TANGGAL

NO
KUJUNGAN
NAMA PASIEN NAMA SUAMI NIK NO TLP BPJS TGL LHR UMUR

1 ZIHAN SYAFIRA BERLIANA MARSEL ZHAUMA 3271026006980007 087864563757 0003258515766 20-06-1998 #VALUE!

2 MUZDALIPAH ABDUL WAHAB 3271027010950012 089523022250 0002137720342 30-10-1995 #VALUE!

3 0

4 0

5 0

6 0

7 0

8 0

9 0

10 0

11 0

12 0

13 0

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
SEKOLAH NAMA IBU
PEKERJAAN ALAMAT NO BPJS GPA 0 HPHT TP TB LILA
TERAKHR KANDUNG

14/04/20
ISLAM SMA IRT IRA MARLINA SUKAMULYA 2/3 2/1/0 22/2/2024 11/29/2024 150 22.5
19

27/2/202
ISLAM SMA IRT NENG ROBIAH BOGOR SELATAN 3/4 6/3/2 13/4/2024 20/1/2025 161 24.5
1
 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
BB TD VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

UK : 10-
44.8 117/73 11 12.1 NR N N
Minggu UK :
14
57.7 95/73 Mingg 10.5 NR N
u,
BALL
7
O

N GDS : 96 B
 TANGGAL
NO
KUJUNGAN
NAMA PASIEN NO RM B L NAMA SUAMI NIK NO HP

30 Mei 2024 1 NENENG SUMIATI B DAFI 3271024207820014 085286086054

2 SITI MARLIANA L M. YUNUS 3271014809970014 081586561796

31 Mei 2024 1 JENNY REMBULAN JULIA B KAFLI 3271026407980003 089512965043

03 Juni 2024 1 RANI RUSNIAWATI L MULYADI 3271025604950002 085716526870

DONE 2 WIDIA NURI HAPITRIYAH L IRFAN 3271015801020004 085772042154

LISNAWATI BINTI TETEN
3 L HERI BUKHORI 3271025910990003 088219471210
SUTENDI
DONE 4 ZIHAN SYAFIRA BERLIANA 1 MARSEL ZHAUMA 3271026006980007 087864563757

DONE 5 MUZDALIPAH 2 ABDUL WAHAB 3271027010950012 089523022250

6 STELY JUWITA L DEDI APRIANTO 3271024401870005 083896450218

7 SITI NUR ANISA L ANDRI MAULANA KK : 3271025412070001 0881012985194

DONE 8 GUSTIANI 3 GOFUR 3271025608970005 0895320149507

DONE 9 VERA INDRIANINGSIH L BUDI SUMANTRI 3201266606860003 0895321217353

DONE 10 TRI AGUSTI WAHYUNINGTIAS 4 ADITYA 3271026608960008 089696685609

 DONE 11 V LUDFIANSYAH 3271025810900002 083811163711
ZIHAN RESNIA WULAN
DONE 12 DIANA ROSI V ADE TRISTANTO 3271026210950005 083146103997
083870696493
DONE 13 TINA SASTIANI V ABDUL LATIF 3201267011990005

04 Juni 2024 1 NOPIYANTI BINTI DEDI RIFKY 3271025411950001 088293895277

DONE 2 ZANAFA NUR SABILLA SUKMA WIJAYA 3271027108050002 083897216012

3 ASEP 3271025204890006
DONE FITRIYANI BINTI USEH 5 085695309613
4 ERINA SAVITRI DEDE MULYANA 3271025905980002 08985717504

5 BERLIAN 3271024712020006 085888783453

ANGGI
6 NURHAYATI 6 BERLIAN 3201296702870001 081296247736

7 SITI NURLINA

ELIS SUMIATI 3271025507810002

8 7 SAPRUDIN

9 SITI TARWIYAH ANWAR 3271026603990009 0895355285524

10 ADELIA RIZKYANI AGLIS 3271015408990009 085749717541

LUKMAN HADI
11 MIRAH SWANDANI ULFA FARHUDIN 3271024901920006 81288611402
SELVIYANTI BINTI OMAR TAUFIK
12 3271026209920007
ARMANSYAH 081214056004
13 ELA RIZKIYANI ARIS 3271024110950003

14 OVI RAHMAWATI MAMAN SULAIMAN 3271026610940003 085176752646

15 AYU ISMAYANTI FERY 3271026505950001 089673319520

16 SALMA AGISTI RIZKY 3271035508970002

 17 HESTI LESTARI RIAN 3271024605890011 08567148741
QUICKWINS NIA FAUZIAH
18 M. SUHERLAN 3271025302990002
SKSARI
19 ZAHRA ANISA M RANGGA 3271026509940006 081382999822

20 SITI HAJAR 8 RESTU 081291900130

3271015105970003
21 MIZAR 3271026807010008 081617622479
DEVI SEKAR ARUM

KRISA RIZCA
05 Juni 2024 1 RIO 3271025911900002 081919901119
VICANINDIAVASA B
2 LARAS APRIANI 3271024804980005

3 ALMAIDA DIANIRA 9 CANDRA 3271025511960012 085771234471

06 Juni 2024 1 SUCI APRILIA AWALUDIN 3271025604890002 081617000607

2 38547 089531310472
NUR AFIA ADI INDRA 3271056503980014
3 RIO FATIRA 0813140178943
AGNES LESATARI 3271024307030005
4 21761
SITI SUSANTI
5 ARWAN 3327064511990005
FATIMATUZ ZAHRO

07 Juni 2024 1 10 JAMAL 82288662683

MILITINA LAIA 3217024602960001
2 11 REZA 3201317003920001 085777152292
FIRA FITRIANTIKA

10 Juni 2024 1 NOVIA RAHAYU 38829 B ABDUL RASYID 3271026711950006 085771608885

 2 SITI TARWIYAH 20405 L ANWAR 3271026603990009 0895355285524

3 DEVIYANTI 3271026802920003 089522734200

V HENDRA WIJAYA
PANCA
4 RELI TRISNAWATI 3201256511940002 085719620005
PAMUNGKAS
1 BY.KASYIFATUSAJJA B
38828
AGUS / WENI
2 038838 B 3271020306240001 08989594029
BY. MUHAMMAD ATTAQI RAF NURAENI
FRISKA/MANGUN
3 BY. LUHUT ZIONEL SILABAN 038841 3214016306860009 081283159364
KARSO. S

6/11/2024 1 KURNIA FITRIANI 038406 M. RAMDANI 3507245811030007 085975395827

2 010876 MEGI 3271026405950004 083165592089

KIKI RIZKI AMELIA
3 RANI FEBRIYANTI 014028 RONI 3271014102960011 085860452672

4 RINDHA PURNAMA PUTRI 013895 TOMY 3271015907930007 085210079595

5 EKA NURWATI 018998 RIZKY ANSARI 3201044810960002 082213995195

6 SITI SARAH 032269 DEDE SOBARI 3201266010980008 083131805366

7 NURUL MILLAH 034462 OKALDO LARAS 3271025405970006 089523022248

v
8 EUIS FAUZIAH 036712 3271027103040004 085718282317

9 SITI FATIMAH IRNAWATI 022109 SAEPUDIN 3271026105040001 085892513436

10 DINDA SETIAWATI 037660 SUMARNA 3271025806030011 83188441227

11 ZANAFA NUR SABILLA 004444 SUKMA WIJAYA 3271027108050002 083897216012

12 SITI HALIMAH 001489 RAMDANI 3201244101940019 085770341265

QUICKWINS
13 ENENG REVIANI 08568797648
SKSARI 038851 B ANDIKA 3271026305920002
 14 ULFAH NURALIFAH HIDAYAT 022562 reval hadiansyah 3201017010940006 085172031005

15 SITI SARAH 038860 B ANDRI FADILAH 3271020501960002 081382663885

16 FITRIANI 010251 RICO SUHENDAR 3271024408960010 089677552505

17 MIRAH SWANDANI ULFA FARHUDIN 3271024901920006 81288611402

036967
18 006474 L HERMAN 3271025209840002 085833308962
SITI NURIYAH

12 Juni 2024 1 SHELLY SISTER IMELDA 017953 B ANDRIYADI 3201246303910005 088210400457

2 RENI WULANDARI 008439 AGUS 3201246303910005 08569062975

RATNA FATIMAH
3 038824 3271024401900012 085817111830
PUSPITASARI

6/13/2024 1 LIA HARI PERTIWI 025335 BANI 3271025706960005 083893955006

2 MIRAH BINTI HASANUDIN 009869 HABIB 3271025301010003 081317330183

3 037806 FAJAR 3271024509970003

DITA AYU SEPTIANI
QUICKWINS
4 SITI AISYAH 019669 ALDI 3201315510990002 088976269229
SKSARI

6/14/2024 1 KARTIKA SARI 035470 HASAN BASRI 3271055709720011 089515230464

ELLAH SURYANI ABDUL ROHMAN 3201276206990002

085591964003

15 Juni 2024 YULIAWATI AHMAD DEI 3271024407850015

18 Juni 2024 1 ina arlina v farid ridwan 327102580802002 083811059739

2 sri nur v m. agung 3271024202970001 085817499088

3 novia rahayu v abdul rasyid 3271026711950006 085771608885

4 nengsih agus setiawan 3201405210820003 0895330906742

5 dewi budi 3271026605870003 083869900217

6 santi rinda 3271024706970006

7 dziki 3271036610950004 08988569751

siti nurmah hasanah
8 ovi rahmawati maman 3271026610940003 085176752646

9 EUIS ARUM L ABDULROHMAN 3271024406970004 083191277353

10 mirah swandani l farhanudin 3271024901920006 081288611402

11 andy amelia farhan 3203086205990001 083159706134

19 Juni 2024 1 B 038974 KOMARUDIN 3271025202990002 083819477474

IRMA NURROHMAH
2 B HASAN BASRI 3271027108040004 085776088675
SITI MURDIYANTI
3 ANISA SUCI WAHYUNI 3271014402900015

4 NURANI SANDRA DEPI B FAHMI 3201266912970003 083819574065

5 RIATNE DHIWANTI 3271024710000005 083819871318

6 FEBRIANTI PERTIWI MUHYAT 3271024502920010

081262184540
ADE IRMA AGUNG 3201316811980002
20 Juni 2024 1 039004 M. IKSAN KAMIL 3271024707990003 08588276419
JULIA HASANUDIN
KRISA RIZCA
2 RIO 3271025911900002 081919901119
VICANINDIAVASA 007502 B

21 Juni 2024 1 NABILA NURUL HILALIYAH L M ILHAM 3202285507020003 085793825186

36828
QUICKWINS
2 OKTAVIANTI BINTI DJADJA L ABDULLAH ANDRI 3271024110970004 0895321385815
SKSARI

3 MITA SRI HARYANI 039051 B AHMAD SOPIAN 3202015307980011 085817665601

22 June 2024 1 NOVIA DITHA L M NURALDI 3271015111960002 08881119659

2708
 TGL LAHIR
SEKOLAH NAMA IBU
NO BPJS TGL LHR UMUR AGAMA PEKERJAAN ALAMAT GPA ANAK
TERAKHR KANDUNG
TERAKHIR

0001326050583 7/2/1982 41 ISLAM SMA IRT MARIAM SINDANGSARI 1/1 5/4/0 4/02/2010

08/09/1997 26 ISLAM SMA IRT MULYASARI RT 1/10 2/1/0 2021

124

0001012710914 24-07-1998 #VALUE! ISLAM SMP IRT NENENG KOM. UNITEX 5/5 2/1/0 1/3/2016

124

0002230098636 16/04/1995 #VALUE! ISLAM SMK IRT TITIH SD RASA 2/10 4/3/0 2019

18-01-2002 #VALUE! ISLAM SMK IRT RUSNIAWATI SINDANGRASA 2/10 3/0/2

LILIS
19-10-1999 #VALUE! ISLAM SMP IRT TAJUR 2/6 4/1/2 4/09/2019
SUNINGSIH
0003258515766 20-06-1998 #VALUE! ISLAM SMA IRT IRA MARLINA SUKAMULYA 2/3 2/1/0 14/04/2019
NENG
0002137720342 30-10-1995 #VALUE! ISLAM SMA IRT BOGOR SELATAN 3/4 6/3/2 27/2/2021
ROBIAH
04/01/1987 37 ISLAM SMA IRT MUTIA SUKASARI 3/6 5/2/2 04/04/2024

14/12/2007 #VALUE! ISLAM SMP IRT JUWITASARI BTK 2/7 1/0/0

0002431139207 16-08-1997 #VALUE! ISLAM SMA IRT SULIHATI TAJUR 4/3 1/0/0
KP. MUARA RT 1/2
0002516182874 26-06-1986 #VALUE! ISLAM SMK IRT SUMARTINI 3/2/0 11/12/2015
BANTAR PEUTEUY
0003508677279 26-08-1996 #VALUE! ISLAM SMK IRT SUMIYATI 2/1/0 30/11/2022
2/3
0002091188057 10/18/1990 33 ISLAM SMA IRT VERUSRISCA SD SARI 3/5 2.1.0 18/10/2016

0000499805919 22/10/95 #VALUE! ISLAM SMA IRT NURJANAH SK.SARI 3/3 2/0/1
SINDANGRASA 5/2
30-11-1999 #VALUE! ISLAM SD IRT 1/0/0

124

0000500044331 14-11-1995 #VALUE! ISLAM SMA IRT ENCIH SD SARI 2/7 2/1/0 23/09/2018
0002512350303 ELAH
31/8/2005 #VALUE! ISLAM SMK IRT SINDANGSARI 6/5 1/0/0
TDK AKTIF NURLELAH
4/12/1989 35 ISLAM SMP IRT ST SOPIAH TAJUR 3/9 '3/2/0 08/06/2017
0002230959969
14/5/1998 26 ISLAM SMA IRT NINA SD RASA 2/4 1/0/0

7/9/2001 22 ISLAM SMP IRT UNAY MS RT 1 RW 12 2/1/0

0001338611152
KLINIK DR WA Err:502 ISLAM D3 IRT SYARIFAH HARJASARI 3/3 2/1/0 25/02/2019
ODE 05/27/1987
124

15/07/1981 #VALUE! ISLAM SD IRT IYUM SK SARI 3 5/6 4/3/0

0000500353435 26/3/1999 25 ISLAM SD IRT EMA TAJUR 2/3 2/1/0 4/7/2022

0001991073666
14/08/1999 #VALUE! ISLAM SML KARYAWAN CIPAKU 3/16
CIPAKU
0002518913979 1/9/1992 32 ISLAM S1 IRT SUHERLIN SK SARI 2/5 4/3/0 27/12/22

9/22/1992 31 ISLAM SMA IRT CUCUM SDRASA 3/2 4/3/0 4/4/2018

0002516835554
01/10/1995 29 ISLAM SMP IRT NENGSIH JL SILIWANGI 1/2 2/1/0 20/01/2015

0001613871325 10/26/1994 29 ISLAM SMA IRT ROS SUKASARI 2/2 3/2/0

28/1/2021
WAHYUNING
0002250795633 25/05/1995 #VALUE! ISLAM SMA IRT TAJUR 3/3 3/2/0 06/01/2021
SIH
0000500558365 15/08/1997 #VALUE! ISLAM SD IRT SD RASA 2/11 3/2/0 16/09/2019
EUIS
0001637204332 06/05/1989 34 ISLAM SMP IRT KARMI SINDANGRASA 3/7 2/1/0 10/4/2019

13/2/1999 #VALUE! ISLAM S1 IRT SITI ROHMAH SUKASARI 5/3 2/1/0

22/9/2022
0001836591669 25/09/1994 #VALUE! ISLAM S1 SWASTA VINO R TAJUR 1/5 1/0/0

11/05/1997 26 ISLAM SMP IRT YANAH HARJASARI 2/3 2/0/1

0002939984875
28/07/2001 #VALUE! SMP IRT SRI KHAIMAH GADOG 5/6 4/2/1 21/04/2023
DR WA ODE ISLAM
124
KARYAWAN
0002056388894 19-11-1990 #VALUE! ISLAM S1 LARISA TAJUR 11/10 3/2/0
SWASTA
0000500180332 07-04-1998 #VALUE! ISLAM EEL SINDANGRASA 5/7

0001631500569 15/11/1996 #VALUE! ISLAM SMA IRT NINA SUKASARI 5/3 1/0/0

124

0001263698201 16/04/1989 #VALUE! ISLAM S1 GURU SD RASA 3/7 3/2/0

0001012720498 25/03/1998 #VALUE! ISLAM SMP IRT SK SARI 5/3 3/1/1 12/09/2019
OON
0001470966445 03/07/2003 21 ISLAM SMA IRT MUARA 4/3 1/0/0
MARYANI
124
0002766522881
05/11/1999 25 ISLAM SMA IRT HASANAH PAKUAN 3/6 4/2/1 01/07/2022
BANTAR BOLANG
124
0003287513856 MUARA 1/10
26 SMK IRT HATIAMI 1/0/0
LUAR WILAYAH 18-02-1998
KARYAWAN
0001476271282 #VALUE! ISLAM S1 SK SARI 7/1 2/1/2000 11/4/2019
30-03-1992 SWASTA SUTIYEM

27/11/95 #VALUE! ISLAM SMK KARYAWAN MAEMUNAH SD RASAS 4/9 3/1/1 29/11/14
 26/3/99 #VALUE! ISLAM SD IRT EMA TAJUR 2/3 2/1/0

28/02/1992 #VALUE! ISLAM SMP IRT UPI SUPIYATI TAJUR 2/2 3/2/0 01/06/2016
YANI
25-11-1994 #VALUE! ISLAM SMA IRT SINDANGRASA 6/7 3/2/0 05/12/2019
MULYANI
124 TAJUR 2/5

0003597078543 6/3/2024 Err:502 ISLAM SINDANGRASA 2/12

04/06/2024 0 HARJASARI 5/2

124

18-11-2002 #VALUE! ISLAM SMK IRT sindangsari 1/0/0

3072622735 24/5/95 #VALUE! ISLAM SMP IRT ROSITA SD.RASA 1/2 3/2/0 21/5/21

0001770199727 01-02-1996 #VALUE! ISLAM SMA IRT YAYAH KP. BABAKAN ANYAR 3/3
3/1/1 26/4/2019

19-07-1993 #VALUE! ISLAM S1 KARYAWAN IIS KHADIJAH

0002467714768 08/10/1996 27 ISLAM S1 IRT SRI WAHYUNI CIBANON 3/5 3.1.1 06/01/2022

19/10/1996 #VALUE! ISLAM SD IRT YAYAN LEBAK KONGSI 2/7 2/1/0 16/9/2019

0001515785692 14/5/1997 #VALUE! ISLAM SMP IRT NUNUNG TAJUR RT 2/2 2/1/0 1/3/2019

0000500711174 3/31/2004 20 ISLAM SMP IRT KOMARIAH SUKASARI I RT 4/2

DEDE
21/05/04 20 ISLAM SD IRT SD.RASA 2/12 3/1/1 07/07/2022
KHADIJAH
0000500660109 18/6/2003 20 ISLAM SMA IRT SEPTIO DWI PB 5/1 1/0/0 5/11/23
0002512350303 ELAH
31/8/2005 #VALUE! ISLAM SMK IRT SINDANGSARI 6/5 1/0/0
TDK AKTIF NURLELAH
2355204093 1/1/94 30 ISLAM SMP IRT HOLISOH SD.SARI 2/7 3/2/0 6/7/15

0003174453731 23-05-1992 #VALUE! ISLAM SMA IRT

TETI HARYATI JL SUKAMULYA 6/3
 124 ISLAM S1 KARYAWAN

124 ISLAM SMK IRT SITI MASITOH 1/0/0

KATULAMPA 3/9
EMA KEDUNG HALANG
8/4/1996 27 ISLAM SMK IRT 2/1/0 10/10/2020
NURJANAH 1/4
0002518913979 1/9/1992 32 ISLAM S1 IRT SUHERLIN SK SARI 2/5 4/3/0 27/12/22
YATI
12/09/1984 39 ISLAM SMA KARYAWAN SK SARI 1/2 2/1/0 26/06/2024
MARYATI
124

23/03/1991 #VALUE! ISLAM SMP IRT SRI SD RASA 5/10 5/4/0 20/04/2024

124 SD IRT TIAH KTL 3/9 4/3/0

5/9/2019
04-01-1990 #VALUE! ISLAM S1 IRT TAJUR 1/2

124

17/02/1996 #VALUE! ISLAM SMK IRT SRI UTAMI SEMPLAK 6/1 2/1/0

13/01/2001 #VALUE! ISLAM SMK IRT JUJU PASIR 3/7 1/0/0

9/5/1997 26 ISLAM SMP IRT BARSI 3/4 3/2/0

15/10/1999 #VALUE! ISLAM SMP IRT NINA GARDUI TINGGI 4/4 2/1/0

124

0003547762738 17/09/1972 #VALUE! ISLAM IRT MUARASARI 5/3

6/22/1998 25 ISLAM SMA IRT ST JULAEHA SDRASA 1/10 2/1/0

124

124

124
 8/18/2002 21 islam smk irt siti nani sd rasa 3/9 1/0/0

2/2/1997 27 islam smp irt neneng sindangsari 4/2 3/2/0

27/11/1995 28 islam smk irt maemunah sd rasa4/9 3/1/1 29/11/2014

12/10/1982 41 islam smp irt ikah sd rasa 1/9 4/3/0 23/12/2004

20/5/1987 37 islam smu irt entin sd rasa2/11 3/2/0 29/4/2014

0002144115865 7/6/1997 26 islam smu irt cibeureum 2/3 1/0/0

2358229555 10/26/1995 28 islam smu irt titik sd rasa 4/5 '2/1/0 20/7/2018

26/10/1994 #VALUE! islam sma irt eros rosinah sukasari 2/2 '3/2/0 28/1/2021

0000499494036 04/06/1997 27 ISLAM SMP IRT NARSIH SD. SARI 3/7 2/1/0 2/2/2015

9/1/1992 32 islam s1 irt suherlini sukasari2/5 4/3/0 27/12/22

22/5/1999 25 islam sma irt andy herlina sd rasa 1/0/0

124

12-02-1999 #VALUE! ISLAM SMA IRT IMAS 1/0/0

31/08/2004 #VALUE! ISLAM SMA IRT IRMAYANTI CARINGIN 1/2

04-02-1990 #VALUE!

29-12-1997 #VALUE! ISLAM SMA IRT YUYU SINDANGSARI 4/1 3/1/1 31/12/2022

07-10-2000 #VALUE! ISLAM SINDANGRASA 2/8

5/2/1992 Err:502 ISLAM SMP IRT SINDANGRASA 3/7 5/4/0

0002907126898 28/11/1998 #VALUE! ISLAM SMP IRT TAJUR 2/11 2/1/0

124
 07/07/1999 24 ISLAM SMA IRT SINDANGSARI 4/2 1/0/0
KARYAWAN
0002056388894 19-11-1990 #VALUE! ISLAM S1 LARISA TAJUR 11/10 3/2/0
SWASTA
124

15/7/2002 #VALUE! ISLAM SMA IRT ROMLAH SINDANGSARI 6/5 1/0/0

10/1/1997 26 ISLAM SMA IRT NYAI AMI SUKASARI 2/2 3/2/0

13-07-1998 #VALUE! ISLAM SMP IRT BADRIAH HARJASARI 3/8 2/1/0 6/9/2018

124

11/11/96 27 ISLAM D3 KARYAWAN PAKUAN 4/6 1/0/0

TATI
124

124

124

124

124

124

124

124

124

124

124

124
124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124
124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124
124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124
124

124

124

124

124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
 HASIL LAB
JENIS
HASIL PEMERIKSAAN (UK, DJJ,
HPHT TP TB LILA BB TD TT PERSALINAN
TFU, PRESENTASI)
YANG LALU HB VCT HBSAG SIFILIS

03/09/2024 160 69.2 130/85 UK : 26 MGG, RJK RS. MELANI

26/10/2023 157 UK : 31 MGG, CEK LAB 10.2

26/02/2024 02/12/2024 150 51.6 108/62 CEK LAB 10.9 NR N N

KEL : MULES JARANG2, TFU 30

08/9/2023 15/6/2024 150 25 62.4 103/77 CM, KEP, DJJ 156 X/M G4P3A0 10.2
H 38-39 MGG
22/3/2024 29/12/2024 149 46.5
UK : 16-17 mgg, TFU : 3jari
12/2/2024 19/11/2024 158 33 76.9 170/102
>spt, DJJ +, BALT+
22/2/2024 11/29/2024 150 22.5 44.8 117/73 UK : 10-11 Minggu 12.1 NR N N

13/4/2024 20/1/2025 161 24.5 57.7 95/73 UK : 14 Minggu, BALL 10.5 NR N N

UK : 27-28 MINGGU DENGAN
HBSAG
7/28/2024 155 27 96/71 UK : 32- 33 minggu
58.1
2/3/2024 09/12'2024 156 87.1 132/88 UK : 9-10 Mgg (USG) 13.5 NR N N
UK : 17-18 minggu, TFU 2 jari <
150 26 49.8 106/76 pst , balt, 138 x/m, kel nyeri
perut bag. bawah
UK : 27 Mgg, TFU : 25 CM, KEP,
29/11/23 05/09/2024 155 87.7 109/59 11.3 NR N N
DJJ : 143 x/m
 13/2/2024 11/20/2024 156 25.5 48.7 91/49 UK : 16 Minggu

9/12/23 154 27 65.9 105/64 UK : 25-26

UK : 29-30 Minggu, TFU : 26
13/11/2023 20/8/2024 57 96/62
CM, KEP, DJJ : 141 x/m

UK 34-35 , TFU 29 CM, KEP, DJJ

07/10/2023 14/07/2024 149 24.5 58.1 115/74
147 X/M. KEL : TAK
KEL : TAK UK 40 MGG, TFU : 34
2/9/23 9/6/2024 154 27 67 106/55
CM,
KEL :KEP, DJJPERUT
SAKIT 142 X/M.
BAGIAN
ATAS, UK 13-14 MGG, TFU : 3
05/02/2024 12/11/2024 149 31 66.9 136/101
JR > SYMP, BALL (+), DJJ BLM
TERDENGAR JELAS
9/23/2023 6/30/2024 153 29
KEL : TAK, UK 33-34, TFU 29,
152 25 63 105/71
KEP, DJJ 154
20/12/2023 27/09/2024 155 25 54.5 101/59 CEK LAB 10.3 NR N N

KEL : TAK, UK 20-21 MGG ?,

? ? 147 26.5 57 127/87
TFU 18 CM, BALL , DJJ 145X/M
KEL : TAK , UK 36-37 MGG, TFU
10/8/2023 17/5/2024 155 25 49.3 98/65
29 CM, KEP, DJJ 146
CEK LAB 12.2 NR N N
KEL : KRAM PERUT UK 35-36
? 158 30 50 100/80 MGG. TFU 31 CM, KEP, DJJ155
X/M
KEL : NYERI PERUT BAG.
2/8/2023 5/9/2024 155 25
BAWAH
KEL : TAK. UK 38-39 MGG. TFU
12/09/2023 19/06/2024 157 60.6 104/72 12
29 CM, KEP, DJJ 143 X/M
KEL : TAK . UK : 25 MGG. TFU
12/12/2023 9/19/2024 152 26 40 110/74
21 CM, KEP, 151 X/M
TP USG KEL : TAK. UK 17-18 MGG, TFU
? 148 26 48 107/70 11.3 NR N N
10/11/2024 2 JR > PST, BALL, DJJ 155 X/M
05/04/2024 150 34 CEK LAB 12.8 NR
12/1/2025 N N
22/9/2023 24/06/2024 160 23/5 CEK LAB 11.5
KEL : TAK, UK 33-34 MGG,
23/7/2024 20 40 102/61
147 TFU : 29 CM, KEP, DJJ 137 X/M 8.9
KEL : TAK, TFU 28 CM, KEP,
12/09/2023 16/6/2024 165 65.5 114/77
DJJ145 X/M
KEL : MUAL. UK 14 MGG, TFU 3
28/02/2024 06/11/2024 160 22.5 47.5 86/63 JR > SYMP. BALL (+), DJJ 11.9 NR N N
120X/M
KEL : TAK. UK 6-7 MGG. TFU
21/04/2024 28/01/2025 155 21 41.3 100/70
BLM TERABA

12/10/2023 19/7/2024 78.9 122/84 UK : 33 Mgg 11.1

57.5 104/71 KONSELING

05/04/2024 12/01/2025 158 28 57.5 104/71 11.4 NR N

N

05/04/2024 12/01/2024 160 31 80.5 115/71 CEK LAB SC 12.5 NR N N

01/03/2024 08/12/2024 164 29 59.6 109/81 CEK LAB N 13 NR N N

12/10/2023 19/07/2024 165 28 75.7 114/70 CEK LAB 10.7 NR N N

USG :
150 66.3 159/111 CEK LAB 11.1 NR N N
9/6/2024

09/2023 ? 149 25 CEK LAB 13 NR N N

25/04/2024 30/01/2025 150 26 CEK LAB 12.2 NR N N

UK : 35 Minggu, TFU : 28 CM,

1/10/23 8/7/24 146 26 58 111/68 11.5 N N N
kep, DJJ : 143 x/m
 UK : 37 MGG, TFU : 28CM, KEP,
27/6/24 154 24 49.8 100/67
147x/m
uk : 16 mgg, TFU : 3 jari >
17/02/24 24/11/24 157 25
51 120/80 symp, balt, DJJ : 153 x/m
4/22/2024 1/29/2025
2485G
KONTROL BAYI 8HARI
R
3250
KONTROL BAYI 8HARI
gram
KONTROL BAYI 7 HARI

26/10/2023 02/08/2024 155 20 42.9

UK : 33-34 Minggu, TFU : 29
20/10/23 27/07/2024 152 26 10.2
CM, DJJ : 144 x/m, kep
28/3/2024 05/01/2025 43.8 108/74 UK : 11 minggu

UK 35-36 MGG 10.2

UK : 33 mgg, TFU:29 CM, KEP,
25/10/2023 30/07/2024 152 60.5 97/63 11.3
154 x/m
1/4/2024 8/1/2025 150 24.5 54.9 136/78 UK : 10-11 Minggu
uk : 34-35 minggu, TFU 28 cm,
10/12/2023 19/7/24 150 65.3 125/78
28 Kep, 135 X/M
KONSELING SIKLUS HAID
UK : 38-39 minggu, TFU 33 cm,
22/6/24 155 23.5 59.2 107/73
kep, 150 x/m
UK : 30-31 mgg, TFU : 26 CM,
12/8/24 159 64 93/66
sungsang, DJJ : 153 x/m
UK : 40-41 mgg, TFU : 37 cm,
2/9/23 9/6/2024 154 27 68.9 101/62
kep, DJJ : 138 x/m
15/11/23 146 26 UK : 29 mgg

155 57 129/99 10.4 NR N N

UK :26-27 MGG, TFU 22 CM, KEP, DJJ 136 X/M
 114/70 INFEKSI LUKA BEKAS SC RJK RS. JULIANA

146 19 39.5 117/56 UK : 20-21 minggu 11.1 NR R N

19/01/2024
25/12/2023 150 25 57.3 116/69 UK : 24-25 minggu
UK : 36-37 mgg, TFU : 35 CM,
? 150 77 108/72
DJJ : 144 x/m, Kep

58.5 101/60 UK : 37-38 MGG, TFU 28 CM, KEP, DJJ 140 X/M

27/01/2025 154 64.7 109/83 N N

13.9 NR
28/8/2024 147 KONTRAKSI DINI RJK RS. VANIA

KONTROL LUKA BEKAS SC

73.4 11.4

63.3 114/77 11.7 NR N N

24/10/2024 155 100/80 11.3

58
16/10/2023 24/07/2024 152 96/69 10.9
62

GANGGUAN HAID, RUJUK RS.

60.4 170/98
JULIANA
10/4/2019 1/1/2024 ### 149 30

KONTROL NIFAS
 20/1/2024 27/10/2024 151 24 52 117/72 uk 22 minggu

20/1/2024 27/10/2024 150 25 68 116/82 uk +16 minggu

/1/10/2023 8/7/2024 146 31 62 113/66 uk 37 minggu

10/12/2023 16/9/2024 155 32 76 122/66 uk 27 minggu

15/10/2023 7/22/2024 155 30 64 117/73 cek lab uk 35 minggu 11.2 n

26/10/23 155 25 54 121/86 cek lab uk 32 minggu 12.7 nr

24/4/2024 1/31/2025 157 26 56 155/66 uk8 minggu

12/12/2023 19/9/2024 152 30 70 122/75 uk 27 minggu

1/10/23 8/7/24 152

? 8/7/2024 158 30 77 110/80 uk 37 minggu

28/11/2023 5/9/2024 155 44.3 104/59 uk 29 minggu

12/2/2024 19/11/2024 151 28 114/77 CEK LAB 12.1 N

NR
KELUHAN KEPUTIHAN, GATAL,
dan PANAS AREA KEMALUAN
SC tanggal 21/05/2024,
150 84 161/104
keluhan perih area luka SC
RJK RS. JULIANA LETAK
6/26/2024 102/69
SUNGSANG
112/74 KONTROL NIFAS 1 MINGGU

13/10/2023 20/7/2024 159 80.3 CEK LAB, UK : 35-36 MGG 10.1

108/72
113/86 KONTROL NIFAS 1 MINGGU
4/12/2024 19/01/2025 169 66.1 131/83 CEK LAB, UK : 10 MGG 9.7 NR N

12/10/2023 19/7/2024 78.9 125/75 UK : 35 Mgg

22/10/23 29/7/24 149 24 44 90/62 CEK LAB, UK : 36 MGG 11.7

5/10/23
57 108/87 CEK LAB, UK : 37 MGG 10.2

7/22/2024 139 55.8 102/64 CEK LAB, UK : 38 MGG RJK RS. JULIANA 12.1

24/8/24 150 24 58 100/60 CEK LAB, UK 31MG 10.9

 @dropdown

ASIL LAB GOLDAR

KETERANGAN
ORANGTU ORANGTU
PROTEIN URIN ISTERI SUAMI A ISTERI A SUAMI

O+

NEG

GDS 80 A

NEG

GDS : 96 B

GDS : 91

AB+
 B/+

A/+

GDS 102 B/+

GDS 90
GLU POS/+
LEUKOSIT
POS/+

NEG O/+

GDS 112

GSD 135
NEG

NEG A

NEG

95

GDS 95 O

92 A

NEG A

RJK POLI UMUM

77 B B

99 AB

NEG GDS 87
 neg

neg

neg

GDS 100 O
GDS 114 O

GDS 114

PU NEG

GDS 93 B/+

PU NEG B/+

PU NEG
n n 82 O

N GDS : 113 B+
N GDS : 114 A+

POS +1

POS +1

PU = NEG

PU NEG
 0

TANGGAL
NO
KUJUNGAN
NAMA PASIEN B L NAMA SUAMI NIK NO HP NO BPJS

0001854366254
5/2/2024 1 PUTRI SABIRA MEGI 3271044111030015 088293510520
SEMPLAK
2 ZAHRA ANISA 3271026509940006 0001836591669

03 Mei 2024 1 RIRIN NOORSYAH V 3271024211920006 0000012888663

2 SITI FATIMAH V SAEPUL 3201274608800005 87771748343 0003200496219

5/4/2024 1 ELEN HANDAYANI V UJANG 3271026803900008 08568777772 0002235537472

2 FITRI MAULIDA V FIRMAN 3201276409961001 081232173682 0001879710895

3 SITI NURUL SHOFIAH V AGUS 3273066212920005 0895370302205 0003427102686

MAYKA NURIZKYA 0000149422858
4 V FINDI APRIANTO 3271024805980003 085156161767
PERMANA WA ODE

06 Mei 2024 1 LISNAWATI V ahmad syahroni 3271026302990001 0895619352719 0000499817373

MARDIANA
2 V BAGUS PRATAMA 3271025803990004 089513665096 0002120596762
HIKMAHWAYUNI
3 ZANAFA NUR SABILLA V SUKMA WIJAYA 3271027108050002 083897216012

4 NOVITA INDRIYANI V DEDE SUMITRA 3271024211830010 0001456057956

 5 YUNITA MARINI V EDI SETIAWAN 3271026306940003 081292372321 0002512668969

6 DIAH PUSPITASARI V SARIPUDIN 3271025301960002 081319138365 0000500502892

0001408982771
7 SAHNAM SOFIAH V ALFONSUS 3201126605000003 083121759514
WA ODE
8 DIANI AGUSTINA V EXCEL 3271025708000004 089670093220 0002511463757

9 OVI RAHMAWATI V MAMAN SULAIMAN 3271026610940003 085176752646 0001613871325

10 DIANA ROSI V ADE TRISTANTO 3271026210950005 083146103997

TAUFIK
11 SELVIYANTI BINTI OMAR 3271026209920007
V ARMANSYAH 081214056004 0002516835554

07 Mei 2024 1 DEWI OKTAVIANI V SAEPUL RIDWAN 3201136809870003 85693538009 0002204099829

2 ERINA SAVITRI V DEDE MULYANA 3271025905980002 8985717504

PUTRI YULIANA HERMAN
3 V 1807056407960002 058588082030 0001823358892
WIBAWANTI SULAEMAN
4 WENI NURAENI V AGUS S 3271022508910001 08989594029 0002103007105

5 MIRAH SWANDANI ULFA V FARHUDIN 3271024901920006 81288611402 0002518913979

6 MARNI SUMARNI 3271024712020006 085888783453 0000500127006

V ANGGI
7 SALSHA SAPIRA 3271026201080001
V SAIPUL BAHRI 087778414197 0000500127096
0002221113903
8 WINA WIROSA V BERI 3201155806000007 085811170363
CIHEDEUNG UDIK
0002358963011
9 DYAH PITALOKA V BAYU 3271025506980015 89532247340
WA ODE
10 NUR AFIYAH SAFITRI DEDI 3271025307840009 085776072573 BPJS
V
FARTINI BINTI MAMAN
11 V RIKI RAHMAN 3271024312850002 87844680153 0002517108759
SURYANA
12 MARNI SUKAENI V ANDRI 3271026704860003 85714177019
 13 SITI AMINAH V EDIH 3271025512000004 85778770711

14 DEIS MASNUNAH V WILY 3271025011940002 881025965115

15 SITI SURYANI V

08 Mei 2024 1 SITI FATIMAH 3271024677950005

MA'RIFATUL HOERIAH 0895385417070

3271024501950008

10 Mei 2024 1 ETI HARTATI v ENJANG 3201174909861002 085770859766

NOVIA M. NURALDI 3271015111960002 08881119659

11 Mei 2024 1 SITI FATIMAH IRNAWATI V AHMAD SAEPUDIN 3271026105040001 085892513436

2 SITI NURIYAH V HERMAN

13 Mei 2024 1 SITI SARAH V DEDE SOBARI 3201266010980008 083131805366

2 SITI FATIMAH V AHMAD YANI 3271024677950005 089634334130 0001405802608

3 HESTI LESTARI V RIAN 3271024605890011 08567148741

MARDIANA
4 V BAGUS PRATAMA 3271025803990004 089513665096 0002120596762
HIKMAHWAYUNI
5 SITI ROHILAH V BAMBANG 3271025608900003 081282265242

6 RANI FEBRIYANTI V RONI 3271014102960011 085860452672

7 MARNI SUKAENI V ANDRI 3271026704860003 85714177019

 8 JIHAN NABILA V BINSAR 3201246112960001 081281205713

9 SITI NURHALIMAH V JAENAL 3203135011970014 08781221293

14 Mei 2024 1 YANI NURHAYATI L RAFI 3271024701020005 087782448468

2 ANISA SUCI WAHYUNI V

HAMIZAN 3271014402900015 081382915626
3 VERA NADILA SANDY V M. IYAN SOFIYAN 3271026108030004 085714449092

4 ETI HARTATI v ENJANG 3201174909861002 085770859766

5 ERNI KURNIAWATI V ARIF 3204324612840001 085210160200 0001285867517

6 OLIS KHOLISOH V ASEP SOPIAN 3271025012890011

7 ANA SYUKRIYAH V HARDONO 3323135901940002 085878717066

8 MANISA NDRURU V ANTON 1214025506940006 08817523656

0001884535536

9 KIKI RIZKI AMELIA V MEGI 3271026405950004 083165592089 3072622735

10 NANI FERAWATI V DEDI 3271014901860004 085817155569

FARTINI BINTI MAMAN
11 V RIKI RAHMAN 3271024312850002 87844680153
SURYANA
12 WATI WIDYA NINGSIH FEBI 3201274803920007 085693900850

13 SITI FATIMAH IRNAWATI V AHMAD SAEPUDIN 3271026105040001 085892513436

14 ADINDA ISLAMI DINA L ASHAR AL ANAS 3271024608000002 089503630387

15 NOVITA INDRIYANI V DEDE SUMITRA 3271024211830010 0001456057956

16 YUWI SAPITRI L WAHYU ILAHI 3271024401010011 088213252719

 17 SITI RAHAYU 3271025002990002

18 RINI NURAENI RONI SAHRONI 3271035502920002 085655189458 0001723118826

19 KHANIFIA INTAN KHOFIFAH V M. ISEP RIDWAN 3201036207010002 081585663371

RACHMAN AMANTA
20 NOPIYANTI V 3201245711900006 083848021067
PUTRA

15/15/2024 1 DEVIYANTI 3271026802920003

V HENDRA WIJAYA
2 ASTRI SRI UTAMI V KRISNAJAYA 3271015204980019

3 ST SYAMSIAH V YASRIL 3271016504800007

16 Mei 2024 1 KURNIA FITRIANI V M. RAMDANI 3507245811030007 085975395827

2 AI FATIMAH
V NURBIANSYAH 3271026208930007 085778222349
3 MARISSA NOVIANDI V M. ARIFIN 3271026610980002 085770038907

4 VERA INDRIANINGSIH V BUDI SUMANTRI 3201266606860003 0895321217353

17 Mei 2024 1 SITI MAEMUNAH v USMAN 320129670200004 081585654973

2 ZAHRA ANISA v M RANGGA 3271026569940006 081382999822

5/18/2024 1 ANANDA NABILA V FARHAN 327102116310980007 081298341195

20 Mei 2024 1 RANI RUSNIAWATI L MULYADI 3271025604950002 085716526870 0002230098636

2 SITI TARWIYAH anwar 3271026603990009 0895355285524 0000500353435

3 SITI NURAENI B ANWAR IRAWANTO 3201275210900008 0895423489598 0001612967973

BUNGA MARCELIA
4 L DODI 3271016410020004 0812/82025035
NATASHA
0002512350303
5 ZANAFA NUR SABILLA V SUKMA WIJAYA 3271027108050002 083897216012
WA ODE
6 3271026401930001 089693602000 0000501099592
NONI BINTI ADENG UJANG
LISNAWATI BINTI TETEN
7 L HERI BUKHORI 3271025910990003 088219471210
SUTENDI
8 L M. SUHERLAN 3271025302990002 0000500895009
NIA FAUZIAH
9 RIMA W MELATRIYANTI L SUGIANA 3271026503920006 08561866462 0000500119841

10 ANDI AMELIA H R B FARHAN 3203086205990001 083159703134 0002239148114

11 SITI NURIYAH V HERMAN 3271025209840002 085833308962 0001306447222

0000500300921
12 NOVI RAHMAWATI V ARDY ARMANSYAH 3271024312940006 085813777005
WA ODE

21 Mei 2024 1 YANI NURHAYATI L RAFI 3271024701020005 087782448468 0002354501621

2 L KUSNADI 3271024102920009 087761518677 0002360118429

FITRIANI BIN TOLIB
EUIS ARUM 0002092360926
3 L ABDUROHMAN 3271024404970004 83191277353
KIMFAR
0001647488687
4 L M RAMDHANI 3201315708010006 085817804274
SITI ALYA AGUSTINA SIRNAGALIH
5 WENI NURAENI L AGUS SUPRIATI 3271022508910001 0898594029 0002103007105
NURUL MAULIDDINA 0003167763074
6 L RAMDANI 3201044704060006 083117272233
CIMANDALA
7 L GEMILANG 3271026007040005 0895355285534 0002423517399
DEVIA RESTU RAHAYU
 8 L ANGGI 3271024712020006 859888783453 0000500127006
MARNI SUMARNI
9 L YATNA 32710260037900179 - BPJS
NURYATI BINTI SURYA
10 SITI SOFARIYAH L ARFAID 3201384609890006 083875888269 0002273973568

11 ANANDA NABILA LESTARI B FARHAN 327101631098007 081298341195 BPJS

12 NURUL MILLAH L OKALDO LARAS 3271025405970006 089523022248 0001515785692

13 MIA BINTI MA'AT HASAN SANUSI 3271025204910009 083122718042 0001775526546

14 YENI B JAENUDIN 3271025103920009 083117761341 UMUM

15 SITI TARWIYAH L ANWAR 321026603990009 083832943169 0000500353435

16 B YUSMAN 9103015908990001 82296405078 UMUM

LIFITA YISKA TABITA LUME
17 YUYU YUNITA B JIHAD NAWAWI 3271026302940007 83135859914 0001191160247

18 L FARHANUDIN 3271024901920006 81288611402 0002518913979

MIRAH SWANDANI ULFA
19 ZAHRA ANISA L M RANGGA 3271026509940006 081382999822 0001836591669

20 DESTI MAULINDA ADIK SUMIRAT 3271025912840009 0000500140899

22 Mei 2024 1 MURNI ISNAWATI 3271024108940004 08872508477 UMUM

B M. JUMARI
2 OLIS KHOLISOH V ASEP SOPIAN 3271025012890011 0002355725002

3 YUWI SAPITRI L WAHYU ILAHI 3271024401010011 088213252719

4 MIRAH SWANDANI ULFA V FARHUDIN 3271024901920006 81288611402

5 SITI NURKILAH FAHRIZAL 3271027010980008 08975122467

24 Mei 2024 1 RISMAWATI B ARIS SOFIYAN 3271024801930009 0895340937174 0002360126913

2 NUR AFIAH B 3271056503980014 089512430452 0001012720498

MARNI SUKAENI V ANDRI 3271026704860003 85714177019

25 Mei 2024 1 ANANDA RAHAYU B ANGGA 3271064309960011 081353538139

2 SRI RAHAYU B ASEP MITA 089613673232

3271026703920007
3 RISMA PURBOSARI 085889155782

27 Mei 2024 1 EMA BUDIARTI V ENDANG SUPENA 3271026108850001 081806240864

2 PUTRI NOPIYANI B FITRAH 3201164104950004 085882093015

3 SITI NURMAH B DZIKI AMIRULLAH 3271036610950004 08988569751 0002358229555

4 DESY B UJANG 3271024709930009 083822362829 500132081

5 HOLILAH B HERDIANA 3271025605850004 089652806543

6 WIDIA NURI HAPITRIYAH B IRFAN 3271015801020004 085772042154 0000499997259

7 DYENIAR IMARSYACH B TANTAN 3271054802960006 089630717878

28 Mei 2024 1 INA ARLINA L FARID RIDWAN 3271025808020002

2 MARYANI BINTI AND I L IWAN KURNIAWAN 3201154706840010 08881889413 0001649502783

3 SANI ROSANI B HERMAWAN 3205064509930005

4 SRI NUR ANGGRAENI L M AGUNG 3271024202970001 085817499088

 5 NURAENI BINTI AGUS B DEDI JUNAEDI 3271026104840004 083811007290 0002360129038

6 DEVIA RESTU RAHAYU L GEMILANG 3271026007040005 0895355285534 BPJS

7 ZANAFA NUR SABILLA L SUKMA IJAYA 3271027108050002 083897216012

8 SITI MASLAMAH B SAMSUL 3201346108010003 08998740583

9 ERIK SUNARDI 3271024202910002 08815678611

WULANSARI
10 SITI FATIMAH IRNAWATI B SAEPUDIN 3271026105040001 085892513436

11 DINDA SETIAWATI SUMARNA 3271025806030011 83188441227

12 NOVA ANDIANI ANADA 3271025911010003

13 KURNIA FITRIANI L M RAMDANI 3507245811030007 085975395827

14 L HERMAN 3271025209840002 085833308962

SITI NURIYAH
15 B ABDUL MALIQI 3201254801000001 085714806049
SITI KHAERUNNISA

03860
29 Mei 2024 1 SEPTI SITI KHODIJAH B ISNAP 3271045409910004 089513549880
7
2 TITA ROSMAYANTI L MUHAJIRIN 08567906477
SITI HALIMAH KURNIA 03862
3 B ARDI 3271025703070002 0895413024141
PUTRI 5
4 YULIAWATI BINTI JUMRI L AHMAD DEDIH 085770281673 0001745614326
SUMARDI 3271024407850015
03863
5 WIRDAH URYANI B M. YANTO 3271026708910009 085717247580
0
6 ANITA LAELASARI L ONIUS 327102701000007 085280661581
03037
7 INDRIYANI SAFITRI B SAHRUL SUKADI 3201385912010001 0895383266530
8
ANINDA KUSUMA 01617
8 B SELAMET RAHARJO 3271025408950003 082210751724
WARDANI 4
DONE!!!
 TGL LAHIR
SEKOLAH NAMA IBU
TGL LHR UMUR AGAMA PEKERJAAN ALAMAT GPA ANAK HPHT TP
TERAKHR KANDUNG
TERAKHIR

WANGUN ATAS
01/11/2003 21 ISLAM SMP IRT ROSITA 1/0/0 29/11/2023 08/02/2024
3/1
124

124

02-11-1992 #VALUE! ISLAM KP. MUARA RT

2/10
WANGUN
6/8/80 43 ISLAM SMP IRT 5/4/0 3/20/2021 03/10/24 ? 08/07/24 ?
TENGAH 2/2
124

28/3/1990 34 ISLAM SMA IRT NANIH KP. MUARA 1/2 2/1/0 28/2/2019 11/6/2024

24-09-1996 #VALUE! ISLAM S1 GURU KOMPLEK KEHUT2/1/0 26/11/2019 30/5/2024

22-12-1992 #VALUE! ISLAM SMP IRT EUIS ROHAENI TAJUR 1/4 5/4/0 24/7/2021 15/12/2023 9/22/2024
TITIN SINDANGSARI
08-05-1998 #VALUE! ISLAM S1 KARYAWAN 1/0/0 06/3/2024 13/12/2024
SUMARTINI 2/6
124

23/2/1999 #VALUE! islam sd irt atimah sindangrasa3/9 2/1/0 12/8/2021 15/12/2023

18-03-1999 #VALUE! ISLAM SMK KARYAWAN NANAH TAJUR 2/4 2/0/1 1/9/2023 8/6/2024
ELAH SINDANGSARI
31/8/2005 #VALUE! ISLAM SMK IRT 1/0/0 2/9/23 9/6/2024
NURLELAH 6/5
JL. SUKAMULYA
02-11-1983 #VALUE! ISLAM SMA IRT SAROH 5/3/1 14/11/2019 25/10/23
NO. 11 RT 3/5
23-06-1994 #VALUE! ISLAM SMK KARYAWAN PUPU TAJUR 1/6 2/1/0 14/2/2024 21/11/2024
19/12/2020
16/11/2022
13-01-1996 #VALUE! ISLAM SMK IRT ONIH SUKASARI 2/1 3/1/1 23/10/2023 30/7/2024
(+)
26-05-2000 #VALUE! ISLAM SMA IRT SITI AMALIAH TAJUR 4/4 2/1/0 9/1/2023 26/7/2023 3/5/24

17-08-2000 #VALUE! ISLAM SMK IRT DAHLIANTI BARSI 6/12 2/1/0 27/2/2020 21/12/2023 28/9/24

10/26/1994 29 ISLAM SMA IRT ROS SUKASARI 2/2 3/2/0 12/12/2023 9/19/2024
28/1/2021
22/10/95 #VALUE! ISLAM SMA IRT NURJANAH SK.SARI 3/3 2/0/1 9/12/23

9/22/1992 31 ISLAM SMA IRT CUCUM SDRASA 3/2 4/3/0 4/4/2018 2/8/2023 5/9/2024

124

10/28/1987 36 ISLAM SMA IRT MIAS SD SARI 3/7 2/1/0 1/10/2023 7/8/2024

14/5/1998 25 ISLAM SMA IRT NINA SD RASA 2/4 1/0/0 9/23/2023 6/30/2024

24/7/1996 27 ISLAM D1 IRT SUKARTINAH SD RASA 4/7 1/0/0 20/8/2023 5/27/2024

8/25/1991 32 ISLAM SMA IRT ST MASITOH SD RASA 2/12 3/2/0 17/9/2023 6/24/2024

1/9/1992 32 ISLAM S1 IRT SUHERLIN SK SARI 2/5 4/3/0 27/12/22 ?

7/9/2001 22 ISLAM SMP IRT UNAY MS RT 1 RW 12 2/1/0

15 ISLAM SD IRT MS RT 1 RW 12 1/0/0 1/11/2023 ? 8/8/2024

22/10/2008 UNAY
SINDANGRASA
18-06-2000 #VALUE! ISLAM SMA IRT ARIAH 1/0/0 15/9/23 22/6/24
2/8
6/15/1998 25 ISLAM SMA IRT NURYANI TAJUR 2/5 2/1/0 5/30/2022 4/9/2023 6/11/2024
SKSARI RT 3 RW
13/7/84 #VALUE! ISLAM SMP IRT MURNIATI 5/4/0 27/5/2020 9/10/23 7/16/2024
5
15/10/1986 37 ISLAM SMK IRT SD SARI 3/3 5/3/1 18/11/2023 8/25/2024

4/27/1986 38 ISLAM SMP IRT TAJUR 4/4 7/6/0 3/13/2023 ? 8/18/2024

MARNI
12/15/2000 23 ISLAM SD IRT ST RODIAH KP MUARA 3/9 3/1/1 16/1/2024 10/23/2024

11/10/1994 29 ISLAM SMP IRT SD RASA 1/8 5/4/0 20/08/2022 18/11/2023 8/25/2024

124

124

124 ISLAM SMP IRT MUMUN PALASARI 5/5 3/2/0 07/12/2020 12/22/2024 9/30/2024

124 ISLAM SMA IRT ST AISAH KP MUARA 5/7 5/2/2002

124
SINDANGSARI
09/09/1986 37 ISLAM SD IRT AMI 4/3/0 30/3/2018 6/11/2024
5/3
11/11/1996 27 ISLAM D3 KARYAWAN TATI PAKUAN 4/6 1/0/0 19/11/2023

124
DEDE
21/05/2004 #VALUE! ISLAM SD IRT KP MUARA 2/1/0 7/7/2022 22/06/2024
KHADIJAH
124 ISLAM SMA KARYAWAN SK SARI 1/2 2/1/0 26/06/2024

124
LEBAK KONGSI
19/10/1996 #VALUE! ISLAM SD IRT YAYAN 2/1/0 16/9/2019 1/4/2024 8/1/2025
2/7
27/7/1995 #VALUE! ISLAM SMP IRT MUMUN PALASARI 5/5 3/2/0 07/12/2020 12/22/2024 9/30/2024
SINDANGRASA
124 ISLAM SMP IRT KARMI 2/1/0 10/4/2019 22/9/2023
3/7
18-03-1999 #VALUE! ISLAM SMK KARYAWAN NANAH TAJUR 2/4 2/0/1 1/9/2023 8/6/2024

16-08-1990 #VALUE! ISLAM SMA IRT WIYAH SD RASA 6/7 2/1/0 30/4/2018 01/02/2024

01-02-1996 #VALUE! ISLAM SMA IRT YAYAH KP. BABAKAN ANYAR 3/3 28/3/2024 05/01/2025

4/27/1986 38 ISLAM SMP IRT TAJUR 4/4 7/6/0 3/13/2023 ? 8/18/2024

MARNI
 SINDANGRASA
21/12/1996 #VALUE! ISLAM SMK IRT RINA 1/0/0 7/2/2024 14/11/2024
3/9
10-11-1997 #VALUE! ISLAM SMP IRT ODAH MUARASARI 2/5 2/1/0 02/10/2020 23/9/23 6/30/2024

124

07/01/2002 21 ISLAM SMK IRT SANTI SK MULYA 7/3 1/0/0 ? 25/05/2024

04/02/1990 ISLAM SMP IRT SINDANGRASA 3/5/2/2

SINDANGRASA
21-08-2003 #VALUE! ISLAM SMK IRT EVAYANI 1/0/0 05/03/2024 ? 12/12/2024
1/2
SINDANGSARI
09/09/1986 37 ISLAM SD IRT AMI 4/3/0 30/3/2018
5/3
06/12/1984 39 ISLAM SMA IRT MAMAH TAJUR 2/3 4/3/0 07/10/2016 ? 6/4/2024
SINDANGSARI
10-12-1989 #VALUE! ISLAM SMP IRT 01/09/2023
YAYA 4/5
SINDANGSARI
19/01/1994 #VALUE! ISLAM S1 IRT SUMAWAR 2/1/0 16/12/2018 30/9/2023
5/3
15/06/1994 #VALUE! KRISTEN SMA IRT FILIATI SD RASA 3/2/0 27/3/2018 19/9/23

24/5/95 #VALUE! ISLAM SMP IRT ROSITA SD.RASA 1/2 3/2/0 21/5/21 20/10/23

09-01-1986 #VALUE! ISLAM SMK IRT KP TAJUR 2/4 4/2/1 17/11/2023 24/8/2024

15/10/1986 37 ISLAM SMK IRT SD SARI 3/3 5/3/1 18/11/2023 8/25/2024

8/3/92 31 ISLAM SMA IRT CICAH MUARASARI 3/1 2/1/0 27/5/19 25/2/24
DEDE
21/05/2004 #VALUE! ISLAM SD IRT KP MUARA 2/1/0 7/7/2022 22/06/2024
KHADIJAH
6/8/2000 23 ISLAM SMK IRT DIAN HARDINI SUKASARI 5/6 1/0/0 18/9/2023 25/6/2024
JL. SUKAMULYA
02-11-1983 #VALUE! ISLAM SMA IRT SAROH 5/3/1 14/11/2019 25/10/23
NO. 11 RT 3/5
04/01/2001 23 ISLAM SMP IRT WIWIN SUKASARI 3/2 2/1/0 4/9/2023 11/6/2024
10/02/1999 24 ISLAM SMA IRT KP PALASARI 4/5 2/1/0

15/02/1992 #VALUE! ISLAM SD IRT SURIYAH SUKASARI 2/3 3/2/0 26/1/2023

22/7/2001 22 ISLAM SMA GURU AI KURNIASIH CIAWI 6/1 1/0/0

SINDANGSARI
17/11/1990 #VALUE! ISLAM SMA IRT NINING 4/3/0 12/4/2021 12/01/2024 19/10/2024
3/5
124

28/02/1992 #VALUE! ISLAM SMP IRT TAJUR 2/2 3/2/0 01/06/2016 17/02/24 24/11/24
BONDONGAN
12/08/1998 25 ISLAM SMK IRT EUIS 2/1/0 13/04/2022 19/09/2023
1/14
TP USG
25/04/1980 #VALUE! ISLAM SD IRT ROHAMAH MS 2/1 3/2/0 15/04/2010
'06/05/2024
124

18-11-2002 #VALUE! ISLAM SMK IRT sindangsari 1/0/0 26/10/2023 02/08/2024

#VALUE!
22-08-1993 ISLAM SMA IRT SINDANGSARI 2/72/1/0 2020 2/26/2024 02/11/2024
26/10/1998 #VALUE! ISLAM SMK IRT SITI HAMIDAH SUKASARI 4/4 2/1/0 2021 1/15/2024 22/10/2024

26-06-1986 #VALUE! ISLAM SMK IRT SUMARTINI 3/2/0 12/11/2015

124
SINDANGSARI
27/02/2000 #VALUE! ISLAM SMP IRT 1/0/0
3/5
9/25/1994 29 ISLAM S1 IRT TAJUR 1/0/0

124
KARY.SWAST
23/10/98 #VALUE! ISLAM S1 MS 1/3 1/0/0 22/9/23 29/6/24
A
124
16/04/1995 #VALUE! ISLAM SMK IRT TITIH SD RASA 2/10 4/3/0 2019 08/9/2023 15/6/2024

26/3/1999 25 islam sd irt ema tajur 2/3 2/1/0 4/7/2022 10/8/2023 17/5/2024
10/01/2019
12-10-1990 #VALUE! ISLAM SD IRT NAHWATI SUKASARI 3/3 4/3/0 30/1/2024 7/11/2024
(+)
24-10-2002 #VALUE! ISLAM SMP IRT RIA SINDANGRASA 1/2/1/0 2020 20/11/2023 27/8/2024
ELAH SINDANGSARI
31/8/2005 #VALUE! ISLAM SMK IRT 1/0/0 2/9/23 9/6/2024
NURLELAH 6/5
24/1/1993 31 ISLAM SMA IRT SD RASA 1/8 1.0.0 4/8/0203
LILIS
19-10-1999 #VALUE! ISLAM SMP IRT TAJUR 2/6 4/1/2 12/2/2024 19/11/2024
SUNINGSIH
13/2/1999 #VALUE! ISLAM S1 IRT SITI ROHMAH SUKASARI 5/3 2/1/0 23/7/2024
22/9/2022
3/25/1992 32 ISLAM SMK IRT SAMSIAH SUKASARI 2/2 3/2/0 1/24/2017 06/11/2023 13/8/2024

22-05-1999 #VALUE! ISLAM SMA IRT ANDY HERLINA MUARASARI 1/7 1/0/0 28/11/2023 05/09/2024

12/09/1984 39 ISLAM SMA KARYAWAN YATI MARYATI SK SARI 1/2 2/1/0 26/06/2024
SINDANGSARI
03-12-1994 #VALUE! ISLAM SMA IRT NINGSIH 1/0/0 20/01/2024 27/10/2024
4/2
124

07/01/2002 21 ISLAM SMK IRT SANTI SK MULYA 7/3 1/0/0 13/7/23 25/05/2024

2/1/1992 32 ISLAM SD IRT YATI SDRASA

4/6/1997 26 ISLAM SMP IRT NARSIH SDSR RT 3/7 2/1/0 1/10/23 8/7/24

17/8/2001 #VALUE! ISLAM SMA IRT IMAS SDRASA RT 3/9 1/0/0 17/9/2023 24/7/24

25/8/91 #VALUE! ISLAM SMU IRT SITI MASITOH SDRASA RT 2/12 3/2/0 17/9/23 24/4/24

7/4/2005 18 ISLAM SMP IRT LATIPAH SDSARI 2/7 1/0/0 5/2/24 12/11/24

20/7/2004 #VALUE! ISLAM SMP IRT ELI SURYATI TAJUR RT 2/3 1/0/0 13/8/23 22/5/24
 UNAY
7/12/2002 21 ISLAM SMP IRT M.S RT 1/12 2/1/0 13/10/23 20/7/24
WINARNI
20/3/1979 #VALUE! ISLAM SMP IRT SARIPAH SDRASA RT 1/1 5/4/0 9/10/23

6/9/1989 34 ISLAM SMA IRT SITI HINDUN TAJUR RT 3RW 6 3/1/1 12/9/23 19/6/24

23/10/1998 #VALUE! ISLAM S1 K.SWASTA SUHARTINI M.S RT 4RW5 1/0/0 22/9/23

14/5/1997 #VALUE! ISLAM SMP IRT NUNUNG TAJUR RT 2/2 2/1/0 10/12/2023 19/7/24

12/4/1991 32 ISLAM SD IRT ACAH KATULAMPA 4/8 3/2/0 08/07/2016 25/8/23 1/5/2024
SDSARI RT 4 RW
11/3/1992 31 ISLAM SD IRT IIS 3/2/0 10/11/23 17/9/2024
2
26/3/1999 #VALUE! ISLAM SD IRT EMA SDSARI RT 2/1 2/1/0 10/8/23 17/5/24
EVI
GRIYA
19/8/1999 #VALUE! ISLAM S1 K.SWASTA MANAMPIRIN 1/0/0 10/2/24 /17/11/24
KATULAMPA
G
SDSARI RT 4 RW
23/2/1994 #VALUE! ISLAM SMK IRT LILIH HALIDAH 2/1/0 12/3/24 19/12/24
5
9/1/1992 31 ISLAM S1
PINO
25/9/1994 #VALUE! ISLAM S1 IRT TAJUR RT 1/5 1/0/0
RAHMATIAH
19/12/1984 #VALUE!

124
SINDANGSARI
01-08-1994 #VALUE! ISLAM SMA IRT SITI HOLISOH 3/1/1 1/2/2021 02/01/2024 09/10/204
3/1
SINDANGSARI
10-12-1989 #VALUE! ISLAM SMP IRT 3/2/0 23/05/2015 01/09/2023
YAYA 4/5
04/01/2001 23 ISLAM SMP IRT WIWIN SUKASARI 3/2 2/1/0 4/9/2023 11/6/2024

1/9/1992 32 ISLAM S1 IRT SUHERLIN SK SARI 2/5 4/3/0 27/12/22 ?

SINDANGRASA
30-10-1998 #VALUE! ISLAM SMK KARYAWAN NYAI RUBIAH 1/0/0 19/3/2024 26/1/2025
2/4
124
 SINDANGRASA
08/01/1993 30 ISLAM SMK IRT MUMUN 2/1/0 /12/2023
3/12 5/6/2019
25/03/1998 #VALUE! ISLAM SMK IRT MARIAM SUKASARI 5/3 2/1/0

4/27/1986 38 ISLAM SMP IRT TAJUR 4/4 7/6/0 3/13/2023 ? 8/18/2024

MARNI
124
MUARA
09/03/1996 27 ISLAM SMK IRT RODIAH 2/1/0 27/10/2015 02/12/2024
BABADAK 3/4
JL SUKAMULYA
03-27-1992 #VALUE! ISLAM SMA IRT SUKAESIH 1/0/0 02/12/2023
4/5 09-09-2024
24-06-1999 24

124
JL. SUKASARI 3
#VALUE! ISLAM SMA IRT ESIH SUKAESIH 3/2/0 24/9/2014 26/6/2024
21/08/1985 RT 2/1
SINDANGRASA
2/11/1995 29 ISLAM SMA IRT NYAI 2/1/0 23/5/2020 27/3/2024 03/01/2025
4/4
SINDANGRASA
26/10/1995 #VALUE! ISLAM SMA IRT TITIK 2/1/0 20/7/2018 24/4/2024 31/1/2025
4/5
7/9/93 30 ISLAM SD IRT SULASTRI CIMANDE 1/2 3/2/0 1/4/2020 25/1/24 2/11/24
WANGUN ATAS
16/5/85 #VALUE! ISLAM SMP IRT SITI MARYAM 3/2/0 13/2/2015 10/9/23 17/6/24
4/1
SINDANGRASA2/
18/1/2002 22 ISLAM SMA IRT RUSNIAWATI 3/0/2 22/4/2024 29/1/24
10
8/2/1996 28 ISLAM D3 IRT RINA MARLINA KATULAMPA 1/0/0 20/12/23 27/9/24

124

8/18/2002 21 ISLAM SMK IRT SITI NANI SDRASA 3/9 1/0/0 20/01/2024 10/27/2024

07/06/1984 39 ISLAM SMA IRT PAKUAN 2/5 2/1/0 13/3/2024 20/12/2024

124
SINDANGSARI
02-02-1997 #VALUE! ISLAM SMK IRT NENENG 3/2/0 20/1/2024 10/27/2024
4/2 21/8/2019
21-04-1984 #VALUE! ISLAM SD IRT KOKOY SD RASA 4/10 3/2/0 03/10/2022 ? ?

20/7/2004 #VALUE! ISLAM SMP IRT ELI SURYATI TAJUR RT 2/3 1/0/0 13/8/23 22/5/24
ELAH SINDANGSARI
31/8/2005 #VALUE! ISLAM SMK IRT 1/0/0 2/9/23 9/6/2024
NURLELAH 6/5
11/5/1999 24 ISLAM SMP IRT NURMETI SD RASA 1/10 2/1/0 02/11/2020 08/04/2024 15/01/2025

02/02/1991 33 ISLAM SMA IRT NENENG TAJUR 4/3 3/2/0 25/10/2020 5/10/2023 12/7/24
DEDE
21/05/04 19 ISLAM SD IRT SD.RASA 2/12 3/1/1 22/6/24
KHADIJAH
18/6/2003 20 ISLAM SMA IRT SEPTIO DWI PB 5/1 1/0/0 5/11/23 12/8/24

19-11-2001 #VALUE! ISLAM SMA IRT DIAN YULIANA SK MULYA 2/5 2/0/1 02/02/2024 09/11/2024

18/11/02 #VALUE! ISLAM SMK IRT ENI INDRAYATI SD.SARI 2/1 1/0/0 26/10/23

12/09/1984 39 ISLAM SMA KARYAWAN YATI MARYATI SK SARI 1/2 2/1/0 26/06/2024

03/01/2000 24 ISLAM SMA IRT ST ROHIMAH SD ARASA 1/4 3/1/1 8/10/2020 ? ?

