SPM PKM Kosambi 2021

D.
Kohort Ibu
Puskesmas : KOSAMBI
Alamat : Jl. Raya Bojong Renged KM 5 Desa Cengklong Rt.16/08
Usia Kehamilan
Pembiayaan
LILA (CM)
Status GPA
Kehamilan
Persalinan
Imunisasi Td
TB (CM)
Skirining
Usia Ibu
Taksiran
HB g/dl
Sumber
alamat
Jarak
TBC
NO. Nama Ibu/ Suami Nik Ibu
Status Injeksi
25
1 Yuyun Hastari-Imron 1/9 Jampersal 4 mg G1P0A0 - 9/7/2021 150 24 Td 1 √ X 13.0
2 Tiara Darmawati-Namin 2/4 Jampersal 28 12 mg G2P1A0 5 th 7/24/2021 158 24 Td 3 √ X 14.1
3 Novi Sopiana-Agus Sainan 1/9 BPJS 29 6 mg G2P1A0 5 th 8/26/2021 147 28 Td 3 √ X 12.9
4 Melani Debora-Rudi Surya 1/10 BPJS 22 7 mg G2P1A0 4 th 8/24/2021 165 24 Td 3 √ X 12.8
5 Sinta-Asep 1/4 BPJS 18 9 mg G1P0A0 - 8/10/2021 160 27 Td 1 √ X 12.6
6 Puspawati-Irpan 1/1 BPJS 30 12 mg G3P2A0 3 th 7/22/2021 155 22.5 Td 4 √ X 12.3
7 Nurasiah-Adi Miswanto 2/4 BPJS 29 8 mg G2P1A0 4 th 8/22/2021 160 25 Td 3 √ X 15.3
8 Rita Akmalia-Rajudin 1/1 Pribadi 21 11 mg G1P0A0 - 9/8/2021 151 24 Td 1 √ X 11.3
9 Anis Khoirunisa-Budi Mulyono 1/7 BPJS 20 10 mg G1P0A0 - 8/5/2021 150 23.5 Td 1 √ X 12.7
10 Restika-Deni 1/10 BPJS 28 5 mg G1P0A0 - 9/10/2021 149 23.5 Td 1 √ X 12.2
11 Feni Agustin-Hamdan 1/9 BPJS 28 5 mg G2P1A0 3 th 9/10/2021 153 25 Td 3 √ X 11.7
12 Robiatul Adawiyah-Maryadih 2/3 BPJS 28 11 mg G3P2A0 6 th 7/30/2021 150 24 Td 4 √ X 12.4
13 Sitiani-Siman 1/5 BPJS 22 5 mg G1P0A0 - 9/8/2021 150 24 Td 1 √ X 13.7
14 Feni Riani-Dadang Sutisna 2/1 BPJS 30 5 mg G2P1A0 4 th 8/4/2021 157 25 Td 3 √ X 12
15 Citra Yanti MulyaSari-Abdul Haris 2/7 BPJS 35 10 mg G3P2A0 5 th 8/2/2021 159 26 Td 4 √ X 13.9
16 Puspita-Murdani 1/1 BPJS 31 11 mg G3P1A1 8 th 8/2/2021 156 24 Td 4 √ X 14.0
17 Resmi Wati-Nefi Hidayat 2/3 BPJS 22 5 mg G1P0A0 - 9/8/2021 148 24 Td 1 √ X 12.8
18 Sugiarti-Edi Hendarsono 1/8 BPJS 22 5 mg G1P0A0 - 9/8/2021 150 26 Td 1 √ X 13.7
19 Siti Holilah-Abdul Latif 1/1 BPJS 31 11 mg G3P1A1 7 th 8/2/2021 150 24 Td 4 √ X 12.1
20 Fini Wahyuni-Ahmad Zaki 2/3 BPJS 23 5 mg G1P0A0 - 9/22/2021 156 21.2 Td 1 √ X 11.8
21 Rita-Satio 2/3 BPJS 29 6 mg G2P1A0 5 th 9/8/2021 159 29 Td 3 √ X 12.6
22 Rokiyah-Feri Indriyanto 1/5 BPJS 27 5 mg G2P1A0 3 th 9/16/2021 148 28 Td 3 √ X 12.4
23 Suriah-Eko Suprapto 2/1 BPJS 30 8 mg G3P2A0 5 th 8/24/2021 147 27.5 Td 3 √ X 12.1
24 Irma Jayasuganda-Kohar Priyatno 1/1 BPJS 26 10 mg G1P0A0 - 8/12/2021 156 25 Td 1 √ X 128
25 Siti Saadah-Rohman 2/2 BPJS 26 5 mg G2P0A1 3 th 9/20/2021 143 31 Td 3 √ X 12.7
26 Sopiah-Mursid 2/3 BPJS 23 12 mg G1P0A0 - 8/7/2021 159 24 Td 1 √ X 14.8
27 Anita Mayasari-Ramli 2/3 BPJS 35 12 mg G3P2A0 3 th 8/2/2021 159 26 Td 4 √ X 13.9
28 Karlin-Darman 2/1 BPJS 21 12 mg G1P0A0 - 8/7/2021 159 24 Td 1 √ X 12.3
29 Erna-Suryana 2/3 BPJS 25 8 mg G2P1A0 7 th 9/3/2021 158 27 Td 3 √ X 11.9
30 Hilda Lailatul-Karta Wijaya 2/7 BPJS 24 12 mg G2P0AI - 3/5/2021 156 24 Td 3 √ X 13.6
31 Desi Setianingsih-Lukman 2/12 BPJS 28 5 mg G2P1A0 5 th 9/19/2021 160 26 Td 3 √ X 11.3

32 Salamah-Hasan 1/4 BPJS 38 12 mg G3P2A0 6 th 8/12/2021 158 25 Td 4 √ X 14.1
33 Muti R-Untung P 1/7 BPJS 30 5 mg G2P1A0 4 th 9/30/2021 155 25.8 Td 3 √ X 14.2
34 Devi Yanti-Yusuf 1/10 BPJS 25 8 mg G2P1A0 6 th 9/8/2021 157 26 Td 3 √ X 12.1
35 Iin Nurhaeni-Rosidi 2/1 Jampersal 30 12 mg G4P3A0 8 th 8/17/2021 151 24 Td 5 √ X 13.0
36 Tuti Riana-Ade Supardi 2/12 BPJS 44 12 mg G4P3A0 12 th 9/4/2021 151 36 Td 5 √ X 14.0
37 Nurbaiti-Jainudin 1/3 BPJS 22 5 mg G1P0A0 - 10/5/2021 163 24 Td 1 √ X 14.1
38 Siti Komariah-Eko Prayono 1/7 BPJS 24 11 mg G2P1A0 5 th 8/27/2021 150 28 Td 3 √ X 12.9
39 Melisa-Arman 1/3 Jampersal 21 8 mg G1P0A0 - 9/20/2021 168 24 Td 1 √ X 12.8
40 Tia Ivanka-Karsito 2/2 BPJS 28 5 mg G2P1A0 6 th 10/7/2021 156 27 Td 3 √ X 12.6
41 Lolita-Edi Winaso 1/7 BPJS 25 7 mg G2P1A0 6 th 9/25/2021 160 23.5 Td 3 √ X 12.3
42 Iski Triana-Sadelih 1/3 BPJS 29 6 mg G3P2A0 5 th 10/1/2021 150 25 Td 4 √ X 15.3
43 Munarti-Rojikin 1/3 BPJS 29 6 mg G3P2A0 7 th 10/1/2021 150 24 Td 4 √ X 11.3
44 Nurfatihah-Risan Azis 2/2 BPJS 31 12 mg G2P1A0 10 th 8/23/2021 160 23.5 Td 2 √ X 12.7
45 Marsuni-Samsudin 2/10 Jampersal 28 9 mg G1P0A0 - 9/17/2021 158 23.5 Td 1 √ X 12.2
46 Lika-Poniman 2/2 BPJS 35 5 mg G3P2A0 6 th 9/7/2021 151 25 Td 3 √ X 11.7
47 Meli Yuniarti-Wawan 2/10 Jampersal 28 9 mg G1P0A0 - 9/17/2021 158 24 Td 1 √ X 12.4
48 Sopinah-Tarmizi 1/2 Jampersal 23 10 mg G1P0A0 - 9/7/2021 156 24 Td 1 √ X 13.7
49 Nursini Alvianti-Muhammad Ata 2/7 BPJS 23 6 mg G1P0A0 - 10/2/2021 152 25 Td 1 √ X 12
50 Siti Anisah-Rosidin 1/2 BPJS 25 10 mg G3P2A0 1 th 8/27/2021 150 22.3 Td 4 √ X 13.9
51 Dewi Setia Puji-Ahmad Mugni 1/1 BPJS 26 11 mg G2P1A0 2 th 9/1/2021 155 24 Td 3 √ X 14.0
52 Nendrikah-Lakae 1/6 BPJS 24 11 mg G3P2A0 4 th 8/30/2021 148 24 Td 4 √ X 12.8
53 Heni-Muhamad Efendi 1/6 Jampersal 29 6 mg G2P1A0 8 th 10/5/2021 152 26 Td 3 √ X 13.7
54 Tesya Ayuni-Nursalim 1/3 BPJS 21 6 mg G1P0A0 - 10/3/2021 151 24 Td 1 √ X 12.1
55 Jubaedah-Misda 2/5 BPJS 32 6 mg G3P2A0 6 th 10/6/2021 153 21.2 Td 4 √ X 11.8
56 Wulan Sari-M. Firdaus Sirojudin 2/4 BPJS 19 12 mg G1P0A0 - 8/28/2021 157 29 Td 1 √ X 12.6
57 Noviyanti-Nurjaya 1/5 BPJS 26 7 mg G2P1A0 8 th 9/30/2021 151 28 Td 3 √ X 12.4
58 Mayunah-Suheri 1/7 BPJS 32 10 mg G2P1A0 5 th 9/25/2021 147 27.5 Td 3 √ X 12.1
59 Salmana-Mursin 1/1 BPJS 22 12 mg G1P0A0 - 8/28/2021 157 25 Td 1 √ X 128
60 Amelia-Dalimin 1/3 BPJS 26 9 mg G1P0A0 - 9/18/2021 154 31 Td 1 √ X 12.7
61 Puspita-Suryanto 1/2 BPJS 24 9 mg G2P1A0 5 th 9/17/2021 153 24 Td 3 √ X 14.8
62 Rohada-Nisin 2/7 BPJS 35 4 mg G4P3A0 4 th 10/22/2021 155 26 Td 5 √ X 13.9
63 Sunarti-Ahmad Fariz 1/5 BPJS 25 5 mg G1P0A0 - 10/12/2021 152 24 Td 1 √ X 12.3
64 Pujiati-Jitoriyadi 2/3 BPJS 28 11 mg G1P0A0 - 9/14/2021 152 27 Td 1 √ X 11.9
65 Cici Ragista-Haerudin 1/3 Jampersal 20 10 mg G2P0AI 5 th 8/27/2021 153 24 Td 3 √ X 13.6
66 Suryana-M. Yanto 1/9 BPJS 27 12 mg G1P0A0 - 9/19/2021 151 26 Td 1 √ X 11.3
67 Erina Nindya Sari-Faisal 1/8 BPJS 25 9 mg G2P0AI 6 th 9/25/2021 160 25 Td 3 √ X 14.1
68 Kristina-Joni 2/4 BPJS 28 8 mg G1P0A0 - 31/09/2021 146 26 Td 1 √ X 12.1
69 Dwi Yuliawati-Wardi Farizal 1/5 BPJS 26 10 mg G2P0AI 6 th 9/14/2021 152 23.5 Td 3 √ X 12.8
70 Marni-Fajar 2/10 BPJS 25 7 mg G1P0A0 - 10/15/2021 152 26 Td 1 √ X 11.2

