LAPORAN KUNJUNGAN IBU HAMIL

WILAYAH KERJA PUSKESMAS CINUNUK

Nama Bidan ATIN SUPRIATIN A.Md.Keb
Bulan/ Tahun : Mei 2023
ALAMAT HASIL PEMERIKSAAN KUNJUNGAN
UMUR
NO TANGGAL NIK IBU NAMA IBU NAMA SUAMI USIA JENIS FE HB KET
IBU DESA RT / RW HPHT G/P/A B L
HAMIL RISIKO
1 4/30/2023 Tini Dedin 36 Cimekar 02/05 G3P2A0 26MG 1 HR P P
2 5/1/2023 3204054606920004 Yuyun Tedi 31 Cimekar 01/21 2/7/2023 G3P2A0 12MG p P p
3 5/2/2023 3273246009950001 Sayyidah Raden 27 Cimekar 03/19 G1P0A0 35MG 5HR P P 13.1
4 Devi Frans 30 Cimekar 04/25 G3P2A0 6MG 1HR P
5 5/3/2023 Rini Abdul 29 Cimekar 05/16 G2P1A0 16MG 3HR P P TD4
6 3204055807940001 Yayu Lestari Tata 24 Cimekar 04/10 G2P1A0 16MG 1 HR P P
7 5/4/2023 Nita Febriani Triana 28 Cimekar 04/16 G2P1A0 14MG 1HR P P
8 Dedah Asep 32 Cimekar 01/16 G2P1A0 37MG 1HR P P
9 3204056808880001 Nina Edi 34 Cimekar 07/21 G2P1A0 22MG 4HR P P
10 Tuti Ali Nur 25 Cimekar 01/12 G1P0A0 12MG 3HR P P
11 5/5/2023 Khiifa Sahrul 24 Cimekar 03/17 G1P0A0 34MG P P
12 5/6/2023 3204055512970003 Machfudah Husein 25 Cimekar 03/29 G1P0A0 38MG 4HR P P
13 3204055512970003 Darry Faliha Zamzam 25 Cimekar 03/21 G1P0A0 32MG p P 13.7
14 5/9/2023 Heni Bagus 26 Cimekar 07/03 G2P1A0 39MG P P
15 Monica Seprians 26 Cinunuk 03/28 G1P0A0 4MG 3HR p
16 Yuli Jajang 28 Cimekar 05/15 G3P1A1 26MG 6HR P P
17 3204056507890006 Julianingsih Apan 33 Cimekar 02/14 G2P1A0 35MG P P
18 5/10/2023 Devita Nasrul 31 Cimekar 04/08 13-03-2023 G4P2A1 8MG 5HR p P
19 Elsa Diki 22 Cimekar 01/10 G1P0A0 11MG P
20 Putri Rian 21 Cimekar 01/07 G1P0A0 26MG 5HR P P
21 Endah Usup 33 Cimekar 06/06 G2P1A0 20MG 3HR P P
22 5/11/2023 Dedah Asep 32 Cimekar /16 G2P1A0 38MG P P
23 5/12/2023 3204056809840016 Ani Ujang 39 Cimekar 02/05 G3P2A0 20MG 4 HR P P TD4
24 Tika Budi 38 Cimekar 03/26 G5P2A2 14MG 4HR P P
25 Nur Sayyidah Radea 28 Cimekar 03/19 G1P0A0 37MG 2HR P P
26 Anggi Irfan 27 Cimekar 01/21 G2P1A0 31MG 2HR p P
27 5/13/2023 Suci Sahrul 24 Cimekar 01/21 G1P0A0 37MG 3HR P P
28 Nur Sayyidah Radra 28 Cimekar 03/19 G1P0A0 37Mg 3HR P P
29 5/14/2023 Tika Poniman 32 Cimekar 02/16 G1P0A0 12MG p P
30 5/16/2023 Rokayah Dodoy 28 Cimekar 02/08 G2P1A0 18MG 3HR P P TD2
31 Monica Seprianus 26 Cimekar 03/28 G1P0A0 5MG 4HR P
32 Heni Bagus 26 Cimekar 01/03 G2P1A0 37 MG 3HR P P
33 5/18/2023 Dedah Asep 32 Cimekar 01/16 G2P1A0 38MG 5HR P P
34 Nurhapita Kristianto 39 Cimekar /10 G5P3A1 17MG 5HR P P
35 Ratna Solihin 29 Cimekar 04/10 G2P1A0 19MG P P
36 Nina Edi 34 Cimekar 07/21 G3P2A0 22MG P P TD4
37 5/19/2023 3273205512890002 Sartika Budi 33 Cimekar 07/21 4/6/2023 G3P0A2 6MG 3HR p
