KEGIATAN

B U L A N:

PARAF
TANGGAL TEMPAT PETUGAS/
NO PELAKSANAA JENIS KEGIATAN HASIL KEGIATAN
N KEGIATAN KEGIATAN SASARAN YG
DI KUNJUNGI

Kepala Puskesmas Sidamulya PROGRAMER

Yati Fironike, SKM .....................................................

NIP.19700604 199103 2 008
 DAFTAR HADIR
LOKAKARYA MINI PUSKESMAS SIDAMULYA
BULAN:

NO NAMA JABATAN ALAMAT TANDA TANGAN

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NO NAMA JABATAN ALAMAT TANDA TANGAN
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 RENCANA KERJA PETUGAS PUSKESMAS SIDAMULYA
NAMA:
BULAN:
No Tanggal Uraian Petugas Lokasi Keterangan
No Nama Bumil Alamat GPA Jenis Resti HPHT BPJS
1 Suneni- Rohman Sidamulya G2 P1 A0 Hb: 10,6 gr % T1 V

2 Musni- Wardani G1 P0 A0 KEK Lila: 22 cm V

3 Badriyah- Saidi G4 P3 A0 Usia > 35 thn

4 Rosikoh- Juwaihir G1 P0 A0 Primi Tua

5 Kanah- Zaeni G2 P1 A0 Jrk Kehamilan < 2 th

6 Lia- Agus G2 P0 A1 KEK Lila: 22 cm

7 Tariah- Heryanto G3 P2 A0 Anemia Ringan

8 Eli- Kuswanto G4 P3 A0 Anemia Ringan

9 Tikah- Casda G1 P0 A0 Hb: 8,0 gr % T3 V

G2 P1 A0 Jrk Anemia
Kehamilan < 2 th,
10 Tika- Isnen Ringan
Anemia Ringan T1,
11 Tri Utami- Warkim G2 P1 A0 V
Hb: 10gr %
Anemia Ringan T1,
12 Triyanah- Koyim G2 P1 A0 Hb: 10gr %
Anemia Ringan T1,
13 Yani- Aan G3 P2 A0 V
Hb: 9,6gr %

14 Umi Naisah- Mus G1 P0 A0 CPD V

No Nama Bumil Alamat GPA Jenis Resti HPHT BPJS
1 Suneti- Kasdi Buntet G6 P4 A1 Hb: 10,2 gr % 20- 11- 13 V

2 St. Warnani- Ais G1 P0 A0 Hb: 10, 4 gr % 02- 11- 13 V

3 Dasini- Agus G3 P2 A0 Hb: 10, 8 gr % 15- 11- 13 V

4 Soleha- Aris G1 P0 A0 Lila: 20 cm 27- 10- 12 V

G2 P0 A1 Lila: 23grcm, Hb: 10, 8

5 Rus- Hendri 06- 01- 14 V
%

6 Ekas- Nawawi G2 P1 A0 Lila: 23 cm 29- 12- 13

7 Roimah- Usman G2 P1 A0 Hb: 10,6 gr % 24- 12- 13

8 Utami- Asep G2 P1 A0 Jrk Kehamilan < 2 th 25- 12- 13 V

9 Mariah- Sumamo G2 P1 A0 Hb: 10,6 gr % 10- 01- 14 V

10 Puput- Saepudin G1 P0 A0 Umur 19 th 20- 01- 2014 V

11 Sakiroh- Rasudi G4 P2 A1 Hb: 10,4 gr % 26- 01- 2014 V

12 Masnuah- Wastam G6 P5 A0 Hb: 10,2 gr % 08- 01- 14

13 Aryati- Amsor G1 P0 A0 Umur 19 th 28- 01- 14 V

14 Ida Elisa- Rohmat G2 P1 A0 umur 37 th 24- 01- 14 V

G1 P0 A0 Lila: 23grcm, Hb: 10, 4

15 Ratnawati- kamsari 15- 02- 14
%

16 Sri Mutoharoh- Heru G2 P0 A1 Hb: 10,4 gr % 23- 02- 14

Lila: 23, Hb: 10,2 gr

17 Ami- Kusdi G1 P0 A0 31- 02- 14
%
Lila: 22, Hb: 10,2 gr
18 Lilis- Aris G1 P0 A0 28- 03- 14
%
Lila: 21, Hb: 10,2 gr
19 Inayah- Ridwan G2 P1 A0 23- 03- 14
%

20 Yayah Wati- Maman G3 P2 A0 Hb: 10,4 gr % 15- 03- 14 V

21 Marhamah- Hendri G2 P1 A0 Hb: 10,2 gr % 10- 04- 14

22 Kusriwati- Samudi G3 P2 A0 Hb: 10,2 gr % 18- 03- 14 V

Lila: 22, Hb: 10,4 gr

23 Undus- Feri Andi G1 P0 A0 10- 04- 14
%

24 Istiqomah- Hartono G1 P0 A0 Asma Bronchiate 23- 01- 14

25 Misari- Suyatna G4 P3 A0 PEB 10- 11- 13 V

26 Amah- Cardi G3 P2 A0 PEB 15- 12- 13 V

27 Asiyah- Lili G2 P1 A0 PEB 28- 11- 13 V

No Nama Bumil Alamat GPA Jenis Resti HPHT BPJS
1 Salamah- Isa Bunpes G2 P1 A0 Sungsang 02- 11- 13 V

