SISA September TAHUN 2021

2H2 CENTER PUSKESMAS

TRIPEL ELIMINASI
NO KELURAHAN NAMA IBU UMUR NAMA SUAMI UK HPHT TP G,P,A,AH KETERANGAN
HBSAG SIFILIS HIV
1 Onekore Anastasia Mina 30 Melkianus Zewa 12 12/15/2020 22-Sep 202 III,I,I,I Tap Positif Neg
2 Onekore Lidfina a Lima Maksimus M K Awe 19/08/2020 26/05/2021 IV,III,0,III data luar gedung
3 Onekore Ana Maria L Welu 28 Kosmas damianus Tao 7 Mgg 14-12-2020 20-09-2021 II,I,0,I, Tap Tap Tap
4 Onekore Natalia S Sii 28 Kornelius Oja 9 mgg 01-12-2020 08-09-2021 I,0,0,0 Neg Neg Neg
09-10-
5 Onekore Maria Mite 38 Vinsensius s Dame 10 Mgg 02'01'2021 III,II,0,II Tap Neg Neg
2021
6 Onekore Susana Kego 17 Obianus Pati 16 Mgg 17-10-2020 24-07-2021 I,0,0,0 Neg Neg Neg
7 Onekore Emerensiana Mbu 26 Xaverius Celus B Adam 10 Mgg 01-12-2020 08-09-2021 I,0,0,0 Neg Neg Neg
8 Onekore Paskalia k Ndena 24 Stefanus Askel 5 Mgg 12-01-2021 19-10-2021 II,I,0,I Neg Tap Tap
9 Onekore Maria kRistavoni Devo 30 Kletus h wolo 8 Mgg 18-12-2020 25-09-2021 II,I,0,I Tap Tap Tap
10 Onekore Maria M Rona 27 Marianus Eristo 26 Mgg 25/05/2020 01/03/2021 I,0,0,0 Neg Neg Neg
11 Onekore Atika bani Nara 27 Aurelius E Rada 8 Mgg 06/07/2020 13/04/2021 II,I,0,I Tap Tap Tap
12 Onekore Kristina y Kedang 41 Kalitus Hajon 12 Mgg 09/07/2020 16/04/2021 IV,III,0,III Neg Tap Neg
13 Onekore Maria A Ngambe 32 Adrianus Gedo 22 Mgg 07/07/2020 16/04/2021 IV,III,0,III Neg Posf Neg
14 Onekore Maria Efliana Sada 22 Aprianus Samhala 23 Mgg 04/07/2020 11/04/2021 I,0,0,0 Neg Neg Neg
15 Onekore Maria Lettina Anggo 20 Wenseslaus D Sumbi 20 Mgg 08/07/2020 15/04/2021 I,0,0,0 Tap Neg Neg
16 Onekore Syamsia 33 Mohamat F Mapawa 15 Mg 15/09/2020 22/06/2021 II,I,0,I Tap Tap Tap
17 Onekore Margarata I Ndena 27 Lukas Lobo 22 Mgg 03/08/2020 10/06/2021 II,I,0,I Neg Neg Neg
18 Onekore Paulina Anastasia 37 Djoto Rano 17 Mgg 02/08/2020 09/05/2021 III,II,0,II Neg Tap Tap
19 Onekore Yane Hingmadi 33 Martinus A Lette 16 Mg 15/08/2020 25/05/2021 II,0,I,0 Tap Tap Tap
20 Onekore Yuliana R A Rangga 24 Saiful Jamek 33 Mgg 5/7/2020 12/4/2021 II,I,0,I Neg Neg Neg
21 Onekore Wanti Pala 28 Carles B Adam 12 Mgg 23/09/2020 30/07/2021 II,0,I,0 Neg Neg Neg
22 Onekore Maria A Sina 34 Ignasius Selfano 10 Mgg .10/10/2020 17/07/2021 II,I,0,I, Neg Neg Tap
23 Onekore Ajelina Bara 20 Muhamat Ardianto 12 Mgg 05/10/2020 12/07/2021 III,I,I,0 Tap Neg Neg
24 Onekore Eligia Korison L 33 Rafael D Jen 18 Mg 14/08/2020 21/05/2021 III,II,0,II Tap Posf Neg
25 Onekore Fitriani delo 34 Mohamat Gasim 4 Mgg 15/10/2020 22/07/2021 II,I,0,II Tap Neg Neg
26 Onekore Yuliana S Siti 28 Yohanes A Bade 8 Mgg 18/10/2020 25/07/2021 II,I,0,I Neg Neg Neg
27 Onekore Weliana Lepa 23 Tobias R Kore 12 Mgg 21/09/2020 28/06/2021 I,0,0,0 Tap Neg Tap
28 Onekore Santi Permatasari 31 Imran M Djae 14 Mgg 10/10/2020 17-07-2021 II,I,0,I Tap Tap Tap
29 Onekore Florentina D Haja 33 Elias Wutu 10 Mgg 8/11/2020 15-08-2021 I,0,0,0 Neg Neg Neg
30 Onekore Novita Viktoria Wakelulu 39 Yoseph M Babo 20 Mgg 24-08-2020 31-05-2021 VI,IV,I,IV Neg Neg Neg
31 Onekore Maria Fransiska Guru 32 Ireneus Wara 10 Mgg 29-10-2020 05-08-2021 IV,II,I,II Neg Neg Neg
32 Onekore Anista Jie 28 Donatus Dai 8 Mgg 10-11-2020 17-08-2021 II,I,0,I Neg Neg Neg
33 Onekore Nurmawati 35 Muhamat Haris 20 Mgg Iv,III,0,III Neg Neg Neg
34 Paupire Lusia Odilia Sawa 30 Adrianus S Sema 8 Mgg 4/12/2020 11/9/2021 I,0,0,0 Neg Neg Neg
35 Paupire Helena Prada Durah 27 Yoseph W N Baluk 10 Mgg 20/11/2020 27/08/2021 III,0,II,0 Neg Neg Neg
36 Paupire Eka Wahyuni 26 Rustiadi 6 Mgg 21/12/2020 28/09/2021 III,II,0,II Tap Tap Tap
37 Paupire Theresia M. Apriane 29 Dominikus Istanto 30 Mgg 20/05/2020 27/02/2021 I,0,0,0 Neg Tap Tap
38 Paupire Maria Merciana enci paka 22 Mariano Riki Selesenda 14 Mgg 12/14/2020 9/21/2021 I,0,0,0 Tap Neg Neg
39 Paupire Maria W Aso 25 Yosafat Kodi Owa 20 Mgg 20/09/2020 27/07/202` I,0,0,0 Neg Neg Neg
40 Paupire Maria Oktaviana Soge 32 Mateus Marten 17 Mgg 20/09/2020 27/06/2021 I,0,0,0 Neg Neg Neg
41 Paupire Yohana Susanti 36 Ramly Krama 7 Mgg 28/12/2020 05/10/2021 II,I,0,I Neg Neg Neg
42 Paupire Andriani 30 Azhar 30 Mgg 28/05/2020 05/03/2021 II,I,0,I Neg Neg Neg
43 Paupire Karolina Weni 32 Mgg 08/06/2020 15/03/2021 I,0,0,0 Neg Neg Neg
44 Paupire Angelina Kara 28 Kristian Florenciano D 6 Mgg 2/11/2021 11/18/2021 II,I,0,I Tap Neg Neg
45 Paupire Helena Due 29 Nikolaus Maku Meli 6 Mgg 2/13/2021 11/20/2021 II,I,0,I Tap Neg Neg
46 Paupire Elisabeth Yoskar Da 24 Fernandus Pango 6 Mgg 1/23/2021 10/30/2021 I,0,0,0 Tap Tap Tap
47 Paupire Maria Imelda Reku 31 Ferdinandus Mbata 25 Mgg 30/06/2020 07/04/2021 IV,III,0,III Neg Tap Neg
48 Paupire Petronela Rewa 31 Luidgardus Bemno W. 21 Mgg 05/07/2020 12/04/2021 II,I,0,0 Neg Tap Neg
49 Paupire Siti Gamarisa 36 Sadrin S Mosabasa 9 mgg 03'01'2021 10'-10-2021 III,I,I,I Tap Neg Neg
50 Paupire Grasiana Wende 38 Rovinus Rede 13 Mgg 20/11/2020 27/08/2021 I,0,0,0 Tap Neg Neg
51 Paupire Iramansyah 25 Okbar B. Dirgantara 10 Mgg 13/08/2020 20/05/2021 II,0,I,0 Neg Neg Neg
52 Paupire Anastasia Efrida Reku 22 Adolfus Guido Raja 15 Mgg 07-12-2020 9/14/2021 I,0,0,0 Neg Neg Neg
53 Paupire Maria Yuning Asri 38 Rudolfrehy Wanda 11 Mgg 18/12/2020 25/09/2021 II,I,0,i Tap Tap Tap
54 Paupire Maria I. Kota 29 Yulius Segu 27 Mgg 17/06/2020 24/03/2021 I,0,0,0 Neg Neg Neg
55 Paupire Edeltrudis Neang 39 Adrianus Leven 17 Mgg 16/08/2020 23/05/2021 V,III,I,III Neg Neg Neg
56 Paupire Maria Astriana Gona 25 Emanuel Mite Ito 21 Mgg 10/23/2020 7/30/2021 I,0,0,0 Neg Neg Neg
57 Paupire Seravina Aurilius Alus 24 Yohanes Lalong 25 Mgg 9/21/2020 6/28/2021 II,I,0,I Tap Tap Tap
58 Paupire Agnes v. Hambur 26 Kristianto O. Jendi 19 Mgg 03/08/2020 10/05/2021 I,0,0,0 Tap Neg Neg
59 Paupire Maria Agnesta Wimbo 32 Yoseph Delto 7 Mgg 1/15/2021 10/22/2021 II,I,0,I Neg Neg Neg
60 Paupire Kristina Ali 41 Baertolomeus R Teku 11 Mgg 12/14/2020 9/21/2021 III,I,I,I Neg Neg Neg kuning Lama
61 Paupire Camelia Yuanita 39 Primus Thomas 12 Mgg 02-12-2020 9/11/2021 IV,II,II,I Tap Neg Neg Hijau Januari
62 Paupire Eufrasia Tina Unu 22 Dominggu M. Jawa 8 Mgg 18/10/2020 25/07/2021 I,0,0,0 Neg Neg Neg biru Tua Maret
63 Paupire Maria Yunita 30 Yulius S. Sawa 17 Mgg 14/08/2020 21/05/2021 II,I,0,I Neg Neg Neg coklat April
64 Paupire Ana Bale 32 Robertus B. Gadobani 10 Mgg 11/10/2020 18/07/2021 II,I,0,I Tap Neg Neg
65 Paupire Siti Hanifa 29 Ruslin Ahmad 12 Mgg 02/10/2020 09/07/2021 II,I,0,I Neg Tap Tap
66 Paupire Faleria Ana 24 Yohanes Armanto 16 Mgg 11/11/2020 8/18/2021 II,I,0,I Tap Tap Tap
67 Paupire Maria M. Ngura 25 Valentinus Woda 13 Mgg 24/09/2020 01/07/2021 II,I,0,I Tap Neg Neg
68 Paupire Ayu Novarina 28 Venansius Yan 13Mgg 21/09/2020 28/06/2021 II,II,0,II Tap Neg Neg
69 Paupire Maria S. K. Bara 31 Don D. Dosi 5 Mgg 05/11/2020 12/08/2021 IV,II,I,II Tap Tap Tap
70 Paupire Maria A. Dheki 20 Yoseph Bino 17 Mgg 17/08/2020 24/05/2021 I,0,0,0 Tap Neg Neg
71 Paupire Elmariyana Trisnawati Ang 20 Anselmus S Porance 20 Mgg 28/09/20 05/07/2021 I,0,0,0 Neg Neg Tap
72 Paupire Sisilia Kalo 30 Nikolaus Demu 11 Mgg 17/10/2020 24/07/2021 II,I,0,I Neg Neg Neg
73 Paupire Anah Malisa 27 Iwan Darusalam 7 Mgg 15/12/2020 22/09/2021 II,I,0,I Neg Neg Tap
74 Paupire Roberta Y. Mbindi 35 Arnoldus Mosa 1o Mgg 29/10/2020 05/08/2021 I,0,0,0 Neg Tap Neg
75 Paupire Ivon Sonia Ine 24 Adolfus M Penga 33 Mg 05/05/2020 12/2/2021 I,0,0,0 Tap Neg Neg
76 Paupire Susana Rengga 26 Bernadus Ata 22 Mg 10/07/2020 17/04/2021 I,0,0,0 Neg Neg Neg
77 Paupire Yohana Jelita 24 Gordianus Rasa 14 Mg 04/06/2020 11/03/2021 I,0,0,0 Neg Neg Neg
78 Paupire Maria M .Imbuh 21 Emilius Karunia 12 Mg 18/06/2020 25/03/2021 I,0,0,0 Tap Tap Neg
79 Paupire Maria E Yohana 22 Yonaris N Anggal 29 Mg 24/05/2020 02/03/2021 I,0,0,0 Neg Neg Neg
80 Paupire Maria Magdalena 22 Emilius Karunia 26 Mg 18/06/2020 25/03/2021 I,0,0,0 Neg Neg Neg
81 Paupire Wilhelmina Mbehbu 24 Fransiskus X L Mbete 18 Mgg 28/09/2020 05/07/2021 I,0,0,0 Tap Tap Tap
82 Paupire Yeni Gete 23 Junedin Saputra 20 Mgg 14/08/2020 21/05/2021 I,0,0,0 Tap Neg Neg
83 Paupire Veronika Mira 22 melkiades G Sale 12 Mgg 08/09/2020 15/06/2021 I,0,0,0 Tap Neg Neg