124
NUR CIMUNCANG
14-09-1991 #VALUE! ISLAM SMA IRT 2/1/0 29/08/2020 21/12/2023 28/9/2024
ELMAHIM 2/2
124 SMA IRT MUSRIAH JL. SUKASARI 3 3/2/0 13/7/2021 15/12/2023 22/9/2024
SINDANGRASA
17/03/2007 #VALUE! ISLAM SD IRT RODIAH 1/0/0 11/15/2023
2/8
BIBUN SINDANGRASA
4/7/1985 39 ISLAM SMA IRT 4/3/0 18/8/2018 10/9/2023 17/6/2024
YOHANAH 1/10
27-08-1991 #VALUE! ISLAM SMA IRT KATULAMPA 2/9 3/2/0

30/10/00 #VALUE! ISLAM SMK IRT SUMIRAT SUKASARI 1/2 1/0/0 16/6/24

19-12-2001 #VALUE! ISLAM SMA IRT KP. MUARA RT 1/ 2/1/0 2022 03/1/2024 10/10/2024
ELAWATI SINDAMGSARI
14/08/1995 #VALUE! ISLAM S1 IRT 3/2/0 1/12/2022 3/8/2024
RAHAYU 3/7
124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124
124

124

124

124

124

124

124

124

124

124

124

124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
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 HASIL LAB GOLDAR
HASIL PEMERIKSAAN (UK, DJJ,
TB LILA BB TD VAKSIN KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN ISTERI

167 CEK LAB 11.1 NR N N O/+

CEK LAB 9.5 POS/+

CEK LAB 11.6 NEG

156 CEK LAB 11.9 NR N N AB/+

156 65.1 108/61 CEK LAB 9.4 NEGATIF

155 97.1 117/73 CEK LAB 11.0 POS / +1

150 46.1 101/66 CEK LAB 12.2 NR N N GDS : 88 O+

158 43.6 107/69 CEK LAB 10.3 NR N N B+

147 25 40.5 111/58 cek lab 11.2 NR N N GDS : 99 O+

158 91 132/92 CEK LAB H : 35 MGG

154 27 65 110/68 UK 34-35 MGG 11.7 negatif

UK : 28 Mgg, tfu 25 cm, djj :
154 90.9 10.7 NR N N GDS : 92 A+
153 x/m, kepala
152 52 118/82 UK : 12-13 mgg 10.4 NR N N GDS : 93
UK : 23-24 mgg, TFU : 24 CM,
152 30 63.9 115/69 10.7 NR N N GDS : 102
KEP DJJ : 143 x/m
UK : 39-40 mgg, TFU : 29 CM,
158 29 56.3 87/61 9.1 Negatif
DJJ : 143 x/m, kepala
UK : 19 mgg, TFU 1 Jari < pst,
145 26 56.7 115/73 A+
DJJ 153 x/m, balt +
UK 21 mgg, TFU : 1 jari < pst,
152 26 70 103/67
DJJ : 157x/m, balt +
UK : 21-22 Mgg, TFU : Sepusat,
154 27 64.2 134/92
DJJ : 153, BALT +
155 25 64.3 111/69 UK : 29-30 mgg

153 28 65 131/75 CEK LAB + USG 11.7 NEG

153 29 61 114/73 CEK LAB + USG 10 NEG A+

155 24 56 107/76 CEK LAB 12.6 NEG O/+

150 67 172/110 CEK LAB + USG H 33 MGG 11 NEG

158 30 76 128/75 H 30 MGG

H 29 MGG . TFU 25 CM, KEP,
152 25 60 121/77
DJJ 155 X/M
TFU 1/2 SYMP PST, BALL (+),
153 56 127/85 9.8 NR NR NR NEG A/+
DJJ +
152 26 61 112/69 UK 33-34 USG 10.9 NR NR NR NEG

167 23 71 123/74 UK 35 MGG + USG 10.3 NEG

UK,26-27MGGU,TFU 24CM,DJJ
155 26 62 111/80
+ 140,PRESKEP
TFU SEPUSAT, KEP, DJJ 154 UK
158 63 95/51
24-25 MGG
145 65 114/75 USG
10.1 NR NEG NEG
 UK 16-17 MGG, TFU 1/2 PST-
150 26 54 116/66
SYMP, BALL (+) DJJ (+)
155 23 51 98/56 CEK LAB 11.3 NR NEG NEG GDS 86

155 CEK LAB 11.2 NR NEG NEG

42-43

150 25 52.9 118/71 CEK LAB 10.1 NEGATIF

98/65 CEK LAB 10.5

150 CEK LAB 10.5 NEG AB/+

157 112/65 70 CEK LAB 10.9

150 24.5 55.4 125/69 UK : 6 MGG, CEK LAB 12.6 NR N N B+

UK : 21 MGG, TFU 15 CM, DJJ :
155 60.1 112/75
160 x/m, balt +
UK : 36 MGG, TFU : 28 CM, KEP
160 23/5 62.5 124/78
, DJJ 134 x/m
H : 36 MGG, TFU : 29CM, KEP,
158 90.7 128/91
DJJ : 154 x/m
149 12.2 NR N N GDS 97

113/71 UK : 5-6 MGG 13.1 NR N N GDS 103

145 65 107/71 UK : 26-27 MGG

157 22.6 44.6 98/74 UK : 14 MINGGU

157 28 64 107/68 UK : 33 MGG CEK LAB 12.3 NR N N GDS 97 A+

UK : 38-39 mgg, TFU : 27 CM,

158 28.5 68.41 125/90
KEP, 153x/m
12.8 +1
153 93 162/106 CEK LAB, RJK JULIANA
155 20.5 42 95/59 USG

150 25 52.1 114/70 rujuk RS. VANIA

UK : 38-39 mggtfu : 30 cm,
165 24 66.4 112/73
kep, DJJ : 148 x/m
71 UK : 36-37 MGG 9.7 negatif

158 128/79 USG, LAB UK : 33 mgg 10.7 negatif

155 22 61.2 107/77 USG, LAB UK : 34 mgg 12.5 negatif

UK : 29-30 mgg, tfu : 27 cm,
152 26 111/85
67.1 kep, DJJ : 123
158 57.6 11/72 UK : 25-26 MGG 10.6 NR N N GDS :71 A+

158

155 28.5 64 107/67 USG, UK : 11 MGG

150 57.1 97/60 USG, UK : 34-35MGG

165 58.1 95/63 USG, UK : 34-35 MGG

154 92 131/93 UK : 29 MGG

150 63.4 117/80 UK : 39 MGG, USG

 40 UK : 12 MINGGU 9.8 NR N N

54.5 125/73 NR N N

144 51.5 125/85 11.4 NR N N

CEK LAB, TFU : 3 JARI < PST,
158 65.3 104/73 11.7 NR N N gds
BALL, DJJ : 153 x/m

157 25 56 120/80 CEK LAB 11.5 NR N N B/+

CEK LAB 8.3 NEG B/+

RJK JULIANA /1 POSTERM+
12.8 NEG O/+
CEK LAB

CEK LAB, UK : 29 MGG, TFU 22

155 20 40.7 109/61 TT2 9.8 NR N N O+
CM, KEP, DJJ : 156 x/m

156 26.5 62 91/62 CEK LAB 11.0 NR N N A+

158 25 50.7 106/71 CEK LAB, UK : 18 MINGGU TT3 12.2 NR N N GDS : 91 O+

150 26 49.8 106/76 CEK LAB UK : 15 MINGGU 10.9 NR N N

CEK LAB 11 pos 1

CEK LAB 8.1 NR N N GDS 101

158 62 117/86 CEK LAB 11.1 NEG A

 UK : 36-37 mgg, TFU : 28 CM,
150 25 91/62
60.2 DJJ : 138 x/m, preskep
UK : 34-35 mgg, TFU : 28 CM,
155 25 101/65 11.6 NEG o+
48.3 DJJ : 155 x/m, preskep
152 26 66.7 129/103 UK : 16 mgg 13.3 NR N N O+

153 72.8 108/69 UK : 37 MGG

154 27 66.4 103/55 UK : 37-38 mgg

UK : 41-42 mgg, TFU : 31 CM, RJK RS.
155 51.8 134/85 pres kep, DJJ : 136 x/m VANIA
UK : 14-15 mgg, TFU : 3jari
158 33 141/99
75.7 >spt, DJJ +, BALT+
RJK RS.
UK : 31 mgg, TFU : 27 CM, Djj :
155 20 40.1 101/63 VANIA
150x/m, kep
BSC 1X
UK : 28 mgg, TFU : 21 CM,
155 31 66.9 110/80
BOK, DJJ : 150 x/m
UK : 25 MGG, TFU : 19 CM,
150 20 42.5 116/69 8.6 N N N GDS 109
BALT, DJJ : 150x/m
UK : 33 mgg, TFU : 27 cm, kep,
157 58.6 102/64
DJJ : 144 x/m
155 23.5 51.8 109/70 UK : 17-18 mgg 10.9 NR N N GDS 109

UK 39-70 MGG, TFU 30, kep,

158 28.5 68.8 133/91 NEG
djj 150x/m

155 60 114/67 UK 33-34+USG+CEK LAB 12 NEG B/+

156 59 113/70 UK 35-36+USG+CEK LAB O/+

150 69 175/117 UK 35-36 TFU 29CM DJJ 140

150 44 102/68 UK 15-16 +CEK LAB 11 NR NR NR B

150 59 119/77 UK 39-40 TFU 30 DJJ 143

152 61 122/74 UK.31-32 + USG +CEK LAB 11.3 NEG
UK. 31-32 + CEK LAB TFU 30
150 76 184/114
DJJ 150
159 53 129/71 CEK LAB +USG 12.7 NEG

158 60 153/87 USG

150 63 102/74 USG+CEK LAB 10.5 NEG

150 26.5 113/90 UK 38 MINGGU

155 44 117/79 CEK LAB+ ANC TFU 27 DJJ 135

154 48 106/71 USG

156 61 115/75 CEK LAB + ANC TFU 11.5 NR NR NR GDS 94

154 54 110/80 CEK LAB+ USG 12.8 NR NR NR GDS 106

CEK LAB 11.7 NEG GLUKOSA +1

155 64 109/74 USG

54 107/78 KONTROL SC

107 146/94 CEK LAB 11.4 NR N N GDS 126 O

UK : 36-37 MGG (KELUAR AIR- RS.
160 71.6 135/85
AIR JULIANA
150 63.9 117/80 UK : 37 MINGGU RS. VANIA

158 30 77.4 128/75 H 30 MGG

155 24 49 98/74 8.4 NR N N GDS : 100 O

155 65.9 111/69 12.0 NR N N
RJK RS.
VANIA
UK : 28 mgg, TFU : 22 CM,
145 65.1 129/75
PREKEP, DJJ : 143 x/m

CEK LAB + RJK A/I

155 53 95/73 NR N N O/+
CYST.BARTOLIN 11
44 107/63 CEK LAB 10.4 NR N N O/+
KELUAR DARAH SEJAK 1 HARI
YANG LALU SERTA NYERI
PERUT BAGIAN BAWAH

152 69 110/80 CEK LAB 10.7 1

155 60 110/80 CEK LAB 12.3 N N N GDS 140

157 120/80 CEK LAB 13 N N N GDS 152

TFU 11CM,BALL +,DJJ
43.1 90/60 11.6 N N N GDS 97
159X/M,PUKA
158 7.4 N N N N GDS 92

149 45 110/80 CEK LAB 13 N N N GDS 83

52.5 104/65 CEK LAB 10.7 n n n gds 95

KEL : NYERI PINGGANG. UK 18-

155 26 127/65 19 MGG. TFU 1 JARI DIBAWAH
52.1 PST,:BALL (+),MUNTAH,
KEL MUAL-
146 44 119/76 G2P1A0 H 11 MGG, TFU 3 JARI
DIATAS SYMP, BALL (+)
155 56.5 127/84 LEPAS VERBAN POST SC 1 BLN
KEL : LEMAS, TFU 1/2 PST
150 68.3 118/87 SYMP, BALL (+), DJJ 153X/M
G3P2A0 H 18-19 MGG
 KEL : PUSING DAN MUAL, TFU
150 23 44.3 126/91 3 JARI ATAS SYMP, BALL (+), 11 NR N N GDS 88
DJJ BELUM
KEL TERDENGAR
: KEPUTIHAN, TFU 32JELAS
CM,
150 58.7 110/78 KEP, DJJ 147 X/M (RJK RS 11 NR N N GDS 88 A/+
JULIANA
KEL A/IPERUT
: NYERI POSTERM)
BAGIAN
154 66 99/76 BAWAH + PUSING, TFU 35 CM,
KEL
KEP,: DJJ
MUAL-MUNTAH,
153X/M TFU 3
JARI ATAS SYMP, BALL (+), DJJ
30 61.2 108/79 12.8 NR N N O/+
BELM TERDENGAR JELAS
KEL : GATAL-GATAL,
G2P1A0 7-8 MGG TFU 23
158 86.2 111/74 CM, KEP, DJJ 151. G3P2A0 H
27-28 CM
UK 36+2,TFU 30CM,KEP,DJJ
155 57.8 101/63
143X/M
KEL : MERIANG, BATUK-PILEK,
BAB DISERTAI KELUAR DARAH.
159 61 104/68
G1P0A0 H 28 MGG, TFU 23
KEL
CM,:KEP,
TAK,DJJ
TFU141X/M
2 JARI BAWAH
151 32 66 PST, BALL , DJJ 143X/M. 12 NR N N GDS 103 O/+
G2P0A1 H 16-17 MGG
UK 31MG,TFU 23CM,KEP,DJJ
155 42.7 109/61
143X/M
KEL : TAK, G3P2A0 H 34 MGG,
157 58.6 110/72 KEL : NYERI PERUT BAG
TFU 28 CM, KEP, DJJ 126X/M
BAWAH, TFU 3 JARI ATAS
158 27.5 63 120/79 SYMP, BALL (+), DJJ BELUM 10.5 NR N N GDS 91
TERDENGAR JELAS. G3P1A1 H -
+ 11-12 MGG

155 27 52 114/62 CEK LAB 11.3 NR N N GDS : 90

155 77 141/90 RUJUK RS. VANIA

150 27 56.9 97/64 CEK LAB 10.4 NR N N GDS 105 B

159 CEK LAB 11.3 N

102/67 CEK LAB 11.8 N N N GDS 90

158 83 120/80 CEK LAB 10 N

CEK LAB, RUJUK JULIANA DARI
159 61.2 101/58 9.8 NR N N
POLI
70.5 109/71 UK : 30 MGG 8.5 NR N N GDS : 107 O
 @dropdown

GOLDAR

ORANGTU ORANGTU
SUAMI A ISTERI A SUAMI

O/+

A+

O+
A+
AB
 ibu O+ BAPAK A+

O/+
O

A
O/+
 TANGGAL
NO
KUJUNGAN
NAMA PASIEN B L NAMA SUAMI NIK NO HP NO BPJS

1/4/24 1 KIKI RIZKI AMELIA MEGI 3271026405950004 083165592089 0003072622735

2 DINDA SETIAWATI SUMARNA 3271025806030011 083188441227 0000500660109

3 DEIGET 3271014502000003 082289063306 0001720542925

FEBRIA PHOENNA
0003588876617
4 M RIFAI 3201045509020009 089638392970
WILDA AULIA (SUKARAJA)
5
RAHIDA SARI
6 FITRI A HERMAN 3671116711020001 083891259781 0000815018861
0000500084346
7 SUSILAWATI PUTRA 3271026005960003 089606236903
(BANTARJAYA)
8 PRETTY MIDA ABDUL HALIM M 3271025111840009 085157800084 0001883976041

9 DIANA ROSI ADE TRISTANTO 3271026210950005 083146103997 0000499805919

10 AENI SUSANTI ABDURRAHMAN 3271025808920005 0895621127373 0001825419813

11 SRI AYU BADRIAH DONI 3603235409040001 0895404455055 0001172456302

12 SITI FATIMAH ZAHRO M SATRIA 3271036112890003 08888920400 0002516932383

13 VURI DIANI MUSA 3271026812900001 087874440037 0001845100721

02 April 2024 1 FITRIANI RICO SUHENDAR 3271024408960010 089677552505

2 DEDE RATNAWATI DIDIN 3271075003810009

 3 selviyanti taufik armansyah 3271026209920007
ABDULLAH ANDRI
4 OKTAVIANTI BINTI DJADJA 3271024110970004 0895321385812
YUSWANA
5 OVI RAHMAWATI maman 3271026610940003 085176752646

6 ERNI KURNIAWATI ARIF FADILAH 32043246142840001 085210160200

7 SITI MUTIA JAMAL 3271026407890001 088213907543

8 FITRIYANI ASEP 3271025204890006 085695309613

9 ai yuni wahyuningsih endri 1213226405010002 081386443288

10 desi marselita aldi 3271024812030001 0887433358461

11 jihan nabila binsar 3201246112960001 085280045605

12 yuliawati ahmad dedih 3271024407850015 085770281673

13 RISKAWATI 3271026304920009 085157571570

bilal
14 mirah swandi 3271024901920006
farhanudin 081288611402
15 indrian rosmawati ahmad 3271024407960004 085711831182

16 arni nuraeni asep 3271015103890015 08128442519

03 April 2024 1 FADHILAH NURADZANI fathur 3271026210990007 089614517434

2 DIANI AGUSTINA EXCEL 3271025708000004 089670093220

04 April 2024 1 ANDIS SURYATI hendri 3271024503020003 085770686658

2 rida kusdini ikhal 327102700900001 083805614879

 3 siti nabila rohmah m. firdaus 3271025212000001 0895606378166

4 RINA MARDIANA sandi 3201255405940003 083874182337

5 FITRI MELISA M. YAYAN 3217015301000001

08 April 2024 1 YENI SUMIATI HENDI 3203026411950005 085718750512

2 ANISA FANIA ESA MIFTAHUDA 327604611000004 089636809799

3 SITI HAWA ZEINDAN ABABIL 3271055003030003 089516443328

4 ERIKA JULIYANTI TEGUH JULIAN 3271027007990001 088219413153

09 April 2024 1 DITA AYU SEPTIANI FAJAR 3271024509970003 081585268535

12 April 2024 1 vera nadila sandy M IYAN 3271026108030004 085714449092

13 April 2024 1
AGUSTINA INDRIYANI 3271015708980021

15 April 2024 1 ANTON 1214025506940006 08817523656

MANISA NDRURU

2 SUKMA WIJAYA 3271027108050002 083897216012

ZANAFA NUR SABILA
3 NUR AZIZAH ADITYA 3201256904040005 083169880034

4 RANI RUSNIAWATI MULYADI 3271025604950002 085716526870

5 AGUS SETAIAWAN 3201405210820003 089533090674,

NENGSIH
 6 HASYANUL FITRI FEBRI PURWANTO 3201295005930002 08811793463

7 SITI HALIMAH RAMDANI 3201244101940019 085770341265

8 YENI SUMIATI HENDI 3203026411950005 085718750512

9 WATI WIDYA NINGSIH FEBI 3201274803920007 085693900850

16 April 2024 1 YANI NURHAYATI RAFI 3271024701020005 087782448468

2 VERA NADILA SANDY M IYAN 3271026108030004 085714449092

3 SRI NUR ANGGRAENI M AGUNG 3271024202970001 085817499088

4 ETI HARTATI ENJANG 3201174909861002

085770859766
5 ERNI KURNIAWATI ARIF 3204324612840001 085210160200

6 DEVI RAHMA TANTI FATHUR RACHMAN 3271016012970014 085161482012

7 SITI MUTIA WAHYUNINGSIH JAMAL 3271026407890001 088213917543

8 YULI YANTI RAHMAT 3172037107870003 089512573672

9 PRETTY MIDA ABDUL HALIM 3271025111940009 085157800084

10 INDRIYANI FERDIANSYAH 3271026510990004 0895403622600

11 RATNA WIGENA M MUSLIH 3271026410890005 083894537189

12 ARNI NURAENI ASEP 3271015103890015 08128442519

13 EKA NURWATI RIZKY ANSARI 3201044810960002 082213995195

14 ANISA FANIA ESA MIFTAHUDIN 3276046110000004 089639809799

 15 ROS KARMILA HIDAYAT NANDA 3201285108970004

16 RENDY 3271024305970005 081288452434

DEVIANTI SETIAWATI
17 3271026401930001 089693602000
NONI BINTI ADENG UJANG
18 LUDFIANSYAH 3271025810900002 083811163711
ZIHAN RESNIA WULAN

17 April 2024 1 RENA OKTAVIANI CAHYA GUMILAR 3271025810890004 0881012024648

18 April 2024 1 INDRI ANDAYANI REDI HERMANSYAH 3271024210990005 0881010371299

2 DANI R 3271045809860005 089517306456

AMELIA ROSMAWATI
3 ROBBYANTO 3271026405950005 856939596573
FAHMILLA BUDI ASIH
4 ASHAR 3271024608000002 89503630387
ADINDA ISLAMI DINA

19 April 2024 1 Mukaromah kamal 3201244505021001 -

20 April 2024 1 dwi lestari m. romdani 3271026002990008 083811902691

2 TRI HANDAYANI HERU RUDINI 3271026405910002 083811216341

22 April 2024 1 SITI TARWIYAH anwar 3271026603990009 0895355285524

2 SRI NUR ANGGRAENI m. agung 3271024202970001 085817499088

3 WAHYU YULIANTI HADI ISKANDAR 3315105804840001 82147780478

 4 ANISA FANIA ESA MIFTAHUDA 327604611000004 089636809799

23 April 2024 1 DINDA SETIAWATI SUMARNA 3271025806030011 83188441227

2 DEDE RATNAWATI DIDIN 3271025003810009

3 ZANAFA NUR SABILLA SUKMA IJAYA 3271027108050002 083897216012

4 WULANSARI ERIK SUNARDI 3271024202910002 08815678611

5 ETI HARTATI ENJANG 3201174909861002 085770859766

6 NADILA OKTAVIA ASEP 3271015110030006 083867797492

7 SRI NUR ANGGRAENI MOCH AGUNG 3271024202970001 085817499088

8 INDRI ANDAYANI REDI HERMANSYAH 3271024210990005 0881010371299

9 MIA BINTI MA'AT HASAN SANUSI 3271025204910009 083122718042

10 SITI RAHMAWATI NURDIN 3271025707920005

11 RITA RUSMIATI DIAN 3271025310890010 085959754110

12 INDRIYANI FERDIANSYAH 3271026510990004 0895403622600

13 RANI HANDAYANI USMAN 3271024703840001 083899568083

14 GITA FITRI SOLIHAH M. FAHMI 3201044302980006 082124037074

15 WINA WIROSA BERI 3201155806000007 085811170363

16 NURUL HIDAYAH B M. RIZKI 3271026505960005 085773467659

17 B BINSAR 3201246112960001 081281205713

JIHAN NABILA
KONSELING 18 B RENJES SAPUTRA 3271014202000015 087753585305
DINA PEBRIYANA
 19 L ASHAR AL ANAS 3271024608000002 089503630387
ADINDA ISLAMI DINA
20 L M. SUHERLAN 3271025302990002
NIA FAUZIAH
21 L AHMAD DEDIH 3271024407850015 085770281673
YULIAWATI BINTI JUMRI SUMARDI
22 L RENDY 3271024305970005 081288452434
DEVIANTI SETIAWATI

24 April 2024 1 MUTHIA INTAN KHANIZA B DIWAN 3271024910940004 083890259545

VIOLA AULIA BUDIJANTO

25 April 2024 1 B KEVIN PRATHAMA 3374134909970002 081212929039
LILIK
AYUB
2 ANISA YAHAYATI L 3201044811010004 0895629626600
ANDRIANSYAH
3 UNI LESTARI L DODI PRASETYO 3519075103850002 081233307924

4 TANTI PRIANTINI B DIKI 3213266504030001

27 April 2024 1 LISNA NURHIDAYAT 3271026312890008 89516141494

AHMAD MUJAHAR
2 RIKSON 3271026508930005 081382366651
RAHMANITA GUSDINIYANTI

29 April 2024 1 MARYANI B IWAN KURNIAWAN 3201154706840010 08881889413 0001649502783

2 RANI RUSNIAWATI L MULYADI 3271025604950002 085716526870 0002230098636

LISNAWATI BINTI TETEN
3 L HERI BUKHORI 3271025910990003 088219471210
SUTENDI
4 JESITA RAMDANI L FIKRI JULKIFLI 3271027110960099 089668294950 0001515830308

5 RIRIN PRIYANTI L DANI APRIANDI 3271026903970001 085810946547 0000501017152

 6 METI PELITASARI L RAHMAT 3271026403950002 0895410750026

7 YUWI SAPITRI L WAHYU ILAHI 3271024401010011 088213252719

8 3201245907910010 08569062975
RENI WULANDARI

30 April 2024 1 YANI NURHAYATI L RAFI 3271024701020005 087782448468

2 INA ARLINA L FARID RIDWAN 3271025808020002 083811059739

3 NUR AZIZAH L DODI NOVIANDI 3173054901820006

4 ANI MARYANI B BURHANUDIN 3271024812860001 087716821724

5 NURUL MILLAH L OKHALDO LARAS 3271025405970006 089523022248

6 RANI RUSNIAWATI L MULYADI 3271025604950002 085716526870 0002230098636

7 EUIS ARUM L ABDULROHMAN 3271024406970004 083191277353 0000499494036

8 ERNI KURNIAWATI ARIF 3204324612840001 085210160200

LISNAWATI BINTI TETEN
9 L HERI BUKHORI 3271025910990003 088219471210
SUTENDI
10 RILIANI ERVIANA B RAFLI PRATAMA 3271024805990002 087886039977

11 NURLAILA B ABD RAHMAN 0895393718965

3271025010940004
12 ARNI NURAENI L ASEP UBAILAH 3271015103890015 088210607439 0003565569655

13 SEPTI L M. AFRIANSYAH 327102560390005 085694453956

14 MIRANDA PRATIWI L SURYA 3271025007970002 081282443012

15 SITI NURJANAH B RISMANSYAH 3271026101950003 08970203419

HERLANGGI YOHANA YULIA
16 L ALWI SEPTIAN 3271025805020004 085711595293
PASA
17 LUDFIANSYAH 3271025810900002 083811163711
ZIHAN RESNIA WULAN
KK :
18 SITI NUR ANISA B ANDRI MAULANA 0881012985194
3271025412070001
 TGL LAHIR
SEKOLAH NAMA IBU
TGL LHR UMUR AGAMA PEKERJAAN ALAMAT NO BPJS GPA ANAK
TERAKHR KANDUNG
TERAKHIR

24/5/95 #VALUE! ISLAM SMP IRT ROSITA SD.RASA 1/2 3072622735 3/2/0 21/5/21
PARUNG
18/6/03 #VALUE! ISLAM SMA IRT 500660109 1/0/0
SEPTIO DWI ATI BANTENG 5/1
WANGUN
5/2/00 23 ISLAM SMP IRT DIAN NINGSIH 3/2/0
TENGAH 4/2
PANGGULAAN
15/9/02 #VALUE! ISLAM SMK IRT YANTI WATES 1/1- 1/0/0
SUKARAJA
2/7/95 28 ISLAM TAJUR 3/3

27/11/02 #VALUE! ISLAM SMP IRT YENI SUPIYANI SUKASARI 3/5 0000815018861 1/0/0
SINDANGSARI
20/5/96 #VALUE! ISLAM SMK IRT SITI AMINAH 1/0/0
2/6
11/11/84 39 ISLAM S1 IRT EUIS SURJATI TAJUR 5/1 0001883976041 7/6/0 13/8/2021

22/10/95 #VALUE! ISLAM SMA IRT NURJANAH SK.SARI 3/3 0000499805919 2/0/1

18/8/92 #VALUE! ISLAM SMK IRT OTIMAH SD.RASA 4/6 0001825419813 4/2/1 4/6/2016

14/9/03 20 ISLAM SMK IRT SITI HALIMAH TAJUR 4/2 0001172456302 1/0/0

21/12/89 #VALUE! ISLAM S1 GURU DEDEH TEGAL LEGA 2/9 0002516932383 2/1/0 2'22/8/11

28/12/90 #VALUE! ISLAM S1 KARYAWAN KHOOMSAH SUKASARI 7/3 0001845100721 1/0/0

124
EMA KEDUNG
8/4/1996 27 ISLAM SMK IRT 2/1/0 10/10/2020
NURJANAH HALANG 1/4
3/10/1981 42 ISLAM SMP IRT TITIH SDRASA 3/9 4/3/0 23/10/2013
9/22/1992 31 ISLAM SMA IRT cucum sindangrasa 4/3/0 4/4/2018

01-10-1997 #VALUE! ISLAM PAKET C IRT NYAI ANI SUKASARI I 2/2 0002511477977 3/2/0 9/28/2022

10/26/1994 29 islam SMA IRT ROS SUKASARI 2/2 3/2/0

28/1/2021
6/12/1984 39 ISLAM SMA IRT NANAH TAJUR 2/3 4/3/0 7/10/2016

7/25/1989 34 ISLAM SMP IRT DEWI SUKASARI 2/3 1/0/0

SINDANGRASA
4/12/1989 34 ISLAM SMP IRT SITI SOPIAH 3/2/0 8/6/2018
2/9
24/5/2001 22 islam sma irt cucum tajur 2/5 1/0/0

8/12/2003 20 islam smp irt nurhasanah sindangsari 4/5 2/1/0 8/12/2021

12/21/1996 27 islam sma irt rina sindangrasa 3/9 1/0/0

7/4/1985 38 islam smk irt bibun sd rasa 1/10 4/3/0 18-08-2018

4/23/1992 31 islam sma irt purwati sd.sari 4/5 4/2/1 22/4/2013

31 islam s1 irt sd.sari2/5 0002518913979 4/3/0 25-12-2022

9/1/1992 suherlin
7/4/1996 27 islam smk irt maryati sd rasa 2/4 2/1/0
jujun
3/11/1989 34 islam sma irt gadog 2/1 4/3/0 10/30/2019
junengsih
124

22/10/1999 24 islam sma irt deasy barangsiang 1/0/0

17-08-2000 24 ISLAM SMK IRT SUKASARI 2/5 2/1/0

DAHLIANTI
124

3/5/2002 21 islam sma irt yeyet tajur 4/3 1/0/0

9/30/2000 23 islam smk irt nurlela sd rasa 1/9 2/1/0

12/12/2000 23 islam smk irt ai tutih sd rasa 1/9 1/0/0

5/14/1994 29 islam smp irt yayah muarasari 2/5 2/1/0 15/7/2019

1/13/2000 23 ISLAM SMA IRT ELIH LEMBANG 1/0/0

24

11/24/1995 28 ISLAM SMP IRT NINING SD. SARI 3/5 2/1/0 20/10/2018

10/21/2000 23 ISLAM SMK IRT SATINI KATULAMPA 2/6 3/0/2

10-03-2003 #VALUE! ISLAM SMK GURU TK FINA SOPIANA BANTARJATI 3/2 1/0/0

30-07-1999 #VALUE! ISLAM SMA IRT SUKAMULYA 2/2 1/0/0

124
BARANANGSIAN
5/9/1997 26 ISLAM SMP IRT SUMARNI 3/2/0 28/3/2019
G 3/4
124

21/8/2003 #VALUE! ISLAM SMK K. SWASTA EVA YANI SDRASA RT 1/2 1/0/0

124

25 ISLAM IRT SD RASA 210

8/17/1998
124

15/06/1994 #VALUE! KRISTEN SMA IRT FILIATI SD RASA 3/2/0 27/3/2018

0001884535536

31/8/05 #VALUE! ISLAM SMK IRT ELAH NURLELA SD.SARI 6/5 1/0/0
NYAI
29/4/04 #VALUE! ISLAM SD IRT SD.SARI 3/7 1/0/0
HASANAH
16/4/95 #VALUE! ISLAM SMK IRT TITIH SD.RASA 2/10 4/3/0 4/7/17

12/10/82 41 ISLAM SMP IRT IKAH SD.RASA 1/9 4/3/0 23/12/20

 DENI
10/5/93 30 ISLAM SMP IRT SD.SARI 2/3 3/1/1 16/2/20
GUSLINDAH
1/1/94 30 ISLAM SMP IRT HOLISOH SD.SARI 2/7 2355204093 3/2/0 6/7/15

24/11/95 #VALUE! ISLAM SMP IRT NENENG SD.SARI 3/5 2/1/0 20/10/18

8/3/92 31 ISLAM SMA IRT CICAH MUARASARI 3/1 2/1/0 27/5/19

124

07/01/2002 21 ISLAM SMK IRT SANTI SK MULYA 7/3 0002354501621 1/0/0

21/8/2003 #VALUE! ISLAM SMK K. SWASTA EVA YANI SDRASA RT 1/2 1/0/0
SINDANGSARI
02-02-1997 #VALUE! ISLAM SMK IRT NENENG 0000499586905 3/2/0
4/2 21/8/2019
09-09-1986 #VALUE! ISLAM SD IRT SK SARI 5/7 0001285867517 4/3/0 30/3/2018
AMI
06/12/1984 39 ISLAM SMA IRT MAMAH TAJUR 2/3 0001285867517 4/3/0 07/10/2016

20-12-1997 #VALUE! ISLAM S1 K. SWASTA NURLELAH MUARA 2/2 0001740977627 1/0/0

24/7/1989 34 ISLAM SMP IRT DEWI SK SARI 2/3 0000499798844 1/0/0

PAKUAN HILL 00020653321383
31/07/1987 #VALUE! ISLAM SMA IRT TATI 3/2/0 2/21/2022
2/11 (BPJS LUAR KOTA)
11/11/1984 39 ISLAM S1 IRT EUIS TAJUR 5/1 0001883976041 7/6/0 8/13/2021

25/10/1999 24 ISLAM SMK IRT AMIH SD SARI 4/1 0000500542536 1/0/0

CUCUM
24-10-1989 #VALUE! ISLAM SD IRT sSD SARI 1/7 0001190443645 3/2/0 07/04/2021
SUMIYATI
JUJUN
3/11/1989 34 ISLAM SM IRT GADOG 2/1 0003565569655 4/3/0 10/30/2019
JUNAENGSIH

08/10/1996 27 ISLAM S1 IRT SRI WAHYUNI CIBANON 3/5 0002467714768 3.1.1 06/01/2022

21/10/2000 23 ISLAM SMK IRT SUTINI KTL 2/6 0002357997963 3.0.2

 11/8/97 26 ISLAM SMP IRT MUMUN SUKAHARJA 1/3 3/2/0 02/04/2022

03/05/1997 26 ISLAM S1 IRT SANTI SD RASA 4/3 2.1.0 02/04/2022

24/1/1993 30 ISLAM SMA IRT SD RASA 1/8 1.0.0

10/18/1990 33 ISLAM SMA IRT VERUSRISCA SD SARI 3/5 0002091188057 2.1.0 18/10/2016

124 25/5/2019
(MENINGGAL
18/10/89 #VALUE! ISLAM SMP IRT WULAN SDSARI RT 2/5 0000500493453 4.3.0 DGN
HIDROSEFALU
124 S)

02/10/1999 ISLAM SMA IRT MISNI TAJUR 5/4 0000499927476 2/1/0 31/3/2023

19/09/1986 #VALUE! ISLAM SMU IRT AMINAH SD SARI 2/3 3.2.0 8/6/2018

5/24/1995 28 ISLAM SMU IRT SRI SUMIATI SK SARI 2/6 3.2.0 5/10/2022

8/6/2000 23 ISLAM SMA IRT SK SARI 5/6 1.0.0

124

5/5/2022 1 islam SD IRT Soleha sd sari 05/01 3/2/2000

124

20/2/1999 24 islam sma irt sukasari 2/1 1/0/0

24/5/1991 #VALUE! ISLAM SMA IRT MISNAH SKS RT 7/1 0001336071565 2/1/0 29/8/2014

124

26/3/1999 24 islam sd irt ema tajur 2/3 0000500353435 2/1/0 4/7/2022

2/2/1997 26 islam smp irt neneng sindangsari 4/2 3/2/0 8/21/2019

18/4/1984 39 ISLAM SD IRT SUPRIYATI CIPAKU 3/7 6/3/2 26/11/2014

10/21/2000 23 ISLAM SMK IRT SATINI KATULAMPA 2/6 3/0/2

124

18/6/2003 20 ISLAM SMA IRT SEPTIO DWI PB 5/1 1/0/0

SINDANGRASA
10/3/1981 42 ISLAM SMP IRT 0000499254873 5/4/0 23/10/2013
3/9
ELAH SINDANGSARI
31/8/2005 #VALUE! ISLAM SMK IRT 1/0/0
NURLELAH 6/5
02/02/1991 32 ISLAM SMA IRT NENENG TAJUR 4/3 3/2/0 25/10/2020
SINDANGSARI
09/09/1986 37 ISLAM SD IRT AMI 4/3/0 30/3/2018
5/3
11/10/2003 20 ISLAM SD IRT NURJANAH SUKASARI 7/3 1/0/0
NENENG SINDANGSARI
02/02/1997 26 ISLAM SMP IRT 3/2/0 21/8/2019
MAULIDAH 4/2
02/10/1999 ISLAM SMA IRT MISNI TAJUR 5/4 0000499927476 2/1/0 31/3/2023

12/4/1991 32 ISLAM SD IRT ACAH KATULAMPA 4/8 0001775526546 3/2/0 08/07/2016

SINDANGRASA
17/07/1992 #VALUE! ISLAM SMP IRT AYI NANA 3/2/0 20/6/2020
4/7
SINDANGRASA
13-10-1989 #VALUE! ISLAM SMK IRT CUCUN 3/2/0 16/9/2015
2/11
SINDANGSARI
25/10/1999 #VALUE! ISLAM SMK IRT ANIH 000500542536 1/0/0
4/1
3/7/1984 39 ISLAM SMK IRT SRI NINA GENTENG 1/2 6/3/2 21/5/2017
SINDANGRASA
03-02-1998 #VALUE! ISLAM SMA IRT ERNAWATI 0003085285623 2/1/0 2/7/2021
2/4
SINDANGRASA
18-06-2000 #VALUE! ISLAM SMA IRT ARIAH 1/0/0
2/8
KARYAWAN SINDANGSARI
25-05-1996 #VALUE! ISLAM S1 KOMARIAH 0002355724822 1/0/0
SWASTA 4/3
SINDANGRASA
21/12/1996 #VALUE! ISLAM SMK IRT RINA 1/0/0
3/9
RANGGA MEKAR
02/02/2000 23 ISLAM SMP IRT RODIAH 3/2/0 7/8/2021
2/1
 6/8/2000 23 ISLAM SMK IRT DIAN HARDINI SUKASARI 5/6 1/0/0

13/2/1999 #VALUE! ISLAM S1 IRT SITI ROHMAH SUKASARI 5/3 0000500895009 2/1/0
22/9/2022
4/7/1985 38 ISLAM SMK IRT BIBUN YOHANASINDANGRASA 4/3/0 18/8/2018
1/11
03/05/1997 26 ISLAM S1 IRT SANTI SD RASA 4/3 2.1.0 02/04/2022

SITI NURUL
10/9/1994 29 ISLAM S1 IRT SUKASARI 1/5 2/1/0
HAYATI 24/2/2022
124
SINTAWATI PERUM ROYAL
09/09/1997 26 KRISTEN S1 KARYAWAN 1/0/0
DEBORA TAJUR 1/6
08-11-2001 #VALUE! ISLAM SMK IRT YATI SUKARAJA 2/2 1/0/0

11-03-1985 #VALUE! ISLAM S1 PNS MARIA TAJUR 4/8 3/2/0 2/1/2019

25-04-2003 #VALUE! ISLAM SD IRT CUCU BARSI 7/5 1/0/0

124
NENENG
12/23/1989 34 SMA IRT TAJUR 2/2 5/3/2001
ROBIAH
8/25/1993 30 S1 BUMD SUPRIHATIN TAJUR 2/1/0

124

07/06/1984 39 ISLAM SMA IRT PAKUAN 2/5 2/1/0

16/04/1995 #VALUE! ISLAM SMK IRT TITIH SD RASA 2/10 4/3/0 2019
LILIS
19-10-1999 #VALUE! ISLAM SMP IRT TAJUR 2/6 4/1/2
SUNINGSIH
31/10/1996 #VALUE! ISLAM SMK IRT PB 5/1 2/0/1

29/3/1997 #VALUE! ISLAM SMK KARYAWAN NYAI KONISAH SD RASA 1/9 1/0/0
24/3/1995 #VALUE! ISLAM SMP IRT TITIN SURTINI SUKASARI 7/3 2/1/0

04/01/2001 22 ISLAM SMP IRT WIWIN SUKASARI 3/2 2/1/0

19/7/1991 #VALUE! ISLAM SD IRT KATULAMPA 3/9 4/3/0

124

07/01/2002 21 ISLAM SMK IRT SANTI SK MULYA 7/3 0002354501621 1/0/0

18-08-2002 #VALUE! ISLAM SMK IRT SITI NANI SD. RASA 3/9 0000500569626 1/0/0

9/1/1982 41 ISLAM SMP IRT MUNZIROH SDSARI 4/2 3/2/0 26/4/2015

08/12/1986 37 ISLAM SMP IRT MAMAH TAJUR 4/2 0002359054451 5/3/1 2015

14/05/1997 #VALUE! ISLAM SMP IRT NUNUNG TAJUR 2/2 2/1/0 2019

16/04/1995 #VALUE! ISLAM SMK IRT TITIH SD RASA 2/10 4/3/0 2019

04/06/1997 26 ISLAM SMP IRT NARSIH SD. SARI 3/7 2/1/0 2/2/2015

06/12/1984 39 ISLAM SMA IRT MAMAH TAJUR 2/3 0001285867517 4/3/0 07/10/2016
LILIS
19-10-1999 #VALUE! ISLAM SMP IRT TAJUR 2/6 4/1/2
SUNINGSIH
08-05-1999 #VALUE! ISLAM SMA IRT RINIAWATI SUKAMULYA 7/3 2/1/0 07/2/2021

10-10-94 #VALUE! ISLAM SMA IRT TITI YUNANI SDRASA RT 3/10 0000500614132 2/1/0 21/10/19

11/3/89 34 islam SMA IRT JIJIN IJANIRSIH GADOG RT 2/1 4/3/0

BSC 1X
16/03/1999 #VALUE! ISLAM SMK IRT SRI MULYATI 2/1/0
8/10/2022
SINDANGRASA
10/7/1997 26 ISLAM S1 KARYAWAN GITA HARYANI 4/5 (PASIR KUDA 2/0/1
3/12)
SINDANGSARI
23/01/1995 #VALUE! ISLAM SMP IRT YANAH 3/2/0 30/3/2022
1/7
HRTY
18/7/2002 #VALUE! ISLAM SMA IRT HARJASARI 4/2 1/0/0
KURNIATI
10/18/1990 33 ISLAM SMA IRT VERUSRISCA SD SARI 3/5 0002091188057 2.1.0 18/10/2016

14/12/2007 #VALUE! ISLAM SMP IRT JUWITASARI BTK 2/7 1/0/0

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124
124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124
124

124

124

124

124

124

124

124

124

124

124

124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
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124
 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
HPHT TP TB LILA BB TD VAKSIN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

UK 23+3MG, TFU 18CM,KEP,

20/10/23 152 26 62.2 98/66
DJJ 143X/M
15/11/23 159 24 55.2 102/67 CEK LAB 9.9 N N N N

12/2/24 17/11/24 149.6 32 70.4 108/77 UK 7+1MG,CEK LAB 13 N POS N N

29/10/23 159 24.5 52.5 102/73 CEK LAB 11.1 N N N N

TT2

24/12/23 153 23.5 41 117/71 CEK LAB 10.6 n n n n

20/1/24 145 23 42 100/70 CEK LAB 12.7 N N n N

22/8/23 155 24 60.9 114/7 UK 32MG, 10.9 POS 1

9/12/23 154 27 62.6 119/84 UK 16+1MG,BALL+,DJJ 140X/M

UK 34MG,TFU 25CM,DJJ
5/8/23 158 54.3 105/72 9.2 N
142X/M
UK 39MG, TFU 31CM,DJJ
7/4/24 154 27 70.3 107/64
140X/M,KEP
10/2/24 146 23 42.2 95/57 UK 7+2MG, CEK LAB 9.4 N N N

12/2/24 164 23.5 55 110/70 UK 7MG

25/12/2023 150 25 53.7 115/69 uk 14mg, USG

uk 34+2mg,tfu 28cm,kep,djj
6/8/2023 5/13/2024 65.2 133/72 11.6 N N N
134x/m
10/16/2023 155 25 61.8 102/82 uk 24 minggu

5/10/2023 12/7/2024 160 24 52.9 110/80 UK 26 MINGGU 9.1 N N N

12/12/2023 9/19/2024 152 26 67.9 106/62 UK 16 MINGGU

25/8/2023 160 25 61 124/83 UK 32 MINGGU USG CEK LAB 11.6 1

8/8/2023 5/15/2024 167 30 72.8 120/73 UK 34 MINGGU

2/5/2024 11/12/2024 155 26 64 110/80 USG CEK LAB 13.9 N N N

8/5/2023 5/12/2024 140 24 54 110/70 uk 34 minggu 11.9 N

5/7/2024 156 26 123/89 uk 34 minggu cek lab usg 10.4 N N N 1+

7/2/2024 11/14/2024 155 24 49 110/80 cek lab uk 8 minggu 12.2 N N N

10-09-2023 17-06-2024 159.2 61.1 123/69 uk 29 mgg , kep, djj 153x/m

? 156 27 58 110/80 uk 30 minggu 10.2 N N N N

? 158 31 63.6 119/74 uk 26 mgg 11.6 N N N N

9/7/2023 6/17/2024 153 25 67.5 115/83 cek lab 10.1 N

7/8/2023 5/14/2024 146 32 79 110/80 uk 34 minggu

11/12/2023 9/18/2024 155 25 55 110/80 cek lab 11.6 n n n

12/21/2023 145.5 CEK LAB

11.7 N N N

16/12/2023 9/23/2024 155 56 27 110/80 cek lab 10.5 n n n

25/7/2023 5/1/2024 158 33 91 110/80 cek lab 12.3 n

7/14/2023 4/21/2024 168 25 89 120/70 cek lab 11

8/20/2023 5/27/2024 153 28 65.5 110/80 cek lab 10.4 n

24/11/2023 155 29 54.6 132/83 10.8 N N N

UK 37 mgg 3 hari, TFU : 29 cm,

7/20/2023 4/27/2024 150 30 65.9
DJJ : 150x/m, preskep
UK 35 Minggu, TFU 32 CM,
8/6/2023 5/13/2024 150 24.5 53.4 111/78
DJJ:140
LUPA 150 49 110/79 UK 13 MINGGU / CEK LAB 11.3 N N N

8/8/2023 5/15/2024 150 24 51.9 115/81 CEK LAB, UK 35 MINGGU 11.7 , NEG

24/10/2024 155 26 53 110/80 CEK LAB 10.9 N N N

5/3/2024 12/12/2024 156 22 44.1 110/10 CEK LAB 12,3 N N N

27/08/2023 04/05/2024 148 70 135/85

TFU 26CM,BOKONG,DJJ +,UKL

19/9/23 155 22 60.3 103/67
30M=G
TFU 27CM,KEP,135X/M,UK
2/9/23 156 26 63.4 105/62 TT1
32MG
UK 34MG, TFU 27CM,KEP,DJJ
143 70.7 123/81 10.9 POS 2
134X/M
TFU 26C,KEP,136X/M,UK
8/9/23 162 59.7 98/67 8.6 POS 1
32MG
TFU 3JRBWH
10/12/23 160 32 75.5 126/69
PST,BALL,134X/M,UK 18MG
 UK 32MG,TFU 30CM,KEP,DJJ
29/8/23 143.3 76.1 137/92 TT2 12.3 NEG
134X/M
UK 22MG,TFU 2JR
15/11/23 146 26 42.3 102/69
BWHPST,BAL +, 124X/M
UK 38MG,TFU 31CM,KEP,DJJ
20/7/23 150 65.7 118/70
135X/M,VT 2CM
25/2/24 155 64.7 104/68 UK 7MG 11.2 NR N N

UK 34-35 MGG , TFU 27 MGG,

? 25/05/2024 155 64 124/87
DJJ 135 x/m. KEP
5/3/2024 12/12/2024 156
UK 12 MINGGU 3 HR, TFU 3
20/1/2024 10/27/2024 150 31 68 137/85
JARI > SYMP
UK 32 MGG, TFU 28 cm, djj
? 150 25 50 117/67
138x/m. KEP
UK 32-33 MGG, KEP, TFU 28
? 6/4/2024 166 24 62 118/78
CM. DJJ 150X/M
UK 39-40 MGG, KEP, TFU 30
7/16/2023 4/23/2024 153 67.9 125/85
CM, DJJ 146X/M
UK 36-37 MGG. 31 CM, PUKA,
8/8/2023 5/15/2024 167 78.9 138/77
KEP, DJJ 132X/M
? 160 46 100/78 UK +- 4 MGG
UK 34-35 MGG, TFU 27 CM,
22/8/2023 5/29/2024 155 61 113/74 11.5 N
KEP DJJ 148 X/M
UK 36-37 MGG, TFU 30 CM.
3/8/2023 10/05/2024 160 74 104/73
DJJ 119 X/M. KEP. PUKA
26/12/2023 9/2/2024 170 110.1 153/94 UK 16 MGG, BALL, DJJ 125 X/M

UK 36-37 MGG, TFU 33 CM,

7/8/2023 5/14/2024 146 32 83 114/68
BOK, DJJ 137 MGG, PUKA
UK 25 MGG TFU 21 CM,PUKA,
25/10/2023 7/1/2024 152 57 131/71
KEP, DJJ 138 X/M
UK 36-37 MGG, TFU 28 CM,
6/8/2023 13/05/2024 150 53.9 102/64
KEP, PUKI, DJJ 137X/M
 5/8/23 8/12/2023 151 32 69 92/56 CEK LAB 11.0 NR N N +1
UK 34 MGG , TFU 31 CM, KEP,
22/08/2023 5/29/2024 159 67.3 109/67 11.2 NR N N +1
DJJ 135 X/M
4/8/0203 11/05/2024 154 50.3 112/78 UK 36-37 MGG 11.7 NR N N
UK 9-10 MGG, BALL BLM
13/2/2024 11/20/2024 156 25.5 50.3 112/78 10.2 NR N N
TERABA

9/8/23 14/5/24 150 75 116/64 RUJUKAN KE RS JULIANA (BSC)

09/02/2024 16/11/2024
13.3 NR N N N
13.5 NR N N N

1/7/2024 10/14/2024 151 12.5 NR N N N

18/9/2023 6/25/2024 163 10.8 NR N N N

109/8 TFU 3 j at simfisis lokhea rubra

59.7
0 asi keluar

10/7/2023 4/17/2024 151 30 87 140/80 cek lab,rujukan ke juliana 11.9 +2

12/8/23 19/5/24 168 63 CEK LAB NR N N +1

10/8/2023 17/5/2024 155 25 46 110/80 uk 31 minggu

20/1/2024 10/27/2024 150 26 68 110/80 cek lab 11.6 N N N

25/8/2023 150 30 72 114/79 UK 34 MINGGU 11.5 N

 6/8/2023 155 25 53 110/80 UK 37 MINGGU

UK 22-23 MG, TFU SEPUSAT

5/11/23 12/8/24 159 23 57 98/62 (18 CM), DJJ 156 x/m, ball +

6/8/23 13/5/24 149 65 126/75 UK 37 MGG

2/9/23 9/6/2024 154 27 64.3 97/61 UK 33-34 MGG

UK 22-23 MGG, TFU 21 CM,
5/10/2023 12/7/24 158 30 51.9 124/78 10,9 NR N N N
DJJ : 156 x/m, ball +
150 25 51.2 122/73

08/12/2023 15/9/2024 150 54.5 113/74 UK 19-20 12.7 NR N N

UK 13-14 MGG, TFU 3 JR >
20/1/2024 27/10/2024 150 24 68.2 111/87
SYMP, BALT +
09/02/2024 16/11/2024 159 27.4 64.2 115/67 UK 11-12 MGG
UK 33-34 MGG, TFU 29 CM,
25/8/23 1/5/2024 150 26.5 61.7 116/84
DJJ : 158 x/m, Kepala
30/7/2023 7/5/2024 154 23 50 113/69 UK : 38-39 MGG
UK 35 MGG, TFU : 27 CM, DJJ
23/8/23 30/5/24 157 28 68.5 144/89 11.3 NEG
155x/m, KEPALA
UK 37-38, TFU : 31 CM, DJJ :
160 28 75.1 117/73
138 x/m, KEPALA
28/1/2024 5/11/2024 150 29.8 67.2 94/76 UK : 12-13 MGG 12.4 NR N N

150 28.5 70.8 122/85

UK 31-32, TFU 27 CM, KEPALA
15/9/23 22/6/24 152 26 62 113/73
DJJ : 153 x/m
UK 12-13 MGG TFU : 2 JARI >
29/1/24 5/11/2024 155 51.2 110/69
SYMP
7/2/2024 14/11/2024 157 22.6 44.6 105/70 UK 11-12 MGG

18/3/2024 25/12/2024 30 67.5 119/77 UK 5-6 MGG

 UK 31-32 MGG, TFU 27 CM,
18/9/2023 25/6/2024 165 56.6 102/68
DJJ : 137 x/m, KEPALA
UK 27 MGG, TFU 25 CM, DJJ :
23/7/2024 155 20 38.2 87/52
133 x/m Obligh
10/9/2023 17/6/24 159 24 61.7 133/70 UK :32-33 MGG

22/08/2023 5/29/2024 159 67.5 104/67 UK 35 MGG

/ 155 30 65 110/80 CEK LAB 12 N N N

150 28 52.4 100/63 14.4 NR N N NEGATIF

25/11/23 158 48.3 CEK LAB 11.5 NR N N

7/8/23 14/5/24 63.4 125/84 CEK LAB 11.3 NEGATIF

10/31/2023 47 108/73 CEK LAB 10.9 NR N N

9/21/2022 CEK LAB 9.2 NR N N

9/23/2021 CEK LAB 9.2 NR N N

13/3/2024 20/12/2024 146 44.5 110/72 CEK LAB 12.2 NR N N

08/9/2023 15/6/2024 150 25 59 94/68 CEK LAB UK 34 MGG 9.4 POS +1

12/2/2024 19/11/2024 158 33 75.5 138/95 CEK LAB 12.0 NR N N

45.7 123/87 RUJUK RS. JULIANA

157 48 102/57 11.1 NR N N

 8/8/2023 15/5/2024 158 64.9 124/83 RUJUK RS. VANIA
UK : 34 MGG, TFU : 24 CM, KEP
4/9/2023 11/6/2024 150 63.1 122/90 12.0 NEGATIF
: 137 x/m
11/21/2023 8/28/2024 UK 25 MINGGU

? 25/05/2024 66.5 139/98 UK : 35-36 MGG

UK : 14-15 MGG, TFU 1/2 Pst-
20/01/2024 27/10/2024 151 24.5 50 110/70 :
symp, balt +
18MGG, 1 JR DIBAWAH PST
20/11/2015 150.4 44.8 121/69
135X/M
17/12/2023 24/09/2024 67.9 98/77 UK 19 MGG, BALT 10.5 NR N N NEGATIF
UK : 29 MGG, TFU : 23 Cm,
10/12/2023 19/07/2024 150.5 28 61.4 113/70
kep, DJJ : 150x/m
08/9/2023 15/6/2024 150 25 59 92/60 CEK LAB UK 34 MGG
UK :30 MGG, TFU : 26CM, KEP,
1/10/23 8/7/24 152 25 58.2 95/67
DJJ : 158X/M
UK 33-34 MGG, TFU : 28 CM,
? 6/4/2024 165 24 64.3 94/64
KEP, DJJ 147 X/M
12/2/2024 19/11/2024 158 33 75.7 138/95 UK : 11 mgg 2hr, 12.0

2/28/2024 158 33 79.3 124/80 UK : 9 MGG 12.2 NR N N

20/2/24 11/27/2024 155 51.8 USG DAN CEK LAB 13.8 NR N N

UK. 38 MGGU,TFU 33,DJJ 149
7/8/23 14/5/24 146 81 106/66
KEP
1/9/2023 08/6/2024 165 32 64 110/63

7/1/224 14/10/24 150 26 57 119/66 CEK LAB 11.6 NR N N

UK : 22-23, tfu sepusat, DJJ :
23/11/23 8/30/2024 153 32 64.1 105/70
152 x/m, kep
15/9/23 22/6/24 153 27 60.6 92/63 CEK LAB 12.8 negatif
13/2/2024 11/20/2024 156 25.5 49.6 112/78 USG UK 11-12
UK : 27 MINGGU, TFU : 24 CM,
7/28/2024 155 27 57.6 104/68
KEPALA , DJJ : 137
 @dropdown

GOLDAR
KETERANGAN
ORANGTU ORANGTU
ISTERI SUAMI A ISTERI A SUAMI

GOLDA A+

GDS 105

gds 121

GDS 88

GDS 109

GDS 150
GDS 85

gds 128

gds 99

GDS 93

GDS 119

gds 91

GDS 100

gds 95
GOLDAR B+, GDS
135

GDS 97

gds 70

gds 94

RJK RS JULIAN A/I

BSC 1 X
GLUKOSA PUASA
128

GDS 98 mg/dl O/+

A/+

BSC 2X O/+

A/+
RJK RS VANIA a/i
B/+ B/+
MYOPI
RJK JULIANA a/i
AB INKOMPLIT
RJK a/i BSC 3 x A/+ B/+

O/+

A/+

AB/+

B/+
GDS :108 O/+

AB/+ O/+

GDS : 119 B+

B/+

GDS 108 O/+ O/+

GDS80 A/+

GDS 112 O/+ O/+

GDS 95 O/+

post partum

HIS POSITIF
PEMBUKAAN
5CM RUJUK RS
JULIANA DGN
PEB
B+ O+

B/+ A/+

A/+

B/+

o/+

AB+ O+

A/+

O/+

B/+

O/+
 A+

GDS 93

GDS 92

B+

A+

GDS 116 A/+

GDS 124 B/+

GDS 97 O+

GDS 120

GDS 90 B+
GDS 99

B+

GDS :99

O+

GDS 124 B+ A+

B
B/+

A+
TANGGAL KUJUNGAN NO
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR AGAMA
TERAKHR

32710242067400
2/3/2024 1 EVA FAIRUZI 6/2/1974 49
07

32710264118300
2 SELI NURHASANAH 11/24/1983 40
08
32011558049900
3 RIAN 4/18/1999 24 ISLAM D3
GHONIYYATUL NABILAH 02
32710149089400
4 TAUFIK 8/9/1994 29 ISLAM S1
PUTRI FADILA 12
124
32710258080200
04 Maret 2024 1 INA ARLINA FARID RIDWAN 8/18/2002 21 ISLAM SMK
02
32014052108200
2 NENGSIH BINTI KASMAN AGUS SETIAWAN 10/12/1982 41 ISLAM SMP
03
32710266109400
3 OVI RAHMAWATI MAMAN S 16/10/1994 29 ISLAM SMA
03
32710750038100
4 DEDE RATNAWATI DIDIN 3/10/1981 42 ISLAM SMP
09
32710260029900
5 DWI LESTARI M.ROMDONI 2/20/1999 25 ISLAM SMA
08
32710250099900
6 SUCI INDRAWAHYUNI ARSYUDA 9/10/1999 24 ISLAM SMA
04
31720343128700
7 HERNAENI RIKI HERMAWAN 12/3/1987 36 ISLAM SMA
09
32710244089600
8 FITRIANI RICO SUHENDAR 8/4/1996 27 ISLAM SMK
10
32710265080300
9 MELVA KEZIA SANDI ARYANDI 8/25/2003 20 ISLAM SMK
02
32710241048800
10 IRMA RAHMAWATI HARISWAN 4/1/1988 35 ISLAM SMP
05
 32710248069600
11 ROSITA DIRMAN 7/7/1995 28 ISLAM SMP
01
124
32710149089400
05 Maret 2024 1 PUTRI FADILA tAUFIQ 8/9/1994 29 ISLAM S1
12
32710247010200
2 YANI NURHAYATI RAFI 1/7/2002 22 ISLAM SMK
05
TAUFIK 32710262099200
3 SELVIYANTI BINTI OMAR 9/22/1992 31 ISLAM SMA
ARMANSYAH 07
32710248099000
4 SITI MARNIA RIKI DAMARA 9/8/1990 33 ISLAM SMA
06
32710254059700
5 NURUL MILLAH OKHALDO LARAS 5/14/1997 26 ISLAM SMP
06
32710148070300
6 SALMAH BINTI H.MAJA BAMBANG 8/7/2003 20 ISLAM SMA
08
32710245058600
7 NENAH LIANAH TEGUH 5/5/1986 37 ISLAM SMA
14
32710254059800
8 ERINA SAVITRI DEDE MULYANA 5/14/1998 25 ISLAM SMA
02
32710241108900
9 HILMA NURUL MAULIDA ASEP CHAERUDIN 10/1/1989 34 ISLAM SMP
10
32710264108900
10 RATNA WIGENA 10/24/1989 34 ISLAM SD
M.MUSLIH 05
32712964018800
11 RESA PURNAWATI 36 ISLAM SD
AHMAD KHAELANI 04 24/1/1988
32043246128400
12 ERNI KURNIAWATI ARIF FADILAH 12/6/1984 39 ISLAM SMA
01
32012201069800
13 ZAHROTUL KHOFIFAH AHMAD RUSLAN 6/1/1998 25 ISLAM SMA
08
32710151038900
14 ARNI NURAENI ASEP UBAIDAH 3/11/1989 34 ISLAM SMA
15
32710245069000
15 PURI TIARA DEDI SURYADI 5/6/1990 33 ISLAM SMA
01
32012454080000
16 JUNIYAH GALIH 8/14/2000 24 ISLAM S1
02
32710252068400
17 VITA PATIMAH YUSUF SUPRIYADI 6/12/1984 39 ISLAM SMP
09
32710271080500
18 ZANAFA NUR SABILLA SUKMA WIJAYA 8/31/2005 18 ISLAM SMK
02
 18050852089300
19 NOVITA SARI INDRA 8/12/1993 30 ISLAM SMK
01
32710266109400
20 OVI RAHMAWATI MAMAN SULAEMAN 10/26/1994 29 ISLAM SMK
03
21 RIMA W MELATRIYANTI UGI SUGIANA 124
32710165050300
22 FAZRIAH MAULANI M. ANNAS SOPIAN 5/25/2003 20 ISLAM SMK
06
31710643089900
23 WULANDARI MUNAJIJAVI WAHYU 8/3/1999 24 SMA
02 ISLAM
ABDUL HALIM 32710251118400
24 PRETTY MIDA 11/11/1984 39 ISLAM S1
MAHMUD 09
32710245069700
25 INDRI MIANDARWATI TAUFIK HIDAYAT 6/5/1997 26 ISLAM SMA
01
32710259128400
26 DESTI MAULINDA ADI SUMIRAT 12/19/1984 39 ISLAM SD
09
32710164108200
27 RENNY MARIANI M.SURYADI 10/24/1982 41 ISLAM SMA
04
32710259068800
28 ELVA FATIMAH ERISAL 9/6/1988 35 SMA
04
29 IRMA RAHMAWATI 124

124
MEGA HARDIANTI 32710152059600
06 Maret 2024 1 GUSTIAN 12/5/1996 27 ISLAM SMK
03
32710145070000
2 JAMAL 7/5/2000 23 ISLAM SMK
RESY DIENRIYANTI 11
32710245018900
mardi ismail 1/5/1989 35 islam
eni haryati 06
124
32710250128901
07 Maret 2024 1 ASEP SOPIAN 12/10/1989 34 ISLAM SMP
OLID KOLISOH 1
124
32710247078900
08 Maret 2024 1 SARTIKA MUKTI 7/7/1989 34 ISLAM SD
11
32710252099700
SEFTI MAULIA DILAN WAHYUDI 9/12/1997 26 ISLAM SMK
07
 124
32710462119700
09 Maret 2024 1 NUR ALVINA RACHIM ADE SAGITA 11/22/1997 26 ISLAM SMK
01
32013155109900
2 SITI AISYAH ALDI 10/15/1999 24 ISLAM SMP
02
124

124
32710264059500
12 Maret 2024 1 KIKI RIZKI AMELIA MEGI 24/5/95 28 ISLAM SMP
04
32710647110000
2 MAULIDA SUBHAN 7/11/2000 23 ISLAM SMK
11
36032354090400
3 SRI RAHAYU BADRIAH DONI 14/9/2003 20 ISLAM SMK
01
124
32710267019300
13 Maret 2024 1 WILDA SARI DENI ANGGA PRIMA 1/20/1993 31 ISLAM SMA
03
2 asyifa putri noviana lestari 3/9/2024 Err:502
18052046069500
3 DEWI SETIAWATI ANGGA 6/6/1995 28 ISLAM SMP
03
124
32710357048900
14 Maret 2024 1 alisa ayosa aprilia morgan sitorus 17/4/1989 34 kristen SMA
06
32710255020500
2 ahmad syatibi 2/15/2006 18 islam SD
siti nurjanah 06
32710251099500
3 Hizma syaidatunisa mislan mulana 11/9/1995 28 islam SMA
01
32710268039600
4 deden 3/28/1996 27 islam SMK
rossana 08
124
32012668010100
16 Maret 2024 1 WARDAH NURHIKMAH 28/1/2001 23 ISLAM
01
32710256088000
2 ANI ARYANITA 16/8/1980 43 ISLAM
17
 124
32061641109600
18 Maret 2024 1 siti suryani rinaldi 1/10/1996 27 islam smk
02
32710256049500
2 rani rusniawati mulyadi 16/4/1995 28 islam smk
02
pitriani 32710262039400
3 firmasyah 22/3/1994 29 islam smp
04
32710149078800
4 sri damayanti rusman 7/9/1988 35 islma sd
05
32010443029800
5 gita firi solihah m. fahmi 2/3/1998 26 islam sma
06
124
32710260029900
19 Maret 2024 1 DWI LESTERI 20/2/1999 25 ISLAM SMA
M.ROMDONI 08
32710647110000
2 MAULIDIA SUBHAN 11/7/2000 23 ISLAM SMK
11
32710262039400
3 PITRIANI FIRMANSYAH 3/22/1994 29 ISLAM SMP
04
32012762069900
4 ELLAH SURYANI ABDUL ROHMAN 6/22/1998 25 ISLAM SMA
02
32030264119500
5 YENI SUMIATI HENDI 11/24/1995 28 ISLAM SMP
05
32710255020500
6 SITI NURJANAH AHMAD SYATIBI 2/15/2006 18 ISLAM SD
06
32012445050200
7 MUKAROMAH KAMAL 5/5/2002 21 ISLAM SD
01
32710266040100
8 ELIS DEWI SITI SUNDARI DAYAT 4/26/2001 22 ISLAM SMP
05
32710241029200
9 FITRIANI BIN TOLIB KUSNADI 2/1/1992 32 ISLAM SD
09
32710259119300
10 LINDAH DEVIANA RUSLI 19/11/1993 30 ISLAM SMP
08
32710264039500
11 METI PELITASARI RAHMAT 3/24/1995 28 ISLAM SMP
02
32710244018700
12 STELY JUWITA DEDI APRIANTO 1/4/1987 36 ISLAM SMA
05
32710241048800
13 IRMA RAHMAWATI HARISWAN 1/4/1988 35 ISLAM SMP
05
 14 AYU BINTI NEDI 124
32710243128500
15 FARTINI RIKI RAHMAN 15/10/1986 37 ISLAM SMK
02
32010456069000
16 SITI NURAENI ARI SUHENSAR 16/6/1990 33 ISLAM SD
10
32012464010600
17 EVA HADIJAH MUHIDIN 24/1/2006 18 ISLAM SMP
02
SITI MUTIA 32710264078900
18 JAMAL 24/7/1989 34 SMP
WAHYUNINGSIH 01
32710151038900
19 ARNI NURAENI ASEP UBAIDAH 3/11/1989 34 ISLAM SMA
15
32760461100000
20 ANISA FANIA ESA MIFTAHUDA 10/21/2000 23 ISLAM SMK
4
12140255069400
21 MANISA NDRURU ANTON JISEKHI 15/6/1994 29 KRISTEN SMA
06
32012741069400
22 SITI HABIBAH AHMAD PAYUNI 1/7/1994 29 ISLAM SD
02
32020651039500
23 WULAN BINTI EDIH EPUL 3/11/1993 30 ISLAM SMP
05
12130848099800
24 UMMI M.HASAN 8/12/1998 25 ISLAM SMA
02
124
32710248078600
21 Maret 2024 1 lilis lisda idir abdul kodir 8/7/1986 37 islam SMA
01
32710144029000
2 anisa suci wahyuni Hamzah mustakim 2/4/1990 34 islam SMP
15
Ayodia fikri rizal 32710251119100
3 Nova Riama 11/11/1991 islam SMK
moenir 12
124
32780362128400
22 Maret 2024 1 HETI SUPENTI AGUS 3/12/1982 41 ISLAM SD
05
32710242118800
2 NOVA WAHYUNI ASEP MAULANA 2/11/1988 35 ISLAM D3
01
32710254893000
3 DESI WIARNISARI FADLI 14/8/1993 30 ISLAM SMA
5
MIHAMAD RIZKI 32710265059600
4 NURUL HIDAYAH 25/5/1996 27 ISLAM S1
FEBRIANSYAH 5
 124
32710168088900
23 Maret 2024 1 ROSITA WARSO 28/8/1989 34 ISLAM SMA
03
124
32070364060100
25 Maret 2024 1 MUHAMMAD RIZKI 6/24/2001 22 ISLAM SMK
ALMA FADILLA 02
32010458079000
2 ARIFIN 7/18/1990 33 ISLAM SMK
SUSI IRAWATI 11
32710549079100
3 ADI ZAELANI 7/9/1991 32 ISLAM SMK
IRMA YULIAWATI 04
32030367099300
4 MUHAJIRIN 9/27/1993 30 ISLAM SMU
TITA ROSMAYANTI 06
12130848099800
5 M.HASAN 12/8/1998 25 ISLAM SMA
UMMI BINTI RUSLI 02
32012668010100
6 1/28/2001 23 ISLAM
WARDAH NURHIKMAH 01
32710244129500
7 SUSANTI EGI 12/4/1995 28 ISLAM SMK
03
32710258059900
8 FEBBY IVANKA M.DALILI 5/18/1999 24 ISLAM SMK
10
124
32710149089400
26 Maret 2024 1 PUTRI FADILA TAUFIK 8/9/1994 29 ISLAM S1
12
2 SITI SOLIHAT HERIAWAN 12/1/1999 24 ISLAM
32710258080200
3 INA ARLINA FARID RIDWAN 8/18/2002 21 ISLAM SMK
02
32710260070400
4 DEVIA RESTU RAHAYU GEMILANG 7/20/2004 19 ISLAM SMP
05
32710250099900
5 DINDA ADELYA 9/10/1999 24 ISLAM SMP
VICKY WIJAYA 01
32011749098600
6 ETI HARTATI ENJANG 9/9/1986 37 ISLAM SD
02
32710252049100
7 MIA BINTI MA'AT HASAN SANUSI 12/4/1991 32 IDLSM SD
09
32760461100000
8 ANISA FANIA ESA MIFTAHUDA 10/21/2000 23 ISLAM SMK
04
 32710270010300
9 DIANA ANGRAENI MUHAMAMD ANDI 1/30/2003 21 ISLAM SMU
02
31730549018200
10 NUR AZIZAH DODI NOVIANDI 9/1/1982 41 ISLAM SMP
06
32710160129700
11 DEVI RAHMA TANTI FATHUR RAHMAN 12/20/1997 26 ISLAM S1
14
12 SANRA TIANA 124
32710267069700
13 SITI HINDUN HOLLI 6/22/1997 26 ISLAM SMP
04
32710241049400
14 IMAS PERMATASARI ANGGA 4/1/1994 29 ISLAM SMP
11
32710253059200
15 FITRA RIZKI 5/13/1992 31 ISLAM SMA
RINA WIDIASIH 04
32710254079000
16 MAESARI JAENUDIN 14/7/1990 33 ISLAM SMP
03
36032354090400
17 SRI AYU BADRIAH DONI 9/14/2003 20 ISLAM SMK
01
18 WARDAH NURHIKMAH 124
32012742029600
19 FAMELA ULFA FIDENTIA ADAM SUJATWA 2/2/1996 28 ISLAM D3
04
32710255120000
20 SITI AMINAH EDIH MAULANA 15/12/00 #VALUE! ISLAM SD
04
21 PUTU RAMAYANI 11/20/1976 47
32710141069600
22 PURI PURWANTI INDRA ACHMADI 6/1/1996 27 ISLAM SMK
19
124
32710259050500
27 Maret 2024 1 ANNISA TSALSA SUPIANDI 5/19/2005 18 ISLAM SMP
06
32710254069700
2 DINDA PUSPITASARI M.FARAZ SATRIANA 6/14/1997 26 ISLAM D3
04
32710160080100
3 REDENA NUR PERMANA SAMSUDIN 8/20/2001 22 ISLAM SMA
11
124
32710265089400
28 Maret 2024 1 AI KURNIASIH M.SUBAKTI 8/25/1994 29 ISLAM SMA
03
 32710243060000
2 DEWI SOLIHAT SAEPUL RIZAL 6/3/2000 23 ISLAM SMA
10
32710248078600
3 LILIS LISDA IDIR ABDUL 7/8/1986 37 ISLAM SMA
01
32710270100000
4 ANITA LAELASARI ONIUS 10/30/2000 23 SMK
7
124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124
124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124
124

