LAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN T FOTO HASIL PEMERIKSAAN Nama Pasien : Wy. Woe Tnstitusi ; PRM Geyer 1 NomerRM : 032. AG Nama Pemeriksa : dr, Uaarume Serye Harnane Tanggal =; 3 - $2 - 204% Diagnosis: Gate W. 72 mg Hasil Pemeriksaan (Deskriptif) HPHT ; 6-4-2022 Usia Kehamilan ; 33 mmngou usG Janin Hidup / Fidek 1 2. Jumlah Janin : 4veq9 03 os | 3. Letak Janin; wtravienne CRE 4. Presentasi: “erate 5. Dil: We */ra BPD : 9,04 em) 6. Berat Janin:"2940 9¢ HC; 4,8 em 7. Cairan Ketuban ; cute « yernih 8. Letak Placenta: fordes.. AC: 32,4em 9. Usia Kehiamilan: 35° 1O.HPL: 22/1/23 eee Kesan (Diagnosis): TED dan Nama Fasilitator GPA UK.36.FyJanin...t9994. dye. wmbrarreriee Du..140.71 Presentasi..hepale, Biometr... 525294. 2K % 9° ‘Tafsuran Berat Janin... 2440. 9°.., Plasenta.,. 9°08! Air Ketuban... 8%... 3@Mh... flan > = Hontrel minggu lagr. = _Vitormin at konsumss sehay han’, Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-12-2022 10: 032316 Name: wiwik Gender: Age: 32. Exan Type: Middle-late Pregnancy €xam ID: 11 iL nM i il mre 7 EDD(AUA) 20/1/2023; GA(LMP) 37wid; EDD(LMP) 11/61/2623; BPD 90.45mm GW 36wSd EDD 13/1/2023; AC 324.56nm Gh 36w3d EDD 15/1/2623; HC 318.72nm GW 36w0d EDD 18/1/2023; HC/AC 0.98; FL 65.78nm GW 340d EDD 1/2/2023; FL/BPD 0.73; FL/AC 0.20; EFW(Shepard) 2.94kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien: Wy. Muaita Tnsfitusi > nem Beyer 1 Nama Pemeriksa : dv. vuasisma Sea Harnani Letak Placenta: fundoé . Usia Kehamilan: 30 mio py 10. HPL: ( /3 /a3 NomerRM : 013414 Tangeal ay te 22 Diagnosis Bifeto H. 34 nmgne Haasil Pemeriksaan (Deskriptify: HPHT : © Usia Kehamilan : #4 mino9~ UsG Biometri Janin : |. Janin Hidup Fate 2. Jumlah Janin : terse! Gs 3. Letak Janin : wteavtesne RL: 4. Presentasi: hepa le 5, DY: 0 */mn BPD : 3.5 cm 6. Berat Janin: (500 9¢ Hoiihee cu 7. CairanKetuban: $4 on 8. AC: 25 om 9. fn > - Kesan (Diagnosis) : GPA UK. fontro| al Rshermos 9, Janin...A2090|, «Wide... A DIU... fu Presentasi...epal., Biometri. $22, Tafsuran Berat Janin... 69.3" Air Ketuban... £92... Jernth Plasenta...{utdvs 2 mingau leah , Veo ant masih sama Poy $706 dgn sug. VFR. TTD dan Nama Fasilitator : Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I 1D: 012714 Gender: AA 30w0d; GA(LMP) 34wid; AFIL 57.48nm; BPO_77.52nm Gh 31wid EDD 21/2/2023; HC'272.51nm Gi 29W6d EDD 2/3/2023; EFW(Shepard) 1.50kg; Name: meidita Age: 220 Exam Type: Middle-late Pregnancy Exan Date: 21-12-2022 Exam ID: 12 EDD(AUA) 1/3/2023; EDD(LNP) 01/02/2623; AFI 57.48mm; ‘AC 250.33mm GW 29w2d EDD 6/3/2023; HC/AC 1.09; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN, FOTO HASIL PEMERIKSAAN ‘Nama Pasien ; Sy-eaeh NomerRM : S610 Tanggal =: 28-1202 Diagnosis __: tetsho HW. 24 teingov Tnsitusi =: RM Gemer 1 Nama Pemeriksa : de. venice Serye Harton? ‘asil Pemeriksaan (Deskriptif): HPHT : y-6- 22 Usia Kehamilan : 23° 19990 Janin Hidup /-Fidek Jumlah Janin : Tangpe Letak Janin : \ohrautede Presentasi: Fepoio DID: foe fener Brat Janin : (\oo5e Cairan Ketuban : 3,4 Letak Placenta : andar Usia Kehamilan : 22 mospu. 10.HPL : Atrot/rers Ie gernavsen 6 Kesan (Diagnosis) GP A UK..28.!9,, Janin.,.2eegeet2. nds DI. he, Presentas.. Hepa ‘Tafsuran Berat Janin...U02.%.. Air Ketuban.. seth Plan: = Pay 5908 eure tmlurnepall Catatan Fasilitator : Scanned with CamScannerPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I ID: 061608 Gender: AUA 23w0d; CRL 75.39nm GW 13W5d EDD 30/6/2023; EDD(LMP) 21/03/23; AFI 36.67nm; AC 233.87mm GW 27w6d EDD 23/3/2023; Name: edeh Exam Date: 28-12-2022 Age: 37D Exam Type: Middle-late Pregnancy Exam ID: a es EDD(AUA) 26/4/2023; GA(LMP) Owod; AFI 36.67mm; BPD 68.65nm GW 27wSd EDD 24/3/2023; EFW(Shepard) 1.10kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS. DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien : Nu-m8 Pabayy Tnstitusi =; PEM coger NomerRM : 94193 ‘Nama Pemeriksa : ar. Kvomirwa Sekya Harnan Tanggal =: 28-198. Diagnosis: Gtr Ao H.W minoou Hasil Pemeriksaan (Deskripti HPHT : 22-9 - 32 Usia Kehamilan : 13 ** smingau. UsG Biometri Janin: 1. Janin Hidup / Fidaic 2. Jumlah Janin : Torgpen Gs! 3. Letak Janin : tnteautesin CRL : Ts3em 4. Presentasi : 5. DIV: be /manre BED}: 6. BeratJanin: HC 7. Cairan Ketuban : jee un , 8. Letak Placenta : poravs ac 9. Usia Kehamilan : 13" ¥reingpu 10.HPL: 30/0/20 saa Kesan (Diagnosis) : GPA UK..2. 9anin, 12.2 MAB. nkraurer ie .156 lo Presentasi....W....5 Biometti Tafsuran Berat Janin.. » Plasenta.... Catatan Fasilitator : Air Ketuban....5eenh. lan de pe, last Pan. Kentrol 4 Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 28-12-2022 ID: oet729 Name: $4 pahayy Gender: Age: OY Exam Type: Middle-late Pregnancy Exam ID: 0 uhh A Lk aaa AUA 13W5d; EDD(AUA) 30/6/2023; CRL 75.39mm GW 13Ww5Sd EDD 30/6/2023; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN_ FOTO HASIL PEMERIKSAAN ‘Nama Pasien : Yy.Maeito Tnstitust FEM Geyer 1 Nome RMF Sane Nama Pemeriksa : ar. Fronema Sehyn Warnes Tanggal seo 0, Diagnosis: Giteto W. $6 MnOoU Hasil Pemeriksaan (Deskriptif) HPHT : Usia Kehamilan ; 32°F wingsu usG Janin Hidup /-Fidale 2, Jumlah Janin : Tupsat Gy 3. Letak Janin : \kautoan RL : 4. Presentasi : eat 5. DJJ; WBvefmente BPD : Si\9em 6. Berat Janin : scbose oo a 7. Cairan Ketuban : G1" Jomh ees 8. Letak Placenta : FunBur AC: 28/Rem, 9. Usia Kehamilan : 3a°* wa 1O.HPL: 25/2/23 Lt em Kesan (Diagnosis): TID dan Nama Fasilitator = GPA UK.327%64 Janin, fungal ...hudep...wobrartenne DIE Tafsuran Berat Janin. Air Ketuban.,.2¥S¥.., 28x91h..: ., Biometri.. S258 Plasenta... 2284S. /t9 Presentasi... 2060 ar Pun: Pyvk 506 su I0BR. Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESHAS GEYER I Exan Date: 04-01-2023 ID: 012714 Name: meidita Gender: Age: 220 Exam Type: Middle-late Pregnancy Exam ID: 14 AUA 326d; EDD(AUA) 23/2/2023; GA(LHP) 36w1d; EDD(LMP) 01/02/2023; BPD 81.96nm Gu 33W0d EDD 22/2/2023; AC 288.65mm GW 33Wad EDD 22/2/2023; HC 293.14nm Gi 32v3d EDD 26/2/2023; HC/AC 1.02; FL 64.63nm GW 33w3d EDD 19/2/2023; FL/BPD 0.79; FL/AC 0.22; EFW(Shepard) 2.06kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasien = Wy.tekro NomerRM : otI334, Tanggal—: ot-os-r0%3 Diagnosis: C2t,pe_¥. 29"? Institut PRM ceyer Nama Pemeriksa : dr, wRanaea Sehya Haman: “Hasil Pemeriksaan (Deskriptif) : HPHT : We - ot - Usia Kehamilan : 29 ¢? USG 1. Janin Hidup /-Fidake a 2. Jumlah Janin : %anppet 3. Letak Janin : (nkauteio cRL 4, Presentasi : ‘agate 5. DJJ: ux/meare BPD : 7/290 6. Berat Janin : (330.5, HC : 2b, 9em 7. Cairan Ketuban: 4), um 8. Letak Placenta : Penduc AC 23,80 9. Usia Kehamilan : 25° siggy : 1OHPL: roves ee Kesan (Diagnosis) = GPA UK.2. py. ‘Tafsuran Berat Janin. Air Ketuban,... 24st. Seesuh Han - Kontrol = Vitamin .Janin, $2994, “fy Presentasi.. e*!2.., Biometri.. 252, U6, 28 “9 ‘TTD dan Nama Fasilitator : hyde, miravteeie , 1330.90: Plasenta... FONE2S.» ‘Catatan Fasilitator = 1 vlan leat at fost 4x onromet rehap art. Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER T Exam Date: 01-02-2023 ID: 041324 Nane: febrina Gender: ‘Age: 280 Exam Type: Middle-late Pregnancy Exam ID: 15 AA 29w3di EDD(AUA) 16/4/2023; GA(LNP) 29W3d5 EDD(LHP) 17/04/2023; AFI 46.21nm; AFI 46..21nm; BPD 72.991 GH 29w2d EDD 17/4/2023; AC 248.19m GW 29w1d EDD 18/4/2023; HC 267.77nm Gh 29w2d EDD 17/4/2023; HC/AC 1.08; FL 57.47mm Gh 30wld EDD 11/4/202: FL/BPO 0.79; FL/AC 0.23; EFW(Shepard) 1.33k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS: DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien : Ny. Ano Tnstitusi = Per Geyer 1 NomerRM Osan Nama Pemeriksa : ar, Karysme setye Harnane Tangeal Boe Diagnosis __: Gat, bo W.21'% Hasil Pemeriksaan (Deskriptif) :_ HPHT : 3-9-2 Usia Kehamilan : 9 *¥ 9. USG 1. Janin Hidup /-Fidak a 2. Jumlah Janin : Woppeu 3. Letak Janin : (ntextein CRL : 81 Youn 4. Presentasi: Lintang, 5. DIT: te tment BPD 5, 3.20 6. BeratJanin : 490 o- He ae 7. Cairan Ketuban : 43 re oa ae 8. Letak Placenta : Fundar AC 307, 320m 9. Usia Kehamilan : 9+ minggy 10. HPL: o&/or/re3_ mu Kesan (Diagnosis) : TTD dan Nama Fasilitato GPA UK..b2%9, Janin,.Wwrsae).. MIAO, mrravtense DIS_NY.