
94 160 33 OB,PERNAH GAGAL HAMIL

30/03/2023 55 155 28 2 SUDAH LAB
22/10/2023 58 156 28 2
22/10/2023 52 155 27 10 RIWAYAT ABORTUS

KETERANGAN ( bln
partus/abortus)
URINE REDUKSI
35 36
NEG
bpjs USIA BUMIL
PENDIDI PEKERJAAN
NO ellink BLN NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT KAN IBU IBU
umum TGL LAHIR USIA TH
1 2 3 4 5 6 7 8 9 10 11 12
2 018635 bpjs 3519155408910001 TRI INDAH L / RIZAL PUJI K 14/08/1991 31 085732033881 03/01 S1 IRT
3 009500 3519156003960001 DEWI MUJAYANA / SAID NUR Z 20/03/1996 26 085600129151 20/03
4 9250 bpjs 6402086108940001 IKA BUNDUN / SYAIFUL A 21/08/1994 28 0859175612727 11/02 SMA IRT
5 021212 bpjs 3519155810980001 NINDA NOVIKA / MISBAHUL ULUM 18/10/1998 24 085755457723 11/02 SMAKARYAWAN SWASTA
7 6332 3519154311830001 SULASIANI / BUDIANTO 3/11/1983 39 05/01
8 008692 3519155108010002 KHOLIFATUN / SHOKIB JAMIL 11/08/2001 21 081553988724 01/01
11 035830 bpjs 6104175109000002 SURYANI / MOH. CHOIRUL ANAM 11/09/2000 22 081342296945 PLUMPUNGREJO 18/03 SMA IRT
12 035790 BPJS 3519155710900001 NUR SANTI / MARJITO 17/10/1990 27/04 SMP IRT
13 036299 BPJS 19/01/2023 3519115105970001 DEWI WULANSARI / IFANUDIN 5/11/1997 25 089365238122 PLUMPUNGREJO 2/01 SMA IRT
14 015051 BPJS 3505175310860001 DWI SUSILOWATI / SUDARMAN 03/01 SMP DAGANG
15 026910 3519156711890009 PUJI IRAWATI / SUGIYO 26/4 SMP IRT
16 012439 BPJS 3519085003920003 INDAH DWI LESTARI / SUYATNO 03/10/1992 30 0895705305244 PLUMPUNGREJO 25/4 SMP IRT
17 007178 bpjs 3519156210930001 MUNDARI SUSANTI / ANDIK L 22/10/1993 29 081996115192 PLUMPUNGREJO 23/3 SMP IRT
18 YENI PITASARI / DARMAWAN PLUMPUNGREJO 21/3
19 BINTI MASITOH / MASRUM B PLUMPUNGREJO 3/1
20 NI'MATUL K / ANDANA F PLUMPUNGREJO 10/1