124

124

124

124

124

124

124

124

124

124

124

124

124

124

124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
124
 TGL LAHIR
NAMA IBU
PEKERJAAN KANDUNG ALAMAT NO BPJS GPA ANAK HPHT TP TB LILA BB
TERAKHIR

TAJUR 2/2

KARYAWAN ERLIS
SDRASA 1/12 1/0/0 10/22/2023 29/7/2024 159 26.5 53
SWASTA DARYATI
KARYAWAN YETI
PAKUAN 2/3 1/0/0 7/13/2023 168
SWASTA SUPRIYATI

IRT SITI NANI SDRASA 3/9 1/0/0 1/20/2024 10/27/2024 155 26 50.2

IRT IKAH SDRASA 1/9 4/3/0 - 12/10/2023 9/17/2024 151.5 32 75.5

EROS
IRT SUKASARI 2/2 3/2/0 - 12/12/2023 9/19/2024 152 29 70
ROSINAH
IRT TITIH SDRASA 3/9 4/3/0 23/10/2013 6/8/2023 5/13/2024 149 29.5 66.4

IRT KARTIINI SUKASARI 2/1 1/0/0 10/07/2023 4/17/2024 151 30 80.6

TEGAL GUNDIL
GURU NURSIDAH 1/0/0 28/09/2023
2/1
IRT RUKOYAH SUKASARI 3/6 3/1/1 20/6/2011 11/06/2023 160 29 77
EMA KEDUNG
IRT 2/1/0 10/10/2020 25/12/2023 10/2/2024 150 28
NURJANAH HALANG 1/4
GEMBIRA RANGGA MEKAR
IRT 2/1/0 ?/JULI? 160 28 70.5
NEBAHOI 5/5 23/8/2021
IRT NYAI RAHATI SDRASA 2/2 3/2/0 10/1/2017 13/11/2023 8/20/2023 151 65.5
 PANDANSARI
IRT NYAI MARSIH 2/1/0 18/12/2019 1/1/2024 10/8/2024 150 20.5 35
2/7

bumn YETI.S PAKUAN 02/02

IRT SANTI SUKAMULYA 7/3 1/0/0 19/8/2023 5/26/2024 152 27 59.6

IRT CUCUM SDRASA 3/2 4/3/0 4/4/2018 2/8/2023 5/9/2024 155

IRT MIMI SDSARI 5/5 4/3/0 3/10/2016 11/25/2023 9/7/2024 58.2

IRT NUNUNG TSJUR 2/2 2/1/0 3/1/2019 10/12/2023 7/19/2024 150 28 60.9

IRT H.KOKOM TAJUR 1/4

IRT ENCOP SD.RASA03/11 3/2/0 5/11/2015 5/1/2024

SPG NINA SD.RASA02/04

IRT H.ELIH SD.SARI06/01

CUCUM
IRT SD.SARI01/07 3/2/0 26/12/2023
(ALM)
IRT SD.SARI 02/06
YATI
IRT KESIH TAJUR 02/03

IRT KESIH TAJUR04/02 2/1/0 7/20/2021 22/10/2023

jujum
IRT GADOG 2/1 4/3/1 30/10/2018 8/12/2023
junaningsih
IRT YUSI UNTARI SUKASARI 04/01 2/1/0 12/4/2017 31/11/2023

IRT DAYUMI SD.SARI 01/07

IRT TATI SUMIATI SD.RASA 03/08 3/2/0 16/12/2010 10/7/2023 USG

ELAH
IRT SDSARI 6/5 1/0/0 2/9/2023 6/9/2024 154
NURLELAH
 VETRINA
IRT SDSARI 4/2 3/1/1 27/10/2019 ? ? 151 60
YENI
ROS
IRT SUKASARI 02/02
ROSINAH

AI
IRT TAJUR 04/02
SURYAMAH
IRT DEDE JAKIAH SD.RASA 01/12

IRT EUIS SURJATI TAJUR OI/O5

IRT SEKARWATI SUKASARI 06/03

TFU 23CM,DJJ
POSITIF, PRES
IRT SITI MARIAM SUKASARI 04/04
KEPALA BLM MASUK
LW. GINTUNG PAP
IRT UMI KULSUM
04/06
IRT MARYANI SDRASA 4/8 5/3/1 10/10/2020 6/19/2023 3/26/2024

IRT KOMARIAH TAJUR 4/3 3/2/0 8/29/2017 10/25/2023 8/2/2024 159 30

KARYAWAN YATI SUMIATI BANJARSARI 1/0/0 10/22/2023 153 28

sdrasa 3/12

YAYAH SINDANGSARI
IRT 3/2/0 23/5/2015 9/1/2023 6/8/2024 155 29 68
ROHAYAH 4/8

IRT HJ,SAADAH SDRASA 3/12 18/4/2018 18/12/2023 9/25/2024 145 30 67

3/2/0
KARYAWAN FATMAWATI SUKASARI 5/6 1/0/0 12/6/2023 9/13/2024 163
 DAHLIA
IRT TAMANSARI 2/8 3/1/1 7/3/2020 1/8/2024 10/15/2024 165 28 65
NASUTION
IRT NINA SUKASARI 4/4 2/1/0 30/3/2022 16/10/2023 152 23

DOMISILI RT 1
RW 2 KTP
IRT ROSITA 0003072622735 3/2/0 21/5/2021 20/10/23 27/7/24 152 26 60
SDRASA RT 1 RW
2
SDRASA RT
IRT SUMIYATI 0000502382035 1/0/0 26/6/2023 4/3/2024 151 22 46
3RW4
SITI HALIM TAJUR RT 4 RW
IRT 0001172456302 1/0/0 LUPA 154 29 69
AH 2

LALA KP.MUATRA
IRT 3/2/0 29/4/2017 11/1/2023
KUMALSARI 1/10
tajur 1/2

IRT SUKINAH MUARASARI 2/1 3/2/0 3/5/2020 7/11/2023 4/18/2024 160

IRT heniliau sd.sari 03/03

IRT karmilah sd.rasa o2/11 1/0/0 11/2/2024 65.2

kary.swasta st. Masitoh sukasari 06/03 4/2/2001 14/10/2020

sindang sari
IRT engkan 2/1/2000 12/5/2020 6/20/2023
03/02

MUARASARI 2/4 59

SUKASARI 5/7 50
 wirausaha euis sukasari 7/1 1/0/0 11/2/2024
sindangrasa
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2/10
irt mimiati sukasari 1/6 2/1/0 21/2/2016 26/12/2024 9/2/2024 156 26 65

irt saroh muarasari 3/1 3/1/1 6/6/2026 16/10/2023 7/23/2024 155 25 48

irt ernawati sd rasa 2/4 2/1/0 2/7/2021 1/29/2024 156 24

IRT KARTIM SUKASARI 2/1 1/0/0 10/7/2023 4/17/2024 151 32 82.9

IRT SUMIYAH SDRASA 3/4 1/0/0 26/6/2023 151 25 48.7

IRT MIMIATI SUKASARI 1/6 2/1/0 21/2/2016 12/26/2023 151 63.1

IRT ST JULAEHA SDRASA 1/10 2/1/0 10/4/2019 1/1/2024 10/8/2024 149 30 61.1

IRT NENENG SDSARI 3/5 2/1/0 20/10/2018 7/20/2023 4/27/2024 150 30 64.5

IRT KARMILAH SDRASA 2/11 1/0/0 2/11/2024 11/18/2024 165 29 63.9

IRT SOLEHAH SDSARI 6/1 3/2/0 27/10/2021 ? 149 26

EEN
IRT SDRASA 1/11 2/1/0 8/5/2018 7/20/2023 52.7
SUKAENAH
IRT YATI SDRASA 2/11 4/2/1 2/11/2021 1/4/2023 64.5

IRT NURHAYATI SDSARI 5/5 3/2/1 14/8/2021 1/8/2024 79.2

IRT SUKASARI 7/3 2/1/0 8/8/2023 5/15/2024 168 61.1

MUTIA
IRT SDSARI 3/6 5/2/2 4/4/2017 72.1
KADIARTI
IRTWIRAUSA
NYAI ROHATI SDRASA 2/2 3/2/0 10/1/2017 25/11/2023 65.2
HA
 IRT CICIH SDRASA 3/3 5/3/1 17/2/2020 18/11/2023 158 60.8

IRT ST MUNASIH SDRASA 4/7 3/2/0 1/6/2017 157 31 78

IRT ENDAH SDSARI 4/6 1/0/0 27/7/2023

SDEWI
IRT KOMALAWAT SKS 2/3 1/0/0 8/8/2023 167
IJUJUN
IRT JUNANINGSI GADOG 2/1 4/3/0 30/10/2018 78.8
H
IRT SUTINI KATULAMPA 2/6 3/0/2 8/6/2023 150 24.5

IRT FILIATI TAJUR 2/10 3/2/0 27/3/2018 19/9/2023 155 26

IRT SDRASA 2/10 4/3/0 4/8/2023 5/11/2024 56.2

IRT WATI SDRASA 3/12 2/1/0 25/8/2019 13/12/2023 155

IRT MASDIDAH SDRASA 3/5 1/0/0 1/8/2023 152 20.5 47

IRT ating tajur 2/6 000220469007 5/1/3 3/11/19 2/2/24 9/11/24 140 28 58

IRT Tinah sd.rasa 03/08 5/2/2002 2022 9/2/2024

Sindang rasa
kary.swasta Herni 0002097008008 2/1/2000 12/20/2023 155 26.5 59.5
01/02

PANDANSARI
KARYAWAN MINAH 0002480695435 4/3/0 16/4/2011 27/8/2023 6/24/2024 149 30.5
CIAWI
IRT SUMARTI CIBURIAL 4/4 1/0/0 20/9/2023 6/27/2024 155 28 58

IRT SITI SARAH SDRASA 6/7 0002240564231 5/2/2 23/8/2019 23/7/2023 15/4/2024 155 70

KARYAWAN KOMARIAH SDSARI 4/3 0002355724822 1/0/0 29/1/2024 11/7/2024

 IRT HARJASARI 2/11 1/0/0 155 26 54

HENI
IRT SUKASARI 2/1 0002290790902 2/1/0 10/5/2023 2/9/2024 11/16/2024 156 19.5 36.6
NURYANI
IRT AYANI MUARASARI 3/4 3/1/1 22/4/2016 8/17/2023 5/24/2024 66.1
SITI
IRT TAJUR 3/3 3/1/1 22/11/2014 12/23/2023 30/10/2024
NURHAYATI
IRT MASRIAH SUKASARI 7/1 3/2/0 15/12/2023 9/22/2024 150 30 76.8
13/7/2021
IRT MASNI SDRASA 3/5 1/0/0 8/1/2023 5/8/2024 152 21.3 48.8

MUARASARI 2/4

IRT SARNI MUARASARI 1/4 1/0/0 9/11/2023 8/16/2024 155 27

KARYAWAN ETI SUMIYATI TAJUR 1/6 1/0/0 6/25/2023 4/2/2024 155 28 62

KARYAWAN YETI PAKUAN 2 1/0/0 13/7/2023 81.6

IRT CIANGSANA 4/5 2/1/0 7/1/2023 4/6/2024 154 27.5 60

IRT SITI NANI SDRASA 3/9 1/0/0 1/20/2024 10/27/2024 151 24.5 49.4

IRT ELI SURYATI TAJUR 2/3 1/0/0 8/13/2023 5/22/2024 150 58.4

IRT NUR AIDA SDSARI 4/2 1/0/0 12/6/2023 9/13/2024 159 29 55

IRT AMI SUKASARI 5/3 4/3/0 30/3/2018 ? 153 48.2

IRT ACAH KATULAMPA 4/8 3/2/0 8/7/2016 25/8/2023 150 58.5

IRT SUTINI KATULAMPA 2/6 3/0/2 8/6/2023 150 24.5 52.1

 IRT ANAH SDRASA 2/11 1/0/0 9/25/2023 165 27

IRT MUNZIROH SDSARI 4/2 3/2/0 26/4/2015 11/20/2023 150.4 44.8

KARYAWAN MUARASARI 2/2 1/0/0 16/7/2023 67.5

IRT SITI JUARIAH SDRASA 1/9 3/2/0 19/6/2020 12/21/2023 53.4

SITI
IRT CIAPUS 2/4 2/1/0 4/25/2020 1/5/2024 12/110/2024 48.6
MAESAROH
IRT AAN WANGUN 5/3 3/1/1 11/9/2019 7/18/2023 72.5

IRT MIMI SDRASA 2/11 3/2/0 29/11/2016 12/1/2023 9/8/2024 156 33 73.4
SITI
IRT TAJUR 4/2 '1/0/0 ?/7/2023 154 27.5 72.2
HALIMAH

NOOR
KARYAWAN CIMANDE 2/1/0 21/3/2020 1/10/2024 10/17/2024 153 21.5 42.1
OKTADIANA
KP.MUARA 3/9-
IRT ST RODIAH 3/1/1 9/8/21 16/1/24
SINDANGRASA
TAJUR 3/4

KARYAWAN NENO SDRASA 3/3 0000499892747 4/2/1 3/8/2020 8/10/2023 5/17/2024 152 31 63.5

IRT YAYAH SDRASA 2/3 2/1/0 28/8/2022 ? 153 24 45

IRT RUMINI SDRASA 2/12 2/1/0 17/10/2020 11/25/2023 155 28 49

IRT NURJANAH MUARASARI 3/2 1/0/0 2/4/2024 150

KARYAWAN HJ.SOLIHAT SDRASA 4/10 1/0/0 21/12/2023 150

 NUR
KARYAWAN CICURUG 3/11 1/0/0 1/9/2024
MULYANAH
IRT ATING TAJUR 2/6 4/1/2 3/11/2019 2/2/2024 140 28 58
SUMINAR
SALES SUKASARI 1/2 1/0/0 ?
LAELASARI
 @dropdown

HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
TD VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN
RUJUKA
N
UNTUK
PAPSME
AR DI PT
COAST,
DAN
ADA DX
KISTA 19MGG 1 11.8 N N N GDS 115
DAN
MIOM CEK LAB 1 12.5 N N N N

122/64 CEK LAB 1 12.5 N N N 083811059739 GDS 113

128/74 12MGG

114/66 12MGG

105/70 30mgg, 28CM, 154X/M,

LEIKOSIT URINE
118/83 34MGG, 10.8 POS 1
POS 2
1 11.8 n n n 082125060308 gds 86

106/70 38MGG 11.3

10MGG 1 14 N N N 089677552505 GDS 113

111/76 32MGG TT4 11.2 N

140/104 16MGG 1 12.8 N N N 085883934528

101/65 9MGG 1 12.7 N N N 083169891378 GDS 94

120/86 29MGG, 25CM, 156X/M TT2 11.1 N

31MGG 12.2 N USG

112/78 14MGG 13.2 N

118/77 21MGG, 14MGG DJJ 149X/M TT3

USG

1 12.6 n n n 087884440584

USG

1 11.1 N N N N

1 12.6 N N N USG GDS 104

11.4 N CEK LAB

1 11.9 N N N

11.1 n

1 11.5 N N N 083804317958

11.7 N

1 11.8 N N N 083897216012
 TFU 22CM DJJ POSITIF PRES
SUNGSANG
USG 13

9.3 POS 1

CEK LAB 1 11.0 N POS N

19MGG CEK LAB 1 12.1 N N N 089637555352 GDS 130

13.9 0895355285546

pp test neg

110/80 CEK LAB 1 10.6 N N N 085881654321 GDS 104

120/80 CEK LAB 1 11.6 N N N 081617854078 GDS 126

1 11.8 N N N 081210490912 GDS 95

110/80 CEK LAB 1 13.4 N N N 085811189268 GDS 154

1 10.5 N N N 088976269229 0

106/65 DJJ 155, UK 20 MGGU BALL+ 083165592089

DJJ 146, UK 37 MGGU KEP
94/64 085697076347
MASUK PAP
DJJ 145 , UK 37 MGGU, KEP+
111/67 0895404455055
SUDAH MASUK PAP

cek lab 1 12.8 N N N 083819111827

N
lahir di bs.euis yani 0895388858811

CEK LAB 1 12.2 N N N N GDS 81

85789965858

1 11.3 N N N N

115/94 1 13.7 N N N N

11.7 N

9.3 N

POST SC 2MGG
112/85
DG KPD.
129/104 POST SC 2MGG
110/80 cek lab 081313565670

90/60 uk 28 minggu kep tfu 22 cm

113/82 uk 12 minggu

110/80 cek lab 1 11 n n n 081316079753 gds 95

110/80 cek lab uk 7 minggu 1 13.2 n n n 085850570299 gds 95

119/81 USG

94/66 38MGG,

120/81 12MGG, USG

120/75 11MGG, CEK LAB USG 12.3 N N N 085591964003 GDS 85

119/65 35MGG USG 12.8 N

107/74 6MGG, USG

124/86 8.8 N

103/65 35M,GG, CEK LAB USG 12.1 N

117/72 CEK LAB SUG 12.8 GDS 70

111/77 CEK LAB, USG 12.7 N N POS GDS 92

085885721598
123/75 32MGG CEK LAB USG 11 N

132/74 15MGG, NYERI PERUT BAWAH

155/104 17MGG HT
96/55

145/91 CEK LAB USG 11.3 N

CEK LAB 9.4 N N N GDS 103

085880466388
LEUKOSIT URINE
CEK LAB USG 12.6 N
POS 2
107/71 LINTANG, KONTROL 36MGG

CEK LAB,USG 11.5 n 0

CEK LAB 12 N N N 08817523656 GDS 104

97/60 CEK LAB USG 9.4 N N N GDS 92

CEK LAB 12 N N N GDS 71

80/60 CEK LAB, 33MGG 11.7 N N N GDS 91

100/60 13.6 N N N - 85811121438 GDS 104

132/84 cek lab 13 N N N - 85795970659 gds130

98/68 CEK LAB 30 MGG 10.3 n n n 083111037949 gds 88

n
100/70 CEK LAB 27MGG 11.7 n n n 081319969166 gds 80
CEK LAB DAN RUJUKAN RS
110/70 081314955105
JULIANA RW SC 34MGG
7MGG CEK LAB 12 N N N 085773467659 GDS 80
110/80 CEK LAB 10.9 N N N 085697134392

90/49 7MGG,JARAK NAKA <1THN 13.4 N N N 085119599995 GDS 104

102/58 32MGG TT1 11.1 N 088293235856

13MGG 11 N N N 089632720560 GDS 117

136/86 14MGG 11.9 N N N 08567906477

121/70 34MGG 11.2 085262800897

POST SC 1 BLN masih ada
nanah dan belum kering,
observasi setiap hari datang ke
pkm
19MGG 11 N N N 08979403794 GDS 87

110/70 39MGG 10.8 N 085894728718

113/78 37MGG, 081226533151

90/60 38MGG CEK LAB

121865 USG 9MGG 083811059739

110/71 USG, CEK LAB 32MGG

120/80 16MGG CEK LAB 11.9 N N N 081223584010 GDS 101

105/63 29MGG, CEK LAB 9.2 N

129/83 31MGG CEK LAB USG 10.6 N 083122878042

108/60 33MG UDG 089636809799

 RUJUK POLI UMUM DG BATUK
94/60
LAMA
18MGG, 1 JR DIBAWAH PST
129/75
135X/M
130/71 36MHH CEK LAB USG 11.9 N 085161482012 LEU PO 2

rujuk poli umum

115/78 CEK LAB,USG, 12MGG 085714244079

112/76 USG

141/98 36MGG USG 11.4 POS 2 085691555859

111/68 21MGG,

129/96 38MGG, 29CM, 10.6 0895404455055

124/79 KONTROL POST SC

82/57 USG 081281995401

10MGG, USG 11.9 N N N 085778770711 GDS 101

GEJALA PRA MENOPAUSE,PP
TEST NEGATIF
33MGG, 31CM, 133X/M, CEK
106/69 10.1 pos 1
LAB 081288940058

110/70 CEK LAB 12.4 N N N 085717519365 GDS 131

90/60 CEK LAB

11.1 N N N 0895324257400 GDS 93 NIK
SUDAH
7MGG CEKLAB 12.4 N N N 089662907146 GDS 94
TERDAFT
AR SIHA

14MGG, CEK LAB 10.8 N N N 08989062456 GDS 85

 RUJUK RS JULIANA SUSP, B.O
PERDARAHAN 2 HARI, RUJUK
100/80 085811121438
RS JULIANA
SUNTIK TT2 TT2 085280661581
@dropdown
TANGGAL KUJUNGAN NO
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR AGAMA
TERAKHR

1/2/2024 1 hermayati agus salim 3172026310970013 10/23/1997 26 sma

03 Februari 2024 1 isna sari agung 3203115403930024 3/14/1993 30 smk

2 siti hodijah empud saripudin 3271025411900007 14/11/90 #VALUE! sd

3 noviati gunawan 3271026611970002 11/26/1997 26 s1

124

05 Februari 2024 1 SITI ROHMAH SAIPUL BAHRI 3201276405960001 7/2/1996 27 SD

2 NURUL MILAH OKHALDO LARAS 3271025405970006 5/15/1997 26 SMP

3 URMA DEDEN 3271026208850005 8/22/1985 38 SD

4 DESI PURNAMASARI NURUL HUDA 3271025512940004 12/18/1994 29 SMP

5 BUNGA MARCELIA NATASHADODY 3271016410020004 10/24/2002 21 SMP

6 DUDI SURYADI 3201266806940004 6/28/1994 29 SMP

YULI SRI HANDAYANI
7 4/7/1974 49
SITI HAURA GUMAY
M.ALI ZAENAL
8 3271024510950002 10/5/1995 28 SMA
IKA PRAWITASARI ABIDIN
9 ARI SUHENDAR 3201045606900010 6/16/1990 33 SD
SITI NURAENI
10 DODI NOVIANDI 3173054901820006 1/9/1982 42 SMP
NUR AZIZAH
 124

06 Februari 2024 1 yuke rahayu m. aris 3201245608990003 8/16/1999 24 sd

2 desi purnamasari nurul 3271025512940004 12/18/1994 29 smp

3 ovi rahmawati maman 3271026610940003 10/26/1994 29 sma

4 risky yuliani firman 3271056701960012 1/27/1996 28 smu

5 arni nuraeni asep 3271015103890015 3/11/1989 34 sma

6 fitra 3271025305920004 5/13/1992 31 sma

rina widiasih
7 m. nur 3271025505960004 15/5/1996 27 sma
rina wulandari
8 MIA AFRIYANI 124

9 mislan 3271025109950001 9/11/1995 28 sma

rizma
124

07 Februari 2024 1 3271024305940004 5/3/1994 29 sma

PUSPA DESTIANA IWAN
2 3271025911900002 33 S1
KRISA RIZCA M.RIO AMANDO 19/11/1990
124

09 Februari 2024 1 M YUDA 124

nabilah
124

12 Februari 2024 1 asep chaerudin 3271024110890010 1/10/1989 34 islam smp

hilma nurul
2 mulyadi 3271025604950002 4/16/1995 28 islam smk
rani rosniawati
3 endri jaelani 1213226405010002 5/24/2001 22 islam sma
ai yuni wahyuningtias
4 deden 3271026803960008 3/28/1996 27 islam smk
rosana
 5 nabila nurul hilaliyah m. ilham 3202285507020003 7/15/2002 21 smu

124

13 Februari 2024 124

1 SAIPUL BAHRI 3201276405960001 7/2/1996 27 ISLAM SD

SITI ROHMAH JUBAEDAH
2 KIKI RIZKI MEGI 3271026405950004 24/5/1995 28 SMP
ISLAM
3 ANGGA SOPIAN 3271024405910005 5/4/1991 32 SMOP
TIA RISTIANA
4 RIKI RAHMAN 3271024312850002 10/15/1986 37 SMK
FARTINI BINTI MAMAN SURY
5 SRI AYU BADRIAH DONI 3603235409040001 9/14/2003 20 ISLAM SMK

6 ADE HARIS 3271026511010009 11/25/2001 22 ISLAM SMP

SITI FATIMAH
7 DEDE ISMAIL 3271026206970007 22/6/1997 26 ISLAM
SITI SUMIRAT
8 DEDI APRIANTO 3271024401870005 1/4/1987 36 ISLAM SMA
STELY JUWITA
9 MEGA SAKTI P 3201294508840002 5/8/1984 39 ISLAM D3
YUANITA KUSUMADANI
10 INDRI MIANDARWATI TAUFIK 3271024506970001 5/6/1997 26 ISLAM SMK

11 NURUL HUDA 3271025512940004 12/18/1994 29 ISLAM SMP

DESI PURNAMASARI
12 SUBHAN 3271064711000011 11/7/2000 23 ISLAM SMK
MAULIDIA BINTI JAHUR
13 M.NUR TRINIDAD 3271025505960004 5/15/1996 27 ISLAM SMA
RINA WULANDARI HARDIANI
14 DIARIZKI 3271055611030006 11/16/2003 20 ISLAM SMP
NURLAILATUL ZAHFIA
15 ESA MIFTAHUDA 327604611000004 10/21/2000 23 ISLAM SMK
ANISA FANIA
124

15 Februari 2024 1 desi fadli 327102548930005 124 islam sma

 124
ERIKSON
16 Februari 2024 1 HELDAWATY 3216064311870013 11/3/1987 36 KRISTEN S1
NAOITUPULU
2 LINDA OKTAPIANI KAMALUDIN 3271024201920006 1/2/1992 32 ISLAM SMP

3 FAMELA ULFA FIDENTIA ADAM SUJATWA 3201274202960004 2/2/1996 27 ISLAM D3

124

17 Februari 2024 1 DESTI MAULINDA ADI SUMIRAT 3271026811840006 19/12/84 39 ISLAM SD

124

19 Februari 2024 1 ETI HARTATI ENJANG 3201174909861002 9/9/86 37 ISLAM SD

2 HJ. RINA FATMASARI REZA 3201046709930008 27/3/1993 30 ISLAM SMP

3 ELVA FATIMAH RISAL 3271025906880004 6/19/1998 25 ISLAM SMA

4 MAESARI JAENUDIN 3271025407900003 7/14/1990 33 ISLAM SMP

5 DIANA ROSI ADE TRISANTO 3271026210950005 22/10/1995 28 ISLAM SMA

6 IRA DIASSARI YANDI 3201246101940001 21/1/1994 30 ISLAM S1

NANDHITA HANNADIA
7 FARID HAMZAH 3271025207040006 12/7/2003 20 ISLAM SMK
PUTRI FAUZIA
124

20 Februari 2024 1 siti fatimah ade haris ;3271026511010009 25/11/2001 22 islam smp

2 heriawan 3201044106990002 12/1/1999 24 islam smk

siti khodijah
3 siti mutia jamal ;3271026407890001 7/24/1989 34 islam smp

4 inah herdiansyah 3271025501950003 15/1/1995 #VALUE! islam smp

5 siti sopiah abdul najib 3271020808840001 25/10/1992 31 islam smp

 6 erni kurniawati arif fadilah 3204324612840001 12/6/1984 39 islam sma

7 pitriani firmansyah 3271026203940004 22/03/1994 #VALUE! islam smp

8 mirah farhanudin 3271024901920006 09/01/1992 31 islam s1

9 risky yuliani firman 3271056701960012 27/01/1996 #VALUE! islam sma

10 nisa fatanisa wibowo 3271026408930001 8/24/1994 29 islam smk

11 zahra anisah m. rangga 3271026569940006 9/25/1994 29 islam smk

12 vita patimah yusuf 3271025206840009 6/12/1984 39 islam smp

13 elsa yunita solihin 3271025706920004 6/17/1992 31 islam smk

14 nia fauziah m. suherlan 3271025302990004 2/13/1999 24 islam s1

15 puri purwanti indra achmadi 3271014106960019 6/1/1996 27 islam smk

16 desi marselita aldi ihwanudin 3271024812030001 12/8/2003 20 islam smp

124

22 Februari 20024 1 Fitriani Firmansyah 9400043271026203 3/22/1994 29 islam SMP

2 mega hardianti gustian 3271015205960003 5/12/1996 27 islam smk

3 Dede ratnawati didin 3271025003810009 3/10/1981 42 islam SMP

4 intan M. Fahdy 32710263307040002 7/23/2004 19 isalam SMK

5 yuwi wahyu 3271024401010011 4/1/2001 23 islam SMP

124

26 Februari 2023 1 FAUZIAH RAHMAH DEDI S 327102110700002 11/7/00 23 ISLAM SMK

2 RAHMAT 3201044506910007 5/6/91 32 ISLAM SMP

AIRAWATI
 3 NOVIANA ASEP 3271026011020005 20/11/02 #VALUE! ISLAM SMP

4 DIAH PUSPITASARI SARIFUDIN 3271025301960002 13/1/96 #VALUE! ISLAM SMK

5 ST TARWIYAH ANWAR 3271026603990009 26/3/99 #VALUE! ISLAM SD

6 YULIA DAMAYANTI 124

risky yuliani firman 3271056701960012 27/01/1996 #VALUE! islam sma

27 Februari 2024 1 ruspa fauziah ade maiken 3271025812950003 12/18/1995 28 islam sma

2 nur azizah dodi noviandi 3173054901820006 9/1/1982 41 islam smp

3 nurmustika sandi rahmatullah 3271025407870002 14/7/1987 36 islam d1

4 mia hasansanusi 3271025204910009 12/4/1991 32 islam sd

5 tia ristina angga 3271024405910005 4/5/1991 32 islam smp

6 rika anggraeni nurjaya 3201285405980006 7/14/1998 25 islam smp

7 ria agustini imam 3201265708860007 17/8/1986 37 islam s1

8 reyni yunita mulya hasan satibi 3271026111920002 21/11/1992 31 islam SMA

9 angelina yohana yohanes 3507244807940003 8/7/1994 29 kristen s1

124

28 Februari 2024 1 ANITA LAELASARI ONIUS 327102701000007 10/30/2000 23 ISLAM SMK

TAUFIK
2 SELVIYANTI 3271026209920007 22/9/1992 31 ISLAM SMA
ARMANSYAH
3 RIZKY ANJARWATI KUSUMA ADI 3271055009940001 9/10/1994 29 ISLAM S1

124

29 Februari 2024 1 SILVIA MANDASARI SUKANDAR 3271026010840005 20/10/84 #VALUE! ISLAM SMA
2 GREACIA GLAUDIA YOSEF 3271025912940006 19/12/94 #VALUE! ISLAM D3

124

124

124

124

124

124

124

124

124

124

124
0

0
0

0
0

0
0

0
 TGL LAHIR
NAMA IBU
PEKERJAAN KANDUNG ALAMAT NO BPJS GPA ANAK HPHT TP TB LILA BB
TERAKHIR

irt herti sindangrasa 4/3 2/1/0 28/10/2023 8/5/2024

sindangrasa
irt hamidah 14/8/23 157 25 70
1/12

irt endeh sd.rasa 2/10 2/1

irt sutarti sd sari 1/7 1/0/0

SITI
IRT NURHASANA SDSAARI 1/5 2/1/0 6/22/2023 152 28 71.7
H
IRT NUNUNG TAJUR 2/2 2/1/0 10/12/2023 150 28 60.4

KARYAWATI UGIH KATULAMPA 3/2/0 19/5/2023 150

KARYAWAN MUMUN SDRASA 1/10 2/1/0 6/10/2023 150 29

IRT MASLIA SDRASA 1/9 3/2/0 10/10/2023 153 31

PARUNG
IRT IMAS 4/2/1 9/28/2023
BANTENG 5/1

IRT TETI CITAPEN 1/5 2/1/0 6/7/2023 157 23

SITI
IRT SDRAS 4/7 3/2/0 7/28/2023 157 31 76
MUNASIH
IRT MUNZIROH SDSARI 4/2 3/2/0 20/11/2023
 irt esih muarasari 1/6 2/1/0 6/20/2023 155 30 45

irt mumun sd rasa 1/10 2/1/0 6/10/2023 150 31 69

irt ros rosinah sukasari 2/2 3/2/0 12/12/2023 155 29 59

irt sugiem sukamulya 2/5 1/0/0 1/6/2023 155 24 62

irt junaningsih gadog 2/1 4/3/0 8/7/2023 146 32 77

irt aan sindangsari 5/3 3/1/1 7/23/2023 154 32 70

irt suratmi sindangrasa 4/7 2/1/0 11/14/2023 155 25 65

irt masitoh sukamulya 6/3

irt SDSARI 1/3 2/0/1

KARYAWAN
KATULAMPA 3/2/0 10/12/2023
SWASTA NURLISA SAGI

JL.SUKASARI III
RT 5/6

irt hj elih sindangsari 6/1 3/2/0 14/6/2023 155 28 68

irt sd rasa 2/10 4/3/0 9/8/2023 156 29 56

irt tajur 2/5 1/0/0 5/8/2023 155 23 50

irt engkan sindangsari3/2 2/1/0 ? 154 29 67

irt sindangsari 6.5 1/0/0 10/22/2023 149 22.5 40

ST
IRT NURHASANA SDSARI 1/5 2/1/0 6/22/2023 152 28 72.4
H
IRT ROSITA SDRASA 1/2 3/2/0 10/20/2023 152 58.2
TITI
IRT SDRASA 1/1 3/2/0 5/28/2023
NURHAYATI
IRT SDRASA 3/3 5/3/1 11/18/2023 158 60.3

IRT TAJUR 4/2 1/0/0 ? 154 27.5 66

IRT IIS TAJUR 1/2 2/1/0 6/5/2023 155 28.7 74.6

IRT SUNARSIH SDSARI 6/5 7/9/2023 48.4

MUTIA
IRT SUKASARI 3/6 5/2/2 10/11/2023 145 35 72.8
KODRATI
SRI
IRT SDRASA 3/6 2/1/0 4/11/2023 166 29 64
ANDAYANI
IRT SEKARWATI SUKASARI 6/3 2/1/0 12/5/2023 159 30
61.9
IRT MUMUN SDRASA 1/10 2/1/0 6/10/2023 150 29 70

IRT SUMIATI SDSARI 3/4 1/0/0 6/26/2023 151 25 45.6

IRT SURATMI SDRASA 4/4 2/1/0 11/14/2023 155 66

IRT SDRASA 2/12 2/1/0 8/21/2023 150 74.4

IRT SUTINI KATULAMPA 1/0/0 8/6/2023 150 24 50.2

irt siti saroh sindangrasa 6/7 5/0/0 7/23/2023 155 26 65

 ROSMA
SMA MUARASARI 1/2 3/1/1 12/8/2023 163 83
HUTABARAT
IRT IPAH SDRASA 1/10 2/1/0 9/12/2023 155
NOR
KARYAWAN CIGOMBONG 2/1/2000 10/1/2024 153 22.5 44.9
OKTADIANA

SITI
IRT SKSARI RT 4 /4 0000500140899 5/4/0 15/7/23 142 28 66
MARYAM

DOMISILI
IRT AMI 4/3/0 30/3/2018 147 23 47
SUKASARI 5/3
IRT HJ.ELIS SDRASA 4/6 4/2/1 5/10/2023 165 24 53

IRT MARYAMI SDRASA4/8 5/3/1 6/19/2023 164 25

IRT MIMI SDRASA 2/11 000236076785 3/2/0 1/12/2023 156 33 74

IRT NURYANAH SUKASARI 3/3 2/0/1 12/9/2023 154 27 61.3

IRT SUARSIH SDSARI 2/6 2/0/1 28/7/2023 154 22.5 49.7

BARANANGSIAN
IRT YUANITA 2/1/0 8/12/2023 162 19 37
G 3/6

irt iis tajur 1/2 2/1/0 5/6/2023 155 28 71

irt uun ciangsana 4/5 2/1/0 01/07/2023 155 27 57

irt dewi sukasari 2/3 1/0/0 8/8/2023 167 29 72

sindangrasa
irt anah 2/1/0 17/11/2023 157 27 63
2/11
irt siti khadijah sindangsari3/5 3/2/0 26/7/2023 156 26 53
 irt nanah tajur 2/3 4/3/0 ? 160 24 51

irt mimiati sukasari 1/6 2/1/0 26/12/2023 156 26 63.5

irt suherlina sukasari 2/5 4/3/0 ? 155 27

irt sukamulya 2/5 1/0/0 1/6/2023 157 28 75

sindangrasa
irt mimi ;3/2/0 11/6/2019 9/3/2023 156 28 65
3/12
irt tajur 1/3 ;1/0/0 9/25/1994 159 27 59

irt ati sumiati sindangrasa 3/8 3/0/0 16/12/2010 10/7/2023 152 31 75

irt yunengsih sindnagrsa 1/8 2/1/0 27/3/2018 3/11/2023 156 30 59

guru st rahmat sukamulya 5/3 2/1/0 22/9/2022 ? 150 20 34

irt neno sindangrasa 3/3 4/2/1 3/8/2020 8/10/2023 155 28 56

irt nurhasanah sindangsari 4/5 ;2/1/0 8/12/2021 ? 157 29 57

IRT Nimiyati Sukasasari 3 2/1/2000 2/21/2016 12/26/2024 151 29 63

irt komariah tajur 4/3 3/2/0 29/8/2017 25/10/2023 155 30 75

sindang rasa
IRT TITIH 4/3/2000 23/10/2013 8/6/2023 149 29.5 65
03/09
Katulampa
IRT Lina herlina 01/0/0 11/13/2023 155 23 38
05/09
IRT wiwin sukasari 03/02

IRT DEDE TAJUR 3/6 1452468789 2/1/0 10/4/21 7/7/22 152 33 87.8
PARUNG
IRT ROHATI 5/2/2 28/8/23 155 26 60
BANTENG 2/1
 YENI
IRT TAJUR 1/2 1773185804 2/1/0 6/2/20 ? 160 26 67.5
HARYANI
IRT ONIH SUKASARI 3/1 500502892 3/1/1 23/10/23 152 30 57

IRT EMA SD.SARI 2/1 500353435 2/1/0 4/6/22 26/6/24 154 24 44

BINONG
TENGAH 14/4
irt tugiyem skm 2/5 3534201369 1/0/0 1/6/23

irt sukamulya 4/3 2/1/0 23/11/2023 8/30/2024 154 25 72

irt munjiroh sindangsari 4/2 3/2/0 26/4/1995 11/20/2023 150 25 45

irt irna sindangsari 2/2 3/2/0 21/12/2020 13/8/2023 4/20/2024 153 29 57

irt acah katulampa4/8 3/2/0 8/7/2016 25/8/2023 5/1/2024 154 28 54

irt titi sd rasa 1/1 3/2/0 28/5/2023 155 30 69

irt pipin sd sari 6/5 3/2/0 7/12/2020 14/7/2023 4/2/2024 150 31 772

guru komariah pasir angin 4/2 5/3/1 11/6/2019 ? 155 30 69

swasta iyar y sukamulya 3/3

irt sulamih pakuan 4/6 1/00/0 8/11/2023 8/15/2024 150 29 57

SUMINAR
SALES SUKASARI 1/2 1/0/0 9/30/2023 154
LAELASARI
IRT CUCUM SDRASQA 3/2 0002516835554 4/3/0 4/4/2018 15/8/2023 155 60

HONORER NGADIYAH KD.HALANG 2/1/0 25/4/2020 19/9/2023 165 34 87

YOYOH SINDANGRASA
IRT 4/3/0 8/3/2017 1/7/24 158 57.5
SADIYAH 3/6
 IRMA
SWASTA CIAPUS 2/4 2/1/0 26/11/23 155 70
RAHMAWATI
 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
TD VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

cek laab 1 13 n n N 85774115755

110/80 cek lab 1 11.6 n n n 085885888742

134/79 kf2

cek lab 1 11.8 n n n 083811039155

CEK LAB, TFU 28CM DJJ

136/81 132X/M KEP SUDAH MASUK 12.8
PAP
112/72

10 n

101/66 CEK LAB, 10.9 n

CEK LAB 1 12.5 n n n 085745248796 gds 92

CEK LAB 1 10.8 n n n 08181812693 gds 103

PRA MENOPAUSE

CEK LAB 1 12.6 n n n n 085693094824

123/83 27MGG

1 11 n n n n
90/59 uk 32 minggu

104/90 uk 34 minggu

110/80 uk 7 minggu

110/80 uk 36 minggu

110/80 uk 26 minggu

110/80 uk 28 minggu

110/80 uk 12 minggu

101/80 post sc 2 minggu

cek lab 1 11 n n n

34weeks tt2

16MGG, CEK LAB 1 11.5 N N N GDS 118

perdarahan

110/80 cek lab 10 n 088809022232

93/66

106/71 uk 27 minggu

110/80
110/80 cek lab 1 10.9 n n n 085793825186

147/78 UK 33MGG, USG

97/65 16MGG,
LRUKOSIT URINE
CEK LAB 10.7 POS 1
POS 2
99/67 USG
LEUKOSIT URINE
102/66 USG, CEK LAB 10.1 N
POS1
LEUKOSIT URINE
115/82 USG, CEK LAB 11.9 POS 2
POS 2
TROMBOSIT
93/58 USG, CEK LAB 10.2 N
141,000
117/83 USG

99/56 CEK LAB USG 1 10.3 N N N 081280065225 GDS 103

10MGG, BALL
122/88
109/66 USG

88/50 USG, CEK LAB 11.9 N

109/77 USG
25MGG, 31CM, GEMELLI
98/68
149X/M DAN 133X/M
27MGG,LINTANG, 21CM ,
97/64
144X/M

130/60 cek la 11.8 n n n 081314955102

 K1 13.2 N N N 082210000180 GDS 78

CEK LAB 12.8 N N N 083147372465 GDS 132

107/78 CEK LAB 11.9 N N N 081281995401 GDS 103

113/78 CEK LAB 9.2 N N N 223

TFU 18CM,DJJ 140X/M,BALL+,

95/64 7 anemia berat
24mgg
110/70 19MGG, CEK LAB 11.3 N N N 085890435634 GDS 100

34MGG, 10.3 N 7

108/69 11MGG, BALL 12.2 N N N 088973124229 GDS 94

116/92 11MGG,BALL

95/65 29MGG, 24C, 149X/M, KEP 9.6 N N N 087770838713 GDS 111

70/44 10MGG, CEK LAB 12.4 N N N 088905408679 GDS 126

110/80 cek lab n 081388499122

110/80 cek lab 083174599118

110/70

120/80 usg 083847137773

110/80 uk 30 usg 8 n n n n
120/80 uk 24 minggu

uk 8 minggu

110/80 uk 20 minggu 081288611402

120/80 uk 38 minggu

110/80 cek lab 10.9 n n n 081351436640

120/80 cek lab 11.4 n n n 081382999822

110/80 tt 1

120/80 usg 12.1 n n n 085718281802

110/80 uk 17 minggu

110/80 uk 28 minggu

111/81 cek lab 9.6 n n n 0887433358461

110/80 cek lab 13.3 n n n 089653973221

121/80

109/70 cek lab 10.9 prot negatif

102/70

130/80 CEK LAB 12.1 N 085711686674

90/60 CEK LAB 11.6 N N N 08998537279

103/68 TFU 30CM,DJJ + 140/M, KEP 0895388858811
TFUU 2JR BWH PST, BALL +,DJJ
107/63 081319138365
+ 144X/M
TFU 13CM, BALL+, DJJ +
97/59 0895355285524
140X/M
KONTROL PP

122/88 cek lab,usg 12.6 n n n 088100009821

107/74 usg 085777458603

110/80 uk 33 minggu cek lab 9.8 n 081281992780

110/80 uk 27 minggu 083122718042

110/80 cek lab,usg 081297958785

110/80 usg cek lab 11.8 n n n n 08381146808

110/80 konsul cek lab 7.8 n n n 085716981132

kel: perdarahan

110/80 cek lab 12 n n n '081212696328

CEK LAB 11 N N N 085280661581 GDS 92

111/64 CEK LAB 13 n n n 081214056004

124/81 CEK LAB 10.8 n n n n 081212425396 gds 120

110/70 CEK LAB 10.8 N N N 085711595360 RIW.SC 3X GDS 105

120/80 CEK LAB 12.9 N N N GDS 87

36 36 36 19
TANGGAL KUJUNGAN NO
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR AGAMA
TERAKHR

SENIN #VALUE!

02 Januari 2024 1 DEDI S 3271021107000002 7/11/2000 23 SMK

FAUZIAH RAHMAH
2 3201284102030001 2/1/2003 20
SUJILAH NUR'PRATIWI
3 SAEPUL RIDWAN 3201136809870003 10/28/1987 36 SMA
DEWI OKTAVIANTI
4 M.TIAR MUSLIM 3271025506910002 6/15/1991 32 S1
DEWI RETNO SARI
5 ANDI MULYA 3201296903950002 3/29/1995 28 SD
SUHERTI BINTI SAEPUDIN
6 OKHALDO LARAS 3271025405970006 5/14/1997 26 SMP
NURUL MILLAH
7 M.ALHMAD 3172046306950010 23/06/1995 #VALUE! S1
FITRIYANA CAHYA ENDAH SA
8 RAMDANI 3203134107730569 4/21/1996 27 SMA
SITI DARDA LINDA GOZALI
DEDI APRIANTO
9 3271024401870005 1/4/1987 36 SMA
STELY JUWITA KUMBARA
10 FAHRUDIN 3271027004920004 4/30/1992 31 SD
MIA AFRIYANI
11 JULIAN 3271024601900003 1/6/1990 33 D3
HAMIDAH
12 NURYATI YATNA SUPRIATNA 3271026003790017 3/20/1979 44 SD

13 RINA HARYANI IRSAN 3201215609950003 9/16/1995 28 SMU

14 ERINA SAVITRI 3271025405980002 5/14/1998 25 SMA

DEDE MULYANA
 15 ARIF FADILAH 3204324612840001 12/6/1984 39 SMA
ERNI KURNIAWATI
16 3271024307030005 7/3/2003 20 SMA
AGNES LESTARI RIO FATIRA
17 3276046110000004 10/21/2000 23 SMK
ANISA FANIA ESA MIFTAHUDA
18 TEDY SETIADI 3271026190970007 1/29/1997 26 SMK
RISKA ROSALIKA
19 AHMAD JUNAEDI 3271024108900001 8/1/1990 33 S1
RADEN HANA FITRIA
20 ADE 3271024511980003 11/5/1998 D3 D3
ADELLIA NOVA REGINA
21 HANA RIFA LOVIANA IRFAN 3271026108990002 8/21/1999 24 SMK

22 SANJAY 3201314205990002 2/5/1999 24 SMA

NADYA RISNANDA
124

03 Januari 2024 1 124

ANI SUHAENI
124

04 Januari 2024 1 acep kurniawan 3201184103030010 7/1/2003 20 sd

ela nurpadillah
2 alwan syahputra 3271025406010003 6/14/2001 22 smk
siti eliyah
klara wardaningsih m.yanwar
3 3307026501980006 1/25/1996 27 SMA
ramadhani
4 vikri musolino 327101610200011 2/21/2000 23 D3
vivi violandi gabriela
124

05 Januari 2024 1 dede ismail 3271026206970007 22/6/1997 26 smp

siti sumirat
2 teguh 3271016607890008 12/9/1986 37 smp
yulia
124

06 Januari 2024 1 farhan 3271016310980007 10/23/1998 25 S1

ananda nabila
 2 Rizki Amalia noer sandy 3275054508910017 8/5/1991 32 S1

3 siti nuriah herman pelani 3271025209840002 9/12/1984 39 smk

124

08 Januari 2023 1 monica dwi taufik 3201034407980005 4/7/96 27 smp

2 siti halimah ramdani 3201244101940019 1/1/94 30 smp

3 ela rizkiyani aris 3271024110950003 10/11/1995 28 smp

4 rima w melatriyanti sugiana 3271026503920006 3/25/1992 31 smk

5 siska fiolenta balay amus 8171015709950007 9/17/1995 28 s1 ners

6 Z arif 3271025608800017 8/16/1980 43 sd

7 HANDI 3201245212940002 12/12/94 29 SMA

WILHELMINA ABIGAIL NIKIJ
8 AHMAD DEDIH 3271024407850015 4/7/85 38 SMA
YULIAWATI
9 irfan 3201285212940007 12/12/1994 29 sma
ayu
124
MUHAMMAD
09 Januari 2024 1 3172046306950010 23/6/1995 28 S1
FITRIYANA CAHYA ENDAH SAALHMAD
2 ENDANG SUPENA 3271026108850001 8/21/1985 38 SMA
EMA BUDIARTI
3 DEWI OKTAVIANTI SAEPUL RIDWAN 3201136809870003 10/28/1987 36 SMA

4 FEBRIANTO 3271024612920007 12/6/1992 31 SMA

DYAH AMBARANY
5 AMUS BALAY 8171015709950007 9/17/1995 28 S1 NERS
SISKA FIOLENTA BALAY
FYANGGI
6 3271025609950003 9/16/1995 28 SMK
ANNE PEBRIANTI SUWIKNYO
7 NOPIYANTI BINTI DEDI RIFKY 3271025411950001 11/14/1995 28 SMA
 8 MARNI SUMARNI ANGGI 3271024712020006 7/12/2002 21 SMP

9 IRSAN 3201215609950003 16/9/1995 28 SMA

RINA HARYANI
10 AYU BINTI NEDI IRFAN 3201285212940007 12/12/1994 29 SMA

11 MEGI 3271026405950004 5/24/1995 28 SMP

KIKI RIZKI AMELIA
12 RISKY YULIANI FIRMAN 3271026701960012 1/27/1996 27 DMI

13 EMPUD 3271025411900007 14/11/1990 33 SD

SITI HODIJAH
14 AI YUNI WAHYUNINGTIAS ENDRI JAELANI 1213226405010002 24/5/2001 22 SMA

15 UMAR 3271024512870013 12/5/1987 36 SMK

DESI NURANI
16 FITRIANI BINTI OMIN BAMBANG 27/3/1986 37 SMP
3271066713860015
17 M.SUHERLAN 3271025302990004 2/13/1999 24 S1
NIA FAUZIAH
18 VISCA RISMAWATIN TAAT HERWANTO 3271024302900001 2/3/1990 33 SMA

19 ADELLIA NOVA REGINA ADE SUMARNA 3271024511980003 5/11/1998 25 D3

20 IBNU KHOTIM 3271025403830006 14/3/1983 40 SMP

FENTY MOCH.SARMAN
124

10 Januari 2024 1 SUHENDI 124

ANI SUHAENI
124

11 Januari 2024 1 indra 3271026701830004 1/27/1983 40 smp

DINIaryani
124

12 Januari 2024 1 eka wati nurban 3271024903970008 9/3/1997 26 smk

124
13 Januari 2024 1. eka nurwati rizky 3201044810960002 10/8/1996 27 s1

2 qatrunnada septu agung 3271024207990005 2/7/99 24 s1

3 tiara dwi ramadani ramdani 10/7/2006 17 smp

4 novitarasi indracaniago 18050852088930001 8/12/1993 30 smk

124

15 Januari 2024 1 yani nurhayati rafi 3271024701020005 1/7/2002 21 smk

2 anisa suci wahyuni hamzah 3271014402900015 2/4/1990 33 smp

3 rani rusniawati mulyadi 3271025604950002 4/16/1995 28 smk

4 syifa doni 3271026312000001 12/23/2000 23 smk

5 ulfah nuralifah rheval 3201017010940006 10/30/1994 29 s1

6 selvya fitriyanti maman 3202306011950004 11/20/1995 28 smu

7 indri miandarwati taufik 3271024506970001 6/5/1997 26 smk

8 mila sutiawati iman 3271014305980013 5/3/1998 25 smk

9 yuwi sapitri wahyu 3271024401010011 1/4/2001 22 smp

10 ani aryanita arif 3271025608800017 8/16/1980 43 sd

11 noviana asep 3271026011020005 11/20/2002 21 smp

12 sri mulyati ismail 3271024710910003 7/10/1991 32 smu

13 teguh 3271027007990001 7/30/1999 24 sma

erika
124

16 Januari 2023 1 irfan 3271015801020004 1/18/2002 21 sma

widia nuri
2 yati rusyati ahmad 3271024309830005 3/9/1983 40 sd

3 dini nurafiani eko 3602226209930002 22/9/1993 30 s1

4 siska fiolenta balay amus 817101570995007 17/9/1995 28 s1

5 dewi yulianti budi 3271026605870003 26/5/1987 36 sma

6 erLina wijaya rendy sunarya 3271024301970008 3/1/1997 26 s1

7 dessy wulandari m. gozali 3271024112990001 12/1/1999 24 smk

8 rini risnawati suhendar 3271026707970007 7/27/1997 26 smp

9 noviana asep 3271026011020005 11/20/2002 21 smp

10 lasminah arifin 3307076810880002 28/10/1988 35 sd

11 novitasari indra 1805085208930001 12/8/1993 30 smk

12 arni nuraeni asep 3271015103890015 3/11/1989 34 sma

13 susi irawati arifin 3201045807900011 18/7/1990 33 sma

14 sri nimah nasikhi 3271025003870006 10/3/1987 36 sd

15 siti rahmawati nurdin 3271025707920005 17/7/1992 31 smp

16 rena oktaviana cahya 3271025810890004 18/10/1989 34 smp

17 elis dewi siti dayat 3271026604010005 4/26/2001 22 smp

18 meita jeliana andri 3201294707920006 7/7/1992 31 sma

19 maryani lukman 3271026608840006 8/26/1984 39 smp

20 diana rosi ade trisanto 3271026210950005 22/10/1995 28 sma

21 adelia ade 3271024511980003 5/11/1998 25 d3

 124

17 Januari 2024 1 suherti andi mulya 3201296903950002 29/3/1995 28 sd

124

18 Januari 2024 1 yeni rostina aldiansyah 3211186609020002 26/9/02 #VALUE! smp

2 mohamad yanuar 3175034811920011 8/11/92 31 sma

PUTRI SULISTYANING TYAS
3 tina andre 3271015312950018 12/13/1995 28 SMK

124

22 Januari 2024 1 ASRI MAULANI FIRMANSYAH 3271024301850002 1/3/1985 38 S1

2 LIA MAULIA SAEPUDIN 3271026002870003 2/20/1987 36 SD/SD

3 ANA SYUKRIAH HARDONO 3323135901940002 1/19/1994 29 S1

4 SITI TARWIYAH ANWAR 3271026603990009 3/26/1999 24 SD/SD

5 risky yuliani firman 3271056701960012 1/27/1996 27 smu

6 indrian rosmawati ahmad 3271024407960004 7/4/1996 27 smk

7 fartini riki rahman 3271024312850002 10/15/1986 37 smk

8 regi riswandi 3271016907920006 7/29/1992 31 smk

9 anisa fania esa miftahudin 327604611000004 10/21/2000 23 smk

124

23 Januari 2024 1 fitriyana cahya endah sari m. alhamd 3172046306950010 6/23/1995 28 s1

2 mia hasan sanusi 3271025204910009 4/12/1991 32 sd

3 FEBRIANTI PERTIWI muhyat 3271024502920010 5/2/1992 31 smp

 4 fransisca romana stefanus 3271024903940001 3/9/1994 29 d3

5 hernaeni riki 3172034312870009 12/3/1987 36 sma

6 siti sofariyah arfaid 3201384609890006 9/6/1989 34 sma

7 emrairi ledrik 3271027004870005 124 sma

8 novia m. nuraldi 3271015111960002 11/11/1996 27 d3

9 nia fauziah m. suherman 3271025302990004 2/13/1999 24 s1

10 dyah pitaloka bayu 3271025506980015 6/15/1998 25 smu

11 surniyati topan 3602214703890004 3/7/1989 34 smp

12 124

124

24 Januari 2024 1 KEMALA DEWI DANI 3271024312980007 12/3/1998 25 SMA

2 NOVITA GUSMAENI M. RIZKI 3273036210990001 8/22/1999 24 SMA

3 ROSA OCTA M. AL QUDS 3201105110970001 10/11/1997 26 SMK

4 PUSPA DESTINA IWAN 3271024305940004 5/3/1994 29 SMK

124

25 Januari 2024 1 ovi rahmawati maman 3271026610940003 10/26/1994 29 sma

124

26 Januari 2024 1 WARDAH NURHIKMAH ADITIO PERMANA 3201266801010001 1/28/2001 22 SMA

124

27//januari/2024 1 HALIMAH ANDI 3203114705960016 5/7/1996 27 SD

 retno dewi oki 3271024611970005 11/6/1997 26 smk

124

29 Januari 2024 1 inah herdiansyah 3271025501950003 1/15/1995 28 smp

2 eti hartati enjang 3201174909861002 9/9/1986 37 sd

3 djualiningsih gunawan 3271025110010004 10/11/2001 22 sma

4 nengsih agus setiawan 3201405210820003 10/12/1982 41 smp

5 yesi lestari yadi 3202116304950004 4/23/1995 28 smk

6 siti tina sastiani abdul latif 3201267011990005 1/30/1999 24 sd

7 ana mariana riki 3271024807990005 7/8/1999 24 d3

124

30 Januari 2024 1 yeni sumiati hendi 3203026411950005 11/24/1995 28 smp

2 weni nuraeni agus 3271022508910001 8/25/1991 32 smu

ajeng sapira iman 3201276111010002 11/20/2002 21 sma

azzahra rafli 3201255810030008 18/10/2003 20 sma

asri maulani firmansyah 3271024301850002 1/3/1985 38 s1

afisa wiki suandi 3271026304970003 4/23/1997 26 smk

putri septiani aljenaldi 3271036709980002 9/27/1998 25 smk

eno mustika rohman 327102540900003 9/14/2000 23 sma

nurul irvan 3205034706980003 6/7/1998 25 sma

nining yayat 3271026001880006 1/20/1988 35 sd

rini risnawati suhendar 3271026707970007 7/27/1997 26 wmp

adellia ade 3271024511980003 124 d3

124

124

124

124

124

124

0
0

0
 NAMA IBU
PEKERJAAN KANDUNG ALAMAT NO BPJS GPA 0 HPHT TP TB LILA BB TD

IRT HJ DEDE TAJUR 3/6 152 33 87 129/90

SUKASARI 2/5 100/80

IRT MIAH SDSARI 3/7 2/1/0 10/1/2023 10/17/2023 155 28 59.4 126/80

GURU KARSINI TAJUR 4/1 2/1/0 9/7/2023 4/16/2024

YUS
IRT SDRASA 2/8 3/2/0 5/2/2023 11/12/2023 61.8 133/86
YUNINGSIH
IRT NUNUNG TAJUR 2/2 2/1/0 10/12/2023 9/17/2024 150 28 60.4 125/86
KARYAWAN
TAJUR 1/1 1/0/0 13/3/2023 12/20/2023 163
SWASTA
WIDA
KARAYAWAN TAJUR 1/2 1/0/0 11/25/2023 1/8/2024 159 22 39.4 98/64
NINGSIH
MUTIA
IRT SUKASARI 3/6 5/2/2002 ?/11/2023 149 72
KODRATI
IRT DEWI SKS 2/3 4/2/1 4/30/2023 152 106/60

IRT DJUERIAH SDRASA 3/10 2/1/0 4/15/2023 147 28 124/74

IRT SARIPAH SDRASA 1/1 5/4/0 10/9/2023 155 71.1 170/107

IRT AMAH SUKASARI 2/5 2/1/0 5/7/2023 169 81.2 118/72

KARYAWAN
NINA SDRASA 2/4 1/0/0 23/9/2023 153 29 49.4 105/66
SWASTA
 NANAH
IRT TAJUR 2/3 5/4/0 ? 160 24
MARYANAH
OON
IRT SDRASA 4/3 1//0/0 10/12/2023 165 28 65.4 106/56
MARYANI
IRT SUTINI KATULAMPA 2/6 3/0/1 8/6/2023 150 24.5 49 209/69

IRT NANI TAJUR 1/6 2/1/0 3/21/2023 154 28

GURU KOMARIAH SDSARI 3/1 4/1/2 4/5/2023 156 73.5 144/86

IRT SUJINAH SKSR 1/2 1/0/0 4/26/2023 151 25 56.4 118/81

IRT SDRASA 4/4 2/1/0 4/26/2023

ESIH SUKAESI
WIWI
IRT SKM 3/3 3/1/1 5/6/2023 13
ROSWATI

irt hj sari rt 3/1 1/0/0 19/7/2023 155 24 50 110/80

irt lilih sindangsari 4/2 2/1/0 4/15/2023 155 25 62 110/70

IRT koringah Tajur rt 02/06

IRT ana ps.kuda 04/06

irt junarsih sindangsari6/5 2/1/0 9/7/2023 154 25 47 110/70

sindangrasa rt
irt hety 4/2/1 ? 155 24 110/70
4/10

131/706
swasta suhartini muarasari 01/03 1/0/0 9/22/2023 158 69
9
 kel sukahati 140/8
swasta Tati.H 3/2/2000
01/04 0
swasta yati maryati sukasari 01/02 3/2/2000 /08/2023

irt iyom maryani muarasari 4/5 4/2/1 8/10/23 168 75 100/80

irt holisoh sindangsari 2/7 3/2/0 /11/23 150 41.7 15/71

irt nengsih sukasari 1/2 2/1/0 9/12/2023 157 25 49 100/60

irt samsiah sukasari 2/2 11/6/2023 155 31 60 109/77

perawat lawang gintung 110/80 1/0/0 5/25/2023 153 25 57 110/80

irt itoh sukasari 5/7 4/3/0 6/1/2023 154 26 55.1 102/64

IRT YOHANA SD.RASA 3/8 4/3/0

BIBUN
IRT SD.RASA 1/10 4/3/0 10/9/23 6/17/2024 159 56
YOHANAH
irt ijoh sukasari 4/4 2/1/0 7/10/2023 7/14/2024 155 48

KARYAWAN
EVINA YASIF TAJUR 1/1 1/0/0 4/13/2023 163 81.6 136/90
SWASTA
ESIH
IRT SUKASARI 2/1 3/2/0 ? 152 26 61 145/88
SUKAESIH
IRT MIAH SDSARI 3/7 2/1/0 59.4 115/71

IRT SUTINI SDRASA 4/11 2/1/0 4/15/2023 154 98.5 117/75

LAWANG
PERAWAT JANA BALAY 1/0/0 5/25/2023 153 25
GINTUNG 1/4
KARYAWAN IDA
SDRASA 1/12 20/9/2023 155
SWASTA NURSUSANTI 1/0/0
IRT ENCIH SDSARI 2/7 2/1/0 10/7/2023 149 48.6 118/99
 MUARASARI
IRT UNAY 2/1/0 13/10/2023 152 25 52.7 105/65
1/12
IRT AMAH SKS 2/5 20

IIRT IJOH SKS 4/4 2/1/0 7/10/2023 146 47.7 95/63

IRT ROSITA SDRASA 1/2 3/2/0 20/10/2023 152 57.4 99/57

IRT TUGIYEM SKS 2/5

IRT EBDEH SDRASA 2/10 5/2/2 4/16/2023 165 70.4 114/67

CUCU
IRT TAJUR 2/5 1/0/0 5/8/2023 140
SUMIATI
IRT SUMARNI SKS 2/6 3/2/0 161 80.2 94/67

IRT MAMI TAJUR 4/2 4/2/1 22/4/2023 158

GURU ST ROHMAH SUKAMULYA 5/3 2/1/0 ? 34 82/49

IRT SUTINI SDRASA 2/9 2/1/0 20/4/2023 157 74.3 110/70

IRT SUJINAH SKS 1/2 1/0/0 4/26/2023 151 55 121/78

NANI
IRT TAJUR 2/6 2/1/0 7/4/2023 147.5 25 60.3 125/78
ROHANI

130/80

IRT nurjanah sukasari04/03 9/5/2003 5/20/2023 119/61

irt martini harjasari 1/12 1/0/0 16/9/2023 163 23 55 110/70

 irt sri cibanon 3/5 1/0/0 155 25 55 110/80

guru sd.rasa 1/6

irt ari muarasari 04/03 1/0/0

IRT fetrinayeni sd.sari 04/02 3/2/2001 151.3 58

irt santi sukamulya 7/3 155 24 57 110/80

irt sd rasa 3/8 5/2/2 2/9/2023 153 32 85 153/94

irt titih sd rasa 2/10 4/3/0 8/9/2023 155 25 54 86/50

irt maryam tajur 3/2 1/0/0 16/10/2023 155 24 45 100/80

karyawan tajur 3/3 2/1/0 5/24/2023 155 25 73 110/80

irt nani muarasari 1/6 3/2/0 10/25/2023 162 24 53 110/80

irt sekarwati sukasari 6/3 2/1/0 12/5/2023 159 28 54

irt isnawati sukasari7/1 1/0/0 7/22/2023 155 28 71 126/80

irt wiwin sukasari 3/2 2/1/0 4/9/2023 150 25 56 122/74

irt itoh sukasari 5/7 4/3/0 6/1/2023 155 26 55.5 110/80

irt yeni haryani tajur 1/2 2/1/0 /

jl pahlawan
irt bogor selatan 2/1/0 5/25/2023 152 25 65 110/80
2/8
irt maemunah sukamulya 2/5 1/0/0 8/8/2023 154 24 48 110/80

irt sindangrasa2/10 1/0/0 12/10/2023 155 24 48 110/80

 irt sindangrasa1/10 7/5/1 7/15/2023 153 25 63 110/80
domisili
guru suheni 2/1/0 2/10/2023 155 25 42 110/80
sindangsari 1/6
perawat lawang gintung 1/0/0 25/5/2023 153 25 57 110/80
sindangrasa
irt entin 3/2/0 15/10/2023 155 28 61 109/68
2/11
irt tajur 4/3 2/1/0 31/12/2024 154 20 48 90/70

irt wining tajur 3/2 1/0/0 21/11/2023 156 25 55 110/80

irt karsinah sindangrasa 2/7 3/2/0 5/15/2023 156 30 74 120/83

irt yeni haryani tajur 1/2 2/1/0

irt tajur 3/3 3/2/0 10/11/2023 158 32 75 110/80

irt fentrinayani sindangsari 4/2 3/1/2001 3/7/2023 151 27 58 96/62

irt jujun pandansari 2/1 4/3/0 7/8/2023 146 32 76 110/80

irt ayanih muarasari 3/4 3/1/1 17/8/2023 155 30 65 110/80

irt tajur 3/4 7/6/2023 154 32 65 120/80

irt ai nana sindangrasa4/7 3/2/0 30/7/2023 153 25 56 105/66

irt wulan sindangsari 2/5 2/1/0 9/8/2023 156 32 75 110/80

sindangrasa
irt een 2/1/0 7/20/2023 155 24 50 90/60
1/11
irt nani sindangrasa 1/3 2/1/0 3/5/2023 157 27 70 110/80

irt sukasari 2/2 4/3/0 10/8/2023 156 28 69 110/80

irt nuryanah sukasari3/3 1/0/0 9/12/2023 157 30 62 110/80

irt sujinah sukasari 1/2 1/0/0 26/4/2023 157 27 55 110/80

 irt sindnagrasa 3/2/0 2/5/2023 155 30 56 110/80

swasta sri rahayu bantarkemang 1/0/0 15/5/23 154 73 110/72

irt lilis suryani kp muara 3/8 3/1/1 7/11/23 150 74 110/80

IRT Surtini Muarasari 01/06 3/2/2000 8/17/2023 150 22 48 90/62

GURU NENENG SDRASA 5/4 6/2/3 5/5/2023 155 71.8 100/60

WIRAUSAHA/ SINDANGSARI
CICIH 6/5/0 6/10/2023 150 31 134/90
WIRAUSAHA 5/5 71.5
IRT SUMAWAR SDSARI 5/3 2/1/0 9/30/2023 155 49.5 100/74