%y Presentasi.W9.., Biometri..$8.U.20 ™B- Tafsuran Berat Janin...'49°2%....., Plasenta... 22040! Catatan Fasilitator : Air Ketuban.,.2¥9".,... Jer" 1+ Kono! = vravn 1 baw yannvnst nor Pan bay war) Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 13-02-2023 ID: 052212 Name: arina j Gender: Age: 250 Exam Type: Middle-late Pregnancy Exam ID: 16 AUA 19W4d; EDD(AUA) 6/7/2023; GA(LMP) 220d; EDD(LMP) 20/06/2023; AFIL 47.86mm; AFI. 47.860; RL 54.03nm GW 12wid EDD 27/8/2023; BPD 53.26nm GW 22w2d EDD 17/6/2023; AC 173.25mm Gu 22w2d EDD 17/6/2023; HC 194.51nm GW 21wSd EDD 21/6/2023; HC/AC 1.12; EFW(Shepard) 0.49kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien : Ny. Newto Tnstitusi; PEM eyer 4 NomerRM : ott Nama Pemeriksa : dr. karma sera Marnany Tanggal =: 4-03-1044, Diagnosis: 6:%ito _H.M 9. Hiasil Pemeriksaan (Deskriptif) : HPHT : ip aa Usia Kehamilan: 6 TY m9, UsG Bi 1. Janin Hidup HFidake 2. Jumlah Janin : Twrp yo cs 3. Letak Janin : Wroutessn CRL : 71 33em 4. Presentasi 5. DIS: Wtefmenne BEDI 6. Berat Jann: - HC 7. Cairan Ketuban : @4e -seen em, 8, Letak Placenta : pusdus AC 9. Usia Kehamilan : 13*4 yy. FL 10. HPL: 35 /o3/x0.5 ‘Kesan (Diagnosis) TTD dan Nama Fasilitator : GPA UK..84%, Janin Dus. Presentasi...x Tafsuran Berat Janin....2..0... Air Ketuban... 22528 :, 050. Flan; - Kontrol t bulan lasi =_Wramin af sonewin settar han . Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-02-2023 ID: 011616 Name: — NOVITA Gender: ‘Age: 26D Exam Type: Early Pregnancy Exam 1D: 22 eee ELV e el aa AUA 13w4d; EDD(AUA) 25/8/2623; GA(LMP) 14wid; EDD(LMP) 22/08/2023; CRL 73.36nm GW 13Ww4d EDD 25/8/2023; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasion? Wy.Dui Wo 8 NomerRM : o3aay. Tnstitusi =; PR Seger | ‘Nama Pemeriksa : dry Kuanirma Setya Hernan Tanggal —: at-or-204y Diagnosis: Cs% Ao He 24 mnonu- Hiasil Pemeriksaan (Deskriptify HPHT : ag - 6 - 22 Usia Kehamilan : 37 maou UsG 1. Janin Hidup HFidak a 2, Juma anin : Toappon 3. Letak Janin : twtreutean cRL: 4, Presentas: tenaan 5. DIT: Wo etmenie Sa 6. Berat Janin "2 2304. HC: 30158em 7. Cairan Ketuban :<44 cm 8. Lotak Placenta : funduy Bees os 9. Usia Kehamilan: 33 10. HPL : wot tir pees Ee Kesan (Diagnosis) : GPA UK..33..™9 Janin.. mas fren alt, amere rene DII...§* "/oPresentasi..HERS®., Biometri.seaval_.O% 29-25 4) TTD dan Nama Fasilitator : Tafsuran Berat Janin....?#2°. 9f.., Plasenta... S204%2, Air Ketuban.... Yt... F200. Plan Kontrol lang mingae taal, Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-02-2023 1D: 032211 Name: DWI RIA A Gender: Age: 250 Exam Type: Middle-late Pregnancy Exam ID: 29 AUA 33w0d; EDD(AUA) 11/4/2023; GA(LMP) 34w4d; EDD(LMP) 01/04/2023; BPD 85.48mm Gh 34wad EDD 31/3/2023; AC 290.23nm GW 33wid EDD 10/4/2023; HC 305.83nm GW 34wld EDD 3/4/2023; HC/AC 1.05; FL 57.69nm GW 30w2d EDD 30/4/2023; FL/BPD 0.67; FL/AC 0.20; EFW(Shepard) 2.23k9; AFIL 48.40mm; AFI 48,40nm; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS 10. HPL : 27/08 [rea DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasien Tnstitusi; “FFM Geyer 1 Nomer RM Nama Pemeriksa : dr, Wharima setya Warman Tangeal =: ay-cs-a0y Diagnosis: $str AoW. mmgou - Hasil Pemeriksaan (Deskriptif) HPHT : 3 -W-23 Usia Kehamilan : 13** mie9ov » USG 1, Janin Hidup /-Fidele a 2. Jumlah Janin : Turpyent 3. Letak Janin : Ineautean CRL : 7y04em 4, Presentasi : — 5. DJJ: ete] mene BPD 6, BeratJanin: HC 7. Cairan Ketuban: ~ 8. Letak Placenta: pondur ac 9. UsiaKehamilan: 3 winppu pL ‘Kesan (Diagnosis) : GPA UK..BI%9 Janin. pys..\."hy Presentasi Tafsuran Berat Janin.. Air Ketuban....50498.. Plan: fonwwol tag olan lagi. Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I ID: 030197 Gender: Exam Date: 21-02-2623 Name: WARTABAH Age: 280 Exam Type: Middle-late Pregnancy Exam ID: 31 AUA 13w2d; GA(LMP) 15w6d; CRL 70.49mm GW 13w2d EDD 27/8/2623; EDD(AUA) 27/8/2023; EDD(LMP) 16/08/2023; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien > Wy.Fadite NomerRM : ters, Tanggal —: 21-03-2033 Diagnosis _: Sef Ae i. _tingau. Tnstitusi_ ; PRT Geyer 1 Nama Pemeriksa : 4°. Wharirma Sey Karranr Hasil Pemeriksaan (Deskriptif) HPHT : 5 -h-a2 Usia Kehamilan : 10 ** mg, Jonin Hidup /“Fidake Tumlah Janin : Tangy Letak Janin : tptcautean Presentasi : - DID: tx x( mane Berat Janin: - HC Cairan Ketuban : wwe Letak Placenta: fendus AC Usia Kehamilan :\8**mngpu py, 10. HPL : '3/09/ 1023 oenovaunc Kesan (Diagnosis): intrauterine GPA UK.J0%1y Janin. ton9ael..M\ DIJ.182."/M Presentasi.....7......, Biometi, Tafsuran Berat Jamin... Plasenta,.. SPAY... Air Ketuban... £2" Plon : Konto? 1 belan lagi > TTD dan Nama Fasilitator : Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-02-2023 ID: 010522 Name: fadila Gender: Age: 21D Exam Type: Early Pregnancy Exam 1D: 16 AUA 1ew6d; EDD(AUA) 13/9/2623; GA(LMP) 11w2d; EDD(LMP) 11/09/2023; CRL 39.55mm GW 10w6d EDD 13/9/2023; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien : Wy, Macanhte Nomer RM: o2\qer Tanggal — : at-oaaeas | Diagnosis: SH Ac. s1_mesov- Hasil Pemeriksaan (Deskripiif) Tnstitusy > PEA Geyer Nama Pemeriksa : de. Kharima Sebye Wnenani HPHT ; W-s - aa Usia Kehamilan ; 38 "9, USG 1, Janin Hidup HFitate 2. Jumlah Janin ; Twp pox os 3, Letak Janin ; \nesoutenn cRL : 4. Presentasi: teator 5. DIV: 182 fmanit BPD : 9/s&em 6. Berat Janin : 3805. HC : 3a,y2em 7. Cairan Ketuban :or02.6m ’ 8. Letak Placenta: Fundur AC 2 34195 um 9. Usia Kehamilan : 38 wings FI 10. HPL : 09/03/2011 Fe use Kesan (Diagnosis) : G PA _UK..38.G, Janin. twnagal.., hidur, mtravtenne DIS..MEYyPresentasi..beRa'., Biometri 265.0 MS S82. 96... Plasenta. Jorn ‘Tafsuran Berat Janin. Air Ketuban... 62 Fan + Raye 8-08 TTD dan Nama Fasilitator : Catatan Fasilitator = Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-02-2023 1D: 031765 Name: marantika Gender: Age: 25D Exam Type: Middle-late Pregnancy Exam ID: 17 AVA 38w0d; GA(LMP) 4iwid; AFI1 69.21nm; BPD 95.21mm GW 38w6d EDD 1/3/2023; HC 321.27mm Gi 36w2d EDD 19/3/2023; FL 74.43nm Gh 38wid EDD 6/3/2023; FL/AC 0.21; EDD(AUA) 7/3/2023; EDD(LMP) 14/02/2023; AFI 60.21nn; AC 347.51mn Gh 38w5d EDD 2/3/2023; HC/AC 0.92; FL/BPD 0.78; EFW(Shepard) 3.58kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasien : By. Rerentivo Institusi ; KM Beyer 1 NomerRM : 031849 Nama Pemeriksa : ar, \hemnme Cerys Harnanr ‘Tanggal Area-ro1, Diagnosis: &>feAy W- 9a 49 _ Hasil Pemeriksaan (Deskriptif) : HPHT : \2-3- 22 Usia Kehamilan: 3\*4 y. uUsG 1, Janin Hidup HFidak- Gs 2. Jumlah Janin : Turgge1 3. Letak Janin : Ywheautesin RL: 4, Presentasi : yepaie 5. DIT: Nus/menie BED): 6. Berat Janin : tg05- HC 7. Cairan Ketuban : exw, seerih 8. Letak Placenta: Fonsur AC 9. Usia Kehamilan : s1mcspy FL 10. HPL : a1 povireus jometri Janin : 8, sien 28,9 Bem 2 Abi S bem SM om Kesan (Diagnosis) : GPA UK.2%9, Jamin... Av0999). DU. Nfs Presentasi,.1404'4., Biometi. 5 Tafsuran Berat Janin Air Ketuban....SeW en Flan: Kontrol a mmggu lagi 5 2... Plasenta... S294¥F..., huaye , Wiravrenae | Be TTD dan Nama Fasilitator : Catatan Fa: Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I 1D: 631849 Exam Date: 21-02-2023 Name: romantika Gender: Age: 230 Exam Type: Niddle-late Pregnancy Exam II AVA 31w4d) EDD(AUA) 21/4/2023; GA(LMP) 32wi EDD(LNP) 18/04/2023; BPD 83.12nm Gh 3w3d EDD 8/4/2023; AC 269.63nm GW 31wid EDD 24/4/2023; HC 289.87nm Gw 32W0d EDD 18/4/2023. 