21 031332 BPJS 3519155301930001 SULASTRI / M ABDUL K 13/01/1993 29 081249915579 PLUMPUNGREJO 10/1 SMP IRT
22 035322 3519155803980002 ARIKA / IRFAN P 18/03/1998 24 081556468896 PLUMPUNGREJO 27/4 SMA IRT
23 022687 UMUM 19/01/2023 3519154508000003 CHOIRUL MUMFAATI / AGUS SUGIANTO 5/08/2000 22 PLUMPUNGREJO 27/4 SMA IRT
24 KARMINING / HENDRO TUGAS 16/03 SMA IRT
25 BAYU KRISTIANA / YONO 14/02 SMP IRT
26 036229 BPJS 3519156102920001 KARMINING / HENDRO TUGAS MIKO 21/02/1992 30 PLUMPUNGREJO 16/03 SMA IRT
27 018114 BPJS JAN'23 3519154907900001 YENI PITASARI / DARMAWAN 09/07/1990 32 PLUMPUNGREJO 22/03 SD IRT
28 036287 UMUM JAN'23 3518077003870005 SUHARTININGSIH / MUH. SAIKUDIN 30/03/1987 36 PLUMPUNGREJO 08/01 SMA IRT
1 12/1/2022 ULFA LAILI NUROHMAH 24 PLUMOUNGREJO RT 6/1 SMK IRT
januari
1 4153 umum 1/1/2023 3518074702950000 SITI LAILATUL FITRIYAH/ TURMUDI 07/02/1995 27 083131710006 PLUMPUNGREJO RT 18/3 SLTA IRT
2 16143 BPJS 1/02/2023 3519155310950001 ANISA KAERAN / ANDIKA EDWIN BASKORO 13/10/1995 27 085784875878 PLUMPUNGREJO 11/02 SI IRT
3 015262 UMUM 1/17/2023 3519154503910000 WIWIK NURWATI/ SUGENG WALUYO 3/5/1991 31 085867354207 PLUMPUNGREJO RT 27/4 SLTP IRT
4 014369 BPJS 3519155803010002 DANIK PUSPITASARI / MUH. SIDIK IHSANUDIN 18/03/2001 22 087756872784 PLUMPUNGREJO 15/02 SMA IRT
5 1/10/2023 3519154306940002 RENI EKASARI / IPUNG PAMBUDI 8/7/1994 28 PLUMPUNGREJO 09/01 SLTA IRT
6 030994 BPJS 20/02/2023 3174065207860005 WURI YULIATI / AGENG ARIF 12/07/1986 36 085647136836 PLUMPUNGREJO 03/01 S1 IRT
7 BPJS 1/6/2023 3519156911900003 ARUM NURKAYATI / IVAN VERDIANTO 11/29/1990 32 PLUMPUNGREJO 4/1 SLTA IRT
36130
PEBRUARI
MELINDA PUTRI J / KHOIRUL NUR M ( MSK K1
35367 BPJS 16/02/2023 3519155007020001 DI PLUMP BLN SEPT) 10/07/2002 20 PLUMPUNGREJO 03/01 SMA IRT
1 036555 BPJS 21/02/2023 3316014801940001 YAYUK ROBIANA / SUBARI 8/01/1994 29 PLUMPUNGREJO 23/04 SD IRT
2 01/02/2023 3519155202950004 WIWIK WIRANTI / BAMBANG SATRIO 28 PLUMPUNGREJO 14/2 SLTA SWASTA
12/02/1995 85852508328
MARET
025313 BPJS 3/2/2023 3519154107980004 EVA DEWI LESTARI / MUH. RIZAL FAHKHRUDIN 01/07/1998 24 085807423859 PLUMPUNGREJO 25/04 SMA IRT
BPJS 3/15/2023 3519125912980000 RENI HARIYANTI / WAHYU NUGROHO 12/19/1998 25 087823683736 PLUMPUNGREJO 21/03 SLTA IRT
UMUM 3/20/2023 3519154411960002 SITI NUR HIDAYAH / SISWAHYUDI 11/4/1996 27 PLUMPUNGREJO 25/04 SD IRT
BPJS 3/30/2023 3173055701900000 ROFIKHOH AMALIA / JAROT SUGIYANTO 1/17/1990 33 PLUMPUNGREJO 07 / 01 SLTA IRT
DATA IBU HAMIL DESA PLUMPUNGREJO
BB PEMERIKSAAN LABORAT TRIM 1

