You are on page 1of 67

PERSALINAN DI FASYANKE

BULAN : JANUARI 2020


PUSKESMAS : TAREMPA
LETAK JANIN
HAMIL UK CARA
NO TGL NAMA IBU UMUR KE (MGG) PERSALIN
KEP SUNG LINT AN
LAHIR
1 2 3 4 5 6 7 8 9 10
1 1/11/2020 Ny. Yuliana 23 th 1 39 mgg v - - Normal
2 1/10/2020 Ny. Eka Marsela 21 th 1 38 mgg v - - Normal
3 1/9/2020 Ny. Diana Yunidar 33 th 3 38 mgg v - - Normal
4 1/14/2020 Ny. Farhawati 35 th 4 36 mgg v - - SC
5 1/21/2020 Ny. Bahriani 30 th 3 36 mgg v - - SC
6 1/25/2020 Ny. Dewi 27 th 1 38 mgg v - - Normal
7 12/19/2019 Ny. Noliyani 24 th 1 38 mgg v - - Normal
8 12/31/2019 Ny. Nurjalis 29 th 3 38 mgg v - - Normal
9 1/11/2020 Ny. Lidya 30 th 2 37 mgg v - - SC
10 1/31/2020 Ny. Mika riana 29 th 3 38 mgg v - - Normal
11 1/10/2020 Ny. Nurhasni 34 th 1 38 mgg v - - Normal
12 12/26/2020 Ny. Dewi Erma 32 th 3 38 mgg v - - Normal
13 1/16/2020 Ny. Riska 15 th 1 38 mgg v - - Normal
14 1/7/2020 Ny. Aljariah 30 th 1 38 mgg v - - Normal
15 1/29/2020 Ny. Juliati 27 th 1 38 mgg v - - Normal
16 1/26/2020 Ny. Nuri yana 28 th 1 38 mgg v - - Normal
17 1/13/2020 Ny. Dewi sartika 26 th 2 37 mgg v - - Normal
18 1/23/2020 Ny. Marni 31 th 2 38 mgg v - - Normal

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
ERSALINAN DI FASYANKES

BAYI
MATI
NAMA BAYI LAHIR
L P KEMBAR BB & TB
M H < 8HARI 6-28 HARI

11 12 13 14 15 16 17 18 19
By. Salsa shabila v v - 4000 gr/51 cm - -
By. Jesika Syafira v v - 3000 gr/48 cm - -
By. M Quenzino A v v - 3000 gr/45 cm - -
By. Jihan Makayla Kamila v v - 3060 gr/46 cm - -
By. Wan Ayesha Ghania Shanum v v - 3570 gr/52 cm - -
By. Ny. Dewi v v - 2800 gr/48 cm v -
By. Asegha Aura Shaki v v - 3400 gr /54 cm - -
By. Kaina Putri Rafiah v v - 3100 gr/50 cm - -
By. Felix Yosafat v v - 3300 gr/50 cm - -
By. Ny. Mika riana v v - 3400 gr /50 cm
By. Ny. Nurhasni v v - 2500 gr/46 cm - -
By. Ny. Dewi v v - 3000 gr/48 cm - -
By. Khaila nurahma v v - 2800 gr/48 cm - -
By. Fakhira Khairatun Hisan v v - 2700 gr/52 cm - -
By. Azka nurdiansyah pradipta v v - 2900 gr/48 cm - -
By. Fathurrahman atharis v v - 3500 gr/45 cm - -
By. Ny. Dewi Sartika Sari v v - 3300 gr/50 cm
By. Ny. Marni v v - 2800 gr/44 cm - -

Tarempa Selatan,04 Februari 2020


PENANGGUNG JAWAB KIA-KB

MISKAWATI, A.Md. Keb


NIP. 19880108 201001 2 004
IBU
MENING
GAL <42
HARI

20
-
-
-
-
-
-
-
-
-

-
-
-
-
-
-

ruari 2020
B KIA-KB

. Keb
1 2 004
PERSALINAN DI FA

BULAN : FEBRUARI 2020


PUSKESMAS : TAREMPA
LETAK JANIN
HAMIL UK
NO TGL NAMA IBU UMUR NAMA AYAH KE (MGG)
KEP SUNG LINT
LAHIR
1 2 3 4 5 6 7 8 9
1 7/2/2020 Ny. Erda Beti 25 th Tn. M.Faisal 1 mgg v - -
2 8/2/2010 Ny. Noviana 35 th Tn. Ronald 3 mgg v - -
3 1/2/20209 Ny. Hermila 42 th Tn. Kholid 4 37 mgg v - -
4 8/2/2020 Ny. Rosiana 22 th Tn. Suma 3 38 mgg v - -
5 13/2/2020 Ny. Friscilla R 30 th Tn. Arivan Sirait 3 37 mgg v - -
6 1/25/2020 Ny. Ernawati 22 th Tn. Maliki 1 38 mgg v - -
7 21/2/2020 Ny. Weni 33 th Tn. Sadikin 2 38 mgg v - -
8 1/2/2020 Ny. Yuliwati 20 th Tn. Agustami 1 38 mgg v - -
9 7/2/2020 Ny. Sinta 29 th Tn. Suhardi 2 38 mgg v - -
10 27/12/2019 Ny. Liza Fitria 35 th Tn. Jabaruddin 2 38 mgg v - -
11 26/1/2020 Ny. Nuri yani 28 th Tn Khairul 1 38 mgg v - -
12 19/2/2020 Ny. Sarina 32 th Tn. Ridwandi 37 mgg v - -
13 19/2/2020 Ny. Okti Widya 15 th Tn. Osansdi 1 38 mgg v - -
14 26/2/2020 Ny. Nabilla 19 th 1 37 mgg v - -

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

BAYI
CARA MATI
PERSALIN NAMA BAYI LAHIR
AN L P KEMBAR BB & TB
M H < 8HARI 6-28 HARI

10 11 12 13 14 15 16 17 18 19
Normal By. Zahabhiya Assyifa v v - 3058 gr/53 cm - -
SC By. Jethro Saroinsong v v - 3360 gr/50 cm - -
Normal By. Gita Nur Asyifa v v - 2950 gr/48 cm - -
normal By. M. Hafis Alfadil v v - 2400 gr/46 cm - -
SC By. Baren Sirait v v - 3385 gr/48 cm - -
Normal By. Putri Marlina v v - 2500 gr/46 cm v -
Normal By. Alula Asheeqa Humaira v v - 3500gr 49 cm - -
Normal By. Febrian Saputra Pratama v v - 3200 gr/47 cm - -
Normal By. Lamira Salma Fadhellah v v - 3100 gr /47 cm - -
SC By. Mumtazah Al Thafunisa v v - 2750 gr/47 cm - -
Normal By. Ny. Nuriyani v v - 3800 gr/47 cm - -
Normal By. Ny. Sarina v v - 2600 gr/46 cm - -
Normal By. Ny. Okti Widya v v - 2400 gr/42 cm - -
Normal By. Revano El Zafran v v - 3400 gr/49 cm - -