84 Paupire Irene Nona Koten 22 Rey 15 Mgg 26/09/2020 03/07/2021 I,0,0,0 Tap Neg Neg
85 Paupire Melania Y Danur 23 Hironimus E Mau 14 Mgg 14/10/2020 21/07/2021 I,0,0,0 Tap Tap Tap
86 Paupire Veronika Bura soge 23 Leksianus Tato 16 Mgg 28/01/2020 05/07/2021 I,0,0,0 Tap Tap Tap
87 Paupire Bilbina K Guida 22 Tarsisius N Lapu 17 mgg 22/10/2020 28/07/2021 II,I,0,I Tap Neg Neg
88 Paupire Marlina Ermelinda B 33 Paskalis D Baba 11 Mgg 19-09-2020 26-06-2021 II,0,I,0 Tap Tap Tap
89 Paupire Maria K Mara 32 Alfonsius Bunga 8 Mgg 09-11-2020 16-08-2021 V,IV,0,IV Neg Neg Neg
90 Paupire Ernesta Angelina 26 Wilhelmus Wua 21 Mgg 9/28/2020 05-07-2021 II,I,0,I Tap Neg Neg
91 Paupire Dewa Ayu Srimanik 31 I Dewa G W Ariawan 11 Mgg 15-12-2020 22-09-2021 II,0,II,0 Neg Neg Tap
92 Paupire Getrudis Panggo 25 Deodatus Dalu 8 Mgg ?-11-2020 ?-08-2021 I,0,0,0 Neg Neg Neg
93 Paupire Maria Lusia Baso 37 Deonisius Babo Papa 6 Mgg 20-08-2020 27-05-2021 II,I,0,I Tap Tap Tap
94 Paupire Elisabeth Susi Sinda 23 Rosintus antonius W 18 Mgg 05-06-2020 12-03-2021 I,0,0,0 Tap Tap Neg
95 Paupire Tresia Dopa 26 Bertolomeus Gopa 17 mgg 05-08-2020 12-05-2021 I,0,0,0 Tap Tap Tap
96 Paupire Maria seniosa Besin 45 Fransiskus saverius 15 Mgg 17-08-2020 24-05-2021 IV,III,0,III
97 Paupire Edika Oka 19 Klemens Alpin Ngalu 8 Mgg 12/30/2020 06-09-2021 I,0,0,0 Neg Tap Tap
 98 Paupire Yohana S Endang 29 Kristianus wawo 12 Mgg 23-10-2020 30-07-2021 Ii,I,0,I Neg Neg Tap
99 Paupire Egensia F Pei 29 Muchsisin 9 mgg 05-01-2021 12-10-2021 III,I,I,I Tap Neg Neg
100 Paupire Jayanti Defronsia rendo 26 Dominggus Jhon 9 Mgg 08-12-2020 15-09-2021 II,I,0,I Tap Neg Neg
101 Paupire Marlin Setianingsi Kalep 27 Patrisius Ata Koban 7 Mgg 1/26/2021 02-11-2021 I,0,0,0,0 Tap Neg Neg
102 Onekore Fransiska Seko 21 Remorius Dodi 5 Mgg 2/15/2021 11/22/2021 I,0,0,0 Neg Neg Neg
103 Onekore Beatas Mau 29 Gori Gregorius Wara 7 Mgg 2/1/2021 11/8/2021 I,0,0,0 Tap Positif Neg
104 Onekore Marnisia 29 Fencondiportus wali IV.I.I.0 Tap Neg Neg
105 Onekore Anisa Geti Raja 30 Awaludin A P 17 Mgg 12/10/2020 9/17/2021 I.0.0.0 Neg Neg Neg
106 Onekore Bernadetha Liwa 30 Bronis Rodolfus Ers 9 Mgg 1/30/2021 11/6/2021 I.0.0.0 Neg Neg Neg
107 Onekore Halima Rini 29 Muhamat Thalib 19 Mgg 11/21/2020 8/29/2021 III.II.0.II Tap Neg Neg
108 Onekore Magdalena Ja 36 Sefnael 28 Mgg 9/23/2021 6/30/2021 IV.III.0.III Positif Neg Neg
109 Onekore Maria Suryanti Kilu 30 Yourianus B Sato 6 Mgg 08/03/2021 12/15/2021 III.II.0.II Tap Neg Neg
110 Onekore Velipe Lusia De 21 Aloysius D Ndopo 13 Mgg 1/22/2021 10/29/2021 IV.III.0.III Tap Neg Neg
111 Paupire Marlis Unarti Banfati 24 Yakobus Bae 5 Mgg 2/25/2021 11/4/2021 I.0.0.0 Tap Tap Tap
112 Paupire Katarina Dona 25 Kristoforus sato 10 Mgg 1/24/2021 10/31/2021 I.0.0.0 Tap Tap Tap
113 Paupire Rosalina Mbejo 27 Alexander K Ngajo 13 Mgg 1/7/2021 10/14/2021 II.I.0.I Tap Neg Neg
114 Paupire Anastasia B Dosem 29 Wilfridus Y Sado 7 Mgg 20.02.2021 11/27/2021 I.0.0.0 Neg Neg Neg
115 Paupire Maria Florida Rupa 30 Yuventus Pero 9 mgg 2/4/2021 11/11/2021 I.0.0.0 Positif Neg Neg
116 Paupire Yustina Buka 27 Philipus 12 mgg 1/15/2021 10/22/2021 II.I.0.I Tap Neg Neg
117 Paupire Renita Dwi Untari 24 Minahil Maula 7 mgg 2/27/2021 12/4/2021 I.0.0.0 Neg Neg Tap
118 Paupire Yuliana Margaretha N 23 Fransiskus W Seda 17 Mgg 2/12/2021 9/19/2021 II.I.0.I Positif Neg Neg
119 Paupire Mersiana M Gaa 34 Korilus M Wasa 28 Mgg 10/4/2020 7/11/2021 II.I.0.I Tap Tap Tap
120 Paupire Susanti Rewo 23 Agustinus Nggela Duu 6 Mgg 3/4/2021 12/11/2021 I.0.0.0 Neg Neg Tap
121 Paupire Gresia Tunga 16 Yeremias Woge 12 Mgg 1/17/2021 10/24/2021 I.0.0.0 Tap Neg Tap
122 Paupire Maria Agustini Tamara 20 Valentino E R Nagul 10 Mgg 2/6/2021 11/13/2021 I.0.0.0 Tap Neg Neg
123 Paupire Yunita Kerung Da Nong 26 Avithini Bading 9 Mgg 2/15/2021 11/22/2021 I.0.0.0 Tap Neg Neg
124 Paupire Elisabeth Lado 23 Laurensius Lalu 9 Mgg 3/2/2021 12/9/2021 I.0.0.0 Tap Tap Tap Mhsw
125 Paupire Margaretha Kwolo Kwuta 21 Philipus P Kedang 30 Mgg 9/3/2020 6/10/2021 I.0.0.0 Neg Neg Tap Mhsw
126 Paupire Lidiana Ainun 23 Lukas N Bata Kosta 25 Mgg 10/15/2020 7/22/2021 I.0.0.0 Tap Neg Neg Mhsw
127 Paupire Theresia Novita 26 Petrason poke bewu 5 Mgg 3/20/2021 12/27/2021 I.0.0.0 Tap Neg Neg
128 Onekore Hedwich M M A Paga 35 Yoseph Dumi 20 Mgg 12/16/2020 8/23/2021 III.II.0.II Neg Neg Neg Bumil Baru bulan Mey 2021
129 Onekore Maria Eriana Ria 43 Yoseph Mali 18 Mgg 12/28/2020 9/5/2021 IV.III.0.III Tap Neg Neg
130 Onekore Yuliana Tringgae Kapa 21 Apriando Kartino Rae 21 Mgg 04/12/2020 9/11/2021 II.I.0.I Neg Neg Neg
131 Onekore Theofila R R Dami 32 Marianus A Mbipi 11 Mgg 2/23/2021 01/12/2021 III.I.I.I Neg Neg Neg
132 Onekore Christana M Bate 36 Martinus F Mana 27 Mgg 05/11/2020 08/08/2021 III.II.0.II Neg Neg Neg
133 Onekore Sriwulan R Mbuju 24 Romaldus Yohanes P 8 Mgg 18/'03/2021 12/25/2021 I.0.0.0 Neg Neg Neg
134 Onekore Avila Rini Niron 32 Yohanes Baptista Bowa 5 Mgg 08/04/2021 1/15/2022 III.II.0.II Neg Neg Neg
135 Onekore Maria Oktaviani W M 32 Ignasius Busa 10 Mgg 3/13/2021 12/20/2021 IV.III.0.III Tap Tap Tap
136 Onekore Dewi Kristina Pijo 27 Saverius A Ramli 18 Mgg 1/18/2021 10/25/2021 IV.III.0.III Tap Tap Tap
137 Onekore Defiana Ja 17 Johanes F K Mbele 21 Mgg 12/27/2020 03/10/2021 I.0.0.0 Tap Neg Neg
138 Onekore Matilde Rere 33 Marianus F. Alu 15 Mgg 2/7/2021 11/14/2021 II.I.0.I Tap Neg Neg
139 Paupire Maria Ferliana Waru 24 Yohanes Wara 15 Mgg 1/19/2021 10/26/2021 II.0.I.0 Neg Neg Neg
140 Paupire Prudensia Wilhelmina Too 34 Sarilus Sare Kaki 11 Mgg 2/18/2021 11/25/2021 II.I.0.I Neg Neg Neg
141 Paupire Sofia Mina 22 Sebastianus Rike 12 Mgg 2/13/2021 11/20/2021 I.0.0.0 Tap Tap Tap
142 Paupire Fransiska Ninik go'o 26 Arkadius R Lobo 9 Mgg 3/15/2021 12/22/2021 II.0.I.0 Neg Neg Neg
143 Paupire Ida Ayu Agung D Agathi 27 I Wayan Endra Darwina 6 Mgg 04/04/2021 1/11/2022 I.0.0.0 Neg Neg Neg
144 Paupire Fitria Sandi 29 Haris Abdullah 4 Mgg 4/19/2021 1/26/2021 II.I.0.I Neg Neg Neg
145 Paupire Meliana Seku 21 Fransiskus S Kaki 26 Mgg 11/17/2020 8/24/2021 I.0.0.0 Neg Neg Neg mhsw
146 Paupire Agnes M.B Dasilva 22 Adrianus M. Jawan 12 Mgg 2/22/2021 11/29/2021 I.0.0.0 Tap Neg Neg mhsw
147 Paupire Ludia Fatima 24 Marselinus Surani 24 Mgg 12/1/2020 9/8/2021 II.I.0.I Neg Neg Neg
148 Paupire Fransiska M. Angelina 35 Agustinus Fina 8 Mgg 4/5/2021 1/12/2022 II.I.0.I Neg Neg Neg
149 Paupire Rambu Priseha N Mury 27 Martino Jeri Kolong 10 Mgg 2/2/2021 11/9/2021 I.0.0.0 Tap Neg Neg
150 Paupire Maria Anjelina Wimbo 32 Paskalis B Maring 7 Mgg 15/04/2021 1/22/2022 I.0.0.0 Tap Neg Neg
151 Paupie Paulina dua Meak 26 Stanislaus Kosta 5 Mgg 4/28/2021 2/5/2022 II.I.0.I Neg Neg Tap
152 Paupire Donatha matilde E Rae 37 Damianus seda Tani 9 Mgg 06/04/2021 1/13/2022 I.0.0.0 Neg Neg Neg
153 Paupire Yolanta A Wiwi 25 Adrianus Bajo 8 Mgg 4/10/2021 1/17/2022 I.0.0.0 Neg Neg Neg
154 Paupire Yasintha Anjelina nau 18 Ironsius Rua 17 Mgg 2/12/2021 11/19/2021 I.0.0.0 Neg Neg Tap
155 Paupire Nina Ismayana 22 Jumawan Amrula 5 Mgg 05/05/2021 2/12/2022 I.0.0.0 Neg Neg Tap
156 Paupire Maria Florentina S R 39 Romanus Renggo 14 mgg 08/03/2021 12/15/2021 II.I.0.I Postf Neg Neg
157 Paupire Petrasia Lodhe 29 Dominikus sovia P 12 Mgg 3/18/2021 12/25/2021 II.I.0.I Tap Tap Tap
158 Paupire Luh Rahayu Eka Yanti 28 I Nengah Ariyana 5 Mgg 5/7/2021 2/14/2022 II.I.0.I Neg Neg Tap
159 Paupire Siti Rubiyanti 24 Albinus L Pawel 15 Mgg 05/03/2021 12/12/2021 II.I.0.I Neg Neg Neg
160 Paupire Annisa Putrianingsih 26 Adrianus Gatot saputra 8 Mgg 4/21/2021 1/28/2022 I.0.0.0 Neg Tap Neg
161 Paupire HerminaUle 22 Thomas Rani 8 Mgg 4/27/2021 04/02/2022 I.0.0.0 Neg Neg Neg
162 Paupire Marselina Legu Wele 21 Tarsisius D Rewa 17 Mgg 2/18/2021 11/25/2021 I.0.0.0 Neg Neg Neg
163 Paupire Gaudentia Nona 21 Suparjo Rustam 25 Mgg 12/29/2020 10/5/2021 II.I.0.I Neg Neg Neg
164 Paupire Maria Goreti Tute 29 Feliks Cornelis pao 11 Mgg 3/17/2021 12/24/2021 I.0.0.0 Tap Neg Neg Mhsw
165 Paupire Agatha Meo 25 Irwan A Mira 32 Mgg 10/22/2020 7/29/2021 I.0.0.0 Tap Tap Tap Mhsw
166 Paupire Maria Mersiana murni 21 Samuel m ndiwa 16 Mgg 2/22/2021 11/29/2021 II.0.I.0 Neg Neg Neg Mhsw