08; FL 57.41mn GW 30w1d EDD 1/5/2023 FL/AC 0.21; EFW(Shepard) 1.90k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien Nomer RM Tanggal —: 2-0 Diagnosis _: Gets Ae YS aur oane Has magsy TM Geyer 1 dr, kramisma Tnstitusi ‘Nama Pemeriksa Warnani setye Hiasil Pemeriksaan (Deskriptif) HPHT : 18-6 - 32. Usia Kehamilan : 35°? mg. usG Janin Hidup HFidak Presentasi : Yapate DIS: tse moniy Berat Janin : 28:0 2¢ Cairan Ketuban : eatup, Jeenih Letak Placenta: Pandur 9. Usia Kehamilan : 35 mnp pu 10. HPL : 3/02/ Bi by Um 2 3Ton : Buteem 2 %roMum Kesan (Diagnosis) : GPA UK.35.'y, Janin. Avnagel Avy, Tafsuran Berat Janin... .2852... Air Ketuban... S827. control, yerauh fen lang 1 MINgDY Inof Presentasi..'EN%'.., Biometri..S°5!2". . » Plasenta....k20022.° TTD dan Nama Fasilitator : Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-02-2023 ID: 2212023104858 Name: AGUS Gender: Age: 26D Exam Type: Middle-late Pregnancy Exam ID: 21 AA 35w3d; EDD(AUA) 25/3/2023; GA(LMP) 35wid; EDD(LMP) 25/03/2023; BPD 86.46nn Gi 35w0d EDD 28/3/2023; ‘AC 311.88nm Gh 35wid EDD 27/3/2023; HC 317.03mm Gu 35w5d EDD 23/3/2023; HC/AC 1.02; FL 70.41mm GW 36w1d EDD 20/3/202: FL/BPD 0.81; FL/AC 0.23; EFW(Shepard) 2.55k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien > Ny. Nowe Tnstitusi: fem Feyer 1 NomerRM : onci Nama Pemeriksa : dr. Khonrwe Serye tarnan’ Tanggal aor, Diagnosis: GatiAe H.W RNQBU Hasil Pemeriksaan (Deskriptif) HPHT : as -w-22 Usia Kehamilan: 1g ** 9 USG Biometri Janin : 1. Janin Hidup /Fidak 2. Jumlah Janin : Warps os 3. Letak Janin : mirautecin CRE : Teste 4. Presentasi :- 5. DIS: Wet meni BED 6. BeratJanin: ~ HC 7. CairanKetuban: cole yern 8, Letak Placenta: ponds ac 9. Usia Kehamilan ; 1s*o0nppu a 10. HPL : 4/08/2009 TTD dan Nama Fasilitator : Kesan (Diagnosis) : 4 Janin, ten, dup, wnrravteeme , GPA UK DISS. fy Presemtasi..F..T...., Biometti Tosco ‘Tafsuran Berat Janin...........--p Plasenta... 20428 Air Ketuban... 2Y°8, JE oe Fonte! Wand 4 bulan lage Plan Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-02-2023 ID: 011616 Name: NOVITA Gender: Age: 26D Exam Type: Early Pregnancy Exam ID: 22 [rrerrrerrrrrernrry AUA = 13w4d; EDD(AUA) 25/8/2023; GA(LMP) 14wld; EDD(LMP) 22/08/2023; PUTT TV TeeSY CRL 73.36mm GW 134d EDD 25/8/2023; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasien > Ny Meagan Tnstitusi FHA Ceyer 9 NomerRM : 63ar83, Nama Pemeriksa ; at. Uhameme Seta Hernan! Tanggal = at-oa-a0uy Diagnosis Bete Ar__H.29 mG Hasil Pemeriksaan (Deskriptif) : HPHT : (3-8 22 Usia Kehamilan : 27" 9. UsG 1. Janin Hidup /-Fitak 2. Jumlah Janin : Tuogpat Gs 3. Letak Janin : (otrautedn RL: 4. Presentasi : Vintang 5. DIS: WG xlmnt BPD : stem 6. Berat Janin : \\09e ee 7. Cairan Ketuban : Cueup, Jernin 8. Letak Placenta : samp AC: 2anjboum 9. Usia Kehamilan : 23*" misppa a 10. HPL; 2>fox/.013 Kesan (Diagnosis) : TID dan Nama Fasilitator : Iniraveetne ve 2, GPA UK..22"\"9Janin.t90994l:.d Dis...287 Presentasi... W829, Biometri. 22%. ‘Tafsuran Berat Janin.....\°'2. 9°... Plasenta... Ai, AMP" Catatan Fasilitator : Air Ketuban..... S27. 2227. fan. Keni) vag bulan lat Scanned with CamScannerREPORT OF ULTRASOUND Ospital: PUSKESMAS GEYER I Exam Date: 21-02-2023 : 032583 Name: — MARTYATI ender: Age: 380 Exam Type: Middle-late Pregnancy Exam ID: 23 AUA 27wld; EDD(AUA) 22/5/2023; GA(LMP) 27w4d; EDD(LMP) 20/05/2023; BPD 67.62mm GW 27w2d EDD 21/5/2023; AC 224.65mm GW 27wOd EDD 23/5/2023; HC 252.53mm GW 27w3d EDD 20/5/2023; HC/AC 1.12; EFW(Shepard) 1.01kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS FOTO HASIL PEMERIKSAAN Nama Pasien Nomer RM Tanggal =: 2-01-1813 Diagnosis __: Bt te W s0*® Re toatye o3aiey Tnstitusi ‘Nama Pemeriksa fem Geyer | ide. Fhansta Seiya Wernane Hasil Pemeriksaan (Deskriptif) HPHT : 4/jo/22 Usia Kehamilan : 18 *# w5* USG Janin Hidup /-Fidak Jumlah Janin : Tanyyox Letak Janin : \wieautein Presentasi : meintans . DUI: neserrmenie Berat Janin: \e0o sr HC Cairan Ketuban : cove - yernh, Letak Placenta : Fanéur AC Usia Kehamilan : 1@** mingpu = 10. HPL : oyu BPD : ios um» 2S ahem Wea tem, Kesan (Diagnosis) : GPA UK..l¢%60, Janin, Jerod), Ndve.,..Wwres vtemane « DII., ¥2%).., Biometri..2 Tafsuran Berat Janin....1222.2 Air Ketuban... ..2v*21 “C4, Presentasi sent , Plasenta, Jens Plea 2 Fonteet wang | bute lagi a TTD dan Nama Fasilitator : Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-02-2623 1D: 032627 Name: WAHYU Gender: Age: 30D Exam Type: Middle-late Pregnancy Exam ID: 24 ‘AUA 18W6d; EDD(AUA) 19/7/2023; GA(LHP) 203d; EDD(LMP) 09/07/2023; BPD 40.51nm GW 18W2d EDD 23/7/2023; AC 144,88nm GW 19W6d EDD 12/7/2023; HC 153.16nn GW 18W3d EDD 22/7/2023; HC/AC 1.06; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien = Wy.soyidatvn NomerRM : 8200 Tanggal —: 2\-oa-10 Diagnosis; 63%>Ao W- 32 _mmaou- Tnstitusi = tem Geyer 7 ‘Nama Pemeriksa : ar, Kharinna Serja Maenomt ‘Hasil Pemeriksaan (Deskriptif) : HPHT ; 3-4-2. Usia Kehamilan ; 98 *> m5 . usc Janin Hidup / Fada Jumlah Janin : Tonge Letak Janin : Wicousttin Presentasi : bea DIS: B&sfwent Berat Janin : (730 2 Cairan Ketuban : 4,ox.em Letak Placenta : Fundur Usia Kehamilan : 3043 mrp 10. HPL : 30/y/v005 2 2 8ae" 238, 2um 537) them eenavavnel Shem, Kesan (Diagnosis) : GPA UK: Du..1EE/¢Presentasi... Ket! ‘TTD dan Nama Fasilitator : ‘Tafsuran Berat Janin....'73°. 9°... Plasenta....FYNAeS..: ‘Air Ketuban,...S9¥2y... Jean Han 5 Kostel dang magov lage Catatan Fasilitator : T Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-02-2023 1D: 020085 Name: SAYIDATUN Gender: ‘Age: 30D Exam Type: Middle-Late Pregnancy Exam 1D: 25 AUA 30W2d; GA(LHP) 32w0d; AFI1 40.200; BPD 78.21mm GW 31W3d EDD 22/4/2023; HC 282.35mn GW 31W0d EDD 25/4/2023; FL 51.75mm GW 27w5d EDD 18/5/2023; FL/AC 0.19; EDD(AUA) 30/4/2023; EDD(LMP) 19/04/2023; AFI 40.26nm; AC 272.19nm GW 31W3d EDD 22/4/2023; HC/AC 1.04; FL/8PD 0.66; EFW(Shepard) 1.73k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasien > 85.Yuse NomerRM : weaea Tnstiust =: eM Geyer Nama Pemeriksa : a, Wuawieme Setya Vernon’ Tanggal 20-20% gga Diagnosis: Gatifo W.$"* 9 Hasil Pemeriksaan (Deskriptif) HPHT : 35-12-33, Usia Kehamilan: 6" % USG 10, HPL : 03 /ie/ 1018 Biometri Janin: 1, Janin Hidup /Fidake 2. Jumlah Janin : Torype nieces 3. Letak Janin : tovenutern cRL 4. Presentasi: - 3. DU: ~ aoe 6. BeratJanin: - 7. Cairan Ketuban : — ne 8. Letak Placenta: = AC 9. Usia Kehamilan: sis py Kesan (Diagn GPA UK. DJ... Presents... ‘Tafsuran Berat Janin. Air Ketuban.....- Plan ; oat! 1 bulan Janin,..évp..weeion 2, intravrenne Biometri , Plasenta, lagi. 'Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-02-2023 ID: €30203 Name: YUNIA Gender: ‘Age: 240 Exam Type: Early Pregnancy Exam 1D: 26 GA(LMP) Bw2d; EDD(LMP) 62/16/2023; GS 8.6m Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN T FOTO HASIL PEMERIKSAAN Nama Pasien > Wy.Deut NomerRM : oiseus Tanggal—: Brera Diagnosis: by ts 4o_W. 30 _wrnoou Hasil Pemeriksaan (Deskripti HPHT : 26-832. Usia Kehamilan : 204? ny. UsG Biometri Janin : Janin Hidup /Fidae a 1. 2. Jumlah Janin : Wry 3. Letak Janin : \n\eeutesn CRL = 4, Presentasi : ‘epaia 5. DJJ: woxfmenit: BPD): Jetje 6. Berat Janin : (100 5 HC : 27,62em 7. Cairan Ketuban : 3.26 em 8. Letak Placenta: Fundur AC: 21 yaem 9. Usia Kehamilan : 30°} regs 1OLHPLsgpyws zn Tnstitusi PES Geyer 7 Nama Pemeriksa : dr, Kharinen selyn Mernanr, Kesan (Diagnosis) : GPA UKR., DIT.NP."74 Presentasi esta. Biometr. Se. 96, 3° 9. Tafsuran Berat Janin.....72°.9°..., Plasenta... 