KEGIATAN PROFESI : PELAYANAN KEHAMILAN KLINIK UTAMA FATIMAH KUDUS

TAHUN : 2017

NAMA UMUR STATUS

NAMA
NO TGL ALAMAT IBU HAMIL HPHT GPA BB TB LILA HB TENSI IMUNISASI TT KET
ISTRI SUAMI PETUGAS
(th) (mg) 12345
1 1/8/2017 NY. ALISAH RAMENTO Pulodarat 14/02 Pecangaan Jepara 32 40 mg 4/3/2016 G2P1A0 78 150 25 11.3 110/70 TT 3 Turipah
2 1/11/2017 NY. LUSI E. TN. YUDI P. Karangmalan 4/8 Gebog 39 40 mg 4/6/2016 G2P1A0 83 150 26 12 100/60 TT 3 Turipah
3 1/11/2017 NY. FIQI LAYIMATUN TN. HERI PURWANTO Setrokalangan 4/3 Kaliwungu 19 40 mg 4/6/2016 G1P0A0 57 150 28 11 100/60 TT 3 Turipah
4 1/13/2017 NY. AMIDA ULFAH TN. SINAGA Klumpit 5/3 Gebog 32 40 mg 4/8/2016 G2P1A0 68 150 24 10.7 100/60 TT 3 Turipah
5 1/14/2017 NY. NUR KHASANAH TN. NUGROHO Mijen 1/2 Kaliwungu 36 40 mg 4/9/2016 G3P2A0 76 152 27 11.2 100/60 TT 3 Turipah
6 1/14/2017 NY. NURUL FAUZIAH TN. WIDODO Piji wetan 2/3 Dawe 30 40 mg 4/10/2016 G2P1A0 78 150 29 11 100/60 TT 3 Turipah
7 1/14/2017 NY. DWI LISTIYANI TN. HADI kajeksan 2/2 Kota Kudus 33 40 mg 4/9/2016 G2P1A0 89 153 31 11.7 100/60 TT 3 Turipah
8 1/16/2017 NY. NAGITA S. TN. DAMIN Modinun Klumpit 1/7 Gebog 20 th 24 mg 7/30/2016 G1P0A0 46 kg 155 cm 24 cm 13.1 110/70 mmHg TT 3 Turipah
9 1/17/2017 NY. DUROTUL F. TN. SUGIMAN Garung lor 5/4 Kaliwungu 39 40 mg 4/12/2016 G3P2A0 93 150 32 11.8 110/70 TT 3 Turipah
10 1/17/2017 NY. ENDAR T. TN. HASIM Kajar 4/1 Dawe Kudus 27 40 mg 4/10/2016 G1P0A0 84 154 25 12.4 110/70 TT 3 Turipah
11 1/17/2017 NY. MUSTIANAH TN. NARSO Pelemkerep 05/01 Mayong 24 40 mg 4/11/2016 G1P0A0 62 153 24 13.1 110/70 TT 3 Turipah
12 1/17/2017 NY. WAWA E. TN. WONDO Kedungwari Kidul 1/2 36 40 mg 4/12/2016 G3P2A0 76 153 26 12.2 110/70 TT 3 Turipah
13 1/17/2017 NY. ROIDOTUN TN. L. MANALU Jatikulon 1/4 Jati Kudus 30 40 mg 4/12/2016 G3P2A0 76 153 27 11.3 90/60 TT 3 Turipah
14 1/20/2017 NY. AYU F. TN. CITRO WIYONO Pasuruan Kidul 1/4 Jati 33 40 mg 4/15/2016 G2P1A0 80 150 26 12 100/60 TT 3 Turipah
15 1/20/2017 NY. Aeni H. TN. DEDEN SETIYAWAN Pasir 3/2 Mijen Demak 39 40 mg 4/13/2016 G4P2A1 67 156 25 11 100/60 TT 3 Turipah
16 1/20/2017 NY. Fasriyatul TN. JUMRONI Menawan 2/7 Klambu Grobogan 27 40 mg 4/12/2016 G1P0A0 67 155 23 10.7 90/60 TT 3 Turipah
17 1/20/2017 NY. Eni Indrayani TN. TATANG SUTISNA Samirejo 1/3 Dawe Kudus 24 40 mg 4/15/2016 G1P0A0 90 150 24 11.2 110/70 TT 3 Turipah
18 1/20/2017 NY. Anik Y. TN. FIRDAUS Modinun Klumpit 2/7 Gebog 36 40 mg 4/15/2016 G3P2A0 89 155 25 11 100/60 TT 3 Turipah
19 1/21/2017 NY. Annida F TN. HERI HARYONO Prambatan Lor 9/1 Kaliwungu 46 40 mg 4/16/2016 G5P4A0 87 154 27 11.7 110/70 TT 3 Turipah
20 1/21/2017 NY. Heni W TN. JONO Getasrabi 6/4 gebog 42 40 mg 4/15/2016 G2P1A0 87 153 26 11.8 100/60 TT 3 Turipah
21 1/21/2017 NY. Efianti TN. SAUD Karangampel 5/3 Kaliwungu 27 40 mg 4/16/2016 G1P0A0 67 152 25 12.4 100/60 TT 3 Turipah
22 1/21/2017 NY. Muji Jayanti TN. PRIANTO Modinun Klumpit 1/7 Gebog 21 40 mg 4/14/2016 G1P0A0 67 159 26 13.1 100/60 TT 3 Turipah
23 1/22/2017 NY. Lia R. TN. SUDARMAN Buaran 6/3 Mayong Jepara 24 40 mg 4/14/2016 G1P0A0 67 154 28 12.2 110/70 TT 3 Turipah
24 1/22/2017 NY. Noor Laili TN. M. FATHURROHMAN Kendal asem 2/4 Wedung Demak 35 40 mg 4/14/2016 G3P1A1 87 156 24 11.3 110/70 TT 3 Turipah
25 1/22/2017 NY. Nurina A. TN. MUSODIK Singocandi 4/3 Kota Kudus 25 40 mg 4/15/2016 G1P0A0 67 153 27 12 110/70 TT 3 Turipah
26 1/22/2017 NY. Siti Rinawati TN. ROHMANDIK Banget 5/3 Kaliwungu Kudus 29 40 mg 4/14/2016 G2P1A0 58 154 29 11 110/70 TT 3 Turipah
27 1/23/2017 NY. Aisatul M. TN. SARKAM Jetis Kapuan 1/1 Jati Kudus 41 40 mg 4/17/2016 G3P2A0 78 152 31 10.7 90/60 TT 3 Turipah
28 1/23/2017 NY. Siti K. TN. JATMIKO Kalipucang wetan 10/3 35 40 mg 4/17/2016 G2P1AO 98 150 32 11.2 90/60 TT 3 Turipah
29 1/23/2017 NY. Desi Rum Fatmawati TN. SUPANGAT Ngembalrejo 3/6 Bae 23 40 mg 4/16/2016 G1P0A0 78 155 25 11 90/60 TT 3 Turipah
30 1/23/2017 NY. Khikmatus S. TN. MULYADI Terkesi 6/5 Klambu Grobogan 19 40 mg 4/16/2016 G1P0A0 82 150 24 11.7 100/60 TT 3 Turipah
 KEGIATAN PROFESI : PELAYANAN KEHAMILAN KLINIK UTAMA FATIMAH KUDUS

