PROVENSI : Kal - Tim

KABUPATEN : Berau
PUSKESMAS : Maratua

BB Seb. Alamat Tanggal BB TB Lila Hamil TTD Jmlh. TTD

No. NIK / No. KTP Nama Ibu Hamil (Kampung) RT RW Pengukuran (Kg) (Cm) (Cm) Ke 1= Ya Brp Butir ? Ket
(Kg) 2 = Tdk
1 Julaiha 52 Teluk Harapan 3 3/1/2017 60 150 24.3 2 1 90 Partus
2 Laila Puspa 40 Teluk Harapan 2 28/11/2016 44 147 22 2 1 90 Partus
3 Eni Sentri 57 Teluk Harapan 4 14-03-2017 65 166 27 3 1 90 Partus
4 elina 46 Teluk Harapan 3 20-02-2017 53.4 153 23 1 1 90 Partus
5 Ismawati 58 Payung-payung 1 15-02-2017 67 157 28 2 1 90 Partus
6 Dahlia 47 Payung-payung 2 15-02-2017 56 154 23 2 1 90 Partus
7 Rosipah 46 Bohesilian 3 12/1/2017 58 153 23 2 1 90 Partus
8 Hetri 78 Bohesilian 2 17-2-2017 88 159 30 2 1 90 Partus
9 Susan 54 Bohesilian 2 17-2-2017 64 155 25 1 1 90 Partus
10 Siti Khodijah 49 Bohesilian 3 4/1/2017 58 150 24.5 1 1 90 Partus
11 Mety 48 Bohesilian 2 17-3-2017 55 153 24 1 1 90 Partus
12 irawati 54 Bohesilian 3 17-1-2017 67 157 30 1 90 Partus
13 Misnawati 57 Bohesilian 3 4/1/2017 66 158 26 2 1 90 Partus
14 Astiana 56 Teluk Alulu 3 18-1-2017 63 157 28 7 1 90 Partus
15 Ratna Sari 49 Teluk Alulu 1 18-1-2017 57 148 24 3 1 90 Partus
16 Siti Nuryana 54 Tanjung Bahaba 1 3/1/2017 63 155 24 1 1 90 Partus
17 Lia 55.8 Teluk Harapan 2 18-12-2017 57 153 28 2 1 30
18 Ratih 46 Teluk Harapan 3 16-4-2017 51 152 26 4 1 60
19 Hadijah 42 Teluk Harapan 3 16-4-2017 47 152 24.9 2 1 60
20 Risma 50 Payung-payung 1 15-2-2017 59 153 32 5 1 90
21 Yustiana 53 Payung-payung 2 15-2-2017 57 150 31 2 1 60
22 Sabariah 56 Payung-payung 1 15-2-2017 59 148 26 2 1 30
23 Heni 51 Payung-payung 2 15-2-2017 53 158 25 4 1 30
24 Selly 52 Bohesilian 3 17-3-2017 63 150 28 2 1 90 Partus
25 Nurlela 47 Bohesilian 2 17-4-2017 53 148 26 3 1 90
26 Sunita 56 Bohesilian 2 17-4-2017 62 152 30 3 1 90
27 Mery 45 Bohesilian 1 17-4-2017 50 153 25 1 1 90
28 Kristina 46 Teluk Alulu 2 18-2-2017 51 164 25 2 1 60
29 Elinawati 58 Teluk Alulu 2 18-4-2017 60 157 26 6 1 90
30 Rispawati 46 Tanjung Bahaba 1 18-4-2017 49 155 25.2 1 1 60
31 Resy Anggreini 57 Teluk Harapan 3 16-3-2017 59 150 29 3 1 60
32 Melisa 49 Teluk Harapan 3 18-4-2017 50 150 26 2 1 60
33 Susi Susanti 40.8 Teluk Harapan 3 18-4-2017 42 156 25 3 1 30
34 Nirma 46 Teluk Harapan 3 18-2-2017 50 147 25 1 1 90 Partus
35 Suliati 50.4 Teluk Harapan 2 18-4-2017 51.5 155 25 2 1 30
36 Iis Kartka 50.2 Teluk Harapan 2 18-3-2017 50.2 155 26 2 1 30
37 Resa Wati 53.3 Teluk Harapan 2 18-3-2017 53.3 154 26 5 1 30
38 Yulia 59.5 Teluk Harapan 1 18-3-2017 59.5 154 27 2 1 30
39 Molinda 104 Teluk Harapan 4 18-3-2017 106 163 36 1 1 30
40 Sundari 59.5 Teluk Harapan 2 18-3-2017 59.5 148 27 2 1 30
41 Nurhima 44.7 Teluk Harapan 1 19-4-2017 44.7 149 24 3 1 30
42 Lestari 50 Teluk Harapan 1 26-4-2017 50 150 29 2 1 30
43 Rosna 53 Payung-payung 1 17-2-2017 56 150 23.8 2 1 30
44 Eka Rahma 48 Payung-payung 2 17-4-2017 50 155 26 2 1 30
45 Helianti 49 Payung-payung 2 15-2-2017 51 150 26 2 1 30
46 Yusniati 54 Payung-payung 1 15-3-2017 55 160 27 2 1 30
47 Arianti 57 Payung-payung 2 15-3-2017 64 160 26 2 1 30
48 Tina 53 Payung-payung 2 15-3-2017 62.9 150 25.5 1 1 60 Partus
49 Elin 47 Bohesilian 1 15-4-2017 53 150 23 3 1 90
50 Nurliana 56 Bohesilian 17-3-2017 58 150 26.5 3 1 30
51 Peny 52 Bohesilian 17-4-2017 54 157 31.5 2 1 60
52 Sernita 64 Bohesilian 17-2-2017 66 156 27 4 1 30
53 Mercy 48 Bohesilian 4 17-4-2017 49 150 23.5 3 1 30
54 yetni 60 Bohesilian 17-4-2017 60 158 30 2 1 30
55 Intan 50 Teluk Alulu 3 18-4-2017 52 156 27.5 2 1 30
56 Nursafaria 91 Teluk Alulu 2 18-4-2017 95 155 30 3 1 60
57 Wirdawati 52 Tanjung Bahaba 1 18-4-2017 56 150 26 2 1 60
58 Suriani 55 Tanjung Bahaba 1 18-4-2017 58 151 26 2 1 30
59 Novita Sari 51 Teluk Alulu 2 18-4-2017 51 153 26 2 1 30
60 Hetri 87 Tanjung Bahaba 1 18-4-2017 98 152 25 1 1 30
61 Emalianti 58 Tanjung Bahaba 1 18-3-2017 58 153 30 6 1 30 DO
62 Ernidawati 62 Bohesilian 3/2/2017 64 156 29 4 1 30 DO
63 Usnawati 54 Payung-payung 2 10/4/2017 57 150 27 3 1 30 DO
64 Rika.W 58 Teluk Harapan 3 16-12-2017 64 148 24 2 1 60 DO