LAPORAN ANC RUMAH SAKIT

BULAN : JANUARI TAHUN : 2017

UMUR ALAMAT (mohon alamatnya
NO NAMA IBU/SUAMI HPHT
TH lengkap)

1 Ny.Fatimah /Tn.Muharram 20 th RT.06, Talisayan 4/27/2016

2 Ny.Wahidah Nur /Tn.Datu Harliansyah 25 th RT.08, Talisayan 4/28/2016
3 Ny.Juliana /Tn.Lukas 31 th Capuak 6/1/2016
4 Ny.Siti Khadijah/ Tn.Syahril 28 th RT.02, Talisayan 4/25/2016
5 Ny.Sadaria /Tn.Iskandar 21 th RT.02, Talisayan 11/11/2016
6 Ny.Rosmiah /Tn.Mukhlis 28 th RT.02, Sumber Mulya 5/21/2016
7 Ny.Riana /Tn.Iman 18 th Bumi Jaya ?/07/2016
8 Ny.Asriana /Tn.Rudi 24 th Sumber Mulya ?/05/2016
9 Ny.Lisna Wati /Tn.Bahdin 29 th RT.06, Talisayan 5/8/2016
10 Ny.Sarintan /Tn.Ramli 30 th RT.13, Talisayan 10/6/2016
11 Ny.Kasmiati /Tn.Agus Salim 36 th RT.13, Talisayan ?/07/2016
12 Ny.Sumarni /Tn.Sudirman 18 th Sumber Mulya 10/20/2016
13 Ny.Tijarah /Tn.Surahman 34 th Sumber Mulya 1/1/2016
14 Ny.Ariati /Tn.Abd.Rahim 34 th Campur Sari 7/10/2016
15 Ny.Maria Yufensia /- 30 th RT.05, Batu Putih 7/10/2016
16 Ny.Margareta /Tn.Antonius 25 th RT.05, Suka Murya 4/28/2016
17 Ny.Hasnani /Tn.Awal Gandi 29 th RT.05, Jabontara 7/9/2016
18 Ny.Saripah /Tn.Hermanto 32 th RT.04, Tembudan ?
19 Ny.Darmi /Tn.Sainal 30 th PT.Jabontara 6/7/2016
20 Ny.Murniati /Tn.Hendra 25 th jl.Yosudarso, Talisayan ?/05/2016
21 Ny.Maria /- 37 th RT.11, Bumi Jaya 6/10/2016
22 Ny.Asti Astuti /Tn.Viktor 26 th RT.06, Talisayan 8/20/2016
23 Ny.Susi /Tn.Sudirman 23 th RT.-, Talisayan 9/18/2016
24 Ny.Herlina /Tn.Herinda 39 th Lempake 11/10/2016
25 Ny.Sartika Dewi /Tn.Mustamin 22 th RT.01, Talisayan 9/3/2016
26 Ny.Fatimah /Tn.Muharram 20 th RT.06, Talisayan 4/27/2016

Mengetahui
Direktur RSU Pratama Talisayan

drg. Nursyamsi
NIP.197702012005022001
 FAKTOR RESIKO/
USIA KEHAMILAN
RESIKO
35-36 mg Ta'a
35-36 mg GDS 225
31 mg Ta'a
36 mg Ta'a
8 mg Ta'a
32-33 mg Ta'a
24-25 mg Usia ≤ 20 th
34-35 mg Ta'a
35-36 mg Ta'a
14-15 mg Ta'a
24-25 mg Ta'a
12 mg Usia ≤ 20 th
37-38 mg Ta'a
26 mg Ta'a
26 mg Ta'a
37-38 mg Ta'a
26-27 mg Ta'a
± 25 mg Ta'a
31-32 mg Ta'a
33-34 mg per/vag sedikit-sedikit
32 mg Ta'a
22 mg Ta'a
18 mg per/vag sedikit-sedikit, HB :9,3 gr %
10-11 mg Usia ≤ 37 th
20-21 mg Ta'a
38-39 mg Ta'a
 HASIL PEMERIKSAAN NO TELEPHONE

Tfu :28 cm, pu-ka, let-kep, Konvergen, djj 157 mnt -

Tfu :32 cm, pu-ki, let-kep, divergen, djj 146 mnt -
Tfu :26 cm, pu-ka, let-kep, konvergen, djj 146 mnt -
Tfu :32 cm, pu-ki, let-kep, divergen, djj 142 mnt -
Tfu :Belum teraba -
Tfu :28 cm, pu-ka, let-kep, divergen, djj 156 mnt -
Tfu :15 cm, pu-ka, let-kep, konvergen, djj 156 mnt -
Tfu :27 cm, pu-ka, let-kep, divergen, djj 146 mnt -
Tfu :29 cm, pu-ki, let-kep, konvergen, djj 140 mnt -
Tfu : Ball ( + ) -
Tfu :15 cm, pu-ki, let-kep, konvergen, djj 136 mnt -
Tfu : Ball ( + ) -
Tfu :29 cm, pu-ka, let-kep, konvergen, djj 133 mnt -
Tfu :20 cm, pu-ka, let-kep, konvergen, djj 130 mnt -
Tfu :18 cm, pu-ki, let-kep, konvergen, djj 144 mnt -
Tfu :29 cm, pu-ki, let-kep, divergen, djj 142 mnt -
Tfu :26 cm, pu-ki, let-kep, konvergen, djj 146 mnt -
Tfu :21 cm, pu-ka, let-kep, konvergen, djj 147 mnt -
Tfu :25 cm, pu-ki, let-kep, konvergen, djj 143 mnt -
Tfu :26 cm, pu-ki, let-kep, konvergen, djj 146 mnt -
Tfu :28 cm, pu-ki, let-kep, konvergen, djj 146 mnt -
Tfu :21 cm, pu-ka, let-kep, konvergen, djj 140 mnt -
Tfu : Ball ( + ) -
Tfu : Ball ( + ) -
Tfu :17 cm, pu-ka, let-kep, konvergen, djj 135 mnt -
Tfu :30 cm, pu-ka, let-kep, divergen, djj 140 mnt -

Talisayan , 31 Januari 2017

Pelapor

Sitti Amania, A.Md.Keb

 LAPORAN ANC RUMAH SAKIT
BULAN : FEBRUARI TAHUN : 2017
UMUR ALAMAT (mohon alamatnya
NO NAMA IBU/SUAMI HPHT
TH lengkap)
1 Ny.Haerani /Tn.Agus Salim 36 Th RT.11, Talisayan 5/21/2016
2 Ny.Jumriani /Tn.Abd.Salam 17 Th RT.03, Talisayan 5/8/2016
3 Ny.Fatimah /Tn.Sabir 32 Th RT.14, Talisayan 10/15/2016
4 Ny.Selviana Abbas /Tn.Pardiansyah 20 Th RT.03, Talisayan 7/26/2016
5 Ny.Sartika Dewi /- 22 Th RT.01, Talisayan 9/3/2016
6 Ny.Eka Susilawati /Tn.Rudi Ardian 37 Th RT.-, Talisayan ?/10/2016
7 Ny.Irma /Tn.Asdar 31 Th RT.- , Talisayan Lupa
8 Ny.Maria D.M 26 Th Eka Sapta ?/12/2016
9 Ny.Mutiah /- 17 Th RT.03, Lempake 5/25/2016
10 Ny.Rasmiah /Tn.Mukhlis 28 Th RT.02, Sumber Mulya 5/21/2016
11 Ny.Santiawati /Tn. Mursit 23 Th RT.05, Talisayan 12/27/2016
12 Ny.Nurbaya /Tn- 31 Th Batu Putih ?/08/2016
13 Ny.Quinta /Tn.- 31 Th Batu Putih 12/27/2016
14 Ny.Putriani /Tn.Mukhzin 23 Th Tehem,Capuak 8/20/2016
15 Ny.Handayani /Tn.Sulhan 21 Th RT.01, Talisayan 11/5/2016
16 Ny.Hasnawati /Tn.- 34 Th Bukit Makmur,Lepake 11/8/2016
17 Ny.Pascalia /Tn.Oktavianus 20 Th RT.05, Suka Murya Lupa
18 Ny.Ninin / - 17 Th RT.02, Tunggal Bumi ?/04/2016
19 Ny.Dian /Tn.Artoni 28 Th RT.05, Talisayan 12/13/2016
20 Ny.Intan Priatini /Tn.Haras 27 Th RT.02, Batu Putih 3/15/2016
21 Ny.Rohani /Tn.Novianto 22 Th RT.01, Capuak ?/05/2016
22 Ny.Mahriawati /Tn.- 30 Th RT.01, Talisayan ?/07/2016
23 Ny.Sumarni /- 31 Th RT.12, Talisayan 11/27/2016
24 Ny.Sartika /- 24 Th RT. -, Talisayan 9/3/2016
25 Ny.Santiawati /Tn. Mursit 23 Th RT.05, Talisayan 12/27/2016
26 Ny.Rumi / - 38 Th RT. 03, Biatan Ilir 7/7/2016

