Lap SPM BLN September 2021 PKM Dempo

LAPORAN PELAYANAN IBU HAMIL (SPM) Kunjungan Pertama (K1)
PUSKESMAS DEMPO
NAMA PUSKESMAS : DEMPO
BULAN : SEPTEMBER TAHUN : 2021
K1 Murni LABORATORIUM (RUTIN dan KHUSUS) TATA
PRES dan TEMU
NO TGL NAMA IBU/SUAMI UMUR ALAMAT G.P.A. HPHT TP USIA KH BB TB TD SG/LILA TFU DJJ STATUS TT FE LAKSA WICARA
K1 Akses GOLDA HB PROT.UR GDS HIV HBSag Sifilis NA
1 05/09/2021 USNA/ TOMI 24 JL. ALI GATMIR RT. 13 KEL. G 1 P1 A0 20/3/2021 27/12/2021 24 K1 AKSES 55 158 120/80 24 24 LLO/135 TT1 30 B 12.6 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
13 ILIR
2 07/09/2021 RIZA/ INDRA YADI 22 JL. ALI GATMIR RT. 04 KEL. G1 P0 A0 03/06/2021 10/03/2022 12 K1 Murni 55 155 110/70 24 9 - TT1 30 A 11.5 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
13 ILIR
3 11/09/2021 PUAN/ ANWAR 23 JL. ALI GATMIR RT. 08 KEL. G1 P0 A0 19/07/2021 26/04/2022 8 K1 Murni 53 158 100/70 24 - - TT1 30 O 12.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
13 ILIR
4 25/09/2021 RIRIN MEIRANI/ ANDRIADI 23 JL. ALI GATMIR RT. 01 KEL. G1 P0 A0 10/08/2021 17/05/2022 7 K1 Murni 60 160 120/70 26 - - TT2 30 O 12.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
13 ILIR
5 20/09/2021 NURFADILLAH/ AMIRUL 22 JL. ALI GATMIR RT. 06 KEL. G2 P1 A0 20/07/2021 27/04/2022 9 K1 Murni 66 159 120/70 28 - - TT3 30 AB 11.9 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
MUKMIN 13 ILIR
6 11/09/2021 ZAINUN/ MUKLAS 27 JL. ALI GATMIR RT. 12 KEL. G2 P1 A0 12/07/2021 19/04/2022 9 K1 Murni 60 155 110/70 26 - - TT2 30 B 12.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
13 ILIR
7 12/09/2021 FITRIANTI/ DUMIDI 33 LRG. TERUSAN TENGAH G3 P2 A0 13/07/2021 20/4/2022 9 K1 Murni 64 159 110/70 27 - - TT3 30 A 11.6 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
RT. 03 14 ILIR
8 05/09/2021 RISKA AMELIA PUTRI/ 19 JL. P. ANTASARI LR. PASAR G1 P0 A0 28/6/2021 02/03/2022 9 K1 Murni 45 153 110/70 24 - - TT1 30 A 11.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
RIANSYAH TERUSAN RT. 1 14 ILIR
9 24/09/2021 DEVIANA MATILAH/ WILDAN 22 JL. P. ANTASARI RT. 04 G1 P0 A0 18/08/2021 25/03/2022 6 K1 Murni 58 159 110/80 26 - - TT1 30 O 12.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
KEL. 14 ILIR
10 15/09/2021 PENTI YULINDA/ YUDI 23 JL. P. ANTASARI RT. 08 KEL. G1 P0 A0 02/07/2021 09/04/2022 11 K1 Murni 57 155 120/80 25 - - TT1 30 A 11.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
IRAWAN 14 ILIR
11 10/09/2021 MONICA/ IRSAN 25 JL. P. ANTASARI RT. 05 KEL. G2 P1 A0 04/07/2021 11/04/2022 8 K1 Murni 62 158 100/70 26 - - TT2 30 B 12.2 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
14 ILIR
12 02/09/2021 PHINA PUTRI R/ ARYA 24 JL SEGARAN RT 03 RW G1P0A0 02/08/2021 09/05/2022 6 K1 MURNI 53.8 161 120/80 25 - - TT3 30 B 11 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
DHARMAWAN 01KEL 15 ILIR
13 03/09/2021 VERA YUNITA/ EMIR 26 JL RUPIT RT 12 RT 03 KEL G3P1A1 05/08/2021 12/05/2022 6 K1 MURNI 59.3 155 110/70 28 - - TT4 30 A 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
FATAHILAH 15 ILIR
14 03/09/2021 NURIAN/ ASWARI 25 JL LAKITAN RT 04 RW 01 G1P0A0 01/07/2021 08/04/2022 8 K1 MURNI 56.5 150 110/80 25 - - TT2 30 B 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
KEL 15 ILIR
15 04/09/2021 NEFILIA / GUNAWAN 27 JL SEGARAN RT 05 RW 01 G2P1A0 01/08/2021 08/05/2021 7 K1 MURNI 48.5 158 120/80 24 - - TT2 30 B 11.9 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
16 06/09/2021 ANITA/ SYARNUBI 26 JL RUPIT RT 05 RW 05 KEL G2P1A0 19/05/2021 26/02/2022 14 K1 MURNI 59.8 150 120/73 25 - - TT3 30 B 11.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
15 ILIR
17 06/09/2021 ISABELLA/ ANTON 23 JL SEGARAN RT 15 RW. 03 G1P0A0 18/07/2021 25/04/2021 7 K1 MURNI 48.7 150 110/68 25 - - TT3 30 O 12.1 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
KEL 15 ILIR
18 07/09/2021 SALSA/ NOWAN 24 JL RUPIT RT 04 RW 01 KEL G2P0A1 04/07/2021 11/04/2021 7 K1 MURNI 50 152 120/82 24 - - TT3 30 A 12.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
15 ILIR
19 07/09/2021 SEPTIKA/ WAWAN 27 JL LAKITAN RT 02 RW 01 G1P0A0 14/06/2021 21/03/2021 12 K1 MURNI 57 160 120/70 26 9 - TT3 30 A 11.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
KEL 15
20 07/09/2021 KARIMAH/ KURNIAWAN 22 JL DEMPO DALAM RT 15 G2P1A0 14/07/2021 21/04/2022 7 K1 MURNI 60 165 110/70 30 - - TT3 30 B 11 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
RW 4
21 06/09/2021 SEPTIANI/ AGUS RIYANTO 26 LRG GUBAH LAUT NO 30 G1P0A0 09/08/2021 16/05/2022 6 K1 MURNI 49 156 120/70 23 - - TT3 30 O 11 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
22 03/09/2021 SHELA AGUSTINA/M.AHMAD 25 LRG.RK LAMA RT.07 KEL.16 G2P1A0 28/06/2021 05/04/2022 9 K1 MURNI 60 157 110/70 28 _ BALT (+) TT3 30 A 12.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
ILIR
23 02/09/2021 EMILIA 34 JL.SAYANGAN LR G2P1A0 20/05/2021 24/02/2022 15 K1 AKSES 61 161 110/70 26 12 TT2 30 B 11 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
KETANDAN RT 04 RW 02
KEL 17 ILIR
24 02/09/2021 ROSITA 25 JL.SEMERU LR SABILILAH G1P0A0 07/08/2021 11/05/2022 5 K1 AKSES 51 155 100/80 26 - - TT4 30 A 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
RT 14 RW 05 KEL 17 ILIR
25 9/2/2021 LINDA ERFINA/HADI 26 JL.KOLATMO RT 14 KEL 17 G1P0A0 7/28/2021 5/1/2022 5 K1 MURNI 51 153 110/80 25 - - TT2 30 B 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
ILIR
26 9/3/2021 SUCI/OGI 30 JL.MASJID LAMA RT 04 RW G1P0A0 31/7/12021 5/4/2022 5 K1 MURNI 47 155 110/80 26 - - TT2 30 B 11.9 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
02 KEL 17 ILIR
27 9/5/2021 LIA/M.IDRIS 25 JL.KETANDAN RT 05 RW 02 G2P1A0 5/27/2021 3/3/2022 15 K1 MURNI 69 157 110/90 25 - - TT2 30 B 11.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
KEL 17 ILIR
28 9/5/2021 WINDA /TRI 31 JL.KETANDAN RT 05 RW 02 G2P1A0 6/28/2021 4/2/2022 10 K1 MURNI 70 160 110/80 28 - - TT2 30 B 11.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
KEL 17 ILIR
29 9/18/2021 FIDIA/M.FURQON 25 JL.KETANDAN RT 05 RW 02 G1P0A0 8/14/2021 5/17/2022 5 K1 MURNI 90 168 120/80 32 - - TT2 30 B 11.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
KEL 17 ILIR
30 9/9/2021 ROKNA/SALIM 38 JL.SEMERU LR SABILILAH G3P2A0 5/16/2021 2/20/2022 16 K1 MURNI 61 150 110/68 25 16 LLO/135 TT2 30 O 12.1 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
RT 13 RW 05 KEL 17 ILIR
31 9/13/2021 NORA YULIA 29 JL.KEBON JAHE RT 07 RW G6P5A0 6/2/2021 3/9/2022 14 K1 MURNI 52 155 100/80 25 10 - TT2 30 O 13,2 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
02 NO 531 KEL.18 ILIR
32 9/10/2021 SESI NOPENTI 25 LR.LAPANGAN PASIR RT 10 G2P1A0 6/30/2021 4/12/2022 10 K1 AKSES 65 160 120/80 25 - - TT2 30 O 13,6 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
RW 04 KEL.18 ILIR
33 9/10/2021 ANDINI/ANDI 29 JL.LAPANGAN PASIR RT 10 G2P1A0 6/2/2021 3/8/2022 14 K1 MURNI 64 158 110/70 26 13 - TT3 30 B 11 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
RW 01 KEL 18 ILIR
34 9/6/2021 SHINTA/M.AGIL 28 JL.KS TUBUN LRG.ROTAN G1P0A0 20/07/2021 27/04/2022 5 K1 MURNI 67 158 110/75 27 _ BALT (+) TT2 30 B 13.2 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
35 9/2/2021 SEPNADA PUTRI/RUDIYANTO 24 KEP. BARU G1P0A0 6/13/2021 3/20/2022 10 K1 MURNI 61 154 120/80 26 _ BALT (+) TT2 30 A 12.1 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
36 9/3/2021 BELA APRIANI/ EKO PUTRA 26 JALAN TAMAN SISWA G2 P1 A0 6/25/2021 4/2/2022 11 K1 MURNI 40 152 120/80 22.5 - BALT (+) TT 2 30 O 11 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
DARMAWAN GANG MERAPI NO. 189
RT. 003 RW. 001 KEL. 20
ILIR DI
37 9/4/2021 MASNITA/ ROBIANSYAH 31 JALAN TAMAN SISWA G3 P2 A0 7/10/2021 7/17/2022 4 K1 MURNI 44 154 120/80 23 - - TT 3 30 O 11 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
GANG MERAPI NO. 11 RT.
003 RW. 001 KEL. 20 ILIR
DI
38 9/16/2021 DWI/ YUDI 28 JALAN JEND SUDIRMAN G1 P0 A0 7/9/2021 4/16/2022 8 K1 MURNI 56 156 120/80 25 - - TT 2 30 A 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
RT. 006 RT. 002 KEL. 20
ILIR DI
39 7/16/2021 FITRIYANTI/ HENDRA 32 RT.22 RW. 005 KEL. 20 ILIR G3 P2 A0 7/15/2021 4/22/2022 8 K1 MURNI 58 158 120/80 26 - - TT 3 30 O 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
DI
40 9/23/2021 ENDRIA MINARNI/ ROBBI 33 RT. 29 KEL. 20 ILIR DI G2 P1 A0 8/3/2021 5/10/2022 5 K1 MURNI 57 157 120/80 25 - - TT 3 30 A 12.1 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
41 9/20/2021 DESI YUSTINA/ SAMSUDIN 33 JALAN MAYOR RUSLAN G3 P2 A0 7/20/2021 4/27/2022 7-8 K1 MURNI 63 158 120/80 26 - - TT 3 30 B 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
KEL. 20 ILIR DI
42 9/20/2021 TRI WAHYU NINGSIH/ DEDI 31 RT. 31 KEL. 20 ILIR DI G2 P1 A0 7/3/2021 4/10/2022 8 K1 MURNI 58 157 120/80 25 - - TT 3 30 O 11.9 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
43 9/20/2021 RINA KUSUMA/ ARDIANSYAH 28 RT. 27 KEL. 20 ILIR DI G2 P1 A0 7/20/2021 4/27/2022 7-8 K1 MURNI 56 157 120/80 25 - - TT 3 30 A 12.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
44 9/20/2021 TRI WULAN DARI/ YOGI 29 RT. 18 KEL. 20 ILIR DI G3 P2 A0 7/2/2021 4/9/2022 8 K1 MURNI 55 158 120/80 25 - - TT 3 30 B 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
45 9/24/2021 ASNI/ WAWAN 26 RT. 36 KEL. 20 ILIR DI G3 P2 A0 8/25/2021 6/3/2021 4 K1 MURNI 49 154 120/80 24 - - TT 3 30 O 12.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
46 9/22/2021 ALTINUS FAUZIAH/ SAHRUDIN 22 RT. 24 KEL. 20 ILIR DI G1 P0 A0 8/15/2021 5/22/2022 5 K1 MURNI 50 156 120/80 25 - - TT 1 30 A 11.9 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
47 9/24/2021 MAI ROSEUM/ DANIEL 26 RT. 18 KEL. 20 ILIR DI G1 P0 A0 8/4/2021 5/11/2022 4 K 1 MURNI 49 155 120/80 24 - - TT 1 30 B 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
TOBING
48 9/19/2021 RIKA ANGGRAINI/ AGUNG 21 RT. 008 KEL. 20 ILIR DI G2 P1 A0 7/31/2021 5/7/2022 6 K 1 MURNI 62 151 120/80 27 - - TT 3 30 A 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE 167102640800005/ 085273514200
49 9/20/2021 KURNIA/ JUNAIDI 35 KEL. 20 ILIR DI G3P2A0 8/22/2021 5/29/2022 4 K 1 MURNI 54 155 120/80 25 - - TT 3 30 B 11.9 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
50 9/23/2021 SUCI WULANDARI/ AGI 27 KEL. 20 ILIR DI G1P0A0 7/31/2021 5/7/2021 7 K1 MURNI 55 155 120/80 25 - - TT 1 30 O 11.6 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
FANDELA
51 9/23/2021 CITRA PERTIWI/ M. LENDI D 27 KEL. 20 ILIR DI G1 P0 A 6/22/2021 3/29/2021 11-12 K1 MURNI 56 156 120/80 24 - - TT 1 30 A 11.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
52 9/20/2021 NIA AUDINA/ YUDI 26 KEL. 20 ILIR DI G1 P0 A0 8/3/2021 5/10/2021 5 K 1 MURNI 57 157 120/80 23 - - TT 1 30 B 11.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
53 9/20/2021 NADIA/ DANI 25 KEL. 20 ILIR DI G1 P0 A0 7/23/2021 4/30/2021 7 K 1 MURNI 55 156 120/80 22 - - TT 1 30 A 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
54 9/20/2021 AMELIA DEA/ RIAN 30 KEL. 20 ILIR DI G1 P0 A0 7/26/2021 5/4/2021 7 K 1 MURNI 54 155 120/80 21 - - TT 1 30 O 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
MENGETAHUI, PALEMBANG, 31 SEPTEMBER 2021