Tarempa Selatan,02 Maret 2020


PENANGGUNG JAWAB KIA-KB

MISKAWATI, A.Md. Keb


NIP. 19880108 201001 2 004
IBU
MENINGGAL
<42 HARI

20
-
-
-
RSUD TPA
RS Awal bros
letung
RSUD Palmatak
RSUD TPA

-
RSUD TPA
RSUD TPA
RSUD TPA
RSUD TPA

2 Maret 2020
WAB KIA-KB

Md. Keb
1001 2 004
PERSALINAN D

BULAN : MARET 2020


PUSKESMAS : TAREMPA
LETAK JANIN
HAMIL
NO TGL NAMA IBU UMUR NAMA AYAH KE UK (MGG)
KEP SUNG
LAHIR
1 2 3 4 5 6 7 8
1 20/2/2020 Ny. Faridawati 43 th Tn. Lamkar 5 38 mgg v -
2 24/2/2020 Ny. Oktavia Marito 29 th Tn. Vencius M 1 39 mgg v -
3 3/3/2020 Ny. Siti Julaina 29 th Tn. Randi 1 38 mgg v -
4 3/3/2020 Ny. Noprida Husin 35 th Tn. Efrison 3 37 mgg v -
5 6/3/2020 Ny. Yona Dwi Sari 26 th Tn. Indra 2 38 mgg v -
6 8/3/2020 Ny. Ellawati 19 th Tn. Erwandi 2 38 mgg v -
7 10/3/2020 Ny. Rosnah 22 th Tn. Debi 1 37 mgg v -
8 13/3/2020 Ny. Umi Aimah 27 th Tn. Syafrudin 2 38 mgg v -
9 19/3/2020 Ny. Wilda Nurdiyana 29 th Tn. Sigit 2 39 mgg v -
10 22/3/2020 Ny. Trisnawati 37 th Tn. Suwarto 1 22-23 mgg v -
11 25/3/2020 Ny. Rina 17 th Tn. Hergi 1 39 mgg v -
12 25/3/2020 Ny. Krisna th Tn. Didi 3 39 mgg v -
13 Ny. Dian 39 th Tn. Priyadi 3 38 mgg v -
14 26/3/2020 Ny. Martina 23 th Tn. Saparman 2 37 mgg v -

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

LETAK JANIN BAYI


CARA MATI
PERSALIN NAMA BAYI LAHIR
LINT AN L P KEMBAR BB & TB
M H < 8HARI

9 10 11 12 13 14 15 16 17 18
- SC By. Khairunisa Arsila v v - 2600 gr/46 cm -
- SC By. Orlee Shalom v v - 2440 gr/46 cm -
- Normal By. Annisa Dzakirah v v - 2900gr/ 47 cm -
- SC By. Abdurrahman Hamzah v v - 2900 gr/53 cm -
- Normal By. Athiya Muwaira v v - 3300 gr/50 cm -
- Normal By. Raisya v v - 2900 gr/49 cm -
- Normal By. Deo Hanif Debiansyh v v - 4600 gr/49 cm -
- Normal By. Faqirah Najiha v v - 4500 gr /47 cm
- Normal By. Alindya Putri Lavani v v - 3600 gr/50 cm -
- Abortus By. Ny. Trinsnawati v - -
- Normal By. Alexio Kento v v - 2600 gr/47 cm -
- SC By. v v - gr/ cm -
- Normal By. v v - gr/ cm -
- Normal By. Ny. Martina v v - 2400 gr/45 cm -

Tarempa Selatan,01 April 2020


PENANGGUNG JAWAB KIA-KB

MISKAWATI, A.Md. Keb


NIP. 19880108 201001 2 004
MATI IBU MENINGGAL
<42 HARI

6-28 HARI

19 20
- RSUD Palmatak
- RSUP TPI
- Klinik SPOG
- RSUD Bengkulu
- RSUD TPA
- rumah
- rumah
Rumah
- -
- rumah
- RSUD TPA
- -
- -
- RSUD TPA

Selatan,01 April 2020


GUNG JAWAB KIA-KB

AWATI, A.Md. Keb


80108 201001 2 004
BULAN : APRIL 2020
PUSKESMAS : TAREMPA

NO TGL NAMA IBU UMUR NAMA AYAH ALAMAT NO HP

LAHIR
1 2 3 4
1 6/4/2020 Ny. Rahimah 24 th Tn. M.Arifin Jl. Butun 081272067195
2 11/4/2020 Ny. Octarina Camelia 40 th Tn. Sapawi Jl. Butun 08133661268
3 7/2/2020 Ny. Ny.Risma Yunita 26 th Tn. Rehfi Jl. Batu tambun 081383843748
4 28/3/2020 Ny. Pangesti 29 th Tn. Weldi Jl. Batu tambun 082285033242
5 24/4/2020 Ny. Dara Mega 29 th Tn. Anggi Jl. Diponegoro 081296118401
6 7/4/2020 Ny. Herleni 30 th Tn. Eman Jl. Air Buding 088708250962
7 1/4/2020 Ny. Ilmi 22 th Tn. Roniansyah Jl. Tg. Momong 082287922335
8 14/4/2020 Ny. Melisa 22 th Tn. Hendra Jl. Kp. Baru 081275284254
9 2/4/2020 Ny. Siti Hajar 46 th Tn. Idrus Jl. Kp. Baru -
10 17/4/2020 Ny. Susi Susanti 22 th Tn. Muhardam Jl. Rintis 082268647719
11 23/3/2020 Ny. Mardiana 30 th Tn. Afrikan Jl. Gd. Tengah 082373111685

12 14/4/2020 Ny. Rabuyah 34 th Tn. Didi Jl. Tg. Lambai -

13 14/4/2020 Ny. Aisha 27 th Tn. M. Faisal Jl. A.yani darat 081261940008


14 31/3/2020 Ny. Dina Saura 32 th Tn. Meri Jl. A.yani 085376830122

15 23/3/2020 Ny. Widyanti 21 th Tn. Santomi Jl. Pasir Merah 081378829729


16 27/4/2020 Ny. Tati Suriani 28 th Tn. Sukanito Jl. Selambak 081268063060
17 7/4/2020 Ny. Sorianti 28 th Tn. Manan JL. Dusun 082390498233
18 5/4/2020 Ny. Sarinah 38 th Tn. Saipul Jl. Rintis 081366747478
19 2/5/2020 Dessy Veranita 33 th Tn. Handallah Jl. Tanjung 082174448333
Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

LETAK JANIN
CARA
GPA UK (MGG) PERSALIN NAMA BAYI LAHIR
KEP SUNG LINT AN
M H

5 6 7 8 9 10 11 12 13
G2P1A0 37 mgg v - - Normal By. Marsha Apriliani v
G6P2A3 38 mgg v - - Normal By. Ny. Oktarina Camelia v
G2P0A1 37 mgg v - - SC By. Shafiyyah Hafshah Riyandi v
G1P0A0 37 mgg v - - SC By. Bariq Artanabil Saputra v
G2P1A0 38 mgg v - - Normal By. Ralia Andara Patahan v
G3P2A0 38 mgg v - - SC By. Pelita Elvilia v
G1P0A0 37 mgg v - - Normal By. Firaz Zalfaro Rabbani v
G1P0A0 38 mgg v - - Normal By. Adam Syafiq Alfathan v
G5P4A0 37 mgg v - - Normal By. Anissa Aprilia v
G1P0A0 38 mgg v - - Normal By. Nara Apriani v
G2P1A0 39 mgg v - - Normal By. Umar Abdullah & v
By. Aisyah Abdullah v
G10P6A3 38 mgg v - - SC By. Zhen Ryin v
By. Zhen Ryen v
G2P1A0 37 mgg v - - Normal By. Assyabia Khaira Mecca v
G2P1A0 38 mgg v - - SC BY. Al Ziyyad Dihan Uzair v
SC by. Al Zayyid Dihan Uzair v
G2P1A0 39 mgg v - - Normal By. Vicka Achiera Qianzy v
G4P2A1 38 mgg v Normal By. Ny. Tati Suriani v
G6P3A2 37 mgg V Normal By. Ny. Sorianti v
G3P2A0 38 mgg V SC By. Alhaya Sahidha v
G4P2A1 38 mgg v Normal By. Aretha shezan tanisha v
A
BAYI
MATI IBU MENINGGAL <42
HARI
L P KEMBAR BB & TB
< 8HARI 6-28 HARI