Mengetahui
Direktur RSU Pratama Talisayan

drg. Nursyamsi
NIP.197702012005022001
 FAKTOR RESIKO/
USIA KEHAMILAN
RESIKO
36-37 mg Ta'a
38 mg Usia ≤ 20 th
16 mg Ta'a
27-28 mg Ta'a
22-23 mg Ta'a
± 12 mg keluar flek2 hitam
± 14 mg keluar flek2 hitam
9 mg Ta'a
37-38 mg Usia ≤ 20 th, Hb 9,3 gr%
37-38 mg Ta'a
07-08 mg keluar flek2 kecoklatan
24-25 mg Ta'a
07 mg perd/Vag
25-26 mg Ta'a
14-15 mg Hb 9,3 gr%
15-16 mg Hb 6,7 gr%
± 24-25 mg Ta'a
40 mg Usia ≤ 20 th
10-11 mg perd/Vag
41 mg Ta'a
38 mg Ta'a
± 31 mg Ta'a
12 mg Ta'a
24-25 mg Ta'a
08 - 09 mg Ta'a
33 - 34 mg Usia ≥ 37 th
 Hasil Pemeriksaan NO TELPHON

Tfu :33 cm, pu-ka, let-kep, divergen, djj 145 mnt -

Tfu :28 cm, pu-ka, let-kep, divergen, djj 138 mnt -
Tfu : Ball ( + ) -
Tfu :23 cm, pu-ki, let-kep, konvergen, djj 152 mnt -
Tfu :19 cm, pu-ka, let-kep, konvergen, djj 146 mnt -
Tfu : Ball ( + ) -
Tfu : Ball ( + ) -
Tfu :Belum Teraba -
Tfu :35 cm, pu-ka, let-kep, divergen, djj 146 mnt -
Tfu :29 cm, pu-ki, let-kep, divergen, djj 139 mnt -
Tfu :Belum Teraba -
Tfu :20 cm, pu-ki, let-kep, konvergen, djj 140 mnt -
Tfu :Belum Teraba -
Tfu :19 cm, pu-ka, let-kep, konvergen, djj 148mnt -
Tfu : Ball ( + ) -
Tfu : Ball ( + ) -
Tfu :22 cm, pu-ki, let-kep, konvergen, djj 156 mnt -
Tfu :30 cm, pu-ki, let-kep, divergen, djj 156 mnt -
Tfu :Belum Teraba -
Tfu :37 cm, pu-ki, let-kep, divergen, djj 141 mnt -
Tfu :30 cm, pu-ki, let-kep, konvergen, djj 131 mnt -
Tfu :27 cm, pu-ka, let-kep, konvergen, djj 131 mnt -
Tfu : Ball ( + ) -
Tfu :21 cm, pu-ka, let-kep, konvergen, djj 148 mnt -
Tfu :Belum Teraba -
Tfu :30 cm, pu-ki, let-kep, konvergen, djj 144 mnt -

Talisayan , 28 Februari 2017

Pelapor

Sitti Amania, A.Md.Keb

 LAPORAN ANC RUMAH SAKIT
BULAN : MARET TAHUN : 2017
UMUR ALAMAT (mohon alamatnya FAKTOR RESIKO/
NO NAMA IBU/SUAMI HPHT USIA KEHAMILAN Hasil Pemeriksaan NO TELPHON
TH lengkap) RESIKO
1 Ny.Wiji Fitria /Tn.Nurkholis 26 Th RT.12, Talisayan 11/5/2016 16-17 mg Ta'a Tfu :12 Cm, Ball (+) -
2 Ny.Mardianti /Tn.Abd.Rasyid 30 Th RT.13, Talisayan Lupa ± 18 mg Ta'a Tfu : Ball ( + ) -
3 Ny.Kasmiati /Tn.Agus 36 Th RT.13, Talisayan ?/07/2016 28-29 mg Ta'a Tfu :28 cm, pu-ki, let-kep, konvergen, djj 143 mnt -
4 Ny.Wilhelmina /Tn.Blasius 31 Th Suka Murya ?/06/2016 35-36 mg HBS AG (+), Hb 10 gr% Tfu :30 cm, pu-ka, let-kep, divergen, djj 150 mnt -
5 Ny.Ririn /- 24 Th RT.-, Talisayan 7/22/2016 32-33 mg Ta'a Tfu :26 cm, pu-ki, let-kep, konvergen, djj 136 mnt -
6 Ny.Rini /Tn.Amir 30 Th Lempake ?/01/2017 6-7 mg Ta'a Tfu :Belum Teraba -
7 Ny.Siti Maimuna /- 27 Th RT.05, Tunggal Bumi 6/10/2016 38-39 mg Ta'a Tfu :30 cm, let-Lin, konvergen, djj 163 mnt -
8 Ny.Sarah /Tn.Agus Suprianto 19 Th Eka Sapta ?/08/2016 28-29 mg Usia ≤ 20 th Tfu :27 cm, pu-ki, let-kep, konvergen, djj 138 mnt -
9 Ny.Mahriawati /Tn.Halidu Rahim 36 Th RT.10, Talisayan ?/07/2016 34 mg Ta'a Tfu :27 cm, let-su, konvergen, djj 134 mnt -
10 Ny.Herlina /- 28 Th Biatan Lempake 11/10/2016 17-18 mg Ta'a Tfu :14 Cm, Ball (+) -
11 Ny.Anisa /Tn.Aliyansyah 26 Th RT.04, Bumi Jaya 5/8/2016 43-44 mg Ta'a Tfu :32 cm, pu-ka, let-kep, divergen, djj 148 mnt -
12 Ny.Rahman /Tn.Ruslan 30 Th Batu Putih 128/04/2016 37-38 mg Ta'a Tfu :39 cm, pu-ka, let-kep, divergen, djj 128 mnt -
13 Ny.Maria /Tn.kanisius 30 Th Batu Putih 7/10/2016 36 mg Ta'a Tfu :26 cm, pu-ki, let-kep, divergen, djj 140 mnt -
14 Ny.ramla /Tn.Mahmud 29 Th Sebati 7/22/2016 35-36 mg Ta'a Tfu :28 cm, pu-ki, let-kep, divergen, djj 121 mnt -
15 Ny.Jumariah /Tn.Parman 34 Th Sumber Mulya Lupa 42-43 mg Ta'a Tfu :35 cm, pu-ki, let-kep, divergen, djj 141 mnt -
16 Ny.Dian /Tn.Soni 28 Th RT.05, Talisayan 12/13/2016 13-14 mg Abortus Incomplite Tfu :Belum Teraba -
17 Ny.Windi /Tn.Roy 18 Th Lempake ?/07/2016 35-36 mg Usia ≤ 20 th Tfu :25 cm, pu-ki, let-kep, divergen, djj 141 mnt -
18 Ny.Rismayanti /Tn.Al-Ihsan 25 Th RT.-, Talisayan 8/14/2016 26-27 mg Ta'a Tfu :24 cm, pu-ki, let-kep, konvergen, djj 134 mnt -
19 Ny.Ira Dewi /Tn.Nardi 26 Th RT.01, Dumaring 1/23/2017 08-09 mg Ta'a Tfu :Belum Teraba -
20 Ny.Mahriawati /Tn.Halidu Rahim 36 Th RT.10, Talisayan ?/07/2016 36 mg Ta'a Tfu :31 cm, let-su, konvergen, djj 134 mnt -
21 Ny.Indra sutiayani/- 23 Th Sangkulirang 6/13/2016 37 mg Ta'a Tfu :31 cm, pu-ka, let-kep, divergen, djj 146 mnt -
22 Ny.Rismayanti /- 25 Th RT.05, Sumber Mulya 8/14/2016 32-33 mg Ta'a Tfu :25 cm, pu-ka, let-kep, konvergen, djj 132 mnt -
23 Ny.Sarni 17 Th RT. -, Talisayan 12/20/2016 12-13 mg Usia ≤ 20 th Tfu : Ball ( + ) -
24 Ny.Rumi /- 38 Th Biatan ilir 7/7/2016 38 mg Usia ≥ 37 th Tfu :40 cm, pu-ki, let-kep, divergen, djj 142 mnt -
25 Ny.Ratna /Tn.Kardono 21 Rt.01, Suka Murya 10/2/2016 26 mg Ta'a Tfu :17 cm, pu-ka, let-kep, konvergen, djj 154 mnt -

