REKAPITULASI PELAYANAN ANC PESERTA BPJS KESEHATAN

UPT PUSKEMAS LASEM KABUPATEN REMBANG

BULAN JUNI TAHUN 2022

NO NAMA PESERTA NOMOR KARTU ALAMAT NO TELPON GPA USIA KEHAMILAN TGL PELAYANAN JENIS PELAYANAN BESARAN TARIF
1 EKA WIDIANITA 586798468 Drk 2/1 81285575818 G9P8A0 32MG 6/3/2022 ANC III Rp50,000
2 CHILYATUL MASRUROH 585364522 NGARGO 1/1 82137781169 G1P0A0 28MG 6/6/2022 ANC III Rp50,000
3 TARIYATI 2580767954 JLT 16/7 85226164270 G4P2A1 32MG 6/6/2022 ANC III Rp50,000
4 TUMIATI 1024377737 K GEDE 6/2 81327711831 G2P1A0 34MG 6/6/2022 ANC III Rp50,000
5 SUSILOWATI 585971245 DRK 12/5 89619612176 G2P1A0 32MG 6/6/2022 ANC III Rp50,000
6 CHUSNUL CHOTIMAH 2204377841 SBG 2/2 85226162310 G4P3A0 37MG 6/6/2022 ANC IV Rp50,000
7 SRI PURWATI 584258196 SLP 1/4 G4P2A1 32MG 6/6/2022 ANC III Rp50,000
8 RIKE NUR SAFITRI 583740999 DRK 12/5 81225998579 G1P0A0 36MG 6/8/2022 ANC III Rp50,000
9 SILVI DWIANITA 586619548 BBG 2/1 87814455195 G2P1A0 18MG 6/8/2022 ANC II Rp50,000
10 VIVI RAHMAYANI 585359583 SLP 1/6 82242027468 G2P0A1 18MG 6/8/2022 ANC II Rp50,000
11 UMI DZURIYAH M 2222819976 DRK 2/1 82313722678 G1P0A0 32MG 6/8/2022 ANC IV Rp50,000
12 RATNA DIAR RIKIA 1698284204 SBG 1/5 G4P3A0 37MG 6/10/2022 ANC IV Rp50,000
13 DEWI WULANDARI 584808118 G MULYO 3/3 85226354789 G3P2A0 34MG 6/11/2022 ANC III Rp50,000
14 NABILLA F 3270330854 NGPL2/5 81237522001 G1P0A0 35MG 6/11/2022 ANC III Rp50,000
15 SITI FATIMAH 2580045658 K GEDE 3/1 81932555372 G3P2A0 36MG 6/11/2022 ANC IV Rp50,000
16 MUKHOLIFAH 3132783033 GOWAK 6/3 85786477433 G2P1A0 37MG 6/13/2022 ANC III Rp50,000
17 SRI WIGATI 584405122 K GEDE 2/2 85226498240 G3P2A0 15MG 6/15/2022 ANC II Rp50,000
18 SRI EVA YULIANI 585132118 JLT 14/06 82325066708 G3P2A0 38MG 6/15/2022 ANC III Rp50,000
19 FITRI ANGGRAENI 2577437199 GDM 2/4 85691295367 G1P0A0 12MG 6/15/2022 ANC I Rp50,000
20 JULAENA 585980032 SDCYO 4/2 85325202577 G2P1A0 33MG 6/15/2022 ANC III Rp50,000
21 NUR CHOIDAH 583915083 KAJAR 9/3 83186245467 G3P2A0 21MG 6/15/2022 ANC II Rp50,000
22 RUMIYANA 2700302477 SBG 1/8 81226589228 G2P1A0 22MG 6/15/2022 ANC II Rp50,000
23 SITI FARKANAH 585765641 SBG 3/7 8154869633 G3P1A1 13MG 6/15/2022 ANC II Rp50,000
24 YUNANIK 1542241438 DSN 3/1 81230353937 G4P2A1 24MG 6/17/2022 ANC II Rp50,000
25 NURUL MUSTOFIAH 2857084209 SRIOMBO 8/4 8522649258 G4P3A0 32MG 6/18/2022 ANC III Rp50,000
26 NA'IMAH 2345070442 JLT 16/7 87826999159 G5P3A1 38MG 6/18/2022 ANC IV Rp50,000