TAHUN : 2017

NAMA UMUR STATUS

NAMA
NO TGL ALAMAT IBU HAMIL HPHT GPA BB TB LILA HB TENSI IMUNISASI TT KET
ISTRI SUAMI PETUGAS
(th) (mg) 12345
31 1/23/2017 NY. LISTYA YUNITA TN. SUTRISNO Pelemkerep 06/02 Mayong 24 40 mg 4/15/2016 G1P0A0 56 150 26 11.8 100/60 TT 3 Turipah
32 1/23/2017 NY. EVA SANIA TN. ABDUL MU’IN Prambatan Lor 4/2 Kaliwungu 27 40 mg 4/16/2016 G2P1A0 67 150 27 12.4 90/60 TT 3 Turipah
33 1/23/2017 NY. IRMA S TN. NUR EKSAN Mlaten 10/2 Mijen Demak 26 40 mg 4/16/2016 G1P0A0 78 153 26 13.1 100/60 TT 3 Turipah
34 1/23/2017 NY. SUPARTI TN. ROSIDI Jetak 1/4 wedung Demak 36 40 mg 4/15/2016 G3P2A0 67 154 25 12.2 100/60 TT 3 Turipah
35 1/24/2017 NY. ANGGRAYANI TN. KARYONO Buaran 6/3 Mayong Jepara 21 th 36 mg 5/15/2016 G1P0A0 50 kg 158 cm 26 cm 12.2 110/70 mmHg TT 3 Turipah
36 1/27/2017 NY. ISTIKAROH TN. M. ALI Mayong Kidul 1/2 Mayong 26 40 mg 4/22/2016 G1P0A0 78 154 23 11.3 100/60 TT 3 Turipah
37 1/27/2017 NY. RUMIDAR TN. AHMAD FAUZI Pulodarat 1/4 Pecangaan 26 40 mg 4/23/2016 G1P0A0 98 154 24 12 110/70 TT 3 Turipah
38 1/27/2017 NY. MARATUS S TN. AULIA RAHMAN singocandi 4/2 Kota 25 40 mg 4/24/2016 G1P0A0 89 154 25 11 110/70 TT 3 Turipah
39 1/27/2017 NY. SUTIANINGRUM TN. SUGIONO Singocandi 6/1 Kota 35 40 mg 4/25/2016 G2P1A0 87 154 27 10.7 110/70 TT 3 Turipah
40 1/27/2017 NY. TUCHRIYAH TN. PRASETYO SUSITO Pelemkerep 6/3 Mayong 22 40 mg 4/26/2016 G1P0A0 76 152 26 11.2 110/70 TT 3 Turipah
41 1/28/2017 NY. EKA ELMA TN. SISWADI Krandon 1/3 Kota 36 40 mg 4/27/2016 G3P2A0 78 150 25 11 90/60 TT 3 Turipah
42 1/28/2017 NY. TASLIMAH TN. THOHIRIN gemiring Kidul 4/4 Nalumsari 22 40 mg 4/28/2016 G1P0A0 85 152 26 11.7 90/60 TT 3 Turipah
43 1/28/2017 NY. SOFIANAH TN. MUHAJIR Gribig 4/2 Gebog 26 40 mg 4/26/2016 G1P0A0 67 159 28 11.8 90/60 TT 3 Turipah
44 1/28/2017 NY. SELLA NURAINI TN. NUR KHAMID Samirejo 4/2 Dawe Kudus 30 40 mg 4/26/2016 G2P1A0 76 154 24 12.4 100/60 TT 3 Turipah
45 1/28/2017 NY. DEWI ASTUTIK TN. BAMBANG Kalirejo 4/4 Undaan 33 40 mg 4/26/2016 G1P0A0 78 156 27 13.1 100/60 TT 3 Turipah
46 2/1/2017 NY. MARSITI MUNZILAH TN. ACHMAD SUKARLAN Gondosari 1/5 Gebog 37 40 mg 4/27/2016 G3P2A0 54 153 29 12.2 90/60 TT 3 Turipah
47 2/1/2017 NY. RIANDITA TN. AGUS DARMA Purwogondo 17/3 Kalinyamatan 25 40 mg 4/28/2016 G1P0A0 76 154 31 11.8 100/60 TT 3 Turipah
48 2/1/2017 NY. ALFAGA S TN. ANUARUDIN Ploso 2/2 Jati 33 40 mg 4/29/2016 G2P1A0 76 152 32 12.4 110/70 TT 3 Turipah
49 2/1/2017 NY. INDARWATI TN. SUARDI Purwosari 1/8 Kota 26 40 mg 4/30/2016 G1P0A0 76 150 25 13.1 110/70 TT 3 Turipah
50 2/1/2017 NY. DEWI ROFIKOH TN. LAHAM Bategede 9/3 Nalumsari 25 40 mg 4/27/2016 G1P0A0 8 155 24 12.2 110/70 TT 3 Turipah
51 2/1/2017 NY. ZULIYAH TN. MURSAL Getasrabi 4/1 Gebog 23 40 mg 4/28/2016 G1P0A0 7 150 26 11.3 110/70 TT 3 Turipah
52 2/1/2017 NY. NURUL AINI TN. PANDI Kedungsari 4/4 Gebog 33 40 mg 4/29/2016 G2P1A0 78 150 27 12 90/60 TT 3 Turipah
53 2/2/2017 NY. RANIA FATRO TN. RIDWAN Blimbingrejo 2/4 Nalumsari 31 40 mg 4/30/2016 G1P0A0 68 150 26 11 90/60 TT 3 Turipah
54 2/2/2017 NY. DITA MUTIARA TN. HENDRI Bae 4/1 Bae Kudus 30 40 mg 4/30/2016 G1P0A0 68 153 25 10.7 90/60 TT 3 Turipah
55 2/2/2017 NY. NURUL AINI TN. ZAMHARI Panimbo 2/2 Kedungjati Grobogan 30 40 mg 4/27/2016 G2P1A0 89 154 23 11.2 100/60 TT 3 Turipah
56 2/2/2017 NY. ZUNI R TN. KARYOTO Dorang 5/2 Nalumsari 39 40 mg 4/28/2016 G3P2A0 78 154 24 11 100/60 TT 3 Turipah
57 2/2/2017 NY. DEWI S TN. JUNAIDI Mlaten 10/2 Mijen Demak 26 40 mg 4/29/2016 G1P0A0 67 154 25 11.7 90/60 TT 3 Turipah
58 2/2/2017 NY. NUR WAHYUNINGSIH TN. HABIB Cendono 6/5 Dawe 27 40 mg 4/30/2016 G1P0A0 87 154 27 11.8 100/60 TT 3 Turipah
59 2/2/2017 NY. NURMAIDAH TN. RIFA'I Pasuruan Kidul 1/1 jati 25 40 mg 4/28/2016 G1P0A0 67 154 26 12.4 110/70 TT 3 Turipah
60 2/2/2017 NY. RITA RIS TN. ERWAN Bakalan Krapayak 1/2 28 40 mg 4/29/2016 G1P0A0 67 152 25 13.1 110/70 TT 3 Turipah
 KEGIATAN PROFESI : PELAYANAN KEHAMILAN KLINIK UTAMA FATIMAH KUDUS

