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NAMA PASIEN NAMA SUAMI ALAMAT LENGKAP UMUR

NO NIK
( Ny. ) ( Tn. ) ( KEL DAN KEC ) IBU

1 2 3 4 5 6
1 Anisah 3578314808830001 Sutikno Made AMD 38
2 Nanik Suciati 3578195002800003 Yudianto Tambak osowilangun 41
3 Siti Mukharomah 3525135307870002 M. Human Tlogobedah 34
4 Serly Ratih 3578196103000001 M. Albais UKA 4/3 21
5 Suci Wulandari 3578316108930001 Izul Candi lontar 28

6 Sunami 3508084905830004 Narto Benjeng 38


7 Ayu Novitasari 3525116411000003 Dafid Tulung 21
8 Anik Markisah 3312184201970002 Arya Sememi jaya 5c 25
9 Ana Safitri 3579035905880007 Catur Mulyorejo baru 33
10 Ida Ayu Maulidya Rahmat Taman gading 25
11 Ismiyatul Laili 3578306807940002 Heri Raci gg 1 no 154 27
12 Mariya ulfa 3525136505910004 Wahyu Kepatihan 30
13 Try Nurjanah 3578306908980001 Dedi Mulyorejo baru 23
14 Dwi Ayu Kristanti 3578067108980002 Herman Effendi Made AMD 4/3 23
15 Nur Fadila 3525164506850001 Heri Sidorukun gresik 36
16 Ilfa Niya 3578067108980002 Ahmad Fauzi Banjarsugihan 2/18 32
17 Fanni wahyuni 3578216612960002 Sandi Klakahrejo 25
18 Siti Fatmawati 3578314803960001 Mustakun Lontar 2/2 25
19 Kristi 3525136007990002 M. Kafid Gempol kurung 22
20 Warni 3578076004820001 Doni Setiawan Ketandan baru 2/2 39
21 Yessy Herry 3578145601820007 Darlis Manukan ranu 40
22 Lutfiyah 3578307112910001 Hamdan Beji pdam baru 3/3 30
23 Ani Susilowati 3578194108800002 Agung Pakal barat lapangan 41
24 Dinda Octa 351564410890002 Panji Balongsari tama 32
25 Reistie Okta 3678134210930001 Hendra Krembangan baru 28
26 Nikmatul Chasana Nanang Prambon 3/3 30
27 Siti Lutfiatus 3525134101930015 Hasan Basri Domas 28
28 Ria Yulanda 3525135209940002 Nurudin Syafi'i Bandut 15/7 27
29 Dian Puji Rahayu 3522164308930002 Fandi Ahmad Ngebret 2/3 Cerme 28
30 Fadillah Nur 35781466049700002 Julian Manukan Madya 24
31 Ana Habibatul A 3525034204970001 M. Yoga Delegan Panceng 24
32 Iin Linawati 3578275211850005 Toni Simo Jawar I No 152 36
33 Uswatun Khasabah 3526135209970004 Teguh Wringin Kurung 24
34 Mey Dyah Chandra 3578215705960002 Andri Cermo Lor 2/8 25
35 Yuliana 35781543007950003 Achmad Pranti 4/7 26
36 Erni Ekawati 35783065010880001 Sutarman PBI Blok DD/08 33
37 Alfiatur Rohmah 3521014508860003 Marzuki Swan Menganti 11/153 35
38 Dian Choiriyati 3578196901960001 Ashari Klakahrejo lor 25
39 Ika Aprilia Ratna 3525024904940003 Solekan Balongpanggang 27
40 Hanna Maria 3578026508830004 Nonok GSN A3/12 38
41 Wiwin Maullifatin 3525135704840002 Angger Gantang 3/2 boboh 37
42 Nanda Aprilia 3519126704970001 Muhamad Abdul Bendil, kepatihan 24
43 Sundari Istiqomah 3525086801970001 Suyono Tulung kedamean 24
44 Ika Dessy 3508106612910008 Riski Abdillah Banjarsugihan 30
45 Widyawati 3525136001950002 Ach. Prasetyo Ngasinan 27
46 Nana Arti Sulikati 3525084103960003 Sugeng Sanjaya Dsn. Kasiyan 1/8 25
47 Febri Rahayu 3578314603910003 Ismail Raya Ngemplak no 30 30
48 Wahyu Widosari 3578315008840005 Purwanto Rejosari 4/3 37
49 Melathie Permata 3578045806910001 Bagus Pakal Nagan 01 29
50 Ester Alisia 3578195306990002 Mei Handoko Pakal Madya Jaya 5 no 19 22
51 Indah Wati 352416660290001 Agus Gempol kurung 23
52 Yunia Iftitah 3578145106950001 Ardi Perum Istana Residen 26
53 Novi Indrawati 3523086410990001 Erfan Bringin 3/1 22
54 Ernawati 3525135901840012 Sumartono Boteng 38
55 Dewi Sartika Sari 35220746003910002 Agus 20
56 Ika Istiana 3525135011840014 Nanang Siwalan Indah 37
57 Nur Maidah 3578306301920001 M. Muskan Kalianyar balongpanggan 30
58 Ida Ainur 3524065010910006 Azal Ngemplak no 34 30
59 Sulis Lestari 14060065208880004 M. Shokirin PBI blok C-16 33
60 Yeni Indrawati 3578316704840002 Ainur Rofiq Lontar 34 37
61 Sischa Nofiyanti 3578195111890001 Prianto UKA 18A/4 33
62 Melle Andani 3573054705000002 M. Viki Jelidro 7/1 22
63 Riski Lansari 3525085506960012 Hardi Tulung RT2 26
64 Nur Halimah 3525046112860002 Armono Hendrosari 8/1 35
65 Ririn Tri Amani 3515114506970001 Fajar Boteng 31 24
66 Weni Triyanti 3578146801910004 M. Mustakim Manukan Karman 30
67 Lyndhita 3578145603940001 Risyad Western Village C 2/10 28
68 Alifah Deni Saputra Babat jerawat 1/5 23
69 Siska Yulia 3522065907910002 Aris Yudha Gempol kurung 23
70 Inarni 3578195605850003 Aziz Bumi Persada Hijau 36
71 Yulia Susanti 3372054407890006 Juang Jelidro kav.8D 6/1 33
72 Wartini 3525136405900002 Suwanto Hendrosari 6/3 32
73 Veronika Somi 3578125609880006 Victor Kebalen Kulon 34
74 Muanisah 3525114604870003 Muhajirin Terong bani 34
75 Phurie Hidayati 3578304111860002 Nur. M. Arifin Dk. Jawu kidul 35
76 Muhibbatul Laili 3505026603960002 Hafi De naila C 1/12 25
77 Lusi M. Aditya Perum Kehakiman 22
78 Evelin Anindya 3578194807960002 Wendy Klakahrejo 25
79 Lousya Varen 3578196102070001 Barep Aditya Ploso tambaksari 14
80 Dewi Wulandari 3578286707960001 Eko Wahyu Tambak mayor 26
81 Umi Patmilasari 3578065304800002 Eko Banyuurip lor gg XIII/II 32
82 Fhitri Cynthia Sari 3578136411030001 Sehafuddin Sikatan gg 16/17 18
83 Ervi Dwi Pertiwi 3578156312920003 Iwan Setiawan Morokrembangan 3/9 29
84 Ocha Zara Zagita 3578064210950002 Fajar Sambikerep 02/04 26
85 Ninik 3578314112900001 Budiono Raya Made 31
86 Ollyvia Novita 3578137105000001 Ahmad Syaikul Sumberejo makmur 21
87 Sri rahayuningsih 35781956049470002 muhammad mujahTengger Raya 24
88 Asmani 3578306006830001 Ekayuda Kauman 38
89 Fibrianah Silfanis 3524244702010001 M, Shahrul M Pakal Madya 46 b 20
90 Sulistyowati 3525136206940001 Arif glintang 27
91 Isnawati Rahayu 3578304812880002 Saikun Benowo Tegal 33
92 Dwiana Sugiartini Ikhwan Benowo Sawah 41
93 Nungki Puspitasari 3578145303930002 Rendra Sememi Jaya Utara 28
94 Aqliana Siti Alifah 3578194710960001 Wisnu Tengger Raya II no 26 25
95 Bethesda Megayanti 3578305105910001 Agus Perum KVRI 1/5 30
96 Shofiatul Nihayah 3578315705990002 Rudi Hermanto Sumberejo I 4/1 27
97 Asmaul Khomsah 3525135407950003 M. Fauzan Bibis beton 8/3 26
98 Nur Kholifah 3578317110910001 Sukar Made 2/3 30
99 Aisah Apriliyah 3525135407950003 M. Hafid Tengger Raya 3 24
100 Rani Safitri 3578295504920004 Sujarwo Sukomanunggal 4/6 29
101 Inni Maratul 3525024701930001 Eko Y Perum Perhutani 29
102 Anggraini Nur 3525134203940001 Yudah Beton 11/4 27
103 Indri Okta Tyas 357830181860001 Suprayitno Wringin Kurung 28
104 Kristina Sarwendah 3578064401890005 Jaini Sumur geger no 61 33
105 Oknandri Yulia 3578104810920005 Ahmad SyaifullahSetro Baru Utara 29
106 Eka yuliana Wahyudi Jl.Akasia 10/3 34
107 Mufadillah 3526135202850006 Muji Bangkalan 37
108 Mar'atus Sholihah 3525115910880002 Hendro W Karangan, Cerme 33
109 29/01/2022 J 22.00 3578304208990002 A. Shofyan Babat Buran 23

110 29/01/2022 J 23.00 3525134807930003 Asmani Bongsowetan 27


111 1/30/2022 3525136611970001 Arif Pratama Ngablakrejo 3/3 25
112 1/30/2022 3578304406830002 Khusnul anam Paskun 38
113 30/01/2022 J 15.00 3525136105880001 Robi Suhartanto Plampang Putat Lor 34
114 30/01/2022 J 17.15 3578304103980003 Mulyorejo baru 2/8 23
115 30/01/2022 J 22.30 3506206106900003 Ali Mashudi Banjarsugihan baru 7 31
116 31/01/2022 J 17.50 3578315506950001 Puguh Raya Made 02/03 26
117 31/01/2022 J 17.45 3578125509980001 Mustaghfir Klakah rejo Lor 23
LAPORAN BULANAN PERSALINAN RSI DARUS SYIFA' SURABAYA
BULAN JANUARI 2022
TANGGAL JENIS PERSALINAN
G….P…. UK PERSALINA GEMELLI
N TUNGGAL
1
7 8 9 10 11
G3P20002 /T/H+BSC2X+MOW+ERACS 38mg 1/1/2022 √
G4P30003 /T/H+BSC+MOW 37mg 1/1/2022 √
G1P00000 /T/H+KPP+Inp. Fase aktif 38mg 1/1/2022 √
G1P00000/T/H+Letak obligh+Oligo+HBS AG+Anemia 36mg 1/3/2022 √
G4P30003 /G/H+Gemeli+MOW 37mg 1/4/2022 √
1/4/2022 √
G2P10001 /T/H+Oligo+PE+prolong fase laten 38mg 1/4/2022 √
G1P00000 T/H+KPP+Inp. Fase laten 38mg 1/4/2022 √
G2P10001 /T/H+Oligo afi 3,67 38mg 1/4/2022 √
G1P00000 /T/H+Oligo afi 2,24 39mg 1/5/2022 √
G1P00000 /T/H+Oligo afi 3,8 38mg 1/5/2022 √
G2P00010 /T/H+Letsu 38mg 1/5/2022 √
G2P10001 /T/H+Inp. Fase aktif 38mg 1/4/2022 √
G1P00000 /T/H+Inp. Fase laten+Hemoroid gr 4 38mg 1/5/2022 √
G2P00010 /T/H+CPD+Low high 38mg 1/5/2022 √
G4P30003 /T/H+Letak Obligh+Oligo+Usia >35th+MOW 40mg 1/6/2022 √
G3P20002 /T/H+Prom+NST Patologis 38mg 1/6/2022 √
G2P10001 /T/H+Inp. Fase aktif 38mg 1/5/2022 √
G2P10001 /T/H+BSC 5th+Letak obligh+Anemia 38mg 1/6/2022 √
G1P00000 /T/H+Plasenta letak rendah+Hemoroid 38mg 1/6/2022 √
G4P30003 /T/H+Letak Obligh 38mg 1/6/2022 √
G4P30003 /T/H+BSC3X+PE+Anemia+MOW 38mg 1/6/2022 √
G3P20002/T/H+BSC+Inp. Fase laten 36mg 1/6/2022 √
G4P30003 /T/H+Inp. Fase aktif+KPP 38mg 1/6/2022 √
G2P10001/T/H+Anemia+BSC+ERACS 37mg 1/7/2022 √
G3P20002/T/H+BSC+Inp. Fase aktif 40mg 1/6/2022 √
G2P10001 /T/H+PE+Letak Obligh+Tali pusat terpelintir+IUFD+ 37mg 08/01/2022 √
G2P00010 /T/H+Letsu+Obs. Febris 38mg 1/8/2022 √
G3P10011 /T/H+BSC 3 th+Anemia+HBS AG 38mg 1/8/2022 √
G2P10001 T/H+BSC+Letsu+PE+Impending Eklamsi 25mg 1/8/2022 √
G1P00000 T/H+KPD+Inp Fase Laten 38mg 1/8/2022 √
G1P00000 T/H+KPD+Inp Fase Laten 40mg 1/9/2022 √
G3P20002T/H+PE+Inp Fase Laten 38mg 1/9/2022 √
G1P00000 T/H+APS SC+Inp Fase Laten 38mg 1/10/2022 √
G1P00000 T/H+KPD+Inp Fase Laten 39mg 1/10/2022 √
G3P20001 T/H+Fetal Distress 38mg 1/10/2022 √
G2P10001 T/H+Oligo Berat+PE 40mg 1/11/2022 √
G3P20002 T/H+BSC 2x+MOW+Letsu+ERACS 38mg 1/11/2022 √
G2P10001/T/H+BSC+CPD+HBS AG 38mg 1/11/2022 √
G3P20002 /T/H+BSC2X+MOW 38mg 1/12/2022 √
G3P20002 /T/H+BSC2X+BSC<2th+Anemia 38mg 1/12/2022 √
G2P10001 /T/H+BSC+SBR tipis 38mg 1/12/2022 √
G1P00000 /T/H+KPD+Inp. Fase laten 38mg 1/13/2022 √
G1P00000 /T/H+KPP+Inp. Fase Laten 37mg 1/14/2022 √
G1P00000 /T/H+Oligo 37mg 1/14/2022 √
G3P20002/T/H+BSC2X+Low High+Anemia 38mg 1/14/2022 √
G5P30012 /T/H+BSC3X+MOW+Anemia 39mg 1/14/2022 √
G2P10001/T/H+BSC 5 th 38mg 1/14/2022 √
G2P10001/T/H+Letli+Primi tua sekunder+MOW 38mg 1/14/2022 √
G2P10001/T/H+BSC+Oligo 37mg 1/15/2022 √
G1P00000 /T/H+Letak Obligh+Lilitan tali pusat+Low head 38mg 1/15/2022 √
G4P20012 /T/H+BSC2X+MOW 38mg 1/15/2022 √
G1P00000 /T/H+KPP+PE 39mg 1/16/2022 √
G1P00000 /T/H+KPD+Gagal OD 38mg 1/16/2022 √
G4P30003/T/H+BSC2X+MOW 38mg 1/15/2022
G1P00000 /T/H+HT Kronis+Obesitas+HSVB 38mg 1/15/2022 √
G2P10001/T/H+BSC+Letsu Kaki 38mg 1/17/2022 √
G3P10011 /T/H+BSC+Floating Head+Obesitas 38mg 1/17/2022 √
G3P10011 /T/H+BSC 4 bln+SBR tipis 40mg 1/17/2022 √
G1P00000 /T/H+Letak Obligh+Inp. Fase laten 39mg 1/18/2022 √
G4P30002 /T/H+PE+Usia >35th 38mg 1/18/2022 √
G2P10001/T/H+BSC+SBR tipis+KPP 39mg 1/18/2022 √
G1P00000 /T/H+KPD 38mg 1/19/2022 √
G1P00000 /T/H+Letsu+lilitan tali pusat 38mg 1/19/2022 √
G3P20002/T/H+BSC+PE 38mg 1/19/2022 √
G1P00000 /T/H+Letak Obligh+Polihidramnion afi 25,7 38mg 1/19/2022 √
G3P10011 /T/H+Letak Obligh+BSC+High Miopi 38mg 1/19/2022 √
G1P00000 /T/H+Oligo afi<6 38mg 1/20/2022 √
G1P00000 /T/H+PE+Plasenta Previa 38mg 1/19/2022 √
G3P10011/T/H+PE 38mg 1/20/2022 √
G3P10011/T/H+Inp. Fase aktif 36mg 1/20/2022 √
G4P30003 /T/H+BSC+MOW 37mg 1/20/2022 √
G2P10001 /T/H+Inp. Fase aktif+PE 38mg 1/20/2022 √
G1P00000 /T/H+PE+Obesitas 38mg 1/21/2022 √
G2P10001/T/H+BSC+CPD+Anemia+Letak Obligh 37mg 1/21/2022 √
G4P30003 /T/H+BSC+PE+MOW+Letak Obligh 38mg 1/21/2022 √
G1P00000/T/H+CPD+Low Head 38mg 1/21/2022 √
G3P20002 /T/H+Inp. Fase aktif 39mg 1/21/2022 √
G5P40004 /T/H+BSC<2th+Anemia 39mg 1/21/2022 √
G1P00000 /T/H+Inp. Fase aktif 38mg 1/21/2022 √
G3P20002/T/H+BSC2X+Anemia 39mg 1/21/2022 √
G3P20002 /T/H+BSC2X+Letak lintang+PEB+Oligo afi <6+MOW 36mg 1/21/2022 √
G1P00000/T/H+Prom+Gagal OD 38mg 1/22/2022 √
G3P10011 /T/H+BSC+PEB+DM+HT Kronis+MOW 38mg 1/22/2022 √
G1P00000/T/H+KPP 39mg 1/22/2022 √
G2P10001 /T/H+BSC+Letak Obligh 38mg 1/22/2022 √
G1P00000 /T/H+KPD+Inp. Fase aktif 38mg 1/22/2022 √
G1P00000/T/H+Letak Obligh +skoliosis+high miopi 39mg 1/22/2022 √
G4P30003 /T/H+BSC+PE 38 mg 1/23/2022 √
G1P00000/T/H+Anemia +CPD 37 mg 1/23/2022 √
G2P10001 /T/H+Inpartu kala 2 39 mg 1/23/2022 √
G4P30003 /T/H+Oligo +Gagal OD 38 mg 1/24/2022 √
G4P30003 /T/H+Letak Lintang +KPP 38 mg 1/24/2022 √
G2P10001 /T/H+Oligo afi 5,16+NST Patologis 38mg 1/25/2022 √
G1P00000 /T/H+Oligo 37mg 1/26/2022 √
G3P20002 /T/H+Letak Obligh+BSC+MOW 38mg 1/26/2022 √
G2P10001 /T/H+BSC+KPP 38mg 1/26/2022 √
G2P10001 /T/H+CPD+BSC 39mg 1/26/2022 √
G2P10001 /T/H+BSC+Letak Obligh+PE 38mg 1/26/2022 √
G1P00000 /T/H+KPD+DM+Anemia 39mg 1/27/2022 √
G2P10001 /T/H+Lilitan tali pusat 41mg 1/27/2022 √
G2P10001 /T/H+Oligo+PE 37mg 1/27/2022 √
G3P00020/T/H+Letsu+PE+Abortus Habitualis+IUGR 39mg 1/27/2022 √
G3P20002 /T/H+PE 37mg 1/27/2022 √
G5P30013 /T/H+Post Date+Letak Obligh+MOW 41mg 1/27/2022 √
G2P10001/T/H+BSC 2 th 38mg 1/27/2022 √
G1P0000 /t/h+CPD+obliq 38mg 1/28/2022 √
G2P10001 /t/h+BSC+PE 38mg 1/28/2022 √
G1P00000 /t/h+Inpartu fase laten+KPD+haemoroid 37-38mgg 1/29/2022 √
G2P10001 /G/H+Gemeli+Anemia+BSC 36mg 1/30/2022 √
1/30/2022 √
G1P00000 /T/H+PE+HSVB 38mg 1/30/2022 √
G2P00010 /T/H+KPD 37mg 1/30/2022 √
G4P30003 /T/H+Inp. Fase aktif 37mg 1/30/2022 √
G2P10001 /T/H+BSC+Oligo AFI<6 37mg 1/31/2022 √
G1P00000 /T/H+Oligo AFI <6 37mg 1/31/2022 √
G2P10001/T/H+PE+Oligo+Obesitas 40mg 1/31/2022 √
G2P00010 /T/H+Oligo afi 3,63 40mg 1/31/2022 √
G1P00000 /T/H+Riwayat ICH Temporal+Asma 38mg 1/31/2022 √
SURABAYA

S PERSALINAN JK BAYI MATERNAL


GEMELLI BAYI 2, Rujukan Penolong
BAYI 1 H M H M
≥2 dst
12 13 14 15 16 17 18
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD Lisa/dr.Rini Sp.OG
P √ √ POLI dr.Rini Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD Lisa/dr.Iman Sp.OG
L √ √ IGD dr.Rini Sp.OG
P √ √ POLI dr.Rini Sp.OG
L √ √ IGD dr.Rini Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD Maria/dr.Rini Sp.OG
P √ √ IGD dr.Rini Sp.OG
L √ √ POLI dr.Iman Sp.OG
L √ √ POLI dr.Rini Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD Lila/dr.Iman Sp.OG
P √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Rini Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD Rindi/dr.Iman Sp.OG
L √ √ POLI dr.Rini Sp.OG
L √ √ IGD Lila/dr.Rini Sp.OG
P √ √ POLI dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD Maria/dr.Iman Sp.OG
P √ √ IGD dr.Rini Sp.OG
P √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD Lisa/dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ POLI dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Tony Sp.OG
L √ √ POLI dr.Rini Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ POLI dr.Rini Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Rini Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Rini Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD Maslahah/dr.Toni Sp.OG
P √ √ POLI dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD Rindi/dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Rini Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD Solihah/dr.Iman Sp.OG
P √ √ IGD Fatimah/dr.Iman Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD Rizka/dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD Lila/dr.Iman Sp.OG
P √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Rini Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD Maslahah/dr.Rini Sp.OG
P √ √ POLI dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD Aini/dr.Iman Sp.OG
P √ √ IGD dr.Rini Sp.OG
P √ √ IGD dr.Rini Sp.OG
P √ √ POLI dr.Rini Sp.OG
P √ √ POLI dr.Rini Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ POLI dr. Danu Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD Niar/dr.Toni Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD Niar/dr.Toni Sp.OG
P √ √ IGD dr.Rini Sp.OG
P √ √ IGD dr.Rini Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
L √ √ IGD dr.Iman Sp.OG
L √ √ IGD Lila/dr.Rini Sp.OG
P √ √ POLI dr.Rini Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ IGD dr.Rini Sp.OG
L √ √ POLI dr.Iman Sp.OG
P √ √ IGD dr.Iman Sp.OG
BB/PB/A-S Ket

3000/49/8-9
2900/49/8-9
3700/50/8-9
2700/46/8-9 NICU
2700/47/8-9
2600/46/8-9
3100/49/8-9
3000/50/8-9
2800/49/8-9
3200/49/8-9
2800/48/8-9
3100/49/8-9
3000/48/8-9
2700/48/8-9
2700/47/8-9
3000/50/8-9
3200/50/8-9
4000/51/8-9
3200/50/8-9
2900/49/8-9 NICU
2600/46/8-9
3000/49/8-9
3200/50/8-9
2300/47/8-9
3200/48/8-9
3000/50/8-9
2700/47/0-0
3600/50/8-9
3100/48/8-9
500/30/1-1 NICU
3100/50/8-9
3000/48/8-9
2800/49/8-9
3000/50/8-9
2800/49/8-9
3000/49/8-9
2900/49/8-9
3000/51/8-9
3300/50/8-9
3000/49/8-9
2800/49/8-9
2900/49/8-9
3600/51/8-9
2800/49/8-9
2500/47/8-9
2700/48/8-9
2800/48/8-9
3100/49/8-9
2500/45/8-9
2800/48/8-9 NICU
2900/50/8-9
3100/50/8-9 NICU
3000/49/8-9
3000/49/8-9
3100/50/8-9
3000/49/8-9
2700/49/8-9
2600/48/8-9
2900/49/8-9
3400/52/8-9
3000/49/8-9
3800/50/8-9
2300/48/8-9
3100/50/8-9
2700/47/8-9
3200/50/8-9
2900/49/8-9
3100/49/8-9
3000/49/8-9
3400/50/8-9
2400/46/8-9
2800/47/8-9
3490/50/8-9
3000/50/8-9
2700/47/8-9
3500/51/8-9
2800/48/8-9
3500/51/8-9
3400/51/8-9
3000/50/8-9
2900/49/8-9
2000/46/3-5 NICU
3500/51/8-9
2500/47/8-9
2700/48/8-9
3000/48/8-9
2900/48/8-9
3100/50/8-9
3300/50/8-9
2300/47/8-9
3300/50/8-9
2700/47/8-9
3100/50/8-9
2700/47/8-9
2500/46/8-9
3000/49/8-9
3200/50/8-9
2700/47/8-9
3000/49/8-9
3300/50/8-9
2650/49/8-9
2600/48/8-9
2900/48/8-9 NICU
3000/50/8-9
3700/50/8-9
3000/48/8-9
2700/48/8-9 NICU
2800/48/8-9
2900/48/8-9 NICU
2400/46/8-9 NICU
2400/46/8-9 NICU
3000/49/8-9
3200/50/8-9 NICU
2400/48/8-9
2800/49/8-9
2400/46/8-9
3100/50/8-9
3200/50/8-9
3200/50/8-9
LAPO

