DATA RESTI IBU HAMIL

PUSKESMAS MRANGGEN II KEC. MRANGGEN

BULAN JANUARI 2017
NO Nama Bumil Umur Suami GPA Umur Kehamilan ALAMAT HPL JENIS KASUS
NGEMPLAK
1 MUTAITUL K 37 SUN HAJI 2,1,0 16MGG NGEMPLAK RT11 RW 1 20-6-17 P0S SC. HB ;9,2
2 JUMIRAH 36 ALI M 3,2,0 8MGG NGEMPLAK RT7RW2 28-8-17 JARAK , < 2TH
3 SOPIYATUN 37 ROMANI 3,2,0 8MGG NGEMPLAK RT2 RW1 20-4=-2017 FAKTOR USIA <35 TH

KARANGSONO
4 MUSLIKAH 39 TUMIRAN 3,2,0 5MGG KRSONO RT 4 RW 1 9/22/2017 UMUR > 35 TH
5 MUNADIROH 33 SUMADI 4,2,1 5MGG KRSONO RT 7 RW 2 9/8/2017 RIW OBS JELEK
6 SRI WATI 30 DARWANTO 3,1,1 10MGG KRSONO RT 10 RW 2 8/12/2017 RIW OBS JELEK
7 SUGIYATI 31 NGATENO 2,1,0 40MGG KRSONO RT 2 RW 4 1/25/2017 SEROTINUS

TAMANSARI
8 ARYANAH 33 SAHADI 2,1.0 8MGG TAMANSARIRT3RW3 8/31/2017 RIW SC
9 KOMISAROH 25 SIGIT 2,1,0 12MGG TAMANSARI RT2RW3 7/16/2017 LILA < 23
10 ROYATI 34 ABDUL .ROJAK 3,2,0 28MGG TAMANSARIRT4RW4 4/7/2017 HB 10,9

MENUR
11 AYU KARSIYATUN 21 MUHRONDI 1,0,0 24MGG MENUR RT2RW2 4/25/2017 GEMELI
12 NUZULIYAH 28 ZAENUDIN 2,1,0 28MGG MENUR RT4RW1 -3-2017 GEMELI

JAMUS
13 SUWIYAH 30 FITRIYAH 3,2,0 12MGG JAMUS RT 3 RW 3 -9-2017 RIW OBS JELEK
14 SRI NINGSIH 40 MOH NGADI 4,1,2 12MGG JAMUS RT1 RW 1 -9-2017 UMUR > 35
15 LINA,M 20 YOFA .H 1.0,0 12MGG JAMUS RT 8 RW 3 -9-2017 UMUR < 20

WRINGINJAJAR
16 LATIFAH 40 SLAMET,A 2,1,0 38MGG WRINGINJAJAR RT 2 RW 2 1/24/2017 PEB
17 MITA,U 19 M,HERI, 1,0,0 10MGG WRINGINJAJAR RT 5 RW 1 26-7-2017 KEK,UMUR <20
18 FIDIA ,L 19 BUDI S 1,0,0 13MGG WRINGINJAJAR RT 4 RW 1 3-6-2017 UMUR <20
19 ANITA .R 20 M,SUPRIYANTI 1,0,0 7MGG WRINGINJAJAR RT 4 RW 1 8/12/2017 KEK,UMUR <20
20 INDAH,LESTARI 18 HARDIYANTO 1,0,0 13MGG WRINGINJAJAR RT 3 RW 4 6/6/2017 UMUR < 20

WARU
21 KALIMAH 40 NGAIDI 2,1,0 12MGG WARU RT 2 RW7 8/20/2017 UMUR >35
22 ROFIAH 39 MAT ,R 4,2,1 8MGG WARU RT 2 RW 5 9/3/2017 UMUR >35
23 INAYATUL 23 AMIN ,H 2,1,0 8MGG WARU RT2 RW 3 8/19/2017 KEK

TEGAL ARUM
24 SUTIYANAH 29 JUMANI 2,1,0 8MGG TEGAL ARUM RT1RW4 8/28/2017 RIWY SC
25 AINUL, NAFIROH 21 GOZALI 1,0,0 6MGG TEGAL ARUM RT3RW3 6/20/2017 KEK 23 CM
26 PIRYANTI 36 ABDULLOH 3,1,1 8MGG TEGAL ARUM RT3RW2 8/12/2017 UMUR > 35

CANDISARI
27 JUMINAH 27 ABDUL AZIZ 2,1,0 17MGG CANDISARI 04/02 5/31/2017 HB 10,3
28 BELA 17 M HATIN 1,0,0 8MGG CANDISARI 04/02 9/4/2017 UMUR <20
29 SOFIATUN 26 MUALIM 2,1,0 8MGG CANDISARI 03/06 9/3/2017 BEKAS SC
30 SYAFAATUN 28 SLAMET GUFRON 2,1,0 10MGG CANDISARI 03/07 8/23/2017 BEKAS SC.