38 Nursyifa Faiz 28 Cimekar 01/27 G2P1A0 13MG 4HR P P TD3
39 Sari Aziz 21 Cimekar 03/07 G1P0A0 24MG 5HR P P
40 5/20/2023 3204057001990004 Ratna Rizqi 24 Cimekar 05/15 G2P1A0 6MG p
41 Khilfa Sahrul 25 Cimekar 03/17 G1P0A0 36MG P P
42 Tini Dedin 36 Cimekar 02/05 G3P2A0 29MG P P
43 5/23/2023 Helvi Odang 28 Cimekar 04/19 G2P1A0 39 MG P P
44 Suci Sahrul 24 Cimekar 01/21 G1P0A0 38MG 3HR P P
45 5/24/2023 Julianingsih Apan 33 Cimekar 02/14 G2P1A0 37MG P P
46 5/26/2023 3204056603860001 Indri Faisal 36 Cimekar 03/05 G2P1A0 27 MG p P
47 Machfudah Husein 25 Cimekar 03/29 G1P0A0 41MG 3HR P P
48 3207086311980002 Rosi Didin 24 Cimekar 03/08 4/5/2023 G2P1A0 7MG 3 HR p
49 5/27/2023 Tuti Ali 25 Cimekar 01/12 G1P0A0 15 MG 5 HR P P
50 3211156511930001 Dini Agung 30 Cimekar 05/21 G3P2A0 12MG 3HR p P
51 29/02/2023 Alifia Hadi 24 Cimekar 03/11 G1P0A0 26MG 2HR P P
52 Novia Saeful 24 Cimekar 01/09 G3P1A1 29MG 2HR P P
53 Elsa Diki 22 Cimekar 01/10 G1P0A0 13MG 3HR P P
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 LAPORAN KUNJUNGAN AKSEPTOR KB BARU
WILAYAH KERJA PUSKESMAS CINUNUK
Nama Bidan : Atin Supriatin. A.Md. Keb
Bulan/ Tahun :Mei 2023
JUMLAH
ALAMAT ANAK KB JENIS PELAYANAN
UMUR ANAK
NO TANGGAL NAMA IBU NAMA SUAMI TERKEC PASKA
IBU KON
DESA RT/RW L P IL SALIN IUD IMP STK PIL
DOM
1 4/30/2023 Santi Aji 36 CIMEKAR 03/09 2 1 8 Thn P
2 5/2/2023 Indri Eko 35 CIMEKAR 02/21 2 4 Bln P
3 5/6/2023 Saskia Dadang 25 CIMEKAR 03/21 1 1 Thn 3 Bln P
4 5/10/2023 Laras M Yusuf 26 CIMEKAR 06/06 P
5 5/16/2023 Eli Andri 31 CIMEKAR 04/10 2 1 bln 10 hr P
6 5/18/2023 Neng Agus 42 CIMEKAR 06/07 P
7 5/22/2023 Nurjayanti Rizal 23 CIMEKAR 02/16 1 1 4 Bln P
8 5/23/2023 Meli Dadan 22 CIMEKAR 05/27 3 2 Thn P
9 5/24/2023 Ainun Abdul 35 CIMEKAR 01/27 P
10 Yuli Kurniawan 42 CIMEKAR 06/21 1 1 12 Thn P
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Pelapor,
 LAPORAN KUNJUNGAN AKSEPTOR KB LAMA
WILAYAH KERJA PUSKESMAS CINUNUK
Nama Bidan : ATIN SUPRIATIN A.Md.Keb
Bulan/ Tahun May-23
ALAMAT JUMLAH ANAK KB JENIS PELAYANAN
ANAK
UMUR PASK
NO TANGGAL NAMA IBU NAMA SUAMI TERKEC
IBU ASALI KONDO
DESA RT/RW L P IL IUD IMP STK PIL
N M
1 5/1/2023 Dewi Ceng 24 Cimekar 02/19 P
2 Sutini Ajat 31 Cimekar 01/11 P
3 Heni Maman 30 Cimekar 05/02 P
4 5/2/2023 Fitri Sandi 35 Cimekar 07/21 P
5 Sarah Adjie 22 Cimekar 01/07 P
6 Marlina Santoso 48 Cimekar 02/06 P
7 5/3/2023 Ai Jubaedah Deki 39 Cileunyi Kulon 01/13 P
8 5/4/2023 Rosida Sudiman 47 Cimekar 01/22 P
Siti R Edi R 43 Cimekar 02/14 P
9 5/5/2023 Cucu Dadang 37 Cimekar 04/08 P