PLT. KEPALA PUSKESMAS DEMPO BIDAN KOORDINATOR
drg. NOVI ARTATI WIWIN, AM.Keb

NIP. 196411281989012001 NIP. 198107182006042010
LAPORAN PELAYANA

NO TGL
NAMA UMUR ALAMAT G.P.A. HPHT TP USIA KH
IBU/SUAMI
1 13/09/2021 USNA/ TOMI 24 JL. ALI GATMIR G 1 P1 A0 20/3/2021 27/12/2021 24

RT. 13 KEL. 13
ILIR
2 16/09/2021 RIZA/ INDRA YADI 22 JL. ALI GATMIR G1 P0 A0 03/06/2021 10/03/2022 12

RT. 04 KEL. 13
ILIR
3 18/09/2021 PUAN/ ANWAR 23 JL. ALI GATMIR G1 P0 A0 19/07/2021 26/04/2022 8

RT. 08 KEL. 13
ILIR
4 30/09/2021 RIRIN MEIRANI/ 23 JL. ALI GATMIR G1 P0 A0 10/08/2021 17/05/2022 7

ANDRIADI RT. 01 KEL. 13
ILIR
5 28/09/2021 NURFADILLAH/ 22 JL. ALI GATMIR G2 P1 A0 20/07/2021 27/04/2022 9

AMIRUL MUKMIN RT. 06 KEL. 13
ILIR
6 20/09/2021 ZAINUN/ MUKLAS 27 JL. ALI GATMIR G2 P1 A0 12/07/2021 19/04/2022 9

RT. 12 KEL. 13
ILIR
7 20/09/2021 FITRIANTI/ DUMIDI 33 LRG. TERUSAN G3 P2 A0 13/07/2021 20/4/2022 9

TENGAH RT. 03
14 ILIR
8 30/09/2021 RISKA AMELIA 19 JL. P. ANTASARI G1 P0 A0 28/6/2021 02/03/2022 9

PUTRI/ RIANSYAH LR. PASAR
TERUSAN RT. 1
14 ILIR
9 27/09/2021 DEVIANA MATILAH/ 22 JL. P. ANTASARI G1 P0 A0 18/08/2021 25/03/2022 6

WILDAN RT. 04 KEL. 14
ILIR
10 22/09/2021 PENTI YULINDA/ 23 JL. P. ANTASARI G1 P0 A0 02/07/2021 09/04/2022 11
YUDI IRAWAN RT. 08 KEL. 14
ILIR
11 16/09/2021 MONICA/ IRSAN 25 JL. P. ANTASARI G2 P1 A0 04/07/2021 11/04/2022 8

RT. 05 KEL. 14
ILIR
12 13/09/2021 PHINA PUTRI R/ 24 THN JL SEGARAN RT G1P0A0 02/08/2021 09/05/2022 6 MGG

ARYA 03 RW 01KEL 15
DHARMAWAN ILIR
13 14/09/2021 VERA YUNITA/ EMIR 26 THN JL RUPIT RT 12 G3P1A1 05/08/2021 12/05/2022 6 MGG
FATAHILAH RT 03 KEL 15
ILIR
14 14/09/2021 NURIAN/ ASWARI 25 THN JL LAKITAN RT G1P0A0 01/07/2021 08/04/2022 8 MGG

04 RW 01 KEL
15 ILIR
15 15/09/2021 NEFILIA / 27 THN JL SEGARAN RT G2P1A0 01/08/2021 08/05/2022 7 MGG

GUNAWAN 05 RW 01
16 15/09/2021 ANITA/ SYARNUBI 26 THN JL RUPIT RT 05 G2P1A0 19/05/2021 26/02/2022 14 MGG

RW 05 KEL 15
ILIR
17 16/09/2021 ISABELLA/ ANTON 23 THN JL SEGARAN RT G1P0A0 18/07/2021 25/04/2022 7 MGG
15 RW. 03 KEL
15 ILIR
18 16/09/2021 SALSA/ NOWAN 24 THN JL RUPIT RT 04 G2P0A1 04/07/2021 11/04/2022 7 MGG

RW 01 KEL 15
ILIR
19 17/09/2021 SEPTIKA/ WAWAN 27 THN JL LAKITAN RT G1P0A0 14/06/2021 21/03/2022 12 MGG

02 RW 01 KEL
15
20 28/09/2021 KARIMAH/ 22 THN JL DEMPO G2P1A0 14/07/2021 21/04/2022 12 MGG

KURNIAWAN DALAM RT 15
RW 4
21 23/09/2021 SEPTIANI/ AGUS 26 THN LRG GUBAH G1P0A0 09/08/2021 16/05/2022 9 MGG
RIYANTO LAUT NO 30
22 17/09/2021 SHELA 25 THN LRG.RK LAMA G2P1A0 20/07/2021 27/04/2022 11 MGG

AGUSTINA/M.AHM RT.07 KEL.16
AD ILIR
23 10/09/2021 EMILIA 34 JL.SAYANGAN G2P1A0 20/05/2021 24/02/2022 16 MGG

LR KETANDAN
RT 04 RW 02
KEL 17 ILIR
24 12/09/2021 ROSITA 25 JL.SEMERU LR G1P0A0 07/08/2021 11/05/2022 6 MGG

SABILILAH RT
14 RW 05 KEL
17 ILIR
25 9/12/2021 LINDA ERFINA/HADI 26 JL.KOLATMO RT G1P0A0 7/28/2021 5/1/2022 6 MGG

14 KEL 17 ILIR
26 9/23/2021 SUCI/OGI 30 JL.MASJID LAMA G1P0A0 31/7/12021 5/4/2022 8 MGG
RT 04 RW 02
KEL 17 ILIR
27 9/25/2021 LIA/M.IDRIS 25 JL.KETANDAN G2P1A0 5/27/2021 3/3/2022 17 MGG

RT 05 RW 02
KEL 17 ILIR
28 9/25/2021 WINDA /TRI 31 JL.KETANDAN G2P1A0 6/28/2021 4/2/2022 12 MGGU

RT 05 RW 02
KEL 17 ILIR
29 9/18/2021 FIDIA/M.FURQON 25 JL.KETANDAN G1P0A0 8/14/2021 5/17/2022 7 MGG

RT 05 RW 02
KEL 17 ILIR
30 9/19/2021 ROKNA/SALIM 38 JL.SEMERU LR G3P2A0 5/16/2021 2/20/2022 17 MGG

SABILILAH RT 13
RW 05 KEL 17
ILIR
31 9/23/2021 NORA YULIA 29 JL.KEBON JAHE G6P5A0 6/2/2021 3/9/2022 17 MGG
RT 07 RW 02 NO
531 KEL.18 ILIR
32 9/24/2021 SESI NOPENTI 25 LR.LAPANGAN G2P1A0 6/30/2021 4/12/2022 12 MGG

PASIR RT 10 RW
04 KEL.18 ILIR
33 9/21/2021 ANDINI/ANDI 29 JL.LAPANGAN G2P1A0 6/2/2021 3/8/2022 15 MGG

PASIR RT 10 RW
01 KEL 18 ILIR
34 9/20/2021 SHINTA/M.AGIL 28 THN JL.KS TUBUN G1P0A0 20/07/2021 27/04/2022 7 MGG

LRG.ROTAN
35 9/16/2021 SEPNADA 24 THN KEP. BARU G1P0A0 6/13/2021 3/20/2022 12 MGG

PUTRI/RUDIYANTO
36 9/10/2021 BELA APRIANI/ EKO 26 JALAN TAMAN G2 P1 A0 6/25/2021 4/2/2022 12

PUTRA DARMAWAN SISWA GANG
MERAPI NO.
189 RT. 003 RW.
001 KEL. 20 ILIR
DI
37 9/11/2021 MASNITA/ 31 JALAN TAMAN G3 P2 A0 7/10/2021 7/17/2022 5

ROBIANSYAH SISWA GANG
MERAPI NO. 11
RT. 003 RW. 001
KEL. 20 ILIR DI
38 9/23/2021 DWI/ YUDI 28 JALAN JEND G1 P0 A0 7/9/2021 4/16/2022 9

SUDIRMAN RT.
006 RT. 002 KEL.
20 ILIR DI
39 7/23/2021 FITRIYANTI/ 32 RT.22 RW. 005 G3 P2 A0 7/15/2021 4/22/2022 9
HENDRA KEL. 20 ILIR DI
40 9/23/2021 ENDRIA MINARNI/ 33 RT. 29 KEL. 20 G2 P1 A0 8/3/2021 5/10/2022 5

ROBBI ILIR DI
41 9/20/2021 DESI YUSTINA/ 33 JALAN MAYOR G3 P2 A0 7/20/2021 4/27/2022 7-8

SAMSUDIN RUSLAN KEL. 20
ILIR DI
42 9/27/2021 TRI WAHYU 31 RT. 31 KEL. 20 G2 P1 A0 7/3/2021 4/10/2022 9

NINGSIH/ DEDI ILIR DI
43 9/27/2021 RINA KUSUMA/ 28 RT. 27 KEL. 20 G2 P1 A0 7/20/2021 4/27/2022 9

ARDIANSYAH ILIR DI
44 9/20/2021 TRI WULAN DARI/ 29 RT. 18 KEL. 20 G3 P2 A0 7/2/2021 4/9/2022 8

YOGI ILIR DI
45 9/30/2021 ASNI/ WAWAN 26 RT. 36 KEL. 20 G3 P2 A0 8/25/2021 6/3/2021 5

ILIR DI
46 9/25/2021 ALTINUS FAUZIAH/ 22 RT. 24 KEL. 20 G1 P0 A0 8/15/2021 5/22/2022 5-6

SAHRUDIN ILIR DI
47 9/30/2021 MAI ROSEUM/ 26 RT. 18 KEL. 20 G1 P0 A0 8/4/2021 5/11/2022 5

DANIEL TOBING ILIR DI
48 9/29/2021 RIKA ANGGRAINI/ 21 RT. 008 KEL. 20 G2 P1 A0 7/31/2021 5/7/2022 7

AGUNG ILIR DI
49 9/27/2021 KURNIA/ JUNAIDI 35 KEL. 20 ILIR DI G3P2A0 8/22/2021 5/29/2022 5
50 9/30/2021 SUCI WULANDARI/ 27 KEL. 20 ILIR DI G1P0A0 7/31/2021 5/7/2021 8

AGI FANDELA
51 9/30/2021 CITRA PERTIWI/ M. 27 KEL. 20 ILIR DI G1 P0 A 6/22/2021 3/29/2021 11-12

LENDI D
52 9/30/2021 NIA AUDINA/ YUDI 26 KEL. 20 ILIR DI G1 P0 A0 8/3/2021 5/10/2021 5-Jan
53 9/20/2021 NADIA/ DANI 25 KEL. 20 ILIR DI G1 P0 A0 7/23/2021 4/30/2021 7

54 9/20/2021 AMELIA DEA/ RIAN 30 KEL. 20 ILIR DI G1 P0 A0 7/26/2021 5/4/2021 7
MENGETAHUI,
PLT. KEPALA PUSKESMAS DEMPO
drg. NOVI ARTATI

NIP. 196411281989012001
LAPORAN PELAYANAN IBU HAMIL (SPM) Kunjungan Ke Dua (K2)
PUSKESMAS DEMPO
LABORATORIU
BB TB TD SG/LILA TFU PRES dan STATUS FE
DJJ TT GOLDA
55 158 120/80 24 (-) (-) TT1 30 B
55 155 110/70 24 (-) (-) TT1 30 A
53 158 100/70 24 (-) (-) TT1 30 O
60 160 120/70 26 (-) (-) TT2 30 O
66 159 120/70 28 (-) (-) TT3 30 AB
60 155 110/70 26 (-) (-) TT2 30 B
64 159 110/70 27 (-) (-) TT3 30 A
45 153 110/70 24 - (-) TT1 30 A
58 159 110/80 26 (-) (-) TT1 30 O

57 155 120/80 25 (-) (-) TT1 30 A
62 158 100/70 26 (-) (-) TT2 30 B
53.8 161 120/80 25 - - TT3 30 B
59.3 155 110/70 28 - - TT4 30 A
56.5 150 110/80 25 - - TT2 30 B
48.5 158 120/80 24 - - TT2 30 B
59.8 150 120/73 25 - - TT3 30 B
48.7 150 110/68 25 - - TT3 30 O
50 152 120/82 24 - - TT3 30 A
57 160 120/70 26 - - TT3 30 A
60 165 110/70 30 - - TT3 30 B
49 156 120/70 23 - - TT3 30 O
59.5 157 110/70 28 8 BALT (+) TT3 30 A
61 161 110/70 26 17 LLO/ 135 TT2 30 B
51 155 120/80 26 - - TT4 30 A
51 153 110/80 25 - - TT2 30 B