IRT ERNA TAJUR 2/3 2/1/2000 8/10/2023 154 25 41 110/80

irt tugiem sukasari 2/5 1/0/0 6/1/2023 155 24 57 108/69

irt maryati sindangrasa 2/4 2/1/0 9/7/2023 156 25 66 95/63

irt cicih sindangrasa 3/3 5/3/2001 18/11/2023 158 25 60.4 110/80

irt nengsih muarasari 4/1 4/2/1 11/5/2023 155 26 55 110/80

irt satini katulampa 2/6 3/0/2 8/6/2023 150 24 50 109/60

irt evina yasief tajur 1/1 1/0/0 4/13/2023 163 31 83 121/86

irt acah katulampa 4/8 '3/2/0 8/25/2023 150 24 53 110/80

irt sd rasa 3/7 5/4/0 13/10/2023 159 27 62 110/80

 s.nunuk
karyawan griya katulampa 1/0/0 5/27/2024 160 31 74.2 105/73
istiantinah
irt sukasari 3/6 3/2/0 6/11/2023 155 30 75 110/80

irt hindun tajur 3/6 3/2/0 9/12/2023 158 27 51 113/76

irt sindangrasa 3/8 2/1/0 5/26/2023 157 26 51 110/80

irt tati pakuan 4/6 1/0/0 11/19/2023 155 26 48 110/80

iguru siti rohmeti sukamulya 5/3 2/1/0 ? 155 19 37 110/80

irt nuryani tajur 2/5 2/1/0 9/4/2023 167 23 64 110/80

irt siti aminah cisarua 4/3/0 ? 160 30 72 110/80

IRT E.RACHMAN TAJUR 2/5 ? 160 30 60 110/80

SINDANGRASA
IRT NINING 1/0/0 ?
1/1
IRT OOM PENDEY 4/11
SINDANGSARI1/
IRT HARYATI 1/0/0 11/22/2023 160 30 61 110/80
3

irt sukasari 2/2 3/2/0 12/8/2023 110/80

SRI
IRT// MUARASARI 2/4 1/0/0 5/25/2023
NURHAYATI

IRT TAJUR 1/6

 entin
karyawan sindangrasa 2/2 1/0/0 7/5/2023
sumarni

irt anah sindangrasa2/11 2/1/0 11/17/2023 155 26 54 110/80

irt sukasari 5/3 4/3/0 ? 156 27 57 130/80

irt yuli muarasari 3/6 1/0/0 7/12/2023 155 24 41 110/80

irt ikah sindangrasa1/9 4'3/0 12/10/2023 156 30 64 127/72

irt aas asiah tajur 2/4 2/1/0 ? 156 30 57 110/80

irt nyai sutinah sindangrasa 5/2 1/0/0 11/13/2023 155 24 49 110/80

perawat entin tajur 4/3 1/0/0 11/3/2023 157 31 83 110/80

irt nining sindangsari 3/5 2/1/0 7/20/2023 150 30 63 110/80

sindangrasa
irt siti masitoh 3/2/0 9/17/2023 150 24 58.8 132/92
2/12
irt solihat sindangrasa 3/3 1/0/0 8/12/2023 155 26 58 110/80

irt sindangsari 3/5 2/1/0 5/16/2023 155 27 62 110/80

guru neneng sindangras 5/4 6/2/3 5/5/2023 155 28 71.8 112/69

irt asih sindangrasa6/7 1/0/0 8/20/2023 152 30 70 110/80

karyawan iswati sindangrasa3/4 1/0/0 10/11/2023 160 25

irt siti sulastri tajur 2/4 2/1/0 12/7/2023 155 21 35 110/80

irt hajijah muarasari 5/3 2/1/0 9/4/2023 168 27 69 110/80

irt oon sindangsari 2/6 4/2/0 9/15/2023 162 36 105 170/114

irt karsinah sdrasa 2/7 ### 2/22/2023 156

irt sukasari1/2 2 1/0/0 4/26/2023 155 28 55 110/80

 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

KELUAR AIR2 PADA HARI

MINGGU SAMPAI SENIN TP
BUKAN URINE, IBU
KELUAR DARAHJUGA
MENGATAKAN DAN KELUAR
FLEK,
SUDAH
FLEK COKLAT HARI, UK 25 DI RS
TERAPI HORMON
UMMI, SUDAH
MGG, RUJUK RSNORMAL
HORMON KEMBALI KB TETAP
ADA13WEEKS,
UK PERDARAHAN, RUJUK
2JR ATAS RS
SIMP,
UMMI
DJJ + BALL
CEK LAB 12.4 N N N 089639322663
35MGG CEK LAB, SAKIT PERUT
TROMBO DARAH
BAGIAN BAWAH, 31 CM, DHJJ 11.2 N
138.000
145X/M
UK 12MGG, BB TURUN MASIH
ADA KEL MUAL,

08579411
UK 5 MGG 11.7 N N N GDS 115
4325
08389645 RUJUK POLI
H 8MGG 13 N R N GDS 91
0218 UMUM
RUJUK SPOG KARENA RIW SC
DAN MATA -10 KANAN DAN
KIRI
UK 37WEEKS 11.6 N

UK 12 MGG
UK 34MGG, T.A.K , 29CM DJJ
TT2 11.5 POS 1
145X/M
KRAM PERUT, BB TURUN,
12MGG , BALL BLM TERABA

21MGG,
SUDAH LEWAT HPL 1MGG,
RUJUK SPOG
34mgg, KELUAR DARAH DAN
keton pos 2,
SELAPUT SEPERTI DARAH, 12.7 N N N N
eitrosit pos 3
SUDAH USG HASIL NORMAL
36MGG. TFU 28
leukosit urine pos
cek lab 11.3 N
2
leukosit urine pos
cek lsb N
2

KONTROL POST PARTUM SC

1MGG,

cek lab 11.3 N 083875707734

cek lab 11.5 N 08381037510

12.3 N 81211887049

9.7 N

cek lab 10.6 n n n 083819523785

cek lab
9.4 n n n

cek lab 11.2 N n n n

 11.3 N N N N protein -

9.5 N N N N

cek lab 12.6 n n n gds 115 085270763698

cek lab+periksa 12.2 n n n gds 112 085770341265

cek lab 12.1 n n n gds 111 0895635689306

cek lab 12.1 n n n gds 119

cek lab 10.5 n n n n 081343064367

uk

RUJUKAN
TFU 2JR BWH
CEK LAB+PERIKSA 12 n n n PUSAT,BALL+,DJJ 085770281673
+ 150X/M
cek lab 11.1 n n n 081511371256

38MG,TFU 29CM,DJJ 145X/M

13MGG, BALL, DJJ +

14MGG, USG

38MGG,USG 11.5 N LEUKOSIT +2

12MGG USG, CEK LAB 12.4 N N N 088293895277 GDS 110

12MGG

14MGG

11MGG

38MGG, USG, CEK LAB 9.7 N

RENCANA TT2 BULAN DEPAN TT1

12.6 N
LEUKOSIT URINE
10.2 N
+3
12MGG, 2 JR DIATAS SIMP,
7
BALL
38MGG, 27CM, KEP 150X/M
38MGG, 27CM KEP BLM
MASUK
39MGG, 26CM, 153X/M

POST PARTUM 2 MINGGU, IBU

MENGELUH PUSING

cek lab 11.4 n n n 08989174670

cek lab 12.7 n n n
082213995195
TT 2

11.9 N N N

cek lab 11.9 N N N

cek lab 10.6 n n n 087782448468

cek lab positif 1 081382915626

uk 19 minggu

cek lab 13.4 n n n 089665635099

cek lab 10.3 n n n n 089513580741

cek lab 12.6 n n n 08886156484

cek lab 12.8 n n n 085894317935

cek lab 10.9 n n n

cek lab 12 n n n 088213252719

uk 19 minggu

uk +33 minggu

cek lab 11 n n n n 08385261270

tt 2

cek lab 12 n n n 085772042154

uk 27 minngu

cek lab 11.8 n n n 085811930072

uk 34 minggu

usg 10.9 n n n 08389900217 ,

cek lab 11.4 N N N 081288097859

cek lab 13 N N N 088809155545 GDS 120

usg

usg,cek lab 10.8 N

cek lab,usg 12.4 N N N 085219121873 GDS 127

cek lab usg N ?

uk 23 minggui

uk 22 minggu

usg,cek lab 11.2 n n n n 089602590187

uk 24 minggu

cek lab 11.2 n n n 083891184232

uk 25 minggu

cek lab 10.2 n n n n 08164813913

cek lab 11.5 n n n 088223914701

cek lab 11.3 n n n 083146103997

uk 38 cek lab 11.5 n n n n 08811922488

cek lab n

cek lab 10.7 n n n n 081902060539

cek lab 10.2 N n n 082111524593

cek lab11,6 11.6 N N N N 87871239432

10.3 POS 1

CEK LAB 6 n n n n
16MGG DJJ 158X/M PERT
SIMP-PUBS
UK 17 MINGGU TT 2

uk33 minggu

uk 20 minggu tt 2

cek lab 11.5 n n n 87844680158

cek lab 12.8 n n n 087882291993

uk 24 minggu

uk 40 minggu

uk 22 minggu 10.9 n n n 83122718042

cek lab 9.4 n n n 081262184540

uk 34 cek lab 11.6 n 081219725954

cek lab 9.8 n 081284201066

tt 2 uk 17 minggu

cek lab 10.9 n n n n 08226115074

cek lab 9.3 n n n 08881119659

cek lab 9.6 n n n

cek lab 9 n n n

cek lab 7.5 n n n n 085881751988

CEK LAB 12.3 N N N 089601098597

CEK LAB 10.5 N N N 081287051991

CEK LAB 12 n n n

CEK LAB TT 2 9 n n n n

cek lab 11.8 n n n

8.7 n

CEK LAB 12 N N N
cek lab 10.7 n n n n 089662730603

cek lab 14.2 n n n 83847137773

cek lab 6.5 n n n

uk 29 minggu

uk 7 minggu cek lab 14 n n n 895330906743

uk 23 minggu

cek lab 11 n n n 083870696493

cek lab 12 n n n 85779236489

uk 28 minggu

uk 19 minggu

uk 24 minggu cek lab 11.8 n n n 085781502065

cek lab 10 1 081384346368

uk 38 minggu

uk 23 minggu

cek lab 11 n n n 085156524046

cek lab 13 n n n 089505629326

cek lab 11.4 n n n

0878788647396
uk 37 minggu
TANGGAL KUJUNGAN
SEKOLAH NAMA IBU
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR PEKERJAAN
TERAKHR KANDUNG

32053963069
1/9/2023 1 TIA HERI 6/23/1999 24 SMP IRT KOKOM
0001

32012947079
meita jeliana andri 7/7/1992 31 sma irt nani
20006

123
32710157018 KARYAWAN
02 September 2023 1 DIAN HARNIATI SAHRONI 1/17/1987 36 SMU SUHARNI
70006 SWASTA
32710140842
2 HENI GUSTINI AGUSTIAWAN 8/3/1992 31 SMP IRT WIWI
0010
123
32710245058 YAYAH
04 September 2023 1 NURROHMAH SAEPUL AKBAR 5/5/1987 36 SMK IRT
70013 ROSTINI
2 NURMALA MARYADI 123
YANA 32710242070 ETI
3 YULIANTI 7/2/2000 23 SMK KARYAWAN
SUPRIATNA 00001 NURHAYATI
rujuk pilo
4 SITI NURAENI 123
umum
LUSTIANA SABRINA JOSUA 32710269070 IPAH
5 7/29/2006 17 SMK IRT
SINAGA NAPITOPULO 60001 HANIPAH
32710248108
6 SITI MAHARANI YAKUB 10/8/1985 37 SMU IRT OOM
50007
ABDUL 32710242100
7 YULIA RAHMAN 10/2/2006 16 SD IRT SITI SARIPAH
RAHMAN 60005
NADIN JUNIA 32710245060 DEWI SITI
8 M.RIFALDI 6/5/2002 21 SMK IRT
HARYADI 20005 MARIAM
32013152029
9 DEDE ERZA 2/12/1999 24 SMU KARYAWAN SITI HOLISOH
HALIMATUS SADIAH 90003
 DURIYYAH NAJIBAH M.NAJIB 32710415089 MILIK
10 8/15/1997 26 S1 GURU
AMTINAN RAMADHAN 70012 RAHAYU
DICKY 32710255099
11 SELVI HANDAYANI 9/15/1997 25 SMU IRT SITI AIDAH
RESTIADI 70003
123
32710159110
05 September 2023 1 LINDA M.NURODIN 11/19/2003 19 SD IRT NURKITA
50003
INDRI OKTAVIYANI 32710251109
2 ENTIS SUTISNA 10/11/1990 32 SMP IRT SITI MARIA
00013
32710252039
3 GITA MONIKA ILHAM DANI 3/12/1988 35 SMK KARYAWAN NARSIAH
80012
32710264049
4 TUTI ALAWIYAH DEDE 9/24/1994 28 SD IRT HESTI
40006
32010446089
5 HERDAWATI MULYADI 6/8/1993 30 SMP IRT WARSIH
30003
32012769010
6 DINI HERLINA KIKI MAULANA 29/1/2007 16 SMP IRT RINI
70004
DANI 32710271129
7 SITI NURLAILA 12/31/1998 24 SMP IRT NANI
RAMDANI 80010
32012646109
8 RIFKI SAPUTRA 10/6/1995 27 S1 KARYAWAN YUSLINAH
ULVA OCKTAMARINDA 50005
32710248089
9 ACHMAD 8/8/1993 30 SMU IRT DEDEH
MALSAH NUR AZIS 30002
32750846109
10 AHMAD 10/6/1990 32 SMA IRT RUYAH
WIDYA ASTUTI 00048
32710269128
11 ENDANG 12/29/1985 37 SMP IRT E SUPRIAH
LELA NUR ANDRIANI 50004
32010259059 NENENG
12 HOLIK 5/19/1998 25 SMP IRT
MAYA NIRAMSARI 80007 NURSIASIH
32710266099
13 RIZKY 9/26/1999 23 smk KARYAWAN LILIS SUMIATI
ERIKA 90001
32710259119
14 ACEP 11/19/1991 31 SMP IRT UPEN
SITI HASANAH 10001
32710665099
15 SBDUL AZIZ 9/25/1994 28 SMA IRT SITI LATIFAH
SITI TSUROYA 40003
32710264098
16 EDI 9/24/1984 38 SMA IRT TITIN
SHINTA SUSANTI 40009
32710263109
17 ERWIN 10/23/1993 29 AKADEMI IRT ST ASIAH
NURUSSUFIAH 30002
 BAYU 32710249070
18 7/9/2004 19 SMK IRT NURJANAH
NURLISTRIANI PURNAMA 40004
32710243108
19 IRWANSYAH 10/3/1987 35 SMA IRT KURNIATI
DIAN NURMAWATI MINTA 70003
RUJUKAN BPJS
20 123
INRI LIONI SEMBIRINGTP TIDAK ADA
PENYULIT NYAI
ENAH MARYAM 32710142029
21 M TOHIR 2/2/1997 26 SMP IRT HJ.ASNAWAT
70028
I
KUTRIYAH 33760465058
22 KHAERUDIN 5/25/1983 40 SMP IRT RATINI
30003
123
ASEP 32010446029
06 September 2023 MIRNA 2/6/1995 28 SMP IRT MIHASANAH
SUPRIATNA 50007
123
32710263089
07 September 2023 1 FUJI ASTUTI SALMAN A 8/23/1993 30 S1 IRT st.Sopiah
30003
32710263010
2 SILLVANY RAHMAN SAEPULOH 1/3/2004 19 SMP IRT TINI >A
40002
14710459109
3 ANA OCTAVIANA AHMAD RIZAL 10/19/1992 30 SMK IRT LINA
20002
123
32012670039
08 September 2023 1 LINDA FITRIYANTI SEPULOH 31/3/97 #VALUE! SMA IRT
70003
32710267049
2 IRNI SUSANTI M. IMRON 4/27/1996 27 SMU IRT
60011
32710465120 ST
3 FITRIE DESTIANTY NOVIANDI 25/12/01 #VALUE! SMP IRT
10020 NURJANAH
123
32710145039
11/seftember/2023 siti patimah irfan 10/15/1999 23 smu irt juju
90003
ELDA FEBRIANSYAH ANDRIAN 32710222120
22/12/2002 20 SMP IRT ELEN
PUTRI RIDHO 20009
SURYO HADI 32013155019
15/1/1994 29 SMU KARYAWAN YUSI AHMAD
DEBY FARAHDINA KUSUMO 40002
32010456069 SITI
ARI SUHENDAR 6/16/1990 33 SD IRT
SITI NURAENI 00010 MUNASIH
 gisean arshaka haleeq 8/28/2023 0
32710150030
SYAIRA FARADILA ASEP 3/10/2008 15 SMP IRT TITIN
80004
123
32710257639
12 September 2023 siti nurul hasanah yefta 3/17/1996 27 smu irt nenti
60001
33250661078
khurilin adam saputra 7/21/1985 38 smu irt
50001
32012764059 siti
siti rohmah saipul 7/2/1996 27 sd irt
60001 nurhasanah
32710253100
risti jaya 10/13/2000 22 sma irt susi
00003
32710264078
siti jamal jamal 8/24/1989 34 smp irt dewi
90001
36020961029 wiwi dewi
winda ayu fitriani andri setiawan 2/21/1996 27 sma irt
60001 asih
32710264078 dewi
siti mutia jamal 24/7/89 #VALUE! smp irt
90001 komalawati
32710253068
siti nurjanah ahmad nurojah 6/13/1982 41 smp irt aqidah
20005
muhamad 32710243205
siti syakira aunillah 12/3/2005 17 smp irt rosiana dianti
yusuf 0004
1 123
32710246059
13 September 2023 1 RINI DIRA 5/16/1992 31 SMK IRT
20007 ENUNG
123
32710259058
14 September 2023 1 isti nurhayati supriyadi 5/19/1989 34 smp IRT sunarsih
90002
17040847119
2 Dena novianti tri trisno 11/7/1993 29 SI kary. swasta nurhayati
5001
32710260029
3 Dwi lestari ramdani 2/20/1999 24 SMA IRT kartini
9006
M. 32710248090
4 Nasifa 9/8/2001 21 SMK IRT windarti
andriansyah 1004
32011651058
5 Yuliati sSaepudin 5/11/1984 39 SD IRT Tasem
40013
 32710242108
6 Leni oktaviani Suhaja 10/2/1988 34 SMA IRT ST.nurjanah
80007
32013855029
7 trias hendriyawan 2/14/1994 29 SMA IRT Cicih.s
40002
123
32710262029
15 September 2023 1 rosha ayu utami indra 2/22/1993 30 s1 irt
30003
32012741069
2 eneng hendra 6/1/1995 28 sd irt
50005

32710159010
18 September 2023 1 reni anjani ilham 1/19/2003 20 sma irt yayah
30015
32710245109
2 ika prawitasari m. ali 10/5/1995 27 smu irt teti
50002
32710211070
3 fauziah rahmah dedi 8/11/2000 23 smk irt hj.dede
0002
32021163049
4 yesi lestari yadi 4/23/1995 28 smk irt
50004
32710142030
5 katerina adinda sunandi 3/2/2002 21 sma guru cahriani
20015
32710444029
6 feby sandi 2/4/1992 31 smp irt
20015
32710263010
7 sillvany rahman saepulloh 1/23/2004 19 smp irt tini
40002
35261641069
8 heipong qurrotul aini m.lerap 6/1/1995 28 smp irt jumriah
50003
CHANDRA 16031457059 KARYAWAN
9 RINI ARIANTI 17/5/1998 25 SMU SUSILAWATI
MALIK 80003 SWASTA
123
32022964049
19 September 2023 1 nurhalimah suherman 4/24/1999 24 smp irt endeh
90004
32710369038
2 sri rezeki hartini sopian 3/29/1989 34 smu irt roni hartini
90002
32710245019
/ 3 marifatul khoeriah kamaludin 1/5/1995 28 sma irt siti aisyah
50008
32710249099
4 endah bambang 9/9/1991 31 sma irt esih
10004
 32750846109
5 widya astuti ahmad 10/6/1990 32 sma irt ruyah
00048
32710243018
6 asri maulani firmansyah 1/3/1985 38 s1 guru neneg
50002
32710245058
7 nurahmah saepul 5/5/1987 36 smk irt yayah
70013
32710267088
8 neni deni 8/27/1985 38 sma irt nyiucu
50003
32710253068
9 siti nurjanah ahmad 6/13/1982 41 smp irt aqidah
20005
32710254119
10 sitihodijah empud 11/19/1990 32 sd irt endeh
00007
32710251069
11 fauziah m. ramdani 6/11/1998 25 smk irt elis
80001
32710271109
12 wangi melati asikin 10/31/1991 31 smp irt
10002
32710264059
13 tri handayani herurudini 5/24/1991 32 sma irt
10002
32710263109
14 nurussufiah erwin 10/23/1993 29 d3 irt siti siah
30002
32710452020
15 NURFANI M RAMADHAN 12/2/2005 17 SMP IRT ANI ROHANI
50008
123
32710267028
20 September 2023 1 istifharany wahyudina sutiono 2/27/1987 36 s1 irt anggri a.
70003
32710249187
/ 2 sri gandasari obae 11/9/1987 35 smp irt hj. maspipah
0005
32010943088
3 nurlyyana mulyadi 8/3/1988 35 smp irt nenti
80004
123
FAJAR 31710361048
21 September 2023 1 21/04/88 #VALUE! SMA IRT AMINAH
AFRISKA HADIGUNA 80002
123
33271057079
22 September 2023 titin nurahaeni udi rahayu 2/17/1993 30 d3 irt
30003
123
 32012757107
23 September 2023 1 hamidah kamiludin asep 17/10/73 #VALUE! sma irt
30005
32710261089
2 hana rifa loviana irfan 21/8/99 #VALUE! sma irt esih sukaesih
90002
123
32010170109
25 September 2023 1 ulfah nuralifah rheval 123 s1 karyawan
40006
32710253019
2 indriati rahayu raudika 1/13/1995 28 smu irt ipit
50005
32012156099
3 rina haryani irsan 9/16/1995 27 smu irt amah
50003
32710242100
4 yulia rahman abdul rahman 10/2/2006 16 sd irt siti sarifah
60005
32010458079
5 susi irawati arifin 7/18/1990 33 sma irt
00011
32710250038
6 sri nimah nasikhi 3/10/1987 36 sd irt dede sumiati
70006
32710258059
7 feby ivanka m.dalili 5/18/1999 24 smk irt evi
90010
123
ILHAM 32710159010
26 September 2023 1 RENI ANJANI 19/1/03 #VALUE! SMA IRT YAYAH
RAMDAHAN 30015
DEPI JULIANSAH DENI 32710249070
2 / #VALUE! SMK IRT WARSIH
SAPITRI HERMANSYAH 00010
NURUL HUDA 32710255129
3 DESI PURNAMASARI 12/18/1994 28 SMP IRT MUMUN
H 40004
32710144109
4 CICIH MINTARSIH ADWIN 10/4/1994 28 SMP IRT ASIH
40017
SITI SOPIAH 32710267060
5 ASEP 6/11/2005 18 SD IRT NUR
50006
RIDHANULLAH RAHMI MAULANA 11080257049
6 4/17/1995 28 S1 IRT ZAMIN
50003
NURFITRIANA 32710251119
7 RUSDIANTO 11/11/1995 27 S1 KARYAWAN MUJAYAMAH
50001
32710254078
8 nurmustika sandi 7/14/1987 36 d1 irt irna
70002
32710265109
9 indriyani ferdiansyah 10/25/1999 23 smk irt anih
90004
 32710249118
10 sri gandasari obae 11/9/1987 35 smp irt hj maspipah
70005
32710667038
11 fitriani bambang 3/27/1986 37 smp irt mami
660015
33271057029
12 titin nurhaeni udi rahayu 2/17/1993 30 d3 irt juharoh
30003
32710250100
13 mia nurdianti m. akmal 10/10/2000 Err:502 smp irt
0006
32012464069
14 VOKEN mawardi 6/24/1991 Err:502 sma irt
10002
32012456089
27 September 2023 yuke rahayu m.aris 8/16/1999 Err:502 sd irt
90003
0

/ #VALUE!

0
0

0
0

0
0

0
 HASIL PEMERIKSAAN (UK, DJJ,
ALAMAT NO BPJS GPA 0 HPHT TP TB LILA BB TD VAKSIN
TFU, PRESENTASI)

PAKUAN 2/6 2/1/0 ? 153 28 61 110/70 CEK LAB

sdrasa 1/3 /2/1/0 3/5/23 157 27 59 110/70 cek lab

CIPAKU 1/16 3/2/0 6/15/2023 150 30 71 100/80 CEK LAB

SD SARI
2/1/2000 4/11/2023 147 27 43 CEK LAB
04/05

BARANNAGSI H.30MGG, KEP OASUK PAP DJJ

2/1/0 ? 155 62.1 133/92
ANG 5/4 134X/M
107/71 KONTROL NIFAS 1 MGG

SDSARI 2/7 1/0/0 1/3/2023 149 CEK LAB

KONTROL POST SC 15 HARI

BR.SIANG 2/4 1/0/0 6/20/2023 61 115/74 cek lab

SDRASA 4/9 4/3/0 ? 148 25 54.9 97/66 20MGG, 13CM, DJJ + TT1

SDSARI 4/5 1/0/0 1/20/2023 155 56.9 104/72 32MGG, 26CM, PUKA DJJ + TT1

SDRASA 1/7 1/0/0 5/16/2023 159 21 43.3

SDRASA 1/3 1/0/0 2/7/2023 155 28 55.5 126/72 8MGG, BLM TERABA TT1
 37MGG 29CM, DJJ +, KEP
SDSARI 2/5 1/0/0 12/17/2022 160.4 26 62 104/65
MASUK PAP, PUKI
BOJONG 27MGG, 25CM, DJJ 140, BLM
2/1/0 ? 153 59 99/64
KERTA 1/2 MASUK PAP

SDSARI 4/6 1/0/0 20/1/2023 154 61.3

TAJUR 4/2 3/2/0 9/4/2023 157 32 73.12 134/78

SINDANGRAS
1/0/0 12/29/2022 159 28 87 127/88 UK 35 MINGGU KEP 145DJJ
A 3/9
SD RASA 3/11 4/2/1 2/27/2023 153 55 98/62 UK27 MINGGU

SUKASARI 2/3 2/1/0 2/3/2023 151 23.5 45 99/63 USG

SINDANGRAS
1/0/0 ? 21 46.9 93/60 USG
A 1/2
TAJUR 4/2 3/2/0 ? 151 23 56.8 117/69
SINDANGRAS
1/0/0
A 4/2
ah 2/1/0 25/1/2023 154 25 71 116/70 USG

SDRASA 5/10 2/1/0 1/25/2023 164 27 70 98/62 UK 32 MGG, 24 CM 150X/M

SINDANGRAS
5/4/0 12/26/2022 USG
A 3/12
PAKUAN 3/3

SUKASARI 3/3 1/0/0 1/24/2023 156 21.5 88/69

SDRASA 4/3/0 1/21/2023 USG

SDRASA 1/11 3/2/0 1/21/2023 135 102/62 USG

SKSR 2/4 4/3/0 11/20/2022 153 60 98/67 USG

34MGG, 29CM DJJ 133X/M
TAJUR 2/2 2/1/0 ? 150 63.1 116/78
BLM MASUK PAP
SUKASRI 5/3 1/0/0 12/2/2023

TAJUR 3/4 3/2/0 12/25/2022 RUJUK RIW SC

SDRASA 1/9 2/1/0 8/1/2023 155 31.5 65 126/79

UK 20MGG, SEPUSAT, 17CM
TAJUR 2/3 4/3/0 4/14/2023 150 77.4 113/72
DJJ+, TT5

SDRASA 1/10 2/1/0 2/5/2023 31MGG

sd. sari 02/01 2/1/2000 26/`12022 154 30 17

Sd.rasa 02/02 1/0/0 /11/2022 155 61.2 89/57

lw.gintung
2/1/2000 1/30/2023 160 28 66
01/06

BOSEL 1/4 120/80

SKM 3/3 1/0/0 10/12/'22 155 22 50.2 118/78

SKM 2/5 2/1/0 24/4/23 150 58

tajur 2/4 2/1/0 K4 1/28/2023 153 23 32MGG

TAJUR 3/4 1/0/0 K6 12/26/2022 154 22 37MGG

MUARASARI
1/0/0 K4 10/1/2023 155.5 32MGG TT2
2/2
SDRASA 4/7 3/2/0 K1 7/28/2023 157 31 73.6 136/97 6MGG
tajur 2/4 rujuk rs juliana
HARJASARI
1/0/0 ? 150 25 56 110/80
3/2

sindangrasa
1/0/0 5/15/2023 164 21 47 94/48 uk 17 minggu
1/11
sindangsari
3/2/0 1/27/2023 150 27 52 100/70 cek lab
2/6
sindangsari
2/1/0 6/22/2023 152 28 59 149/80 cek lab
1/5
sukajaya 1/6 2/1/0 3/9/2023 155 29 74 110/80 uk 17 minggu

sukasari 2/3 1/0/0 8/8/2023

harjaswari
3/2/0 19/2/2023 158
1/11
sukasri 2/3 1/0/0 8/8/23 167
31mgg, lintang, djj 143x/m,
sdsari 1/5 3/2/0 ?/2/23 152 28 64.5 114/66
25cm
sukasari 1/5 1/0/0 ?/4/2023 149 22 47 90/60 24mgg

SDSARI 2/7 3/2/0 31/12/2022 154 29

sd.sari02/01 3/2/2000 1/8/2023 155 31

bj. gede 1/0/0

Sukasari
1/0/0 7/10/2023 151 30
02/01
sd.sari 06/01 1/0/0 1/5/2023 149 37
Sukasari
3/1/2000 12/23/2023 148 29
01/02
sd.rasa 03/09 3/2/2000 11/21/2022 158 98

sd.rasa 03/09 3/2/2000 7/4/2023 156 32 62

tajur 1/4 2/1/0 160 27 60 cek lab

sindangsari3/
1/0/0 2/1/2023 31 77.4 cek lab
2

pakuan3/3 1/0/0 1/1/2023 158 24 65 110/80 cek lab

citapen 1/5 2/1/0 6/7/2023 157 23 52 110/80 cek lab

tajur 3/6 2/1/0 7/7/2023 155 25 77 110/80 cek lab

tajur2/4 2/1/0 ? 154 24 60 110/80 cek lab

muarasari 3/6 2/1/0 3/25/2023 159 25 108/65 uk 25 minggu

sindangsari
4/2/1 2/18/2023 159 33 85 110/80 cek lab
3/5
sdrasa 2/2 1/0/0 ?/11/22 155 25 61.8 95/62 39mgg, 28cm, kep,

sukasari 2/3 3/2/0 12/25/2022 155 26 65.1 101/78 38mgg

CIPAKU 1/9 1/0/0 12/27/2023 158 72.7 118/78 37MGG, 33CM, KEP, A54X/M

sindangsari
1/0/0 1/22/2023 152 28 73 110/80 cek lab usg
4/6
katulampa
4/2/1 2/3/2022 165 28 71 121/82 usg cek lab
3/9
sindangrasa
5/2/2 ? 147 30 95/58 cek lab usg
5/7
sindangrasa
2/1/1 2/10/2023 155 26 106/59 usg cek lab
5/7
sd rasa 5/10 2/1/2000 1/25/2023 156 28 100/80 uk 34 minggiu

sd rasa5/4 6/2/3 5/5/2023 155 30 123/74 uk 19 minggu

baranangsian
2/1/0 ? 154 30 63 151/105 usg
g
tajur 3/2 2/1/0 8/21/2023 cek lab
sindangsari1/
3/2/0 ? 152 29 65.8 123/82 usg
5
sindangrasa
5/2/2 4/16/2023 165 28 50 108/79 uk 22
2/10
sd rasa 3/10 1/0/0 1/7/2023 150 30 67 104/68 usg

sd sari 3/3 4/3/0 3/15/2023 155 34 84 110/80 uk 27 minggu

sukasari 7/1 2/1/0 12 /8/ 2023 168 56.9 101/61 uk 5 minggu

tajur 2/2 2/1/2000 ? 150 25 64.1 109/71 uk 35 minggu

GARTING 1/7 2/1/0 147.3 45.9

katulampa
3/2'0 cek lab
8/5
tajur 2/10 cek lab

muarasari 2/1 4/3/0 cek lab

SD.RASA 2/2 4/0 109/76

tajur 3/3 cek lab

sd.rasa 4/10 120/70

sd.rasa 4/4 2/1/0 26/4/23

tajur 3/3 2/1/'0 5/24/2023 159 24 73 110/80 uk 17 minggu

sukasari 4/6 3/2/0 2/5/2023 155 30 55 119/79 uk 33 minggu

sukasari 2/5 2/1/0 5/7/2023 159 31 72 108/72 uk 20 minggu

sindangrasa
1'0'0 1/20/2023 155 30 54 110/80 uk 35 minggu
1/8
muarasari 3/4 2/1/0 8/17/2023 155 29 58 110/80 cek lab

tajur3/4 2/1/0 6/7/2023 156 29 44 95/64 cek lab

tajur 1/6 1/0/0 6/25/2023 155 28 56 110/80 cek lab

PAKUAN 3/3 1/0/0 1/1/23 147/97 USG

SD.RASA 2/8 1/0/0 7/1/23 160 120/79

SDRASA 1/10 2/1/0 6/10/2023 150 63.9 130/72

SDRASA 3/8 2/1/0 1/22/2023 150 139/99

SD RASA 1/8 1/0/0 2/28/2023 156 49 110/80 USG

SD RASA 4/6 1/0/0 3/1/2023 158 65 110/80 CEK LAB

SD RASA 3/5 1/0/0 12/20/2022 160 62 110/80 USG CEK LAB

sd sari 2/2 2/1/0 7/13/2023 153 55 110/80 usg cek lab

sd sari 4/1 1/0/0 8/3/2023 160 67.6 123/70 cek lab

tajur 2/10 3/2/0 1/26/2023 159 61 132/87 usg

tajur 4/2 4/2/1 4/22/2023 158 70 127/83 uk 23 minggu

tajur 3/3 1/0/0 1/7/2023 160 64 119/63 uk37 minggu

tajur 2/4 1/0/0 5/25/2023 155 57.7 110/80 cek lab

sdrasa 3/9 3/2/0 6/18/2023 160 59 110/80 cek lab

muarasari 2/1/0 6/20/2023 155 110/80 cek lab

 HASIL LAB
NO HP KETERANGAN
PROTEIN
HB VCT HBSAG SIFILIS
URIN

11.5 N N N

9.8 n n

13.2 N N N UMUM GOLDAH O

11.1 N N

ERITROSIT URINE
10.6 N
+3

GDS 88, GOLDAR

8.4 N N N
B+

LEUKOSIT URINE
10 N
+3
10.4 N N N
11.5 N N N N

11.7 N

9.5 N N N POS 1

10.7

11 N N N GDS 84

9.8 N

12.5 n

11.2 n leukosit +3

LEUKOSIT URINE
10.2 N
+1
11.8 N N N GDS 93

LEUKOSIT URINE
12,,6 N N N N
+2

9.9 N leukosit pos 3

11,,9 positif

9.8 N N N

KEPUTIHAN

12.6 N GDS 87

LEUKOSIT UIRINE
10.2 N
+1

11.1 n n n n gds 111

13 n n n
8.2 N N N 1

11.3 n

13 n n n

13.1 n n n gds 206

12.8 n n n gds 94

9.5 n n n

10.1

12.6 N

11 n n n gl 0

12 n n n

11 n

13.6
10.9 n n n gds 111

13.1 n n n gds 109

9.5 n

10.2 n n n n

12.3 n

12.4 n n n

12.7 n n n 0

13.4 n n n

10.9 n n n n gds 91

11
LEUKOSIT URINE
10.5 N
+2

13.2 n

11.2 n

12 n n n
11.9 pos1 8979541477

11 n n n

10.3 NEG

9.4 n n n

8.7 n n n n

12.4 n n n

11.7 n n n

KONTROL
JAHITAN

10.9
 test IVA

12.2 n n n 089611412790

13.6 n n n

10.6 n n n

12.1 n n n

13.2 2

10.7 n

7.4 n

13.5 n n n
9.9 N N N

10.2 n n

11.1 n n n
TANGGAL KUJUNGAN NO
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR
TERAKHR

1/12/2023 1 Nenu Sumarni Deni 3271026708850003 8/27/1985 38 SMA

123

04 Desember 2023 1 anisa suci wahyuni hamzah 3271014402900015 2/4/1990 33 smp

2 siti ratnasari depi 320104500600008 5/18/2000 23 smk

3 nisa indtiyani lilik 3271026905020004 5/29/2002 21 smp

4 weni nuraeni agus 3271022508910001 8/25/1991 32 smu

5 euis arum abdurohman 3271024406970004 6/4/1997 26 smp

6 ririn angga 3271024211920006 11/2/1992 31 smu

7 visca rismawati taat herwanto 327102430290001 2/3/1990 33 sma

8 NOVI NURTIANI CEPI 3201386211950003 11/22/1995 28 SMA

123

05 Desember 2023 1 SITI NURLAELA FADLI 3174015903890005 3/19/1989 34 SD

2 HARDONO 3323135901940002 1/19/1994 29 S1

ANA SYUKRIYAH
3 RUSMAN HIDAYAT 3201254402840002 2/4/1984 39 D3
SITI AMIRAH
4 YASRIL 3271016504800007 4/25/1980 43 SD
SITI SAMSIAH
 5 HENDI 3201286006910003 6/20/1991 32 SD
RELA HATIM
6 ADELLIA NOVA REGINA ADE 3271024511980003 11/5/1998 25 D3

7 KUTRIYAH KHAERUDIN 3376046505830003 5/25/1983 40 SMP

8 FITRIANI BAMBANG 3271066703860015 3/27/1986 37 SMP

9 AVRILIANA SUTARA RICI SUHARDI 3271025504940002 4/15/1994 29 SMA

10 SITI JUMIATI ABI ROBILAH 3201254410920009 10/4/1992 31 SMK

11 11/2/2023 0
MUHAMMAD FIQRI ALAMSYAH
12 ESA MIFTAHUDAH 327604611000006 21/10/2000 23 SMK
ANISA FANIA
123

06 Desember 2023 1 ANDI SOPIANDI 3203114705960016 5/7/1996 27 SD

HALIMAH BINTI DIDIN
2 TEDY SETIADI 3271026901970007 1/29/1997 26 SMA
RISKA ROSALIKA
3 M.BUDI S 1801060705950006 5/7/1996 27 SMA
MEIDA HIKMAH
123
lINDA LISNAWATI JANWAR
07 Desember 2023 1 3201054405021001 5/4/2002 21 SD
ARDIANSYAH
2 ADIKA 3271026907830007 7/29/1983 40 SMA
SISI NURSILA
123

09 Desember 2023 1 ABDUL MAJID 3271016510920008 25/10/92 #VALUE! SMP

ST SOPIAH
123

11 Desember 2023 1 m. alhamd 3172046306950010 6/23/21995 Err:502 s1

fitriyana cahya endah sari
2 megi 3271026405950004 5/24/1995 28 smp
kiki rizki amelia
 3 marni sumarni anggi 3271024712020006 12/7/2002 20 smp

4 siti maharani yakub 3271024810850007 10/8/1985 38 smp

5 rina haryani irsan 3201215609950003 9/16/1995 28 sma

6 meti pelitasari rahmat 3271026403950002 3/24/1995 28 smp

7 amanah supratman 3601035510990003 15/10/2000 23 sma

8 erika julianti teguh 3271027007990001 7/30/1999 24 sma

123

12 Desember 2023 1 RANY RUSNIAWATI MULYADI 3271025604950002 4/16/1995 28 SMK

2 DINI PUJI LESTARI AHADIAN 3271024409920008 9/4/1992 31 SMK

MUHAMMAD
3 3172046306950010 23/6/1995 28 S1
FITRIYANA CAHYA ENDAH SAALHMAD
4 OKI 3271027006890001 30/6/1989 34 SMA
YUNI HERNAWATI
5 ABDURAHMAN 3201056306000004 23/6/2001 22 SMO
SRI WAHYUNI
6 RIKI HERMAWAN 3172034312870009 3/12/1987 35 SMA
HERNAENI
7 ANDREANSYAH 3271025207990008 7/12/1999 24 SMK
SITI MAULI DIANA
8 WINA WIROSA BERI 3201155806000007 6/18/2000 23 SMA

9 MIA AFRIYANI FAHRUDIN 3271027004920004 4/30/1992 31 SD

10 WULANDARI MUNAJIJAVI WAHYUDIN 3171064308990002 8/3/1999 24 SMA

11 SITI SOFARIYAH ARFAID 3201384609890006 9/6/1989 34 SMA

12 NURLAILATUL ZAHVIA M.DIARIZKI 327105561103006 11/16/2003 20 SMP

13 DEDE RATNAWATI DIDIN 3271075003810009 3/10/1987 36 SMP

 14 HIDAH OKTAVIANI SUDARMANTO 3271015010940007 10/10/1994 29 SMK

123

14 Desember 2023 1 siti rahmawati nurdin 3271025707920005 7/17/1992 31 smp

123

15 Desember 2023 1 ani suhaeni suhendi 3271024412880002 12/14/1988 34 sd

123

18 Desember 2023 1 siti tarwiyah anwar 3271026603990009 26/3/1999 24 sd

2 novita gusmaeni m. rizki 327303621990001 8/22/1999 24 smk

3 wihelmina handi 3201245212940002 12/12/1994 28 smu

123

19 Desember 2023 1 siti sopiah asep 32710267060500006 6/7/2005 18 sd

2 PITA APRIANI AHMAD JAJULI 3201184102010005 1/2/01 22 SMA

3 DENA NOVITA TRI SUTRISNO 1704084700950001 7/11/93 30 S1

4 SITI HODIJAH EMPUD 3271025411900007 14/11/90 #VALUE! SD

5 TOMI FIRMANSYAH 3271015907930007 19/7/93 #VALUE! S1

RINDHA PURNAMA PUTRI
SAHRUL
6 ZENA NURHASANAH 3271025001030004 10/1/03 20 SMK
HIDAYATULOH
7 ANDREANSYAH 3271025207990008 7/12/1999 24 SMK
SITI MAULI DIANA
8 SITI NURANISA GALIH SUGISMAN 123
RINA WULANDARI
9 M NUR TRINIDAD 3271025505960004 15/5/96 #VALUE! SMA
HARDIANI
10 SANAM SOFIAH ALFANUS JESSE 3201126605000003 26/5/00 #VALUE! SMA
 11 KUTRIYAH KHAERUDIN 3376046505830003 5/25/1983 40 SMP

123

20 Desember 2023 1 LUTFIYAH ISMAIL 3271026411930001 11/24/1993 30 SMA

NIKEN NURMALASARI 123

21 Desember 2023 1 rina widiasih fitra rizki 3271025305920004 5/13/1992 31 sma

123

22/12/23 1 ega nurmegawati abdul latief 3271024909910002 9/9/1991 32 SMA

123

23 Desember 2023 halimah andi 3203114705960016 5/7/1996 27 sd

euis arum abdurrahman 327102440697004 6/4/1997 26 smp

anna pebriani fyanggi 3271025609950003 9/16/1995 28 smk

siti tarwiyah anwar 327102660399009 3/26/1999 24 sd

123

26 Desember 2023 1 hama rifa irfan 3271026108990002 8/21/1999 24 sma

2 afisah wiki suandi 3271026304970003 4/23/1997 26 smk

123

27 Desember 2023 1 RIKA 6102075705980004 17/5/1998 25

2 123
SEPTI TRI ASTUTI
3 RENI ARYANI DADAY ISKANDAR 3271026808960008 8/28/1996 27 SMP

4 FIRMAN 3201134501970008 1/5/1997 26 SMA

RULITA ANGGRAINI
 123

123

28 Desember 2023 1 FITRIANI BAMBANG 3271066703860015 27/3/86 #VALUE! SMP

2 REZA FARA NURAZIZA FARIS 3271016803010008 28/3/01 #VALUE! S1

3 NURELINDA SAPUDIN 3271026202880005 22/2/88 #VALUE! SMA

DINDIN
4 SARTIKA RAHAYU 3201044910950002 10/9/1995 28 SI
KOMALUDIN
123

29 Desember 2023 1 siti elliyah alwan syahputra 3271025406010003 14/6/01 #VALUE! smk

2 siti masitoh santoso 3329144206010006 2/6/01 22 smk

3 septi m afriansyah 3271025603990005 16/3/99 #VALUE! smk

123

123

123

123

123

123

123

123

123

123
123

123

123

123

123

123

123

123

123

123

123

123
0

0
0

0
0

0
0

0
 NAMA IBU
PEKERJAAN KANDUNG ALAMAT NO BPJS GPA 0 HPHT TP TB LILA BB TD

Nyi ucu
IRT Sd.rasa 03/02 0002195100134 2/1/2000 21/8/2023 160 27 64 110/80
juwarsih

irt sd rasa 3/8 5/2/2 9/2/2023 153 32 83 110/80

irt sd rasa5/5 1/0/0 6/20/2023 155 25 61 110/70

irt aisyah sd rasa 5/5 1/0/0 8/2/2023 163 27 53 90/80

irt st masitoh sd rasa 2/12 3/2/0 12/17/2023 150 28 61 147/99

irt sd sari 3/7 1/0/0 10/1/2023 155 25 49 95/66

irt haryati sd rasa 2/10 2/1/0 10/9/2023 156 26 52 110/80

irt sd rasa 2/9 2/1/0 4/20/2023 156 27 72 121/80

IRT YULIANTI CIGOMBONG 4/3/0 3/15/2023 150 23 99/77

SINDANGSARI
IRT MIMIN 4/3/0 K4 3/15/2023 160 84 132/92
1/7
IRT SUMAWAR SDSARI 5/3 2/1/0 K1 9/30/2023
ROYAL TAJUR
WIRAUSAHA HJ.ROUDOH 5/2/2 K1 8/6/2023 160 32
2/8
IRT ROHANAH MUARASARI 2/1 3/2/0 K1 ?
 IRT RUKOYAH SDRASA 3/4 4/1/2 2/20/2023 11/28/2023 153

IRT SDSARI 1/2 1/0/0 4/26/2023 151 53.5 127/82

WIRAUSAHA TAJUR 2/3 4/3/0 4/14/2023 81.4 103/62

BANTAR
IRT MAMI 4/2/2 4/22/2023 73.5 125/84
PEUTEUY 4/2
NANI
IRT SDRASA 6/7 57 112/82
RUKMINI
BURUH NENENG SDRASA 1/11 3/2/0 6/10/2023 115/92

SUKASARI 4/4

IRT SUTINI KATULAMPA 2/6 3/0/2 8/6/2023 106/67

IRT INAH TAJUR 1/6 3/2/0 ?

NANI
IRT TAJUR 1/6 2/1/0 115/72
SUMARNI
IRT MARIYAMAH SDSARI 5/6 1/0/0 8/6/2023 157 27

SUKASARI 1
IRT LILIS 2/1/2000 7/20/2023 157.5 54 54.3 90/70
02/02
IRT TAJUR 4/2 3/2/0 ? 155 28 68 110/80

IRT ST KHODIJAH SD.SARI 3/5 3/2/0 26/7/23 53 110/69

irt evina yasit tajur 1/1 1/0/0 13/4/2023 163 33 80 120/80

irt rosita sindangrasa 1/2 3/2/0 10/20/2023 152 25 57 113/78

 irt unay muarasari 1/12 2/1/0 10/13/2023 152 25 21 128/86

irt oom sdrasa 4/9 4/2/1 4/14/2023 148 25 60 106/66

irt amah sukasari 2/5 2/1/0 5/7/2023 169 28 77 112/70

irt sukasari 7/3 2/1/0 8/8/2023 155 27 56 110/80

irt amsah sindangrasa2/11 1/0/0 3/9/2023 150 25 51 110/80

irt maemunah sukamulya 2/5 1/0/0 8/8/2023 110/80

IRT TITIH SDRASA 2/10 4/3/0 9/8/2023 153 25 52.4 88/58

IRT SURTINI SDRASA 3/6 3/2/0 4/22/2023 151 31 72 100/70

KARYAWAN
EVINA YASIF TAJUR 1/1 1/0/0 4/13/2023 163 81.4 116/77
SWASTA
IRT FATIMAH SDRASA 4/6 4/2/1 4/8/2023 153 59.1 101/62

IRT SOBARIAH SDSARI 5/5 2/1/0 10/4/2023 155 69 105/72

IRT RUKOYAH SUKASARI 3/6 6/11/2023

DEWI
IRT SKM 2/3 2/1/0 4/20/2023 153 66.6 111/78
KOMALASARI
IRT ARIYAH SDRASA 2/8 1/0/0 9/15/2023

IRT DEWI SUKASARI 2/3 4/2/1 4/30/2023 152 64.7 103/51

IRT DEDI SDRASA 1/12 2/1/0 8/13/2023

IRT HINDUN TAJUR 3/6 3/1/1 9/12/2023 158.8 140/90

IRT RUSMINI SDRASA 2/12 21/8/2023

2/1/0
IRT TITIH SDRASA 3/9 5/4/0 8/6/2023 149 29.5 58.7 103/64
 IRT MISNA JARHASARI 3/1 3/2/0 10/9/2023 159

irt ai nana sindangrasa4/7 2/1/0 30/7/2023

irt nursiah sukamulya 7/3 3/2/0 3/29/2023 152 28 145/87

irt ema tajur 2/3 2/1/2000 10/8/2023 150 39.5 101/732

irt nining sindangrasa1/1 6/6/2023 158 28 58 120/80

irt sindangrasa 3/8 4/3/0 ? 170 27 61 110/80

irt siti nurkiyah sd rasa1/8 1/0/0 ? 148 22 58.8 104/63

IRT MULYANAH SD.RASA 1/9 2/1/2000 4/28/2023 150 27 52 100/80

BOJONG GEDE
IRT NURHAYATI 1/0/0 7/4/23 165 24 58 100/70
1/9
IRT ENDEH SD.RASA 2/10 5/2/2 16/4/23 165 68.6 117/75

KARYAWAN IIS HADIJAH SD.RASA 1/6 2/1/0 7/10/23 7/14/2024 160 57.6 112/70

IRT IRA RAHMA TAJUR 1/4 1/0/0 15/8/23 22/5/24 156 54.3 130/80
DEWI
IRT SKM 2/3 2/1/0 4/20/2023 153 66.6 111/78
KOMALASARI
SD.RASA 2/4 101/82
SINDANGRASA
IRT SURATMI 2/1/0 14/11/23 21/8/24 155 65.9 120/80
4/7
SITI
IRT TAJUR 4/4 2/1/0 26/7/23 3/5/24 158 48.7 89/68
AMALIYAH
WIRAUSAHA RATINI TAJUR 2/3 4/3/0 14/04/2023 150 82.3 107/72

WARGA MULYA
IRT SITI 3/2/0 4/20/2023 153 59 117/74
2/3

irt aan sindangsari 5/3 3/2/1 7/18/2023 155 28 65 124/81

IRT sindangsari 4/2 2/1/0 12/5/2023 156 28 56 110/80

irt tajur 1/6 3/2/0 / 155 27 60 110/80

irt sindangsari 3/7 2/1/0 10/1/2023 154 25 49 110/80

sindangrasa
irt ;2/1/0 155 24 50 120/80
1/12
irt tajur 2/3 2/1/0 8/10/2023 154 25 39 110/80

irt esih sukaesih sdrasa 2/1/2000 152 73 114/92

irt asih sderasa 6/7 1/0/0 152 63 116/72

SDRASA 4/9

55.4 134/78

IRT NYAI SOPIAH SDRASA 5/10 2/1/0 6/10/2023 1142

IRT IKAH YANTI TAJUR 1/0/0 8/6/2023

IRT NANI TAJUR 4/2 4/2/1 22/4/23 158 73.5 125/84

GURU ST JULAEKHA M.S 2/1 1/0/0 22/4/23 150 65 110/60

IRT MARNI SD.RASA 4/7 4/2/1 6/9/23 163 57 100/60

GURU AYUM CIBANON 01/02

irt lilih masliyah sd.sari 4/2 1/0/0 15/4/23

irt rasiwen sd.rasa 2/3 1/0/0 18/10/23 151 54 80/70

irt sri mulyati sd.sari 3/2 2/1/0 1/9/23 160 52.4 103/66
 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

cek lab 13.2 n n n 81382915626

cek lab 12.5 n n n 83811947764

cek lab 11.7 n n n 89634618054

cek lab 13.8 n reaktif n 896954029

cek lab 14.1 n n n 83191277353 gol dar b

cek lab 12.6 n n n 085892309513

cek lab 9 1 085714888640

CEK LAB 11.4 N

TFU: 27CM, DJJ 145X/M, KEP

MASUK PAP
UK 10 MGG, CEK LAB 12.5 N N N 085878717066

CEK LAB , 17MGG 10.8 N N N 087770811084

16MGG 11.4 N N N 081381720995 GDS 111

32MGG 10.5 N
LEUKOSIT URINE
29CM,KEP 10.7 N
+3
33MGG

CEK LAB 11.3 N N N 089611480448 GDS 130

KONTROL BAYI BARU LAHIR 1
BULAN

28MGG,CEK LAB 11.7 N N N GDS 86 08888070184

11.5 2

10.3 N N N 085788293330 GDS 83

CEK LAB 11 N N N 85890898717

CEK LAB 9.6 N N

CEK LAB 11.2 n n n 087770360211 gds 107

uk 35 minggu cek lab 12.9 n 082175219471

cek lab 12.5 n n n 083165592089

cek lab 12.2 n n n 085888783453

uk 34 minggu, cek lab 11 n n n 082114516671

uk 31 minggu

cek lab 11.1 n n n 0895410750026

cek lab 11.6 n n n 085694558288

tt 1

14 MGG,USG, KONSUL GIZI

LEUKOSIT URINE
33MGG, CEK LAB 11.2 N N N N 088293364618
+2
34MGG, USG

15MGG,CK LAB,USG 11.1 N N N 083837175177

35MGG, USG 11.3 N

CEK LAB 9.8 N N N

CEK LAB,USG 11.6 N

CEK LAB 12 N N N 085811170363 GDS 116

32MGG, CEK LAB USG 11 N

USG

USG

CEK LAB 12.2 N N N 083877050288 GDS 141

18MGG, PERTENGAHAN SIMP-
PUBS DHH + BALL
CEK LAB 11.9 n n n 081932406669 gds 131

cek 8.8 n n n

cek lab

cek lab 12.6 n n n 0895355285524

cek lab 10.7 n n n 81287051996

cek lab 10.6 n n n 1 85881566704

37mg

34MG 11.7 N 085719502028

34MG 10.7 N 082184631203

35+4MG,TFU 28CM,
KEP,135X/M
11.5 N N N 085210079595
UK 18+2MG, TFU 2JR BWH
117 N N N 083826390408
SYM, BALL+, DJJ 150X/M
CEK LAB,USG 11.6 N

TT2

UK 5+2MG, 11.4 N N N 08193247133

UK 21+1MG, TFU 2JR BWH
8.2 N N N 083121759514
PST, BALL +, DJJ 130X/M
UK 36MG, TFU 31CM, KEP, DJJ
130X/M

cek lab 12 n n 085691555859

cek lab 11.2 n 08561137688

usg 88295484626

usg

usg

35

tfu 26cm, djj 172x/m

2 jr dibwh pst djj + ball

PP TEST NEG

KONTROL POST PARTUM

CEK LAB 10.8 N N N 08819933513 GDS 80

CEK LAB 11.3 N N N 087780411939 GDS 130

 38

RUJUKAN

CEK LAB 10.8 N

10,7,LAIN2
CEK LAB 11.8 N N N 083853167003
NORMALP;
9.6 N N N 085887577159 GDS 125

9 1 08381037510

cek lab 12.7 N N N 083120946324 GDS 71

cek lab 10.8 n n n 085694453956 gds 80

41
TANGGAL KUJUNGAN NO
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR
TERAKHR

123

01 November 2023 1 ADRILA AMANDA RAHAYU RIDWAN 3271025704980004 4/17/1998 25 SMA

2 IMAS ADIYA IWAN GUNAWAN 3201215312000002 12/13/2000 22 SMP

3 DJULIANINGSIH GUNAWAN 3271025110010004 10/11/2001 22 SMA

4 ERIKA M.RIZKI WALUYA 3271026609990001 9/26/1999 24 SMK

123

03 November 2023 1 siti rohmah saipul bahri 3201276405960001 7/2/1996 27 sd

winda novitasarie teguh permana 3271025611940002 11/16/1994 28 smk

desi nurhayati hidayatullah 3271026712950001 12/27/1995 27 s1

123

04 November 2023 1 AMANDA FARASIA . P M. IRFAN 3310035401990001 1/14/1999 24

2 NURVELGA NURMIDIN Aprisal 3271026802940004 2/28/1994 29 S1

3 PUSPITASARI M> CHANDRA 3271024306950009 03/061995 #VALUE! D3

ORLANDO
4 INDRI LIONI 3271174408940002 8/4/1994 29 S1
TAMPUBOLON
123
06 November 2023 1 ai yuni wahyuningtias endri jaelani 1213226405010002 5/24/2001 22 sma

2 siti nuraeni ari suhendar 3201045606900010 6/16/1990 33 sd

3 mega novaliana erfan alfandi 3271026411020005 11/21/2002 20 smk

4 rizqi cahya ilahi m. nisyar 3203044811890008 11/8/1989 33 d4

5 mia nurdianti m. akmal 327102501000006 10/10/2000 23 smp

6 susi irawati arifin 3201045807900011 7/18/1990 33 sma

7 herlanggi alwi 327102505020004 7/18/2023 0 sma

123

07 November 2023 1 JENAL MUTAQIN 3271024603880005 6/3/1988 35 SMA

NOVIA HANDAYANI
2 SITI NURLAILA DANI RAMDANI 3271027112980010 12/31/1998 24 SMP

TEGUH PERMANA 3271025611940002 11/16/1994 28 SMK

WINDA NOVITASARIE
IRSAN 3201215609950003 9/16/1995 28 SMU
RINA HARYANI
BAMBANG 3271066703860015 3/27/1986 37 SMP
FITRIANI BINTI OMIN
ANISA FANIA ESA MIFTAHUDA 327604611000004 10/21/2000 23 WMK
MAMAN
32010443009900004 9/3/1990 33 SMP
NUNIEK PUJAWAHYUNI NURJAMAN
M.AL-QUDZI 3201105110970001 10/11/1997 26 SMK
ROSA OCTA SANTANA
INDRA ACHMADI 3271014106960019 6/1/1996 27 SMK
PURI PURWANTI
KHAERUN 3376046505830003 5/25/1983 40 SMP
KUTRIAH
ARIF FADILAH 3204324612840001 12/6/1984 38 sma
ERNI
123
08 November 2023 WAHYUNI BINTI WAHYUDIN MUSTOFA 3201245111940008 11/11/1994 28 SMP0

123

09 November 2003 1 khanifia intan khofifah isep ridwan 3201036207010002 7/22/2001 22 sma

2 siskawati muhamad wiharja 327102401950002 4/1/1995 28 SMP

3 urma deden 3271026208850005 22/08/1985 #VALUE! SD

4 123

10 November 2023 1 rosana deden 3271026803960008 3/28/1996 27 smp

123

11 November 2023 1 endah nirwanasari bambang 3271024909910004 9/9/1997 26 sma

2 chintaya - 3175095307040002 13/7/2004 #VALUE! sma

3 siti patimah irfan 3271014503990003 15/10/1999 #VALUE! smk

4 intan sundari yogi rizki nugraha 3271026606000014 26/07/2000 #VALUE! SMK

5 sri asih hambali anwar 3271026208840002 22/08/1984 #VALUE! SMA

123

13 November 2023 1 ISMAYATI RISMAN 3201245712970005 12/17/1997 25 SMK

2 NUR AZIZAH ADITYA 3201256904040005 4/29/2004 19 SD

3 DEWI OKTAVIANTI SAEPUL RIDWAN 3201136809870003 10/28/1987 36 SMA

4 YANTI RACHMAWATI YUDI BURHANUDIN 36032847110870001 10/7/1987 36 SMK

5 INDRIAN ROSMAWATI AHMAD SAHID 3271024407960004 7/4/1996 27 SMK

6 DINI ARYANI INDRA WAHYUDI 3271026701830004 1/27/1993 30 SMP

 7 HASANAH DIAN 187166307830010 4/7/1984 39 SD

8 ANI ARYANITA ARIF NURAHMAN 3271025608800017 8/16/1980 43 SD

9 ASTI TRIANA RAFLESH 3273046305910002 5/23/1991 32 SMA

10 MELVA KEZIA SANDI ARYANDI 3271026508030002 8/25/2003 20 SMK

123

14 November 2023 1 RIA NOPIANI M NAZIR 3271025611960008 16/11/96 #VALUE! SMK

2 RISTI OKTAVIYANTI JAYA 3271025310000019 13/10/00 #VALUE! SMA

3 ENDAH NIRWANA SARI BAMBANG 3271024909910004 9/9/1997 26

4 ERNI KURNIAWATI ARIP PADILAH 3204324612840001 6/2/84 39 SMA

5 SITI MAULI DIANA ANDREANSYAH 3271025207990008 7/12/1999 24 SMK

6 SANI ROSANI HERMAWAN 3205064509930005 9/5/1993 30 SMP

7 DEDE RATNAWATI DIDIN 3271025003810009 3/10/1981 42 SLTP,SD

8 SITI NURJANAH AHMAD 3271025306820005 6/13/1982 41 SMP

9 MIA AFRIYANI FAHRUDIN 3271027004920004 4/30/1992 31 SD

10 FYANGGISUWIKNYO 3271025609950003 9/16/1995 28 SMK

ANNE PEBRIANTI
11 RISKY YULIANI M.FIRMAN 3271056701960012 1/27/1996 27 SMU

123

15 November 2023 1 DEWI TARWIYAH DERI 3271065003030008 3/1/2003 20 SMK

2 RIMAWATI WAHYUDIN 3271025107880006 7/11/1988 35 SD

123
17 November 2023 1 megasari AGUS 3271024809910005 9/14/1991 32 SMK

123

20 November 2023 1 SITI MAHARANI YAKUB 3271024810850007 10/8/1985 38 SMP

2 MARIFATUL KHOERIYAH KOMARUDIN 3271024501950008 1/5/1995 28 SMA

3 LUTFIYAH ISMAIL 3271026411930001 11/24/1993 29 SMA

4 SITI HADIJAH EMPUD 327102541190007 11/19/1990 32 SD

5 WAHYU YULIANTI HADI ISKANDAR 3315105804840001 4/18/1984 39 SD

6 afrilla alifi siswiantiantoro abdurahman 3174045104971002 4/11/1997 26 smu

7. DEDE ASLIA SUPRAYOGI 3271016003870015 3/20/1987 36 SD

LOLITA RAMADHANTY 3271015801970002 1/18/1997 26 S2

123

21 November 2023 1 MEGA NOVALIANA ERFAN 3271026411020005 11/21/2002 20 SMK

2 FENTY MOCH SARMAN IBNU 3/14/1983 40 SMP

3 SITI SOPIAH ASEP 3271026706050006 6/27/2005 18 SD

4 SRI NIMAH NASIKHI 3271025003870006 3/10/1987 36 SD

5 PUTRI YULIANA HERMAN 1807056407960002 7/24/1996 27 D1

6 RISKA ROSALIKA TEDY SETIADI 32710269019700077 25/1/1997 26 SMA

7 RIANI SULAWATI HELMI 3271014711960017 11/7/1996 26 SD

8 SITI KURNIASIH ADITYA 3271024908980005 8/9/1998 25 SMU

123
23 November 2023 1 RUKOYAH BOBI ERLANGGA 3201046607000006 26/7/00 #VALUE! SMP

2 RISA PASHA MAHERLINA ABDUL MALIK 3271024203940012 2/3/94 29 D3

3 NURLISTRIANI BAYU PURNAMA 3271024907040004 9/7/04 19 SMK

123

24 /11/20023 1 Nuryati Yatna supriatna 3271026003790017 20/03/1979 #VALUE! SD

2 dewi andriani jaenudin 3271926512830004 25/12/1983 #VALUE! SMP

123

25 November 2023 1 ASTRID JULIANSYAH 3271024806960009 6/8/1996 27 S1

123

27 November 2023 1 NURUL MILLAH OKHALDO LARAS 3271025405970006 14/5/97 #VALUE! SMP
SANDRI
2 GITA GRAHA GARNITA 3271015803920004 3/18/1992 31 D3
HERDIAWAN
3 AGNES LESTARI RIO FATIRA 3271024307030005 3/7/03 20 SMK
MAMAN
4 NUNIEK PUJA WAHYUNI 3201044309900004 3/9/90 33 SMP
NURJAMAN
5 ema budiarti endang supena 3271026108850001 21/8/85 #VALUE! smk

6 siti nuriyah herman pelani 3271025209840002 12/9/84 38 sma

7 afisa wiki lestari suandi 3271026304970003 4/23/1997 26 smk

8 endah nuraeni ipan ismail 3215174109010009 01/9/01 22 sma

9 devi ayu angareni endri 3201304301880001 1/3/1988 35 smp

10 rida ksudini ikbal 3271027009000001 30/9/00 #VALUE! smk

11 siti nabila rohmah m firdaus 3271025212000001 12/12/00 22 smk

 12 siti nurlaila dani ramdani 3271027112980010 31/12/98 #VALUE! smp

13 agustina irfan setiawan 3271015708980021 17/8/98 #VALUE! sma

14 hesti lestari rian 3271024605890011 6/5/89 34 smp

123

28 November 2023 1 SITI SANIA ASFANDI 3201314806040009 6/8/2004 19 SMP

RADEN VINNY FATIKA
2 GAORGE HAGI 3271055108950012 8/11/1995 28 S1
SYAHRI
3 SITI NURLAELA FADLI 3174015903890005 3/19/1989 34 SD

4 ERINA SAPITRI DEDE MULYANA 3271025405980002 5/14/1998 25 SMA

5 MEGA NOVALIANA ERFAN ALFANDI 3271026411020005 11/21/2002 20 SMK

6 SITI JAUHARUS MAHMUD 3271025508010008 8/15/2001 22 SMP

7 ENAH MARYAM M.TOHIR 3271014202970078 2/2/1997 26 SMP

8 AENI SUSANTI ABDURAHMAN 3271025808920005 8/18/1992 31 SMK

9 FENTY MOCH SARMAN IBNU KHOTIM 3271025403830005 3/14/1983 40 SMP

10 NUR SEPTIANINGSIH DWI REKSI 3271034309950006 9/3/1995 28 SMA

11 RITA DIAN 3271025310890010 10/13/1989 34 SMA

123

29 November 2023 1 FRISCA EVERIDA PARDOSI MANGUN KARSO 3214016306860009 6/23/1986 37 SMA

123

30/nop/2023 1 dini dwi wahyuni irwan agus gojali 3271026306890003 6/3/1989 34 SLTA