NAMA PASIEN NAMA SUAMI ALAMAT LENGKAP UMUR


NO NIK
( Ny. ) ( Tn. ) ( KEL DAN KEC ) IBU

1 2 3 4 5 6
1 Hanik Fitriyani 3515115801890003 Santoso Tulung -Kedamean 33
2 Dita Shellviana 317105702930001 Darsono Dk.Kapasan 02/02 28
3 Sartika Fudji le 3578316404960003 Abdullah Made Selatan 26
4 Siti Munawaroh 3525135408000006 Mashadi Gempol Kurung 3/2 21
5 Miftachul Chusnah 3578305206930001 Mey Alan Singgapur 2/1 28
6 Nunik Sumilah 3525134207920001 Septian Bongsowetan 21/06 29
7 Fanie Dewantari 3578149712970002 Andi Sawo bringin 24
8 Novita Febri 3578305911950002 Sugianto Temboro mojokerto 26
9 Aprillia Kurnia 3578274204010002 Sunar Simo gunung barat 20
10 Winawati 3578315111970002 Rahmat Bayu UKA 20 A/17 24
11 Meika Anggraini 3578195205980001 Wawan Kendung 9 no 20 23
12 Lilis Indah N 3578305602010001 Ainur Rofiq Randupadangan 13/06 20
13 Deby Margareta 3510167007970001 Joko Dk. Jerawat 1/3 24
14 Megawati Ayu 3578305911960001 M.Mundirin Katimoho 25
15 Yuni Purwanti 3578196506850002 Aris Sunarko Sememi Jaya 36
16 Fera Megawati 3578306304920001 M.Khusaini GSA Blok A 29
17 Suyanti 3525135307840003 Akhwan Banyu Urip 37
18 Yuis Della 3578195303970002 Nanda Raqil Jl.Kendung Rejo 24
19 Rizka Dewi 3578066511960001 Rizki Tambak Dalan Barat 25
20 Is Bandriyah 3525136301890001 Sumarno Randupadangan 4/6 33
21 Ria Ayu 3524175401940002 M. Hasan Bandarejo 28
22 Ernawati 7209085511940001 Erry Afandi Balongwangon 27
23 Fera Kartika 3578145812810001 Joko Balongsari blok 5D/27 40
24 Nimas Vivi Dwi 3525134610970003 Yoshua Domas Menganti 24
25 Indrawati Ningsih 3525135810910001 Fatkhurrozi Pranti Menganti 30
26 Ety Agustina 3578305008880001 Fatinur Dk. Buran 35
27 Nia Dewi Ari 3578196803960001 Askat UKA 19/05 26
28 Prisshelia Ahmad 3509154908950001 Sunarto Bibis tama 3/26 Manukan 26
29 Wahyu Safitri 3578315701010001 Junaidi Sambikerep I no 22 21
30 Muliati 3523115901810002 Jazuli Sememi Jaya Selatan 41
31 Siti Anisah 3578314406890001 Ahmad Fitriani Candi lontar II/33 32
32 Julia Nur A 3525125107940001 Romada Dukuh kupang Timur 16/2 27
33 Sulistyani 3578195301580002 Hartono Sememi Jaya Selatan I blo 37
34 Yuli Ariani 3519096867970005 Pratama Aden Lakarsantri gg buntu 24
35 RR Ninis Ayu 3578135509890002 Nurul Huda Klakahrejo 32
36 Faujiyah 3578304504960001 Ardi Mardyanah Mulyorejo Baru 25
37 Novi Lestari 3578146711790002 Hengky Balongsari Tama 82/10 42
38 Nur Cahyanti 3526014101990010 Saiful Hadi Benowo 23
39 Fitria Al Istiqomah 3503094606920001 Adi Hariyanto De Naila Residence 29
40 Melga Ariesti 3578125900388082 Clana Teluk nibung barat 33
41 Okta Sofi Putri 3578316610930001 Rismawan DK. Kapasan 28
42 Santi 3525044606850001 Sifaul Wafa Gluran Ploso(Benjeng) 37
43 Ratna Febriyanti 3525134106960003 M. Dindawan Hulaan 17/8 26
44 Siti Julaehah 3304054902900001 Ismawan Boboh 33
45 Serly Nindi 3578135402970002 Muhammad Adi Babadan no 1 25
46 Suwarni 3525086812860001 Munadi Nyanyat 05/02 benjeng 37
47 Fayza Alifia 35781965307760001 Ferdinand Kendung jaya gg 2 no 6 18
48 Aulia Dinda 35781394103070002 Wahyu Green nirwana 24
49 Hidayatul 3578066612930003 Oky Pakis tirto sari 13/34 28
50 Risala Thoyiba 3515136111870004 Vicky R Tengger kandangan 35
51 Irine Ariani 3578305707940003 Fachrudin PBI A9/3 28
52 Aprilia dwi andi 3525134104980019 Alyvian Sidojangkung 8/3 24
53 Ratna Armita 3578046806940003 Ach. Yuslikan Pakal sumberan 4/6 28
54 Nila Mei 3525134305950004 Devi Bringkang 26
55 Ratih Novanda 3578136511950004 Erwin Rejosari gg apel 27
56 Sutiani 3525046509900001 Adi Bengkelo lor 32
57 Dita Setyowati Syaifudin Gempol kurung 28
58 Dyah Silvi 3578146604980001 Heri Tandes kidul 6 no 52 24
59 Anda Munung Robyka Mulyorejo baru 2/6 36
60 Anisa Nur Gracia Aryk Mega Wisma Sidojangkung Indah 29
61 Nilarizkiya Iqbal Glintung 3/4 23
62 Marina Aprilia 3578275604880002 Ganda Saputra Sememi Baru IV/72 34
63 Nur Abyda Ernia Dadang Endi Perum Sumput Asri 31
64 Dwi Wulandari Abd Aziz Sendang Bulu 6/5 34
65 Natalia Pranata Alvian Puri Asta Kencana A32 25
66 Hannik Umi Nur Rohmadsyah Pulorejo 12/02 30
67 Fatmawati Zainal abidin Jelidro Indah Blok II 38
68 Dewi Widyastutik M. Choirul Simorejo 36
69 Diana Rachmawati Hanif Azhar Dadap kuning 28
70 Evi Taningsih Jimmy Perdana Bongsowetan 14/08 27
71 Siska Andriani Untung UKA 18 A/8 23
72 Evanti Dwi Wahyu Nur Sudarwanto Beji RT 2 RW 4 34
73 Nurul Qomariyah Antoni Made Selatan 3/6 22
74 Iffa Nur Aini Fajarwanto Ngemplak 28 27
75 Elvin Resdiana Saiful K Dsn. Gorekan Kidul 3/2 30
76 Annisa Bilbina Ramadana Banyuurip 20
77 Ika Ayu V Guntur Bringin sekolahan 30
78 Karina Leksanawa Bagus R Pakal Sumberan gg 2 5/1 25
79 Mita Nur jannah Fajar ismail Menganti 25
80 Hanifah Eka Dadang Banyuurip 27
81 Tri Wulandari Mustaqim Hendrosari 2/4 21
82 Liskowatin M. Mualimin Kalibutuh bubutan 34
83 Dorra Margarina M. Faiz Gempolkurung 26
84 Fat Halimatul Ul Abdul haris Denayla1/II Menganti 39
85 Yuniatus Shofi M.Khanafi Tambak dono 2/4 29
86 Nonika Veni Nurul ngasinan 38
87 Nur Indra Kurnia Ahmad Baihaqi jawar no 64 30
LAPORAN BULANAN PERSALINAN RSI DARUS SYIFA' SURABAYA
BULAN FEBRUARI 2022
TANGGAL JENIS PERSALINAN JK
G….P…. UK PERSALIN TUNGGA GEMELLI BAYI 2,
AN BAYI 1
L 1 ≥2 dst
7 8 9 10 11 12 13 14
G3P20002 /T/H+Letli+MOW 37mg 2/1/2022 √ L
G3P20002 /T/H+BSC 2x 38mg 2/2/2022 √ P
G1P00000 /T/H+Oligo Berat+ERA 39mg 2/2/2022 √ L
G1P00000 /T/H+Oligo +ERACS+G 37mg 2/2/2022 √ P
G2P10001 /T/H+PE+BSC+Low He 38mg 2/3/2022 √ P
G2P10001/T/H+BSC4th 38mg 2/3/2022 √ L
G1P00000 /T/H+PE+Oligo+Letak O 37mg 2/3/2022 √ L
G2P10001 /T/H+BSC+ERACS 39mg 2/3/2022 √ P
G1P00000 /T/H+Prom+Anemia+Gag 40mg 2/3/2022 √ P
G1P00000 /T/H+KPD+Hemoroid gr I 38mg 2/4/2022 √ P
G1P00000 /T/H+Oligo+Gagal OD 38mg 2/5/2022 √ L
G1P00000 /T/H+KPP 38mg 2/5/2022 √ P
G3P20002 /T/H+BSC2X+MOW 38mg 2/5/2022 √ L
G2P10001/T/H+BSC+PE 38mg 2/6/2022 √ P
G3P20002 /T/H+Letak Obliq+PE 38mg 2/6/2022 √ P
G3P10011 /T/H+Letli+Plasenta Kals 38mg 2/6/2022 √ L
G3P10011 /T/H+Inp fase laten+P 39mg 2/6/2022 √ L
G2P10001 /T/H+BSC+Riwayat Asm 37mg 2/6/2022 √ L
G2P10001 /T/H+Oligo AFI <6+Gag 39mg 2/7/2022 √ P
G4P30003 /T/H+BSC+MOW+Anem 38mg 2/7/2022 √ L
G3P20002 /T/H+Inp. Kala 2 38mg 2/7/2022 √ P
G2P10001 /T/H+Oligo+KPD+Inp. Fa 40mg 2/8/2022 √ P
G2P00010 /T/H+Oligo berat AFI 1, 39mg 2/8/2022 √ P
G1P00000 /T/H+Lilitan tali pusat+ 39mg 2/9/2022 √ P
G2P10001 /T/H+Letsu kaki+Lilitan t 39mg 2/9/2022 √ L
G2P10001 /T/H+PE+BSC+Letsu 37mg 2/9/2022 √ L
G2P10001 /T/H+KPD+Inp. Fase lat 38mg 2/9/2022 √ L
G1P00000/T/H+Oligo AFI <6+NST 39mg 2/10/2022 √ P
G1P00000 /T/H+KPP 39mg 2/9/2022 √ P
G3P20002 /T/H+KPD 39mg 2/10/2022 √ L
G5P30012 /T/H+BSC+MOW+Grand 38mg 2/10/2022 √ P
G2P10001 /T/H+Oligo+Lilitan tal 37mg 2/10/2022 √ P
G3P20002 /T/H+KPD 38mg 2/10/2022 √ L
G2P10001 /T/H+BSC<2th+ERACS 38mg 2/10/2022 √ P
G5P20021 /T/H+BSC2X+MOW 38mg 2/10/2022 √ P
G1P00000/T/H+Inp. Fase laten+K 39mg 2/12/2022 √ L
G5P30012 /T/H+Letak Obligh+MO 38mg 2/11/2022 √ P
G1P00000 /T/H+Inp. Fase aktif 38mg 2/11/2022 √ P
G1P00000 /T/H+APS SC+ERACS 38mg 2/12/2022 √ L
G3P10011 /T/H+BSC+Letak Oblig 38mg 2/12/2022 √ P
G2P10001 /T/H+Inp. Fase Laten+ 37mg 2/12/2022 √ P
G2P10001 /T/H+PE+Oligo+Primit 38mg 2/12/2022 √ L
G1P00000 /T/H+Inp. Fase aktif 39mg 2/13/2022 √ P
G2P10001/T/H+KPP+PE 40mg 2/12/2022 √ P
G2P00010 /T/H+Inp. Fase laten+K 39mg 2/14/2022 √ L
G2P10001/T/H+KPP 39mg 2/14/2022 √ L
G1P00000 /T/H+Kala 2 lama 37mg 2/14/2022 √ L
G1P00000 /T/H+High Miopi+CPD+ 38mg 2/14/2022 √ L
G2P10001 /T/H+Inp. Fase laten+K 39mg 2/14/2022 √ L
G3P10011/T/H+BSC+CPD+ERAC 38mg 2/14/2022 √ L
G2P00010 /T/H+PE+Obesitas+ER 37mg 2/15/2022 √ L
G1P00000 /T/H+PE+Letli 38mg 2/15/2022 √ P
G1P00000 /T/H+PE+Plasenta kalsif 37mg 2/16/2022 √ L
G2P10001/T/H+BSC 2th+S. Covid 38mg 2/16/2022 √ L
G2P10001 /T/H+BSC+PE+Obesit 39mg 2/16/2022 √ L
G2P10001 /T/H+Oligo AFI 6,76+G 39mg 2/17/2022 √ L
G2P10001 /T/H+BSC+CPD+Obligh 38mg 2/16/2022 √ L
G1P00000 /T/H+Oligo AFI 4,67+G 37mg 2/17/2022 √ L
G3P20002/T/H+BSC+KPP+Anemia+ 37mg 2/17/2022 √ L
G1P00000 T/H+Let. Lintang+Lilitan 39mg 2/19/2022 √ P
G1P00000 T/H+Prolong Fase Lat 39mg 2/19/2022 √ P
G2P10001 T/H+BSC+CPD+Primi T 39mg 2/19/2022 √ L
G2P10001 T/H+ BSC+Letsu+ERA 38mg 2/19/2022 √ P
G3P20002 T/H+obligh+Kista+M 38mg 2/19/2022 √ L
G1P00000 T/H+PE+KPD+ERACS 39mg 2/19/2022 √ L
G1P00000T/H+PE+Lilitan TP+Gag 39mg 2/19/2022 √ P
G2P10001 /T/H+BSC+Oligo 39mg 2/21/2022 √ L
G5P30013 /T/H+Inp. Fase laten 38mg 2/21/2022 √ L
G2P10001 /T/H+KPP 38mg 2/21/2022 √ L
G3P20002 /T/H+BSC+Anemia+E 38mg 2/23/2022 √ L
G3P10011 /T/H+BSC+SBR tipis 37mg 2/22/2022 √ P
G2P10001 /T/H+Oligo+PE 40mg 2/22/2022 √ P
G1P00000/T/H+Inp. Fase laten+he 39mg 2/22/2022 √ L
G2P10001 /T/H+Oligo+S. Covid 19 38mg 2/23/2022 √ L
G2P10001 /T/H+BSC+HT Kronis 38mg 2/24/2022 √ L
G2P10001 /T/H+Inp. Fase aktif 40mg 2/23/2022 √ P
G3P20002 /T/H+BSC2X+MOW 38mg 24/02/2022 √ L
G1P00000 /T/H+Oligo afi 5,3+NST 38mg 2/25/2022 √ L
G2P00010 /T/H+PE+CPD+Floating 38mg 2/25/2022 √ L
G2P10001 /T/H+Inp. Fase laten+ 39mg 2/25/2022 √ L
G1P00000 /T/H+CPD+Malnutrisi 39mg 2/25/2022 √ L
G3P20002 /T/H+BSC2X+MOW 39mg 2/25/2022 √ P
G1P00000 /T/H+Prolong fase late 39mg 2/27/2022 √ P
G6 P50005 /t/h Inp fase laten KPD 37-38mg 2/28/2022 √ L
G3 P20002 TH lilitan talpus,Floa 38mg 3/1/2022 √ P
G5P20022 TH BSC.MOW.ERACS 38 mgg 3/1/2022 √ L
G3 p20002 TH BSC.Anemia 38 mgg 3/1/2022 √ P
BAYI MATERNAL
Rujukan Penolong BB/PB/A-S Ket
H M H M

15 16 17 18
√ √ IGD dr.Iman Sp.OG 2300/45/8-9
√ √ IGD dr.Iman Sp.OG 3000/50/8-9
√ √ IGD dr.Iman Sp.OG 2900/48/8-9
√ √ IGD dr.Rini Sp.OG 2800/47/8-9
√ √ IGD dr.Iman Sp.OG 2400/47/8-9 NICU
√ √ IGD dr.Rini Sp.OG 3300/51/8-9
√ √ IGD dr.Rini Sp.OG 2900/49/8-9
√ √ IGD dr.Rini Sp.OG 2300/47/8-9
√ √ IGD dr.Rini Sp.OG 3500/51/8-9
√ √ IGD dr.Iman Sp.OG 2400/47/8-9
√ √ IGD dr.Rini Sp.OG 3300/49/8-9
√ √ IGD dr.Iman Sp.OG 2600/49/8-9
√ √ IGD dr.Iman Sp.OG 2700/49/8-10
√ √ IGD dr.Iman Sp.OG 2900/48/8-9
√ √ IGD dr.Iman Sp.OG 3100/49/8-9
√ √ IGD dr.Iman Sp.OG 2500/46/8-9
√ √ IGD dr.Iman Sp.OG 3000/49/8-9
√ √ IGD dr.Iman Sp.OG 3200/49/8-9
√ √ IGD dr.Rini Sp.OG 2800/50/8-9
√ √ IGD dr.Tony Sp.OG 2600/47/8-9
√ √ IGD Aini/dr.Rini Sp.OG 3300/50/8-9
√ √ IGD dr.Tony Sp.OG 3300/51/8-9
√ √ IGD dr.Iman Sp.OG 3300/51/8-9
√ √ IGD dr.Iman Sp.OG 3000/49/8-9
√ √ IGD dr.Iman Sp.OG 3600/49/8-9
√ √ IGD dr.Iman Sp.OG 3400/50/8-9 NICU
√ √ IGD Fatimah/dr.Iman Sp.OG3100/50/8-9
√ √ POLI dr.Rini Sp.OG 3300/50/8-9
√ √ IGD Rindi/dr.Iman Sp.OG 2500/46/8-9
√ √ IGD Niar/dr.Rini Sp.OG 2900/49/6-7
√ √ IGD dr.Iman Sp.OG 3200/49/8-9
√ √ IGD dr.Iman Sp.OG 2700/47/8-9
√ √ IGD Solihah/dr.Toni Sp.OG 3300/51/3-4 NICU
√ √ IGD dr.Rini Sp.OG 3000/50/8-9
√ √ IGD dr.Rini Sp.OG 2500/46/8-9
√ √ IGD dr.Iman Sp.OG 3400/51/8-9
√ √ IGD dr.Rini Sp.OG 3000/49/8-9
√ √ IGD Maria/dr.Iman Sp.OG 3200/50/8-9
√ √ POLI dr.Rini Sp.OG 3200/50/8-9
√ √ IGD dr.Iman Sp.OG 3100/49/8-9
√ √ IGD dr.Iman Sp.OG 2900/48/8-9
√ √ IGD dr.Iman Sp.OG 3100/50/8-9
√ √ IGD Fatimah/dr.Iman Sp.OG3000/50/8-9
√ √ IGD Aini/dr.Iman Sp.OG 2900/49/8-9
√ √ IGD dr.Iman Sp.OG 3800/51/8-9
√ √ IGD Niar/dr.Iman Sp.OG 2600/47/8-9
√ √ IGD dr.Rini Sp.OG 2600/46/8-9
√ √ IGD dr.Iman Sp.OG 3100/49/8-9
√ √ IGD Lila/dr.Iman Sp.OG 3200/50/8-9
√ √ IGD dr.Iman Sp.OG 2700/48/8-9
√ √ POLI dr.Iman Sp.OG 3100/50/8-9
√ √ IGD dr.Iman Sp.OG 3300/51/8-9
√ √ IGD dr.Rini Sp.OG 3100/50/8-9
√ √ IGD dr.Iman Sp.OG 2800/47/8-9
√ √ POLI dr.Iman Sp.OG 4000/51/1-1 NICU
√ √ POLI dr.Rini Sp.OG 3100/50/8-9
√ √ IGD dr.Iman Sp.OG 2800/47/8-9
√ √ POLI dr.Rini Sp.OG 3400/50/8-9 NICU
√ √ IGD dr.Iman Sp.OG 3100/49/8-9
√ √ POLI dr.Iman Sp.OG 3100/50/8-9
√ √ IGD dr.Iman Sp.OG 3300/48/8-9
√ √ IGD dr.Iman Sp.OG 3100/50/8-9
√ √ IGD dr.Iman Sp.OG 3900/51/8-9
√ √ IGD dr.Iman Sp.OG 2900/48/8-9
√ √ IGD dr.Iman Sp.OG 2700/48/6-7
√ √ POLI dr.Iman Sp.OG 2900/48/8-9
√ √ IGD dr.Rini Sp.OG 2700/47/8-9
√ √ IGD Rizka/dr.Rini Sp.OG 2900/49/8-9
√ √ IGD dr.Rini Sp.OG 3000/49/8-9
√ √ POLI dr.Iman Sp.OG 3200/50/8-9
√ √ IGD dr.Iman Sp.OG 2700/47/8-9
√ √ POLI Winda/dr.Iman Sp.OG 3700/51/6-8
√ √ IGD Niar/dr.Iman Sp.OG 2500/46/8-9
√ √ IGD dr.Iman Sp.OG 2500/46/8-9
√ √ IGD dr.Iman Sp.OG 3200/50/8-9
√ √ IGD Aini/dr.Iman Sp.OG 2900/49/8-9
√ √ IGD dr.Rini Sp.OG 2800/49/8-9
√ √ POLI dr.Rini Sp.OG 2700/49/8-9
√ √ POLI dr.Iman Sp.OG 3000/48/8-9
√ √ IGD Lisa/dr.Rini Sp.OG 3600/50/8-9
√ √ IGD dr.Rini Sp.OG 3000/49/8-9
√ √ IGD dr.Rini Sp.OG 3800/51/8-9
√ √ IGD dr Rini Sp.Og 3100/50/8-9
√ √ IGD dr Rini Sp.Og 2900/48/8-9
√ √ IGD dr Iman Spog 3400/50/8-9
√ √ IGD dr Iman Spog 2700/47/8-9
√ √ IGD dr Iman Spog 3200/49/8-9
LAPORAN BULANAN PERSALIN
BULAN M
ALAMAT
NAMA PASIEN NAMA SUAMI UMUR
NO NIK LENGKAP ( KEL
( Ny. ) ( Tn. ) IBU
DAN KEC )
1 2 3 4 5 6
1 Desyi 33140516729310001
Ali Mashudi Ngasinan 4/7 29
2 Diah Rahmalasari
3578197003940001
Anuf UKA 8 28
3 Sunarti 3578306003870003
Samsul Sumbersari 01/02 35
4 Minanti Siswanto Bringin Indah 37
5 Emilia Novanti 3525115611920022
Eko Glintung 30
6 Munawaroh 3525136501950002 Heru Agus Banyu Urip no.05
7 Narsih 3402155911830001
Sariono Bongso wetan 39
8 Kariyanah 3578316401920002
Didik Sumberrejo 7/4 30
9 Lilik Agus Sugia 3578305408950001
Richa Sidorejo 2/28 27
10 Irfi Finnuril Ul 3578196512940003
Mufitkan Kendung 28
11 Ananditala khoir 3525114604940001
Hadi Putat Lor 28
12 Kiki fatmawati 3525026212970001
Dika Balong panggang 25
13 Siti Latifah 3578286508930001
Rudi Salam Mulyorejo Baru rt.0 28
14 Reni Wahyuni 3578066011850001
Agus Suyanto Simo Katrungan 37
15 Susiati 3578046603800005
Fajar karangan no.20 42
16 Solvia Emelda 1305117004930001
Dimas Febriansyah Manukan sari V 29
17 Agnes Tuti Angga
3578305509970001
Alvian agus Rejosari no.85 25
18 Fitria Astri 3578150404910005
Handika Kauman Baru 31
19 Ratih Eka April3578044604920003
Ali mahfud Perum Cerme Indah 30
20 Nurullia Anggraini
3525144806970002
M. Hafidz Pelemwatu 25
21 Faizatul Masruro352511708990001
Krisdiyanto Dsn. Wahar, balong 23
22 Siti Nur Halimah
352603470392000043
M. Saiful Pakal Madya jaya 2/ 30
23 Gresita Delfia 3525087011980001
Irvan Dk. Jawu kidul 24
24 Nina Rohani 3507014802010001 M. Rizki Tengger rejo mulyo 21
25 Titin Setiawati 3578306606890003
Saifudin Benowo krajan 1/2 33
26 Fatimah 3578166207890005
Mustofa TSI Blok C/35 33
27 Iffa Dhatul 3525040710910001
Yudi Kacangan benjeng 31
28 Denok Evafuri 3578195812950002
Firmansyah Sememi baru gg I 27
29 Misnama 3528065207880008
M. Ali Balongsari 34
30 Ayu Nurifatul M. Rosal Hendrosari 20
31 Umu Alifatin 3522115712Tarhimul Dk. Kukun 30
32 Juwariah 3578147112Choirul Anam Manukan mulyo 30
33 Amanda Dwi Eka 3578146111M. Farhan Balongsari madya 7 18
34 Deshinta Arofa 3525115001Arif R Gedang kulut 4/7 C 25
35 Idafatul Izza 3525125806M. Ali Fikri Dk. Jawar
36 Elis Nur Laili 3578314706M. Wahib Raya Lontar no 152 29
37 Artari Agustiani 3578274306Eki Firmansyah Simogunung barat 25
38 Wulandari R 3525156411Denny trisna Sumur geger 10/5 p 32
39 Sukarti 3524166612Saiful Krewek mantup 33
40 Sriati 3507055204Heri Irawan Singgapur 41
41 Natasyah Nareera 3578060506Panggih Harianto Palm sememi barat 26
42 Yuli Retnowati 3578179107Faris GSN J 4/24 41
43 Maslakhah 3524256304Fatchul Sumberejo 33
44 Shinta Nevi 3578306105Erik Jawu kidul 2/3 31
45 Fitriya Nurjanah 3578305405M. Nafian Kauman Asri no 2 34
46 Hikmatul Lailiya 3525085403Heru Budi Lampah kedamean 27
47 Lutfiyatul Husni 3578194301Laode Sememi 24
48 Kiki Septia 3578106509Ibnu sholid Tengger rejo 26
49 Zuliana Nur Safi Rama Sidowungu 22
50 Baby Gahara 7371075112Hidayat Sememi Jaya gg 5 n 32
51 Sri Widayati 3578286405Sunardi Green cerme 42
52 Yessy Entin '3578315404950002
Bagus Hermawan DK. Jelidro Tegal 1/ 27
53 Alifia Puji Utami 3523145208Rudik Sirnoboyo 13/3 26
54 Nur Hidayatul 3578195106Trio Bandarejo 1 24
55 Faridah Tus 3578304302Wawan Sumberejo 1/2 23
56 Lina Setiawati 3578194210Bahrul Ilmi Bandarejo gg sumur 28
57 Intan tutut 3578195908M. Misbahul Klakahrejo 2/8 25
58 Deti Diana 3578145111Sandi Kurniawan Sememi jaya selatan 25
59 Maria 3517016707Rio Febrianto Gempol kurung 3/2 27
60 Herlina 3525115511M. Afrizal Balongsari blok 8D/ 31
61 Liana 3523115504Agus Setiawan Ngasinan 4/7 21
62 Dyah Ayu 3578195912Rohman Sememi Jaya 24
63 Della Putri 3516107007Yosa Sidojangkung 10/03 25
64 Ratri Wulandari 3578195610Nur Cahya UKA 4/39 27
65 Putri Harina 3525134907Ari Armada Boboh menganti 28
66 Nanda Tribuana 3578145119Syaifudin Manukan Thohirin 25
67 Ratnawati 3578195701Kurnia Affan Sememi kidul 35
68 Uswatun Chasanah 3522066912Rizal S Lontar gg makam 27
69 Eka Ambarwati 3578314410Heru Pitono Tandes kidul 33
70 Nurul Aprilia 3525136804Abd. Rohman Dsn. Petal 28
71 Siti Aslimi 3404015206Syahrul Mustofa GSN 54/27 36
72 Mila Aisah 3578314109Triono Sawobringin 5/2 26
73 Mentari Widawati 3578194409Ahmad Ardi Kendung Jaya 2/7 28
74 Sumarti 3516034707Ali Irkamin Domas RT 13 B 33
75 Chrisdiani 3578305501Choirul Anam Dk.Sumberan 01/02 27
76 Widya Lestari 3578300129Nanang Mega Dk. Jerawat 05/03 28
77 Anna Susanty 3578365078Imam Tambak Sejarah wet 39
78 Jessie Irmayanti3578145508940002
Aditya Kertojoyo indah tim 28
79 Ulfi Iffanyl Faishol Manukan subur 34
80 Dwi Milza 3578144606800005
Qodrat Manukan Krajan 42
81 Nadlofatul Wadli3525035801940001
Afandi Sememi jaya selatan 28
82 Linda Supriati 3525044207870002
Ufig Kepatihan 35
83 Dwi Anovi 3578276011800002
Doni Sememi Jaya Baru 42
84 Jauharotus Shofi3525085509940001
Gallas Lampah kedamean 28
85 Tri Sulistyawati3578134510880003
Yasmin Gempol kurung 8/2 34
86 Heydi Stifany 3508106009000006
Satria Jl. Sawo gg 8/8 22
87 Sri Utami 3525084202940004
Medi Bagas Lmapah Kedamean 28
88 Rozalina 3578304408910001
Yulianto Tambakdono 1/7 pak 31
89 Dinda Ayu 3578156110960003
Rere Kresna Pakal pejuang 26
90 Mita Puspitasari3578145501980001
Supardianto Banjarsugihan 2/36 24
91 Ulfah 3525134207780002
Samsuri Ngepungsari morow 44
92 Defi Amalia 3578274601900002 Anto Simorejo sari 14/4 32
93 Luluk Lia Lianti3526186712950003
Ismanu Ngemplak 2/5 27
94 Fitri Andriyana3504154911950001
Dendik Kandangan gunung 27
95 Pariyatin 3578144411970002
Supriadi Alas malang 42
96 Rizaatul Muawena
357831440680002
Toha Banjarsugihan 2/16- 25
97 Garnika Ade 3578305611930001Aditya Rejosari Baru Aspol 28
98 Imroatus Sholiha
3525104507880002
Faishol Sambiarum Lor 34
99 Suharsih 3525134104950014
Qodrat Sidowungu RT 16 27
100 Ita Rudiana 3578195704870001
Afandi Kandangan 35
101 Indah Indriani 3522046402000005
Ufig Banjarsugihan 7/4 22
102 Sandy Hawiyah3578195209930003 Doni Bandarejo 29
103 Sulistiori Susilowat
3578195209930003
Gallas Sememi baru 10/73 36
104 Ratna Nimas Wati 3578194406970001
Yasmin Jl.candi lontar 25
105 Lisa Nuraini 3519136910950003 Satria Beji-rejo 27
106 Diyar Anisyah 3578305012970001Medi Bagas Pakal Madya No.25 25
107 Istiqomatus 3525136910920014
Yulianto Gading Watu 30
108 Eva Norizayanah3525116109920002
Rere Kresna Kambinagn 01/02 30
109 Siti Jumakiyah 3524175506010001
Supardianto Tlogobedah 10/05 21
110 Rezky wulandari3578176004950005
Samsuri Made timur 27
111 Dini Anggraini 3525134512940003
Anto Ngablakrejo 28
112 Sri Rahayu Ismanu Randupadangan 1/1 29
113 Ayu Wulandari3578215012910002
Dendik Jelidro 79 30
114 Puput Anggraini3578067008890003
Supriadi simogunung 32
115 Desi Sri Mulyawati
3578145312930003
Toha pakal 28
116 Eka Ratna Widya Arif Swan Menganti Park 31
117 Lilis Shofiyanti Sugeng Sidowungu 26
118 Nurkhayani Adi PBI Blok E/Y 26
LAPORAN BULANAN PERSALINAN RSI DARUS SYIFA' SURABAYA
BULAN MARET2022
TANGGAL JENIS PERSALINAN
G….P…. UK PERSALIN TUNGGA GEMELLI
AN L 1 ≥2
7 8 9 10 11 12
G2P10001 /T/H+Lilitan tali pusat+HT Kronis+S. Covid 38mg 3/1/2022 √
G1P00000 /T/H+Inp. Fase laten+PE 39mg 3/2/2022 √
G3P10011 /T/H+Letli+Lilitan tali pusat+PE+MOW+E 39mg 3/2/2022 √
G3P20002 +IUFD+Letli+Oligo 29mg 3/2/2022 √
G2P10001 /T/H+inpartu fase laten+KPP 38mg 3/2/2022 √
G1P00000 /T/H+inpartu fase aktif 39mg 3/2/2022 √
G3P20002 /T/H+plasenta previa 39mg 3/3/2022 √
G3P100011 /T/H+oligo+anemi+PE 40mg 3/3/2022 √
G1P00000 /T/H+letli+Plasenta totalis+ERACS 38mg 3/3/2022 √
G2P10001 /T/H+BSC+Polihidramnion 38mg 3/3/2022 √
G2P10001 /T/H+BSC+letak Obliq 38mg 3/3/2022 √
G1P00000 /T/H+KPP+Post Date+oligo+S.Covid 41mg 3/3/2022 √
G2P10001 /T/H+Inpartu Kala 2 41mg 3/3/2022 √
G4P30003 /T/H+oligoberat+Letli+MOW+ERACS 38mg 3/4/2022 √
G4P20012/T/H+Letli+ERACS 38mg 3/4/2022 √
G1P00000 /T/H+oligo AFI 6,6 38mg 3/5/2022 √
G1P00000 /T/H+oligo AFI 4,81 +IUGR 37mg 3/5/2022 √
G1P00000 /T/H+inpartu fase laten+KPD+Post Date 41mg 3/5/2022 √
G2P10001 /T/H+BSC+High Miopi+Oligohidramnion 38mg 3/6/2022 √
G1P00000 /T/H+Oligo+PE 40mg 3/8/2022 √
G1P00000 /T/H+Oligo+CPD+Floating head+PE 40mg 3/7/2022 √
G1P00000 /T/H+Oligo AFI<6 39mg 3/8/2022 √
G1P00000 /T/H+CPD+Low Head+Floating Head 38mg 3/8/2022 √
G1P00000 /T/H+Letak Obligh+Malnutrisi 37mg 3/8/2022 √
G4P30012 /T/H+KPD+Inp. Fase laten 39mg 3/9/2022 √
G2P10001 /T/H+BSC 2 th+Pasang IUD 38mg 3/9/2022 √
G2P10001 /T/H+Oligo afi 2,06 38mg 3/10/2022 √
G2P10001 /T/H+PE+Obesitas+ERACS 39mg 3/9/2022 √
G5P22002 /T/H+BSC2X+HT Kronis+MOW 38mg 3/9/2022 √
G2P10001 /T/H+Inp. Fase aktif 34mg 3/8/2022 √
G2P10001 /T/H+Inp. Fase aktif 38mg 3/9/2022 √
G3P20002 /T/H+BSC+MOW+PE+ERACS 37mg 3/10/2022 √
G1P00000 /T/H+Inp. Fase laten+KPP 38mg 3/10/2022 √
G1P00000 /T/H+Letsu+KPP 35mg 3/10/2022 √
G1P00000 /T/H+Inp. Fase aktif+KPP 37mg 3/10/2022 √
G3P10011 /T/H+BSC 3 th 40mg 3/10/2022 √
G1P00000 /T/H+Oligo berat+lilitan tali pusat+ERACS 42mg 3/11/2022 √
G2P10001 /T/H+KPP+Plasenta marginalis 39mg 3/11/2022 √
G3P10011 /T/H+BSC+PE+Obligh 38mg 3/11/2022 √
38mg
G3P10011 /T/H+BSC+PE+Plasenta letak rendah+Usia di 3/12/2022 √
G2P10001 /T/H+BSC<2th 38mg 3/12/2022 √
G3P20002 /T/H+HT Kronis+Primi tua sekunder 38mg 3/12/2022 √
G5P10031 /T/H+BSC+PE+Pasang IUD 37mg 3/12/2022 √
G2P10001 /T/H+Inp. Fase laten+BSC 6 th+ERACS 37mg 3/12/2022 √
G3P20002 /T/H+BSC2X+Anemia 38mg 3/12/2022 √
G3P20002 /T/H+PD+Obesitas+Gagal OD 41mg 3/13/2022 √
G1P00000 /T/H+KPP+ERACS 35mg 3/13/2022 √
G1P00000 /T/H+KPP 38mg 3/13/2022 √
G1P00000 /T/H+Inp. Fase laten+KPP 40mg 3/14/2022 √
G3P20002 /T/H+BSC2X+IUGR+MOW 37mg 3/14/2022 √
G4P30003 /T/H+BSC+KPP+Anemia 39mg 3/14/2022 √
G1P00000 /T/H+HT Kronis 38mg 3/15/2022 √
G2P10001 /T/H+CPD+BSC+Polihidramnion 38mg 3/15/2022 √
G1P00000 /T/H+PE+Oligo 38mg 3/15/2022 √
G1P00000 /T/H+PE+Makrosomia 39mg 3/15/2022 √
G2P10001 /T/H+Plasenta lateralis 38mg 3/16/2022 √
G1P00000 /T/H+Oligo berat+Floating head 40mg 3/16/2022 √
G2P00010 /T/H+Oligo afi<6 39mg 3/16/2022 √
G1P00000 /T/H+Inp. Fase laten+KPP 40mg 3/16/2022 √
G3P10011 /T/H+BSC2X+MOW 39mg 3/16/2022 √
G3P10011/T/H+PEB 35mg 3/16/2022 √
G1P00000 /T/H+Oligo+HBS AG+ 39mg 3/16/2022 √
G1P00000 /T/H+Haemoroid+PE+NST non reaktif 38mg 3/17/2022 √
G1P00000 /T/H+Letsu+PE 38mg 3/16/2022 √
G2P10001 /T/H+BSC+Letli 38mg 3/16/2022 √
G1P00000 /T/H+Plasenta Previa+Lilitan tali pusat 38mg 3/16/2022 √
G4P30003 /T/H+Inp. Fase laten+IUGR 36mg 3/17/2022 √
G2P10001 /T/H+Oligo afi 4,53+BSC 38mg 3/17/2022 √
G5P20022 /T/H+BSC+Obligh+MOW 38mg 3/17/2022 √
G2P10001 /T/H+BSC+PE 38mg 3/17/2022 √
G3P20002 /T/H+BSC+PE+Obesitas 38mg 3/17/2022 √
G4P20012 /T/H+BSC2X 37mg 3/17/2022 √
G2P10001 /T/H+KPP 37mg 3/18/2022 √
G4P00030 /T/H+Prom+Abortus habitualis 39mg 3/20/2022 √
G1P00000 /T/H+Impending eklamsi+Anemia 36mg 3/20/2022 √
G3P20002 /T/H+BSC+Prolong fase laten 35mg 3/20/2022 √
G2P10001/T/H+Oligo+BSC 37mg 3/20/2022 √
G1P00000 /T/H+PE+Oligo 38mg 3/21/2022 √
G2P10001 /T+BSC+PE+IUFD+Anemia 38mg 3/21/2022 √
G5P40004 /T/H+Letli+HT Kronis+MOW 38mg 3/21/2022 √
G1P00000 /T/H+KPP+CPD+Malnurisi 39mg 3/22/2022 √
G3P20002 /T/H+BSC+MOW 38mg 3/21/2022 √
G3P20002 /T/H+BSC2X+DM Proges+PE+MOW 39mg 3/21/2022 √
G4P10021 /T/H+BSC<2th+Pasang IUD 38mg 3/22/2022 √
G2P10001 /T/H+Makrosomia+Obesitas+HT Kronis 37mg 3/22/2022 √
G1P00000 /T/H+PE+Oligo+lilitan tali pusat 40mg 3/22/2022 √
G3P10001 /T/H+KPP 39mg 3/22/2022 √
G2P10001 /T/H+BSC+PE+Letak Obligh 39mg 3/23/2022 √
G2P10001 T/H+BSC+PE 40mg/ 3/23/2022 √
G1P00000 /T/H+KPP 38mg 3/23/2022 √
G2P10001 /T/H+Letsu+ERACS 38mg 3/24/2022 √
G3P10011 /T/H+Inp. Fase aktif 39mg 3/24/2022 √
G3P20002 /T/H+PD+Malnutrisi 40mg 3/24/2022 √
G2P10001 /T/H+BSC+SBR tipis 38mg 3/25/2022 √
G2P10001 /T/H+BSC+PROM 38mg 3/25/2022 √
G1P00000 /T/H+inpartu fase aktif+kpp 40mg 3/25/2022 √
G2P00010 /T/H+Inp. Fase aktif 34mg 3/26/2022 √
G2P10001 /T/H+KPD+Inp. Fase laten+NST Patologis 39mg 3/26/2022 √
G3P10011 /T/H+Prom+BSC 36mg 3/27/2022 √
G3P10011/T/H+KPD+Inp. Fase aktif 38mg 3/27/2022 √
G2P10001/T/H+BSC 39mg 3/28/2022 √
G2P10001 /T/H+KPP+Tyroid+Meningitis 39mg 3/28/2022 √
G3P00020 /T/H+Inp. fase aktif +KPD 38mg 3/28/2022 √
G2P10001 /T/H+Letak obliq +BSC 38mg 3/28/2022 √
G3P01010 /T/H+BSC<2thn +letak Obliq+ERACS 38mg 3/28/2022 √
G3P00100 /T/H +CPD+Low Height+PE+ERACS 38mg 3/28/2022 √
G3P20001/T/H +BSC+Oligo+PE 38mg 3/29/2022 √
G2P10001 /T/H +BSC+Obesitas+PE 38mg 3/29/2022 √
G1P00000 /T/H+Secondary arest+septum vagina 38mg 3/30/2022 √
G2P00010 /T/H+Hemoroid gr 4+ERACS 37mg 3/30/2022 √
G2P10001 /T/H+BSC+HT kronis+obesitas 38mg 3/31/2022 √
G2P10001 /T/H+BSC+S.ITP 39mg 3/30/2022 √
G3P20002 /T/H+BSC2X+MOW 37mg 3/31/2022 √
G4 P30002 TH LetliBSC.MOW 38 mg 4/1/2022 √
G2 P10001 T/H + Inp.Kala II + PE 38 mg 3/31/2022 √
G2P10001 T/H+PROM+Gagal OD 37-38mg 4/1/2022 √
G2P10001 T/H+BSC+Oligo Afi 4,68 36-37mg 4/1/2022 √
G2PI0001 T/H+BSC<2th+Anemia 38mg 4/1/2022 √
JK BAYI MATERNAL
BAYI 2, Rujukan Penolong BB/PB/A-S
BAYI 1 H M H M
dst
13 14 15 16 17 18
L √ √ IGD dr.Iman Sp.OG 2900/48/8-9
L √ √ IGD dr.Iman Sp.OG 2800/49/8-9
P √ √ POLI dr.Iman Sp.OG 3000/50/8-9
L √ √ IGD dr.Rini Sp.OG 1200/45/0-0
P √ √ IGD dr.Iman Sp.OG 2900/48/8-9
L √ √ IGD dr.Iman Sp.OG 3000/50/8-9
L √ √ IGD dr.Iman Sp.OG 2700/47/8-9
P √ √ IGD dr.Rini Sp.OG 3000/47/8-9
L √ √ IGD dr.Iman Sp.OG 2800/48/8-9
L √ √ IGD dr.Iman Sp.OG 3400/50/8-9
L √ √ IGD dr.Iman Sp.OG 3200/50/8-9
L √ √ IGD dr.Iman Sp.OG 3600/49/8-9
P √ √ IGD Arista/dr.Iman Sp.OG3500/50/8-9
L √ √ IGD dr.Iman Sp.OG 2500/46/8-9
L √ √ POLI dr.Rini Sp.OG 3300/52/8-9
P √ √ POLI dr.Rini Sp.OG 3000/49/8-9
P √ √ POLI dr.Rini Sp.OG 2600/47/8-9
L √ √ IGD dr.Rini Sp.OG 3800/50/8-9
P √ √ IGD dr.Rini Sp.OG 2800/47/8-9
L √ √ IGD Solihah/dr.Rini Sp.OG3200/50/8-9
P √ √ POLI dr.Iman Sp.OG 2800/48/8-9
L √ √ IGD dr.Rini Sp.OG 3100/50/8-9
L √ √ POLI dr.Iman Sp.OG 2900/49/8-9
L √ √ IGD dr.Rini Sp.OG 3100/49/8-9
P √ √ IGD Maratus/dr.Rini Sp.OG
2900/49/8-9
L √ √ IGD dr.Iman Sp.OG 3400/51/8-9
L √ √ IGD dr.Rini Sp.OG 2900/49/8-9
P √ √ IGD dr.Iman Sp.OG 3700/51/8-9
L √ √ IGD dr.Iman Sp.OG 3000/49/8-9
P √ √ IGD Lila/dr.Iman Sp.OG 1900/45/8-9
P √ √ IGD Lila/dr.Toni Sp.OG 3000/50/8-9
P √ √ IGD dr.Iman Sp.OG 3000/50/8-9
L √ √ IGD dr.Rini Sp.OG 2300/45/8-9
P √ √ IGD dr.Iman Sp.OG 2400/48/8-9
L √ √ IGD Maria/dr.Iman Sp.OG2400/48/8-9
L √ √ IGD dr.Rini Sp.OG 3600/49/8-9
P √ √ IGD dr.Iman Sp.OG 3100/49/8-9
L √ √ IGD dr.Rini Sp.OG 3400/51/8-9
P √ √ IGD dr.Rini Sp.OG 3000/54/8-9
L √ √ IGD dr.Iman Sp.OG 2500/46/8-9
P √ √ IGD dr.Iman Sp.OG 2500/48/8-9
L √ √ IGD dr.Iman Sp.OG 2900/49/8-9
P √ √ IGD dr.Iman Sp.OG 3100/50/8-9
P √ √ IGD dr.Iman Sp.OG 2600/46/8-9
L √ √ IGD dr.Iman Sp.OG 3400/52/8-9
L √ √ IGD dr.Iman Sp.OG 4000/52/8-9
L √ √ IGD dr.Iman Sp.OG 2500/46/8-9
L √ √ IGD dr.Rini Sp.OG 2900/49/8-9
P √ √ IGD dr.Iman Sp.OG 3000/50/8-9
P √ √ IGD dr.Iman Sp.OG 2500/46/8-9
L √ √ IGD Rizka/dr.Rini Sp.OG2500/46/8-9
P √ √ POLI dr.Iman Sp.OG 2800/48/8-9
L √ √ POLI dr.Iman Sp.OG 2900/49/8-9
P √ √ POLI dr.Rini Sp.OG 2800/48/8-9
L √ √ POLI dr.Iman Sp.OG 3800/52/8-9
P √ √ IGD dr.Rini Sp.OG 2800/47/8-9
L √ √ POLI dr.Iman Sp.OG 3200/50/8-9
P √ √ POLI Fira/dr.Rini Sp.OG 3300/49/8-9
L √ √ IGD Rindi/dr.Toni Sp.OG4000/50/7-8
L √ √ IGD dr.Rini Sp.OG 2200/45/8-9
L √ √ IGD dr.Iman Sp.OG 2700/48/8-9
L √ √ IGD dr.Iman Sp.OG 2900/48/8-9
L √ √ IGD dr.Rini Sp.OG 3100/48/8-9
P √ √ IGD dr.Iman Sp.OG 3000/48/8-9
L √ √ POLI dr.Iman Sp.OG 2600/47/8-9
L √ √ POLI dr.Iman Sp.OG 3500/51/8-9
P √ √ POLI dr.Iman Sp.OG 2400/47/8-9
P √ √ POLI dr.Rini Sp.OG 3400/53/8-9
P √ √ IGD dr.Rini Sp.OG 3300/52/8-9
L √ √ IGD dr.Iman Sp.OG 3000/49/8-9
L √ √ IGD dr.Rini Sp.OG 3200/51/8-9
L √ √ IGD dr.Rini Sp.OG 3100/50/8-9
L √ √ IGD Maratus/dr.Rini Sp.OG
3100/50/8-9
L √ √ IGD dr.Rini Sp.OG 3000/50/8-9
:P √ √ IGD dr.Rini Sp.OG 2900/49/8-9
L √ √ IGD dr.Rini Sp.OG 2400/46/8-9
P √ √ IGD dr.Rini Sp.OG 2800/48/8-9
L √ √ IGD dr.Rini Sp.OG 2900/49/8-9
P √ √ IGD dr.Rini Sp.OG 2800/48/0-0
P √ √ IGD dr.Iman Sp.OG 3200/50/8-9
L √ √ IGD dr.Toni Sp.OG 2300/47/8-9
L √ √ IGD dr.Iman Sp.OG 3000/50/8-9
P √ √ IGD dr.Iman Sp.OG 3200/51/8-9
P √ √ POLI dr.Rini Sp.OG 3100/50/8-9
L √ √ POLI dr.Rini Sp.OG 3400/51/8-9
P √ √ POLI dr.Iman Sp.OG 3000/50/8-9
L √ √ IGD Niar/dr.Iman Sp.OG2800/48/8-9
P √ √ POLI dr.Iman Sp.OG 3300/51/8-9
P √ √ IGD dr.Toni Sp.OG 3300/51/8-9
P √ √ IGD dr.Rini Sp.OG 2800/48/8-9
L √ √ IGD dr.Iman Sp.OG 3200/50/8-9
P √ √ IGD Lisa/dr.Iman Sp.OG2800/48/8-9
P √ √ IGD dr.Rini Sp.OG 3400/52/8-9
L √ √ IGD dr.Iman Sp.OG 2600/47/8-9
L √ √ IGD dr.Rini Sp.OG 3200/50/8-9
L √ √ IGD Winda/dr.Rini Sp.OG 2800/48
L √ √ IGD Lila/dr.Iman Sp.OG 2100/45/8-9
L √ √ IGD dr.Rini Sp.OG 3500/51/8-9
P √ √ IGD dr.Rini Sp.OG 2400/46/8-9
P √ √ IGD dr.Iman Sp.OG 2400/47/8-9
P √ √ IGD dr.Rini Sp.OG 2800/48/8-9
L √ √ IGD dr.Iman Sp.OG 3100/50/8-9
L √ √ IGD Rista/ 3100/51/8-9
L √ √ IGD dr.Iman Sp.OG 2900/50/8-9
L √ √ IGD dr.Iman Sp.OG 2900/50/8-9
P √ √ IGD dr.Iman Sp.OG 2700/50/8-9
L √ √ IGD dr.Rini Sp.OG 3000/50/8-9
L √ √ IGD dr.Iman Sp.OG 2600/50/8-9
P √ √ IGD dr.Iman Sp.OG 2600/49/8-9
P √ √ IGD dr.Iman Sp.OG 2700/47/8-9
L √ √ POLI dr.Iman Sp.OG 3000/50/8-9
L √ √ POLI dr.Iman Sp.OG 3200/51/8-9
L √ √ IGD dr.Rini Sp.OG 3700/51/8-9
P √ √ POLI dr rini Spog 3500/49/8-9
L √ √ 1IGD Aini/dr.Iman.Sp.OG2900/49/8-9
P √ √ POLI dr.Rini Sp.OG 2900/49/8-9
L √ √ POLI dr.Rini Sp.OG 2700/48/8-9
L √ √ IGD dr.Toni Sp.OG 3100/51/8-9
Ket