29824..: Air Ketuban... .6204F.: Flan. Kontrol A mingay tags, ernth TTD dan Nama Fasilitator : Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I 1D: 612045, Name: DEWI S Gender: Exam Date: 21-02-2623 ‘Age: 40¥ Exam Type: Middle-late Pregnancy Exam ID: 27 Erie AAARANAAY i) ANAAAtAT AVA 30034 EDD(AUA) 29/4/2023; GA(LHP) 25w6d; EDD(LMP) 01/06/2023; AFIL 29.790; AFI2 32.60nm; AFT 62.39nm; BPD 76.71nm Gh 30w6d EDD 26/4/2023; AC 274.31mm Git 31w4d EDD 21/4/2023; HC 276.25mm Gh 3w2d EDD 30/4/2023; HC/AC 1.01; FL 55.43nm GW 29w2d EDD 7/5/2023; FL/BPD 0.72; FL/AC 0.20; EFW(Shepard) 1.70k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasion: Wy. Febmi \oabya Trstitusi; een Geyer 1 Nomer RM: oastos Nama Pomeriksa : a. Uharwme tehja Hernan! Tanggal I ator awn Diagnosis _: Gifofo_¥-35 “9 Hasil Pemeriksaan (Deskriptif) : HPHT : 3-7 -33 Usia Kehamilan : 3a.*? ™s- usc. Biometri Janin z T, Janin Hidup /Fidake A 2. Jumlah Janin : Twoppas 3. Letak Janin : wiraudein RL 4, Presentasi: Vintang 5. DIS: Wetman BPD : &iusem 6. Berat Janin : \60 xe : 7. Cairan Ketuban : 3/3¢" HC + novthte 8, Letak Placenta: Rundur AC: 38, 63em 9. Usia Kehamilan : 33> 1O.HPL: Wwjoyjioa FL: S1b7em Kesan (Diagnosis) : TTD dan Nama Fasilitator : G PA UK.227 29 Janin. nave, wna) ..patravrenene , D3J..2% 4 Presentasi..{'02%9,., Biometr...s24¥2... UN, 22-33 9. ‘Tafsuran Berat Janin... %9..9°...., Plasenta,.. S24¥e. Mah. AEE Air Ketuban... thao fontro) vlan inggy hor Catatan Fasilitator = Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I ID: 020802 Gender: Name: AUA 32W3d; GA(LMP) 33W3d; AFIL 39. 35mm; BPD 84.96nm GW 34w2d EDD 2/4/2023; HC 297.67nm Gi 33wad EDD 11/4/2023; FL 56.74mm GW 29w6d EDD 3/5/2023; FL/AC 0.20; Exam Date: 21-02-2023 FEHMI WAHYU Age: 230 Exam Type: Middle-late Pregnancy Exam 1D: 28 an ee Cee EDD(AUA) 15/4/2023; EDD(LMP) 09/04/2023; AFT 39, 35mm; AC 286.31mn Gh 32w5d EDD 13/4/2023 HC/AC 1.04; FL/BPD 0.67; EFW(Shepard) 2.16kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS Janin Hidup HFidak 2. Jumlah Janin : Tanpyes 3. Letak Janin : \nteautesn iene 4. Presentasi: + 3. DU: BPD 6. Berat Jain: ~ HC 7. Cairan Ketuban: ~ 8. Letak Placenta: footer Ac 9. Usia Kehamilan: 97* ng py, 10. HPL: 20/09/12 DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasien + Ny. De At Insts! 7 pent ever NomerRM : 16760 Nama Pemeriksa : dr, Waaricee Sea arncine Tanggal =: a\-ey-1ea Diagnosis: Gati ae WW mingsu. Hasil Pemeriksaan (Deskriptif) HPHT : y -y.-a2. Usia Kehamitan : gt* mingou- USG Kesan (Diagnosis) : GPA UK..§..."9Janin,..290998.1 DUB... Seno Presentasi....%.....-5 Biometti.....7 Tafsuran Berat Janin......7......-.0,Plasenta... E&RAYS.: Air Ketuban......7 Plan + fonttel vlang 1 butan lags» _radyp,c.iotiavterine TTD dan Nama Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-02-2023 ID: 020760 Name: RITA PIPIT Gender: ‘Age: 24D Exam Type: Early Pregnancy Exam 1D: 30 AUA Qw6d; EDD(AUA) 20/9/2023; GA(LMP) 11w3d; EDD(LMP) 16/09/2023; CRL 30.68mm GW Sw6d EDD 20/9/2623; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien Ny. but NomerRM : o3ats Institusi: POA Ceyer 1 ‘Nama Pemeriksa : dv. Whariere — Sehyn Hernan Tanggal =: at-m-r01a Diagnosis: Gafihe W.29°F » Hasil Pemeriksaan (Deskriptif) : HPHT : 2-8-2. Usia Kehamilan : 2g*! m9. USG Biometri Janin : 1. Janin Hidup Fide ee 2. Jumlah Janin : Tanppat 3. Letak Janin : \rirauyestn CRL : 4. Presentasi : \wqtans 5. DJJ: wre tmene BPD : Mi b8em 6. Berat Janin : ytoge HC :t@2bem 7. Cairan Ketuban : eweup 3erniy 8. Letak Placenta : Fundur AC i INT em 9. Usia Kehamilan : 214" mappa 10. HPL : 03/07) 203 AL Kesan (Diagnosis) : GPA UK.21'y Jamin, weno wader Dyy..S 4&4 Presentasi,..\int 29, Biometri, S25¥41,.2%,.2° 2. Tafsuran Berat Janin....SN2.2°...., Plasenta...29n49s Air Ketuban.... 82%, SE00 Plan: Kontrel viany 1 bvlan Last. ‘TTD dan Nama Fasilitator : | Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER 1 Exam Date: 21-02-2023 ID: 03265 Guor Gender: Age: 240 Exam Type: Middle-Late Pregnancy Exam 10: 32 AUA 2iwid; EDD(AUA) 3/7/2023; GA(LHP) 27W5d; EDD(LMP) 19/05/2623; BPD 46.060m Gh 20ved EDD 11/7/2023, AC 177.39nm GW 22W5d EDD 22/6/202: HC 183.68mm GW 20W6d EDD 5/7/2023; HC/AC 1.04; EFW(Shepard) 0.41kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN Nama Pasion FOTO HASIL PEMERIKSAAN 2 Ny-undayot NomerRM : s335r9, Tanggal Tere Diagnosis: tyteo_ Hasil Pemeriksaan (Deskri Tnstitusi ten Geyer + Nama Pemeriksa : ae, Ware feria Karnand HPHT : 3 | 4/az Usia Kehamilan : 33 ** w+ Janin Hidup /-Fidek Jumlah Janin : Tur95. Letak Janin : \neaurein Presentasi: yeraly DIF: Wea eye Berat Janin : 2400 Cairan Ketuban : uy tbem Letak Placenta : unaur Usia Kehamilan : 32°F mingpy 10.HPL : e7owproy BPD HC aC BMOE 29/76 tm 1 3Ordem G/Stem, Kesan (Diagnosis) : GP A_UK..292%09 Janin. vega. ..MaeP DIS.. “fs Presentasi...WeRA's., Biometr.. 62MM... BN 7 2490.98. Plasenta... 2899 tnrravtenine ‘Tafsuran Berat Janin. Air Ketuban... WHF, «....J2, Fan + Roneol dang 2 thangs Wea, TTD dan Nama Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND ‘ Hospital: PUSKESMAS GEYER I 1D: 032557 Nami Gender: Exam Date: 22-02-2023 WIDAYATI Age: 420 Exam Type: Middle-late Pregnancy Exam ID: 40 AVA 33W5d; EDD(AUA) 7/4/2023; GA(LMP) 33w4d; EDD(LMP) 09/04/2023; AFI1 41.64nm; AFI 41.64nm; BPD 84.09mm GW 33w6d EDD 6/4/2023; AC 309.00mm GW 34W6d EDD 30/3/2023; HC 297.68mm GW 33w0d EDD 12/4/2023; HC/AC 0.96; FL 65.13mm GW 33w4d EDD 6/4/2023; FL/BPD 0.77; FL/AC 0.21; EFW(Shepard) 2.40kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN_ ‘Nama Pasien | Wy. Yurtosnt Tnstitusi: Pata Goyer NomerRM : o9 tyes Nama Pemeriksa : dr. Vkoriere cenye Harnans Tanggal —: ap-os-a0%3 Diagnosis; Ss%-Ax Want? 5 Hlasil Pemeriksaan (Deskript HPHT : (-9-23. Usia Kehamilan : 28 ** 9» USG Biometri Janin: 1, Janin Hidup HFideke a 2. Jumlah Janin : Yarggas 5 3. Letak Janin : \otraurese cRL 4. Presentasi: tntons 5. DI: Moefmenie BE ne 6. Berat Janin : 2305. HC + 25,78em 7. Cairan Ketuban : 3¢2¢m 8. Letak Placenta; jersk Fendah = AC: 941m 9. Usia Kehamilan : 28 mnsqu FL 10. HPL: (oro. DRT Kesan (Diagnosis) : ‘ ayy, sncavtering GPA UK.28-2%5 Janin,..temnael ALR, c SETRAENNe Dsy.N2 71, Presentasi..\W9k2%5., Biometri..£2641..U6,2° "7 Tafsuran Berat Janin....!220.9°:..., Plasenta,..elal. end Jee. Air Ketuban....247) Plan. Raye Ke $7.05 — dengan tralirorornra TTD dan Nama Fasilitator : Catatan Fasilitator : Scanned with CamScanner |REPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 22-02-2023 1D: 091785 Name: YUNTARNI Gender: Age: 38D Exam Type: Middle-late Pregnancy Exam ID: ae Han ddl dtdndedabi bag AAA AUA 28w4d; EDD(AUA) 13/5/2023; GA(LMP) 25wo EDD(LMP) 08/06/2023; AFI1 39.31mm; AFI 39.31mm; BPD 71.38nn GW 28w5d EDD 12/5/2023; AC 241.82mn GW 28w4d EDD 13/5/2623; HC 257.99mm GW 28w1d EDD 16/5/202: HC/AC 1.07; FL 55.46mm GW 292d EDD 8/5/202: FL/BPO 0.78; FL/AC 0.23; EFW(Shepard) 1.23k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS. DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien : Wy Nuts’ Tnstitusi > KM Geyer - NomerRM : ako Nama Pemeriksa dr, Waacims Sehya ernant Tanggal 22-92-2012 Diagnosis: GW ho H. 33 95 _ Hasil Pemeriksaan (Deskriptif) : HPHT : \-9-22. Usia Kehamilan : 33°* m9, UsG Biometri Ja 1. Janin Hidup idk Gs 2. Jummlah Janin : “weep a 3. Letak Janin : (mautedn cRL: 4. Presentasi o 5, DJJ: @efmentt BPD : @,53¢m 6. Berat Janin: 250 4. nCRne 7. Cairan Ketuban : 6,04 em 8. Letak Placenta ; Furdur AC : 29,06um 9. Usia Kehamilan : 33°*winppu Ls tem 10. HPL : tofoy! ror | Kesan (Diagnosis) : yenine Ue 3343 GPA UK.33.1%5 Janin : DIU..128%y Presentasi..etl.., Biometri ‘TTD dan Nama Fasilitator : Tafsuran Berat Janin....*5°.9¥...., Plasenta,..49999S7... Air Ketuban... C2. 