71 Tuti Riana-Asep Guntur 1/1 Jampersal 25 6 mg G2P1A0 4 th 10/24/2021 157 25 Td 3 √ X 14.1
72 Zakiatunnisa- Amarudin 2/3 Jampersal 20 10 mg G1P0A0 - 9/27/2021 151 24 Td 1 √ X 12.9
73 Rena Triana-Abdul Hadi 1/3 BPJS 31 12 mg G3P2A0 5 th 9/12/2021 153 28 Td 4 √ X 12.8
74 Irni Arisanti-M. Sauqi 1/2 BPJS 27 6 mg G1P0A0 - 10/25/2021 158 27 Td 1 √ X 12.6
75 Dewi Kustiana-Casmudi 1/8 BPJS 23 11 mg G1P0A0 - 9/22/2021 155 26 Td 1 √ X 12.3
76 Detha Erlitha-Fajar Budiman 1/8 BPJS 23 11 mg G1P0A0 - 10/29/2021 155 24 Td 1 √ X 15.3
77 Fitrianti-Irfan 1/9 BPJS 23 9 mg G2P0A1 6 th 9/1/2021 168 25 Td 3 √ X 11.3
78 Marlianti-Nasrullah 2/10 Jampersal 25 12 mg G1P0A0 - 10/14/2021 156 24 Td 1 √ X 12.7
79 Siti Nurjanah-Ahmad Halim 1/9 BPJS 25 7 mg G3P1A1 3 th 10/29/2021 154 12.2 Td 4 √ X 12.2
80 Anggina Riansi-Aris Ardianto 2/6 BPJS 21 9 mg G1P0A0 - 10/19/2021 150 26.7 Td 1 √ X 11.7
81 Erna Yulia-Andrian Martin 2/6 BPJS 21 9 mg G1P0A0 - 10/19/2021 150 24 Td 1 √ X 12.4
82 Nilawati-Agus Setiawan 1/2 Jampersal 32 6 mg G2P1A0 7 th 11/2/2021 156 24 Td 3 √ X 13.7
83 Widia Astuti-Imam Abdul Halim 1/5 Jampersal 30 8 mg G2P1A0 6 th 10/18/2021 155 26 Td 3 √ X 12
84 Cen Mey-Cahyadi 2/1 BPJS 33 6 mg G2P1A0 4 th 11/6/2021 152 24.8 Td 3 √ X 13.9
85 Anne Nugraha Juniar-Ahmad Mulki 1/8 BPJS 21 11 mg G1P0A0 - 9/27/2021 153 24 Td 1 √ X 14.0
86 Astri Widia-Akbar Kurniansyah 2/2 Jampersal 24 8 mg G1P0A0 - 10/13/2021 153 26 Td 1 √ X 12.8
87 Adnid Azha-Aditya Ramadita 2/4 BPJS 30 6 mg G3P1A1 4 th 11/9/2021 150 24 Td 4 √ X 13.7
88 Istianah-Edi Ismanto 2/4 BPJS 30 5 mg G3P1A1 4 th 11/9/2021 150 25 Td 4 √ X 12.1
89 Made Kusuma Dewi-Damar Setiawan 1/1 BPJS 25 6 mg G2P1A0 5 th 10/24/2021 165 24.1 Td 3 √ X 11.8
90 Lita Widianti-Adi Wardana 2/4 Jampersal 20 6 mg G1P0A0 - 11/5/2021 156 27 Td 1 √ X 12.6
91 Devi Primasari-Fairuz 2/4 BPJS 20 6 mg G1P0A0 - 11/5/2021 156 24 Td 1 √ X 12.4
92 Anita-Rahmat Hidayat 2/3 BPJS 30 12 mg G3P1A0 6 th 10/2/2021 150 24 Td 4 √ X 12.1
93 Yunia-Fahri Ramdani 1/7 BPJS 25 6 mg G1P0A0 - 11/11/2021 143 26 Td 1 √ X 128
94 Aisyah-Nurasin 1'7 BPJS 37 11 mg G5P2A2 5 th 10/2/2021 156 24 Td 4 √ X 12.7
95 Dwi Susan Lestiana-Ahnan Maftudin 1/3 BPJS 23 4 mg G2P0A1 5 th 11/20/2021 160 24.1 Td 3 √ X 14.8
96 Refi Yanti-Fajar 1/3 BPJS 20 6 mg G1P0A0 - 11/8/2021 155 24 Td 1 √ X 13.9
97 Lis Septianawati-Agung W. 2/1 Jampersal 34 9 mg G3P2A0 6 th 10/24/2021 151 33 Td 4 √ X 12.3
98 Siti Jaenabun-Erwin 1/2 BPJS 23 10 mg G1P0A0 - 10/13/2021 152 30 Td 1 √ X 11.9
99 Siti Nursaidah-Ruslan 2/1 BPJS 25 12 mg G2P1A0 6 th 10/3/2021 157 28 Td 3 √ X 13.6
100 Dian Ardila-Ricky Nurhidayat 2/2 Jampersal 29 6 mg G2P1A0 5 th 10/9/2021 155 26 Td 3 √ X 11.3
101 Eka Septi W-Galih Hidmansyah 2/4 Jampersal 30 10 mg G3P2A0 7 th 10/14/2021 155 25 Td 4 √ X 14.1
102 Ina khairunnisa-Heriyadi Gunawan 2/5 BPJS 23 6 mg G1P0A0 - 11/12/2021 155 27 Td 1 √ X 10.5
103 April Yeni-Deden Hermawan 2/12 BPJS 34 11 mg G3P2A0 10 th 10/19/2021 153 24 Td 4 √ X 13.0
104 Sri Listiyadewi-Supri 1/1 Jampersal 30 12 mg G1P0A0 - 10/18/2021 155 24 Td 1 √ X 14.1
105 Ratmi- M. Safei 1/2 BPJS 23 12 mg G3P2A0 6 th 10/17/2021 155 28 Td 4 √ X 12.9
106 Anita-Nova 1/3 BPJS 23 11 mg G2P1A0 5 th 10/4/2021 156 24 Td 2 √ X 12.8
107 Rosidah-Sanudin 1/10 BPJS 20 12 mg G1P0A0 - 10/22/2021 153 27 Td 1 √ X 12.6
108 Elfita-Rahadian 2/5 Jampersal 34 11 mg G3P2A0 7 th 10/23/2021 159 23.5 Td 4 √ X 12.3
109 Kastini-Parman 1/5 BPJS 34 10 mg G3P2A0 7 th 11/2/2021 159 25 Td 4 √ X 15.3

110 Hikmawati-Ari 1/2 BPJS 22 4 mg G1P0A0 - 12/12/2021 143 24 Td 1 √ X 11.3
111 Isah-Gunawan 1/6 BPJS 37 10 mg G4P3A0 5 th 10/1/2021 150 23.5 Td 5 √ X 12.7
112 Siti Mariah-Dendi 1/2 BPJS 27 10 mg G2P1A0 4 th 11/8/2021 155 23.5 Td 2 √ X 12.2
113 Siska Damayanti-Sutisno 2/1 BPJS 25 5 mg G2P1A0 5 th 12/10/2021 155 25 Td 3 √ X 11.7
114 Yurnawati-Awaludin Siregar 2/3 Jampersal 31 11 mg G3P2A0 6 th 10/26/2021 165 24 Td 4 √ X 12.4
115 Indri Hidayatussoleha-Agus M. 2/4 BPJS 23 9 mg G1P0A0 - 11/14/2021 160 24 Td 1 √ X 13.7
116 Fitri Sulastri-Arif 2/1 Jampersal 23 6 mg G2P1A0 5 th 12/6/2021 152 25 Td 3 √ X 12
117 Utari Rahmawati-Budi 1/5 Jampersal 20 8 mg G1P0A0 - 11/24/2021 151 26 Td 1 √ X 13.9
118 Ayu Fidiah-Kholid Abdullah 2/2 BPJS 27 6 mg G3P1A1 6 th 12/10/2021 145 24 Td 4 √ X 14.0
119 Marini-Wisnu Kuncoro 1/3 Jampersal 24 9 mg G1P0A0 - 11/16/2021 152 24 Td 1 √ X 12.8
120 Wike Marlianti-Wahyu 1/7 BPJS 27 7 mg G2P1A0 10 th 12/1/2021 165 26 Td 3 √ X 13.7
121 Nur Asni-Nurdiansyah 1/1 BPJS 25 11 mg G1P0A0 - 10/19/2021 155 24 Td 1 √ X 10.3
122 Rusnawati-Herman 2/4 BPJS 21 10 mg G1P0A0 - 11/22/2021 154 21.2 Td 1 √ X 11.8
123 Marianis-M.Zaim 1/8 BPJS 34 9 mg G3P2A0 6 th 11/27/2021 150 29 Td 4 √ X 12.6
124 Nurul Jannah-Ahmad Hari 1/7 Jampersal 24 10 mg G1P0A0 - 11/17/2021 149 28 Td 1 √ X 12.4
125 Lisa Novitasari-Samsul Anwar 1/7 BPJS 32 9 mg G3P2A0 4 th 11/30/2021 150 27.5 Td 4 √ X 12.1
126 Widya Permana-Janwar 1/3 Jampersal 32 12 mg G2P1A0 8 th 11/17/2021 160 24 Td 5 √ X 10
127 Novita Ayu Dwiyanti-Michael 2/1 BPJS 22 9 mg G1P1A0 - 12/7/2021 155 24 Td 1 √ X 14.1
128 Yeyen-Suwandi 2/9 BPJS 30 11 mg G3P1A1 5 th 11/21/2021 148 28 Td 3 √ X 12.9
129 Mirawati-Aji Sucipto 1/7 BPJS 29 12 mg G1P0A0 - 11/14/2021 155 24 Td 1 √ X 12.8
130 Siti Alfiah-Herman 2/3 BPJS 31 7 mg G2P1A0 6 th 12/17/2021 149 27 Td 3 √ X 12.6
131 Erlin-Abdul Aziz 2/2 BPJS 27 6 mg G1P0A0 - 1/7/2021 151 23.5 Td 3 √ X 12.3
132 Dahlia-Edi Hermawan 1/3 BPJS 27 5 mg G2P1A0 5 th 1/9/2021 163 25 Td 4 √ X 15.3
133 Winda Ningsih-Sahun 1/7 Jampersal 24 11 mg G1P0A0 - 11/20/2021 163 24 Td 4 √ X 11.3
134 Sapridah-Asep Junaedi 1/1 BPJS 22 4 mg G1P0A0 - 1/12/2021 152 23.5 Td 2 √ X 12.7
135 Meliana-Jamaludin 1/2 BPJS 26 7 mg G1P0A0 - 27/10/2021 156 23.0 Td 1 √ X 12.2
136 Triana Dewi-Katiman 1/8 Jampersal 24 9 mg G2P1A0 6 th 12/9/2021 151 25 Td 3 √ X 11.7
137 Eka Setianingsih-Sugiono 1/2 BPJS 22 5 mg G1P0A0 - 1/9/2021 155 24 Td 1 √ X 12.4
138 Dewi Ratnasari-Radih 1/5 BPJS 24 11 mg G1P0A0 - 11/24/2021 157 24 Td 1 √ X 13.7
139 Sekar Wahyuni-Amsari 1/3 BPJS 20 8 mg G1P0A0 - 12/15/2021 150 25 Td 1 √ X 12
140 Hamidah-Agus Salim 2/7 BPJS 27 11 mg G2P1A0 4 th 11/23/2021 155 26 Td 4 √ X 13.9
141 Salmah-Salima 2/5 BPJS 34 5 mg G3P2A0 5 th 1/9/2021 157 24 Td 3 √ X 14.0
142 Rusminah-Kuatno 2/3 BPJS 28 11 mg G2P0A1 4 th 11/28/2021 156 24 Td 4 √ X 12.8
143 Mawar-Taripin 1/1 Jampersal 28 12 mg G1P0A0 - 11/15/2021 145 26 Td 3 √ X 13.7
144 Humaeroh-Supendi 1/7 BPJS 28 8 mg G2P1A0 6 th 12/18/2021 150 24 Td 1 √ X 12.1
145 Hesti Tri Siska-Sophiadi 1/7 Jampersal 29 10 mg G3P1A1 6 th 11/25/2021 150 21.2 Td 4 √ X 11.8
146 Asiyah-Yasito 2/3 BPJS 29 11 mg G2P1A0 4 th 11/16/2021 149 29 Td 1 √ X 12.6
147 Juwanah-Agus 1/1 BPJS 29 5 mg G3P2A0 8 th 1/10/2021 155 28 Td 3 √ X 12.4
148 Amsani-Rojak 1/1 BPJS 33 5 mg G3P2A1 5 th 1/10/2021 145 27.5 Td 3 √ X 12.1