14 15 16 17 18 19 20
v - 2800 gr/40 cm - - RSUD TPA
v - 1800 gr/30 cm - - RSUP TPA
v - 2610 gr/ 45 cm - - RS BEKASI
v - 2360 gr/47 cm - - RSUD tg.balai karimun
v - 2700 gr/47 cm - - Klinik Indramayu
v - 3400 gr/51 cm - - RSUD Palmatak
v - 3100 gr/45 cm - - rumah
v - 2900 gr /47 cm RSUD Palmatak
v - 2600 gr/44 cm - - RSUP TPA
v 2800 gr/45 cm - - RSUP TPA
v v 3000/50 cm - - klinik alaza TPI
v V 2900/50 cm klinik alaza TPI
v v 2100 gr/42 cm - - RSB Letung
v v 2300 gr /41 cm - - RSB Letung
v - 4400 gr/ 53 cm - - klinik alaza TPI
v 2800 gr/50 cm RSUP TPI
3000 gr/50 cm RSUP TPI
v - 2800 gr/ 43 cm - - RSUD TPA
v - 3600 gr/51 cm - - RSUD TPA
v 3600 gr/ 50 cm - - RSUD TPA
v 2506 gr/49 cm - - RSAL TPI
v 3100 gr/51 cm - - klinik alaza TPI
Tarempa Selatan, 29 APRIL 2020
PENANGGUNG JAWAB KIA-KB

MISKAWATI, A.Md. Keb


NIP. 19880108 201001 2 004
BULAN : MEI 2020
PUSKESMAS : TAREMPA

NO TGL NAMA IBU UMUR NAMA AYAH ALAMAT NO HP

LAHIR
1 2 3 4
1 5/4/2020 Ny. Sarinah 38 th Tn. Saipul Jl. Rintis 081366747478
2 2/5/2020 Ny. Dessy Veranita 33 th Tn. Handallah Jl. Tanjung 082174448333
3 11/5/2020 Ny. Herlin 33 th Tn. Hendra Jl. A. Yani 082170605531
4 22/5/2020 Ny. Jumia 22 th Tn. Rio Saputra Jl. Rekam 081270511006
5 Ny. Syakilla 22 th Tn. Hariyanto Jl. Bakar Batu 082283018183
6 27/5/2020 Ny. Silawati 27 th Tn. Rodianto Jl. Pemuda 082283349759
7 21/5/2020 Ny. Azizah P.A 27 th Tn. Darmawan Jl. Tanjung 082111350401
8 Ny. Suriana 21 th Tn. Dandi Akbar Jl. Kp. Baru 082211608761
9 23/5/2020 Ny. Iis Nadia 27 th Tn. Andi pribadi Jl. Bakar Batu 081266691992
10 5/5/2020 Ny. Eva Marlina 38 th Tn. Mulianto Jl. Kp. Baru 082268647719
11 2/5/2020 Ny. Agustina 34 th Tn. Irfandi Jl. Batu Berapit 081372430422
12 4/5/2020 Ny. Reva Yanti 29 th Tn. Ebenzer JL. Imam Bonjol 082287918251
13 Ny. Susanti 38 th Tn. Abd Fatah Jl. Tanjung 081276303366
14 19/5/2020 Ny. Maryani 27 th Tn. Mici Jl. Air Buding 082287733828
15 Ny. Rita Lestari 37 th Tn. Suherman Jl. Rintis 082280454611
16 20/5/2020 Ny. Ipa Susanti 24 th Tn. Fiadwan Jl. Teluk Mabai 085376830122
17 23/5/2020 Ny. Wahyu Nurdiasih 38 th Tn. Deni Rahman Jl. Batu Tambun 081325019500
18 7/5/2020 Ny. Muclisa R 31 th Tn. Deden S JL. Imam Bonjol 082126708055
19 25/5/2020 Ny. Efika Pratiwi 21 th Tn. Aal Islam Jl. Batu Tambun 081270511006
20 15/5/2020 Ny. Fitriana 28 th Tn. Eko Jl. Antang 082391409541
21 18/5/2020 Ny. Irawati 26 th Tn. Andi Jl. Selambak 082284421153
22 26/4/2020 Ny. Patmasari 28 th Tn. Didit Arifin Jl. Pelantar serkah 082284999548
23 27/5/2020 Ny. Maeda Juwita 21 th Tn. Riki Mizanto Jl. Terap 082287918251
Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

LETAK JANIN
CARA
GPA UK (MGG) PERSALIN NAMA BAYI LAHIR
KEP SUNG LINT AN
M H

5 6 7 8 9 10 11 12 13
G3P2A0 38 mgg V SC By. Alhaya Sahidha v
G4P2A1 38 mgg v Normal By. Aretha shezan tanisha v
G4P3A0 37 mgg v - - SC By. Keinara Alesha Ramadani v
G1P0A0 37 mgg v - - SC By. Kahfi Ghifari v
G1P0A0 38 mgg v - - Normal tak bisa di hubungi v
G2P1A0 39 mgg v - - Normal By. Aishwa Meikyla v
G2P1A0 37 mgg v - - SC By. Umar Al Fawaz v
G1P0A0 38 mgg v - - Normal tlpn sibuk terus/wa di read doang v
G1P0A0 37 mgg v - - Normal By. Keanu Zildan Kaif v
G3P2A0 38 mgg v - - Normal By. v
G3P2A0 38 mgg v - - SC By. Thafza Quraishiazka Ramadan v
G2P1A0 38 mgg v Normal By. Ny. Reva v
G3P1A1 38 mgg v - - SC no tak bisa di tlpn,wa di read doang v
G3P2A0 38 mgg - v SC By. Muhammad Akri Ramadan v
G3P2A0 37 mgg v - - Normal no tak bisa di tlpn,wa tak msk v
G2P1A0 38 mgg v - - Normal BY. Aqila Hafifah v
G4P3A0 38 mgg v Normal By. Salma elfiana rahman v
G2P1A0 39 mgg v - - Normal By. Khalid Agha Ahda v
G1P0A0 38 mgg v Normal By. Aqila nafeeza zahra v
G4P12 37 mgg V SC By. Syafia Azzahra v
G1P0A0 38 mgg v Normal By.Aqilla Meisya Kumayra v
G1P0A0 38 mgg V Normal By. Akleema hussayyidah afreesha v
G1P0A0 37 mgg V Normal By. Syallu Naira Fusqi v
BAYI
MATI IBU MENINGGAL <42
HARI
L P KEMBAR BB & TB
< 8HARI 6-28 HARI