1. )@2010. van & tinge \nois Woot! tan Scanned with CamScannerREPORT OF ULTRASOUND Hospital: lospital: PUSKESMAS GEYER I Exam Date: 22-02-2023 ID: 092160 Name: YULISART Gender: je: 220 Exam Type: Middle-late Pregnancy Exam ID: 41 — EA nn BUNT essa a VLA AUA 332d; EDD(AUA) 10/4/202 GA(LMP) 33W6d; EDD(LMP) 07/04/2023 AFI1 60.41mm; AFI 60.41mm; BPD 85.77nm Gi 34w4d EDD 1/4/2023; AC 290.69mn GW 33w1d EDD 11/4/2023; HC 300.92nm Gh 33w3d EDD 974/202: FL 61.87nm GH 32w1d EDD 18/4/202: FL/AC 0.21; EFW(Shepard) 2.25kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS 10. HPL: ogov(ver DATA PEMERIKSAAN, FOTO HASIL PEMERIKSAAN Nama Pasion’ © Wy todain Tnstiust = te Seger | NomerRM ; 092334 Nama Pemeriksa : ar. Viurisma Sehya Harnane Tanggal = 33-53-2023 Diagnosis: Bivoso HW. 3Y_Mmgav Hasil Pemeriksaan (Deskriptif) HPHT : 30-6-23 Usia Kehamilan : 33*% wnngyy » USG Biometri Janin : 1, Janin Hidup / Fidake a 2. Jumlah Janin : Tunppat 3, Letak Janin ; tnienutein cRL: 4, Presentasi : Keraus 5. DIS ApH meng pe oane rst 6. Berat Janin : 3100 4¢ HC : 30, 90m 7. Cairan Ketuban : pv toy 8. Letak Placenta : Funaur AC: ap,29¢m 9. UsiaKehamilan: 33¥mn5pu pp Kesan (Diagnosis) : GPA UK.23'%9 Janin, Wengert: bude. tneaut sane DU...M2JeePresentas..Wetl., Biometr.servas..UH.2? " 2200, Plasenta... AA, yen Tafsuran Berat Janin Air Ketuban.... SM2E...0 Poa + Konkel a mutoay tear, TTD dan Nama Fasilitator : Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I 1D: 692334 Gender: Ag Exam Date: 22-02-2023 Name: INDAH 200 Exam Type: Middle-late Pregnancy Exam ID: 43 AUA 33w4d; EDD(AUA) 8/4/2023; GA(LMP) 34w0d; EDD(LMP) 06/04/2023; AFIL 51.44nm; AFI 51. 44nm; BPD 84,09nm GH 33w6d EDD 6/4/2023; AC 292.91mm GW 332d EDD 10/4/2023; HC 301,78mm Gw 33w4d EDD 8/4/2023; HC/AC 1.03; EFW(Shepard) 2.20kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien 7 Ny.Fs Nuc Tnstitusi > PRM Gener ¥ NomerRM : 09224 ‘Nama Pemeriksa ; @¥ Weawarma fetya Heenan’ Tanggal {22-02-2013 Diagnosis _: G2 fi Ae MW. #0 MODY Hasil Pemeriksaan (Deskriptif) : PHT : tg -¥ +3090 Usia Kehamilan : 384% mmqov- USG Biometri Jani 1. Janin Hidup HFidak 2. Jumlah Janin : Twngge ay 3. Letak Janin : \ntreutein RL 4. Presentasi 5. DJJ: \stxtemesie BPD : 9)2tem 6. BeratJanin: 3 560 9r HC: 34, t9em 7. Cairan Ketuban : 4,05 em 8. Letak Placenta: Funcur AC: B8rdzem 9. UsiaKebamilan: 38" mingpy = FL: 75 sem 10. HPL : 04(o3/ 263 Kesan (Diagnosis) : GPA UK.28°%99, Janin, AyN9AaN.,.Wider . intravtenme pus. .» Presentasi..¥2N),., Biometri, $60! 2%, 28-39 Tafsuran Berat Janin,.. 3°¥9.. %...., Plasenta.. RONAYS Air Ketuban..... M8 <, eemh, flan: Kontre\ ) mingau Nagi. TTD dan Nama Fasilitator : Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUN! Hospital: PUSKESMAS GEYER I ID: 692245 Name: FITRI NUR Exam Date: 22-02-2023 Gender: Age: 24D Exam Type: Middle-late Pregnancy Exam ID: 42 BPD 92.67nm GW 37w5d EDD 10/3/202: HC 341,93mm GW 39w3d EDD 26/2/2023; FL 74.57nm Gi 38wid EDD 7/3/202: FL/AC 0.21; i ere eer ii aaaiaay 1 EDD(AUA) 4/3/2023; EDD(LMP) 23/02/2023; AFI 40.90nn; AC 354.74nm GH 39w3d EDD 26/2/2023; HC/AC 0.96; FL/BPO 0.80; EFW(Shepard) 3.56k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien : Wy. Maqea Institusi FEM Geyer 1 NomerRM : 092342 ‘Nama Pemeriksa : de. Whariema Sekya Marnen/ Tanggal poa-a as Diagnosis: GatiAe M23 mingou Hasil Pemeriksaan (Deskriptif) : HPHT : 30/3/23 Usia Kehamilan ; 28 wingoo USG Biometri Janin: 1. Janin Hidup /-Frdak Gs 2. Jumlah Janin : “urges 3. Letak Janin : (nteeastean cRL 4. Presentasi: ‘erate 5, DJ: (ox/meare BPD : 71 tem 6. BeratJanin: 12305. 5 ¢ Qe 7. Cairan Ketuban | 35cm HC sas ean 8. Letak Placenta: Fundur AC: AM Abum 9. Usia Kehamilan : 297 yey FL: 10. HPL : 1 fos/vous ~ te Kesan (Diagnosis) GPA UK. 9, Jenin...) mde, snrraurerime DII.NE Ye, Presentasi. YER... Biometri.209%! Tafsuran Berat Janin..\22°..%......., Plasenta,.. 4202... Air Ketuban... 2%... emt Ve 2-29 Plan: Font) 1 balan lagi (TTD dan Nama Fasilitator : #9 Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUN Hospital: PUSKESMAS GEYER 1 1D: 092362 Exam Date: 22-62-2023 Name: NAFKAH Middle-late Pregnancy Exam ID: 39 \ TVET EPRT Tee A LA AVA 28w4d; EDD(AUA) 13/5/2023; GA(LHP) 29W5d; EDD(LMP) 06/05/202: AFIL 35.19nm; AFI 35,19mm; BPD 71. 12mm GH 28w4d EDD 13/5/2023; AC 241.64nm GW 28w4d EDD 13/5/2023; HC 258.64nm Gh 28w1d EDD 16/5/2023; HC/AC 1.67; FL 54.73mm GW 29wad EDD 10/5/2023; FL/BPD 0.7: FL/AC 0.23; EFW(Shepard) 1.23k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN wy Fale Pomudite 10g 201 ‘Nama Pasien omer RM Tangeal aa-0a-20tt | Diagnosis: Gere H- 3 |ERIKSAAN FOTO HASIL PI PEM Geyer | ar. Whamsnve Seya Hannan’ Institust Nama Pemeriksa Hasil Pemeriksaan (Deskriptif) : HPHT : 99 /s/o3 Usia Kehamitan : 36** ourgau jomet Gs RL : BPD “TT, Janin Hidup /-Fidate 2. Jumlah Janin : wx9pa 3. Letak Janin : \wtrautein 4. Presentasi : eats 5. DIF: bet ment 6 1 8 S.Neun 5. Berat Janin : 3100 HC Cairan Ketuban : 4,83 em . Letak Placenta : Tundur Ac 9. Usia Kebamilan : 35*¥ringpy gL, 10. HPL : 24103/ 2005 Bereta 2 B3roden eupem Kesan (Diagnosis) : GPA UK.25°99, Janin, tunspal,. der, snrnstenime |. Presentasi.. Cil.., Biometri.. 220091, 2 9 Tafsuran Berat Janin..21?.%......, Plasenta... E2826. Catatan Fasilitator Air Ketuban... OW"... 2660 Plan 7 Kontrol 1 rungs 163 ~ Rertanyale watian bergi Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER 1 Exam Date: 22-02-2023 ID: 092101 Name: EDIT PRAMUDITA Gender: ‘Age: 19D Exam Type: Middle-Late Pregnancy Exam ID: 38 N. —- & AUA 35w5d; GA(LMP) 38w4d; AFI1 48.32nm; BPD 91.68nm GW 37w2d EDD 13/3/2623; HC 326. 11mm GW 37w0d EDD 15/3/2023; FL 61.70nm GW 32w0d EDD 19/4/2023; FL/AC 0.19; EDD(AUA) 24/3/2023; EDD(LMP) 05/03/2023; AFI 48, 32m AC 330.40nm GW 37wOd EDD 15/3/2023; HC/AC 0.99 FL/BPD 0.67; EFW(Shepard) 3.10kq; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS, 10. HPL: 2t/os/v9x+ DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN_ ‘Nama Pasien : Ny. Misqon Soult Tnstitusi ‘pam Seyer Nomer RM 040223 ‘Nama Pemeriksa dr, Whamisma Cekya Marnany Tanggal =; a3-02-20r4 Diagnosis: ety _H. 35° merge Hasil Pemeriksaan (Deskriptif) : HPHT 2B} oor Usia Kehamilan : >3*4 USG Biometri Jan |. Janin Hidup /-Fidek 2. Jumlah Janin :“Cungpet I 3. Letak Janin :\n\eutein CRL : 4. Presentasi: erate 5. DI: B8y/mene BPD : Gs32.em 6. Berat Janin :tox0 5, " 7. Cairan Ketuban :3/4(tom ieee 8. Letak Placenta : dur AC: Mbuen 9. Usia Kehamilan: 27+? megpu gy: Sy zem, Kesan (Diagnosis) : 3, GPA UK.2%.59, Janin, turegel., Wider, \anmerenne DIF.YE AM, Presentasi. HRA... Biometri. 2408! S26 9 ‘Tafsuran Berat Jani... » Plasenta,. £208", Seca buon Air Ketuban. last walan bak dan ray. 2+ Kowhl 1 Nan Rerbaryote TTD dan Nama Fasilitator : Scanned with CamScannerREPORT OF ULTRASOU Name: Canara Corn Leta rece AUA 27w3d; GA(LMP) 30w5d; AFI1 34.61mm BPD 63.20mm GW 25w4d EDD 3/6/2023; HC 234. 76mm GW 25w4d EDD 3/6/2023; FL 56.38mm GW 29w5d EDD 5/5/2023; FL/AC 0.23; Exam Date: 22-02-2023 MISFAH SAUTI Age: 210 Exam Type: Middle-late Pregnancy Exam ID: 37 EDD(AUA) 21/5/2023; EDD(LMP) 29/04/202: AFI 34.61mm; AC 246,48mm Gh! 29wOd EDD 10/5/2023; HC/AC 0.95; FL/BPD 0.8° EFW(Shepard) 1.05kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien > Wy 78 (noah, NomerRM : o908 33 Institusi Nama Pemeriksa PEM Beyer | pdr, Kher ceiver Hannan’ Tanggal Band Diagnosis Bathe Has 9 Hiasil Pemeriksaan (Deskriptif) : HPHT ; \"#-33 Usia Kehamilan : 33 ** mg UsG Biometri 1. Janin Hidup /-Fidak 2. Jumla Janin : Tangpet Gs 3. Leta Janine CRL : |. Presentasi : egano 5. DI: wax¢muone BPD : Q)22.¢m 6. Berat Janin : a380%¢ HC: 30ry2em 7. Cairan Ketuban :$,9 80m 8. Letak Placenta: Tundur AC 2 34 um 9. UsiaKehamilan: 33*%mtey FL: eayrum 10. HPL : eb/foy (0r3 Kesan (Diagnosis) : GPA UK.23°%.,, Jamin, aavp...P2Re9 /NITAMERN pur. “Loeresentas.. Wepele,, Biometr.semas. 2? "9. Tafsuran Berat Janin....23%2......., Plasenta... FYMAY®. Air Ketuban....24%..1. 