149 Siti Nurhayati-Ahmad Sayuti 2/1 BPJS 21 11 mg G1P0A0 - 11/27/2021 151 25 Td 1 √ X 128
150 Meri-Taufik * 1/5 BPJS 24 8 mg G1P0A0 - 12/27/2021 150 21 Td 1 √ X 12.7
151 Nurhalimah-Rohman 1/1 BPJS 20 12 mg G1P0A0 - 12/23/2021 150 24 Td 3 √ X 14.8
152 Haswati-A. Maulana 2/2 BPJS 29 8 mg G2P1A0 4 th 12/23/2021 150 26 Td 5 √ X 13.9
153 Heni Novita-Muhammad Nuri 2/5 BPJS 29 7 mg G2P1A0 4 th 1/5/2021 150 24 Td 1 √ X 12.3
154 Eti Maryati-Wawan 1/4 BPJS 21 6 mg G1P0A0 - 1/13/2021 154 27 Td 1 √ X 11.9
155 Emi Rahmawati-Salinta 2/2 BPJS 29 5 mg G3P2A0 5 th 12/24/2021 150 24 Td 3 √ X 13.6
156 Yuli Artati-Mukhlas 1/1 Jampersal 22 12 mg G2P1A0 3 th 12/3/2021 150 26 Td 1 √ X 11.3
157 Juriah-Saimin 1/8 BPJS 34 9 mg G3P2A0 6 th 12/25/2021 151 25 Td 3 √ X 14.1
158 Santi Dewi-Suwedih 2/5 BPJS 27 10 mg G2P1A0 3 th 12/16/2021 150 25.8 Td 1 √ X 14.2
159 Putri Ramadhani-M.Fauji 2/4 BPJS 23 9 mg G1P0A0 - 28/12/2021 150 26 Td 1 √ X 12.1
160 Nihaya-Nasan 1/8 BPJS 30 11 mg G2P1A0 6 th 12/13/2021 150 23.5 Td 3 √ X 12.8
161 Marni-Cahyadi 1/7 BPJS 23 9 mg G1P0A0 - 12/27/2021 150 23.5 Td 5 √ X 13.9
162 Munah-Supriyatna 4/9 BPJS 33 6 mg G5P4A0 3 th 1/20/2021 153 23.5 Td 1 √ X 12.3
163 Siti Saripah-Wahdi 1/7 BPJS 25 10 mg G2P1A0 6 th 11/27/2021 150 23.5 Td 1 √ X 11.9
164 Rini-Jamhari 1/10 BPJS 22 7 mg G1P0A0 - 1/19/2021 154 23.5 Td 3 √ X 13.6
165 Desi Kumalasari-Loa Beni 2/9 BPJS 22 10 mg G3P2A0 4 th 12/27/2021 163 23.5 Td 3 √ X 14.8
166 Nurhayati-Hamdan 2/4 BPJS 23 9 mg G1P0A0 - 28/12/2021 150 26 Td 1 √ X 12.1
167 Wahyuni-Sukra Kurniawan 1/8 BPJS 30 11 mg G2P1A0 6 th 12/13/2021 150 23.5 Td 3 √ X 12.8
168 yanti-M.Arjun 1/7 BPJS 23 9 mg G1P0A0 - 12/27/2021 150 23.5 Td 5 √ X 13.9
169 Sariyah-Wandi 4/9 BPJS 33 6 mg G5P4A0 3 th 1/20/2021 153 23.5 Td 1 √ X 12.3
170 Hasanah-Mulyadih 1/10 BPJS 22 7 mg G1P0A0 - 1/19/2021 154 23.5 Td 3 √ X 13.6
171 Sifah faujiah-Nanang 1/4 BPJS 21 6 mg G1P0A0 - 1/13/2021 154 27 Td 1 √ X 11.9
172 Mirna-Endang 2/2 BPJS 29 5 mg G3P2A0 5 th 12/24/2021 150 24 Td 3 √ X 13.6
173 Nuratika-Abdullah 1/10 BPJS 22 7 mg G1P0A0 - 1/19/2021 154 23.5 Td 3 √ X 13.6
174 Jayanah-Iman 1/7 BPJS 28 8 mg G2P1A0 6 th 12/18/2021 150 24 Td 1 √ X 12.1
175 Irka Ayunda-Detha Arianto 1/7 Jampersal 29 10 mg G3P1A1 6 th 11/25/2021 150 21.2 Td 4 √ X 11.8
176 Arnah-Masan 2/3 Jampersal 28 9 mg G2P1A0 8 th 1/8/2021 156 24 Td 5 √ X 13.0

177 Nurhasanah-Matrudin 1/3 BPJS 24 10 mg G1P0A0 - 12/26/2021 150 24 Td 1 √ X 14.1
178 Farida-Hendrik * 1/1 BPJS 25 9 mg G1P0A0 - 12/12/2021 152 26 Td 1 √ X 12.9
179 Elis-Marsid 2/1 BPJS 24 9 mg G2P1A0 - 1/10/2021 158 24 Td 1 √ X 12.8
180 Marisa Ayu-Taslim Ramadhan 1/8 Jampersal 28 9 mg G2P1A0 6 th 1/12/2021 154 27 Td 3 √ X 12.6
181 Irma Suryani-Supriadi 2/4 BPJS 23 11 mg G1P0A0 6 th 12/26/2021 150 23.5 Td 3 √ X 12.3
182 Maysaroh-Enti Sutrina * 1/3 BPJS 28 6 mg G2P1A0 4 th 2/16/2021 157 26.2 Td 3 √ X 15.3
183 Rodiah-Asban 1/3 BPJS 24 4 mg G2P1A0 7 th 2/23/2021 148 24 Td 4 √ X 11.3
184 Sari Haryani-Solihin 1/5 BPJS 26 10 mg G2P1A0 10 th 1/5/2021 150 23.5 Td 2 √ X 12.7
185 Alfiyanah-Mayuti 2/3 BPJS 23 6 mg G1P0A0 - 2/10/2021 148 23.5 Td 1 √ X 12.2
186 Sri ayu Ardilah-Sunardi 2/2 BPJS 20 10 mg G1P0A0 6 th 1/12/2021 154 25 Td 3 √ X 11.7
187 Linda Rahayu-Sahidullah 1/3 BPJS 22 9 mg G1P0A0 - 2/11/2021 166 24 Td 1 √ X 12.4
188 Kartika Sari-Budi Santoso 1/7 Jampersal 28 10 mg G3P1A1 - 1/9/2021 160 24 Td 1 √ X 13.7
189 Indah Lestari-Irwan 1/1 Jampersal 30 10 mg G5P4A0 - 1/12/2021 156 25 Td 1 √ X 12
190 Bella Mulyati-Iwan Marawan 2/4 BPJS 34 10 mg G3P2A0 1 th 1/11/2021 149 26 Td 4 √ X 13.9
191 Maya-Nasar 2/2 BPJS 30 8 mg G2P1A0 2 th 1/27/2021 150 24 Td 3 √ X 10.1
192 Sulianti-Tiarmin 2/1 BPJS 27 11 mg G1P0A0 4 th 1/2/2021 160 24 Td 4 √ X 12.8
193 Nur Aulia-Purwiyanto 2/1 BPJS 28 9 mg G2P1A0 8 th 1/16/2021 156 26 Td 3 √ X 13.7
194 Ika Nuraini-Andriyanto 1/7 BPJS 28 8 mg G1P0A0 - 1/26/2021 151 24 Td 1 √ X 12.1
195 Selvia Hasan-Sahroni 2/7 BPJS 31 9 mg G3P2A0 6 th 1/20/2021 151 21.2 Td 4 √ X 11.8
196 Larasati-M.Abduh 2/2 BPJS 27 9 mg G2P0A0 - 1/27/2021 165 29 Td 1 √ X 12.6
197 Nurul Fatimah-Saputra Wijaya 2/2 BPJS 27 9 mg G2P0A1 8 th 1/27/2021 165 28 Td 3 √ X 12.4
198 Tinah-Mirsan 2/4 BPJS 22 5 mg G1P0A0 - 1/22/2021 151 24 Td 1 √ X 12:08
199 Karmila /Hafidz 2/3 BPJS 23 6 mg G1P0A0 - 2/10/2021 148 23.5 Td 1 √ X 12.2
200 Riska artika/M.Naufal 2/3 Jampersal 28 9 mg G2P1A0 8 th 1/8/2021 156 24 Td 5 √ X 13.0
201 Eka Nurbadriah/A.Akbar 2/1 BPJS 24 9 mg G2P1A0 - 1/10/2021 158 24 Td 1 √ X 12.8
202 Nurlela/Satria 1/8 Jampersal 28 9 mg G2P1A0 6 th 1/12/2021 154 27 Td 3 √ X 12.6
203 Dian Rahayu/M.Bambang 4/9 BPJS 33 6 mg G5P4A0 3 th 1/20/2021 153 23.5 Td 1 √ X 12.3
204 Alhusna/Tasin 1/10 BPJS 22 7 mg G1P0A0 - 1/19/2021 154 23.5 Td 3 √ X 13.6
205 Iis Siti Aisyah/Arifin * 1/3 BPJS 28 6 mg G2P1A0 4 th 2/16/2021 157 26.2 Td 3 √ X 15.3
206 Neneng/Bubun 1/3 BPJS 24 4 mg G2P1A0 7 th 2/23/2021 148 24 Td 4 √ X 11.3
207 Tati . W/Toni 1/3 BPJS 22 9 mg G1P0A0 - 2/11/2021 166 24 Td 1 √ X 12.4
208 Sri Ayu/A.Rafli 1/7 Jampersal 28 10 mg G3P1A1 - 1/9/2021 160 24 Td 1 √ X 13.7
209 Mawar/Alfarizi 1/1 Jampersal 30 10 mg G5P4A0 - 1/12/2021 156 25 Td 1 √ X 12
210 Hamidah/Yanto 2/4 BPJS 34 10 mg G3P2A0 1 th 1/11/2021 149 26 Td 4 √ X 13.9
211 Sami/Rio 2/2 BPJS 30 8 mg G2P1A0 2 th 1/27/2021 150 24 Td 3 √ X 10.1
212 Yohana/Wawan Setiadi 2/1 BPJS 27 11 mg G1P0A0 4 th 1/2/2021 160 24 Td 4 √ X 12.8
213 Daryani/Muslihat 2/1 BPJS 28 9 mg G2P1A0 8 th 1/16/2021 156 26 Td 3 √ X 13.7
214 Sutri Aplah/Daryono 1/7 BPJS 28 8 mg G1P0A0 - 1/26/2021 151 24 Td 1 √ X 12.1
215 Siti Amsanah/M.Gufron 2/7 BPJS 31 9 mg G3P2A0 6 th 1/20/2021 151 21.2 Td 4 √ X 11.8
216 Dela Marina/M. Fauzan 2/2 BPJS 27 9 mg G2P0A0 - 1/27/2021 165 29 Td 1 √ X 12.6
217 Ais Lusianawati/Agus .G 2/2 BPJS 27 9 mg G2P0A1 8 th 1/27/2021 165 28 Td 3 √ X 12.4
218 Rahmayanti/Suhardi 2/4 BPJS 22 5 mg G1P0A0 - 1/22/2021 151 24 Td 1 √ X 12:08
219 Yanti/Rudiansyah 2/4 BPJS 22 5 mg G1P0A0 - 1/22/2021 151 24 Td 1 √ X 12:08
220 Elis/Dadang 2/7 BPJS 31 9 mg G3P2A0 6 th 1/20/2021 151 21.2 Td 4 √ X 11.8
221 Rohilah/Wantoro 2/3 BPJS 23 6 mg G1P0A0 - 2/10/2021 148 23.5 Td 1 √ X 12.2
222 Elis-Maksin 1/6 BPJS 33 10 mg G3P1A1 5 th 1/24/2021 155 28 Td 3 √ X 12.9
223 Romlah-Imam * 2/1 BPJS 29 7 mg G1P0A0 - 2/19/2021 157 27 Td 1 √ X 13.4
224 Elista-Khaerul * 2/2 Jampersal 28 8 mg G2P1A0 6 th 2/16/2021 151 31 Td 3 √ X 14.2
225 Nurkomariyah-Atis * 2/1 BPJS 26 8 mg G2P1A0 6 th 2/17/2021 147.4 23.5 Td 3 √ X 11.7
226 Ika-Abdul Halim * 1/8 BPJS 28 6 mg G3P1A1 5 th 2/22/2021 150 25 Td 3 √ X 13.2
227 Khasanah-Holil 2/12 BPJS 31 11 mg G3P2A0 5 th 1/19/2021 149 28 Td 4 √ X 11.5
228 Yulianti-Sopian 1/3 BPJS 22 11 mg G1P0A0 - 1/26/2021 159 20.5 Td 1 √ X 10.0
229 Eka puji lestari-Mugiyansyah 2/7 Jampersal 23 10 mg G1P0A0 - 1/28/2021 153 24 Td 1 √ X 12