TAHUN : 2017

NAMA UMUR STATUS

NAMA
NO TGL ALAMAT IBU HAMIL HPHT GPA BB TB LILA HB TENSI IMUNISASI TT KET
ISTRI SUAMI PETUGAS
(th) (mg) 12345
61 2/6/2017 NY. Nurul L. TN. SUBUR SANTOSO Samirejo 4/1 Dawe 29 40 mg 5/2/2016 G1P0A0 87 150 26 12.2 110/70 TT 3 Turipah
62 2/6/2017 NY. Ismi R. TN. WAWAN SOFYAN Bakalan Krapayak 2/1 24 40 mg 5/2/2016 G1P0A0 93 150 28 11.3 110/70 TT 3 Turipah
63 2/6/2017 NY. Meila R. TN. AMIN SARING Pasuruan Lor 2/6 jati 35 40 mg 5/3/2016 G2P1A0 92 150 24 12 110/70 TT 3 Turipah
64 2/6/2017 NY. Nor Saumi N TN. ROHMANDIK Jetak Kedungdowo 5/5 28 40 mg 5/2/2016 G1P0A0 67 153 27 11 110/70 TT 3 Turipah
65 2/6/2017 NY. Rokidah TN. MAD DARJO Kedungsari 4/9 Gebog 29 40 mg 5/4/2016 G1P0A0 65 154 29 10.7 110/70 TT 3 Turipah
66 2/7/2017 NY. Isrotun TN. HERI KUSWANTO Karangampel 6/5 Kaliwungu 24 40 mg 5/2/2016 G1P0A0 59 154 31 11.2 110/70 TT 3 Turipah
67 2/7/2017 NY. Dian Mahlida TN. MUDAWAN Nalumsari 1/2 Nalumsari 35 40 mg 5/5/2016 G2P1A0 87 154 32 11 90/60 TT 3 Turipah
68 2/7/2017 NY. Reza R. TN. SUHARNO Karangnongko 4/3 Nalumsari 28 40 mg 5/2/2016 G1P0A0 96 154 25 11.7 90/60 TT 3 Turipah
69 2/7/2017 NY. Noor Faizah TN. ARIFIN Kaliputu 2/2 Kota 30 40 mg 5/3/2016 G1P0A0 78 154 24 11.8 90/60 TT 3 Turipah
70 2/7/2017 NY. Novita Sari TN. RAMELAN Puyoh 6/3 Dawe 20 40 mg 5/3/2016 G1P0A0 75 152 26 12.4 100/60 TT 3 Turipah
71 2/7/2017 NY. Zumita TN. ANDI MULYONO Pancur 4/1 Mayong 22 40 mg 5/3/2016 G1P0A0 74 150 27 13.1 100/60 TT 3 Turipah
72 2/7/2017 NY. Zulaika TN. SUPARSO Bae 4/2 Bae 25 40 mg 5/4/2016 G1P0A0 63 152 26 12.2 90/60 TT 3 Turipah
73 2/7/2017 NY. Siti Fatimah TN. SUPRIYADI Karang Pakis 5/1 35 40 mg 5/4/2016 G3P1A1 67 159 25 11.3 100/60 TT 3 Turipah
74 2/7/2017 NY. Diana TN. EKO WAHYUDI Glantengan 1/1 Kota 38 40 mg 5/4/2016 G2P1A0 85 154 23 12 110/70 TT 3 Turipah
75 2/8/2017 NY. Dwi Z TN. DICKI LASMANTO Kendal asem 2/4 Wedung Demak 34 th 21 mg 9/14/2016 G3P2A0 43 kg 159 cm 31 cm 11.3 90/70 mmHg TT 3 Turipah
76 2/10/2017 NY. Ayu Agustina TN. WIDIATMOKO Puyoh 3/6 Dawe 41 40 mg 5/5/2016 G4P3A0 84 156 24 11 110/70 TT 3 Turipah
77 2/10/2017 NY. Desy L. TN. M. HARIYANTO Klumpit 4/2 Gebog 27 40 mg 5/6/2016 G1P0A0 65 153 25 10.7 110/70 TT 3 Turipah
78 2/10/2017 NY. Nikmatul H. TN. SUWANDI Babalan 2/3 Wedung 23 40 mg 5/7/2016 G1P0A0 75 154 27 11.2 110/70 TT 3 Turipah
79 2/10/2017 NY. TITIK NUR TN. SUPARMAN Jurang 4/2 Gebog 28 40 mg 5/8/2016 G1P0A0 67 152 26 11 90/60 TT 3 Turipah
80 2/10/2017 NY. NOR MALICHAH TN. SARTONO Cangkring Rembang 4/2 27 40 mg 5/9/2016 G1P0A0 87 150 25 11.7 90/60 TT 3 Turipah
81 2/10/2017 NY. ADE AMELIA TN. SUYADI Ngemplak Wetan 1/2 31 40 mg 5/7/2016 G1P0A0 56 155 26 11.8 90/60 TT 3 Turipah
82 2/11/2017 NY. NURUS S TN. SUJADI Gerjen Nalumsari 5/4 35 40 mg 5/8/2016 G2P1A0 78 150 28 12.4 100/60 TT 3 Turipah
83 2/11/2017 NY. SITI SAIDAH TN. M. NUROHMAN Muryolobo 2/7 Nalumsari 29 40 mg 5/8/2016 G1P0A0 87 150 24 13.1 100/60 TT 3 Turipah
84 2/11/2017 NY. ULYA HIKMAWATI TN. ROHMADI Karanganyar 1/2 Karanganyar 25 40 mg 5/7/2016 G1P0A0 67 150 27 12.2 90/60 TT 3 Turipah
85 2/11/2017 NY. KHOMAIROH TN. SUHADI Jebol 6/1 Mayong 33 40 mg 5/11/2016 G2P1A0 74 153 29 11 100/60 TT 3 Turipah
86 2/11/2017 NY. SHOLEKAH TN. ADRI SUNARTO Singocandi 6/2 34 40 mg 5/9/2016 G2P1A0 75 154 31 11.7 90/60 TT 3 Turipah
87 2/12/2017 NY. SITI R TN. KASWANTO Mayonglor 5/1 42 40 mg 5/8/2016 G2P1A0 84 154 32 11.8 90/60 TT 3 Turipah
88 2/12/2017 NY. KHOLISHAH T TN. MISBACHU MINIR Kedungdowo 7/6 Kaliwungu 31 40 mg 5/7/2016 G2P1A0 83 154 25 12.4 100/60 TT 3 Turipah
89 2/12/2017 NY. RUFAIDAH TN. EDI ENDANG Karang Malang 1/9 Gebog 33 40 mg 5/7/2016 G3P2A0 88 154 24 13.1 100/60 TT 3 Turipah
90 2/12/2017 NY. SITI KHOIRIYAH TN. MUJIONO Sungsinggan 4/5 Kota 30 40 mg 5/7/2016 G2P1A0 78 154 26 12.2 90/60 TT 3 Turipah
 KEGIATAN PROFESI : PELAYANAN KEHAMILAN KLINIK UTAMA FATIMAH KUDUS