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr. Haerudin Endang Sri Subekti

NIP. 19740110 200312 1 004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN S
BULAN FEBRUARI 2017
NO Nama Bumil Umur Suami GPA Umur Kehamilan HPL Jenis Risti
1 TAMAN SARI
NY.WIWIN SETYOWATI 24 TH TN. SON HAJI 3.2.0 16 MGG 11-7-2017 JARAK < 2 TAHUN
NY. WINDA MARATUS 19 TH TN. BAMBANG SETYO B 2.0.1 12 MGG 12-8-2017 USIA < 20 TAHUN
NY. SITI MURNI 38 TH TN. SHOLEKAN 4.2.1 12 MGG 20-8-2017 USIA > 35 TAHUN

2 MENUR
KAROMAH 35 TH SON HAJI G2.P1.A0 12 MGG 22-8-17 USIA > 35 TH
SUCI MUDZAKIRAH 20 TH M.ZAIFAR G1.P0.A0 24 MGG 22-5-17 NB.10.GR
INDAH 20 TH TEGUH G1.P0.A0 5 MGG 24-9-17 NY. PEREMAS

3 JAMUS
IMANAH 37 TH MASRIN G3.P2.A0 8 MGG 27-7-17 USIA > 35
EMY OKTAWATI 22 TH SINGGIH G1.P0.A0 20 MGG 27-6-17 HB. 9,3

4 TEGAL ARUM
KARTIMAH 38 TH ABD. GOFAR G3.P2.A0 6 MGG 17-10-17 UMUR >35 TH
RUKAYANTI 28 TH MUBDOAT G2.1.0 12 MGG 14-9-17 NBSAG +
SUWARTI 36 TH MAT RIDWAN 5.1.3 11 MGG 1-9-17 RIWAYAT 065 JELEK

5 WRINGIN JAJAR
UMI HAROH 29 TH SODIKUN 1.0.0 41 MGG 10-2-17 SEROTINUS
ISTIQOMQH 37 TH MUHADI 3.0.0 39 MGG 21-2-17 LETAK LINTANG
NINIK WAHYUNI 37 TH SUROSO 3.2.0 10 MGG 30-7-17 UMUR > 35 TH
SUCI HANDAYANI 37 TH NURDIN 4.3.0 12 MGG 14-8-17 UMUR > 35 TH
ENI KUSRINI 24 TH SUYANTO 2.1.0 8 MGG 21-9-17 RIWAYAT 5
NAFIAH 35 TH SUYADI 2.1.0 8 MGG 19-9-17 RIWAYAT 5
ISTIQOMAH 28 TH SUDARYANTI 2.1.0 28 MGG 7-5-17 SUNGSANG

6 WARU
JURIYAH 36 TH SUMANTO 3.2.0 12 MGG 20-11-2017 UMUR
INTAN 20 TH NOR S 1.0.0 8 MGG 13-11-2017 KEKE
7 NGEMPLAK
ANITA PURBAWATI 24 TH HERU CAHYONO 1.0.0 9 MGG 25-9-17 KEKE 21 CM
SALMATUN 37 TH SARJONO 3.2.0 8 MGG 27-9-17 FAKTOR USIA > 35 TH

8 KARANGSONO
SRIYATUN 25 TH NGAIMAN G3.P1.A0 8 MGG 12-10-17 FAK
IIS CHOIRIYAH 21 TH JOKO SARMONO G2.P1.A1 8 MGG 10-10-17 RIW.065.JELEK
MARYATI 34 TH SUKIRMAN G2.P1.A0 41 MG 11-2-17 SEROTIRUS
SUTINAH 33 TH SUKRI G3.P1.A1 7 MGG 18-9-17 RIW.065.JELEK
SRI MUNAWAROH 23 TH ROHMAN G1.P0.A0 5 MGG 7-10-17 KEK

9 CANDISARI
SETYONING NGATIRAH 20 TH HERY YUDA 3.1.1 16 MGG 8-10-16 RIW.065.JELEK
JUMATUL 21 TH ROHMAT H 1.0.0 12 MGG 20-11-16 KEK

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr HAERUDIN Endang Sri Subekti

NIP :197401102003121004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN
BULAN APRIL 2017

NO Nama Bumil Umur Suami GPA Umur Kehamilan HPL Jenis Risti
NGEMPLAK
1 Nur kolifah 30 Abduloh 2,1,0 6mgg 3-12-2017 Faktor cfd .pos sc
2 Muasaroh 41 Sukiman 2,1,0 7mgg 19-11-2017 Faktor usia >35 th
3 Ragil 34 Muslim 2,1,0 20mgg 8/20/2017 Faktor jarak <2th
4 Siti nuralimah 20 Didik ,a 1,0,0 24mgg 8/27/2017 Kek 22 cm

KARANGSONO
5 Kumisah 40 Ngarpan 4,3,0 16mgg 9/22/2017 Umur >35 th
6 Rasinah 23 Suyadi 2,1,0 17mgg 9/4/2017 HBSAG +
7 Nurkamidah 18 Bagus aji 1,0,0 14mgg 10/8/2017 Umur < 20

