FORMAT HASIL KEGIATAN POSBINDU

DESA JAMBUSARI
TAHUN 2020
………..…………………….2020
HASIL PELAYANAN
LABORATORIUM ANAMNESA PERILAKU
TD

NO NIK NAMA TTL ALAMAT HIPERTENSI ASAM DM MAKAN KET

BB TB URAT AKTIFITAS
LINGKAR BUAH
SISTOL DIASTOL GDS KOLESTEROL MEROKOK MIRAS FISIK MIN
PERUT DAN
30 MNT
SAYUR

1 3301082610740002 SUMIRAH 26-10-1974 JAMBUSARI RT 01/09 65.00 154.00 158 89 81 V 125 √ √

2 3301081210960001 TRI 12-10-1996 JAMBUSARI RT 01/10 67.00 155.00 100 72 75 93 √ √

3 3301082203800003 JUMIARSIH 22-03-80 JAMBUSARI RT 01/09 73.00 156.00 158 90 70 V 137 √ √

4 3301081101830002 PONIRAH 11-01-1983 jambusarai 01/09 62.00 147.00 110 72 68 102 √ √
5 3301081104890004 ELA 11-04-1989 JAMBUSARI RT 01/09 81.00 159.00 100 95 80 101 √ √

6 3301082203860002 SUTIYEM 22-03-1986 JAMBUSARI RT01/09 63.00 154.00 140 78 61 91 √ √

7 3301081302960001 KAMIYATI 13-02-1996 JAMBUISARI 02/09 54.00 148.00 100 77 75 124 √ √
8 3301082405940003 AMI 24-05-1994 JAMBUSARI 01/09 78.00 151.00 140 92 80 118 √ √
9 3301082506900008 WATIEM 25-06-1990 JAMBUSARI 01/09 70.00 152.00 184 90 82 V 96 √ √
10 3301082206900005 SITI 022-06-1990 JAMBUSARI 01/09 67.00 158.00 130 92 80 103 √ √
11 3301082609960002 YANI 26-09-1996 JAMBUSARI 02/09 73.00 155.00 140 103 78 104 √ √
12 3301081106970006 RISTANTI 11-06-1997 JAMBUSARI 02/09 65.00 156.00 110 70 92 125 √ √
13 3301082608810003 SURATMI 26-08-1981 JAMBUSARI 02/09 78.00 154.00 130 79 97 98 √ √
14 3301082507830001 SUMINAH 25-07-1983 JAMBUSRAI 02/09 65.00 154.00 140 76 75 129 √ √
15 3301082610890002 MUNITAH 26-10-1989 JAMBUSARI 02/09 58.00 152.00 120 96 79 104 √ √
16 3301081206720001 ENI SUPRIYATI 12-06-1972 JAMBUSARI 02/09 56.00 153.00 130 67 62 141 √ √
17 3301082911940006 YUNI 29-11-1994 JAMBUSARI 02/09 70.00 153.00 140 90 79 116 √ √
18 3301082804930005 SUWARNI 28-04-1993 JAMBUSARI 02/09 71.00 157.00 130 74 83 116 √ √
19 3301081112890003 HENI 11-12-1989 JAMBUSARI 02/09 62.00 156.00 140 72 56 87 √ √
20 3301081111890004 RINA 11-11-1989 JAMBUSARI 02/09 64.00 156.00 130 62 76 114 √ √
21 3301080202930003 FITRI 02-02-1993 JAMBUSARI 02/09 58.00 158.00 120 126 82 113 √ √
22 330108040690000 SUGIARTI 04-06-1991 JAMBUSARI 02/09 54.00 154.00 120 84 85 95 √ √
23 3301080804770002 KIWEN 08-04-1977 JAMBUSARI 03/09 52.00 152.00 162 99 80 V 106 √ √
24 3301081010680002 SALIYEM 10-10-1968 JAMBUSARI 03/09 58.00 158.00 130 70 68 95 √ √
25 3301080504870004 NURHAYANTI 05-04-1987 JAMBUSARI 03/09 62.00 154.00 110 80 75 100 √ √
26 3301081310920005 SURANTI 13-10-1992 JAMBUSARI 03/09 64.00 154.00 120 70 93 94 √ √
27 3301082412880006 LIA 24-12-1988 JAMBUSARI 03/09 66.00 152.00 130 70 82 119 √ √
28 3301080106481000 WARTEM 01-10-1981 JAMBUSARI 03/09 64.00 150.00 120 75 85 94 √ √
29 3301081112920003 VENI 11-12-1992 JAMBUSRAI 03/09 62.00 152.00 130 98 78 106 √ √
30 3301080506900001 UMI 06-06-1990 JAMBUSARI 03/09 56.00 153.00 120 70 77 92 √ √
31 3301081709810002 KUSMIATI 17-09-1981 JAMBUSARI 03/09 54.00 152.00 120 80 67 118 √ √
32 3301081606840003 RASILAH 16-06-1984 JAMBUSARI 04/09 68.00 154.00 130 70 82 92 √ √
33 3301081404940006 DWI 14-04-1994 JAMBUSARI 04/09 68.00 156.00 120 80 85 89 √ √
34 3301081111730007 WIYEM 11-11-1973 JAMBUSARI 04/09 71.00 156.00 110 70 82 108 √ √
35 3301081303820003 RASITEM 13-03-1982 JAMBUSARI 04/09 69.00 155.00 130 70 80 92 √ √
36 3301081818670007 TIMAN 18-08-1967 JAMBUSARI 04/09 75.00 147.00 130 80 83 143 √ √
37 RATMINI 11-12-1977 JAMBUSARI RT 03/01 86.00 145.00 150 90 89 √ 133 √ √
3301081112770006

38 NUR 14-04-1982 JAMBUSARI RT 03/10 55.00 143.00 120 70 79 95 √ √

3301081404820006

39 SUKINAH 14-04-1982 JAMBUSARI RT 01/01 84.00 154.00 110 90 93 112 √ √

3301081404820006

40 MUTINEM 11-02-1960 JAMBUSARI RT 01/01 52.00 147.00 125 90 68 115 √ √

3301081102600004

41 KAMI 24-10-1970 JAMBUSARI RT 01/01 56.00 152.00 143 82 70 88 √ √

3301082410700001

42 NININ 21-08-1968 JAMBUSARI RT 02/01 78.00 153.00 110 72 83 105 √ √

3301082108680009

43 SARIDAH 17-09-1965 JAMBUSARI RT 01/01 69.00 157.00 160 106 81 √ 105 √ √

3301081709650003

44 SUNARSIH 07-07-1988 JAMBUSARI RT 02/01 68.00 152.00 140 90 85 √ 101 √ √

3301080707880003

45 TUMINI 22-12-1963 JAMBUSARI RT 02/01 89.00 148.00 112 71 95 114 √ √

3301082212630000
JAMBUSARI RT
46 WIDI 14-07-1969
002/01
86.00 154.00 96 65 99 103 √ √
3301081407300001

47 SUKINAH 19-05-1973 JAMBUSARI RT 01/01 71.00 156.00 117 69 84 97 √ √

3301081905730002
JAMBUSARI RT
48 3301081905870002 TARSIAH 19-05-1987
005/01
82.00 158.00 116 82 95 114 √ √
JAMBUSARI RT
49 3301081909920002 PIGI 19-09-1992
004/01
61.00 152.00 100 72 99 103 √ √

50 3301081905980002 SEVI 19-05-1998 JAMBUSARI RT 02/01 58.00 153.00 119 69 82 97 √ √

Cilacap,……………………………………………….
Petugas

Dwi Setiyaningrum
NIP. 19820924 201704 2 003