47 155 110/80 26 - - TT2 30 B
69 157 100/80 25 16 LLO/ 135 TT2 30 B
70 160 110/80 28 9 BALT (+) TT2 30 B
90 168 120/80 32 - - TT2 30 B
61 150 110/68 25 16 LLO/ 135 TT2 30 O
52 155 110/80 25 16 LLO/ 135 TT2 30 O
65 160 110/80 25 9 BALT (+) TT2 30 O
64 158 100/70 26 12 LLO/ 135 TT3 30 B
68 158 110/75 27 29 KEP/132 TT3 30 B
61.3 154 120/80 26 _ BALT (+) TT2 30 A
40 152 120/80 22.5 9 BALT (+) TT 2 30 O
44 154 120/80 23 - - TT 3 30 O
56 156 120/80 25 - - TT 2 30 A
58 158 120/80 26 - - TT 3 30 O
57 157 120/80 25 - - TT 3 30 A
63 158 120/80 26 - - TT 3 30 B
58 157 120/80 25 - - TT 3 30 O
56 157 120/80 25 - - TT 3 30 A
55 158 120/80 25 - - TT 3 30 B
49 154 120/80 24 - - TT 3 30 O
50 156 120/80 25 - - TT 1 30 A
49 155 120/80 24 - - TT 1 30 B
62 151 120/80 27 - - TT 3 30 A
54 155 120/80 25 - - TT 3 30 B
55 155 120/80 25 - - TT 1 30 O
56 156 120/80 24 - - TT 1 30 A
57 157 120/80 23 - - TT 1 30 B
55 156 120/80 22 - - TT 1 30 A
54 155 120/80 21 - - TT 1 30 O
LABORATORIUM (RUTIN dan KHUSUS)
TATALAK
PROT.UR SANA
HB GDS HIV HBSag sifilis
INE
12.6 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V

11 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V
12.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif KIE

13,2 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V
13,6 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V
11 Negatif Non Reaktif Non Reaktif Non Reaktif V KIE

12.1 Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
12 Negatif Negatif Non Reaktif Non Reaktif V KIE
12 Negatif Negatif Non Reaktif Non Reaktif V KIE
11.9 Negatif Negatif Non Reaktif Non Reaktif V KIE

PALEMBANG, 31 SEPTEMBER 2021

BIDAN KOORDINATOR
WIWIN, AM.Keb
NIP. 198107182006042010
LAPORAN PELAYANA

NAMA
NO TGL UMUR ALAMAT G.P.A. HPHT TP USIA KH
IBU/SUAMI
1 11/09/2021 AMRINA 25 LR. MANGGIS G 2 P1 A0 20/3/2021 27/12/2021 22
ROSADA/ NO. 113 RT.
SAFRUDIN 03 KEL. 13
ILIR
2 14/09/2021 FERYANA/ HANDI 33 JL. ALI G1 P0 A0 03/04/2021 10/01/2022 20

GATMIR RT.
04 KEL. 13
ILIR
3 14/09/2021 CHYNTIA/ 25 JL. ALI G1 P0 A0 02/04/2021 09/01/2022 21

SUHENDRA GATMIR RT.
06 KEL. 13
ILIR
4 17/09/2021 DEVITA/ 27 JL. ALI G2 P1 A0 05/06/2021 12/03/2022 12
ANDRIANSYAH GATMIR RT.
01 KEL. 13
ILIR
5 18/09/2021 REFI/ RIO 26 JL. ALI G1 P0 A0 27/04/2021 05/01/2022 21

ANDRIANTO GATMIR RT.
10 KEL. 13
ILIR
6 20/09/2021 NENENG/ 29 LRG. PAGAR G3 P2 A0 4/4/2021 11/1/2022 23

HASANUDDIN NO. 151 13
ILIR
7 24/09/2021 DEVYA 23 JL. P. G1 P0 A0 13/5/2021 23/2/2022 16

ANGGRAINI/ ANTASARI LR.
YEREMIAS PANDANGAN
NO. 4040 RT.
14 14 ILIR
8 18/09/2021 ADE SURYANI/ 25 JL. P. G1 P0 A0 15/05/2021 22/03/2022 16

AVI ANTASARI
FERDIANSYAH RT. 14 KEL. 14
ILIR
9 27/09/2021 ERNA SARI/ 25 JL. P. G1 P0 A0 09/06/2021 16/03/2022 12

HENDRIAN ANTASARI RT.
04 KEL. 14
ILIR
10 30/09/2021 EVI SAFITRI/ 28 JL. P. G1 P0 A0 04/04/2021 11/01/2022 20

ROMI ANTASARI RT.
02 KEL. 14
ILIR
11 18/09/2021 Faridah Lutfiah 24 JL. P. G1P0A0 07/06/2021 14/03/2022 15

ANTASARI RT.
01 KEL. 14
ILIR
12 02/09/2021 VEVI 28 THN JLN. G2P1A0 29/06/2021 06/04/2022 14

WULANDARI INDRAGINI 15
ILIR
13 03/09/2021 LENA/ ADE 40 THN JLN. RAFLESIA G4P3A0 17/06/2021 24/03/2022 14
HARIANTO 15 ILIR
14 03/09/2021 RICALIA A/ 33 THN 15 ILIR G1P0A0 14/06/2021 21/03/2022 14

CHANDRA
15 04/09/2021 PURWATI/ 31 THN 15 ILIR G3P2A0 20/06/2021 27/03/2022 14
SURYONO
16 06/09/2021 DINA ANISA/ 21 THN 15 ILIR G2P0A1 23/05/2021 30/02/2022 16
NOPI ALKAHAR
17 06/09/2021 DIAN SEPTINKA/ 32 THN 15 ILIR G3P2A0 14/05/2021 21/02/2022 17
SYAHRUL FADLI
18 07/09/2021 RENTIAYANI/ 28 THN 15 ILIR G2P0A1 18/06/2021 25/03/2022 14

EKO
19 07/09/2021 YULIANA/ ABDUL 36 THN JL. LETKOL G5P4A0 03/06/2021 10/03/2022 14
RAHMAN ISKANDAR RT.
14 15 ILIR
20 07/09/2021 ARDILA/ BOB 28 THN JL DEMPO G2P1A0 20/06/2021 27/03/2022 14

DALAM
21 06/09/2021 WARDAH / 25 THN 15 ILIR G1P0A0 02/07/2021 09/04/2022 13
ROMLI
22 07/09/2021 DESTANI/ROY 27 TAHUN 16 ILIR G2P1A0 02/05/2021 09/02/2022 17
23 9/8/2021 MINDA/SAKTI 31 JL.KOL ATMO G2P1A0 1/19/2021 10/26/2021 33
RT13 KEL 17
ILIR
24 9/2/2021 APRILLA 20 LR KETANDAN G2P1A0 1/24/2021 10/31/2021 31

SUSANTI/HERMA KEL 17 ILIR
N
25 9/7/2021 HENY/FARIS 30 JL.KOL ATMO G2P1A0 3/5/2021 12/12/2021 26

LR BUKIT
SULAP RT 14
KEL 17 ILIR
26 9/3/2021 DEVI/EKA 28 JL.KOL.ALTM G2P1A0 1/7/2021 10/13/2021 34

O LR
REKANASURI
RT 5 KEL 17
ILIR
27 9/3/2021 YENI/JONI 29 JL.PENGADILA G2P1A0 12/31/2020 10/7/2021 35

N NO 711 RT
09 RW 04
28 9/15/2021 MARIA 31 JL.KOL.ATMO G2P0A1 2/7/2021 11/22/2021 31

ULFA/ANDRIAN LR BUKIT
SULAP RT 15
RW 06 KEL.
17 ILIR
29 9/15/2021 SURYA 26 LR KETANDAN G1P0A0 2/20/2021 11/27/2021 30

AGUSTIN/HERU KEL 17 ILIR
30 9/3/2021 SANDHY 27 LR KETANDAN G1P0A0 1/10/2021 10/18/2021 33

YUNSIAR/FAJRI KEL 17 ILIR
31 9/3/2021 FETRSIA/ROZALI 23 LR KEPALA G1P0A0 1/11/2021 10/18/2021 33

KAMPUNG RT
3 KEL 18 ILIR
32 9/3/2021 DEWI/AGUS 33 JL.KAPTEN G2P1A0 1/27/2021 11/3/2021 31
CEK SYEH RT
3 KEL 18 ILIR
33 9/3/2021 UMI 25 JLN G1P0A0 1/21/2021 10/28/2021 32

PURWASIH/RUDI LAPANGAN
PASIR RT 09
KEL 18 ILIR
34 9/6/2021 DEVI/ANDRI 28 TAHUN KEP. BARU G2POA1 5/4/2021 2/11/2022 14
35 9/6/2021 REKA/BERRY 22 TAHUN KEP. BARU G1P0A0 5/30/2021 3/7/2022 14
36 9/9/2021 MENTRAYANI/ 28 20 ILIR DI G2P1A0 6/18/2021 3/25/2021 16

EKA
37 9/12/2021 DIAN SAPRINTA/ 32 20 ILIR DI G3P2A0 5/14/2021 2/21/2022 19
SYAMSUL FADLI
38 9/13/2021 PINA ANISAH/ 21 20 ILIR DI G1P0A0 5/10/2021 3/17/2022 17

NOPI KOHAR
39 9/21/2021 TINA ATIKA/ 27 20 ILIR DI G1P0A0 6/11/2021 3/18/2022 16

AGUS
40 9/21/2021 PURWATI/ 31 20 ILIR DI G3P2A0 5/20/2021 2/27/2021 18

SARYONO
41 9/30/2021 VEVI 28 20 ILIR DI G2P1A0 6/3/2021 3/10/2022 16

WULANDARI/
LUKMAN HAKIN
42 9/21/2021 LENA/ ADE 35 20 ILIR DI G4 P3 A0 6/15/2021 3/22/2022 16

HERIYANTO
43 9/16/2021 RISKA/ HARUN 26 20 ILIR DI G3P2A0 5/29/2021 3/5/2021 17
44 9/23/2021 MIRA/ MARTIN 30 20 ILIR DI G1P0A0 6/8/2021 3/15/2021 16
45 9/11/2021 ZURNIATI 33 20 ILIR DI G2P1A0 4/15/2021 1/22/2022 20

NINGSIH/
WAHYU
46 9/13/2021 WILDA SARTIKA/ 22 20 ILIR DI G1P0A0 4/17/2021 1/24/2022 20

JASMANI
47 9/28/2021 NANDA/ 24 20 ILIR DI G2 P1 A0 5/25/2021 4/2/2022 16
NOPRIANSYAH
48 9/22/2021 FINDI NIRANTI/ 24 20 ILIR DI G1 P0 A0 5/25/2021 4/2/2022 17

AGUS
49 9/30/2021 MERI/ DEDE 32 20 ILIR DI G1 P0 A0 6/5/2021 3/12/2022 16
50 9/30/2021 ANDINI 28 20 ILIR DI G2 P1 A0 6/3/2021 3/10/2022 15-Jan

ANGGUN/ RIAN
51 9/30/2021 YUNITA/ 29 20 ILIR DI G1P0A0 5/10/2021 2/17/2022 15-16

MULYADI
52 9/30/2021 FITA UMARI/ 28 20 ILIR DI G2 P1 A0 6/17/2021 3/24/2022 16

SYAFRIZAL
53 9/30/2021 MIRZA UMAMI/ 26 20 ILIR DI G3 P2 A0 5/25/2021 3/21/2021 16

IMAM H
54 9/30/2021 WORO/ ADI 27 20 ILIR DI G1 P0 A0 5/14/2021 2/21/2022 16
MENGETAHUI,
drg. NOVI ARTATI

NIP. 196411281989012001
LAPORAN PELAYANAN IBU HAMIL (SPM) Kunjungan Ke TIGA (K3)
PUSKESMAS DEMPO
LABORATOR
PRES dan STATUS
BB TB TD SG/LILA TFU FE
DJJ TT GOLDA
56 161 120/80 24 23 LLO/135 TT2 30 B
58 155 110/70 24 21 LLO/135 TT1 30 A
54 155 100/70 24 (-) (-) TT1 30 O
66 160 120/70 27 (-) (-) TT2 30 AB
61 155 110/70 26 (-) (-) TT2 30 B
58 160 110/70 26 (-) (-) TT2 30 A
59 169 110/70 25 (-) (-) TT1 30 O
61 160 110/80 26 (-) (-) TT1 30 A
62 158 120/80 27 (-) (-) TT1 30 AB
53 155 100/70 24 21 LLO/135 TT2 30 O
51 150 120/80 24 (-) (-) T3 30 O
63 161 110/70 25 12 - TT3 30 B

77 155 110/70 28 13 - TT4 30 A
61.5 150 110/80 25 13 - TT2 30 B
66.5 158 120/80 26 13 - TT2 30 B
46 150 120/73 24 17 LLO/ 140 X/M TT2 30 B
61 150 110/68 25 18 LLO/ 140 X/M TT2 30 O
64 152 120/82 26 13 - TT3 30 A
65.2 160 120/70 26 12 - TT3 30 A
58 150 120/75 24 12 - TT2 30 B
48 152 110/70 24 11 - TT3 30 B
60 160 120/80 24 12 LLO/132 TT3 30 A

80 158 110/80 30 34 KEP/144 TT3 30 O
82 163 110/80 34 36 KEP/138 TT2 30 0
76 164 110/90 29 28 KEP/143 TT2 30 O
66 165 120/80 30 35 KEP/155 TT3 30 A
63 155 110/80 29 33 KEP/143 TT2 30 O
64 154 120/80 28 30 KEP/138 TT2 30 AB
66 155 110/70 28 31 KEP/143 TT2 30 0
69 158 110/80 28 32 KEP/140 TT2 30 B
65 157 110/70 26 33 KEP/148 TT3 30 B