TAHUN : 2017

NAMA UMUR
STATUS
NAMA
NO TGL ALAMAT IBU HAMIL HPHT GPA BB TB LILA HB TENSI IMUNISASI TT KET
ISTRI SUAMI PETUGAS
(th) (mg) 12345

91 2/12/2017 NY. YUNNA Y TN. HARIYANTO Singocandi 4/3 Kota Kudus 29 th 29 mg 7/22/2016 G2P1A0 57 kg 160 cm 25 cm 12 90/70 mmHg TT 3 Turipah
92 3/3/2017 NY. UMI KHOMSAFIYAH TN. TAUFIQUROHMAN Banget 5/3 Kaliwungu Kudus 24 th 6 mg 1/20/2017 G1P0A0 40 kg 150 cm 24 cm 11 90/70 mmHg TT 3 Turipah
93 3/3/2017 NY. ROCHMATUN TN. BAHRUL Kaliwungu 5/3 Kaliwungu 37 40 mg 5/28/2016 G3P1A1 68 152 27 11.8 100/60 TT 3 Turipah
94 3/3/2017 NY. ANIK N TN. SUTANTO Jati Kulon 3/3 Jati Kudus 37 40 mg 5/29/2016 G2P1A0 86 150 26 12.4 110/70 TT 3 Turipah
95 3/3/2017 NY. ROHMAWATI TN. ALI JOKO PITONO Purwosari 1/1 Kota 22 40 mg 5/30/2016 G1P0A0 86 153 25 13.1 110/70 TT 3 Turipah
96 3/3/2017 NY. SITI ZUMROH TN. M. YASIR Bendanpete 5/3 Nalumsari 33 40 mg 5/28/2016 G1P0A0 86 154 23 12.2 110/70 TT 3 Turipah
97 3/3/2017 NY. SRI SUGIANTI TN. ISWADI Singorojo 2/2 Mayong 39 40 mg 5/29/2016 G4P2A1 85 154 24 11.3 110/70 TT 3 Turipah
98 3/4/2017 NY. FAJRIYAH TN. MUGIONO Tumpang Krasak 1/5 Jati 27 40 mg 5/30/2016 G1P0A0 93 154 25 12 110/70 TT 3 Turipah
99 3/4/2017 NY. YUNI PUSPITASARI TN. AHMAD MARGO Kedungdowo 3/4 Kaliwungu 34 40 mg 5/28/2016 G2P1A0 93 154 27 11 110/70 TT 3 Turipah
100 3/4/2017 NY. FITRI LESTARI TN. BASUKI RAHMAD Kuanyar Mayong 5/1 Mayong 32 40 mg 5/29/2016 G3P2A0 87 154 26 10.7 110/70 TT 3 Turipah
101 3/4/2017 NY. KUSMI TN. SUNARNO Sidorekso 6/4 Kaliwungu 33 40 mg 5/30/2016 G3P2A0 80 152 25 11.2 110/70 TT 3 Turipah
102 3/4/2017 NY. SUPRIYATI TN. WARSONO Jetis Kapuan 1/1 Jati Kudus 29 th 9 mg 1/1/2017 G3P2A0 50 kg 155 cm 24 cm 10.7 120/70 mmHg TT 3 Turipah
103 3/5/2017 NY. NING FATIMAH TN. SUYATNO Datar 1/1 Mayong 39 40 mg 5/28/2016 G3P2A0 60 150 26 11 90/60 TT 3 Turipah
104 3/5/2017 NY. ERNAWATI TN. A. SUWARDI Rahtawu 3/3 Gebog 27 40 mg 5/29/2016 G1P0A0 70 152 28 11.7 90/60 TT 3 Turipah
