DATA RIIL IBU HAMIL

PUSKESMAS JELAPAT
: JanuariBULAN
2021 : JANUARI 2023

Stat
Umur us
Umur BULAN
NAMA DESA NO Kehamila Res NIK NO BPJS NO HP
No n K1 ti KI
Nama Ibu Hamil / Suami Ibu Alamat GPA HPHT TP Jenis Resti
Desa
( Thn )
1 2 3 4 5 6 7 8 9 10 11 12 13
1 1 Maulida / M Arbain 33 th J II RT.06 G2P1A0 15-1-2022 23-10-2022 12 mgg ⱽ Lila 22 cm Apr

2 2 Damayanti / Sadikin 33 th J II RT.01 G2P1A0 26-7-2022 3-5-2023 , √ R/SC & Hipertensi BPJS Sept

3 3 Hamdanah / Fauzi 21 th J II RT.06 G1P0A0 26-7-2022 3-5-2023 4 mgg √ Lila 23cm, BB 40Kg BPJS Sept

4 4 Sahdah / Amat 40 th JL II RT.03 G2P1A0 24-4-2022 2-2-2023 24 mgg √ Lila 23cm, HB 9,2 gr% BPJS Okt

5 5 Rini / Abdullah 16/9/0 J 2 RT.09 G1P0A0 10-8-2022 17-5-2023 11 mgg √ Lila 22cm (KK 6304131201220001) 6304131201220000 0838255128083 Nov

6 6 Saniah / Bani 8/2/99 J 2 RT.09 G1P0A0 20-9-2022 27-6-2023 6 mgg √ Lila 21cm 6304134302950001 0000891082034 085388753812 Nov

7 7 Rahmadaniah / M Ikhwan 24/5 94 J II RT.04 G2P1A0 4-10-2022 11-7-2023 6 mgg 630436711940002 00023202876141 Des
JELAPAT II
8 8 Ainun Syifa / M Khair 9/12/9 J 2 RT.09 G1P0A0 15-4-2022 22-1-2023 29 mgg √ TB 138cm, Lila 21cm 6304134312980002 083159111552 Des

9 9 Refina Telkasari / Ahmad Dani 19/10/01 J 2 RT.09 G2P0A1 6-10-2022 13-7-2023 6 mgg √ R/Abortus 6304025910010001 083112895588 Des

10 10 Rahmawati / M Fauzan 4-6-199 J 2 RT.09 G1P0A0 23-10-202230-7-2023 8 mgg √ Lila 21cm, BB 39,9 Kg 630413440698009 Umum Des

11 11 Riana / Jaya 2-11-02 J 2 RT.03 G1P0A0 ' -5-2022 -2-2023 35 mgg √ Lila 20,3cm, HB 9,8 gr% 6304134211020062 0002849316704 083832150408 Jan

12 12 Aisyah / A Fauzi 2-2-93 J 2 RT.03 G3P2A0 20-10-202227-7-2023 9 mgg 6304134202930001 000237554076 085787045116 Jan

13 13 Saudah / Husni Mubarak 14-3-88 J 2 RT.02 G3P2A0 -5-2022 -3-2023 32 mgg 6304135403880008 081522746400 Jan

14 14 Anida Luthfiya / Rahmat Hidaya22-11-0 J 2 RT.03 G1P0A0 -10-2022 -7-2023 14 mgg 6304136211030002 0002658862679 083143463534 Jan

15 1 Siti Maysarah / Rubai 26 th TB RT 05 G1P0A0 9-5-2022 16-2-2023 12 mgg Juli

16 2 Widia / M Saman 21 th TB RT.08 G1P0A0 11-4-2022 18-1-2023 12 mgg ѵ TB <145cm, Lila 20cm Partus tgl 17 feb 2023 Agt

17 3 Sarmila / Rian Rijani 20 th TB RT.05 G1P0A0 17-6-2022 20-3-2023 8 mgg ѵ TB <145cm, Lila 17cm Agt