Mengetahui Talisayan , 31 Maret 2017

Direktur RSU Pratama Talisayan Pelapor

drg. Nursyamsi Sitti Amania, A.Md.Keb

NIP.197702012005022001
 LAPORAN ANC RUMAH SAKIT
BULAN : APRIL TAHUN : 2017
UMUR ALAMAT (mohon FAKTOR RESIKO/
NO NAMA IBU/SUAMI alamatnya lengkap) HPHT USIA KEHAMILAN Hasil Pemeriksaan NO TELPHON
TH RESIKO
1 Ny. Pascalia /Tn. Oktavianus 21 Th Rt. 05, Suka murya Lupa ± 29- 30 Mg Ta'a Tfu:21 cm ,pu-ka, let-kep, konvergen, djj 146 mnt
2 Ny. Siti falma /Tn. Mustafa 33 Th Rt. 05, Purnasari jaya 1/25/2017 10 mg Ta'a Belum Teraba
3 Ny. Rita purnama sari/Tn. Aldi yahya 21 Th Rt. 07, Talisayan 7/21/2016 37 mg Ta'a Tfu:30 cm, pu-ka, let-kep, divergen, djj 147 mnt
4 Ny. Berlian /Tn. Dede firdaus 25 Th Rt. 08, Talisayan 11/1/2016 22-23 mg Ta'a Tfu:18 cm, pu-ka, let-kep, konvergen, djj 151 mnt
5 Ny. Risma yanti /Tn. Al. ikhsan 26 Th Suka murya 33 mg Ta'a Tfu:23 cm, let-kep, konvergen, djj 142 mnt
6 Ny. Sadariah /Tn. Kadir 21 Th Rt. 02, Talisayan 22 mg Ta'a Tfu: pertengahan pusat/sympisis
7 Ny. Wiji fitria /Tn. Vur cholis 26 Th Talisayan 22-23 mg Ta'a Tfu:19 cm, pu-ka, let-kep, konvergen, djj158 mnt
8 Ny. Rumi / Tn. Wahid 38 Th Talisayan 7/7/2016 39-40 mg Usia ≥ 37 th, PEB Tfu: 45 cm, pu-ka, let-kep, djj 141, protein urine + 1, oedema (+)
9 Ny. Nurdiana /Tn. Enal 16 Th Rt. 05, Talisyan 8 mg Usia ≤ 20 th Belum Teraba
10 Ny. Windi febrianti 18 Th Rt. 07, Biatan lempake 38 mg Usia ≤ 20 th Tfu:25 cm, pu-ki, let-kep, divergen, djj 130 mnt
11 Ny. Muliati 29 Th Talisayan 31 mg PEB Tfu:28cm, pu-ka, let-kep, konvergen
12 Ny. Indra ani /Tn. Suaib 36 Th Rt. 08, Talisayan 7/20/2016 38 mg Ta'a Tfu:29 cm, pu-ki, let-kep, konvergen, djj 142 mnt
13 Ny. Sarah Wati /Tn.Agus Supriyanto 20 Th Rt. 07, Eka Sapta ? /08/2016 33-34 mg Ta'a Tfu:29 cm, pu-ki, let-kep, divergen, djj 149 mnt
14 Ny. Ani /Tn.Hendrik 33 Th Jabontara, Batu Putih 6/28/2016 41-42 mg Ta'a Tfu:33 cm, pu-ka, let-kep, divergen, djj 133 mnt
15 Ny. Riana /Tn.Imam 19 Th Bumi Jaya ? 31-32 mg Usia ≤ 20 th Tfu:26 cm, pu-ka, let-kep, Konvergen, djj 144 mnt
16 Ny. Sartika Dewi /Tn.Mustamin 23 Th RT. 01, Talisayan 03/09/2016 32-33 mg Ta'a Tfu:28 cm, pu-ka, let-kep, Konvergen, djj 157 mnt
17 Ny. Sarintan /Tn.Ramli 29 Th RT.01, Talisayan 05/10/2016 29 mg Ta'a Tfu:20 cm, let-Lin, Konvergen, djj 149 mnt
18 Ny. Badaria /Tn.Kadas 39 Th RT.01, Dumaring Lupa ± 33 mg Usia ≥ 37 th Tfu:26 cm, Pu-ka, let-kep, Konvergen, djj 136 mnt
19 Ny.Siska 27 Th DLJ2 06/09/2016 33-34 mg Ta'a Tfu:24 cm, Pu-ka, let-kep, Konvergen, djj 144 mnt
20 Ny.Yati Rohayati 31 Th RT.01, Suka Murya 21/07/2016 38-39 mg TD :200/120 mmHg Tfu:34 cm, Pu-ki, let-kep, Divergen, djj 154 mnt
21 Ny.Misra 34 Th RT.16, Talisayan 23/02/2017 09-10 mg Ta'a Tfu: Belum Teraba
22 Ny.Sartika Dewi /Tn.Mustamin 23 Th RT. 01, Talisayan 03/09/2016 34-35 mg Ta'a Tfu:28 cm, Pu-ki, let-kep, konvergen, djj 157 mnt
23
24
25

Mengetahui Talisayan , 30 April 2017

Direktur RSU Pratama Talisayan Pelapor

drg. Nursyamsi Sitti Amania, A.Md.Keb

NIP.197702012005022001
 LAPORAN ANC RUMAH SAKIT
BULAN : MEI TAHUN : 2017
UMUR ALAMAT (mohon
NO NAMA IBU/SUAMI HPHT
TH alamatnya lengkap)
1 Ny. Istriani / - 29 th RT. 10, Talisayan Lupa
2 Ny. Julianti / - 29 th RT. 03, Talisayan 8/20/2016
3 Ny. Maria R /- 24 th RT. -, Dumaring 8/8/2016
4 Ny. Sukmawati /- 18 th RT. -, Dumaring ?/11/2016
5 Ny. Martha /Tn.Agustian 30 th RT. 16, Talisayan ?/08/2016

6 Ny. Maria Fatima D /Tn.yosep S 36 th Jabontara, Batu Putih 9/27/2016

7 Ny. Muliati /Tn.Faizal 30 th RT. 16, Talisayan 8/7/2016
8 Ny. Erni /Tn.Rinto 34 th RT. 08, Talisayan 10/3/2016
9 Ny. Wini /Tn.Serdianto 17 th RT. 04, Tembudan 10/12/2016
10 Ny. Bahriyati /Tn.M.Ali 34 th RT. 06, Lempake 9/2/2016
11 Ny. Muliati /Tn.Ahmad 34 th Suka Murya 8/8/2016
12 Ny. Muliati /- 30 th RT. 08, Talisayan 8/7/2016
13 Ny. Irmayanti /Tn. Juli andriano 22 th RT. 02, Talisayan 2/10/2017
14 Ny. Elisabeth / Tn. Marius 17 th Rt 08, Bumi jaya ?/?/2016
15 Ny. Erna /Tn. Ahmad prastyo 27 th Tunggal Bumi 8/28/2016
16 Ny. Rostina /Tn. Anas 27 th DLJ-II 10/13/2016
17 Ny. Atik 30 th talisayan RT 06 10/15/2016