230 Sarojah-Adi 1/1 BPJS 32 12 mg G2P0A0 4 th 2/15/2021 149 27 Td 3 √ X 12.6
231 Yuli Yupika-Subur 1/2 BPJS 25 11 mg G2P1A0 3 th 1/22/2021 154 28 Td 2 √ X 12.8
232 Sumirah-Bambang 1/4 BPJS 30 11 mg G4P2A1 5 th 1/25/2021 156 33 Td 3 √ X 12.3
233 Fatimah-Sukron 1/3 BPJS 31 8 mg G4P2A1 6 th 2/18/2021 155 29 Td 4 √ X 12.9
234 Siti Julianti-Naryo Cahyadi 2/10 BPJS 26 11 mg G2P1A0 5 th 1/27/2021 152 25.8 Td 2 √ X 12.2
235 Umihani-Irwan 2/8 BPJS 23 11 mg G1P0A0 - 1/24/2021 153 24 Td 1 √ X 12.4
236 Nani-Yanto 1/3 BPJS 34 11 mg G3P2A0 5 th 2/5/2021 148 22.5 Td 4 √ X 12.1
237 Mulyanah-Suki 1/5 BPJS 26 10 mg G2P0A1 5 th 2/2/2021 158 30 Td 3 √ X 11.6
238 Santiyah-Firman 1/1 BPJS 36 11 mg G2P0A1 13 th 2/5/2021 154 24 Td 3 √ X 12.4
239 Kartini-Sulaeman 2/4 BPJS 22 12 mg G1P0A0 - 1/31/2021 155 24 Td 1 √ X 13.7
240 Ita Rosita-Reno Gunawan * 2/3 BPJS 23 7 mg G1P0A0 - 3/2/2021 158 26.5 Td 1 √ X 12.2
241 Iis Soleha-Usuf * 2/5 BPJS 24 5 mg G3P2A0 3 th 3/13/2021 150 23.5 Td 4 √ X 11.2
242 Ismi Azis-Khaoirul Wahyudi * 1/1 BPJS 20 6 mg G1P0A0 - 3/10/2021 157 28 Td 1 √ X 12.7
243 Eva Armes-Ato * 1/3 BPJS 21 6 mg G1P0A0 - 3/23/2021 154 22.5 Td 1 √ X 12.7
244 Mariyanah-Agus 1/4 BPJS 28 14 mg G2P0A2 - 1/28/2021 149 26.7 Td 5 √ X 14.0
245 Sri Wahyuni-Toni Anwar 1/1 BPJS 34 8 mg G3P2A0 6 th 3/3/2021 163 27 Td 4 √ X 11.3
246 Indri Akmalia Hamid-M.Marwan 2/7 BPJS 21 13 mg G1P0A0 - 2/18/2021 150 26 Td 1 √ X 11.2
247 Fatmawati-Riyadi 1/6 BPJS 33 10 mg G3P1A1 5 th 1/24/2021 155 28 Td 3 √ X 12.9
248 Rahmiyanti-Lukman 2/2 Jampersal 28 8 mg G2P1A0 6 th 2/16/2021 151 31 Td 3 √ X 14.2
249 Linawati-Kamaludin 2/12 BPJS 31 11 mg G3P2A0 5 th 1/19/2021 149 28 Td 4 √ X 11.5
250 Lilis-Ahmad Maksum 1/6 BPJS 33 10 mg G3P1A1 5 th 1/24/2021 155 28 Td 3 √ X 12.9
251 Siti Undiah-Rojak 2/2 Jampersal 28 8 mg G2P1A0 6 th 2/16/2021 151 31 Td 3 √ X 14.2
252 Dewi Sagita-Firman 2/12 BPJS 31 11 mg G3P2A0 5 th 1/19/2021 149 28 Td 4 √ X 11.5
253 Nurfadilah-Ahmad Bustomi 1/3 BPJS 22 11 mg G1P0A0 - 1/26/2021 159 20.5 Td 1 √ X 10.0
254 Mardiyah-Abdurahman 2/7 Jampersal 23 10 mg G1P0A0 - 1/28/2021 153 24 Td 1 √ X 12
255 Rika Awalia-Jalaludin 1/1 BPJS 32 12 mg G2P0A0 4 th 2/15/2021 149 27 Td 3 √ X 12.6
256 Heni lestari-Sarkowi 1/2 BPJS 25 11 mg G2P1A0 3 th 1/22/2021 154 28 Td 2 √ X 12.8
257 Rahmawati-Indra Sudira 1/4 BPJS 30 11 mg G4P2A1 5 th 1/25/2021 156 33 Td 3 √ X 12.3
258 Nia kurniawati-Karyadi 1/3 BPJS 31 8 mg G4P2A1 6 th 2/18/2021 155 29 Td 4 √ X 12.9
259 Aca wati-Suminta 2/10 BPJS 26 11 mg G2P1A0 5 th 1/27/2021 152 25.8 Td 2 √ X 12.2
260 Riyanti-Budiman 2/8 BPJS 23 11 mg G1P0A0 - 1/24/2021 153 24 Td 1 √ X 12.4
261 Rohanah-Bukhori 1/3 BPJS 34 11 mg G3P2A0 5 th 2/5/2021 148 22.5 Td 4 √ X 12.1
262 halimah-Alham Setiawan 1/1 BPJS 32 11 mg G2P0A1 13 th 2/5/2021 154 24 Td 3 √ X 12.4
263 Khairunisa-Ahmad Taufik 2/3 BPJS 23 7 mg G1P0A0 - 3/2/2021 158 26.5 Td 1 √ X 12.2
264 Yulianah-Suryadih 2/5 BPJS 24 5 mg G3P2A0 3 th 3/13/2021 150 23.5 Td 4 √ X 11.2
265 Syifa Utami-Herman * 1/2 BPJS 24 11 mg G2P1A0 3 th 2/22/2021 157 23.3 Td 3 √ X 10.5
266 Tika-Nurman 2/4 BPJS 21 4 mg G1P0A0 - 4/9/2021 150 24 Td 1 √ X 12.8
267 Iis Kursiah-Ramdani 2/3 BPJS 19 8 mg G1P0A0 - 3/13/2021 150 24 Td 1 √ X 12.5
268 Iria Juwita 2/7 BPJS 20 12 mg G1P0A0 - 2/22/2021 148 24 Td 1 √ X 12.6

269 Sunnatunnajah-Habibi 2/1 BPJS 20 12 mg G1P0A0 - 2/20/2021 152 24 Td 1 √ X 10.2
270 Karia-Sukarmin 2/4 BPJS 26 11 mg G3P1A1 5 th 3/17/2021 150 24 Td 4 √ X 11.5
271 Suhaemi-Amdani 1/7 BPJS 27 11 mg G2P1A0 4 th 3/2/2021 143 26 Td 1 √ X 11.4
272 Mira Setiawati-Sucipto 2/4 Jampersal 23 10 mg G1P0A0 - 3/11/2021 160 24 Td 1 √ X 12
273 Surina Aida-Kuswanto 1/8 BPJS 19 15 mg G1P0A0 - 2/6/2021 151 24 Td 1 √ X 12.0
274 Lina Wati-Sali Hariyanto 2/12 BPJS 30 12 mg G3P2A0 3 th 2/27/2021 148 24 Td 4 √ X 12.8
275 Ernina-Rasid 1/4 BPJS 32 12 mg G2P1A0 5 th 2/27/2021 150 24 Td 3 √ X 11.3
276 Nurseptiani-Sayuti 1/1 BPJS 27 4 mg G2P1A0 6 th 4/22/2021 155 27 Td 3 √ X 12.9
277 Nuryanti-Diki Setio 2/2 BPJS 29 10 mg G2P1A0 5 th 3/9/2021 148 23.5 Td 2 √ X 11.3
278 Samah-Ma'mun 2/4 BPJS 28 8 mg G1P0A0 - 3/27/2021 148 24 Td 1 √ X 11.3
279 Ratnasari-Kurniawan 1/3 BPJS 22 8 mg G1P0A0 - 4/2/2021 152 26 Td 1 √ X 11.1
280 Aryati-Dayat 1/2 BPJS 24 5 mg G2P0A1 5 th 3/25/2021 159 24 Td 3 √ X 11.6
281 Sri Astuti-Rudi * 1/1 BPJS 35 10 mg G2P1A0 14 th 3/15/2021 152 28 Td 3 √ X 11.6
282 Erna Lestari-kino Pambudi 1/3 BPJS 31 14 mg G3P2A0 8 th 2/20/2021 156 33 Td 5 √ X 13.7
283 Esti-Dais 1/7 BPJS 25 14 mg G1P0A0 - 2/19/2021 150 24 Td 1 √ X 11.3
284 Lusiana-Dedi * 1/3 BPJS 24 5 mg G1P0A0 - 4/25/2021 149.6 26 Td 1 √ X 11.2
285 Erna-Heru 2/10 BPJS 23 7 mg G1P0A0 - 4/14/2021 155 24 Td 1 √ X 12.7
286 Sinah-Dadi 1/8 Jampersal 29 13 mg G3P2A0 5 th 3/8/2021 155 26 Td 4 √ X 11.2
287 Rukmaini-Andi 1/1 BPJS 34 8 mg G3P2A0 6 th 4/13/2021 163 27 Td 4 √ X 11.3
288 Satia Puji-Amirudin 2/7 BPJS 21 13 mg G1P0A0 - 4/15/2021 150 26 Td 1 √ X 11.2
289 Herlina-Umar 1/6 BPJS 30 5 mg G1P0A0 - 5/5/2021 153 28 Td 3 √ X 12.9
290 Fiki Nurlela-Eko Wahyudi 3/9 BPJS 28 5 mg G1P0A0 - 31/04/2021 156 25 Td 4 √ X 11.7
291 Anisa-Surya 1/4 BPJS 27 9 mg G2P1A0 6 th 4/12/2021 156 24 Td 3 √ X 12.3
292 Umilatifah-Nuryadih 1/4 BPJS 29 8 mg G2P1A0 5 th 4/23/2021 147 26 Td 1 √ X 11.7
293 Yunita-Febri 1/7 BPJS 34 10 mg G4P2A1 7 th 4/9/2021 153 25 Td 1 √ X 11.3
294 Anah-Andi 2/12 BPJS 26 9 mg G2P1A0 5 th 4/17/2021 156 28 Td 4 √ X 11.5
295 Maria Ulpah-qurtubi 1/2 BPJS 23 10 mg G1P0A0 - 4/11/2021 159 24 Td 1 √ X 11.6
296 Erinayani-Lukman 2/7 Jampersal 36 9 mg G3P2A0 5 th 4/9/2021 153 24 Td 1 √ X 12
297 Martina-Faisal 1/13 BPJS 29 8 mg G2P1A0 - 4/19/2021 156 27 Td 3 √ X 12.6
298 Ririn-Damyani 1/2 BPJS 30 8 mg G3P2A0 3 th 4/27/2021 154 28 Td 2 √ X 12.8
299 Aulia Saidatul Makiyah-A.Zulkifli 1/3 BPJS 19 10 mg G1P0A0 - 4/27/2021 154 33 Td 3 √ X 12.3
300 Sarah-Fajar 2/3 BPJS 29 10 mg G2P1A0 6 th 4/12/2021 152 29 Td 4 √ X 12.9
301 Wiwik-Maryasin 2/7 BPJS 26 10 mg G2P1A0 5 th 4/9/2021 152 25.8 Td 2 √ X 12.2
302 Siti Aflaha-Faturahman 2/1 BPJS 21 8 mg G1P0A0 - 4/16/2021 153 24 Td 1 √ X 12.4
303 Rizki Amelia-Karia * 4/2 BPJS 28 6 mg G2P0A1 - 5/10/2021 157 26 Td 3 √ X 13.2
304 Latifah-Hasan 1/4 BPJS 29 13 mg G2P1A0 5 th 4/23/2021 158 30 Td 3 √ X 11.6
305 Sunarti-Icuy * 2/10 BPJS 37 9 mg G2P1A0 10 th 4/22/2021 155 30 Td 3 √ X 12.7