14 15 16 17 18 19 20
v 2506 gr/49 cm - - RSAL TPI
v 3100 gr/51 cm - - klinik alaza TPI
v - 3900gr/ 51 cm - - RSUD Palmatak
v - 3500 gr/50 cm - - BPS
v - 2700 gr/47 cm - - Klinik Indramayu
v - 3900 gr/51 cm - - RSUD TPA
v - 4700 gr/4900 cm - - RSUD Palmatak
v - 2900 gr /47 cm RSUD Palmatak
v - 3705 gr/51 cm - - RSUD NATUNA
v 3800 gr/50 cm - - RSUP TPA
v 4600/49 cm - - RSUD Palmatak
v 3300/48 cm RSUP TPA
v v 2100 gr/42 cm - - RSB Letung
v 2900 gr /50 cm - - RSUD Palmatak
v - 4400 gr/ 53 cm - -
v 3800 gr/50 cm di rumah
v 3000 gr/47 cm RSUP TPA
v - 3200 gr/ 50 cm - - RSUD TPA
v - 2800 gr/45 cm - - RSUD TPA
v - 3590 gr/ 51 cm - - klinik alaza TPI
v 2900 gr/ 46 cm - - RSUD Palmatak
v 2500 gr/ 48 cm - - BPS
v 3700 gr/51 cm - - PKM Palmatak
Tarempa Selatan, 30 MEI 2020
PENANGGUNG JAWAB KIA-KB

MISKAWATI, A.Md. Keb


NIP. 19880108 201001 2 004
BULAN : MEI 2020
PUSKESMAS : TAREMPA

NO TP NAMA IBU UMUR NAMA AYAH ALAMAT NO HP

1 2 3 4
1 21/5/2020 Ny. Silawati 27 th Tn. Rodianto Jl. Pemuda 082283349759
2 16/5/2020 Ny. Azizah P.A 27 th Tn. Darmawan Jl. Tanjung -
3 20/5/2020 Ny. Suriana 21 th Tn. Dandi Akbar Jl. Kp. Baru 082211608761
4 18/5/2020 Ny. Iis Nadia 27 th Tn. Andi pribadi Jl. Bakar Batu 081266691992
6 16/5/2020 Ny. Agustina 34 th Tn. Irfandi Jl. Batu Berapit 081372430422
7 19/5/2020 Ny. Maeda Jumita 20 th Tn. Riki Mijanto JL. Terap 082287918251
8 13/5/2020 Ny. Susanti 38 th Tn. Abd Fatah Jl. Tanjung 081276303366
9 ?/5/2020 Ny. Maryani 27 th Tn. Mici Jl. Air Buding 082287733828
10 25-5-2020 Ny. Rita Lestari 37 th Tn. Suherman Jl. Rintis 082280454611

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

GPA

5
G2P1A0
G2P1A0
G1P0A0
G1P0A0
G3P2A0
G1P0A0
G3P1A1
G3P2A0
G3P2A0
BULAN : JUNI 2020
PUSKESMAS : TAREMPA

NO TP NAMA IBU UMUR NAMA AYAH ALAMAT NO HP

1 2 3 4
1 11/6/2020 Ny. Mutiara Santia 18 th Tn. Usman Jl. Tanjung -
2 10/6/2020 Ny. Regina Noel 24 th Tn. Yulius Jl. Kp. Baru 081261283837
3 29/6/2020 Ny. Eva Elfina 22 th Tn. Rodi Jl. Kp. Melayu 082261644544
4 23/6/2020 Ny. Putri Kurniati 26 th Tn. Iwan Susanto Jl. Kp. Baru 081261398061
6 19/6/2020 Ny. Sulin 33 th Tn. Fransiscus M Jl. Batu Tambun 081372669916
7 16/6/2020 Ny. Martha Djami 39 th Tn. Yustus Jl. Kp. Baru -
8 17/6/2020 Ny. Wulandari 31 th Tn. Zulhendri Jl. Air Padang 081364507778
9 14/6/2020 Ny. Misi 19 th Tn. Abu Bakar S - 081378601572
10 11/6/2020 Ny. Repi Solpia 27 th Tn. Supardi Jl. Kp. Baru 081371366738
11 19/6/2020 Ny. Mira Desy Susanti 36 th Tn. Rian Adhi W Jl. Bt. Tambun 082170809449
12 15/6/2020 Ny. Anita 30 th Tn. Galang Siantan Jl. Tlk. Red 082284390948
13 27/6/2020 Ny. Anggun Cahya K 29 th Tn. Munzari Jl. Imam Bonjol 081316304728
14 13/6/2020 Ny. Normi 36 th Tn. Tomy Jl. Kp. Melayu 082268306269
15 8/6/2020 Ny. Nurul Satriana 33 th Tn. Dedi Kurniawan Jl. Tongkol 081270780829
16 18/6/2020 Ny. Fitriati 25 th Tn. Hermi Sucipto Jl. Takari 082170581547
17 27/6/2020 Ny. Rosada Angraini 26 th Tn. Tommi Aditya Jl. Imam Bonjol 081277919933

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA
JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

GPA NORMAL/RESTI KET

5
G1P0A0 RESTI umur < 20 th
G2P1A0 RESTI HBsAg positif
G2P1A0 NORMAL -
G1P0A0 RESTI HBsAg positif
G3P2A0 RESTI Jarak Anak < 2thn
G3P2A0 RESTI Umur > 35 th
G3P1A1 NORMAL -
G1P0A0 RESTI umur < 20 th, KEK
G1P0A0 RESTI Riwayat Abortus
G2P1A0 RESTI Umur > 35 th
G3P2A0 NORMAL -
G1P0A0 NORMAL -
G3P2A0 RESTI Umur > 35 th
G2P1A0 NORMAL -
G2P1A0 RESTI KEK
G2P1A0 NORMAL -
BULAN : JUNI 2020
PUSKESMAS : TAREMPA

NO TGL NAMA IBU UMUR NAMA AYAH ALAMAT NO HP

LAHIR
1 2 3 4
1 11/6/2020 Ny. Fitriati 25 th Tn. Hermi Sucipto Jl. Takari 081270581547
2 14/6/2020 Ny. Putri Kurniati 26 th Tn. Iwan Susanto Jl. Kp. Baru 081261398061
3 4/6/2020 Ny. Ira Jeska 27 th Tn. Roni Saputra Jl. Raden Saleh 082285488513
4 12/6/2020 Ny. Wulandari 31 th Tn. Zulhendri Jl. Air Padang 081364507778
5 20/6/2020 Ny. Sulin 25 th Tn. Fransiscus M Jl. Batu Tambun 081372669916
6 19/6/2020 Ny. Anggun Cahya 29 th Tn. Munzari JL. Imam Bonjol 081316304728
7 6/6/2020 Ny. Regina Noel 25 th Tn. Yulius C Jl. Kp. Baru 081261283837
8 27/5/2020 Ny. Misi 19 th Tn. Abu bakar Jl. Air putih 081378601572

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

LETAK JANIN
CARA
GPA UK (MGG) PERSALIN NAMA BAYI LAHIR
KEP SUNG LINT AN
M H

5 6 7 8 9 10 11 12 13
G2P210 37 mgg V normnal By. Uwais Al-Qarni v
G1P0A1 38 mgg v Normal By. Medina iswani Humairah Susanto v
G1P0A0 32 mgg v - - Normal By. Suhaila Rizqia v
G3P2A0 37 mgg v - - SC By. Abdurrahman Tsabit Miqdad v
G3P2A0 38 mgg v - - Normal By. Anastasya Codelia Orlin v
G1P0A0 38 mgg v - - Normal By. Adara Maleeka Rumaisa v
G2P1A0 37 mgg v - - Normal By. Vony Anastasya Fay v
G1P0A0 37 mgg v - - Normal By. Muhammad Fikry v
BAYI
MATI IBU MENINGGAL <42
HARI
L P KEMBAR BB & TB
< 8HARI 6-28 HARI