Mengetahui
Direktur RSU Pratama Talisayan

drg. Nursyamsi
NIP.197702012005022001
 FAKTOR RESIKO/
USIA KEHAMILAN Hasil Pemeriksaan
RESIKO
± 13 mg Ta'a Tfu : Ball (+)
± 35 - 36 mg Ta'a Tfu : 25 cm, pu-ki, Let - Kep, Divergen, djj 144 x/m
38 - 39 mg Ta'a Tfu : 28 cm, pu-ki, Let - Kep, Divergen, djj 149 x/m
± 24 - 25 mg Usia ≤ 20 th Tfu : 24 cm, pu-ka, Let - Kep, konvergen, djj 149 x/m
39 mg Ta'a Tfu : 26 cm, pu-ki, Let - Kep, Divergen, djj 142 x/m
pembesaran perut tdk sesuai
32 mg dgn TFU Tfu : 20 cm, Let - Li, Konvergen, djj 139 x/m
39 - 40 mg Ta'a Tfu : 30 cm, pu-ka, Let - Kep, Divergen, djj 147 x/m
36 - 37 mg Ta'a Tfu : 27 cm, Let - Li, konvergen, djj 153 x/m
30 mg Usia ≤ 20 th Tfu : 19 cm, pu-ki, Let - Su, Konvergen, djj 152 x/m
35 - 36 mg Ta'a Tfu : 31 cm, pu-ki, Let - Kep, Konvergen, djj 127 x/m
39 - 40 mg Jarak Kehamilan 11 th Tfu : 31 cm, pu-ka, Let - Kep, Divergen, djj 149 x/m
40-41 mg Tfu : 27 cm, pu-ka, Let-kep, Divergen, djj 140 x/m
18-19 mg Tfu : 15 cm, Ball (+)
20 mg Usia ≤ 20 th Tfu :20 cm, pu-ka, Let-kep, komvergen, djj 153 x/m
37-38 mg Tfu : 27 cm, pu-ki, Let-kep, konvergen, djj 134 x/m
31-32 mg Tfu : 27 cm, pu-ka, Let-kep, konvergen, djj 146 x/m
38 mg Tfu :26 cm, pu-ki, Let-kep, Konvergen,djj 150x/m

Talisayan , 31 Mei 2017

Pelapor

Sitti Amania, A.Md.Keb

NO TELPHON

82159783877
 LAPORAN ANC RUMAH SAKIT
BULAN : JUNI TAHUN : 2017
UMUR ALAMAT (mohon alamatnya
NO NAMA IBU/SUAMI TH lengkap) HPHT
1 Ny. Sumarni / Tn. Ahmad 32 Th RT. 12, Talisayan ? - 11 - 2016
2 Ny. Misbahul Jannah / Tn. M.Arsyad 28 Th RT. 05, Talisayan 3/21/2017
3 Ny. Ikramawati / Tn. - 27 Th RT. 01, Dumaring 12/17/2016
4 Ny. Muliati / Tn. M.Faisal 30 Th RT. 16, Talisayan 8/7/2016
5 Ny. Inin Solekha / Tn. - 22 Th RT. 03, Capuak 9/19/2016
6 Ny. Susi /Tn. - 24 Th RT. -, Talisayan 4/6/2017
7 Ny. Anastasia / Tn. Antonius 28 Th RT. 05, Lempake Lupa
8 Ny. Misra / Tn. Jamal 34 Th RT. -, Talisayan 2/23/2017
9 Ny. Fitriali / Tn. Arifuddin 32 Th RT. 03, Batu Putih 10/31/2017
10 Ny. Nurhayani / Tn. Tahang 25 Th RT. 02, Lempake 10/21/2016
11 Ny. Samsia /Tn. Mustafa 25 Th RT. 03, Batu Putih 9/25/2016
12 Ny. Hernawati / Tn. Risman 25 Th RT. 04, Talisayan 3/5/2017
13 Ny. Handayani / Tn. Sulhat 22 Th RT. 01, Talisayan Lupa
14 Ny. Darna / Tn. Sudirman 25 Th RT. 12, Talisayan 10/24/2016
15 Ny. Atik / Tn. Lisman 29 Th RT. -, Talisayan Lupa

16 Ny. Agustina / Tn. Hariyanto 17 Th RT. 08, Bumi Jaya ? / 11/2016

17 Ny. Badaria / Tn. Kadas 39 Th RT. 01, Dumaring Lupa
18 Ny. Surya Firda. H/ Tn. Tedy 25 Th RT. 09 , Talisayan 4/13/2017
19 Ny. Nurhasanah/ Tn. Adi sahrani 26 Th RT. 02, Dumaring 10/5/2016
20 Ny. Wihelmina/ Tn. - 24 Th Jabontara 9/20/2016
21 Ny. Demaris/ Tn. - 18 Th Jabontara 10/3/2016
22 Ny. Theresia/ Tn. Yosepsia 26 Th Jabontara Lupa
23
24
25

Mengetahui
Direktur RSU Pratama Talisayan

drg. Nursyamsi
NIP.197702012005022001
 FAKTOR RESIKO/
USIA KEHAMILAN RESIKO
28 - 29 mg Ta'a
11 mg Ta'a
24 mg Ta'a
39 mg 2 Hari Ta'a
37 - 38 mg Ta'a
9 mg keluar darah berwarna cokelat
36 - 37 mg Ta'a
15 mg Ta'a
32 - 33 mg Ta'a
33 - 34 mg Ta'a
37-38 mg Ta'a
14 - 15 mg Ta'a
30 mg Ta'a
33 - 34 mg Ta'a
38 mg 4 Hari Ta'a
Usia ≤ 20 th, KEK Lila 23 cm Hb
30 mg 7,4 gr %
41 - 42 mg Hb 10,4 gr %
11 mg Ta'a
37 - 38 mg Hb 8,0 gr %
38 - 39 mg Hb 8,5 gr %
27-28 mg Usia ≤ 20 th
34-35 mg (USG) Ta'a
 Hasil Pemeriksaan NO TELPHON
Tfu : 25 cm, Pu - ka, Let - Kep, Konvergen, Djj 140 x/ m -
Tfu : Ball (+) -
Tfu : 25 cm, Pu - ka, Let - Kep, Konvergen, Djj 152 x/ m -
Tfu : 33 cm, Pu - ka, Let - Kep, Divergen, Djj 155 x/ m -
Tfu : 30 cm, Let - Lin, Konvergen, Djj 140 x/ m -
Tfu : Belum Teraba -
Tfu : 31 cm, Pu - ka, Let - Kep, Konvergen, Djj 152 x/ m -
Tfu : Ball (+) -
Tfu : 28 cm, Pu - ka, Let - Kep, Konvergen, Djj 148 x/ m -
Tfu : 33 cm, Pu - ka, Let - Kep, Divergen, Djj 142 x/ m -
Tfu : 28 cm, Pu - ka, Let - Kep, Divergen, Djj 145 x/ m -
Tfu : Ball (+) -
Tfu : 25 cm, Pu - ki, Let - Kep, Konvergen, Djj 155 x/ m -
Tfu : 25 cm, Pu - ka, Let - Kep, Konvergen, Djj 147 x/ m -
Tfu : 37 cm, Pu - ki, Let - Kep, divergen, Djj 138 x/ m -

Tfu : 19 cm, Pu - ki, Let - Kep, Konvergen, Djj 146 x/ m -

Tfu : 34 cm, Pu - ka, Let - Kep, Divergen, Djj 144 x/ m 0821 9338 8985
Tfu : Belum Teraba
Tfu : 28 cm, Pu - ka, Let - Kep, Konvergen, Djj 141 x/m
Tfu : 27 cm, Pu - ka, Let - Kep, Divergen, Djj 137 x/m
Tfu : 26 cm, Pu - ki, Let - Kep, Konvergen, Djj 133 x/m
Tfu : 27 cm, Pu - ki, Let - Kep, Konvergen, Djj 155 x/m