167 Paupire Maria Marselina keo 25 Yohanes F Sape 16 Mgg 03/03/2021 12/10/2021 I.0.0.0 Neg Neg Neg Mhsw
168 Onekore Hasnawati 30 Muslimin A Bugis 15 Mgg 2/11/2021 11/18/2021 III.II.0.II Tap Neg Neg
169 Onekore Theresia Amelia Kristin 24 Petrus R P Pewa 20 Mgg 1/12/2021 10/19/2021 I.0.0.0 Neg Neg Neg
170 Onekore Stefania M Gesiraja 24 Longginus g M anggal 13 Mgg 3/10/2021 12/17/2021 I.0.0.0 Neg Neg Neg
171 Onekore Ivonesia E Nggesu 31 Paskalis Rait 18 Mgg 07/02/2021 11/14/2021 IV.0.III.0 Neg Neg Neg
172 Onekore Wishsimina Hesa 28 Godefridus pedo Meno 11 Mgg 3/23/2021 12/30/2021 II.I.0.I Neg Neg Neg
173 Onekore Aci Nurdin 29 Yusran Adnan 7 mgg 04/05/2021 2/11/2022 II.I.0.I Neg Neg Neg
174 Onekore Anastasia Go'o 24 Petrus Joka 4 Mgg 5/28/2021 3/5/2022 I.0.0.0 Neg Neg Neg Bumil baru bulan juni 2021
175 Onekore Fransiska Seko 21 Remorius Dodi 8 Mgg 5/1/2021 2/8/2022 II.0.I.0 Neg Neg Neg
176 Onekore Nur Asiah Jani A.R 32 Amir Rulah 10 Mgg 4/20/2021 1/27/2022 II.I.0.I Neg Neg Neg
177 Onekore Bernadeta S. Liga 16 Sutrisno 30 Mgg 11/28/2020 9/5/2021 I.0.0.0 Neg Neg Neg
178 Onekore Aci Nurdin 29 Yusran Adnan 7 Mgg 5/4/2021 2/11/2022 II.I.0.I Neg Neg Neg
179 Onekore Wilhelmina Hela 28 Godelfridus P. P.Meno 11 Mgg 3/23/2021 12/30/2021 II.I.0.I Neg Neg Neg
180 Onekore Ivonesia E. Nggesu 31 Paskalis Rait 18 Mgg 2/7/2021 11/14/2021 IV.0.III.0 Neg Neg Neg
181 Onekore Stefania M Gesiraja 24 Longginus g M anggal 13 Mgg 3/10/2021 12/17/2021 I.0.0.0 Neg Neg Neg
182 Onekore Theresia A. Kristin 24 Petrus R. P. Pewa 20 Mgg 1/12/2021 10/19/2021 I.0.0.0 Neg Neg Neg
183 Onekore Genoveva Ika 29 Kanisius P 26 Mgg 11/26/2020 9/3/2021 III.II.0.II Tap Neg Neg
184 Onekore Hasna Waty 30 Muslimin A Bugis 15 Mgg 2/11/2021 11/18/2021 III.II.0.II Tap Neg Neg
185 Paupire Felisitas A. Jani 19 Oktavianus S.Legu 8 Mgg ?/4/2021 ?/1/2022 I.0.0.0 Neg Neg Neg
186 Paupire Gaudentia Nona 21 Suparjo Rustam 25 Mgg 12/29/2020 10/5/2021 II.I.0.I Positif Neg Neg
187 Paupire Masslina L. Wele 21 Tarsisius D. Rewa 17 Mgg 2/18/2021 11/25/2021 I.0.0.0 Neg Neg Neg
188 Paupire Hermina Ule 22 Thomas Rani 8 Mgg 4/27/2021 2/4/2022 I.0.0.0 Neg Neg Neg
189 Paupire Purwanti 26 Alucasius Sega 35 Mgg 10/17/2020 7/24/2021 III.II.0.II Neg Neg Neg
190 Paupire Annisa Putrianingsih 26 Adrianus Gatot saputra 8 Mgg 4/21/2021 1/28/2022 I.0.0.0 Neg Tap Neg
191 Paupire Siti Rubiyanti 24 Albinus L Pawel 15 Mgg 3/5/2021 12/12/2021 II.I.0.I Neg Neg Neg
192 Paupire Luh Rahayu Eka Yanti 28 I Nengah Ariyana 5 Mgg 5/7/2021 2/14/2022 II.I.0.I Neg Neg Tap
193 Paupire Petrasia Lodhe 29 Dominikus S. Poanteng 12 Mgg 3/18/2021 12/25/2021 II.I.0.I Tap Tap Tap
194 Paupire Maria Florentina S R 39 Romanus Renggo 14 Mgg 3/8/2021 12/15/2021 II.I.0.I Positif Neg Neg
195 Paupire Nina Ismayana 22 Jumawan Amrula 5 Mgg 5/5/2021 2/12/2022 I.0.0.0 Neg Neg Tap
196 Paupire Yasintha Anjelina nau 18 Ironsius Rua 17 Mgg 2/12/2021 11/19/2021 I.0.0.0 Neg Neg Tap
197 Paupire Yolanta A Wiwi 25 Adrianus Bajo 8 Mgg 4/10/2021 1/17/2022 I.0.0.0 Neg Neg Neg
198 Paupire Donatha matilde E Rae 37 Damianus seda Tani 9 Mgg 4/6/2021 1/13/2022 I.0.0.0 Neg Neg Neg
199 Paupire Paulina dua Meak 26 Stanislaus Kosta 5 Mgg 4/28/2021 2/5/2022 II.I.0.I Neg Neg Tap
200 Paupire Maria Anjelina Wimbo 32 Paskalis B Maring 7 Mgg 4/15/2021 1/22/2022 I.0.0.0 Tap Neg Neg
201 Paupire Rambu Priseha N Mury 27 Martino Jeri Kolong 10 Mgg ?/02/2021 ?/11/2021 I.0.0.0 Tap Neg Neg
202 Onekore Maria wulandari Nusa 20 Stefanus Radja 8 Mgg 2/25/2021 02/12/2021 I.0.0.0 Neg Neg Tap Bulan Juli 2021
203 Onekore Tina Liana R 35 Sebastianus Sansu 11 Mgg 4/25/2021 02/02/2022 IV.III.0.III Neg Positif Neg
204 Onekore Nur Sabara 16 Mohamat Febyan 13 Mgg 4/10/2021 1/17/2022 I.0.0.0 Neg Neg Neg
205 Onekore Saira yusuf 34 Pua Sawa Yusuf 17 Mgg 3/16/2021 12/23/2021 II.I.0.I Neg Neg Neg
206 Onekore Nur Inayah Ndewi 29 M Nuryahman 9 mgg 3/16/2021 12/23/2021 III.I.I.I Neg Neg Neg
207 Onekore Herlina Wah Wempi 30 Servianus Mete 9 Mgg 5/19/2021 2/26/2022 II.I.0.I Neg Neg Neg
208 Onekore Yuliana Kasih 30 Yanuarius Kota 4 Mgg 6/28/2021 4/5/2022 II.I.0.0 Neg Positif Neg
209 Paupire Aurelia Dhiu 23 Frederikus Ola Weghu 25 Mgg 1/11/2021 10/18/2021 I.0.0.0 Neg Neg Tap
210 Paupire Maria Diana 29 Angelus Arianto Eka 12 Mgg 3/31/2021 1/7/2022 I.0.0.0 Neg Neg Neg
211 Paupire Ulik Pusmardiyanti 30 Saipul Fahmi 5 mgg 5/25/2021 04/03/2021 IV.II.I.II Neg Neg Tap
212 Paupire Maria K N Paka 36 Fransiskus S Raja 19 Mgg 2/23/2021 02/12/2021 I.0.0.0 Neg Neg Neg
213 Paupire Margaretha S Bulu 31 Yohanes Ndena 6 Mgg 03/06/2021 3/10/2021 II.0.I.0 Neg Neg Neg
214 Paupire Maria R A Dedhu 21 Yohanes Wora 7 Mgg 5/29/2021 08/03/2022 I.0.0.0 Neg Neg Neg
215 Paupire Kristina Rosalia Kopo 28 Tom Aron Redu sado 7 Mgg 28.05.2021 07/03/2022 II.I.0.I Neg Neg Neg
216 Paupire Rosa Delima Bunga 34 Paskalis A Edo 8 Mgg 5/12/2021 2/19/2022 I.0.0.0 Neg Neg Neg
217 Paupire Yasintha C H dua Ja 24 Mateus Edoson Wangge 16 Mgg 3/24/2021 12/31/2021 II.I.0.I Neg Neg Neg
218 Paupire Gloria T N Putri 24 I Gede K Arif A Lafsana 8 Mgg 5/26/2021 03/03/2022 II.0.I.0 Neg Neg Neg
219 Onekore Maria Biba 30 Yohanes Tolo 7-8 Mgg 6/11/2021 3/18/2022 II,I,0,I Neg Neg Neg Bulan Agustus
220 Onekore Nona Dewi Ratu 38 Ibrahim Ismail 14+5Mgg 4/28/2021 2/4/2022 II,I,0,I Neg Neg Neg
221 Onekore Kristina M. Nona 37 Germanus M. Nona 4+1Mg 7/11/2021 4/18/2022 IV,III,0,III Neg Neg
222 Onekore Maria G. Kemba 21 Rifinus R. Marilonga 11+4Mg 5/26/2021 2/3/2022 II,I,0,I Tap Tap Tap
223 Onekore Emerensiana Kala 26 Hendrtikus Seko 8+1Mg 6/21/2021 3/28/2022 I,0,0,0 Neg Neg Neg
224 Onekore Yuventa Rupa 32 Yoseph Pani 21+3Mg 3/24/2021 12/31/2021 IV,III,0,III Neg Neg Neg
225 Onekore Theresia I.Ladapose 34 Paulus Rego 17+8Mg 4/26/2021 2/3/2022 III,II,0,II Neg Neg Neg
226 Onekore Vivi Yuliani Ludji Haba 28 Paulus E N Goma 23 Mgg 3/21/2021 12/28/2021 II,I,0,I Positif Neg Neg
227 Onekore Mersian Mei 32 Marianus Tael 24 Mgg 2/18/2021 11/25/2021 I.0.0.0 Tap Tap Tap Data SSPS
228 Anastasia Mariani Nona 24 Natanael Lau 12 Mgg 04/06/2021 3/11/2022 I.0.0.0 Neg Neg Neg
229 Paupire Fransiska Irianti 31 Yosep Arianto 8-9Mg 6/7/2021 3/14/2022 I,0,0,0 Neg Neg
230 Paupire Karolina Bhoa 26 Gregorius A. Wangu 12 Mgg 5/10/2021 2/17/2022 II,I,0,I Neg Neg Neg
231 Paupire Veronika H. Kia 32 Hermanus Batu 12 Mgg 5/10/2021 2/17/2022 I,0,0,0 Neg Neg Neg
232 Paupire Susana Meno 31 Laurensius K. Demu 24+5 Mg 2/20/2021 11/27/2021 III,II,0,II
233 Paupire Valentina Anisa 22 Faizal Abubakar 21+6Mg 3/11/2021 12/18/2021 III,II,0,II
234 Paupire Sofiana Mbejo 27 Yeremias K Ata 7 Mgg 4/21/2021 1/28/2022 II.I.0.I Tap Tap Tap
235 Paupire Khairunisa 34 Mohamat Yani 20 Mgg 4/7/2021 1/14/2022 III,II,0,II Neg Neg Tap
236 Paupire Engelberta H. Seti 22 Yoseph Gego 12 Mg 5/15/2021 2/22/2022 I,0,0,0 Neg Neg
237 Paupire Maria E. Geji 26 Ricardus V. Ligo 11+6Mg 6/1/2021 3/8/2022 I,0,0,0 Neg Neg Neg
238 Onekore Regina Fitriani Rendo 25 Adrianus Tani 12 Mgg 6/17/2021 3/24/2022 I.0.0.0 Neg Neg Neg September
239 Onekore Dewi Yolanda Sari 29 Muhamat Mustafa 34 mgg 12/10/2020 9/17/2021 I.0.0.0 Neg Neg Neg
240 Onekore Romana Yunita Bao 25 Kristianus Nale 9 Mgg 7/8/2021 4/15/2022 I.0.0.0 Neg Neg Neg
241 Paupire Yosefina Leteh lewuk 23 Funol Setiawan G 31 Mgg 1/20/2021 11/4/2021 I.0.0.0 Neg Tap Tap
242 Paupire Elisia K karmin 23 Frengki m T Banamtuan 36 Mgg 12/22/2020 9/29/2021 II.I.0.I Neg Neg Neg
243 Paupire Mariana Leda Nay 25 Poncianus Ndiwa 14 Mgg 5/21/2021 2/28/2022 I.0.0.0 Neg Neg Neg
244 Paupire Ratun Anisa 26 Nurdin 15 Mgg 20/052021 2/27/2022 Tap Tap Tap
245 Paupire Prigi Dambadi 32 Kristoforus Parera 9 Mgg 6/30/2021 3/6/2022 IV.II.I.II Tap Tap Tap
246 paupire Emiliana H R Benge 29 Rudofus Andi A Ceme 12 Mgg 6/18/2021 3/25/2022 II.I.0.I Neg Neg Neg
247 Paupire Emiliana K Pajo 32 Generosus Wondo 31 Mgg 2/5/2021 11/12/2021 IV.III.0.III Neg Neg Neg
248 Paupire Sisilia Sonya reku 32 Valentinus Kami 31 Mgg 2/4/2021 11/11/2021 V.IV.0.IV Neg Neg Neg
249 Paupire Yuliana Anamaria Mari 23 Maternus D Wake 12 Mgg 6/16/2021 3/23/2022 I.0.0.0 Neg Neg Neg