14 15 16 17 18 19 20
v - 2900 gr/46 cm - - RSUD TPA
v - 2700 gr/49 cm - - di rumah
v - 2100gr/ 48 cm - - RSUD Palmatak
v - 2950 gr/49 cm - - RSUD Palmatak
v - 3500 gr/ 47cm - - di rumah
v - 2485 gr/50 cm - - RS Siloam Purwakarta
v - 2800 gr/4600 cm - - RSUD TPA
v - 2300 gr /44 cm RSUD TPA

Tarempa Selatan, 30 JUNI 2020


PENANGGUNG JAWAB KIA-KB

MISKAWATI, A.Md. Keb


NIP. 19880108 201001 2 004
BULAN : JULI 2020
PUSKESMAS : TAREMPA

NO TP NAMA IBU UMUR NAMA AYAH ALAMAT NO HP

1 2 3 4
1 18/7/2020 Ny. Zaniah 34 th Tn. Alizar Jl. Kp. Baru 081219305052
2 3/7/2020 Ny. Silviana 30 th Tn. Adi Purnawan Jl. Bakar Btu 081366651668
3 30/7/2020 Ny. Maryanti 30 th Tn. Peng lek Jl. Tg. Lambai 082284749007
4 7/7/2020 Ny. Fera Maryani 22 th Tn. Dolly Agustino Jl. Tlk .Buluh 081277245229
6 14/7/2020 Ny. WA ode waslani 39 th Tn. M.Abidin Jl. Gd.tengah 081364119548
7 30/7/2020 Ny. Tri Utaminingsih 36 th Tn. Ihsan Jl. Rd. Saleh 082267927372
8 16/7/2020 Ny. Marzilah 36 th Tn. Hendra Jl. Kp. Baru 082389442706
9 13/7/2020 Ny. Sumarni 37 th Tn. Samsul bahri Jl. Patimura 081276016124
10 23/7/2020 Ny. Adriela Silviani 30 th Tn. Tafianto Jl. Rd. Saleh 082387550317
11 26/7/2020 Ny.Yudesti 27 th Tn. Azian Jl. Kp. Baru 082283280809
12 5/7/2020 Ny. Nurul Fitri 26 th Tn. Bambang priyanto Jl. Rd. Saleh 082386711684
13 28/7/2020 Ny. Arniati 34 th Tn. Kenek Jl. Tlk buluh 082288212698
14 24/7/2020 Ny. Yuyun Sri wahyuni 38 th Tn. Budi Manto Jl. Kp. Baru -
15 12/7/2020 Ny. Hariani 29 th Tn. Ahmadi Jl. A.Yani 081276074992
16 18/7/2020 Ny. Siti Rahmah 29 th Tn. Dedi Mizwar Jl. Rintis -
17 22/7/2020 Ny. Wanda 19 th Tn. Dedi Kasmadianto Jl. Dusun 082384648966

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA
JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

GPA NORMAL/RESTI KET

5
G3P2A0 NORMAL -
G3P1A1 RESTI riw.sc,riw.ab 1 x
G2P1A0 NORMAL -
G2P1A0 NORMAL -
G1P0A0 RESTI Umur > 35 th
G4P3A0 RESTI Umur > 35 th
G5P2A2 RESTI riw.ab 2x,umur > 35 th
G4P3A0 RESTI Umur > 35 th
G3P2A0 NORMAL -
G2P1A0 RESTI Riw ab 1 x
G1P0A0 NORMAL -
G2P1A0 NORMAL -
G3P2A0 RESTI Umur > 35 th
G4P3A0 NORMAL -
G2P1A0 RESTI riw sc
G2P1A0 RESTI umur < 20 th
BULAN : JULI 2020
PUSKESMAS : TAREMPA

NO TGL NAMA IBU UMUR NAMA AYAH ALAMAT NO HP

LAHIR
1 2 3 4
1 19/7/2020 Ny. Arniati 34 th Tn. Kenek Jl. Tlk Buluh 082288212698
2 23/6/2020 Ny. Marzilah 36 th Tn. Hendra Jl. Kp. Baru 082389442706
3 29/6/2020 Ny. Karmisah 20 th Tn. Khaironi Jl. Tanjung 082162936319
4 30/6/2020 Ny. Fera Maryani 22 th Tn. Dolly Agustino Jl. Tlk Buluh 081277245229
5 16/6/2020 Ny. Elfi Novita 36 th Tn. Syahrudin Jl. Blh kuning 081373305638
6 7/7/2020 Ny. Yudesti 297 th Tn. Azian Jl. Kp. Baru 082283280809
7 2/7/2020 Ny. Teti Ariani 34 th Tn. Irwan Hendro Jl. Batu Tambun 081299029833
8 2/7/2020 Ny. Hariani 29 th Tn. Ahmadi Jl. Jendral A.Yani 081276074992
9 5/7/2020 Ny. Eti Larasati 27 th Tn. Dani Jl. Pemuda 082294694123
10 13/7/2020 Ny. Zaniah 34 th Tn. Alizar Jl. Kp. Baru 081219305052
11 23/7/2020 Ny. Puti vaedesi yani 23 th Tn. Mustadari JL. Bakar Batu 082287651946

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

LETAK JANIN
CARA
GPA UK (MGG) PERSALIN NAMA BAYI LAHIR
KEP SUNG LINT AN
M H

5 6 7 8 9 10 11 12 13
G2P210 37 mgg V normnal By. Rizky Ar Rahman v
G5P2A2 38 mgg v Normal By. Alif Junior Almaida v
G1P0A0 37 mgg v - - Normal By. Khailfal Ardiansyah v
G2P1A0 37 mgg v - - Normal By. Fedo Khalid Farabi v
G2P210 38 mgg v - - Normal By. Ghina ulya syarifah v
G2P1A0 38 mgg v - - SC By. Aulian v
G2P1A0 37 mgg v - - SC By. Afzal Athallah Aryawan v
G4P3A0 37 mgg v - - Normal By. Atharafka Al Ausy v
G1P0A0 38 mgg v - - SC By. Doha Sabira v
G3P2A0 37 mgg V - - Normal By. Naura Azzahra Putri v
G1P0A0 37 mgg V - - Normal By. Almeira Sakuina Humaira v
BAYI
MATI IBU MENINGGAL <42
HARI
L P KEMBAR BB & TB
< 8HARI 6-28 HARI

14 15 16 17 18 19 20
v - 3400 gr/47 cm - - RSUD TPA
v - 3300 gr/48 cm - - RSUD Palmatak
v - 3500gr/ 48 cm - - RSUD TPA
v - 3400 gr/50 cm - - Klinik bd Ayu
v - 4400 gr/ 50 cm - - RSUD Palmatak
v - 3100 gr/50 cm - - klinik alaza
v - 3300 gr/50 cm - - klinik
v - 3400 gr /50 cm - - klinik alaza
v - 2800 gr/ 46 cm - - RS Kalisah Cirebon
v 4300 gr/49 cm - - RSUD TPA
v 3200 kg/49 cm - - RSUD TPA