70 158 110/80 29 27 KEP/137 TT3 30 O
71 159 110/90 26 27 KEP/144 TT2 30 AB
53 151 100/70 24 14 LLO/132 TT3 30 B
44 153 110/70 24 14 LLO/132 TT2 30 O
53 155 120/80 24 16 LLO/ 140 X/M TT 3 30 A
55 155 120/80 24 20 LLO/ 140 X/M TT 3 30 B
51 154 120/80 24 18 LLO/ 140 X/M TT 1 30 A
54 155 120/80 24 17 LLO/ 140 X/M TT 1 30 O
58 156 120/80 26 17 LLO/ 140 X/M TT 3 30 O
53 155 120/80 25 16 LLO/ 140 X/M TT 3 30 B
58 156 120/80 28 17 LLO/ 140 X/M TT 3 31 A
58 157 120/80 28 17 LLO/ 140 X/M TT 3 32 O
49 154 120/80 24 17 LLO/ 140 X/M TT 1 30 A
50 155 120/80 24 22 LLO/ 140 X/M TT 3 30 A
50 155 120/80 24 21 LLO/ 140 X/M TT 1 30 B

58 158 120/80 25 16 LLO/ 140 X/M TT 3 30 A
55 156 120/80 24 18 LLO/ 140 X/M TT 1 30 B
54 155 110/80 24 16 LLO/ 140 X/M TT 1 30 O
57 158 120/80 25 17 LLO/ 140 X/M TT 2 30 A
55 158 110/70 25 16 LLO/ 140 X/M TT 1 30 B
58 157 110/80 25 17 LLO/ 140 X/M TT 3 30 B
61 158 120/80 26 17 LLO/ 140 X/M TT 3 30 B
56 157 120/80 25 17 LLO/ 140 X/M TT 1 30 A

TATALAK TEMU
PROT.UR SANA WICARA
HB INE GDS HIV HBSag sifilis
7.4 Negatif Non Reaktif Non Reaktif Non Reaktif Non Reaktif V KIE
12 Negatif Non Reaktif Non Reaktif Non Reaktif Non Reaktif V KIE
11 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE

11.9 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
12.6
12
12

BIDAN KOORDINATOR
WIWIN, AM.Keb
NIP. 198107182006042010
LAPORAN PELAYAN

NO TGL
IBU/SUAMI
1 13/9/2021 INDAH SARI/ SUHAIRI 27 JL. ALI G1 P0 A0 15/03/2021 22/12/2021 29

GATMIR RT.
2 15/9/2021 SELFI/ SEPTIAN 28 LR. MASAWA
11 KEL. 13 G1 P0 A0 22/01/2021 27/10/2021 33
DARATILIRRT. 05
KEL. 13 ILIR
3 20/9/2021 BELLA PRICILIA/AGUS 24 JL. ALI G1 P0 A0 09/02/2021 16/11/2021 32

GATMIR RT.
08 NO. 45
KEL. 13 ILIR
4 15/9/2021 FITRIYA/ SUKARDI 36 GG. AIDA NO. G3 P2 A0 15/1/2021 22/10/2021 34

394 RT. 11
KEL. 13 ILIR
5 18/9/2021 LINAWATI/ ABBAS 34 LR. RAMBAI I G3 P2 A0 13/1/2021 20/10/2021 34

RT. 04 KEL 13
ILIR
6 30/9/2021 RAMA PRATIWI/ ERIK 26 JL. ALI G1 P0 A0 3/3/2021 10/12/2021 34

APRIADI GATMIR RT.
02 KEL. 13
ILIR
7 18/9/2021 ANDREA KUSUMA 38 JL. P. G3 P2 A0 01/02/2021 08/11/2021 32

DEWI/ HERMAN ANTASARI LR.
SYAHPUTRA KEDIPAN RT.
04 KEL. 14
ILIR
8 16/09/2021 SANTI/ SAMI 30 JL. P. G2 P1 A0 11/02/2021 18/11/2021 31

HERBAYU ANTASARI LR.
KERONCONG
AN RT. 2 KEL.
14 ILIR
9 24/09/2021 YUNITA SARI/ AHMAD 34 LR. G2 P1 A0 15/2/2021 23/11/2021 32

KERONCONG
AN RT. 07
KEL. 14 ILIR
10 24/09/2021 ASTUTI/ DEVI 23 JL. P. G2 P1 A0 19/2/2021 26/11/2021 32

ANTASARI LR.
NO. 84RT. 12
KEL. 14 ILIR
11 9/23/2021 RIZKI DWI/ ASBULLAH 29 JL. P. G1 P0 A0 26/01/2021 04/10/2021 33
ANTASARI LR.
KERONCONG
AN RT. 3 KEL.
14 ILIR
12 02/09/2021 VIVIAN/TOMMI 27 15 ILIR G1P0A0 03/09/2020 10/11/2021 26

JULIANTO
13 03/09/2021 YULIARTI/JONI 35 15 ILIR G3P2A0 14/02/2021 21/11/2021 28
LANDASA
14 03/09/2021 REPI BALADONA/ 24 15 ILIR G1P0A0 27/04/2021 04/02/2022 22
SAMSUL
15 04/09/2021 ADE NUNI/SYAHRIAL 23 15 ILIR G1P0A0 6/04/2021 13/01/2022 23
16 06/09/2021 DINA 23 15 ILIR G1P0A0 16/05/2021 23/02/2022 20

SHALATIN/SUPRIYON
O
17 06/09/2021 RIKA/AMRI 29 15 ILIR G1P0A0 20/03/2021 27/12/2021 24

18 07/09/2021 EKA MARWATI/DENIS 31 15 ILIR G2P1A0 02/05/2021 09/02/2022 16
19 07/09/2021 UPIK SAFITRI/EKA 27 15 ILIR G2P1A0 23/04/2021 30/01/2022 20

WICAKSONO
20 07/09/2021 DAHLIAWATI/ 24 15 ILIR G3P2A0 12/05/2021 19/02/2022 18
SUKARDI
21 06/09/2021 KIKI ANITA/ SEPRI 26 JL SEGARAN G2P1A0 01/03/2021 07/12/2021 26
22 21/09/2021 DESTANI/ROY 27 16 ILIR G2P1A0 02/05/2021 09/02/2022 19

23 9/15/2021 MINDA/SAKTI 31 JL.KOL ATMO G2P1A0 1/19/2021 10/26/2021 34
RT13 KEL 17
ILIR
24 9/10/2021 APRILLA 20 LR KETANDAN G2P1A0 1/24/2021 10/31/2021 35

SUSANTI/HERMAN KEL 17 ILIR
25 9/15/2021 HENY/FARIS 30 JL.KOL ATMO G2P1A0 3/5/2021 12/12/2021 27

LR BUKIT
SULAP RT 14
KEL 17 ILIR
26 9/10/2021 DEVI/EKA 28 JL.KOL.ALTM G2P1A0 1/7/2021 10/13/2021 36

O LR
REKANASURI
RT 5 KEL 17
ILIR
27 9/13/2021 YENI/JONI 29 JL.PENGADILA G2P1A0 12/31/2020 10/7/2021 36

N NO 711 RT
09 RW 04
28 9/22/2021 MARIA 31 JL.KOL.ATMO G2P0A1 2/7/2021 11/22/2021 33

ULFA/ANDRIAN LR BUKIT
SULAP RT 15
RW 06 KEL.
17 ILIR
29 9/29/2021 SURYA 26 LR KETANDAN G1P0A0 2/20/2021 11/27/2021 31

AGUSTIN/HERU KEL 17 ILIR
30 9/13/2021 SANDHY 27 LR KETANDAN G1P0A0 1/10/2021 10/18/2021 34
YUNSIAR/FAJRI KEL 17 ILIR
31 9/13/2021 FETRSIA/ROZALI 23 LR KEPALA G1P0A0 1/11/2021 10/18/2021 34

KAMPUNG RT
3 KEL 18 ILIR
32 9/13/2021 DEWI/AGUS 33 JL.KAPTEN G2P1A0 1/27/2021 11/3/2021 32

CEK SYEH RT
3 KEL 18 ILIR
33 9/13/2021 UMI PURWASIH/RUDI 25 JLN G1P0A0 1/21/2021 10/28/2021 33

LAPANGAN
PASIR RT 09
KEL 18 ILIR
34 9/20/2021 DEVI/ANDRI 28 KEP. BARU G2POA1 5/4/2021 2/11/2022 16-17
35 9/20/2021 REKA/BERRY 22 KEP. BARU G1P0A0 5/30/2021 3/7/2022 16-17
36 9/30/2021 APRIANI WILMIDA/ 23 RT. 1 KEL. 20 G2 P0 A0 4/6/2021 1/13/2021 24

SUGENG ILIR DI
37 9/27/2021 YESI/ FERI 30 RT. 3 RW. 01 G2 P1 A0 1/25/2021 11/2/2021 32

NO. 189 KEL.
20 ILIR DI
38 9/30/2021 NUR AZMI/ JAYA 32 JALAN MAY G3 P2 A0 3/15/2021 12/22/2021 26

SABARA RT.
34 KEL. 20
ILIR DI
39 9/30/2021 AYU ADZANIAH/ 26 JALAN G1 P0 A0 4/4/2021 1/11/2022 25-26

GINANJAR JENDRAL
SUSDIRMAN
RT. 1 KEL. 20
ILIR DI
40 9/30/2021 NIA KRISNA/ IDHAM 35 JALAN CANDI G2 P1 A0 2/17/2021 12/24/2021 26

ANGSOKO
NO. 574 RT.
09 RW. 03
KEL. 20 ILIR DI
41 9/12/2021 OKTARI WIJAYANTI/ 25 JALAN EKA G2 P1 A0 1/23/2021 12/30/2021 32

SINGGIH SAPUTRA BAKTI NO.
2465 RT. 36
RW. 09 KEL.
20 ILIR DI
42 9/30/2021 ERLI YUNI/ SULAIMAN 29 RT. 14 KEL. 20 G1 P0 A0 4/4/2021 1/11/2022 26
ILIR DI
43 9/11/2021 LILI KRISTINA/ 22 RT. 36 KEL. 20 G1 P0 A0 1/28/2021 11/5/2021 32

SUGENG RIYADI ILIR DI
44 9/10/2021 TITIN LIA/ PIL HEIRIN 25 RT 25 KEL. 20 G1 P0 A0 2/9/2021 11/16/2021 28

ILIR DI
45 9/7/2021 SUSANA/ APRIZAL 33 RT.3 KEL. 20 G4 P3 A0 1/23/2021 10/30/2021 32

ILIR DI
46 9/16/2021 SELLA FEBIOLA/ MAT 22 RT. 18 KEL. 20 G2 P1 A0 2/16/2021 11/23/2021 28

YUDIN ILIR
47 9/22/2021 NADIA/ ADIT 28 JL. KOPRAL G1 P0 A0 2/17/2021 11/24/2021 29

DAUD
48 9/30/2021 FIDIA MARTINI/ 24 JALAN G1 P0 A0 3/5/2021 12/12/2021 25-26

RIYANTO TAMAN
SISWA GANG
MERAPI NO.
49 9/30/2021 JULI UTAMI/ EDWIN 28 186 RT.MAY
JALAN 03 G1 P0 A0 3/2/2021 12/9/2021 26
RW. 01 KEL.
SALIM
20 ILIR DI
BATUBARA
NO. 486 KEL.
50 9/30/2021 TRI ANGGRAINI/ 35 20JALAN
ILIR DI G1 P0 A0 3/18/2021 12/25/2021 26
YUSNAN MANGUN
JAYA NO.
1843 RT. 26
51 9/30/2021 KARISMA/ ADITYA 24 KEL.JALAN
20 ILIR DI G1 P0 A0 5/15/2021 2/22/2022 26
HANIRIANSYAH TAMAN
SISWA GANG
MERAPI RT. 3
52 9/30/2021 RIZKY PUTRI/ RENO 27 RW.RHA
JL. 01 G2 P1 A0 3/1/2021 12/6/2021 27
ARIFAI CEK
YAN KEL. 20
ILIR DI
53 9/3/2021 FESI RAHMAWATI/ 30 JALAN G2 P0 A0 2/12/2021 11/19/2022 28

FERI NOPRIANSYAH TAMAN
SISWA GG.
MERAPI NO.
185 RT. 3 RW.
01
54 9/1/2021 DWI AFRIANI/ MARIS 26 JL. JENDRAL G 1 P0 A0 6/11/2021 3/18/2022 34

SUDIRMAN
RT. 1 KEL. 20
ILIR DI
MENGETAHUI,
drg. NOVI ARTATI

NIP. 196411281989012001
LAPORAN PELAYANAN IBU HAMIL (SPM) Kunjungan Ke Empat (K4)
PUSKESMAS DEMPO
LABORATORIU
DJJ TT GOLDA
60 156 130/70 25 30 KEP/ 140 X/M TT 2 30 A
74 159 110/70 28 34 KEP/ 140 X/M TT 4 30 A
58 156 100/70 24 33 KEP/ 140 X/M TT2 30 O
62 158 110/80 26 35 KEP/ 140 X/M TT3 30
65 152 110/80 30 35 KEP/ 140 X/M TT 3 30 0
61 155 100/70 27 33 KEP/ 140 X/M TT 3 30 AB
61 155 110/80 26 32 KEP/ 140 X/M TT3 30 O
76 155 130/70 27 32 KEP/ 140 X/M TT 2 30 O
61 149 90/60 24 33 KEP/ 140 X/M TT 2 30 O
63 159 100/70 24 33 KEP/ 140 X/M TT 2 30 B

63 155 110/80 26 34 KEP/ 140 X/M TT2 30 A
61 161 112/70 27 24 KEP/138 TT3 30 A
65 165 127/74 28 22 SU/142 TT3 30 A
62 167 101/77 24 22 LLO/130 TT2 30 B
58 164 106/60 24 24 LLO/130 TT2 30 B
49 153 95/73 24 21 LLO/130 TT2 30 AB
43 150 95/58 24 25 LLO/130 TT2 30 O

70 152 120/82 25 17 LLO/130 TT3 30 A
66 160 120/70 26 21 LLO/130 TT3 30 A
53 152 110/70 24 18 LLO/130 TT2 30 B
80 154 120/80 32 24 KEP/138 TT3 30 A
60.5 160 120/80 24 13 LLO/130 TT3 30 A

80 158 110/80 30 34 KEP/144 TT3 30 O
82 163 110/80 34 36 KEP/138 TT3 30 0
76 164 110/90 29 28 KEP/143 TT3 30 O
66 165 120/80 30 35 KEP/155 TT3 30 A
63 155 110/80 29 33 KEP/143 TT3 30 O
64 154 120/80 28 30 KEP/138 TT3 30 AB
66 155 110/70 28 31 KEP/143 TT3 30 0