226M... Flan = Wontrel slang 2 mmogy tagt> ZS Pubn minum vison Catatan Fasilitator = Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 22-02-2023 ID: 690823 Name: — TRI NINGSIH Gender: ‘Age: 270 Exam Type: Middle-late Pregnancy Exam ID: 36 AUA = 33w6d; EDD(AUA) 6/4/2023; GA(LMP) 33w6d; EDD(LMP) 07/04/2023; AFI1 57.86mm; AFI 57.86mm; BPD 82.22mm GW 33wld EDD 11/4/2023; AC 314.02mm GW 35w3d EDD 26/3/2023; HC 304.29mm GW 33w6d EDD 6/4/2023; HC/AC 0.97; FL 64.59mm GW 33w3d EDD 9/4/2023; FL/BPD 0.79; FL/AC 0.21; EFW(Shepard) 2.38kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien » Wy-Yeyen Tnstitust > PEM Beyer | Nomer RM: o4os73 Nama Pemeriksa ; dr. Wharirma setya Harman Tanggal 2-0-1902 Diagnosis _: fh Ao H.35 9 Hasil Pemeriksaan (Deskriptif) : HPHT : 23-6 -a2, Usia Kehamilan : 36 9 « UsG Biometri Janin : 1. Janin Hidup /Fidek eG 2. Jumlah Janin : Twos 3. Letak Janin : tnkexutein cRL 4. Presentasi: kegaie 5. DI: martmenn BPD : Git3em 6. Berat Janin : 1, Cairan Ketuban 's; chem HC 34,1 8, Letak Placenta : Rundur AC: 31k 90m 9. Usia Kehamilan + 35-en 1O.HPL: 39/03/1003 FUT IN toem Kesan (Di TTD dan Nama Fasilitator : GPA UK..29.™, Janin, tung9al.,, byeluy, sotravrerine We sya) Tafsuran Berat Janin.....2490..9°., Plasenta,.. ORAYE.». Air Ketuban.,..OW8 -, Jereh Plan rome Fontrol 1 ming lagi, Catatan Fasilitato Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exan Date: 22-02-2023 ID: 040372 Name: yeyen Gender: Age: 21D Exam Type: Middle-late Pregnancy Exam ID: 35 PVPTTAVIneNTNy UA aad A Red ch AUA 35w0d; EDD(AUA) 29/3/2023; GA(LMP) 35wid; EDD(LMP) 29/03/2623; AFI1 56.28mm; AFI. 56.28nm; BPD 86.39nm GW 34w6d EDD 30/3/2023; ‘AC 314.97nm GW 35w3d EDD 26/3/2023; HC 311, 12mm Gi 34w6d EDD 30/3/2023; HC/AC 0.99; FL 68.72nm Gi! 352d EDD 27/3/2023; FL/BPO 0.80; FL/AC 0.22; EFW(Shepard) 2.59kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien > Wy. eden Tnstitusi = PRM Geyer 1 NomerRM : oye. Nama Pemeriksa : dr, kuanree Sehya Harman Le Peet iagnosis_: Ses po Ws 36 ™9- Hasil Pemeriksaan (Deskriptif) : HPHT : (y-6 -22 Usia Kebamilan : 36 *!cernogu UsG 1. Janin Hiidup / Fidel 2. Jumlah Janin : Tenpyar ae 3. Letak Janin : (ncaastein CRL 4, Presentasi : kepora 5. DIS: 49x (manne BPD : 8r9¥em 6. Barat Jain: oon HC : 3t;0em . Cairan Ketuban : estiup, Jernit 8. Letak Placenta :“Pundus AC : 32,206» 9. Usia Kebamilan : 3+ winpgu a 10. HPL : 21/03/1013 fi ‘Kesan (Diagnosis) : ‘TTD dan Nama Fasilitator : GP A _UK..36'."9Janin, Aue, midee,. sntrawrenane DII_N2 7 Presentasi.. MPA... Biometri. SEU VIC 3639. Tafsuran Berat Janin..224°. 9, Plasenta....F28*.. Catatan Fasilitator : Air Ketuban:.. S82". erent: Pon . Rue WOE uvayar so, Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date?» 22-02-2023 ID: 02222023090838 Name: edeh Gender: Age: 37D Exam Type: Middle-late Pregnancy Exam ID: 34 tata oe ere a arers ore AUA 36wid; EDD(AUA) 21/3/2623; GA(LMP) 36W2d; EDD(LMP) 21/03/2623; BPD 89.40nm GW 36w2d EDD 20/3/2023; AC 328.03nm Gh 36w5d EDD 17/3/2023; HC 317.08mm GW 35w5d EDD°24/3/2023; HC/AC 0.97; EFW(Shepard) 2.94k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien = Wy. cay Tnstitusi: pe Geyer | Nomer RM: 99 iy. Nama Pemeriksa : de. Khatirma celya Hatnany ‘Tanggal 2 dd-02- 18d Diagnosis Geko Hse my, Hasil Pemeriksaan (Deskriptif) HPHT : (3-6 ->2 Usia Kehamilan : 34° 99 usG Biometri Janin : 1. Janin Hidup -Fidek GS 2. Jumlah Janin : Tange 3. Letak Janin : \nteutedn CRL : 4, Presentasi: fepae 5. DI: trvetment BPD : @,99em, 6. Berat Janin: 2640 ye HC 7. Cairan Ketuban : tstup, Jernih BU ean 8. Letak Placenta: fundus AC: 3Uysem 9. Usia Kehamilan : 3y™mming94 EL» & stem 10. HPL: s/oy (ou ‘Kesan (Diagnosi GPA UK.2Y%5 Jamin, e094! - hee,» sate vrenan DI..156.%, Presentasi. WEFAN. Biometri. SEER. 3 Tafsuran Berat Janin....£°°........, Plasenta... 42 NAVs Air Ketuban.... 25%, .:, JER. Plan: Yeonkrot vlery a maimaoy tayy ‘TTD dan Nama Fasilitator : Catatan Fasilitator Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I ID: 091714 Gender: Exam Date: 22-02-2023 Name: safitri Age: 25D Exam Type: Middle-late Pregnancy Exam ID: 33 Meme ee seem: vit a a Paneer Gener Age 257 Yor AUA 34w4d; EDD(AUA) 1/4/2023; GA(LMP) 36w3d; EDD(LMP) 20/03/2023; BPD 87.95mm GW 35w4d EDD 25/3/2023; AC 314.54nm Gh 35w3d EDD 26/3/2023; HC 312.42nm GW 35w8d EDD 29/3/2023; HC/AC 0.99 FL 63.15mm GW 32w5d EDD 14/4/2023; FL/BPD 0.72; FL/AC 0.20; EFW(Shepard) 2.66kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS, a DATA FEMERIKSAAN = foro HASIL PEMERIKSAAN 3 Institut: Peaa Geyer NomerRM : 0322 Nama Pemeritsa: ay pao Sian Ir Warman Sela Marnany Diagnosis: 62%Ao WesX'” 5 Hasil Pemeriksaan (Deskriptif) © HPHT : 2¢ -6 - a2 Usia Kehamilan : 33 mingov USG Biometri Jani 1. Janin Hidup AFictake 2. Jumlah Janin: "994 ad 3. Letak Janin : intrauteriny 4. Presentasi: ‘heral CR: 5. DI: Mat/m BPD : 8,5-em 6. Berat Janin ; >230 Or HC : %o5 em 7. Cairan Ketuban : 4.84 cM 8. Letak Placenta; fundus Ac : 29,0 CM 9. Usia Kehamilan : 33 999 10.HPL: 0/4/23 Eee Kesan (Diagnosis) : TTD dan Nama Fasilitator : GPA UK...%.29, Janin, g9el_- biden» ntrautenme DI_89"/ Presentasi..WEH..., Biometri. S04, UE. 33-9] Tafsuran Berat Janin... 2239. 9F..., Plasenta, £@94v8 Air Ketuban.,. We... 2788... Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER 1 Exam Date: 21-02-2023 ID: 032211 Name: DWE RIA A Age: 25D Exam Type: Middle-Late Pregnancy Exam It Tne WW AUA 33Ww0d; EDD(AUA) 11/4/2023; GA(LMP) 34wad; EDD(LMP) 01/04/2023; BPD 85.48mm GW 344d EDD 31/3/202: AC 290.23mm Gh 33w1d EDD 10/4/2623; HC 305.83mm GW 34wid EDD 3/4/2023; HC/AC 1.05; FL 57.69mm GW 30w2d EDD 30/4/2023; FL/BPO 0.67; FL/AC 0.20; EFW(Shepard) 2.23kg; AFI 48.40nm; AFI 48. 40nv Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien > Ny, Arno Institusi ; PEM Seyer ¢ - NomerRM : oF 2212. ‘Nama Pemeriksa : dt. Waarisma Setyor Harnans + Tanggal 0h 733 . Diagnosis Greho W. att my, Hasil Pemeriksaan (Deskriptif) HPHT : 13-9 -22 Usia Kehamilan © gt yy, USG metri Ja 1, Janin Hidup Mica 2. Jumlah Janin : Avnet Gs 3. Letak Janin ; invavrersne CRL : 4. Presentasi: \yntas 5. DIT iw BPD : 3 &™ 6. BeratJanin: ygo oF HC; 4 om 7. Cairan Ketuban ; y,> 6% 8. Letak Placenta; ¢urdes ac: V3 em 9. Usia Kehamilan : y*% «19 FL 10. HPL: ¢//>3 ‘Kesan (Diagnosis) : GPA UK. Jenin. Unt « hdep »_ veto ronan, DIs.NO(o, Presentasi.intory.., Biometri. 32°04! M20 % Tafsuran Berat Janin,.. 449..98....., Plasenta... FY, Air Ketuban.... UM... JH, ‘TTD dan Nama Fasilitator : Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUNI Hospital: PUSKESHAS GEYER I ID: 052212 Gender: Ag Name: AUA 19w4d; GA(LMP) 22w0d; AFI1 47.8600; CRL 54.03nm GW 12w1d EDD 27/8/2023; AC 173.25nm GW 22w2d EDD 17/6/2023; HC/AC 1.12; arina Exam Date: 13-02-2623 25D Exam Type: Middle-late Pregnancy Exam ID: 16 is AAA LA LA a A EDD(AUA) 6/7/2023; EDD(LMP) 26/06/202. AFI. 47, 86nm; BPD 53.26nm GW 22w2d EDD 17/6/2023; HC 194,51nm GW 21Ww5d EDD 21/6/2023; EFW(Shepard) 0.49kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasion; Ny, Wartroah Tnstitusi =: PRM Geyer NomerRM : 020197 Nama Pemeriksa ; dr. Waaerma cery Harman: Tanggal =: -2t- 02-23 Diagnosis Gyfrbo Wi » » Hasil Pemeriksaan (Deskriptif) - HPHT ; 3 -"-23 Usia Kehamilan : 3 ** *y- UsG Biometri Janin : 1, Janin Hidup /Fidele 2. Jumlah Janin : ong9¢ oo 3. Letak Janin : inreourertve Cate ioe 4. Presentasi: — 5. DI: te) 80m BPD : 6. BeratJanin: - 7. Cairan Ketuban: — ue 8. Letak Placenta: furdvs AC 9. UsiaKehamilan: (3** 9 - FL 10. HPL: 24/2/28 = Kesan (Diagnosis) : GPA UK.8724 Janin, ier. nrraurenine Du..\¢l ZuPresentasi . Biometri.... 7 m , Plasenta.. 42°42: ‘Tafsuran Berat Janin. Air Ketuban.,,,. 