INM 2023 Gina

LAPORAN INM TAHUN 2023
NAMA DESA
BULAN
IBU HAMIL YANG MENDAPATKAN PELAYANAN ANC SESUAI STANDAR

TGL NAMA ISTRI/
NO NIK PENOLONG TGL BERSALIN JK BB PB NO KOHORT k1 k2 k3 BB/ DJJ/
LILA
TFU
k4 k5 k6 Px TD TT TTD GOL HB
LAHIR IBU SUAMI ALAMAT dokter TB PRES
1 SITI NURJANAH-GUGUN ARENG SPOG 26/1 L V V V V V V V V V V V V V V V V
2 JULIA-KAMAL SINDANGWARGI B. GINA 30/1 L V V V V V V V V V V V V V V V V
3 AI NURJANAH-RONI KEBONSATU RSU 1/2/2023 P V V V V V V V V V V V V V V V V
4 YULIANA-IRWAN BARUKAI B. GINA 1/2/2023 P V V V V V V V V V V V V V V V V
5 NURHAYATI-ADE CIREDEY D 31/1 P V V V V V V V V V V V V V V V V
6 WIWI-AEP BARUKAI B. GINA 4/2/2023 P V V V V V V V V V V V V V V V V
7 HANI-SOLEH KEBONSATU B. GINA 4/2/2023 L V V V V V V V V V V V V V V V V
8 BARIDAH-WARJANG CIGEDUG TONGGOHPKM 12/2 L V V V V V V V V V V V V V V V V
9 NURLATIFAH-YANA BARUKAI B. NUR 2/2 P V V V V V V V V V V V V V V V V
10 GINA-MARNA KEBONSATU PKM 12/2/2023 P V V V V V V V V V V V V V V V V
11 AI NURHAYATI-DANI KEBONSATU B. GINA 11/2 P V V V V V V V V V V V V V V V V
12 SITI HOPIAH-CEPI ARENG B. GINA 12/2 L V V V V V V V V V V V V V V V V
13 AI SOLIHAT-USEP SUKARAME B. GINA 12/2 L V V V V V V V V V V V V V V V V
14 LINA-ABDULLAH BABAKAN PKM 14/2 L V V V V V V V V V V V V V V V V
15 SITI ROHMAH-RIAN CIGEDUG TONGGOHB. GINA 14/2 L
NB untuk px dr d tulis k1,k6 bila sesuai

untuk kolom ibu hamil mendapat anc standar bila di lakukan di isi ceklis
N ANC SESUAI STANDAR
GLU KON
HIV TALAK
URIN SELING
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
NAMA DESA CIGEDUG

BULAN MARET

TGL NAMA ISTRI/
LILA
TFU
k4 k5 k6 Px TD TT TTD
1 3205184103940000 1/3/1994 AISYAH - DENI ARENG B. GINA 25/2 L 2800 48 58380/2/13/2023 V V V V V V V V V V V V V V
2 32051868050008 18/5/00 ADELIA-UTAR SITUGEDE B. AI 25/1 L 3400 51 52225/2/8/2023 V V V V V V V V V V V V V V
3 320518691198003 29/11/98 YUSRINI - RIKI BARUKAI PKM 26/2 L 2800 48 58376/2/14/2023 V V V V V V V V V V V V V V
4 3203115809930008 18/9/93 NURAENI - LUKMAN DESA KOLOT B. GINA 27/2 L 3500 50 55313/2/7/2023 V V V V V V V V V V V V V V
5 3205184703010002 7/3/2001 ULANSARI-DADAN ARENG B. GINA 27/2 L 3400 48 58377/2/13/2023 V V V V V V V V V V V V V V
6 3205014405960006 4/7/1997 PUTRI-ARI BARUKAI B. OLIS 11/2/2023 L 2700 48 58378/2/4/2023 V V V V V V V V V V V V V V
7 3205184405960006 4/5/1996 NUNUNG-HERMAN CIGEDUG TONGGOH B. AI 1/3/2023 P 2500 47 44066/2/9/2023 V V V V V V V V V V V V V V
8 3205184105970002 21/6/94 ELIS-EPUL SITUGEDE B. GINA 4/3 L 3500 50 55636/2/8/2023 X V V X V V V V V V V V V V
9 32051847105970002 1/5/1997 MELAN-AHMAD CIGEDUG TONGGOH B. GINA 4/3 P 3000 48 52226/2/9/2023 V V V V V V V V V V V V V V
10 3205184708010005 7/8/2001 ADE SITI-YUDI CICURUG B. GINA 5/3/2023 L 3700 47 58401/2/12/2023 V V V V V V V V V V V V V V
11 320527 ELIS-YAYAN BARUKAI PKM 1/3 L 3800 50 V V V V V V V V V V V V V V
12 3205326101910001 21/01/91 AI SOLIHAT -SASA ARENG B. GINA 10/3 L 4100 51 59568/2/13/2023 V V V V V V V V V V V V V V
13 3205184107860162 1/7/1986 KHODIJAH-NASIHIN CIGEDUG TONGGOH B. GINA 10/3 L 4000 52227/2/9/2023 V V V V V V V V V V V V V V
14 3205184101840008 1/1/1984 IIS-PARMAN SUKARAME SPOG 6/3 L 4000 50 59566/2/5/2023 V V V V V V V V V V V V V V
15 3205185210850000 2/10/1985 AI MASITOH-AYAT KEBON SATU GINA 22/3 L 3000 48 61004/2/1/2023 V V V V V V V V V V V V V V
16 3205184107010140 3/1/2001 YENI-DIAN BABAKAN GINA 6/3 L 3500 50 61005/2/10/2023 V V V V V V V V V V V V V V
17 3205014806960002 8/6/1996 ASRI-CEPI BARUKAI PKM 23/3 l 3 48 61006/2/4/2023 V V V V V V V V V V V V V V