69 158 110/80 28 32 KEP/140 TT3 30 B
65 157 110/70 26 33 KEP/148 TT3 30 B
71 158 120/90 29 27 KEP/137 TT3 30 O
72 159 120/80 26 27 KEP/144 TT3 30 AB
54 151 100/70 24 11 LLO/138 TT3 30 B
45 153 110/70 24 17 LLO/132 TT2 30 O
54 152 110/70 24 24 LLO/135 TT 2 30 AB
61 163 110/70 33 23 KEP/ 140 X/M TT 2 30 A
58 155 110/75 24 27 LLO/135 TT 3 30 O
60 155 120/80 24 25 LLO/135 TT 2 30 A
52 155 120/80 24 26 LLO/135 TT 2 30 B
59 157 120/80 25 33 KEP/ 140 X/M TT 2 30 B

60 158 110/70 28 28 LLO/135 TT 2 30 O
64 157 120/80 26 34 KEP/ 140 X/M TT 2 30 A
61 154 120/80 26 29 KEP/ 140 X/M TT 2 30 A
61 156 120/80 25 34 KEP/ 140 X/M TT 3 30 A
58 153 100/70 26 29 LLO/ 140 X/M TT 3 30 B
58 156 120/80 24 30 KEP/ 140 X/M TT 2 30 O
64 156 100/80 25 26 LLO/135 TT 2 30 O
55 156 100/70 24 26 KEP/ 140 TT 5 30 A
58 155 120/80 24 27 LLO/135 TT 2 30 A
55 158 120/70 24 26 LLO/135 TT 2 30 B
56 154 110/70 25 28 LLO/140 TT 2 30 B
60 156 120/80 25 29 KEP/ 140 X/M TT 3 30 A
75 157 120/80 26 36 KEP/ 140 X/M TT 2 30 A

K4)

TATALAK TEMU
PROT.UR SANA WICARA
INE

11.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE 0896-6868-5202
BIDAN KOORDINATOR
WIWIN, AM.Keb
NIP. 198107182006042010
LAPORAN PE

NO TGL
NAMA UMUR ALAMAT G.P.A. HPHT TP
IBU/SUAMI
1 9/18/2021 KIKI SETIA EFFENDI/INDRA 24 JL. ALI G2 P0 A1 20/12/2021 27/9/2021

GUNAWAN GATMIR RT.
01 NO. 45
KEL. 13 ILIR
2 9/13/2021 RUSMINI/ DEFIAN 31 LR. MASAWA G4 P2 A1 15/12/2020 22/9/2021

DARAT NO.
26 RT. 09 KEL.
13 ILIR
3 9/6/2021 SITI NURAINI/ ERLANGGA 24 LR. MASAWA G1 P0 A0 06/12/2021 13/09/2021

DARAT RT.08
N0. 339 KEL.
13 ILIR
4 9/18/2021 MINDA MURTINI/ DONNY 23 LR. MASAWA G2 P1 A0 19-12-2021 26/09/2021

SYAHPUTRA DARAT RT. 08
KEL. 13 ILIR
5 9/10/2021 ASTIA/ ILHAM 25 JL. ALI G1 P0 A0 12/9/2020 17/9/2021

GATMIRRT.02
KEL. 13 ILIR
6 16/09/2021 ANDRIANI/ YUSUF 32 LR. TERUSAN G3 P2 A0 12/12/2020 9/19/2021

TENGAH RT.
05 KEL. 14
ILIR
7 9/4/2021 SUSANTI/AGUS 32 LR. TERUSAN G1 P0 A0 12/2/2020 9/19/2021

TENGAH RT.
05 KEL. 14
ILIR
8 13/09/2021 DESTI ARIANI/ RAMDAN 28 LR. TERUSAN G1 P0 A0 13/12/2020 20/9/2021

TENGAH RT.
04 KEL. 14
ILIR
9 13/09/2021 LILIS SURYANI/NOPRI 30 JL. P. G1 P0 A0 12/10/2020 17/9/2021

HERIANDI ANTASARI LR.
RT. 8 KEL. 14
ILIR
10 14/09/2021 SALMA/ IBRAHIM 26 JL. P. G2 P1 A0 12/12/2020 9/19/2021

ANTASARI LR.
RT. 4 KEL. 14
ILIR
11 13/09/2021 VIVIAN/TOMMI JULIANTO 27 THN 15 ILIR G1P0A0 03/09/2020 10/11/2021

12 14/09/2021 YULIARTI/JONI LANDASA 35 THN 15 ILIR G3P2A0 14/02/2021 21/11/2021
13 14/09/2021 REPI BALADONA/ SAMSUL 24 THN 15 ILIR G1P0A0 27/04/2021 04/02/2022
14 15/09/2021 ADE NUNI/SYAHRIAL 23 THN 15 ILIR G1P0A0 6/04/2021 13/01/2022
15 15/09/2021 DINA 23 THN 15 ILIR G1P0A0 16/05/2021 23/02/2022

SHALATIN/SUPRIYONO
16 16/09/2021 RIKA/AMRI 29 THN 15 ILIR G1P0A0 20/03/2021 27/12/2021
17 16/09/2021 NOVA/ AGUS 26 THN 15 ILIR G1P0A0 21/01/2021 28/10/2021
18 17/09/2021 RATI RIANA/ NELSON 28 THN 15 ILIR G3P2A0 24/01/2021 07/11/2021
19 01/09/2021 EVA SORINA/HENDI 31 TH JL.PASAR 16 G2P1A0 19/12/2021 26/09/2021

LESMANA ILIR NO.750
RT.11 RW.O4
20 9/4/2021 MARGATUL AZLA/YAYAN 25 JL.KOL ATMO G1P0A0 12/14/2021 9/22/2021

RT13 KEL 17
ILIR
21 9/4/2021 NURWANI/PAUSI 28 JL.KOL ATMO G3P2A0 12/6/2020 9/12/2021

LR BUKIT
SULAP RT 14
KEL 17 ILIR
22 9/3/2021 THESIA/DENNY 24 JL.KOL ATMO G2P1A0 12/6/2020 9/17/2021

KEL 17 ILIR
23 9/2/2021 LESTARI/ALDIAN 30 JL.KOL ATMO G1P0A0 12/6/2020 9/10/2021

RT13 KEL 17
ILIR
24 9/2/2021 ETCHI/HARLI 32 JL.KOL ATMO G3P2A0 12/13/2020 9/18/2021

LR BUKIT
SULAP RT 14
KEL 17 ILIR
25 09/08/2021 AYU PERMATA/BAYU 26 JL KOL.ATMO G1P0A0 03/12/2020 24/09/2021

RT 14 KEL 17
ILIR
26 9/3/2021 YOLANDA/BUDI 28 JL LAPANGAN G1P0A0 12/19/2021 9/26/2021

PASIR RT 10
KEL 18 ILIR
27 9/13/2021 YULIANA/BURMAN 27 KEL.18 ILIR G1P0A0 12/22/2020 9/20/2021

28 9/3/2021 TIARA PUTRI/AGUS 32 JL.KAPTEN G3P2A0 12/19/2020 9/25/2021
CEK SYEH KEL
18 ILIR
29 9/18/2021 YULIANA 28 THN JL.KS TUBUN G3P2A0 1/3/2021 10/7/2021
BALQIS/M.HATAQI LRG.ROTAN
30 2/15/2021 RIZKY/M.LUKMAN 33 THN KEPANDEAN G3P2A0 12/27/2020 9/27/2021

BARU
31 9/10/2021 NURJANAH TRIANA/ DEDI 29 JL. MAYOR G2 P1 A0 12/20/2020 9/27/2021
RUSLAN
32 9/20/2021 EVA SORINA/ HENDI L 32 RT. 11 KEL. 20 G2 P1 A0 12/21/2020 9/29/2021

ILIR DI
33 9/8/2021 YENNA Y/ PANJI 33 RT. 5 KEL. 20 G2 P1 A0 12/23/2020 9/30/2021

ILIR DI
34 9/1/2021 DELLA SYAHFITRI/ ADI 24 RT.3 KEL. 20 G1 P0 A0 12/15/2020 9/22/2021

SETIAWAN ILIR DI
35 9/7/2021 YUNIARSIH/ RICO 34 GG. TANI RT. G3 P2 A0 12/20/2020 9/27/2021
4 KEL. 20 ILIR
DI
36 9/2/2021 SERUNI/ INDRA S 29 RT. 19 KEL. 20 G1 P0 A0 12/21/2020 9/29/2021

ILIR DI
37 9/1/2021 EVI HASTUTI/ HERI 24 RT. 27 KEL. 20 G1 P0 A0 11/20/2020 9/27/2021

ILIR DI
38 9/3/2021 ELI ADMELYA/ AKHMAD 26 RT. 6 KEL. 20 G1 P0 A0 12/23/2020 9/30/2021

ILIR DI
39 9/1/2021 EXSADEA/ HENGKI 22 RT. 35 KEL. 20 G1 P0 A0 12/30/2020 9/7/2021

ILIR DI
40 9/1/2021 DIANA SYAHPUTRI/ 24 RT. 27 KEL. 20 G1 P0 A0 12/10/2020 9/17/2021

HENDRA ILIR DI
41 9/5/2021 ASTRIA/ RIDWAN NAZIR 40 RT. 40 KEL.20 G1 P0 A0 11/10/2020 9/17/2021

ILIR DI
42 9/3/2021 MARLINDA/ ASTA 22 RT. 29 KEL. 20 G1 P0 A0 11/26/2020 9/2/2021

ILIR DI
43 9/5/2021 RANI OKTARINA/ ADI 28 RT. 19 KEL. 20 G2 P1 A0 12/23/2020 9/30/2021
RIYONO ILIR DI
44 9/10/2021 KHORYATI/ FAISAL 34 RT. 17 KEL. 20 G3 P2 A0 12/30/2020 9/7/2021

ILIR DI
45 9/2/2021 TIARA/ ROBIKA 24 JALAN G 1 P0 A0 11/20/2020 9/27/2021

JENDRAL
SUDIRMAN
LRG. LINGKIS
NO. 359 RT.
006 RW. 002
46 9/4/2021 DWI ASRI/ YOSEF 28 JALAN G1 P0 A0 12/23/2020 9/30/2021

JENDRAL
SUDIRMAN
NO. 45 RT.
001 RW. 001
47 9/1/2021 SILVIARA/ SJAZILI 26 JALAN G1 P0 A0 12/30/2020 9/7/2021

MAYOR
RUSLAN LRG.
BELITANG
NO. 27/ 1625
RT. 22 RW. 06
MENGETAHUI,
drg. NOVI ARTATI

NIP. 196411281989012001
LAPORAN PELAYANAN IBU HAMIL (SPM) Kunjungan Ke lima (K5)
PUSKESMAS DEMPO
USIA KH BB TB TD SG/LILA TFU PRES dan STATUS FE

DJJ TT
40 62 156 130/70 25 40 KEP/ 140 X/M TT 1 30
40 81 159 110/70 28 40 KEP/ 140 X/M TT 4 30
40 61 167 100/70 24 40 KEP/ 140 X/M TT2 30
40 62 158 110/80 26 40 KEP/ 140 X/M TT3 30
40 68 157 100/70 25 40 KEP/140 TT2 30
40 68 155 100/70 27 40 KEP/ 140 X/M TT 3 30
40 62 156 120/80 24 40 KEP/ 140 X/M TT 2 30
40 64 159 110/70 27 40 KEP/ 140 X/M TT 2 30
40 66 159 120/80 25 40 KEP/ 140 X/M TT 2 30
40 62 158 100/70 24 40 KEP/ 140 X/M TT2 30
28 MGG 61 161 112/70 27 24 KEP/138 TT3 30

30 MGG 65 165 127/74 28 22 KEP/ 140 X/M TT3 30
24 MGG 62 167 101/77 24 25 KEP/ 140 X/M TT2 30
25 MGG 58 164 106/60 24 25 KEP/ 140 X/M TT2 30
22 MGG 49 153 95/73 24 24 KEP/138 TT2 30
26 MGG 43 150 95/58 24 27 KEP/ 140 X/M TT2 30
32 MGG 70 152 120/82 25 33 KEP/ 140 X/M TT3 30
30 MGG 66 160 120/70 26 32 KEP/138 TT3 30
37 MGG 72 160.5 120/80 28 29 KEP/135 TT3 30
38 63 157 120/70 29 38 KEP/147 TT3 30
39 73 160 100/90 30 38 KEP/157 TT3 30
39 67 157 110/80 28 39 KEP/140 TT3 30
39 73 157 100/80 28 38 KEP/147 TT3 30
39 68 160 90/70 29 39 KEP/1338 TT3 30
39 67 157 110/80 28 39 KEP/140 TT3 30
39 67 155 110/80 28 39 KEP/145 TT2 30
38 72 160 120/80 29 39 KEP/139 TT3 30

39 71 158 110/70 28 39 KEP/147 TT3 30
37 68 154 110/70 26 20 KEP/141 TT3 30
39 69 162 100/70 24 30 KEP/135 TT3 30

39 61 155 120/80 25 37 KEP/ 140 X/M TT 3 30
39 60 155 120/80 24 37 KEP/ 140 X/M TT 2 30
39 60 158 120/90 27 38 KEP/ 140 X/M TT 2 30
40 79 156 120/80 26 39 LLO/135 TT 2 30
39 61 155 120/80 25 37 KEP/ 140 X/M TT 3 30
39 60 155 120/80 24 37 KEP/ 140 X/M TT 2 30
39 60 158 120/80 24 15 LLO/135 TT 2 30
39 60 158 120/90 27 38 KEP/ 140 X/M TT 2 30
40 60 162 110/70 24 38 KEP/ 140 X/M TT 2 30
40 62 155 110/70 26 38 KEP/ 140 X/M TT 2 30
8 60 59 120/80 25 38 KEP/ 140 X/M TT 2 30
40 54 150 120/80 25 38 KEP/ 140 X/M TT 2 30

