<div><p><center><strong>REGISTER PELAYANAN KB<br>PUSKESMAS PUCANGSAWIT<br>12 -

2023</strong></center></p></div>
<table class="tabler w3-table w3-bordered w3-striped w3-border test w3-hoverable">
<tr align="center" style="background-color:#b5381c;color:white;">
<th>No</th>
<th width="120px">Tanggal</th>
<th>NAMA SUAMI</th>
<th>NIK ISTRI</th>
<th>NAMA ISTRI</th>
<th>TANGGAL LAHIR ISTRI</th>
<th>ALAMAT</th>
<th>NO HP</th>
<th>INFORMED CONSENT</th>
<th>STATUS PESERTA KB</th>
<th>PELAYANAN KB</th>
<th>JENIS TINDAKAN</th>
<th>KASUS</th>
<th>JENIS ALKON</th>
<th>PENGGUNAAN ASURANSI</th>
</tr>

<tr align="right">
<td align="center">1</td>
<td align="left">05 Desember 2023</td>
<td align="left">FENDI KRISTANTO</td>
<td align="left">'3312105705920002</td>
<td align="left">ERNI</td>
<td align="left">17 Mei 1992</td>
<td align="left">RT 02 RW II SEWU</td>
<td align="left">'082141120908</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB BARU</td>
<td align="left">
PASCA SALIN</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">IMPLANT</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">2</td>
<td align="left">19 Desember 2023</td>
<td align="left">SURATMAN</td>
<td align="left">'3372046208980001</td>
<td align="left">NURA ALDILAWATI</td>
<td align="left">22 Agustus 1998</td>
<td align="left">RT.02 RW.04 JAGALAN</td>
<td align="left">'089682602502</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB BARU</td>
<td align="left">
PASCA SALIN</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">IUD</td>
 <td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">1</td>
<td align="left">01 Desember 2023</td>
<td align="left">HARTONO</td>
<td align="left">'1806034107750015</td>
<td align="left">NARIYAH</td>
<td align="left">01 Juli 1975</td>
<td align="left">PUCANGSAWIT 03/08 PUCANGSAWIT</td>
<td align="left">'081318542786</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">2</td>
<td align="left">01 Desember 2023</td>
<td align="left">JOKO SUPRIYANTO</td>
<td align="left">'3372045702720001</td>
<td align="left">MULYANI</td>
<td align="left">01 Februari 1972</td>
<td align="left">SEWU 03/01 SEWU</td>
<td align="left">'</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Kondom |
Kondom |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">3</td>
<td align="left">01 Desember 2023</td>
<td align="left">TEGUH W </td>
 <td align="left">'3372045211780001</td>
<td align="left">TRIWIK REJEKI</td>
<td align="left">12 November 1978</td>
<td align="left">JAGALAN TRT 03 RW III JAGALAN</td>
<td align="left">'087836251543</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Kondom |
Kondom |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">4</td>
<td align="left">04 Desember 2023</td>
<td align="left">DANANG,BP</td>
<td align="left">'3372047009850005</td>
<td align="left">IKA SETYOWATI,NY</td>
<td align="left">30 September 1985</td>
<td align="left">01/VIII SEWU</td>
<td align="left">'</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">5</td>
<td align="left">04 Desember 2023</td>
<td align="left">AGUS RIYANTO</td>
<td align="left">'3372044806780007</td>
<td align="left">NINING AMBARWATI</td>
<td align="left">08 Juni 1978</td>
<td align="left">SEWU RT 05/VIII SEWU</td>
<td align="left">'085648981526</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">6</td>
<td align="left">04 Desember 2023</td>
<td align="left">JOKO SRI HARYANTO</td>
<td align="left">'3372045708750001</td>
<td align="left">MARNI SRI WATIK</td>
<td align="left">17 Agustus 1975</td>
<td align="left">RT 01 RW I SEWU</td>
<td align="left">'0895385824020</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">7</td>
<td align="left">04 Desember 2023</td>
<td align="left">SURYANTO</td>
<td align="left">'3372045311850006</td>
<td align="left">SUTARNI</td>
<td align="left">13 November 1985</td>
<td align="left">KP SEWU 05/VIII SEWU</td>
<td align="left">'083865490785</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">8</td>
<td align="left">05 Desember 2023</td>
<td align="left">SARJONO</td>
<td align="left">'3372045909860005</td>
<td align="left">RENY FATIMAH</td>
<td align="left">19 September 1986</td>
<td align="left">JAGALAN RT 3/9 JAGALAN</td>