TAMANSARI
8 Karin arum l 16 Said a 1,0,0 12mgg 10/16/2017 Usia <20
9 Siti korah 38 Moh,Rizikin 3,2,0 8mgg 11/21/2017 35Usia >

MENUR
10 Komisah 29 Asep .s 2,1,0 12mgg 2-11-2-017 Hipertesi
11 Sumiati 20 Novi a 2,0,1 20mgg 8/23/2017 TB 143
12 Rinawatul 23 Abdul ,muni 2,1,0 16mgg 9/9/2017 Lila 22cm

JAMUS
13 Sri ,m 39 Supriyono 2,1,0 12mgg 10/20/2017 Umur >35
14 Anis,m 30 Kaswandi 2,1,0 16mgg 11/20/2017
 WRINGINJAJAR
15 Saiful,H 15 Arif ,s 1,0,0 24mgg 6/27/2017 Umur < 20
16 Rinfain. 28 Abd ,kolik 2,1,0 13mgg 10/2/2017 Riwyt SC ,Jarak < 2th
17 Mustafiroh 24 Koirul ,huda, 1,0,0 6mgg 10/24/2017 kek 22cm,
18 Sudarmi 38 Rsidi 2,1,0 8mgg 11/22/2017 Umur > 35 th
19 Suriyah 38 Karto 3,2,0 7mgg 10-11-2017 Umur > 35 th
20 Umi nurkasanah 36 Nurkorip 3,2,0 8mgg 11/21/2017 Umur > 35 th
21 Rominah 36 Suharto 3,2,0 10mgg 10/28/2017 Umur >35,pnykit jantung
22 Suparti 25 Budi ,s 2,1,0 28mgg 7/2/2017 HBSAG +

WARU
23 Puji astuti 20 Irwansyah 1,0,0 8mgg 11/27/2017 Kek 23 cm

TEGAL ARUM
24 Nur muawiyah 28 Doto 2,1,0 33mgg 6/26/2017 Letsu
25 Faizah 35 Jumani 2,1,0 33mgg 6/17/2017 letsu
26 Muayanah 20 Sunhaji 1,0,0 25mgg 6-7-2017 letsu

CANDISARI

NIHIL

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr. Haerudin Endang Sri Subekti

NIP. 19740110 200312 1 004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN
BULAN MARET 2017
NO Nama Bumil Umur Suami GPA Umur Kehamilan HPL Jenis Risti
NGEMPLAK
1 Rumiyati 42 Nadhir 6,4,1 12mgg 9-8-2017 faktor usia paritas > 6
2 Mukayah 36 Muklisin 3,1,1 8mgg 9-10-2017 faktor usia faktor pykitDM
3 Sofiyah 35 Ahmad Rifti 3,2,0 10mgg 10/23/2017 faktor usia,obesitas

KARANGSONO
4 Sulastri 25 jumi 3,1,1 41mgg 3/22/2017 serotinus
5 Mualiyah 33 Supriyatno 3,1,1 7mgg 10/22/2017 Riw obs jelek
6 Wasinah 19 Ngadenan 1,0,0 5mgg 11/12/2017 Umur <20 th

TAMANSARI
7 Nuraeni 36 Muh kusni 4,2,1 24mgg 6/27/2017 <35UMUR
8 Suciati 27 Romdoni 2,1,0 8mgg 10/3/2017 HBSAG +

MENUR
9 Tumirah 35 Suparno 4,2,1 8mgg 11/13/2017 Umur >35.Hipermesis
10 Munariyah 33 Arifudin 2,1,0 8mgg 11/5/2017 Riw DM

JAMUS
11 Hartati 36 Junaedi 5,3,1 16mgg 9/20/2017 Riw Obsteyrijelek.

WRINGINJAJAR
12 Umi afifah 24 ino 2,1,0 16mgg 10/1/2017 KEK 21 cm.
13 Ulfa husni 31 Karsiman 3,2,0 10mgg 10/2/2017 Riwyat SC.Jarak <2 th.
14 Musaadah 31 Amir nahdi 2,1,0 10mgg 10/4/2017 Riwayat SC.
15 Endang sri s 32 Saefudin 5,2,2 10mgg 9/28/2017 Grandemulti.
16 Sutarni 36 Abdul 3,1,1 12mgg 9/10/2017 Umur >35th
 WARU
17 Ngaliyem 38 Suwardi 3,2,0 28mgg 22-5-2017 UMUR
18 Susi maryadi 26 A.Muhtar 1,0,0 8mgg 10/18/2017 KEK 22 cm
19 Fitri w 23 Abd .aziz 1.0.0 8mgg 10/22/2017 Kek 22,5cm

TEGAL ARUM.
20 Ngasmirah 36 Arifin 3,1,1 10mgg 9/23/2017 Umur >35 th
21 Nuzulul inayah 26 Eko Aryawan 1,0,0 6mgg 11/17/2017 KEK 23cm

CANDISARI
22 Wijiati 22 M. Sulkan 2,1,0 8mgg 10/15/2017 bekas SC.Jarak <20th
23 Malikatun 41 Ahmadi 3,2,0 24mgg 7/25/2017 Umur >35 th
24 Maesaroh 29 M.Ali 1,0,0 12mgg 30-9-2017 22 cm
25 Zulaikah 19 Slamet 1,0,0 8mgg 10/12/2017 usia < 20th
26 Sunariyah 41 Saerozi 3,2,0 20mgg 7/13/2017 Usia >35 th.