40 62 155 110/70 26 38 KEP/ 140 X/M TT 2 30
39 60 59 120/80 25 38 KEP/ 140 X/M TT 3 30
39 60 162 110/70 24 38 KEP/ 140 X/M TT 2 30
40 62 155 110/70 26 38 KEP/ 140 X/M TT 2 30
40 60 59 120/80 25 38 KEP/ 140 X/M TT 2 30

ma (K5)

TATALAK TEMU
PROT.UR SANA WICARA
GOLDA HB GDS HIV HBSag sifilis
INE
A 12.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
AB 11.5 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
O 12.4 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
AB 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
B 11.6 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
A 11 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE


B 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE
O 12 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif V KIE

BIDAN KOORDINATOR
WIWIN, AM.Keb
NIP. 198107182006042010
LAPORAN PE

NO TGL
IBU/SUAMI
1 9/25/2021 KIKI SETIA EFFENDI/INDRA 24 JL. ALI G2 P0 A1 20/12/2021 27/9/2021 40

GUNAWAN GATMIR RT.
01 NO. 45
KEL. 13 ILIR
2 9/20/2021 RUSMINI/ DEFIAN 31 LR. MASAWA G4 P2 A1 15/12/2020 22/9/2021 40

DARAT NO.
26 RT. 09 KEL.
13 ILIR
3 9/13/2021 SITI NURAINI/ ERLANGGA 24 LR. MASAWA G1 P0 A0 06/12/2021 13/09/2021 40

DARAT RT.08
N0. 339 KEL.
13 ILIR
4 9/25/2021 MINDA MURTINI/ DONNY 23 LR. MASAWA G2 P1 A0 19-12-2021 26/09/2021 40

SYAHPUTRA DARAT RT. 08
KEL. 13 ILIR
5 9/15/2021 ASTIA/ ILHAM 25 JL. ALI G1 P0 A0 12/9/2020 17/9/2021 40

GATMIRRT.02
KEL. 13 ILIR
6 9/20/2021 ANDRIANI/ YUSUF 32 LR. TERUSAN G3 P2 A0 12/12/2020 9/19/2021 40

TENGAH RT.
05 KEL. 14
ILIR
7 9/8/2021 SUSANTI/AGUS 32 LR. TERUSAN G1 P0 A0 12/2/2020 9/19/2021 40

TENGAH RT.
05 KEL. 14
ILIR
8 9/20/2021 DESTI ARIANI/ RAMDAN 28 LR. TERUSAN G1 P0 A0 13/12/2020 20/9/2021 40

TENGAH RT.
04 KEL. 14
ILIR
9 9/16/2021 LILIS SURYANI/NOPRI 30 JL. P. G1 P0 A0 12/10/2020 17/9/2021 40

HERIANDI ANTASARI LR.
RT. 8 KEL. 14
ILIR
10 9/16/2021 SALMA/ IBRAHIM 26 JL. P. G2 P1 A0 12/12/2020 9/19/2021 40

ANTASARI LR.
RT. 4 KEL. 14
ILIR
11 20/09/2021 VIVIAN/TOMMI JULIANTO 27 15 ILIR G1P0A0 03/09/2020 10/11/2021 29 MGG

12 29/09/2021 YULIARTI/JONI LANDASA 35 15 ILIR G3P2A0 14/02/2021 21/11/2021 32 MGG
13 28/09/2021 REPI BALADONA/ SAMSUL 24 15 ILIR G1P0A0 27/04/2021 04/02/2022 26 MGG
14 29/09/2021 ADE NUNI/SYAHRIAL 23 15 ILIR G1P0A0 6/04/2021 13/01/2022 27 MGG

15 28/09/2021 DINA 23 15 ILIR G1P0A0 16/05/2021 23/02/2022 24 MGG
SHALATIN/SUPRIYONO
16 27/09/2021 RIKA/AMRI 29 15 ILIR G1P0A0 20/03/2021 27/12/2021 28 MGG
17 27/09/2021 NOVA/ AGUS 26 15 ILIR G1P0A0 21/01/2021 28/10/2021 34 MGG
18 27/09/2021 RATI RIANA/ NELSON 28 15 ILIR G3P2A0 24/01/2021 07/11/2021 32 MGG
19 16/09/2021 EVA SORINA/HENDI 31 TH JL.PASAR 16 G2P1A0 19/12/2021 26/09/2021 39 MGG

LESMANA ILIR NO.750
RT.11 RW.O4
20 9/20/2021 MARGATUL AZLA/YAYAN 25 JL.KOL ATMO G1P0A0 12/14/2021 9/22/2021 40

RT13 KEL 17
ILIR
21 9/10/2021 NURWANI/PAUSI 28 JL.KOL ATMO G3P2A0 12/6/2020 9/12/2021 40

LR BUKIT
SULAP RT 14
KEL 17 ILIR
22 9/13/2021 THESIA/DENNY 24 JL.KOL ATMO G2P1A0 12/6/2020 9/17/2021 40

KEL 17 ILIR
23 9/8/2021 LESTARI/ALDIAN 30 JL.KOL ATMO G1P0A0 12/6/2020 9/10/2021 40

RT13 KEL 17
ILIR
24 9/16/2021 ETCHI/HARLI 32 JL.KOL ATMO G3P2A0 12/13/2020 9/18/2021 40

LR BUKIT
SULAP RT 14
KEL 17 ILIR
25 21/08/2021 AYU PERMATA/BAYU 26 JL KOL.ATMO G1P0A0 03/12/2020 24/09/2021 40

RT 14 KEL 17
ILIR
26 9/25/2021 YOLANDA/BUDI 28 JL LAPANGAN G1P0A0 12/19/2021 9/26/2021 40

PASIR RT 10
KEL 18 ILIR
27 9/19/2021 YULIANA/BURMAN 27 KEL.18 ILIR G1P0A0 12/22/2020 9/20/2021 40
28 9/23/2021 TIARA PUTRI/AGUS 32 JL.KAPTEN G3P2A0 12/19/2020 9/25/2021 40

CEK SYEH KEL
18 ILIR
29 9/20/2021 YULIANA 28 THN JL.KS TUBUN G3P2A0 1/3/2021 10/7/2021 37

BALQIS/M.HATAQI LRG.ROTAN
30 2/18/2021 RIZKY/M.LUKMAN 33 THN KEPANDEAN G3P2A0 12/27/2020 9/27/2021 39

BARU
31 9/12/2021 NURJANAH TRIANA/ DEDI 29 JL. MAYOR G2 P1 A0 12/20/2020 9/27/2021 39
RUSLAN
32 9/20/2021 EVA SORINA/ HENDI L 32 RT. 11 KEL. 20 G2 P1 A0 12/21/2020 9/29/2021 39

ILIR DI
33 9/11/2021 YENNA Y/ PANJI 33 RT. 5 KEL. 20 G2 P1 A0 12/23/2020 9/30/2021 39

ILIR DI
34 9/1/2021 DELLA SYAHFITRI/ ADI 24 RT.3 KEL. 20 G1 P0 A0 12/15/2020 9/22/2021 40

SETIAWAN ILIR DI
35 9/10/2021 YUNIARSIH/ RICO 34 GG. TANI RT. G3 P2 A0 12/20/2020 9/27/2021 39

4 KEL. 20 ILIR
DI
36 9/3/2021 SERUNI/ INDRA S 29 RT. 19 KEL. 20 G1 P0 A0 12/21/2020 9/29/2021 39

ILIR DI
37 9/2/2021 EVI HASTUTI/ HERI 24 RT. 27 KEL. 20 G1 P0 A0 11/20/2020 9/27/2021 39

ILIR DI
38 9/5/2021 ELI ADMELYA/ AKHMAD 26 RT. 6 KEL. 20 G1 P0 A0 12/23/2020 9/30/2021 39

ILIR DI
39 9/4/2021 EXSADEA/ HENGKI 22 RT. 35 KEL. 20 G1 P0 A0 12/30/2020 9/7/2021 40

ILIR DI
40 9/3/2021 DIANA SYAHPUTRI/ 24 RT. 27 KEL. 20 G1 P0 A0 12/10/2020 9/17/2021 40

HENDRA ILIR DI
41 9/5/2021 ASTRIA/ RIDWAN NAZIR 40 RT. 40 KEL.20 G1 P0 A0 11/10/2020 9/17/2021 8

ILIR DI
42 9/6/2021 MARLINDA/ ASTA 22 RT. 29 KEL. 20 G1 P0 A0 11/26/2020 9/2/2021 40

ILIR DI
43 9/8/2021 RANI OKTARINA/ ADI 28 RT. 19 KEL. 20 G2 P1 A0 12/23/2020 9/30/2021 40
RIYONO ILIR DI
44 9/15/2021 KHORYATI/ FAISAL 34 RT. 17 KEL. 20 G3 P2 A0 12/30/2020 9/7/2021 39

ILIR DI
45 9/4/2021 TIARA/ ROBIKA 24 JALAN G 1 P0 A0 11/20/2020 9/27/2021 39

JENDRAL
SUDIRMAN
LRG. LINGKIS
NO. 359 RT.
006 RW. 002
46 9/4/2021 DWI ASRI/ YOSEF 28 JALAN G1 P0 A0 12/23/2020 9/30/2021 40

JENDRAL
SUDIRMAN
NO. 45 RT.
001 RW. 001
47 9/2/2021 SILVIARA/ SJAZILI 26 JALAN G1 P0 A0 12/30/2020 9/7/2021 40

MAYOR
RUSLAN LRG.
BELITANG
NO. 27/ 1625
RT. 22 RW. 06
MENGETAHUI,
drg. NOVI ARTATI

NIP. 196411281989012001
LAPORAN PELAYANAN IBU HAMIL (SPM) Kunjungan Ke lima (K5)
PUSKESMAS DEMPO
LABORATOR
DJJ TT GOLDA
62 156 130/70 25 40 KEP/ 140 X/M TT 1 30 A
81 159 110/70 28 40 KEP/ 140 X/M TT 4 30 A
61 167 100/70 24 40 KEP/ 140 X/M TT2 30 AB
62 158 110/80 26 40 KEP/ 140 X/M TT3 30 O
68 157 100/70 25 40 KEP/140 TT2 30 AB
68 155 100/70 27 40 KEP/ 140 X/M TT 3 30 A
62 156 120/80 24 40 KEP/ 140 X/M TT 2 30 B
64 159 110/70 27 40 KEP/ 140 X/M TT 2 30 A
66 159 120/80 25 40 KEP/ 140 X/M TT 2 30 O
62 158 100/70 24 40 KEP/ 140 X/M TT2 30 B
61 161 112/70 27 24 KEP/138 TT3 30 A

65 165 127/74 28 22 SU/142 TT3 30 A
62 167 101/77 24 - - TT2 30 B
58 164 106/60 24 10 BALT TT2 30 B

49 153 95/73 24 - - TT2 30 AB
43 150 95/58 24 13 BALT TT2 30 O

70 152 120/82 25 - - TT3 30 A
66 160 120/70 26 - - TT3 30 A
73 160.5 120/80 28 29 KEP/135 TT3 30 O
63 157 110/80 29 38 KEP/147 TT3 30 A
73 160 120/90 30 38 KEP/157 TT3 30 AB
67 157 120/70 28 39 KEP/140 TT3 30 B
73 157 100/90 28 38 KEP/147 TT3 30 A
68 160 100/70 29 39 KEP/1338 TT3 30 AB
67 157 120/80 28 39 KEP/140 TT3 30 AB
67 155 110/80 28 39 KEP/145 TT2 30 AB
72 160 110/80 29 39 KEP/139 TT3 30 B
71 158 120/70 28 39 KEP/147 TT3 30 AB
68 154 110/70 26 20 KEP/141 TT3 30 A
69 162 100/70 24 30 KEP/135 TT3 30 AB

61 155 120/80 25 37 KEP/ 140 X/M TT 3 30 B
60 155 120/80 24 37 KEP/ 140 X/M TT 2 30 B
60 158 120/90 27 38 KEP/ 140 X/M TT 2 30 B
79 156 120/80 26 39 LLO/135 TT 2 30 O
61 155 120/80 25 37 KEP/ 140 X/M TT 3 30 B
60 155 120/80 24 37 KEP/ 140 X/M TT 2 30 B
60 158 120/80 24 15 LLO/135 TT 2 30 A
60 158 120/90 27 38 KEP/ 140 X/M TT 2 30 B
60 162 110/70 24 38 KEP/ 140 X/M TT 2 30 O
62 155 110/70 26 38 KEP/ 140 X/M TT 2 30 A
60 59 120/80 25 38 KEP/ 140 X/M TT 2 30 O
54 150 120/80 25 38 KEP/ 140 X/M TT 2 30 O

62 155 110/70 26 38 KEP/ 140 X/M TT 2 30 A
60 59 120/80 25 38 KEP/ 140 X/M TT 3 30 O
60 162 110/70 24 38 KEP/ 140 X/M TT 2 30 O
62 155 110/70 26 38 KEP/ 140 X/M TT 2 30 A
60 59 120/80 25 38 KEP/ 140 X/M TT 2 30 O

TATALAK TEMU
PROT.UR SANA WICARA
INE

13 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif FE, KALK, B. KIE
KOMPLEK
KOMPLEK
11.8 Negatif Negatif Non Reaktif Non Reaktif Non Reaktif FE, KALK, B. KIE
KOMPLEK
KOMPLEK
KOMPLEK
14
KOMPLEK
KOMPLEK
KOMPLEK