2900/48/8-9
2800/49/8-9
3000/50/8-9
1200/45/0-0
2900/48/8-9
3000/50/8-9
2700/47/8-9
3000/47/8-9
2800/48/8-9
3400/50/8-9
3200/50/8-9
3600/49/8-9
3500/50/8-9
2500/46/8-9
3300/52/8-9
3000/49/8-9
2600/47/8-9
3800/50/8-9
2800/47/8-9
NICU
2800/48/8-9
3100/50/8-9
2900/49/8-9
3100/49/8-9
2900/49/8-9
3400/51/8-9
2900/49/8-9
3700/51/8-9
3000/49/8-9
NICU
3000/50/8-9
3000/50/8-9
2300/45/8-9
NICU
2400/48/8-9
3600/49/8-9
3100/49/8-9
3400/51/8-9
3000/54/8-9
2500/46/8-9
2500/48/8-9
2900/49/8-9
3100/50/8-9
NICU
3400/52/8-9
REVER
NICU
2900/49/8-9
3000/50/8-9
2500/46/8-9
2500/46/8-9
2800/48/8-9
2900/49/8-9
2800/48/8-9
3800/52/8-9
2800/47/8-9
3200/50/8-9
3300/49/8-9
4000/50/7-8
2200/45/8-9
2700/48/8-9
2900/48/8-9
3100/48/8-9
3000/48/8-9
2600/47/8-9
3500/51/8-9
2400/47/8-9
3400/53/8-9
3300/52/8-9
3000/49/8-9
3200/51/8-9
3100/50/8-9
3100/50/8-9
3000/50/8-9
2900/49/8-9
2400/46/8-9
2800/48/8-9
2900/49/8-9
2800/48/0-0
3200/50/8-9
2300/47/8-9
3000/50/8-9
3200/51/8-9
3100/50/8-9
3400/51/8-9
3000/50/8-9
2800/48/8-9
3300/51/8-9
3300/51/8-9
2800/48/8-9
3200/50/8-9
2800/48/8-9
3400/52/8-9
2600/47/8-9
3200/50/8-9

2100/45/8-9
3500/51/8-9
2400/46/8-9
2400/47/8-9
2800/48/8-9
3100/50/8-9
3100/51/8-9
2900/50/8-9
2900/50/8-9
2700/50/8-9
3000/50/8-9
2600/50/8-9
2600/49/8-9
2700/47/8-9
3000/50/8-9
3200/51/8-9
NICU
3500/49/8-9
2900/49/8-9
2900/49/8-9
2700/48/8-9
3100/51/8-9
LAPORAN BULANAN PERSALINAN RS
BULAN APRIL
NAMA ALAMAT
NAMA PASIEN UMUR
NO NIK SUAMI LENGKAP ( KEL
( Ny. ) IBU
( Tn. ) DAN KEC )
1 2 3 4 5 6
1 Wilujeng Sejati 3524255912930001Steven Swan Menganti Park 28
2 Anggig Pancawati 3578275511000001Azam Simo Jawar 3/99 21
3 Suci Mufarroha 3527036102900005Ari Karang anyar
4 Anggun Nirmala 3578284303960001ilham Kalianak barat No 5 26
5 Suliana 3525136101850001Yunis Gempol Kurung 37
6 Sitta Achriyah 3578305602870001Ahmad HoirJawu Kidul Sumberr 35
7 Subaidah 1256273006900004Dedik Bandut 12/6 31
8 Anggraini Putri 3578025503980005Kokoh WahJl.Siwalan Kerto no. 26
9 Linda Magfiroh 3525134711930001Bisri Putat Lor 28
10 Ella Rosdiana 3525116005020002Zunaidi Cerme,Ngbetan Kej 19
11 Yuyun Wahyu Ning 3517114703850003M. Bisri Kendung 36
12 Fitri Nur Rahmaw 3525131203960001Misbakhul Sidowungu 26
13 Ajeng Eka Pratiw 3525155308940005Singgih Setro Menganti 27
14 Nur Lailatul Ist 3525136806320001Abdullah Drancang Menganti 29
15 Tanti Alifatul K 3578306412950002Diki Praset Pakal Pejuang Barat 26
16 Sumiati 3525045906840001Sopo Ds.Krajan 7/2 37
17 Umik Hanik Laili 3525155611950000Doni Ds.Tulung rt.02 rw. 26
18 Reri Agustin 3518184208960001Rahmatulla Lekerejo Cerme 25
19 Diyah Lilin Nure 3504104301950002M. Syaiful Dk. Sumberejo 27
20 Lilik 3578306212780001Isdianto Rejosari RT 4 RW 3 44
21 Dinda Savitri 3525135509970001Andika Kutil 6/1 25
22 Masudah Umi 35240669129300 David Octi Kedungpring lamong 29
23 Ririn Novitasari 3525136110970002Joko SuwitoSidojangkung 25
24 Siti Syafi'i Bendil kos 18
25 Elsa Ockilla Roi Mega UKA gg IV no 15 22
26 Imro'ah 3519984109580001Purwanto Hendrosari gg 5 37
27 Devinta Damayanti 3525046712930002Budi Perum Bumi Persada 29
28 Miftakul Siam 3578312104060001Farizal Made selatan 2/6 20
29 Wiwik Munikah 3525045701880002M. MuchtarDs. Medangan 7/2 34
30 Septiani Ade 3578195609950001Aldi Dk. Kapasan 27
31 Tria Anggraini M. Irfan Beji gg masjid 26
32 Zumrotul Nikmah 3524234401020001Faiqul Randupadangan 20
33 Ninik Endah 3515086010810008Kartono Banjarsugihan Baru 41
34 Noviyanti Suherm 3578195411930001M. Yusuf Bandarejo 29
35 Rumiasih 3578135707830002 eko Asem jaya 38
36 Dian Rakhmatul 3525135909930001 M. MustahuKletak 8/4 28
37 Cutari Ayu 3525135508990001 Dwi Feby Manukan Mukti XI- 23
38 Novia Kusuma 3515086505960007 Darmawan Griya Bhayangkara 25
39 Amroh 3525132808940001 Rangga Pelem Watu 1/1 27
40 Metik hariati 3505066705950001 Moh Lutfi Putat Lor 26
41 Isti Wijayanti 3525135106850014 M.Dhuhir Pelem Watu 7/4 36
42 Aningsih 3523035009910002 Hamah SapuBanjar Sugihan 3/36 30
43 Diah Ayu Khristi 357814440290001 Atok Jl.Bibis Tama 4A/8 32
44 Dyah Kusuma Ward 3578064309960005 Lukman HadPakal Sumberan Bar 25
45 Wuri Wiroatin 3578156310940003 Arifin Sememi Jaya Utara 28
46 Maria Magdalena 3078196106770004 Lamianto Sememi Rejoasri 1/2 45
47 Aristha Safitri 3578024704920002 M. Arif Sememi Jaya 8A/22 29
48 Novita Hidayah 3578156310940003 Andri Dk. Bungkal 23
49 Lilik 3578137003830003 Anton Kalibutuh 5/2
50 Siti Khoirun 3525087108960002 Katib AnwaKasiyan 4/8 26
51 Lia Liliyanti 3578194407520002 M. Rizalul Pakal Madya 21 30
52 Wahyu Tirta 3578195003920002 Agus Sememi jaya XI 30
53 Nuril Fadilah 3514094411980003 Fery TSI J 16 24
54 Risca Amilia 3578196605960002 M. Rizalul Klakahrejo lor gg 27 26
55 Yuly Millah 3578315304930001Teguh Made barat 3/2 29
56 Nur janah 3578305601930001 Roni Boteng 8/3 menganti 29
57 Nurul Widad 3578135009810004 Dedi Dreaming land D3/3 41
58 Alifah 3525085011940001 Ahmad basoGeluran 1/9 kedame 28
59 Fany Ayu 3578194201950004 Aswin Adi Kendung jaya 12/01 27
60 Khomsatun 3525014411900002 Ranu UKA 13/35 32
61 Dwi Novita 3506025811980001 Mada Klakahrejo 23
62 Luluk Sri Wahyuni 3578144910820003 Harianto Manukan Lor 4c/30 40
63 Genduk Rahayu 3523196206860003 Aris Budi Perum Swan Park 36
64 Irawati 3525045002050001 Rohmad Ds. Gempol 17
65 Miftahul Nur 357819660190001 Feris Jugruk rejosari 32
66 Rina Afkarina 3509107005950004 M. Abdul AWringinkurung 27
67 Noviana Parwono 3578124911900005 Rozian Seti Perum puncak palma 32
68 Maria Roswita 3504024603020002 Fengky Gempol kurung 20
69 Diah Nur 3578307012930001 Zainul Pakal Barat Lapanga 29
70 Dessy Ana 3520696612950001 Lukman Klakahrejo 27
71 Ngella Rizky 3525044909940004 Fantri Sememi Jaya 28
72 Diva Irsa 3578195510010001 Pindi Bandarejo 21
73 Rina Sulisdianti 3518116104990003 Catur Buntaran 32
74 Ratna Kristina 3578276412880001 Jatmiko Sukomanunggal 5/4 34
75 Titik puspasari 3578356787600001 Fathur rozi Pakal pejuang 46
76 Dian Fitriani 3525024303940001 Bagas Pilang rejo 2/1 kedu 28
77 Midia Pralina 3525025802960022 Khoirul Kalipang balong pa 26
78 Devi Auliya 3503016511000003 Ovy R Bandarejo 4/1 22
79 Dinda Bestari 3525136203020001 Arif WibowGempol kurung 3/2 20
80 Supiati 3525134503810001 Aripin Boboh 5/1 41
81 Anna Hidayati 3525137112950002 SyihabuddinRandupadangan 27
82 Febriani 3578055802960002 Aditya Mulyorejo 26
83 Sri Lestari 3525137006860003 Agus SusantBeton menganti 35
84 Her Ayu Sabethya 3578145306860001 Andi sunko Manukan Tama 35
85 Dyah ayu rahma 3578194304980001 Sodikin Kandangan Jaya 24
86 Suriyanti Sutrisno Mulyorejo 6/8 38
87 Yuliava 35780461079600 Fitrah
88 Defi Dwi Anggraini 3578276001900002 Ardi AfandiSukomanunggal
89 Kikis Nur Hayati 352211410690004 Wahyu Boteng Menganti 32
90 Wulan Kartika 3525115206950021 Aditya FajarMando 2/5 Pandu 27
91 Khusnul Khotimah 3525136104840008 Abd Soim Boboh 1/3 36
92 Nila Maranita 3578315110980001 Izul Dk Bungkal 8/3 24
93 Adelia Safitri 3578195509010001 Arya SlametKandangan Jaya 21
94 Nur Hanik 3526035403830002 Mahfudz Ngeni Kepuh Kiri 39
95 Ary Ayu Oshinta 3578305908900001 Sutawan Sumberejo 33
96 Widya Kurnia Sari 3507125311930001 Nauval MSI As7 28/08 29
97 Retno Wijayanti 3578196605930000 Efri KuswanSememi Jaya 29
98 Dian Arsilati 3525045606870001 Samsul BPH Blok K 11 35
99 Wahyu Anita 3578145710860003 Achmad arifSememi 36
100 Dwi Handayani 357831570890002 M. Fitroh Dukuh Bulu, sambik 24
101 Aprillia 3578197004930003 M. Noviar Sememi Jaya 7 29
102 Icha Aryani 3578305810900001 Danang PBI 32
103 Noviyanti 3524244111850002 Solikin PBI Blok A 1/7 37
104 Yuyun Sulistyowati 3525084606400004 Alm. Sunar Tulung kedamean 32
105 Eka Sri W 357830660790003 Edi suranto Rejosari 3/3 32
106 Dwi Cahya Amalia 35278285804950002Arif Sawo 4/2 27
107 Airlangga Y 357819510900001 Pradigdo Kendung rejo 30
108 Dewi Maryam 3578176612790001 Mustakul Sumberejo 42
109 Ayu Nurmalasari 3525135809010003 Priyanto Sidojangkung 21
110 Dasi Silfiah Achmad afaPulorejo 05/01 30
111 Novia Febrianti 3525136311000001 Tengku ryanDS. Kepatihan 06/4 22
112 Mutiara Cipta 3578145904040001 FirmansyahBanjarsugihan Baru 18
113 Wardatur Rahmah 3578305808970003 Saiful Arif Sidorejo 25
114 Rike Agustin 3578064708930005 Eka yusuf Simogunung 29
115 Siti Chamnah 3525134207780020 Kalil Boboh 2 44
116 Agustin Diyar 3578306368960002 Agung Benowo 25
117 Indri Rulita 3525084708970002 Anton Lampah kedamean 25
118 Yulinda Anggraini 3524036707960002 Ahmad FarhDsn. Cangkring jemb 26
119 Wahyu Helmy 3578306209940002 Zaki Adi PBI NN/12 28
120 Yolan Uvi 3525134412980001 Oki Kandangan Mulyo 24
121 Atiqoh 3514182904590001 Mu'adib Dk. Babat 3/1 28
122 Vera Mita 3578194505990001 Alfan DK. Langkir 5/5 23
123 Putri Lolly 3578145804970002 Syaiful Banjarsugihan 25
124 Ria Narulita 35781985304940000Ade Bandarejo sawah 28
125 Dini Meri restun 3578064305020006 Dimas AfanGadel Timur 20
126 Nur zanah Mustakim Babat jerawat 32
127 Wiwin Windawati Sutekno Banyu urip 2/5 38
128 Amanda Ayu Windy Ach Fauzi PBI 26
129 Rizky Wiedhiany M.Fadli PBI BB/12 33
130 Nindya Komala S Lukman Menganti Permai 29
131 Wardah Ananta Griya Babatan Mukti 26
132 Marfuah Slamet Kalimas Baru 31
133 Siti Maghfuroh Ali Arifin Ngasinan 40
134 Siti Karomah Darmo Sambikerep 6/4 35
LAPORAN BULANAN PERSALINAN RSI DARUS SYIFA' SURABAYA
BULAN APRIL 2022
TANGGAL JENIS PERSALINAN JK
G….P…. UK PERSALIN TUNGGA GEMELLI BAYI 2,
AN BAYI 1
L 1 ≥2 dst
7 8 9 10 11 12 13 14
G2P10001 T/H+BSC 2Th 37mg 4/1/2022 √ P
G2P00010 T/H+KPP 24 jam 37mg 4/1/2022 √ P
G2P10001 T/H+ Let. Obligh 38mg 4/1/2022 √ L
G2P00010 T/H+Inp Fase Laten+ 39mg 4/3/2022 √ L
G2P10001 T/H+PE+PD+Gagal O 42mg 4/3/2022 √ P
G3P20002 T/H+Obligh+Prom+An 40mg 4/4/2022 √ P
G3P10011 T/H+Inp.Kala 2 38mg 4/3/2022 √ L
G2P10001 T/H+BSC+SBR Tipis+Le 38mg 4/4/2022 √ P
G3P20002 T/H+BSC <2Th+Anemi38mg 4/4/2022 √ P
G1P00000 PPI+HEG+Inp.Fase Lat20mg 4/4/2022 √ L
G3P20002 T/H+Kala II Lama 38mg 4/4/2022 √ L
G2P10001 T/H+BSC+Lowhigh+C 38mg 4/5/2022 √ P
G2p10001 T/H+BSC+Plasenta Let. 38mg 4/5/2022 √ P
G2P10001 T/H+BSC+CPD 37mg 4/5/2022 √ P
G2P10001 T/H+Inp.Fase Laten+NST
39mg 4/5/2022 √ P
G3P20002 T/H+Let.Lintang+MO 38mg 4/5/2022 √ L
G2P10001 T/H+Post Date+Prolong41mg 4/6/2022 √ L
G2P10001 T/H+Inp.Fase Aktif 39mg 4/5/2022 √ P
G1P00000 T/H+Inp. Fase laten+Ol39mg 4/6/2022 √ L
G3P20002/T/H+BSC+lilitan tali 38mg 4/6/2022 √ P
G2P10001 /T/H+KPP 38mg 4/6/2022 √ L
G4P11012 /T/H+BSC2X+BSC<2 37mg 4/7/2022 √ L
G4P10021 /T/H+BSC+SBR tipis 38mg 4/7/2022 √ L
G1P00000 /T/H+Inp. Fase aktif+Le38mg 4/7/2022 √ P
G2P10001 /T/H+BSC+Letak Oblig 38mg 4/8/2022 √ P
G4P21001 /T/H+BSC2X+Anemi 39mg 4/8/2022 √ P
G1P00000 /T/H+Oligo+Letli+S.I 38mg 4/8/2022 √ L
G1P00000 /T/H+Letak Obligh+CP 38mg 4/9/2022 √ L
G2P10001/T/H+Oligo+APS SC 38mg 4/9/2022 √ P
G2P10001 /T/H+PE+Hemoroid gr 38mg 4/9/2022 √ L
G1P00001 /T/H+KPP+Ptolong fase37mg 4/9/2022 √ P
G2P10001 /T/H+BSC+Letli 38mg 4/9/2022 √ P
G4P30003 /T/H+PE+Lilitan tali pus37mg 4/10/2022 √ P
G2P10001 /T/H+Inp. Fase aktif+A 39mg 4/9/2022 √ L
G2P10001 T/H+Inp Fase Laten+K 39mg 4/9/2022 √ L
G2p10001 T/H+BSC 3Th 37mg 4/10/2022 √ P
G1P00000 T/H+Letsu+ Eracs 38mg 4/11/2022 √ L
G1P00000 T/H+Inp Fase aktiv 38mg 4/11/2022 √ P
G2P10001 T/H+ Let.Lintang+BSC+38-39mg 4/11/2022 √ P
G4P20012 t/H+Plac.Letak Renda 38mg 4/11/2022 √ L
G1P00000 T/H+High Miopi+Usia 37mg 4/12/2022 √ L
G3P20002 T/H+KPD+Inp.Fase Lat40mg 4/12/2022 √ L
G2P10001 T/H+PE+BSC 37/38mg 4/12/2022 √ L
G2P10001 T/H+BSC+Let.Obligh 38mg 4/13/2022 √ L
G2P10001 T/H+BSC+Let.Obligh 38mg 4/14/2022 √ L
G4P20012 T/H+KPD 38mg 4/14/2022 √ P
G2P10001 /T/H+BSC+Obesitas+HT37mg 4/14/2022 √ P
G1P00000/T/H+KPD+NST patolog 37mg 4/14/2022 √ L
G5P40013 4/14/2022 √ P
G2P10001 /T/H+BSC+PE+Oligo 38mg 4/15/2022 √ L
G3P20001 /T/H+BSC2X+ERACS 37mg 4/14/2022 √ L
G1P00000 /T/H+PE+Oligo 38mg 4/15/2022 √ P
G3P20002/T/H+BSC+R. Hipertiro 37mg 4/15/2022 √ P
G1P00000 /T/H+Letsu+ERACS 38mg 4/16/2022 √ P
G3P20002 /T/H+BSC 2X+MOW+ 38mg 4/16/2022 √ L
G2P10001 /T/H+BSC+Obligh+ER 38mg 4/16/2022 √ L
G3P20002/T/H+BSC2X+MOW+E 38mg 4/16/2022 √ P
G2P10001 /T/H+BSC+Letsu 38mg 4/16/2022 √ L
G2P10001 /T/H+BSC<2th+Pasan 38mg 4/16/2022 √ P
G2P10001 /T/H+BSC 4th 38mg 4/16/2022 √ P
G2P10001/T/H+KPP+Oligo+Inp kal37mg 4/16/2022 √ P
G4P20012 /T/H+PE+Prom+High 38mg 4/17/2022 √ P
40mg
G2P10001 /T/H+KPP+NST Patologis 4/17/2022 √ L
G1P00000 /T/H+Inp. Kala 2 40mg 4/17/2022 √ P
G3P20002 /T/H+Letsu+Oligo+M 38mg 4/18/2022 √ P
G2P10001 /T/H+BSC+Oligo 38mg 4/18/2022 √ P
G1P00000 /T/H+Oligo+PE+Gagal 39mg 4/18/2022 √ L
G2P00010 /T/H+Oligo+PE+Gagal 38mg 4/18/2022 √ L
G3P20002 /T/H+BSC2x+Inp. Fase 3l 6mg 4/18/2022 √ L
G3P20002/T/H+PE+Oligo+Anem 40mg 4/18/2022 √ P
G2P10001 /T/H+Letsu+PPCM 37mg 4/18/2022 √ L
G1P00000 /T/H+KPP 36mg 4/18/2022 √ P
G1P00000 /T/H+KPD+HBS AG+Inp. 38mg 4/18/2022 √ L
G2P10001 /T/H+BSC+Impending e39mg 4/18/2022 √ P
G4P30003 /T/H+Letsu+Usia 40th 38mg 4/18/2022 √ L
G2P00010 /T/H+Plasenta Previa 38mg 4/18/2022 √ L
G3P20002 /T/H+Inp. Kala 2 40mg 4/18/2022 √ P
G1P00000 /T/H+Oligo+Obesitas+ 40mg 4/19/2022 √ P
G1P00000 /T/H+Letli+Obligh+ER 38mg 4/19/2022 √ L
G4P30003 /T/H+Polihidramnion 38mg 4/19/2022 √ L
G1P00000 /T/H+PE+Inp. Fase late 39mg 4/19/2022 √ L
G1P00000 /T/H+Inp. Fase laten+K 40mg 4/18/2022 √ P
G2P10001 /T/H+KPP+BSC+HT K 38mg 4/19/2022 √ P
G4P20012 /T/H+BSC 2x+Oligo+ 37mg 4/20/2022 √ L
G1P00000/T/H+KPD+Inp Fase Lat 39mg 4/20/2022 √ L
G3P20002 +IUFD+HT Emergenc 24mg 4/20/2022 √ L
G1P00000 /T/H+Kala II Lama 38mg 4/20/2022 √ L
G2P10001/T/H+ Inp Fase Aktiv 40mg 4/21/2022 √ L
G3P10011 /T/H+BSC+Oligo 38mg 4/21/2022 √ P
G2P00010 /T/H+Polihydramnion 40mg 4/21/2022 √ P
G2P10001 /T/H+HT Kronis+Usia 38mg 4/21/2022 √ P
G1P00000 /T/H+PE+Low High 39mg 4/21/2022 √ P
G1P00000 /T/H+Oligohydramnion 40mg 4/21/2022 √ P
G2P10001 /T/H+BSC <2Th 38mg 4/21/2022 √ L
G2P10001/T/H+BSC+Obligh+Ane 38mg 4/21/2022 √ P
G2P10001/T/H+BSC+Inp Fase Lat 38mg 4/22/2022 √ L
G2P10001 /T/H+Oligo afi 6+gagal 41mg 4/23/2022 √ P
G3P00012 /T/H+KPD+DM+Obesit38mg 4/22/2022 √ P
G2P10001 /T/H+BSC+CPD 40mg 4/23/2022 √ L
G1P00000 /T/H+Oligo+Anemia+ 38mg 4/23/2022 √ L
G3P20002 /T/H+BSC1X+Inp. Fase37mg a 4/23/2022 √ L
G2P10001 /T/H+Hemoroid+Lilitan38mg
T 4/23/2022 √ P
G3P20002 /T/H+Oligo berat+ lilit 38mg 4/23/2022 √ P
G3P10011 /T/H+Oligo afi 5+ Gaga 39mg 4/24/2022 √ P
G4P30003/T/H+Letli+BSC+HT kro38mg 4/24/2022 √ L
G2P10001 /T/H+Obligh+BSC+CP 38mg 4/25/2022 √ P
G3P20002 /T/H+Inp. Fase laten+K 40mg 4/25/2022 √ L
G3P20002 /T/H+Inp. Fase aktif 38mg 4/25/2022 √ L
G1P00000 /T/H+Inp. Fase laten+K 39mg 4/25/2022 √ P
G3P10011 +IUFD 22mg 4/25/2022 √ P
G1P00000 /T/H+Oligo AFI 4,55 37mg 4/26/2022 √ L
G2P10001 /T/H+BSC2,5+R. Asma+39mg 4/26/2022 √ P
G2P10001 /T/H+Inp. Fase aktif 38mg 4/26/2022 √ P
G1P00000 /T/H+CPD+Bayi besar+F 41mg 4/26/2022 √ P
G4P30003/T/H+HT Kronis+Usia 37mg 4/27/2022 √ L
G2P10001 /T/H+Inp. Fase aktif+K 39mg 4/26/2022 √ L
G1P00000/T/H+Oligo AFI 3,12+Plase38mg 4/27/2022 √ L
G3P10011 /T/H+Oligo+Gagal OD 38mg 4/27/2022 √ L
G1P00000 /T/H+Mioma uteri+Lilit 39mg 4/27/2022 √ L
G1P00000/T/H+Post date+Oligo 40mg 4/27/2022 √ L
G2P10001 /T/H+KPP+Post Date 41mg 4/27/2022 √ L
G1P00000 /T/H+HT Kronis+Miopia38mg 4/28/2022 √ L
G2P00010 /T/H+Oligo+Gagal OD 38mg 4/28/2022 √ L
G1P00000 /T/H+PE+High Miopi 38mg 4/28/2022 √ P
G1P00000 /T/H+Placenta Previa Tot38mg 4/28/2022 √ P
G2P10001 /T/H+Oligo+Bsc 37mg 4/28/2022 √ L
G4P30003 /T/H+Let. Lintang+BS 38mg 4/28/2022 √ P
G1P00000 /T/H+Post term+Oligo Af 41mg 4/28/2022 √ P
G2P10001 /T/H+BSC 2,5th+letak o38mg 4/29/2022 √ L
G1P00000 /T/H+PE+Oligo 41mg 4/28/2022 √ P
G1P00000 /T/H+Oligo AFI <6+PE 37mg 4/29/2022 √ L
G2P10001 /T/H+KPP 36mg 4/29/2022 √ P
G4P20012 /T/H+Letak obligh+Low40mg 4/30/2022 √ P
G3P20002 /T/H+Lilitan tali pusat 39mg 4/30/2022 √ P
BAYI MATERNAL
Rujukan Penolong BB/PB/A-S Ket
H M H M