Talisayan , 30 Juni 2017

Pelapor

Sitti Amania, A.Md.Keb

 LAPORAN ANC RUMAH SAKIT
BULAN : JULI TAHUN : 2017
UMUR ALAMAT (mohon alamatnya
NO NAMA IBU/SUAMI HPHT
TH lengkap)
1 Ny.Fatimah /Tn. - 35 Th RT. 14, Talisayan 10/8/2016
2 Ny.nurhikmah / Tn.- 17 Th RT. 03, Talisayan 6/26/2017
3 Ny. Sarintan /Tn.Ramli 31 Th RT. 01, Talisayan 9/5/2016
4 Ny. Sadaria / Tn.- 21 Th Talisayan 11/11/2016
5 Ny. Rasna / Tn.- 31 Th RT. 02, Talisayan Lupa
6 Ny. Agustina /Tn- 18 Th RT. 08, Bumi Jaya Lupa
7 Ny. Erninda /Tn. Kisman 40 Th RT.02, Talisayan 5/27/2017
8 Ny. Misra / Tn. - 33 Th Talisayan Lupa
9 Ny. Darna / Tn. Sudirman 25 Th RT .07, Talisayan 10/24/2016
10 Ny.Kurniati /Tn. M.Saanudin 28 Th RT. 03, Lempake 11/7/2016
11 Ny. Yuvilda / Tn. Sebastianus 30 Th Eka sapta 2/3/2017
12 Ny.Maria. D /Tn. Amatus.A 27 TH Ekasapata Lupa
13 Ny. Sukmawati / Tn.Mulyadi 32 Th RT. 01 , Karangan 10/25/2015
14 Ny. Martina/Tn. Efogius 23 Th RT. 02, Lempake 11/21/2016
15 Ny. A. Tenri /Tn. Agus 20 Th Tehem - Tehem 11/9/2016
16 Ny. Mardianti /Tn. Abd. Rasik 31 Th RT.-, Talisayan 10/24/2016
17 Ny. Lisa Ananda / Tn. Arjuna M 22 Th RT.12, Talisayan ?/05/2017
18 Ny. Dian Rani /Tn.Ahmad Rafi'i 29 Th RT, -, Bumi Jaya 4/27/2017
19 Ny. Herma Wati /Tn.Herman 30 Th RT.12, Talisayan Lupa
20 Ny. Nur rahma /Tn.Budiman 27 Th RT, 10, Bumi Jaya 1/3/2017
21 Ny. Siti Bulqis /Tn.Muh. Nurhidayat 20 Th RT.11, Talisayan 4/12/2017
22 Ny. Tantri /Tn. 17 Th RT. -, Talisayan 11/25/2016
23 Ny. Tina /Tn.Muslim 26 Th RT. -, Talisayan 12/13/2016
24 Ny. Kristina /Tn.Yohanes 24 Th RT. 02, Talisayan 1/14/2017
25 Ny. Norma /Tn.- 26 Th RT. 02, Tanjung redeb 6/6/2017
26 Ny. Subaina /Tn.Sulkifli 29 Th RT. -, Biatan ilir 3/15/2017
27 Ny. Marwah /Tn.Muh. Ansar 26 Th RT. -, Talisayan 5/3/2017
28 Ny. Rustina /Tn.anas 28 Th Desa Sumindal 10/13/2016
29 Ny. Evi Ervina /Tn.- 30 Th Ekasapata 1/13/2017
30 Ny. Nurbaidah /Tn.- 37 Th Batu Putih Lupa
31 Ny. Mutia /Tn.- 29 Th Tunggal Bumi Lupa
32 ny. Erna / Tn. Risman 25 Th Rt. 04 Talisayan 3/5/2017
33 Ny. Nurlina 36 Th Lempake 12/5/2016
34 Ny. Israna/ Tn. Munawir 20 Th Rt. 10 Talisayan 2/5/2017
35 Ny. Suryaningsih / Tn. Umar 34 Th Biduk-Biduk 12/1/2016
 Mengetahui
Direktur RSU Pratama Talisayan

drg. Nursyamsi
NIP.197702012005022001
 FAKTOR RESIKO/
USIA KEHAMILAN
RESIKO
38-39 mg
1-2 mg Usia ≤ 20 th
43Mg
34 Mg
37-38 Mg
32-33 Mg Usia ≤ 20 th,
7- 8 Mg
20-21 mg
37-38 Mg
35 - 36 Mg
22-23 Mg
31 Mg
37-38 Mg
33-34 Mg
35-36 mg
37-38 mg
7-8 mg Hb 9 gr %
11-12 mg
39-40 mg
28-29 mg Hb 11 gr %
14-15 mg
35 - 36 mg Usia ≤ 20 th,
26 mg 6 hari
26 mg
6-7 mg
18 mg 2 hr Hb 11 gr %
11-12 mg Hb 13,5 gr %
40-41 mg
29 - 30 mg
35 mg
27 mg
21 mg
32 - 33 mg
25-26 mg
34-35 mg
 Hasil Pemeriksaan NO TELPHON

tfu :27 cm,pu-ki, let-kep, konvergen,

Tfu :Belum teraba
Tfu :28 cm, pu -ka, Let - kep,Divergen, DJJ:142x/i
Tfu :27 cm, Pu-ka, Let-kep, Konvergen
Tfu :27 cm, Pu -ka, Let-kep, konvergen
Tfu :23 cm,Pu- ki, Let-kep, Konvergen
Belum teraba
Tfu :18 cm,Let-li , DJJ: 152x/i
Let-li, DJJ: 136x/i
Tfu : 31 cm, pu-ka,Let- kep, Konvergen, DJJ: 140x/m
Tfu : 18 cm, Balt, Djj: 150x/I,
Tfu :25 cm, pu -ka, Let-kep, konvergen, DJJ 160x/i
Tfu :32 cm,Pu- ka, Let- kep, Konvergen, DJJ 150x/m
Tfu: 24 cm,Pu-ki, Let - kep, Divergen, DJJ 137x/m
Tfu: 28 cm,Pu-ka, Let - kep, konvergen, DJJ 138x/m
Tfu: 30 cm,Pu-ki, Let - kep, konvergen, DJJ 156x/m
Belum teraba
Tfu : Ball (+)
Tfu: 31 cm,Pu-ki, Let - kep, konvergen, DJJ 147x/m
Tfu: 24 cm,Pu-ki, Let - kep, konvergen, DJJ 143x/m
Tfu : Ball (+)
Tfu: 29 cm,Pu-ki, Let - kep, divergen, DJJ 141x/m
Tfu: 21 cm,Pu-ki, Let - kep, kovergen, DJJ 150 x/m
Tfu: 17 cm,Pu-ka, Let - kep, kovergen, DJJ 138 x/m
Tfu : Ball (+)
Tfu: 15 cm, Ball (+) DJJ 160 x/m
Tfu : Ball (+)
Tfu: 31 cm,Pu-ka, Let - kep, divergen, DJJ 136 x/m
Tfu: 21 cm,Pu-ki, Let - kep, konvergen, DJJ 156 x/m
Letak obligh (rujuk SpOg)
Letak Lintang (rujuk SpOg)
Tfu: 18 cm, Pu-Ki, Let-Kep, konvergen, Djj 144 x/m
Tfu: 25 cm, let-lin, Djj 140x/m
Tfu: 15 cm, Pu-Ki, let-Su, konvergen, Djj 153x/m
Tfu: 21 cm, Pu-ka, Let-Kep, Konvergen, Djj 130x/m
Talisayan , 31 Juli 2017
Pelapor