BIDAN KOORDINATOR
WIWIN, AM.Keb
NIP. 198107182006042010
LAPORAN REAL PELAYANAN IBU BERSALIN DAN NIFAS
PUSKESMAS DEMPO

MELAHIRKAN KEADAAN IBU MASA NIFAS
NO NAMA IBU/SUAMI UMUR ALAMAT PARTOGRAF CATAT DI BUKU IMD PENYEBAB KEMATIAN KF 1 KF2 KF3 KF4 VIT. A KETERANGAN
TANGGAL PENOLONG CARA TEMPAT KIA HIDUP MATI
4 jam-48 jam 3 hari-7 hari 8 hari-28 hari 29 hari-42 hari
1 KIKI SETIA EFFENDI/INDRA 24 JL. ALI GATMIR RT. 01 NO. 45 9/23/2021 BIDAN NORMAL/ BPS. ZALEHA V V V V - - 24/9/2021/ HR. 28/9/2021/ 11/10/2021/ 27/10/2021/ HR. V BBL : 2900/48/ PR/
GUNAWAN KEL. 13 ILIR SPONTAN KE 2 HR. KE 6 HR. KE 20 KE 36 ANDITA PUTRI
2 RUSMINI/ DEFIAN 31 LR. MASAWA DARAT NO. 26 RT. 9/20/2021 BIDAN NORMAL/ BPS SURYATI V V V V - - 21/9/2021/ HR. 25/9/2021/ 09/10/2021/ 25/10/2021/ HR. V BBL : 3100 / 50/ LK/
09 KEL. 13 ILIR SPONTAN KE 2 HR. KE 6 HR. KE 20 KE 36 M.LUCKY SETIA
3 SITI NURAINI/ ERLANGGA 24 LR. MASAWA DARAT RT.08 N0. 9/6/2021 BIDAN NORMAL/ BPS SURYATI V V V V - - 07/09/2021/ 12/9/2021/ 25/ 9/2021/ HR. 11/10/2021/ HR. V BBL : 2800/ 49/ PR/ DIAN
339 KEL. 13 ILIR SPONTAN HR. KE 2 HR. KE 7 KE 20 KE 37 SEPTIANI
4 MINDA MURTINI/ DONNY 23 LR. MASAWA DARAT RT. 08 KEL. 28/09/2021 BIDAN NORMAL/ BPS SURYATI V V V V - - 29/09/2021/ 04/10/2021/ 16/10/2021/ 2/11/2021/ HR. V BBL : 3000/ 50/ PR/
SYAHPUTRA 13 ILIR SPONTAN HR KE 2 HR KE 7 HR. KE 19 KE 36 SALMAFINA
5 ASTIA/ ILHAM 25 JL. ALI GATMIRRT.02 KEL. 13 ILIR 20/09/2021 BIDAN NORMAL/ BPS SURYATI V V V V - - 21/9/2021/ HR. 25/9/2021/ 09/10/2021/ 25/10/2021/ HR. V BBL : 2900/48/ LK/
SPONTAN KE 2 HR. KE 6 HR. KE 20 KE 36 HUSNUL HULLUQI
6 ANDRIANI/ YUSUF 32 LR. TERUSAN TENGAH RT. 05 9/24/2021 BIDAN NORMAL/ BPS SURYATI V V V V - - 25/9/2021/ HR 30/09/2021/ 13/10/2021/ 29/10/2021/ HR. V BBL : 3000/49/ LK/
KEL. 14 ILIR SPONTAN KE 2 HR. KE 7 HR. KE 20 KE 36 DIMAS ANDRIAN
7 SUSANTI/AGUS 32 LR. TERUSAN TENGAH RT. 05 9/19/2021 BIDAN NORMAL/ BPS SURYATI V V V V - - V BBL : 3100/ 50/ LK/ M.
KEL. 14 ILIR SPONTAN AFFANDI
8 DESTI ARIANI/ RAMDAN 28 LR. TERUSAN TENGAH RT. 04 9/20/2021 BIDAN NORMAL/ BPS SURYATI V V V V - - 24/9/2021/ HR. 28/9/2021/ 11/10/2021/ 27/10/2021/ HR. V BBL : 2800/47/ LK
KEL. 14 ILIR SPONTAN KE 2 HR. KE 6 HR. KE 20 KE 36 /AHMAD FANZURI
9 LILIS SURYANI/NOPRI HERIANDI 30 JL. P. ANTASARI LR. RT. 8 KEL. 14 9/21/2021 BIDAN NORMAL/ BPS SURYATI V V V V - - 22/9/2021/ HR. 27/09/2021/ 09/10/2021/ 26/10/2021/ HR. V BBL : 3000/50/ PR
ILIR SPONTAN KE 2 HR. KE 7 HR. KE 19 KE 36 /ANDINI PUTRI
10 SALMA/ IBRAHIM 26 JL. P. ANTASARI LR. RT. 4 KEL. 14 9/20/2021 BIDAN NORMAL/ BPS SURYATI V V V V - - 21/9/2021/ HR. 25/9/2021/ 09/10/2021/ 25/10/2021/ HR. V BBL : 3000/50/ PR /EKA
ILIR SPONTAN KE 2 HR. KE 6 HR. KE 20 KE 36 PUTRI UTAMI
11 LESTARI/ MAT DIAN 23 JL. SEGARAN RT. 09 KEL. 15 ILIR 20/09/2021 BIDAN NORMAL/SPONT BPS ZALEHA V V V V - - 20/9/2021/ HR 23/9/2021/ HR 28/9/2021/ HR 19/10/2021/ HR V BBL : 2750/50/ LK/
AN KE 1 KE 3 KE 8 KE 40 GILANG ANGKASA
12 FAUZIAH / AKMAM 29 15 ILIR 29/09/2021 BIDAN NORMAL/SPONT BPS ELLNA V V V V - - 30/9/2021/ HR 03/10/2021/ 10/10/2021/ HR 30/10/2021/ HR V BBL : 3250/ 51/ PR/
AN KE 2 HR KE 7 KE 10 KE 30 AISYAH
13 RISKY/ ANDRE 29 JL DEMPO DALAM 28/09/2021 BIDAN NORMAL/SPONT RS YK MADIRA V V V V - - 29/09/2021/ 01/10/2021/ 08/10/2021/ 29/10/2021/ HR. V BBL : 3300/ 51 / LK/
AN HR KE 2 HR KE 4 HR. KE 9 KE 31 SEPTIANSYAH
14 RISKA AYI/ SETO AGAM 22 JL SEGARAN 29/09/2021 BIDAN NORMAL/SPONT RS YK MADIRA V V V V - - 29/09/2021/ 01/10/2021/ 08/10/2021/ 29/10/2021/ HR. V BBL : 2900/49/ PR /
AN HR KE 2 HR KE 4 HR. KE 9 KE 31 AISKAH ANSARA
15 NOVA/ AGUS 26 15 ILIR 28/09/2021 BIDAN NORMAL/SPONT BPS ZALEHA V V V V - - 29/09/2021/ 01/10/2021/ 08/10/2021/ 29/10/2021/ HR. V BBL : 3300/ 51/ PR/
AN HR KE 2 HR KE 4 HR. KE 9 KE 31 SUSANTI ATRA
16 RATI RIANA/ NELSON 28 15 ILIR 02/09/2021 BIDAN NORMAL/SPONT BPS ZALEHA V V V V - - 02/9/2021/ HR. 06/9/2021/ 12/9/2021/ HR 02/10/2021/ HR. V BBl : 3600/51/LK/ EKO
AN KE 1 HR. KE 4 KE 10 KE 30 SUTIONO
17 YULIARTI/JONI LANDASA 35 15 ILIR 03/09/2021 BIDAN NORMAL/SPONT BPS ELLNA V V V V - - 02/9/2021/ HR. 06/9/2021/ 12/9/2021/ HR 02/10/2021/ HR. V BBL : 29500/50/ LK/
AN KE 1 HR. KE 4 KE 10 KE 30 AKHTAR
18 KIKI ANITA/ SEPRI 26 JL SEGARAN 04/09/2021 SPOG NORM RS YK MADIRA V V V V - - 02/9/2021/ HR. 06/9/2021/ 12/9/2021/ HR 02/10/2021/ HR. V BBl : 2700/50 /PR /
KE 1 HR. KE 4 KE 10 KE 30 ALIAH NAYLA
19 EVA SORINA/HENDI LESMANA 31 JL.PASAR 16 ILIR NO.750 RT.11 26/09/2021 BIDAN NORMAL/SPONT BPM SURYATI V V V V - - 28/9/2021/ HR KE 2 1/10/2021/ HR. KE 06/10/2021/ HR. KE 26/10/2021/ HR. KE V BBL : 3200/ LK/
RW.O4 AN 5 10 30 M.SEPTIANSYAH
20 MARGATUL AZLA/YAYAN 25 JL.KOL ATMO RT13 KEL 17 ILIR 9/24/2021 BIDAN NORMAL/SPONT RS YK MADIRA V V V V - - 24/9/2021/ HR 26/9/2021/ HR 1/10/2021/ HR 3/11/2021/ HR V BBL : 3100/50/ LK/
AN KE 1 KE 3 KE 8 KE 40 KUSUMA
21 NURWANI/PAUSI 28 JL.KOL ATMO LR BUKIT SULAP RT 9/12/2021 BIDAN NORMAL/SPONT BPS SURYATI V V V V - - 12/9/2021/ HR 17/9/2021/ HR 20/9/2021/ HR 12/10/2021/ HR V BBL : 3000/ 49/ PR/ RONI
14 KEL 17 ILIR AN KE 2 KE 7 KE 10 KE 30
22 THESIA/DENNY 24 JL.KOL ATMO KEL 17 ILIR 9/18/2021 BIDAN NORMAL/SPONT BPS ZALEHA V V V V - - 18/9/2021/ HR 21/9/2021/ 27/9/2021/ HR 23/10/2021/ HR. V BBL : 3250/ LK/ RINTO
AN KE 1 HR. KE 4 KE 10 KE 35
23 LESTARI/ALDIAN 30 JL.KOL ATMO RT13 KEL 17 ILIR 9/10/2021 BIDAN NORMAL/SPONT RS YK MADIRA V V V V - - 11/9/2021/ HR. 13/9/2021/ HR 19/9/2021/ HR 10/10/2021/ HR V BBL : 3100/50/ PR /
AN KE 2 KE 4 KE 10 KE 30 ZAPIRA
24 ETCHI/HARLI 32 JL.KOL ATMO LR BUKIT SULAP RT 9/18/2021 BIDAN NORMAL/SPONT BPS ZALEHA V V V V - - 19/9/2021/ HR. 21/9/2021/ 27/9/2021/ HR 18/10/2021/ HR V BBL : 3300/ 50/ PR/
14 KEL 17 ILIR AN KE 2 HR. KE 4 KE 10 KE 30 ANITA
25 AYU PERMATA/BAYU 26 JL KOL.ATMO RT 14 KEL 17 ILIR 24/09/2021 BIDAN NORMAL/SPONT BPS ZALEHA V V V V - - 25/9/2021/ HR 26/9/2021/ HR 1/10/2021/ HR 3/11/2021/ HR V BBl : 3600/51/LK/
AN KE 2 KE 3 KE 8 KE 40 GENTAR
26 YOLANDA/BUDI 28 JL LAPANGAN PASIR RT 10 KEL 9/26/2021 BIDAN NORMAL/SPONT BPS ELLNA V V V V - - 27/9/2021/ HR 29/9/2021/ 05/10/2021/ HR 31/10/2021/ HR. V BBL : 2600/48/ PR/
18 ILIR AN KE 2 HR. KE 4 KE 10 KE 35 APRILIA
27 YULIANA/BURMAN 27 KEL.18 ILIR 9/20/2021 SPOG NORMAL/SPONT RS YK MADIRA V V V V - - 21/9/2021/ HR. 23/9/2021/ HR 29/9/2021/ HR 20/10/2021/ HR V BBl : 3400/51 /PR /
AN KE 2 KE 4 KE 10 KE 30 PUTRI
28 TIARA PUTRI/AGUS 32 JL.KAPTEN CEK SYEH KEL 18 ILIR 9/25/2021 BIDAN NORMAL/SPONT BPS BUDI V V V V - - 26/9/2021/ HR. 28/9/2021/ HR 04/10/2021/ HR 25/10/2021/ HR V BBL ; 3200/48/PR/TIWI
AN MULIA KE 2 KE 4 KE 10 KE 30
29 YULIANA BALQIS/M.HATAQI 28 JL.KS TUBUN LRG.ROTAN 9/27/2021 BIDAN NORMAL/ BPM ZALEHA V V V V - - 29/89/2021/ HR. KE 1/10/2021/ HR. KE 7/10/2021/ HR. KE 27/10/2021/ HR. KE V BBL : 2700/ PB : 49/ PR/
SPONTAN 2 4 10 30 SHAQUEENQ AZZAHRA
30 RIZKY/M.LUKMAN 33 KEPANDEAN BARU 9/24/2021 SPOG NORMAL/ RS.YK MADIRA V V V V - - 26/9/2021/ HR KE 2 29/10/2021/ HR. 4/10/2021/ HR. KE 24/10/2021/ HR. KE V BBL : 3100/ PB : 50/ LK/ M. AL
SPONTAN KE 5 10 30 FATIH
31 NURJANAH TRIANA/ DEDI 29 JL. MAYOR RUSLAN 9/19/2021 SPOG NORMAL/ RSIA YK V V V V - - 20/9/2021/ HR. 25/09/2021/ 07/10/2021/ 27/10/2021/ HR. V BBL : 2600/ PB : 46/ JK : PR/
SPONTAN MADIRA KE 2 HR. KE 7 HR. KE 20 KE 40 HANINAH
32 EVA SORINA/ HENDI L 32 RT. 11 KEL. 20 ILIR DI 9/27/2021 BIDAN NORMAL/ BPM ELLNA V V V V - - 28/09/2021/ 03/10/2021/ 16/10/2021/ 6/10/2021/ HR. V BBL : 2900/ PB : 49/ JK : PR :
SPONTAN HR KE 2 HR KE 7 HR. KE 20 KE 40 TIARA
33 YENNA Y/ PANJI 33 RT. 5 KEL. 20 ILIR DI 9/18/2021 BIDAN NORMAL/ BPM ELLNA V V V V - - 19/9/2021/ HR. 24/09/2021/ 06/10/2021/ 26/10/2021/ HR. V BBL : 2900/PB : 47/ JK : LK/
SPONTAN KE 2 HR. KE 7 HR. KE 20 KE 40 GILANG
34 DELLA SYAH FITRI/ ADI SETIAWAN 24 JL. TAMAN SISWA GG. MERAPI 01/09/2021 BIDAN NORMAL/ BPM ZALEHA V V V V - - 2/9/2021/ HR. 7/09/2021/ 20/9/2021/ HR. 9/10/2021/ HR. V BBL : 3100/ PB : 50/ JK : LK/
RT. 003/ 001 SPONTAN KE 2 HR. KE 7 KE 20 KE 40 FAIZ
35 YUNIARSIH/ RICO 34 GG. TANI RT. 4 KEL. 20 ILIR DI 16/09/2021 BIDAN NORMAL/ BIDAN DIAN V V V V - - 16/9/2021/ HR. 21/09/2021/ 03/10/2021/ 23/10/2021/ HR. V BBL : 3000/PB : 49/ JK : LK/
SPONTAN ( OI ) KE 2 HR. KE 7 HR. KE 20 KE 40 GHIFARI
36 SERUNI/ INDRA S 29 RT. 19 KEL. 20 ILIR DI 10/09/2021 SPOG NORMAL/ RS KAYU V V V V - - 11/09/2021/ 16/9/2021/ 29/ 9/2021/ HR. 19/10/2021/ HR. V BBL : 2900/ PB : 48/ JK : PR/
SPONTAN AGUNG HR. KE 2 HR. KE 7 KE 20 KE 40 HAENAN
37 EVI HASTUTI/ HERI 24 RT. 27 KEL. 20 ILIR DI 08/09/2021 BIDAN NORMAL/ RSIA YK V V V V - - 9/09/2021/ HR. 14/9/2021/ 27/ 9/2021/ HR. 17/10/2021/ HR. V BBL : 2900/ PB : 49/ JK : LK/
SPONTAN MADIRA KE 2 HR. KE 7 KE 20 KE 40 RIFKI
38 ELI ADMELYA/ AKHMAD 26 RT. 6 KEL. 20 ILIR DI 05/09/2021 BIDAN NORMAL/ RSIA YK V V V V - - 6/09/2021/ HR. 11/9/2021/ 24/ 9/2021/ HR. 14/10/2021/ HR. V BBL : 3000/ PB : 49/ JK : PR/
SPONTAN MADIRA KE 2 HR. KE 7 KE 20 KE 40 RAFIKA
39 EXSADEA/ HENGKI 22 RT. 35 KEL. 20 ILIR DI 9/11/2021 SPOG NORMAL/ RSIA YK V V V V - - 12/09/2021/ 17/9/2021/ 30/ 9/2021/ HR. 20/10/2021/ HR. V BBL : 3000/ PB : 49/ JK : LK/
SPONTAN MADIRA HR. KE 2 HR. KE 7 KE 20 KE 40 ALDO
40 DIANA SYAHPUTRI/ HENDRA 24 RT. 27 KEL. 20 ILIR DI 9/10/2021 BIDAN NORMAL/ RB BUDI INDAH V V V V - - 11/09/2021/ 16/9/2021/ 29/ 9/2021/ HR. 19/10/2021/ HR. V BBL : 3100/ PB : 49/ JK : PR/
SPONTAN HR. KE 2 HR. KE 7 KE 20 KE 40 KESHYA
41 ASTRIA/ RIDWAN NAZIR 40 RT. 40 KEL.20 ILIR DI 9/12/2021 SPOG NORMAL/ RS CHARITAS V V V V - - 13/09/2021/ 18/9/2021/ 1/ 10/2021/ HR. 21/10/2021/ HR. V BBL : 3000/ PB : 49/ JK : PR/
SPONTAN HR. KE 2 HR. KE 7 KE 20 KE 40 ALEXANDERIA NAZRI AFSHEEN
42 MARLINDA/ ASTA 22 RT. 29 KEL. 20 ILIR DI 9/6/2021 BIDAN NORMAL/ BPM ZALEHA V V V V - - 7/09/2021/ HR. 12/9/2021/ 25/ 9/2021/ HR. 15/10/2021/ HR. V BBL : 2800/ PB : 46/ JK : PR/
SPONTAN KE 2 HR. KE 7 KE 20 KE 40 ADELINA
43 RANI OKTARINA/ ADI RIYONO 28 RT. 19 KEL. 20 ILIR DI 9/8/2021 BIDAN NORMAL/ BPM ZALEHA V V V V - - 9/09/2021/ HR. 14/9/2021/ 27/ 9/2021/ HR. 17/10/2021/ HR. V BBL : 3200/ PB : 50/ JK : LK/
SPONTAN KE 2 HR. KE 7 KE 20 KE 40 PASHA
44 KHORYATI/ FAISAL 34 RT. 17 KEL. 20 ILIR DI 9/23/2021 BIDAN NORMAL/ BPS SURYATI V V V V - - 24/09/2021/ 30/9/2021/ HR 20/10/2021/ 9/11/2021/ HR. V BBL : 3000/ PB : 49/ JK : PR/
SPONTAN HR KE 2 KE 7 HR. KE 20 KE 40 AULIA
45 TIARA/ ROBIKA 24 JALAN JENDRAL SUDIRMAN LRG. 9/8/2021 SPOG NORMAL/SPONT RS. HERMINA - V V V - - 9/09/2021/ HR. 14/9/2021/ 27/ 9/2021/ HR. 17/10/2021/ HR. V BBL : 2746/ PB : 47/ JK : PR/
LINGKIS NO. 359 RT. 006 RW. AN KE 2 HR. KE 7 KE 20 KE 40 NAYLA PUTRI
002
46 DWI ASRI/ YOSEF 28 JALAN JENDRAL SUDIRMAN NO. 9/6/2021 SPOG SC RS. HERMINA - V V V - - 7/09/2021/ HR. 12/9/2021/ 25/ 9/2021/ HR. 15/10/2021/ HR. V BBL : 2881/ PB : 45/ JK: L/
45 RT. 001 RW. 001 KE 2 HR. KE 7 KE 20 KE 40 JOVAN
47 SILVIARA/ SJAZILI 26 JALAN MAYOR RUSLAN LRG. 9/2/2021 SPOG SC RS. HERMINA - V V V - - 3/9/2021/ HR. 8/09/2021/ 21/9/2021/ HR. 10/10/2021/ HR. V BBL : 3000/ PB : 48/ JK : PR/
BELITANG NO. 27/ 1625 RT. 22 KE 2 HR. KE 7 KE 20 KE 40 MARSELINA
RW. 06
MENGETAHUI, PALEMBANG, 31 SEPTEMBER 2021