<td align="left">'085713468315</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">9</td>
<td align="left">05 Desember 2023</td>
<td align="left">WARDI, TN</td>
<td align="left">'3372046505780004</td>
<td align="left">SRI MURYANI B</td>
<td align="left">25 Mei 1978</td>
<td align="left">RT 02 RW XII PUCANGSAWIT</td>
<td align="left">'0</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">10</td>
<td align="left">08 Desember 2023</td>
<td align="left">NATANEL WISNU</td>
<td align="left">'3372046308740003</td>
<td align="left">SILVY ANGGRAINI NUGROHO</td>
 <td align="left">23 Agustus 1974</td>
<td align="left">PRATANGGAPATI 02/01 JEBRES LUAR WILAYAH</td>
<td align="left">'0895422589389</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z34.8|Supervision of other normal pregnancy</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">11</td>
<td align="left">08 Desember 2023</td>
<td align="left">DADANG EKO KURNIAWAN</td>
<td align="left">'3313146311890002</td>
<td align="left">NOVI LESTARI</td>
<td align="left">23 November 1989</td>
<td align="left">PUCANGSAWIT 3/1 PUCANGSAWIT</td>
<td align="left">'085867748488</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z34.8|Supervision of other normal pregnancy</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">12</td>
<td align="left">08 Desember 2023</td>
<td align="left">EKA PURNAMA</td>
<td align="left">'3372045511830003</td>
<td align="left">DARA ROHANI</td>
<td align="left">15 November 1983</td>
<td align="left">RT 06 RW V JAGALAN</td>
<td align="left">'</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
 <td align="left"></td>
<td align="left">
PIL |
Kondom |
IUD |
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">13</td>
<td align="left">08 Desember 2023</td>
<td align="left">SUJIYANTO</td>
<td align="left">'3372045904950002</td>
<td align="left">NUR RIZKI HANDAYANI</td>
<td align="left">19 April 1995</td>
<td align="left">SEWU 01/IV SEWU</td>
<td align="left">'081959272628</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">14</td>
<td align="left">11 Desember 2023</td>
<td align="left">AGUS KOMAR </td>
<td align="left">'3372044605880004</td>
<td align="left">TRI WINARNI TRININGTYAS</td>
<td align="left">06 Mei 1988</td>
<td align="left">RT 03 RW 8 PUCANGSAWIT</td>
<td align="left">'085225565660</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>
 <tr align="right">
<td align="center">15</td>
<td align="left">12 Desember 2023</td>
<td align="left">SUHARNO</td>
<td align="left">'3372045104840001</td>
<td align="left">WARTINI</td>
<td align="left">11 April 1984</td>
<td align="left">JAGALAN RT 04 RW 4 JAGALAN</td>
<td align="left">'0</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
PIL |
PIL |
|
Z30.4|Surveillance of contraceptive drugs</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">16</td>
<td align="left">12 Desember 2023</td>
<td align="left">MOH SAIFUL ULUM</td>
<td align="left">'3372046101960003</td>
<td align="left">ALFI KUSUMA PUTRI</td>
<td align="left">21 Januari 1996</td>
<td align="left">SEWU 02/02 SEWU</td>
<td align="left">'</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">17</td>
<td align="left">12 Desember 2023</td>
<td align="left">TRI MARTONO</td>
<td align="left">'3372046003830011</td>
<td align="left">NANIK TRISNAWATI</td>
<td align="left">10 Maret 1983</td>
<td align="left">03/IX SEWU</td>
 <td align="left">'</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">18</td>
<td align="left">12 Desember 2023</td>
<td align="left">HERU IRAWAN</td>
<td align="left">'3372046406810023</td>
<td align="left">DWITA YUNIARTI</td>
<td align="left">24 Juni 1981</td>
<td align="left">01/IV SEWU</td>
<td align="left">'089649453548</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Kondom |
Kondom |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">19</td>
<td align="left">15 Desember 2023</td>
<td align="left">WATONO</td>
<td align="left">'3372046606720005</td>
<td align="left">SULIARTI</td>
<td align="left">26 Juni 1972</td>
<td align="left">RT 5 RW VIII PUCANGSAWIT</td>
<td align="left">'08121503469</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
PIL |
PIL |
|
Z30.4|Surveillance of contraceptive drugs</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">20</td>