Provinsi : Banten
Kab/Kota : Tangerang
Kecamatan : Kosambi
Glukosa Ur (+/-)
MICROSKO
Malaria (+/-)
P. Urine(+/-)
HBsAg (+/-)
Konseling *
gol. Darah
Kasus ***
TAHUN 2021
HIV (+/-)
Lain-lain
Laksana
SIFILIS
TBC
(+/-)
Tata
(+/-)
JAN FEB MAR APR MEI JUN JUL AGU SEP OKT NOV DES
AB (-) (-) (-) (-) (-) X X X √ √ 2/Fe1⁰ 12/Fe2 - 5/Fe3 18/Fe4 27/Fe5 27/Fe6∆ *30/08/20
B (-) (-) (-) (-) (-) X X X √ √ 2/Fe1⁰ - 16/Fe2 15/Fe3 17/Fe4 - *14/07/20
O (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 7/Fe2 10/Fe3 - 16/Fe4 20/Fe5 20/Fe6∆ *20/08/20
B (-) (-) (-) (-) (-) X X X √ √ 6/Fe1⁰ 9/Fe2 10/Fe3 10/Fe4 - 15/Fe5 15/Fe6∆ *01/08/20
A (-) (-) (-) (-) (-) X X X √ √ 6/Fe1⁰ 6/Fe2 - 15/Fe3 20/Fe4 - *15/07/20
O (-) (-) (-) (-) (-) X X X √ √ 7/10/Fe1⁰ - 11/Fe2 17/Fe3 16/Fe4 10/Fe5 20/Fe6∆ *19/08/20
O (-) (-) (-) (-) (-) X X X √ √ 7/Fe1⁰ 3/Fe2 - 10/Fe3 15/Fe4 20/Fe5 16/Fe6∆ *30/08/20
*30/07/20(25/
B (-) (-) (-) (-) (-) X X X √ √ 8/Fe1⁰ - 5/Fe2 - 5/Fe3 11/Fe4 Fe5∆)
B (-) (-) (-) (-) (-) X X X √ √ 9/Fe1 5/Fe2 - 16/Fe3 19/Fe4 9/Fe5 10/Fe6 10/Fe7 *02/09/20
AB (-) (-) (-) (-) (-) X X X √ √ 9/Fe1 5/Fe2 - 16/Fe3 19/Fe4 9/Fe5 15/Fe6 17/Fe7 *02/09/20
B (-) (-) (-) (-) (-) X X X √ √ 9/Fe1⁰ 10/Fe2 12/Fe3 10/Fe4 10/Fe5 - *20/07/20
O (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 16/Fe2 - 17/Fe3 24/Fe4 - *25/07/20
B (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 23/Fe2 - 16/Fe3 20/Fe4 - *23/07/20
AB (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ - 15/Fe2 16/Fe3 20/Fe4 - *25/07/20
B (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 14/Fe2 - 17/Fe3 18/Fe4 20/Fe5 20/Fe6∆ *29/08/20
B (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 10/Fe2 - 19/Fe3 13/Fe4 - 25/Fe6 *29/08/20
AB (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 23/Fe2 - 16/Fe3 21/Fe4 - *25/07/20
AB (-) (-) (-) (-) (-) X X X √ √ 13/Fe1 - 26/Fe2 24/Fe3 - 13/Fe4 20/Fe5 15/Fe6 *15/09/20
AB (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ - 23/Fe2 - 16/Fe3 17/Fe4 20/Fe6∆ *25/08/20
AB (-) (-) (-) (-) (-) X X X √ √ 16/Fe1 - 30/Fe2 - 20/Fe3 30/Fe4 22/Fe5 20/Fe6 *10/09/20
B (-) (-) (-) (-) (-) X X X √ √ 16/Fe1⁰ 16/Fe2 16/Fe3 20/Fe4 20/Fe5 22/Fe6 20/Fe7∆ *15/08/20
AB (-) (-) (-) (-) (-) X X X √ √ 16/Fe1⁰ 16/Fe2 12/Fe3 15/Fe4 12/Fe5 20/Fe6 16/Fe7∆ *2/08/20
AB (-) (-) (-) (-) (-) X X X √ √ 18/Fe1 - 10/Fe2 20/Fe3 20/Fe4 25/Fe5 25/Fe6 20/Fe7 *10/09/20
B (-) (-) (-) (-) (-) X X X √ √ 20/Fe1⁰ - 18/Fe2 15/Fe3 25/Fe4 - *25/07/20
B (-) (-) (-) (-) (-) X X X √ √ 20/Fe1⁰ 23/Fe2 - 10/Fe3 20/Fe4 19/Fe5 *25/07/20
O (-) (-) (-) (-) (-) X X X √ √ 24/Fe1⁰ 7/Fe2 10/Fe3 10/Fe4 21/Fe5 25/Fe6 25/Fe7∆ *24/08/20
O (-) (-) (-) (-) (-) X X X √ √ 20/Fe1⁰ - 12/Fe2 10/Fe3 3/Fe4 10/Fe5 10/Fe6∆ *2/08/20
O (-) (-) (-) (-) (-) X X X √ √ 24/Fe1 20/Fe2 - - 15/Fe3 7/Fe4 10/Fe5 20/Fe6 *9/09/20
B (-) (-) (-) (-) (-) X X X √ √ 25/Fe1⁰ 19/Fe2 17/Fe3 - 25/Fe4 - *27/07/20
AB (-) (-) (-) (-) (-) X X X √ √ 30/Fe1 18/Fe2 - 20/Fe3 20/Fe4 15/Fe5 22/Fe6 22/Fe7 *20/09/20
A X (-) (-) (-) (-) X X X √ √ 30/Fe1 27/Fe2 - - 15/Fe3 10/Fe4 14/Fe5 *25/08/20
AB (-) (-) (-) (-) (-) X X X √ √ 3/Fe1⁰ - 5/Fe2 6/Fe3 3/Fe4 20/Fe5∆ *5/08/20
B (-) (-) (-) (-) (-) X X X √ √ 18/Fe1⁰ - 20/Fe2 20/Fe3 25/Fe4 25/Fe5∆ *25/08/20
B (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ - 10/Fe2 10/Fe3 - 15/Fe4 25/Fe5∆ *25/09/20
AB (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 18/Fe2 - 15/Fe3 19/Fe4 25/Fe5∆ *20/08/20
*2/10/
B (-) (-) (-) (-) (-) X X X √ √ 6/Fe1⁰ 6/Fe2 10/Fe3 10/Fe4 20/Fe5 30/Fe6 30/Fe7∆ - 20
A (-) (-) (-) (-) (-) X X X √ √ 7/Fe1⁰ - 15/Fe2 15/Fe3 17/Fe4 25/Fe5 25/Fe6∆ *20/09/20
B (-) (-) (-) (-) (-) X X X √ √ 8/Fe1⁰ 10/Fe2 12/Fe3 14/Fe4 14/Fe5 16/Fe6∆ *12/08/20
AB (-) (-) (-) (-) (-) X X X √ √ 8/Fe1⁰ - 29/Fe2 - 11/Fe3 30/Fe4 30/Fe5∆ *2/09/20
O (-) (-) (-) (-) (-) X X X √ √ 9/Fe1⁰ - 7/Fe2 7/Fe3 5/Fe4 20/Fe5 20/Fe6∆ *5/09/20
B (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 21/Fe2 23/Fe3 25/Fe4 21/Fe5 30/Fe6∆ *20/08/20
15/Fe6∆
AB (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 18/Fe2 16/Fe3 16/Fe3 15/Fe4 25/Fe5 *6/09/20
*20/08/20
B (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 15/Fe2 15/Fe3 14/Fe4 20/Fe5 20/Fe6∆
B (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 10/Fe2 20/Fe3 - 20/Fe4 20/Fe5 25/Fe6∆ *25/09/20
25/Fe6∆
AB (-) (-) (-) (-) (-) X X X √ √ 12/Fe1⁰ - 17/Fe2 16/Fe3 16/Fe4 20/Fe5 *5/09/20
AB (-) (-) (-) (-) (-) X X X √ √ 12/Fe1⁰ 12/Fe2 12/Fe3 - 20/Fe4 20/Fe5 10/Fe6∆ *25/09/20
*20/08/20
B (-) (-) (-) (-) (-) X X X √ √ 13/Fe1⁰ 14/Fe2 13/Fe3 13/Fe4 20/Fe5 20/Fe6∆
*20/08/20
AB (-) (-) (-) (-) (-) X X X √ √ 12/Fe1⁰ - 17/Fe2 16/Fe3 16/Fe4 16/Fe5∆
B (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ - 14/Fe2 29/Fe3 29/Fe4 20/Fe5 20/Fe6∆ *22/09/20
*12/1
B (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ 15/Fe2 15/Fe3 - 26/Fe4 25/Fe5 25/Fe6 25/Fe7∆ 0/20
*5/10/
B (-) (-) (-) (-) (-) X X X √ √ 16/Fe1⁰ - - 4/Fe2 21/Fe3 20/Fe5 20/Fe6 20/Fe7∆ 20
25/Fe6∆
O (-) (-) (-) (-) (-) X X X √ √ 16/Fe1⁰ 16/Fe2 - 10/Fe3 10/Fe4 10/Fe5 *1/09/20
O (-) (-) (-) (-) (-) X X X √ √ 17/Fe1⁰ 15/Fe2 12/Fe3 13/Fe4 13/Fe5 14/Fe6∆ 10/Fe7 *9/09/20
A X (-) (-) (-) (-) X X X √ √ 20/Fe1⁰ - 29/Fe2 26/Fe3 30/Fe4 25/Fe5 20/Fe6∆ *25/09/20
*5/10/
A (-) (-) (-) (-) (-) X X X √ √ 1/Fe1⁰ 29/Fe2 - 26/Fe3 20/Fe5 17/Fe6 15/Fe7∆ 20
*1/11
B (-) (-) (-) (-) (-) X X X √ √ 1/Fe1⁰ 20/Fe2 20/Fe3 21/Fe4 20/Fe5 17/Fe6 20/Fe7∆ - /20
*2/10/
AB (-) (-) (-) (-) (-) X X X √ √ 1/Fe1⁰ 15/Fe2 15/Fe3 20/Fe4 21/Fe5 - - 20
*2/10/
O (-) (-) (-) (-) (-) X X X √ √ 2/Fe1 15/Fe2 15/Fe3 28/Fe4 25/Fe5 12/Fe6 - 20
*15/1
B (-) (-) (-) (-) (-) X X X √ √ 2/Fe1⁰ 20/Fe2 20/Fe3 21/Fe4 22/Fe5 22/Fe6 22/Fe7∆ 0/20
*1/10/
A (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ 5/Fe2 5/Fe3 10/Fe4 12/Fe5 - - 20
20/ *2/11
O (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ 5/Fe2 - - 15/Fe3 20/Fe4 20/Fe5 Fe6∆ /20
*2/10/
O (-) (-) (-) (-) (-) X X X √ √ 6/Fe1 14/Fe2 - 28/Fe3 25/Fe4 5/Fe5 - 20
*4/10/
B (-) (-) (-) (-) (-) X X X √ √ 8/Fe1⁰ 15/Fe2 20/Fe3 19/Fe4 - - 25/Fe5 20
*20/1
B (-) (-) (-) (-) (-) X X X √ √ 9/Fe1⁰ - 14/Fe2 19/Fe3 21/Fe4 25/Fe5 25/Fe7∆ 0/20
*9/10/
AB (-) (-) (-) (-) (-) X X X √ √ 9/Fe1⁰ 10/Fe2 14/Fe3 20/Fe4 19/Fe5 20/Fe6 20/Fe7∆ 20
*8/10/
B (-) (-) (-) (-) (-) X X X √ √ 9/Fe1⁰ 10/Fe2 18/Fe3 20/Fe4 21/Fe5 20/Fe6 20/Fe7∆ 20
*5/11
O (-) (-) (-) (-) (-) X X X √ √ 9/Fe1⁰ 18/Fe2 18/Fe3 16/Fe4 20/Fe5 25/Fe6 25/Fe7∆ - /20
*8/10/
O (-) (-) (-) (-) (-) X X X √ √ 9/Fe1⁰ 20/Fe2 10/Fe3 20/Fe4 19/Fe5 20/Fe6 20/Fe7∆ 20
*4/11
B (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ - 11/Fe2 17/Fe3 18/Fe5 30/Fe6 28/Fe7∆ - /20
*2/10/
AB (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 11/Fe2 10/Fe3 13/Fe3 15/Fe4 - 5/Fe6 20
*10/1
B (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 21/Fe2 10/Fe3 20/Fe4 25/Fe5 - 25/Fe7 0/20
*5/11
*3/11
AB (-) (-) (-) (-) (-) X X X √ √ 11/Fe1⁰ 12/Fe2 16/Fe3 17/Fe4 18/Fe5 29/Fe6 30/Fe7∆ - /20
20/ *1/11
AB (-) (-) (-) (-) (-) X X X √ √ 12/Fe1⁰ 20/Fe2 20/Fe3 21/Fe4 25/Fe5 - 17/Fe6 Fe7∆ /20
*6/11
AB (-) (-) (-) (-) (-) X X X √ √ 13/Fe1⁰ 30/Fe2 13/Fe3 - 3/Fe4 27/Fe5 25/Fe6∆ - /20
*1/11
AB (-) (-) (-) (-) (-) X X X √ √ 13/Fe1⁰ 30/Fe2 13/Fe3 10/Fe4 3/Fe5 27/Fe6 27/Fe7∆ - /20
*5/10/
B (-) (-) (-) (-) (-) X X X √ √ 15/Fe1 20/Fe2 20/Fe3 23/Fe4 25/Fe5 - - 20
*3/11
AB (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ - 26/Fe2 24/Fe3 25/Fe4 30/Fe5 25/Fe6∆ - /20
*4/10/
AB (-) (-) (-) (-) (-) X X X √ √ 16/Fe1⁰ 16/Fe2 14/Fe3 18/Fe4 25/Fe5 - - 20
25/ *10/1
B (-) (-) (-) (-) (-) X X X √ √ 16/Fe1⁰ - 21/Fe2 25/Fe3 25/Fe4 25/Fe5 15/Fe6 Fe7∆ 1/20
*2/11
*17/1
*9/10/
O (-) (-) (-) (-) (-) X X X √ √ 19/Fe1 20/Fe2 21/Fe3 23/Fe4 30/Fe5 - - 20
*3/10/
O (-) (-) (-) (-) (-) X X X √ √ 19/Fe1⁰ - 25/Fe2 23/Fe3 25/Fe4 - - 20
*2/10/
O (-) (-) (-) (-) (-) X X X √ √ 20/Fe1⁰ 20/Fe2 12/Fe3 20/Fe4 25/Fe5 - 15/Fe7 20
*4/10/
B (-) (-) (-) (-) (-) X X X √ √ 25/Fe1⁰ 20/Fe2 10/Fe3 20/Fe4 30/Fe5 - 20/Fe7 20
*17/1
AB (-) (-) (-) (-) (-) X X X √ √ 25/Fe1⁰ 29/Fe2 26/Fe3 18/Fe4 20/Fe5 25/Fe6 25/Fe7∆ 0/20
*5/10/
AB (-) (-) (-) (-) (-) X X X √ √ 2/Fe1⁰ 5/Fe2 5/Fe3 7/Fe4 7/Fe5 - 20
*8/10/
B (-) (-) (-) (-) (-) X X X √ √ 2/Fe1 10/Fe2 10/Fe3 12/Fe4 - 16/Fe5 20
*8/10/
AB (-) (-) (-) (-) (-) X X X √ √ 3/Fe1⁰ 5/Fe2 10/Fe3 11/Fe4 9/Fe5 10/Fe6∆ 20
20/ *2/11
O (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ - 4/Fe2 6/Fe3 10/Fe4 16/Fe5 Fe6∆ /20
*18/1
B (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 5/Fe2 11/Fe3 10/Fe4 14/Fe5 11/Fe6∆ 0/20
*20/1
A (-) (-) (-) (-) (-) X X X √ √ 5/Fe1 5/Fe2 5/Fe3 8/Fe4 - 17/Fe6 0/20
*1/11
O (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 18/Fe2 15/Fe3 15/Fe4 20/Fe5 18/Fe6∆ - /20
15/ 16/ *10/1
O (-) (-) (-) (-) (-) X X X √ √ 6/Fe1⁰ - 15/Fe2 16/Fe3 7/Fe4 10/Fe5 Fe6 Fe7∆ 2/20
*5/11
B (-) (-) (-) (-) (-) X X X √ √ 7/Fe1⁰ 15/Fe2 21/Fe3 20/Fe4 23/Fe5 26/Fe6∆ - /20
18/ *2/11
B (-) (-) (-) (-) (-) X X X √ √ 7/Fe1⁰ 5/Fe2 9/Fe3 10/Fe4 1/Fe5 12/Fe6 Fe7∆ /20