27 SITI ZAKIYAH 2799661048 JLT 8/4 89654525040 G3P2A0 36MG 6/18/2022 ANC IV Rp50,000
28 SUSILOWATI 585971245 DRK 12/5 89619612176 G2P1A0 34MG 6/20/2022 ANC IV Rp50,000
29 SHINTA DWI 584732136 K GEDE 9/3 G1P0A0 29MG 6/20/2022 ANC III Rp50,000
30 WIWIK SAFITRIANI 1693696623 S ASRI 9/3 G3P2A0 33MG 6/20/2022 ANC III Rp50,000
31 KAMIYATI 585310871 S.ASRI 6/2 85934925313 G3P2A0 32MG 6/20/2022 ANC IV Rp50,000
32 SETYANINGSIH 585944774 DRK 5/2 89638471983 G1P0A0 22MG 6/20/2022 ANC II Rp50,000
33 MAR'ATUS SOLIKAH 2618110686 SBG 3/2 82227015245 G2P1A0 11MG 6/20/2022 ANC I Rp50,000
 REKAPITULASI PELAYANAN ANC PESERTA BPJS KESEHATAN
UPT PUSKEMAS LASEM KABUPATEN REMBANG
BULAN NOVEMBER TAHUN 2022
NO NAMA PESERTA NOMOR ALAMAT NO GPA USIA TGL JENIS BESARAN
KARTU TELPON HAMIL PELAYANAN PELAYANAN TARIF
1 Nana Khumaidah 2577442228 sbg 1/3 G3P2A0 12mg 11/2/2022 Anc I Rp50,000
2 Nur Azizah 92319939 K Gede 8/3 82228117007 G3P2A0 17mg 11/2/2022 Anc II Rp50,000
3 Ariza Utami 586591479 bbg 895322332557 G1P0A0 32mg 11/2/2022 Anc III Rp50,000
4 Ulul Ika 2190004053 slp 3/2 82322082984 G1P0A0 9mg 11/2/2022 Anc I Rp50,000
5 Silviya Ningrum 585054876 Dsn 3/1 85156442283 G1P0A0 33mg 11/2/2022 Anc III Rp50,000
6 Khoeroh P 585756369 Dsn 3/1 82111783601 G1P0A0 34mg 11/2/2022 Anc IV Rp50,000
7 Muharti 5859314554 sdcyo 1/1 82327289049 G2P1A0 28mg 11/5/2022 Anc III Rp50,000
8 Musriyanah 5855655435 Gdm 5 /1 83843125522 G2P1A0 35mg 11/5/2022 Anc IV Rp50,000
9 Puput W 1812787593 Gdm 4/3 81215181727 G1P0A0 33mg 11/7/2022 Anc IV Rp50,000
10 devi nur 585920957 Slp 895383114449 G1P0A0 33mg 11/7/2022 Anc III Rp50,000
11 Sofiah 3056744968 Sdcy 1/3 82324731791 G1P0A0 14mg 11/7/2022 Anc II Rp50,000
12 Atika 2702388813 sbg 2/4 895342411515 G1P0A0 9mg 11/7/2022 Anc I Rp50,000
13 Istiqomah 1024397054 sdt 7/4 85228910912 G3P2A0 15mg 11/7/2022 Anc II Rp50,000
14 Kartini 1822454537 drk 2/1 895321633350 G4P2A1 13mg 11/9/2022 Anc II Rp50,000
15 Suprapti 586113671 gdm 2/3 83840971793 G5P4A0 13mg 11/9/2022 Anc II Rp50,000
16 St Farkhanah 585765641 sbg 3/7 G3P1A1 34mg 11/9/2022 Anc III Rp50,000
17 Syefa Royan 3192654069 sbg 2/8 82136764484 G1P0A0 33mg 11/9/2022 Anc IV Rp50,000
18 St Zubaidah 1024394409 sdt 10/1 85292961501 G2P1A0 15mg 11/9/2022 Anc II Rp50,000
19 Diyah Ayu 586235215 slp 3/4 89635981795 G1P0A0 32mg 11/12/2022 Anc III Rp50,000
20 Sely A 585222298 bin 1/1 895391307106 G1P0A0 35mg 11/12/2022 Anc III Rp50,000