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr. Haerudin Endang Sri Subekti

NIP. 19740110 200312 1 004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN
BULAN APRIL 2016
NO Nama Bumil Umur Suami GPA Umur Kehamilan HPL Jenis Risti
NGEMPLAK
1 MasBAKAH 40 MUSTAKIN 3,2,0 16 MGG 10/13/2016 FAKTOR USIA
2 Yuliana sAfitri 18 KITAI 1,0,0 20MGG 20-8-2016 FAKTOR USIA
3 SITI DEWI L 29 SAFARI 2,1,0 8MGG 28-11-2016 KEK

KARANGSONO
4 SOLIKATUN 32 SUMAIRI 4,2,1 8MGG ### RIW OBS JLK
5 DWI RETNOWATI 34 SUTARNO 2,0,1 12MGG 10/15/2016 RIW OBS JLK
6 DWI WAHYUNINGSIH 28 ROHMAT 3,1,1 8MGG 11/26/2016 RIW OBS JLK
7 SITI RIA Q 30 SURYADI 2,1,0 34MGG 5/29/2016 TUMOR PAYUDARA

TAMANSARI
8 SAADAH 19 NASIKIN 1,0,0 20MGG 8/21/2016 FAKTOR USIA
9 IKA S 21 EKO AJI 1,0,0 20MGG 8/11/2016 HBSHG +

MENUR
10 RUKIYAH 36 SATIMIN 3,2,0 32MGG -5-2016 PLAC LTK RENDAH
11 MUDRIKAH 36 JAMIL 1,0,0 15MGG 10/17/2016 PRIMI TUA

JAMUS
12 SUKANAH 35 UNTUNG N 4,2,1 4MGG 12/24/2016 BEKAS SC 2X
13 SRI NARYANI 42 KHOIRI 6,4,1 6MGG 12/25/2016 FAKTOR USIA
14 EGA GEOVANI 19 WAHYU 1-0,0 35MGG 5/30/2016 FAKTOR UMUR

WRINGINJAJAR
15 LIKA S 29 BAMBANG 2,1,0 5MGG 12/9/2016 RIWAYAT SC
16 UMI KULSUM 40 SUTIKNO 4,2,1 32 MGG Sunday, July 17, 2016 FAKTOR USIA
17 RONDIYAH 37 AGUNG M 2,1,0 6MGG 11/20/2016 FAKTOR USIA
18 ANA CHOIRIAH 28 MOH RONI 2,1,0 6MGG 11/30/2016 ANEMI
19 NAILUL 24 JOKO PRAMONO 3,1,1 5MGG 11/29/2016 JARAK <2TH

WARU
20 HIDAYANI 22 M,GAFUR 1,0,0 8MGG ### KEK
21 SULISTIOWANI 33 M,LUKMAN 4,3,0 32MGG Monday, May 30, 2016 LETSU

TEGAL ARUM
22 SHAROH 28 IMRON 2,1,0 34MGG 5/10/2016 ANEMIA 10,8MGR
23 MUAWIYAH 23 BAMBANG 1,0,0 10MGG 10/8/2016 KEK

CANDISARI
24 ST NURAZIZAH 23 WAHYU 1,0 0 7 MGG 12/5/2016 KEK
25 ST KHOIRIYAH 24 ISNAINI 100 6 MGG 12/18/2016 KEK
26 SUMINAH 18 TAUFIK 100 14 MGG 10/21/2016 UMUR < 20TH
27 PARYATI 34 AMIN FADOLI 320 38 MGG 4/26/2016 PE
28 SULASTRI 23 ALI 210 41 MGG 4/26/2016 SEROTINUS
29 SOFIYATUN 23 RESAH T 100 41 MGG 4/10/2016 SEROTINUS

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr. Haerudin Endang Sri Subekti

NIP. 196740110 200312 1 004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN
BULAN JUNI 2017
NO Nama Bumil Umur Suami GPA Umur Kehamilan HPL Jenis Risti
NGEMPLAK
1 Umi solekah 22 Abu K 1,0,0 6 mgg 15-1-2018 KEK 21 cm
2 Lailatul U 33 Heru 4,1,2 20 mgg 15-10-2018 Riw AB 2x
TAMANSARI
3 Muasaroh 32 Bambang 3,1,1 8 mgg 2/9/2018 lila < 22,5cm
4 Komsatun 40 Solikin 4.3.0 8 mgg 2/6/2018 Usia < 40 th
MENUR
5 Siti K 32 Mustofa 3,2,0 16 mgg -11-2018 HB 10 gr
JAMUS
6 Puji A 24 Mukson 2,1,0 8 mgg 1/14/2018 Hiperimisis
7 Magfiroh 27 M Ulin 2,1,0 20 mgg 10/15/2017 HB <10 gr
WRINGINJAJAR
8 Juwariyah 37 Nurhadi 2,1,0 10 mgg 12/21/2017 Umur > 35 th
9 Murtafiroh 36 Suyanto 2,1,0 6 mgg 2/19/2018 Riwy SC,umur<35 th
10 Mukhayaroh 25 Maskur 1,0,0 7,mgg 2/4/2018 kek 22cm,