GRAVIDA SEBELU
(G....A…) HPHT HPL M TB LILA SKOR FAKTOR RESIKO LAINNYA
TGL PERIKSA LAB HIV (R/NR)
SIPILIS (R/NR)
HBSAG (R/NR) HB GDA GOLDA AU PROTEIN URINE
REDUKSI
HAMIL
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
G2P1 14/04/2022 21/01/2023 56 147 27 25 agustus 2022 NR NR NR 11.1 95 AB Rh+ 2.9 NEG NEG
G1P0A0 25/04/2022 01/02/2023 22 14 juli 2022 NR NR NR 12 O NEG NEG
G2P1 24/04/2022 31/01/2023 50 149 27 2 7 oktober 2022 NR NR NE 12.3 111 B+ 2.3 NEG NEG
G1P0A0 08/06/2022 15/03/2023 48 154 24 2 15-Sep-22 NR NR NR 10.8 91 B+ 3 NEG NEG
G4P2A1 07/06/2022 15/03/2023 29 14 TUA, GRANDE, RIWAYAT ABORTUS16 agustus 2022 NR NR NR 13.1 105 4.9 NEG NEG
G1P0A0 02/05/2022 09/03/2023 27 2 18 agustus 2022 NR NR NR 11.3 90 B RH+ 4 NEG NEG
G1P0A0 24/07/2022 01/05/2023 55 155 27 2 17-Nov-22 NR NEG NEG 10,7 93 O+
G2P1 03/07/2022 10/04/2023 54 151 24 6 UAT 12 TH 17-Nov-22 NR NEG NEG 11,6 86 B+
G1P0 17/05/2023 42 152 21,5 2 KEK 19/01/2023 NR NEG NEG 13,5 91 O+
G2P1 20/08/2022 27/05/2023 45 155 24 6 ASTMA NR NEG NEG 11,5 114 B+
G3P2 29/07/2022 06/05/2023 44 147 22 2 NR NEG NEG 10,3 69 B+
G2P1 04/03/2022 11/12/2022 53 158 24 20/06/2022 NR NEG NEG 12,8 B+
G2P1 29/4/2022 02/06/2023 66 149.5 29 13 oktober 2022 NR NR NR 11,8 93 O+ 4,0 NEG NEG
G2P1 22/08/2005 23/02/2012 31 UAT 15 TH
G1P0 22/09/2010 23/06/2017 23.5
G1P0 22/09/2009 23/06/2016 25

G2P1 09/09/2022 16/06/2023 58 164 25.5 UAT 1 desember 2022 NR NEG NEG 14,0 116 B+
G1P0 11/09/2022 18/06/2023 21 8 DESEMBER 2022 NR NEG NEG 12,1 150 B+
G1P0 23/09/2022 30/06/2023 53 155 25.5 19/01/2023 NR NEG NEG 11,7 92 B+
G2P1 15/09/2022 22/06/2023 43 146 23 2
G2P1 18/08/2022 25/05/2023 81 158 34 10 USIA, UAT 14 TH
G3P1A1 15/09/2022 18/06/2023 42.5 146 22.5 6 RIWAYAT ABORTUS 1X 05/01/2023 NR NEG NEG 12.6 122 B+
G2P1 5/08/2022 12/05/2023 66 150 31 12/01/2023 NR NEG NEG 11,5 122 A+
G3P2 21/04/2022 28/01/2023 65 151 30 TUA, UAT 1,5 TH, RIWAYAT PE 10/10/2022 NR NEG NEG 11,4 B+
G3P0A2 13/12/2022 20/07/2023 58 156.5 28 6 RIWAYAT ABORTUS 1X
G2P1 23/11/2022 30/08/2023 49 151 25 2 16/03/2023 NR NEG NEG 11,0 108 O+
G1P0 30/10/2022 6/08/2023 69 146,5 31 1/02/2023 NR NEG NEG 11,5 117 B+
G2P1 17/11/2022 24/08/2023 60 151 28 8 UAT 12 TH 16/02/2023 NR NEG NEG 12,7 104 O+
G1P0 21/09/2023 82 158 32 2 22/02/2023 NR NEG NEG 14 107 O+
G2P1 21/08/2022 30/05/2023 67 156 31 10 BSC
G3P0A2 20/10/2023 27/07/2023 57 153 26,5 ABORTUS 2X 20/02/2023 NR NEG NEG 10 103 B+
G2P1 14/04/2022 21/01/2023 58 150 28 6 UAT 12 TH
G1P0 29/05/2022 08/03/2023 56 155 23,5 2 15/09/2022 NR NEG NEG 10,8 98 O+
G3P2 5/12/2022 12/09/2023 66 150 32 22/02/2023 NR NEG NEG 13 109 B+