18 4 Mardiani / M Hidayat 28 th TB RT.03 G1P0A0 1-6-2022 8-3-2023 8 mgg Sept

19 5 Rahma / Huldani 30 th TB RT.04 G4P3A0 14-5-2022 21-2-2023 12 mgg Partus tgl 30 Jan 2023 Sept

20 6 Ananda / Jamaludin 16 th TB RT.10 G1P0A0 18-4-2022 25-1-2023 24 mgg √ umur 16th (pkm) Sept

21 7 Bebet R / Zainal Ilmi 40 th TB RT.05 G5P1A3 4-9-2022 11-6-2023 5 mgg √ Umur >35th, R/Abortus Okt

22 8 Ratiah / Kamarudin 30 th TB RT.05 G2P1A0 27-7-2022 3-5-2023 11 mgg Okt

23 9 Nia / Asri 22 th TB RT.04 G2P0A1 4-8-2022 11-5-2023 12 mgg √ R/Abortus Okt

24 10 Aida / Mursalim 27 th TB RT.03 G2P1A0 19-9-2022 26-6-2023 6 mgg 6304024407950001 Nov

25 11 Noraida / Rahman 32 th TB RT.09 G2P1A0 7-8-2022 14-5-2023 12 mgg √ Jarak Kehamilan <2th 6304054803890001 Nov
TINGGIRAN
BARU
TINGGIRAN 26 12 Norhasanah / Rahmani 27 th TB RT.07 G2P1A0 16-7-2022 24-4-2023 15 mgg √ KEK 6304134404960001 Nov
BARU
27 13 Fatmah / Karji 36 th TB RT.04 G3P2A0 16-9-2022 23-6-2023 8 mgg √ Umur >35th Nov

28 14 Jamiatun / Ihsan Hidayat 25 th TB RT.10 G1P0A0 17-8-2022 24-5-2023 12 mgg √ KEK Nov

29 15 Fatmah / Mahdi 25 th TB RT.02 G3P2A0 -9-2022 6-2023 8 mgg Nov

30 16 Shaleha / Jakaria 31 th TB RT.01 G2P1A0 10-9-2022 17-6-2023 10 mgg 6304135507910001 0003261627944 Des

31 17 Sila / Jali 22 th TB RT.05 G1P0A0 5-10-2022 11-7-2023 12 mgg Des

32 18 Marni / Abdul Hadi 27 th TB RT.04 G2P1A0 28-8-2022 5-6-2023 12 mgg √ Lila 23cm 6304136209950001 0000891828808 Des

33 19 Aida / Ahmadi 28 th TB RT.06 G3P1A1 5-11-2022 12-8-2023 6 mgg √ Lila 23cm Des

34 20 Urep Lindayani / Kudrat 32 th TB RT.09 G2P1A0 5-11-2022 12-2-2023 6 mgg Jan

35 21 Rubiah / Saprudin 30 th TB RT.01 G2P1A0 10-11-2022 17-8-2023 6 mgg Jan

36 22 Misnawati / Taufik Hidayat 30 th TB RT.02 G2P1A0 7-10-2022 14-7-2023 12 mgg Jan

37 23 Ainah / Ahim 24 th TB RT.05 G1P0A0 30-10-2022 7-7-2023 12 mgg Jan

38 1 Saliha / M Saini 22 th TT RT.01 G2P1A0 15-7-2022 22-4-2023 HB 11,7 Sep 630414558990001 Agt

39 2 Rizqi Amalia / M Padli 23 th TT RT.01 G1P0A0 15-7-2022 22-4-2023 Agt

40 3 Hj.Delima / Zainal Hadi 27 th TT RT. G2P1A0 5-8-2022 12-5-2023 4 mgg √ R/SC Sept

41 4 31 th BPJS Okt
Fitri / Ahmad Hindrianor TT RT.07 G2P1A0 25-7-2022 2-5-2023 M
42 5 Norhasanah / Ihwan Yusuf 22 th TT RT.03 G1P0A0 1-8-2022 2-5-2023 M BPJS Okt
TINGGIRAN
TENGAH 43 6 Selastiani / M Rizky 31 th TT RT.03 G6P1A4 12-7-2022 19-4-2023 12 mgg √ R/Abortus 4x 6402175208910001 Nov
R/Abortus, Multigrapida, Umur
44 7 Darma / Mahyuni 36 th TT RT.04 G6P4A1 -7-2022 -4-2023 20 mgg √ >35th, KEK Lila 18cm, BB 38,6 Kg BPJS Des