105 3/5/2017 NY. SITI AMANAH TN. YOSI KURNIAWAN Pasir 3/5 Mijen Demak 34 40 mg 5/30/2016 G2P1A0 78 159 24 11.8 90/60 TT 3 Turipah
106 4/5/2017 NY. SUMARNI TN. MUHAIMIN Kalipucang wetan 10/3 46 th 6 mg 2/22/2017 G2P1A0 47 kg 155 cm 26 cm 11.2 100/70 mmHg TT 3 Turipah
107 4/6/2017 NY. ETIK SUFARYANTI TN. ARDIANSYAH Ngembalrejo 3/6 Bae 21 th 34 mg 8/9/2016 G1P0A0 49 kg 156 cm 24 cm 11 120/80 mmHg TT 3 Turipah
108 4/7/2017 NY. YAYUK E TN. TEGUH WIYUNI Bedanbete 7/2 Nalumsari 42 40 mg 7/2/2016 G5P4A0 93 154 27 12.4 100/60 TT 3 Turipah
109 4/7/2017 NY. SILFI MAULIDAH TN. ADI FEBRIAN Banyuputih 14/4 Kalinyamatan 35 40 mg 7/3/2016 G3P2A0 90 156 29 13.1 100/60 TT 3 Turipah
110 4/7/2017 NY. SULASMI TN. ROHMAT HIDAYAT Pasuruanlor 1/5 Jati 35 40 mg 7/4/2016 G2P1A0 56 153 31 12.2 90/60 TT 3 Turipah
111 4/7/2017 NY. ANA WIWIK TN. TRI WIDI WIBOWO Lau 1/2 Dawe 27 40 mg 7/5/2016 G1P0A0 70 154 32 11.3 100/60 TT 3 Turipah
112 4/7/2017 NY. WATINI TN. MUJIARTO Klumpit 2/2 Gebog 43 40 mg 7/2/2016 G3P1A1 76 152 25 12 110/70 TT 3 Turipah
113 4/7/2017 NY. HAYATIN TN. DIDIK SUGIARTO Margorejo 5/3 Dawe 35 40 mg 7/2/2016 G2P1A0 59 150 24 11 110/70 TT 3 Turipah
114 4/7/2017 NY. LENNI M TN. MUKLASIN Pelemkerep 5/2 Mayong 26 40 mg 7/3/2016 G1P0A0 83 155 26 10.7 110/70 TT 3 Turipah
115 4/8/2017 NY. RINAWATI TN. SUHADI Burikan 1/5 Kota 36 40 mg 7/3/2016 G2P1A0 78 150 27 11.2 110/70 TT 3 Turipah
116 4/8/2017 NY. NOOR ROCHMA TN. ANGGA SUTAJI Jetak Kembang 4/6 Kota 34 40 mg 7/2/2016 G2P1A0 68 150 26 11 90/60 TT 3 Turipah
117 4/8/2017 NY. LESTARI TN. SAMI’IN Krasak 3/1 Pecangaan 34 40 mg 7/3/2016 G3P2A0 69 150 25 11.7 90/60 TT 3 Turipah
118 4/8/2017 NY. VIKA TN. SISTANTO Ngetuk 3/5 Nalumsari 30 40 mg 7/1/2016 G2P1A0 97 153 23 11.8 90/60 TT 3 Turipah
119 4/8/2017 NY. RISMA SAFITRI TN. KARYADI Ngeling 1/1 Pecangaan 25 40 mg 7/2/2016 G1P0A0 56 154 24 12.4 90/60 TT 3 Turipah
120 4/26/2017 NY. RISKA F TN. PURWANTO Purwosari 2/5 Kota 25 40 mg 7/21/2016 G2P1A0 97 154 25 13.1 100/60 TT 3 Turipah
 KEGIATAN PROFESI : PELAYANAN KEHAMILAN KLINIK UTAMA FATIMAH KUDUS

