Pus Gemurung

FORMAT PENDATAAN PUS
KABUPATEN : SIDOARJO
PUSKESMAS : GEDANGAN
DESA : GEMURUNG
POSYANDU :
ALAMAT (DUSUN/RT/RW) : RT 1 / RW 1
NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI
1 I3509790004 siti kolmunatin 24/-09/79 S3507720001
2 I3509910001 ninik nur m,SH 9/12/1991 S3512830002
3 I3502890005 nurul hasanah 2/12/1989 S3501840005
4 I3508720002 siti zulaikhah 8/3/1972 S3509720004
5 I3507830003 evi yuliyatin A 7/29/1983 S3506750001
6 I3507870003 Marni 7/1/1987 S3509830005
7 I3506750005 Sulistiani 6/9/1975 S3507740004
8 I3503740001 Puji hartatik 3/29/1974 S3511690004
9 I3506790001 Anggorowati 6/13/1979 S3501800004
10 I3511030005 Sukarmilah 5/5/1982 S3506730006

11 I3503770005 Cholifah 3/3/1977 S3501670001
12 I3506810003 Sri handayani 6/12/1981 S3512670001
13 I3512740004 Nur chosiah 12/28/1974 S3503650002
14 I3504780009 Tus ammah 4/20/1978 S3508570004
15 I3510840002 Anisa 8/9/1984 S3509810001
16 I3505660002 Ainun yulfiyana 5/21/1990 S3507010003
17 I3502810004 Risti ningrum 2/12/1981 S3506820008
18 I3511890002 Nur hidayati 11/18/1989 S3507770005
19 I3512740002 Nurul Ahmada 12/23/1974 S3509680002
20 I3509800002 Maulidatun Z 9/11/1980 S3506760001
21 I3507930003 Eka ayu p 7/11/1993 S3503880001
22 I3507750002 Dewi lutfiyah 7/5/1975 S3507640001

23 I3508930004 Wiwik L.K 8/8/1993
24 I3512910001 Kristiani 12/18/1991 S3507860002
25 I3506740005 Syafiiyah 6/5/1974 S3510670004
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
ASI Eksklusif (Laktasi) :
DESA : GEMURUNG
POSYANDU :
2
3
10
11
12
13
14
15
16
17
18
19
20
21
22
23
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
9
10
11
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
5
6
10
11
12
13
14
15
16
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
7
8
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
2
3
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
10
11
12
13
14
15
16
17
18
19
20
21
22
23
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
5
6
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
7
8
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :

DESA : GEMURUNG
POSYANDU :
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
2
3
10
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
10
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
6
7
10
11
12
13
14
15
16
17
18
19
20
21
22
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
2
3
10
11
12
13
14
15
16
17
18
19
20
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
1
2
10
11
12
13
14
15
16
17
18
19
20
21
22
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
9
10
11
12
13
14
15
16
17
18
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
4
5
10
11
12
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
10
11
12
13
14
15
16
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
DESA : GEMURUNG
POSYANDU :
1
2
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
TOTAL KB
Suntik :
Pil :
Kondom :
IUD :
MOP :
MOW :
Kalender :
FORMAT PENDATAAN PUS TAHUN 2017
Nama* Tgl lahir* NIK ANAK Nama* JK* Tgl lahir*
Imam Syafi'i 7/17/1972 A3502060006 M.Izad L 2/9/2006
M.Tohirin 12/15/1983
Edy Purwanto 1/1/1984 A3508100002 Nazwa A P 8/29/2010
M.Hamim 9/20/1972 A3508070001 Ach.Hisam L 8/17/2007
Abd.Jamil 6/13/1975 Maulana L 10/10/2014
Siswanto 9/10/1983 A3508090001 Ach.Ridho L 8/1/2009
Levi A 7/6/1974 Abidar A L 3/12/2014
Yofi K.r 11/27/1969 A3502030002 Reni Y P 2/27/2003
Mustain 10/10/1980 Niken R P 4/15/2014
M.Haini 6/15/1973 A3511030005 Silvi P 11/10/2003