PLT. KEPALA PUSKESMAS DEMPO BIDAN KOORDINATOR
drg. NOVI ARTATI WIWIN, AM.Keb

NIP. 196411281989012001 NIP. 198107182006042010

Lap SPM BLN September 2021 PKM Dempo

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LAPORAN PELAYANAN IBU HAMIL (SPM) Kunjungan Pertama (K1)

MENGETAHUI, PALEMBANG, 31 SEPTEMBER 2021

drg. NOVI ARTATI WIWIN, AM.Keb

NAMA PUSKESMAS : DEMPO

1 13/09/2021 USNA/ TOMI 24 JL. ALI GATMIR G 1 P1 A0 20/3/2021 27/12/2021 24

2 16/09/2021 RIZA/ INDRA YADI 22 JL. ALI GATMIR G1 P0 A0 03/06/2021 10/03/2022 12

3 18/09/2021 PUAN/ ANWAR 23 JL. ALI GATMIR G1 P0 A0 19/07/2021 26/04/2022 8

4 30/09/2021 RIRIN MEIRANI/ 23 JL. ALI GATMIR G1 P0 A0 10/08/2021 17/05/2022 7

5 28/09/2021 NURFADILLAH/ 22 JL. ALI GATMIR G2 P1 A0 20/07/2021 27/04/2022 9

6 20/09/2021 ZAINUN/ MUKLAS 27 JL. ALI GATMIR G2 P1 A0 12/07/2021 19/04/2022 9

7 20/09/2021 FITRIANTI/ DUMIDI 33 LRG. TERUSAN G3 P2 A0 13/07/2021 20/4/2022 9

8 30/09/2021 RISKA AMELIA 19 JL. P. ANTASARI G1 P0 A0 28/6/2021 02/03/2022 9

9 27/09/2021 DEVIANA MATILAH/ 22 JL. P. ANTASARI G1 P0 A0 18/08/2021 25/03/2022 6

11 16/09/2021 MONICA/ IRSAN 25 JL. P. ANTASARI G2 P1 A0 04/07/2021 11/04/2022 8

12 13/09/2021 PHINA PUTRI R/ 24 THN JL SEGARAN RT G1P0A0 02/08/2021 09/05/2022 6 MGG

14 14/09/2021 NURIAN/ ASWARI 25 THN JL LAKITAN RT G1P0A0 01/07/2021 08/04/2022 8 MGG

15 15/09/2021 NEFILIA / 27 THN JL SEGARAN RT G2P1A0 01/08/2021 08/05/2022 7 MGG

16 15/09/2021 ANITA/ SYARNUBI 26 THN JL RUPIT RT 05 G2P1A0 19/05/2021 26/02/2022 14 MGG

18 16/09/2021 SALSA/ NOWAN 24 THN JL RUPIT RT 04 G2P0A1 04/07/2021 11/04/2022 7 MGG

19 17/09/2021 SEPTIKA/ WAWAN 27 THN JL LAKITAN RT G1P0A0 14/06/2021 21/03/2022 12 MGG

20 28/09/2021 KARIMAH/ 22 THN JL DEMPO G2P1A0 14/07/2021 21/04/2022 12 MGG

22 17/09/2021 SHELA 25 THN LRG.RK LAMA G2P1A0 20/07/2021 27/04/2022 11 MGG

23 10/09/2021 EMILIA 34 JL.SAYANGAN G2P1A0 20/05/2021 24/02/2022 16 MGG

24 12/09/2021 ROSITA 25 JL.SEMERU LR G1P0A0 07/08/2021 11/05/2022 6 MGG

25 9/12/2021 LINDA ERFINA/HADI 26 JL.KOLATMO RT G1P0A0 7/28/2021 5/1/2022 6 MGG

27 9/25/2021 LIA/M.IDRIS 25 JL.KETANDAN G2P1A0 5/27/2021 3/3/2022 17 MGG

28 9/25/2021 WINDA /TRI 31 JL.KETANDAN G2P1A0 6/28/2021 4/2/2022 12 MGGU

29 9/18/2021 FIDIA/M.FURQON 25 JL.KETANDAN G1P0A0 8/14/2021 5/17/2022 7 MGG

30 9/19/2021 ROKNA/SALIM 38 JL.SEMERU LR G3P2A0 5/16/2021 2/20/2022 17 MGG

32 9/24/2021 SESI NOPENTI 25 LR.LAPANGAN G2P1A0 6/30/2021 4/12/2022 12 MGG

33 9/21/2021 ANDINI/ANDI 29 JL.LAPANGAN G2P1A0 6/2/2021 3/8/2022 15 MGG

34 9/20/2021 SHINTA/M.AGIL 28 THN JL.KS TUBUN G1P0A0 20/07/2021 27/04/2022 7 MGG

35 9/16/2021 SEPNADA 24 THN KEP. BARU G1P0A0 6/13/2021 3/20/2022 12 MGG

36 9/10/2021 BELA APRIANI/ EKO 26 JALAN TAMAN G2 P1 A0 6/25/2021 4/2/2022 12

37 9/11/2021 MASNITA/ 31 JALAN TAMAN G3 P2 A0 7/10/2021 7/17/2022 5

38 9/23/2021 DWI/ YUDI 28 JALAN JEND G1 P0 A0 7/9/2021 4/16/2022 9

40 9/23/2021 ENDRIA MINARNI/ 33 RT. 29 KEL. 20 G2 P1 A0 8/3/2021 5/10/2022 5

41 9/20/2021 DESI YUSTINA/ 33 JALAN MAYOR G3 P2 A0 7/20/2021 4/27/2022 7-8

42 9/27/2021 TRI WAHYU 31 RT. 31 KEL. 20 G2 P1 A0 7/3/2021 4/10/2022 9

43 9/27/2021 RINA KUSUMA/ 28 RT. 27 KEL. 20 G2 P1 A0 7/20/2021 4/27/2022 9

44 9/20/2021 TRI WULAN DARI/ 29 RT. 18 KEL. 20 G3 P2 A0 7/2/2021 4/9/2022 8

45 9/30/2021 ASNI/ WAWAN 26 RT. 36 KEL. 20 G3 P2 A0 8/25/2021 6/3/2021 5

46 9/25/2021 ALTINUS FAUZIAH/ 22 RT. 24 KEL. 20 G1 P0 A0 8/15/2021 5/22/2022 5-6

47 9/30/2021 MAI ROSEUM/ 26 RT. 18 KEL. 20 G1 P0 A0 8/4/2021 5/11/2022 5

48 9/29/2021 RIKA ANGGRAINI/ 21 RT. 008 KEL. 20 G2 P1 A0 7/31/2021 5/7/2022 7

49 9/27/2021 KURNIA/ JUNAIDI 35 KEL. 20 ILIR DI G3P2A0 8/22/2021 5/29/2022 5

50 9/30/2021 SUCI WULANDARI/ 27 KEL. 20 ILIR DI G1P0A0 7/31/2021 5/7/2021 8

51 9/30/2021 CITRA PERTIWI/ M. 27 KEL. 20 ILIR DI G1 P0 A 6/22/2021 3/29/2021 11-12

52 9/30/2021 NIA AUDINA/ YUDI 26 KEL. 20 ILIR DI G1 P0 A0 8/3/2021 5/10/2021 5-Jan

53 9/20/2021 NADIA/ DANI 25 KEL. 20 ILIR DI G1 P0 A0 7/23/2021 4/30/2021 7

drg. NOVI ARTATI

55 155 110/70 24 (-) (-) TT1 30 A

53 158 100/70 24 (-) (-) TT1 30 O

60 160 120/70 26 (-) (-) TT2 30 O

66 159 120/70 28 (-) (-) TT3 30 AB

60 155 110/70 26 (-) (-) TT2 30 B

64 159 110/70 27 (-) (-) TT3 30 A

45 153 110/70 24 - (-) TT1 30 A

58 159 110/80 26 (-) (-) TT1 30 O

62 158 100/70 26 (-) (-) TT2 30 B

53.8 161 120/80 25 - - TT3 30 B

59.3 155 110/70 28 - - TT4 30 A

56.5 150 110/80 25 - - TT2 30 B