10 Siti Maryam Endang 35 Cimekar 03/19 P
11 Adah Pali 47 Cimekar 05/07 P
12 5/6/2023 Imas Suntana 35 Cimekar 03/16 P
13 Santi Aji 36 Cimekar 03/09 P
14 mia hanhan 32 Cimekar 04/02 P
15 5/8/2023 Desi Jajang 33 Cimekar 01/19 P
16 Roswati Ariep 37 Cimekar 01/14 P
17 Cucu Asep 42 Cimekar 05/11 P
18 Susilawati Fahmi 33 Cimekar 01/14 P
19 Indri Eko 35 Cimekar 02/21 P
20 5/9/2023 Marlina Santoso 48 Cimekar 02/06 P
21 5/10/2023 Uci Ayi 36 Cimekar /09 P
22 Lilis Ako 42 Cimekar 03/10 P
23 Fitri Ali 33 Cimekar 04/02 P
24 Febi Rifan 23 Cimekar 04/02 P
25 Eneng Budi 30 Cimekar 01/27 P
26 5/11/2023 Endah Rastoyo 40 Cimekar 03/28 P
27 Desi Ahmad 33 Cimekar 05/06 P
28 5/12/2023 Velin Robi 40 Cimekar 05/21 P
29 Ayu Saeful 21 Cimekar 03/09 P
30 Iin Devi 25 Cimekar 01/07 P
31 Mia Heriyanto 38 Cimekar 06/25 P
32 5/14/2023 Wilda Supriadi 37 Cimekar 02/16 P
33 Dina Azis 41 Cimekar 01/21 P
34 Mia Erik 24 Cimekar 06/21 P
35 5/15/2023 Reni Restu 31 Cimekar 03/14 P
36 Yani Wildan 35 Cimekar 02/17 P
37 Nurhalimah Anang 47 Cimekar 01/27 P
38 5/16/2023 Retnowati Ade 39 Cimekar 02/19 P
39 Hasna Reksi 27 Cimekar 07/21 P
40 5/17/2023 Nursolihah Tatang 40 Cimekar 01/16 P
41 Siti Tino 26 Cimekar 04/05 P
42 Melianti Ruslan 29 Cimekar 06/06 P
43 5/18/2023 Shifa Asep 34 Cimekar 05/16 P
44 5/19/2023 Ade Lina Aris 28 Cimekar 03/04 P
45 5/20/2023 Keke Triadi 20 Cimekar /07 P
46 5/21/2023 Rukiyah Didin 29 Cimekar 04/02 P
47 Mulyani Yogi 33 Cimekar 04/09 P
48 Supriati Tata 49 Cimekar 04/27 P
49 Ilah Supandi 42 Cimekar 01/07 P
50 5/22/2023 Ai Caswati Endang 43 Cimekar 02/21 P
51 Ipah Tata 47 Cimekar 03/18 P
52 5/23/2023 Purnama Budi 31 Cimekar 06/07 P
53 Sri Ari 25 Cimekar 04/19 P
54 Eli Andri 31 Cimekar 01/10 P
55 Titin Anggi 26 Cimekar 04/06 P
56 5/24/2023 Dian Nandi 39 Cimekar 03/17 P
57 Iis Wawan 45 Cimekar 03/09 P
58 Cucun Udin 36 Cimekar 03/04 P
59 Linda Toko 31 Cimekar 02/16 P
60 5/25/2023 Titin Komarudin 47 Cimekar 03/04 P
61 5/26/2023 Restia Fajar 23 Cimekar 04/16 P
62 Rima Yana 25 Cimekar 02/17 P
63 Desti Jaber 26 Cimekar 04/11 P
64 5/27/2023 Putri Andri 33 Cimekar 01/22 P
65 Rosi Dadan 26 Cimekar 03/14 P
66 Yulianti Agus 31 Cimekar 04/06 P
67 5/28/2023 Dewi Sueb 45 Cimekar /06 P
68 Dewi Firman 23 Cimekar /06 P
69 5/29/2023 Eka Dani 18 Cimekar 01/07 P
70 Dewi Aldi 23 Cimekar 03/16 P
71 Kiki Cucu 29 Cimekar 06/21 P
72 Rindi Dian 23 Cimekar 05/11 P
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 LAPORAN PERSALINAN
WILAYAH KERJA PUSKESMAS CINUNUK
Nama Bidan : Atin Supriatin, Amd., Keb
Bulan/ Tahun Mei 2023