15 16 17 18
√ √ IGD dr.Rini Sp.OG3000/50/8-9
√ √ IGD dr.Rini Sp.OG3200/50/8-9
√ √ POLI dr.Rini Sp.OG3100/50/8-9
√ √ IGD dr.Iman Sp.OG3300/50/8-9
√ √ POLI dr.Iman Sp.OG3500/51/8-9
√ √ IGD dr.Rini Sp.OG3800/50/8-9
√ √ IGD Aini/dr.Rini Sp.OG
2500/47/8-9
√ √ IGD dr.Iman Sp.OG3000/50/8-9
√ √ IGD dr.Rini Sp.OG2600/46/8-9
√ √ IGD Lisa/dr.Iman Sp.OG
800/40/5-6
√ √ IGD dr.Iman Sp.OG3300/52/8-9
√ √ POLI dr.Iman Sp.OG2600/46/8-9
√ √ POLI dr.Iman Sp.OG3000/50/8-9
√ √ POLI dr.Iman Sp.OG2900/49/8-9
√ √ IGD Liha/dr.Iman Sp.OG
2700/47/8-9
√ √ IGD dr.Iman Sp.OG3000/50/8-9
√ √ IGD dr.Iman Sp.OG3400/50/8-9
√ √ IGD Rista/dr.Iman Sp.OG
3600/50/8-9
√ √ POLI dr.Iman Sp.OG3600/51/8-9
√ √ IGD dr.Iman Sp.OG2600/46/8-9
√ √ IGD dr.Iman Sp.OG2800/48/8-9
√ √ POLI dr.Rini Sp.OG2600/47/8-9
√ √ IGD dr.Iman Sp.OG3100/50/8-9
√ √ IGD dr.Rini Sp.OG2700/47/8-9
√ √ POLI dr.Rini Sp.OG3000/50/8-9
√ √ POLI dr.Rini Sp.OG3200/50/8-9
√ √ POLI dr.Rini Sp.OG2200/46/8-9
√ √ IGD dr.Iman Sp.OG2900/49/8-9
√ √ IGD dr.Rini Sp.OG2700/47/8-9
√ √ POLI dr.Iman Sp.OG3200/51/8-9
√ √ POLI dr.Iman Sp.OG3000/50/8-9
√ √ POLI dr.Iman Sp.OG2600/47/8-9
√ √ POLI dr.Iman Sp.OG2800/49/8-9
√ √ IGD Liha/dr.Iman Sp.OG
3600/50/8-9
√ √ IGD Aini/dr.Iman Sp.OG
3300/50/8-9
√ √ IGD dr.Rini Sp.OG3200/50/8-9
√ √ IGD dr.Iman Sp.OG2900/49/8-9
√ √ IGD Rindi/dr.Rini Sp.OG
2700/47/8-9
√ √ IGD dr.Iman Sp.OG2700/47/8-9
√ √ IGD dr.Iman Sp.OG2800/48/8-9
√ √ POLI dr.Toni Sp.OG3000/50/8-9
√ √ IGD dr.Rini Sp.OG3100/51/8-9
√ √ IGD dr.Iman Sp.OG2900/48/8-9
√ √ IGD dr.Iman Sp.OG3000/50/8-9
√ √ IGD dr.Iman Sp.OG2600/48/8-9
√ √ POLI dr.Iman Sp.OG3000/50/8-9
√ √ IGD dr.Toni Sp.OG2900/48/8-9
√ √ IGD dr.Rini Sp.OG3000/50/8-9
√ √ IGD Maria/dr.Rini Sp.OG
3200/48/8-9
√ √ IGD dr.Iman Sp.OG2700/47/8-9
√ √ IGD dr.Iman Sp.OG2600/46/8-9
√ √ POLI dr.Rini Sp.OG3000/50/8-9
√ √ IGD dr.Rini Sp.OG2600/46/8-9
√ √ IGD dr.Iman Sp.OG3000/50/8-9
√ √ IGD dr.Iman Sp.OG3100/50/8-9
√ √ IGD dr.Iman Sp.OG3000/50/8-9
√ √ IGD dr.Iman Sp.OG3500/51/8-9
√ √ IGD dr.Iman Sp.OG3400/50/8-9
√ √ IGD dr.Iman Sp.OG3100/50/8-9
√ √ IGD dr.Iman Sp.OG2500/48/8-9
√ √ POLI Rizka/dr.Rini Sp.OG
2400/47/8-9
√ √ POLI dr.Rini Sp.OG2600/47/8-9
√ √ IGD dr.Rini Sp.OG3500/51/8-9
√ √ IGD Maria/dr.Rini Sp.OG
3200/48/8-9
√ √ POLI dr.Rini Sp.OG2600/47/8-9
√ √ POLI dr.Rini Sp.OG2500/47/8-9
√ √ POLI dr.Rini Sp.OG2900/49/8-9
√ √ POLI dr.Rini Sp.OG2900/48/8-9
√ √ IGD dr.Iman Sp.OG2600/47/8-9
√ √ IGD dr.Rini Sp.OG3900/52/8-9
√ √ IGD dr.Iman Sp.OG3100/49/8-9
√ √ IGD dr.Iman Sp.OG2500/46/8-9
√ √ IGD Niar/dr.Rini Sp.OG
3100/51/8-9
√ √ IGD dr.Rini Sp.OG2500/46/8-9
√ √ IGD dr.Iman Sp.OG2500/47/8-9
√ √ IGD dr.Iman Sp.OG3000/51/8-9
√ √ IGD Lila/dr.Iman Sp.OG
3000/50/8-9
√ √ POLI dr.Iman Sp.OG3600/51/8-9
√ √ POLI dr.Iman Sp.OG3500/50/8-9
√ √ POLI dr.Iman Sp.OG3600/51/8-9 NICU
√ √ IGD dr.Rini Sp.OG3100/50/8-9
√ √ IGD dr.Rini Sp.OG3200/50/8-9
√ √ IGD dr.Rini Sp.OG2200/47/8-9 NICU
√ √ IGD dr.Iman Sp.OG2400/47/8-9
√ √ IGD Liha/dr.Iman Sp.OG
2800/48/8-9
√ √ IGD dr.Iman Sp.OG 600/25/0-9
√ √ IGD dr.Iman Sp.OG3000/50/8-9
√ √ IGD Maria/dr.Rini Sp.OG
3000/48/8-9
√ √ IGD dr.Iman Sp.OG3200/50/8-9
√ √ POLI dr.Iman Sp.OG3100/50/8-9
√ √ IGD dr.Iman Sp.OG2600/48/8-9
√ √ POLI dr.Iman Sp.OG2600/46/8-9
√ √ POLI dr.Iman Sp.OG3000/50/8-9
√ √ IGD dr.Rini Sp.OG3200/50/8-9
√ √ IGD dr.Rini Sp.OG3000/49/8-9
√ √ IGD dr.Rini Sp.OG3500/51/8-9
√ √ IGD dr.Rini Sp.OG3300/51/8-9
√ √ IGD dr.Iman Sp.OG3000/50/8-9
√ √ IGD dr.Iman Sp.OG2300/46/8-9
√ √ IGD dr.Iman Sp.OG2900/49/8-9
√ √ IGDHikmah/dr.Tony Sp.OG
2400/45/8-9
√ √ IGD dr.Iman Sp.OG3300/51/8-9
√ √ IGD dr.Iman Sp.OG2300/46/8-9
√ √ POLI dr.Iman Sp.OG3000/50/8-9
√ √ POLI dr.Rini Sp.OG2500/45/8-9
√ √ IGD dr.Iman Sp.OG2700/47/8-9
√ √ IGD Aini/dr.Iman Sp.OG
3000/49/8-9
√ √ IGD Aini/dr.Iman Sp.OG
2800/48/8-9
√ √ IGDFatimah/dr.Toni Sp.OG
3000/49/8-9
√ √ IGD Rindi/dr.Iman Sp.OG
780/20/0-0 IUFD
√ √ POLI dr.Rini Sp.OG2800/48/8-9
√ √ IGD dr.Rini Sp.OG3100/50/8-9
√ √ IGD Rindi/dr.Iman Sp.OG
3300/51/8-9
√ √ IGD dr.Iman Sp.OG3100/50/8-9
√ √ POLI dr.Rini Sp.OG3000/49/8-9
√ √ IGD Arista/dr.Iman Sp.OG
3500/50/8-9
√ √ POLI dr.Iman Sp.OG2700/47/8-9
√ √ POLI dr.Rini Sp.OG3000/50/8-9
√ √ IGD dr.Iman Sp.OG3000/50/8-9
√ √ IGD dr.Toni Sp.OG3500/50/8-9
√ √ IGD dr.Iman Sp.OG3500/51/8-9
√ √ POLI dr.Iman Sp.OG3100/50/8-9
√ √ IGD dr.Rini Sp.OG3300/49/8-9
√ √ IGD dr.Iman Sp.OG2600/47/8-9
√ √ IGD dr.Iman Sp.OG2700/47/8-9
√ √ IGD dr.Rini Sp.OG2700/49/8-9
√ √ POLI dr.Iman Sp.OG3000/50/8-9
√ √ POLI dr.Toni Sp.OG2900/49/8-9
√ √ IGD dr.Iman Sp.OG2900/49/8-9
√ √ POLI dr.Rini Sp.OG3000/50/8-9
√ √ POLI dr.Rini Sp.OG2900/50/8-9
√ √ IGD dr.Iman Sp.OG2600/47/8-9
√ √ POLI dr.Iman Sp.OG3200/50/8-9
√ √ POLI dr.Iman Sp.OG2700/47/8-9
LAPORAN BULANAN PERSAL
BULA

NAMA PASIEN NAMA SUAMI ( Tn. ALAMAT LENGKAP UMUR


NO NIK
( Ny. ) ) ( KEL DAN KEC ) IBU

1 2 3 4 5 6
1 Amelia Puji Astutik 3519096301920004 Aris Harianto Putat kidul 30
2 Ziarotul Madaniy 3525146206890001 M. Edwin KCVRI no 45 33
3 Ririn Nuraini 3518105009900003 Supriyono Kendung indah 1 A/24 32
4 Dian Yulena 3578304404900001 Novdi DK. Mulyorejo baru 1/32 32
5 Wahyu Sri Utami 3572014307960003 M. Fajrul Dadap kuning 2/1 26
6 Siti Nur Hasanah 3525086609300001 Nonok Suratno Kutil 07/01 gempol kuru 29
7 Iis Rohmawati 3578315506010001 Khamil Jelidro 6/1 21
8 Maria Lourensia 3578155503880002 Oktavianus GBI Blok J NO 6 34
9 Mega Haryna 3578145408940002 Chrisna Simo kalangan 31
10 Uty Marina 3578196204910002 Beny Wisma Tengger 21/22 31
11 Alfrida Christin 3578204902910002 Fariz PBI 6A/18 28
12 Kiki Wulandari Musfid Sidojangkung 26
13 Shella Eka Mauli 4578145408940002 Fitoni UKA 5/10 28
14 Ninin Dwi Ayu 3578145106930001 Yogik PBI 29

15 Nada Duryyah 3578196306930001 Imam A Kandangan Mulyo 3D/36 29


16 Pradita Meilana 3578304705980001 Hari Rejosari 3/3 34
17 Nova Alfilaili 3578146011940001 M. Fauzul Adzim Banjarsugihan baru 28
18 Isnis Nur Aini 3578305810940002 Joko Langkir 3/5 28
19 Fajar Muhardini 3578055802820002 M. Mustakim Graha Kencana Pakal 40
20 Anita Puspita 3578194409930003 Eriek Sanjaya UKA 7/17 29
21 Azhaar Ayu Antin 3578306709960001 Nur Budi PBI AD/2 26
22 Tatik 3522046312870003 Jefry Bandarejo 3/49 35
23 Katherine Sofia 3517214812810001 Rofiq Manukan Bnjarsugihan 31
24 Farida Febriana 3524226602930002 Lutfi Lakarsantri 29
25 Firda 3526084107960035 Ahmad Rifai Beji PDAM no 11 25
26 Nurul Ajijah 3525046804030001 Nur Khoirul Ds. Ngemplak 13/3 benje 19
27 Siti Mabruroh 3578014810810003 Endi Usman Kebraon 40
28 Alfinda Intan 3525134809960002 Nur Hidayat Boteng menganti 26
29 Pradiska Julian 3512066007930003 Dimas A Manuka Lor 2/97 29
30 Vivi Andayani 3578196505950001 M. Ulil Tengger Raya VI/11 27
31 Sri Utami 3578195502890001 M. Alfi UKA 5/32 33
32 Tri Utami 3525134410900001 Hasanudin Bandut 13/06 32
33 Marsella Veronik 3525135811030006 Maruli Kuri Bumira Utara A4/11 19
34 Nurul Qomariyah 3578304106900001 Diky Raci no 12 32
35 Suciati 3578306709890002 M. Fuad Hasan Pakal Madya RT3 RW 2 33
36 Anah 351702610890003 Kusairi Sumbersari 32
37 Arie Ayu 3525136201200006 Sukiron Wringinkurung jaya 20
38 Dita Amellia 3578196412980001 Tonny Sememi Jaya Selatan 2C 24
39 Iflakul Badriyah 3524084912950001 Dafif Bandut 12/06
40 Ernawati 3525046002810002 Ery santoso Balong mojo krajan 31
41 Fadhillah 3525851101990001 Fredi Rayung 6/2 kedamean 31
42 Kiki Putri 3525115705970001 M. Syahrul Morowudi kulon 25
43 Vena Putri 3578276304980001 M. Sofi Randupadangan 24
44 Tri Wahyuningsih 3578195405920001 Wahyu UKA 1B/28 30
45 Yenita Sari Purnomo Bronggolan sawah 28
46 Nurul Indrawati Solikin Benowo gg 4 31
47 Ma'rufah 3509104505910009 Aris Sememi Jaya gg 6 31
48 Lysna Kusuma 3578196705910001 Andanu Boteng 12/4 32
49 Dewi Lutfiah 3525134412900002 Joko Sulistio Bunut 01/07 29
50 Dini Ameliya 3525157103930001 Ahmad Mustofa Biyodo beton 31
51 Rifcika Agustina 3525135101910003 M. Mukhlas Griya Citra Asri 22
52 Endang Setyo 3578316208000001 Fajar adityono Klakahrejo Lor 35
53 Evi vitria 3578115808870001 Achmad Rofi Domas 1/1 30
54 Nur Ducha 3525135903920002 Harmaji Dk. Sumberejo pakal 30
55 Lusi Setyo 3578304911820001 M.Ivan Pakis 33
56 Ainur Rohmatul 3525046103010002 M. Romadhani Kacangan 21
57 Anggun Yuniati 3578315906900001 Rendra Kuwukan 32
58 Siti Vony 3522195405960001 Abdul Wahid Ngablak rejo 26
59 Dwi Ratna Sari 3578306801960001 Riyan Ngemplak no 44 26
60 Dini Apsari 35792769060001 Didik Juwingan I/22 Gubeng 26
61 Hedijah Zurniati 3578135110980003 Sony Semarang gg kuburan sby 24
62 Mufida Putri 3578314909970002 Nico Sememi Jaya gg 6 C 25
63 Dian Wijayanti 3578144803880005 Agam Perdana Raya tubanan 4/9 34
64 Farida Rachmania 3578304603940001 Syukron Rejosari 3/3 28
65 Ayunda Desi 3578107182850006 Rici Jelidro indah 3 37
66 Mar'atus Sholika 3578305601870001 Wiwit Dk. Jerawat 35
67 Arinal 3578306707970001 Miftakhul Rejosari 1/3 28
68 Yuyun Setiyani 3578304702950001 Hengky Benowo gg 3 27
69 Tischa Ayu 3506105203920003 Ahmad H Pondok maritim baru 30
70 Alfiana Novianti 3578144711970003 Zhakir Manukan Lor 7C/7 25
71 Siti Kotimah 3503016610910001 Eko Kandangan Jaya II/55 31
72 Izzatin Nisa 3525106609880002 Ahmad Jazuli Hulaan 16/8 34
73 Urfa Restyana 3578314105950007 Sudirno Sambikerep 27
74 Atmiatun 3522196508910002 Fatkur Ngasinan 2 31
75 Faizatin 3525046006920007 M. Faizal Ds. Purworejo 30
76 Rahayu 3578266002880001 Purnomo 34
77 Rina Anggorowati 3578144809870003 Eko Manukan Indah 19/6 35
78 Ajeng Efirliana 3578306104950002 Angga PBI C 7 27
79 Eka Rahmah 3525136701980014 Aris Setyawan TSI R/27 24
80 Siti Dina Aufina 3578184201970003 A. Shidqi Hulaan 17/08 25
81 Sugianti 3578064701880008 Yuli agus Simogunung 34
82 Nur Diana 3514146709030002 Agus Perum GSN 19
83 Dita Ayu Putri 3578314801970001 Ade Made Selatan 3/06 25
84 Yunita Dwi 3578306806930001 Mashuda Ds. Kramat 3/4 29
85 Reg Sealand 3525134111000005 M. Irwan PMI DD/3 22
86 Yuliani 3525134308850002 M. Jumjum Pengalangan 6/3 37
87 Sri Wahyuni 3525135610920001 Ashari Benjeng 30
88 Yuli Susyanti 3578166907990004 Agung Benowo lapangan 23
89 Masfufah 3525135807890002 Sulaiman Kutil 5/01 33
90 Dewi Mayasari 3501115604870004 Siswanto Wonorejo 35
91 Dewi Supriatin 3578194108890002 Ruswandi Kendungrejo 33
92 Nurul Farida 3525136001970001 Heri Pengalangan 25
93 Nella Agustya 357830560890001 Wahyu Santoso Kauman 31
94 Nia Dwi 3578306112910003 Heri Purnomo Sumberlanggeng 30
95 Dias Mekarsari 3578306312910001 Aris Sumberejo Makmur 8 31
96 Siti Mabruroh 3578197001970002 Mustaqim Kandangan Jaya 4/4 25
97 Ririn Agustining 351513460880002 Yosef Perum Lestari Indah 34
98 Emil Rahmawati 3578196605980001 Budi Hermawan UKA 19 A/10 24
99 Lili Widiyawati 3517126206880005 Nur Koiman Perum Lestari Indah 34
100 Windri Efendi 3525074902930002 Ainul Pakal Madya 29
101 Catur Sri Wulan 35781570100890006Darmawan Sememi Jaya Selatan 33
102 Ida Aisa Permata 3517086011980002 M. Koki Rejosari 2/3 24
103 Devi Rahmawati 3525134206970001 M. Isabul Kepatihan 02 25
104 Ayu Prameswari 3578192711200003 Eko Probo UKA 13/26 27
105 Istiqomah 3578305502960001 Lulus Puji Pakal Madya 26
106 Sesi Hernianti 3301054305970003 Priyanto Kedamean 25
107 Wahyu Murvy 3525135810940006 Fitra Ronny PMI Z/11 28
108 Liozy Putri 3578304506960001 Herman Kauman Asri 2/15 26
109 Nur Cayanti 3525115304990001 Achmad Yufendi Ngembung 4/2 23
110 Nihayah Amelda 3528306505990000 Ahmad Yasin Dk. Buran 23
111 Janiyah 3527055609830003 Mat Sadi Buntaran no 16 39
112 Iis Mujiati 3518085508880002 Joko Gempol kurung 36
113 Antika Dewi 3525046910950001 Fiddien Karang ploso 12/6 27
114 Fetty Gustari 3578144908910001 Johan Bibis tama V A 31
115 Yuniarti Rianto Banyuurip kedamean 37
116 Nanda Safitri 35786316501960001Cakra Wijaya Made Selatan 2/06 26
117 Nissa Al-Avina 3578304806990002 Bibit rianto Dk. Jawu kidul 2 23
118 Susilowati 3525017011900001 Sememi jaya (kost) 35
119 Citra Selma 3578305304950001 Nu'man Swan menganti 27
120 Erlin Oktaviana 3578064110930004 Roni Banyuurip kidul 4/9 29
121 Susilowati 3525017701190001 Siswanto De naila residence 32
122 Robiatul Adawiya 3578056201890003 Fardianto Tegalsari sby 33
123 Indah Sri Lestari 3578315806910003 Yopi Candi lempung 31
124 Dina Sekar 3578276105970003 Syaiful Bringin indah 25
125 Mutiara Sakinah 1208236403040006 Andre Petemon timur 18
126 Norma Yunita 3578196611880001 Ilham Sememi Jaya 6A/15 34
127 Mifta Nia Ayu 3578316811980001 Mifta Made selatan no 17 24
128 Rizky Nurul 3578196004910001 Ari wibowo Tambak osowilangon 31
129 Fornia Isnawati
130 Pratiwi Siswiani 3578145612950001 Wisnu Manukan Indah 19/6 27
131 Uci Hidayati 3578306906910000 Fatkur rozi Dk. Jerawat 9/25 31
132 Sufiatun Nazah 3525185110990001 Rifki Bawean 23
133 Dwi Anggraeyni 3578306308020002 Wiji rendi Jerawat IX 20
134 Ernita Kartika 3578315209900001 Agus Susanto Bringin indah 32
135 Eka Rahayu 3524116504960005 Wahyu Pamungkas Kalipadang benjeng 26
136 Anes Febriawati 3516066302930005 Nanda Cerme 29
137 Maulidah 3525135406840013 Darjono Magersari 38
138 Darrul Mughniyah 3578306407880002 Fahrul Rozi Sumberejo 1
139 Lina Roiyatul 3578304706980002 Firman Benowo sawah 24
140 Sugiyatmi 331201440791000 Mustari Sambisari 2c/38 31
141 Nevy Putri 3578304612980001 M. Choirul Dk. Jawu kidul no 77 24
142 Suprapti 3525086811830002 Sukadi Glindah kidul 39
143 Marsita Mustika 3578145903880000 Agus Perum paskun F 08 34
144 Angelina Dwiyanti 3578305606030002 Feby Alvianto GSN 19
145 Puji Astutik 3519054605000001 M. Hendra Dk. Sumberjaya 22
146 Kholivatul 3506156203930001 M. Jainuddin Puri asta kencana 29
147 Setyaningsih 3503016010800001 Ponadi Made timur 42
148 Vidi Anita 3578134302900001 Andik Duduk sampeyan 32
149 Umu Chairatun 3525136110000003 M. Harun Dk. Pengalangan 22
150 Suci Indah Sari 3578314605970003 Tulus Ngemplak 02/05 25
151 Vivin Nur Farida 3524175706900001 M. Ashari Romokalisari gg 4/1 32
152 Surya Anggraini 3578304905960001 Rizky Firmansya Perum kehakiman E/26 26
153 Nur Hafza 3578305312930001 Anang Widodo Dk. Mulyomukti 2/2 29
154 Awwalina Nikmatu 3578305403970001 Bayu Raci 2/4 25
155 Ana Trifani 3578194611860001 Amran Bandarejo sawah 36
156 Anisa Sri Rahayu 3578195809870001 A.Hadi Tengger Raya 2/39 35
PORAN BULANAN PERSALINAN RSI DARUS SYIFA' SURABAYA
BULAN MEI 2022
TANGGAL JENIS PERSALINAN JK
G….P…. UK PERSALIN TUNGGA GEMELLI BAYI 2,
AN BAYI 1
L 1 ≥2 dst
7 8 9 10 11 12 13 14
39mg
G2P10001 /T/H+BSC+PE+Inp. Fas 5/1/2022 √ L
G2P10001 /T/H+KPP+PE 40mg 5/2/2022 √ P
G2P10001/T/H+BSC+Inp. Fase la 38mg 5/3/2022 √ P
G1P00000 /T/H+Inp fase laten+K 40mg 5/3/2022 √ L
G3P20002 /T/H+KPP+NST Patolo38mg 5/3/2022 √ L
G1P00000 /T/H+Inp. Fase aktif 39mg 5/4/2022 √ P
G2P10001 /T/H+BSC 4 th+Inp. Fas39mg 5/4/2022 √ L
G2P10001 /T/H+BSC+CPD+MO 39mg 5/5/2022 √ L
G3P10011 /T/H+BSC+Obligh+I 38mg 5/5/2022 √ L
G3P10011 /T/H+BSC+HT Kroni 38mg 5/5/2022 √ L
G1P00000 /T/H+Plasenta totalis 38mg 5/5/2022 √ P
G2P10001 +BSC+DM+IUFD+ER38mg 5/5/2022 √ P
G2P10001 /T/H+BSC+PE 37mg 5/5/2022 √ L
G3P20002 /G/H+BSC2X+Gemeli 36mg 5/5/2022 √ L
5/5/2022 √ L L
G1P00000 /T/H+Oligo+Obligh+ 37mg 5/5/2022 √ P
G1P00000 /T/H+PE+Gagal OD 38mg 5/6/2022 √ L
G2P10001 /T/H+BSC+lilitan tali 38mg 5/6/2022 √ P
G1P00000 /T/H+CPD+Makrosomi41mg 5/6/2022 √ P
G4P10021 /T/H+Oligo+Usia > 40mg 5/6/2022 √ L
G2P10001 /T/H+PE+ERACS 39mg 5/6/2022 √ P
G1P00000 /T/H+KPP+NST desel 39mg 5/6/2022 √ L
G1P00000 /T/H+Oligo+lilitan tali 40mg 5/6/2022 √ L
G1P00000 /T/H+Oligo+Anemia 39mg 5/7/2022 √ L
G3P00020 /T/H+Plasenta previa to38mg 5/7/2022 √ P
G2P10001 /T/H+BSC+CPD Kahek38mg 5/7/2022 √ L
G1P00000 /T/H+Obligh+ lilitan tal38mg 5/7/2022 √ P
G4P30003 /T/H+Inp. Kala 2+Retp37mg 5/7/2022 √ L
G3P20002 /T/H+Oligo+gagal OD 38mg 5/9/2022 √ L
G1P00000 /T/H+KPP 38mg 5/8/2022 √ L
G1P00000 /T/H+Inp. Fase laten+ 37mg 5/8/2022 √ L
G3P20002 /T/H+Inp. Fase laten+ 38mg 5/9/2022 √ L
G3P20001 /T/H+HT Kronis+Obli 37mg 5/9/2022 √ L
38mg
G1P00000 /T/H+KPD+Inp. Fase late 5/9/2022 √ P
G5P11022/T/H+Kala 2 lama 39mg 5/9/2022 √ P
G2P10001 /T/H+DM Gestasional+37mg 5/10/2022 √ L
G3P20002 /T/H+Inp. Fase laten+ 38mg 5/10/2022 √ P
G1P00000 /T/H+High Miopi 38mg 5/11/2022 √ P
G1P00000 /T/H+Oligo+gagal OD 40mg 5/11/2022 √ L
G1P00000 /T/H+Inp. Fase laten 38mg 5/10/2022 √ L
G3P10011/T/H+BSC+Letli+makro38mg 5/11/2022 √ L
G1P00000 /T/H+Low high+Polihi39mg 5/12/2022 √ L
G1P00000 /T/H+Obligh+Obesitas+38mg
L 5/12/2022 √ L
G1P00000 /T/H+Floating head+g 41mg 5/12/2022 √ P
G3P20002 /T/H+BSC+Anemia 38mg 5/12/2022 √ L
G3P10011 /T/H+BSC<2th+Anemi38mg 5/12/2022 √ L
G3P10011 /T/H+KPD+Anemia+ 38mg 5/13/2022 √ P
G4P20012 /T/H+BSC2X+MOW+ 38mg 5/13/2022 √ P
G3P20002 T/H+Kala 2 37mg/ 5/12/2022 √ P
G2P10001 /T/H+BSC+SR tipis+ 38mg 5/13/2022 √ L
G2P10001 /T/H+BSC<2th+ERAC38mg 5/14/2022 √ P
42mg
G1P00000 /T/H+Inp. Fase aktif+Po 5/14/2022 √ L
G4P20012 /T/H+BSC2X+ERACS38mg 5/14/2022 √ P
G2P10001/T/H+Letak obligh+BS 38mg 5/14/2022 √ P
G3P20002 T/H+Letli 37mg 5/14/2022 √ L
G2P10001 /T/H+BSC<2th 38mg 5/14/2022 √ L
G1P00000 /T/H+Inp. Fase laten+ 38mg 5/14/2022 √ L
G3P20002/T/H+BSC2X 38mg 4/15/2022 √ L
G2P10001 /T/H+Inp. Fase late 38mg 5/16/2022 √ L
G2P00010 /T/H+Oligo afi 6,66+NS37mg 5/15/2022 √ L
G2P10001 /T/H+Oligo+Obligh 39mg 5/15/2022 √ P
G1P00000/T/H+Inp. Fase laten+ 40mg 5/15/2022 √ P
G2P00010 /T/H+Inp. Fase laten+ 38mg 5/17/2022 √ L
G3P20002 /T/H+BSC2X+MOW 38mg 5/17/2022 √ L
G1P00000/T/H+HBS AG+High Mi38mg 5/17/2022 √ L
G3P20002/T/H+Inp. Fase laten+P 40mg 5/18/2022 √ P
G2P10001 /T/H+PE+Polihidramni38mg 5/18/2022 √ P
G3P00020 /T/H+PE+Abortus habitu39mg 5/17/2022 √ P
G2P10001 /T/H+Oligo 38mg 5/18/2022 √ P
G1P00000 /T/H+KPP+Inp. Fase la39mg 5/18/2022 √ P
G1P00000 /T/H+KPP+Inp. Fase la39mg 5/18/2022 √ P
G2P10001/T/H+BSC+Prom 37mg 5/19/2022 √ L
G3P20002 /T/H+BSC2X+Pasang 38mg 5/18/2022 √ P
G3P10011 /T/H+BSC+Polihidram38mg 5/18/2022 √ P
G2P10001 /T/H+Lilitan tali pus 38mg 5/19/2022 √ L
G2P10001 /T/H+BSC+HT Kronis 38mg 5/19/2022 √ P
G2P10001 /T/H+BSC+Inp. Fase la38mg 5/19/2022 √ L
G1P00000 /T/H+PE+Gagal OD 38mg 5/19/2022 √ L
G1P00000 /T/H+CPD+Lilitan tali 38mg 5/19/2022 √ P
G1P00000 /T/H+HT Kronis+obesi38mg 5/19/2022 √ P
G1P00000 /T/H+PE+Obligh 38mg 5/19/2022 √ P
G3P20001 /T/H+Letli+Polihidram38mg 5/19/2022 √ L
G1P00000 /T/H+KPP 37mg 5/19/2022 √ L
38mg
G2P10001 /T/H+Obligh+BSC+SBR 5/20/2022 √ L
G2P10001 /T/H+Oligo+BSC 38mg 5/20/2022 √ P
G2P00010/T/H+High Miopi+Ane 38mg 5/20/2022 √ L
G3P20002 /T/H+Bayi besar+MOW 38mg 5/20/2022 √ L
G2P10001 /T/H+Oligo+NST Patol38mg 5/20/2022 √ L
G1P00000/T/H+PE+Obesitas 37mg 5/20/2022 √ L
G2P10001 /T/H+BSC 38mg 5/20/2022 √ L
G2P10001 /T/H+BSC+Hemoroid 38mg 5/20/2022 √ L
G2P10002 /T/H+Inp. Fase laten 38mg 5/20/2022 √ P
G2P10001 /T/H+BSC+SBR tipis 38mg 5/20/2022 √ L
G3P20002 /T/H+PE+Inp. Fase lat 38mg 5/20/2022 √ P
G2P10001/T/H+BSC 7 th 38mg 5/20/2022 √ L
G4P20012 /T/H+BSC+SBR tipis 39mg 5/21/2022 √ P
G2P10001/T/H+BSC+Obesitas 38mg 5/21/2022 √ L
G3P10011 /T/H+Oligo afi <6 37mg 5/22/2022 √ L
G1P00000 /T/H+Oligo afi <6+An 39mg 5/22/2022 √ P
G2P10001/T/H+Inp. Fase aktif 38mg 5/20/2022 √ L
G2P10001 /T/H+BSC+Letsu+IUD38mg 5/21/2022 √ P
G3P20002 /T/H+Oligo berat afi 1.41mg 5/21/2022 √ P
G1P00000 /T/H+Oligo berat+KPD38mg 5/21/2022 √ L
G1P00000 /T/H+KPD+Prolong fase 40mg 5/23/2022 √ P
G2P10001/T/H+KPP+Prolong fase39mg 5/22/2022 √ P
G1P00000 /T/H+Plasenta margina37mg 5/22/2022 √ P
G1P00000 /T/H+KPD 38mg 5/22/2022 √ L
G1P00000 /T/H+Oligo+Gagal OD38mg 5/23/2022 √ P
G1P00000/T/H+Oligo+Gagal OD 37mg 5/23/2022 √ P
G2P10001 /T/H+BSC+Prolong fase38mg 5/23/2022 √ P
G1P00000/T/H+Oligo 38mg 5/24/2022 √ P
G3P20002 /T/H+BSC2X+MOW 38mg 5/23/2022 √ L
G3P20002 /T/H+KPP+Inp. Fase la38mg 5/23/2022 √ P
G1P00000 /T/H+Plasenta letak re 39mg 5/24/2022 √ P
G2P10001 /T/H+Oligo+BSC 39mg 5/24/2022 √ P
G4P20012 /T/H+APS SC+MOW 38mg 5/24/2022 √ L
G1P00000/T/H+PE+Letak obligh 38mg 5/24/2022 √ L
G1P00000/T/H+PE+Lilitan tali pu 38mg 5/25/2022 √ P
G4P20012/T/H+KPD+Anemia 39mg 5/25/2022 √ P
G2P10001 /T/H+BSC<2th+Obesit38mg 5/25/2022 √ P
G3P10011 /T/H+Obligh+BSC+An38mg 5/26/2022 √ P
G2P10001T/H+Oligo berat+lilitan 40mg/
t 5/26/2022 √ L
G3P10011 /T/H+APS SC 40mg 5/26/2022 √ P
G3P20002/T/H+Letak obligh+Ane38mg 5/26/2022 √ P
G1P00000 /T/H+Prolong fase late 37mg 5/26/2022 √ L
G1P00000 /T/H+Inp. Fase aktif+ 37mg 5/26/2022 √ P
G3P20002/T/H+BSC2X+MOW 38mg 5/26/2022 √ L
G2P00010 /T/H+Inp. Fase laten+ 41mg 5/27/2022 √ P
G3P20002 /T/H+Inp. Fase laten+ 39mg 5/26/2022 √ L
G3P20002 /T/H+PE+Inp. Fase akti38mg 5/26/2022 √ P
G2P10001 /T/H+Inp. Fase laten+ 38mg 5/27/2022 √ L
G2P10001 /T/H+BSC+CPD+Bayi40mg 5/28/2022 √ P
G1P00000 /T/H+Oligo 38mg 5/29/2022 √ P
G1P00000 /T/H+KPD 38mg 5/28/2022 √ L
G2P10001 /T/H+Oligo 38mg 5/28/2022 √ L
G2P10001 /T/H+BSC+Letak oblig38mg 5/28/2022 √ L
G2P10001/T/H+BSC+Oligo 40mg 5/29/2022 √ L
G4P20012 /T/H+BSC+Letak Ob 38mg 5/29/2022 √ P
G3P20002 /T/H+PE+Inp. Fase Akt38mg 5/29/2022 √ P
G1P00000 /T/H+PE+S.IUGR+Inp.38mg 5/29/2022 √ P
G2P10001 /T/H+Oligo+Gagal OD38mg 5/30/2022 √ P
G1P00000 /T/H+Plasenta Previa 38mg 30/05/2022 √ L
G4P30003 /T/H+Letli+ERACS 37mg 5/30/2022 √ P
G2P10001 /T/H+BSC 3 th+Obesit38mg 5/30/2022 √ L
G2P10001 /T/H+BSC<2th+Inp. Fas36mg 5/30/2022 √ P
G1P00000 /T/H+Inp. Fase laten 40mg 5/31/2022 √ P
G2P10001/T/H+KPD+Inp. Fase la 40mg 5/30/2022 √ L
G4P10021 /T/H+BSC+Bayi besar+38mg 5/30/2022 √ P
G2P10001 /T/H+Oligo+PE 39mg 5/31/2022 √ P
G1P00000 /T/H+KPD+Post date+In 40mg 5/31/2022 √ L
G2P10001 /T/H+CPD+BSC+Low38mg 5/30/2022 √ P
G4P30003/T/H+Oligo+Lilitan tali 39mg 5/30/2022 √ L
G1P00000/T/H+Obesitas+PE+Lilit38mg 5/31/2022 √ P
G3P10011 T/H+KPD+Inp. Fase la39mg/ 5/31/2022 √ L
G1P00000 /T/H+KPD+In. Fase lat38mg 6/1/2022 √ L
G4P10021 /T/H+KPD+Post date+In40mg 6/1/2022 √ L
G2P10001 /T/H+BSC+Letak Obli 38mg 6/1/2022 √ P
BAYI MATERNAL
Rujukan Penolong BB/PB/A-S Ket
H M H M