TAHUN : 2017

NAMA UMUR STATUS

NAMA
NO TGL ALAMAT HPHT GPA BB TB LILA HB TENSI IMUNISASI TT KET
IBU HAMIL PETUGAS
ISTRI SUAMI 12345
(th) (mg)
121 4/26/2017 NY. SUPRIYANTI TN. ISMAIL Krajan 1/3 Kajar Dawe 33 40 mg 7/22/2016 G3P1A1 76 154 27 12.2 100/60 TT 3 Turipah
122 4/26/2017 NY. DIAH PUSPITA TN. ERYANTO Menawan 1/2 Gebog 27 40 mg 7/21/2016 G1P0A0 67 154 26 11.3 90/60 TT 3 Turipah
123 4/26/2017 NY. SRI MINATUN TN. RAHMAT Mijen 6/6 Kaliwungu 28 40 mg 7/20/2016 G1P0A0 87 154 25 12 100/60 TT 3 Turipah
124 4/26/2017 NY. SUNTINI TN. SUSENO Menawan 2/3 Gebog 27 40 mg 7/22/2016 G1P0A0 78 152 26 11 110/70 TT 3 Turipah
125 4/27/2017 NY. RITA RAHAYU TN. NAWAWI Banget 1/2 Kaliwungu 41 40 mg 7/21/2016 G3P1A1 56 150 28 10.7 110/70 TT 3 Turipah
126 4/27/2017 NY. OVISA W TN. ROSDI Pecuk 2/3 Mijen Demak 30 40 mg 7/22/2016 G2P1A0 76 150 24 11.2 110/70 TT 3 Turipah
127 4/27/2017 NY. MUFAROKAH TN. RUSIDI Buaran 6/3 Mayong Jepara 22 40 mg 7/21/2016 G1P0A0 76 150 27 11 110/70 TT 3 Turipah
128 4/27/2017 NY. TITIK L TN. ZAINAL Mijen 4/6 Kaliwungu 23 40 mg 7/20/2016 G1P0A0 56 153 29 11.7 110/70 TT 3 Turipah
129 4/27/2017 NY. ULYA ZULFAH TN. AGUS Mlaten 1/1 Mijen Demak 30 40 mg 7/22/2016 G2P1A0 67 154 31 11.8 110/70 TT 3 Turipah
130 5/5/2017 NY. HENI WIDIA TN. JOKO P Kajar 2/1 Dawe Kudus 20 40 mg 7/30/2016 G1P0A0 60 154 32 12.4 110/70 TT 3 Turipah
131 5/5/2017 NY. ELI F TN. WIDODO Mayonglor 2/7 Mayong 34 40 mg 7/29/2016 G2P1A0 68 154 25 13.1 110/70 TT 3 Turipah
132 5/5/2017 NY. WIDA ERLINA TN. SULAIMAN Kajar 3/1 Dawe Kudus 22 40 mg 7/27/2016 G1P0A0 56 154 24 12.2 90/60 TT 3 Turipah
133 5/5/2017 NY. KHUMAIDAH TN. SUYOTO Sidorekso 1/6 Kaliwungu 19 40 mg 8/1/2016 G1P0A0 67 154 26 13.1 90/60 TT 3 Turipah
134 5/5/2017 NY. NOR LAFAFIAH TN. FATKUR Prambatan Kidul 40 40 mg 7/30/2016 G3P2A0 67 152 27 12.2 90/60 TT 3 Turipah
135 5/6/2017 NY. SITI AMANAH TN. ARIFIN Mijen 02/07 Mijen 31 40 mg 7/29/2016 G2P1A0 67 150 26 11 100/60 TT 3 Turipah
