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Gko Pusk 2018
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Available Formats
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : JANUARI
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
KOMPLIKASI OBSTETRI
Jml KASUS KOMPLIKASI OBSTETRI
NO DESA Hipertensi Dalam
Kematian Perdarahan Infeksi Abortus Partus Lama Ret. Plasenta Lain-lain
Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas………. Pengelola Kesbu Puskesmas
………………………………………………. ……………………………………………..
Nip……………………………….. Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : FEBRUARI
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : MARET
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : APRIL
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : MEI
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : JUNI
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : JULI
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : AGUSTUS
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : SEPTEMBER
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : OKTOBER
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : NOVEMBER
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : DESEMBER
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
GAMBARAN KOMPLIKASI OBSTETRI DAN NEONATUS
PUSKESMAS :
BULAN : JANUARI - DESEMBER
TAHUN : 2018
FORM : GAMBARAN KASUS OBSTETRI
NO DESA Jml Hipertensi Dalam
Kematian Perdarahan Kehamilan
Ibu Kasus Rujuk Mati Kasus Rujuk
1 0 0 0 0 0 0
2 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
PUSKESMAS………… 0 0 0 0 0 0
Mengetahui
Kepala UPT Puskesmas……….
……………………………………………….
Nip………………………………..
KOMPLIKASI OBSTETRI
KASUS KOMPLIKASI OBSTETRI
ertensi Dalam Infeksi Abortus Partus Lama
Kehamilan
Mati Kasus Rujuk Mati Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Ret. Plasenta Lain-lain
Kasus Rujuk Mati Kasus Rujuk Mati
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Pengelola Kesbu Puskesmas
……………………………………………..
Nip……………………………………..
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