15 16 17 18
√ √ IGD dr.Rini Sp.OG 3500/51/8-9
√ √ IGD Lisa/dr.Iman Sp.OG
3000/49/8-9
√ √ IGD dr.Rini Sp.OG 3300/51/8-9
√ √ IGD dr.Rini Sp.OG 3200/50/8-9
√ √ IGD dr.Rini Sp.OG 2900/49/8-9
√ √ IGD Liha/dr.Iman Sp.OG
3000/50/8-9
√ √ IGD dr.Rini Sp.OG 3400/51/8-9
√ √ IGD dr.Iman Sp.OG 3800/51/8-9
√ √ IGD dr.Iman Sp.OG 3000/51/8-9
√ √ IGD dr.Iman Sp.OG 3600/51/8-9
√ √ IGD dr.Iman Sp.OG 3000/50/8-9
√ √ IGD dr.Iman Sp.OG 3900/50/8-9 IUFD
√ √ IGD dr.Rini Sp.OG 4000/50/8-9
√ √ IGD dr.Iman Sp.OG 2200/47/8-9
√ IGD dr.Iman Sp.OG 2400/47/8-9
√ √ POLI dr.Rini Sp.OG 2300/47/8-9
√ √ POLI dr.Iman Sp.OG 3000/49/8-9
√ √ POLI dr.Iman Sp.OG 2500/48/7-8
√ √ POLI dr.Iman Sp.OG 3800/50/8-9
√ √ POLI dr.Iman Sp.OG 3000/50/8-9
√ √ IGD dr.Iman Sp.OG 3000/49/8-9
√ √ IGD dr.Iman Sp.OG 3000/50/8-9 NICU
√ √ IGD dr.Iman Sp.OG 3200/50/8-9
√ √ IGD dr.Iman Sp.OG 3600/50/8-9
√ √ IGD dr.Iman Sp.OG 2800/48/8-9
√ √ IGD dr.Iman Sp.OG 2700/47/8-9
√ √ POLI dr.Iman Sp.OG 2800/48/8-9
√ √ IGD Aini/dr.Iman Sp.OG 3000/49/8-9
√ √ POLI dr.Rini Sp.OG 3500/51/8-9
√ √ IGD Fatimah/dr.Rini Sp.OG
3100/51/8-9
√ √ IGD Rindi/dr.Iman Sp.OG2900/48/8-9
√ √ IGD Rizka/dr.Iman Sp.OG3400/50/8-9
√ √ IGD dr.Rini Sp.OG 2400/48/8-9
√ √ IGD dr.Iman Sp.OG 2700/47/8-9
√ √ IGD dr.Iman Sp.OG 3200/50/8-9
√ √ IGD dr.Iman Sp.OG 3200/50/8-9
√ √ IGD dr.Rini Sp.OG 2600/47/8-9
√ √ POLI dr.Iman Sp.OG 2900/47/8-9
√ √ POLI dr.Iman Sp.OG 3400/50/8-9
√ √ IGD dr.Iman Sp.OG 3300/50/8-9
√ √ IGD dr.Iman Sp.OG 3300/50/8-9
√ √ POLI dr.Iman Sp.OG 3200/50/8-9
√ √ IGD dr.Iman Sp.OG 3200/51/8-9
√ √ POLI dr.Iman Sp.OG 3200/50/8-9
√ √ IGD dr.Iman Sp.OG 3300/50/8-9
√ √ IGD dr.Rini Sp.OG 3100/51/8-9
√ √ IGD dr.Iman Sp.OG 2800/48/8-9
√ √ POLI dr.Iman Sp.OG 2900/49/8-9
√ √ POLI Niar/dr.Rini Sp.OG
3500/50/8-9
√ √ IGD dr.Iman Sp.OG 3200/50/8-9
√ √ POLI dr.Iman Sp.OG 2900/49/8-9
√ √ IGD dr.Iman Sp.OG 3000/49/8-9
√ √ IGD dr.Iman Sp.OG 2700/47/8-9
√ √ IGD dr.Iman Sp.OG 2900/48/8-9
√ √ IGD dr.Iman Sp.OG 2800/48/8-9
√ √ IGD dr.Iman Sp.OG 2900/50/8-9
√ √ IGD Rizka/dr.Iman Sp.OG
3200/50/8-9
√ √ IGD dr.Rini Sp.OG 3400/51/8-9
√ √ IGD dr.Iman Sp.OG 3100/49/8-9
√ √ POLI dr.Rini Sp.OG 340/50/8-9
√ √ POLI dr.Rini Sp.OG 2600/47/8-9
√ √ IGD Rindi/dr.Iman Sp.OG
2900/49/8-9
√ √ IGD dr.Rini Sp.OG 2500/46/8-9
√ √ IGD dr.Iman Sp.OG 3400/49/8-9
√ √ IGD dr.Iman Sp.OG 3700/50/8-9
√ √ IGD dr.Iman Sp.OG 3100/49/8-9
√ √ IGD dr.Iman Sp.OG 3100/49/8-9
√ √ IGD Aini/dr.Rini Sp.OG
2300/46/8-9
√ √ IGD dr.Iman Sp.OG 2600/47/8-9
√ √ IGD Rindi/dr.Iman Sp.OG3000/50/8-9
√ √ IGD Solihah/dr.Rini Sp.OG
3200/50/8-9
√ √ POLI dr.Rini Sp.OG 3500/50/8-9
√ √ IGD dr.Iman Sp.OG 2800/48/8-9
√ √ IGD dr.Iman Sp.OG 2900/49/8-9
√ √ POLI dr.Iman Sp.OG 3300/50/8-9
√ √ POLI dr.Iman Sp.OG 3000/49/8-9
√ √ POLI dr.Iman Sp.OG 2800/48/8-9
√ √ POLI dr.Iman Sp.OG 3000/50/8-9
√ √ IGD dr.Iman Sp.OG 2900/48/8-9
√ √ IGD dr.Iman Sp.OG 3400/50/8-9
√ √ IGD dr.Iman Sp.OG 2900/49/8-9
√ √ IGD dr.Iman Sp.OG 3400/50/8-9
√ √ IGD Fatimah/dr.Rini Sp.OG
2950/50/8-9
√ √ POLI dr.Iman Sp.OG 2900/49/8-9
√ √ POLI dr.Iman Sp.OG 2900/49/8-9
√ √ IGD dr.Iman Sp.OG 3100/50/8-9
√ √ IGD dr.Iman Sp.OG 4100/50/8-9
√ √ POLI dr.Rini Sp.OG 3100/50/8-9
√ √ POLI dr.Rini Sp.OG 3700/50/8-9
√ √ IGD dr.Iman Sp.OG 3000/49/8-9
√ √ IGD dr.Iman Sp.OG 3100/49/8-9
√ √ IGD dr.Iman Sp.OG 3500/50/8-9
√ √ IGD dr.Iman Sp.OG 3000/49/8-9
√ √ IGD dr.Iman Sp.OG 2900/49/8-9
√ √ IGD dr.Rini Sp.OG 2500/48/8-9
√ √ POLI dr.Iman Sp.OG 2800/47/8-9
√ √ IGD dr.Iman Sp.OG 2700/48/8-9
√ √ POLI Lisa/dr.Rini Sp.OG
3200/50/8-9
√ √ POLI dr.Rini Sp.OG 3000/48/8-9
√ √ IGD Rindi/dr.Iman Sp.OG
3600/50/8-9
√ √ IGD dr.Iman Sp.OG 2900/49/8-9
√ √ POLI dr.Iman Sp.OG 3300/50/8-9
√ √ POLI dr.Iman Sp.OG 3300/50/8-9
√ √ IGD dr.Iman Sp.OG 3000/50/8-9
√ √ IGD Fatimah/dr.Iman Sp.OG
2800/48/8-9
√ √ IGD dr.Rini Sp.OG 2500/47/8-9
√ √ IGD Lisa/dr.Iman Sp.OG 2300/46/8-9
√ √ POLI dr.Rini Sp.OG 2900/49/8-9
√ √ POLI dr.Rini Sp.OG 2400/46/8-9
√ √ IGD dr.Rini Sp.OG 3300/50/8-9
√ √ POLI dr.Rini Sp.OG 3000/50/8-9
√ √ IGD dr.Iman Sp.OG 3300/50/8-9
√ √ IGD Liha/dr.Rini Sp.OG
3500/50/8-9
√ √ POLI dr.Iman Sp.OG 3500/51/8-9
√ √ POLI dr.Rini Sp.OG 3100/51/8-9
√ √ POLI dr.Iman Sp.OG 3100/50/8-9
√ √ IGD dr.Iman Sp.OG 2700/47/8-9
√ √ POLI dr.Iman Sp.OG 3300/50/8-9
√ √ IGD dr.Iman Sp.OG 2500/46/8-9 NICU
√ √ IGD dr.Iman Sp.OG 3300/50/8-9
√ √ POLI dr.Iman Sp.OG 3100/49/7-8
√ √ POLI dr.Iman Sp.OG 3800/52/8-9
√ √ IGD dr.Iman Sp.OG 3600/52/8-9
√ √ IGD dr.Rini Sp.OG 3200/50/8-9
√ √ IGD dr.Rini Sp.OG 3200/50/8-9
√ √ IGD Liha/dr.Rini Sp.OG2600/46/8-9
√ √ IGD dr.Rini Sp.OG 3500/51/8-9
√ √ IGD Rizka/dr.Iman Sp.OG
2800/49/8-9
√ √ IGD Lisa/dr.Iman Sp.OG
2900/49/8-9
√ √ IGD Maria/dr.Rini Sp.OG
3000/50/8-9
√ √ IGD Winda/dr.Iman Sp.OG
3300/49/8-9
√ √ IGD dr.Iman Sp.OG 3500/50/8-9
√ √ POLI dr.Rini Sp.OG 3300/50/8-9
√ √ POLI dr.Iman Sp.OG 3100/49/8-9
√ √ IGD Niar/dr.Rini Sp.OG
2700/46/8-9
√ √ POLI dr.Iman Sp.OG 3200/40/8-9
√ √ POLI dr.Rini Sp.OG 2900/49/8-9 NICU
√ √ POLI dr.Rini Sp.OG 2900/49/8-9
√ √ IGD Maria/dr.Iman Sp.OG2600/49/8-9
√ √ IGD Fatimah/dr.Iman Sp.OG
1700/45/8-9
√ √ IGD dr.Rini Sp.OG 2500/46/8-9
√ √ IGD dr.Iman Sp.OG 3300/51/8-9
√ √ IGD dr.Iman Sp.OG 3000/50/8-9
√ √ IGD dr.Iman Sp.OG 3200/50/8-9
√ √ IGD dr.Iman Sp.OG 2300/46/8-9
√ √ IGD Niar/dr.Iman Sp.OG
2900/49/8-9
√ √ IGD Rindi/dr.Iman Sp.OG
3200/50/8-9
√ √ IGD dr.Iman Sp.OG 3600/50/8-9
√ √ IGD dr.Rini Sp.OG 3400/50/8-9
√ √ IGD Rizka/dr.Iman Sp.OG
2700/47/8-9
√ √ POLI dr.Iman Sp.OG 2500/46/8-9
√ √ POLI dr.Iman Sp.OG 3100/50/8-9
√ √ POLI dr.Iman Sp.OG 3300/50/8-9
√ √ IGD Rizka/dr.Iman Sp.OG3100/50/8-9
√ √ IGD Fatimah/dr.Iman Sp.OG
3500/50/8-9
√ √ IGDMaslaha/dr.Iman Sp.OG
3200/50/8-9 NICU
√ √ IGD dr.Iman Sp.OG 2800/49/8-9
NO NAMA PASIEN ( Ny. ) NIK

1 2 3
1 Ni'matul Masruro 3578025005970003-
2 Ita Dwi Arista 3525085903960001-
3 Lina Nufika Sari 3525135505940005-
4 Anisah Muallifah 3578195809870001-
5 Puji Slamet 3578275010910003-
6 Rani Puspitasari 3578196504970003-
7 Dian Puspita 3578136210830003-
8 Evita Arianty 3525134601980005-
9 Lailatul Khotima 3525045412960003-
10 Ameliya Puspa 3578305002950001-
11 Nurul Fa'iqoh 3525045512900001-
12 Yuli Afiya 1256104707910002-
13 Li'izza Diana 3578195604930002-
14 Veni triwijaya 351714620589001-
15 Nemu Ekawati 3525135407960001-
16 Rista Fatimah 357836903930004-
17 Asmitha Feosella 3578304702940001-
18 Siska Nita 357819620480001-
19 Hanni Kumala 3504025906930005-
20 Anna Riyanti 3518116010820011-
21 Yuli Astuti 3578154708820001-
22 Bunga Desi Ratna 3518144101910007-
23 Wa Rosnia 3525136404910003-
24 Mudjiati 3578274905830005-
25 Tutut Putri 3525135203950001-
26 Laila Idawati 3525135311930003-
27 Winarti 3525134407900002-
28 Arista Tri
29 Ananda C 3578195407950002-
30 Wahyu Fajar 3525136505940017-
31 Indriyani Lukita 357814701950004-
32 Andi Maya Teguh 3578155606940001-
33 Zamnur Fajariyah 3524265805850002-
34 Nur Fadilah 3516156604970001-
35 Farida Yuliyanti 3578146707950003-
36 Maulida Putri 3578195509910002-
37 Ayu Wulandari 3525134311990004-
38 Tristi Mardiyani 3509136209870004-
39 Desy Rahmawati 3522125812970001-
40 Sulistiana 3175024407010014-
41 Abel Yusitasari 3527026906040001-
42 Puji Trifiana 3505077006960003-
43 Dian Mindasari 3525135712880002-
44 Eva Yuliana 3578305707890002-
45 Tirani Firmayan
46 Anastasia Erni 3578046402970001-
47 Pujiharti
48 Safa'atin 352511590590001-
49 Desi Anggraini 3525136404930003-
50 Nur Islamiyah 35781449069440002-
51 Yeny Fatmawati 3525135807990002-
52 Ari Noviyanti 3578304411010002-
53 Santi 3525135303830014-
54 Parmi 3520025310810002-
55 Nanda Islamiyah 3578305803960001-
56 Budi Krisyanti 3578155408830002-
57 Siti Maisaroh 352516805860001-
58
59 Choirunnisa 3578135608980002-
60 Ade Irma 3578056107960001-
61 Samiyah 3525135605030001-
62 Setyawati 3578145005860003-
63 Dosy Millenia 3578154206000005-
64 Manda Cahyaning 3578314911950002-
65 Savira Anggadian 3525136705990003-
66 Wahyu Astri 3520105006960001-
67 Nur Muslimah 3578194406890001-
68 Ratyh Noviliyah 352513541190001-
69 Nurul Hidayah 3578142609120019-
70 Suci Eka Kris 3578306301970002-
71 Siti Maisaroh 3527874205950002-
72 Lilik Suwarmi 3578304405830002-
73 Yunita Safutri 3578195306950002-
74 Ferrin Ambarwati 3578306304980001-
75 Sundari 3525135410910003-
76 Eka Dwi Ochtafia 3525086202950014-
77 Luth Zaenur 3523174510990003-
78 Muhimmatul K 3578305104940001-
79 Rosa Maria 3203075402820006-
80 Dora retnowati 3578115303910001-
81 Vita Lailatul 3578305909960002-
82 Eka Devi 3525131710930006-
83 Sulawati 35181762212840001-
84 Wiwik Ernawati 3524055806900002-
85 Astutik Dewi 3525134903820014-
86 Vilia Orisa 3578275511830001-
87 Dia Fatmawati 3519126711980001-
88 Rohmah Fidhinnia 3578304204960005-
89 Chalimatus S 3578285902920002-
90 Wiwik Sudarning
91 Siti Cholifah 3578194305820001-
92 Syarika Dwi 3515187110840001-
93 Sri Setyowati 35780456906790004-
94 Juwita Nur 3578306707040002-
95 Deka Rani 3578085708900002-
96 Yayuk Mahfuddoh 3525154512880003-
97 Ayu Novita Sari 3525136504980013-
98 Laili Sa'idah 3578306211850001-
99 Ria Hasanah 3510144912940003-
100 Winarti 35251346009880001-
101 Siti Semila 3525085407000001-
102 Erna Seftya 3525134309940004-
103 Yeni Purwanti 351015651860002-
104 Vivi Yurinda 3578196901980001-
105 Ngesti Puji Rahayu 3578306609930002-
106 Syarifa Amelia 357831470898001-
107 Ayu Nurma Islami 3525054606890001-
108 Pusti Darlina 3578305011830002-
109 Tri Tunggal Dewi 3525086110900001-
110 Maslakha wati 3525114104940001-
111 Nur Anisa 3578305010890001-
112 Novi Indah Sari 3525046803000001-
113 Urifatul Chasanah 3525135309980015-
114 Aisah Kumala 3578194709940002-
115 Dwi Febriani 3573046602000002-
116 Tristiana Agustin 3578066508960004-
117 Dian Fatmawati 3578195302870001-
118 Athifa Yusriyah 35780655079680003-
119 Gita Larasati 3578304608950002-
120 Dini Wulan
121 Atik
122
123 Nurul Hindati 3578197112980001
124 Krismontari 3501066703990002
125 Iklimatus S 3525086105950002
126 Asmanilatul 3525134607960001
127 Firda Widya 3578196710940004
128 Anfa Dyah Fahjar 3525045602960003
129 Lia Wahyu 3578276205910004
130 Puri Indah 3578197107850001
131 Yunita Dian 3578165210850005
132 Ita Purnama Sari 3518046104820006
133 Siti Machfudhoti 3578304608890003
134 Lilik Nur Indah 3578144307920002
135 Bungah Rizka 3578305707870001
136 Wahyu Nita
137 Erlisa Rijikka 3578304106920002
138 Susanti 3525136608830016
139 Anna Maghdalena
140 Uswatun Hasanah 3578304704850005
141 Arifah Nur M 3520074209820005
142 Gabrilla Elizabe 3275024109050618
143
145 Yuwanda Melia
146 Siti Nur Aisah 3578/05204990002
147 Renatha Lusia 3578316206940002
148 Susy Anita 3578154310940002-
149 Nurul Hasanah 3525135107950003-
150 Nurul Adabiyah 3525135510960002-
151 Aan Lutfi Andriy 3578316805940002-
152 Devita Maharani 3502156501940001-
153 Yeni Setiawan 3578144309950003-
154 Aswin Ony Anggel 3578195202000001-
155 Aulia Tri Murti 3525136010970014-
156 Rosalina 3626085904890003-
157 Yeni Dwi 3525134409960001-
158 Indah Rochmawati 3578305403840003-
159 Salimah 3578194507870002-
160
161
162
163
LAPORAN BULANAN PERSALINAN RSI DARUS SYIFA' SURABA
BULAN JUNI 2022

ALAMAT LENGKAP UMUR


NAMA SUAMI ( Tn. )
( KEL DAN KEC ) IBU

4 5 6
M. Hanafi Sememi Jaya Utara 25
Syaiful Slempit 26
Ach. Anwar Dsn. Masek 7/B Boteng 28
Dany PBI NO 3 27
Heru Kendung gg 1 F/149 31
Risky Rejosari Makmur 25
Daniel B Dupak IV/79 39
Renggi Irawan Raya Sidomulyo no 15 24
Jony Pranata Kedung sekar benjeng 26
Akhmad Rizky Sumberejo no 54 27
M. Ali Kedung sekar lor benjeng 32
Nur Pengalangan 20/03 31
slamet UKA Gg 13/25 27
M. Rifa'i Magersari 33
Wildan P Randu Padangan 27
Masnur Dk.Buran 28
Achmad Akbar GBI B 26 28
Armadi Kendung RT 01/03 24
Nur Cahyono Ds. Doro Cerme 29
Nur Salam MPP J 1/31 40
Ahmad Rianto Banjarsugihan 1/67 40
Ihya Ulumuddin Jade Hamlet 31
Andi Siswanto Swan Menganti Park 31
Yoyok Tanjungsari gg4 39
Nafi Alas Malang 1/3 27
Roni Gading watu 29
Kasbi Bendil 32
Sutrisno Klakahrejo 30
Subari Sememi 3/4 27
Hari Purnomo Kepatihan 4/2 28
Ahmad Iwan Manukan Lor 2 27
M. Khoirul Sememi Jaya 5/140 28
Aminuddin Kendung Indah 4/09 37
Sri Waluyo Rejosari baru 1/3 25
Kukuh Manukan Kasman no 35 27
M. Irfan Tengger Raya 3 31
Siswanto Gading watu 3/5 23
Sahid Pakal Barat 3/2 35
Yanuar Manukan Rejo 1E 25
Rudi Nyamplungan kuburan 21
Ardi Perum Paskun B 2/20 18
Andi Anjasmoro Kalijaran 4/5 no 184 26
Ansori Domas menganti 34
Zainal Dk Jerawat 31
Denise Mulyorejo 27
Angga Mulyorejo baru 1/6 25
Beny Agus Ngemlak no 23 35
Muhammad Said Sukoanyar 32
Ainue Rofiq Hendrosari 8/1 28
Bambang p Banjarsugihan 70b 28
Akhmad fauzi Randu Padangan 25
Angga Dk Mulyomukti 21
Slamet Bandut 40
Sutikno Gempol Kurung 41
Muslimin Sukodono 26
Budi Susilo Tengger Kandangan 40
Ach Rizki Mawardi Jl Raya Kepatihan 36

Agus Susanto Gempol kurung 23


Ari Wonorejo 26
Abdul Rohman Kepatihan 19
Sutisno TSI B/09 36
Fandi Dupak Krembangan 22
Irfan Asem jajar 12/30 27
Satriya Guna Sukorejo 3/1 23
M Hamzah Wonorejo 2/23 26
Suwito UKA 8/4 33
Ilman PMI AA/12 30
Dimas Tandes 32
Reza Firmansyah Pakal Sumberan 25
Rukib PBI Blok D/05 27
Slamet GSN I 3/20 39
Wiansyah UKA 6/12 26
Anang Lidah Kulon 5/1 24
Suwanto Kutil 01/01 31
M Ridwan Kepatihan 3/1 29
Aji Juwantoro Banyuurip kav 23
Faisal Bayu Tambak Dono 04/02 28
Diaz kren Candi lontar wetan 40
Anjar Kendung Jaya 31
Saiful Hadi Kendung kluter 5/17 26
Alok Purnama Glindah tengah 27
Arif Fahrudin Dsn. Padangan 1/1 33
Achmad S Pakal Timur 1 no 48 32
Imam Prambon 1/3 40
Suprianto Sidojangkung 39
Aji Simojawar 24
Banja kurnia Rejosari 26
Trimo Bongso wetan 30
Bagus Benowo sawah 30
Suwanto Sememi Jaya 1/09 40
Anton Bandarejo baru 38
Anas Tempel sukorejo sby 43
Rizky Pakal timur1 18
Taufan Manukan Rejo x 32
Mufid Randegansari 32
Farid Gempol kurung 34
Na'im Raci 37
Widyasata PBI EO/16 28
Sumarto Hendrosari 6/3 34
Edy santoso Ds. Tulung 22
Rendy Ngemplak 28
Gunawan MPP AU/7 36
Maulana Sememi Jaya 5 24
Candra Sumberejo makmur 29
Mico Adi Candi lontar kulon 24
Nur Rokhim Dsn. Ngering 33
A.S Chabiburr Pakal 39
Suwandi Tulung kedamean 32
M. Afif Sumberejo 28
Riman Pakal AMD 33
Khusnul Kacangan 22
Riyan Pengalangan 24
Eko Tengger raya 2/62 28
Fahrizal Simojawar 22
Frenda Simo Gunung 26
Aris Maulana Wisma Tengger 34
Aris Swan Menganti Park 24
Endin Sememi Baru 21
Imam Bandarejo 23
Fani setiawan Bringin harapan 35