PELAYANAN ANC SESUAI STANDAR
GLU KON
GOL HB HIV TALAK
URIN SELING
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
V V X V V V
NAMA DESA
BULAN

TGL NAMA ISTRI/
NO NIK PENOLONG TGL BERSALIN JK BB PB NO KOHORT k1 k2 k3 BB/ DJJ/ GLU
LILA
TFU
LAHIR IBU SUAMI ALAMAT dokter TB PRES URIN
1 3205185105970001 11/5/1997 DEDE-ANTON BABAKAN GINA 25/3/23 L 3.2 48 61007/2/10/2023
2 3205185909820001 19/9/82 H.IRMA-H.ASEP BARUKAI RSU 25/3/23 L 2 46 60858/2/4/2023
3 3205184101880016 11/1/1988 ELIS-EBEN CIREDEY PKM 28/3/23 L 3 48 62104/2/2/2023
4 3205184107990238 21/7/99 YAYANG-IRFAN ARENG GINA 29/3/23 P 3.1 48 41390/2/3/2023
5 305184310950007 23/1/95 AI DALIS-ASEP ARENG GINA 1/4/2023 P 2.8 48 62108/2/13/2023
6 3205185301990001 3/1/1999 IIS RISNA-DANI KEBON 1 GINA 1/4/2023 L 3 48 55603/2/1/2023
7 3205186105930001 21/5/93 DEWI-DEDI SINDANGWARGI GINA 3/4/2023 P 3.5 50 62427/2/11/2023
8 3205184107820358 21/7/82 JUJU-UJU SINDANGWARGI GINA 1/4/2023 P 3.2 50 62159/2/11/2023
9 32051824070200002 4/7/2002 DILA-DIKI BARUKAI PKM 5/4/2023 P 2.7 49 62158/2/14/2023
10 3205184604830001 6/4/1983 EULIT-JAJANG BARUKAI RSU 5/4/2023 P 2.7 49 62157/2/1023
11 3205244309020003 1/2/2002 FITRI-RIDWAN BABAKAN GINA 9/4/2023 L 3.6 50 62428/2/10/2023
12 320586707940002 27/7/94 ST ROBIHAH-ADE CICURUG D L 3.5 50
13 3211156008860016 20/6/86 ELIS-AGUS CIREDEY GINA 3/4/2023 P 3.5 50 62429/2/2/2023
14 3205184104990001 4/4/1994 ENDAH-DERI CIGEDUG TGH D 24/3/23 P 3 48 55611/2/9/2023
15 3205185507000006 15/7/00 ST FATIMAH-SOBAR CIGEDUG TGH GINA 9/4/2023 L 3 48 62515/2/9/2023
16 3205184703030003 7/3/2000 ANDINI-CEP ULUMUDIN SITU GEDE IMAS 6/4/2023 L 3.5 49
17 3314176209970001 22/9/97 IKE-DADAN DESA KOLOT GINA 18/4/23 P 3.2 49 17/4/2/7/2023
18 3205186807810001 28/7/81 IMAS-ASEP DESA KOLOT PKM 17/4/23 L 3.2 50 18/4/2/7/2023
19 3205184107950241 1/7/1995 LILIS-AGI CIGEDUG TGH PKM 18/4/23 P 3 47 19/4/2/9/2023
20 3205184909950004 9/9/1995 NURJANAH-ASEP BABAKAN GINA 20/4/23 L 2.7 50 20/4/2/10/2023
21 3205186201010001 23/1/01 ST ARUM-RISMAN SUKARAME GINA 15/4/23 L 3 48 21/4/2/5/2023
22 3205184306060004 3/6/2006 TANTRI-DAPID BABAKAN GINA 21/4/23 L 3 48 22/4/2/10/2023
23 3205184807900002 8/7/1990 NK LIA-UJANG RAHMAT BARUKAI GINA 19/4/23 L 3 48 23/4/2/4/2023
24 3205184804100003 8/4/2000 ELGA-IMAN BARUKAI PKM 23/4/23 P 3 50 24/4/2/14/2023
SESUAI STANDAR
KON
HIV TALAK
SELING
NAMA DESA
BULAN