22/ 16/ *08/1
AB (-) (-) (-) (-) (-) X X X √ √ 7/Fe1⁰ 5/Fe2 - - 11/Fe3 4/Fe4 Fe5 Fe6∆ 2/20
*19/1
B (-) (-) (-) (-) (-) X X X √ √ 8/Fe1 10/Fe2 10/Fe3 11/Fe4 - - 0/20
10/ *2/11
O (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 10/Fe2 5/Fe3 6/Fe4 10/Fe5 20/Fe6 Fe7∆ /20
17/ *5/12
O (-) (-) (-) (-) (-) X X X √ √ 11/Fe1⁰ 23/Fe2 18/Fe3 20/Fe4 - 14/Fe5 Fe6∆ - /20
20/ *20/1
B (-) (-) (-) (-) (-) X X X √ √ 12/Fe1⁰ 25/Fe2 22/Fe3 20/Fe4 - 16/Fe5 Fe6∆ 1/20
28/ *6/12
AB (-) (-) (-) (-) (-) X X X √ √ 13/Fe1⁰ - 15/Fe2 15/Fe4 27/Fe5 30/Fe6 Fe7∆ - /20
16/ *6/11
B (-) (-) (-) (-) (-) X X X √ √ 13/Fe1⁰ 10/Fe2 15/Fe3 16/Fe4 10/Fe5 21/Fe6 Fe7∆ /20
14/ *29/1
B (-) (-) (-) (-) (-) X X X √ √ 13/Fe1⁰ 8/Fe2 13/Fe3 14/Fe4 25/Fe5 20/Fe6 Fe7∆ 1/20
*10/1
AB (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ 5/Fe2 13/Fe3 11/Fe4 17/Fe5 14/Fe6∆ 0/20
18/ *17/1
AB (-) (-) (-) (-) (-) X X X √ √ 17/Fe1⁰ 16/Fe2 16/Fe3 17/Fe4 25/Fe5 17/Fe6 Fe7∆ 1/20
16/ *23/1
AB (-) (-) (-) (-) (-) X X X √ √ 22/Fe1⁰ - 20/Fe2 21/Fe3 20/Fe4 18/Fe5 Fe6∆ 1/20
6/ *12/1
AB (-) (-) (-) (-) (-) X X X √ √ 25/Fe1⁰ 25/Fe2 10/Fe3 12/Fe4 11/Fe5 21/Fe6 Fe7∆ 1/20
12/ *26/1
B (-) (-) (-) (-) (-) X X X √ √ 25/Fe1⁰ 25/Fe2 23/Fe3 - 24/Fe4 29/Fe5 Fe6∆ 1/20
15/Fe4 22/ *15/1
AB (-) (-) (-) (-) (-) X X X √ √ 2/Fe1⁰ 5/Fe2 19/Fe3 25/Fe5 Fe6∆ 1/20
*05/1
25/ *18/1
AB (-) (-) (-) (-) (-) X X X √ √ 3/Fe1⁰ 5/Fe2 16/Fe3 15/Fe4 13/Fe5 Fe6∆ 1/20
17/ *10/1
O (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ 25/Fe2 18/Fe3 8/Fe4 12/Fe5 Fe6∆ 1/20
*15/1
26/
A (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 25/Fe2 24/Fe3 26/Fe4 9/Fe5 27/Fe6 Fe7∆
10/
O (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 20/Fe2 30/Fe3 15/Fe4 26/Fe5 29/Fe6 Fe7∆
*16/1
O (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 20/Fe2 10/Fe3 14/Fe4 11/Fe5 9/Fe6∆ 1/20
16/
B (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ - 15/Fe2 13/Fe4 21/Fe5 25/Fe6 Fe7∆
*4/11
B (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 9/Fe2 11/Fe3 9/Fe4 11/Fe5 1/Fe6∆ /20
*10/1
AB (-) (-) (-) (-) (-) X X X √ √ 6/Fe1⁰ 25/Fe2 10/Fe2 15/Fe4 2/Fe5 7/Fe6 8/Fe7∆ 2/20
14/
B (-) (-) (-) (-) (-) X X X √ √ 7/Fe1⁰ 13/Fe2 16/Fe2 14/Fe4 26/Fe5 30/Fe6 Fe7∆
*01/1
O (-) (-) (-) (-) (-) X X X √ √ 7/Fe1⁰ 7/Fe2 21/Fe2 19/Fe4 16/Fe5 25/Fe6 5/Fe7∆ 2/20
*11/1
O (-) (-) (-) (-) (-) X X X √ √ 8/Fe1⁰ 10/Fe2 13/Fe2 11/Fe4 8/Fe5 6/Fe6 9/Fe7∆ 2/20
27/ *21/1
B (-) (-) (-) (-) (-) X X X √ √ 8/Fe1⁰ 27/Fe2 12/Fe3 11/Fe4 15/Fe5 Fe6∆ 1/20
10/
AB (-) (-) (-) (-) (-) X X X √ √ 8/Fe1⁰ 20/Fe2 12/Fe3 16/Fe4 14/Fe5 26/Fe6 Fe7∆
*2/12
B (-) (-) (-) (-) (-) X X X √ √ 9/Fe1⁰ 22/Fe2 15/Fe3 6/Fe4 16/Fe5 7/Fe6∆ - /20
20/ *11/1
B (-) (-) (-) (-) (-) X X X √ √ 9/Fe1⁰ 25/Fe2 20/Fe3 20/Fe4 21/Fe5 Fe6∆ 1/20
*08/1
AB (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 24/Fe2 - 13/Fe3 11/Fe4 10/Fe5 6/Fe6∆ 2/20
*02/1
15/ *14/1
AB (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ - 19/Fe2 6/Fe3 10/Fe4 Fe5∆ 1/20
20/
AB (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ 10/Fe2 - 8/Fe3 5/Fe4 19/Fe5 Fe6∆
20/
B (-) (-) (-) (-) (-) X X X √ √ 13/Fe1⁰ 23/Fe2 - 8/Fe3 6/Fe4 19/Fe5 Fe6∆
15/ *1/12
AB (-) (-) (-) (-) (-) X X X √ √ 14/Fe1⁰ - 14/Fe2 6/Fe3 18/Fe4 Fe5∆ - /20
20/ *21/1
*19/1
B (-) (-) (-) (-) (-) X X X √ √ 16/Fe1⁰ - 15/Fe2 17/Fe3 10/Fe4 13/Fe5 3/Fe6∆ 2/20
10/ *17/1
B (-) (-) (-) (-) (-) X X X √ √ 17/Fe1⁰ - 8/Fe2 18/Fe3 7/Fe4 13/Fe5 Fe6∆ 2/20
17/
B (-) (-) (-) (-) (-) X X X √ √ 19/Fe1⁰ 9/Fe2 17/Fe3 22/Fe4 19/Fe5 24/Fe6 Fe7∆
17/
O (-) (-) (-) (-) (-) X X X √ √ 20/Fe1⁰ 20/Fe2 12/Fe3 17/Fe4 21/Fe5 25/Fe6 Fe7∆
10/ *21/1
O (-) (-) (-) (-) (-) X X X √ √ 22/Fe1⁰ 9/Fe2 15/Fe3 25/Fe4 11/Fe5 20/Fe6 Fe7∆ 2/20
13/ *2/12
O (-) (-) (-) (-) (-) X X X √ √ 22/Fe1⁰ - 19/Fe2 11/Fe3 1/Fe4 22/Fe5 Fe6∆ /20
*21/1
10/ *11/1
A X (-) (-) (-) (-) X X X √ √ 25/Fe1⁰ 10/Fe2 - 15/Fe3 13/Fe4 18/Fe5 8/Fe6∆ -
13/ *11/1
O (-) (-) (-) (-) (-) X X X √ √ 26/Fe1⁰ 9/Fe2 - 14/Fe3 5/Fe4 10/Fe5 Fe6∆ 2/20
*23/1
B (-) (-) (-) (-) (-) X X X √ √ 27/Fe1⁰ 17/Fe2 - 7/Fe3 5/Fe4 10/Fe5 7/Fe6∆ 2/20
27/
B (-) (-) (-) (-) (-) X X X √ √ 28/Fe1⁰ 30/Fe2 - 19/Fe3 22/Fe4 26/Fe5 Fe6∆ -
*1/12
O (-) (-) (-) (-) (-) X X X √ √ 1/Fe1⁰ - 3/Fe2 1/Fe3 18/Fe4 4/Fe5∆ - /20
26/
O (-) (-) (-) (-) (-) X X X √ √ 31/Fe1⁰ 19/Fe2 - 10/Fe3 14/Fe4 26/Fe5 Fe6∆ -
*23/1
B (-) (-) (-) (-) (-) X X X √ √ 31/Fe1⁰ 29/Fe2 - 21/Fe3 17/Fe4 16/Fe5 6/Fe6∆ 2/20
*24/1
A X (-) (-) (-) (-) X X X √ √ 25/Fe1⁰ 10/Fe2 - 15/Fe3 13/Fe4 18/Fe5 8/Fe6∆ 2/20
13/ *12/1
O (-) (-) (-) (-) (-) X X X √ √ 26/Fe1⁰ 9/Fe2 - 14/Fe3 5/Fe4 10/Fe5 Fe6∆ 2/20
B (-) (-) (-) (-) (-) X X X √ √ 27/Fe1⁰ 17/Fe2 - 7/Fe3 5/Fe4 10/Fe5 7/Fe6∆ -
27/
26/
17/
O (-) (-) (-) (-) (-) X X X √ √ 20/Fe1⁰ 20/Fe2 12/Fe3 17/Fe4 21/Fe5 25/Fe6 Fe7∆ -
10/ *19/1
O (-) (-) (-) (-) (-) X X X √ √ 22/Fe1⁰ 9/Fe2 15/Fe3 25/Fe4 11/Fe5 20/Fe6 Fe7∆ 2/20
26/
*08/1
*02/1
29/ 11/ *30/1
AB (-) (-) (-) (-) (-) X X X √ √ 2/Fe1⁰ 2/Fe2 27/Fe3 17/Fe4 Fe5 Fe6∆ 2/20
16/ 20/ *05/1
B (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ 10/Fe2 15/Fe3 20/Fe4 Fe5 Fe6∆ 2/20
18/ 14/ *09/1
O (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 16/Fe2 5/Fe3 5/Fe4 Fe5 Fe6∆ 2/20
31/ 15/
O (-) (-) (-) (-) (-) X X X √ √ 6/Fe1⁰ 14/Fe2 22/Fe3 20/Fe4 Fe5 Fe6∆
26/ 27/
B (-) (-) (-) (-) (-) X X X √ √ 6/Fe1⁰ 20/Fe2 29/Fe3 29/Fe4 Fe5 Fe6∆
17/ 13/ *20/1
A (-) (-) (-) (-) (-) X X X √ √ 8/Fe1⁰ 12/Fe2 16/Fe3 18/Fe4 Fe5 Fe6∆ 2/20
24/ 26/ 17/
O (-) (-) (-) (-) (-) X X X √ √ 11/Fe1⁰ 25/Fe2 22/Fe3 26/Fe4 Fe5 Fe6 Fe7∆
26/ 20/ 13/
27/ 17/ *31/1
B (-) (-) (-) (-) (-) X X X √ √ 12/Fe1⁰ 14/Fe2 16/Fe3 28/Fe4 Fe5 Fe6∆ 2/20
26/ 30/ 30/
B (-) (-) (-) (-) (-) X X X √ √ 13/Fe1⁰ 15/Fe2 24/Fe3 21/Fe4 Fe5 Fe6 Fe6∆
26/ 17/
AB (-) (-) (-) (-) (-) X X X √ √ 13/Fe1⁰ 15/Fe2 25/Fe3 29/Fe4 Fe5 Fe6∆
28/ 25/ 28/
24/ 17/
O (-) (-) (-) (-) (-) X X X √ √ 14/Fe1⁰ 15/Fe2 18/Fe3 16/Fe4 4/Fe5 Fe6 Fe6∆
16/ 22/ 28/
24/ 20/
B (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ 16/Fe2 22/Fe3 27/Fe4 5/Fe5 Fe6 Fe6∆
28/ 17/ 20/
AB (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ 18/Fe2 11/Fe3 21/Fe4 Fe5 Fe6 Fe6∆
24/ 19/
B (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ 17/Fe2 20/Fe3 25/Fe4 Fe5 _ Fe6∆
15/ 20/ 20/
26/ 15/ 20/
20/ 23/ 21/
26/ 18/ 20/
26/ 18/ 20/
20/ 25/ 20/
A (-) (-) (-) (-) (-) X X X √ √ 27Fe1⁰ 28/Fe2 20/Fe3 17/Fe4 Fe5 Fe6 Fe6∆
26/ 30/ 30/
29/ 11/
AB (-) (-) (-) (-) (-) X X X √ √ 2/Fe1⁰ 2/Fe2 27/Fe3 17/Fe4 Fe5 Fe6∆ -
31/ 15/
O (-) (-) (-) (-) (-) X X X √ √ 6/Fe1⁰ 14/Fe2 22/Fe3 20/Fe4 Fe5 Fe6∆ -
26/ 27/
B (-) (-) (-) (-) (-) X X X √ √ 6/Fe1⁰ 20/Fe2 29/Fe3 29/Fe4 Fe5 Fe6∆ -
27/
26/
24/ 26/ 17/
26/ 20/ 13/
28/ 25/ 28/
24/ 17/
O (-) (-) (-) (-) (-) X X X √ √ 14/Fe1⁰ 15/Fe2 18/Fe3 16/Fe4 4/Fe5 Fe6 Fe6∆
16/ 22/ 28/
24/ 20/
B (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ 16/Fe2 22/Fe3 27/Fe4 5/Fe5 Fe6 Fe6∆
28/ 17/ 20/
24/ 19/
B (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ 17/Fe2 20/Fe3 25/Fe4 Fe5 _ Fe6∆
15/ 20/ 20/
26/ 15/ 20/
20/ 23/ 21/
26/ 18/ 20/
26/ 18/ 20/
20/ 25/ 20/
20/ 25/ 20/
20/ 23/ 21/
26/ 30/ 30/
17/ 15/ 17/
AB (-) (-) (-) (-) (-) X X X √ √ 1/Fe1⁰ 10/Fe2 20/Fe3 Fe4 Fe5 Fe6∆
12/ 15/ 15/
A (-) (-) (-) (-) (-) X X X √ √ 3/Fe1⁰ 14/Fe2 19/Fe3 Fe4 Fe5 Fe6
25/ 18/ 18/
O (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ 21/Fe2 27/Fe3 Fe4 Fe5 Fe6∆
26/ 22/ 22/
O (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ 23/Fe2 28/Fe3 Fe4 Fe5 Fe5
10/ 17/ 17/
15/ 18/
10/ 13/
22/ 20/ 22/
22/
AB (-) (-) (-) (-) (-) X X X √ √ 7/Fe1⁰ - 9/Fe2 6/Fe3 5/Fe4 Fe6∆
20/ 20/
10/ 12/
21/ 15/ 25/
14/ 19/ 18/
B (-) (-) (-) (-) (-) X X X √ √ 9/Fe1⁰ 14/Fe2 14/Fe3 Fe4 Fe5 Fe6∆
15/ 16/ 18/
11/ 11/ 12/
O (-) (-) (-) (-) (-) X X X √ √ 12/Fe1⁰ - 14/Fe2 Fe3 Fe4 Fe6∆
15/
A (-) (-) (-) (-) (-) X X X √ √ 13/Fe1⁰ - 13/Fe3 Fe4 8/Fe5 -
12/ 23/ 24/
13/ 13/
O (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ 13/Fe2 19/Fe3 Fe4 Fe5 -
25/ 26/ 20/
20/ 25/ 25/
26/ 19/ 29/
21/ 19/ 29/
AB (-) (-) (-) (-) (-) X X X √ √ 26/Fe1⁰ 26/Fe2 16/Fe3 Fe4 Fe5 Fe6
25/ 21/
O (-) (-) (-) (-) (-) X X X √ √ 28/Fe1 - 12/Fe2 Fe3 Fe4 -
22/ 21/
A (-) (-) (-) (-) (-) X X X √ √ 29/Fe1⁰ 22/Fe2 24/Fe3 Fe4 Fe5 -
18/ 15/
A (-) (-) (-) (-) (-) X X X √ √ 29/Fe1 - 10/Fe2 Fe3 Fe4 -
17/ 15/ 17/
25/ 18/ 18/
15/ 18/
17/ 15/ 17/
25/ 18/ 18/
15/ 18/
10/ 13/
22/ 20/ 22/
22/
AB (-) (-) (-) (-) (-) X X X √ √ 7/Fe1⁰ - 9/Fe2 6/Fe3 5/Fe4 Fe6∆
20/ 20/
10/ 12/
21/ 15/ 25/
14/ 19/ 18/
15/ 16/ 18/
11/ 11/ 12/
O (-) (-) (-) (-) (-) X X X √ √ 12/Fe1⁰ - 14/Fe2 Fe3 Fe4 Fe6∆
12/ 23/ 24/
25/ 26/ 20/
20/ 25/ 25/
19/ 20/ 20/
O (-) (-) (-) (-) (-) X X X √ √ 2/Fe1⁰ 13/Fe2 Fe3 Fe4 Fe5
10/ 14/
AB (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ - Fe2 Fe3 -
25/ 25/ 25/
O (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 20/Fe2 Fe3 Fe4 Fe5
15/ 14/ 14/
A (-) (-) (-) (-) (-) X X X √ √ 5/Fe1⁰ 13/Fe2 Fe3 Fe4 Fe5
23/ 21/ 21/
O (-) (-) (-) (-) (-) X X X √ √ 6/Fe1⁰ 26/Fe2 Fe3 Fe4 Fe5
B (-) (-) (-) (-) (-) X X X √ √ 8/Fe1⁰ 9/Fe2 9/Fe3 7/Fe4 -