G5 P4 A0 Grande>Multi + Umur
2 Kulsum- Ilik Bunpes 10- 10- 13 V
35 th

Plasenta letak
rendah, anemia
3 Hikmah- Abd. Basir Bunpes G6 P5 A0 11- 10- 13 V
sedang, grande
multi, Varices Vagina

G5 P3 A1 Grande>Multi + Umur
4 Eem- Najib Bunpes 15- 11- 13 V
35 th
Riwayat SC 3 th yg
5 Etun- Yusif Bunpes G2 P1 A0 28- 11- 13 V
lalu
6 Fatimah- Umar Manis Patwa G4 P2 A1 Umur > 35 th 30- 12- 13 V

G4 P3 A0 Jrk Kehamilan < 2 th,

7 Inun- Hanif Bunpes 26- 12- 13 V
Umur > 35 th

8 Hj. Muadah- Saefudin Bunpes G2 P1 A0 Umur > 35 th 27- 12- 13 -

Riwayat SC 3 th yg
9 Iif Laifah- Nopaldi Bunpes G2 P1 A0 lalu 15- 02- 14 V

10 Tuti Alawiyah- Mustain Bunpes G2 P1 A0 KEK 19- 12- 13 -

Menderita Peny.
11 Rodiah- Karim Bunpes G2 P1 A0 Berat ( Batu 02- 12- 13 V
Empedu)
KEK, Jrk kehamilan <
12 Suni- Jaenal Manis Patwa G2 P1 A0 14- 03- 14 -
2 th

G8 P5 A2 Grande>Multi + Umur
13 Salamah- Lamri Bunpes 20- 01- 14 V
35 th
14 Erna- Wildan Bunpes G5 P4 A0 Grande Multi 16- 03- 14 V
Grande Multi, Umur
15 Maryam- M. Saefudin Bunpes G5 P4 A0 23- 03- 14 -
> 35 th
16 Sari'ah- Asan Manis Patwa G1 P0 A0 KEK 04- 04- 14 V
17 samroh- Suriman Manis Patwa G2 P1 A0 Umur > 35 th 30- 03- 14 V

Umur > 35 th,

18 St. Khodijah- Ismail Manis Patwa G4 P2 A1 31- 03- 14 V
Hipertensi esensial
No Nama Bumil Alamat GPA Jenis Resti HPHT BPJS
Munjul blok
1 Witi- Agung G3 P0 A2 Riwayat Abortus 3x 15- 02- 14 V
kliwon

G6 P4 A1 Grande Multi + Umur

2 Wasih- Nana blok wage 19- 04- 14
> 35 th, Riwayat PEB

G9 P8 A0 Grande>Multi + Umur
3 Sumiati- Munajat blok pahing 01- 01- 14 V
35 th

G7 P5 A1 Grande>Multi + Umur
4 Soproh- Tarsim blok manis 11- 10- 13 V
35 th

5 Heti- Muhammad blok kliwon G2 P0 A1 Anemia < 11,0 gr % 29- 01- 14 V

6 Dewi- Sulaeman blok pahing G1 P0 A0 Anemia < 11,0 gr % 07- 03- 14

7 Haryani- Ahmad blok manis G1 P0 A0 KEK 02- 02- 14 V

G6 P4 A1 Grande>Multi + Umur
8 Murni- Sholeh blok manis 04- 10- 14 V
35 th

G6 P5 A0 Grande>Multi + Umur
9 Kartini- Durohman blok manis 11- 02- 14 V
35 th

10 Umini- Ahmad blok manis G6 P5 A0 Grande Multi 17- 01- 14 V

G6 P5 A0 Grande>Multi + Umur
11 Maryah- A. Ahmad blok pesantren 29- 11- 13 V
35 th

Riwayat Kontraksi
12 Entin- Suha blok kliwon G8 P6 A1 21- 03- 14
Prematur

G5 P4 A0 Grande>Multi + Umur
13 Sofiah- Rohman blok pahing 01- 03- 14 V
35 th
 RENCANA KERJA HARIAN
NAMA :
BULAN: TAHUN 2018
NO TANGGAL URAIAN KEGIATAN SASARAN WAKTU LOKASI KETERANGAN
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Kepala Puskesmas Sidamulya PROGRAMER

Yati Fironike, SKM

NIP.19700604 199103 2 008 .....................................................
 RENCANA KERJA HARIAN
NAMA:
BULAN: TAHUN 2018
TANGGAL
NO URAIAN KEGIATAN
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Kepala Puskesmas Sidamulya Programer
Yati Fironike, SKM .....................................................
NIP.19700604 199103 2 008
RJA HARIAN

TANGGAL
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