136 5/6/2017 NY. ENY M TN. SUDARMAN Paren 1/1 Mayong 41 40 mg 7/27/2016 G2P1A0 87 152 25 11.7 100/60 TT 3 Turipah
137 5/6/2017 NY. NOVITA LIANA TN. SUKARDI Gamong 8/2 Kaliwungu 27 40 mg 8/1/2016 G1P0A0 76 159 23 11.8 90/60 TT 3 Turipah
138 5/6/2017 NY. ROKHAYATI TN. JAMBARI Kedungdowo 1/1 Kaliwungu 23 40 mg 8/2/2016 G1P0A0 76 154 24 12.4 100/60 TT 3 Turipah
139 5/6/2017 NY. JUMIATUN TN. SUBEKAN Gamong 8/2 Kaliwungu 43 40 mg 8/3/2016 G3P2A0 67 156 25 13.1 110/70 TT 3 Turipah
140 5/7/2017 NY. NUR FARIDAH TN. AMIN Terkesi 6/5 Klambu Grobogan 32 th 17 mg 1/9/2017 G2P0A1 43 kg 150 cm 23 cm 11.7 110/80 mmHg TT 3 Turipah
141 5/8/2017 NY. CHAIRUNISA TN. SUPAAT Pelemkerep 06/02 Mayong 30 th 21 mg 12/13/2016 G2P1A0 65 kg 155 cm 24 cm 11.8 100/70 mmHg TT 3 Turipah
142 6/9/2017 NY. MUNDARIFAH TN. SYAIFUL Prambatan Lor 4/2 Kaliwungu 22 th 7 mg 4/21/2017 G1P0A0 40 kg 150 cm 22 cm 12.4 110/70 mmHg TT 3 Turipah
143 6/10/2017 NY. NURUL C TN. KUSNAN Mlaten 10/2 Mijen Demak 35 th 30 mg 11/13/2016 G3P2A0 48 kg 156 cm 24 cm 13.1 100/70 mmHg TT 3 Turipah
144 7/11/2017 NY. NURUL HIDAYAH TN. M. ALI Jetak 1/4 wedung Demak 17 th 36 mg 11/1/2016 G1P0A0 54 kg 154 cm 24 cm 12.2 110/70 mmHg TT 3 Turipah
145 7/12/2017 NY. F TN. FUAD Mayong Kidul 1/2 Mayong 46 th 7 mg 5/23/2017 G2P1A0 47 kg 155 cm 23 cm 11.3 90/70 mmHg TT 3 Turipah
146 8/13/2017 NY. LISANJAYA TN. HADI Pulodarat 1/4 Pecangaan 19 th 34 mg 12/19/2016 G1P0A0 48 kg 156 cm 24 cm 12 90/70 mmHg TT 3 Turipah
147 9/14/2017 NY. SUNARSIH TN. HERI singocandi 4/2 Kota 28 th 24 mg 3/30/2017 G2P1A0 59 kg 160 cm 24 cm 11 110/70 mmHg TT 3 Turipah
148 10/15/2017 NY. ANITA TN. SUTEJO Singocandi 6/1 Kota 24 th 9 mg 8/10/2017 G1P0A0 45 kg 144 cm 22 cm 10.7 110/70 mmHg TT 3 Turipah
149 11/8/2017 NY. ERNAWATI TN. AGUS MULYONO Setrokalangan 5/1 Kaliwungu 27 40 mg 2/2/2017 G1P0A0 67 153 27 12.2 110/70 TT 3 Turipah
150 11/8/2017 NY. MUNARA TN. AFRIZAL Sidigedi 03/02 Welahan Jepara 30 40 mg 2/3/2017 G2P1A0 76 154 26 11.8 110/70 TT 3 Turipah
 KEGIATAN PROFESI : PELAYANAN KEHAMILAN KLINIK UTAMA FATIMAH KUDUS