Abd.Qodir 1/1/1967 Moch.Rizki L 3/8/2013
Amari 12/7/1967 A3508080001 Novita M P 8/1/2008
Pitono 3/8/1965 A3507080002 M.Rizki L 7/30/2008
Asikin 8/10/1957 A3506080003 M.Aditya L 6/10/2008
Agus N 1/9/1981 Alifia N P 4/25/2005
M.Lutfi 7/13/1981 A3510100005 Najwa T P 10/16/2010
Zainul A 6/25/1982 A3505070002 Nuril A P 5/17/2007
Krismiyanto 7/8/1977 A3507110001 Syifa A P 7/10/2012
Hariyanto 9/22/1968 A3510020001 Adam S L 10/26/2002
Aslik 6/10/1976 A3509110000 Rahmad A L 9/10/2011
Hartono 3/3/1988 Aurel L P 3/27/2015
Abd.Suud 7/23/1964 A35040300001 Dliya R P 3/10/2000

Andik S 6/7/1990 5/22/2015
Frandi A 7/13/1986 A3501090003 M.Farchan L 1/8/2009
M.Ircham 10/12/1967 A3503030003 Surya L 3/24/2003


















Metode KB* KetGakin)
(Kronis,
Suntik
Suntik GK
Suntik GK
Suntik
IUD GK
Suntik
IUD
Suntik
Suntik GK
Suntik
Pil GK
suntik
suntik
Pil
Suntik
Suntik
pil
suntik GK
pil
pil
Suntik GK
Suntik
Suntik
Suntik
Pil GK
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,
(Kronis,

Pus Gemurung

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FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

1 I3509790004 siti kolmunatin 24/-09/79 S3507720001

2 I3509910001 ninik nur m,SH 9/12/1991 S3512830002

3 I3502890005 nurul hasanah 2/12/1989 S3501840005

4 I3508720002 siti zulaikhah 8/3/1972 S3509720004

5 I3507830003 evi yuliyatin A 7/29/1983 S3506750001

6 I3507870003 Marni 7/1/1987 S3509830005

7 I3506750005 Sulistiani 6/9/1975 S3507740004

8 I3503740001 Puji hartatik 3/29/1974 S3511690004

9 I3506790001 Anggorowati 6/13/1979 S3501800004

10 I3511030005 Sukarmilah 5/5/1982 S3506730006

12 I3506810003 Sri handayani 6/12/1981 S3512670001

13 I3512740004 Nur chosiah 12/28/1974 S3503650002

14 I3504780009 Tus ammah 4/20/1978 S3508570004

15 I3510840002 Anisa 8/9/1984 S3509810001

16 I3505660002 Ainun yulfiyana 5/21/1990 S3507010003

17 I3502810004 Risti ningrum 2/12/1981 S3506820008

18 I3511890002 Nur hidayati 11/18/1989 S3507770005

19 I3512740002 Nurul Ahmada 12/23/1974 S3509680002

20 I3509800002 Maulidatun Z 9/11/1980 S3506760001

21 I3507930003 Eka ayu p 7/11/1993 S3503880001

22 I3507750002 Dewi lutfiyah 7/5/1975 S3507640001

24 I3512910001 Kristiani 12/18/1991 S3507860002

25 I3506740005 Syafiiyah 6/5/1974 S3510670004

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

FORMAT PENDATAAN PUS

NO NIK KK/NO. KK NIK ISTRI Nama* Tgl lahir* NIK SUAMI

Nama* Tgl lahir* NIK ANAK Nama* JK* Tgl lahir*

Imam Syafi'i 7/17/1972 A3502060006 M.Izad L 2/9/2006

Edy Purwanto 1/1/1984 A3508100002 Nazwa A P 8/29/2010