Tarempa Selatan, 30 JUNI 2020


PENANGGUNG JAWAB KIA-KB

MISKAWATI, A.Md. Keb


NIP. 19880108 201001 2 004
BULAN : AGUSTUS 2020
PUSKESMAS : TAREMPA

NO TP NAMA IBU UMUR NAMA AYAH ALAMAT NO HP

1 2 3 4
1 3/8/2020 Ny. Dewi 22 th Tn. Aris Jl. Terap Atas -
2 15/8/2020 Ny. Violia Guada Love 19 th Tn. Cucung Jl. Tg. Lambai 082288830876
3 15/8/2020 Ny. Elfrida Riana S 32 th Tn. Delianto Jl. Kp. Baru 085274742576
4 15/8/2020 Ny. Evita Sary 31 th Tn. Mardani Wijaya Jl. Rd. Saleh 082170382032
6 21/8/2020 Ny. Lilis Susanti 39 th Tn. Purnama Jl. Batu Tambun 081372066281
7 22/8/2020 Ny. Suriani 29 th Tn. Agustian Jl. Tlk. Mabai 088708205437
8 23/8/2020 Ny. Adriana Tloim 30 th Tn. Hendrik Leo Jl. Tg. Lambai 082247696504
9 23/8/2020 Ny. Parsinawati 27 th Tn. Adi Syeptiadi Jl. Tanjung 082323499937
10 24/8/2020 Ny. Sudarni - Tn. M. Saleh - 082284671870
11 26/8/2020 Ny.Nola Triani 21 th Tn. Juprizal Jl. Rekam 082175428831
12 27/8/2020 Ny. Umi Kalsum 25 th Tn. Murzlan Jl. Tanjung 082285594522
13 27/8/2020 Ny. Zulinda 36 th Tn. Samri Agus Jl. Batu Tambun 082298285852

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

GPA NORMAL/RESTI KET

5
G1P0A0 NORMAL -
G1P0A0 RESTI umur < 20 th
G2P1A0 NORMAL -
G4P3A0 NORMAL -
G4P2A1 RESTI Riw.SC, Umur > 35 th
G3P2A0 NORMAL

G2P1A0 NORMAL

G1P0A0 NORMAL

- NORMAL -
G1P0A0 NORMAL

G2P1A0 NORMAL -
G3P2A0 RESTI Umur > 35 th, KEK
BULAN : AGUSTUS 2020
PUSKESMAS : TAREMPA

NO TGL NAMA IBU UMUR NAMA AYAH ALAMAT

LAHIR
1 2 3 4
1 14/8/2020 Ny. Zulinda 36 th Tn. Samri Agus Jl. Batu Tambun
2 17/8/2020 Ny. Kartini 28 th Tn. Riko Putra Jl. Tanjung
3 3/8/2020 Ny. Anita Sari 25 th Tn. Ali Akbar Jl. Arung Hijau
4 30/6/2020 Ny. Eva Efina 22 th Tn. Rodi Jl. Kp. Melayu
5 4/7/2020 Ny. Wa Ode Waslani 39 th Tn. M.Abidin Jl. Gd.tengah
6 3/8/2020 Ny. Anita 31 th Tn. Galang Jl. Tlk.red
7 29/7/2020 Ny. Tri Utaminingsih 36 th Tn. Ihsan Jl. Rd. Saleh
8 1/7/2020 Ny. Normi 37 th Tn. Tomi Jl. Kp. Melayu
9 10/7/2020 Ny. Silviana 30 th Tn. Adi purnama Jl. Bakar Batu
10 20/8/2020 Ny. Parsinawati 27 th Tn. Hadi syeptiadi Jl. Tanjung
11 26/7/2020 Ny. Nurul fitri 26 th Tn. Bambang P Jl. Rd. Saleh
12 26/7/2020 Ny. Loni Saparina 34 th Tn. Agus Irwan Jl. Arung Hijau
13 11/7/2020 Ny. Repi Solpia 27 th Tn. Supardi Jl. Kp. Baru
14 7/7/2020 Ny. Rosada Anggraini 26 th Tn. Tommy aditya Jl. Imam Bonjol
15 1/7/2020 Ny. Mira Desy Susanti 36 th Tn. Rian Jl. Batu Tambun
16 29/6/2020 Ny. Mutiara Santia 18 th Tn. Usman Jl. Tanjung
17 2/7/2020 Ny. Martha Djami 39 th Tn.Yostus Jl. Kp. Baru
18 30/7/2020 Ny. Nurul Satriana 33 th Tn. Dedi kurniawan Jl. Tongkol
19 30/7/2020 Ny. Kiki 31 th Tn. Aditya Jl. Pasir Merah
20 10/8/2020 Ny. Evita sary 31 th Tn. Mardani wijaya Jl. Rd. Saleh
21 12/7/2020 Ny. Dewi 22 th Tn. Aris Jl. Terap atas
22 15/6/2020 Ny. Sumarni 38 th Tn. Samsul Bahri Jl. Patimura
23 13/7/2020 Ny. Yuyun 38 th Tn. Budiyanto Jl. Kp. Baru
24 22/7/2020 Ny. Zalni 23 th Tn. Azhari Jl. Rintis
25 25/7/2020 Ny. feny Delvina 21 th Tn. Romadi Jl. Sungai Sugi
26 27/7/2020 Ny. Echi 21 th Tn. Norman Jl. Tlk buluh
27 29/7/2020 Ny. Herlina 26 th Tn. Azwandi Jl. Pasir Merah
28 27/7/2020 Ny. Elfrida R.S 32 th Tn. Delianto S Jl. Kp. Baru
29 16/8/2020 Ny. Nona Maria 29 th Tn. Emanuel Jl. Gd.tengah
30 22/8/2020 Ny. Alawiyah 32 th Tn. Fetri Jl. Antang
31 12/8/2020 Ny. Susilawati 35 th Tn. Fauzan Jl. Tlk. Mabai
32 13/8/2020 Ny. Wanda 19 th Tn. Dedi Kasmadianto Jl. Dusun
33 17/8/2020 Ny. Vyolia guada love 19 th Tn. Cucung JL. Tg. Lambai

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

LETAK JANIN
CARA
NO HP GPA UK (MGG) PERSALIN
KEP SUNG LINT AN

5 6 7 8 9 10
082298285852 G3P2A0 37 mgg V - - normnal
082268646469 G2P1A0 38 mgg v - - SC
082285071676 G2P0A1 37 mgg v - - Normal
082261644544 G2P1A0 38 mgg v - - Normal
081364119548 G1P010 38 mgg v - - Normal
082284390948 G3P2A0 38 mgg v - - Normal
082267927372 G4P3A0 37 mgg v - - Normal
082268306269 G3P2A0 37 mgg v - - Normal
081366651668 G3P1A1 38 mgg V - - SC
082323499937 G1P0A0 37 mgg V - - Normal
082386711684 G1P010 38 mgg V - - Normal
082287264819 G6P2A3 38 mgg v - - Normal
08171366738 G1P010 37 mgg v - - Normal
08127791993 G2P1A0 38 mgg V - - Normal
082170809449 G2P1A0 39 mgg v - - Normal
- G1P010 39 mgg v - - Normal
- G3P2A0 38 mgg v - - Normal
081270780829 G2P1A0 37 mgg v - - Normal
081378982303 G1P010 39 mgg v - - Normal
082170382032 G4P3A0 37 mgg v - - Normal
- G3P1A1 38 mgg V - - Normal
081276016124 G4P3A0 36 mgg v - - Normal
082283483959 G3P2A0 38 mgg v - - Normal
081296992408 G1P0A0 38 mgg v - - Normal
082268655837 G2P1A0 37 mgg v - - Normal
081221418121 G1P0A0 38 mgg v - - Normal
082284556918 G1P0A0 38 mgg v - - Normal
085274742576 G2P1A0 38 mgg v - - SC
081275852636 G3P2A0 37 mgg V - - Normal
082284231471 G3P2A0 39 mgg v - - Normal
082284818814 G3P2A0 38 mgg v - - Normal
082384648966 G2P1A0 38 mgg v - - Normal
082288830876 G1P0A0 37 mgg V - - SC