G2P0A1 31/12/2022 08/10/2023 52.5 162 23 6 ABORTUS 1X, KEK
G1P0 05/01/2023 12/10/2023 55 153,5 25 2 09/03/2023 NR NR NR 13 94 O+
G2P0A1 12/30/2022 9/6/2023 52.5 142 26.5 6 ABORTUS 1X

USG1=22-3-2023, USG
G2P101 7/2/2022 2=15-4-2023 50 143 23.5 2 POST DATE??????
G2P1 2/1/2023 11/8/2023 63 151 28 6 UAT 13 TH

KETERANGAN ( bln
PROTEIN URINE partus/abortus)
TGL LAB. GDA HB
URINE REDUKSI
31 32 33 34 35 36
4 januari 2023 100 11,9 NEG NEG
11 JANUARI 2023 99 12,5 NEG NEG
16/02/2023 82 11,7 NEG NEG
16/03/2023 96 12 NEG NEG
1 DESEMBER 2022 104 12,7 NEG NEG

16/02/2023 89 13,2 NEG NEG
DATA IBU HAMIL DESA WONOASRI
BPJS USIA BUMIL
BULAN PENDI
NO ELINK KETEMU NIK IBU NAMA BUMIL / SUAMI NO HP ALAMAT DIKAN PEKERJAAN IBU
USIA IBU
UMUM TGL LAHIR TH
1 2 3 4 5 6 7 8 9 10 11 12
1 010530 BPJS 1 3519156903950001 LIANA SUSILOWATI / MAHBUD 29/03/1995 27 083856991170 WONOASRI 09/05 SMP IRT
2 015604 BPJS 1 3519036804880001 DENIK PURNAMASARI/ HARIADI 28/04/1988 34 08972112380 WONOASRI 09/05 SMA IRT
3 020815 UMUM 1 3519156710000002 IMROATUS SHOLIHAH / IMAM FAUZI 20/11/2000 22 085755172107 WONOASRI 12/06 SMP IRT
4 035878 BPJS 1 3519155509800001 SUKARTI / NUROCHIM 15/09/1980 42 083851262203 WONOASRI 01/01 SMP IRT
JANUARI 2023
5 036017 BPJS 1 3519155008950001 KHULIMATUL MUAMANAH/RYAN ZILAJIYAN 10/08/1995 27 082275515995 WONOASRI 07/04 D2 IRT
6 36329 UMUM 1 3518097110840002 SRI WULANDARI/ROMADON 31/10/1984 38 08985530479 WONOASRI 01/01 SMA IRT
7 28603 BPJS 3519156205940001 ISKARLINA/AAN SETIYOKO 22/05/1994 28 085641636713 WONOASRI 02/01 SMA IRT
8 26685 UMUM 2/02/2023 3519156303990001 SUSWATI / IHAM PRAMUJIONO 23/03/1999 23 085850982714 WONOASRI 11/06 SMA KARYAWAN SWASTA
PEBRUARI
9 013579 UMUM 14/02/2023 3519154806920001 PITRI ANI / SUTAJI 08/06/1992 31 082196561818 WONOASRI 07/04 SMP IRT
10 035060 UMUM 09/02/2023 3519154107960001 ANISA NUR HIDAYAH/M KHABIB BULLOH 1/07/1996 26 085746605985 WONOASRI 04/02 SMA SWASTA
11 007612 UMUM 2/13/2023 3519154409840001 UMI KORIYAH/SUPRIYONO 4/09/1984 38 085330337984 WONOASRI 06/03 SMA IRT
12 034569 UMUM 2/23/2023 3519156509880003 DINI RETNO ASIH / ARIP BUDIANTO 25/09/1988 34 081359773351 WONOASRI 08/04 SMA IRT