2 viki wulandari rian prayoga 3201246611940001 26/11/94 #VALUE! smp

123

123

123

0
0

0
0

0
0

0
 G
NAMA IBU NO
PEKERJAAN ALAMAT P 0 HPHT TP TB LILA BB TD
KANDUNG BPJS
A

3
/
IRT ELI HODIJAH SDSARI 2/2 2 21/5/23 156
2
/
/0
EIRAUSAHA ANI SDSARI 4/2 1
1 6/1/2023 145 20.5
//
KARYWAN YULIAWATI MUARASARI 3/6 0
0
1 7/12/2023
//
IRT LILIS sd.rasa 03/04 0
0 1/24/2023 92/66
/
0
2
/
siti
irt sd sari 1/5 1
2 6/22/2023 152 28 61 136/75
nurhasanah
//
irt dede sd sari 5/3 0
1
2 ? 155 29 75 122/86
//
irt nining sd sari 5/3 0
1 5/21/2023 155 28 64 110/80
/
0
1
/
kar.swasta subianti sd. sari 01/06 i0 4/9/2023 156 23.5 51.5 94/54
//
IRT PUPUNG SUKASARI 04/03 0
0 6/24/2023 155 25.5 57.3 110/70
/
kary.swasta st. jubaedah tajur 02/02 ###0 4/5/2023 153 27 62 111/62

kary. swasta NURCAHAYA bosel 02/03 ###

 1
/
irt cucu sumiati tajur 2/5 0 8/5/2023 140 23 41.4 101/71
/
irt siti munasih sd rasa 4/7 ###0
2 7/28/2023 157 31 69 123/89
/
irt sd rasa 1/9 0
2 8/25/2023 155 24 62.1 108/72
//
irt suwarni sd rasa 3/10 1
1
1 4/25/2023 152 29 63 110/80
//
irt aah saadah muarasari 2/4 0
0
3 25/5/2023 151 26 60 110/80
//
irt ayanih muarasari 3/4 0
1
1 8/17/2023 150 27 113/72
//
irt hety hanjasari 4/2 1
0 9/15/2023 153 27 60 110/80
/
0
3
/
PESONA GRIYA
IRT ATI 2
3
INDAH
//
NANI BANTAR 0
IRT 2
2 ? 151 26 59.6 113/63
HANDAYANI PEUTEUY 4/2
//
0 ?/AGUSTUS/
IRT DEDE K SDSARI 5/3 1
2 155 29.5 74.6 124/86
2023
//
IRT AMAH SUKASARI 2/5 0
1
4 75/2023 169 75.2 112/75
//
IRT MAMI TAJUR 4/2 0
2
1 4/22/2023 158 31 73.7 115/74
//
IRT SUTINI KATULAMPA 2/6 1
0
4 8/6/2023 150.2 45.4 106/72
//
IRT IDA ROSIDA BR SIANG 5/8 0
3
2 4/15/2023 150 54.7 104/76
//
CIBE 0
IRT OOM SDRASA 2/11 1 6/16/2023
DUG 4
//
KARYAWAN NENO SDRASA 3/3 0
2
4 8/10/2023 152
//
WIRAUSAHA RATINI TAJUR 2/3 1
3 4/14/2023 150
/
IRT MAMAH TAJUR 02/03 ###0 LUPA 160 49 111/83
 5
/
IRT ANIH SDRASA 3/9 1 2/28/2022
/
3
1
/
iIRT ai kurniasih sd sari 06/01 0 9/4/2023 151 23.5 42 95/57
/
IRT Sri .m sd.sari 03/02 ###0 15/09/2023 160 32 77 131/78
katulampa
IRT ugih ### 19/05/2023 150 26 24,5 125/80
04/07
2
/
irt engkan ciburial 4/5 1 6/20/2023 150 25 64 110/80
/
0

irt eti sindang rasa 5/7 ### 115/70

kuliah cakung4/1 110/80

irt juju tajur 02/04 ###1 28/01/2023 92/58

/
IRT neneng sd.sari 0305 0 24/08/2023 152 27 61 124/82
/
IRT kartijah tajur 04/03 ###0 62,4 163/96

1
/
IRT YOYOH HARJASARI3/3 0
1 7/16/2023 148 23 48 110/80
//
NYAI 0
IRT CISARUA 2/11 0
2 8/19/2023 143 24 49 110/70
HASANAH
//
IRT MIAH SD SARI 3/7 0
1
3 10/1/2023 155 28 57 110/80
//
IRT AMAH SD SARI 3/3 0
2
2 8/3/2023 154 29 69 110/80
//
IRT MARYATI SD RASA 2/4 0
1
6 9/5/2023 155 28 62 100/66
//
IRT NURJANAH SUKAMULYA 4/3 0
5 5/20/2023 147 29 51 110/80
/
0
 5
/
IRT PAKUAN 2
4 DES 140 29 69 110/80
//
IRT ITOH SUKASARI 5/7 2
3
4 6/1/2023 155 27
//
MULYANING SINDANGRASA 0
IRT 3
2 ? 154 24 110/80
SIH RT 1/3
//
RANGGA MEKAR 0
IRT GEMBIRA 1 ? 160 28 104/61
5/5
/
0
1
/
NENENG
IRT SD.RASA 3/10 0
2 69.2 123/81
HASANAH
//
KARYAWAN SUSI CIAWI 2/6 0
1 9/3/23 168 82 97/60
/
2
SD.RASA 5/7 0
/4
/0
NANAH
IRT TAJUR 2/3 3
2 160 50 99/73
MARYANAH
DEWI //
IRT KOMALAWAT SUKAMULYA 2/3 0
1
3 4/20/2023 160
I //
IMAS 0
IRT KATULAMPA 5/1 2
4 8/7/2023 152 58 113/72
MASRIAH
//
IRT,BHL TITIH SDRASA 3/9 0
3
3 8/6/2023 149 57.6 112/73
//
IRT AKIDAH SDSARI 1/5 0
2
4 ?/2/2023 152 28 70.3 134/85
//
IRT DEWI SUKASARI 2/36 0
2
2 4/30/2023 152 24 63 103/53
//
IDA 1
KARYAWAN SDRASA 1/12 0
1 9/20/2023 154 24.5 50.3 105/62
NURSUSANTI
//
IRT TUGIYEM SUKAMULYA 2/5 1
0 6/1/2023 155 24 54.5 111/72
/
.
0
1
/
IRT SUKASARI 6/1 3 4/1/2023 151 23 52 110/80
0
//
PASIR ANGIN
IRT 2
0 8/28/2023 155 24 68 110/80
3/5
/
0
 1
/
IRT ST ROHMA SKMULYA RT 6/3 0 8/24/2023 6/2/2024 153 26 53 110/70
/
0
4
/
IRT OOM SD RASA 4/9 2
5 4/14/2023 148 28 60 102/68
//
IRT SITI AISAH SD RASAS 5/7 1
2
3 ? 147 30 56 98/66
//
WARGA MULYA 2
IRT SITI 2
5 4/20/2023 153 26 59 117/74
2/3
//
IRT ENDEH SD RASA 2/10 0
2
6 4/16/2023 165 28 65 99/57
//
IRT SUPRIYATI CIPAKU 3/7 2
3
2 25/.8/2023 155 30 74 123/78
//
irt siswati siska sd sari 2/4 2
1
5 ? 155 28 65 110/80
//
IRT SD SARI 4/3 0
4
1 3/13/2023 160 29 67 110/80
//
WIRASWASTA MUARASARI 2/1 0
0 10/13/2023 158 25 48 110/80
/
0
2
/
SINDANGRASA1/
IRT 0
3 8/25/2023 158 28 63 110/80
9
//
IRT NANI TAJUR 2/6 1
2
1 4/7/2023 155 27 54 110/80
//
IRT NUR SD RASA 1/8 1
0
2 ? 150 26 52 110/80
//
IRT DEDE TAJUR 3/4 0
1
1 6/7/2023 150 27 45 110/80
//
IRT SUKARTINAH SD RASA 4/7 0
0
2 8/20/2023 155 24 43 110/80
//
IRT TAJUR 1/6 0
1
1 3/21/2023 154 28 67 110/80
//
IRT MUARASARI 1/3 0
0
2 6/2/2023 156 24 54 110/80
//
AAN 0
IRT SUKASARI 5/7 1 2/21/2023 156 24 52.7 110/70
HERAWATI
/
0
 1
/
IRT LATIPAH CIBANON 2/3 0
1 157 55 59 110/80
//
KARY.SWAST NINA 0
SUKASARI 1/2 0
1 15/6/23 157.3 26.5 52.2 114/71
A HERLINA
//
IRT NURJANAH SUKASARI 5/3 0
0 26/2/23 156 60 100/60
/
0

IRT Sarifah sd. rasa01/01 ### 9/10/2023 33 70,2 160/111

IRT Nuuryati sd.rasa 01/02 ### 20/03/2023 141 53.9 74/42

KARYAWAN SUKASARI 6/24/2023 152 26 57 110/70

2
/
IRT NUNUNG TAJUR 2/2 1
1 12/10/23 150.5 28 61.5 118/84
//
KARYAWAN 0
KARWATI M.S 3/2 0
1 26/3/23 154 26 59.6 103/58
SWASTA
//
OON 0
IRT SD.RASA 4/3 0
4 12/10/23 165 63.3 116/72
MARYANI
//
BONDONGAN 0
IRT IDA ROSIDA 3
3 15/4/23 150 56.2 112/60
2/20
//
irt esih sukaesih sukasari 2/1 0
2
3 ? 152 61 154/94
//
karyawAN 0
yati maryati sukasari 1/2 2
1 ? 159 48.8 105/67
SWASTA
//
irt asih sindangrasa6/7 0
0
2 8/20/2023 155 25 61.8 116/76
//
domisili sukasri 0
irt nanih 1
4 ? 160 83.1 120/80
2/3
//
irt sopiyah cipayung 1/2 0
3
2 ? 157 56 99/60
//
irt nurlela sd.rasa 1/9 0
0
1 25/7/23 158 32 80 110/80
//
irt ai tutik sd.rasa 1/9 1
0 14/7/23 168 78 100/70
/
0
 3
/
nani
irt tajur 4/2 2
2 ? 151 59.6 113/63
handayani
//
irt diana m.s 5/4 0
1
2 28/7/23 151,5 81 110/70
//
irt karmi sd.rasa 3/7 0
1 22/9/23 160 46 90/70
/
0
1
/
IRT NYAI ADAH SDSARI 1/6 0
1 6/26/2023 149 69.7 114/71
//
KARYAWAN SDRASA 1/12 0
0
4 9/30/2023 153 53 100/80
//
IRT MIMIN SDSARI 1/7 0
3
1 3/15/2023 141/80
//
KARYAWAN NINA SDRASA 2/4 0
0
2 9/23/2023 153
//
NIMA 0
IRT SDRASA 1/9 0
1 8/25/2023 153
HERDINA
SITI //
IRT NURHASANA TAJUR 4/2 1
0
2 2/21/2023
H //
HJ 0
IRT SD RASA 1/9 1
4 8/1/2023 15 66 151/84
ASNAWATI
//
IRT FATIMAH SD RASA 4/6 0
2
3 8/5/2023 155 26 50 102/80
'/
IRT NANI TAJUR 2/6 1
2
2 4/7/2023 154 27 57 110/80
/'
IRT HJNENGSIH SD RASA 4/6 1
1
3 25/3/2023 155 26 57 110/60
//
IRT CUCUN TAJUR 2/11 0
2 8/23/2023 154 25 65 110/80
/
0
6
/
OSMIN
IRT HARJASARI 5/2 2 9/18/2023 157 30.5 74 100/70
PASARIBU
/
3
dewi
IRT sd.rasa 03/08 3 10/13/2023 160 60.1 97/80
krisnawati
/
dede arina
irt sd.sari 2/4 2 25/8/23 151 43 110/70
hita
/
0
 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

CEK LAB 9.4 N N N GDS 95

CEK LAB 9.4 N N N GDS 113

CEK LAB 11.7 N N N GDS 71

kontrol PP

cek lab negatif

cek lab 12 n n n gol dar 0

suntik tt3

9.3 G126
uk 13

uk 15 minggu

uk 11 minggu CEK LAB 13.3 N N N

cek lab 10.8 n n n n 081219375976 gds 89

uk 24 minggu

uk 11 minggu

cek lab 13.5 n n n 085711595293

9MGG,USG 11.6 N N N GD S98

30MGG, KEP BLM MASUK PAP
DJJ 133X/M
USG
26MGG, SEPUSAT, 145X/M
TT1
KEP
28MGG, 18CM, PUKI KEP
TT2
147X/M
13MGG USG
33mgg, 26CM KEP BLM
MASUK PAP, 155X/M
11.6 N N N GDS 103

10.9 N N N 081288940058 GDS 143

29MGG 08987590402
9.8 N N N
 6.2

12,0 N N N

13 N N N

8,8 N N N

cek lab 8.9 n n n 83164450215

kontrol post op
post partum 1 minggu
sanguelenta
kontrol pos partum

post partum

CEK LAB 10.5 n n n 08318946674

CEK LAB 13.1 n n n 083169880034

CEK LAB 11.7 n n n 085693538009

CEK LAB 12 n n n 081293510302

CEK LAB 11.8 n n n 085711831182

CEK LAB 10.5 n n n

CEK LAB 10.7 N N N N

UK 24 MINGGU 82125962678

CEK LAB 11.7 N N N 081399011991

CEK LAB 11.3 N N 085890164469

cek lab,usg 11.7 N 085883633316 LEUKOSITN +2

tfu 28cm,kep, djj 150x/m

CEK LAB+USG 11.7 N N N 082124978096 GDS 103

CEK LAB 11.6 N N N 085173403059 GDS 71 7

USG

KONSUL GIZI 10 N N N 083873636536 GDS 118

37MGG, 31CM, DJJ 144X/M
KEP
TFU 24CM, KEP, DJJ+

CEK LAB 11.2 N N N 83874148985

SEPUSAT, 154X/M, BALL

CEK LAB 9.5 N N N 0887151358653

CEK LAB 13.7 N N N

CEK LAB 10.8 N N N 89677971091

UK 31 MINGGU TFU 26 CM
KEP DJJ 159
UK 15 MINGGU

UK 31 MINGGU 8.1 n n n 081917076464

UK 31 MINGGU

UK 12 MINGGU

cek lab 9.4 n n n 895320090075

cek lab 9.6 N 081584912207

cek lab 13.6 N N N 8871466156

UK 13 MINGGU

UK 32 MINGGU

CEK LAB 10.8 N 083878683992

UK 24 MINGGU

CEK LAB 10.1 N N N 085888082030

CEK LAB 10.2 2 0895330987455

CEK LAB 10.4 N N N 081280089464

UK 38 MINGGU
 REAK
CEK LAB 10.1 N N 083843464639
TIF
CEK LAB 12.4 n n n 085817312798

CEK LAB 12.4 n 089512964974

cek lab 13,7 n n n n

cek lab

CEK LAB

CEK LAB 13.3 n n n 089523022248

TFU 35+3HR, TFU 28CM, DJJ
10.3 N 087770980684
138X/M
12.4 n n n 083140178943

uk 14+3,tfu 2jr ats symp

9 N N N 114 0895315666501

tfu 3jr ats symp

cek lab 11.7 N N N 083805614879 GDS 118

cek lab 10.8 N N N 0895606378166 GDS 104

cek lab 11.6 N 089611432297

cek lab 12.5 N N N 088214426824

cek lab 11.3 N N N 08567148741 GDS 82

USG

CEK LAB 12 N N N 085695738796

CEK LAB 11.3 1 085781434350

CEK LAB 12 N N N

USG

CEK LAB 11.6 n

CEK LAB 12 N N N BLM SIHA

UK 16 MINGGU

USG 12 n

USG CEK LAB 13 n 081914362687

USGCEK LAB 11.3 N N N 085959754110

CEK LAB 13.3 n n n 081283159366 gds 95

cek lab

cek lab 11.1 n n n 081388467609

 0

TANGGAL
NO
KUJUNGAN
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR PEKERJAAN
TERAKHR

2/10/2023 1 MUTIARASARI ARI SETIAWAN 3271026409890003 9/24/1989 34 SMK IRT

2 ai yuni wahyuningtias endri 1213226405010002 5/24/2001 22 sma irt

3 winda ayu andri 2/21/1995 28 sma irt

4 siti nurlaela fadli 3174015903890005 3/19/1989 34 sd irt

5 kenny harlen anton suryadi 3271066005900001 20/5/1990 33 sma irt

6 gita budiarti rudi 3203165307930003 7/13/1993 30 sma irt

7 Surtiyani Anwar sanusi 1/21/1991 32 smp irt

8 sisca renaldi carasmela 3271016409900002 9/24/1990 33 sma kary. swasta

9 azahra rafli 3201255810030008 10/18/2003 19 sma irt

10 herlinda kamaludin 180619504920004 4/12/1992 31 smk irt

11 erni kurniawati arif fadila 3204324612840001 12/6/1984 38 sma irt

12 lutfiyah surya 3201264703960003 3/7/1996 27 sd irt

13 halimatusadiah dede erza 3201352029990003 2/12/1999 24 smu irt

14 wangi melati asikin 10/31/1991 31 smp irt

03 Oktober 2023 1 indri oktaviyani entis sutisna 3271025110900013 10/11/1990 32 smp irt

2 devi yulianyah dini hermansyah 3271024907000010 7/9/2000 23 smu irt

3 tuti alawiyah dede 3271026409940006 9/24/1994 29 sd irt

4 fitriani m. angga 3271024802970001 2/8/1997 26 smk irt

5 ila rosita supriyatman 3203094907990002 7/9/1999 24 smp irt

6 ade rahmawati haryono 3271025105820010 5/11/1982 41 sma irt

7 annisa fania esa 3271646110000004 10/21/2000 22 smk irt

8 Surtiyani Anwar sanusi 1/21/1991 32 smp irt

9 mia afriyani fahrudin 3271027004920004 30/4/1992 31 sd irt

10 sumita dede 3271024510890001 5/10/1989 33 sma irt

11 rela hendi 32710286006910003 6/20/1991 32 sd irt

12 abdul azis 32710665099400003 9/25/1994 29 sma irt

siti suroya
13 herwin sahrudin 3271026310930002 10/23/1993 29 d1 irt
nursufiah
14 adiansyah 3271025605900005 5/16/1990 33 sma kar,swasta
nurliawati
15 kaerun 3276046915830003 5/25/1983 40 smp irt
kutriyah
16 husnul yakin 3271025012800010 12/10/1980 42 sma irt
mariani
17 aris 123
yuke
123

04 Oktober 2023 1 ERY 3201246305010001 5/23/2001 22 SMA IRT

RITA LALA FATMAWATI
123
05 Oktober 2023 1 BIMA CUCU 3271026703850005 3/27/1985 38 S2 PNS
SRI NENEH N
ACHMAD NOOR
2 3271024808930002 8/8/1993 30 SMK IRT
MALSAH CAHYADI
RAHMAT ADESMA
3 FADIA 3315046808900001 8/28/1990 33 S2 PNS
HARZY
4 INE ANANG SURYANA 3271026204850014 4/22/1985 38 SMA IRT

5 PUTRI SITI FAJAR 32711026410950008 10/24/1995 27 SMA IRT

123

06 Oktober 2023 1 sri wahyuni abdurahman 3201056306000004 6/23/2001 22 smp irt

2 dita rizal 3271026207940006 7/22/1994 29 s1 irt

3 nurazizah aditya 3201256904040005 4/29/2004 19 sd irt

123

07 Oktober 2023 1 DEDE WENIWIDIANITA ADITIA 3278075703940003 17/3/94 #VALUE! S1 KARYAWAN

2 desi muhamad 3271024409920011 9/4/1992 31 sd irt

123

3 C diki rahmat 3271046412000009 24/12/2000 22 smk irt

4 wahyu yulianti hadi iskandar 3315105804840001 18/4/1984 39 sd irt

123

09 Oktober 2023 1 siti sania asfandi 3201314806040009 6/8/2004 19 smp irt

2 nuniek pujawahyuni maman 3201044309900004 9/3/1990 33 smp irt

3 luthipiyati khofiyyah duwiki 3271027001000002 1/30/2000 23 d3 irt

4 aeni susanti abdurahman 3271025808920005 8/18/1992 31 smk irt

 5 nadia yuningsih gugun 3271046708920008 8/27/1992 31 smu irt

6 sani rosani hermawan 3205064509930005 9/5/1993 30 smp irt

7 katerina adinda sunandi 3271014203020015 3/2/2002 21 sma guru

8 yulia rahman abdul rahman 3271024210060005 10/2/2006 17 sd irt

9 deby farahdina suryo hadi 32013155019940005 1/15/1994 29 smu irt

10 wahyu yulianti hadi iskandar 3315105804840001 4/18/1984 39 sd irt

12 oktavia ramadhani febian 3271015710050003 10/17/2005 17 smk irt

13 selvi handayani dicky 3271025509970003 9/15/1997 26 smu irt

14 siti syakira aunilah m.yusuf 3271024312050004 12/3/2005 17 smp irt

123

10 Oktober 2023 1 GITA BUDIARTI RUDI S 3203165307900003 13/7/93 #VALUE! SMA IRT

2 SITI NURLAILA DANI RAMDANI 3271027112980010 21/12/98 #VALUE! SMP IRT

3 LINDA NURODIN 3271015911050003 19/11/03 #VALUE! SD IRT

4 ADE RAHMAWATI HARYONO 3271025105820010 11/5/82 40 SMA IRT

5 DWI LESTARI M, ROMDONI 3271026002990008 20/2/99 #VALUE! SMA IRT

KARY.SWAST
6 FANY INDRIANI M SYIFA YOGFA 3271026002990007 20/2/99 #VALUE! D3
A
7 ST NURAZIZAH RIZKY 3271016006030004 20/6/03 #VALUE! SMP IRT

8 DYAH AMBARANY FEBRIANTO 3271024612920007 6/12/90 33 SMA IRT

9 NURMUSTIKA SANDI R 3271025407870002 14/7/87 #VALUE! D1 IRT

KARY.SWAST
10 DEVIN JULIANSAH DENI 3271024907000010 9/7/00 23 SMA
A
 11 RIAN JANI SAPUTRI WINDA 3271024701020004 1/7/2002 21 SD IRT

12 YULIA RAHMAN ABDUL RAHMAN 3271024210060005 10/2/2006 17 SD IRT

13 RESA PURNAWATI AHMAD FAILANI 3201296401880004 1/24/1988 35 SD IRT

14 MAUDI AYUNIA MISWANTIMAM SYAFEI 327026806980004 6/28/1998 25 SMK IRT

15 SITI MARIAM AHMAD ZEIN 3271014312880006 12/3/1988 34 D3 IRT

16 M.RIZKY 3271026609990001 9/26/1999 24 SMK IRT

ERIKA
17 NURLISTRIANI BAYU PURNAMA 3271024907040004 7/9/2004 19 SMK IRT
BAMBANG
18 3271016811990025 11/28/1999 23 SMU IRT
NOVIANTI WAHYU PRAT DARIYANTO
19 SITI ANNUR RISHA RIZKIWILDAN ALDANI 3201246202000003 2/22/2000 23 SMA KARYAWAN

123

RABU,11/10/23 1 ERNILAM NDRURU AGUS 1204105404970001 14/4/97 #VALUE! SMA IRT

KARY.SWAST
2 RINI HARTINI NURDIN SANJAYA 3602206510970001 25/10/97 #VALUE! S1
A
3 SARI PURWATI DIAN ANGGARA 327102560590003 5/16/1990 33 SMA IRT

12 Oktober 2023 1 desy listyani wulandari fajar yunianto 3276066612960002 12/24/1996 26 smk irt

123

13 Oktober 2023 1 rika anggraeni nurjaya 3201285405980006 6/14/1998 25 smp irt

123
KARY.SWAST
SABTU,14/10/23 1 APRILIA ASTUTI MUHAMAD JODI 3271015904910005 19/4/91 #VALUE! S1
A
2 MEYLIEN RACHMAN WINI 7171024805730003 5/8/1973 50
 3 MERI SUSANTI ASEP RANDI 3271025003900007 3/10/1990 33

123

16 Oktober 2023 1 MUTIARA SARI ARI SETIAWAN 3271026404890003 24/9/89 #VALUE! SMA IRT

2 MERRI SAFITRI YANUAR 3271027004920005 30/4/92 #VALUE! SMA IRT

3 LINA HERAWATI SAEPUL 3271017004940003 30/4/94 #VALUE! SMP IRT

MARDIANA HIKMA
4 BAGUS PRATAMA 3271025803990004 18/3/99 #VALUE! SMK KARYAWAN
WAHYUNI
5 3201315202990003 2/12/1999 24
HALIMATUS SADIAH
6 NENGSIH 18
9/5/2005
FEBRIANA
7 ANDRIANSYAH 3215136102880002 21/2/88 #VALUE! SMA IRT
PERMANASARI
8 SITI MAHARANI YAKUB 3271024810850007 8/10/85 38 SMP IRT

9 RIKA FAJAR 6102075705980004 5/17/1998 25 SMP IRT

10 PUPUT WAHYU 3404146103890003 3/21/1989 34 SMA IRT

11 Desi nurani umar 3271024512870013 12/5/1987 35 smk irt

12 erika juliyanti teguh 3271027007990001 7/30/1999 24 sma irt

123

17 Oktober 2023 1 linda m.nurobin 3271015977050003 11/19/2003 19 sd irt

2 yati rusyati ahmad riadi 3271024309830005 9/3/1983 40 sd irt

3 yesi lestari yadi supriadi 3202116304950004 4/23/1995 28 smk irt

4 siti hasanah hilman 1/15/1984 39 smp irt

5 vita fatimah yusuf 3271025206840009 6/12/1984 39 smp irt

 6 elis dewi siti sundari dayat 3271026604010005 4/26/2001 22 snmp irt

7 ani suhaeni suhendi 3271024412880002 12/4/1988 34 sd irt

8 sunita oktaviani dede 3271024510890001 10/5/1989 33 sma irt

9 siti nurjanah ahmad 3271025306820005 6/13/1982 41 smp irt

10 yesyyca aditya 3271025002950009 2/10/1995 28 sma irt

11 fauziah rahmah dedi 327102110700002 7/11/2023 0 smk irt

12 nurfani m ramadan 3271045202050008 12/2/05 17 smp irt

fransisca putrii
13 deni 3271026605010012 26/5/01 #VALUE! smk kary.swasta
fransiscus
14 novie m ramadhan 327102551920010 15/11/92 #VALUE! sma irt

15 primayulita deri ega 3271025607970005 16/7/97 #VALUE! d3 karyawan

123

19 Oktober 2023 1 Vita apriani ahmad jajuli 3201184102010005 2/1/2001 22 sma irt

123

20 Oktober 2023 1 afisa wiki lestari suandi 3271026304970003 23/4/97 #VALUE! smk irt

123

23 Oktober 2023 1 ahmad 3271025801820014 1/18/1982 41 smk irt

MALSAH NUR AZIS
2 siti suryati miftah 3201384607930006 7/6/1993 30 sma irt

3 ani maryani burhannudin 3271024812860001 12/8/1986 36 sma irt

4 visca rismawati taat 3271024302900001 2/3/1990 33 sma irt

123
24 Oktober 2023 1 siti sopiah asep 32710267060500006 6/7/2005 18 sd irt

2 eva muhidin 3201246401060002 1/24/2006 17 smp irt

3 pinkan dania poetri jordi 3275014308980007 8/3/1998 25 smk irt

4 linda nurodin 3271015911050003 11/19/2003 19 sd irt

5 nurlailatul zahvia m.diarizki 3271055611030006 11/16/2003 19 smp irt

6 risti jaya 327102531000003 10/13/2000 22 sma irt

7 hasnatul hotimah apit 3201277112940006 12/31/1994 28 s1 guru

8 rani noviani rijal 3201245711000001 11/17/2000 22 sma irt

9 hasyanul fitri febri 3201295005930002 5/10/1993 30 smp irt

10 nuniek pujawahyuni maman 3201044309900004 9/3/1990 33 smp irt

11 erika m. rizky 3271026609990001 9/26/1999 24 smk irt

12 anisa fania esa 3276046110000004 10/21/2000 22 smk irt

13 fitri apriliani ricky 32710162049600013 4/27/1996 27 sma irt

14 siti kurniasih aditya 3271024908980005 8/9/1998 25 sma irt

15 devianti setiawan rendy lody 3271024305970005 5/3/1997 26 sma irt

16 uni lestari dodi 3519075103850002 3/11/1985 38 s1 irt

123
cintaya danai
25 Oktober 2023 1 sapto 3175095307040002 13/7/04 #VALUE! sma irt
suharsono
2 nurohmah saeful akbar 3271024505870013 5/5/87 36 smk irt

3 dewi andriani jaenudin 3271026512830009 25/12/83 #VALUE! smp irt

 123

26 Oktober 2023 1 eka agustina m.purkon 3201245008860006 8/10/1986 37 s1 guru

2 ema permana rizky maulana 3271015908940008 8/19/1994 29 smk karyawan

3 PUPUT FITRIANI NANDI SURYADI 3201214605000004 5/6/2000 23 SMP IRT

123

28 Oktober 2023 1 SITI HASANAH ALDI JANUAR 3201047012960001 30/12/96 #VALUE! SMK IRT

2 TIA RISTIANA ANGGA SOPIAN 3271024405910005 04/5/91 32 SMP IRT

123

30 Oktober 2023 1 desi purnamasari nurul huda h 3271025512940004 12/18/1994 28 smp karyawan

2 wangi melati asikin 3271027110910002 10/31/1991 31 smp irt

3 afisa wiki lestari suandi 3271026304970003 4/23/1997 26 smk irt

4 rani rusniawati mulyadi 3271025604950002 4/16/1995 28 smk irt

5 rina mardiana sandi 3201255405940003 5/14/1994 29 smp irt

6 surtiani anwar sanusi 3271026101910004 1/21/1991 32 sd irt

7 yuwi safitri wahyu 3271024401010011 1/4/2001 22 smp irt

8 ika setiawati maman 3271024212820008 2/12/1982 41 smp karyawan

9 erwinsyahrudin 3271026310930002 10/23/1993 29 d1 irt

NURUSSUFIAH
123

31 Oktober 2023 natasha 0

septiani ade saprudin 3271025809980001 9/18/1998 Err:502 smp irt

hasyanul fitri febri purwanto 3201295005930002 5/10/1993 Err:502 smp irt

yuwi safitri wahyu 3271024401010011 1/4/2001 22 smp irt

dewi andriani jaenudin 3271026512830009 12/25/1983 Err:502 smp irt

cintaya danai sapto 3175095307040002 7/13/2004 Err:502 sma irt

siti sofariyah arfaid 3201384609890006 9/6/1989 Err:502 sma irt

afisa wiki lestari suandi 3271026304970003 4/23/1997 26 smk irt

0
0

0
 NAMA IBU NO HASIL PEMERIKSAAN (UK, DJJ,
ALAMAT GPA 0 HPHT TP TB LILA BB TD
KANDUNG BPJS TFU, PRESENTASI)

PARUNG
SUKAESIH BANTENG 2/1/2000 25/7/23 158 29.5 68.4 cek lab
05/01

tajur 2/5 1/0/0 5/8/23 140 40 cek lab

lilih harjasari 1/11 3/2/0 2/19/2023 cek lab

sd sari 1/7 4/3/0 ? 121/77 cek lab

leni sukasari 2/1 cek lab

domisi
eti 4/3/0 1/12/2023 157 25.5 67 118/73 ce lab uk 37 minggu
rancamaya 3/3
suryati sd. sari 3/2 1/0/0 2/11/2023 147 115/79

teti kurniati sd.sari 01/06 2/1/2000 150 63 130/84

fathin sd sari 3/5 2/1/0 5/16/2023 155 24 62.8 93/64 uk 20 minggu

hayunah sd sari 5/3 3/2/0 5/5/2023 158 23 60 100/80 cek lab

mamah
tajur 2/3 4/3/0 ? 160 24 51.8 103/80 uk 4 minggu
maryanah
ida villa tajur 4/8 3/2/0 7/23/2023 155 25 57 98/63 cek lab

siti holisoh sd rasa 1/3 1/0'0 6/6/2023 155 24 55.7 104/61 uk 17 minggu

imi sutimi dsd.sari 5/3 4/3/2000 3/15/2023 151 109/68

siti maria tajur 4/2 3/2/0 9/4/2023 157 30 140/91 uk 25 minggu

warsih sdrasa 2/8 1/0/0 1/7/2023 160 27 111/79 uk 37 minggu

hesti sd.rasa 3/11 3/1/1 2/27/2023 156 28 96.56 usg ukn 31 minggu
uk 35 minggu tfu 26 cm kep
iis aisyah sd.rasa 2/9 3/1/1 ? 153 27 60.4 95/65
145
yani sd.rasa 3/4 2/1/0 1/21/2023 147 28 68 139/80 usg

sd rasa 1/8 5/4/0 2/1/2023 61 126/91 usg

sutini bnr 04/06 3/0/2 12/6/2023 53 24.5 44.9 109/70

suryati sd. sari 3/2 1/0/0 2/11/2023 147 115/79

dewi sukasari 2/3 4'2'1 4/30/2023 152 27 57 98/60 uk 22 minggu

midah sd rasa 4/10 3/2/0 29/1/2023 156 24 55 97/64 usg

rukoyah sd.rasa 3/4 4/1/2002 2/20/2023 153 69.3 122/79

siti latipa sd.rasa 01/11 3/2/2000 21/1 2023 135 24.5 54.5

siti asiah tajur 2/2 2/1/2000 26/1/2023 150 25.8 64.7

acih tajur 3/3 2/1/2000 1/25/2023 159 23.5 58.4

ratini tajur 2/3 4/3/2000 4/14/2023 150

titin sulastini sukasari 02/04 3/2/2000

TITIN
GG.KUDUS 2/2 1/0/0 1/16/2023
SURYATINI
 PURIMAS 3/2/0 CEK LAB
DEDEH
SUKASARI 1/2 2/1/2000 1/25/2023 154 27 76.7 115/85
KURNIA
RANCAMAYA
NURIYA I 1/0/0 8/30/2023 155 31 67
1/7
KATULAMPA
JUBAEDAH 6/4/2001 LUPA 149 56.4 110/70
1/1
RAHMAWATI TAJUT=R 2/1 3/2/2000 4/7/2023 166 28 110/70 cek lab

sobariah sd sari 5/5 2/1/0 4/10/2023 160 27 61 110/80 cek lab

yuliani sd rasa 4/5 1/0/0 ? cek lab

cisarua2/11 1/.0/0 8/19/2023 tespeck positif

EEN SD.RASA 5/2 1/0/0 23/2/23

suratmi sukasari 3 4/6 4/3/2000 lupa 155 38 80.3 105/82 cek lab

juminten tajur2/3 1/0/0 1/17/2023 160 81 110/80

supriyati cipaku 3/7 6/3/2002 8/25/2023 156 32 37.1 118/70

nyiadah sd sari 1/4 1/0/0 6/26/2023 149 29 64 124/80 uk 15 minggu ceklab

barangsiang
ida rosida 4'3'0 4/15/2023 155 28 53 113/78 uk 28 minggu
5/8
yuniati sd rasa 3/4 1/0/0 5/3/2023 156 24 50 110/80 cek lab

fatimah sd rasa 4/5 4/2/1 8/5/2023 159 26 54 110/80 cek lab

 sd sari 2/5 2/1/0 2/23/2023 151 28 57 110/80 cek lab

katulampa5/1 3/1/1 8/7/2023 155 25 58 110/80 cek lab

muarasari 3/6 2/1/0 12/31/2023 159 27 61.6 110/80 uk 28 minggu

siti saripah sd rasa 1/8 1/0/0 1/20/2023 155 22 54 110/80 uk 36 minggu

yesi muarasari 2/2 1/0/0 1/10/2023 --- 155 25 71 105/80 uk 37 minggu

supriyati cipaku 3/7 6/3.2 8/25/2023 158 30 72 122/80 cek lab

ani irwani muarasari 5/6 1/0/0 ?

bojongkerta
siti aisyah 2/1/0 ? 153 21 61 110/80 cek lab
1/2
rosidianti sukamulya 1/5 1/0/0 ? 155 22 47 90/67 uk 27 minggu

RANCAMAYA
ETI 4/2/1 1/12/2023 158 68.3 109/72 UKL 39MG, TFU 28CM,
3/3
UK 26MG, TFU 19CM, KEP, DJJ
NANI TAJUR 4/2 3/2/0 151 59.7 104/59
150X/M
NURKITA SD.SARI 4/6 1/0/0 20/1/23 154 65.52 118/70 UK 38MG, TFU 29, KEP,
UK 40MG, 27CM, KEP, DJKJ
ASMAWATI SD.RASA 1/8 5/4/0 2/1/23 155.5 63 110/68
133X/M
KARTINI SK.SARI 2/1 1/0/0 10/7/23 151 72.3 118/86 USG
LENI
CURUG 1/7 2/0/1 15/2/23 158 68 120/80 CEK LAB
SURYANI
UUS SD.RASA 3/3 1/0/0 1/16/2023 CEK LAB

SUTINI SD.SARA 4/11 2/1/0 15/4/23 160 96 110/80 UK 25MG

IRNA SD.SARI 2/2 LANJUTKAN DIIT GULA

UK 39MG, TFU 31CM, DJJ
WARSIH SD.RASA 2/8 2/1/0 7/1/23 160 72.3 110/80
133X/M
SITI
TAJUR 4/4 3/2/0 7/7/2023 153 56.8 95/68 13MGG, BALL
NURJANAH
ST SARIPAH PALASARI 4/5 1/0/0 1/20/2023 155 62.3 112/86 36MGG, USG

YATI SDSARI 2/6 3/2/02 CEK LABHPL DAN BELUM ADA

SUDAH
KONTRAKSI, MASIH HIS PALSU
ADE
SDSARI 2/7 3/2/0 12/30/2022 154 SARANKAN KEMBALI 1
YULIANTI
MMINGGU BILA TDK ADA
HARJASARI
DERHANI 2/0/1 5/30/2023 155 78.7 109/78 PERUBAHAN
H 19MGG DIRUJUK
2/11
USG, DAN CEK LAB ULANG
LILIS SUMIATI SUKASARI 3/3 1/0/0 1/24/2023 156
MINGGU DEPAN
NURJANAH SUKASARI 5/3 1/0/0 156 58.2 101/71 USG

PUJI ATI SDSARI 2/6 1/0/0 2/27/2023 160

CEK LAB
MUARASARI
KARTINI 1/0/0 8/10/2023 154 CEK LAB
1/1

GRIYA
DAMELIA KATULAMPA 1/0/0 28/12/22 147 28 60 100/70 CEK LAB
11/10
RODIAH SD.SARI 1/3 1/0/0 20/2/23

SUMIATI SDRASA 2/2 2/1/0 6/23/2023

katulampa
marni 1/0/0 10/062023 151 23.7 48.3 108/70
panjang 2/9 45

sd sari 6/5 3/2/0 7/14/2023 155 34 66 110/80 cek lab

SUMIYATI CIPAKU 1/16 2/1/0 6/7/23 147 48 110/80 CEK LAB

TEST IVA RUJUKAN DARI BMC,
SUKASARI III, KELUHAN ADA RASA
5/1 TERBAKAR DI SALURAN
KENCING
 SAKIT SAAT BERHUBUNGAN,
TAJUR 2/6 DI DINDING VAGINA, IVA NEG
RUJUK DR UMUM

PARUNG
SUKAESIH 2/1/0 25/7/23 158 64 141/79 PERDARAHAN
BANTENG 5/1
YUYUM SD.RASA 5/4 3/1/0 8/25/2023 165 24.5 54.2 110/70
DOMISILI
NENENG 3/1/1 5/2/23
TAJUR 2/3
BANTAR
NANAH PEUTEUY 2/4- 2/0/1 1/9/23 158 32 83 128/80
TAJUR
KP. CIMANGLID RT 2/2

BANTAR
SUMIYATI 4/0 158 136/83
PEUTEUY 3/2
OOM
SD.RASA 4/9 4/2/1 14/4/23 148 25 57.4 105/69
KOMALA
KARCEM SD RASA 4/9 2/1/0 ? 158 24 64 140/80 CEK LAB

TETI SD RASA 1/5 ? 155 25 58 110/80 CEK LAB

sumarni sukasari 2/6 3/2/0 ? 161 26 69 90/58 uk 26 minggu

maemunah sukasari 2/5 1/0/0 8/8/2023 155 24 44 120/80 uk 8 minggu

nurkita sd sari 4/6 1/0/0 1/20/2023 154 29 65 110/80 usg

sd rasa 1/10 7/5/1 7/15/2023 153 61 107/66 usg

aas asiah tajur 2/4 2/1/0 ? 155 25 60 103/73 usg

harjasari 1/1 127/77 post sc lepas perban

sd rasa 3/8 3/2/0 7/10/2023 152 31 68 110/80 cek lab,usg

een sdrasa 1/11 2/1/0 7/20/2023 143 24 48 104/64 usg
157/'13
nursiah sukamulya7/3 3/2/0 3/29/2023 152 28 63 cek lab
2
nida sd rasa 4/10 3/2/0 1/29/2023 156 24 55 90/54 uk38 minggu

sd sari1/5 3/2/0 / 155 28 64 110/80 uk 33 minggu

gardutinggi 2/7 2/1/0 7/15/2023 160 24 40 110/80 cek lab

tajur3/6 2/1/0 7/7/2023 158 26 77 110/80 usg

domisili
rohani 2/1/0 ? 148 46.6 110/80 tfu 31cm, kep, djj + 140x/m
gardting 1/7
rustianah sk.sari 6/3 1/0/0 1/24/2023 168 89.5 114/71 cek lab

nurwiyah sk.sari 3/1 1/0/0 31/5/23 158 69.1 116/66 tfu sepusat, ball +, djj 145x/m
imas banjar wangi
1/0/0 27/101/23 155 cek lab
kurniawati 6/3

mulyanah sd rasa 1/9 2/1/0 4/28/2023 150 64 cek lab

asih sd.rasa 6/7 1/0/0 20/8/23 152 63 100/80 cek lab

lebak sari 1/2 post partum sc 2 minggu

tajur 2/3 3/2/0 2/21/2023 162 70.8 128/79 uk 36 minggu

sd sari4/2 4/2/1 ? cek lab

sd rasa 2/9 cek lab

siti nurkiyah sd rasa1/8 1/0/0 ? 148 22 52 108/66 uk 30 minggu

alm endah sd sari 4/6 1/0/0 6/24/2023 155 22 90/54 cek lab

ami sd rasa 2/9 3/2/0 2/2/2023 158 24 54 110/80 usg

nurkita sd sari 4/6 1/0/0 1/20/2023 154 29 65 119/67 uk 39 minggu

rusmini sd rasa2/12 2/1/0 8/21/2023 155 26 68 125/82 uk 9 minggu usg

susi tajur 1/6 2/1/0 3/9/2023 168 30 74 99/69 uk 33 minggu

aan tajur 3/2 2/1/0 3/30/2023 158 30 19 109/80 cek lab

eni bitungsari 3/5 1/0/0 8/21/2023 159 30 105/68 cek lab

sd sari 2/3 3'1/1 8/29/2023 150 30 135/100 cek lab

barangsiang5/8 4'3'[0 4/15/2023 153 29 55 109/73 uk 31 minggu

lilis sumiati sukasari 3/3 1/0/0 1/24/2023 156 24 49 92/57 uk 39 minggu cek hb

sutini katulampa 2/6 3/0/2 8/6/2023 155 24 46 110/80 uk 11 minggu

imas sd rasa 3/8 2/1/2000 2/13/2023 155 29 62 121/78 uk 36 minggu

aan sukasari 5/7 2/1/0 2/21/2023 156 24 52 94/50 uk 34 usg

sd rasa 4/3 2/1/0 8/22/2023 159 27 52 110/80 cek lab

mariyah villa tajur 3/2/0 8/7/2023 155 28 56 110/80 cek lab

etik muarasari 2/8 1/0/0 4/11/23 160 25 64 100/70 cek lab

yayah rastini puloarmin 5/4 p2a0 127/85 kontrol nifas

nuryati sd.r4asa 1/2 5/4/0 20/3/23 147 19 51 90/60

nina syari tipar 2/4 3/2/0 2/15/2023

st aida sdrasa 3/7 2/1/0 2/9/2023 156 27 70 110/70 CEK LAB

OMI SDRASA 4/10 1/0/0 6/12/2023 150 28 CEK LAB

EROH SK.SARI 5/2 2/1/0 2/7/23 155 25.5 59.7 126/62 CEK LAB
TITI
SD.RASA 1/1 3/2/0 28/5/23
NURHAYATI

mumun sdrasa 1/10 2/1/0 6/10/2023 155 93/58

imisutin sdsari 5/7 4/3/0 3/15/2023 161

asih sindangrasa6/7 1/0/0 8/20/2023 155 25 60 107/73 uk 11 minggu

titih sd rasa 2/10 ;4/3/0 9/8/2023 155 26 52 110/80 cek lab

yayah muarasari2/5 2/1/0 8/20/2023 156 25 54 110/80 cek lab

suryati sindangsar 3/2 1/0/0 2/11/2023 154 24 66.5 112/74 uk 38 minggu

sukasari 3/2 2/0/0 9/4/2023 150 24 56 110/80 uk 9 minggutespeck postitif

oon sdrasa 1/2 4/3/0 3/3/2023 154 cek lab

post partum 1 minggu jahitan
tajur 2/2
bagus tfu 3 jari diatas symps

sindangrasa
tindik
4/11
sd rasa 1/8 2/1/0 7/28/2023 148 23.5 48 110/80 usg cek lab
 sd sari 2/3 3/1/1 8/29/2023 155 28 65 110/80 cek lab

sukasari 3/2 2/0/0 9/4/2023 150 24 56 110/80 usg cek lab

sindangrasa1/2 5/4/0 3/20/2023 147 25 50 95/67 usg

muarasari 2/8 1/0/0 ? 161 25 63.5 104/74 uk 38 minggu

tajur 3/6 3/1/1 9/12/2023 158 24 49 110/80 uk 7 minggu

asih sindangrasa6/7 1/0/0 8/20/2023 155 25 60 107/73

 HASIL LAB
VAKSIN NO HP KETERANGAN
PROTEIN
HB VCT HBSAG SIFILIS
URIN

13.6 n n n

13.7 n n n gol dar b

14 n n n 1 gds 205

10.9 n n n

12.7 n

8.6 n n n n

12.7 n

11.5 n n n

11.6 n n n

n
11.7 n n
8.8

11.7 n n

11.7 n n

13.1 n n n

9.3

11.1

12.6 N
12 N N N

1`3,7 1

### N N N

12.3 N N N 1

10.4 n n n n

10.4 n n n gol dar a

12.3 n

12 n

13.3 n

13.3

13.4 n n n

12.1 n n n

12.3 n n n
12.6 n

11.6 n n n

11.7 n n n

9.9 N N N N

12.3 n

081293207881

083819411809

11.4 NEG

11.2 N N N N 087814452316 GDS 77

10.6 N N N N 082114868259 GDS 80

GDS 86 GOLDAR
11.1 N N N N 083873299403
B+
GDP 86
TT3

11.5 N N N 083811796409 GDS 116

08811697006

12.7 N
BAJARAWARU
11.4 N N N GDS 116 081290696857 KAB BOGOR
CIAWI 2/10

GDS 110 GOLDA

12.9 N N N N 081396711085
B/+
9.8 N N N N 081574002315

12 N N N 085780889364 GDS 96

13.7 n n n n 83189192755

12.6 n n

11.5 n n n 085711178504 gds 128

12.9 n reaktif n

10.5 n n n pos1 085890795526 gdds 135

14.1 n n n 089513665096 gds 131

tt

RUJUKAN

082114516671

14 n n n

12.2 n n n gds 113

12.2 n n n 895323299166 92 gds

11.4 n n n gsd 119

12.6 n n n 085881172784 gds 103

10.2 n n n gds 103 93

10.2 n n n 089692113738 gds 80

9.7 n n n n

10.3 n

12.1 N N N

11.5 n n n golda b/+

12.8 n n n

8.9 n n n gds 163

10.1 n n n

10.2 n

10 n n n

12 n n n

13.7 n n n gds 247

8.3 n

12 n n n

12 n n n

9.5 n n n n gds 138

9.2 n n n n 083815075504 gds 99

 n 89527180103

10.4 N N N N 085817959045 GDS 81

11.9 n n n 085814454595 gds 70

12.6 N 0 N 08988532230 GDS 100

10.1 N 0 N 081297958785 GDS109

10.3 n n n

10.7 n n n

9.8 n 85773038765

13.2 n n n 085778007682
gula darah puasa
124
 TANGGAL
NO
KUJUNGAN
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR
TERAKHR

8/1/2023 1 LINAWATI IIM PURNAWAN 3201145108880008 8/11/1988 34 SMA

TT5 2 MASNAH BINTI AMAR KARISMA 3204314503850005 3/5/1985 38 SD

3 RIKA NURAENI HAERUL SANI 3271025706890006 3/1/1985 38 SMA

4 LINA LISTRIANA EDI PRAMITO 3271025311850003 11/13/1985 37 SMA

SYIFFAWAN DAYA
5 SUHARYANI 3271024307950001 7/3/1995 28 SMA
SYAPUTRA
6 EVA YUANA NURAZIZA ANDRIANSYAH 3271024503930007 3/5/1993 30 S1

7 DWI ARIYANI DENI MARULLY 3272025804910002 4/18/1997 26 SMA

8 DARA MENTARI RATNAWATI ARI NUGROHO 3271026502020004 2/25/2002 21 SD

TT5 9 AYU AGUSTINA saepul anwar 3271024108910007 8/1/1991 32 SD

10 WILANINGSIH NAPIS MUNAWAR 3271024510850014 10/5/1985 37 SMP

11 NURIAH BINTI PANDI SHK 123

12 NOVIYANTI RAMA ABDULLAH 3271024811980004 11/8/1997 25 SMK

TT5 13 KUTRIYAH KHAERUN 3376046505830003 5/25/1983 40 SMP

14 NURUSUPIAH ERWIN SAHRUDIN 3271026310730002 10/23/1993 29 D1

SURYO HADI
15 DEBY FARAHDINA 3201315501940002 1/15/1994 29 SMA
KUSUMO
 TT5 16 FITA DAMAYANTI HERIYAWAN 3271024105850002 5/1/1985 38 SMK

TT5 17 RINI NOVITA asep sumarna 3201314811920001 11/8/1992 30 SMK

ABDURAHMAN
18 YUNIA RAHAYU JATNIKA 3271025606870001 6/16/1987 36 SMA
SYAFEI
19 TITIN NURCHAENI UDI RAHAYU 3327105702930001 2/17/1997 26 D3

123

02 Agustus 2023 1 ANISA ADI 3271025507010003 7/15/2001 22 SMP

LILIS INDRIYANI EMUS 3271026902000006 2/29/2000 23 SD

TT5 SRI RAHAYU FUJI ASTUTI AHMAD RIDWAN 3271016212880006 22/12/1988 34 SMA

TT5 SITI HASANAH ACEP ANWAR 3271025911910001 19/11/1991 31 SMP

NOVIA BUDIANTI HANIFAH M.RAMDONI 3271035011960011 11/10/1996 26 SMP

123

03 Agustus 2023 1 A.lATIF 3271024909910002 9/9/1991 31 SMA

EGA NURMEGAWATI
TT5 123

04 Agustus 2023 M.MARWAN 3201285410000001 10/14/2000 22 SMP

ROSITA
123

05 Agustus 2023 ANDES 3271024104020007 4/1/2002 21 SMK

ADELLA APRILIA
DEDE RUSLAN
TT5 3271024510890001 10/5/1989 33 SMA
SUMITA OKTAVIANI WIRYANA
R.IWAN SETIAWAN 3271045311870012 11/13/1987 35 SMU
IMA NOVIANA
123

07 Agustus 2023 1 INDRI OKTAVIYANI ENTIS SUTISNA 3271025110900013 10/11/1990 32 SMP

 TT5 2 AFRISKA ANDI MATASTONO 3171036104880002 4/21/1988 35 SMK

3 RISTI OKTAVIYANTI JAYA SONA 3271025310000003 10/13/2000 22 SMA

4 EVA YUANA NURAZIZA ANDRIANSYAH 3271024503930007 3/5/1993 30 S1

5 NUROHMAH BINTI MOH. ALI SAEPUL AKBAR 3271024505870013 5/5/1987 36 SMK

MAMAN
TT5 6 NUNIEK PUJAWAHYUNI 3201044309900004 9/3/1990 32 SMP
NURJAMAN
7 PUJI JUWITASARI AURELIO 3271016806030010 6/28/2003 20 SMK

8 AZZAHRA MA'RIFATUSSOLIHAH RAFLI FARGALI 3201255810030008 10/18/2003 19 SMA

9 RINI DIRA 3271024605920007 5/16/1992 31 SMK

10 SITI KURNIASIH ADITYA SEPTIANA 3271024908980005 8/9/1998 24 SMA

11 ELSA SRI RAHAYU 123

DEDE ERZA
12 HALIMATUS SADIAH 3201315202990003 2/12/1999 24 SMK
LUKMANA
13 HENI PURWA LASTRININGRUM M.IDRUS 1607076309880003 9/23/1990 32 SMP

14 SAILAH OCTAVIANTI SONIA PADILAH 3271024110000002 10/1/2000 22 SMU

15 YUSTIANA WIYATI AHMAD GUNAWAN 3271024108920003 8/1/1992 31 SMA

TT5 16 ISNAENI BINTI MISBAH WARDIANSYAH 3271024703970005 7/3/1997 26

SMP
123

08 Agustus 2023 1 INDRI OKTAVIYANI ENTIS SUTISNA 3271025110900013 10/11/1990 32 SMP

TT5 2 SUHERMAN 3202296404990004 4/24/1999 24 SMP

NURHALIMAH
3 HASNATUL HOTIMAH APIT JULIANSYAH 3201277112940006 12/31/1994 28 S1

TT5 4 SITI NURAENI UDIN SAMSUDIN 3271025104820009 4/11/1982 41 SD

 5 TUTI SULASTRI MULYADI 327102530990006 9/13/1990 32 D3

TT5 6
RINI RISNAWATI
SUHENDAR 3271026707970007 7/27/1997 26 SMP

7 IRWANSYAH 3271024310870003 10/3/1987 35 SMA

DIAN NURMAWATI
8 YEFTA MALANA 3271025703960001 3/17/1996 27 SMU
SITI NURUL HASANAH
ACHMAD NOOR
9 3271024808930002 8/8/1993 29 SMU
MALSAH NUR AZIS CAHYADI
SYIFFAWAN DAYA
10 3271024307950001 7/3/1995 28 SMU
SUHARYANI SAPUTRA
TT5 11 EMUS 3271026902000006 2/29/2000 23 SD
LILIS INDRIYANI
12 TEGUH 3271024701950002 1/7/1995 28 SMU
RETNO ANGGITIA
13 FAQI TEGUH 3275094602910021 2/6/1991 32 SMP
NUR KHANIPAH
14 IRSAN 3201215609950003 9/16/1995 27 SMU
RINA HARYANI
15 1/28/2007 16 SMP
FANCA INDAH AYUNINGTYAS
16 123
SITI RADIFA ALMAIRA AZZAHRA
17 SALMAN ALFARIZI 3271026308930003 8/23/1993 29 S1
PUJI ASTUTI
18 IRPAN H 3271014503990003 10/15/1999 23 SMU
SITI PATIMAH
19 ENDANG 3271026912850004 12/29/1985 37 SMP
LELA NUR ANDRIANI
20 MARYADI 3201046205970001 5/22/1997 26 S1
NURMALA SAMAWATI
123

09 Agustus 2023 1 REZA FARA FARIS 3271016803010008 28/3/01 #VALUE! S1

123

10 Agustus 2023 IKA KURNIAWATI ACU 3271026302360002 2/23/1996 27

 123

wiwi yunita arif rahman 3271025006970001 6/10/1997 26 d3

maulidia subhan 327106471100011 11/7/2000 22 smk

salwa indra 3271026802030004 2/28/2003 20 smk

123

12 AGUSTU 2023 1 HAMIDAH JULIAN 3271024601900003 6/1/90 33 D3

2 ELLA KARMILA JAENAL ABIDIN 3271027009720002 30/9/72 #VALUE! SMA

3 RIKA RIZQI AGUNG 3271026607890004 26/7/89 #VALUE! SMA

4 PENI WULANDARI ANDES SUPRIANA 3202235309940001 14/9/94 #VALUE! SMA

SHINTA IRMA RAHMAWATI SAEFUDIN 3271015401950008 1/14/1995 28 SMK

123

15 Agustus 2023 1 siti ,maharani yakub 3271024810850007 10/8/1985 37 smp

2 nadia yuningsih gugun 3271046708920008 8/27/1992 30 smu

3 pinkan dania poetri jordi fernando 3275014308980007 8/3/1998 24 smu

4 siti nurhasanah dwi widianto 320115650300001 3/25/2000 23 sd

5 lusi amrizal 3271014402920009 2/4/1992 31 smp

6 enden dewi sinta laelasari muhamad sadikin 3206014307050001 7/3/2004 19 smu

7 surtiani anwar 3271026101910004 1/21/1991 32 sd

8 selvi handayani dicky restiadi 3271025509970003 9/15/1997 25 smu

9 febriana permanasari andriansyah 3215136102880002 2/21/1988 35 smu

 10 indriyani lukita aditya 3271026006970002 6/20/1997 26 s1

123

15 Agustus 2023 1 durriyah najibah m.najib 3271041508970012 8/15/1997 25 s1

2 kenny harlen anton suryadi 3271066005900001 5/20/1990 33 sma

3 hilma nurul maulida asep 3271024110890010 10/1/1989 33 smp

4 heipong m lerap 3526164106950003 1/6/95 28 smp

5 retno rusmawarsih redi 3271014603910002 6/3/91 32

6 fatiatun kurniawan 3209275102960010 2/11/1996 27 s1

7 silvani saepulloh 3271020301040002 1/23/2004 19 smp

8 novie m. ramadhan 327102551920010 11/15/1992 30 smu

9 fita damayanti heriyawan 3271024105850002 5/1/1985 38 smk

123
SANDRI
16 Agustus 2023 1 GITA GRAHA 3271015803920004 3/18/1992 31 D3
HERDIAWAN
2 SAILAH OKTAVIANTI M.PADILAH 3271024110000002 10/1/2000 22 SMU

123

19 Agustus 2023 1 MIA ERLIANA TAUFIK 3271025906950004 19/6/95 #VALUE! S1

123

21 Agustus 2023 1 dede aslia suprayogi 3271016003870015 3/20/1987 36 sd

2 puji astuti salman 3271026308930003 8/23/1993 29 s1

 3 raden hana ahmad junaedi 3271024108900001 8/1/1990 33 s1

123

22 Agustus 2023 1 rian jani saputri winda 3271024701020004 1/7/2002 21 sd

2 asri maulani firmansyah 3271024301850002 123 s1

3 devi juliansyah deni hermawansyah 327102490700010 7/9/2000 23 smu

4 ila rosita supriyatman 3203094907990002 7/9/1999 24 smp

5 lilis indriyani emus 327102690200006 2/29/2000 23 sd

6 maudi imam syafei 3271026806980004 28/6/98 #VALUE! smk

7 fitriyana m. alhamad 3172046306950010 6/23/1995 28 s1

8 siti khadijah empud 3271025411900007 11/19/1990 32 sd

9 Dwi sarah m. dali 3271026810980016 10/28/1998 24 smp

10 septia aidaningrum ahmad rega 3271054509940013 9/5/1994 28 smu

11 pipih cahyani cep romasyah 3201044303990001 1/7/2001 22 sd

123

23 Agustus 2023 KHURILIN ADAM 325066107850001 7/21/1985 38 SMU

rafika chandra dewi mukhlis 3271026312950006 12/23/1995 27 s1

siti fatimah ade haris 3271026511010009 11/25/2001 21 smp

ita siti rohmah dudan abdul halim 3203115303910007 3/13/1991 32 smu

123

24 Agustus 2023 WILANINGSIH 123

 YUNANI DEDY SETIAWAN 3310145906900002 6/19/1990 33 S1

RIA REZITA YOGI 3272046212930001 12/22/1993 29 S1

123

25 Agustus 2023 irni susanti m. imron 3271026704960011 4/27/1996 27 smu

123

28 Agustus 2023 1 SITI SAODAH RIKI SETIAWAN 3201276307940001 7/23/1994 29 SMP

2 SAIDAH SUKRIN 3301136402870002 2/24/1989 34 SD

3 M.NAJIB 3271041505970012 5/15/1997 26 S1

DURIYYAH NAJIBAH IMTINAN
4 ATUFIK NURCAHYA 3271016005910005 5/20/1991 32 SMA
SITI SARAH
5 KARLINA KUSNADI 3271026506980011 6/25/1998 25 SMP

6 DIAH PUSPITASARI SARIPUDIN 3271025301960002 1/13/1996 27 SMK

7 SUNANDI 3271014203020015 3/2/2002 21 SMA

KATARINA ADINDA MAYA LESTARI
8 RINI ARIANTI CHANDRA MALIK 1603145715980003 5/17/1998 25 SMA

123

29 Agustus 2023 1 siti sopiah asep 3271026706050006 6/11/2005 18 sd

2 siti masripah wawan 3271024403880008 3/4/1988 35 sd

3 linawati iim 3201145108880008 8/11/1988 34 sma

4 encu siti rohayah dedi 3271024705860012 5/7/1986 37 smu

5 imas anah ruslan 3202165201960015 1/12/1996 27 sd

6 fenty moch sarman ibnu 3271025403830006 3/14/1983 40 smp

 7 angry agustina adi 3271034508890003 8/5/1989 33 smu

8 siti hanum arman 3271016909030010 9/29/2003 19 smu

9 deby farahdina suryo 320131551940002 1/15/1994 29 smu

10 mia afriyani fahrudin 3271027004920004 4/30/1992 31 sd

11 shovi rahmanisa imade teguh 3201305407940002 7/14/1994 29 s1

12 sofiatun safari 3524054712870003 12/7/1987 35 smp

13 fitri apriliani ricky 3271016204960013 4/27/1996 27 smu

123

30 Agustus 2023 1 yati rusyati ahmad riadi lubis 3271024309830005 9/3/1983 39 sd

2 ANI ARYANITA ARIF NURAHMAN 3271025608800017 8/16/1980 42 SD

123

31 Agustus 2023 1 DESI TRIANA BULYAMIN 3202066912920001 29/12/92 #VALUE! SMP

2 SUGANDI 3271026412870006 12/24/1987 35 SMP

ROIMAH BINTI JANI
3 WINDY CHINTIA BUNCAI 3201296908960001 8/29/1996 26 SMA

123

123

123

123

123

0
0

0
0

0
 NAMA IBU
PEKERJAAN KANDUNG ALAMAT NO BPJS GPA 0 HPHT TP TB LILA BB TD

IRT PATMAWATI CIAWI 4/4 3/2/0 1/12/22 145 31 62.5 114/80

IRT MASANAH SKM 3/5 3/1/2001 11/12/22 163.2

IRT EMEH SDRASA 1/11 5/1/2003 5/6/2023 158 45 94/58

IRT SADIYAH TAJUR 1/2 2/1/2000 10/25/2022 151 67.7 1283

KARYAWAN FATMAWATI TAJUR 4/2 1/0/0 11/5/2022 145 108/75

P.SWASTA SAUNARSIH SDSARI 3/4 2/1/0 11/6/2022 155 119/74

KEDUNG BADAK
IRT SANTI 1/0/0 10/27/2022 168
1/3
DEDE
IRT SDERASA 3/9 2/1/0 ? 156
RATNAWATI
IRT SDRASA 2/10 3/2/0 ? 147

IRT ANAH SUKASARI 2/2 2/1/0 11/1/2022 150 115/78

KARYAWAN NUNUNG SDRASA 4/11 1/0/0 ?/10/22 156 116/75

USAHA PRATIMI TAJUR 2/3 4/3/0 4/14/2023 150 71.2 108/80

IRT ST ASIAH TAJUR 02/02 2/1/2000 1/27/2023 150 25.8 59.2 95/67

KARYAWAN YUSI AHMAD MUARASARI 2/2 1/0/0 10/1/2023 155.5 122/80

 KATULAMPA
IRT MARIA 5/3/1 11/15/2022 155
3/14
IRT ROSIDAH SDRASA 1/4 4/3/0 2/1/2023 145 100/63
NITA
IRT SDSARI 3/3 3/2/0
ANDRIANI
IRT JUHARAH TAJUR 3/3 2/0/1 1/7/2023 160 26 115/68

CIPINANG
IRT SITI ROHANI 2/1/0 11/13/2022 159 26 149/98
GADING
IRT SDRASA 1/8 2/1/0 12/6/2022 153 28 110/80

IRT YUHANI SKS 1/5 3/2/0 12/16/2022 155

IRT UPEN SDRASA 2/12 4/3/0 21/1/2023 145 26 120/80

HERMAYA
IRT TEGAL LEGA 3/9 3/2/0 11/5/2022 162
PUSPA

SINDANG SARI
IRT ACIH.S 5/1/2003 12/5/2023 155 26 50 102/69
04/02

IRT IIN SDSARI 4/5 2/1/0 10/15/2022 151 31

IRT DILA SARI SD.SARI 1/6 2/0/1 4/17/2023

KADER MIDAH SD.RASA 4/10 3/2/0 1/29/2023

KARYAWAN SUPRIATI TAJUR 4/6 1/0/0 1/9/2023 148 31

IRT SITI MARIA TAJUR 4/2 3/2/0 4/9/2023 157 32 130/82

 IRT AMINAH SDRASA 2/2 4/3/0 12/22/2022 158 28.5 110/75
SUSI
KARYAWAN TAJUR 1/6 2/1/0 3/9/2023 168 30 108/70
LUSIAWATI
KARYAWAN SUNARSIH SDSARI 3/4 2/1/0 11/6/2022 155 121/81
YAYAH PULO ARMYN
IRT 2/1/0 ?? 155 119/86
ROSTINI 5/4
IRT IDA ROSIDA BR SIANG 5/8 4/3/0 4/15/2023 93/60

SWASTA FARIDA MUARASARI 3/8 1/0/0 4/15/2023 155 22 94/55

KULIAH FATHIN SDSARI 3/5 2/1/0 5/16/2023 160

IRT ENUNG SDSARI 2/7 3/2/0 12/31/2022

AAN
IRT SUKASARI 5/7 2/1/0 2/21/2023 156
HERAWATI

KARYAWAN SITI HOLISOH SDRASA 1/3 1/0/0 7/2/2023 155

IRT LASTRI SDSARI 4/2 3/2/0 2/18/2023

NIA
KARYAWAN SUKASARI 1/2 1/0/0 11/13/2022 170 118/84
KURNIAWATI
KARYAWAN FATIMAH SDSARI 2/6 2/1/0 3/18/2023 160

IRT ASIH SDSARI 4/4 4/3/0 3/23/2023 106/68

IRT SITI MARIA TAJUR 4/2 3/2/0 4/9/2023 157 32 132/77

ENDEH SINDANGSARI
IRT 1/0/0 1/22/2023 155 25 120/80
FARIDAH 4/6
IRT TAJUR 3/2 2/1/0 3/30/2023 156 26 109/56
SINDANGSARI
IRT ENCUM 5/4/0 11/26/2022 160 33 172/86
5/5
 HALIMATUSA
IRT TAJUR 4/6 2/1/0 11/24/2022 151 24 115/75
DIAH
IRT KARSINAH SDRASA 2/7 3/2/0 5/15/2023 156 70.5 116/89

IRT KURNIATI TAJUR 3/4 3/2/0 12/25/2022 152 56.1 111/78

IRT NENTI SDRASA 1/11 1/0/0 5/15/2023 164 100/60

DEDEH
SWASTA SUKASARI 1/2 2/1/0 1/25/2023 154
KURNIA
KARYAWAN FATMAWATI TAJUR 4/2 1/0/0 11/5/2022 145 114/76

IRT SATNAH SDRASA 1/8 2/1/0 12/6/2022 153

KARYAWAN AMINAH TAJUR 4/9 3/2/0 ? 155

IRT TARO'A SDRASA 4/6 3/2/0 ?