Mengetahui Bidan Puskesmas Onekore

Plt.Kepala Puskesmas Onekore

dr.Florentinus Hendrianto Maria Ch Mbipi

NIP:19821019 201412 1 001 NIP:19790316 200604 2019
 TAFSIRAN PERSALINAN
BULAN Oktober 2021

HPHT TP GPAH TRIPEL ELIMINASI

NO KEL NAMA IBU UMUR NAMA SUAMI UK HASIL PANTAUAN KET
TGL BLN THN TGL BLN THN G P A H HBSAG SIFILIS HIV

Ku: baik Ks: Cm, TD: 100/70,N: 81, R: 20, S: 36, TB: 154,BB:65,1, TFU:25
1 Onekore Theresia A. Kristin 24 Petrus R. Dewa 34 12 01 2021 19 10 2021 I 0 0 0 Neg Neg Neg cm, Puki,Kep,BM PAP, DJJ 136x/m, Jumalh Janin Tunggal, Reflek patela SPR2
kiri (+) kanan (+), Hb :11,6 gr%,GDS:94 gr/dl

Ku: baik Ks: Cm, TD: 110/60,N: 81, R: 20, S: 36,TB; 147 BB:52,3,
2 Onekore Defiana Ja 17 Yohanes F.Mbele 37 27 12 2020 03 10 2012 I 0 0 0 Neg Neg Neg LILA:23,5, TFU:26 cm, Puka,Kep,BM PAP, DJJ 139x/m, Jumalh Janin SPR 6
Tunggal, Reflek patela kiri (+) kanan (+), Hb :10,4 gr%,GDS:Tab,

Ku: baik Ks: Cm, TD: 110/80,N: 81, R: 20, S: 36,TB; 151 BB:66,8, TFU:28
3 Onekore Dewi K. Pijo 27 Saferius A. Ramli 32 18 01 2021 25 10 2021 IV III 0 III Neg Neg Neg cm, Puka,Kep,BM PAP, DJJ 139x/m, Jumalh Janin Tunggal, Reflek patela SPR 6
kiri (+) kanan (+), Hb :10,8 gr%,GDS:Tab, PU:Neg

Ku: - Ks: -, TD: -,N: -, R: -, S: -,TB; - BB:-, TFU:-, DJJ -x/m, Reflek patela
4 Onekore Felipe L. De 21 Alosius D. Ndopo 22 01 2021 29 10 2021 IV III 0 III Tab Neg Neg
kiri (-) kanan (-), Hb :- gr%,GDS:-, PU:-

Ku: baik Ks: Cm, TD: -,N: -, R: -, S: -,TB; - BB:-, TFU:- cm, DJJ -x/m,
5 Onekore Maria Mite 38 Finsensius M.S.Dami 02 01' 2021 09 10 2021 III II 0 II Neg Neg Neg SPR 6
Reflek patela kiri (-) kanan (-), Hb :- gr%,GDS:-, PU:-

Ku: baik Ks: Cm, TD: 120/80,N: 81, R: 20, S: 36,TB; 143 BB:-, TFU:16 cm,
6 Paupire Aurelia Dhiu 23 Federikus Ola Weghu 26 11 01 2021 18 10 2021 I 0 0 0 Neg Neg Neg Ball,, DJJ 143x/m, Reflek patela kiri (+) kanan (+), Hb :10, gr%,GDS:87,
PU:-

Ku: baik Ks: Cm, TD: 132/85,N: 80, R: 20, S: 36,TB; 144,5 BB:-, TFU:22
7 Paupire Gaudentia Nona 21 Suparjo Rustana 38 29 12 2020 05 10 2021 II I 0 0 Pos Neg Neg cm,,Kep,BM PAP, DJJ 145x/m, Jumalh Janin Tunggal, Reflek patela kiri (+)
kanan (+), Hb :- gr%,GDS:-, PU:-

Ku: baik Ks: Cm, TD: 126/78,N: 80, R: 20, S: 36,TB; 156 BB: 75,4, TFU:24
8 Paupire Rambu P. N. Mury 27 Martino J. Koloay 32 2 2021 10 2021 I 0 0 0 Neg Neg Neg cm,Kep,BM PAP, DJJ 147x/m, Jumalh Janin Tunggal, Reflek patela kiri (+)
kanan (+), Hb :- gr%,GDS:-, PU:-