<td align="left">15 Desember 2023</td>
<td align="left">EKO BUDIONO</td>
<td align="left">'3372045708740007</td>
<td align="left">ILA KUMARA DEWI</td>
<td align="left">17 Agustus 1974</td>
<td align="left">RT 04 RW VIII PUCANGSAWIT</td>
<td align="left">'083869757043</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Kondom |
Kondom |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">21</td>
<td align="left">15 Desember 2023</td>
<td align="left">DICKY</td>
<td align="left">'3312105108960002</td>
<td align="left">RITA NURYANI</td>
<td align="left">11 Agustus 1996</td>
<td align="left">TIMOYO 01/13 WONOGIRI / PC SAWIT RT 3 RW 12 PUCANGSAWIT</td>
<td align="left">'082242942418</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
 <td align="center">22</td>
<td align="left">15 Desember 2023</td>
<td align="left">DODIK KURNIAWAN</td>
<td align="left">'3372044105830002</td>
<td align="left">TRI SETYANINGSIH</td>
<td align="left">01 Mei 1983</td>
<td align="left">RT 01 RW VIII PUCANGSAWIT</td>
<td align="left">'-</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
PIL |
PIL |
|
Z30.4|Surveillance of contraceptive drugs</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">23</td>
<td align="left">18 Desember 2023</td>
<td align="left">SUGIYEM / ALM SADIKUN</td>
<td align="left">'3372046802970001</td>
<td align="left">ENDAH DARMAYANTI</td>
<td align="left">28 Februari 1997</td>
<td align="left">03/01 JAGALAN</td>
<td align="left">'08811638549</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Kondom |
|
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">24</td>
<td align="left">19 Desember 2023</td>
<td align="left">TRI WIBOWO</td>
<td align="left">'3372045310880003</td>
<td align="left">OKTI IKA PUSPITASARI</td>
<td align="left">13 Oktober 1988</td>
<td align="left">RT 1 RW 3 PUCANGSAWIT</td>
<td align="left">'087836266372</td>
<td align="left">YA</td>
 <td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
|
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">25</td>
<td align="left">19 Desember 2023</td>
<td align="left">S HASCARYO</td>
<td align="left">'3372044304970010</td>
<td align="left">ANISA INDRIAWATI</td>
<td align="left">03 April 1997</td>
<td align="left">SOROGENEN RT 05 RW 05 JAGALAN</td>
<td align="left">'085866005935</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">26</td>
<td align="left">19 Desember 2023</td>
<td align="left">SENO JOKO</td>
<td align="left">'3372044811010001</td>
<td align="left">ISDAYANTI</td>
<td align="left">08 November 2001</td>
<td align="left">JGL 2/XI JAGALAN</td>
<td align="left">'</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
 |
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">27</td>
<td align="left">19 Desember 2023</td>
<td align="left">ZULAIMAN</td>
<td align="left">'3372046205890026</td>
<td align="left">IRMA NURJANAH</td>
<td align="left">22 Mei 1989</td>
<td align="left">02/01 PUCANGSAWIT</td>
<td align="left">'</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
|
IUD |
|
Z00|General examination and investigation of persons...</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">28</td>
<td align="left">19 Desember 2023</td>
<td align="left">R ANDY NUGROHO MAHENDRA</td>
<td align="left">'3372046806910003</td>
<td align="left">LINA PUJIASTUTI</td>
<td align="left">28 Juni 1991</td>
<td align="left">RT 01 RW 09 SEWU</td>
<td align="left">'08562627559</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
|
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">29</td>
<td align="left">19 Desember 2023</td>
 <td align="left">MANDRAS PRASETYO</td>
<td align="left">'3314094405990007</td>
<td align="left">MELIN MEGANING AYU NUR APRISA</td>
<td align="left">04 Mei 1999</td>
<td align="left">KAMPUNG SEWU RT 3 RW 7 SEWU</td>
<td align="left">'081369073050</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
IUD |
IUD |
|
Z00|General examination and investigation of persons...</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">30</td>
<td align="left">22 Desember 2023</td>
<td align="left">KURNIAWAN TEJA KUSUMA</td>
<td align="left">'3372045204920021</td>
<td align="left">ANASTASIA NINING SETIAWATI</td>
<td align="left">12 April 1992</td>