208". ontrel lat 1 bvlan ler an ‘TTD dan Nama Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND lospital: PUSKESNAS GEYER I Exam Date: 21-02-2023 ID: 030197 Name: WARTABAH Sender: ‘Age: 280 Exam Type: Middle-late Pregnancy Exam ID: 31 AUA 13W2d; EDD(AUA) 27/8/2023; GA(LMP) 15w6d; EDD(LMP) 16/68/2623; CRL 70.49mm GW 13w2d EDD 27/8/2023; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien = Ng. wowoike Tnstitust NomerRM : 032.316 ‘Nama Pemeriksa Tanggal ay nin + 2eRY Diagnosis Grtiho W.3t 9. Hasil Pemeriksaan (Deskriptif) : HPHT : 6-4-2 UsiaKehamilan : 3% "9, UsG |. Janin Hidup /-Fidek 2. Jumlah Janin : oooen) Gs 3. Letak Janin: whavlesine cRL 4, Presentasi: Wevate 5. DY: \wo */m BPD ; 9,04 && 6. Berat Janin: 2940 oF eee een 7. Cairan Ketuban : vag, ernie 8. Letak Placenta: fonds AC : 32-4 eu 9. Usia Kehamilan: 35 ' 10.HPL: 20/1 [23 ee acedices Kesan (Diagnosis) : dan Nama Fasilitator : Py Janin. 299922! "Pe Presentasi.\e¥., Biometri.. 14,6, 7* 3 GPA UK..3§ pu.. dup niravienane Tafsuran Berat Janin...>34©..9°, Plasenta...not™4.... Catatan Fasilitator + Air Ketuban... OW0?, - 220" flan: Mentrot 4, ungou aot Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESHAS GEYER I Exam Date: 21-12-2022 1D: 032316 Name: wiwik Age: 32D Exam Type: Middle-late Pregnancy Exam 1D: bl rv MMA AUA 35w5d; GA(LMP) 37wld; BPD 90.45mm GH 36wSd EDD 13/1/2023; HC 318.72nm Gh 360d EDD 18/1/2023; FL 65.78nm GW 34w8d EDD 1/2/2023 FL/AC 0.20; EDD(AUA) 20/1/2023; EDD(LMP) 11/01/2023; AC 324,56mm GW 36w3d EDD 15/1/2023; HC/AC 0.91 FL/BPD 0.73; EFW(Shepard) 2.94kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS : DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Fisen : Wy. hs” drogen Institusi_ > prem Sever 4 lomerRM =: 12112022 ‘Nama Pemeriksa : Nuaorr ts jo ene Tanggal =; eo th 3a ade, Wort Setya Harman Diagnosis: G6rPoAo H.WtS ry. Hasil Pemeriksaan (Deskriptif) HPHT : Usia Kehamilan : (4 *5 ty, UsG Biometri 1. Janin Hidup /-Fidaie 2. Jumlah Janin : tropa) ss 3. Letak Janin : (nrea tonne, Bon 4. Presentasi : Waren aut 5, DJJ: Wea */m BPD: 2,3 & 6. Berat Janin : - Ho ; 6.2 o 7. Cairan Ketuban : ewe 8. Letak Placenta: yondvs AC : 6/8 omy 9. Usia Kehamilan : 13 *Y FL 10.HPL: [yp [23 ‘Kesan (Diagnosis) : ‘TTD dan Nama Fasilitator : GPA UK..137%,, Janin..Avnggal der, « wnttavter ime DIJ..A¢4E5 Presentasi...nt4"9,, Biometri. 22%... ‘Tafsuran Berat Janin. sy Plasenta... $2" Air Ketuban.... 227. Catatan Fasilitator : Plan: Kontecl vlang 1 bulan legit Scanned with CamScannerREPORT OF ULTRASOUND Ospital: PUSKESMAS GEYER I Exam Date: 12-12-2022 Name: Lilis anggreini 220 Exam Type: Middle-Late Pregnancy AUA 13wad; EDD(AUA): 15/6/2023; LMP) 14w5d; EDD(LMP) 68/06/2023 73. 18mm GH 13w4d EOD 15/6/2023; BPD 23763nm GW 14w8d EDD 12/6/202: 24mm GW 13w4d EDD 15/6/2023; HC 82,25mm GW 13w4d EDD 15/6/2023; 1.21; FL 10.77mm GW 13w2d EDD 17/6/2023; FL/AC 0,16; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS: DATA PEMERIKSAAN NY. anther 1217 2022. (2.0508 - Tanggal W322 ‘Nama Pasien Nomer RM FOTO HASIL PEMERIKSAAN Pem Gover £ Tastitust de. Marie telya Wanna ‘Nama Pemeriksa Diagnosis _:_GrtvAo_#-3» MO - Hasil Pemeriksaan (Deskriptif) HPHT : 99-4 +22 Usia Kehamilan : 32 m3. USG Janin Hidup / ita Jumlah Janin : 4¥eqp0) Letak Janin : nteavtorsne Presentasi: versio DIS: wv */m - Berat Janin: 1#20 9° Cairan Ketuban: Y,\_ ae Letak Placenta: Fontes 9. Usia Kehamilan : 1 +? - 10,HPL: U/> (23 CRL BPD : 7,5 em 29,1 em HC AC FL Ae 1&s cm Kesan (Diagnosis) : GPA UK.3179, Janin..tusogalc, mao. watrautenine Dus... APresentasi..UE*., Biometri.. Se. 46. “D Tafsuran Berat Janin.... "°° 98,, Plasenta,..52P9Y*.. Mor» JETT > TTD dan Nama Fasilitator : Scanned with CamScannerREPORT OF ULTRASOU Hospital: Spital: PUSKESMAS GEYER I Exam Date: 12-12-2022 1D: 1212022120508 Name: zanika Ger ndet 22D Exam Type: Middle-late Pregnancy Exam ID: 6 AUA 31w2d; GA(LMP) 32w4d; AFIL 41.78mm; BPD 79.16mm GW 31w6d EDD 7/2/2023; HC 291.45nm Gr! 32w1d EDD 5/2/2023; FL 63.52mm Gh 32w6d EDD 31/1/2023; FL/AC 0.26; nts 11/2/2023; EDD(LMP) 03/02/2023; AFI 41.78mm; AC 241.09mm GW 28w3d EDD 3/3/2023; HC/AC 1.21; FL/BPO 0.80; EFW(Shepard) 1.48kg; Scanned with CamScanner Gikito WH, 32%LAPORAN USG OBSTETRI DASAR TERBATAS. DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien Wy. Inrodtor Tnstitust ) ( Bever NomerRM : yrtrtov 123402. Nama Pemeriksa : ar- Warts, Serya Hernan? Tanggal Poesna 2 Diagnosis: Gx¥iho W299 - Hasil Pemeriksaan (Deskriptif) HPHT : 30-s-a2 Usia Kehamilan : 29 «9, Iydyp,, aniraurer ns ii GPA UK... 9 Janin. fngaal. ¥ oe 39-34 Dus..192.% PresentasiWer2!*,, Biometr.#es28..06.29° 42] usc 1. Janin Hidup /tak— 2. Jumlah Janin: torgoat Gs 3. Letak Janin: inhravterine cae 4, Presentasi: Werata 5. DU: Ss "fm- BPD: hy em 6. BeratJanin: 1520 9° He: 38 7. Cairan Ketuban : 4 x0 8. Letak Placenta: ponds + AC :UbeN em 9. Usia Kehamilan: 30 10.HPL: \9/>/>3 FLU: Se om Kesan (Diagnosis) : TTD dan Nama Fasilitator = Tafsuran Berat Janin... 229. %....., Plasenta.... 2°92... Air Ketuban... OR... 2EM% . Plan , Kantrot lang 2 mingov 991 Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Brito H. ag y ospital: PUSKESHAS GEYER I Exam Date: 12-12-2622 LD: 1212222123402 Nane: imrodtus Sender: ‘Age: 24D Exam Type: Middle-late Pregnancy Exam ID:_7 AVA 30wid; EDD(AUA) 19/2/2023; GA(LMP) 29w4d; EDD(LMP) 24/02/2023; AFI1 49.23mm; AFI2 47.80nm; AFI 97.03nm; BPD 74.35mm GW 29w6d EDD 21/2/2023; AC 264.61mm Gh! 30wSd EDD 15/2/2023; HC 273.69mm GW 30w0d EDD 20/2/2023; HC/AC 1.03; FL 57.40mm GW 30wid EDD 19/2/2023; FL/8PD 0.77; FL/AC 0.22; EFW(Shepard) 1.52kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS 10.HPL: 6/2/23 DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Rasen Ma stony Tnsttusi 7 PUM Beaer J Nees at eer ta Nama Pemeriksa > ar, yuaewme Serya Harnanr Tanggal wee 2d Diagnosis Bytohv N34 MY dun Genelli . Hasil Pemeriksaan (Deskripi): HPAT : 3 Usia Kehamilan : $2 3 usG Biometri Jani 1. Janin Hidup MFidek 2. Jumlah Janin: tor2~A cs 3. Letak Janin : rnteavronre a 4. Presentasi: Veraler 5. DU: na */m BPD : 8,2 «™ 6. BeratJanin: (90 oF nes 7. Cairan Ketuban: bat, er 0h : 8. Letak Placenta; pordus?* ac: lew 9. UsiaKehamilan: 32°'™% yg, ew Kesan (Diagnosis) GPA UK.22'%, Janin,..Wuogal dee, vabraurerse DI. 328.7 Presentasi. bert... Biometri. S859... 949 Tafsuran Berat Janin... \¥2°.2¥..., Plasenta...1229°%.... deena. a myav lam Catatan Fasilitator = TTD dan Nama Fasilitator : Scanned with CamScannerREPORT OF ULTRASOU Hospital: PUSKESMAS GEYER I 1D: r12132622110419 Name: reni Gender: ‘Age: 210 Exam Type: Middle-late Pregnancy Exam ID: AFIL 53. 76mm; AUA 32wld; GA(LHP) 37w4d; BPD 82.42nm GW 33w1d EDD 30/1/2023; HC 287.85nm GW 31wSd EDD 9/2/2023; FL 67.44nm GW 34wSd EDD 19/1/2023; FL/AC 0.2 AFI. 53.76nm; EDD(AUA) 6/2/2023; EDD (LMP) 31/12/2022; AC 251.21mm GH 29v3d EDD 25/2/2023; HC/AC 1.15; FL/BPO 0.82; EFW(Shepard) 1.69k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasien : NY- Pen 2 NomerRM ; 1213202241304 Tanggal Beto Diagnosis Giforo samy aon gemelli Tnstitusi =; eA Geyer 1 Nama Pemeriksa : dr. Waorismo eetys Harman ‘Hasil Pemeriksaan (Deskriptif) : HPHT : tre -32 Usia Kehamilan : 32 hex0 UsG 1 Janin Hidup / Fidak~ 5 2. Jumlah Janin ; tenes! KS 3. Letak Janin; Wrravtersn cRL 4, Presentasi : verala, 5. DJJ: 48 Xn BPD : 6,1 ™ 6. BeratJanin: 2.002 9° HC :30-9 7. Cairan Ketuban : 2.” 8. Letak Placenta : gundos AC : Ue cm 9. Usia Kehamilan : 32“ 9 om, 10. HPL: 6/2 [2s FLEES eee Kesan (Diagnosis) : GPA UK..22°5 Janin, 60999). nave, wnmreunentne DIV... "APresentasi. Kea... Biometri..PRE.. BK 2234 4 Tafsuran Berat Janin... 2-00% 9P..., Plasenta, .FUS@¥S.. Air Ketuban,..COVSt.1, Jeet... Man. Kostrol g mingay Inge Scanned with CamScannerREPORT Hospital: PUSKESMAS GEYER I ID: 1213222113114 Gender: 2 AUA 32wld; GA(LMP) 37w4d; AFI1 62.22nm BPD 81.99nm GW 33v0d EDD 31/1/2023; 309. 