14/ 12/
B (-) (-) (-) (-) (-) X X X √ √ 11/Fe1⁰ 10/Fe2 Fe3 Fe4 -
24/ 24/ 24/
AB (-) (-) (-) (-) (-) X X X √ √ 14/Fe1⁰ 20/Fe2 Fe3 Fe4 Fe5
20/ 10/ 10/
A (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ 12/Fe2 - 8/Fe3 8/Fe4
O (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ 10/Fe2 - 8/Fe3 8/Fe4

14/ 14/
A (-) (-) (-) (-) (-) X X X √ √ 16/Fe1⁰ - 5/Fe2 Fe3 Fe4
15/ 15/
O (-) (-) (-) (-) (-) X X X √ √ 16/Fe1⁰ 14/Fe2 5/Fe3 Fe4 Fe5
13/ 10/ 10/
A (-) (-) (-) (-) (-) X X X √ √ 17/Fe1⁰ 25/Fe2 Fe3 Fe4 Fe5
22/ 20/ 20/
O (-) (-) (-) (-) (-) X X X √ √ 20/Fe1⁰ 25/Fe2 Fe3 Fe4 Fe5
25/ 25/ 25/
B (-) (-) (-) (-) (-) X X X √ √ 21/Fe1⁰ 21/Fe2 Fe3 Fe4 Fe5
26/ 23/ 23/
A (-) (-) (-) (-) (-) X X X √ √ 23/Fe1 7/Fe2 5/Fe3 8/Fe4 8/Fe5
15/ 12/ 12/
O (-) (-) (-) (-) (-) X X X √ √ 25/Fe1 - Fe2 Fe3 Fe4
20/ 16/
A (-) (-) (-) (-) (-) X X X √ √ 24/Fe1⁰ 21/Fe2 Fe3 Fe4 -
13/ 25/
A (-) (-) (-) (-) (-) X X X √ √ 30/Fe1⁰ - Fe2 Fe3 -
13/ 14/ 14/
B (-) (-) (-) (-) (-) X X X √ √ 30/Fe1 - Fe2 Fe3 Fe4
10/ 25/ 25/
A (-) (-) (-) (-) (-) X X X √ √ 30/Fe1⁰ - Fe2 Fe3 Fe4
15/ 24/ 24/
A (-) (-) (-) (-) (-) X X X √ √ 30/Fe1⁰ - Fe2 Fe3 Fe4
10/ 10/
AB (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ 4/Fe2 Fe3 Fe4
10/ 21/ 21/
A (-) (-) (-) (-) (-) X X X √ √ 4/Fe1⁰ Fe2 Fe3 Fe4
O (-) (-) (-) (-) (-) X X X √ √ 7/Fe1⁰ - 8/Fe2 8/Fe3

21/ 20/ 20/
B (-) (-) (-) (-) (-) X X X √ √ 10/Fe1⁰ Fe2 Fe3 Fe4
20/ 17/ 17/
O (-) (-) (-) (-) (-) X X X √ √ 12/Fe1⁰ Fe2 Fe3 Fe4
15/ 22/ 22/
B (-) (-) (-) (-) (-) X X X √ √ 14/Fe1⁰ Fe2 Fe3 Fe4
17/ 20/ 20/
B (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ Fe2 Fe3 Fe4
19/ 20/ 20/
AB (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ Fe2 Fe3 Fe4
15/ 20/ 20/
AB (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ Fe2 Fe3 Fe4
12/ 22/ 22/
B (-) (-) (-) (-) (-) X X X √ √ 15/Fe1⁰ Fe2 Fe3 Fe4
10/ 10/
B (-) (-) (-) (-) (-) X X X √ √ 16/Fe1⁰ - Fe2 Fe3
17/ 15/ 15/
AB (-) (-) (-) (-) (-) X X X √ √ 17/Fe1⁰ Fe2 Fe3 Fe4
16/ 20/ 20/
B (-) (-) (-) (-) (-) X X X √ √ 17/Fe1⁰ Fe2 Fe3 Fe4
18/ 16/
B (-) (-) (-) (-) (-) X X X √ √ 18/Fe1⁰ Fe2 Fe3 -
26/ 24/ 24/
O (-) (-) (-) (-) (-) X X X √ √ 19/Fe1⁰ Fe2 Fe3 Fe4
25/ 27/
A (-) (-) (-) (-) (-) X X X √ √ 20/Fe1 Fe2 Fe3 -
15/ 19/ 19/
O (-) (-) (-) (-) (-) X X X √ √ 20/Fe1⁰ Fe2 Fe3 Fe4
FORSEP)
VACUM,
TAHUN 2022 Berat Bayi Lahir KF*
Hidup/Mati
Penolong
Bersalin
Tempat
Cara
(SC,
Lahir
<2500 >2500gr
JAN FEB MAR APR MEI JUN JUL AGU SEP OKT NOV DES gr KF1 KF2 KF3 KF4
Hidup P/3300 Normal Puskesmas Bidan 8/30/2021 9/4/2021 9/29/2021
Hidup L/3200 SC RS Bun Dokter 7/14/2021 7/19/2021 8/13/2021
Hidup L/3200 Normal Puskesmas Bidan 8/1/2021 8/6/2021 8/31/2021
Hidup P/3300 SC RS Bun Dokter 7/15/2021 7/20/2021 8/14/2021
Hidup L/3200 Normal Klinik Bidan 8/19/2021 8/24/2021 9/18/2021
Hidup P/3200 Normal PMB Bidan 8/30/2021 9/4/2021 9/29/2021
7/30/2021
Hidup P/3000 Normal PMB Bidan 8/4/2021 8/29/2021
Hidup L/3200 Normal PMB Bidan 9/2/2021 9/7/2021 10/2/2021
Hidup P/3000 Normal Klinik Bidan 7/20/2021 7/25/2021 8/19/2021
Hidup P/3000 Normal Klinik Dokter 8/24/2021 8/29/2021 9/23/2021
Hidup P/3000 Normal Rs. Mitra Bidan 9/9/2021 9/14/2021 10/9/2021