SWASTA AMAS SUKASARI 2/5 2/1/0 5/7/2023 169

SUMIYATI TAJUR 1/0/0 ? 159 115/86

IRT ST SOPIAH SDSARI 2/1 2/1/0 12/26/2022 150

IRT JUJU TAJUR 2/4 2/0/1 1/28/2023 153 102/72

ENCUP
IRT SDRASA 3/152 5/4/0 26/102/2022
SUPIAH
IRT KUSMIATI SUKARAJA 4/5 1/0/0 11/28/2022

GURU ST ZULAEKHA MUARASARI 2/1 1/0/0 22/4/23 150

PALASARI 1/5 3/0/1 ?3/02023

 nurasiah katulampa 5/8 2/1/0 12/12/2022

sumiati sindangrasa 3/4 1/0/0 6/26/2023

irt lia harjasari6/8 1/0/0 1/7/2023

IRT DJUERIYAH SD.RASA 3/10 UMUM 2/1/0 15/4/23 22/1/24 147 28 59 90/70

IRT SURATMI TAJUR 1/4 122/70

IRT ATI MULYATI SD.RASA 2/3 UMUM 2/1/0 7/1/23

IRT NENI HARJASARI 2/1 UMUM 2/1/0 25/12/23 156 28

SUHERNI
SINDANGRASA
IRT MULYANING UMUM 2/1/2000 4/16/2023 1/23/2024 152 30 59 110/80
RT 3 RW 9
SIH

irt oom sindangrasa 4/9 4/2/1 ? 148 26 97/63

irt marsih sindangsari 2/5 2/1/0 2/23/2023 150 25 110/80

irt ami sindangrasa 2/9 3/2/0 2/2/2023 155 24 110/80

sindangrasa
irt nengsih 2/1/0 11/15/2022 142 23 110/80
3/12
irt murni harjasari 4/5 5/4/0 12/10/2022

irt dewi muarasari 3/1 1/0/0 12/12/2022 148

irt suryati sindangsari 3/2 1/0/0 2/11/2023 147

irt aisah bojongkerta 1/2 2/1/0 ? 153 110/70

irt sumiarti tajur 3/2 4/3/0 1/1/2023 153.6 108/78

 herni
karyawan sdrasa 3/11
suhertini

guru milik rahayu sindangsari 2/5 1/0/0 12/17/2022 160 110/80

irt leny wiharja sukasari 2/1 3/2/0 2/25/2023

irt elih sindangsari 6/1 3/2/0 6/14/2023

irt sk.sari 2/3 3/2/0 25/12/22 155 26 62.6

bosel 1/4 135/84

irt sukini sindangsari 4/2 1/0/0 3/7/2023 156 27 56 93/63

irt tini sindangrasa 2/2 1/0/0 ?

irt nurwiyah sukasari 3/1 1/0/0 5/31/2023 152 24 68 112/75

irt maria katulampa 3/14 5/3/1 ? 155 28 78 150/80

MUARASATRI
KARYAWAN KARWATI 1/0/0 3/26/2023 154
3/2
NIA
KARYWAN SUKASARI 1/2 1/0/0 11/13/2022 170 127/83
KURNIAWATI

GURU AMI SD.RASA 1/10 4/3/0 20/4/23 152 31 69 110/70

irt entat sindangsari 4/3 5/4/0 3/13/2023 160 119/78

irt siti sopiah sindangsari 2/1 2/1/0 12/26/2022 150 29 89/55

guru komarias sindangsari 3/1 4/1/2 5/4/2023 157 66 124/94

irt siti nurjan tajur 4/4 3/2/0 7/7/2023 153 26 105/95

guru neneng sindangrasa 5/4 6/2/3 5/5/2023 155

irt warsih sindangrasa 2/8 1/0/0 1/7/2023 160 25 71.6 102/72

irt yani sindangrasa 3/4 2/1/0 1/21/2023 147 28 118/89

irt satnah sindangrasa 1/8 2/1/0 12/6/2022 153 28 58 92/59

irt komariah sindangsari 2/7 3/2/0 12/30/2022 154 26.5 63 110/80

irt evina yasief tajur 1/1 1/0/0 4/13/2023 163 33 123/84

sindangrasa
irt endeh 5/2/2 4/16/2023 165 24 55.2 119/55
2/10
irt sumiati tajur 4/2 1/0/0 1/22/2023 158 21.5 85/51

irt janawati barangsiang 5/4 2/1/0 3/12/2023 158 24 51

sindangrasa
irt diah 3/1/1 12/28/2022
1/11

SINDANGSARI
IRT ROWIYAH 3/2/0 1/27/2023
2/6
irt ade sindangsari 3/6 1/0/0 11/23/2022

irt iis tajur 1/2 2/1/0 5/3/2023

irt siti rubaeah muarasari 5/3 3/2/0 12/15/2023

140/83
 GURU TUGINEM SDSARI 2/4 3/1/1 7/8/2023 4/15/2024 150

IRT OOM TAJUR 3/3 1/0/0 4/25/2023 107/71

irt entin sukasari 3/3 1/0/0 12/10/2022 155 110/80

IRT YUYUN SDRASA 5/5 2/1/0 1/28/2023 146

SITI
IRT SDSARI 1/6 4/2/1 2/19/2023 152
MASITOH
MILIK
GURU SDSARI 2/5 1/0/0 12/17/2022 160.4 26 62.6 105/67
RAHAYU
IRT TATI MUARASARI 4/3 2/1/0 5/14/2023 152

IRT KOMARIAH SDRASA 3/11 3/2/0 3/10/2023 118/77

KARYAWAN ONIH SUKASARI 2/1 2/1/0 7/21/2023 153 55.6 114/70

GURU CAHRIANI MUARASARI 3/6 2/1/0 3/25/2023 159 60.7 93/70

KARYAWAN SUSILAWATI CIPAKU 1/9 1/0/0 12/27/2022 158 70.3 122/85

irt nur sindangrasa 1/8 1/0/0 2/28/2023 148 110/80

irt nyairatmi sindangrasa 3/9 3/2/0 1/6/2023 150 109/71

irt patmawati ciawi4/4 3/2/0 12/1/2022 149 62.4 128/88

irt siti rohmah tajur 2/6 3/2/0 1/3/2023 155

irt siti fatimah sdrasa 2/11 3/2/0 12/14/2022 154 58 110/80

irt hani tajur 2/6 3/1/1 4/7/2023 155 110/70

 irt sukasari 5/1 3/2/0 ? 156 64 121/73
siti
irt plasari 5/5 1/0/0 1/20/2023 155 62 110/80
nurhasanah
irt yusi muarasari 2/2 1/0/0 1/10/2023 155 68 113/60

irt dewi sukasari2/3 4/2/1 4/30/2023 152 57 99/68

karyawan wawat babakan 2/1/0 ?

irt kastini sindangsari 2/2 3/0/2 1/17/2023 155 79 100/70

irt imas sindangrasa 3/8 2/1/0 2/13/2023 155 65 110/80

irt yanah sdrasa 1/10 7/5/1 7/15/2023 153

IRT ITOH SUKASARI 5/7 6/1/2023

IRT TURIYAH PAKUAN 1/1 2/1/0 30/3/23 148 28 61 100/70

IRT AMIAH SDRASA 1/10 3/2/0 15/3/2023?

DEDE EVI
IRT SDRASA 2/2 2/1/0 2/6/2023 159 62.1 100/70
NURYATI
 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

35MGG, 27.5CM, 137X/M KEP

MASUK PAP

12.9 N LEUKOSIT URINE +2

40MGG,31CM
38MGG, 24CM, KEP, BLM
MASUK PAP. 140X/M
38MGG, 147X/M, W,
KEPUTIHAN KUNING KE HIJAU
9.4 N LEUKOSIT +2

31MGG 11.2 N
39MGG, 26CM, 157X/M , KEP
MASUK PAP

37MGG, 26CM, KEP MASUK

PAP, 140X/M
16MGG

25 CM,KEP. MASUK PAP 146

26MGG, 18CM, KEP V,
137X/M, PUKI
38MGG 10.1

29MGG, 20CM, 157X/M KEP

CEK LAB 12.7 N N N N

CEK LAB KE 2 11.7 N

9.5 POS 1 LEUKOSIT +3

11.2 N N N

10 N

LAB 11.6 N N N n

10.5 N

11.8 N N N GDS 155

9.6 N N N GDS 101

11.1 N

17MGG, PERTENGAHAN PST

SIMP, DJJ BELUM TERLALU
TERDENGAR
32MGG, 26CM KEP SUDAH
MASUK PAP, 145X/M
21MGG, 4 JARI DBWH PST, DJJ
11.1 N N N GDS 112
KURANG JELAS, CEK LAB
39MGG, 29CM, PRES BOKONG,
RUJUK RS VANIA
26MGG, 19CM, DJJ 165X/M,
PRES KEP
16MGG, 4 JARI DOBAWAH
PST, DJJ +
16MGG, PERTENGAHAN PST GDS 165 GOL DAR
10 N N N
SIMP, DJJ 150X/M BALL + A+
CEK LAB 11 N N N

31MGG, CEK LAB 9.9 POS 1

5MGG 11 N N N GDS 110

24MGG, SEPUSAT. DJJ 134X/M
10.5 N N N GDS 132
, KEP
NYERI PINGGANG DAN PERUT
BAGOAN BAWAH, 38MGG, DJJ
144X/M, 30CM KEP PAP
11.2 n n n
19MGG, SEPUSAT, DJJ
TT2
134X/M, BALL

pusing terus menerus

UK 29 MINGGU KEP DJJ 143

UK 19 MINGGU
UK 36 MINGGU DJJ 143 KEP
TFU 26 CM
UK 37 MINGGU

10.6 N

10.9 N N N GDS 88

CEK LAB 12.2 N

39MGG, 29CM 146X/M KEP
BLM MASUK PAP
34MGG, CEK LAB USG 11 N

10 N N N N

37MGG 31CM KEP BLM

MASUK PAP, 155X/M

LEUKOSIT URINE
10 POS 1
POS 2
TT1
ht 27,7, trombo
9.1 n n n neg
150000, leko 9800
11.4 N LEUKOSIT +2

10.7 NR NR NR NR

KEMUNGKINAN AB
INCOMPLITE RUJUKAN POLI
UMUM
cek lab 11.7 n n n

cek lab 11.7 n n n n

CEK LAB 11.3 N N N

CEK LAB 11.7 N

CEK LAB 11.5 N

CEK LAB 11.3 N N N

uk 17 minggu

uk 24 minggu sepusat tt3

uk 27 minggu tt4 8 n n n

cek lab 11.3 n

cek lab 10.8 n

uk 32 minggu tfu 22 cm

uk 26 minggu kep djj 147

uk23 minggu

9.6 n
test iva dengan kel keputihan
sudah 3 bulan, diberikan
antibiotik dan obat supo tetap
ada keputihan
ht 37,6 trombo
uk 34 minggu usg 12.7 n 164000 leko 8300
gds 105trombo
ht 33,6
cek lab 11.6 n n n 252000 leko 9400
gds 121
cek lab 11 n n n

cek lab+usg 10.6 n n n n

kontrol jahitan

uk 23 minggu

usg 34 minggu

cek lab 13 n n n

uk 39 minggu

9.9 N N N GDS 142

39MGG, MULOAS2, DJJ + TFU
30CM, BLM ADA PEMBUKAAN

HT 33,5 TROMBO
CEK LAB 11.4 N N N 186000 LEKO 7900
GDS 117

uk 23 minggu djj 144

uk34 minggu djj 136

uk6 minggu cek lab 12.7 n n n

cek lab 12 n n n

usg 11.6 n

uk 30 minggu tt 2

uk 30 minggu tfu 23

usg 9.2 n

cek lab

uk 18 minggu

cek lab 10.9 n

cek lab 10.7 n n n

usg 10.5 n n

CEK LAB 10.6 n n n

cek lab 10.8 n

cek lab 11.6 n n n

10.4 n n n

KONTROL POST SC
20 HARI
 13.9 N N N GDS 128

11.5 N N N GDS 101

cek lab 12.1

9.1 N

9 N N N GDS 104
36MGG, DJJ 139XM, 29CM,
TT2
PRES KEP, PUKI
12 N N N GDS 89

CEK LAB 11.7 N N N GDS 123

11.4 N N N GDS 131

22MGG, 13CM, 143X/M TT3 10.6 N N N GDS 90

cek lab 9.6 n n n

usg uk 34 minggu 10.3 n

uk 38 minggu

cek lab 10.6 n

cek lab 12.5 n

suntik tt3
uk 32 minggu 11.8 n

cek lab 9.7 2

uk 33 minggu 10.4 n n n n

uk 17 minggu 10.7 n n n

cek lab 10.2 n n n

cek lab 11.6 n n n n

uk 28 minggu

13 N N N GDS 89

TES PECK

CEK LAB 12.6 N N N GDS 94

CEK LAB 10.3 N N N GDS 123

CEK LAB 10.3 N N N N GDS 130

 TANGGAL
NO
KUJUNGAN
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR PEKERJAAN
TERAKHR

1/7/2023 1 MAHARANI CANTIKA ILHAM 3271016901960005 1/29/1996 123 S1 KARYAWAN

03 Juli 2023 1 nurahmah saepul akbar 3271024505870013 5/5/1987 36 smk irt

2 rina haryani irsan 3021215609950003 9/16/1995 smu irt

3 siti maesaroh agus seftember 3271015808990012 8/18/1999 23 smp irt

4 turinah saskam 3215144809820005 8/ 9/ 1982 #VALUE! smp irt

5 nur syfia rudianto 3271025006950005 123 s1 guru

6 siti nurasiah redi 3201294301810002 1/3/1981 42 sma irt

meysa tri
7 3203035509980002 9/15/1998 24 smk irt
NENG RIKA KURNIAWATI hardiansyah
8 helpiyana ahmad apipah 3271024402930001 2/4/1993 30 sd irt

9 herliyani m. ardiansyah 3271027107030009 7/31/2003 19 smp irt

10 riska tedy 3271026901970007 1/29/1997 26 sma irt

123

04 Juli 2023 1 TURINAH 3215144809820005 9/8/1982 40 SMP IRT

SASKAM
2 DANI RAMADANI 3271027112980010 12/31/1998 24 SMP IRT
SITI NURLAILA
3 DENI HERMANSYAH 3271024907000010 7/9/2000 22 SMU KARYAWAN
DEVI JULIANSAH SAFITRI
 4 RESTI FEBRIANTI M.ALWAR 3206224202970004 2/2/1997 26 SD IRT
SYIFFAWAN DAYA
5 SUHARYANI 3271024307950001 7/3/1995 28 SMA KARYAWAN
SAPUTRA

6 ARI NUGROHO 3271026502020004 2/25/2002 21 SD IRT

DARA MENTARI RATNAWATI
7 HENDRA 3271025406920005 6/14/1992 31 SMA KARYAWAN
YUNI PURWATI
8 heriyawan 3271024105850002 5/1/1985 38 smk irt
FITA DAMAYANTI
9 elin susanti m.ikhlas 320116405890005 5/24/1989 34 smp irt

10 siti kueniasih aditya septiania 3271024908980005 8/9/1998 24 smk irt

123

06 Juli 2023 1 Dini Hilaliah Muhamad dinar 3201045210000009 10/12/2000 22 SMK IRT

123

07 Juli 2023 WAHYU 3271026508920001 8/25/1992 30 S1 IRT

EUIS AGUSNAWATI
AHYAR 3217054106010004 6/1/2001 22 SMU IRT
ANISA NURAENI
123

08 Juli 2023 1 Aditya 3278075703940003 3/17/1994 29 S1 Kar.swasta

Dede weni widiyanita
123
KARY.SWAST
10 Juli 2023 1 ANDRIANSYAH 3271024503930007 3/5/1993 30 S1
EVA YUANA A
2 ASP MULYANA 3271025210970005 10/12/1997 25 SMA IRT
SITI KOMARIAH
3 ALDI 3271024405930011 5/4/1993 30 SMK IRT
ESTA SYARAH HANDINI
4 YAKUB 3271024810850007 10/8/1985 37 SMP IRT
SITI MAHARANI
 5 M. SOPIAN 3271024408020001 8/4/2002 20 SMK IRT
SITI NURISMA
6 ROMY 3271026203020001 3/27/2002 21 SMK IRT
INDRIANA PERMATASARI
7 SEPTA ASRI YANI anton 3271027009890013 9/30/1989 33 sd irt

8 dicky 3271025509970003 9/15/1997 25 smu irt

selvi handayani
123

11 Juli 2023 1 EUIS APRIYANI ENDANG 3271024504000005 4/5/2000 23 SD IRT

2 SURYANI YUSUP SUPRIYADI 3271025007880003 7/10/1988 34 SMP IRT

3 LINAWATI IIM PURNAWAN 3201145108880008 8/11/1988 34 SMA IRT

4 ELIN SUSANTI M IKHLAS 3200116405890005 5/24/1989 34 SMP IRT

5 LINA LISTRIANA EDI PRAMILO 3271625311850003 11/13/1985 37 SMA IRT

6 JAYA SONA 3271025310000019 10/13/2000 22 SMA KARYAWAN

RISTI OKTAVIYANTI
M. NAJIB
7 3271041508970012 8/15/1997 25 S1 GURU
DURIYYAH NAJIBAH IMTINAN RAMADHAN
8 SASKAM 3215144809820005 9/8/1982 40 SMP IRT
TURINAH BINTI SUKANTA
9 ENTIS SUTISNA 3271025110900013 10/11/1990 32 SMP IRT
INDRI OKTAVIYANI
10 DARA MENTARI RATNAWATI ARI NUNGRIHI 3271026502020004 2/25/2002 21 SD IRT

11 NAPIS MUNAWAR 3271024510850014 10/5/1985 37 SMP IRT

WILANINGSIH
12 IRWANSYAH 3271024310870003 10/3/1987 35 SMA IRT
DIAN NURMAWATI
13 LYDIA ISWATI NURAMIN 3271016607860010 7/26/1986 36 SMA IRT

14 MUSPABOJA 3271025303780004 3/13/1978 45 SD IRT

NURIAH BINTI PANDI
15 JAYAD 3203174701570008 1/7/1987 36 SMA IRT
AI HENI BINTI SANUSI
 16 M.RAMADHAN 3271025511920010 11/15/1992 30 SMK IRT
NOVIE SOUISA
17 REZA AFRIANI SEPTIA RAMADHANI 3271025804990001 11/1/1992 30 D3 PERAWAT
GUSAR
18 3271025207820009 7/12/1982 40 SMK BEKERJA
SOPIANA TAMBUNAN SITANGGUNG
123

12 Juli 2023 1 WIWI YUNITA ARIF RAHMAN 3271025006970001 6/10/1997 26 D3 IRT

OKTAVIANI ZAHRA FADILLAH YUDI FHIRMANTO 3271025010020005 10/10/2002 20 SMA IRT

123

13 Juli 2023 1 Aprisa indah Ferani sendi pratama 3271024504950009 4/5/1995 28 SMK IRT

2 Siti hanum salsabila Arman nuryana 3271016909030010 9/9/2023 Err:502 smk IRT
KARY.SWAST
3 TARISA DESTIANTI RAHMAT HIDAYAT 327102691201005 12/29/2001 21 SMK
A
123

14 Juli 2023 ema sulastri m. nasrudin 3271017010860003 10/30/1986 36 sma irt

fatiatun kurniawan 3209275102960010 2/11/1996 s1 irt

lulu lutfia pahyani 3203126403940002 3/24/1994 29 s1 irt

123

15 Juli 2023 1 suryani yusup sipriyadi 3271025007880003 7/10/1988 34 smp irt

2 herliyani m.ardiansyah 3271027107030009 7/31/2003 19 smp irt

3 linawati iim purnawan 3201145108880008 8/11/1988 34 sma irt

4 tuti alawiyah mulyadi 3271025309900006 9/13/1990 32 d3 irt

5 suherti andi mulya 3201296903950002 3/29/1995 28 sd irt

 6 meleniayanti eros 367113470100002 1/7/2000 23 smk irt

SITI AISAH YANA 3271024208770004 2/15/1984 39 SD IRT

123

17 Juli 2023 1 nuniek pujawahyuni maman nurjaman 3201044309900004 9/3/1990 32 smp irt

2 SITI HODIJAH EMPUD 3271025411900007 11/14/1990 32 SDE IRT

3 DEDE ASLIA R. SUPRAYOGI 3271016003870015 3/20/1987 36 SDE IRT

4 INTAN OKTAVIANA ANDIKA 3201255610970001 10/10/1997 25 S1 IRT

5 DIVIA ISYA ANDRE 3271024512000005 123 SMA IRT

6 RINI ARIANTI CHANDRA MALIK 1603145705980003 5/17/1989 34 SMU IRT

7 YULIA RAHMAN ABDUL RAHMAN 3271024210060005 10/2/2006 16 SDE IRT

8 NOVISYAH NURMALITA ULFA ANGGA 3271024211890002 11/2/1989 33 D3 IRT

123

18 Juli 2023 1 GITA MONITA ILHAM DANI 3271025203980012 3/12/1988 35 SMK KARYAWAN

2 TUTI SULASTARI MULYADI 3271025309900006 13/9/90 32 D3 IRT

3 TIA SILVIANI ABDURAHMAN 3271015905900005 5/19/1990 33 SMK IRT

4 HENI HANDAYANI TAUFIK RIDWAN 3271024907920007 7/9/1992 30 SD IRT

5 LINA LISTRIANA EDI PRANILO 3271025311850003 11/13/1985 37 SMA IRT

6 HELPIYANA AHMAD APIPIH 3271024402930001 2/4/1993 30 SD IRT

7 SITI KUSMINAR AHMAD KURTIUBI 3271025607840005 7/6/1984 38 20/10/2022 IRT

SYIFFAWAN DAYA
8 3271024307950001 7/3/1995 28 SMA KARYAWAN
SUHARYANI SAPUTRA
 9 RINI RISNAWATI SUHENDAR 3271026707970007 7/27/1997 25 SMP IRT

10 RADEN HANA FITRIA AHMAD JUNAEDI 3271024108900001 8/1/1990 32 S1 GURU

11 RHEVAL 3201071010940006 123 S1 KARYAWAN

ULFAH NURALIFAH HIDAYAT
12 EMPUD 3271025411900007 11/14/1990 32 SD IRT
SITI HODIJAH
13 ARU NUGROHO 3271026502020004 2/25/2002 21 SD IRT
DARA MENTARI RATNAWATI
14 FAHRUDIN 3201314411740003 11/4/1974 48
INDAH DEWI RAHAYU
15 SITI SURYATI MIFTAH 3201384607930006 7/6/1993 29 SMA IRT

16 123
RINA BUDIANTINI
17 SITI FATIMAH 123

18 ANWAR 3271026101910004 1/21/1991 32 SD IRT IRT

SURTIANI
19 NOVIE SOUISA M RAMDHAN 327102551920010 11/15/1992 30 SMA IRT

20 ADE 3271024511980003 11/15/1998 24 D3 IRT

ADELLIANOVA REGINA
123

20 Juli 2023 1 NUHYAT 5/11/1985 38 SMP IRT

ITA ROSITA 3201275102850014
2 DEWI PURNIAWATI JERY ROMDANI 3201045402060013 2/4/2006 17 SMP IRT
ABDURAHMAN
3 YUNIA RAHAYU 3271025606870001 16/6/87 #VALUE! SMA IRT
SYAFEI
123

21 Juli 2023 1 shinta susanti edi 3271026409840009 9/24/1984 38 sma irt

2 sabrina nadia nirwana nugroho adi 3201275807030036 7/18/2003 19 sma irt

22 Juli 2023 1 siti robiah rahmat 3271026802900006 2/28/1990 33 smp irt

 123

24 Juli 2023 1 mahmud 3271025508010008 8/15/2001 21 smp irt

SITI JAUHARUS S
2 NURUL HASANAH AJI 3271025001900006 1/10/1990 33 SMA IRT

3 FITRIANI ANGGA NUGRAHA 3271024802970001 2/8/1997 26 SMK IRT

4 desi nurani umar 3271024512870013 12/5/1987 35 smk irt

5 fanca indah ? 3271026601070003 1/26/2007 16 smp irt

123

25 Juli 2023 1 NOVIYANTI RAMA ABDULLOH 3271024811980004 11/8/1997 25 SMK KARYAWAN

2 IMAS RUSLAN 3202165201960015 1/12/1996 27 SD IRT
3 ST NURAENI UDIN SAMSUDIN 3271025104820009 4/11/1982 41 SD IRT
4 NOVIA SUSANTI ANDI GUNAWAN 3271016011910020 11/20/1991 31 SMA IRT
5 LINA LISTRIANA EDI PRAMITO 3271025311850003 11/13/1985 37 SMA IRT
6 NURIAH MUSPABOJA 3271025303780004 13/3/78 #VALUE! SD BHL

7 ST NURHASANAH DWI WIDIANTO 3201156503000001 25/3/00 #VALUE! SDE IRT

8 INDRIATI RAHAYU RAUDIKA 3271025301950005 13/1/95 #VALUE! SMK IRT

9 suharyani syiffawan 3271024307950001 3/7/95 28 sma karYAWAN

10 shinta edi 3271026409840009 9/24/1984 38 sma irt

11 sailah octavianti fadilah 3271024110000002 1/10/00 23 sma karYAWAN

12 sillvany rahman sefulloh 3271026301040002 23/1/04 #VALUE! smp irt

13 fita damayanti heriyawan 3271024105850002 1/5/85 38 smk irt

14 sulistiani yudi rizky raharjo 3201046702950001 27/2/95 #VALUE! sma irt

 15 fenty moch sarman ibnu khotim 3271025403830006 14/3/83 #VALUE! smp irt

123

26 Juli 2023 1 DEBBY KURNIASIH IKHSAN 3271016812940006 12/28/1994 28 SMU IRT

2 WANGI MELATI ASIKIN 3271027110910002 10/31/1991 31 SMP IRT

3 DESI PURNAMASARI NURUL HUDA 3271025512940004 12/18/1994 28 SMP KARYAWAN

4 FENTY MUCH SARMAN IBNU KHOTIB 3271025403830006 3/14/1983 40 SMP IRT

123

27 Juli 2023 1 ira marlina saepulloh 3201315608940001 8/16/1994 28 smk karyawan

2 nyimas dewi muhammad sadikin 3206014307050001 7/3/2004 19 smu irt

3 novi maulani lefman 3271025011880003 123 d3 irt

4 nova riama ayudia fikri 3271025111910012 11/11/1991 31 sma irt

123

28 Juli 2023 1 siti saodah riki setiawan 3201276307940001 23/7/94 #VALUE! smp irt

2 fransisca romana stefanus rahadian 3271024903940001 9/3/94 28 diploma kary.swasta

3 DEWI HARYATI DIDI SUHARYADI 3271026104930006 4/21/1993 30 SMK IRT

123

29 Juli 2023 putri siti nurjanah fajar gemilang 3271026410950008 10/24/1995 27 sma irt

123

31 Juli 2023 nadya sanjay 3201314205990002 5/2/1999 24 smp irt

lilih adang sumantri 3271024504880003 4/5/1988 35 sd irt

fanca 1/29/2007 Err:502

kharisma hardiana 3271024304990005 8/3/1999 Err:502 smk irt

fitri apriliani ricky 3271016204960013 4/27/1996 Err:502 smu irt

des qurniasih kuswandi 3271056308960013 8/23/1996 Err:502 sd irt

siti nurhalimah suhendra 3201266711990003 11/17/1999 Err:502 sma irt

0
0

0
0

0
0
 NAMA IBU
KANDUNG ALAMAT NO BPJS GPA 0 HPHT TP TB LILA BB TD

FITRI DASA RANGGA MEKAR

2 /1 / 2 ? 160 26
PERMANA 3/2

baranangsiang
yayah 2 /1 / 0 ? 155 55.2 110/80
5/4

amah sukasari 2/5 2 / 1 /0 5/7/2023 156 25 110/80

aas tajur 2/5 3/ 1 /1 2/15/2023 155 23.5 41 100/70

dede muarasari 2/7 3/2/0 10/17/2022 154 24 68 100/70

tajur 2/4 1/0/0 3/17/2023 153 24.1 60 108/75

hasunah muarasari 4/3 g4 p3 a0 ? 153 27.5 52 103/63

lala tajur4/2 g1p0a0 4/24/2023 163 28 73.1 128/84

ani aisyah sukamulya 3/5 g3p2a0 11/15/2022 154 24.7 59.1 94/72

ani aisyah sukasari 3/5 g1p0a0 nov 153

nani tajur 1/6 2/1/2000 3/21/2023 154 28 65 110/80

DEDE
MUARASARI 2/7 3/2/2000 10/17/2022 155 24 69 113/81
KURNAESIH
NANIH
TAJUR 4/2 151 26 55 119/73
HANDAYANI
WARSIH SDRASA 2/8 1/0/0 160 66.4 106/72
DEDE
MEKARSARI 2/4 2/1/2000 1
ROHIMAH
FATMAWATI TAJUR 4/2 1/0/0 11/5/2022 145 66 110/77

DEDE
SDRAS 3/9 156 19 45.7 90/60
RATNWATI
ROHMI
SEMPLAK 5/8 2/1/2000
ROHMAWATI
mariya katulampa 3/14 5/4/2000 15/11/22 155 78 119/89

nyimaryati sdrasa 3/5 5/3/2001 10/27/2022 165 30 71.5 120/77

aan herawati sukasari 5/7 2/1/2000 2/21/2023 156 20 44.5 86/51

UEN Sukaraja 01/01 2/1/2000 /12023 153 37 55.9 96/67

SINDANGSARI
HJ IDOH 2/1/0 12/3/2022 150 30 77 193/100
1/3
AISYAH KATULAMPA 2/9 1/0/0 19/3/2023 150 24 52 106/66

Een sd rasa 05/02 1/0/0 3/3/2022 152 24 53.6 85/50

SUNARSIH SD.SARI 3/4 / / 11/6/2022 155 27 73.7 107/68

ENUNG SD.RASA 3/11 1/0/0 10/29/2023 152 24 64 110/70

WIDIATI SUKASARI2/2 2/1/0 3/14/2023 15 28 67 110/70

SINDANGRASA
OOM 4/2/1 ? 148 25 51 90/68
4/9
SRI SINDANGSARI
1/0/0 7/10/2023 150 25 45.9 111/78
NURHAYATI 3/7
ONAH CILEBUT 3/5 1/0/0 4/7/2023 155 27 57 110/80

pohana sukasari 3/6 4/3/0 2/25/2023 155 25 53 80/60

siti aisyah bojongkerta 1/2 2/0/0 2/26/2023 153 26 57 113/70

DEDEH
SK.SARI 3/6 3/2/0 10/12/2022 157 34 89.7 118/78
HARYATI
SOPIYAN SD.SARI 2/4 2/1/0 13/11/22 149 30 70.6 113/78

PATMAWATI CIAWI 4/4 3/2/0 12/1/2022 145 27.5 60 115/78

SD.RASA 3/5 5/3/1 10/27/2022 165 30 69.7 138/85

TAJUR 1/2 2/1/0 10/25/2022 151 29 72.7 129/83

SUSI
TAJUR 3/6 2/1/2000 3/9/2023 168 30 74.2 102/63
LUSIAWATI
MILIK SINDANGSARI
1/0/0 12/17/2022 160 26 61.9 112/65
RAHAYU 2/5
DEDEH
MUARASARI 2/7 3/2/2000 10/17/2022 155 24 69.4 110/67
KURNAWSIH
SITI MARIAH TAJUR 4/2 3/2/2000 4/9/2023 157 69.8 142/86
DEDE
SDRASA 3/9 2/1/2000 ?> 156 19 46.5 97/66
RATNAWATI
ANAH SKSARI 2/2 2/1/2000 11/1/2022 150 31 67.1 111/79

KUNIATI TAJUR 3/4 3/2/2000 12/25/2022 152 25 51.2 102/65

RINA SDSARI 3/3 2/1/2000 10/17/2022 160.3 30

MAEMUNAH TAJUR 4/3 / 4/3/2000 ? 64.4 128/83

YETI TAJUR 4/3 64.2 113/79

NURWIYAH SUKASARI 3/1 1/0/0 5/31/2023 152

SUHAENI CILENDEK 4/9 1/0/0 3/19/2023 160

YUTA PURBA TAJUR 3/4 3/2/2000 16/17/11/22 158 78.6 130/90

KATULAMPA 3/8 1/0/0 12/12/2022 160 33 77 110/70

DEDEH SINDANGBARAN
1/0/0 4/5/2023
RATNA DEWI G

Titin .s sindang rasa 2/1/2000 4/10/2023 156 84/56

SITI .N SD SARI 1/0/0 2/1/2023 153 54 113/66

METI. M TAJUR 04/06 1/0/0 1/25/2023 152 66 107/62

sukarsih muarasari 2/4 2/1/0 4/2/2023 155 24 56 90/80

sukini sindangsari 4/2 1/0/0 3/7/2023 157 25 51 98/63

numuy
cibanon 2/2 2/1/0 11/3/2022 15 30 65 110/80
hasanah

sopiah sdsari 2/4 2/1/2000 11/13/2022 149 68.6 110/76

anih aisyah sukasari 3/5 1/0/0 11/11/2022 153 49.5 95/65

fatmawati ciawi 4/4 3/2/2000 12/1/2022 145 62 109/86

halimatusadi
tajur 4/6 2/1/0 11/24/2022 151 24 65 110/80
ah
yus yuningsih sdrasa 2/8 3/2/2000 5/2/2023 158 51.1 141/72
nurhayati sindangsari 5/6 1/0/0 11/18/2022 158 24 57 110/80

OMI SDRASA 2/11 3/2/2000 10/28/2022 152 50 124/90

ida rosida ciluer 5/4/2000 4/15/2023 41.6 128/76

EBDEH SD.RASA 2/10 5/2/2 4/16/2023 50.9 128/81

SINDANGSARI
ENTAT 5/4/0 3/13/2023 160 59 118/78
4/3
ROLIA PAKUAN 4/5 1/0/0 11/8/2022 145 26 57 96/66

TITI KUARTI SD SARI 3/7 2/1/0 ? 150 24 50 94/65

SUSILAWATI CIPAKU 1/9 1/0/0 12/27/2023 158 26 65 114/70

SINDANGSARI
SITI SARIFAH 1/ 0 / 0 1/20/2023 155 24 52 96/80
4/5
TANAH SAREAL
SUHERLINA 4 / 1/ 2 1/10/2023 159 25 51 112/66
1/8

NARSIAH
SDRASA 3/9 1/0/0 12/19/2022
ADRIATI
HALIMATU
TAJUR 4/6 2/1/0 11/14/2022
SA'DIYAH
HALIMAH SD.SARI 3/2 2/1/0 ?

MIMIN SD.RASA 1/7 1/0/0 20/11/22 148

SADIYAH TAJUR 1/2 2/1/0 10/25/2022 151 70.7 132/85

ANIH AISYAH SKM 3/5 3/2/0 11/15/2022

NANIH
TAJUR 4/2 5/4/2000 10/20/2022 153 68.4 130/85
HANDAYANI
FATMAWATI TAJUR 4/2 1/0/0 11/5/2022 145 65 111/76
KARSINAH SDRASA 2/7 3/2/2000 5/15/2023 156.5 67 128/84

KOMARIAH SDSARI 3/1 4/1/2002 5/4/2023 156 66.4 123/86

TAJUR 3/3 2/1/2000 5/24/2023

ENDEH SDRASA 2/10 5/2/2002 4/16/2023 165 55.2 120/82

DEDE
SDRASA 3/9 2/1/2000 156 46.5 99/69
RATNAWATI

NYAI TAJUR 2/3 3/2/2000 2/21/2023 64.9 103/66

SURYATI SDSARI 3/2 1/0/0 2/11/2023 147 64.3 105/71

NURWIYAH SKSARI 3/1 1/0/0 5/31/2023 152

SUJINAH SKSARI 1/2 1/0/0 4/26/2023 151

YOYOH SDRASA 6/8 6/5/2000 ? 150

TITI SD.SARI 4/2 1/0/0 6/9/23 (USG) 156

IRT SD.SARI 3/3 3/2/0 11/2/2022 8/11/2023

titin garting 2/4 4 / 3 /0 11/20/2022 150

dewi sindangrasa 4/2 1/0/0 ?

yoyoh sindangsari4/6 1 /0 /0 1/13/2023

siti
tajur 4/2 1/0/0 2/21/2023 158 25 64 120/80
nurhasanah
AISAH SUKASARI 4/6 4/3/2000 1/13/2023 155 24 50 104/58
SINDANGRASA
IIS AISYAH 3/ 1 / 1 ?/1/2023 153 25 56 93/57
2/9
sumarni sukasari 2/6 3/2/2000 ? 161 26 69 92/61

hasmiati tajur 2/3 1 / 0/0 ? 159 26 61 112/68

NUNUNG SD.RASA 4/11 1/0/0 156 54.7 124/72

ST FATIMAH SD.RASA 2/11 3/2/0 12/14/2022 154 58.2 114/71
ENCUM SD.SARI 5/5 5/4/0 11/26/2022 160 59 158/100
LILIS HARJASARI 3/11 4/2/1 1/14/2023 151
SADIYAH TAJUR 1/2 2/1/0 25/10/22 151 69.1 125/79
MAEMUNAH TAJUR 4/3 4/3/0 10/11/22 160 64.1 131/84

NENGSIH SD.RASA 3/12 2/1/0 142 24 49 128/78

IPIT SK.SARI 2/6 3/2/0 160 65 120/80

fatmawati tajur 1/2 1/0/0 5/11/22 145 65.5 117/72

titin sk.sari 2/4 4/3/0 20/11/22 150

nia
sk.sari 1/2 1/0/0 13/11/22 170 34 114.7 131/71
kurniawati
tini sd.rasa 2/2 1/0/0 61.1 100/66

maria katulampa 3/14 5/3/1 15/11/22 155 29 79.4 1189/76

nuraela katulampa 3/9 2/1/0 4/12/22 154

nani rohani tajur 2/6 3/2/1 7/4/23 14/1/24

NANAH MUARASARI 3/4 2/1/0 3/30/2023

SINDANGSARI
IMI SUTIN 4/3/0 3/15/2023
5/3
SINDANGRASA
MUMUN 2/1/0
1/10
NANI TAJUR 2/6 3/2/1

evi
sukasari 6/1 2/1/0 1/20/2023
puspitasari
dewi muarasari 3/1 1/0/0

hj yohana sukasari 5/6 1/0/0 ?

herni sondangrasa 1/2 1/0/0 11/13/2022

yuyun sd.rasa 5/5 2/1/0 27/1/23 148 52

s.nunuk katulampa 8/10 1/0/0 0 27/5/23 160 65 120/80

NANINGSIH SD.SARI 3/7 4/3/2000 12/19/2022 37 67.6 120/75

rahmawati tajur 2/1 3/2/0

wiwi sukamulya 3/3 3/1/1 5/6/2023 161 25 45 120/80

nyai domisili
3/1/1 11/25/2022 153 26 74
komariah sindangrasa 1/2

tajur 1/0/0 156 24 64 115/67

alfiah cikaret 3/8 1/0/0 11/15/2022 152 23.5 44

imas sindangrasa 3/8 2/1'0 2/13/2023 155 24 59 127/80

siti horiah sukasari 3/3 2/1/0 ? 159 31 71 179/119

aas muarasari 2/5 2/1/0 4/17/2023 155 24 42 110/60

 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

LEUKOSIT URINE
32MGG 9.4 N
+1

21 minggu 2 jari di bawah

pusat

cek lab 12.5 n n n gol dar a

cek lab 11 n n n gds 105

cek lab 10.9 n n n n lekosit 2+

uk 15 minggu keluhan nyeri
perut
cek lab uk 14 minggu 11.2 n n n gds 120

10 minggu cek lab 12.4 n n n gds 120

cek lab 12.8 n

cek lab 11.2 n n n n gds 93

cek lab 12.3 n n n

37MGG, 28CM, KEP MASUK

PAP, PUKA, 142X/M
12MGG, SUDAH TERABA,
23CM, 26MGG, KEP, PUKA
TT2
148X/M
20MGG CEK LAB 11.3 N N GDS 105
34MGG, KEP MASUK PAP,
11.3 n
135X/M,
36MGG, 26CM, KEP SUDAH
MASUK PAP, 142X/M, PUKI

10MGG, CEK LAB 12.1 n n gds 87

33mgg, 139x/m, pres kep, blm
11.6 n leukosit urine +2
masuk pap
konsul gizi bb
uk 35mgg, 120x/m, 28cm, kep
10.5 n turun 4kg,
masuk pap
leukosit urine +2
19mgg, 4jr dibawah pst, + ball 10.9 n n konsul gizi kek

11.2 N N N 89623682500

CCEK LAB 11.3 1

CEK LAB 12.2 N N N GDS 97

ht 32,6 tromb
11.3 n n n 249000 leu
11400 gds 103

UK 35+3, TFU 28CM, KEP,

CEK LAB 9.4 N

CEK LAB UK 17 MINGGU TFU
11.7 N N N
PER SYMPISIS PUSAT
UK 17 MINGGU PER SYM
10.8 n n n
PUSAT CEK LAB
TFU 28 CM DJJ 150

CEK LAB 12.7 n n n

cek lab 11 n n n

uk 18 minggu

UK 34MG 11.3 N

31MG 9.5 N

32MG 12.4 N

TFU 31CM, KEP, 57X/M

TFU 26CM, KEP, 140X/M 12.1 N

18MGG
UK 29 MINGGU TFU 23 KEP DJJ
140
38MGG 30CM 137X/M KEP
RAGU UNTUK MASUK PAP
13MGG, BALL
38MGG, 28CM, 165X/M, KEP
MASUK PAP
36MGG, 25CM, KEP MASUK LEUKOSIT URINE
11.5 N
PAP 155X/M +2
28MGG, 20CM, KEP BLM
MASUK PAP, 156X/M
CEK LAB 10.4
37MGG, 26CM, KEP MASUK
PAP, 159X/M
37MGG, 28CM, LINTANG
8.5 N
135X/M, RUJUK RS JULIANA
CEK LAB

CEK LAB 9.9 N N N

36MGG, 28CM, KEP,148X/M,
RUJUKRS JULIANA

TT4 9.5 N N N GDS 113

CEK LAB 12.5 N N N

cek lab 12 n n n gds 93

9.8 N N N

10.7 N N N

cek lab 12.5 N N N N

suntik tt 2

cek lab 10.5 n

35mgg, USG

35mgg,USG

32mgg, USG

cek lab 10.9 n n n

11mgg, USG
cek lab 10.3 n leukosit urine +2

CEK LAB, USG, 37MGG 12 N N N POS 1 GOL 0

CEK LAB 11.4 N N N

TFU ATR SYMP PUSAT

CEK LAB UK 17 MINGGU 9.7 N N N

CEK LAB UK 36 MINGGU 10.4 N

TT 2
UK 29 MINGGU 27 CM DJJ 140
KEP
UK 26 MINGGU

UK 27 MINGGU DJJ 145

RUJUK DOKTER
DGN DX MYOM
OLEH DR.SPOG

TFU 28CM, KEP, DJJ 138X/M

38MGG, CEK LAB 11.1 N

36MGG
9MGG 13.4 N N N GDS 136

11MGG

7MGG 11.6 N N N GDS 104

KONTROL POST
UP UTERUS
2MGG

22MGG, 3JR DIBWAH PUST

155X/M BALL
7MGG

CEK LAB 11.1 N N N

CEK LAB 11 N N POSITIF N

CEK LAB 10.3 N N POSITIF N 088801350497

9.6 N

trombosit
cek lab 10.4 N
217.000
cek lab 8.9 n n n n kelosit 2

cek lab 9 n
ceklab 9.8 N N N GDS 112

CEK LAB UK 24 MINGGU 10.4 n n n gol dar a

23 MINGGU SEPUSAT
LINTANG 146X/M
cek lab uk 13 minggu 11.7 n n n
uk 35 minggu djj 145 kep 27
11.4
cm

UK 36MG, TFY 25CM, KEP,

148X/M
USG
10.7 neg
13.8 N N N
UK 39MG, TFU 26CM, KEP,
137X/M
TFU 29CM, KEP, 135X/M

tfu 26cm, kep, djj 144x/m 10.6 n n n neg

TFU 19CM, KEP, 130X/M

tfu 29cm, djj 140x/m, kep

3jr atas symp 10.4 n

uk 31mg, tfu 24cm, kep, djj
142x/m
tfu 29cm, kep, djj 140x/m

cek lab 10.5 n

CEK LAB 10.8 N N N

CEK LAB 10.7 N R N

CEK LAB 12.5 N N N

CEK LAB 14 N N N GDS 95

cek lab 7 n n n 895702507200

cek lab 12.2 n n n n

cek lab 10.6 1+

cek lab 13.7 n n

cek lab 8 n n n
HT 39,6,
TROMBO
cek lab 13.8 N N N
324000, LEKO
HT 33 TROMBO
8400, GDS 82
190RB, LEKOSIT
CEK LAB 12 N N N N
8400, GOLDAH
B/+

11.3 n n n

cek lab 13.7 n n n

cek lab uk 36 minggu 10.3 n

uk 37 minggu

cek lab 11.5 n

uk 24 minggu sepusat
lekosit +2
cek lab 10.5 pos 2 eritrosit +2 epitel
positif
cek lab 12.1 n n n gds 108

/
REGISTER MANUAL KUNJUNGAN KIA TAHUN 2023

TANGGAL
NO
KUJUNGAN
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR PEKERJAAN
TERAKHR

JUM'AT 123

27 Januari 2023 123

03 Juni 2023 SITI NURISMA 3271024408020001 8/4/2002 20 SMK

123

SENIN 123

05 Juni 2023 1 EUIS APRIYANI ENDANG 3271024504000005 4/5/2000 22 SD IRT

LARAS APRIANI ACE IRAWAN 3271024804980005 8/7/1998 24 SMA IRT

WIDYA ASTUTI AHMAD 3275084610900048 10/6/1990 32 SMA IRT

ASTI RAHMAWATI ARDI M. ADHA 3271026710960001 10/27/1996 26 SMA IRT

FITRI APRILIANI RICKY 3271016204960013 4/27/1996 26 SMA IRT

NURIAH MUS PABOJA 3271025303780004 3/13/1978 44 SD IRT

ASTRIAWATI ANSEN 3271027001950002 1/31/1995 27 SMA IRT

NURMALA SAMAWATI MARYADI 320146205970001 5/22/1997 25 S1 IRT

123

06 Juni 2023 siti nurlaila dani ramdani 3271027112980010 12/31/1998 24 SMP IRT
RINI NOVITA ASEP SUMARNA 3201314811920001 11/8/1992 30 SMK IRT

ROSITA M.MARWAN 10/14/2000 22 SMP IRT

KOYYIBEH AHMAD ZAINI 3526184210990006 10/2/1999 23 SMA WIRASWASTA

LINA LISTRIANA EDI PRAMITO 3271025311850003 11/13/1985 37 SMA IRT

DEWI DADI 3271025507920001 7/15/1992 30 SD IRT

LINAWATI IIM PURNAWAN 3201145108880008 8/11/1988 34 SMA IRT

RINA BUDIANTINI ATIN 3/26/1985 38 SMK IRT

NUR SEPTIANINGSIH DWI REKSI 3271034309950006 3/9/1995 27 SMU IRT

NURROHMAH SAEPUL AKBAR 3271024505870013 5/5/1987 36 SMK IRT

ANTI KUSUMAWATI YUDI 32714026201950001 1/22/1995 28 SMP IRT

MA'SUM 3271027011840006 11/30/1984 38 SMU IRT

NOVI SRIMULYANTI
MOH JENAL 3271025107930003 7/11/1993 29 SD IRT
MASNIATI BINTI SALAM
MOH SYAFEI 3271026806980004 6/28/1998 24 SMK IRT
MAUDI AYUNIA MISWANTI
IRWANSYAH 3271024310870003 10/3/1987 35 SMA IRT
DIAN NURMAWATI
YUDI SAPUTRO 3271024206880005 6/2/1988 35 SMP IRT
SRI HARDIYANTI
HERIYAWAN 3271024105850002 5/1/1985 38 SMK IRT
FITA DAMAYANTI
MAMAN 32741024212820008 2/12/1982 41 SMP IRT
IKA SETIAWATI
ADITIA 720308695910002 5/29/1991 32 S1 IRT
RITA ADITYA
ASIKIN 3271027110910002 10/31/1991 31 SMP IRT
WANGI MELATI
3271025308790004 8/13/1979 43
SUMIYATI BINTI KEMING
 123
FITRI AYUTAMA ZAM
123

07 Juni 2023 1 NAJIYA NURUL - 3201266712030006 12/27/2003 19 SMK

2 RESMA RAHMAWATI APIP 3271025812000008 12/18/2000 22 SMK KARYAWAN

3 IDA ROYANI PURBA JEKISON 1208144410940001 10/4/1994 28 SMA IRT

123

08 Juni 2023 1 nabila az zahrah m. zafron afif 3374135504950005 4/15/1995 27 s1 swasta

fani handayani mirza 3271025112970002 12/11/1997 25 smp karyawan

masniati moh jenal 3271025107930003 7/11/1993 29 sd irt

novani hendrawan 3271024509930007 9/15/1995 27 smp irt

10 Juni 2023 1 AMALIA RYAN HIDAYAT 3271046912990009 12/29/1999 23 SMA IRT

2 KOMALASARI DEDE ANDRI 3204356108990002 8/21/1999 23 SMP IRT

3 SUSI KOMALASARI RIZKI HAKIM 3271025101970004 1/11/1997 26 SMK IRT

4 ADE MULYANI abdurahman 3271024410870002 10/4/1987 35 SMK IRT

123

12 Juni 2023 1 NITA LUTARI SODIKIN 3201264609990002 9/6/1999 23 SMA IRT

2 SELVI HANDAYANI DICKY 3271025509970003 9/15/1997 25 SMU IRT

3 DURRIYAH M. NAJIB 3271041508970012 8/15/1997 25 SI GURU

4 INDRI OKTAVIYANI ENTIS 3271025110900013 10/11/1990 32 SMP IRT

5 ANNISA HOLIDI 327105470593002 5/7/1993 30 SMA KARYAWAN

 6 raden hana fitiana ahmad junaedi 3271024108900001 8/1/1990 32 s1 guru

7 kuni alimatis sirriyya rian 1802266702960003 2/27/1996 27 s1 perawat

123
KARYAWAN
13 Juni 2023 1 MUTIKA APRIYANTI AHMAD FAUZI 3271026004960002 4/20/1996 27 SMK
SWASTA
2 NURHALIMAH SUHERMAN 3202296404990004 4/24/1999 24 SMA IRT

3 DIVIA ISYA ANDRE 3271024512000005 12/5/2000 22 SMA IRT

4 SOPIANA TAMBUNAN GUSAR S 3271025207820009 7/12/1982 40 SMK BEKERJA

5 WILANINGSIH NAPIS MUNAWAR 3271024510850014 10/5/1985 37 SMP IRT

6 IRA PURNAMASARI DINI AL ARIFIN 3276056702910004 2/27/1991 31 SMK DAGANG

7 ERNAWATI SOPIAN 3201246007830003 7/20/1983 39 SMP IRT

8 ADLINA SYAEFUL KAMAL 3201294805950006 5/8/1995 27 S1 IRT

9 ELIH RAHMAWATI TEDI 3271025610950006 10/16/1995 27 SMP IRT

123

14 Juni 2023 RIMA FINDRIANITA IQBAL QOYAM 3271036809950002 9/28/1995 27 S1 IRT

MIRNA ROSITA ALDO RAEFRIKA 32012527009930002 9/27/1993 29 D3 SWASTA

123

15 Juni 2023 1 ST NURKILAH EGA SYAFRUDIN 3271025205940013 5/14/1994 28 SMK IRT

2 ERINA FEBRIANTI IHFAN 3271024902940008 2/9/1994 28 SMA IRT

123

16 Juni 2023 1 amanda farasia m irfan 3310035401990001 1/14/1999 24 d3 karyawan

 123

17 Juni 2023 1 ila rosita supriyatman 3203094907990002 7/9/1999 23 SMP IRT

2 SARAH RAHMAWATI MUFTI 3271024211990009 11/2/1999 23 S1 GURU

123

19 Juni 2022 1 NURMALA SAMAWATI MARYADI 3201046205970001 5/22/1997 25 S1 IRT

2 SITI NURHANIAH AGUS SETIAWAN 3271025207990005 7/12/1999 23 SMA IRT

3 FITRIANI BAMBANG 3271066703960015 3/27/1986 36 SMP IRT

4 EMA CECEP 32710262039100 3/22/1981 41 SMA IRT

5 NUR SAMSIAH AKHMAD MAHBUBI 331404450900006 4/5/1990 32 S1 IRT

123

20 Juni 2023 1 SITI RAHAMI M KASAN 3271025511900001 11/25/1990 32 SMA IRT

2 SITI ARISAH NASUTION ISMAIL RAMBE 3271025606880002 7/16/1988 34 SMA IRT

3 EVA YUANA NURAZIZA ANDRIANSYAH 3271024503930007 3/5/1993 29 S1 P.SWASTA

4 SUHARYANI SYIFFAWAN 3271024307950001 7/3/1995 27 SMA KAR.SWASTA

5 ST HODIJAH EMPUD 3271025411900007 11/14/1990 32 SD IRT

6 IMAS ANAH RUSLAN 3202165201960015 1/12/1996 27 SD IRT

7 RIDA MAULIDA AHMAD SULAEMAN 3201275509950003 9/15/1995 27 SMA IRT

8 DARA MENTARI ARI NUGROHO 3271026502020004 2/25/2002 20 SD IRT

9 SINTA ANANDA ARDILES ACHMAD 3271025803860001 3/18/1986 36 S1 GURU

10 GITA FITRI WILLIAM HANUGRA 3271026602970003 2/25/1997 25 S1 IRT

 CHJANDRA MALIK KARY.SWAST
11 RINI ARIANTI 1603145705980003 5/17/1998 24 SMA
WIJAYA A
12 RADEN HANA FITRIA AHMAD JUNAEDI 3271024108900001 8/1/1990 32 S1 GURU

13 YULIA RAHMAN ABDUL RAHMAN 3271024210060005 10/2/2006 16 SD IRT

123

21 Juni 2023 1 sagita hendra 3271015010930013 123 smu irt

123

22 Juni 2023 1 NURSYIFA YULISTINA RUDIANTO 3271025006950005 6/10/1995 27 S1 GURU

NIA YUNIARTI AUDRE RAMDANI 3271024512830003 12/15/1983 39 SMU IRT

123

23 Juni 2023 sumiyati heru 3271025202960009 2/12/1996 26 sd irt

123

24 Juni 2023 1 NIA KARNIANI NANA 3271025101890002 1/11/1989 34 SMP IRT

2 SITI ROBIAH RAHMAT HIDAYAT 3271026802900006 2/28/1990 32 SMP KARYAWAN

123

26 Juni 2023 siti nurul hasanah yaptamalana 3271025703960001 3/17/1996 26 smp irt

siti nurjanah ahmad nurojab 3271025306820005 6/16/1982 40 smp irt

silvani saepulloh 3271020301040002 1/23/2004 19 smp irt

noviyanti rama abdulloh 3271024811980004 11/8/1997 25 smk irt

fanca indah ? 3271026601070003 1/26/2007 16 smp irt

NOVI MAULANI LEFMAN 3271025011880003 11/10/1988 34 D3 KARYAWAN

 123

27 Juni 2023 SITI NURAENI UDIN SAMSUDIN 3271025104820009 123 SMA IRT

/ / SRI MULYANI DODI ISKANDAR 3271024501980010 1/5/1998 25 SMA IRT

LINA LISTRIANA EDI PRAMITO 3271025311850003 11/13/1985 37 SMA IRT

ENDAH NIRWANA SARI BAMBANG 3271024909910004 9/9/1991 31 SMA IRT

ENCU SITI ROHAYAH DEDI ABDULAH 3271024705860012 5/7/1986 36 SMA IRT

SELVINA FAUZAN 3271026702070003 2/27/2007 15 SD IRT

SUHERTI ANDI MULYA 320129603950002 3/29/1995 27 SD IRT

NURIYAH MUS POBOJA 3271025303780004 3/13/1978 44 SD IRT

M.ANGGA
FITRIANI 3271024802970001 8/2/1997 25 SMK IRT
NUGRAHA
NANA MARDIANA 3271025101890002 1/11/1989 34 SMP IRT
NIA KARNIANI
SILLVANY RAHMAN SAEPULLOH 3271020301040002 1/23/2004 19 SMP IRT
NURUSSUFIAH ERWIN SYAHRUDIN 3271026300930002 23/10/1993 29 D1 IRT

HAMZAH 3271024207790014 7/2/1979 43 SMP IRT

SULASTRI BINTI SUPANDI
AHMAD GUNAWAN 3271024108920003 8/1/1992 30 SMA KARYAWAN
YUSTIANA WIGATI
123

28 Juni 2023 DESI RAHMAWATI FARIZ 3271025212960005 12/16/1996 26 SMA K.SWASTA

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123
 NAMA IBU
KANDUNG ALAMAT NO BPJS GPA 0 HPHT TP TB LILA BB TD

SRI
SD SARI03/07 500205554 1/0/0 10/7/2022
NURHAYATI

DEDEH SUKASARI 3/6 3/2/2000 10/12/2022 157 34 89.7 118/78

SINDANGRASA
EEL
5/7
SINDANGRASA
RUWIYAH 2/1/2000 1/25/2023 163 27 65 110/70
5/10
SITI SADIAH SUKASARI 2/1 1/0/0 11/14/2023 158 24 53 120/80
SINDANGRASA
IMAS 2/1/2000 2/13/2023 155 24 121/78
3/8
BANTAR PETEUY
MAEMUNAH 4/3/2000 11/10/2022 154 23.5 56 110/80
4/3
YATI CIBEUREUM 5/9 1/0/0 2/18/2023 155 23.5 45 110/80

KUSMIATI SUKARAJA 4/5 1/0/0 11/28/2022 155 23.8 45 97/70

NANI
TAJUR 4/2 3/2/2000 ? 151 26 56.5 122/76
HANDAYANI
ROSIDAH SDRASA 1/4 4/3/2000 2/1/2023 145 48.5 100/56

IIS SDSARI 4/5 2/1/2000 10/15/2022 151 73.8 137/81

PUSAAH SUKASARI 5/2 2/1/2000 10/21/2022 47.9 99/67

SADIAH TAJUR 1/2 2/1/2000 10/25/2022 151 72 130/88

CACAH TAJUR 2/11 2/1/2000 ? 160 123/75

PATMAWATI CIAWI 4/4 3/2/2000 12/1/2022 145 27.5 60.5 115/78

BARANANGSIAN
3/2/2000 11/3/2022 150 33.5 80.7 164/88
G 5/4
MUDININGSI
SDRASA 2/1/2000 3/25/2023 157 45.1 107/65
H
YAYAH BARANNAGSIAN
2/1/2000 ? 148 25 53 110/80
ROSTINI G 5/4
YOYOH
SUKARAJA 5/5 3/1/2001 9/10/2022 152 63.4 151/93
ROSTINI
ETI SUMIATI TAJUR 1/4 4/3/2000 2/4/2023 149

IYOM SDSARI 3/6 3/1/2001 ?/11/22 147 54.1 99/66

ADE
SDSARI 2/7 3/2/2000 12/30/2022 154 26.5 63.8 10,4/80
YULIANTI
KURNIATI TAJUR 3/4 3/2/2000 12/25/2022 152 25 52.2 100/65
TUTI
SDRASA 06/07 3/2/2000 3/5/2023
NURJANAH
KATULAMPA
MARIA 5/3/2001 11/15/2022 155 29 76.9 121/87
3/14
OON SDRASA 1/2 4/3/2000 3/3/2023 64 110/71

ROSELINE SDRASA 1/12 2/1/2000 155

SDSARI 1/7 4/3/2000 3/25/2023

SDRASA 2/7
 SUKAMANAH
NIA ZURIDA 1/0/0 11/11/2022 155.5 23.5 64 110/70
2/1
SULASTRI SDRASA 1/9 1/0/0 2/28/2023 145 22.5 43 110/70
SDSARI 5/5
KURNIA (DOMISILI
1/0/0 8/25/2022 163
SILABAN CARINGIN
MASENG)

aina rita
hanjasari 2/1/0 1/25/2023 150 22 43 110/70
chasanah
siti fatimah bantarjati 5/2 1/0/0 3/1/2023 155 24 120/80

iyom sindangsari 3/6 3/2/0 ? 152 25 50 110/80

asiah sukasari 6/3 3/2/0 153 34 75 110/80

ROSNILAWAT
sukasari 2/5 3/1/2001 11/8/2022 156 24 58.2 105/54
I
KOMARIAH sd rasa 03/08 2/1/2000 11/20/2022 155 26 56 100/62

SUMIATI sd rasa02/07 1/1/2000 9/4/2022 158 56.2 135/86

TINI Tajur 4/3 2/1/2000 2512/2022 165 26 53 110/90

SINDANGRASA
ITAH 1/0/0 10/23/2022 150 24 70 110/73
3/10
SIT AISAH BOJONG KERTA 2/1/2000 ? 153 25
MILIK SINDANGSARI
1/0/0 17/12/2022 160.4 26 61.9 101/58
RAHAYU 2/5
SITI MARIA TAJUR 4/2 3/2/2000 4/9/2023 25 71 145/101
SINDANGSARI
RITA SANOPA 2/1/2000 3/5/2023 158 28 57 110/70
3/7
komariah sindangsari 3/1 g4p1a2 5/4/2023 156 28 66 110/80
jamilaturrah
muarasari g2p1a0 10/2/2022 155
mah

SITI AMINAH SUKASARI 6/1 G2P1A0 12/15/2022 158 31 75 113/72

ENDEH
SDSARI 4/6 1/0/0 1/22/2023 152 65 131/76
PARIDAH
SITI KUWATI SDSARI 3/7 2/1/2000 ? 160 54 100/52

LITA PURBA TAJUR 3/4 3/2/2000 11/15/2022 158 79.5 124/85

ANAH SUKASARI 2/2 2/1/2000 11/1/2022 150.5 31 69.2 113/76

SETIANINGSI
CIAWI 5/4 3/1/2001 ? 163 115
H
CACIH TYPAR 3/2/2000 10/7/2022 151 30 56 110/70
IRMA
CIAPUS 2/1/2000 ? 158
SURYATIN
ANAH SDRASA 3/9 2/1/2000 10/3/2022 150 26 72

ITAY
SDSARI 3/3 2/1/2000 1/13/2023
SUTARSIH
YANI SDRASA 3/10 1/0/0 12/26/2022 150 20 61.3

SARINI SD.SARI 4/1 2/1/2000 10/25/2022 154 30.3 75 110/70

ENTIN
SD.SARI 2/1 2/1/2000 11/2/2022 158 30 73 110/70
MASITOH

cibogor 2/6
subianti 1/0/0 4/9/2003
bogor tengah
 SDRASA RT 3/4 2/0/0 1/21/2023 10/28/2023 147 28 65 139/89

NANI SDRASA RT 1/12 1/0/0 10/22/2022 7/29/2023 158 73 100/70

SUKARAJA 4/5 1/0/0 11/28/2022 149 20 42 92/61

KUSMIYATI
IPANG
MUNGFARIJA SD.SARI 6/1 1/0/0 10/21/2022 159 33 94 108/86
H
MAMI TAJUR 4/2 4/2/1 4/22/2023 157 31 76 110/90

DEDEH SD.RASA 4/4 8/6/2001 6/24/2023 158 27 60.9 106/78

TUGIYEM VILLA TAJUR 4/8 2/1/0 2/15/2023 155 70 106/58

NENAH SD.SARI 1/7 2/1/0 7/11/2023 151 44.6 99/53

ROSMINI
SD.SARI 2/4 5/4/0 15/3/23 150 54.9 122/72
LUBIS
SUNARSIH SD.SARI 3/4 2/1/0 11/6/2022 155 73.6 96/67

FATMAWATI TAJUR 4/2 1/0/0 11/5/2022 8/12/2023 145 65.9 112/86

ENDEH SD.RASA 2/10 5/2/2 4/16/2023 165 61.4 112/79

ST FATIMAH SD.RASA 2/11 3/2/0 12/14/2022 158 58.9 111/67

JUJU SD.RASA 5/7 1/0/0 1/3/23 153 43 119/69

DEDE SD.RASA 3/9 2/1/0 7/28/2023 156 44.3 99/60

IDA SD.RASA 2/3 5/3/1 11/23/2022 154 63.8 106/68

SUHARTI SD.SARI 6/1 1/0/0 10/25/2022 160 22 58 109/69

SUSILAWATI CIPAKU 1/9 1/0/0 12/27/2022 158 62.2 123/77

KOMARIAH SD.SARI 3/1 4/1/2 5/4/2023 156 66 120/85

ST SARIPAH SD.SARI 5/4 1/0/0 1/20/2023 10/27/2023 155.5 21.5 49 90/63

ita tanuwijaya1/4 3 / 2 /0 10/7/2022 9/14/2023 157 22 52 110/80

TAJUR 2/4 1/0/0 3/17/2023 12/24/2023 31 60 100/70

TITIN SUKASARI 5/3 4/3/2000 ? 158 30 69 110/70

sindangrasa
ocah 5 /2/2 9/25/2023 155 25 50 110/80
4/11

IKAH SD.SARI 6/1 3/2/0 10/15/2022 159 26 63.5 93/62

YOYOH SD.SARI 4/6 1/0/0 1/13/2023 155 25 59 100/70

sindangrasa
menti 1/0/0 4/15/2023 158
1/11
aqidah sindangsari 1/5 3 / 2 /0 ?2?2023 152 28 60.5 110/80

tini girangsari 5/8 1/0/0 ?11?22 155 25 57 110/80

sindangrasa
nunung 1/0/0 ? okt 2022 156 26 55 110/80
4/11
hasmiati tajur 2/3 1 / 0/0 ? 159 26 61 112/68

HJ YOHANA SUKASARI 5/6 1/0/0 ? 156 27 71 110/80

ENCUM SDSARI 5/5

HODIJAH SDSARI 5/5 2/1/2000 10/13/2022 7/23/22023 159 61.7 107/73

SADIAH TAJUR 1/2 2/1/2000 10/25/2022 151 29 71 110/75

ESIH
SDRASA 5/7 2/1/2000 2/10/2023 155 26
SUKAESIH
SITI ROHMAH TAJUR 2/6 3/2/2000 1/3/2023 145 23.5 46.3 102/74

ADE FITRIANI SDRASI 5/6 1/0/0 ? 154 40

YUS
SDRASA 2/8 3/2/2000 5/2/2023 158 51.9 108/64
YUNINGSIH
MAEMUNAH TAJUR3/3 4/3/2000 11/10/2022 160 27 66.5 131/85

IIS AISYAH SDRASAC 2/9 3/1/2001 ? 155 24.5 56.2 98/64

IKAH SDSARI 6/1 3/2/2000 10/15/2022 159 65.4

TINI
HARJASARI 5/8 1/0/0 ?/11/22 155 59.4 102/69
AGUSTIANI
SITI ASIAH TAJUR 2/2 2/1/2000 ? 56.7 102/67

KARTENAH SDRASA 1/8 4/3/2000 10/15/2022

FATIMAH SDSARI 2/6 2/1/2000 3/18/2023 160 27 58.7 117/69

YENI SDRASA RT 1/6 1/0/0

 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

UK 34 MINGGU 11.2 pos 2

CEK LAB TES PECK

CEK LAB 11.8 N N n

CEK LAB 11.7 n n n 1

UK 16 MINGGU

CEK LAB 12.2 N N N 1

CEK LAB 11 N N N

CEK LAB 10.8 N N N

GDS: 94 HT 37,9,
USG 13.5 N N N TROMB 268,000
LEU 8900
 GDS: 76 HT 30,
USG 10.6 N N N TROMB 343,000
LEU 9600
USG
GDS: 98 HT 30,
33MGG,USG 10.5 N N N POS 1 TROMB 225,000
LEU 9700
USG,CEK LAB 12.2 POS 1
USG,CEK LAB, HAMIL KEMBAR
RUJUK JULIANA
UK 29MGG TFU 22CM, DJJ
TT5
144X/M,KEP BLM MASUK PAP
UK 31MGG, HDK RUJUK RS
BMC
UK 9MGG, 3 JARI DIATAS SIMP
GDS: 100 HT 32,
17MGG, RFU 4 JR DIBAWAH
11.2 N N N FE, B6 TROMB 172,000
PST, DJJ +
LEU 9700
38MGG, 29CM DJJ 142X/M
GDS: 102 HT 34,
18MGG CEK LAB 12.2 n n n TROMB 312,000
LEU 15800
26MGG, 23CM, 152X/M, PUKA
KEP BLM MASUK PAP
22MGG, TFU 16CM,PUKI, 155
22MGG, 3JR DIBAWAH PST,
DJJ, 134X/M, PRES KEP GDS: 137 HT
24,7, TROMB
13 MGG, RUJUK RS 7.1 N N N
3295,000 LEU
6200
29MGG, PUKA 142X/M, 24CM FE, KALK
GDS: 87 HT 30,
UK 13MGG 10.6 N N N FE, KALK, B6 TROMB 329,000
LEU 8800
UK 33MGG 11 LEUKOSIT POS 1

RIW PERD, RUJUK JULIANA

P5A0 POST SC 19HARI, BAIK,
KIE PERAWATAN LUKA SC
POST KURETASE 24 HARI

30MGG, 25CM, KAKI

BENGKAK, 134XM, PUKI ,
KEPALA BLM MASUK PAP,
RUJUK RS JULIANA GDS: 94 HT 30,
CEK LAB 10.4 N N N TROMB 241,000
LEU 9500
LEIKOSIT URINE
CEK LAB 11.6
+2

cek lab 12 n n n

cek lab 12 N N N

rujukan

cek lab 10.6 n n n

cek lab 10.2 N N N

10.2 protein neg

kontrol nifas

10.4 N N N goll 0

CEK LAB 10.7 POS 2

UK 14 MINGGU

uk 16 minggu

CEK LAB 11.4 N N N

CEK LAB 11.8 n n n

cek lab 10.5 n n n

cek lab 10 n n n n

GDS: 94 HT 36,
25MGG CEK LAB TROMB 171,000
12.5 N N N LEU9800
GDS: 136 HT 33,
20MGG CEK LAB 11.7 n n n TROMB 213,000
LEU 7500
LEUKOSIT URINE
32MGG,CEK LAB,USG 11.2 N
+1
30MGG
11.5 LEUKOSIT URINE +3
32MGG
33MGG, TFU 31CM, DJJ,
RESTI BB 115KG
143X/M, KEP
HT 29,6, TROMB
35MGG 9.9 n 184,000 LEU
7800
HT 29,3 TROMBO
35MGG 9.5 N 284000 LEKO
10000
HT 35 TROMBO
35MGG 11.8 N 289000 LEKO
10900