WARU
11 Khoiriyah 29 Mansur 3.1.1 8mgg 2/13/2018 lila 23 cm

TEGAL ARUM
12 Sunariyah 45 Abdul ,G 3.2.0 6 mgg 2/10/2018 Umur >35 th
13 Istikomah 25 Bakrun 2,1,0 6 mgg 3/1/2018 lila 23 cm
14 Heny 23 Agus 1,0,0 6 mgg 2/2/2018 Hyperimisis

CANDISARI
15 Amaliatul K 25 Ahmad M 1,0,0 10 mgg 1/22/2018 Kek 21 cm
16 Afita R 20 Abdul ,K 1,0,0 12 mgg 1/8/2018 Kek 21,5cm
17 Suprihati 31 Suwarno 2,1,0 12 mgg 12/27/2018 HB 10,gr
18 Uswatun K 36 Ali ,S 3,2,0 10 mgg 1/2/2018 Usia >35 th

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr HAERUDIN Endang Sri Subekti

NIP. 197401102003121004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN
BULAN JULI 2017
NO Nama Bumil Umur Suami GPA Umur Kehamilan HPL Jenis Risti
NGEMPLAK
1 Wahidatul 34 Slamet ,S 3,2,0 24 mgg 5-11-2017 Riwayat pos sc 2x

KARANGSONO
2 Umiyati 41 Isno 5,3,1 10 mgg 2/6/2018 umur >35,Hb 10,6 Riwy HT
3 Setyowati 39 Wagiman 4,3,0 20 mgg 12/15/2017 umur >35,Hb,10,8,
4 Ngatinah 33 Musriono 3,2,0 10 mgg 2/18/2018 Riwy Obs Jelek
5 Ngatinem 37 Nur hamid 3,2,0 18 mgg 1/18/2018 umur >35 th
6 Nonik 28 Madi 2,,1,0 41 mgg 7/20/2017 Serotinus

TAMANSARI
7 Rini ningsih 32 Rohman 2,1,0 9 mgg 3/2/2018 lila 22,5 cm,
8 Susilowati 34 Sudarto 3,2,0 9 mgg 3/4/2018 Hiperemisis,

MENUR
9 Kojanah 28 Tri Hardiyanto 1,0,0 6 mgg 3/18/2018 lila 22 cm
10 Siti astuti 26 Kasromi 2,1,0 38 mgg 7/12/2018 Polihidramnion
11 Adifatul 22 Ahmad Riyadi 1,0,0 36 mgg 8/20/2017 Hipertensi

JAMUS
12 Muslimah 35 Slamet 4,2,1 9 mgg 10/5/2017 HB < 10 gr
13 Sumiati 27 Wahyudi 1,0,0 17 mgg 11/11/2017 HB < 10 gr
14 Maesawati 35 Asroni 2,1,0 36 mgg 7/7/2017 HB <10 gr
15 Ratemi 37 Subkan 3,2,0 6 mgg 8-3-1018 umur >36 th
16 Murni 36 Dwi siswan 3,1,1 8 mgg 2/11/2018 Riwy obsteri jlk
17 Izzatunisa 28 M,Sukar 3,2,0 20 mgg 11/5/2017 Jarak <2 th
18 Sri murni 28 Arian 2,1,0 12 mgg 1/27/2018 pos sc
 WRINGINJAJAR
19 Ngaminah 36 Ahmad s 3,2,0 41 mgg 7/5/2018 Serotinus
20 Khoiriyah 22 Joko s 1,0,0 41 mgg 7/7/2018 Serotinus
21 Rina 24 Khoiri 1,0,0 41 mgg 6/28/2018 Serotinus
22 Suri S 27 Alif 3,2,0 10 mgg 2/2/2018 jarak <2 th
23 Sulistyowati 33 Lukman 5,4,0 16 mgg 11/28/2017 Jarak kelahiran kurang 1 th
24 Nurkasanah 34 Suyetno 4,3,0 8 mgg 3/8/2018 Post SC
25 Atin 25 Tugiyanto 1,0,0 8 mgg 27-2-2018 kek 23 cm
26 Ria Tiara 19 Abdul 1,0,0 7 mgg 2-3-2018 kek 22,5 cm
27 Arini 27 Agus 2,1,0 7 mgg 3/20/2018 kek 22 cm
28 Titik K 22 Ngatno 3,0,2 9 mgg 3/2/2018 Obstetri jelek
29 Romlah 37 Slamet 4,3,0 7 mgg 3/5/2018 usia > 35 th
30 Mukoramatun 30 Saidun 2,1,0 12 mgg 1/7/2018 kek 23 cm