74mm GW 34wSd EDD 19/1/2023; FL 53.71mm GW 26w4d EDD 3/3/2023; FL/AC 0.19; OF ULTRASOUN Exam Date: 13-12-2022 Middle-late Pregnancy Exam I EDD(AUA) 6/2/2023; EDD(LMP) 31/12/2022; AFI 62.22mH AC 285.38nm GW 32w4d EDD 3/2/202: HC/AC 1.09; FL/BPD 0.66; EFW(Shepard) 2.02k9; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien : Ny. Mine Tnstitusi rem Geyer | NomerRM : ty t90t Nama Pemeriksa : af. Whorirma Selye Harnany Tanggal DY-02 +23, Diagnosis Gitoho HW. 0 v3 Hasil Pemeriksaan (Deskriptif) : HPHT : We - 12 ~ 2003 Usia Kehamilan : (0 sang USG Biometri Janis Gs Janin Hidup Mica 2. Jumlah Janin: tengae! 3. Letak Janin ; wirautenne CRL: 3 em, 4. Presentasi : wn bang 5. DIT: We3 */en BED 6. Berat Janin oe 7. CairanKetuban : — 8. Letak Placenta; Ponder AC 9. Usia Kehamilan: 107! FL 10.HPL: 4/9/23. Kesan (Diagnosis): GPA UK.194M, Jenin, Weve Wegael, ¢_ enveawtenane DIJ..AE2 fy Presentasi...'9%%..., Biometri.. At, LK (9) Tafsuran Berat Janin , Plasenta...£2" Air Ketuban....~ . Pan. Fonte) ¢ bulan tag ‘TTD dan Nama Fasilitator : Catatan Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exan Date: 24-02-2023 1D: 141901 Name: nina Gender: Age: @D Exam Type: Early Pregnancy Exam 1D: 47 WUNUUTTUUN ENN ORESYE AVA 10wid; EDD(AUA) 21/9/2623; GA(LMP) 11w3d; EDD(LMP) 13/09/2623; CRL 31.55mm GW 1Gw1d EDD 21/9/2023; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN ——T FOTO HASIL PEMERIKSAAN Nama Pasien + Wy. Want © Tnstitusi ) PEM toyer 1 NomerRM : 03 2659 Nama Pemeriksa ; dv, Wuoesrme Selyn Vernon! Tanggal payee 2d Diagnosis: Guts Ay_H. wo - Hasil Pemeriksaan (Deskriptify HPHT : 9A) /32 Usia Kebamilan : 16 3 UsG Janin Hidup Pidak Jumlah Janin : tyrgoe) Letak Janin ; (nfravtewine RL Presentasi: (waond DIS: Mg */es BPD : 3-4 em Berat Jann: ~ HC : 199 em Cairan Ketuban: 2.4 co Letak Placenta: Funder AC; totem 1. Usia Kehamilan ; te *! ¥9 FL 10. HPL w/a (v3 ‘Kesan (Diagnosis) : TTD dan Nama Fasilitator : \ GPA UK.S, sarin, taoe,,tongget- sntrauten ne Du.142 A Presenasi..9*29, Biometr. #27. IEF “4 Tafsuran Berat Janin.....7 _,Plasenta..A202 95. towaas Fadisé Air Ketuban. perm» Plan + Montel butan laspy Scanned with CamScannerHOSP Cat! PUSKESMAS G “REPORT_OF-ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 24-02-2023 ID: 032654 Name: hanita Gender: Age: 6D Exam Type: Middle-late Pregnancy Exam ID: 46 Bre ree alan eet erated aka A a A AUA 16wid; EDD(AUA) 10/8/2023; GA(LMP) 15W3d; EDD(LMP) 16/08/2023; AFIL 24.14mm; AFI 24.14nm; BPD 34.26nm Gi 16wSd EDD 6/8/2023; AC 101.67mm GW 16Ww2d EDD 9/8/2023; HC 109.96mm GW 15w3d EDD 15/8/2023; HC/AC 1.08; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien = Nomer RM Tanggal ay 2-23 Diagnosis Go fro HW. 37 Ky. Kale J fare tater Ny. Park Duwi Obi Lob ~ Tnstitusi; fem Sever 1 Nama Pemeriksa : dr. khemtere seria Harman’ Hasil Pemeriksaan (Deskripti) HPHT : 24-2°23 Usia Kehamilan : 3% +5. UsG Janin Hidup /Fatat™ Jumlah Janin : tengoa! Letak Janin : ylrautensne Presentasi: legals DIT: 123 */m Berat Janin: 3\60 9¢ Cairan Ketuban: 4.8 ¢™ Letak Placenta: ponds . Usia Kehamilan: 37+! 10. HPL: tw /3/+3 Per Auawye Kesan (Diagnosis) : GPA UK.270%, Janin, 1wngaal.,,Raer, »_mnrTayrerine DI... 2A Presentasi...WeP8\%, Biometr. £60! 8.2% 3+ Tafsuran Berat Janin... 2Y©°. 9°...., Plasenta.. EYPAYS. Catatan Fasilitator : Air Ketuban... 2°4%......... flan Ovservari anyve uf penambakan pombokaan « Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I ID: 61606 haul AUA 37wld; GA(LMP) 38w3d; AFI1 48.33mm; BPD 91.80nm Gh 37W2d EDD 15/3/2023; HC 325.31nm Gh 36w6d EDD 18/3/2023; FL 72.45mm GW 37w1d EDD 16/3/202: FL/AC 0.22; Exam Daté Name: prapti dwi Age: @D Exam Type: Middle-late Pregnancy Exam ID: EDD(AUA) 16/3/202: EDD (LMP) 08/03/2023; AFI 48.33nm; AC 333.98nm Gh 37w3d EDD 14/3/2023; HC/AC 0.97; FL/BPD 0.79: EFW(Shepard) 3. 16kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasien Nomer RM P Wy SEO Munawareb byes 207217 EHO Tanggal wie 22 Diagnosis Tikoto We 26 wy. Tnstitusi ; 8 Geyer ‘Nama Pemeriksa : at, Vaartme Seiya Harwon, Hasil Pemeriksaan (Deskriptif) HPHT : \¥-0° 22 Usia Kehamilan : 4 5 uSG Jenin Hidup /-Fidak Jumlah Janin : po1qq4 Letak Janin : yatrauterane Presentasi: beater DI: (to */m Berat Janin: 8° oF Cairan Ketuban: 4,3 ¢™ Letak Placenta; pPunaur Usia Kehamilan: +5 *% 9 10.HPL: 24/5/23 Gs RL BPD : &« om, HC AC FL ayo em Pua oF Ceranayne Kesan (Diagnosis) : GPA UKE" 4, Janin...tenagat., Wud Tafsuran Berat Janin.. Air Ketuban... 228. woateot { bole Flan lee 4 TTD dan Nama Fasilitator : Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 13-12-2022 10: 1213202121240 Name: siti munawaroh Gender: Age: 33D Exam Type: Middle-late Pregnancy Exam ID: 11 AA 25w4d; GA(LHP) 26W3d; AFT. 43.11nm; [BPD 64.49an GH 26w1d EDD 20/3/2023; HC 240.07mm GW 26wid EDD 20/3/2023; FL 43.06nm GW 24w1d EDD 3/4/2023; FL/AC 0.20; EDD(AUA) 24/3/2023; EDD(LHP) 19/03/2023; AFI 43.11nn; AC 213.28nm Gh 25w6d EDD 22/3/2023; HC/AC 1.13; FL/BPD 0.67; EFw(Shepard) 0.87kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN Nama Pasion > Wy. Week Tnstiust 7 PPM Eeyer 1 NomerRM : 032 76 Nama Pemeriksa : dr. Wnarumen Serye Harnany Tanggal ay n\n 2008 Diagnosis: G2tite 4.3% mg. Hlasil Pemeriksaan (Deskriptif) = HPHT : 6-4-2022 Usia Kehamilan : 33 mmgou USG jomett 1. Janin Hiidup / Fidake 2. Jumlah Jain: t99q9 3 is 3. Letak Janin : trauterine cRL 4. Presentasi: verala 5. DY: Wo */m » BPD: 9,04 cm 6. BeratJanin: 2940 9° malonate 7. Cairan Ketuban : ool « jernih 8. Letak Placenta : Fords AC : 3%,4em 9. Usia Kehamilan: 35° a 1O.HPL: 20/1/23 Ee Kesan (Diagnosis) : TID dan Nama Fasiltator: GPA UK..36."psanin...tongael , due, smiraorersne Dys..0.% Presentasi..hepala., Biometri...25%4.UE. "9° ‘Tafuran Berat Janin...2440., 9°.., Plasenta... ore! Catatan Fasilitator = ‘Air Ketuban. . 88%... Y8EMP ae flan = forte \ mingge lear. = Vitornin ar konsomss sekay Ran, Scanned with CamScannerREPORT OF ULTRASOUND Hospital: PUSKESMAS GEYER I Exam Date: 21-12-2022 ID: 032316 Name: wiwik Gender: ‘Age: 320 Exam Type: Middle-late Pregnancy Exam ID: 11 AUA 35W5d; EDD(AUA) 20/1/2023; GA(LMP) 37w1d; EDD(LMP) 11/01/202: BPD 90.45nm GH 36W5d EDD 13/1/2023; ‘AC 324.56nm GW 363d EDD 15/1/2023; HC 318.72nm GW 36w0d EDD 18/1/2023; HC/AC 0.98; FL 65.78nm GW! 34wod EDD 1/2/2023; FL/BPO 0.73; FL/AC 0.20; EFW(Shepard) 2.94kg; Scanned with CamScannerLAPORAN USG OBSTETRI DASAR TERBATAS DATA PEMERIKSAAN FOTO HASIL PEMERIKSAAN ‘Nama Pasien : Ny. Febsro. NomerRM_ ; 841324 Tanggal ot-an0% a Diagnosis: C2t)po ¥. 297 Tnstitusi; PM Geyer 1 ‘Nama Pemeriksa : dt, vhanaema cetya Hernan’ Hasil Pemeriksaan (Deskriptif) HPHT : i - 07-2022 ‘Usia Kehamilan : 29+? yy, Biometri Janin : 1. Janin Hidup /-Fitake as 2. Jumlah Janin : target 3. Letak Janin : taka utein RL: 4. Presentasi: tegaia 5. DI: uveymeare BPD : 71 39tm 6. Berat Janin : 1330 ; 7. Cairan Ketuban > oy. um Eee 8. Letak Placenta : fundus AC: 24,8 9. Usia Kehamilan: 25°99 EL: $15 tm 10. HPL: 6/04/2003 Kesan (Diagnosis) : GPA UK.2% DIS...1STpPresentasi.ers'2.., Biometri.. EV4s, U6. 28 9 Tafsuran Berat Janin...!339..9" -..., Plasenta,.. FON9°S,:, Air Ketuban.... SORE, Plan Kontrol 1 vlan leat at Puck. = Vitamin 4) konrowe rehap bars. ,Janin. $2094 let, mrrauteeane Scanned with CamScannerREPORT OF ULTRASOUND Hospital: Pus) + PUSKESMAS GEYER I Exam Date: 01-02-2023 ID: 0413; STS orr sn rani za Name: — febrina : Age: 280 Exam Type: Middle-late Pregnancy Exam 10: 15 a 2 = ad EDD(AUA) 16/4/2023; GA(LMP) 29w3d; EDD(LMP) 17/04/2023; AFI1 46.21mm; AFI 46.21mm; BPD 72.99mm GW 29w2d EDD 17/4/2023; AC 248.19mn GW 29wid EDD 18/4/2023; HC 267.77mm GW 29w2d EDD 17/4/2023; HC/AC 1.08; FL 57.47mm GW 30wld EDD 11/4/2023; FL/BPD 0.79; FL/AC 0.23; EFW(Shepard) 1.33k9; Scanned with CamScanner