S TAREMPA

K
III b
2 1 004
YANKES

BAYI
MATI
NAMA BAYI LAHIR
L P KEMBAR BB & TB
M H < 8HARI 6-28 HARI

11 12 13 14 15 16 17 18 19
By. Shameera Shagia v v - 3200 gr/52 cm - -
By. Ny. Kartini v v - 3400 gr/49 cm - -
By. Alula Zahra Ayunindya v v - 2800gr/ 35 cm - -
By. Asraf Agil Rodiansyah v v - 3200 gr/47 cm - -
By. Ny. Wa Ode Waslani v v - 2900 gr/ 47 cm - -
By. Jihan Azkiya Nahda v v - 3500 gr/48 cm - -
By. Salma Salsabilla v v - 2900 gr/48 cm - -
By. Ny. Normi v v - 3500 gr /48 cm - -
By. Arumi Nasha Purnawan v v - 2900 gr/49 cm - -
By. Erevano El Hadi v v - 2700 gr/48 cm - -
By. Ny. Nurul fitri v v - 2500 gr/47 cm mengarang indah
By. Ny. Loni Saparina v v - 3200 gr/47 cm mengarang indah
By.Ny. Repi Solpia v v - 2700 gr/47 cm mengarang indah
By. Ny. Rosada Anggraini v v - 3100 gr/50 cm mengarang indah
By. Ny. Mira Desy Susanti v v - 3000 gr/49 cm mengarang indah
By. Ny. Mutiara Santia v v - 3200 gr/50 cm mengarang indah
By. Ny. Martha Djami v v - 3100 gr/48 cm mengarang indah
Ny. Nurul Satriana v v - 2900 gr/51 cm mengarang indah
By.Ny. Kiki v v - 2900 gr/ 47 cm mengarang indah
By. Ny. Evita sary v v - 3400 gr/48 cm - -
By. Ny. Dewi - 2700 gr/47 cm - -
By. Syakira Az-zahra Fitri v v - 2500 gr/47 cm - -
By. Ny. Yuyun v v - 2600 gr/ 44 cm - -
By. Ny. Zalni v v - 3000 gr/ 49 cm - -
By. vNy. Venny Dervina v v - 3200 gr/ 48 cm - -
By. Ny. Echi v v - 2800 gr/47 cm - -
By. Ny. Herlina v v - 3800 gr/48 cm - -
By. Gevariel Simanjuntak v v - 3700 gr/ 52,5 cm - -
By. Christian gabriel aaron v v - 3900 gr/51 cm - -
By. Ny. Alawiyah v v - 3100 gr/ 50 cm - -
By. Haykal Pratama v v - 3400 gr/50 cm - -
By. Bilal Hafiz Atha Hilal v v - 3800 gr/51 cm - -
By. Meisya Emoira Agustin Tan v v - 3200 kg/48 cm - -

Tarempa Selatan, 25 AGUSTUS 2020


PENANGGUNG JAWAB KIA-KB

MISKAWATI, A.Md. Keb


NIP. 19880108 201001 2 004
IBU MENINGGAL <42
HARI

20

RSUD TPI
RSUD TPA
RSUD TPA
RSUD TPA
RSUD TPA
RSUD TPA
RSUD TPA
RSAL TPI
rumah bidan
RS Aceh
RSUP TPI
klinik bidan TPI
Klinik alaza
KLINIK
Praktek Bidan
RS Batam
klinik bidan TPI
RDUD TPI
RSUD TPA
RSUD TPA
RSUD TPA
RSUD TPA
RSUD TPA
RSUD TPA
RSUD TPA
RSUD TPA
RS
RSUD TPA
RSUD TPA
RSUD TPA
RSUD TPA
RS Batam

5 AGUSTUS 2020
JAWAB KIA-KB

, A.Md. Keb
201001 2 004
BULAN : SEPTEMBER 2020
PUSKESMAS : TAREMPA

NO TP NAMA IBU UMUR NAMA AYAH ALAMAT

1 2 3 4
1 3/9/2020 Ny. Serli Kirani 18 th Tn. Alif Jl. Tanjung
2 ?/9/2020 Ny. Eka 26 th Tn. Arkhan Jl. Tanjung
3 27/9/2020 Ny. Pirawati 28 th Tn. Arfiari Jl. Temburun
4 ?/9/2020 Ny. Sarkinah 39 th Tn. Supardi Jl. Tlk. Buluh
6 12/9/2020 Ny. Rupita 22 th Tn. Jumari Jl. Temburun
7 12/9/2020 Ny. Winda 32 th Tn. Yuliam Jl. Pelantar Serkah
8 24/9/2020 Ny. Mariana 33 th Tn. Jupri Jl. Tg. Lambai
9 5/9/2020 Ny. Dina Ardiana 33 th Tn. Wawan Jl. Rintis
10 7/9/2020 Ny. Kartini 28 th Tn. Rikop Jl. Batu Berapit
11 25/9/2020 Ny. Sunarti 37 th Tn. Ferry Jl. Batu Tambun
12 26/9/2020 Ny. Susilawati 35 th Tn. Fauzan Jl. Tg. Lambai
13 ?/9/2020 Ny. Yumertiana 35 th Tn. Mardiansyah Jl. A. Yani
14 28/9/2020 Ny. Sarli 25 th Tn. Nanda Jl. Batu Tambun
15 1/9/2020 Ny. Ramona 24 th Tn. Andi Firmansyah Jl. Tg.Momong
16 7/9/2020 Ny. Syarah Frimasari 22 th Tn. Amir Ariyanto Jl. Dusun
17 3/9/2020 Ny. Nova Rita 26 th Tn. Fahrizal Jl. Tanjung
18 8/9/2020 Ny. Nurhayati 36 th Tn. Muhariyadi Jl. Batu Tambun
19 26/9/2020 Ny. Agustina 28 th Tn. Dedi Jl. Batu Berapit
20 5/9/2020 Ny. Listariningsih 29 th Tn. Arel Juanda Jl. Tlk. Buluh
21 16/9/2020 Ny. Darmayanti 38 th Tn. Suhardi Jl. Blh Kuning
22 29/9/2020 Ny. Yanila 25 th Tn. Yopi Jl. Batu balai
23 ?/9/2020 Ny. Evi Suryani 15 th Tn. Deprima Jl. Pemuda atas
24 30/9/2020 Ny. Yuliana 21 th Tn. Zamri Jl. Kp.Melayu
25 19/9/2020 Ny. Rahayu 22 th Tn. M.Arif Jl. Dusun
26 27/9/2020 Ny. Yulmi Asmawati 27 th Tn. Khairul Anwar JL. SP
27 11/9/2020 Ny. Tuti Wasiat 32 th Tn. Burhan Jl. Imam Bonjol
28 22/9/2020 Ny. Lisa Susanti 30 th Tn. Doni Noviandi -
29 ?/9/2020 Ny. Bebi Sintia 22 th Tn. Nufarizal Jl. Imam Bonjol
30 22/9/2020 Ny. Miyanti 35 th Tn. Januardi Jl. Pasir merah