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr HAERUDIN Endang Sri Subekti

NIP. 197401102003121004 NIP. 1964 1008 1986032 019
s
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN
BULAN AGUSTUS 2017

NO Nama Bumil Umur Suami GPA Umur Kehamilan HPL Jenis Risti
NGEMPLAK
1 Suci kurniawan 21 guruh 1,0,0 5 mgg 25-4-2018 kek 21 cm
2 yuni triastuti 18 M,amirudin 1,0,0 20 mgg 9-11-2018 faktor usia

KARANGSONO
3 Intarti 36 agus 3,1,1 7 mgg 3/17/2018 faktor umur
4 khotimah 37 supri 3,2,0 8 mgg 3/29/2018 faktor umur
5 Kumisah 40 Ngaipan 4,3,0 36 mgg 9/22/2018 faktor umur
6 Aditia lena 24 Imam 2,0,1 8 mgg 3/16/2018 Riwy obstetri jelek

TAMANSARI
7 Anisa Ralastari 18 Aan wawan ,A 1,0,0 14 mgg 2/27/2018 faktor usia

Menur
8 Istikomah 32 Sutamin 2,1,0 16 mgg 4/12/2018 lila 22,5 cm
9 Nur aini 21 Agung ,Ragil, 1,0,0 20 mgg 3/11/2018 Hipertensi
10 Jumiah 25 Gilang 1,0,0 38 mgg 9/7/2017 Hb 9,1 gr

JAMUS
11 Suciati 40 Ali ,M 3,2,0 28 mgg 11/22/2017 faktor usia
12 Zulaikah 37 Daud 3,2,0 8 mgg 4/2/2017 faktor umur

WRINGINJAJAR
13 Kolifah 38 Mat kusni 3,2,0 12 mgg 2/27/2018 faktor umur
14 Dwi anggreni 43 Ikwan 4,3,0 8 mgg 3/18/2018 faktor umur
15 Siti Sarah 39 Mahmudi 5,4,0 29 mgg 12/22/2017 faktor usia
16 Purwati 37 A, Faizi 3,1,1 7 mgg 3/27/2018 faktor usia
 WARU
17 Ngatminah 43 sakri 3,2,1 8 mgg 9/4/2018 faktor umur
18 Sarifah 32 slamet 3,2,1 24 mgg 11/6/2018 Riwy obsgin jelek

TEGAL ARUM
19 Titik 24 Ngatmo 3,0,1 12 mgg 6/10/2017 Kek23 cm
20 Dian 25 Joko 2,1,0 6 mgg 7/5/2017 Riwy obstetri jelek

CANDISARI
21 Uswatun Kasanah 32 Suharmanto 2,1,0 10 mgg 3/11/2018 TB <140
22 Susilowati 40 Abdul raib 4,2,1 10 mgg 3/20/2018 KEK 19 gr,faktor usia
23 Solekah 26 Eko s 2,0,1 6 mgg 4/21/2018 KEK 9,8 gr

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr. HAERUDIN Endang Sri Subekti,Amd Keb

NIP. 197401102003121004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN
BULAN SEPTEMBER 2016
NO Nama Bumil Umur Suami GPA Umur Kehamilan HPL Jenis Risti
NGEMPLAK
1 Pasinah 36 Didik 210 8 minggu 28-4-2017 Usia >35 tahun

KARANGSONO
1 St. Rukayah 34 Supriyadi 311 8 minggu 5/2/2017 Riw.Obs.Jelek
2 Anis Triani 27 Purwanto 311 8 minggu 06-05-207 Riw.Obs.Jelek
3 Handaningsih 28 Turmudi 522 40 minggu 9/17/2017 Serotinus
4 Rizki Ryanasari 18 M. Adi Susilo 100 9 minggu 4/24/2017 Umur <20 tahun, KEK : 23,5cm
5 Eni 23 Supriyanto 210 29 minggu 12/15/2016 Riw.Obs.Jelek, perdarahan
6 Firosyatul Mahmudah 36 Sunardi 430 38 minggu 10/6/2016 Penambahan BB < 9kg
7 Tika Dwi Lestari 21 Sumarlan 100 38 minggu 10/13/2016 PER

TAMANSARI
1 Siti Khotimah 24 Khoirul Anwar 210 5 minggu 5/28/2017 Jarak < 2tahun

MENUR
1 Muhayah 38 Mas'ud 641 32 minggu 10/1/2016 Multigravida, Usia >35 tahun
2 Siti Nur Saidah 22 Bambang 100 12 minggu 4/7/2016 Lila 22cm

JAMUS
1 Sri Mulyati 32 Supriyanto 210 6 minggu 5/11/2017 Hiperemisis
2 Zumrotun 36 Dedi Kurniawan 430 12 minggu 3/22/2017 Umur 36 tahun, G4