Ku: baik Ks: Cm, TD: 110/70,N: 80, R: 20, S: 36,TB; 148 BB: 51,7, TFU:26
9 Paupire Maria F. Waru 24 Yohanes Wara 34 19 01 2021 26 10 2021 II 0 I 0 Neg Neg Neg cm,Punggung Kanan ,Kep,BM PAP, DJJ 147x/m, Jumalh Janin Tunggal,
Reflek patela kiri (+) kanan (+), Hb :12.6 gr%,GDS:-, PU:Negatif

10 Paupire Juliana B R Pangabean 26 Firmando Batu bara 08 01 2021 15 10 2021 I 0 0 0 Neg Neg Neg
11 Paupire Gresia Tunga 16 Yeremias Woge 17 01 2021 24 10 2021 I 0 0 0 Neg Neg Neg

12 Paupire Yustina Buka 27 Philipus Depa Dari 15 01 2021 22 10 2021 II I 0 I Tap Neg Neg

Ku: baik Ks: Cm, TD: 110/70,N: 80, R: 20, S: 37,TB; 146.6, BB: 71,8,
Paupire Rosalina Mbejo 27 Alexander k Ngajo 36 07 01 2021 14 10 2021 II I 0 I Neg Neg Neg TFU:26 cm,Punggung Kanan ,Kep,BM PAP, DJJ 145x/m, Jumalh Janin
Tunggal, Reflek patela kiri (+) kanan (+), Hb :11.2 gr%,GDS:-, PU:Negatif

13 Paupire Katarina Ndona 25 Kritoforus Sato

Ku: baik Ks: Cm, TD: 100/70,N: 82, R: 19, S: 37,TB; 146.6, BB: 93.3,
14 Paupire Egensia fransiska Pei 29 Muksimin 36 05 01 2021 12 10 2021 III I I I Neg Neg Neg TFU:30 cm,Punggung Kanan ,Kep,BM PAP, DJJ 132x/m, Jumalh Janin
Tunggal, Reflek patela kiri (+) kanan (+), Hb :11 gr%,GDS:-, PU:Negatif

Ku: baik Ks: Cm, TD: 110/70,N: 82, R: 20, S: 37,TB;1 50.6, BB: 52.5,
15 Paupire Elisabeth Y Doa 24 Fernandus Penga 33 23 01 2021 30 10 2021 I 0 0 0 Neg Neg Neg TFU:22 cm,Punggung Kanan ,Kep,BM PAP, DJJ 148x/m, Jumalh Janin
Tunggal, Reflek patela kiri (+) kanan (+), Hb :11 gr%,GDS:-, PU:

16 Paupire Siti Gamarisa 36 Sadlin Seda Mosa Basa 03 01 2021 10 10 2021 III I I I Tap Neg Neg

Ku: baik Ks: Cm, TD: 110/70,N: 82, R: 20, S: 37,TB;1 50.6, BB: 52.5,
17 Paupire Maria agnesta Wimbo 32 Yoseph Delto 33 15 01 2021 22 10 2021 II I 0 I Neg Neg Neg TFU:22 cm,Punggung Kanan ,Kep,BM PAP, DJJ 148x/m, Jumalh Janin
Tunggal, Reflek patela kiri (+) kanan (+), Hb :11 gr%,GDS:-, PU:

Plt'Kepala Puskesmas Onekore Bidan Puskesmas Onekore

dr. Florentinus Hendriarto Maria Ch Mbipi

NIP:19821019 201412 1 001 NIP:19790316 200604 2 019
 LAPORAN K I
BULAN : September 2021

HPHT TP GPAH AWAL HAMIL TRIPEL ELIMINASI

NO KEL (RT/ RW ) NAMA IBU TTL IBU NIK IBU UMUR NAMA SUAMI NIK SUAMI UK
TGL BLN THN TGL BLN THN G P A H BB TB HBSAG
1 Onekore.( 17/05 )
2 Onekore.( )
3 Onekore(22/6 )
4 Onekore.(17/5)
5 Onekore( )
6 Onekore ( 17/5 )
7 Onekore( 16/5 )
8 Onekore
9 Onekore
10 Onekore

1 Paupire (3/3)
2 Paupire( 2/5 )
3 Paupire (3A/5 )
4 Paupire (5/2 )
5 Paupire (4/6 )
6 Paupire (3/4 )
7 Paupire( )
8 Paupire( )
9 Paupire( 01/04 )

Mengetahui Bidan Puskesmas Onekore

Plt.Kepala Puskesmas Onekore
dr.Florentinus Hendrianto Maria Chlaudia Mbipi
NIP: 19821019 201412 1 001 NIP: 19790316 200604 2 019
TRIPEL ELIMINASI
LILA HB FAKTOR RESIKO KET
SIFILIS HIV
C LAPORAN PEMANTAUAN PERSALINAN
3 Bulan September 2021
puskesmas : Onekore
LAPORAN PERSALINAN VIT A
TP FAKTO
TANGGAL NIFAS VIT K/
R
NO KEL NAMA IBU UMUR NAMA SUAMI UK K4 IMD NEO HB.0 KET
TEMPAT PENOLONG RESIK
K
TGL BLN THN BB PB JK LH/ LM 1 2 O

1 Onekore
2 Onekore
3 Onekore

4 Onekore

5 Onekore
6 Onekore
7 Onekore

8 Onekore

9 Onekore

1 Paupire
2 Paupire

3 Paupire
4 Paupire
5 Paupire
6 Paupire
Mengetahui Bidan Puskesmas Onekore
Plt.Kepala Puskesmas Onekore

dr. Florentinus Hendrianto Maria Chladia Mbipi

NIP:19821019 201412 1 001 NIP:19791603 200604 2 019
 C7
LAPORAN RUJUKAN IBU DAN ANAK VIA 2H2 CENTER
Sep-21
2 H 2 CENTER PUSKESMAS : Onekore

DIAGNOSA KASUS RUJUKAN

JUMLAH RUJUKAN G
YANG DILAPORKAN
R
A
IDENTITAS PASIEN NAMA LENGKAP
Tanggal Jam ALAMAT UK V
DAN UMUR
I
D
A
Ibu bayi HAP
perdarahan
Abortus PLR
pervaginam
Column1 Column2 Column210 Column3 Column4 Column5 Column52 Column53 Column6 Column7 Column8

Mengetahui
Plt.Kepala Puskesmas

dr.Florentinus Hendrianto
NIP:19821019 201412 1 001
 HPP
Anemi
PER PEB Eklamsi HDK acites KET Molla gemeli
Oedem Robekan jln Gravid
Plac. Previa Sol. plcenta Ret.Plac Atonia Uteri
vulva lahir
Column9 Column10 Column11 Column12 Column13 Column14 Column15 Column16 Column17 Column18 Column19 Column20 Column21 Column22 Column23

Onekore 31 Juli 2021

Bidan Puskesmas Onekore

Maria Ch Mbipi
NIP:19790316 200604 2 019
 Ibu

Malaria Perpanjanga Panjangan varises jln

iugr Hematuria asma mastitis KPD polihidramnion Oligohidramnion mal present TP menumbung
Gravid n fs. laten kala II Lahir

Column24 Column25 Column26 Column27 Column28 Column29 Column30 Column31 Column32 Column33 Column34 Column35 Column36
 Bayi

Prematur,BB
Post date ambeien ROB CPD Pro MOW Lain2 Pneumoni Diare Asfiksia febris kejang Lain2
LR

Column37 Column38 Column39 Column40 Column41 Column42 Column43 Column44 Column45 Column46 Column47 Column48 Column49
Terfasilitasi
Ambulance

Column50
 K.1 TOTAL PERSALINAN
BULAN
MURNI AKSES KEK FASKES NON FASKES
L P L P
JANUARI 05 12 04 05 11 0 01
FEBRUARI 12 10 08 12 14 0 0
MARET
TOTAL
APRIL
MEI
JUNI
TOTAL
JULI
AGUSTUS
SEPTEMBER
TOTAL
OKTOBER
NOVEMBER
DESEMBER
TOTAL
 TOTAL PERSALINAN
K4 IMD BBLR
NAKES NON NAKES
L P L P L P
05 11 0 01 10 11 03 0
12 14 0 0 21 23 0 4
VIT A AKN
AKI IUFD
NIFAS 0 - 7 HARI 8 - 29 HARI
L P L P
17 0 01 0 0 0 0
27 0 01 0 0 0 0
 FORMULIR PENCATATAN PEMANTAUAN IBU HAMIL

Provinsi : NTT Nama Posyandu :

Kab/ Kota : Ende Bulan : September
PKM/ Kec : Pkm Onekore / Ende Tengah Tahun : 2021
Desa/ Kel : Onekore/Paupire

No Kehamilan ke HPHT FAKTOR RESIKO NO KK NIK nama ibu hamil BB Awal hamil/ TM 1 Kepemilikan Nama suami
Buku KIA
tanggal lahir Nik Suami
1 VI 05/5/2020 awal,umur,Paritas 18-01-1975 5308195801760001 Emiliana Wili 66 kg ya Adrianus Lawo
2 IV 05/09/2020 awal,umur,spacing 25-12-1985 5308046512850003 Normawanti 65 kg ya Moh. Haris
3 II 10/11/2020 awal 24-09-1992 Anista Jie 50,3 kg ya Donatus Dai
4 I 27-06-2020 awal,umur,hb 26-10-2000 Maria D. K. Wanda 46 kg ya Yoseph K. L
5 IV 29-10-2020 awal,ab,paritas 26-09-1988 Maria F. guru 61,9 kg ya Irenius Wara
6 II 9/7/2020 awal,spacing 19-04-1998 5307045904980002 Lusia Arlina 53,8 ya Petrus B.K
7 IV 24-08-2020 awal,ab,paritas 22-02-1983 5308196202830001 Novita V. Wakelulu 67,6 ya Yosep N. B
8 I 8/11/2020 awal 31-01-1988 5316075012870001 Florentin Dhaja 59,8 ya Elias Watu
9 V 29-05-2020 awal,umur,paritas,spacing 18-07-1984 Agustina Kuza 57,6 ya Didimus O.Badhu
10 II 10/10/2020 awal,paritas 29-06-1990 Santi Permatasari 78,6 ya Imran m. Jae
11 III 31-07-2020 awal,hb,ab 28-05-1993 Yosevina Daro 57 ya Mateus R. Mari
12 V 9/11/2020 awal,paritas Maria K.Mara 67,7 ya Alfonsius Buga
13 II 20-07-2020 awal,spacing,hb 28-01-1997 Kresensiana O. W 43,5 ya Yofan Satia
14 II 5/8/2020 awal,paritas 6/5/1996 5316064605960001 Kristina B. Tao 51,1 ya Yosep K. Kopong O
15 I 3/5/2020 awal 22-01-1999 5308046201990001 Aminah Usman *58,2 ya Arnoldus F.K 5308191401970001
16 II 28-09-2020 awal,spacing 28-01-1997 Fitria Ningsinh N. 52,2 ya Wardin Muhamad
17 I 13/11/2020 Awal 16-05-1995 Getrudis Pango 45,1 Ya Deodatus dalu