<td align="left">KAMPUNG SEWU RT 4 RW 6 SEWU</td>
<td align="left">'</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">31</td>
<td align="left">22 Desember 2023</td>
<td align="left">JOHANES DJODI WIRANTO</td>
<td align="left">'3372046010960003</td>
<td align="left">NITA AYU PRATIWI</td>
<td align="left">20 Oktober 1996</td>
<td align="left">RT 03 RWXI PUCANGSAWIT</td>
<td align="left">'085727547544</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
 <td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">32</td>
<td align="left">22 Desember 2023</td>
<td align="left">SUYOTO</td>
<td align="left">'3372045012880003</td>
<td align="left">ENDANG SRI LESTARI</td>
<td align="left">10 Desember 1988</td>
<td align="left">RT 02 RW XIII PUCANGSAWIT</td>
<td align="left">'085843202578</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Kondom |
Kondom |
Kondom |
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">33</td>
<td align="left">22 Desember 2023</td>
<td align="left">RIYANTO</td>
<td align="left">'3372046301790025</td>
<td align="left">MULYANI</td>
<td align="left">23 Januari 1979</td>
<td align="left">RT 01/RW 14 PUCANGSAWIT</td>
<td align="left">'085879183893</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
 <td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">34</td>
<td align="left">22 Desember 2023</td>
<td align="left">TRI MULYANTO</td>
<td align="left">'3311075801780004</td>
<td align="left">DARMINI</td>
<td align="left">18 Januari 1978</td>
<td align="left">RT 2 RW 14 PUCANGSAWIT</td>
<td align="left">'</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Kondom |
|
Suntik |
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">35</td>
<td align="left">23 Desember 2023</td>
<td align="left">DWI DJONO HATMANTO</td>
<td align="left">'3309115809810004</td>
<td align="left">IIN YUWIKA</td>
<td align="left">18 September 1981</td>
<td align="left">SRATEN 3/4 SERENGAN LUAR WILAYAH</td>
<td align="left">'081315893891</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">36</td>
<td align="left">29 Desember 2023</td>
<td align="left">DEWI HASTUTI</td>
<td align="left">'3311114801010001</td>
 <td align="left">DEWI HASTUTI</td>
<td align="left">08 Januari 2001</td>
<td align="left">RT 04 RW 07 PUCANGSAWIT</td>
<td align="left">'085705536191</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">37</td>
<td align="left">29 Desember 2023</td>
<td align="left">VENDI ARIAWAN</td>
<td align="left">'3501015209940007</td>
<td align="left">ULLA HIDAYATUL AMAL</td>
<td align="left">12 September 1994</td>
<td align="left">PUCANGSAWIT 1/14 PUCANGSAWIT</td>
<td align="left">'082221584826</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Kondom |
SuntikKondom |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">38</td>
<td align="left">29 Desember 2023</td>
<td align="left">SUYOTO</td>
<td align="left">'3372045012880003</td>
<td align="left">ENDANG SRI LESTARI</td>
<td align="left">10 Desember 1988</td>
<td align="left">RT 02 RW XIII PUCANGSAWIT</td>
<td align="left">'085843202578</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
 <td align="left"></td>
<td align="left"></td>
<td align="left">
Kondom |
Kondom |
Kondom |
Z30.0|General counselling and advice on contraception</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">39</td>
<td align="left">29 Desember 2023</td>
<td align="left">WINARNI</td>
<td align="left">'3372044312970001</td>
<td align="left">SHINTA DEFI AMBARWATI</td>
<td align="left">03 Desember 1997</td>
<td align="left">RT 03 RW 09 JAGALAN</td>
<td align="left">'085602903816</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
</tr>

<tr align="right">
<td align="center">40</td>
<td align="left">29 Desember 2023</td>
<td align="left">DWI AGUNG</td>
<td align="left">'3372045611830005</td>
<td align="left">NOVI HARTANTI</td>
<td align="left">16 November 1983</td>
<td align="left">1/14 PUCANGSAWIT</td>
<td align="left">'0859155061547</td>
<td align="left">YA</td>
<td align="left">
PESERTA KB ULANGAN</td>
<td align="left">
</td>
<td align="left"></td>
<td align="left"></td>
<td align="left">
Suntik |
Suntik |
|
Z30.8|Other contraceptive management</td>
<td align="left">
BPJS KESEHATAN</td>
 </tr>
</table>