UMUR ALAMAT JENIS KONDISI BAYI

NO NAMA ISTRI/ SUAMI NIK DIAGNOSA TGL LAHIR BB PB
IBU KELAMIN
DESA RT /RW BAIK
Syifa Anggraeni 3204056508000012
1 22 Cimekar 01/16 P1A1 5/1/2023 Laki Laki 2000 46 P
Yayan Sopian 3204055810940002

Nuni Nurjanah 3204054510010004

2 21 Cimekar 06/02 P1A0 5/8/2023 Laki Laki 2700 50 P
Gilang Cahya Saputra 3204092108000004

Nur Sayyidah Muti A/ 3273246009950001

3 Radea Mizzar 27 Cimekar 03/19 P1A0 5/14/2023 Perempuan 3000 51 P
Baehaque 3204051404950012

3204054106960009
4 Heni Hardianti /Bagus 27 Cimekar 07/03 P2A0 5/17/2023 Laki Laki 3000 51 P
3205260804960004

3204054405910018
Dedah Darmilah / Asep
5 32 Cimekar 01/16 P2A0 5/21/2023 Perempuan 3000 50 P
Kusnadi
3204070408860002

3204055512970005
Machfudoh/Husein
6 25 Cimekar 03/29 P1A0 5/29/2023 Perempuan 3650 51
Ahsani

3204056212970002
Suci Lestari/Syahrul
7 25 Cimekar 01/21 P1A0 5/30/2023 Laki Laki 3300 52 P
Mulyana
3273260109970006

9
9

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KONDISI BAYI KONDISI IBU
KET
RUJUK BAIK RUJUK

Susp Bayi Besar

+ CPD
P
+Hemoroid
+Lilitan 1

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 WILAYAH KERJA PUSKESMAS CINUNUK
Nama Bidan : ATIN SUPRIATIN, Amd. Keb
Bulan/ Tahun May-23
ALAMAT ASI DPT POLIO PCV IPV
NO TANGGAL nik anak NAMA ANAK NAMA ORANGTUA TGL LAHIR L/P BB PB HBO BCG
DESA RT/RW EKS. I II III I II III IV I II III I II
1 01/05/2023 Ammar Erna/Yuldan 9/17/2021 cimekar 05/21 L 9.7
2 02/05/2023 Keshwari Kiani Ramadhan Ai/Galih 3/22/2023 cimekar /09 P 4.7 P P
3 Arafah Nur Aisyah Ai / Slamet 7/12/2022 cimekar 03/25 p 8 P
4 Armagan Delli/Cefi 5/4/2021 cinunuk 01/28 L 10
5 Azqila Eli/Andri 4/4/2023 cimekar 04/10 p 3.3 P P
6 Delvina Alesha Euis/Sonny 3/22/2023 cimekar 01/14 p 3.6 P P
7 Muhammad Rini/Ade 4/5/2023 cimekar 01/27 L 3.6 P P
8 Hamzah Nurwanti/Andriawan 4/22/2022 cimekar 05/21 L 8 P
9 Atharrazka Hanifa/Gery 3/23/2023 cimekar 03/03 L 4.6 P P
10 3204055603230004 Misyka Ariana Virna/Rizkian 3/16/2023 cimekar 07/21 P 3.9 P P
11 Nabilla Nazwa Annisa/Bara 4/3/2023 cimekar 05/21 P 4.1 P P
12 03/05/2023 Anahita Fenti/Farid 1/2/2023 cimekar 05/07 L 6.5 P P P
13 3204052112220002 Bisma Intan/Tegar 12/21/2023 cimekar 01/09 L 7.1 P P P
14 08/05/2023 3204052112220004 Athar Qisti/Eko 12/21/2023 cimekar 05/21 L 6.7 P P P
15 5/9/2023 3204051909210004 Muhammad Arbiyan Jubaedah/Toto 9/19/2023 cimekar 03/08 L 13.1