18 II 14/ 12/ 2020 Awal Spacing,Riwyt SC 9/6/1992 Ana Maria L Welu 70 Ya Kosmas d Tao
19 I 01-12-2020 Awal 22-11-1992 5308196211920001 Natalia Sulasikin S 54 Ya Kornelius Oja 5308190711930001
20 I 17-10-2020 Awal ,Usia 11/11/2003 Susana Kego Ya Obianus Pati
21 I 01-12-2020 Awal 22-05-1994 5308146205940001 Emerensiana Mbu 70 Ya Xavier Celin B Adam
22 II Awal 08-04-1996 Paskalia K Ndena 47 Ya Stefanus Askel
23 II 18-12-2020 Awal,Riwayat SC 12/4/1991 Maria K Deno 52 Ya Kletus H Wolo
24 II "05-07-2020 Awal,HB 21-07-1997 5309156107970002 Yuliana R A Rangga Ya Saiful Jamek
25 III 20-08-2020 Awal 12/2/1990 5308155202900001 Eulalia Klaudia D Ya Aprianus Y Dame 5308151404900001
26 I 4/12/2020 Awal 5308195407900001 Lusia Odilia Sema 60 Ya Adrianus S sema
27 III 20-11-2020 Awal ROB 07-11-1994 5306134711940001 Helena Prada Duran Ya Yoseph W Baluk
28 III 21-12-2020 Awal,Riwayat SC 24-06-1994 5308046406940003 Eka Wahyuni 45 Ya Rustiadi
29 I 20-09-2020 Awal Maria w Aso Ya Yosafat Kodi Owa
30 I 20-09-2020 Awal 20-06-1989 Maria Oktavia Soge Ya Matheus Marten