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA

JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

NO HP GPA NORMAL/RESTI KET

5
081268836923 G1P0A0 RESTI umur < 20 th
082288830876 G1P0A0 NORMAL -
082268309422 G3P2A0 NORMAL -
085273909606 G4P3A0 RESTI Umur > 35 th
085836359146 G2P1A0 RESTI Jarak ank < 2 th
081275582288 G3P2A0 NORMAL -
082294684089 G4P3A0 NORMAL -
081266002515 G2P1A0 RESTI riw. SC
082284671870 G3P1A1 RESTI Abortus 1x, riw sc
081365947556 G3P2A0 RESTI Umur > 35 th
082284818814 G2P1A0 NORMAL -
082174788393 G3P2A0 RESTI riw.bayi lahir meninggal
082383808707 G1P0A0 NORMAL -
082118102723 G1P0A0 NORMAL -
082268304406 G2P1A0 NORMAL -
085363529800 G2P1A0 RESTI Jarak ank < 2 th
081364681770 G2P1A0 RESTI riw.sc (gamelly)
081372884342 G2P1A0 NORMAL -
082171091939 G3P1A1 RESTI riw.abortus
081261536293 G6P5A0 RESTI Grandemultipara,umur > 35 th
081268094203 G1P0A0 NORMAL -
- G1P0A0 NORMAL -
082288249853 G3P2A0 RESTI HBSAG POSITIF
082287338897 G2P1A0 NORMAL -
082161343657 G1P0A0 NORMAL -
081365311443 G3P2A0 NORMAL -
081276200834 G2P1A0 RESTI RIW.SC
082283768953 G2P1A0 RESTI Jarak ank < 2 th
081740377288 G5P4A0 RESTI Grandemultipara
BULAN : SEPTEMBER 2020
PUSKESMAS : TAREMPA

NO TGL NAMA IBU UMUR NAMA AYAH ALAMAT

LAHIR
1 2 3 4
1 21/9/2020 Ny. Rohayu 22 th Tn. M.Arif Jl. Dusun
2 11/9/2020 Ny. Devi Soraya 23 th Tn. Nong H Jl. A. Yani
3 1/9/2020 Ny. Yunertiana 35 th Tn. Hardiansyah Jl. A. Yani
4 9/9/2020 Ny. Darmayanti 38 th Tn. Suhardi Jl. Bulau Kuning
5 7/9/2020 Ny. Listariningsih 29 th Tn. Arel Juanda Jl. Tlk buluh
6 14/9/2020 Ny. LISA SUSANTI 30 th Tn. Doni noviandi
7 28/8/2020 Ny. Tuti Wasiat 32 th Tn. Burhan Jl. Imam Bonjol
8 20/8/2020 Ny. Nurhayati 36 th Tn. Muhariyadi Jl. Batu Tambun
9 22/9/2020 Ny. Bebi Sintia 22 th Tn. Nurfaisal Jl. Imam Bonjol
10 26/8/2020 Ny. Syarah Frimasari 22 th Tn. Amir Ariyanto Jl. Dusun
11 26/9/2020 Ny. Yanila Zendrato Jl. Batu bJl. Batu balai Jl. Batu balai
12 6/9/2020 Ny. Ramona 24 th Tn. Andi Firmansyah Jl. Tg.Momong
13 31/8/2020 Ny. Sarli 25 th Tn. Nanda Jl. Batu Tambun
14 24/8/2020 Ny. Dina Ardiana 33 th Tn. Wawan Jl. Rintis
15 2/9/2020 Ny. Umi Kalsum 25 th Tn. Murzlan Jl. Tanjung

Mengetahui;
KEPALA UPT. PUSKESMAS TAREMPA
JANUARDI, AMK
Penata Muda Tk. I/III b
NIP. 19800117 200312 1 004
PERSALINAN DI FASYANKES

LETAK JANIN
CARA
NO HP GPA UK (MGG) PERSALIN
KEP SUNG LINT AN

5 6 7 8 9 10
082287338897 G2P1A0 38 mgg V - - normnal
082287733748 G2P1A0 38 mgg v - - Normal
082174788393 G3P2A0 37 mgg v - - Normal
081261536293 G6P5A0 38 mgg v - - Normal
082171091939 G3P1A1 38 mgg v - - Normal
081276200834 G2P1A0 38 mgg v - - SC
081365311443 G3P2A0 37 mgg v - - Normal
081364681770 G2P1A0 37 mgg v - - sc
082283768953 G2P1A0 38 mgg V - - Normal
082268304406 G2P1A0 37 mgg V - - Normal
081268094203 G1P0A0 38 mgg V - - Normal
082118102723 G1P0A0 38 mgg v - - SC
082383808707 G1P0A0 37 mgg v - - Normal
081266002515 G2P1A0 38 mgg V - - SC
082285594522 G2P1A0 39 mgg v - - Normal

S TAREMPA
K
III b
2 1 004
YANKES

BAYI
MATI
NAMA BAYI LAHIR
L P KEMBAR BB & TB
M H < 8HARI 6-28 HARI

11 12 13 14 15 16 17 18 19
By. Dzakyya Talitha Sakhi v v - 3500 gr/49 cm - -
By.Nong Nadiya Maulida Husna v v - 3000 gr/49 cm - -
By. Wan Raffasya Aqlan v v - 3700gr/ 52 cm - -
By. Aidah Siantan Putri Suhardi v v - 3000 gr/47 cm - -
By. Ny. Listariningsih v v - 2700 gr/ 47 cm - -
By. M. Shakeel Athallah v v - 3200 gr/47 cm - -
By. Ny. Tuti Wasiat v v - 3400 gr/47 cm - -
By. M. Fatih Dzakir Almuharram v v - 2800 gr /49 cm - -
By. Asiyah AZ Zahra v v - 3300 gr/49 cm - -
By. Aisyah Ayudia Falisha v v - 2950 gr/48 cm - -
By. Ny. Yanila Zendrato v v - 2900 gr/47 cm - -
By. Emir Zafran Arandi v v - 3950 gr/49 cm - -
By. Aluna Senja Prathista v v - 3250 gr/48 cm - -
By. Ny. Dina Ardiana v v - 3200 gr/50 cm - -
By. Aisyah Nuha Sada v v - 3000 gr/49 cm - -

Tarempa Selatan, 25 SEPTEMBER 2020


PENANGGUNG JAWAB KIA-KB
MISKAWATI, A.Md. Keb
NIP. 19880108 201001 2 004
IBU MENINGGAL <42
HARI

20
RSUD TPA
RSUD TPA
klinik amanah Bunda
RSUD TPA
BPS TPI
RSUD NATUNA
RSUD TPA
RSUD TPI
PKM Palmatak
RSUD TPA
RSUD TPA
RSUD Palmatak
klinik
RSUD NATUNA
Rumah

SEPTEMBER 2020
JAWAB KIA-KB
, A.Md. Keb
201001 2 004

You might also like