WRINGINJAJAR
1 Muniroh 39 M. Rois 100 8 minggu 4/27/2017 Umur >35 tahun
2 Nunik 39 Muhajir 531 9 minggu 4/25/2017 Umur >35 tahun
3 Istiqomah 28 Sudaryanto 210 6 minggu 5/7/2017 KEK, 21cm
4 Rina Ariyati 21 M. Efendi 210 16 minggu 3/10/2017 KEK, 22cm
5 Chefi Hadad 18 Aris M 100 36 minggu 10/14/2016 Letak Sungsang
6 Rondiyah 30 Ali Fatkan 100 5 minggu 12-05-2017 KEK, 22cm
7 Ani Maftuhah 23 M. Rois 100 7 minggu 4/24/2017 KEK, 23cm

WARU
1 Riyadho 28 Kusriyanto 210 8 minggu 6/23/2017 KEK
2 Yuyu 27 Farzi 210 8 minggu 6/8/2017 KEK

TEGALARUM
1 Aeriatun 33 Mustain 210 7 minggu 26-04-2017 KEK, 18cm
2 Yuiani 23 Ahmad Zaini 101 36 minggu 10/21/2016 Preeklamsi

CANDISARI
1 Sukirah 36 Samsuri 320 6 minggu 5/12/2017 Usia >35 tahun, KEK
2 Rahayu Ambarwati 21 M. Midun 100 5 minggu 5/18/2017 KEK

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr. Haerudin Endang Sri Subekti

NIP. 19740110 200312 1 004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN
BULAN OKTOBER 2017
NO Nama Bumil Umur Suami GPA Umur Kehamilan HPL Jenis Risti
NGEMPLAK

1 Indri A 26 Ali ,M 1,0 ,1 11 mgg 3-5-2018 Abortus,hiperemeses

KARANGSONO
2 Fais candrasari 23 agung s 1,0,0 12mgg 4/19/2018 HBSAG +
3 Musyaropah 40 kusdi 4,3,0 30mgg 1/2/2017 umur ,bekas sc

TAMANSARI
4 Muayati 35 sugiyanto 4,2,1 10mgg 5/11/2018 faktor usia
5 kundarni 44 kudhori 4,3,0 18mgg 3/26/2018 faktor usia
6 melinda 19 husni m 1,0,0 10mgg 5/15/2018 faktor usia

MENUR
7 Tumirah 25 suparno 3.2,0 36mgg 11/13/2017 let lin
8 kholifah 20 fatkurohman 1,0,0 42mgg 10/11/2017 serotinus
9 julia alfiani 20 sutikno 1,0,0 20mgg 29-2-2018 Hb 8,2mghg

JAMUS
10 Ulkiyah 23 damian 2,0,1 8mgg 6/20/2018 Abortus

WRINGINJAJAR
11 St kotimah 24 agus riyadi 2,1,0 20mgg 2/18/2018 HBSAG +
12 Umi afifah 24 ino 1,0,0 41mgg 10/1/2017 serotinus
13 Dwi anggraeni 43 ikwan 4,3,0 16mgg 3/18/2018 HBSAG +

TEGAL ARUM
14 Alimah 38 Kabib 3,2,0 10mgg 6/3/2018 faktor umur
15 Naroah 47 sanuar 4,3,0 15mgg 4/10/2018 faktor umur
16 Ica nur 24 rohman 1,0,0 12mgg 17-4-2018 KEK 23cm

CANDISARI
17 Anik farida 33 abdul wahid 4,3,0 12mgg 4/18/2018 paritas > 4
18 Eni yuniarti 40 Alex solikin 3,2,0 6mgg 6/21/2018 faktor usia
19 Khafidatus 27 Ali bidiarto 3.1.1 6mgg 6/19/2018 Rwyt obs jelek ab

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr. Haerudin Endang Sri Subekti

NIP. 19740110 200312 1 004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN
BULAN NOPEMBER 2017
NO Nama Bumil Umur Suami GPA Umur Kehamilan HPL Jenis Risti
NGEMPLAK
1 Komisatun 34 Kusrin 4.3.0 4 mgg 23-08-2018 KEK 23 cm
2 Umi Setyowati 28 M.Sobirin 2.1.0 12 mgg 16-05-2018 KEK 23 cm

TAMANSARI
3 Bella Fielda Olivia 19 Tri Cahyono 1.0.0 12 mgg 12-04-2017 Umur < 20 th
4 Suharyanti 33 Karyono 3.2.0 6 mgg 15-06-2017 Perdarahan Pervaginam

MENUR
5 Suparti 17 Hadi 1.0.0 36 mgg 27-12-2017 Umur < 20 th

JAMUS
6 Siti Miftakhuljanah 20 Anas musakib 1.0.0 8 mgg 20-06-2017 Hyperemesis Gravidarum