Sitti Amania, A.Md.Keb

 LAPORAN ANC RUMAH SAKIT
BULAN : Agustus TAHUN : 2017
UMUR ALAMAT (mohon alamatnya
NO NAMA IBU/SUAMI HPHT
TH lengkap)
1 Ny. Haniba /Tn. - 23 Th DLJ II 1/14/2017
2 Ny. Nurbaeti /Tn. - 33 Th RT. 11, Talisayan 12/15/2016
3 Ny. Rohayati /Tn. - 31 Th RT. 04, Manunggal Jaya 1/27/2017
4 Ny. Yuyun /Tn. Saifulah 34 Th RT. 04, Sumber Mulya ?/?/2017
5 Ny. Tantri Novia /Tn. - 17 Th RT. 09, Talisayan 12/25/2016
6 Ny. Indah Pratiwi /Tn. Amostale 29 Th Bumi Jaya 1/21/2017
7 Ny. Ratna Triswanti /Tn. Mujiono 23 Th Kayu Indah 1/10/2017
8 Ny. Siti Falma /Tn. Mustapa 43 Th RT. 05, Purna sari jaya 1/21/2017
9 Ny. Misra /Tn.- 33 th RT. 16, Talisayan 2/23/2017
10 Ny. Nurhayati /Tn. Dahlan 26 Th RT. 12, Talisayan 6/25/2017
11 Ny. Bibin /Tn. - 30 Th RT. 12, Talisayan 12/10/2016
12 Ny. Anita /Tn. Darwis 33 Th RT. 08, Talisayan 30/06/20175
13 Ny. Niserin /Tn. Junaidi 26 Th Talisayan -
14 Ny. Deby /Tn.- 37 Th 12/6/2017
15 Ny. Sandra /Tn. Dayat 25 Th RT. 12, Talisayan 4/15/2017
16 Ny. Niki R. /Tn.- 20 Th RT. 06 Lempake 11/30/2016
17 Ny. Noviana D. /Tn.- 21 Th DLJ II -
18 Ny. Emilia K. /Tn. Rofinus 33 Th TBP 10/24/2016
19 Ny. Wihelmina /Tn. Marcelinus 28 Th Talisayan 12/21/2016
20 Ny. Dede Rini S. /Tn. Ridwan 21 Th RT. 02, Tunggal Bumi 12/10/2017
21 Ny. Rosniati /Tn. - 32 Th Lenggo 12/29/2016
22 Ny. Debby Rosa /Tn.- 35 Th TBP 12/6/2016
23 Ny. Liah /Tn. Satin 31 Th Purna Sari Jaya 11/15/2016
24 Ny. Fadilah /Tn. Hariadi 25 Th Kayu Indah 2/17/2017
25 Ny. Elisabet /Tn.- 17 Th Bumi Jaya Lupa
26 Ny. Neti /Tn.M.tang 34 Th Lempake ?/03/2017
27 Ny. Iqramawati /Tn. Asri 18 Th Campur sari Lupa
28 Ny. Eta Wiastuti /Tn.Tedy 32 Th Rt.-Talisayan 12/19/2016
29 Ny. Rusmiati /Tn.- 31 Th Rt.02, Suka Murya Lupa
30 Ny. Atik Soimul /Tn. Samsir 22 Th Rt 07, Bumi Jaya 2/1/2017
31 Ny.Neno loro.w /Tn.- 27 Th Rt.04, Sumber Mulya 1/1/2017
32 Ny. Sulatin /Tn.- 30 Th Rt.02, Tunggal Bumi 11/30/2016
33 Ny. Suryani /Tn. Syamsudin 28 Th Biatan, Bapinang 4/17/2017
33 Ny. Nurdiana /Tn.Enal 16 Th Rt.05, Sumber Mulya 2/16/2017
34 Ny. RosLinda /Tn.Sapriansyah 38 Th Rt. 01, Talisayan 1/15/2017
35 Ny. Maria Monika /Tn.- 25 Th Rt.08 Dumaring 11/20/2016
36 Ny. Hariati /Tn. Taufik Talisayan 4/28/2017
37 Ny. Hartina /Tn. Hamzah 24 Th Batu Putih 2/28/2017
38 Ny. Rusmala /Tn. - 43 Th Rt. 08, Talisayan 1/26/2017
39 Ny. Zaenab A. /Tn. Buraira 37 Th Rt. 03, Biatan ilir 2/25/2017
40 Ny. Susilawati /Tn. Sulikin 32 Th Rt. 05, Bumi jaya 6/25/2017
41 Ny. Erna /Tn. Supirman 25 Th Rt. 04, Talisayan 3/5/2017
42 Ny. Maryana /Tn. 27 Th Rt. 09, Bumi jaya 6/29/2017
43 Ny. Winarni /Tn. Abd. Rahman 40 Th Rt. 05, Kayu indah 11/26/2016
44 Ny. Mardiana /Tn. Abd. Aziz 27 Th Rt. 03, Biatan ilir 12/20/2016
45 Ny. Wijayanti /Tn. Edi sutikno 30 Th RT. 09, Talisayan 6/16/2017
46 Ny. Irma /Tn. Junaidi 22 Th Rt. 02, Capuak Lupa
47 Ny. Hasniah /Tn. Ardi 23 Th TBP 12/13/2016
48 Ny. Hz Wardani /Tn. M. Madon 39 Th Rt. 01, Talisayan 4/14/2017
49 Ny. Mulika /Tn. Oktavianus 17 Th Eka sapta 12/4/2016
50 Ny. Wiwit /Tn. Asbau 18 Th Karangan 7/4/2017
51 Ny. Sari Versiotan /Tn. Karso 26 Th Rt. 11, Bumi jaya ?/11/2016
52 Ny. Sunarti /Tn. Iwan 19 Th Rt. 01, Biatan lempake 12/28/2016

Mengetahui
Direktur RSU Pratama Talisayan

drg. Nursyamsi
NIP.197702012005022001
 FAKTOR RESIKO/
USIA KEHAMILAN
RESIKO
29 mg
33 mg TB ≤ 145 cm, TBJ
28-29 mg
21-22 mg
36-37 mg (usg) Usia ≤ 20 Th
28 mg 2 hr
30 mg 1 hr
28mg 4 hr Usia ≥ 37 Th
27 mg 3 hr
6-7 mg
32 mg 2 hr (usg)
5 mg 5 hr
32 mg (usg)
35-36 mg
18 mg
36 mg 2 hr
35-36 mg (usg)
41 mg
33-34 mg
33 mg 4 hr (usg)
35-36 mg Hb 11,9 gr %
36 - 37 mg
39 mg Hb 9,8 gr %
26 mg Hb 9,6 gr %
34 mg (USG) Usia ≤ 20 Th
18 mg (USG) protein +1
34 mg (USG) Usia ≤ 20 Th
35 mg (USG)
14 mg
29 mg
33 - 34 mg
37 mg
18 mg
27 mg 4 hari (USG) Hb 9,3 gr%, DDR (-)Usia ≤ 20 Th
31-32 mg Hb 11,3 gr %
39 mg 6 hari
15 mg
28 mg 3 hr
30 mg 3 hr Usia ≥ 37 Th
26 mg 3 hr
8 mg 5 hr

13 - 14 mg
39 mg Usia ≥ 37 Th
 36 mg Hb 11,4 gr %
10 mg 3 hr
37 mg (usg)
37 mg 1 hr Hb 11,9 gr %
19 mg 4 hr Hb 11,7 gr %
38 mg 4 hr Usia ≤ 20 Th
8 mg 1 hr Usia ≤ 20 Th
32 mg (usg)
32 mg Usia ≤ 20 Th
 Hasil Pemeriksaan NO TELPHON