TGL NAMA ISTRI/
LILA
TFU
1 3205184609030005 16/9/03 WIWI-NURARIFIN BABAKAN GINA 26/4/23 L 2.5 48 64461/2/10/2023 V V V V V V V V V V V V V V V V
2 3205186603910003 26/3/91 IMAS-UBUN ARENG GINA 2/5/2023 P 3 48 63945/2/13/2023 V V V V V V V V V V V V V V V V
3 FITRI-KURNIA BABAKAN DUKUN 19/3/23 P 3 48 64469/2/6/20223 V V V V V V V V V V V V V V V V
4 3205185511870002 5/11/1987 ST FATIMAH-ASEP SITUGEDE PKM 2/5/2023 P 3 48 63944/2/8/2023 V V V V V V V V V V V V V V V V
5 3205184903930005 19/3/93 INA-IYAN ARENG GINA 9/5/2023 P 2.7 48 64462/2/3/2023 V V V V V V V V V V V V V V V V
6 3205184910020003 19/10/02 NINA-AAB BABAKAN GINA 8/5/2023 P 3 48 64465/2/6/2023 V V V V V V V V V V V V V V V V
rrrrrrr3205184107840207 11/7/1984 YANI-UUS SUKARAME GINA 14/4/23 L 3 48 64468/2/5/2023 V V V V V V V V V V V V V V V V
8 3205184505860004 25/5/86 MAESAROH-ENJANG KEBON 1 GINA 25/4/23 L 3 48 55640/2/1/2023 V V V V V V V V V V V V V V V V
9 3205184602030002 26/2/23 ST NURJANAH-ASEP KEBON 1 GINA 7/5/2023 L 2.5 48 63943/2/1/2023 V V V V V V V V V V V V V V V V
10 3205184106890001 21/6/89 DEDE-DUDI SITUGEDE PKM 10/5/2023 P 3.1 48 65795/2/8/2023 V V V V V V V V V V V V V V V V
11 3205186111840001 11/11/1984 NIA-USEP CIREDEY GINA 21/5/23 L 3.6 50 65722/2/2/2023 V V V V V V V V V V V V V V V V
12 3205185511870003 25/11/87 SITI PATIMAH-YUSUP SITUGEDE PKM 22/5/23 P 3 48 65796/2/8/2023 V V V V V V V V V V V V V V V V
13 3205184811930004 8/11/1993 ENUNG-EKA BARUKAI GINA 25/4/23 P 3 48 67497/2/14/2023 V V V V V V V V V V V V V V V V

N ANC SESUAI STANDAR
GLU KON
HIV TALAK
URIN SELING
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
V V V V
NAMA DESA
BULAN