13 003465 BPJS 3/1/2023 3519155508990001 WIJIATI/ CHOIRUL ZADIT F.T 15/08/1999 23 081231397604 WONOASRI 09/05 SMA IRT
14 024886 BPJS 3/2/2023 3519075307900001 YULI NURKHAYATI/HERI KUSTIAWAN 13/09/1990 32 089696758936 WONJOASRI 01/01 SMP IRT
MARET
15 02118 BPJS 3/15/2023 3519155710970001 INFACHUR YUDIA NURHAYATI / SUGIANTO 17/10/1997 24 082340888158 WONOASRI 04/02 SMA KARYAWAN SWASTA
16
APRIL
10
11
12
13
14
26
27
28
29
30
31
32
33
34
BB
GRAVIDA SEBELU
(G....A…) HPHT HPL M TB LILA SKOR RT FAKTOR RESIKO LAINNYA
HBSAG PROTEIN
HAMIL TGL ALB HIV (R/NR) SIPILIS (R/NR) (R/NR) HB GDA GOLDA AU URINE REDUKSI
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
G2P1A0 10/06/2022 17/03/2022 52 151,5 25.5 2 8-Sep-22 NR NR NR 11.2 112 A 2.3 NEG NEG
G4P2A1 22/07/2012 23/04/2019 41 144 23 18 IUFD, ABORTUS, BSC 17-Nov-22 NR NEG NEG 12,2 93 B+ 3,7
G1P0A0 6/09/2022 13/06/2023 46 149 23,5 2 24-Nov-22 NR NEG NEG 11,7 87 O+
G3P2A0 2/06/2022 9/03/2023 55 158 28 6 USIA>35 24-Nov-22 NR NEG NEG 10,4 156 B+
G1P0 1/10/2022 08/07/2023 56,8 152 25 2 NR NEG NEG 12,5 95 A+
G2P1A0 10/11/2022 17/08/2023 59 148 28 10 USIA>35. AT>10 TH NR NEG NEG 14.7 227 B+ NEG NEG
G2P1A0 25/11/2022 02/09/2023 43 150 25 2 23/02/2023 NR NEG NEG 12,6 97 B+
G1P0 15/10/2022 22/07/2023 75 155 32 02/02/2023 NR NEG NEG 13,5 142 A+
G2P1 12/12/2022 19/09/2023 51 156 24,5 2 14/02/2023 NR NEG NEG 12,7 100 O+
G1P0 10/12/2022 17/09/2023 46 138,5 24,3 6 TB IBU PENDEK 09/2/2023 NR NEG NEG 13,5 112 B+
G3P2A0 13/01/2023 20/10/2023 51,5 155 25,5 6 USIA TUA 15/03/2023 NR NR NR 12,1 130 B+
G1P0 28/12/2022 4/10/2023 54 153 25 2
G1P0 02/01/2023 09/10/2023 70 155 30 2 09/03/2023 NR NR NR 12 112 O+

G2P1 22/12/2022 29/09/2023 44 145 22,5 6 KEK 3/30/2023 NR NR NR 12.2 102 O+
G1P0 27/01/2023 11/4/2023 41,5 152,5 20 6 KEK

KETERANGAN ( bln
partus/abortus)
PROTEIN URINE
TGL LAB GDA HB URINE REDUKSI
31 32 33 34 35 36
16/02/2023 88 13 NEG NEG
21/02/2023 87 12,9 NEG NEG
21/02/2023 78 11,1 NEG NEG

ALAMAT
K1 di trimester I
NO NO ELLINK TANGGAL NAMA IBU LENGKAP (bkn nama panggilan )/SUAMI UMUR USIA PENYEBAB IBU DIRUJUK PENYEBAB BAYI DIRUJUK CARA PENOLONG
LAHIR IBU KEHAM PERSALINAN
ya tdk RT/RW
1 2 3 4 5 6 7 8 9 10 11 12 13
1 010530 3/11/2023 SUKARTI / NUROCHIM 1 WONOASRI 01/01 42 40 SPONTAN BIDAN