Wahyu R Bandarejo 3 24
Eko Dk. Bungkal 3/3 23
Andrian Tulung kedamean 27
Yuda Bandut 1/2 26
Kristianto UKA 1/38 28
Ardi Susanto Simo Hilir 25
Anas Pakal barat 2 31
Rahmat Sememi Jaya Selatan 2/53 37
Imam Aris PBI Blok D NO 20 37
Rokani PBI ET/02 30
Sampur Kepanjen malang 33
Bagus Wonorejo 11/18 30
Frangklin PBI DC 15 35
Ihwan nur Kapasan 21 35
Cahyo jl. Raya kandangan no 21 30
Samuji Ngablak rejo 39
Ach. Fatoni Sumberan dawar blandong 23
Agus Prayogo Mulyorejo Baru 2/6 37
Zainal Romo Kalisari gg Masjid 34 36
Abdul Mujib JL.Sememi Jaya 2/34 19

M Fatoni Kendung Gg 7/70 27


Fajar Putra Rejosari No.77 23
Aris JL.Raya Sawo 1B 27
Ipung Dupak 8/12 28
A. Zainul Sidojangkung 27
A. Iswahyudi Ngeblak rejo 28
M. Amiril Lontar 222 2/2 28
Fathur Anwar Bulu Lontar 28
Achmad Irfan Tandes Kidul Gg 1 6A 27
M Bagas Sememi Baru 22
Fathur Rahman Gantang 1/2 25
Kasmuni Lampah kedamean 34
M. Ariyanto Songgat pengalangan 25
Anwar Dk. Kukun 10/5 38
Lukman UKA gg 16 A NO 9 38
LAPORAN BULANAN PERSALINAN RSI DARUS SYIFA' SURABAYA
BULAN JUNI 2022

TANGGAL
G….P…. UK
PERSALINAN

7 8 9
G2P00010 /T/H+Inp. Kala 2+HBS AG+ 42mg 6/1/2022
G2P00010 /T/H+Post Date+kpd+Anemia 41mg 6/2/2022
G3P20002 /T/H+BSC<2th+Haemoroid+ERACS 38mg 6/2/2022
G2P10001 /T/H+BSC<2th+ERACS+Pasang IUD 38mg 6/2/2022
G3P20002 /T/H+BSC2X 38mg 6/2/2022
G1P00000 /T/H+Inp. Fase aktif+Anemia 39mg 6/2/2022
G3P00020 /T/H+PE+Letak Obligh 38mg 6/2/2022
G2P10001 /T/H+BSC+Letak Obligh 40mg 6/2/2022
G1P00000 /T/H+Oligo 40mg 6/3/2022
G1P00000 /T/H+KPD+Inp. Fase laten 38mg 6/3/2022
G2P10001/T/H+KPD+BSC+Lilitan tali pusat 39mg 6/3/2022
G2P10001 /T/H+BSC 38mg 6/3/2022
G1P00000/T/H/+Inp Fase Aktif 40mg 6/3/2022
G3P20002 /T/H+Obligh+MOW 37mg 6/4/2022
G2P10001 /T/H+Prom+NST Patologis 38mg 6/5/2022
G2P00010 /T/H+Inp Fase Laten+KPP 39mg 6/4/2022
G1P00000/T/H+HT Kronis+Obesitas 38mg 6/4/2022
G1P00000 /T/H+KPD+Oligo+Bayi besar 40mg 6/4/2022
G4P30002 /T/H+BSC+Oligo 38mg 6/5/2022
G3P20003 /T/H+Inp. Fase aktif+PE 39mg 6/4/2022
G2P10001 /T/H+Letsu 38mg 6/5/2022
G2P10001 /T/H+BSC 3th+PE+anemia 38mg 6/5/2022
G2P10001 /T/H+Oligo afi 3,73 39mg 6/6/2022
G4P20012 /T/H+BSC2X+Obesitas 38mg 6/6/2022
G2P10001 /T/H+BSC+SBR tipis 40mg 6/6/2022
G3P20002 /T/H+KPP+Inp. Fase laten 40mg 6/6/2022
G2P10001 /T/H+KPD+Inp. Fase laten 38mg 6/6/2022
G1P00000 /T/H+KPD+Inp. Fase laten+APS SC 39mg 6/6/2022
G2P10001 /T/H+KPD+Inp. Fase laten 39mg 6/6/2022
G1P00000 /T/H+Lilitan tali pusat+letak obligh 39mg 6/6/2022
G1P00000 /T/H+Inp. Fase laten+KPD 37mg 6/6/2022
G2P00010/T/H+KPD+Inp. Fase laten 38mg 6/7/2022
G3P20002 /T/H+BSC+PE 39mg 6/7/2022
G2P10001 /T/H+BSC 6 th+Lilitan tali pusat 38mg 6/7/2022
G1P00000 /T/H+Oligo+Lilitan tali pusat 40mg 6/7/2022
G2P10001 /T/H+BSC<2th 39mg 6/7/2022
G1P00000 /T/H+KPD+NST Patologis 40mg 6/7/2022
G3P20002 /T/H+Inp. Fase laten+KPD 38mg 6/7/2022
G1P00000 /T/H+KPD+Inp. Fase laten 40mg 6/8/2022
G1P00000 38mg/T/H+Oligo 38mg 6/8/2022
G1P00000 39mg/T/H+Oligo afi 4,68 39mg 6/8/2022
G1P00000 39mg/T/H+Oligo 39mg 6/8/2022
G2P10001 38mg/T/H+PE+Obesitas+BSC+Lilitan tali pusat+ERACS 38mg 6/8/2022
G2P10001 UK 39 MGG /T/H+Inpartu Fase Laten + KPP 39mg 6/8/2022
G2p10001 uk 40mg/T/H+Inpartu Fase Laten + KPP 40mg 6/8/2022
G2P10001 uk 37mg/T/H+ Inpartu Fase Laten + KPD 37mg 6/8/2022
G2P10001 uk 39mgg/T/H+Letak Obliq+IUFD+PE 39mg 6/9/2022
G2p10001 uk 38-39mgT/H+oligohidramnion 38-39mg 6/9/2022
G2P10001 uk 38mgT/H+bsc+letak sungsang 38mg 6/9/2022
G2P10001 uk 37-38mgT/H+Bsc+Lilitan tali usat + letak Sungsang 37-38mg 6/9/2022
G1P00000 40mg/T/H+KP+Anemia 40mg 6/9/2022
G1P00000 uk38mgT/H+bsc <2tahun 38mg 6/10/2022
G4P20012 uk 40-41mgT/H+Inpartu Fase Laten +KPD+PE+NST Patologis 40-41mg 6/10/2022
G2P10001 uk 38mgT/H+bsc+PE 38 mg 6/10/2022
G4P20012 38mg/T/H+BSC2X+MOW 38mg 6/10/2022
G3P20002 38mg/T/H+BSC1X+Polihidramnion+Obesitas+MOW 38mg 6/10/2022
G4P30012 38mg/G/H+Gemeli+MOW 38mg 6/10/2022

G2P10001 38mg/T/H+HT Kronis+Inp. Fase laten 38mg 6/11/2022


G1P00000 38mg/T/H+PE 38mg 6/11/2022
G1P00000 38mg/T/H+KPD+OF+Inp. Fase laten 38mg 6/11/2022
G5P10031 37mg/T/H+Prom+PE 37mg 6/11/2022
G1P00000 38mg/T/H+KPP+Gagal OD 38mg 6/12/2022
G1P00000 37mg/T/H+Oligo+Gagal OD 37mg 6/12/2022
G1P00000 40mg/T/H+KPD+Gagal OD 40mg 6/12/2022
G1P00000 38mg/T/H+Letak Obligh+Plasenta Marginalis 38mg 6/12/2022
G2P10001 38mg/T/H+BSC 38mg 6/12/2022
G4P30003 38mg/T/H+BSC 2,5 th+Inp. Fase laten 38mg 6/13/2022
G1P00000 39mg/T/H+KPP 39mg 6/13/2022
G1P00000 40mg/T/H+Oligo+Prom 40mg 6/13/2022
G1P00000 38mg/T/H+Oligo 38mg 6/13/2022
G4P20012 38mg/T/H+PE+Usia >35th+ERACS 38mg 6/13/2022
G1P00000 37mg/T/H+KPD 37mg 6/14/2022
G1P00000 39mg/T/H+Letak Obligh 39mg 6/14/2022
G3P20002 37mg/T/H+Letak Obligh+Oligo+MOW 37mg 6/14/2022
G2P10001 38mg/T/H+BSC+Lilitan tali pusat leher 38mg 6/14/2022
G1P00000 39mg/T/H+Oligo Afi 5.6 39mg 6/14/2022
G1P00000 37mg/T/H+KPD+PE+Obesitas 37mg 6/14/2022
G3P20002 37mg/T/H+PE+BSC2X 37mg 6/14/2022
G1P00000 38mg/T/H+Letsu 38mg 6/15/2022
G2P10001 38mg/T/H+BSC<2th 38mg 6/15/2022
G1P00000 38mg/T/H+APS SC 38mg 6/15/2022
G3P10011 38mg/T/H+Letsu+BSC+R.Mola+ERACS 38mg 6/15/2022
G3P20002 40mg/T/H+Bayi besar+Plasenta Kalsifikasi+MOW 40mg 6/15/2022
G2P10001 38mg/T/H+Letak Obligh+Oligo 38mg 6/15/2022
G4P30003 37mg/T/H+KPD+Prolong fase laten 37mg 6/15/2022
G2P10001 38mg/T/H+BSC+oligo+HBS AG 38mg 6/16/2022
G1P00000 37mg/T/H+Inp. Kala 2 37mg 6/16/2022
G3P20002 38mg/T/H+Inp. Fase aktif 38mg 6/16/2022
G3P10011 38mg/T/H+BSC+Letak obligh+Floating Head+MOW 38mg 6/16/2022
G5P40004 38mg/T/H+Letsu+Mioma Uteri+MOW 38mg 16/006/2022
G3P20002 37mg/T/H+BSC1X+HBS AG+ 37mg 6/16/2022
G5P30013 39mg/T/H+Obligh+Usia >35th+Oligo 39mg 6/17/2022
G1P00000 38mg/T/H+Oligo+Obligh 38mg 6/17/2022
G2P10001 38mg/T/H+Anemia+BSC+Lilitan tali pusat 38mg 6/17/2022
G3P10011 37mg/T/H+Hypotiroid+ Diastole disfunction 37mg 6/18/2022
G2P10001 38mg/T/H+BSC+Lilitan tali pusat leher 38mg 6/18/2022
G4P30002 38mg/T/H+BSC<2 th 38mg 6/18/2022
G1P00000 37mg/T/H+KPP+R.Asma 37mg 6/18/2022
G2P10001 37mg/T/H+APB+Plasenta previa 37mg 6/18/2022
G1P00000 38mg/T/H+Letsu+Low high+KEK 38mg 6/19/2022
G2P10001 39mg/T/H+KPD+Inp. Fase laten 39mg 6/19/2022
G3P20002 39mg/T/H+Oligo 39mg 6/19/2022
G2P10001 37mg/T/H+BSC+Obligh 37mg 6/19/2022
G2P10001 38mg/T/H+BSC+Letsu+PEB+ERACS 38mg 6/20/2022
G1P00000 37mg/T/H+KPP+Anemia 37mg 6/21/2022
G1P00000 38mg/T/H+Oligo+Letsu 38mg 6/22/2022
G5P30013 40mg/T/H+KPD+Inp. Fase laten 40mg 6/22/2022
G2P10001 40mg/T/H+KPD 40mg 6/22/2022
G2P10001 37mg/T/H+KPP+BSC 37mg 6/22/2022
G2P10001 38mg/T/H+Letsu+lilitan tali pusat leher 38mg 6/22/2022
G1P00000 40mg/T/H+Oligo+Lilitan tali pusat 40mg 6/22/2022
G2P10001 42mg/T/H+Post Date+Oligo+lilitan tali pusat 42mg 6/22/2022
G2P01001 37mg/T/H+KPD+Inp. Fase laten 37mg 6/22/2022
G1P00000 38mg/T/H+Oligo 38mg 6/22/2022
G1P00000 uk 39mgg/T/H+inpartu Fase Laten Letak Obliq+PE 39mg 6/23/2022
G4P300032 uk 38-39mgg/T/Hbsc3x+MOW 38mg 6/23/2022
G1P00000 uk40-41mg/T/H+Oligo+Lilitan Tali Pusat 40mg 6/23/2022
G1P00000 UK 38mg/T/Hinpartu Fase Laten+KPD 38mg 6/23/2022
G2P10001 37mg/T/H+BSC<2TH+ERACS 37mg 6/24/2022
G4P30003 37mg/G/H+Gemeli+Letak lintang+MOW 37mg 6/24/2022

G3P20002 38mg/T/H+BSC<2th 38mg 6/25/2022


G3P10011 38mg/T/H+BSC+Anemia 38mg 6/25/2022
G2P10001 38mg/T/H+BSC+R.Asma 38mg 6/25/2022
G1P00000 38mg/T/H+KPD+Inp. Fase laten+HBS AG+ 38mg 6/25/2022
G1P00000 36mg/T/H+Oligo+Letsu 36mg 6/26/2022
G2P10001 39mg/T/H+BSC+KPP 39mg 6/26/2022
G2P00010 40mg/T/H+Inp. Fase laten+KPD 40mg 6/26/2022
G3P20002 38mg/T/H+PE+IUGR+MOW 38mg 6/26/2022
G2P10001 38mg/T/H+Inp. Fase aktif 38mg 6/26/2022
G2P100001 39mg/T/H+KPP 39mg 6/26/2022
G1P00000 38 mg/T/H+Obligh 38mg 6/26/2022
G2P00010 38mg/T/H+Letsu+Oligo 38mg 6/26/2022
G3P20002 38mg/T/H+BSC+MOW+DM+Polihidramnion 38mg 6/27/2022
G2P10001 38mg/T/H+BSC+Makrosomia 38mg 6/27/2022
G2P10001 39 mg/T/H+KPD+Inp. Fase laten 39mg 6/27/2022
G2P10001 41mg/T/H+Kala 2 lama 41mg 6/27/2022
G1P00000 38mg/T/H+Inp. Fase aktif+KPP 38mg 6/27/2022
G2P00010 38mg/T/H+KPP+BSC+Hyperthiroid 38mg 6/27/2022
G4P20012 38mg/T/H+KPD 38mg 6/27/2022
G1P00000 38mg/Gemeli/H+Letsu+obligh+ERACS 38mg 6/27/2022

G2P10001 38/39mg/T/H+BSC+PE+DM Gestasional+Polihidramnion+ERACS 38mg 6/27/2022


G1P00000 39/40mg/T/H+Prom+gagal OD 39mg 6/28/2022
G1P00000 37mgTH/PE+Anemia+Eracs 37mg 6/28/2022
G2P10001 37mg TH/BSC.Anemi+Eracs 37mg 6/28/2022
G3P20002 38mgTH/Oligo 38mg 6/28/2022
G1P00000 37mg TH/KPD+Gagal OD 37mg 6/29/2022
G2P10001 38mg TH/BSC 38mg 6/29/2022
G2P10001 38mg TH/ BC/Let. Lintamg 38mg 6/29/2022
G3P200001 38mg TH+ BSC 2x Eracs 38mg 6/29/2022
G2P10001 38mg TH+KPP 38mg 6/29/2022
G1P00000 38mgTH/Makrosomi+CPD+Obligh+PE 38mg 6/29/2022
G3P10011 37mg/T/H+Haemoroid gr 4+Primi tua sekunder 37mg 6/29/2022
G3P20002 38mg/T/H+Inp. Fase aktif 38mg 6/29/2022
G5P40002 38mg/T/H+BSC2X+MOW 38mg 6/30/2022
G4P30003 38mg/T/H+Oligo+Obs. Febris+NST Patologis 38mg 6/30/2022
JENIS PERSALINAN JK BAYI MATERNAL
TUNGGA GEMELLI BAYI 2, Rujukan
BAYI 1 H M H M
L 1 ≥2 dst
10 11 12 13 14 15 16 17 18
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ L √ √ POLI
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ P √ √ POLI
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L (+) √ IGD
√ L √ √ POLI
√ P √ √ POLI
√ P √ √ POLI
√ P √ √ POLI
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ POLI
√ L √ √ POLI
√ L √ √ POLI
√ P √ √ POLI
√ P √ √ POLI
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ POLI
√ L √ √ POLI
√ L √ √ POLI
√ P √ √ IGD
√ L √ √ POLI
√ L √ √ POLI
√ L √ √ POLI
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ L √ √ POLI
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ P √ √ IGD
√ L √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ POLI
√ P √ √ POLI
√ L √ √ POLI
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ POLI
√ L √ √ IGD
√ L √ √ POLI
√ L √ √ POLI
√ L √ √ POLI
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ POLI
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ L √ √ POLI
√ P (+) √ POLI
√ P √ √ POLI
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ P √ √ POLI
√ √ √
√ √ √
√ √ √
√ √ √
Penolong BB/PB/A-S Ket

Lihah/dr.Rini Sp.OG 3100/51/8-9


Solihah/dr.Iman Sp.OG 3000/51/8-9
dr.Iman Sp.OG 2800/48/8-9
dr.Iman Sp.OG 3300/51/8-9
dr.Rini Sp.OG 3100/49/8-9
Rizka/dr.Iman Sp.OG 3000/50/8-9
dr.Rini Sp.OG 3500/51/8-9 NICU
dr.Rini Sp.OG 3800/50/8-9
dr.Iman Sp.OG 2900/49/8-9
dr.Iman Sp.OG 3200/50/8-9
dr.Iman Sp.OG 3300/51/8-9
dr.Rini Sp.OG 3200/51/8-9
Rindi/dr.Iman SpOG 3100/50/8-9
dr.Iman Sp.OG 3300/50/8-9
dr.Rini Sp.OG 3700/50/8-9
Lihah/dr.Rini Sp.OG 2600/47/8-9
dr.Iman Sp.OG 3800/50/8-9
dr.Iman Sp.OG 3800/51/8-9
dr.Rini Sp.OG 3000/49/8-9
Rindi/dr.Iman SpOG 2800/48/8-9
dr.Rini Sp.OG 2800/48/8-9
dr.Rini Sp.OG 2900/48/8-9
dr.Rini Sp.OG 3200/50/8-9
dr.Iman Sp.OG 3900/51/8-9
dr.Iman Sp.OG 3000/49/8-9
Fatimah/dr.Iman Sp.OG 3300/49/8-9
Solihah/dr.Iman Sp.OG 2800/48/8-9
dr.Iman Sp.OG 2900/48/8-9
Niar/dr.Iman Sp.OG 3200/50/8-9
dr.Iman Sp.OG 3500/50/8-9
Niar/dr.Iman Sp.OG 3200/50/8-9
Fatimah/dr.Iman Sp.OG 2700/48/8-9
Lihah/dr.Iman Sp.OG 3200/50/8-9
dr.Iman Sp.OG 2900/49/8-9
dr.Iman Sp.OG 2700/48/8-9
dr.Rini Sp.OG 2900/49/8-9
dr.Rini Sp.OG 3700/51/8-9
Rindi/dr.Rini SpOG 3700/51/8-9
dr.Iman Sp.OG 3500/50/8-9
dr.Rini Sp.OG 3000/48/8-9
dr.Rini Sp.OG 3300/51/8-9
dr Rini Sp.Og 3300/51/8-9
Dr Iman Sp.og 3000/49/8-9
Dr Iman Sp.og 2900/48/8-9
Dr Iman Sp.og 3600/50/8-9
dr Rini Sp.Og 3100/50/8-9
dr Rini Sp.Og 3900/52/8-9
dr Rini Sp.Og 3300/51//8-9
Dr Iman Sp.og 2900/48/8-9
Dr Iman Sp.og 3000/50/8-9
Dr Iman Sp.og 2800/48/8-9
dr Rini Sp.Og 3000/49/8-9
dr Rini Sp.Og 2800/48/8-9
Dr Iman Sp.og 3600/48/8-9
Dr Iman Sp.og 3300/50/8-9
Dr Iman Sp.og 3200/49/8-9
Dr Iman Sp.og 2400/468-9
Dr Iman Sp.og 2500/46/8-9
Dr Iman Sp.og 3300/50/8-9
dr Rini Sp.Og 3200/50/8-9
dr Rini Sp.Og 3500/50/8-9
dr Rini Sp.Og 2900/48/8-9
Dr Iman Sp.og 3100/50/8-9
dr Rini Sp.Og 2600/46/8-9
Dr Iman Sp.og 3200/51/8-9
dr Rini Sp.Og 3500/50/8-9
Dr Iman Sp.og 2800/48/8-9
dr Rini Sp.Og 3300/49/8-9
Indah/dr ImanSp.Og 3450/50/8-9
dr Rini Sp.Og 3000/49/8-9
dr Rini Sp.Og 3100/50/8-9
Dr Iman Sp.og 3500/51/8-9
Lisa/dr Iman Sp.Og 2800/48/8-9
dr Rini Sp.Og 2800/47/8-9
dr Rini Sp.Og 3300/50/8-9
Dr Iman Sp.og 3000/50/8-9
dr Rini Sp.Og 3300/50/8-9
Dr Iman Sp.og 3100/50/8-9
dr Rini Sp.Og 2500/46/8-9
Dr Iman Sp.og 3200/49/8-9
Dr Iman Sp.og 2600/47/8-9
Dr Iman Sp.og 2800/48/8-9
Dr Iman Sp.og 2700/47/8-9
Dr Iman Sp.og 3600/50/8-9
dr Rini Sp.Og 2900/47/8-9
Dr Iman Sp.og 3100/50/8-9
dr Rini Sp.Og 2800/47/8-9
Rizka/dr rini Sp.Og 2900/49/8-9
Aini/dr Rini Sp.Og 3400/50/8-9
Dr Iman Sp.og 3000/49/8-9
Dr Iman Sp.og 3000/49/8-9
dr Rini Sp.Og 2600/48/8-9
dr Rini Sp.Og 2500/47/8-9
dr Rini Sp.Og 2500/47/8-9
Dr Iman Sp.og 3400/50/8-9
Dr Iman Sp.og 2800/48/8-9
Dr Iman Sp.og 2800/48/8-9
Dr Iman Sp.og 3000/49/8-9
Dr Iman Sp.og 3200/50/8-9
dr Rini Sp.Og 3000/50/8-9
Dr Iman Sp.og 2700/47/8-9
dr Rini Sp.Og 2800/48/8-9
Rizka/dr rini Sp.Og 3300/51/8-9
Dr Iman Sp.og 3000/50/8-9
dr Rini Sp.Og 3500/50/8-9
Likha/dr.Rini Sp.OG 3000/49/8-9
dr Rini Sp.Og 3100/50/8-9
Niar/dr.Iman Sp.OG 2900/48/8-9
Likha/dr.Iman Sp.OG 3400/50/8-9
Dr Iman Sp.og 3000/50/8-9
Dr Iman Sp.og 2500/46/8-9
Dr Iman Sp.og 3200/50/8-9
Dr Iman Sp.og 3900/51/8-9
Likha/dr.Iman Sp.OG 2700/46/8-9
dr Rini Sp.Og 3300/50/8-9
dr Rini Sp.Og 3900/51/8-9
dr Rini Sp.Og 3100/50/8-9
Dr Iman Sp.og 3100/49/8-9
Lisa/Dr Iman Sp.og 2900/49/8-9
dr Rini Sp.Og 3600/51/8-9
dr Rini Sp.Og 2400/48/8-9
dr Rini Sp.Og 2600/48/8-9
Dr Iman Sp.og 2700/48/8-9
Dr Iman Sp.og 2900/48/8-9
Dr Iman Sp.og 3200/50/8-9
Dr Iman Sp.og 320/50//8-9
Dr Iman Sp.og 2500/46/8-9
dr Rini Sp.Og 3400/51/8-9
Dr Iman Sp.og 3600/51/8-9
dr Rini Sp.Og 2500/47/8-9
dr Rini Sp.Og 2700/47/8-9
Maslakha/dr.Iman Sp.OG 3400/50/8-9
dr Rini Sp.Og 2900/49/8-9
dr Rini Sp.Og 2900/49/8-9
Dr Iman Sp.og 4500/54/89/
Dr Iman Sp.og 4000/52/8-9
Dr Iman Sp.og 2900/49/8-9
Dr Iman Sp.og 3000/49/8-9
Rista/dr.Iman Sp.OG 2000/45/8-9
Dr Iman Sp.og 2900/50/8-9
Lisa/dr Iman Sp.Og 3100/50/8-9
Dr Iman Sp.og 3000/49/8-9
Dr Iman Sp.og 2500/46/8-9
Dr Iman Sp.og 3800/50/8-9
Dr Iman Sp.og 3300/50/8-9
dr Rini Sp.Og 2700/47/8-9
dr Rini Sp.Og 3400/50/8-9
dr Rini Sp.Og 3000/50/8-9
Dr Iman Sp.og 2900/48/8-9
Dr Iman Sp.og 3100/49/8-9
Dr Iman Sp.og 3000/49/8-9
dr Rini Sp.Og 3300/50/8-9
Lisa/dr rini Sp.Og 2800/48/8-9
dr Rini Sp.Og 3300/50/8-9
Dr Iman Sp.og 3000/48/8-8
Dr Iman Sp.og 3200/49/8-9
dr Rini Sp.Og 3300/50/8-9
dr Rini Sp.Og 3000/49/8-9
NAMA PASIEN NAMA SUAMI
NO NIK
( Ny. ) ( Tn. )

1 2 3 4
1 Indah Magfiroh 3578307101970001 M. Zainul
2 Anantya Mutiara 35782157021010002 Fikri
3 An'nisa Mulah 3578305101970001 Febri Ari
4 Nur Hidayati 3518035503850004 ADI
5 Siti Widianingrum 35783143010010002 Dodik Prayogi
6 Wiyantini 3578316208850001 Susilo
7 Siti Nafilatus 3578195407970001 Primanda
8 Ayu Febriani 35781965002940004 Harmanto
9 Lutfianah 3578315807950001 Bagas
10 Suci Astutining 3578144209950001 Yano
11 Feni fuji Astuti 3578305507890001 Nur
12 Dwi Rustanti 3525134312920001 Afif bagus
13 Setiyawati 3507034211990002 M. Fadel
14 Solfiana Natalia 3529046212970002 Rachmat
15 Densi Faujia 3525136908980002 A. Fuad
16 Nur Faradila Rengga
17 Yayuk Sampining 35251355108800001 Bambang
18 Nanik Istiawati 3578304311940002 M. Safi'i
19 Devitasari 3517175208970001 Fahmi
20 Nariswari 3578306110900002 Indra
21 Vika Khurotul 3525116704950001 Yawi
22 R. Mariana 3578145405890002 Saiful
23 Kusnul Wahyudi
24 Kustiati 35783145039300001 Karto
25 Devina Dwi 3525136307010001 Nurul arifin
26 Ezra Kusnia 3506156501860003 Johan
27 Tuti Widyastuti 3578055412800003 Heru
28 Iswati 3578136703860002
29 Imroatun Chasana 3578194907990001 A. Mubin
30 Riskitasari Nur 3578194703000002 Rizaldi
31 Chandra Adimas 3578194205920003 Khabibatul
32 Noer laila 357819661090001 Robin Surya
33 Siti Chotimah 3578117006810018 Mad Hasan
34 Lilis Ekawati Supradiyono
35 Feby Murdhotilah 3578305901970001 Rendy
36 Miftakhul Jannah 3578285109990001 Indra
37 Puji Setio 3578195302900002 Achmad Cholda
38 Weny Choirulisti 3578315707950001 Adi Pramono
39 Ovanda M. 5302026610980001
40 Andiani 3525134212950004 Anggi S
41 Tya Yuliarni 3525136807980004 Wibi
42 Naina Shahnas 3578135203960003 Bagus
43 Siti Miftahul Janah 3525134212950004 Muhammad Soli
44 Lia Prastiya 3525137010940004 Fajar
45 Dian Antosa 352511451093002 Choiron
46 Hosinah 3578275508880003 Sukri
47 Efiana 3578306311970003 Sandi nasa
48 Salsa Dilla 7471045906000001 Dodik Okta
49 Gita Sari 3525084107990001 Febri fajar
50 Anna Shofia 3578306202950001 Budi
51 Umul Wasiah 3503024901890002 Dyan Purnomo
52 Nurul Hasanah 357817412000001 Fauzen
53 Dwi Alfianti 3524106203000004 M. Rizkia
54 Sri Endah Wahyu
55 Heni Karlinda 3525080407200001 Saikoni
56 Sri Widarti 3578275211830002 Ahmad umar
57
58 Neneng Ulfa 3578195409840001 Dadang
59 Mirantika Tri 3578137007960002 Faridma Aswan
60 Agustriana 3578115408860003 Pipi Surya
61 Maisyaroh 3523206108980004 Adi huswatun
62 Arofatin Usman 3578144409980008 Hadi Hidayatull
63 Ni'matul Hidayat 3578304305960001 Yanuar M
64 Fatmawati 3578285607980001 Gilang Agam
65 Devi Hary 357819546960001 Dleya Alhaq
66 Eka Wahyu 35781243109500001 M. Khasan
67 Novida Kurnia 3524194303830007 Hamima tohir
68 Riska Andriani 3525087103950003 Hadi Kuswoyo
69 Rahma Damayanti 3578154712000002 Ali ahmad
70 Nurul Kumalawati Suroso
71 Risky Lia 3578146702000001 Ricky
72 Cindy Ayu 3578146807960001 Fady S
73 Retno sari 3578304804970001 Abd. Rojak
74 Shoumul Wakhidah 3324084102950003 Farikhul
75 Endah Sulistiowati 3578067004950006 Randhi Apria
76 Ratna Novianti 3578275611940001 Joko
77 Yayuk Nur Indah 3518286105960002 Abdul Anam
78 Rita Maharani 3525136602040005 Adi
79 Siti Nur Halimah 3578286105960002 Aan
80 Novi Dwi H 357831611960003 Dani Eka
81 Ariana Eka 3525084111970002 Ady
82 Yanny Purwanti M. Yusuf
83 Siti Djubaidah 357844901920001 Abdul
84 Rizka Bella 3578065004980003 Sofian
85 Liescha Veronica 3578134607810002 Desix kurnia
86 Nor Halimah 3524216802850004 Ahmad Faisal
87 Nofy Dwi Agistia 3525134706990009 Samsudin
88 Mey Jumariana 3578155505920002 Roni Yuliono
89 Devi Rahmawati 3578044412010010 Edo F
90 Dini Yuniarti Rudianto
91 Ririn Amalia 3578245607910001 Wahyu
92 Desi Lailia Ulfa 3578196712860002 Ahmad Hendri
93 Ma'rufah 3578195403920000 Abdul Hadi
94 Galuh Laksana 3578154904830003 Umami
95 Nurul Astutik 3578304510830001 Lukman
96 Nurul Amillya 3578306402020001 Muslimin
97 Amanda Purwita 3525136902970006 Ardianysah
98 Siti Nur Fadilah 3578304607900001 Ryan
99 Hamida Linda 3578066311000002 Abdul Muchid
100 Sami 3578196211780002 Totok
101 Legiyatik 3510194406960002 Husnaini
102 Selvi Sandjaya 3525136004950014 Bagus
103 Wienna Martanti 3578195403960001 Sonny Dwi
104 Sutiasih 3525134303800002 Iswandi
105 Siti Indarti 3525136201960002 Ronal Yahya
106 Anjarwati 3578316409860003 Wibowo
107 Nurul Lailatul 3578144401930002 Achmad Sobari
108 Eries Tanti 3517026802960003 Pandu
109 Maylan Amri 3578315201010002 Sofiyan
110 Eva ana 3525045711910001 Deny Setiawan
111 Khusnul Khotimah 3525136207840014 Indra
112 Maulidya Rahmita 3578144707980002 Syaiful
113 Diah Agustin 3578195008920002 Aswanto
114 Wantri Rouly 3578197009970001 Sehat sinegar
115 Cosa Anedya 3578105411950003 Anggiatama
116 Titin Fitrotul 3525116106970001 Bayu
117 Sandra Ayu 3578055203970004 Ari setiawan
118 Siti Napsiah 3578316811830001 Fiki
119 Risa Rahmawati 3525134809960001 Miftakhul
120 Nieke Romandani 35878066803920004 Riza Kurniawan
121 Devi Firnawati 3523184603910002 M. Taufiq
122 Istami'ul Chusni 3578145206950002 Agus
123 Alifah Nur 3578216706930003 Angga
124 Nur Aida 3578306901940001 Freda Arga
125 Sindi Silfiyan 3525134509950001 Dedik
126 Peggy Kembang 3511114406920008 M. Sobirin
127 Dini Dwi 35251344809980002 Ganda
128 Nuril Khasanah 357830415000001 Tefa wahyu
129 Frella Marinda 3518115303910003 Deni
130 Rini 367830611860002 Imam
131 Della puspita 317217101961003 Imron
132 Misnatul A 3578305405910002 Luki
133 Rizqi Musfiroh 3578146005940001 Bardi
134 Dwi Irmawati 3578144506890001 Taufikhur
135 Denandhi Arvina 3578195012980002 Dzikrullah
136 Ulfatun Khasanah 320086507950007 Didik teguh
137 Tyas Mardika 3578195703930003 Ibrahim
138 Mefbriani 3578195605990001 Muhammad
139 Umi Faridah 3525135107930001 Adi
140 Robbyqa A 3525145305950002 Joni
141 Agustina 3523166608910002 Arief
142
143
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
LAPORAN BULANAN PERSALINAN RSI DARUS SYIFA' SURA
BULAN JULI 2022