45 8 Noorsyifa / A Nurhadi 24 th TT RT.04 G1P0A0 19-10-202226-7-2023 8 mgg √ KEK Lila 22cm, BB 42Kg Des

46 9 Asiah / Hairani 36 th TT RT.06 G3P2A0 20-9-2022 27-6-2023 11 mgg √ Umur >35th Des

47 10 Elisa / Sudin 26 th TT RT.02 G1P0A0 10-10-202217-7-2023 10 mgg Des

48 11 Rida / Arif 20 th TT RT.01 G2P1A0 -10-2022 7-2023 10 mgg √ HBSAg Reaktif BPJS Jan

49 1 Ruwaida / Mahmuid Siddiq 30 th TD RT.14 G2P1A0 28-4-2022 5-2-2023 9 mgg Juli

50 2 Nurliana / M Fadli 40 th TD RT.15 G4P3A0 1-5-2022 8-2-2023 15 mgg ѵ Usia >35th Agts
51 3 Paujiah / Alvin A 22 th TD RT.15 G2P1A0 21-7-2022 28-4-2023 9 mgg Umum Sept

52 4 Halimah / Fathurrazi 27 th TD RT.04 G2P1A0 5-7-2022 12-4-2023 9 mgg ⱽ HB 10,1 Gr% Umum Sept

53 5 Siti Hadijah / Misnan 26 th TD RT.19 G2P0A1 18-7-2022 25-4-2022 7 mgg R/Abortus 0002657665124 Sept

54 6 Siti Aisyah / Abdianor 18 th TD RT.19 G1P0A0 1-9-2022 8-6-2023 6 mgg ⱽ Umur <20th BPJS Okt

55 7 Atikah / Mordian 43 th TD RT.16 G5P4A0 1-5-2022 8-2-2023 12 mgg ⱽ Umur >35 th BPJS Okt

56 8 Norbaiti / Yudi Bahraini 32 th TD RT.10 G3P1A1 23-6-2022 30-3-2023 16 mgg ⱽ R/Abortus BPJS Okt

57 9 Maskam / Abdullah 37 th TD RT.14 G3P2A0 17-8-2022 24-5-2023 9 mgg √ Umur >35 th, Lila 23 cm BPJS Okt
TINGGIRAN
DARAT
TINGGIRAN 58 10 Maskanah / Suryadi 27 th G3P2A0 24-7-2022 1-5-2023 7 mgg √ BB <45kg 6203134312950001 BPJS Nov
TD RT.09
DARAT
59 11 Santi / Ariyanto 30 th TD RT.05 G3P2A0 4-9-2022 11-6-2023 9 mgg √ KEK Lila 20,9cm, BB <45kg 6303025910970004 BPJS Nov

60 12 Rudiah / Aspiani 37 th TD RT.08 G2P1A0 15-9-2022 22-6-2023 7 mgg √ Umur >35th BPJS Nov

61 13 Supiati / M Hanafi 22 th TD RT.16 G1P0A0 25-6-2022 2-4-2023 20 mgg 6304134310000001 Nov

62 14 Juairiah / Abdul Latif 36 th TD RT.09 G3P2A0 4-10-2022 11-7-2023 6 mgg √ Usia >35th, R/SC Letak Lintang 6304134205860001 BPJS Nov

63 15 Fatmawati / Aslian 33 th TD RT.14 G2P1A0 18-9-2022 25-6-2023 8 mgg 6304134502890002 Nov

64 16 Khairiah / Abdul Majid 23 th TD RT.10 G1P0A0 26-10-2022 3-1-2023 8 mgg √ BB <45Kg, Lila 23Cm 6304026209990003 Umum Des

65 17 Sela / Mulyadi 17 th TD RT.16 G1P0A0 15-6-2023 16 mgg √ BB <45Kg, Lila 18,5Cm Des

