LAPORAN BULANAN

IBU HAMIL DI BPM HKC

PUSKESMAS KETAPANG

UMUR HAMIL BB TB LILA HB/ TD UK TFU DETEKSI JARAK DAPAT

PRESEN
NO NAMA SUAMI ALAMAT DJJ FAKTOR KEHAMILAN IMUN BUKU TGL KUNJ KET
TASI
(Th) KE (kg) (cm) (cm) GOLDA (mmHg) (mg) (cm) RESIKO (TH) KIA

1 SUMIATUN HARIS LEMBENAH 33 IV 63 156 29 - 110/70 13 8 - - 6 7 T3 + 3/21/2018

2 QOMARIYAH SUTRISNO NANGGER 28 II 48 150 25 - 100/60 6 - - - 2 6 T2 + 3/22/2018
3 MARIDEH SAIFUL LEMPONG 25 I 46 147 24 - 90/60 18 13 - 149 2 - T1 + 3/22/2018
4 LAILA ADIM S.BHAKTI 20 I 60 146 29.5 - 100/60 4 - - - 2 - T1 + 3/23/2018
5 HAYATI QOMAR S.BHAKTI 25 II 67 150 30 - 110/70 32 30 KEP 147 2 - T2 + 3/23/2018
6 MASRUBI HOLILI 0L0H 23 II 65 153 25 - 110/70 24 20 KEP 133 2 4 T2 + 3/23/2018
7 HASANAH SOFI TENGAH LAOK 25 II 52 147 25.6 - 90/60 39 30 KEP 131 2 8 T2 + 3/23/2018
8 NURAINI MUNARI MASIANG 33 III 62 155 26 - 110/70 39 29 KEP 137 6 16 T3 + 3/23/2018
9 SITI SYAFII S.BHAKTI 25 I 55.5 144 27.3 - 100/60 15 11 - 120 - - T1 + 3/24/2018
10 NIA ROMLI KOMBENG 30 II 59.9 155 27 - 95/60 KEP 22 T2 + 3/25/2018
11 FADILA MAS'AT OMBEREN 22 I 57 147 27.5 - 100/60 22 25 KEP 142 2 - TI + 3/25/2018
12 MAISAROH HOLIS LON GELIS 26 II 53 153 24 - 100/60 38 33 KEP 126 2 5 T2 + 3/25/2018
13 SHELLY FURQON TLABENG 27 II 55 153 23 - 100/60 37 33 KEP 142 6 - T2 + 3/25/2018
14 HOTIM PARDI PANDIYANGAN 25 II 44 147 27 - 100/60 20 15 KEP 126 2 3 T2 + 3/26/2018
15 SRI MOHANDIS MANDIREH 31 III 67.5 147 29 - 110/70 8 - - - 2 6 T2 + 3/26/2018
16 MUZAYYANAH FAUZAN OMBEREN 22 I 49 146 24 - 100/60 38 30 KEP 157 2 - T1 + 3/26/2018
17 MAISAROH SUGI S.BHAKTI 31 III 63 145 31 - 120/80 33 29 KEP 157 6 4 T2 + 3/26/2018
18 HAYYINAH SAMSUL ROMPENG 30 II 58 160 26.5 - 110/70 30 30 KEP 137 2 5.5 T2 + 3/26/2018
19 NAHRIYAH JAHULI OLOH 40 IV 78 150 33 - 120/80 35 32 KEP 145 6 7 T3 + 3/28/2018
20 RITA ADIM LON KEBUN 29 I 45 147 23.5 - 100/60 32 30 KEP 153 2 - T1 + 3/28/2018
KETAPANG TANGGAL : 21 FEBRUARI 2017
PENANGGUNG JAWAB BPM

( NINE ANDARMARIEN, S.ST )