UMUR
ALAMAT LENGKAP ( KEL DAN KEC )
IBU

5 6
Dk. Sumberejo I 25
Puri Asta Kencana 21
Raya benowo no 38 25
KRAJAN 37
Pengalangan 21
Bringin Indah no 28 37
Kandangan Gunung Bakti 25
Gadel sari tama 28
Jelidro 05/01 27
Manukan Lor 27
Tambak dono 33
Putat Lor 30
Dk. Sumberejo I 23
Delik wetan 9/3 25
Pelem watu 10/5 24
Kandangan 34
Bongso wetan 34
Rejosari makmur 28
Sememi 3/4 25
Jurang kuping 32
Cerme Kidul 27
Tengger Raya 1e 33
Gading watu 39
Dk. Kalijaran 29
Pelem watu 10/5 21
Simo ruko 8/8 36
Bringin Jaya 42
Tembok dukuh bubutan 37
Sememi Jaya 6/32 23
UKA gg 10 22
Kandangan Gunung Bakti 30
Dk. Gendong 3/3 32
Rejosari 41
Pakal sumber baru 38
Ngemplak 25
Tambak pring timur 23
Kendung Jaya 8/19 32
Candi Lontar 27
Ngasinan 24
Wringin kurung joyo gg VII 26
Kutil 07/01 24
Manukan Sari 30 26
Sidojangkung 27
Gempol kurung 9/2 28
Lengkong 29
Simojawar 34
Hendrosari 25
Bukit palma 22
Glindah kidul 9/3 23
Tambak dono 3/7 27
Ngablak rejo 1/3 33
Bulak banteng kidul 11/4 22
Simogunung 22
Gading watu 27
Tulung kedamean 29
Made baru 39

Dk. Kuwukan 38
Bantar melati 26
Swan park 36
Sambikerep 24
Banjarsugihan gg 3 no 29 35
Raya benowo no 49 26
Tambak dalam baru 3/22 24
Sememi kidul 03/034 26
Kalimas hilir 1/35 driyorejo 27
Batang Gajah 2/1 39
Dsn. Panggang, tulung 27
Sukomanunggal baru pjka 22
Pengalangan 31
Gadel sari madya 22
Beji 26
Rejosari 25
Ngablak rejo 1/3 27
Putat Jaya 27
Made AMD RT 14 RW 03 28
Gempol kurung 3/1 31
Randupadangan 18
Banjarsugihan 26
Made selatan 26
Katimoho 12/4 kedamean 25
Klakahrejo 33
Patra Raya Cluster 30
Kupang gunung barat 7/34 24
Palem pertiwi Y/20 41
Ngablak rejo 37
Pelem watu 2/1 23
Sukomanunggal baru 30
Sememi Jaya 21
Hendrosari 3/1 30
Sumberjo Batu Kapling 31
Griya Citra Asri 36
Dk. Jerawat 30
Manukan kulon 2/35 39
Benowo sawah 39
Dk. Sumbersari 20
Beton 12/04 25
Pakal Mangga 32
Lampah 6/3 25
Bendil 4/6 44
Kepatihan 26
Boboh 3/1 27
Sememi Jaya no 30 26
Domas 11/4 42
Gading watu 3/4 26
Dk. Sambikerep 36
Tandes lor gg 1 29
Kendung rejo 5/10 26
Ngemplak NO 50 20
Magersari 12/4 31
Gading watu 38
Perum BPH 24
Alas Malang 2/3 30
Klakahrejo 25
Kauman Asri gg 3 53A 27
Morowudi Kulon 2/4 25
TSI C/4 25
Candi Lempung 47C 39
Bendil 01/06 26
Manukan Indah 30
Dk. Jerawat 31
Banjarsugihan 27
Pradah kali kendal 29
Pakal AMD no 43 28
Gading watu 1/3 27
Alas Malang no 14 30
Bendil Jaya 4/6 24
Tambak dono 02/07 22
Perum menganti regency 31
Dk. jerawat 36
Rejosari gg sawo 2/3 25
Gempol kurung 31
Bringin indah 28
Manukan kulon 33
Sememi kidul 24
Perum taman sari 27
Kendung jaya gg 6 29
Sumberejo 23
Kendung sememi 29
JL. Dr wahidin 27
Mulyorejo baru 31
LAPORAN BULANAN PERSALINAN RSI DARUS SYIFA' SURABAYA
BULAN JULI 2022

G….P…. UK

7 8
G1P00000 38mg/T/H+CPD+High Miopi 38 MGG
G2P10001 39mg/T/H+SBR tipis+BSC 39 MGG
G1P00000 39mg/T/H+KPP+Inp. Fase laten 39 MGG
G3P10011 38mg/T/H+IUGR+HT Kronis 38 MGG
G1P00000 39mg/T/H+Inp. Fase laten+KPD 39 MGG
G3P20002 38mg/T/H+BSC2X+Anemia+MOW 38 MGG
G2P10001 39mg/T/H+Oligo+Inp. Fase laten 39 MGG
G3P00020 39mg/T/H+CPD+Prolong fase laten 39 MGG
G1P00000 38mg/T/H+PE+Plasenta letak rendah+ERACS 38 MGG
G1P00000 38mg/T/H+Kista Ovarium+Polihidramnion 38 MGG
G2P10001 38mg/T/H+Plasenta letak rendah+lilitan talpus+anemia+bsc 38 MGG
G1P00000 36mg/T/H+KPD+Inp. Fase laten 36 MGG
G3P10011 39mg/T/H+BSC+Anemia+Oligo 39 MGG
G3P10011 39mg/T/H+BSC+Obligh 39 MGG
G1P00000 38mg/T/H+Low high+IUGR 38 MGG
G3P10011 38mg/T/H+BSC+Hemoroid gr IV 38 MGG
G2P10001 38mg/T/H+BSC+Floating head 38 MGG
G2P10001 38mg/T/H+BSC+SBR tipis 38 MGG
G1P00000 41mg/T/H+KPD+Inp. Fase laten 41 MGG
G3P10011 38mg/T/H+BSC 3th 38 MGG
G1P00000 36mg/T/H+KPP+Obligh 36 MGG
G2P10001 40mg/T/H+S.IUGR+CPD 40 MGG
G3P20002 38mg/T/H+Usia>35th+PE+MOW 38 MGG
G3P20002 37mg/T/H+PE+Lilitan tali pusat+Obligh 37 MGG
G1P00000 38mg/T/H+Letak obligh+Plasenta letak rendah+Hemoroid 38 MGG
G3P20002 38mg/T/H+Inp. Fase aktif 38 MGG
G3P20002 38mg/T/H+BSC+Letak Obligh+MOW+ERACS 38 MGG
G4P30003 38mg/T/H+Inp. Kala 2 38 MGG
G1P00000 38mg/T/H+Low high+CPD 38 MGG
G1P00000 37mg/T/H+KPP+CPD 37 MGG
G2P00010 38mg/T/H+PE+Inp. Fase laten 38 MGG
G4P20012 39mg/T/H+PE+Inp. Fase laten+Obesitas 39 MGG
G6P50005 37mg/T/H+KPD+Inp. Fase laten 37 MGG
G3110001 38mg/T/H+KEK+IUGR 38 MGG
G1P00000 39mg/T/H+Inp. Fase aktif 39 MGG
G1P00000 38mg/T/H+Obligh+R.Asma 38 MGG
G1P00000 36mg/T/H+KPD+Inp. Fase laten 36 MGG
G2P10001 38mg/T/H+BSC+KPD 38 MGG
G1P00000 37mg/T/H+Anemia+Oligo 37 MGG
G4P30030 37mg/T/H+PE+Abortus Habitualis+Anti Poskolipit Syndrom 37 MGG
G1P00000 39mg/T/H+Obesitas+Polihidramnion afi 29,38+Obligh 39 MGG
G1P00000 38mg/T/H+PE+Lilitan tali pusat 38 MGG
G1P00000 38mg/T/H+PE+Letsu 38 MGG
G3P20002 38mg/T/H+BSC+KPD+Oligo+Lilitan tali pusat 38 MGG
G2P10001 38mg/T/H+PE+Obesitas+lilitan tali pusat 38 MGG
G3P20001 38mg/T/H+BSC+KPP 12 jam 38 MGG
G2P10001 38mg/T/H+BSC+CPD+Low high 38 MGG
G2P00010 35mg/T/H+Letsu+R. KET 35 MGG
G1P00000 38mg/T/H+Letli+Polihidramnion+lilitan tali pusat 38 MGG
G1P00000 38mg/T/H+Inp. Fase laten+KPP 38 MGG
G2P10001 39mg/T/H+KPD 39 MGG
G2P10001 38mg/T/H+BSC 38 MGG
G2P10001 38mg/T/H+BSC+Obligh+ERACS 38 MGG
G1P00000 25mg+IUFD 25 MGG
G3P20001 38mg/T/H+BSC2X+Obligh+ERACS 38 MGG
G4P20012 37mg/G/H+Gemeli 37 MGG

G2P10001 38mg/T/H+BSC+R.Asma+SBR tipis 38 MGG


G1P00000 37mg/T/H+Oligo afi 4,18 37 MGG
G3P20002 38mg/T/H+BSC 1X+ERACS 38 MGG
G2P00010 38mg/T/H+Inp. Fase laten+KPD 38 MGG
G3P20001 39mg/T/H+Lilitan tali pusat+Obligh+ERACS 39 MGG
G2P10001 38mg/T/H+BSC+PE+Obesitas+Lilitan tali pusat+ERACS 38 MGG
G1P00000 38mg/T/H+Lilitan tali pusat+Oligo+ERACS 38 MGG
G1P00000 38mg/T/H+CPD+Floating head+Malnutrisi 38 MGG
G1P00000 38mg/T/H+Letli+Plasenta previa totalis 38 MGG
G3P10011 38mg/T/H+BSC<2th+ERACS 38 MGG
G2P10001 37mg/T/H+BSC+APS SC 37 MGG
G1P00000 40mg/T/H+Prom 40 MGG
G4P00030 36mg/T/H+CPD+PE 36 MGG
G2P10001 38mg/T/H+KPD+Inp. Fase laten 38 MGG
G2P00010 37mg/T/H+Oligo+NST Patologis 37 MGG
G2P10001 39mg/T/H+Inp. Fase aktif+HBSAG 39 MGG
G3P20002 38mg/T/H+BSC 1x+Obligh 38 MGG
G1P00000 40mg/T/H+Obligh+Lilitan tali pusat+PE+Anemia+ERACS 40 MGG
G3P20002 36mg/T/H+Letsu+Lilitan tali pusat+Inp. Fase laten 36 MGG
G3P20002 37mg/T/H+Oligo+Anemia 37 MGG
G1P00000 38mg/T/H+APS SC+Anemia+ERACS 38 MGG
G1P00000 37mg/T/H+Inp. Fase aktif+KPD 37 MGG
G1P00000 38mg/T/H+Letli+R.Asma 38 MGG
G1P00000 37mg/T/H+KPD+Hemoroid+Inp. Fase laten 37 MGG
G2P10001 38mg+BSC+Obligh+PE+IUFD+DM 38 MGG
G2P10001 38mg/T/H+BSC+Letak Obligh+ERACS 38 MGG
G1P00000 41mg/T/H+Letak Obligh+Lilitan tali pusat+ERACS 41 MGG
G4P30002 38mg//T/H+Letli+MOW 38 MGG
G2P10001 38mg/T/H+Letsu 38 MGG
G1P00000 39mg/T/H+KPD+Inp. Fase laten 39 MGG
G1P00000 34mg/T/H+KPD+NST Patologis 34 MGG
G1P00000 39mg/T/H+KPD+Inp. Fase laten 39 MGG
G3P10011 38mg/T/H+BSC+Letli+Polihidramnion 38 MGG
G2P10001 38mg/T/H+Oligo+hemoroid+ERACS 38 MGG
G4P30003 38mg/T/H+BSC+Letsu+ Makrosomia 38 MGG
G2P10001 38mg/T/H+Kala 2 lama+KPP 38 MGG
G3P20002 38mg/T/H+Inp. Fase laten+KPD 38 MGG
G5P30013 39mg/T/H+BSC+Obligh+MOW+ERACS 39 MGG
G1P00000 38mg/T/H+Inp. Fase aktif+KPP+PE 38 MGG
G1P00000 41mg/T/H+Post Date+Inp. Fase aktif memanjang+Makrosomia 41 MGG
G3P10011 39mg/T/H+Inp. Fase laten+KPD 39 MGG
G1P00000 36mg/T/H+KPP 36 MGG
G4P30002 40mg/T/H+Oligo+MOW 40 MGG
G3P20002 40mg/T/H+Inp.fase laten+KPD 40 MGG
G2P10001 38mg/T/H+BSC+PE 38 MGG
G3P02000 37mg/T/H+HT kronis+Obligh+DM 37 MGG
G3P20002 38mg/T/H+Obligh+S.IUGR+MOW 38 MGG
G2P10001 33mg/T/H+Inp kala 2 33 MGG
G3P20002 37mg/T/H+BSC2X+Usia>35th 37 MGG
G1P00000 40mg/T/H+Lilitan tali pusat+PE+Oligo+ERACS 40 MGG
G1P00000 40mg/T/H+Oligo+liltan tali pusat+Gagal OD 40 MGG
G1P00000 39mg/T/H+Oligo+Gagal OD 39 MGG
G4P20012 40mg/T/H+BSC2X+Inp. Fase laten+ERACS 40 MGG
G3P10011 36mg/T/H+BSC2.5 th 36 MGG
G1P00000 39mg/T/H+39mg/T/H+Oligo AFI 5,03+NST Patologis+ERACS 39 MGG
G2P10001 38mg/T/H+BSC+CPD+Floating head 38 MGG
G2P10001 37mg/T/H+Makrosomia+BSC 37 MGG
G1P00000 37mg/T/H+Makrosomia+Polihidramnion 37 MGG
G1P00000 40mg/T/H+Obligh+Bayi besar 40 MGG
G1P00000 39mg/T/H+Lilitan tali pusat 2x+Obligh+ERACS 39 MGG
G3P20002 39mg/T/H+BSC2X+Usia >35TH 39 MGG
G3P20002 39mg/T/H+BSC2X 39 MGG
G2P10001 38mg/T/H+BSC+Letak Obligh+Anemia 38 MGG
G2P01001 38mg/T/H+Inp. Fase aktif 38 MGG
G2P10001 38mg/T/H+BSC+PPDHT 38 MGG
G1P00000 38mg/T/H+CPD+Letak Obligh+DM+ERACS 38 MGG
G1P00000 38mg/T/H+KPP+Inp. Fase laten 38 MGG
G4P20012 38mg/T/H+BSC+NST Patologis+HBS AG 38 MGG
G3P20002 38mg/T/H+BSC2X+MOW 38 MGG
G1P00000 38mg/T/H+Letak Obligh 38 MGG
G2P10001 37mg/T/H+PE+Obligh 37 MGG
G3P10011 38mg/T/H+Prom+BSC+ERACS 38 MGG
G2P10001 39mg/T/H+PE+Obligh+Lilitan tali pusat+ERACS 39 MGG
G3P20001 38mg/T/H+Inp. Fase laten+KPD 38 MGG
G5P40004 37mg/T/H+Inp. Fae aktif+malnutrisi+Anemia 37 MGG
G1P00000 39mg/T/H+Inp. Fase laten+KPD+Gagal OD 39 MGG
G3P20001 38mg/T/H+Inp. Fase laten+BSC 6 th 38 MGG
G3P10011 39mg/T/H+KPP 39 MGG
G2P10001 38mg/T/H+BSC+ERACS 38 MGG
G1P00000 39mg/T/H+Inp. Fase aktif 39 MGG
G2P10001 38mg/T/H+BSC+obligh 38 MGG
G1P00000 39mg/T/H+Oligo afi <6 39 MGG
G1P00000 36mg/T/H+Impending eklamsi 36 MGG
G2P10001 38mg/T/H+BSC+Obligh 38 MGG
JENIS PERSALINAN JK BAYI MATERNAL
TANGGAL
PERSALINAN TUNGGA GEMELLI BAYI 2,
BAYI 1 H M H
L 1 ≥2 dst
9 10 11 12 13 14 15 16 17
7/2/2022 √ L √ √
7/2/2022 √ P √ √
02/07/2022 √ L √ √
7/3/2022 √ P √ √
7/3/2022 √ P √ √
7/4/2022 √ L √ √
7/3/2022 √ P √ √
7/4/2022 √ L √ √
7/6/2022 √ P √ √
7/6/2022 √ P √ √
7/6/2022 √ P √ √
7/7/2022 √ P √ √
7/7/2022 √ L √ √
7/7/2022 √ L √ √
7/6/2022 √ P √ √
7/7/2022 √ P √ √
7/7/2022 √ L √ √
7/7/2022 √ L √ √
7/7/2022 √ P √ √
7/7/2022 √ L √ √
7/7/2022 √ P √ √
7/7/2022 √ P √ √
7/7/2022 √ P √ √
7/7/2022 √ L √ √
7/8/2022 √ L √ √
7/8/2022 √ L √ √
7/8/2022 √ L √ √
7/8/2022 √ P √ √
7/9/2022 √ L √ √
09/07/2022 √ P √ √
7/9/2022 √ P √ √
7/10/2022 √ P √ √
7/10/2022 √ L √ √

7/10/2022 √ L √ √
7/11/2022 √ L √ √
7/11/2022 √ L √ √
7/11/2022 √ P √ √
7/12/2022 √ L √ √
7/11/2022 √ P √ √
7/12/2022 √ P √ √
7/12/2022 √ L √ √
7/12/2022 √ L √ √
7/12/2022 √ L √ √
7/13/2022 √ L √ √
7/13/2022 √ L √ √
7/14/2022 √ P √ √
7/13/2022 √ L √ √
7/14/2022 √ L √ √
7/14/2022 √ P √ √
7/14/2022 √ L √ √
7/14/2022 √ P √ √
7/14/2022 √ L √ √
7/15/2022 √ √ √
7/14/2022 √ P √ √
1507/2022 √ L √ √
7/15/2022 √ L √ √
15/07/2022 √ L √ √
7/15/2022 √ L √ √
7/15/2022 √ L √ √
7/15/2022 √ P √ √
7/16/2022 √ L √ √
7/16/2022 √ L √ √
7/16/2022 √ L √ √
7/16/2022 √ L √ √
7/16/2022 √ L √ √
7/16/2022 √ P √ √
7/16/2022 √ P √ √
7/17/2022 √ P √ √
7/18/2022 √ L √ √
17/07/2022 √ P √ √
7/18/2022 √ L √ √
7/18/2022 √ L √ √
7/18/2022 √ L √ √
7/19/2022 √ L √ √
7/19/2022 √ L √ √
7/20/2022 √ P √ √
7/20/2022 √ P √ √
7/20/2022 √ P √ √
7/20/2022 √ P √ √
7/20/2022 √ L √ √
7/20/2022 √ L √ √
7/21/2022 √ L √ √
7/21/2022 √ L √ √
7/21/2022 √ P √ √
7/21/2022 √ P √ √
7/21/2022 √ P √ √
7/21/2022 √ P √ √
7/22/2022 √ L √ √
7/22/2022 √ L √ √
7/22/2022 √ P √ √
√ P √ √
7/23/2022 √ L √ √
7/23/2022 √ P √ √
7/23/2022 √ L √ √
7/22/2022 √ P √ √
7/23/2022 √ L √ √
7/24/2022 √ L √ √
7/23/2022 √ P √ √
7/23/2022 √ P √ √
7/24/2022 √ P √ √
7/25/2022 √ P √ √
7/25/2022 √ P √ √
7/25/2022 √ L √ √
7/25/2022 √ P √ √
7/26/2022 √ L √ √
7/25/2022 √ L √ √
7/26/2022 √ L √ √
7/26/2022 √ P √ √
7/26/2022 √ L √ √
7/26/2022 √ P √ √
7/27/2022 √ L √ √
7/27/2022 √ L √ √
7/27/2022 √ L √ √
7/27/2022 √ L √ √
7/27/2022 √ L √ √
7/28/2022 √ L √ √
7/28/2022 √ L √ √
7/28/2022 √ L √ √
7/28/2022 √ P √ √
7/26/2022 √ P √ √
7/28/2022 √ L √ √
7/29/2022 √ L √ √
7/29/2022 √ L √ √
7/29/2022 √ P √ √
7/29/2022 √ L √ √
7/29/2022 √ L √ √
7/29/2022 √ L √ √
7/29/2022 √ L √ √
7/30/2022 √ L √ √
7/29/2022 √ L √ √
7/29/2022 √ L √ √
7/31/2022 √ P √ √
7/30/2022 √ P √ √
7/31/2022 √ L √ √
7/31/2022 √ P √ √
7/31/2022 √ P √ √
8/1/2022 √ L √ √
8/1/2022 √ P √ √
8/1/2022 √ L √ √
8/1/2022 √ P √ √

√ √ √
MATERNAL
Rujukan Penolong BB/PB/A-S Ket
M

18
IGD dr.Iman Sp.OG 2900/49/8-9
IGD dr.Iman Sp.OG 3000/49/8-9
IGD dr.Rini Sp.OG 3000/50/8-9
POLI dr.Iman Sp.OG 2500/48/8-9
IGD Likha/dr.Iman Sp.OG 2400/46/8-9
IGD dr.Iman Sp.OG 3200/50/8-9
IGD Maslakha/dr.Rini Sp.OG 2600/47/8-9
IGD dr.Iman Sp.OG 3200/50/8-9
POLI dr.Iman Sp.OG 2800/48/8-9
POLI dr.Iman Sp.OG 3200/48/8-9
IGD dr.Iman Sp.OG 2800/48/8-9
IGD dr.Iman Sp.OG 2800/48/8-9
POLI dr.Rini Sp.OG 3200/50/8-9
POLI dr.Rini Sp.OG 3100/50/8-9
POLI dr.Iman Sp.OG 2600/48/8-9
IGD dr.Iman Sp.OG 3000/50/8-9
IGD dr.Iman Sp.OG 3100/50/8-9
POLI dr.Iman Sp.OG 3000/50/8-9
IGD dr.Iman Sp.OG 3100/50/8-9
IGD dr.Rini Sp.OG 2900/49/8-9
IGD dr.Rini Sp.OG 3400/50/8-9
IGD dr.Rini Sp.OG 2100/47/8-9
IGD dr.Iman Sp.OG 2700/48/8-9
POLI dr.Iman Sp.OG 2900/49/8-9
IGD dr.Iman Sp.OG 3200/50/8-9
IGD Rizka/dr.Rini Sp.OG 3400/50/8-9
IGD dr.Rini Sp.OG 3400/51/8-9
IGD Maria/dr.Rini Sp.OG 2800/48/8-9
POLI dr.Iman Sp.OG 2600/48/8-9
IGD dr.Iman Sp.OG 2100/45/8-9
IGD Likha/dr.Iman Sp.OG 2600/48/8-9
IGD Lisa/dr.Rini Sp.OG 3100/51/8-9
IGD Lisa/dr.Rini Sp.OG 2600/48/8-9

IGD Aini/dr.Iman Sp.OG 3500/50/8-9


IGD dr.Iman Sp.OG 3100/50/8-9
IGD Arista/dr.Iman Sp.OG 2400/47/8-9
IGD dr.Rini Sp.OG 3200/49/8-9
POLI dr.Rini Sp.OG 2800/48/8-9
IGD dr.Iman Sp.OG 3000/50/8-9
POLI dr.Iman Sp.OG 3100/50/8-9
POLI dr.Iman Sp.OG 2900/48/8-9
POLI dr.Iman Sp.OG 2700/47/8-9
POLI dr.Iman Sp.OG 3200/51/8-9
IGD dr.Iman Sp.OG 2900/49/8-9
IGD dr.Iman Sp.OG 3600/50/8-9
POLI dr.Iman Sp.OG 2800/48/8-9
IGD dr.Iman Sp.OG 2400/47/5-6
POLI dr.Iman Sp.OG 3200/49/8-9
IGD Niar/dr.Iman Sp.OG 2600/46/8-9
IGD Rindi/dr.Iman Sp.OG 3200/50/8-9
IGD dr.Rini Sp.OG 3000/50/8-9
POLI dr.Rini Sp.OG 3200/49/8-9
POLI Lisa/dr.Rini Sp.OG 300/10/0-0
POLI dr.Rini Sp.OG 3400/50/8-9
IGD dr.Iman Sp.OG 2500/47/8-9
IGD dr.Iman Sp.OG 2500/48/8-9
IGD dr.Iman Sp.OG 2500/48/8-9
POLI Rindi/dr.Rini Sp.OG 2700/47/8-9
IGD dr.Iman Sp.OG 3000/50/8-9
IGD dr.Iman Sp.OG 2900/49/8-9
POLI dr.Iman Sp.OG 3400/50/8-9
POLI dr.Iman Sp.OG 3000/50/8-9
IGD dr.Iman Sp.OG 2800/48/8-9
IGD dr.Iman Sp.OG 3200/50/8-9
IGD dr.Iman Sp.OG 3800/52/8-9
IGD dr.Iman Sp.OG 2900/49/8-9
POLI dr.Iman Sp.OG 3100/49/8-9
IGD dr.Rini Sp.OG 2900/48/8-9
IGD dr.Iman Sp.OG 1900/45/8-9
IGD Lisa/dr.Rini Sp.OG 3700/50/8-9
IGD dr.Rini Sp.OG 3000/50/8-9
IGD dr.Rini Sp.OG 3900/52/8-9
IGD dr.Rini Sp.OG 3100/49/8-9
POLI dr.Iman Sp.OG 3100/49/8-9
IGD dr.Iman Sp.OG 2400/47/8-9
POLI dr.Rini Sp.OG 3100/50/8-9
IGD dr.Iman Sp.OG 2700/47/8-9
IGD Maslakha/dr.Iman Sp.OG 2700/46/8-9
IGD dr.Iman Sp.OG 3300/51/8-9
IGD Lisa/dr.Iman Sp.OG 2800/49/8-9
IGD dr.Rini Sp.OG 5400/55/0-0
POLI dr.Rini Sp.OG 3000/48/8-9
POLI dr.Iman Sp.OG 3200/49/8-9
IGD dr.Iman Sp.OG 2700/47/8-9
POLI dr.Iman Sp.OG 3100/49/8-9
IGD Rindi/dr.Iman Sp.OG 3000/50/8-9
IGD dr.Rini Sp.OG 2900/48/8-9
IGD Liha/dr.Iman Sp.OG 3300/51/8-9
IGD dr.Iman Sp.OG 3500/50/8-9
IGD dr.Iman Sp.OG 2900/49/8-9
IGD dr.Iman Sp.OG 3800/51/8-9
IGD dr.Rini Sp.OG 2700/47/8-9
IGD Niar/dr.Iman Sp.OG 2500/47/8-9
IGD dr.Iman Sp.OG 3600/50/8-9
IGD Niar/dr.Iman Sp.OG 2900/48/8-9
IGD dr.Iman Sp.OG 3900/52/8-9
IGD dr.Iman Sp.OG 3000/49/8-9
POLI Nila/dr.Rini Sp.OG 2500/48/8-9
IGD dr.Iman Sp.OG 3400/51/8-9
IGD Rindi/dr.Rini Sp.OG 3100/50/8-9
IGD dr.Iman Sp.OG 2500/48/8-9
IGD dr.Rini Sp.OG 3500/52/6-8
IGD dr.Iman Sp.OG 2700/49/8-9
POLI Maria/dr.Rini Sp.OG 2700/49/8-9
POLI dr.Rini Sp.OG 2200/47/8-9
POLI dr.Iman Sp.OG 2600/48/8-9
POLI dr.Iman Sp.OG 2400/47/8-9
POLI dr.Iman Sp.OG 2900/49/8-9
IGD dr.Iman Sp.OG 2700/48/8-9
IGD dr.Rini Sp.OG 2800/48/8-9
IGD dr.Rini Sp.OG 3100/49/8-9
IGD dr.Iman Sp.OG 2900/50/8-9
IGD dr.Danu Sp.OG 2800/49/8-9
POLI dr.Iman Sp.OG 3900/51/8-9
POLI dr.Iman Sp.OG 3700/50/8-9
POLI dr.Iman Sp.OG 3200/51/8-9
POLI dr.Iman Sp.OG 3500/51/8-9
POLI dr.Rini Sp.OG 3300/51/8-9
IGD dr.Iman Sp.OG 3100/49/8-9
IGD Aini/dr.Iman Sp.OG 3200/50/8-9
IGD dr.Rini Sp.OG 3600/51/8-9
IGD dr.Iman Sp.OG 3200/49/8-9
IGD dr.Iman Sp.OG 3100/50/8-9
POLI dr.Rini Sp.OG 3000/49/8-9
IGD dr.Iman Sp.OG 3200/50/8-9
IGD dr.Rini Sp.OG 3000/48/8-9
POLI dr.Rini Sp.OG 3300/50/8-9
POLI dr.Rini Sp.OG 2800/50/8-9
POLI dr.Iman Sp.OG 3200/50/8-9
IGD dr.Rini Sp.OG 2700/48/8-9
POLI Rista/dr.Iman Sp.OG 2500/46/8-9
IGD dr.Rini Sp.OG 2700/48/8-9
IGD Rindi/dr.Rini Sp.OG 3000/49/8-9
IGD Rindi/dr.Iman Sp.OG 3600/50/6-8
IGD dr.Rini Sp.OG 2800/48/8-9
IGD Likha/dr.Rini Sp.OG 3000/49/8-9
POLI dr.Rini Sp.OG 3300/50/8-9
IGD dr.Rini Sp.OG 2600/46/8-9
IGD dr.Iman Sp.OG 2500/47/8-9
IGD dr.Rini Sp.OG 3100/50/8-9
LAPO

NAMA PASIEN ALAMAT LENGKAP ( KEL


NO NIK NAMA SUAMI ( Tn. )
( Ny. ) DAN KEC )