2 015604 3/20/2023 LIANA SUSILOWATI / MAHBUD 1 WONOASRI 09/05 24 40 TFU > 32 CM SPONTAN BIDAN
3 1724 09/03/2023 SITI LIARSIH/ WAGIYO 1 SIDOMULYO 3/1 35 40 NORMAL BIDAN
4 14913 18/3/2023 SUYATI/ WIJIANTO 1 SIDOMULYO 26/8 41 40 KPD NORMAL RS
5 03/03/2023 VIKI/APRIAN 1 SIDOMULYO 3/1 29 40 BSC SC MERPATI
6 04/03/2023 MELINDA PUTRI JULIANTI/ CHOIRUL NUR M 1 PLUMP 3/1 23 40 - - SPONTAN BIDAN
7 13/03/2023 DESI TRI WAHYUNI / DUWI SETIAWAN 1 PLUMP 23/4 24 40 - KET MEKONIAL SPONTAN BIDAN
8 17/03/2023 NINDA NOVIKA / MISBAHUL ULUM 1 PLUMP 11/2 23 40 PERJ FASE LATEN - SPONTAN DRIP BIDAN
9 28/3/2023 YUNITA ANGGUN/BAYU AJI W 1 KLITIK 10 RW 4 29 39 NORMAL BIDAN
10 22/03/2023 YUNDA / SUSILO 1 KLITIK 02/01 26 39 NORMAL BIDAN
11 26/03/2023 WATINI / KUSAIRI 1 KLITIK 07/03 31 39 NORMAL BIDAN
12 36849 17/03/2023 ELVIRA EKA -RENDY WIBOWO V JATIREJO 07 / 02 19 38 NORMAL BIDAN
13 36851 24/03/2023 INDAH UTAMI- PENI DEDI .P V JATIREJO 9 / 02 37 39 NORMAL BIDAN
14 35935 30/03/2023 INTAN YUNITA- SYAIFUL .B V JATIREJO 15 / 01 30 40 PARTUS LAMA SC DSOG
15 1/03/2023 DIANA SORAYA/ SUGENG 1 BUDURAN 10/04 36 3 40 SPONTAN

16 08/03/2023 DEVITA TRI / SUNARYO 1 BUDURAN 09/03 34 4 36 KPD DRIP
17 16/03/2023 SUYATI / MIANTO 1 BUDURAN 08/03 37 4 37 LETSU DRIP
18 23/03/2023 FIDIA DEWI / WAWAN 1 BUDURAN 16/06 38 2 38 SPONTAN
19 019391 15/03/2023 LINDA NUR F / DEVI W 1 BANCONG 04/1 23 1 38 SPONTAN
20 20/03/2023 PUTRI NURFA A/RESPATI 1 BANCONG 04/1 27 1 38 SC
21 29/03/2023 Lailatul Fitriyah / Husein Rifai 1 BANCONG 10/2 30 2 40 SPONTAN

22 06/03/2023 AMINATUL MUNAWAROH-DIDIK PRASETIYO YA NGADIREJO RT 25 RW 11 26 39 N BIDAN
L/P
TEMPAT BB TB
L P
14 15 16 17 18
PMB 2800 48 1
RSUD CARUBAN 3300 48 1
PMB 3,6 50 1
CRBN 2,65 46 1
MDN 3,2 49 1
PMB 3500 50 1 -
PMB 3200 49 1 -
RS CRB 3100 50 1 -
PMB 3.2 49 1
PMB 3000 48 1
PMB 3400 48 1
PMB 2900 49 V
PMB 2870 49 V
RSUD 3000 49 V
BIDAN 3000 49 P
BIDAN 3200 49 P
BIDAN 2900 50 L
BIDAN 3700 50 L
BIDAN 3000 48 1
DOKTER 3090 47 1
BIDAN 3200 50 1
PMB 3100 50 1