HT 29 TROMBO
10 N N N 373000 LEKO
11500
HT 32,5GDS 96
TROMBO
11.3 N N N 320000 LEKO
10700 GDS 1250

HT 27,2 TROMBO
9.2 2 285000 LEKO
8600 GDS 143
HT 30,3 TROMBO
10.4 1
215000 GDS 110

10.1
 TROMBO 279RB
11.6 NR NR NR
LEKO 11,100
TROMO 214RB
10.7 NR NR NR
LEKO 11000

29MGG, 20CM, 146X/M, PRES

BOKONG
HT 34,2 TROMBO
12.5 1 268000 LEKO
12300
GDS 90GDS 107
HT 35,2
UK 8MG 12.5 NR NR NR 089631710504 TROMBO 296000
LEKO
HT 10100
30,5 TROMBO
10.6 N 286000 LEKO
8900
UK 18MG

UK 37MG
CRL 8.00, GA
UK 14MG 14MG, EDD
HT 31,3,
19/12/23
UK 32MG, TFU 27CM, KEP, DJJ TROMBO
10.7 N
144X/M 222000, LEKO
UK 32+4, TFU 25CM, DJJ 10500
150X/M, KEP HT 35,1,
TROMBO
UK 9MG TFU BLM TERABA 12.6 NR NR NR
197000, LEKO
5700 GDS 98
UK 27MG, TFU 19CM
HT 33,8,
TROMBO 26,
UK 15+4MG, 11.8 NR NR NR
LEKO 12500, GDS
HT 33,9,
102
TROMBO
UK 34+3 11.4 N
247000,
HT 31,1, LEKO
8000
TROMBO
UK 30MG 10.3 NR NR NR
285000,
HT 32,1, LEKOSIT
8500 GDS 97
TROMBO
UK 33MG, 10.4 N
228000, LEKO
7700
 HT 29,6,
UK 25+1MG, TFU SEPUSAT, TROMBO
9.5 NR NR NR
BALL +, DJJ 147X/M, KEP 226000, LEKO
10700, GDS 95
UK 7MG
UK 21+5MG, TFU SEPUSAT,
11 N N N GOL DAR B
BALL +, DJJ 140X/M

cek lab 10.3 n

CEK LAB 12.4 N N N

CEK LAB 10.9 POS 1

cek lab 10.5 n n n

ht 31,3, trombo
CEK LAB 11 n 298000, leko
14800
ht 24,3 trombo
CEK LAB 7.7 n n n 280000 leko
10300 gds 96

cek lab tespeck positif uk 6

minggu
uk 20 minggu djj 150x/m 3 jari
di bawah pusat
ceklab 12.1 n n n gds 92

11.9 n
uk 31 minggu djj 145 kep 26
cm
cek lab 11.2 n n n
USG

11 N
ht 32,2 trombo 220000 leko 16800
UK 35MGG, TFU 22CM, DJJ
143X/M, PRES KEP PUKI
TT3 11.9 N N N
ht 34,6 trombo 199000 leko 10400 GDS 100
25MGG, 19CM. 146X/M
TT4 10.5 N N N
LINTANG ht 30,7 trombo 278000 leko 10000 GDS 97
8.2 N N N
ht 25 trombo 234000 leko 13400 GDS 97
BLM TERABA 12.4 N N N
ht 30,4 trombo 184000 leko 5300 GDS 97
UK 33MGG, 23CM, 145X/M
PRES KEP, PUKA
UK 19MGG, 16CM, DJJ + PUKA TT3

USG

31MGG,USG
22MGG, 18CM, 151X/M, PRES
TT3
KEP BLM MASUK PAP
CEK LAB 10 N
ht 28 trombo 174000 leko 7800 GDS 97
UK 14MGG, BALL, 2 JR DIATAS
,
SIMPS

HT 31 TROMBO
TT2 10.8 N N N 308000 LEKO
9000
REGISTER MANUAL KUNJUNGAN KIA TAHUN 2023

TANGGAL
NO
KUJUNGAN
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR
TERAKHR

SELASA 123

02 Mei 2023 1 SARI BIBAH SAEPUL ANWAR 3271024205850014 5/2/1985 38 SMP

2 SITI MASRIPAH WAWAN SETIAWAN 3271024403880008 3/4/1988 35 SD

3 ZAHRA ZIVILLIA NANANG PERMANA 3271046004100005 4/20/2010 13 SD

4 SELVI HANDAYANI DICKY RESTIADI 3271025509970003 9/15/1997 25 SMA

5 LETI NOPITASARI DIMAS 3201284411000002 11/4/2000 22 SMP

6 DIVIA ISYA P ANDRA 327102451200005 12/5/2000 22 SMA

7 NUR SEPTIANINGSIH DWI REKSI 3271034309950006 9/3/1995 27 SMA

8 SITI AISAH AZQIA AFIF AHMAD 3271026812920010 12/28/1992 30 SMA

9 ANTI KUSUMAWATI YUDI 3271026201950001 1/22/1995 28 SMP

10 ANA HESTIANA BAGJA 3202126804870002 4/28/1987 36 SMP

11 SITI HOLILAH R RIDWAN JANUAR 3201244902950002 2/9/1995 28 SMA

12 MASNIATI MOH JENAL 3271025107930003 7/11/1993 29 SD

13 RETNO TEGUH 32714024701950002 1/7/1995 28 SMK

14 NURUSSUFIAH ERWIN 3271026310930002 10/23/1993 29 D3

 15 ROSNA INDRA NURHAKIM 3271026202930003 2/22/1993 30 S1

16 ARMELIA DIMAS 3207015306020003 6/13/2002 20 SMK

17 SITI MUKAROMAH M. MAKMUR 3271025505920012 5/15/1992 30 SMA

18 SULASTRI HAMZAH 3271024207790014 7/2/1979 43 SMK

19 ANGRY AGUSTINA ADI SURAHMAN 3271034508890003 8/5/1989 33 SMA

20 DIAN NURMAWATI IRWANSYAH 3271024310870003 10/3/1987 35 SMA

21 JINGGA KEMALA M.RIZKY 3201256603040002 3/26/2004 19 SMK

22 EASY ANDRI 1305046406960002 6/21/1996 26 SMK

23 IIN ROBI 3271024504880001 4/5/1988 35 SMA

24 WINA PRITANIA RAISAL HAQ 3271025403980004 3/14/1998 25 SMK

25 NOVIANSYAH NURMALITA ANGGA 3271024211890002 11/2/1989 33 D3

RICKY ANANDA
26 FITRI APRILIANI 3271016704960013 4/27/1996 27 SMK
PRATAMA
27 0

RABU 28 0

03 Mei 2023 29 IKA SETIAWATI MAMAN 3271024212820008 12/2/1982 40 SMP

30 123

KAMIS 31 123

04 Mei 2023 32 SRI RAHAYU FUJI ASTUTI 3271016212880006 12/22/1988 34 SMA

AH.RIDWAN
33 DESI SETIAWATI YASIT 3271026212920004 12/22/1992 30 SMK

34 123
 WASKITO
05 Mei 2023 35 SRI WAHYUNI 3271014706020010 6/7/2002 20 SMA
WICAKSONO
36 MELVA KEZIA SANDI 3271026508030002 8/25/2003 19 SMA

37 123

06 Mei 2023 38 LISNA WASI 32012466007950003 7/20/1995 27 SMK

SMK/
39 WURRI WIRATMA ADE SOFIAN 3201345110990008 10/11/1999 23
SMP
40 123

08 Mei 2023 41 lilis indriyani emus 327102690200006 2/29/2000 23 sd

42 reni anjani ilham ramadhan 3271015901030015 1/19/2003 20 sma

43 laras apriyani malik 3674034311970002 11/3/1997 25 smk

44 dewi dadi 3271025507920001 7/15/1992 30 sd

45 desi qurniasih kuswandi 3271056308960013 8/23/1996 26 sd

46 surtiani anwar 3271026101910004 1/21/1991 32 sd

47 anti yudi 3271026201950001 1/22/1995 28 smp

48 shinta edi 3271026409840009 9/24/1984 38 sma

49 sulistiani yudi 3201046702950001 2/27/1995 28 smu

50 ira lestari reza 3271024505940008 5/5/1994 28 smp

51 isti chairunnisa iwan 3201275107940007 7/11/1993 29 sma

52 123

09 Mei 2023 53 IPIT PITRIANI ROHMAN 3271025603880001 3/16/1988 35 SMA

54 SRI REJEKI SOPIAN HADI 3271036903890002 3/29/1989 34 SMA

 55 ELIN SUSANTI M.IKHLAS 320116405890005 5/24/1989 33 SMP

56 LINAWATI IIM PURNAWAN 3201145108880008 8/11/1988 34 SMA

57 SINTA ABDUL BASIT 3271016405900011 5/24/1992 30 SMA

58 YULIANTI SAEPUDIN 3201165105840013 5/11/1984 38 SD0

59 IMAS ANAH RUSLAN 3202165201960015 1/12/1996 27 SD0

60 SUMIYATI HERU 3271025202960009 2/12/1996 27 SD

61 INDRIATI RANDIKA 3271025301950005 1/13/1995 28 SMA

62 EVA YUANA NURAZIZA ANDRIANSYAH 3271024503930007 3/5/1993 30 S1

63 WILANINGSIH NAPIS MUNAWAR 3271024510850014 10/5/1985 37 SD

64 SITI MUKAROMAH M.MAKMUR 3271025505920012 5/15/1992 30 SMA

65 LINA LISTRIANA EDI PRAMITO 3271025311850003 11/13/1985 37 SMA

66 REGA ADE REFA DASA 3205275412940002 12/14/1994 28 S1

67 SITI TSUROYAH ABDUL AZIZ 3271066509940003 9/25/1994 28 SMA

68 SITI NURHAYATI USEP SAEPUL 3202114910980010 10/9/1998 24 SMA

69 123

10 Mei 2023 70 NAJIYA SEPUL ANWAR 3201266712030006 12/27/2003 19 SMK

71 KARINA NUR OKTAVIANI ARYA DAMARIANTO 3201296310040007 10/23/2004 18 SMA

72 123

11 Mei 2023 73 ivvana fadil 3271026006000008 6/20/2000 22 SMK

74 Desi aryani Daden suryaman 327i044606830034 6/6/1983 39 SMA

 75 ana damayanti yuda denan 3271026705960006 5/27/1996 26 SMA

76 Rina Sundari Hilman 3271024510970003 10/5/1997 25 SI

77 123

12 Mei 2023 78 HERLIYANI M.ANDRIANSYAH 3271027107030009 7/31/2003 19 SMP

79 SITI ROHANI IRWAN SETIAWAN 3271025005920005 5/10/1992 30 SD

80 IRNI SUSANTI M.IMRON 3271026704960011 4/27/1996 27 SMA

81 123

13 Mei 2023 82 FITRIA MPUDY RENALDO 3271064403950018 3/4/1995 28 D3

83 ANITA FITRIANI ENCEP 3271024301990001 1/3/1999 24 SMA

84 123

senin,15-5-23 85 ROSITA M MARWAN 3201285410000001 10/14/2000 22 SD

DURRIYAH NAJIOBAH
86 M NAJIB 32710241508970012 8/15/1997 25 S1
IMTINAN
87 MEILIAWATI ADIANSYAH 3271025605900005 5/16/1990 32 SMA

88 NITA LUTARI SODIKIN 3201264609990002 9/6/1999 23 SMA

89 NADIA YUNINGSIH GUGUN 32710246708920008 8/27/1992 30 SMA

90 SHERLY MUSLIM SANTOSO 3271026209860004 9/22/1986 36 SMP

91 SURTIANI ANWAR 3271026101910004 1/21/1991 32 SD

92 SITI FATIMAH AZZAHRA ERIK 3201244110960001 10/1/1996 26 SMA

93 ST ROHANI EDI 3271016008890013 8/20/1989 33 SMP

94 YUNITA SARI ADE ALFIAN 3271064706950013 6/7/1995 27 SMP

 95 123

SELASA,16/5/23 96 LINA LISTRIANA EDI PRAMILO 3271025311850003 11/13/1985 37 SMA

97 SITI NURLAILA DANI RAMDANI 3271027112980010 12/31/1998 24 SMP

98 SRI REZEKI HARTINI SOFIAN HADI 3271036903890002 3/29/1989 34 SMA

99 SITI RAHMI M KASAN 3271025511900001 11/25/1990 32 SMA

100 ANITA FITRIYANTI ENCEP 3271024301990001 1/3/1999 24 SMK

101 SUHARYANI SYIFFAWAN 3271024307950001 7/3/1995 27 SMK

102 ST NURAENI DIN SYAMSUDIN 3271025104820009 4/11/1982 41 SD

103 SELVI HANDAYANI DICKY 3271025509970003 9/15/1997 25 SMK

104 ENCU ST ROHAYAH DEDI ABDULAH 3271024705860012 5/7/1986 36 SMA

105 ADLINA GHAISANI SYAEFUL KAMAL 3201294805950006 5/8/1995 27 S1

106 IRA LESTARI REZA 3271024505940008 5/5/1994 28 SMP

107 ISTI NURHAYATI SUPRIYADI 3271025905890002 5/19/1989 33 SMP

108 NURLAILI KAMALIN FERRI MAULANA 3217135010940011 10/10/1994 28 SMA

109 NOVANI HENDRAWAN 3271024509930007 9/5/1993 29 SMP

110 TRISDAWATI HENDRA GUNAWAN 3271025309980004 9/13/1998 24 SMA

111 SUMIYATI HERU 3271025202960009 2/12/1996 27 SD

112 EMA ROHIMAH CECEP HERMAWAN 3271026203810004 3/22/1981 42 SMA

113 SITI RAHAYU YUDI PERMANA 3271026712880001 12/27/1988 34 SMA

114 MEILIAWATI ADIANSYAH 3271025605900005 5/16/1990 32 SMA

 115 NURRUL FATIMAH MUKTI AKBAR 3271024109990004 9/1/1999 23 SMA

116 fita damayanti heryawan 3271024105850002 5/1/1985 38 smk

117 123

RABU,17/5/23 118 SOPIANA TAMBUNAN GUSAR 3271025207820009 7/12/1982 40 SMP

119 PUTRI ANINDYA SARI ARYA 3271026810930004 10/28/1993 29 SMK

120 123
jum'at
121 lydia iswati nuramin 3271016607860010 7/26/1986 36 smu
19/5/2023
122 siti patimah irfan 3271014503990003 10/15/1999 23 smu

123 siti masruroh rachmat 3271024204960008 4/2/1996 27 s1

124 ita siti rohmah dudan 3203115303910007 3/13/1991 32 smu

125 123

sabtu,20/5/23 126 st nurelawati puji hartanto 3201274312880001 12/3/1988 34 s1

127 123

22 Mei 2023 128 FITRI SRI WAHYUNI AULIA HADI BHAKTI 3271015504930001 4/15/1993 30 S1/D3

129 SITI SARAH NURDIN 32140655008990001 8/10/1999 23 SMP

130 SITI JAMILAH IRFAN ABDUL A 3201046403960002 3/24/1996 27 S1/D3

131 SITI NURJANAH AHMAD NUROJAB 3271025306820005 6/13/1982 40 SMP

132 WANGI MELATI ASIKIN 3271047110910006 10/31/1991 31 SMP

133 SILLVANY RAHMAN SAEPULOH 3271026301040002 1/23/2004 19 SMP

134 TATI HERINA SIHOMBING ADI RAMA 3201245801900006 1/18/1990 33 SMA

 135 FANCA 3271026601070003 1/26/2007 16 SMP

136 123
M.ANGGA
23 Mei 2023 137 FITRIANI 3271024802970001 2/8/1997 26 SMK
NUGRAHA
138 MULYANAH GERI 327105620230003 2/22/2003 20 SD

139 RIKA APRIANTI ASEP 3271026704940003 4/27/1994 29 SMA

140 ENCU SITI ROHAYAH DEDI 123 SMU

141 SURTIANI ANWAR 3271026101910004 1/21/1991 32 SD

142 siti aisyah apip 3271036812920010 12/28/1992 30 sd

143 novisyah nurmalita angga 3271024211890002 11/2/1989 33 d3

144 tuti alawiyah dede 3271026409940006 9/24/1994 28 sd

145 fanca indah 3271026601070003 1/26/2007 16 smp

146 siti roheni subahul mahid 3271026503920003 3/25/1992 31 sd

147 syaras wati suhardi 3271025405960004 5/14/1996 26 s1

148 123

24 Mei 2023 149 RESTIKA M.AS'AN 3271024708970004 8/7/1997 25 SMK

150 123
NOVIANTI WAHTU BAMBANG
25 Mei 2023 151 32714016811990025 11/28/1999 23 SMA
PRATAMA DARIYANTO
152 SUJILAH NUR PRARIWI 3201284102030001 2/1/2003 20

153 123

26 Mei 2023 154 SITI MASITOH ADIH 3201354101910007 1/1/1993 30 SD

 155 IRA PURNAMASARI DINIAL ARIFIN 3276056702910004 2/27/1991 32 SMA

156 CICIH MUNTARSIH ADWIN N 3271014410940017 10/6/1994 28 SMP

157 MIRA KUSNADI SAMSI 3202014107980058 7/1/1998 24

158 123

27 Mei 2023 159 RIKA RIZQI AGUNG NURCAHYA 3271026607890004 7/26/1989 33 SMU

160 FATIATUN KURNIAWAN 3209275102960010 2/11/1996 27 S1

161 RINDI APRIAWATI SUDRAJAT 3271025404920002 4/14/1992 31 SMP

SITI FAHRIDATUL
162 FAJAR TAUFIK 3271026907940008 4/29/1994 29 S1
ADAWIYAH
163 MAHARANI CANTIKA ILHAM 3271016901960005 1/29/1996 27 S1

164 123

29 Mei 2023 165 ipit fitriani rohman 3271025603880001 3/16/1988 35 smu

166 felisia herdiana 320124430500000 12/9/1999 23 smu

167 neng lola teguh 3201244305000005 5/3/2000 23 smk

168 siti suryati miftah 3201384607930006 7/6/1993 29 sma

169 annisha risal 3271024512930003 12/5/1993 29 s1

170 euis agusnawati wahyu 3271026508920001 8/25/1992 30 s1

171 rela hatim hendi 3201286006910003 6/20/1991 31 sd

172 yunita sari ade alfian 3271064706950013 6/7/1995 27 smk

173 123

30 Mei 2023 174 indriati raudika 3271025301950005 1/13/1995 28 sma

175 siti kusminar ahmad kurtub 3271025607840005 7/16/1984 38 sltp

176 siti rahayu yudi permana 3271026712880001 12/27/1988 34 smu

177 avni sumiati kamaludin 320125650390003 3/25/1990 33 smp

178 desi reno 3271026812890002 12/28/1989 33 smui

179 siti arisah ismail 3271025606880002 6/16/1988 34 sma

180 noviyanti rama 3271024811980004 11/8/1997 25 smk

181 nurrusufiah erwin 3271026310930002 10/23/1993 29 d3

182 anita encep 3271024301990001 1/3/1999 24 smu

183 siti dewi risnanto 3201244401890005 1/4/1989 34 s1

184 isti chairunnisa iwan 3201275107940007 7/11/1993 29 sma

185 sulastri hamzah 3271024207790014 7/2/1979 43 smp

186 susi komalasari rizky hakim 3271025101970004 1/11/1997 26 smk

0
0

0
 NAMA IBU
PEKERJAAN KANDUNG ALAMAT NO BPJS GPA 0 HPHT TP TB LILA BB TD

IRT ROSIDAH SDRASA 3/9 3/2/0 1/12/2023 19/10/23 160 30.5 80 118/77

IRT NYAI TARSIH SDRASA 3/9 3/2/0 1/6/2023 10/13/2023 149 60 104/69

IRT EVI TAAJUR 3/3 1/0/0 ?-1-23 152 101/75

BOJONGKERTA
IRT SITI AISAH 499239808 2/1/0 2/26/2023 155.3 25 56.5 100/72
1/2
IRT IYUY SDRASA 10 2/1/0 160 66.6 135/99

IRT SITI WATI SDSARI 3/7 2/1/0 ? 21 49.8 86/50

IRT SDRASA 4/6 2/1/0 K1 3/5/2023 157 44.6 105/70

TITIN
IRT TAJUR 4/2 2070239185 3/2/0 9/26/2022 150 76.8 129/83
SUPRIATINI
YOYOH
IRT SDRASA 4/10 3/1/1 9/10/2022 155 62 147/93
ROSTINAH
LILIS
IRT SUKASARI III 4/2/1 K1 2/10/2023 160 96 110/80
LISNAWATI
IRT CIAH M PAKUAN 1/4 K1 2/25/2023 59 10/74

IRT IYOM SDSARI 3/6 3/1/1 K1 ?/11/2022 147 52.1 96/61

KARYAWAN AMINAH TAJUR 4/9 3/2/0 ? 155 52.6 121/69

IRT TAJUR 2/2 2/1/0 ? 150 51 116/78

KARYAWAN ROSYETI TAJUR 1/4 2/1/0 ?
METI
IRT CIAMIS 1/0/0 11/11/2022 158
MULYANI
IRT OTIH SUKAMULOYA 4/3/0

IRT SARTENAH SDRASA 4/3/0 10/15/2022

NANI
IRT SUKASARI 5/1 3/2/0 158.5 23.5 53 102/58
INSRIANI
IRT KURNIATI TAJUR 3/4 3/2/0 12/25/2022 152 48.3 106/62

IRT SITI NAFSIAH SUKASARI III 1/0/0 8/7/2022

ADELINA
KARYAWAN KATULAMPA 3/1/1 8/18/2022
CHAERANI
NYAI KATULAMPA
IRT 3/1/1 K1 1/3/2023 148
RUKMINI 6/19
IRT YUSTINAH TAJUR 1/5 8/23/2022 160 74
TANAH SEREAL
IRT SUHERLINA 4/1/2 K1 ?/1/2023 159
1/8
IMAS
IRT SDRASA 3/8 1865164048 2/1/0 K1 2/13/2023 155 117/84
KOMARIOAH

IRT OON SD.RASA 1/12 2360117046 4/3/0 K1 3/3/2023 129/79

IRT YUHANI SUKASARI 1/5 3/2/0 12/16/2022 155 54 121/87

KARYAWAN ANAH SD SARI 4/2 1/0/0 12/14/2022

 IRT E.DIDAH SDSARI 2/2 1/0/0 8/10/2022 148 54
GEMBIRA RANGGA MEKAR
IRT 2/1/0 K1 2/1/2023 160 87/65
NEBAHO 5/5

IRT ELI MULYATI SDRASA 5/7 2/1/0 9/12/2022 153 25 60 116/70

KARYAWAN KUSTIAH
HARJASARI 3/8 1/0/0 K1 1/24/2023 150 21.5 42.5 97/52
SWASTA,BHL LILIS SUSANTI

irt satnah sindangsari 1/8 2/1/0 k2 12/6/2022 153 24 58 110/80

irt yayah pakuan 3/3 1/0/0 k2 1/1/2023 158 24 49.9 106/80

baranangsiang
irt royani 2/1/0 k1 2/1/2023 149 24 42 115/84
3/4
megamendung
irt cacah 2/1/0 k5 ?/9/22 160 27 72.2 115/80
6/2
irt siti khodijah bantarjati 1/4 2/1/0 k2 10/21/2022 159 31 71 160/90

irt suryati sindangsari 3/2 1/.0/0 k1 2/11/2023 147

irt yoyoh rustini sukaraja 5/5 3/1/1 k5 9/10/2022 156 30 61.3

irt titin sukasari2/4 4/3/0 k2 11/20/2022 153 26 56 110/70

irt nurlaela katulampa 3/9 2/1/0 k4 12/4/2022 155 23 50 110/80

irt ipah muarasari 2/7 3/1/1 8/27/2022 161 29 76.1 125/79

irt aida sukasari 2/5 5/2/2 k6 9/5/2022 156 25 65.9 109/77

IRT NONENG SD RASA 1/10 5/3/1 K6 8/29/2022 26 70.5 105/65

RONI
IRT KATULAMPA 3/9 4/2/1 2/3/2023 165 28.5 70 108/69
HARTINI
 IRT NIMARYATI SDRASA 3/5 5/3/1 10/27/2022 165 30 75.1 107/69
PAYTMAWAT
IRT CIAWI 4/4 3/2/0 12/1/2022 145 31 60.2 116/76
I
IRT ROHANI HARJASARI 2/4

IRT TASEM SUKASARI 1/2 3/1/1 12/27/2022 148

IRT SITI FATIMAH SDRASA 2/11 3/2/0 12/14/2022 154 27 56 110/71

IRT ACAH SDRASA 4/11 5/2/2 11/25/2022 26 108/67

IPIT
IRT SUKASARI 2/6 3/2/0 2/5/2023 159
SUMARNI
SITI
SWASTA SDSAR 3/4 2/1/0 11/6/2022 155 71 117/72
SUNARSIH
IRT ANAH SUKASARI 2/2 2/1/0 67 128/91

IRT OTIH SUKAMULYA 4/3/0 k6 8/18/2022 170 70.3 137/81

IRT AI SADIAH TAJUR 1/2 2/1/0 10/25/2022 151 29 70 124/81

IRT IKA 9/15/2022 158 24 63 136/82

IRT ST LATIFAH SDRASA 1/11 1/21/2023

IMAS
IRT SDSARI 22/11/0223 47 120/80
MARTINI

SUKAMANAH
IRT NIA ZULIDA 1/0/0 11/11/2022 155.5 23.5 55 100/67
2/1
QONI
IRT CIOMAS 1/13 1/0/0 9/21/2022 159 53.4 100/90
KURNIASIH

IRT Fitri Sindang sari 5/5 1/0/0 9/7/2022 160 27.5 80.7 106/70

IRT Endeh sindang dasi 6/6 2/1/0 8/10/2022 149 29 64 110/91

 IRT Dida aini tajur 2/2 2/1/0 11/28/2022 150 30 70 100/65
sindang
swasta Jamilah 1/0/0 k1 2/16/2023 155 26 55
sari04/05

IRT ANI AISYAH SUKAMULYA 3/5 1/0/0 11/11/2022

PARUNG
IRT JUARSIH 4/2/1 11/28/2022 160
BANTENG 2/1
ENTIN
IRT SUKASARI 3/3 1/0/0 12/10/2022 155
SUARTI

KARYAWAN ANDITA SUKASARI 3 103/68

IRT ACIH SDRASA 3/2 1/0/0 8/24/2022 147

IRT IIS SD.SARI 4/5 2/1/0 12/15/2022 151 31 71 136/70

MILIK
GURU SD.SARI 2/5 1/0/0 12/17/2022 160.4 26 60.9 105/59
RAHAYU
ACIH
IRT TAJUR 3/3 2/1/0 1/20/2023 10/27/2023 159 21 48.9 105/72
SUNARSIH
IRT ITAH SD.RASA 3/10 1/0/0 10/23/2022 7/30/2023 150 26 70.1 110/73

IRT MARSIH SD.SARI 2/5 2/2/0 3/23/2023 12/30/2023 150 22.5 49.4 108/70

IRT ST SOPIAH SD.RASA B3/9 5/4/0 2/8/2023

IRT SD.SARI 3/2 1/0/0 2/11/2023 147.5 66.8 123/91

NUNUNG CIBANON 1/4
IRT 2/1/0 12/26/2022 56 96/71
NURHAYATI SUKARAJA
IRT ROMLAH BOJONGKERTA 3/2/0 /2/23 110/70

IRT IJAH SD.SARI 2/5 4/3/0 9/18/2022

 IRT SADIYAH TAJUR 1/2 2/1/0 10/25/2022 151 29 70.5 121/78
NANI
IRT TAJUR 4/2 3/2/0 151 26 57.5 121/76
HANDAYANI
RONI
IRT KATULAMPA 3/9 4/2/1 2/3/2023 165 28.5 70.5 101/63
HARTINI
IRT NENAH SD.SARI 1/7 2/1/0 10/25/2022 151 17 43 84/48

IRT ACIH CARINGIN 3/2 1/0/0 8/24/2022 147 47.4 99/63

IRT FATMAWATI TAJUR 1/2 1/0/0 11/5/2022 145 63.4 113/64

IRT ENCUM SD.SARI 5/5 5/4/0 11/26/2022 160 33 59.9 142/92

IRT ST AISAH BJ.KERTA 1/2 2/1/0 153 56.6 115/63

IRT ST ROHMAH TAJUR 2/6 3/2/00 1/3/2023 145.5 45.5 114/83

IRMA
IRT CIOMAS 10/12 2/1/0 7/11/2023 158 61 114/82
SURYATIN
IRT IPAH MUARASARI 2/7 2/1/0 8/27/2022 160 76.8 125/83

IRT SUNARSIH SD.SARI 2/1 3/2/0 1/8/2023 155 31 67.7 128/83

IRT ST SAODAH SD.RASA 4/9 2/0/1 8/21/2022 145 31 70 94/67

IRT ASIYAH SK.SARI 6/3 3/2/0 9/23/2022 153 34 76.8 139/62

KARY.SWAST
SD.SARI 3/7 1/0/0 12/5/2022 145 32 79.1 129/77
A
IRT OCAH SD.RASA 4/11 5/2/2 9/25/2022 150 49.2 97/44

IRT DEDEH SD.RASA 4/4 8/6/1 10/20/2022 155 59.5 107/66

IRT SOPIAH TAJUR 2/4 3/2/0 3/6/2023 169 31.5 86.3 114/72
ACIH
IRT TAJUR 3/3 2/1/0 1/20/2023 10/27/2023 159 21 48.9 105/72
SUNARSIH
 IRT ROSIDA SD.RASA 4/3 1/0/0 10/4/2022 160 22 52 100/70

irt marya sk.sari 2/2 5/3/1 8/15/2023 155 29 76.5 117/72

IRT TAJUR 3/4 3/2/0 /11/22 158 73 128/91

NURHASANA
IRT SD.SARI 3/2 2/1/0 9/22/2022
H

irt ririn sindangsari 3/3 2/1/0 10/17/2022 160 30 80 110/80

irt juju tajur 2/4 2/0/1 1/28/2023 153 25.2 117/72

irt pipih sukasari 4/6 2/1/0 9/12/2022 150 25 72 110/80

irt siti rubiah muarasari 5/3 3/2/0 25 70 110/80

kary.swasta hj.warsih vila tajur 4/8 4/3/0 10/9/2022

GURU SADIAH MUARASARI 5/6 2/1/0 4/18/2023 158 26 58.6 108/70

IRT NENGSIH SDSARI 4/6 1/0/0 11/16/2022 154 24.5

ORT SITI SOPIAH TAJUR 4/3 2/1/0 3/1/2023 152

IRT AKIDAH SDSARI 1/5 3/2/0 ?/2/2023 152 28 61.8 117/57

IRT IMI SUTINI SDSARI 1/7 4/3/1 3/25/2023

TINI
IRT SDRASA 2/2 1/0/0 ?/11/2022 155 25 57.3 102/69
AGUSTIANI
NERIS
IRT MUARASARI 2/1 2/1/0 1/1/2023 151 29 60 120/80
HUTABARAT
 SUMIYATI TAJUR 2/3 1/0/0 2/20/2023 159 26 111/69 60.8

IIRT IIS AISYAH SDRASA 2/9 3/1/1 ?/1/2023 153 23 53.4 89/58
ADE
IRT SD RASA 5/10 1/0/0 9/20/2022 165 25 51 110/70
SULASTRI
SINDANGSARI
IRT FAUZA 1/0/0 NOVEMBER 156 29 69 141/105
2/1
IRT SITI ROHMAH TAJUR 2/6 3/2/0 1/3/2023 145 24 45.5 112/78
SINDANGSARI
IRT SURYATI 1/0/0 2/11/2023 147 25 66 110/77
3/2
irt titin tajur 4/2 3/2/0 9/26/2022 150 26 74 111/80

irt suherlina tanah sareal 1/8 4/1/2 1/10/2023 159 24 119/73

sindangrasa
irt hesti 4/2/1 2/27/2023 156 23 54 110/70
3/11
irt sumiati tajur 2/3 1/0/0 ? 159 25 60 112/68

irt entin hartini sindangsari 1/7 3/2/0 ? 165 31 72 114/71

domisili
karyawan dedeh 2/1/0 9/1/2022 150 26 72.5 102/64
sukamulya 2/3

KARYAWAN UPIT SDRASA 3/11 1/0/0 9/29/2022

IRT PUJIATI SDSARI 2/6 1/0/0 2/27/2023 160 30 95 120/80

109/75

IRT MARNI HARJASARI 2/3 5/4/0 11/24/2022 162

 SETIANINGSI
WIRAUSAHA CIAWI 5/4 3/1/1 ?
H
IRT ASIH SDRASA 3/80 2/1/0 1/22/2023

POPOH CIAWI 3/4

IRT ATI MULYATI SDRASA 2/3 2/1/0 1/7/2023 164

IRT SUKINI SDSARI 4/2 1/0/0 3/7/2023 157

IRT JURUIAH SDRASA 1/10 3/2/0 2/18/2022 155

SITI
IRT SDSARI 2/1 2/1/0 1/16/2023 160
MASITOH
RANGGA MEKAR
KARYAWAN FITRI DASA P 2/1/0
3/2

sindangrasa
irt 5/3/1 8/23/2023 155 26 71 129/75
1/10
irt siti maryam kp.cipaku 1/16 2/1/0 10/15/2022 160 25 58 108/63

irt yuyu sindangsari 1/6 1/0/0 9/18/2022 158 23 51 110/80

irt nyai tajur 2/3 3/2/0 2/21/2023 162 25 64 110/68

peg swasta jakaria panaragan 4/4 1/0/0 9/16/2022 152 31 67 110/80

irt hj ido sindangsari 1/3 2/1/0 12/3/2022 150 25 74 110/80

irt rukoyah sdrasa 3/4 4/1/2 2/20/2023 153 29 64 110/80

irt ijah sindangsari 2/5 4/3/0 9/18/2022 155 24 65 110/80

irt pipit sukasari 2/6 3/2/0 2/5/2023 155 24 50 110/80

 nani
irt tajur 4/2 5/4/0 10/20/2023 153 26 67.3 113/78
handayani
irt sopiah taajur 2/4 3/2/0 3/6/2023 169 31 86 107/89

irt sumiati sindangsari 6/1 2/1/0 9/24/2022 155 26 55 117/61

irt nining tajur 1/4 4/2/1 1/18/2023 155 24 57 110/80

irt rosmini sindangsari 2/4 5/4/0 3/15/2023 155 25 54 118/75

sindangrasa
irt nunung 1/0/0 ?10/2022 156 26 55 107/64
4/11
irt st asiah tajur 2/2 2/1/0 ? 150 25 53.5 98/67
sindangrasa
irt 1/0/0 8/24/2022 147 23 47.9 99/53
2/12
irt siti ahladan sindangsari 3/5 2/1/0 25 68.8 116/72

irt aida sopiani sukasari 2/5 5/2/2 24 66.4 121/88

irt sartenah sindangrasa 1/8 4/3/0 25 64.2 97/62

irt suminar sindangrasa 7/2 9/4/2022 158 24 50 106/60

 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

UK: 16MGG, CEK LAB 11.8 N N N

UK: 17MGG, CEK LAB 11

UK 10MGG 11.6 N N N

UK 38MGG 11.5 N N N 2+ KETON +3

DJJ 149, 18CM, 26MGG 11.4 N N N

UK 5MGG 13.5 N N N

UK31MGG 10.3 N N N 1+ LEUKOSIT +1

UK 33 USG 10.9 N N N N

UK 12MGG 12.1 N N N

UK 9MGG 12.4 N N N
UK 17MGG 3JR DIBAWAH PST,
140X/M, BALL
11.6 N N N

USG
USG
TROMBOSIT
10 N N N
93,000
USG

CEK LAB 10.1 N N N

11.4 N N N GOL DAR A+

UK 23MGG, 142X/M, 2JR
DIBAWAH PST
LEUKOSIT 3+,
11.7 N N N 1+
ERITROSIT 3+
CEK LAB 9.9 N N N 2+ GDS 101

CEK LAB 10.8 N N N GDS 83

HT 31 TROMBO
CEK LAB 10.2 NEG 257000 LEKOSIT
10300
CEK LAB 10.9 N N N GDS 87

CEK LAB 12.1 N N N GDA 10

CEK KEHAMILAN POSITIF

RIWAYAT HIPOGLIKEMI RUJUK RS VANIA

CEK LAB 10.3 n n n 0 gds 99, ht 29,4

 GDS 155,
CEK LAB, 38MGG 13.1 N
GLUKOSA +2
RUJUK RS
CEK ALB, 13 MGG 13.1 N N N GDS 128
MELANIA

34MGG 10.5 N N N N GOLDAR A+,

CEK LAB 11.1 N N N N GDS 97

cek lab 12 n n n gol dar b gds 115

uk 18 minggu per sym pst

uk 14 minggu 4 jari diatas
sympisis
uk 28 minggu

cek lab 8.8 n n n gds 231

cek lab 13.8 n n n gds 81

uk 35 minggu djj 135x/m

cek lab 10.6 n n n gds 98

suntik tt 4

uk 37 minggu 10.9 n n n n glukosa negatif

uk 35 minggu kep,

UK 36MGG, 24CM, KEP, DJJ

LEMAH 133X/M
UK 14MGG, 3JR DIBAWAH
TT4
SIMP, BALL DJJ +
UK 28MGG, 20CM, BOKONG,
134X/M
UK 22-23MGG, SEPUSAT
LINTANG, 153X/M
CEK LAB

TT3 12.7 N N N GDS 185

UK 21MGG, 3 JR DIBAWAH,
TT4
133X/M,
CEK LAB 11.6 N N N GDS 107

CEK LAB 11.6 N N N GDS 104

KONSUL DR
26MGG, 19CM, KEP, 150X/M TT3 UMUM
KEPUTIHAN
27MGG, DJJ 144X/M
37MGG, 26CM 135X/M, KEP
MASUK PAP
28MGG, 19CM, DJJ 138X/M,
KEP
TROMBOSIT
34MGG 10 N N N RUJUK RS UMMI
104,000
13.1 N N N GDS 121

10.1 N N N GDS 93

26MGG, 19CM 133X/M KEP

TT1 8 N N N GDS 110
MASUK PAP
CEK LAB 11 n n n n leukosit urine +3

34 mgHBSAG positif positif n HBSAG +

11 n n n
 11.2 n n n

11.6 n n n

11.5 N N N GDS 94

11.3 N N N GDS 88

TT2

TT3
LEKOSIT URINE
8.7 N
+3ERITOSIT+10

HT 34,6 TROMBO
12.4 NR NR NR 261000 LEKO
11600 GDS 94

ATR SYM PUSAT,DJJ + 132X/M

TFU 22CM DJJ 150X/M

HT 36,6 TROMBO
12.6 N NR NR 239000 LEKO 87
7800 GDS
HT 38,4 101
TROMBO
,13,1 N NR NR 254000 LEKO
8500 GDS 104
HT 30,7 TROMBO
257000 LEKO
10400
HT 32,6GOLDA
TROMBO
10.8 N NR NR 089639244904
AB+ SYPLEKO
225000 NEG
HBSAG NR
9800 GOLDA HIV
A+
11.4 N NR NR NR GDS 99
SYP NEG HBSAG
NR HIV NR GDS
8.9 N NR NR 91
 GDS 93 HT 36,3
12.8 N N N TROMBO 238000
LEKO 8300
UK 19MG

10 N N N N GDS 133

GOLDA A+ GDS
12.4 N N N
88
GDS 87 GOLDA
11.6 N N N NEG
0/+

ht 35,5 trombo
12 n n n 274000 leko
11700 gds 74
ATR SYM PUSAT,DJJ + 132X/M 8.8 n n n gds 111
 ht 33,6 trombo
11.9 neg 192000 leko
12500
uk 27mg,b tfu 20cm, djj
tt2
146x/m

TT4
HT 37,1 TROMBO
295000 LEKO
12.8 N N N NEG
14300 GOLDA
AB/+ GDS 108

cek lab 9.7 n n n n trombo 261.000

cek lab 10.7 n n n

cek lab 12.6 n

cek lab 10 N N N GDS 110

ht 29,2 trombo
cek lab 9.7 n n n n 331000 leko
9500 gds 111

HT 39,5, TROMB
UK 5 MINGGU 13.7 N N N 267,000, LEU
6600.
HT 30,GDS
TROMB100
26-27MGG 10.2 N N N 222,000, LEU
7200, GDS
HT 40,4, 118
TROMB
12 MGG 14.3 N N N 189,000, LEU
6400, GDS 120
UK 12 MGG, MUAL, 2 jr diatas
TT4 10.3 N N N PERDARAHAN
simp
SEBANYAK 1
8MGG PEMBALUT,
RUJUK
HT 35,4,RSTROMB
SEPUSAT, BALL, 148X/M, JULIANA LEU
12.7 N N N 198,000,
26/27MGG
8700
CEK LAB 20 MGG 11.7 N N N
230RB, LEKO 9200
17 CM, 152X/M, KEP 11.7 N N N
230RB, LEKO 8200

HT 33 TROMBO
KR 17MGG 12 N N N 273.000 LEKOSIT
7.600 GDS 81
CEK LAB 9.5 N N N pos 2 HT 29,4 GDS 93

TFU 21 CM 32 minggu 13 n n n pos 2

USG UK 20 MINGGU KELUHAN
KELUAR AIR"
USG 15 MINGGU

rujukan usg

19 minggu djj 135 kep

cek lab 11.6 n n n gds 93

usg

uk 34 minggu djj 135 tfu 26 cm

uk 38 minggu djj 135 tfu 26

TT2 11.4 N LEKOSIT +2

HT 37, TROMB,
UK 12MGG SUDAH 2
PERDARAHAN 13.4 N N N 304.000, LEU
MINGGU LEBIH, GANTI 8200, GDS 95
PEMBALUT 5X SEHARI PENUH, RUJUK RS UMMI
BERWARNA KEHITAMAN DAN
MERAH
HT 32,4;TROMB
11.2 N N N 299,000;LEU
12,300, GDS 97
 HT 35,6;TROMB
12.2 N N N POS 1 278,000;LEU
8700;
HT GDS
33,5 91
TROMBO
11.6 N N N 305.000
LEUKOSIT 13.300
KONTROL POST
SC 2MGG

11.4 n n n
HT 36,3, TROMB
12.8 N N N 237,000;LEU
8900;GDS 115
HT 35; TROMB
12.2 N N N 232,000; LEU
9000; GDS 106
11.2 N N N Puloarmyn04.
HT 29; TROMB
9.6 N N N 237,000; LEU
10.600, GDS 99

uk 39 minggu djj 138 kep

trombo 281.000
cek lab uk 33 minggu 6.9 neg
leuko 7.800
trombo 158.000
cek lab 12 neg
leuko 10.400
cek lab 12 n n n gds 103

cek lab 12.2 n neg ht 34

suntik tt 4

cek lab 11.9 n n n

usg rujukan juliana uk 36
riwayat sc

uk 16 minggu djj +
uk 32 minggu

usg

usg uk 36 minggu

cek lab 11.5 n n n

cek lab 11.7 n n n

uk 29 minggu

uk 15 minggu djj+

cek lab 9.2

usg
ht 31,9 trombo
11.6 n 206.000 leuko
12.000
usg

cek lab 10.6 n n n n trobosit 135.000

lekosit 3+
REGISTER MANUAL KUNJUNGAN KIA TAHUN 2023

TANGGAL
NO
KUJUNGAN
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR PEKERJAAN
TERAKHR

### 1 indri saputri nandar hidayat 3271024103890002 3/1/1989 34 smu irt

03 April 2023 1 METI FITRIANI USMAN NURDIN 3271024312920002 12/3/1992 30 SMP IRT

2 NIA YUNIARTI ABDRE RAMDANI 32714024512830003 12/5/1983 39 SMU IRT

3 DEVI SEKAR MIZAR PRASETYA 3271026807010008 7/28/2001 21 SMP IRT

IRT/
4 LARAS APRIYANI MALIK RIDWAN 3674034311970002 11/3/1997 25 SMK/SMK
KARYAWAN
5 NOVIYANTI RAMA ABDULLAH 3271024811980004 11/8/1997 25 SMK KARYAEAN

04 April 2023 1 AMELIA DIRMAN 3271026804930001 4/28/1993 29 SMP KARYAWAN

2 RENIO ANJANI ILHAM RAMADHAN 3271015901030015 1/19/2003 20 SMA IRT

3 SRI REJEKI SOPIAN HADI 3271036909890002 3/29/1989 34 SMA IRT

4 DARA MENTARI ARI NUGROHO 3271026502020004 2/25/2002 21 SD IRT

5 CUT SHEILLA WULANDARI AGUS MAULANA 3201195909990005 11/17/1999 23 SMK IRT

6 WILANINGSIH NAPIS 32741024510850014 10/5/1995 27 SMP IRT

 7 MAUDI IAMAM SYAFEI 327102686980004 6/28/1998 24 SMK IRT

8 DIAN NURMAWATI IRWANSYAH 3271024310870003 10/3/1987 35 AKADEMI IRT

06 April 2023 1 HAFA RUBINA LEWA 3271026508960003 3/4/2023 0

2 SAMSIAH IVAN DWI SAPUTRA 3271015505790024 5/15/1979 43 SD IRT

3 SUHARYANI SYIFFAN 3271024307950001 7/3/1995 27 SMU KARYAWATI

4 HERLINA PUTRI ADE 3271025905020006 5/19/2002 20 SD IRT

08 April 2023 1 MIRA HERAWATI ASEP FADILAH 3271025205910004 5/12/1991 31 SMA IRT
DUSKA ERIK
2 RINI NURJANAH 3206124107910014 7/1/1991 31 SD IRT
PURNAMA
2 INA BUDIASIH PURWONO 3271016204920009 4/22/1992 30 SMK IRT

10 April 2023 1 QISTHI QONIA AHMAD J 3276034112960004 12/1/1996 26 S1 KARYAWATI

3 NUR ANISA 3271024603950004 3/6/1995 28 SMK KARYAWAN

4 ATIK SUGIATI NARWAN 3314046705850003 5/27/1985 37 SMU IRT

5 RINI ANDRIANI ERWIN 3201266706870002 27/6/1987 35 SMP/SMA IRT/BURUH

6 INDA APRILLA M.ZEN 3271024104960003 4/1/1996 27 SMA IRT

7 NITA LUTARI SODIKIN 3201264609990002 9/6/1999 23 SMA IRT

8 YUYUN YUNINGSIH AZIS 3271024607840004 7/6/1984 38 SMP IRT

123
selasa,11 april 23 1 sri mulyani dodi iskandar 3271024501980010 1/5/1998 25 SMU irt

2 ELVINA ADIT 3201256909020013 9/29/2002 20 SMP IRT

3 NOVANI HENDRAWAN 3271024509930007 9/5/1993 29 SMP IRT

4 SUMIYATI KOMARUDIN 3271025308790004 8/13/1979 43 SD IRT

5 SARME SIBURIAN IRWAN MANALU 1216064811930002 11/8/1993 29 SMK IRT

6 ROSA PERONIKA JOHANSAH 3271024803710012 7/17/2000 22 SMP IRT

7 FITA DAMAYANTI HERIYAWAN 3271024105850002 5/1/1985 37 SMK IRT

8 peni susanti mahmudi putra 3271016302890022 2/23/1989 34 sma irt

123

12 April 2023 1 ERNAWATI MUMUH 320224600480001 4/20/1984 38 SD IRT

2 WIWIN ABDUL MUHTAR 3271015707820022 12/17/1982 40 SMU IRT

14 April 2023 1 Linawati IIm purnawan 3201145108880008 8/11/1988 34 sma IRT

2 zahra zivillia Nanang permana - 4/20/2010 14 smp IRT

3 WelvaRezia Sandi Ariandi 3271026508030002 8/25/2003 19 smk IRT

4 siti aisyah dedi 3203301550145993 1/15/1995 28 sma IRT

5 KINI TABARNAH NAZARA KRISTIAN ZEBO 3204045602020003 2/16/1999 24 SMK IRT

123

17 April 2023 1 siti nuraeni udin samsudin 3271025104820009 4/11/1982 40 sd irt

 2 alma fadilla rizky nurhidayat 3207036406010002 6/24/2001 21 smu irt

3 rohmah m.makmur 3271025505920012 5/15/1992 30 smu irt

4 siti rahayu yudi permana 3271026712880001 12/27/1988 34 smu irt

123

18 April 2023 1 PIPIT PITRIANI ROHMAN 3271025603880001 3/16/1988 35 SMU IRT

2 WINDA WINARNI FIRDAUS 3271024702980002 2/7/1998 25 SMK IRT

3 ENENG MAULANI LESTARI ARDIANSYAH 3271026609010008 9/26/2001 21 SMK IRT

4 YATI NURHAYATI RAIS KUSMANA 3271025804830001 4/18/1983 39 SMA IRT

5 ZAHRA ZIVILIA NANANG PERMANA 4/20/2010 12 SD IRT

6 YANTI MUTIARA M ADI CARTA 3271025310850003 10/13/1985 37 D3 BURUH

7 DURRIYHA NAJIBAH M NAJIB 3271041508970012 8/15/1997 25 S1 GURU

8 NANI NURNIANINGSIH SULAEMAN 3271016509860007 9/25/1986 36 SMA IRT

9 ELIN SUSANTI M IKHLAS 3202116405890005 5/24/1989 33 SMP IRT

10 NOVI IRYANTI OBAY SUBARI 3201274107920010 7/1/1992 30 SMP IRT

11 ROSA PERONIKA JOHANSAH 327102631200003 12/23/2000 22 SMP IRT

12 KIKI ELISA AMELDIANYTI ALDI RAKA 3217114701970008 1/7/1997 26 SMA IRT

ABDURAHMAN
13 YUNIA RAHAYU 3271025606870001 6/16/1987 35 D3 IRT
SYAFEI
14 SITI ROHENI SUBANON 3271026503920003 3/25/1992 31 SD IRT

123

RABU,19/4/23 1 SRI RATIH PURWANINGSIH ANDRI 3201275505981001 9/14/1998 24 SMP IRT

kamis/20/4/23 1 Rika Aprianti Nirwansyah 3271026704940003 4/27/1994 28 SMA IRT

SENIN,24/4/2023 1 ANITA FITRIANTI ENCEP 3271024301990001 1/3/1999 24 SMU IRT

123
KARYAWAN
25 April 2023 1 TRISNAWATI HENDRA GUNAWAN 3271025309980004 9/13/1998 24 SMA
SWASTA
R.MUHAMMAD
2 FIKA FEBRIANA 3271026102880006 2/21/1988 35 D3 KARYAWAN
JUKNI FAHMA
123

26 April 2023 lidya maya farhan 3271026205980004 5/22/1998 24 smu irt

123

27 April 2023 1 sulistina yudi 3201046702950001 2/27/1995 28 smu irt

123

29 April 2023 1 nindya edwardo 3271014707940013 7/7/1994 28 sma irt

2 rini dwi rangga 3201244509930011 9/5/1993 29 smp irt

3 rina pertiwi muhammad rusli 3271047540195007 1/14/1995 28 smk irt

4 nursafitri heri setiawan 3202125512010003 12/15/2001 21 smu irt

123

123

123
123

123

123

123

123

123

123

123

0
0

0
0

0
0

0
0

0
0

0
0

0
 NAMA IBU
KANDUNG ALAMAT NO BPJS GPA 0 HPHT TP TB LILA BB TD

siti masitoh sukamulya 1/5 g2p1a0 k6 17/7/22 24/4/23 155 26 72 110/80

DEDE
SUKASARI 1/2 G2P1A0 K5 3/8/22 10/5/23 152 25.5 56.2 100/73
SUPENTI
TITIM
SUKAMULYA 5/3 G4P3A0 K2 9/2/2023 158 28.5 64 94/59
JULAEHA
SRI
KAEMAHWA SUKASARI 4/3 G3P1A1 K6 8/3/2022 5/10/2023 154 25 49.7 91/64
TI
ROYANI BR.SIANG 3/4 g2p1a0 k1 2/1/2023 11/9/2023 149 24 43 112/95

NUNUNG SDRASA 4/11 G1P0A0 K2 ?/10/22 -/7/2023 156 26 52.4 100/64

MULYANAH SDRASA 5/10 2/1/2000 K6 7/17/2022 4/24/2023 149 28 70.4 103/68

YAYAH PAKUAN 3/3 1/0/0 K1 1/1/2023 10/8/2023 158 24 48.8 100/70

RANI KATULAMPA
4/2/2001 K2 2/3/2023 11/10/25023 165 28 67.4 98/74
HARTINI N3/9
DEDE
SDRASA 3/9 2/1/2000 K4 ? 156 19 40.1 81/56
RATNAWATI
IYOS SDRASA 3/10 1/0/0 K5 7/30/2022 158 25 62 94/66

ANAH SKSARI 2/2 2/1/2000 11/1/2022 150.5 31 67.4 107/74

ADE
SDSARI 2/7 3/2/2000 K2 12/30/2022 154 26.5 60.3 100/70
YULIANTI
ATI TAJUR 3/4 3/2/2000 K1 12/25/2022 152 25 45.9 97/63

6.8

ROSIAH MUARASARI 2/2 G3P2A0 9/28/2022 155 30 60 107/73

FATMAWATI TAJUR 4/2 G1P0A0 11/5/2022 145 36 66 110/80

MARYATI SDRASA 2/10

P.BANTENG RT
SAIDAH G2P1A0 5/19/2023
4/1
HASANAH SDRASA RT 2/8 G5A4A0 /7/23

SUHARNI CIPAKU 1/16 G2P1A0 9/17/2022 6/24/2023 152 30 64 90/70

SITI
MUARASARI 2/7 G1P0A0 10/15/2022 7/17/2023 154 28.5 69 120/70
NURSEHA
NYAI
SDRASA 1/11
BIALWIAH
WAKINEM SDRASA 1/10 G2P1A0 8/15/2022 5/22/2023 150 27 62 110/80

DIAH SADIAH SDSARI 3/1 G3P2A0 1/6/2023 10/13/2023 155 26.7 61.4 105/62

SUMINAH SDRASA 4/4 G2P1A0 12/6/2022 9/14/2023 157 27 60.3 104/66

ITAH SDRASA 3/10 G1P0A0 10/23/2022 7/30/2023 150 27 69 100/66

SARIPAH SDRASA 2/12 G3P2A0 1/5/2023 10/12/2023 154 27.5 50.2 119/75
KHODIJAH SD.SARI 5/5 G2P1A0 10/13/2022 159 24 58 120/68

SURTINI TAJUR 3/4 G1P0A0 26/7/22 155 20 50.6 105/69

ASIYAH SK.SARI 6/3 G3P2A0 9/23/2022 153 34 73.4 124/68

HAWA SD.RAS 2/7 G5P4A0 8/19/2022 158 56.3 156/83

RUMENTI
HARJASARI 1/2 G3P2A0 11/15/2022 158 32 76 110/70
PURBA
YAYAH
SD.RASA 3/3 G1P0A0 7/23/2022 162 32 82.5 110/68
JUWARIYAH
MARYA SK.SARI 2/2 G5P3A1 11/15/2022 158 28 72.5 124/85

sopiyah barsi 10/6 g2p1a0 8/24/2022 158 70 120/80

OCAH TAJUR 3/3 G4P2A1 9/9/2022 158 27 74 100/80

AAN HANJASARI 1/4 3/2/2000 154 33 80 104/80

Patmawati Ciawi4/4 0001147434478 3/2/2000 12/1/2022 145 28 59.3 117/76

EVI tajur 3/3 1/0/0 ?/1/2023 152 22 45 104/76

rangga mekar
Gembira N 2/1/2000 2/28/2023 160 30 68.6 99/66
5/5
sopiah Tajur 1/4 2/1/2000 8/19/2022 158 82.3 30 109/66

Sumiati .W harjasari 5/2 1/1/2000 8/17/2022 155 36 67 100/70

ujum sindangsari 5/5 g5p4a0 26/11/22 160 33 58.4 110/80

yuliyuliani muarasari 2/1 G1P0A0 8/9/2022 152 22 53.5 112/73

otih sukamulya 5/3 g4p3a0 8/18/2022 155 25 68.8 140/78

bantar peteuy
sopiah g3p2ao 3/6/2023 169 31 83 129
2/4
122/80

SDRASA 1/10 G5P3A1 24/8/22 26 68 122/80

TITIN SD.RASA 3/8 G2P1A0 1/1/2023 155 30 55 110/70

NENENG
SD.SARI 4/2 G1P0A0 7/20/2022 158 29 80.2 124/78
MAULIDAH
ST HASANAH HARJASARI 2/3 G5P3A1 10/15/2022 158 29 70 120/80

ETI TAJUR 3/3 G1P0A0 -1-23 152 21.3 42.5 110/70

SK.SARI 1/2 157 26 64 120/85

MILIK
SD.SARI 2/5 12/17/2023 160.4 26 57.6 109/65
RAHAYU
TUTI
HARJASARI 2/7 G6P4A1 9/25/2022 159 24 56 110/70
WAHYUNI
NYI MARYATI KP.MUARA 2/9 G5P3A1 10/30/2022 162 73.6 116/73

IIM SD.SARI 1/6 G3P2A0 12/14/2022 157 31 73.6 142/92

YAYAH SD.RASA 3/3 G1P0A0 7/23/2022 162 25 83.1 106/70

WILI
SK.SARI 2/5 G1P0A0 8/25/2023 153 25 71.1 120/90
YULIANTI
NITA
SD.SARI 3/3 G3P2A0 11/2/2022 155 26 59 120/80
ANDRIANI
ENTIN SD.SARI 1/7 G3P2A0 ? 165 31 66 109/63

CICIH SD.RASA 2/2 G2P1A0 8/3/2022 160 35 75 100/70

Fauzah sd..sari2/1 G1P0A0 lupa 155 39 154/111

DOMISILI
ACIH G1P0A0 8/24/2022 5/31/2023 147 45 92/62
SDRASA RT 2/12

ATIH SDSARI 3/7 G1P0A0 12/5/2022 9/12/2023 145 32 76.5 122/77

ANIH
SDRASA 1/1 46 90/62
FITRIANI

siti hajar sindangrasa 3/4 g1p0a0 10/15/2022 158 32 77 90/80

nurlaela katulampa 3/9 g2p1a0 12/4/2022 155 23 50

jamilah lwg gintung g2p1a0 9/1/2022 158 26 55 110/70

encin sindangsari 1/6 24 54 110/80

parung banteng
maskah 25 84 110/70
1/9
sindangsari 4/3 g2p1a0 9/12/2022 155 30 65 120/80
 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

cek lab 11 n n

LEUKOSIT URINE
+2, HT 31,6,
UK 34MGG, TFU 31CM, DJJ
10.9 N TROMB 167,000,
136X/M, KEP MASUK PAP
LEKOSIT DARAH:
8800
UK 18MGG, BALL DJJ +
UK 34MGG, 31CM, DJJ
158X/M, NLM MASUK PAP,
RUJUK ht 34,2, tromb
uk 9mgg, CEK LAB 11.9 n n n 288,000 leu 6000
gds 124
uk 20mgg, 3JR DIBAWAH PST,
DJJ 132X/M, BALL+

UK 37 MGG, TFU 26CM, DJJ

141X/M KEP MASZUK PAP
USG
TROMB 261,000
UK 9MGG 13.1 N N N HT 37,3
LEU 7100
UK 25MGG, SEPUSAT, DJJ
134X/M BALL
HT 35, TROMB
CEK LAB 11.8 N N N 1+ 241.000 LEU
9600
22MGG, 2JR DIBAWAH PST,
TT3
BALL, 152X/M
UK 13MGG 10.2 N N N
HT 29,6, TROMB.
UK 13MGG 10.2 N N N 201,000 LEU GDS 94
6000

PEMBERSIHAN VAGINA

CEK LAB UK 27MGG 12.1 N N N

CEK LAB UK 22MGG 11.8 N N N LEU 11600 GDS 111

INDIKASI AB

LEU7300
CEK LAB 11.2 N R N GDS 116
TROMBO 252000
LEU 5900 TROMB
CEK LAB 9.2 N N N
177000
HT 29,6, TROMB
UK 28MGG 10 N N N 178,000 LEU GDS92
7500

TROMB 297,000
CERK LAB 11.7 N N N LEU 12,300 HT GDS 115
32,9
BEKAS OP SUDAH
POST OP KISTA TUBA FALLOPI
KERING
CEK LAB 13.1 LEUKOSIT +3
UK 13MGG, 2JR DIATAS SIMP,
12X/M BALL+
UK 18MGG, 4JR DIBAWAH PST,
138X/M
UK 24MGG 2JR DIBAWAH PST,
BALL, 153X/M0
uk 13mgg, 3jr diatas simp, HT 32,1 TROMB
11.5 N N N GDS 105
ball+ 254000 LEU 7300
BALL +,DJJ 142X/M
HT 31,8 TROMBO
TFU 27CM,DJJ 136X/M 10.7 161000 LEKO
4900

HT 32,1,
TROMBO
11 N N N
210000,LEKO
11700
TFU 28CM,DJJ 138X/M,KEP

pos1

CEK LAB 10.8 NEG

HT 29 TROMBO
CEK LAB 10.4 187.000 LEKOSIT
6.300

cek lab

KI RESTI

cek lab

cek lab

uk 20 minggu djj 154

UK 36 MINGGU TFU 27 CM DJJ 11 N

uk 35 minggu tfu 27 cm djj 136 10 N

uk 6 minggu

BPD 7,99 HL
28,62 AC 27,51
UK 33MGG 11 N
FL 6.08 EDD
HT 30 TROMBO 182.000 LEKO 6/6/23 EFW 1804
10.7 N NR NR
8400

HT 30,4,
HB 10,2, HT30,4, TROMBO TROMBO
10.2 POS 1
215000,LEKO 8900,PTO
HB 12,5, HT 35,7, +1
TROMBO 215000, LEKO
279.000, LEKO 8200,GOLDA 8900
12.5 N NR NR
O/+, SYP NEGA,HBSAG NR, HIV
NR GDS 96

TFU 11CM, BALL +, DJJ +

HT 25,5,
TROMBO
8.4 N NR NR NEG
271.000, LEKO
7600 GDS 73
TFU 12CM,DJJ 127X/M, PUKA
TFU 1JR BWH PUSAT, BALL
+,DJJ 152X/M
TFU 29CM, KEP, PUKA, DJHJ
142X/M HT 34,9,
TROMBO
11.8 POS 1
244000,
HT 27,5, LEKO
11500, GDS 138
TROMBO
9.3 N NR NR
217.000, LEKO
7700,GDS 88
DJJ 143X/M, TFU 21CM, BALL +

ht 33,1 , trombo 226.000,

11.2 neg
lekosit 10400 gds 94
TFU 24,UK 32/33MGG, DJJ
TT2 11 NEG
140, PUKI,PRESKEP KEPALA

UK 20MGG,
HAMIL KET, POST
A2
OP 3MGG, RUJUK

cek 10.8 n n n ht 30

cek lab 11.2 n n n ht 31,7 gds 12

ht 33 trombo
11.3 n n n 281000 leko
7500 gds 95
cek lab 11.1 n n n gds 95

cek lab 12.9 n n n gds 117

ht 29,1 trombo
cek lab 9.2 n n n pos 1 234000 leko
7400
 TANGGAL
NO
KUJUNGAN SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR PEKERJAAN
TERAKHR

RABU 123
01 Maret 2023 1 AYU GUSTIANA SAEPUL ANWAR 3271024108910007 8/1/1991 31 SD IRT

RIZKY
2 MELAN ANTIKA 3271026405000005 5/24/2000 22 SMK IRT
NURIRAWAN
KAMIS

02 Maret 2023 1 SITI ANISA YUNIARTI NASRUL 3201245406950003 6/14/1995 27 SMA IRT

SABTU 123
KARYAWAN
04 Maret 2023 1 WINDI APRILIANI HANS SETIAWAN 3303184304970001 4/3/1997 25 D3
SWASTA
123
SENIN 123
ABDURAHMAN
06 Maret 2023 1 DEWI AFNI KUSUMA 3201284212920003 12/2/1992 30 D3 IRT
HAKIM

2 DELVI NOVITASARI RIAN 3271024312020008 12/3/2002 20 SMU IRT

3 SITI KUSMINAR AHMAD KURTUBI 3271025607840005 7/16/1984 38 SMP IRT

4 YULIANTI ANWALUDIN 3271036107930006 7/21/1993 29 SD IRT

5 ROIMAH USMAN 3603175307870002 7/13/1987 35 SMA IRT

6 SEPTI AWALUDIN 3271024209010001 9/2/2001 21 SMU IRT

7 SITI NURLAELA AGUS 3271025210890016 123 SMU IRT

8 RATIH LUKMAN 3201266402880004 2/24/1988 35 SMU KARYAWAN

 123
SELASA 123
07 Maret 2023 1 KILA TRESNAWATI YAYAT SUDRAJAT 3271026204780003 5/22/1978 44 SMA IRT

2 KASRIYAH FAHRUL RAJI 31710326202821001 2/22/1982 41 SMP IRT

ILHAM
3 RENI ANJANI 3271015901030015 1/19/2003 20 SMA IRT
RAMADHAN
4 LINA LISTRIANA EDI PRAMITO 3271025311850003 11/13/1985 37 SMU IRT
5 NOVANI HENDRAWAN 3271024509930007 9/5/1993 29 SMP IRT
6 ANNISA ANWAR 3271027009980001 9/30/1998 24 SMA IRT
7 RATNI JUJUM 3271025703830013 3/17/1983 39 SD IRT
8 WINDA M.DEDEN 3201036803910005 3/28/1991 31 SMP IRT
9 DIAN NURMAWATI IRWANSYAH 3271024310870003 10/3/1987 35 D3 IRT

10 SRI REZEKI HARTINI SOPIAN HADI 3271036903890002 3/29/1989 33 SMA IRT

11 NOVIYANTI RAMA ABDULLAH 3271024811980004 11/8/1997 25 SMK IRT

123

RABU 1 ST ROHMAH AH JUNAEDI 3271025112830007 12/11/1983 39 SD IRT

08 Maret 2023 2 ST DEWI RISNANTO 3201244401890005 1/4/1989 34 S1 IRT

3 PUJI ASTUTI SALMAN ALFARISI 3271026308930003 8/23/1993 29 S1 IRT

APRISAL
4 ST NURAFNI 3271016002930009 2/20/1993 30 SMA KARYAWAN
ISKANDAR
123
KAMIS 123
09 Maret 2023 1 NASYA NOVALIA RAYHAN 320112242120001 11/26/2004 18 SMP IRT
 2 IRNAWATI RAHMAT 3271026305000008 5/23/2000 22 SMP IRT

3 PEBI SITI RUSLAN 3201245702920005 2/17/1992 31 SMA WIRASWASTA

JUM'AT 123
10 Maret 2023 1 KILA TRESNAWATI YAYAT SUDRAJAT 3271026204780003 4/22/1978 44 SMA IRT
2 NITA LUTARI SODIKIN 3201264609990002 9/6/1999 23 SMA IRT
3 SHYNTA BARBARA 3201286501910002 1/25/1991 32 S1 SWASTA
123
SENIN 1 titin suryani hendra 3271026006880004 6/20/1988 34 sd irt