31 II 28-12-2020 ,Usia ,Spacing 22-06-1985 Yohana Susanti Ya Ramly Krama

32 I 8/6/2020 Awal Karolina Weni Ya
33 II 21-08-20 Awal,Spacing 03-04-1997 5320014403970003 Malisa Huru Ya Remon P Gale
34 I 20-11-2020 Awal,Umur 4/5/1983 Grasiana Wende Ya Rofinus Rede
35 II 18-12-2020 Awal ,Umur 20-05-1983 Maria Yuning Asri Ya Rudofrehi Wanda
36 I 15-08-2020 Awal 08-04-2000 5308194804000001 Rensensia Ya Fais Muda
37 I 28-09-2020 Awal 03-01-2001 Elmariyana T Ang Ya Anselmus Porance
38 II 15-12-2020 Awal 02-06-1993 Anah Melisah Ya Iwan Darusalam
39 I 28-09-2020 Awal 03-06-1996 Wihelmina Mberhu Ya Fransiskus X L mbete
40 I 30-12-2020 Awal, umur 30-10-2001 Edika Oka 40 Ya Klemens Alpin Ngalu
41 II 28-09-2020 Awal, riwayat SC, spasing 04-08-1995 5308104408950001 Ernesta Angelina 34 Ya Wilhelmus Wea 5308191006710001
42 II 15-12-2020 Awal, ROB 14-06-1990 5306035406900001 Dewa Ayusri Manik 62 Ya I Dewa G. W. Aryawan
43 II 15-01-2021 Awal 06-12-1988 5308199612880001 Maria A. Wimbo 60 Ya Yoseph Delto 5308202402840001
44 III 12/14/2020 Awal,Umur,ROB, 03-12-1979 5308194312790001 Kristina Ali 72 Ya Bertolomeus R Teku 5308194312790001
45 IV 02-12-2020 Awal,Umur,ROB, 04-09-1982 5308194409820002 Camelia Yoanita Ya Primua Thomas
46 III 03-01-2021 Awal,Umur,ROB, 10-06-1985 5309095006850001 siti Gamarisa Ya Sadlin S Mosabasa
47 I 1/23/2021 Awal 04-07-1997 Elisabeth Y Daa Ya Ferdinandus Pango
48 III 05-01-2021 Awal,Rob,Spacing ,SC 13-11-1992 Egensia F Pei Ya Muksimin
49 I 7/27/2020 Awal 17-07-1999 5308195707990001 Yuliani S Sambut * Ya Efaristus A Soka
50 II 08-12-2020 Awal 08-01-1995 5308154801950001 Jayanti D Rendo * Ya Dominggus Jhon
51 I 26-11-2020 Awal 14-03-1994 5308195403940001 Marlin S N Keleb Ya Patrisius ata Koban
52 III 12/15/2020 Awal ,ROB,Spacing 4/17/1990 Anastasia Mina Ya Melkianus Zewa
53 III 02-01-2021 Awal,Umur 20-10-1982 5308196010820001 Maria mite Ya Vinsensius M S Dame
54 I 02-09-2020 Awal Hb 1/31/1991 5308197101910002 Angela M N Longga 54 Ya Paulinus Sadipun
55 I 2/15/2021 Awal,HB 1/18/2000 Fransiska Seko 40.6 Ya Remonrius Dodi
56 I 01/02/2021 Awal 2/12/1992 5316025202920002 Beatris Mau 42 Ya Gori G Wara
57 II 10/16/2020 Awal,Spacing 08/10/1998 5309024810980002 Yustina Bupu 53.6 Ya Elentinus Wasimali
58 I 07-12-2020 Awal 9/15/1998 5308055509980001 Anastasia E Reku 49.7 Ya Adolfus G Raja
59 I 10/23/2020 Awal ,Hb 1/30/1996 5316057001960001 Maria astriana G 53.8 Ya Emanuel M Ito
60 II 9/21/2020 Awal,Spacing 9/24/1997 Seravina A Alus Ya Yohanes Lalong
61 II 11/11/2020 Awal 10/16/1997 5319015610970002 Faleria Ana 56.4 Ya Yohanes Armanto
62 I 12/14/2020 Awal 03/03/1999 5308194303990001 Maria M E Paka 38 Ya Marianus R Salesenda
63 II 08/12/2020 Awal 08/01/1995 5308154801950001 Jayanti D Rendo 64.6 ya Dominggus Jhon
64 II 2/11/2021 Awal 10/11/1993 5308205110930001 Angelina Kara 51.2 Ya Kristian F Duken
65 II 2/13/2021 Awal 11/15/1991 530912511910001 Helena Due 59.1 Ya Nikolaus M meli
66 I 10/15/2020 Awal 05/02/1998 5319074502980001 Lidiana ainun 58.6 Ya Lukas Nong Bata Kosa
67 I 03/09/2020 Awal 9/1/1999 Margaretha k Kwuta 48.3 Ya Philipus P kedang
68 I 02/03/2021 Awal 11/17/1990 Elisabeth Lado 60.3 Ya Laurensius Lalu
69 I 2/25/2021 Awal 3/5/1997 5302064503970001 Marlis U Banfatin 46 ya Yakobus bae
70 I 1/24/2021 Awal 4/20/1996 5308196004960003 Katarina Dona 63.5 Ya kristoforus Sato
71 II 07/01/2021 Awal 1/17/1995 5308055701950003 Rosalina Mbejo 54.3 Ya Alezander Karson Ngajo
72 I 2/20/2021 Awal 1/29/1992 Anastasia B dosem 53.9 ya Wilfridus y sado
73 I 04/02/2021 Awal 1/29/1991 5308030305870001 Maria Florida Rupa 49.3 Ya Yuventus Pero
74 II 1/15/2021 Awal 6/16/1993 5308065606930002 Yustina Buka 54.6 Ya Philipus Depa Dari
75 I 2/27/2021 Awal 7/10/1997 3322185007970001 Rinita Dwi Untari 77.1 ya Mirahil Maulana
76 II 12/12/2020 Awal Yuliana M Ndae 57.3 ya Fransiskus wara Seda
77 II 04/10/2020 Awal Spacing 03/11/1987 5308194311870001 Mersiana m Gaa 53.6 Ya Karolus M Waso
78 I 3/4/2021 Awal 3/24/1998 5308166403980001 Susanti Rewo 54.5 Ya Agustinus Ngela Duu
79 I 1/17/2021 Awal 10/14/2004 Gresia Tungga 42.1 Ya Yerimias Woge
80 I 2/6/2021 Awal 9/6/2000 5308134609000001 Maria A Tamara 42.6 ya Valentino E R Nagul
81 I 2/15/2021 Awal 1/17/1995 Yunita k Da Nong 61.1 ya Avithoni Beding
82 I 3/20/2021 Awal theresia N S Wea 64.6 Ya Petrason toke Bewu
83 III 12/16/2020 Awal.Riwayat SC 10/16/1986 5308195610860002 Hedwich M M A Paga 69 Ya Yoseph Dumi
84 IV 12/28/2020 Awal .Tinggi Badan ,Usia 4/27/1978 Maria Eriana Ria 59.9 Ya Yoseph Mali
85 II 9/15/2020 Awal 5/27/1993 5308196705930002 Mariana Eufrosina 54.1 Ya Cornelius S soka
86 II 04/12/2020 Awal 07/07/1999 Yuliana T Kapa 43.3 ya Apriando K Roe
87 III 2/23/2021 Awal 05/03/1988 530819450388001 Theovila R R Dami 53.2 Ya Marianus A Mbipi
88 III 05/11/2020 Awal 05/07/1985 Christana m bate 72.2 Ya Martinus F Mana
89 I 3/18/2021 Awal 05/05/1997 5308114505970001 Sriwulan R Mbuju 48.9 Ya Romaldus Yoh Poa 5316031906940001
90 III 08/04/2021 Awal 4/13/1989 3404115304890003 Avila Rini Niron 58.3 Ya Yohanes B Bowa
91 IV 3/13/2021 Awal 10/9/1988 5308194910880001 Maria O. W. Meju 60.5 Ya Laurensius Buje 5308190405810001
92 IV 1/18/2021 Awal.Spacing 2/13/1994 Dewi Kristina Pidjo 62.7 Ya Saverius A. Ramli
93 I 2/25/2021 Awal 4/7/2004 5308214705040001 Deviana Ja 39.3 Ya Yohanes F. K. Mbele
94 II 2/7/2021 Awal.Spacing 4/11/1988 5308205104880003 Matilde Rere 37.8 Ya Marianus F. Alu
95 II 03/03/2021 Awal 07/06/1988 5308194706800002 Tresia Sumanti 59.1 ya Saverius Resi 5308191505840001
96 I 07/03/2021 Awal 4/26/1996 3523096604960001 Indah Purniati 63.8 ya Yudi Erwanda 3523090606950007
97 I 08/01/2021 Awal 7/13/1999 julianaB R Pangabean 68 ya Firmando Batubara
98 II 07/03/2021 Awal Hb 8/25/1989 5308086808890002 Uli Widiawati 60 ya Muhamat F K Resi
99 II 1/19/2021 Awal 8/30/1996 Maria F Waru 55.9 Ya Yohanes Wara
100 II 2/18/2021 Awal 2/25/1987 5308196501870001 Prudensia W Too 59.1 Ya Sarilus Sare Kaki 5308051804890001
101 I 2/13/2021 Awal 9/18/1998 Sofia Mina 53.6 Ya Sebastianus Rike
102 II 3/15/2021 Awal 11/15/1994 53081991201970001 Fransiska Ninik Goo 75.3 Ya Arkadius R Lobo
103 I 04/04/2021 Awal 8/14/1993 5102055408930001 Ida Ayu Dian Agathi 64.4 Ya I Wayan Endra Darwina 5104043112910008
104 II 4/19/2021 Awal 4/15/1990 5308015504900001 Fitria Sandi 60.5 Ya Haris Abdullah 5308191607880001
105 I 11/17/2020 Awal 07/05/2000 5308124805000001 Meliana Seku Ya Fransiskus S Kaki
106 II 11/19/2020 Awal 8/19/1998 5309124908980002 Tresia R Ruba 53.4 Ya Teobaldus A Longga
107 II 2/22/2021 Awal 1/24/1998 Agnes M.B. Dasilva 60.8 Ya Adrianus M. Jawan
108 II 12/1/2020 Awal,Spacing 7/2/1997 Ludia Fatima 52 Ya Marselinus Surani
109 II 4/5/2021 Awal,Riwayat SC 10/8/1986 5308194810860001 Fransiska M. Angelina 78.1 Ya Agustinus Fina 5308071705840001
110 I 12/10/2020 Awal 8/25/1990 5308196508900001 Anisa Gesi radja 50.5 Ya Awaludin a R 5308043011920001
111 I 30/'01/2021 Awal 06/09/1990 5308064609900001 Bernadetha Liva 55.8 Ya Bronis Rodolfus Ers 5308064609900001
112 III 11/21/2020 Awal ,Spacing .07/12/1991 5308194712910001 Halima Rini 92.6 Ya Muhamat Talib 5308191209880001
113 III 08/03/2021 Awal.RE SC 8/20/1991 5309126008910001 Maria Suryanti Kilu 43.4 Ya Yorianus B sato 5308190205950003
114 IV 1/22/2021 Awal HB 4/20/2000 Velipe Lusia De 48.1 Ya Aloysius D Ndopo
115 I 11/13/2020 Awal HB 03/07/1989 5308194305990001 Maria A Wonga Odja 50.3 Ya Ignasius Darmanto Dale
116 II 01/11/2020 Awal 2/13/1998 Ida Malik 44.1 Ya Damianus Duki
117 I 2/23/2021 Awal HB 9/27/1985 5308196709850001 Maria Kristanti N Raka 52.1 Ya Fransiskus S Radja
118 III 2/11/2021 Awal 9/26/1991 Hasnawaty 43.5 Ya Muslimin A Bugis
119 III 11/26/2020 Awal Spacing 09/12/1991 53081949129100001 Genoveva Ika 60.4 Ya Kanisius P
120 I 1/12/2021 Awal 8/23/1996 6204066308960004 Theresia A Kristin 64 ya Petrus Rega P Pewa 5308191304940002
121 I 3/10/2021 Awal 05/09/1996 Stefania M Gesiradja 62 ya Longginus G M Anggal
122 IV 07/02/2021 Awal.ROB 04/11/1990 Ivonesia E Nggesu 61.4 ya Paskalis Rait
123 II 3/23/2021 Awal 10/18/1993 5308195810930001 Wishmina Hesa 46.5 Ya Godefridus P Meno 5308195810930001
124 II 04/05/2021 Awal 05/09/1992 5308196509920001 Aci Nurdin 76.4 ya Yusran Adnan 5308040908910002
125 I 11/28/2020 Awal 6/11/2005 Bernadetha S Liga 46.5 Ya Sutrisno
126 II 4/20/2021 Awal 01/03/1989 Nur Asiah J A R 47 ya Amir Ruslan
127 II 01/05/2021 Awal 1/18/2000 Fransiska Seko 45.9 ya Remorius Dodi
128 I 5/28/2021 Awal 02/06/1997 Anastasia Goo 60.6 ya Petrus Joka
129 I 3/17/2021 Awal 02/04/1992 5309066311920003 Maria G Tute 39.5 Ya Feliks Cornelis Pao 5309061401890002
130 I 10/22/2020 Awal 05/02/1996 Agatha Meo 80.4 ya Irwan A mira
131 II 2/22/2021 Awal 01/01/2000 5310124101000009 Maria M Murni 53.7 ya Samuel M Ndiwa 5308200805970001
132 I 03/03/2021 Awal 02/04/1996 5316014204960001 Maria M Keo 41.9 ya Yohanes F sape
133 I 2/11/2021 Awal 11/12/1994 5307055211940003 Rambu Prischa N M 68.7 ya Martino J Kolong 5308201003910001
134 I 4/15/2021 Awal 06/12/1988 5308194612880002 Maria A Wimbo 56.2 ya Paskalis B Maring 5308191604900001
135 II 4/28/2021 Awal 06/06/1995 Paulina Dua Meak 55.3 ya Stanislaus Kosta
136 I 06/04/2021 Awal ,Usia 6/21/1984 5308196105840001 Donatha M Embu Rae 84.8 ya Damianus S Tani
137 I 4/10/2021 Awal 12/17/1995 5308045712950001 Yolanta A Wiwi 52.3 ya Adrianus bajo 5308190511940001
138 I 2/12/2021 Awal 2/20/2003 5308194806030001 Yasintha a Nau 59.7 ya Ironsius Ru
139 I 05/05/2021 Awal 5/22/1999 5202116205990002 Nina Ismayana 42.7 ya Jumawan Amrulah 5202110403950001
140 II 08/03/2021 Awal 06/04/1987 5308184604870003 Maria F S R 56.1 ya Romanus Renggo 530805241078001
141 II 3/18/2021 Awal 1/10/1992 Petrasia Loghe 54 ya Dominikus Savio P
142 II 07/05/2021 Awal 01/10/1993 Luh Rahayu Ekayanti 57.4 ya I Nenga aryana
143 II 05/03/2021 Awal 09/08/1996 Siti Rubiyanti 47.7 ya Albinus R pawe
144 I 4/21/2021 Awal 3/23/1995 5307056303950002 Annisa Putrianingsih 80.5 ya Adrianus g Saputra 5308192103930003
145 III 10/17/2020 Awal 1/30/1995 Purwanti 70 ya Alveasius Sega
146 I 4/27/2021 Awal 12/24/1999 Hermina Ule 69 ya Thomas rani
147 I 2/18/2021 Awal 9/21/1999 Marselina Legu Wele 45 ya Tarsisius D rewa
148 II 12/29/2020 Awal 12/30/2000 Gaudentia Nona 46.8 ya Suparjo Rustam
149 I 4/23/2021 Awal 3/27/2002 Felisitas A Jani 41.9 ya Oktavianus s Lengu
I 2/25/2021 Awal 5/22/2001 Maria Wulandari Nusa 74.3 Ya Stefanus Raja
IV 4/25/2021 Awal 4/14/1987 Tina Liana R 68.7 Ya Sebastianus Sansu
I 4/10/2021 Awal 5/23/2005 Nur Sabara 39.4 Ya Mohamat Febyan
IV 3/16/2021 Awal 01/07/1987 Sairah Yusuf 47.3 Ya Pua Sawa Yusuf
I 5/18/2021 Awal 07/12/1991 Nur Inayah Ndewi 38.1 Ya M Nuryahman
II 5/19/2021 Awal 7/23/1991 Herlina Wah Wempi 61 Ya Servianus Mete
II 6/28/2021 Awal 7/17/1991 5308195707910002 Yuliana Kasih 52.7 Ya Yanuarius Kota
I 1/11/2021 Awal 10/13/1998 5309065310980001 Aurelia dhiu 58.5 Ya Frederikus Ola Weghu
I 3/31/2021 Awal 03/11/1991 Maria Diana 66.3 Ya Angelus Arianto Eka
IV 5/25/2021 Awal.Spacing 06/02/1991 5304074502910001 Ulik kusmardiyanti 51.9 Ya Saipul Fahmi
I 2/23/2021 Awal Usia 9/27/1985 Maria K N Paka 50.4 Ya Fransiskus X Raja
II 03/06/2021 Awal 03/10/1990 537804431090007 Margaretha S Bulu 66.7 Ya Yohanes Ndena
I 5/29/2021 Awal 18/12/1999 Maria R A Bedhu 66.8 Ya Yohanes wWora
II 5/28/2021 Awal 12/25/1992 5308066512920002 Kristina Natalia Kopo 63.4 Ya Tom Aron R sado
I 5/12/2021 Awal 3/24/1987 5308046403870001 Rosadelima Bunga 54.5 Ya Paskalis A Edo
II 3/24/2021 Awal 3/28/1997 5308086803970001 Yasintha CH Dua Ja 53.1 Ya Mateus Edison wangge
II 5/26/2021 Awal 02/01/1997 5308194201970001 Gloria teguh N Putri 63.7 Ya I Gede K A a Laksana
II 6/11/2021 Awal 11/30/1991 531606701910001 Maria Biba 57 Ya Yohanes Tolo
II 4/28/2021 Awal 5/25/1983 5308046505830001 Nona Dewi Ratu 58 Ya Ibrahim Ismail
IV 7/11/2021 Awal Usia,Hb 1/7/1984 5308194701840001 Kristina M. Nona Ya Germanus D. Mbango
II 5/26/2021 Awal 1/17/2000 5308195701000001 Maria Getrudis Kemba Ya Rofinus R. Marilonga
I 6/21/2021 Awal 9/9/1994 5308114909940001 Emerensiana Kala Ya Hendrikus seko
IV 3/24/2021 Awal 1/26/1988 5308196601880001 Yuventa Rupa Ya Yoseph Pani
III 4/26/2021 Awal 10/1/1987 Theresia I. Ladapase Ya Paulus Rago
II 3/21/2021 Awal 7/30/1993 Vivi Y.L. Haba 43 Ya Paulus N.G Gama
I 6/4/2021 Awal 5/2/1997 5308154205970001 Anastasia M. Nona Ya Natanael Lau
I 6/7/2021 Awal 5/21/1992 5307056105910003 Fransiska Irianti Ya Yoseph Arianto
II 5/10/2021 Awal 8/7/1995 5308094708950001 Karolina Bhoa Ya Gregorius A. Wangu
I 5/10/2021 Awal 3/2/1989 5308195203890003 Veronika H. Kia Ya Hermanus Batu
III 2/20/2021 Awal 3/1/1990 5308064103900001 Susana Meno Ya Laurensius K. Demu
III 3/11/2021 Awal 2/14/1999 Falentina Anisa Ya Faisal Abubakar
III 4/7/2021 Awal 2/2/1987 Khairul Nisa Ya Muhamad Yani
I 5/15/2021 Awal 11/7/1998 5319064711980004 Engelberta H. seti 50 Ya Yoseph Gego
I 6/1/2021 Awal 8/3/1995 5308184308950003 Maria E. Geji ya Rikardus F. Ligo
JIKA SUAMI TIDAK ADA, ISIKAN NAMA ORANG TUA UNTUK YANG DI WARNAI KUNING DI LAPORKAN DATA PERKEMBANGAN NYA SETIAP BILAN
JIKA SUAMI TIDAK ADA, ISIKAN NIK ORANG TUA