WRINGINJAJAR
7 Kunajiati 40 Muhammudun 2.0.1 9 mgg 12-07-2018 Umur > 35 th,Primi Tua
8 Nuryanti 31 M.Karyono 3.2.0 39 mgg 07-11-2017 Letak sungsang
9 Umi Nur Kasanah 28 Nur Khanif 3.2.0 41 mgg 21-11-2017 Serotinus
10 Nurul Umiyati 36 Ahmad Mudhofar 2.1.0 41 mgg 20-11-2017 Serotinus

WARU
11 Salsabila 17 A. Rajak 1.0.0 36 mgg 25-12-2017 Umur < 20 th
12 Yuliati 21 Rohmad 1.0.0 8 mgg 20-07-2018 KEK 23 cm
13 Sri mulyani 22 Feryanto 1.0.0 8 mgg 29-07-2018 KEK 23 cm

TEGALARUM
14 Retno 30 Muhlisin 2.1.0 11 mgg 21-06-2018 DM
15 Siska 30 Ahmad 2.1.0 10 mgg 24-07-2018 KEK 22 cm
16 Heni 25 Agus 1.0.0 30 mgg 04-02-2018 Anemia9,3 gr %

CANDISARI
17 Eka Ariyanti 20 M.Sodikin 1.0.0 16mgg 13-04-2018 KEK 22 cm

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr. Haerudin Endang Sri Subekti

NIP. 19740110 200312 1 004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL
PUSKESMAS MRANGGEN II KEC. MRANGGEN
BULAN DESEMBER 2017
NO Nama Bumil Umur Suami G P AUmur Kehamilan HPL Jenis Risti
NGEMPLAK
1 Mustafiah 24 Muh jiman 1,0,0 6 mgg 25-7-2018 lila 23,5cm
2 Rofiatun 21 Ali maskur 1,0,0 5mgg 5-8-2018 lila 23,5 cm

KARANGSONO
3 Faridhatul 37 Zaenal 3,2,0 9mgg 7/11/2018 umur,kek 23 cm
4 Kaswiroh 35 Juraemi 5,4,0 12mgg 6/12/2018 Multi grafida

TAMANSARI
5 Sutiyem 36 Abdul azis 3,2,0 8 mgg 8/4/2018 umur > 35 th

MENUR
6 Siti fauzizah 29 Ridho Wibowo 1,0,0 42mgg 11/22/2017 Serotinus
7 Dwi erwanti 21 M,Munir 2,1,0 18mgg 4/22/2018 lila 23 cm
8 Kaswati 29 Salafudin 2,1,0 17 mgg 27=-4-2018 Ab iminen

JAMUS
9 Ambarwati 18 Saeful a 1,0,0 34mgg 2/2/2018 umur < 20 th

WRINGINJAJAR
10 Alimah 36 Sukolin 4,2,1 12 mgg 6/19/2018 umur
11 Roikatus 27 M,syair 2,1,0 38mgg 12/10/2018 Letsu
12 Susi nur K 30 Robani 3,1,1 38mgg 12/22/2017 Letsu

WARU
 13 Jumiati 19 Ali sukron 1,0,0 12 mgg 6/10/2018 umur < 20 th

TEGAL ARUm
14 Mazizatus 27 Ahmad sobirin 2,1,0 8mgg 22-7-2018 Hiperemisis grafidarum

CANDISARI
15 Astuti 26 Siswanto 2,1,0 16mgg 6/21/2018 HBSAG +
16 Puji astuti 20 Slamet 2,0,1 8mgg 8/20/2018 kek23 cm

Mengetahui
Kepala Puskesmas Mranggen II Pelapor

dr. Haerudin Endang Sri Subekti

NIP. 19740110 200312 1 004 NIP. 1964 1008 1986032 019
 DATA RESTI IBU HAMIL DENGAN KEK
PUSKESMAS MRANGGEN II KEC. MRANGGE
BULAN JANUARI 2017

NO Nama Bumil Umur Suami GPA Umur Kehamilan

TAMANSARI
1 KOMISAROH 25 SIGIT 2,1,0 12MGG

WRINGINJAJAR
2 MITA,U 19 M,HERI, 1,0,0 10MGG
3 ANITA .R 20 M,SUPRIYANTI 1,0,0 7MGG

WARU
4 INAYATUL 23 AMIN ,H 2,1,0 8MGG

TEGAL ARUM
5 AINUL, NAFIROH 21 GOZALI 1,0,0 6MGG

Mengetahui
Kepala Puskesmas Mranggen II

dr. Haerudin
NIP. 19740110 200312 1 004
 AMIL DENGAN KEK
GEN II KEC. MRANGGEN
NUARI 2017

ALAMAT HPL JENIS KASUS

7/16/2017 LILA < 23

WRINGINJAJAR RT 5 RW 1 26-7-2017 KEK ( LILA 21 CM )

WRINGINJAJAR RT 4 RW 1 8/12/2017 KEK ( LILA 21,5 CM )

WARU RT2 RW 3 8/19/2017 KEK ( LILA 23 CM )

TEGAL ARUM RT3RW3 6/20/2017 KEK 23 CM

Pelapor

Endang Sri Subekti

NIP. 1964 1008 1986032 019