Hidup P/2900 Normal Rs Mitra Bidan 8/25/2021 8/30/2021 9/24/2021
Hidup L/3200 SC Rs Bun Dokter 9/20/2021 9/25/2021 10/20/2021

8/20/2021
Hidup P/3000 Normal Puskesmas Bidan 8/25/2021 9/19/2021

8/20/2021
Hidup L/2800 Normal PMB Bidan 8/25/2021 9/19/2021
8/20/2021

10/12/2021
10/5/2021

Hidup P/3000 Sc RS Bun Dokter 11/1/2021 11/6/2021 12/1/2021
Hidup L/3300 Sc Rs Mitra Dokter 11/1/2021 11/6/2021 12/1/2021
Hidup L/3300 Sc RS Bun Dokter 10/4/2021 10/9/2021 11/3/2021
Hidup P/3300 Sc RS Dokter 10/3/2021 10/8/2021 11/2/2021
Hidup L/2800 Normal Rs Mitra Bidan 10/17/2021 10/22/2021 11/16/2021

Hidup L/3200 Normal puskesmas Bidan 12/10/2021 12/15/2021
Hidup L/3200 Normal puskesmas Bidan 11/2/2021 11/7/2021 12/2/2021
Hidup L/2800 Normal Puskesmas Bidan 12/15/2021 12/20/2021

Hidup L/3000 Normal Klinik Bidan 12/21/2021 12/26/2021
Hidup L/3000 Normal RS Bidan 12/2/2021 12/7/2021 1/1/2022
Hidup L/2800 Normal Puskemas Bidan 12/23/2021 12/28/2021
Hidup P/3500 Normal Puskemas Bidan 12/24/2021 12/29/2021
Hidup P/3300 Normal Puskemas Bidan 12/12/2021 12/17/2021

7/30/2021

Hidup P/3000 Normal Klinik Dokter 8/24/2021 8/29/2021 9/23/2021
Hidup P/3000 Normal Rs. Mitra Bidan 9/9/2021 9/14/2021 10/9/2021
Hidup P/2900 Normal Rs Mitra Bidan 8/25/2021 8/30/2021 9/24/2021

8/20/2021

8/20/2021
Hidup L/2800 Normal PMB Bidan 8/25/2021 9/19/2021
8/20/2021
10/12/2021
10/5/2021
Hidup L/3300 Sc Rs Mitra Dokter 11/1/2021 11/6/2021 12/1/2021
Hidup L/3300 Sc RS Bun Dokter 10/4/2021 10/9/2021 11/3/2021
Hidup P/3300 Sc RS Dokter 10/3/2021 10/8/2021 11/2/2021

Hidup L/2800 Normal Rs Mitra Bidan 10/17/2021 10/22/2021 11/16/2021
Hidup L/3200 Normal puskesmas Bidan 11/2/2021 11/7/2021 12/2/2021

7/30/2021

SPM PKM Kosambi 2021

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D.

2 Tiara Darmawati-Namin 2/4 Jampersal 28 12 mg G2P1A0 5 th 7/24/2021 158 24 Td 3 √ X 14.1

3 Novi Sopiana-Agus Sainan 1/9 BPJS 29 6 mg G2P1A0 5 th 8/26/2021 147 28 Td 3 √ X 12.9

4 Melani Debora-Rudi Surya 1/10 BPJS 22 7 mg G2P1A0 4 th 8/24/2021 165 24 Td 3 √ X 12.8

5 Sinta-Asep 1/4 BPJS 18 9 mg G1P0A0 - 8/10/2021 160 27 Td 1 √ X 12.6

6 Puspawati-Irpan 1/1 BPJS 30 12 mg G3P2A0 3 th 7/22/2021 155 22.5 Td 4 √ X 12.3

7 Nurasiah-Adi Miswanto 2/4 BPJS 29 8 mg G2P1A0 4 th 8/22/2021 160 25 Td 3 √ X 15.3

8 Rita Akmalia-Rajudin 1/1 Pribadi 21 11 mg G1P0A0 - 9/8/2021 151 24 Td 1 √ X 11.3

10 Restika-Deni 1/10 BPJS 28 5 mg G1P0A0 - 9/10/2021 149 23.5 Td 1 √ X 12.2

11 Feni Agustin-Hamdan 1/9 BPJS 28 5 mg G2P1A0 3 th 9/10/2021 153 25 Td 3 √ X 11.7

12 Robiatul Adawiyah-Maryadih 2/3 BPJS 28 11 mg G3P2A0 6 th 7/30/2021 150 24 Td 4 √ X 12.4

13 Sitiani-Siman 1/5 BPJS 22 5 mg G1P0A0 - 9/8/2021 150 24 Td 1 √ X 13.7

14 Feni Riani-Dadang Sutisna 2/1 BPJS 30 5 mg G2P1A0 4 th 8/4/2021 157 25 Td 3 √ X 12

16 Puspita-Murdani 1/1 BPJS 31 11 mg G3P1A1 8 th 8/2/2021 156 24 Td 4 √ X 14.0

17 Resmi Wati-Nefi Hidayat 2/3 BPJS 22 5 mg G1P0A0 - 9/8/2021 148 24 Td 1 √ X 12.8

18 Sugiarti-Edi Hendarsono 1/8 BPJS 22 5 mg G1P0A0 - 9/8/2021 150 26 Td 1 √ X 13.7

19 Siti Holilah-Abdul Latif 1/1 BPJS 31 11 mg G3P1A1 7 th 8/2/2021 150 24 Td 4 √ X 12.1

21 Rita-Satio 2/3 BPJS 29 6 mg G2P1A0 5 th 9/8/2021 159 29 Td 3 √ X 12.6

22 Rokiyah-Feri Indriyanto 1/5 BPJS 27 5 mg G2P1A0 3 th 9/16/2021 148 28 Td 3 √ X 12.4

23 Suriah-Eko Suprapto 2/1 BPJS 30 8 mg G3P2A0 5 th 8/24/2021 147 27.5 Td 3 √ X 12.1

24 Irma Jayasuganda-Kohar Priyatno 1/1 BPJS 26 10 mg G1P0A0 - 8/12/2021 156 25 Td 1 √ X 128

25 Siti Saadah-Rohman 2/2 BPJS 26 5 mg G2P0A1 3 th 9/20/2021 143 31 Td 3 √ X 12.7

26 Sopiah-Mursid 2/3 BPJS 23 12 mg G1P0A0 - 8/7/2021 159 24 Td 1 √ X 14.8

27 Anita Mayasari-Ramli 2/3 BPJS 35 12 mg G3P2A0 3 th 8/2/2021 159 26 Td 4 √ X 13.9

28 Karlin-Darman 2/1 BPJS 21 12 mg G1P0A0 - 8/7/2021 159 24 Td 1 √ X 12.3

29 Erna-Suryana 2/3 BPJS 25 8 mg G2P1A0 7 th 9/3/2021 158 27 Td 3 √ X 11.9

30 Hilda Lailatul-Karta Wijaya 2/7 BPJS 24 12 mg G2P0AI - 3/5/2021 156 24 Td 3 √ X 13.6

31 Desi Setianingsih-Lukman 2/12 BPJS 28 5 mg G2P1A0 5 th 9/19/2021 160 26 Td 3 √ X 11.3

33 Muti R-Untung P 1/7 BPJS 30 5 mg G2P1A0 4 th 9/30/2021 155 25.8 Td 3 √ X 14.2

34 Devi Yanti-Yusuf 1/10 BPJS 25 8 mg G2P1A0 6 th 9/8/2021 157 26 Td 3 √ X 12.1

35 Iin Nurhaeni-Rosidi 2/1 Jampersal 30 12 mg G4P3A0 8 th 8/17/2021 151 24 Td 5 √ X 13.0

36 Tuti Riana-Ade Supardi 2/12 BPJS 44 12 mg G4P3A0 12 th 9/4/2021 151 36 Td 5 √ X 14.0

37 Nurbaiti-Jainudin 1/3 BPJS 22 5 mg G1P0A0 - 10/5/2021 163 24 Td 1 √ X 14.1

38 Siti Komariah-Eko Prayono 1/7 BPJS 24 11 mg G2P1A0 5 th 8/27/2021 150 28 Td 3 √ X 12.9

39 Melisa-Arman 1/3 Jampersal 21 8 mg G1P0A0 - 9/20/2021 168 24 Td 1 √ X 12.8

40 Tia Ivanka-Karsito 2/2 BPJS 28 5 mg G2P1A0 6 th 10/7/2021 156 27 Td 3 √ X 12.6

41 Lolita-Edi Winaso 1/7 BPJS 25 7 mg G2P1A0 6 th 9/25/2021 160 23.5 Td 3 √ X 12.3

42 Iski Triana-Sadelih 1/3 BPJS 29 6 mg G3P2A0 5 th 10/1/2021 150 25 Td 4 √ X 15.3

43 Munarti-Rojikin 1/3 BPJS 29 6 mg G3P2A0 7 th 10/1/2021 150 24 Td 4 √ X 11.3

44 Nurfatihah-Risan Azis 2/2 BPJS 31 12 mg G2P1A0 10 th 8/23/2021 160 23.5 Td 2 √ X 12.7

45 Marsuni-Samsudin 2/10 Jampersal 28 9 mg G1P0A0 - 9/17/2021 158 23.5 Td 1 √ X 12.2

46 Lika-Poniman 2/2 BPJS 35 5 mg G3P2A0 6 th 9/7/2021 151 25 Td 3 √ X 11.7

47 Meli Yuniarti-Wawan 2/10 Jampersal 28 9 mg G1P0A0 - 9/17/2021 158 24 Td 1 √ X 12.4

48 Sopinah-Tarmizi 1/2 Jampersal 23 10 mg G1P0A0 - 9/7/2021 156 24 Td 1 √ X 13.7

49 Nursini Alvianti-Muhammad Ata 2/7 BPJS 23 6 mg G1P0A0 - 10/2/2021 152 25 Td 1 √ X 12

50 Siti Anisah-Rosidin 1/2 BPJS 25 10 mg G3P2A0 1 th 8/27/2021 150 22.3 Td 4 √ X 13.9

52 Nendrikah-Lakae 1/6 BPJS 24 11 mg G3P2A0 4 th 8/30/2021 148 24 Td 4 √ X 12.8

53 Heni-Muhamad Efendi 1/6 Jampersal 29 6 mg G2P1A0 8 th 10/5/2021 152 26 Td 3 √ X 13.7

54 Tesya Ayuni-Nursalim 1/3 BPJS 21 6 mg G1P0A0 - 10/3/2021 151 24 Td 1 √ X 12.1

55 Jubaedah-Misda 2/5 BPJS 32 6 mg G3P2A0 6 th 10/6/2021 153 21.2 Td 4 √ X 11.8

57 Noviyanti-Nurjaya 1/5 BPJS 26 7 mg G2P1A0 8 th 9/30/2021 151 28 Td 3 √ X 12.4

58 Mayunah-Suheri 1/7 BPJS 32 10 mg G2P1A0 5 th 9/25/2021 147 27.5 Td 3 √ X 12.1

59 Salmana-Mursin 1/1 BPJS 22 12 mg G1P0A0 - 8/28/2021 157 25 Td 1 √ X 128

60 Amelia-Dalimin 1/3 BPJS 26 9 mg G1P0A0 - 9/18/2021 154 31 Td 1 √ X 12.7

61 Puspita-Suryanto 1/2 BPJS 24 9 mg G2P1A0 5 th 9/17/2021 153 24 Td 3 √ X 14.8

62 Rohada-Nisin 2/7 BPJS 35 4 mg G4P3A0 4 th 10/22/2021 155 26 Td 5 √ X 13.9

63 Sunarti-Ahmad Fariz 1/5 BPJS 25 5 mg G1P0A0 - 10/12/2021 152 24 Td 1 √ X 12.3

64 Pujiati-Jitoriyadi 2/3 BPJS 28 11 mg G1P0A0 - 9/14/2021 152 27 Td 1 √ X 11.9

65 Cici Ragista-Haerudin 1/3 Jampersal 20 10 mg G2P0AI 5 th 8/27/2021 153 24 Td 3 √ X 13.6

66 Suryana-M. Yanto 1/9 BPJS 27 12 mg G1P0A0 - 9/19/2021 151 26 Td 1 √ X 11.3

67 Erina Nindya Sari-Faisal 1/8 BPJS 25 9 mg G2P0AI 6 th 9/25/2021 160 25 Td 3 √ X 14.1

68 Kristina-Joni 2/4 BPJS 28 8 mg G1P0A0 - 31/09/2021 146 26 Td 1 √ X 12.1