TGL NAMA ISTRI/
LILA
TFU
k4 k5 k6 Px TD TT TTD GOL HB HIV
1 3205344167900021 21/7/90 WIWN-ADIN CIGEDUG TGH D 20/5/23 P 3 48 67641/2/9/2023 V V V V V V V V V V V V V V V V V V
2 3205185203990001 2/3/1999 YULIA-DADANG SINDANGWARGI B 27/5/23 L 3 48 67637/2/11/2023 V V V V V V V V V V V V V V V V V V
3 3205285909900005 9/9/1990 EKA-NYANYANG SITUGEDE B 31/5/23 P 3 48 67795/2/8/2023 V V V V V V V V V V V V V V V V V V
4 3205234706970006 7/6/1997 AI MASPUPAH-IWAN CIGEDUG TGH B 26/5/23 P 3 48 6814/2/9/2023 V V V V V V V V V V V V V V V V V V
5 3205184306990003 3/6/1999 SOPI-YUSUP ARENG 2 B 5/6/2023 L 3 48 68100/2/3/2023 V V V V V V V V V V V V V V V V V V
6 3205184103030007 21/3/03 SITI FAUZIAH-YUYUS CIREDEY RSU 6/6/2026 L 1.5 40 68094/2/2/2023 V V V V V V V V V V V V V V V V V V
7 3205185202000001 22/2/00 AI SITI-ABDUL CIGEDUG TGH B 9/6/2023 L 3.6 49 68175/2/9/2023 V V V V V V V V V V V V V V V V V V
8 3205224107950063 11/7/93 NINA-IWAN DESA KOLOT B 11/6/2023 P 2.9 49 68193/2/7/2023 V V V V V V V V V V V V V V V V V V
9 3205184107910155 21/7/91 NURYANTI-ELAN BABAKAN 2 B 12/6/2023 L 3.6 50 56564/2/10/2023 V V V V V V V V V V V V V V V V V V
10 3205185603030002 26/3/03 RISYA-DANI DESA KOLOT RSU 13/6/23 L 1.9 45 68154/2/7/2023 V V V V V V V V V V V V V V V V V V
11 3205184107850071 11/7/1985 NUR NURJANAH-HERI SUKARAME B 19/6/23 L 2.9 49 68148/2/5/2023 V V V V V V V V V V V V V V V V V V
12 3205180207820001 2/7/1982 ELIS-IDANG BABAKAN 1 B 26/5/23 L 3 48 71151/2/6/2023 V V V V V V V V V V V V V V V V V V
13 3205184507870000 5/7/1989 AI SUMIATI-ERWIN CIREDEY B 24/6/23 L 2.9 48 56568/2/2/2023 V V V V V V V V V V V V V V V V V V
14 3205204111930001 9/3/1989 RISMAYANTI-DADANG SITUGEDE RSU 25/6/23 P 3 48 68197/2/8/2023 V V V V V V V V V V V V V V V V V V
15 3205184307920004 1/7/1993 AI ASTRI-SANA DESA KOLOT B 25/6/23 L 3.4 50 68196/2/7/2023 V V V V V V V V V V V V V V V V V V
16 3205236702000003 27/2/00 IMA-FIRMAN SINDANGWARGI B 24/5/23 L 3.5 50 68198/2/11/2023 V V V V V V V V V V V V V V V V V V

AI STANDAR
KON
TALAK
SELING
V V
V V
V V
V V
V V
V V
V V
V V
V V
V V
V V
V V
V V
V V
V V
V V
NAMA DESA
BULAN

TGL NAMA ISTRI/
LILA
TFU
k4 k5 k6 Px TD TT TTD GOL HB HIV
1 320534710010001 27/10/01 MARIA ULFAH-RIKI BARUKAI 2 B 28/6/23 P 3.2 49 68183/2/14/2023 V V V V V V V V V V V V V V V V V V
2 3205184707020001 27/7/02 ASTI-FAHRUL CIREDEY B 28/6/23 P 3 49 681433/2/2/2023 V V V V V V V V V V V V V V V V V V
3 3215254906860008 29/6/86 ST SALAMAH-DEDI BABAKAN 1 RSU 29/6/23 L 3.3 49 68151/2/6/2023 V V V V V V V V V V V V V V V V V V
4 3205184609990003 26/9/99 SINTA-IIP ARENG 2 PKM 30/6/23 L 2.9 48 55635/2/13/2023 V V V V V V V V V V V V V V V V V V
5 3205184107830195 21/7/83 EKAWAWATI-IYEP BABAKAN B 2/7/2023 P 31 49 68177/2/10/2023 V V V V V V V V V V V V V V V V V V
6 3205184809000006 18/9/00 SIPA-RAMDAN DESAKOLOT RSU 4/7/2023 P 28 '46 73417/2/7/2023 V V V V V V V V V V V V V V V V V V
7 3205184101010020 21/1/97 ELSA-FERI SINDANGWARGI B 5/7/2023 P 3 49 68192/2/11/2023 V V V V V V V V V V V V V V V V V V
8 3205185207030001 22/7/03 HERAYANTI-FAUZAN KEBON1 B 5/7/2023 L 2 46 67618/2/1/2023 V V V V V V V V V V V V V V V V V V

AI STANDAR
KON
TALAK
SELING
V V
V V
V V
V V
V V
V V
V V
V V

INM 2023 Gina

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INM 2023 Gina

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LAPORAN INM TAHUN 2023

IBU HAMIL YANG MENDAPATKAN PELAYANAN ANC SESUAI STANDAR

NB untuk px dr d tulis k1,k6 bila sesuai

NAMA DESA CIGEDUG

IBU HAMIL YANG MENDAPATKAN PELAYANAN ANC SESUAI STANDAR

NB untuk px dr d tulis k1,k6 bila sesuai

IBU HAMIL YANG MENDAPATKAN PELAYANAN ANC SESUAI STANDAR

IBU HAMIL YANG MENDAPATKAN PELAYANAN ANC SESUAI STANDAR

NB untuk px dr d tulis k1,k6 bila sesuai

IBU HAMIL YANG MENDAPATKAN PELAYANAN ANC SESUAI STANDAR

NB untuk px dr d tulis k1,k6 bila sesuai

IBU HAMIL YANG MENDAPATKAN PELAYANAN ANC SESUAI STANDAR

NB untuk px dr d tulis k1,k6 bila sesuai

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