TFU : 22 cm, Let-Li, Konvergen, DJJ 155 x/m

TFU : 30 cm, Pu-Ka, Let-Kep, Konvergen, DJJ 132 x/m
TFU :21 cm, Pu-Ki, Let-Kep, Konvergen, DJJ 136 x/m
TFU : 14 cm, Pu-Ki, Let-Kep, Konvergen, DJJ 150 x/m
TFU : 30 cm, Pu-Ka, Let-Kep, Divergen, DJJ 122 x/m
TFU : 20 cm, Pu-Ki, Let-Kep, Konvergen, DJJ 148 x/m
TFU : 21 cm, Pu-Ka, Let-Kep, Konvergen, DJJ 152 x/m
TFU : 20 cm, Pu-Ka, Let-Kep, Konvergen, DJJ 145 x/m
TFU : 22 cm, Pu-Ka, Let-Kep, Konvergen, DJJ 144 x/m
TFU :Belum teraba
TFU : 28 cm, Pu-Ki, Let-Kep, Konvergen, DJJ 153 x/m
Belum teraba
TFU : 28 cm, Pu-Ki, Let-Kep, Konvergen, DJJ 140 x/m
TFU : 30 cm, Pu-Ka, Let-Kep, Konvergen, DJJ 143 x/m
TFU : 18 cm, Pu-Ka, Let-Kep, Konvergen, DJJ 152 x/m
TFU : 30 cm, Pu-Ka, Let-Kep, Divergen, DJJ 132 x/m
TFU : 29 cm, Pu-Ka, Let-Kep, konvergen, DJJ 138 x/m
TFU : 29 cm, Pu-Ka, Let-Kep, konvergen, DJJ 158 x/m
TFU : 23 cm, Pu-Ka, Let-Kep, konvergen, DJJ 157 x/m
TFU : 29 cm, Pu-Ka, Let-Kep, konvergen, DJJ 134 x/m
TFU : 28 cm, Pu-Ka, Let-Kep, konvergen, DJJ 157 x/m
TFU : 31 cm, Pu-Ki, Let-Kep, konvergen, DJJ 157 x/m
TFU : 31 cm, Pu-Ka, Let-Kep, konvergen, DJJ 148 x/m
TFU : 21 cm, Pu-Ka, Let-Kep, konvergen, DJJ 149 x/m
TFU : 27 cm, Pu-Ki, Let-Kep, konvergen, DJJ 147 x/m
TFU :Ball (+ ) Djj 155 x/m 082111505570
TFU : 27 cm, Pu-Ka, Let-Kep, konvergen, DJJ 147 x/m
TFU : 26 cm, Pu-Ka, Let-Kep, konvergen, DJJ 153 x/m
TFU :Ball (+ ) Djj 129 x/m
TFU : 26 cm, Let - Lin, konvergen, DJJ 149 x/m
TFU : 34 cm, Pu-ki, Let-Kep, konvergen, DJJ 146 x/m
TFU : 31 cm, Pu-ka, Let-Kep, konvergen, DJJ 149 x/m
TFU :Ball (+ ) Djj 131 x/m 085245704299
TFU : 17 cm, Pu-ka, Let-Su, konvergen, DJJ 145 x/m 081253759266
TFU : 22 cm, Pu-ki, Let-Kep, konvergen, DJJ 150 x/m 082152944098
TFU : 31 cm, Pu-ki, Let-Kep, Divergen, DJJ 154 x/m
TFU : 2 jr a/sympis, Balt (+), DJJ (+)
TFU : 20 cm, Pu-Ki, Let-Kep, konvergen, DJJ 157 x/m
TFU : 28 cm, Pu-Ka, Let-su, konvergen, DJJ 155 x/m
TFU : 24 cm, Pu-ka, Let-Kep, konvergen, DJJ 146 x/m
TFU : Balt (+)
TFU : 23 cm, Pu-ka, Let-Kep, konvergen, DJJ 140 x/m 082250175990
TFU : Balt (+)
TFU : 32 cm, Pu-ka, Let-Kep, konvergen, DJJ 137 x/m 085357823258
TFU : 28 cm, Pu-ki, Let-Kep, konvergen, DJJ 133 x/m
TFU : Balt (+)
TFU : 30 cm, Pu-ki, Let-Kep, divergen, DJJ 133 x/m
TFU : 28 cm, Pu-ka, Let-Kep, divergen, DJJ 155 x/m
TFU : 22 cm, Pu-ki, Let-Kep, konvergen, DJJ 144 x/m
TFU : 31 cm, Pu-ka, Let-Kep, divergen, DJJ 135 x/m 082351718831
Belum teraba 081251778723
TFU : 27 cm, Pu-ki, Let-Kep, konvergen, DJJ 146 x/m
TFU : 28 cm, Pu-ki, Let-Kep, konvergen, DJJ 142 x/m

Talisayan , 31 Agustus 2017

Pelapor

Sitti Amania, A.Md.Keb

 LAPORAN ANC RUMAH SAKIT
BULAN : SEPTEMBER TAHUN : 2017
UMUR ALAMAT (mohon alamatnya
NO NAMA IBU/SUAMI HPHT
TH lengkap)
1 Ny. Lusiana / Tn. Safmardani 24 Th Rt. 03 Talisayan 26-12-2016
2 Ny. Rasmi / Tn. Wiwi 29 Th Rt. 06 Bumi Jaya 30-04-2017
3 Ny. NurLinda / Tn. Ferdi 24 Th Rt. 01 Talisayan 20-11-2016
4 Ny. Yuliana / Tn. Satin 31 Th Purna Sari Jaya 15-11-2016
5 Ny. Susilawati / Tn. Sulikin 33 Th Rt. 05 Bumi Jaya 25-06-2017
6 Ny. Marlina Nogo / Tn. Marselus 25 Th Rt. 05 Suka Murya 13-01-2017
7 Ny. Friska Situmeang / Tn. Maruli 32 Th Suka Murya 06-03-2017
8 Ny. Hariani / Tn. Jamudin 34 Th Rt. 03 Talisayan 05-06-2017 (?)
9 Ny. Maria Bolar / Tn. - 25 Th Eka Sapta 01-02-2017
10 Ny. Ratna Wati / Tn. - 35 Th Rt. 02 Talisayan 05-01-2017
11 Ny. Noraeni / Tn. Dedi 26 Th Rt. 08 Talisayan 25-12-2016
12 Ny. Sitti Falma / Tn. Mustafa 43 Th Rt. 05 Purna Sari Jaya 21-01-2017
13 Ny. Normariani / Tn. Nasrun 26 Th Rt. 12 Talisayan 06-06-2017
14 Ny. Evi Ervina / Tn. Triwioso 30 Th Rt. 02 Eka Sapta 03-01-2017
15 Ny. Nur Rahmatul / Tn. Budiman 27 Th Bumi Jaya 03-01-2017
16 Ny. Hariati/ Tn. Muh.Taufik 20 Th Talisayan 28-04-2017
17 Ny. Hasnaini / Tn. Kaharuddin 32 Th Rt. 03 Biatan iLir 28-03-2017
18 Ny. Aenil / Tn. Ambrullah 23 Th Rt. 03 Biatan iLir 03-03-2017
19 Ny. wulandari / Tn. Jusman 15 Th DLJ 1 09-02-2017
20 Ny. Maria Gureti / Tn. Blasius 37 Th DLJ 2 01-03-2017
21 Ny. Noviana / Tn. Anton Butak 21 Th DLJ 2 Lupa
22 Ny. Sunarti / Tn. Gunawan 35 Th Rt. 02, Sumber Agung Lupa
23 Ny. Musjiati / Tn. Amiruddin 30 Th Rt. 02, Purna Sari Jaya 14-05-2017
24 Ny. None L / Tn. Yusuf 27 Th Rt. 04, Sumber Mulya 01-01-2017
25 Ny. Maria D / Tn. Fabrianus 38 Th Tehem Devisi II Lupa
26 Ny. Hartati / Tn. Asrul 32 Th DLJ 1 Lupa
27 Ny. Agustina / Tn. Rahmat Hidayat 22 Th Bumi Jaya 09-08-2017
28 Ny. Wiwit A / Tn. Asbar Boby 18 Th Rt. 01, Karangan 04-07-2017
29 Ny. A. hasnawati / Tn. A.muh.Asbar 36 Th Biatan Lempake 08-02-2017
30 Ny. Rohayati / Tn. Rahmat 34 th Rt. 04, Manunggal Jaya 27-01-2017
31 Ny. Sandra / Tn. Rahmat Hidayat 25 Th Rt. 12, Talisayan 15-04-2017
32 Ny. Maria / Tn. Dominikus 28 Th Rt. 01, Bumi Jaya 25/01/2017
33 Ny. Siti Falma/ Tn. Mustafa 38 Th Rt. 04, Talisayan 21/01/2017
34 Ny. Nurlia/ Tn. Rendy 18 Th Rt. 01, talisayan Lupa
35 Ny. Dian/ Tn. Arsoni 28 Th Rt. 06, talisayan Lupa
36 Ny. Subaena/ Tn. - 29 Th Rt. 01,Biatan iLir ? / 03/ 2017
37 Ny. Nuriana / Tn. Robby 30 Th Rt. 07, Lempake 22/12/2016
38 Ny. Siti Bulqis / Tn. - 20 Th Talisayan Lupa
39 Ny. Kasmila / Tn. Damri 34 Th Rt.05, Dumaring ? / 06/ 2017
40 Ny. Mardiana / Tn. Abdul Aziz 27 Th Rt.03, Biatan iLir ? / 12/ 2017
41 Ny. Misra / Tn. Jamil 33 Th Rt.16, talisayan 23/02/2017
42 Ny. Masliah / Tn. Suriyansah 40 Th Rt.03, Batu Putih ?/02/2017
43 Ny. Insanah / Tn. Husain 22 Th Rt.01, Dumaring 01/05/2017
44 Ny. Nur jihad / Tn. Muh. Fazli 18 Th Rt.01, Manunggal Jaya 27/02/2017
45 Ny. Lisnawati / Tn. Suharman 24 Th Rt.07, Lempake 30/01/2017
46 Ny. Asriani / Tn. iLham 20 Th Batu Putih Lupa