16 3273202311220001 Agasha Iis/Agung 11/23/2022 cimekar 06/21 L 6.6 P P P
17 Marwa Alina M Ria/Rully 7/16/2022 cimekar 02/11 P 7.5 P
18 10/05/2023, Zalfa Siti/Asep 2/10/2023 cimekar 03/27 L 5.4 P P P
19 5/11/2023 Ezzar Lilih/Iid 4/4/2023 cimekar 03/17 L 5.1 P P
20 Umar Kamalia/Eko 3/8/2023 cimekar 02/10 L 6.2 P P P
21 Alzelvin Farah/Moch R 3/7/2023 cimekar 05/03 L 3.5 P P P
22 5/14/2023 Rayhana Afida/Usman 1/15/2023 cimekar Gsm P 6.1 P P P
23 5/16/2023 Maulida Annisa/Arfan 8/18/2023 cimekar 07/21 P 7.8
24 Arumsyha Nova/Diki 2/13/2023 cimekar 05/21 P 5 P P
25 Aqila Dewi/M.Dimas 14/04/202 cimekar 05/26 P 3.2 P P
26 Qiana Heni/Ibad 7/8/2023 cimekar 01/14 P 9.6
27 Raisa Rosita/Maman 8/7/2023 cimekar 02/14 P 9
28 Sabrina Delin Cicin/Yayat 4/6/2023 cimekar 01/11 P 3.3 P P
29 Enzio Shankara Rezya/Bagus 4/13/2023 cimekar 01/27 L 3.8 P P
30 17/05/2023 3273225411210004 Kamaliya Muhammd z/Nafsa 14/11/2023, cimekar 01/13 P 9.5
31 5/18/2023 Aretha Intan/Teguh 11/10/2021 cimekar 01/13 P 9.8
32 5/22/2023 3204054901230003 Tanisha Nurjayanti/Rizal 1/19/2023 cimekar 02/16 P 6.1 P P P
33 5/26/2023 Halwatuzzahra T Ai Enok 3/13/2023 cimekar 02/07 P 5.2 P P P
34 5/27/2023 Khofi Nur 12/27/2023 cimekar /21 P 6 P P P
35 5/29/2023 3204055605220003 Azura Dewi/Aldi 5/16/2023 cimekar P
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 DPT CAMPAK
CAMPAK LANJUTAN LANJ.

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 LAPORAN KUNJUNGAN NEONATUS
WILAYAH KERJA PUSKESMAS CINUNUK
Nama Bidan : Atin Supriatin, Amd., Keb
Bulan/ Tahun Mei 2023
ALAMAT KUNJUNGAN I KUNJUNGAN II KUNJUNGAN III
BB ASI SEHAT
NO NAMA ANAK / ORANG TUA TGL LAHIR PB SEHAT/ /
DESA RT / RW LAHIR EKS. TGL BB TGL BB TGL BB
SAKIT/ MATI SAKIT/
MATI
1 Azzan/ Tita, Revi 5/28/2023 Cimekar,02/11 3.2 50 P 04/05/2023 3.1 SEHAT
2 Abhinara/ Syifa, Yayan 5/1/2023 Cimekar, 01/16 2 46 P 06/05/2023 2.3 SEHAT
3 Syaidan/ Nuni, Gilang 5/8/2023 Cimekar, 06/02 2.7 50 P 14/05/2023 2.7 SEHAT
4 Queensha/Nur, Radea 5/14/2023 Cimekar, 03/19 3 51 P 5/17/2023 2.6 SEHAT
5 M Adzriel /Heni, Bagus 5/17/2023 Cimekar, 07/03 3 51 P 22/05/2023 3 SEHAT
6 Abidzar/Ullan, Tatan 5/10/2023 Cimekar,03/21 2.7 49 P 22/05/2023 3 SEHAT
7 Meysa/Dedah,Asep 5/21/2023 Cimekar, 01/16 3 50 P 24/05/2023 3.2 SEHAT
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Pelapor,
NJUNGAN III
SEHA
T/ KET
SAKIT/
MATI
Rujuk