Mengetahui Bidan Puskesmas Onekore

Plt.Kepala Puskesmas Onekore

dr. Florentinus Hendriarto Maria Chlaudia Mbipi

NIP:19821019 201412 1 001 NIP:19790316 200604 2 019
MANTAUAN IBU HAMIL

Tanggal YA (jmlh dlm butir yg di ket

alamat RT RW Pengukuran BB TB HB LILA TTD 1 = YA, 2 = Tidak terima) YA, yang diminum (dlm
butir)
JL. H. Wuruk 002 001 sp
JL. Woloare A 011 003 SP
JL. Udayana 021 006 6/29/2021 55 150,2 11 26,3 ya 30 30 sp
JL. Rambutan 040 010 SP
JL.Samratulangi 023 006 6/24/2021 66 12 29 sp
JL.Wirajaya 034 009 SP
JL. Onekore 006 002 SP
JL. Udayana 024 006 6/23/2021 62.3 153 12.2 27,5 Ya 30 30 sp
JL.Woloare A 013 003 sp
JL. Woloare A 011 003 6/23/2021 82.2 151 12.0 34,5 Ya 30 30 sp
JL.Prof.W.Z. Yoh 004 ;004 SP
JL.Melati 004 006 148 31 ya
JL.Anggrek 003 005 SP
JL.Samratulangi 002 002 SP
JL.Samratulangi 003 004 5/2/2021 60,3 153,5 10 24,5 ya 30 30
JL.Samratulangi 001 002 SP
Jl.Samratulangi 024 006 6/24/2021 52.6 151,1 9.8 24 ya 30 30

JLUdayana 19 05 6/18/2021 72,.2 155,2 10 30,5 Ya 30 30

Jln Udayana 17 05 09/06/2021 64.7 151,9 11 31 Ya 30 30
Jln Hayam Wuruk 4 01
Jnl Udayana 17 04 9/22/2021 87.7 149 32 Ya 30 30
Jln Hayam Wuruk 27 07
Jln Udayana 05 01
JlnWoloare A "13 03 SP
Jln Woloare A SP
Jln Sam R Langi 02 01 02/06/2021 73.1 154 11.2 29,8 Ya 30 30
Jln Melati 02 05 156,5 28
Jln Wirajaya 01 ;08 8/18/2021 54.9 154 11 Ya 30 30
Jln Sam R Langi 158 27
Jln Sam R Langi 05 02 11-02-2021 45,4 151 11,6 22,5 Ya 30 30

Jln Prof WZ Yoh 01 03 160 29

Jln Sam R Langi 04 04 19-02-2021 48,6 146 22,6 Ya 30 30
Jln Anggrek SP
Jln Sam R Langi 04 03 156 29 Ya 30 30
Jln Melati 02 05 8/18/2021 71.8 149,5 28,6 Ya 30 30
Jln Sam R Langi 02 04 SP
Jln Sam R Langi 148 21,5
Jnl Wirajaya
Jln Prof W Z Yoh 154 24,8
Jln Durian ? ? 147 21 Ya 30 30
Jln Prof W Z Yoh 03 04 6/20/2021 73 149,2 10 17,7 Ya 30 30
Jln Wirajaya 01 08 155 29
Jln Wirajaya 01 01 8/19/2021 74 153,2
Jln Sam R Langi 01 02 156.5 28
Jln Sam R Langi 04
Jln Prof W z Yoh 02 03
Jln Anggrek 04 05 8/12/2021 47.6 9.2 20.8 ya 60 60
Jln Wirajaya 01 08
JlnD I Panjaitan 04 06 155 31.9 SP
Jnl Sam R Langi 05 03 161.1 27.5
Jln Basuki Rahmat 03 01 8/20/2021 78.6 151 10.4 Ya 30 30
Jln Udayana 17 05 9/22/2021 75.2 153.1 10.4 31 Ya 30 30
Jln Udayana 20 05 8/14/2021 59 148.5
Di ponegoro 38 10 SP
JLn.Udayana 05 01 9/3/2021 46.8 159.2 11 24 ya 30 30
jln Udayana 05 01
Jln Prof W Z Yoh 04 05 53.6 158.5 11 22.5 Ya 30 30 SP
JLn Sam R langi 05 02
Jln Sam R Langi 05 02 3/23/2021 53.8 159.2 9.2 23 Ya 30 30
Jln Udayana 14 05 52.4 149.2 10 23.3 Ya 30 30 SP
Jln Sam R Langi 03 02 56.4 156.5 22.9 Ya 30 30 SP
Jln Wirajaya 04 07 8/23/2021 38.7 150.9 10.4 20 Ya 30 30
Jln Sam R Langi 05 03
Jln Anggerk 04 05 8/28/2021 58.5 10 ya 30 30
Jln Durian 03b 05 8/7/2021 62.7 156 11
Jln Gadi Jou 01 04 6/21/2021 62.2 161 9 23 ya 30 30
Jln S R Langi 03 05 4/10/2021 48.3 156.4 10.4 20.8 ya 30 30
Jln S R Langi 02 05 149.5 25.5
jln Wirajaya 01 08 6/11/2021 46.1 165.5 11.0 21 ya 30 30
Jln Basuki Rahmat 03 01 8/5/2021 71.7 154 11
Jnl Gadi Jou 04 03 8/21/2021 67.1 146.6 11.2 Ya 30 30
Jln Melati 02 05
Jln D I Panjaitan 02 06
Jln Anggerk 04 05 8/26/2021 51.9 149.5 26.5 ya 30 30
Jln Sam R Langi
Jln Prof W Z Yoh 04 03 6/21/2021 61.5 10.2 29 Ya 30 30
Jln Wirajaya 153.5 25 Ya 30 30
Jln Prof WZ Yoh 03 04
Jln Sam R Langi
Jln Eltari 03 06 4/23/2021 42.6 155.5 11.8 20.5
Jln Prof W Z Yoh 01 04 8/25/2021 66.5 151.6 10.6 Ya 30 30
Jln Prof W Z Yoh 03 05 8/21/2021 65.6 154 10.4 26.7
Udayana 14 04 6/16/2021 76.2 10.4 26.6 Ya 60 60
Lorong Smansa 27 06 07/05/2021 140 28.1
Basuki Rahmat 01 01 54.1 153.2 11.2 24.9 Ya 30 30 SP
Udayana 23 08
Udayana 20 05 8/28/2021 56.4 159 10.4 Ya 30 30
Udayana 20 05 6/16/2021 70.7 150.5 12 27.5 Ya 30 30
Nuamuri 31 03
H Wuruk 07 02 6/21/2021 54.9 164.3 12 27.5 Ya 30 30
Nangka 34 09 9/2/2021 61.7 11 27.7 ya 30 30
Lorong Yasbin 35 09 9/2/2021 66.8 10.8 27.5 ya 30 30
H Wuruk 27 07 9/20/2021 53.6 147 ya 30 30
Udayana 19 05 8/28/2021 40.2 145 8 21 Ya 60 60
SRl 02 05 8/30/2021 59.7 153 26
Wirajaya 1 08
melati
anggerk
Anggerk 04b 05 8/23/2021 51.6 148 23 Ya 30 30
Prof W Z 03 05 8/24/2021 61.6 156.1 26.5 Ya 30 30
Sam R Langi ? ?
Melati 02 05
Wirajaya 01 08 8/18/2021 62.7 151 Ya 60 60
Prof W Z 05 04
Sam R Langi 05 02 5/20/2021 148 10.4 20.8 Ya 30 30
Prof W Z 04 05 53.4 161 10.6 23 Ya 30 30 SP
Prof W Z 01 03
Prof W Z 6/12/2021 51.6 159.5 10.2 21.9 Ya 30 30
Prof W Z 05 03
Hayam Wuruk 26 .07
H Wuruk 08 02 9/23/2021 71.8 158.3 11.2 27.5
Udayana 16 4 08/06/2021 93 171 11 35 Ya 30 30
Udayana 05 01 8/21/2021 49.7 147.8 10.2 23 Ya 30 30
Udayana 1
Rambutan 37 09 6/28/2021 50.5 149.5 11 23.4 Ya 30 30
Udayana 5/28/2021
Udayana
Woloare A 13 03 9/25/2021 58.7 154 10.6 22.2 ya 30 30
Udayana 18 05 04/06/2021 60.4 149.5 11.8 32.5 Ya 30 30
Udayana 29 08 9/9/2021 65.1 154 11.4 24.8 ya 60 60
Udayana 05 01 9/2/2021 63.3 153.8 10 31 ya 30 30
Udayana 20 05
Udayana 16 04 9/24/2021 51.3 146.5 10.8 24.5 ya 30 30
Udayana 14 4
Udayana 21 06 6/28/2021 46.5 157 10 24 ya 30 30
Woloare A 13 03 6/29/2021 47 10 25 ya 30 30
Udayana
Udayana 21 06
Sam R Langi 04 02
Wirajaya 03 07 6/10/2021 80.4 158.1 21.8 ya 30 30
6/15/2021 53.8 158.2 11 25 ya 30 30
Sam R Langi 04 03
Sam R Langi 2 4 8/24/2021 75.4 156 31 ya 30 30
Wirajaya 01 01 8/10/2021 56.9 152.1 10.4 28.5
Sam R Langi 03 04 8/7/2021 45.8 157 11.4 23
Prof W Z 03 03 8/14/2021 82.8 160
Prof W Z 01 04
Prof W Z 04 04
Wirajaya 01 8
Anggrek 04b 05 8/14/2021 60.1 148.1 25
Melati 8/16/2021 53.9 ya 30 30
Wirajaya 01 08 8/16/2021 50.5 150
Sam R Langi 03 04 8/18/2021 52.7 11 25 ya 30
Melati 02b 05
D I Panjaitan 6/21/2021 80.1 164 8.0 29 ya 30 30
Sam R Langi ya 30 30
Sam R Langi
Prof W Z 03 05
D I Panjaitan 03 06 8/27/2021 43.3 146.8 10
Woloare A 15 04 9/9/2021 78.8 11 27 ya 30 30
Udayana 22 06 8/28/2021 61.5 157 11 ya 30 30
Udayana 14 04
Nuamuri 32 08 8/16/2021 45.4 153.2 25
Udayana 01 01
Wirajaya 35 09
Udayana 17 05 8/28/2021 47.7 10 24.5 Ya 30 30
Sam R Langi
Wirajaya 02 .07 8/12/2021 70 152 Ya 30 30
Wirajaya 1 8
Eltari 02 06
Melati 02 05 8/14/2021 65.9 157.5
Sam R Langi
Sam R Langi 01 02 8/19/2021 62.8 10 27
DI Panjaitan 8/19/2021 55.5 151.5
Anggerk 04b 05 8/24/2021 51.7 157 24 Ya 30 30
Anggerek 03b 05 8/23/2021 61.4 162 10.8 24
Udayana 17 05 8/2/2021 55.6 155 12 27 Ya Agustus
Wirajaya 27 06 8/9/2021 55.4 149 12 28 Ya
Sam R Langi 22 06 8/10/2021 55.9 149 10 28 Ya
Udayana 17 05 8/14/2021 46.3 156 24.5 Ya
Udayana 8/20/2021 49 155 11 23.8 Ya
Udayana 17 05 8/23/2021 48.7 142 10 24 Ya
Udayana 16 05 8/25/2021 58.5 9 28 Ya
Udayana 8/30/2021 49.1 150 11 26 Ya
Nuamuri 32 08 8/31/2021 52.2 12 24.5 Ya
Prof W Z 03 03 8/4/2021 54.1 152 11 28.5 Ya
Prof W Z 02 05 8/9/2021 73 12 Ya
Anggrek 03a 05 8/9/2021 62.1 153.5 12 26.8 Ya
Sam R Langi 05 02 8/12/2021 59.1 25 Ya
DI Panjaitan 04 06 8/13/2021 43 147 23 Ya
Prof W Z 01 04 8/28/2021 77 160 12 31 Ya
Sam R Langi 8/7/2021 49.8 153 12 25 Ya
Sam R Langi 8/23/2021 11 24 Ya
Septmber