21 Dwi Ratna 92195245 slp 3/1 85246343350 G1P0A0 34mg 11/12/2022 Anc III Rp50,000
22 Eni W 2207411278 sbg 2/7 89531346821 G3P2A0 34mg 11/14/2022 Anc III Rp50,000
23 Sulaikah 585803147 Gdm 4/1 81327865713 G4P3A0 13mg 11/14/2022 Anc II Rp50,000
24 Novy Dwi 1694480646 sd asri 7/2 83147313140 G1P0A0 9mg 11/14/2022 Anc I Rp50,000
25 St Saroh 585214918 bin 5/2 G5P4A0 11mg 11/14/2022 Anc I Rp50,000
26 Nufita S 1699080491 drk 88225101391 G2P1A0 18mg 11/14/2022 Anc II Rp50,000
27 Sukesi 585937337 sdcy 3/2 81228961386 G2P1A0 35mg 11/14/2022 Anc III Rp50,000
28 Lianawati 584564231 sd asri 7/2 G1P0A0 26mg 11/14/2022 Anc III Rp50,000
29 Nia Tri 2002911118 K Turi 6/4 82257649986 G4P1A2 32mg 11/14/2022 Anc III Rp50,000
30 Ana M 2067528778 sdt 7/4 89504819758 G1P0A0 34mg 11/16/2022 Anc IV Rp50,000
31 Aning S 585500163 gdm 1/2 89681373606 G1P0A0 13mg 11/16/2022 Anc II Rp50,000
32 Ninda M 2983761134 gdm 4/2 87726235344 G2P1A0 12mg 11/16/2022 Anc I Rp50,000
33 Sugiarti 2313307269 sbg 1/7 81229798989 G5P4A0 10mg 11/16/2022 Anc I Rp50,000
 REKAPITULASI PELAYANAN ANC PESERTA BPJS KESEHATAN
UPT PUSKEMAS LASEM KABUPATEN REMBANG
BULAN NOVEMBER TAHUN 2022
NOMOR NO USIA TGL
NO NAMA PESERTA ALAMAT GPA
KARTU TELPON HAMIL PELAYANAN
1 Syefa Royan 3192654069 sbg 2/8 82136764484 G1P0A0 33mg 11/9/2022
2 Dwi Ratna 92195245 slp 3/1 85246343350 G1P0A0 34mg 11/12/2022
3 Diyah Ayu 586235215 slp 3/4 89635981795 G1P0A0 32mg 11/12/2022
4 Puji S 2020485126 drk 1/1 81804113210 G3P2A0 33mg 11/19/2022
5 Lianawati 584564231 sd asri 7/2 G1P0A0 26mg 11/14/2022
6 Nufita S 1699080491 drk 88225101391 G2P1A0 18mg 11/14/2022
7 Siska Agustin 586586338 slp 3/2 G1P0A0 15mg 11/21/2022
8 Nur inayah 1872132592 Ngpl 4/1 G3P2A0 13mg 11/21/2022
9 Amaria Bella 585931689 bbg 12/4 857453161 G2P1A0 37mg 11/26/2022
10 Nikatun 585508533 sbg 2/2 82325997262 G2P1A0 15mg 11/25/2022
11 Mar'atus S 2618110686 Sbg 3/2 815615420 G2P1A0 34mg 11/23/2022
12 Murti'ah 1024385398 Sbg 2/8 85228400931 G4P3A0 35mg 11/28/2022
13 Nur Ana 2137354975 Gwk 6/3 81335132872 G1P0A0 10mg 11/28/2022
14 Fitriana 585341032 sdt 4/2 89512223796 G2P1A0 27mg 11/30/2022
15 Amalia Nur 584983045 sd asri 4/1 G2P1A0 32mg 11/28/2022
TAN
G

JENIS BESARAN
PELAYANAN TARIF
Anc IV Rp50,000
Anc III Rp50,000
Anc III Rp50,000
Anc III Rp50,000
Anc III Rp50,000
Anc II Rp50,000
Anc II Rp50,000
Anc III Rp50,000
Anc III Rp50,000
Anc II Rp50,000
Anc III Rp50,000
Anc III Rp50,000
Anc I Rp50,000
Anc III Rp50,000
Anc III Rp50,000