13 Maret 2023 2 NAFISAH HASANUDIN 3271025106840007 6/11/1984 38 SMA IRT

3 ST NURAENI UDIN SAMSUDIN 3271025104820009 4/11/1982 40 SD IRT

4 ST KOMARIYAH ASEP MULYANA 3271025210970005 10/12/1997 25 SMA IRT

YANTO
5 RINA YULIANA 3201274412910003 12/4/1991 31 SMP IRT
PURWANTO

6 ST JAMILAH SRININGSIH HIDAYAT 3201246805860002 5/28/1986 36 SMA BURUH

7 ELSYA DELLANDA GEMILANG 3217105806990016 6/18/1999 23 SMA IRT

8 aryati agustine erik 3271026709900009 9/27/1990 32 smp irt

9 sopiana tambunan gusar sitanggang 3271025207820009 7/2/1982 40 smk irt

 SELASA 1 santi suminta 3271026009870003 9/20/1987 35 smp ort

04 Maret 2023 2 DURRIYAH M.NAJIB 3271041508970012 8/15/1997 25 S1 GURU

3 MUTIAH FARCHAN 3271025509960006 9/15/1996 26 SMU IRT

4 NASYIFA NURUL AWALIA M. ANDRIANSYAH 3271024809010004 9/8/2001 21 SMK KARYAWAN

5 SRI MULYANI DODY ISKANDAR 3271024501980010 1/5/1998 25 SMU IRT

6 SILVIA YADI 3271015705020008 5/17/2022 0 SMA IRT

7 IMAS ANAJ RUSLAN 3202165201960015 1/12/1996 27 SD IRT

8 TITIN NURCHAENI UDI RAHAYU 3327105702930043 2/17/1993 30 D3 IRT

9 SUSI KOMALASARI RIZKY HAKIM 1/11/1997 26 SMK IRT

10 MAUDI IMA SYAFEI 3271026806980004 6/28/1998 24 SMK IRT

11 FITA HERIYAWAN 3271024105850002 5/1/1985 37 SMK IRT

12 TARY SUTANTRI WAHYUDI 3301195103830004 3/11/1983 39 SMP IRT

13 FITRI RAHAYU M BAYU 3201315108790001 8/11/1979 43 SMA IRT

14 SITI NURHANIAH AGUS SETIAWAN 3271025207990005 7/12/1999 23 SMA IRT

15 SEPTI ARDIKA PUTRI AWALUDIN 3271024209010001 9/2/2001 21 SMU IRT

 16 ARYANIH IRPAN 3201304501010006 2/1/1994 29 SD IRT

17 TIA NOVITA MIP SARIPUDIN 3271024811970001 11/8/1997 25 SMA IRT

18 DEVI JULIANSYAH DENI 3271024907000010 7/9/2000 22 SMA IRT

RABU 1 IRNI SUSANTI M IMRON 3271026704960011 4/27/1996 26 SMU IRT

3271024612970004
UWAH
15 Maret 2023 2 SITI NUR JAENAB 11/25/1997 25 SMA IRT
HASBULLAH

3 NURAISYAH JAMAL 3271016002990007 2/20/1999 24 SMA GURU

KAMIS 123

16 Maret 2023 1 HENI HANDAYANI TAUFIK 3271024907920007 7/9/1992 30 SD IRT

2 HILDA FUAD 3201246511900002 11/25/1990 32 sma IRT

3 DWI SARAH KARDAMI M.DALI 3271026810980016 10/28/1998 24 SMP IRT

FAJAR KARYAWAN
4 WITAMI RAJAB 3201015610990009 10/16/1999 23 D3
RAMADHAN SWASTA
 JUMAT 123

17 Maret 2023 1 MELINDRA CANIAH DANANG ARYA 3271015705980016 5/17/1998 24 SMK IRT

KARYAWAB
2 FRIOLINTINA EDWARD 3271024412920002 12/4/1992 30 S1
SWASTA

3 PENI SUSANTI MAHMUDI 3271016302890022 2/23/1983 40 SMP BURUH

MAULABA
4 ST NUR ROMLAH 3271025906930003 6/19/1993 29 SMU IRT
BUKCHORI

123
40
20 Maret 2023 1 YATI SUMIYATI SUTISNA 3271024601830016 1/6/1983 SMP IRT
2 YATI NURHAYATI RAIS KUSMANA 3271025804830001 4/18/1983 39 SMA IRT

DARA MENTARI ARI NUGROHO 3271026502020004 2/25/2002 21 SD IRT

3
4 FAUZIA CAHYA INDAH M. RAMDANI 3271025106980001 6/11/1998 24 SMU IRT

KASRIYAH FAHRUL ROJI 3171026202821001 2/22/1982 41 SMP IRT

5
6 DEVI SEKAR MIZAR PRASETYA 7/28/2001 21 SMP IRT
7 FEBRIANA PERMANASARI ANDRIANSYAH 3215136102880002 2/21/1988 35 SMU IRT
8 CUCU SUMIRAH AGUNG 3271026408840003 8/24/1984 38 SMU IRT
NOVI IRYANTI OBAY SOBARI 3201274107920010 7/1/1992 30 SMP IRT
9
123
21 Maret 2023 1 SITI MARTINI ERLAN SANJAYA 3201266909010003 9/29/2001 21 SD IRT
2 AMELIA DIMAN 3271026804930001 4/28/1993 29 SMP IRT

3 NURBELA DENI 3201275808950005 7/2/2000 22 SMP IRT

4 YULIANTI YANA 327102420700001 7/2/2000 22 SMK KARYAWAN

5 TASYA USMAN 123 SMP IRT

6 HERDAWATI MULYADI 3201044608930003 8/6/1993 29 SMP IRT

7 APRILIA ADE RAMDANI 3271027004930004 4/30/1993 29 SMK IRT

8 SITI RAHMI M KASAN 3271025511900001 11/25/1990 32 SMA IRT

9 TARY SUTANTRI WAHYUDI 3301195103830004 3/11/1983 40 SMP IRT

10 RINI DIRA 3271024605920007 5/6/1992 30 SMK IRT

11 ELIS LIDIAWATI RIKI ROMDON 3271015607910011 7/16/1991 31 SMA IRT
12 SEPTI ARDIKA M AWALUDIN 327102420901001 9/2/2001 21 SMK IRT

ERWIN
13 NURUSSUFIAH 3271026310930002 10/23/1993 29 D1 IRT
SYAHRUDIN
14 AGUSTINA M ALIMUDIN 3271024308880002 8/3/1988 34 D1 IRT
 15 DESI RATNA SARI ANDRIANSYAH 3271015604950013 4/16/1995 27 SD IRT

16 YULI APRIANTI MULYA RUDINI 3271025007860017 7/10/1986 36 SMP IRT

17 FUJI RAHMAH YULIAN 3271046007890014 7/20/1989 33 SMK IRT
18 WINDA KISRAHAYU M.DEDEN 3201036803910005 3/28/1991 31 SMP IRT
123

JUMAT,24/3/23 1 NISA ALWI M JUNALDI 3201045505960007 5/15/1991 31 SMP IRT

2 EVIA CHOLIFAH AGA NUGRAHA 3271024801870005 1/8/1987 36 SMA IRT

123

SABTU,25/3/23 1 YULIANTI SUPRIYADI 3271026907860003 7/29/1986 36 SMA KARYAWAN

2 TATI TRIYANTO 3203135409020001 2/14/2002 21 SD IRT

raden
3 fika febriana 3271026102880006 2/21/1988 35 d3 KARYAWAN
muhammad
4 rosita m ardi 3271025702770003 2/17/1977 46 smp irt

5 tika kartika inra lesmana 3271025904900005 4/19/1990 32 smp irt

27 Maret 2023 1 ANNGI AMELIA ANDI RUSTANDI 3201247009980003 6/30/1998 24 SMA IRT
 2 ALFINA DAMAYANTI ADIT 3201256909020013 9/29/2002 20 SMP IRT

3 YENI YUSTINI GUSTIANA 3271025009980001 9/10/1998 24 SMU IRT

4 ISTI CHAIRUNNISA IWAN 3201275107940007 7/11/1993 29 SMA IRT

5 SITI AMINAH 3271026403960002 3/24/1996 26

6 MASNIATI MOH JENAL 3271025107930003 7/11/1993 29 SD IRT

7 DWI FITRIA 3271017004890003 4/30/1989 33

8 SITI RUNIASARI 3271025907950005 7/19/1995 27

RAHMAT
28 Maret 2023 1 RIZMA DWI AMALIA 3271024812950002 12/8/1995 27 SMA IRT
PRASETYA

ACHMAD NOOR
2 MASLAH NUR AZIS 3271024808930002 8/8/1993 29 SMU SWASTA
CAHYADI

3 ALMA FADILLA M.RIZKI 3207036406010002 6/24/2001 21 SMA KARYAWAN

WAHYU
4 EUIS AGUSNAWATI 3271026508920001 8/25/1992 30 S1 IRT
FAZARRUDIN

5 ROSA PERONIKA JOHANSAH 3271086312000003 12/23/2000 22 SMU IRT

6 WIWIN WIDANINGSIH ZAID USAMA A 3201255104820005 4/11/1982 40 SMU IRT

 7 SOFIANTIKA SARI SAEFUL TAUFIK 3271025506890012 6/15/1989 33 SLTP IRT

HENDRA
8 TRISDAWATI 3271025309980004 9/13/1998 24 SMA KARYAWAN
GUNAWAN

9 FITRIA RAHAYU M.BAYU 3201315108790001 8/11/1979 43 SMA IRT

10 SITI JAMILAH YAMIN SONJAYA 3271026807910003 7/28/1991 31 SMU WIRASWASTA

30 Maret 2023 1 IMA NOVIANA IWAN SETIAWAN 3271045311870012 11/13/1987 35 SMU IRT
123

jumat,31 maret
1 rega ade refa dasa 3205275412940002 12/14/1994 28 s1 irt
2023

123
123
123
123
123
123
123
123
123
123
123
123
123
123
123
123
123
123
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123
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123
123
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123
123
123
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123
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123
 K1, K2,
NAMA IBU
KANDUNG ALAMAT NO BPJS GPA K3, K4, HPHT TP TB LILA BB TD
K5, K6

SINDANGRASA
IHAT G3P2A0 K1 ? ? 147 25 50 110/80
2/10
SINDANGRASA
SITI AMINAH G1P0A0 K1 12/3/2022 155 26 54
5/5

HOLIAH SD.SARU 4/1 1/0/0 K1 1/8/22 8/5/22 160 32 59 100/70

MUARASARI 5/6 1/0/0 K1 11/29/2022 6/5/2023 160 65 110/80

PARYATI

EM I
PAKUAN 2/3 G2P1A0 K5 7/19/2022 8.9 27 63 110/80
AMINAH
SINDANGRASA
NENGSIH GIP0A0 K6 5/25/2022 156 30 58 110/80
2/12

TAJUR4/2 G4P3A0 K2 10/20/2022 153 26 62.4 107/81

JUBAEDAH CIPAKU 1/7 G1P0A0 K6 6/3/2022 153 25 71.5 100/67

MARLIYATI CISARUA 1/8 G3P2A0 K3 9/25/2022 155 26 64.4 130/70

SINDANGRASA
TETI G1P0A0 K5 7/7/2022 4/13/2023 155 23 53.9 103/59
5/2
OON SINDANGRASA
G2P1A0 K3 10/14/2022 156 25 64 110/70
HASANAH 5/3
SUKAMANAH
HJ SUHANAH G2P1A0 K3 9/23/2022 155 24 56 110/60
2/2
 SINDANGRASA
G4P3A0 K5 7/18/2022 4/20/2023 154 25 65 130/80
1/1
SINDANGSARI
ARMANA G3P2A0 K5 7/29/2022 5/6/2023 151 25 121/74
4/2

YAYAH PAKUAN 3/3 G1P0A0 K1 1/1/2023 158 24 53 114/64

SADIAH TAJUR 1/2 G2P1A0 K2 10/25/2022 8/1/2023 151 29 67 111/78
ASIAH SUKAMULYA 6/3 G3P2A0 K2 9/23/2022 153 34 72 110/80
DANINGSIH SUKASARI 5/7 G2P1A0 K4 7/20/2023 159 31 48 110/80
SITI HAWA JARJASARI 2/1 G4P3AO K3 8/15/2022 144 25 49 101/44
NURMALA SUKASARI 4/5 G2P1A0 K5 7/3/2022 152 27 62 105/77
KURNIAWATI TAJUR 3/4 G3P2A0 K1 12/25/2022 152 25 49 125/76

RONI
KATULAMPA 3/9 G4P2A1 K1 2/3/2022 165 26 108/76
HARTINI
SINDANGRASA
NUNUNG G1P0A0 K2 0KT? 156 26 51 110/80
4/11

SKM 6/3 G3P2A0 K4 /3/23 158 26 65.9 133/86

ST AHLADAH SD.RASA 4/10 G3P1A1 K1 10/28/2022 155

SINDANGSARI
SITI SOPIAH G2P1A0 K1 12/26/2022 155 26 64 120/80
2/1

SUWARTNI MUARASARI 1/3 G1P0A0 K1 11/28/2022 151 25 56 110/80

SINDANGSARI
MARYAM G2P1A0 K6 ? 156 24 65 110/80
2/1
 SINDANGRASA
FATIMAH G1P0A0 K5 8/1/2022 5/8/2023 155 24.1 43 90/60
3/9
SINDANGRASA
ELI G3P1A1 K6 156 25 65 100/70
2/12

JUBAEDAH SDRASA 2/1 4/3/2000 K4 7/18/2022 4/20/2023 26 64 130/90

ITAH SDRASA 3/10 1/0/0 K1 10/23/2022 7/30/2023 150 27 68 100/70
BR.SIANG
TUMIKEM 0001631009722 G3P1A1 K1 12/8/2022 9/15/2023 150 24 39.7 110/70
RT.10/6

sd.rasa 2/4 2514414464 g3p2a0 k3 11/7/22 4/18/2023 155 27 77.5 126/77

SD.RASA 3/10 G2P1A0 K4 18/6/22 3/25/2023 155 26 56.2 180/80

SD.SARI 5/5 2447314694 G5P4A0 K1 11/26/2022 10/3/2023 160 33 57.7 127/92

ENUNG
SD.RASA 3/11 2512350876 G1P0A0 10/29/2023 4/8/23 152 24 57.7 115/66
AISYAH

MUMUN HARJASARI 1/10 G3P2A0 K4 8/15/2022 5/22/2023 155 23.5 49 110/70

ST RODIYAH BARSI 1/8 G1P0A0 K1 12/30/2022 10/7/2023 160 28.5 63 100/70

ANITA TAJUR 4/2 2135096032 G1P0A0 8/2/2022 5/9/2023

hedi tajur 3/3 1644541626

lita purba tajur 3/4 g3p2a0 k1 11/16/2022 8/24/2023 158 26 73 131/86

NYAI RUPIAH sdrasa 1/9 g3p2a0 K4 7/29/2022 5/6/2023 152 26 57.2 130/67

MILIK
SDSARI 2/5 G1P0A0 K1 12/17/2022 9/19/2023 160.4 26 55.8 105/67
RAHAYU
TITIN
SDRASA 4/10 G2P1A0 K2 7/5/2022 4/12/2023 145 26 58.5 108/65
KARTINI

INDARTI SDSARI 6/1 G1P0A0 K1 1/5/2023 10/12/2023 149 23 36.7 100/60

KHODIJAH SDSARI 5/5 G2P1A0 K1 10/13/2023 7/23/2023 160 24 56 110/80

MURNI
MUARASARI 3/2 G2P1A0 K1 6/28/2022 4/5/2023 143 28 64 90/70
HARYANTI

FATIMAH SDRASA 2/11 G3P2A0 K1 12/14/2022 9/21/2023 154 52.6 119/75

JUHAROH TAJUR 3/3 621220476 G2P0A1 K1 1/7/2023 10/14/2023 160 26 57 120/70

SUMIYATI SDRASA 7/2 G1P0A0 K3 9/4/2022 6/11/2023 158 24 58.7 110/63

ADE
SDSARI 2/7 G3P2A0 K1 12/30/2022 9/7/2023 154 26 60 110/75
YULIANTI
KATULAMPA
MARIA G5P3A1 11/15/2022 8/22/2023 155 29 73 110/80
3/14

SUKARTI KATULAMPA G3P1A1 K6 7/5/2022 4/12/2023 152 26 51 100/70

SITI
SDRASA 2/2 G3P2A0 8/19/2022 5/26/2023 158 24 54.6 105/79
HASANAH
IPANG
MUNGFARIJA SDSARI 6/1 G1P0A0 10/21/2022 7/28/2023 159 33 90 127/88
H
TETI
SDRASA 5/2 G1P0A0 7/7/2022 4/13/2023 155 23 53 113/64
SULILAWATI
NARSIH PALASARI 3/5 G3P1A1 7/22/2022 6/4/2023 150 26.5 59 128/72

NARSIH SDSARI 6/1 G2P1A0 150 26 55 120/80

HASANAH SDRASA 2/8 G1P0A0 148 25 49 110/80

ENTIN
SKSARI RT 3/3 G1P0A0 12/12/2022 9/17/20223 155 21.5
SUARTINI

E JUBAIDAH SKS RT 3/5 G2P1A0 8/8/2022 5/15/2023

MAMAH CIPAKU RT 1/4 G1P0A0 1/14/2023 10/21/2023

G1P0A0
MIMIN SDRASA 1/7 2360126351 UK 14 K1 11/20/2023 8/27/2023 148 21 38.7 118/73
MGG

SITI FATIMAH SDSARI 2/1 G5P2A2 k6 6/21/2022 3/28/2023 149 26 66 100/70

SUMIATI SDSARI 4/2 g1p0a0 K1 22/1/2023 10/29/2023 158.6 21.5 50 88/60

YUYUN
CIBINONG G1P0A0 K1 30/7/2022 4/7/2023 166 27
NURMAYANI
IDA
LAWANGGINTU
WAHYUNING G1P0A0 K1 6/15/2022 3/22/2023 157 26 68 117/75
NG 1/4
SIH

MIMIN
SDRASA 1/10 G1P0A0 K1 12/26/2022 10/3/2023 150 28 55 117/65
SADIAH
BABAKAN
SOPIAH G3P1A1 K4 8/24/2022 6/2/2023 150 31 71 128/74
PERUMNAS

IKA SDRSA RT 3/7 G2P1A0 K2 10/20/2022 7/27/2023 159

64P2A1 K4 11/11/2022 8/18/2023 155 24 58 110/80

ANAH HARJASARI 3/11
SITI
HARJASARI 2/3 G5P3A1 K2 10/15/2022 156 28 55 110/80
HASANAH
DEDE SINDANGRASA
G2P1A0 K3 ? 156 19 39 87/66
RATNAWATI 3/9
ELIS SINDANGRASA
G1P0A0 K2 1/7/2023 10/14/2023 150 30 60 110/70
LISTIAWATI 3/10

SINDANGSARI
ERMANAH G3P2A0 K5 7/29/2022 151 25 57 110/80
4/2

BANTAR
G3P1A1 K5 8/3/2022 5/10/2023 154 25 47 110/80
KEMANG 4/5
SUMIATI TAJUR 3/2 G4P3A0 K1 1/1/2023 10/8/2023 153 24 54 119/81
MIMIN TAJUR 3/4 G3P2A0 K6 6/26/2022 158 29 72 120/80
SINDANGSARI1/
IIM G3P2A0 K2 12/4/2022 9/11/2023 157 31 73.5 136/82
6
/
SITI MARTINI TAJUR 1/6 G2P1A0 K3 11/7/2022 148 26 47 110/80
 SINDANGRASA
MULYANAH G2P1A0 K6 7/17/2022 149 28 67 80/70
5/10

SINDANGSARI
AAH G1P0A0 K2 12/19/2022 158 21.5 48 110/80
2/1

ETI SD SARI 2/7 G1P0A0 K2 1/3/2023 144 33 62 102/71

SINDANGRASA
G2P1A0 K6 7/10/2022 154 24 58.1 102/71
3/12

SK.SARI 2/3 G12P1A0 K1 2/3/2023 151 23.5 42.1 98/71

DEWI SD.RASA 4/11 G2P1A0 K6 6/22/2022 150 25 57.8 114/71

NENAH SD.SARI 1/7 G2P1A0 K3 /8/23 151 17 38 93/60

KATULAMPA G3P1A1 K6 7/5/2022 152 26 56.7 106/64

NUNG SD.SARI 2/7 G3P2A0 K1 12/31/2022 154 29 71 110/80

MARTINSAH CIAWI 1/1 G2P1A0 K1 11/25/2022 155 26 49 100/70
TETI
SD.RASA 5/2 500557972 G1P0A0 K4 7/7/2022 155.5 23 53.9 103/59
SUSILAWATI

ST ASIAH TAJUR 2/2 499997889 G2P1A0 K1 ? 150 25.8 53 111/73

ASNA LENI SD.SARI 2/2 G6P4A1 K1 8/11/2022 150 24 49.9 131/84
IKA MUARASARI 1/1 G2P1A0 K4 8/20/2022 153 23 54 104/55

PUPUT TAJUR 1/6 G3P2A0 K1 12/17/2022 151 26 47 100/70

ROHANI TAJUR 1/1
SUKASARI 4/5 G2P1A0 K6 7/3/2022 152 27 64 110/80

WEN SK.RAJA 1/1 G3P1A1 K1 1/14/2023 158 25 63 120/80

ESIH
SK.ARI 2/6 G3P2A0 K1 4/21/2023 155 67.7 100/80
KURNIASIH

ISOH SD.SARI 2/7 G2P1A0 K1 12/21/2022 158 28 68 100/60

NUR SD.RASA 4/4 G2P1A0 K6 7/19/2022 144 25 68 120/80

ani aidil sd.rasa 1/1 g1p0a0

endeh sd.rasa 1/2

uwen sd.rasa 2/8 g2p1a0 k1 6/25/2023 152 26 65 100/70

LELA HAYATI PAKUAN 1/5 G2P1A0 K1 9/20/2022 6/27/2023 155 63 110/70

SURTINIH TAJUR 3/4 G1P0A0 K1 7/26/2022 4/30/2023 155 20 49.8 98/61

SITI JUARIAH SDRASA 2/2 G1P0A0 K1 5/31/2022 2/7/2023 152 30 75 129//85

AIDAH
SUKASARI 2/5 G5P2A2 9/5/2022 6/12/2023 150.5 24.5 65.4 109/86
SOFIANI

CIMAHPAR 1/11

IYONG SDSARI 3/6 G3P1A1 -11/22 147 25 51.5 103/60

PAKUAN 3/3 0001861717274

SDSARI 1/7 147/100

LILIH
SUKASARI 1/6 081310984839 G2P1A0 K4 7/13/2022 4/20/2023 163 25 67.9 140/90
HALIFAH

DEDEH
SUKASARI 1/2 G2P1A0 K1 1/21/2023 10/28/2023 154 27 58 110/74
KURNIA

ENI NURYANI MUARASARI 2/1 G1P0A0 K4 8/9/2022 152 22 60 100/60

SDSARI 1/3 G2P1A0 12/3/2022 9/10/2023 150 34 72.6 119/76

YAYAH
SDRASA 3/3 G1P0A0 K1 7/23/2022 4/30/2023 162 32 124/85
JUARIYAH

DASMI
PR.BANTENG G2P1A0 K1 2/4/2023 2/11/2023 155 29 67 131/99
KARYATI
 SDRASA 3/2 3/2 G2P1A0 27/7/2022 156 29 76.8 132/79

ATIH SDSARI 3/7 G1P0A0 12/5/2022 9/2/2023 145 32 75.8 129/87

SITI
SDRASA 2/2 G3P2A0 8/19/2022 5/26/2023 158 24 54.7 103/68
HASANAH

ETI KATULAMPA 1/5 G3P2A0 K6 6/22/2022 3/29/2023 156 32.5 70 110/80

SUPRIYATI TAJUR 4/6 G1P0A0 K2 1/9/2023 10/16/2023 156 31 50 96/57

jua sd.rasa 6/7 2288575618 g2p1a0 k3 158 24 58 110/70

 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
VAKSIN NO HP KETERANGAN KONSELING
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

CEK LAB 12 N N N 085892710765 GDS 102

CEK LAB 12.6 N N N 085779202484

CEK LAB TT1 10.4 N N N N 081282017661

CEK LAB 13.5 N N N 0857741173103 GDS 87

CEK LAB,UK 33 MINGGU 8.5 POS 1 08777517171720 rujuk usg vania

RUJUK USG
CEK LAB 10
JULIANA

CEK LAB 11.6 N N N - GOL DAR A

UK 39 MINGGU TFU 31 CM DJJ

N
142
UK 23 MINGGU TFU 17 CM
TT4 11.1 N N N 089618718290
127 DJJ

UK 34 MINGGU N

GOL DAR B GDS

CEK LAB 12.3 N N POS
88
GOL DAR B GDS
CEK LAB 11.5 N N N 085719534763
88
USG

USG

TT3
UK 23 MINGGU DJJ 154
USG
uk 27 minggu djj 145
USG

UK 4 MINGGU

CEK LAB MINTA OBAT HABIS

HT 27,3 TROMBO
CEK LAB 9 NEG 272000 LEKO
10100

CEK LAB 11.5 N N N 081294850667 GDS 78

CEK LAB 12.7 N N N 081282262571 GDS 94

GDS 85 GOLDAR
CEK LAB 11.7 N N N 85767340727
A

CEK LAB 9.2 N N N N 895329951787 GDS 81

CEK LAB 11.3 N N N 0895410998033 GDS 88

CEK LAB

CEK LKAB 10.3 N

CEK Lab 12.2 N N N 085693477517 GDS : 89
CEK Lab 12.3 N N N 081808047102 GDS : 145

tfu 28,5 djj 150x/m letsu

ht 35,4 trombo
TFU 30CM KEP DJJ 150X/M 12.4 1 83813745111 196000 leko
7900
TFU 2JR ATS SYMP BALL +

HT 25,5 TROMBO
TFU 2JR BWH PST,BALL +,DJJ
8.6 81517394737 324000 LEKO
140X/M
18100

ht 32,2 trombo
CEK LAB 10.8 n 2326000 prot
neg gds 81
ht 38 trombo
CEK LAB 13.1 n n n 83878082513
284000 gds 104
ht 32,7 trombo
CEK LAB 11.5 n 8986490477 218.000 leko
12900 leko +2
cek lab pp test neg
ht 33,4 trombo
cek lab 11.6 n n n 81383575456 185000 leko
8100 gds 100
 HT 32,2 TROMB
USH CEK LAB 11 N 268.000 LEU
10.200

USG

USG DAN CEK LAB 11.1 N N 083819928192

TROM 273.000,
USG DAN CEK LAB 12.1 N N N 085888655874 HT 33,8, LEU
8000
HT 29,3 TROMB
CEK LAB TT2 11 N N N 083819136393 175.000 LEU
9500
HT 29,3 TROMB
CEK LAB 10 081645409038 175.000 LEU
9500
CEK LAB USG 083811762324
HT 38,3 TROMB
CEK LAB 13.5 N N N 085186305533 198.000 LRU
6.700 GDS 101

TFU 24 CM, KEP DJJ 141X/M N

USG 083152621354

TFU 4 HR DIBAWAH PST, DJJ +

LEUKOSIT +2, CEK

USG 10.2
HB ULANG
TFU 23 CM DJJ 165X/M KEP
BLM MASUK PAP

USG 12.5 N

TT2
 HT 30,6, TROMG
TFU 26CM DJJ 154X/M KEP
10.4 N 268,000 LEU
BLM MASUK PAP
10,300
PRESENTASI BOKONG
USG

CEK LAB 11.1 NR NR NR

PROTEIN
NEGTAIF
CEK LAB ULANG 10.3 NR
GLUKOSA
NEGATIF
CEK Lab 15.5 NR NR NR

IBU
MENGATAKAN
CEK LSN, UK 14MGG 12.6 NR NR NR 081585811386 MASIH MUAL
MUNTAH, gds 79,
goldar A+

IBU
TFU 26CM, UK 37MGG, MNEGATAKAN
TERABA BOKONG,, DJJ TT3 11.1 N 085693354282 SUDAH ADA
130X/M, CEK LAB JADWAL SC PADA
17/03/2023

IBU
MENGATAKAN
CEK LAB, 8MGG TT2 11.8 NR NR NR 089687499743 MASIH MERASA
MUAL DAN
PUSING

IBU
MENGATAKAN
CEK LAB, UK 33MGG TT1 11.1 NR NR NR N 081217119845
TIDAK ADA
KELUHAN
 , LEUKOSIT +2BU
MENGATAKAN
CEK LAB, 39MGG 12.1 N
SAKIT BAGIAN
BAWAH PERUT

12MGG TT2

29MGG, CEK LAB 11.1 NNR NR NR GDS 96

GDS 88, TROMBO

12.9 NR NR NR 257000 LEKO
11600

CEK LAB 9.2 N N N GDS 115

CEK LAB GDS 84

UK 21 MINGGU DJJ 145

GOL DAR A GDS

CEK LAB 12.2 N N N
112
HT 34 TROMBO
CEK LAB 11.5 NEG 85692445899 70.000 LEUKOSIT
9.400
HT 34 TROMBO
CEK LAB 11.7 NEG 0895410788599
243.000
CEK LAB 11.6 N N N 089515279391 GDS 99
CEK LAB, RUJUKAN 10.8 HT 31
CEK LAB 11.7 N N N GDS 120

GPL DAR 0 GDS

CEK LAB 12.6 N N N 085697916374
107
 GDS 121 HT 30
CEK LAB 10.3 N N N POS 1 83865206717 TROMBO 244000
LEKO 12300

HT 33 TROMBO
CEK LAB 11.6 N N NR 085715289694 311000 LEKO
8000 GDS 81

HT 32,2 TROMBO
CEK LAB 10.8 N NR NR 085781815171 366000 LEKO
10600 GDS 110

HT 35,2 TROMBO
CEK LAB 12.1 POS1 239000 LEKO
10700

CEKL LAB 14.2 N NR NR

HT 30,4 TROMBO
USG 10.1 NEG 302000 LEKO
7800

HT 27,6 TROMBO
CEK LAB 9.4 N N N 230000 LEKO
11000 GDS 84

TFU 33CM, PRESKEP, PUKA 11.1 N

HT 33,9 TROMBO
CEK LAB 11.7 N N N
300.00
CEK LAB 10.2 N N N GDS 109
CEK LAB 12 N N N HT 34,8 GDS 70

USG
CEK LAB+USG 11.1 N N N GDS 101
 HT 33,4 TROMBO
CEK LAB 11.4 N N N 169.000 LEKOSIT
12.500 GDS 70

CEK LAB 8.4 N N N GDS 8,4

KONTROL IUD RUJUK
CEK LAB 8.4 N GDS 86

GDS 89 HT 37,6
CEK LAB 13 N N N TROMBO 357000
LEKO 14200

GDS 88 HT 28,4
CEK LAB 9.2 N N N POS 1 TROMBO 249000
LEKO 12400

HT 34,7 TROMBO
CEK LAB 12 N N N 085692542088 261000 LEKO
6200 GDS 89

HT 31 TROMBO
280000 LEKO
CEK LAB 10.2 N N N NEG 081395869657
6900 GOLDA 0/+
GDS 116

- perdarahan
tt pest neg
ht 30,9 trombo
cek lab 10.8 n n n 223000 leko
9900 gds 86

30 MGG CEK LAB 10.5 N N N NEG 085697058550 HT 30, GDS 85

 HT 29,8, TROMB
35 MGG, TFU: 27CM, DJJ: 175000, LEU
9.8 NEG
150X/M KEP, NLM MASUK PAP 6500, LEU URINE
+1

RUJUK MELANIA

29 MGG, 23 CM, KEP, 130X/M 11 N

KELAINAN MESTRUASI
RUJUK RS JULIANA
16MGG, PERTENGAHAN SIMP-
TT3
PST, DJJ:+
POST SC 17HARI, REMBAS
LUKA SC, RIW DIRAWAT
KARENA LUKA SC
REMBAS

PP TEST - GANGGUAN MENSTRUASI

HT 31,8, TROMB:
CEK LAB USG, UK 37MGG 10.7 2+ 167,000, LEU KIE DOKTER UKIA
9300

USG, UK 9MGG, CEK LAB 13 N N N GDS 92 KIE

N, HT 32,7, TROMB
KIE KEPUTIHAN DAN
USG, CEK LAB, UK 33 MGG 11.2 LEUKOSI 214000 LEU
HYGIENE VAGINA
T +1 DARAH 9100
UK 16 MGG, 12 CM, DJJ +,
BALL +
HT 32,7 TROMB
UK 35 MGG, 23 CM, KEP, PUKA 166000 LEU KIE KEPUTIHAN DAN
11 N
DJJ + 9400, LEIKOSIT HYGIENE, HB
URINE +2

7-8 mgg, GDS 91 12.9 N N N 0895601913322 R/SC a/i CPD Motivasi KB MKJP
 KIE PERSIAPAN
UK 35 MGG
PERSALINAN

UK 16MGG, PERTENGAHAN RIW FLEK, SUDAH

PST SIMP, DJJ 121X/M FLEK 3 HARI

HT 28,4, TROMB
UK 32 MGG 10.1 N
271,000 LEU 7200

ht 35,2 tromb
217,000, leu 6200,
UK 40MGG, CEK LAB 12.1 n n n 1+
leukosit urine 2+,
keton +1

SUNTIK TT 2

ht 28,1 trombo
9.7 neg 121000 lekosit
6900
REGISTER MANUAL KUNJUNGAN KIA TAHUN 2023

TANGGAL KUJUNGAN NO
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR
TERAKHR

RABU

01 Februari 2023 SITI NURASIAH NURYANA 3201355010000001 10/10/2000 22 SMK

KAMIS

02 Februari 2023 APRILIA ASTUTI M.JONI 3271015904910005 4/19/1991 31 S1

SITI AMELIYAH SUSANTO 339145301970005 1/8/1998 25 SMP

IKA NURSIDAH HENDRA 3271026206860007 6/22/1986 36 SMU

TITIH AGIL M.ARI 3521124612930003 12/6/1993 29 SMA

SABTU

04 Februari 2023 TUTI SULASTRI ALAWIYAH MULYADI 3271025309900006 9/13/1990 32 D3

FRIOLINTANA EDWARD 3271024412920002 12/4/1992 30 S1

shinta dewi dede suharja 3271025009820005 9/10/1980 42 sma

minggu
05 Februari 2023

senin

ILHAM
06 Februari 2023 1 RENI ANJANI 3271015901030015 1/19/2003 20 SMA
RAMADHAN

2 SUHERTI SURYANA 3271026610850003 10/26/1985 37 SMP

3 SUSILAWATI HAERUDIN 3271025010820009 10/10/1982 40 SMA

4 TITIN SURYANI HENDRA 3271026006880004 6/20/1988 34 SD

5 INDA M.ZEN 3271024104960003 4/1/1996 26 SMA

6 MUTIAH FARCHAN 3271025509960006 9/15/1996 26 SMU

7 INDAH LESTARI PAKSI PURNAMA 3271024201960009 1/2/1996 27 SMA

8 SITI MASRUROH RACHMAT 3271024204960008 4/2/1996 26 S1

SELASA

07 Februari 2023 1 ENDANG SUHARTI FADILAH 3271025612000005 12/16/2000 22 SMP

2 NURYANTI IMAN 32021044049600005 4/4/1996 26 SMU

3 YUNI WAHYUNI IKHSAN 3271025706910006 6/17/1991 31 SMU

4 NIA KURNIASIH AUDRE 3271024512830003 12/5/1983 39 SMU

5 LINA EDI 3271025311850003 11/13/1985 37 SMA

6 NOVIYANTI RAMA ABDULLAH 3271024811980004 11/8/1997 25 SMP

 CECEP
7 EMA ROHMAH 3271026203810004 3/22/1981 41 SMA
HERMAWAN

JUMAT 1 NYI MAS BELLA IRFAN MAULANA 3271025106940004 6/11/1994 28 SMK

10/2/23 2 SITI NURAENI UDIN SAMSUDIN 327025104820009 4/11/1982 40 SD

3 FELISIA HERDIANAH 3271014912990006 12/9/1999 23 SMA

4 ELIH RAHMAWATI TEDI JUNAEDI 3271025610950006 10/16/1995 27 SMP

Sabtu

11 Februari 2023 1 Feni Wulandari andes .s 3202235309940001 9/14/1994 28 SMA

2 Friolintia edward 3271024412920002 12/4/1992 30 SI

sailah fadilah 3271024110000002 10/1/2000 22 SMU

senin

AKBAR
13 Februari 2023 1 RESA FADILA RAMADANTI 3271014401990006 1/4/1999 24 SMA
FIRMANSYAH

2 SITI KOMARIAH ASEP MULYANA 3271025210970005 10/12/1997 25 SMA

3 ITA SEPTIANA AGUS PRASETYO 3271025503970003 3/15/1997 25 SMP

4 MASNAH KARISMA 3604314503850005 3/5/1985 37 SD

5 SULISTIYANINGSIH M RUYATUSYIAN 3271014310890011 10/3/1989 33 SMA

6 TARY SUTANTRI WAHYUDI 330119510380004 3/11/1983 39 SMP

 7 SRI RAHAYU FUJI ASTUTI AH RIDWAN 3271016212880006 12/22/1988 34 SMK

8 IKA KARTIKA DEWI AMIRUDIN 3271024702900015 2/7/1990 33 TS

9 BINTARI SUHENDAR 3271024101900012 1/1/1990 33 SD

ANTON
10 RISDIANI 3271026701870005 1/27/1987 36 SMA
PERMANA

11 WINDA WINARNI FIRDAUS 3271024702980002 2/7/1998 25 SMK

#REF!

SELASA #REF!

14 Februari 2023 1 RAFIKA CHANDRA DEWI MUKHLIS HADI 3271026312950006 12/23/1995 27 S1

2 CINDY ARSITA SYAHARANI DJAMALUDIN 3201245405010001 5/14/2001 21 S1

3 SITI SILVIYA ADITYA SUTIADI 3271045611890014 11/16/1989 33 S1

4 MELENIAYANTI EROS AGUNG 3671134701000002 1/7/2000 23 SMK

5 SARIFAH KOSEN 3271025506850013 6/15/1985 37 SD

6 AI HENI JAYADI 3203174701870008 1/7/1987 36 SMP

MUKHLAS
RABU 1 TUTI ALAWIYAH 3271026712990001 12/27/1999 23 SMP
ADITYA
15 Februari 2023 2 YATI ARYANTI 9/2/1992 30

3 SITI ALFIAH idrus 3201024705950014 5/7/1995 27 smp

4 ROSA AMELIA RIZIK ABDULLAH 3271025106000014 6/11/2000 22 SMU

123
 JUMAT 1 DELVI NOPITASARI RION 3271024312020008 12/3/2002 20 SMK

17 Februari 2023 2 ISYE YUNIAWATI AH SULAIMAN 3271024206940009 6/2/1994 28 S1

3 IKA SOLAIKA YUDI HASAN 3271025911880001 19/11/1988 34 S1

4 HERLINA AYUB 3201316207850003 7/22/1985 37

5 SOPIAH ANWAR SADAT 3271024207830007 7/2/1984 38 SD

6 AVNI SUMIATI KAMALUDIN 3201256503900003 3/25/1990 32 SD

7 TIA NOVITA MIPSARIPUDIN 3271024811970001 11/8/1997 25 SMA

8 WINI RAHMAWATI ERIS KRISTIAWAN 32717076810960009 28/10/96 26 SMA

RAHMAT
9 ST KHODIJAH 3271025011880013 11/10/1988 34 SD
SYAEFULLOH
10 RARAY ISMA ANALISNUR ABRAHAM 3201126806990003 6/28/1999 23 SMA

SENIN 123

20 Februari 2023 1 DEWI DADI 3271025507920001 7/15/1992 30 SD

2 SUHETI SURYANA 3271026610850003 10/26/1985 37 SMP

3 DESI YOGI 3201245612900002 12/16/1990 32 SMA

4 SITI ANI AGUS AWALUDIN 327101440900003 9/4/2000 22 SD

5 DARA MENTARI ARI NUGROHO 3271026502020004 2/25/2002 20 SD

6 HELPIYANA AHMAD APIPIH 3271024402930001 2/4/1993 30 DS

7 ISTI CHAIRUNNISA SYARIF 3201275107940007 7/11/1993 29 SMA

 123

SELASA 123

21/FEBRUARY/2023 1 TASYA USMAN 3271024810010001 10/8/2001 21 SMP

MUMUNG
2 ERNAWATI 3202246004840001 4/20/1984 38 SD
INDRIYANTO
3 EUIS AGUSNAWATI WAHYU 3271026508920001 8/25/1992 30 SI

4 INDA APRILIA M ZEN 3271024104960003 4/1/1996 26 SMA

5 DEVI SEKAR ARUM MIZAR PRASETYA 3271026807010008 7/28/2001 21 SMP

6 IKEU SELVIA DICKY 3271026501990001 1/25/1999 24 SMA

7 RINA YUNINGSIH ANO SANTOSO 3308124111920005 11/1/1991 31 SMA

8 fita damayanti heriyawan 3271024105850002 5/1/1985 37 smk

#REF!

RABU 1 YULIANTI BINTI USMAN M UTAMA PUTRA 3201254107960061 7/1/1996 26 SMA

22 Februari 2023 2 DEVI JULIANSYAH DENDI 3271024907000010 7/9/2000 22 SMU

123
AGUNG
kamis 1 RENA FEBRIANA 3201295702020001 2/17/2002 21 SMA
RINALDHI
23 februaru 2023 123

123
 JUMAT 1 LESTARI LUKMAN 3271034911910006 11/9/1991 31 SMA

24 Februari 2023 123

123

SABTU 123

25 Februari 2023 1 HIMATUL ALIAH JOHAN 3203326808960001 8/28/1996 26 SD

123

SENIN 123

27/FEBRUARY/2023 DURRIAH HAJIBAH M.NAJIB 3271041508970012 8/15/1997 25 S1

MAYA HANDAYANI ARIF SYAMSUDIN 3271024309850002 9/3/1985 37 SMP

RIKA NUR YOGI 32013134810980001 10/8/1998 24 D3

MASNIATI MOHJENAL 3271025107930003 7/11/1993 29 SD

ITA SEPTIANA AGUS PRASETYO 3271025503970003 3/15/1997 25 SMP

NURFITRIANA RUSDIANTO 3271025111950001 11/11/1995 27 S1

LITA ELISA FEBBY MAULANA 3271024270920001 10/2/1992 30 S1

INDRA
ROSHA AYU UTAMI 3271026202930003 2/22/1993 30 S1
NURHAKIM
AGUNG
CUCU SUMINAH 3271026408840003 8/24/1984 38 SMU
APRIYANTI
NURUSSUFIAH ERWIN 3271026310930002 10/23/1993 29 D1

METI FITRIANI USMAN NURDIN 3271024312920002 12/3/1992 30 SMP

BELLA ISKANDAR 3201295401950001 1/14/1995 28 S1

123
 SELASA 123

28/FEBRUARY/2023 RESTIKA M.AS'AN 3271024708970004 8/7/1997 25 SMU

RANI FIKRI 3271026309990007 9/23/1999 23 SMU

RAHMAT
DINA FITRIA 3201045006970003 6/10/1997 25 SMK
HIDAYAT
SOFIANTIKA SARI SAEFUL TAUFIK 3271025506890012 6/15/1989 33 SMP

CUCU SUMINAH AGUNG APRIANTI 3271026408840003 8/24/1984 38 SMU

ROSA AMELIA RIZIK ABDULLAH 327102510600014 6/11/2000 SMU

SITI ROHENI SUBANUL MAHID 3271026503920003 3/25/1992 30 SD

R. IWAN
IMA NOVIANA 3271045311870012 11/13/1987 35 SMU
SETIAWAN
123
 K1, K2,
PEKERJAAN NAMA IBU KANDUNG ALAMAT NO BPJS GPA K3, K4, HPHT TP TB
K5, K6

SINDANGRASA
IRT UUM 1/0/0 K2 ? 155
3/5

KARYAWAN SUMIATI CIPAKU1/6 0001738330604 2/1/2000 k4 5/11/2022 2/18/2023 155

IRT SRIWATI SUKASARI 1/6 2/1/2000 k4 6/4/2022 3/11/2023 158

IRT NATI SUMIATI SUKAMULYA 2/5 0001456807882 5/3/2001 k4 6/4/2022 3/10/2023 158

IRT SRI SULASTRI P.B 1/1 G2P1A0 K2 9/10/2022 6/17/2023 1158

IRT HALIMATU SADIAH TAJUR 4/6 G2P1A0 K1 11/24/2022 8/31/2023 151

KARYAWAN
SD.RASA 1/10 G1P0A0 K1 12/26/2022 10/3/2023 150
SWASTA
IRT CUCU SOPIAH SD.SARI 2/1
IRT YAYAH PAKUAN 3/3 1770199738 1/0/0 K1 1/1/2023 10/8/2023 158

SINDANGRASA
IRT SYARIFAH G4P2A1 k4 6/1/2022 3/8/2023 154
5/4
IRT KURYATI PALASARI 3/5 G5P4A0 k4 5/15/2022 2/22/2023 156

IRT CICIH SINDANGRASA2/4 0002514414464 G3P2A0 K5 7/11/2022 4/18/2023 158

SINDANGRASA
IRT SUMINAH G2P1A0 12/6/2022 9/14/2023 157
V4/4
SINDANGRASA
IRT ENTIN KARTINI G2P1A0 K5 7/5/2022 12/4./2023 145
4/10
SINDANGRASA
IRT YATI 1/0/0 k4 6/10/2022 3/17/2023 163
6/7
IRT PIPIH SUKASARI 4/6 G2PIA0 K2 9/12/2022 6/19/2023 150

IRT NENGSIH SUKASARI 1/2 G1P0A0 K1 11/24/2022 150

SINDANGRASA
IRT EHA SUMIATI G1P0A0 K4 6/15/2022 3/22/2023 163
2/11
IRT SUMINTARSIH PALASARI 2/9 G3P2A0 k4 6/2/2022 156

IRT TITIN SUKASARI 5/3 G4P3A0 K1 ? 9/2/2023 158

IRT SADIYAH TAJUR 1/2 G2P1A0 K2 10/25/2022 8/1/2023 151

SINDANGRASA
IRT NUNUNG G1P0A0 K2 10/1/2022 ? 156
4/11
 SINDANGRASA
IRT DEDEH G8P6A1 K2 ? ? 155
4/4

IRT SRIWATI SD.RASA 1/1 G1P0A0 K1 11/1/2022 9/18/2023 165

IRT ENCUM SD.SARI 5/5 2447314694 G5P4A0 K1 11/26/2022 10/3/2023 158

IRT VANDILAH CIPAKU 1/16 2743773322 G2P1A0 K1 10/15/2022 165

IRT AMAH SD.RAS 3/9 2516099501 G2P1A0 K1 10/3/2022 150

IRT Neni Harjasari RT 02/01 081717774105 G2/1/0 K! 12/25/2022 158

BUMD mIMIN Sd.Rasa 082310706881 G1P0A0 KI 8/26/2022 153

SMU NIA SUKASARI 1/2 085817093363 G1P0A0 KI 11/13/2022 8/21/2023 170

SUKASARI III RT
IRT SUSINAH G2P1 K4 8/5/2022 5/11/2023
5/8

IRT NUNG AISAH SD.RASA 3/11 02512350876 G1P0A0 K1 10/29/2022 152

IRT PATMAWATI SD.RASA 1/10 500505794 G3P2A0 K4 6/18/2022 160

IRT MAS'ANAH SKM 3/5 G3P1A1 K1 12/11/2022 163.2

KARYAWAN ESIH SUKAESIH PAKUAN 1/4 1653698261 G1P0A0 K1 11/26/2022 155

IRT SUKARTI KATULAMPA 1/1 G3P1A1 K4 7/5/2022 152

 IRT YUHANI SKM 1/5 2141604808 G3P2A0 K1 12/16/2022 155

IRT ENCUM SUMIATI TAJUR 3/3 G4P3A0 K1 10/28/2022 140.9

IRT RUHAYA TAJUR 4/2 1268687474 P3A0 KF3

IRT ROSIDAH SK.SARI 5/6 G6P3A0 K2

IRT TITIN MARTINI SD.RASA 3/8 500511014 G3P1A1 K1 1/1/2022 155

WIRASWASTA ADE ATIKAH SINDANGSARI 3/6 G1P0A0 K1 23/11/22 8/30/2023 155

BOJONG KERTA
IRT SURANI G1P0A0 K1 ? ? 155
4/4
IRT IIS AISYAH SINDANGSARI 3/3 G3P2A0 K3 ? USG 6/6/2023 155

IRT NURHAYATI SINDANGSARI 5/6 G1POA0 K1 11/18/2022 8/25/2023 156

WIRASWASTA BAENI SUKASARI G4P3A0 K3 OKTOBER ? 155

WIRASWASTA YETI TAJUR 4/3 G1P0A0 K2 ? ? 155

GURU NGAJI ST HALIMAH BT. KEMANG 4/13 UMUM G1P0A0 K3 5/26/2022 3/3/23 152

INDAHSARI 2/1 bpjs 9/2/1992

irt

IRT KOMARIAH SD.RASA 6/7 bpjs G1P0A0 k4 6/24/2022 3/31/2023 152

 IRT NENGSIH SD.RASA 2/12 500476217 G1P0A0 K4 5/25/2022 3/2/2023 155

GURU IIS PURNAMAWATI SD.SARI 6/1 2517312611 P2A0 KF3

GURU SUSANTI SD.RASA 4/6 083811745056 3/2/2000 K1 12/15/2022 9/22/2023 141

IBU RT SD.SARI 6/1

IRT TITIN SD.RASA 3/4 165444096 G4P3A0 K4 6/21/2022 3/28/2023 154

IRT IIS SUMIATI SD.SARI 6/1 3200496164 G2P1A0 K1 9/24/2022 7/1/2023 152

IRT YAYAN ST ROHYANI SD.SARI 6/1 500125116 G2P1A0 k4 7/19/2022 4/26/2023 151

IRT ETI SUHAETI SUKARAJA 2/1 G2P1A0 k4 6/12/2022 3/19/2023 161

IRT ST NAPSIAH KATULAMPA 2/3 G3P2A0 K1 12/5/2022 9/12/2023 149

IRT ELIS KHODIJAH SK.SARI 5/1 G1P0A0 K1 11/13/2022 153

MUARA PENDEY
IRT ENCAT G2P1A0 K2 ? 160
2/11
SINDANGRASA
IRT SYARIFAH G4P2A1 K6 6/1/2022 3/8/2023
5/4
SINDANGRASA
IRT HERNAYATI G2P1A0 K2 11/6/2022 8/13/2023 147
1/7

KARYAWAN ENAH TAJUR 4/6 G1P0A0 K1 12/29/2022 9/6/2022 155

SINDANGRASA
GURU DEDE G2P1AO K2 ? ? 156
1/9

IRT ANI SUKAMULYA 3/5 G3P2A0 K2 11/15/2022 8/22/2023 155

IRT AIDA SUKASARI 2/5 G5P2A2 K2 9/5/2022 150

 SINDANGRASA
IRT MIMIN G1POAO K4 7/10/2022 4/15/2023 155
3/12

IRT OJAH TAJUR 3/3 G4P2A1 K4 9/9/2022 6/16/2023 156

IRT HJ IDOH SINDANGSARI 1/3 G2P1A0 K1 12/3/2022 9/10/2023 150

IRT SUMIMAH SD.RASA 4/4 G2P1A0 K1 12/6/2022 157

SKM 4/3(DOMISILI
IRT SRI K 2939984875 G3P1A1 K3 8/3/2022 154
GADOG)
SD.SARI
IRT ESIH SUMIATI 2/5(DOMISILI : 1012689156 G1P0A0 K3 6/14/2022 157
SENTUL)
IRT NINING SD.RASA 4/11 G2P1A0 K3 6/28/2022

irt maria katulampa 3/14 g5p3a1 ki 11/15/2022 155

IRT ENAY MS 4/5 G2P1 K4 8/20/2023 155

K.WASTA WARSIH SDRASA RT 2/8 0000500622445 G1P0A0 K1 1/7/2023 10/14/2023 162

K.SWASTA NURAENI SD.RASI 1/7 G1P0A0 k4 5/17/2022 158

 IRT PENTI GUSTIANTI KATULAMPA 6/1 G2P1A0 K2 9/26/2022 165

SINDANGRASA
IRT MIMAH G2P1A0 k4 6/2/2022 3/9/2023 149
1/6

GURU MILIK RAHAYU SINDANGSARI 2/5 G1P0A0 K2 12/17/2022 155

IRT YATI SUMIYATI SUKASARI 4/6 G4P2A1 KI 12/5/2022 168

SINDANGRASA
PERAWAT RINA NURAINI G1P0A0 K6 6/6/2022 155
4/7
IRT IYOM SINDANGSARI 3/6 G3P2AO K1 ? 147
SINDANGRASA
IRT FATMAWATI G3P2A0 K5 6/18/2022 3/25/2023 160
1/10
SINDANGRASA
KARYAWAN MUJAYAMAH G1P0A0 K1 12/20/2022 9/27/2023 160
3/5
SINDANGSARIN
IRT DELIMARYANTI G2P1AO k4 6/20/2022 155
6/1
KARYAWAN ROSYETI TAJUR 1/4 G2P1A0 KI 1/7/2023 10/14/2023 160

IRT TAJUR 3/4 G3P2A0 K6 6/26/2022 3/3/2023 158

IRT TAJUR 2/2 G2P1A0 K1 OKTOBER ? 150

IRT DEDE SUPENTI SUKASARI 1/2 G2P1A0 K4 8/3/2022 5/10/2023 154

GURU IYAH KATULAMPA 1/4 G1P0A0 K2 9/25/2022 7/2/2023 159

 SINDANGRASA
KARYAWAN UPIT G1P0A0 K3 9/29/2022 7/6/2023 155
3/11
KARYAWAN WASIH ALM MUARASARI 3/1 G1P0A0 K1 12/7/2022 9/14/2023 155

IRT EVI TAJUR 1/2 G2P1A0 K3 9/30/2022 7/7/2023 154

SINDANGRASA
IRT SURTI G4P2A1 K4 ? ? 156
3/2
IRT MIMIN TAJUR 3/4 G3P2A0 k4 6/26/2022 158
SINDANGRASA
IRT KOMARIAH G1P0A0 K5 6/24/2022 3/31/2023 152
6/7
IRT ENTIN SINDANGSARI 1/7 G3P2A0 K1 ? 165

IRT SUPRIYATI TAJUR 4/6 G1P0A0 KI 1/9/2022 10/16/2023 156

 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
LILA BB TD VAKSIN NO HP KETERANGAN
TFU, PRESENTASI) PROTEIN
HB VCT HBSAG SIFILIS
URIN

24 CEK LAB 10.5 N N N

25 55 110/80 CEK LAB 11.5 N 85711178504

30 81 110/70 CEK LAB 11.8 POS 1 087820586171

33 74 110/80 CEK LAB 10.1 N N N N 082112330100

31 60.6 103/70 SUNTIK TT 3 TT3 11.2 n n n 085891644793

23 45 110/70 CEK LAB 12.2 N N N 08561894263 GDS 84

28 55 110/70 CEK LAB 11.9 N N N 82310706861 GDS 79

HT 29; SARAN
9.4 KONSUL SPOG;
KONSUL KB IUD
24 52.1 123/89 CEK LAB 12.6 N N N 08161137668

25 67,L4 115/80 CEK LAB 13 N N N POSITIF 1 083150773907

28 71 117/70 CEK LAB 10.4 NEGATIF 085890031287

27 77.9 114/69 UK: 30 MINNGU

24 60 118/82 CEK LAB 12 N N N 08988861490

24 52 UK: 30 MINGGU

26 63 120/80 CEK LAB 11.6 NEGATIF 85893712045

28 65.8 117/87 UK: 21 MINGGU

25 50 120/80 CEK LAB 12.7 n n n 089508286945

25 62 120/80 CEK LAB 11 N N N NEGATIF 082317677299

24 61 110/70 CEK LAB 10.7 N N N NEGATIF 08881889240

26 65 118/80 CEK LAB 11.6 N N N 087772788247

29 67.6 117/83 UK 15 MINGGU

26 49 107/80 UK;12 MINGGU BALL

28 51 110 CEK LAB 10.6 N N N NEGATIF 082111342046

24 65.5 120/70 CEK LAB 13.1 N N N 83819151340 GDS 129

128/82 PP TES + 12.6 N NR NR 83168954044 GDS 104

25 52 100/70 CEK LAB 7.7 N NR NR 82111484838 GDS 87

26 57 114/72 CEK LAB 11.5 N NR NR GDS 84

26 67 130/72 cek Lab 11.9 N N N 081717774105 GDS 99

55 28 110/70 TT ! bumil

55 95 110/80 cek Lab 11.1 N N N 085817093363 GDS 102

56 114/81 CEK LAB TT2 12.5 N N N 085714438803 GDS 123

GDS 131, HT 26,9,

ATR SYM PST,BALL +,DJJ
23 55 100/65 TT 1 8.8 N N N 081517394737 TROMBO
154X/M
353000,LEKO 11800
ht 35,4, trombo
35 70 122/87 21CM,KEP,DJJ + 12.6 neg 0895711561900 280000,leko 13100
leko +2,gds
HT 41,1 91
TROMBO
33.5 84.9 114/75 CERK LAB 14.4 N N N 083127181273 267000,LEKO
8000,GDS 87
HT 35,9 TROMBO
23.5 62.5 112/71 CEK LAB 12.2 N N N 081295443528 271000 LEKO 8700
GDS 94 TROMBO
HT 32,1,
212000,LEKO
26 55.3 141/73 TFU 30CM,KEP,DJJ 140X/M 10.8 NEG 083872641693
8800,GDS 119, LEKO
+3
 HT 31,7, TROMBO
55 10.9 N N N 82124019368 274000,LEKO 6400
GDS 84
HT 31,2 TROMBO
50 110/70 10.8 N N N 0895388864422 256000 LEKO 8700
GDS 97
132/100 KONTROL JAHITAN
HT 28,9 TROMBO
56 95/63 CEK HB 9.7 83818120463
246000 LEKO 9600

25.7 57.6 100/65 PERIKSA HAMIL 089527277222

25.4 CEK LAB 10.6 N N N 081331105751

26 CEK LAB 11.8 N N N 085887312694 GDS 86

27 66 100/70 CEK LAB 10.7 N N N 08567167185 GDS 102

25 47.7 97/65 CEK LAB 11.5 N N N 087722009317 GDS 101 GOL DAR B

UK: 20 MINGGU 2 JARI DIATAS

49.8 12 N N N - GDS : 70
SYMPISIS

25 62 CEK LAB 10,1 10.1 N N N 08777400039 GDS 128

24 52 110/70 CEK LAB 11.2 N N N 083805954857 GDS 112

rujukan, kontrol jahitan sc z48.9 juliana

36.9 KONTROL PP pp7hr spt

24 67 114/74 10.5 NEG z35.9 juliana

 HT 26,8 TROMBO
57.4 115/62 CEK LAB 9.3 NEG 085892752596 186000 LEKO 9500
LEKOSI +3 GDS 110
121/68 KONTROL JAHITAN
HT 36,6 TROMBO
27 55 120/90 LAB 12.5 N N N 083811745056 311000 LEKO 9300
GDS 102
103/80
HT 27,1 TROMBO
25 52.6 118/76 CEK LAB 9.5 N 0859118292616 167000 LEKO 8400
ERIT +3 TROMBO
HT 32,6
24 49.4 130/77 CEK LAB 11.2 N N N 081574263707 217000 LEKOPSIT
6700 GOLDA
HT 30,2 0/+
TROMBO
23 52.2 103/66 CEK LAB 10.4 N N N NEG 083122213730 216000 LEKO 7800
HT 30,9O/+
GOLDA TROMBO
GDS 91
318000 LEKO 10600
24 55 135/60 CEK LAB 10.2 N N N NEG 083849852550
GOLDA AB/+ GDS 159
HT 33,1 TROMBO
LEKOSIT +1 ERIT +1
24 56 110/70 CEK LAB 11.3 N N N 0895403488088 262000 LEKO 9000
GDS 94 GOLDA
HT 31,1 TROMBO B/+
24 46 110/70 CEK LAB 10.3 N N N 0895619193184 269000 LEKO 9400
GDS 87

27 61 107/69 CEK LAB 9.4 N N N -

24 CEK LAB 10.8 N N N 081382655946 gol dar o gds 120

27 71 110/70 CEK LAB 13.5 N N N 088707744309

UK 18 MINGGU 3 jari di bawah

19 39 83/54 tt3
pusat

24 51 CEK LAB 11.6 N N N 85770666231 GDS 126

28 61 111/73 UK 24 MINGGU DJJ 145 TT4

 EFW 2151,EDD
25 63 116/78 UK 32 MINGGU TT2 085899119271 16/4/2023 KETUBAN
CUKUP

26 74 111/62 TT4
HT 34,3 TROMBO
CEK LAB 11.8 N N N 257000 LEKO 8000
GDS 104
112/71 UK 11MG 08988861490
UK 29MG,KEP,DJJ 158X/M
25 48 97/71
PUKI
HT 32,3 TROMBO
22 49.8 86/54 UK 36MG,TBJ 3215GR, 11.1 N 204000 LEKO 9000
PROT +1 KETON +1
28 75.1 112/67 UK 34MG+2HR

29 71 cek lab 12.3 N N N gol dar A

GDS : 83, HT : 31.8,

24 65 110/80 cek lab 11.3 N N N TROMBO : 232, LEU :
7900

GDS : 96, HT : 35.5,

25 50 110/80 CEK LAB 12.3 N N N TROMBO : 264, LEU :
8200

HT 35,9 TROMBO
24 57 110/60 CEK LAB 12.3 NEG 083874400408 169000 LEKOSIT
12400 GDS 80
 89 139/98 CEK LAB 12.3 N N N 089648671922

65 106/63 CEK LAB 11.5 neg

UK 10MINGGU, 2 JARI DIATAS

26 58.6 111/80
SYM
33 81.8 115/89 UK 9 MINGGU

25 60.5 RUJUKAN USG KE UMI

24 41.6 107/62 UK 13 MINNGU BALL

35 110/80 CEK LAB N 0895321388781

CEK LAB 11.9 N N N 089631715006 GDS 129

30 61 110/80 CEK LAB 10.8 N N N N 087836846588

27 CEK LAB 11.8 N N N 087870411833 GDS 107

27 71 128/75 UK 35 MINGGU DJJ 143 KEP

25.8 53 110/80 CEK LAB 12 N N N 89615291460 GDS 119

UK;30 MINGGU TFU 27 CM
25 54 111/80
KEP DJJ 145
46 45 110/80 CEK LAB 12 N N N 081398955538 GDS 77
24 56 110/70 CEK LAB 11.2 N N N 087754629334 GDS 87

25 49 110/78 12.2 N N N 089659101881 GDS 88

27 64 110/80 CEK LAB 9 089635901929 GDS 125

29 74.5 115/83 CEK LAB 9.7 N 085773613094

30 77 10.9 N 082123701493
UK 35 MINGGU TFU 26 CM DJJ
25 67 108/67 085892052551
145
31 66.2 110/80

31 98/65 CEK LAB 12.1 N N N

0
REGISTER MANUAL KUNJUNGAN KIA TAHUN 2023

TANGGAL
NO
KUJUNGAN
SEKOLAH
NAMA PASIEN NAMA SUAMI NIK TGL LHR UMUR
TERAKHR

JUM'AT 1 PUSPITA DEWI RAHAYU ARI PRATAMA 3271024402990005 2/4/1999 23 SMA

DWI FITRIA BINTI

27 Januari 2023 2 JEHAN 3271017004890003 4/30/1989 33 S1
RUDIANTO

#REF!

SABTU 1 NANI WAHYUNI MUKSIN HARYANTO 3271024708800006 8/7/1980 42

28 Januari 2023

MINGGU .

SENIN .

DURRIYAH NAJIBAH M. NAJIB

30 Januari 2023 1 3271041508970012 8/15/1997 25 S1
IMTINAH RAMADHAN

ABDURAHMAN
2 DEWI AFNI KUSUMA PUTRI 3201284212920003 2/12/1992 30 D3
HAKIM

3 EKA PUTRIYANI ARDIANSYAH 1201064107970040 2/4/1999 23 SMA

4 ELIS MEITIKA ROBI CAHYADI 3271025305850006 5/13/1985 37 SMP

 5 ROSMIATI ANDI SUHENDI 3271024504800001 4/5/1980 42 SD

6 FITA DAMAYANTI HERIYAWAN 3271024105850002 5/1/1985 37 SMK

7 ROSITA M. AZWAR 3271026507920007 7/25/1992 30 SD

8. ASIH SUKAESIH KHAIRUL 3271025605850007 5/16/1985 37 SMK

SELASA 123

31 Januari 2023 1. MAYA HANDAYANI ARIF SYAMSUDIN 3271024309850002 9/3/1985 37 SMP

2 MERSYE PERMATASARI REVINDA IRAWAN 3201255205980012 5/12/1998 24 SMA

3 IRENE YULITA HERMAWAN 3271026910900002 10/29/1990 32 SMA

4. DEVI SEKAR ARUM MIZAR 3271026807010008 7/28/2001 21 SMP

5 DINA FITRIA RAHMAT HIDAYAT 3201045006970003 6/10/1997 25 SMK

6. ENO MUSTIKA RAHMAN 3271025409000003 9/14/2000 22 SMU

7 EVA YUANA NURAZIZA ANDRIANSYAH 3271024583930007 3/5/1993 29 S1

8 RATRI ARIANI KHOIRUNISA HENDRA 327102500990006 9/10/1999 23 SMU

9 SITI HOLISOH AGUNG 3271024311880007 11/3/1988 34 SMA

10. RINA BUDIANTINI ATIN 3271026603850004 3/26/1985 37 SMK

11 ELSA OKTAVIANI KEVIN 1672035410970001 10/14/1997 25 S1

12 RISDIANI ANTON 3271026701870005 1/27/1987 36 SMA

123
123
 K1, K2,
NAMA IBU
PEKERJAAN KANDUNG ALAMAT NO BPJS GPA K3, K4, HPHT TP TB LILA BB
K5, K6

KASIR HINDUN TAJUR 1/6 0001860807014 G1 K2 14/8/22 21/5/23 160 24.5 50

TINI
SWASTA SINDANGRASA 3/5 BPJS G3P2A0 K4 27/3/23 162 37 90
NGATINEM

IRT AISYAH SUKASARI 6/3 G4P2A1 20/8/22 27/5/23 163 26

SINDANGSARI RT
GURU MILIK RAHAYU 0000058702702 G1P0A0 K1 12/17/2022 9/24/2023 160.4 26 59.3
2/5

IRT EMIN AMINAH PAKUAN 2/3 BPJS G2P1A0 K2 7/19/2022 4/26/2023 155 27 63.1

ASRAMA SUKASARI
IRT UMI SULATIN 0000234531764 G2P1A0 K1 1/8/2022 10/15/2023 155 25 53.6
RT 3/3

SINDANGSARI RT
IRT SRI SULASTRI 0001657061425 G5P4A0 k4 6/15/2022 3/22/2023 155 28
4/1
 IRT IJAH SINDANGSARI 3/1 BPJS G5P3A1 k4 6/20/2022 3/27/2023 155 27 50.6

KATULAMPA RT
IRT MARIA G5P3A1 K1 11/15/2022 155 29
3/14
IRT SINDANGSARI 1/7 0002356576751 61P0A0 k4

SINDANGSARI RT
IRT CICIH 0001405802452 55
4/2

IRT SUKASARI RT 4/6 BPJS K1 11/5/2022 8/12/2023 168 33 88

IRT SUSANTI .H. TAJUR 3/3 G3P2A0 K1 10/18/2022 7/25/2023 158 29 71

IRT YANTI SUKASARI 5/1 BPJS G4P3A0 k4 6/6/2022 3/12/2023 156 30 64

BANTAR KEMANG
IRT BPJS G3P1A1 k4 8/3/2022 5/10/2023 154 26 46
4/5

IRT EVI TAJUR 1/2 G2P1A0 K1 9/30/2022 7/7/2022 154 27 64

IRT SITI SULASTRI TAJUR 2/5 BPJS G1P0A0 k4 5/6/2022 2/13/2023 143 28 50

P.SWASTA SUNARSIH SINDANGSARI 3/4 G2P1A0 K1 11/6/2022 8/12/2023 155 27 69

KARYAWAN SITI AMSIAH TAJUR 3/6 BPJS G2P0A1 k3 7/15/2022 5/22/2023 154 25 55

IRT SYARIFAH SINDANGSARI 2/2 bpjs G3P2A0 k4 6/20/2022 3/27/2023 146 25 57

BARANANGSIANG
IRT NURMALA G3P2AO K1 11/3/2022 10/8/2023 150 33.5 76.1
RT 5/4

PEG SWASTA NURLAILI HARJASARI 1/7 G1P0A0 K1 11/17/2022 24/8/2023 156 23.5 45.7

IRT ROSIDAH SUKASARI 5/6 G6P3A2 k4 ? 155 28 55

 HASIL LAB
HASIL PEMERIKSAAN (UK, DJJ,
TD VAKSIN NO HP KETERANGAN
TFU, PRESENTASI)
HB VCT HBSAG SIFILIS PROTEIN URIN

100/70 CEK LAB SAJA Td 1 8.5 NR NR NEG FE 2X1 (30)

130/90 RUJUK RS Z35.9 089652390772 RS. JULIANA

110/70 13.1 NR NR NEG 089662403742

118/69 CEK LAB 0896386338759

TFU: 23 DJJ:147 UK: 27

105/60 087775171720 KALK ,FE 1X1(30)
MINGGU

UK: 7 MINGGU PENDARAHAN

120/80 RUJUK RS.VANIA
HAMIL MUDA
082369849139

122/70 UK: 33 MINGGU 8 POS 1 RUJUK JULIANA

 UK: 33 MINGGU DJJ: 138 TFU:
128/77 TT5 9.9 NEGATIF 085780472175 FE,KALK
23 CM

150/98 UK: 11 MINGGU TFU BALL - FE,KALK,B6

RUJUK UK: 41 MINGGU

RUJUKAN PNC
120/80 POST SESAR rujuk
juliana

125/85 CEK LAB 085695879078

110/70 CEK LAB 12.1 N N N 08158068930

130/80 CEK LAB 8.7 NEGATIF

HAMIL UK 26 MINGGU TFU :

110/79
21 CM DJJ 130

108/78 HAMIL UK 18 MINGGU 089635901929

102/75 CEK LAB 12.8 NEGATIF

109/71 UK: 12 MINGGU

110/80 CEK LAB tt 2 10,.5 N N N 0895333669722

TROBOSIT
102/73 UK :33 MINGGU CEK LAB tt4 11.2 N POS 2
125.000

159/87 UK: 13 MINGGU 12.5 N N N 088905924712

89/70 UK 11 MINGGU CEK LAB 11 N N N 081377819570

90/80 CEK LAB 8.7 N N N