 NIP : 19720609
NIP : 19720609
199203 2007
199203 2007
LAPORAN BULANAN
IBU HAMIL DI BPM HKC
PUSKESMAS KETAPANG

UMUR HAMIL BB TB LILA HB/ TD UK TFU DETEKSI JARAK

PRESEN DJJ
NO NAMA IBU SUAMI ALAMAT FAKTOR KEHAMILAN IMUN KIA TGL KUNJ KET
TASI
(Th) KE (kg) (cm) (cm) GOLDA TD (mg) (cm) RESIKO (TH)
21 SUNAMI NASRUDIN GUJING 25 II 58 151 25 - 110/70 38 31 KEP 150 6 - T1 + 3/28/2018
22 HOLIFAH SYAFIK JUK LENGKER 24 III 64 150 31 - 120/80 4 - - - 2 5 T3 + 3/29/2018
23 HULIN SULAIMAN KOMBENG 20 I 64 159 29 - 100/60 17 14 BALL 153 2 - T1 + 3/30/2018
24 SURIPAH RONI GUJING 25 II 44 149 23 - 110/70 8 - BALL - 2 7 T2 + 3/30/2018
25 SLAMI MUAD BERLANTONG 31 I 77 159 33 - 110/70 36 31 KEP 141 2 - T1 + 3/30/2018
26 LEHA HOLIS BUNDAN 23 II 50 149 23.8 - 100/60 38 30 KEP 148 6 - T1 + 3/30/2018
27 HOTIJAH AHMADI SORREN 21 I 49 151 25 - 120/80 17 12 - 151 2 - T1 + 3/30/2018
28 GIAN YAYAN S. BHAKTI 22 I 55.3 158 26 - 110/70 23 17 BALL 143 - - T1 + 3/30/2018
29 WIDIAWATI MAKSUM DUK TENGAH 22 I 50 146 26 - 95/60 31 29 KEP 141 2 - T1 + 3/30/2018
30 FATHATIN WEHED OLOH 31 IV 59 143 30 - 120/80 4 - - - 6 17 T3 + 4/1/2018
31 AIDA SOMAD KOMBENG 25 II 65 153 28 - 110/70 4 - - - 2 6 T2 + 4/1/2018
32 NAHATI SAMSURI MASIANG 30 II 72 155 32.1 - 125/80 5 - - - 2 4 T2 + 4/1/2018
33 ZAHROH MUHAMAD BERLANTONG 26 I 59 153 24 - 140/90 33 29 KEP 160 2 5 T2 + 4/2/2018
34 SURIYAH YAHYA LON DUE' 35 IV 70 155 31 - 90/60 28 25 KEP 134 6 7 T3 + 4/2/2018
35 HARYATI MUKSIN LON KEBUN 19 I 60 152 28 - 110/70 14 12 - - 2 - T1 + 4/3/2018
36 DITA ALFAN BERE' ROMBUH 32 III 46 153 23.7 - 100/60 28 24 KEP 146 2 3 T3 + 4/3/2018
37 MUSLIMAH ROHLI LEMPONG 23 II 46 148 27 - 100/60 16 12 - 157 2 - T1 + 4/3/2018
38 MUSEI DURAHMANLEMBENAH 30 III 66 147 28.5 - 120/80 24 23 KEP 149 2 9 T3 + 4/3/2018
39 MUSLIHA WAWAN G.ANYAR 26 II 59 143 29 - 120/80 38 30 KEP 145 2 8 T2 + 4/4/2018
40 RENI SAMIK RABIYAN 18 I 58 162 24 - 110/70 20 18 BALL 141 2 - T1 + 4/4/2018
KETAPANG TANGGAL : 21 FEBRUARI 2017
PENANGGUNG JAWAB BPM

( NINE ANDARMARIEN, S.ST )

 NIP : 19720609
NIP : 19720609
199203 2007
199203 2007

LAPORAN BULANAN
IBU HAMIL DI BPM HKC
PUSKESMAS KETAPANG

UMUR HAMIL BB TB LILA HB/ TD UK TFU DETEKSI DAPAT

PRESEN DJJ JARAK
NO SUAMI ALAMAT FAKTOR IMUN BUKU TGL KUNJ KET
(Th) KE (kg) (cm) (cm) GOLDA (mmHg) (mg) (cm) TASI KEHAMILAN
RESIKO KIA

41 HALIMAH F FARID PANGAMBE'EN 28 II 71 153 28 - 120/80 31 33 KEP 143 2 9 T2 + 4/5/2018

42 HASILAH PUSAIRI DEMPOL 25 I 56 148 28.5 - 120/80 21 23 KEP 138 2 2 T2 + 4/5/2018
43 SARIMA ROSID G.ANYAR 25 II 51 146 25 - 100/60 30 29 KEP 144 2 6 T2 + 4/5/2018
44 SRI SODIK BRINGIN 30 II 73 155 28 - 110/70 36 29 KEP 143 2 4 T2 + 4/5/2018
45 DEWI AOFYAN LON DUE' 20 II 68 151 29 - 110/70 34 33 KEP 144 6 - T1 + 4/6/2018
46 MILA IMAM TAMAN 20 I 75 155 26 - 120/80 35 27 143 143 2 - T1 + 4/6/2018
47 SITI YANTO BERE' ROMBUH 21 I 55 152 26 - 100/60 24 19 KEP 157 2 - T1 + 4/6/2018
48 SRI GHOFIR G.KESAN 30 I 88 151 37 - 120/80 19 17 BALL 146 14 8 T1 + 4/7/2018
49 I - 18 14 KEP 144 2 - T1 +
50 V - 9 - - - 6 7 T3 +
51 I - 29 23 KEP 142 2 - T1 +
52 III - 34 28 KEP 138 2 8 T3 +
53 I - 35 28 KEP 151 2 - T1 +
54 I - 36 31 KEP 150 2 - T1 '+
55 II - 7 - - - 2 6 T2 +
56 II - 34 26 KEP 145 6 10 T2 +
57 22 I - 26 20 KEP 144 2 - T1 +
58 I - 24 17 KEP 146 2 - T1 +
59 II 14.7 - 36 30 KEP 140 6 5 T2 +

KETAPANG TANGGAL : 21 FEBRUARI 2017

PENANGGUNG JAWAB BPM
( NINE ANDARMARIEN, S.ST )
NIP : 19720609
NIP : 19720609
199203 2007
199203 2007