TAHUN : 2017

NAMA UMUR STATUS

NAMA
NO TGL ALAMAT IBU HAMIL HPHT GPA BB TB LILA HB TENSI IMUNISASI TT KET
ISTRI SUAMI PETUGAS
(th) (mg) 12345
151 11/8/2017 NY. FATMAWATI TN. ARI AWALUDIN Purwosari 2/8 29 40 mg 2/4/2017 G1P0A0 56 152 25 12.4 110/70 TT 3 Turipah
152 11/8/2017 NY. HENI F TN. AKMAL Gedangan 1/ 1 welahan jepara 34 40 mg 2/5/2017 G2P1A0 76 150 26 13.1 90/60 TT 3 Turipah
153 11/8/2017 NY. SRI ENDANG TN. ROZIKIN prambatan kidul 8 /3 23 40 mg 2/6/2017 G1P0A0 76 155 28 12.2 90/60 TT 3 Turipah
154 11/8/2017 NY. ISWATI TN. KHODIRI lau 6/4 dawe 34 40 mg 2/2/2017 G1P0A0 56 150 24 11.3 100/60 TT 3 Turipah
155 11/8/2017 NY. NOOR AFLAHAH TN. ASSALAM pasuruan kidul 4/ 2 34 40 mg 2/3/2017 G2P1A0 67 150 27 12 90/60 TT 3 Turipah
156 11/8/2017 NY. ISTIQOMAH TN. A. YASIN kalipucang wetan 6/2 25 40 mg 2/4/2017 G1P0A0 60 150 29 11 100/60 TT 3 Turipah
157 11/8/2017 NY. TUTI ALAWIYAH TN. KASMUDI rajekwesi 1/1 mayong 32 40 mg 2/5/2017 G2P1A0 68 153 31 10.7 110/70 TT 3 Turipah
158 11/8/2017 NY. SUSANTI TN. SUHENDI junsemi 3/1 wedug 32 40 mg 2/6/2017 G1P0A0 56 154 32 11.2 110/70 TT 3 Turipah
159 11/8/2017 NY. NIKMATUL M TN. AFENDI gondosari 5/9 gebog 31 40 mg 2/2/2017 G1P0A0 67 154 25 11 110/70 TT 3 Turipah
160 11/8/2017 NY. SUMARIYANI TN. F wilalung 4/1 gajah demak 23 40 mg 2/3/2017 G3P2A0 67 154 24 11.7 110/70 TT 3 Turipah
161 11/16/2017 NY. ISTIANAH TN. JOHAN RANO Pelemkerep 6/3 Mayong 28 th 24 mg 5/30/2017 G2P1A0 62 kg 155 cm 24 cm 11.2 110/70 mmHg TT 3 Turipah
162 11/16/2017 NY. HIMATUL TN. SUGENG PRIHATIN Gebog 1/1 34 40 mg 2/10/2017 G2P1A0 67 154 26 11.8 110/70 TT 3 Turipah
163 11/16/2017 NY. SITI ASIYAH TN. SUGIRI jleper 3/ 3 mijen 31 40 mg 2/10/2017 G2P1A0 87 154 27 12.4 110/70 TT 3 Turipah
164 11/16/2017 NY. RINA W TN. HANDOKO gedanggelo 4/2 23 40 mg 2/12/2017 G1P0A0 76 152 26 13.1 110/70 TT 3 Turipah
165 11/16/2017 NY. MUMTAHANAH TN. HARYONO papringan 5/4 34 40 mg 2/13/2017 G1P0A0 76 150 25 12.2 110/70 TT 3 Turipah
166 11/16/2017 NY. ANITA DESIANA TN. ISHAQ singorojo 9/3 30 40 mg 2/10/2017 G3P2A0 67 154 23 11.3 90/60 TT 3 Turipah
167 11/16/2017 NY. FERLY A TN. WAHYUDI sunggingan 1/5 20 40 mg 2/10/2017 G1P0A0 67 154 24 12 90/60 TT 3 Turipah
168 11/17/2017 NY. DWI MUTIARA TN. KUSWANTO klumpit 5/2 34 40 mg 2/12/2017 G2P1A0 76 154 25 11 90/60 TT 3 Turipah
169 11/17/2017 NY. VITA MARET TN. EDY MUSTARI pancur sukorejo 50/10 mayong 22 40 mg 2/13/2017 G1P0A0 97 154 27 10.7 100/60 TT 3 Turipah
170 11/17/2017 NY. NITA MUSHOLINA TN. ANDI MULYONO getasssrabi 5/7 19 40 mg 2/12/2017 G2P1A0 56 152 26 11.2 100/60 TT 3 Turipah
171 11/17/2017 NY. AYU F TN. USMAN bendan pete 2/3 40 40 mg 2/13/2017 G1P0A0 97 150 25 11 90/60 TT 3 Turipah
172 11/17/2017 NY. RUSMIYATI TN. SIDIQ karangbener 3/8 bae 31 40 mg 2/10/2017 G1P0A0 76 153 26 11.7 100/60 TT 3 Turipah
173 11/18/2017 NY. LISTIYANI TN. SUSNADI pelemkerep 1/1 41 40 mg 2/10/2017 G2P1A0 67 154 28 11.8 110/70 TT 3 Turipah
174 11/18/2017 NY. SUSI RUKMANA TN. KOSNADI jebol 6/3 27 40 mg 2/12/2017 G1P0A0 87 154 24 12.4 110/70 TT 3 Turipah
175 11/18/2017 NY. FUTUHAL H TN. SUHERMAN kedungsari 5/9 23 40 mg 2/13/2017 G2P1A0 78 154 27 13.1 110/70 TT 3 Turipah
176 11/18/2017 NY. ANDHIKA SAHARA TN. RAHARJO karangampel 5/2 43 40 mg 2/12/2017 G1P0A0 56 154 29 12.2 110/70 TT 3 Turipah
177 11/18/2017 NY. FAUZUL MUNA TN. SUTAJI karang amalang 2/8 27 40 mg 2/13/2017 G1P0A0 76 154 31 11.3 90/60 TT 3 Turipah
178 11/24/2017 NY. FAIZATUL ULYA TN. HASAN babalan 3/3 wedung 30 40 mg 2/18/2017 G3P2A0 76 152 32 12 90/60 TT 3 Turipah
179 11/24/2017 NY. MAR'ATUN INAYAH TN. DAYAT singorojo 3/3 29 40 mg 2/19/2017 G2P1A0 56 150 25 11 100/61 TT 3 Turipah
180 11/24/2017 NY. LIA FATMAWATI TN. FARID kedungsari 2/3 34 40 mg 2/20/2017 G2P1A0 67 152 24 10.7 90/61 TT 3 Turipah