1 2 3 4 5
1 Zduliyah Umi 3578212107020001 Eko Dk. Bungkal
2 Anis Susanti 3519125602950004 Triono Taman Puspa raya ruko c/01
3 Silviani 3578316604950001 Roni Made barat 1/2
4 Sri Wahyuni 3578145404830001 Ach. Sabit TSI DD NO 3
5 St Nur alawiyah 3519085955890003 Imam Banyu urip
6 Alfi Mawardah 3578314808010002 Nanang Klakahrejo
7 Eka Sucianti 3578315206930002 Fery Yulis Bringin
8 Warda Arrosyidah 3578305504980002 Ferly Raci no 9
9 Shofiatin 3524274207900001 Darmawan Tamjungsari no 35
10 Yeni Kurniawati 3572024418900002 Nurudin Dk. Sendang bulu 2/5
11 Widyaningsih 3525115511870002 Rengga Morowudi
12 Winarti 3524266010840001 Budianto Ngerung 01/03 cerme
13 Winda Novianti 3578275201910004 Afif Raya Morowudi 1/1
14 Nita Wahyuni 3578126106910001 Sunardi Wisma Sidojangkung Indah 15
15 Wiwin 3578305009670002 Heri Dk. Buran
16 Lalilatur Rohmah 3578316708970003 Faizal Lontar 2/2
17 Eni Alfiyah 3578307103860002 Rumadi Sidorejo 2/1
18 Putri Choirun 3578076611960001 Figo Aji Tengger rejo
19 Nuriyanah Budini 3515174210020003 Faisal Dk. Buran 2/2
20 Dian Agustini 3578315808960002 Andity Sidorejo pakal gg 3c/71
21 Fitri Nur Aini 3518100602970003 Asep Green menganti
22 Suliani Inggit 3525025803910003 Miftahul Hafif Dsn. Lawan ds kedungwangi
23 Nur Nimatus 3525084905920007 Usman hadi Kedamean
24 Rachmayanti W 3578274106930004 Nur rohma Donowati gg 2a/1
25 Tasya Diah 3525116004010001 M. Sahid Kandangan 1/2
26 Mega sari n 3578304411910001 M. Agus Pakal madya jaya 1/3
27 Khusnul Khotimah 3525136609940002 Nurul A Ngasinan 1 no 29
28 Endah winarti 3525024412860001 Eko Doho agung balongpanggang
29 Antik Khomariyah 3578665012940003 Miranul Fikri Sememi kidul 01/04
30 Melani Wulan 3578305709950001 Dani Sidorejo
31 Siti nur ilmiyah 3525137011950001 nuryanto kembangan kedamean
32 Maudi permata 3578304809950002 ria hariyanto babat
33 Rochmatul Laily 3524254510830002 Komarudin Gundih 1/23A
34 Ika Dewi Khinant 3578195908840002 Aries Arianto Sememi jaya utara 3/66
35 Samiah 3578275304840001 Rubianto Pengalangan
36 Dessy Sylviana 3578317112920001 Rizky Sambiarum Lor 54D
37 Yuliastri 3578044507800011 Rio Indra Mangkunegoro 2A
38 Titis Ayu W 3525135710930001 Andri Domas 4/2
39 Avin Cahyaningrum 3578166501950004 Dadang Bendil
40 Evi Yanti 3525046906970003 Ari Bulurejo 3/1 benjeng
41 Arista Citra 3578306208880002 Yadik Ardhi Pakal sumberan
42 Ade esa 3578315012970001 Rizal Lontar
43 Debora Angela 3578146705890003 Subagyo Bungkal
44 Fidya Rizky 9101016506980002 Shofi Dzikri Swan menganti park
45 Vivi Beta 3506225506940006 Irawan Candi lempung
46 Rummanah 3526174104880003 Marjam Bandarejo
47 Annisa Salsabila 3578315306000001 Ahmad Elfin Griya Surabaya Asri
48 Monica Angelina 3518074405000001 Teguh Menganti Swan Griya
49 Asrul Fitria 3578315207970001 Galih Made amd 4/3
50 Dwi Ayu Arta 3578086209940001 Anggun R Klakahrejo Lor gg V
51 Dwi Ajeng P 3578196105940001 Brilliant Kendung Jaya 4/35
52 Isharoh Aini 3525085 Fery Rejosari Baru gg 2
53 Sholikatun K 3525136712860001 Imron Kutil 4/1 gempolkurung
54 Dewi Pusparini 3525116607010004 Dimas Nugroho Griya Kencana menganti
55 Rina Aprilia 3578145004960001 Bagus Banjarsugihan
56 Mimi Jamilah 3578306909880002 B. Firdaus Raci 3/2
57 Dita Mayangsari 3508204506960001 Ridho Sawo blok AS 11menganti
58 Aisyah Dwijayanti 3578194612950002 M. Imam Griya Citra Asri
59 Eka Arunia 3578305806970001 Herwahyudi Jawu kidul 2/3
60 Feni Rusdiana 3578304405920001 Sukarlin Sidorejo
61 Angga Purbani 3578044606860012 M. Rosulun Amin Beton 05/02
62 Dwi Juliatin 3529034107910002 Rinaldo GSN Blok H NO 11
63 Siti Hadijah 3526182211960004 Rio Dwi Balongsari 6J/20
64 Sri Muryani 357406306800003 Hariyanto Tambak asri 29/66
65 Fanti Purnamasari 3525136611960003 Slamet Hulaan 15/7
66 Lusi Kurniawati 3525115501930001 Dasir Gurang wetan 3/1
67 Muarofah 3525134508930002 Ari Ngasinan
68 Fitri Saputri 3578316607920003 David Hadi GSN J 4/15
69 Nuri Agustin 3525046208870001 Davit Setiawan Simo pomahan
70 Arimbi Desita 3525134312860013 Ginanjar Balong dinding gg makam 4
71 Aminatus Sakdiyah 3525136904960004 Nevian Bongso wetan
72 Firmaningsih 3373016207910001 Rizqy Taman siwalan indah
73 Hermiati 3578195003790002 Eko Joko Asrama brimob klakahrejo
74 Kartika Rizqiyah 3578190804120001 Anis Sememi 2/4
75 Siti Hoaimi 3578146703990001 Didi suprianto Pengalangan 9/3
76 Suci Tresnawati 3525044810920002 Suwito Kedung Glugu 2/1 kedung rukem
77 Andita Devi 3525136110920002 Suparman Drancang
78 Elya Indriani 3578096811970001 Avesena Pakal timur baru
79 Trisna Fetty 3519103306930001 Imam Pratama Simo kandangan 1/28
80 Solikatun Nisa 3525116109930001 Supriyanto Kandangan 02/02
81 Meinovitasari 3525045405930002 M. Edy Gluran ploso
82 Linda Chuswatin Darno Kauman Asri 1/48
83 Nurul M.Junaidi Raci Stadion
84 Tri Widyaningsih M.Nur Kholis Kandangan Gunung no.4
85 Aulia Putri Andi Eka Bongso wetan 14/08
86 Siti Mutmainah Junaidi Tanjung Sari Gg 4/68
87 Riza Umaroh Aryo Anggara Dk.Bungkal
88 Marsya Natasya Galang Tuwono 3F/10
89 Kusmiati Sutomo Perum Green Menganti
90 Lufiani Safuri Jl.Raya Gadel Timur
91 Agustin Andriana Rizal Perum BPH L1/05
92 Riza Umami Wahyu Sememi
93 Annisa Rose Arif Kricak karangan kidul benjeng
94 Nur Wijayanti M. Zainal Wringin kurung
95 Nunuk Sri rahayu Amir Dk. Buran babat jerawat
96 Yayang Ega Surya Yoga Kendung rejo 6/31
97 Quratul Ayuni Vicky Arisandi Dk. Sumberejo 1
98 Fitriah Teguh Hendrosari
99 Ida Purwatining Mujib Bandut 12/6
100 Ellita Septia Ardian Kendung jaya 6/64
101 Dianda Wulan Ardika Ngablak rejo 6/2
102 Kurniawati Adi Benowo tegal
103 Suyati Arista M. Andrian Sidowungu
104
105 Fitri Anggaryani M. Ismail Balongsari praja 2/3
106 Nunung sri rahayu Puguh Kendung jaya 6B/03
107 Siti Nur Aisah Mulyadi Lempung mulya
108 Tika Alimawan Ali Veteran pakal no 51
109 Lilis Novianah Ahmad soni Hendrosari
110 Syafitri Novida Agus Sambiarum lor
111 Nur Aida Andik Balongsari 5
112 Windi Ayu Ahmad Kutil 5/1
113 Umi Khanifah Rendi Ngasinan 2/7
114 Indah Wahyu Wahyu Wringin kurung
115 Iva Rokhmawati Deddy A Benowo 4/1
116 Riana Tri Susiono PCI F 1/4
117 Titik Susanti M. Hadi Pelemwatu
118 Maulidur Rohmah Ervananda Bandarejo 2
119 Kiki Aulia A. Zainuri Rejosari
120 Dany Imanina Ahmadi Beji PDAM
121 Fatin Awanis Ahmad Dk. Sumberejo 1
122 Dewi Nur Indah Farid Bendul perintis 2/6
123 Rachel Silvia Rio Gadukan utara
124 Ariyani Syaiful Hendrosari 5/02
125 Isa Indah wati Joko S Hendrosari
126 Roikhana Triono Perum Lestari Indah
127 Emma Silviana Wahyu Manukan Asri
128 Marni Sutikno Beji gg 4
129 Diah Ayu Tomi Andriansyah Kecipik 04/02
130 Siti Mauidhotul Buyung Tengger rejo mulyo
131 Noor Farida Humaidi Bandarejo tama 1
132 Almiranti Surya purnama Wisma tengger 4 no 24
133 Nur Laili Rahmad Pakal mulyo no 5
134 Yeni Rachmawati Dwi agus Sememi
135 Luluk Wahyuning Andi Klagen 10/3
136 Noviliani Eka Adetya DK. Jerawat 7 no 46
137 Ghitha Putri Teguh DK. Kalijaran
138 Umi Kulsum Husein Kepatihan 3/1
139 Dewi ernawati M.Fatoni putat lor
140 Hidayati Ilmiyah M.Imron kepatihan
141 Dini Eka P Helmi Putra wesin kurung
142 IIN Diani Sabdo Bringin Indah no 39
143 Eva Sri Agustina Hendrik manukan kasman 98A
145 Fitri Nuryanti Agus rejosen pesantren
146 Rini Widyanita Ahmad Syaiful kepang krajan kidul
147 Frida Dewi Mario Raya Benowo 2B
148 Ari Rofiah imam sawah pulo
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
LAPORAN BULANAN PERSALINAN RSI DARUS SYIFA' SURABAYA
BULAN AGUSTUS 2022

UMUR TANGGAL
G….P…. UK
IBU PERSALINAN

6 7 8 9
20 G1P00000 38mg/T/H+Inp. Fase laten+KPD 38 MGG 8/1/2022
27 G3P20002 38mg/T/H+Inp. Fase laten+Oligo+Gagal OD 38 MGG 8/2/2022
27 G1P00000 38mg/T/H+Inp. Fase laten+KPD 38 MGG 8/2/2022
39 G5P40004 40mg/T/H+Inp. Fase aktif 40 MGG 8/2/2022
33 G3P20002 39mg/T/H+Inp. Fase laten+KPD+HBS ag 39 MGG 8/3/2022
21 G1P00000 38mg/T/H+Oligo+Gagal OD+ERACS 38 MGG 8/4/2022
29 G1P00000 39mg/T/H+PE+Obesitas 39 MGG 8/4/2022
24 G1P00000 40mg/T/H+Oligo+ERACS 40 MGG 04/08/2022
32 G2P10001 38mg/T/H+BSC+Letak Obligh+ERACS 38 MGG 8/4/2022
33 G2P10001 38mg/T/H+Letsu+PE+Hemoroid gr 3+ERACS 38 MGG 8/4/2022
35 G3P10011 38mg/T/H+Inp. Fase laten+KPD+NST Patol+ERACS 38 MGG 8/4/2022
38 G3P20002 38mg/T/H+PE+Letli+Usia >35 TH+MOW 38 MGG 8/5/2022
31 G2P10001 38mg/T/H+BSC+HT Kronis 38 MGG 8/5/2022
31 G3P10011 38mg/T/H+BSC+CPD+Obligh 38 MGG 8/5/2022
35 G4P30003 37mg/T/H+BSC+MOW 37 MGG 8/5/2022
25 G2P10001 37mg/T/H+BSC+Obligh+Malnutrisi 37 MGG 8/6/2022
36 G2P10001 36mg/T/H+BSC+KPP 36 MGG 8/7/2022
26 G1P00000 39mg/T/H+Inp. Fase laten+KPP 39 MGG 8/6/2022
20 G2P10001 39mg/T/H+BSC<2th+ERACS 39 MGG 8/7/2022
26 G2P10001 38mg/T/H+Inp. Fase aktif+KPD 38 MGG 8/7/2022
25 G1P00000 38mg/T/H+Oligo+Skoliosis 38 MGG 8/8/2022
31 G3P10011 38mg/T/H+BSC+SBR tipis 38 MGG 8/8/2022
30 G3P20002 38mg/T/H+BSC+PE+MOW 38 MGG 8/8/2022
29 G1P00000 38mg/T/H+PE+Obesitas+Anemia 38 MGG 8/8/2022
21 G1P00000 40mg/T/H+KPD+Inp. Fase laten 40 MGG 8/9/2022
31 G3P10011 38mg/T/H+BSC+Letli+ERACS 38 MGG 8/9/2022
28 G1P00000 39mg/T/H+Floating head+Oligo 39 MGG 8/9/2022
36 G2P10001 37mg/T/H+BSC+Plasenta lateralis 37 MGG 8/9/2022
28 G2P10001 39mg/T/H+BSC<2th 39 MGG 8/9/2022
27 G1P00000 38mg/T/H+KPP+Inp. Fase laten 38 MGG 8/9/2022
27 G2P10001 38 mg/T/H+Inp. Kala 2 38 MGG 8/9/2022
27 G1P00000 38 mg/T/H +PE+Oligo 38 MGG 8/10/2022
39 G3P20002 38mg/T/H+Haemoroid+MOW 38 MGG 8/10/2022
38 G4P30003 38mg/T/H+KPD+KEK+IUGR 38 MGG 8/9/2022
38 G4P30003 37mg/T/H+KPP+Usia >35TH 37 MGG 8/10/2022
30 G2P10001 38mg/T/H+PE+Letli 38 MGG 8/10/2022
39 G3P20001 38mg/T/H+BSC+Obligh 38 MGG 8/10/2022
29 G1P00000 38mg/T/H+Oligo+R.Asma 38 MGG 8/11/2022
27 G1P00000 39mg/T/H+Letli+lilitan tali pusat 39 MGG 8/11/2022
25 G2P00010 38mg/T/H+PE+Polihidramnion 27,9 38 MGG 8/11/2022
34 G4P10001 38mg/T/H+BSC 38 MGG 8/11/2022
25 G1P00000 40mg/T/H+Oligo 40 MGG 8/11/2022
33 G6P20032 39mg/T/H+Letak Obligh/MOW 39 MGG 8/11/2022
24 G1P00000 39mg/T/H+Inp. Fase aktif 39 MGG 8/11/2022
28 G2P10001 39mg/T/H+Inp. Fase aktif 39 MGG 8/11/2022
34 G2P10001 39mg/T/H+Inp. Fase laten+letsu 39 MGG 8/12/2022
22 G1P00000 39mg/T/H+APB+Plasenta Marginalis 39 MGG 8/12/2022
22 G1P00000 38mg/T/H+Oligo+APS SC 38 MGG 8/12/2022
25 G1P00000 39mg/T/H+Inp. Fase laten+KPD 39 MGG 8/14/2022
28 G3P10011 38mg/T/H+KPP+PE+Inp. Fase laten 38 MGG 8/14/2022
28 G2P10001 38mg/T/H+Oligo+Letsu+Inp. Fase laten 38 MGG 8/14/2022
21 G1P00000 39mg/T/H+Inp. Fase aktif 39 MGG 8/13/2022
36 G2P10001 38mg/T/H+PE+BSC 38 MGG 8/15/2022
21 G1P00000 37mg/T/H+Oligo+PE 37 MGG 8/15/2022
26 G1P00000 38mg/T/H+High Miopi+PE 38 MGG 8/15/2022
34 G4P20012 38mg/T/H+BSC2X+MOW 38 MGG 8/15/2022
25 G1P00000 39mg/T/H+KPD+HBS AG+Inp. Fase laten 39 NGG 8/16/2022
27 G1P00000 38mg/T/H+Letak Obligh+Obesitas 38 MGG 8/15/2022
25 G2P10001 38mg/T/H+BSC+Obligh 38 MGG 8/15/2022
30 G1P00000 40mg/T/H+High miopi+plasenta letak rendah 40 MGG 8/15/2022
36 G4P10021 37mg/T/H+Oligo+KPP+BSC 37 MGG 8/16/2022
31 G4P20012 38mg/T/H+BSC2th+MOW 38 MGG 8/16/2022
25 G2P00010 38mg/T/H+Letak Obligh+Oligo 38 MGG 8/16/2022
42 G2P10001 40mg/T/H+Oligo+Gagal OD 40 MGG 8/17/2022
26 G2P10001 38mg/T/H+BSC+Letak lintang+Anemia 38 MGG 8/16/2022
29 G3P20002 38mg/T/H+BSC2X+MOW 38 MGG 8/16/2022
29 G2P10001 38mg/T/H+Letli+lilitan tali pusat+KPP 38 MGG 8/17/2022
30 G2P10001 38mg/T/H+BSC+Letak Obligh 38 MGG 8/17/2022
35 G7P20042 38mg/T/H+BSC2X+Letak Obligh 38 MGG 8/17/2022
36 G4P30002 38mg/T/H+BSC<2th 38 MGG 8/17/2022
26 G1P00000 40mg/T/H+CPD+HBS AG 40 MGG 8/17/2022
31 G1P00000 38mg/T/H+Obligh 38 MGG 8/17/2022
43 G3P20002 38mg/T/H+PE+Usia>40th+MOW 38 MGG 8/18/2022
36 G3P11002 38mg/T/H+BSC+PE+MOW 38 MGG 8/18/2022
23 G2P10001 38mg/T/H+BSC+HT Kronis 38 MGG 8/18/2022
30 G2P10001 38mg/T/H+BSC+Obligh+PE 38 MGG 8/18/2022
30 G3P10011 40mg/T/H+PE 40 MGG 8/18/2022
25 G1P00000 38mg/T/H+Oligo+gagal OD+Anemia 38 MGG 8/19/2022
29 G2P10001 39mg/T/H+BSC+Inp. Fase laten 39 MGG 8/18/2022
29 G2P10001 38mg/T/H+BSC+CPD 38 MGG 8/19/2022
29 G1P00000 38mg/T/H+Obligh+CPD+Anemia 38 MGG 8/19/2022
34 G4P30003 37mgg/T/H/BSC 2x+PE+MOW 37 MGG 8/19/2022
30 G4P30003 38mgg/T/H/BSC+Oblgh+MOW+ERACS 38 MGG 8/19/2022
27 G1P00000 38mgg/T/H/Oligo+gagal OD 38 MGG 8/19/2022
21 G1P00000 40mgg/T/H/Lilitan TP+Oligo+Anemia+ERACS 40 MGG 8/20/2022
30 G2P10001 38mgg/T/H+BSC+Lilitan TP+PE 38 MGG 8/20/2022
27 G3P10011 38mgg/T/H+BSC+SBR Tipis 38 MGG 8/20/2022
17 G1P00000 38mgg/T/H+Inpartu fase laten+KPP 38 MGG 8/20/2022
37 G4P30003 38mgg/T/H+BSC+Anemia+HBSAg+MOW+ERACS 38 MGG 8/20/2022
36 G3P20002 38mgg/T/H+Inpartu fase aktif 38 MGG 8/20/2022
35 G3P20002 38mgg/T/H+BSC+Letak Lintang+MOW+MR trivia 38 MGG 8/20/2022
23 G1P00000 39mg/T/H+Inp. Fase laten 39 MGG 8/21/2022
28 G3P10011 39mg/T/H+BSC+IUGR+Obligh+ERACS 39 MGG 8/20/2022
31 G2P10001 38mg/T/H+BSC+Letli 38 MGG 8/20/2022
30 G3P20002 38mg/T/H+BSC2X+MOW 38 MGG 8/20/2022
24 G1P00000 40mg/T/H+Oligo+lilitan tali pusat 40 MGG 8/20/2022
23 G1P00000 39mg/T/H+Inp. Fase aktif+KPP 39 MGG 8/20/2022
35 G2P10001 38mg/T/H+KPD 38 MGG 8/21/2022
30 G4P20012 38mg/T/H+KPD+R. Hipertiroid 38 MGG 8/21/2022
26 G1P00000 38mg/T/H+KPP 38 MGG 8/21/2022
23 G1P00000 38mg/T/H+KPP+Gagal OD 38 MGG 8/22/2022
22 G2P10001 37mg/T/H+BSC<2th 37 MGG 8/21/2022
20 G1P00000 38mg/G/H+Gemeli+PE+Letli 38 MGG 8/22/2022
8/22/2022
38 G6P30023 38mg/T/H+PE+Usia>35TH+lilitan tali pusat+IUD 38 MGG 8/22/2022
40 G4P30003 37mg/T/H+BSC 37 MGG 8/23/2022
32 G3P10011 38mg/T/H+BSC+Letak obligh+anemia+MOW 38 MGG 8/23/2022
23 G1P00000 38mg/T/H+Oligo 38 MGG 8/23/2022
29 G2P10001 38mg/T/H+BSC+obligh+eracs 38 MGG 8/23/2022
26 G3P20002 37mg/T/H+BSC2X 37 MGG 8/23/2022
40 G3P20002 38mg/T/H+BSC+MOW 38 MGG 8/23/2022
30 G4P10021 38mg/T/H+APS SC 38 MGG 8/23/2022
28 G3P10011 38mg/T/H+KPD 38 MGG 8/23/2022
28 G2P10001 40mg/T/H+Secondary arest+Makrosomia 40 MGG 8/23/2022
40 G4P21002 39mg/T/H+BSC2X+Letli+APB+ERACS+Histerektomi 39 MGG 8/24/2022
39 G3P20002 38mg/T/H+Plasenta previa+MOW 38 MGG 8/24/2022
31 G3P20001 39mg/T/H+Prolong fase aktif+hemoroid 39 MGG 8/23/2022
26 G1P00000 40mg/T/H+PE+KPP 40 MGG 8/24/2022
27 G2P10001 36mg/T/H+KPP+BSC 36 MGG 8/24/2022
28 G2P10001 37mg/T/H+BSC<2th 37 MGG 8/24/2022
20 G1P00000 38mg/T/H+Inp. Fase aktif 38 MGG 8/24/2022
31 G3P20002 38mg/T/H+Letak kaki+Oligo berat++ERACS+Anemia 38 MGG 8/25/2022
28 G5P30013 38mg/T/H+Letli+BSC+MOW 38 MGG 8/25/2022
29 G2P10001 37mg/T/H+Oligo+BSC 37 MGG 8/26/2022
35 G2P10001 39mg/T/H+KPD 39 MGG 8/25/2022
36 G1P00000 38mg/T/H+PE 38 MGG 8/26/2022
25 G1P00000 38mg/T/H+PE+lilitan tali pusat 38 MGG 8/26/2022
36 G2P10001 37mg/T/H+PE+KPP+Obligh 37 MGG 8/26/2022
30 G3P10011 38mg/T/H+BSC+SBR tipis+ERACS 38 MGG 8/27/2022
34 G2P10001 38mg/T/H+BSC+Letli 38 MGG 8/27/2022
42 G4P10021 38mg/T/H+KPD+Usia >40th 38 MGG 8/27/2022
26 G1P00000 38mg/T/H+Letak obligh+lilitan tali pusat 38 MGG 8/27/2022
30 G4P20012 38mg/T/H+BSC2X+MOW 38 MGG 8/27/2022
38 G4P20012 37mg/T/H+KPP+PE+Prolong fase laten+MOW 37 MGG 8/27/2022
27 G2P10001 38mg/T/H+PE 38 MGG 8/28/2022
28 G3P10011 39mg/T/H+Oligo 39 MGG 8/28/2022
24 G1P00000 38mg/T/H+Oligo 38 MGG 8/28/2022
23 G1P00000 39mg/T/H+KPD+Inp. Fase laten 39 MGG 8/28/2022
28 G3P20002 38 MGG/T/H/BSC 2X +MOW 38 MGG 8/28/2022
22 G1P00000 39 MGG T/H +INPARTU KALA 1+KPD +PE 39 MGG 8/29/2022
25 G2P10001 38mg/T/H+BSC 3 TH +KPP 38 MGG 8/29/2022
25 G1P00000 39 MGG T/H +INPARTU FASE LATEN+KPD 39 MGG 8/29/2022
38 G3P20002 38mg/T/H+Usia > 35 th+hemoroid 38 MGG 8/29/2022
31 G2P10001 38mg/T/H+ inpartu fase laten + pe + kpd 38 MGG 8/30/2022
33 G2P10001 38mg/T/H+ inpartu fase laten + PER 38 MGG 8/30/2022
36 G2P10001 39mg/T/H+BSC 3 TH +KPP 39 MGG 8/30/2022
31 G2P10001 30mg/T/H+IUFD 30 MGG 8/31/2022
JENIS PERSALINAN JK BAYI MATERNAL
GEMELLI BAYI 2, Rujukan
TUNGGAL BAYI 1 H M H M
1 ≥2 dst
10 11 12 13 14 15 16 17 18
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ P √ √ IGD
√ P √ √ POLI
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ L √ √ POLI
√ L √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ POLI
√ P √ √ POLI
L IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ POLI
√ P √ √ IGD
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ L √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ POLI
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ POLI
√ L √ √ POLI
√ P √ √ POLI
√ L √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ P √ √ POLI
√ L √ √ POLI
√ P √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ P √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ P √ √ POLI
√ L √ √ POLI
√ P √ √ IGD
√ P √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ L √ √ POLI
√ P √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ P √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ POLI
√ P √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ POLI
√ L √ √ IGD
√ L √ √ IGD
√ P √ √ IGD
√ P √ √ POLI
√ L √ √ IGD
√ P √ √ IGD
√ L √ √
√ √ √

√ √ √
Penolong BB/PB/A-S Ket

dr.Iman Sp.OG 2900/51/8-9


dr.Rini Sp.OG 3000/49/8-9
dr.Iman Sp.OG 2800/48/8-9
dr.Rini Sp.OG 3300/51/8-9
Rindi/dr.Iman Sp.OG 3000/50/8-9
dr.Rini Sp.OG 4000/51/8-9
dr.Iman Sp.OG 2900/50/8-9
dr.Iman Sp.OG 2800/48/8-9
dr.Iman Sp.OG 2800/48/8-9
dr.Iman Sp.OG 2800/48/7-8
dr.Rini Sp.OG 3400/50/8-9
dr.Iman Sp.OG 3100/49/8-9
dr.Iman Sp.OG 2800/48/8-9
dr.Iman Sp.OG 3200/49/8-9
dr.Rini Sp.OG 3100/50/8-9
dr.Iman Sp.OG 2600/47/8-9
dr.Rini Sp.OG 1900/45/8-9
dr.Rini Sp.OG 2200/48/7-8
dr.Rini Sp.OG 2700/49/8-9
Rindi/dr.Rini Sp.OG 3000/50/8-9
dr.Rini Sp.OG 3000/49/8-9
dr.Iman Sp.OG 3400/50/8-9
dr.Iman Sp.OG 2900/48/8-9
dr.Iman Sp.OG 2800/49/8-9
dr.Rini Sp.OG 3700/50/8-9
dr.Iman Sp.OG 2900/50/8-9
dr.Iman Sp.OG 3100/51/8-9
dr.Iman Sp.OG 3200/51/8-9
dr.Iman Sp.OG 3000/50/8-9
Nila/dr.Iman Sp.OG 3200/50/8-9
Nila/dr.Iman Sp.OG 2600/48/8-9
dr.Iman Sp.OG 2800/47/8-9
dr.Iman Sp.OG 3000/49/8-9
Maslaha/dr.Rini Sp.OG 2700/48/8-9
dr.Iman Sp.OG 3200/51/8-9
dr.Iman Sp.OG 2900/49/8-9
dr.Iman Sp.OG 3200/50/8-9
dr.Iman Sp.OG 3000/49/8-9
dr.Iman Sp.OG 3500/51/8-9
dr.Iman Sp.OG 3300/49/8-9
dr.Iman Sp.OG 3100/49/8-9
dr.Rini Sp.OG 3000/49/8-9
dr.Rini Sp.OG 3400/50/8-9
Solihah/dr.Rini Sp.OG 3200/50/8-9
Maria/dr.Iman Sp.OG 3700/50/8-9
dr.Rini Sp.OG 3400/49/8-9
dr.Rini Sp.OG 3000/50/8-9
dr.Rini Sp.OG 2800/48/8-9
dr.Rini Sp.OG 2600/48/8-9
Lisa/dr.Iman Sp.OG 3300/51/8-9
Rizka/dr.Rini Sp.OG 2900/50/8-9
Maria/dr.Iman Sp.OG 3300/50/8-9
dr.Iman Sp.OG 2400/48/8-9
dr.Rini Sp.OG 2500/48/8-9
dr.Iman Sp.OG 2900/49/8-9
dr.Iman Sp.OG 2800/48/8-9
Rizka/dr.Iman Sp.OG 2800/49/8-9
dr.Iman Sp.OG 3400/50/8-9
dr.Iman Sp.OG 2600/48/8-9
dr.Iman Sp.OG 3600/51/8-9
dr.Iman Sp.OG 2400/45/8-9
dr.Iman Sp.OG 3400/48/8-9
dr.Rini Sp.OG 2800/48/8-9
dr.Iman Sp.OG 3200/51/8-9
dr.Iman Sp.OG 3000/50/8-9
dr.Rini Sp.OG 3100/50/8-9
dr.Iman Sp.OG 3100/51/8-9
dr.Iman Sp.OG 2800/48/8-9
dr.Iman Sp.OG 3400/51/8-9
dr.Iman Sp.OG 3300/51/8-9
dr.Rini Sp.OG 3000/50/8-9
dr.Rini Sp.OG 3100/50/8-9
dr.Iman Sp.OG 3100/49/8-9
dr.Iman Sp.OG 3200/50/8-9
dr.Iman Sp.OG 2800/48/8-9
dr.Iman Sp.OG 3400/50/8-9
dr.Iman Sp.OG 3600/50/8-9
dr.Rini Sp.OG 2900/48/8-9
dr.Rini Sp.OG 3000/49/8-9
dr.Iman Sp.OG 2900/48/8-9
dr.Iman Sp.OG 2700/47/8-9
dr.Iman Sp.OG 4300/52/8-9
dr.Iman Sp.OG 3400/51/8-9
dr.Rini Sp.OG 3200/50/8-/9
dr.Iman Sp.OG 3000/48/8-9
dr.Iman Sp.OG 3200/50/8-9
dr.Iman Sp.OG 2600/48/8-9
Niar/dr.Iman,Sp.OG 2500/46/8-9
dr.Iman Sp.OG 3100/51/8-9
Laha/dr.Iman,Sp.OG 3600/51/8-9
dr.Iman Sp.OG 3000/49/8-9
Rizka/dr.Iman Sp.OG 3600/48/8-9
dr.Iman Sp.OG 2900/48/8-9
dr.Iman Sp.OG 3000/50/8-9
dr.Iman Sp.OG 2700/47/8-9
dr.Iman Sp.OG 2800/48/8-9
dr.Iman Sp.OG 3000/49/8-9
dr.Rini Sp.OG 3300/48/8-9
Likha/dr.Iman Sp.OG 3000/47/8-9
Rizka/dr.Rini Sp.OG 3880/52/8-9
dr.Iman Sp.OG 2900/48/7-8
dr.Rini Sp.OG 3000/48/8-9
dr.Iman Sp.OG 2400/48/8-9
dr.Iman Sp.OG 2300/47/8-9
dr.Iman Sp.OG 2800/48/8-9
dr. Danu Sp.OG 3000/50/8-9
dr.Rini Sp.OG 2900/49/8-9
dr.Rini Sp.OG 3200/50/8-9
dr.Iman Sp.OG 2800/49/8-9
dr.Rini Sp.OG 2500/47/8-9
dr.Iman Sp.OG 2900/49/8-9
dr.Rini Sp.OG 3000/49/8-9
dr.Rini Sp.OG 3000/50/8-9
dr.Iman Sp.OG 3800/51/8-9
dr.Rini Sp.OG 2700/47/8-9
dr.Iman Sp.OG 2800/47/8-9
dr.Iman Sp.OG 3200/50/8-9
dr.Iman Sp.OG 3300/50/8-9
dr.Iman Sp.OG 2400/45/8-9
dr.Rini Sp.OG 3100/49/8-9
Nylla/dr.Iman Sp.OG 2800/50/8-9
dr.Iman Sp.OG 2700/46/8-9
dr.Iman Sp.OG 3400/50/8-9
dr.Iman Sp.OG 2800/47/8-9
dr.Rini Sp.OG 3400/50/8-9
dr.Iman Sp.OG 2600/47/8-9
dr.Iman Sp.OG 3300/49/8-9
Likha/dr.Rini Sp.OG 3000/50/8-9
dr.Iman Sp.OG 2800/48/8-9
dr.Iman Sp.OG 3000/50/8-9
dr.Iman Sp.OG 2800/48/8-9
dr.Iman Sp.OG 2900/49/8-9
dr.Iman Sp.OG 2900/49/8-9
dr.Rini Sp.OG 3000/50/8-9
dr.Rini Sp.OG 3200/50/8-9
dr.Rini Sp.OG 3300/50/8-9
dr.Rini Sp.OG 3000/49/8-9
Rizka/dr.Iman Sp.OG 2700/47/8-9
dr.Rini Sp.OG
Likha/dr.Rini Sp.OG 2800/48/8-9
dr.Iman Sp.OG 4000/52/8-9
dr.Iman Sp.OG 3200/49/8-9
dr.Iman Sp.OG 3000/50/8-9
dr.Iman Sp.OG 2900/50/8-9
dr.Rini Sp.OG 2800/48/8-9
dr.Iman Sp.OG 2300/46/8-9
dr.Iman Sp.OG

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