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BPJS/ BLN

NO ELLINK NIK IBU

1 13183 UMUM 3519157105950002

2 10616 UMUM 3519156505010001

3 006835 BPJS 3519156811900001

4 015462 UMUM 3519155210870004

8 034554 UMUM 3519154607960001

9 014913 UMUM 09/02/2023 3519154507820001

11 1038 UMUM 3519155002900003

13 036472 BPJS 14/02/2023 3519127112950001

14 036183 UMUM 3519116106880001

16 014798 UMUM 3519154910940002

1 031469 BPJS JAN'23 3519155607020001

3 10331 UMUM 3519155212940001

4 023434 BPJS 3519156510900005

5 3496 BPJS 44927 3519156512000003

6 2797 BPJS 44927 3519154808860001

8 1315 BPJS 44927 3519154208950001

9 27731 BPJS 44927 3519157009990001

1 14273 BPJS 3519155103980001

2 34632 BPJS 2/26/2023 3519156302880001

4 #VALUE! 2/25/2023 3311096704970001

16 1620 BPJS 3519157010880001

17 36755 UMUM 3519156607940002

18 026575 BPJS 351915109980002

DEWI RATNA SARI / ARIS PRASETYO 31/05/1995 37 085927472853

VICHI ALVERA PUTRI R. 25/05/2001 21 085290953371

AULIYA NUR ROHMAH 28/11/1990 32 085655559583

ALFIDHA PUTRI 32052 35

SITI LIARSIH 25/02/1987 35

NOVIANA / TOFIK H 4/06/1995 27 085708261199

SITI NUR KHASANAH / YUTDI MARSON 17/09/1990 32 081333105634

NI'MATUL KHOIRIYAH / ANDANA 6/07/1996 26 085812489530

SUYATI 07/05/1982 41 085779499968

SRI RAHAYU / MUSTOFA 30319 29

KUSBIANTI/ BUDI DIANTORO 32914 32

AULIA NUROHMAH/TAUFIK R 11/8/1990 32

RIYANG PRASASTI/ FERRY NURDIANTO 21/12/1995 27

SANIYATUN 21/06/1988 34 085895558306

MUJI LESTARI / ZAINUL ARIFIN 09/10/1994 28

MITA KRISTIANA / YUDA PRATAMA 16/07/2002 20 '085648261572

SALBIYAH BINTI MULYANI / SUGENG P 12/12/1994 28 082141310389

RIKA YULIANA/ BUDIANTO 25/10/1990 27 085712044874

PUTRI WULANDARI 36540 22 083141604850

LUQVI ERNAWATI/ LAMINO 08/08/1986 36 083851142678

KHANIFATUR ROSIDAH/ ROHMAD 35010 27

EKA YULIATIN 34931 27

NOVITASARI / KRISNA YULI 36413 23

VITA RISTA / TEGUH PRAMONO 11/03/1998 23 081233987119

SUSANTI 23/02/1988 35 088989222496

DILLA SEPTIA RISWAHYUNI 28/09/2003 20 083119565531

ADI KUSUMA DEWI 27/04/1997 25 087822108165

EVI SUSANTI / SHON HAJI 31/10/1988 34 083845713257

NITA SARI / DAVID SUBARKAH 26/07/1994 28 085655569348

ANNISA PUJI HASTUTI / MUH. THOHIR 21/09/1998 24 085733354274

TRINDAWATI / FEBRIANTO 20/03/1993 30 08358993393

PENDIDI PEKERJA GRAVIDA

14/04 S1 GURU G1P0A0 7/07/2022

SIDOMULYO 14/ 04 S1 GURU G2P1A0 29/07/2022

SIDOMULYO 25/06 SMA IRT G3P2 3/09/2022

SIDOMULYO 03/01 SMP SD GIIIP2A0 LUPA

SIDOMULYO 10 /03 SMA SWASTA G2P1 LUPA