Mengetahui
Direktur RSU Pratama Talisayan

drg. Nursyamsi
NIP.197702012005022001
 FAKTOR RESIKO/
USIA KEHAMILAN
RESIKO
36 mg 2 hari Hb 10,8 gr %
19 mg Hb 11,8 gr %
36 - 37 mg Hb 10,4 gr %
41 - 42 mg
5 - 6 mg Hb 12,7 gr %
31 mg 1 hari Hb 8,4 gr %
26 mg 1 hari Hb 11,4 gr %
13 - 14 mg Hb 11 gr %
31 mg 1 hari Hb 10,5 gr %
32 - 33 mg -
36 - 37 mg -
32 - 33 mg Usia ≥ 37 Th
13 mg 3 hari -
35 mg 3 hari -
35 mg 3 hari -
20 mg -
24 mg -
27 mg 2 hari -
27 mg LiLa 20 cm, usia ≤ 20 th
28 mg 5 hari Hb 10,7 gr %
36 mg 6 hari Hb 12,7 gr %
30 mg 1 hari Hb 11,5 gr %
17 - 18 mg protein Urine + 1
40 - 41 mg Hb 11 gr %
27 mg 2 hari -
36 - 37 mg -
5 mg 5 hari -
10 mg 6 hari Usia ≤ 20 Th
31 mg 6 hari Hb 11 gr %
34 mg Hb 10,3 gr %
22 - 23 mg
34 mg
35 mg Hb 10 gr %, Usia ≥ 37 th
31 mg Usia ≤ 20 Th
37 mg IUFD
28 mg
38 - 39 mg
23 mg
15 mg 3 hari KEK (lila 20 cm)
39-40 mg
31 - 32 mg anak ≥ 4
34 - 35 mg Usia ≥ 37 Th, anak ≥ 4
21 - 22 mg
31 mg Usia ≤ 20 Th
30 mg 2 hari
27 mg 5 hari
 Hasil Pemeriksaan NO TELPHON

TFU : 29 cm, Pu-ki, Let- Kep, Konvergen, Djj 140 x/m 081256897449
TFU : 14 cm, Pu-ka, Let- Kep, Konvergen, Djj 140 x/m 082256346096
TFU : 29 cm, Pu-ki, Let- Kep, Divergen, Djj 128 x/m 085242378447
TFU : 33 cm, Pu-ka, Let- Kep, Konvergen, Djj 133 x/m 085753855393
TFU : Belum Teraba 081320044390
TFU : 25 cm, Pu-ki, Let- Kep, Konvergen, Djj 140 x/m 085858224371
TFU : 15 cm, Pu-ki, Let- Kep, Konvergen, Djj 147 x/m 081361003693
TFU : Ball (+) 085342121555
TFU : 25 cm, Let-Lin, Konvergen, Djj 150 x/m -
TFU : 28 cm, Pu-ki, Let- Kep, Divergen, Djj 145 x/m -
TFU : 30 cm, Pu-ka, Let- Kep, Konvergen, Djj 166 x/m 081364888696
TFU : 23 cm, Pu-ki, Let- Kep, Konvergen, Djj 146 x/m -
TFU : Ball (+) 081256520059
TFU : 25 cm, Pu-ki, Let- Kep, Konvergen, Djj 145 x/m 085151334868
TFU : 28 cm, Pu-ki, Let- Kep, Divergen, Djj 152 x/m 085339970921
TFU : 15 cm, Pu-ki, Let- Kep, Konvergen, Djj 120 x/m 085145406039
TFU : 22 cm, Let- Lin, Konvergen, Djj 150 x/m 082351777914
TFU : 23 cm, Pu - ki, Let-kep, Konvergen, Djj 150 x/m 082292140187
TFU : 18 cm, Pu - ki, Let-kep, Konvergen, Djj 139 x/m 082353140658
TFU : 26 cm, Let-Lin, Konvergen, Djj 136 x/m 085256135874
TFU : 27 cm, Pu - ki, Let-kep, Konvergen, Djj 150 x/m 085256135874
TFU : 22 cm, Pu - ka, Let-kep, Konvergen, Djj 145 x/m 082221831825
TFU : Ball (+) -
TFU : 31 cm, Pu - ki, Let-kep, Divergen, Djj 145 x/m -
TFU : 29 cm, Djj (1) 145 x/m, Djj (2) 134 x/m ( Gemeli) -
TFU : 27 cm, Pu - ka, Let-kep, Divergen, Djj 133 x/m 081349403202
TFU : Belum Teraba 082350266691
TFU : Belum Teraba 085849304633
TFU : 22 cm, Pu - ka, Let-kep, Konvergen, Djj 147 x/m 085350390181
TFU : 26 cm, Pu - ka, Let-kep, Konvergen, Djj 126 x/m -
TFU : 18 cm, Pu - ka, Let-kep, Konvergen, Djj 150 x/m 082350697929
TFU : 27 cm, Pu - ki, Let-kep, Konvergen, Djj 139 x/m
TFU : 27 cm, Pu - ki, Let-kep, Konvergen, Djj 155 x/m 082253006351
TFU : 19 cm, Pu - ka, Let-kep, Konvergen, Djj 134 x/m
USG hasil (-), DJJ (-)
TFU : 22 cm, Pu - ki, Let-kep, Konvergen, Djj 154 x/m
TFU : 28 cm, Pu - ki, Let-kep, Konvergen, Djj 157 x/m 081258870255
TFU : 17 cm, Pu - ka, Let-kep, Konvergen, Djj 156 x/m
TFU : Ball (+) 081346290121
TFU : 30 cm, Pu - ki, Let-kep, Konvergen, Djj 139 x/m 082277623666
TFU : 28 cm, Pu - ki, Let-kep, Konvergen, Djj 143 x/m 085229022676
TFU : 30 cm, Pu - ka, Let-kep, Konvergen, Djj 128 x/m 081287868458
TFU : 15 cm, Let-su, Konvergen, Djj 138 x/m
TFU : 22 cm, Pu - ka, Let-kep, Konvergen, Djj 143 x/m 081545726268
TFU : 26 cm, Pu - ki, Let-kep, Konvergen, Djj 138 x/m 081258251240
TFU : 21 cm, Pu - ka, Let-kep, Konvergen, Djj 150 x/m 082250321554

Talisayan , 30 September 2017

Pelapor

Sitti Amania, A.Md.Keb

 LAPORAN ANC RUMAH SAKIT
BULAN : JULI TAHUN : 2017
UMUR ALAMAT (mohon alamatnya
NO NAMA IBU/SUAMI HPHT
TH lengkap)

16
17
18
19
20
21
22
23
24
25

Mengetahui
Direktur RSU Pratama Talisayan

drg. Nursyamsi
NIP.197702012005022001
 FAKTOR RESIKO/
USIA KEHAMILAN
RESIKO
 Hasil Pemeriksaan NO TELPHON

Talisayan , 31 Juli 2017

Pelapor

Sitti Amania, A.Md.Keb

 LAPORAN ANC RUMAH SAKIT
BULAN : JULI TAHUN : 2017
UMUR ALAMAT (mohon alamatnya
NO NAMA IBU/SUAMI HPHT
TH lengkap)

16
17
18
19
20
21
22
23
24
25

Mengetahui
Direktur RSU Pratama Talisayan

drg. Nursyamsi
NIP.197702012005022001
 FAKTOR RESIKO/
USIA KEHAMILAN
RESIKO
 Hasil Pemeriksaan NO TELPHON

Talisayan , 31 Juli 2017

Pelapor

Sitti Amania, A.Md.Keb

 LAPORAN ANC RUMAH SAKIT
BULAN : JULI TAHUN : 2017
UMUR ALAMAT (mohon alamatnya
NO NAMA IBU/SUAMI HPHT
TH lengkap)

16
17
18
19
20
21
22
23
24
25

Mengetahui
Direktur RSU Pratama Talisayan

drg. Nursyamsi
NIP.197702012005022001
 FAKTOR RESIKO/
USIA KEHAMILAN
RESIKO
 Hasil Pemeriksaan NO TELPHON

Talisayan , 31 Juli 2017

Pelapor

Sitti Amania, A.Md.Keb