66 18 Rusita / Arsyad 30 th TD RT.16 G3P2A0 19-7-2022 26-4-2023 24 mgg √ Jarak Kehamilan <2th 6304134402920001 Umum Jan

67 19 35 th G3P2A0 9 mgg Jan

Ramlah / Arifin TD RT.10 22-11-2022 29-8-2023 6304135407870001
Rahmilayanti / Rahman 40 th J I RT 15 G3P2A0 6-2-2022 13-11-2022 6 mgg ˅ Umur >35th

Siti Aisyah / M Alfianor 26 th J I RT 11 G1P0A0 13-2-2022 20-11-2022 7 mgg 6304024305960002 Apr

68 1 Hatmah / Rahmadi 24 th J I RT.14 G2P1A0 23-3-2022 30-12-2022 6 mgg Mei
69 2 Siti Aminah / Berkati 29 th J I RT.22 G2P0A1 28-1-2022 5-10-2022 16 mgg ⱽ R/Abortus Mei
70 3 Halidah / Dwi Heri s 41 th J I RT.18 G3P2A0 10-3-2022 17-12-2022 11 mgg ⱽ Umur >35th Juni
71 4 Hasanah Amini / M Rahmani 26 th J I RT.14 G2P1A0 11-5-2022 18-2-2023 6 mgg Juni
72 5 Anis Kurniasari / Arman 23 th J I RT.08 G1P0A0 27-4-2022 4-2-2023 8 mgg sdh USG (6 mgg) Juni
73 6 Nursyifa / Abdul Hakim 22 th J I RT.21 G1P0A0 3-5-2022 10-2-2023 9 mgg Juli
74 7 Mariyana / Herman 40 th J I RT.21 G4P3A0 22-6-2022 29-3-2023 6 mgg ⱽ Umur >35th, Lila 21cm Juli
75 8 Juana / Supiannor 27 th J I RT.22 G2P1A0 20-4-2022 27-1-2023 8 mgg ⱽ Lila 22cm Juli
76 9 Misnawati / Ferdi 24 th J I RT.15 G1P0A0 1-6-2021 8-3-2023 6 mgg Juli
77 10 Habibah / M Iqbal 17 th J I RT.16 G1P0A0 3-5-2022 10-2-2023 10 mgg ⱽ Umur <20th Juli
78 11 Helma / Sopyan 24 th J I RT.09 G1P0A0 4-7-2022 11-4-2023 5 mgg ѵ Lila 21cm Agt

79 12 Asmariah / M Yusuf 24 th J I RT.20 G2P1A0 31-5-2022 7-2-2023 10 mgg Agt

80 13 Rahmawati / M Adriani 24 th J I RT.05 G1P0A0 2-6-2022 29-3-2023 9 mgg ѵ Lila 22cm 6304025001980003 Agt

81 14 Farida / M Kifli 21 th J I RT.07 G1P0A0 7-6-2022 14-3-2023 8 mgg ѵ Lila 23cm Agt

82 15 Malinda / Mika S 29 th J I RT.01 G2P1A0 26-6-2022 3-4-2023 6 mgg Agt

83 16 Normawati / M Sabani 23 th J I RT.17 G1P0A0 11-6-2022 18-3-2023 7 mgg (pkm) Agt

84 17 Jumiati / Syaiful Bahri 25 th J I RT.17 G1P0A0 14-7-2022 21-4-2023 8mgg Sept

85 18 Mutmainah / Harianto 29 th J I RT.14 G4P2A1 13-8-2022 20-5-2023 6 mgg ѵ Lila 22cm, R/Abortus & PEB Sept

86 19 Sariyanti / Supianor 26 th J I RT.16 G1P0A0 6-6-2022 13-3-2023 Sept

87 20 Fitriana / Faisal Ilmi 26 th J I RT.13 G2P1A0 11-6-2022 18-3-2023 Sept

 88 21 Nurhayati / Arif 22 th J I RT.14 G1P0A0 20-5-2022 27-2-2023 16 mgg Okt

89 22 Riya / Angga 16 th J I RT.16 G1P0A0 6-6-2022 13-3-2023 16 mgg √ Umur <20 th, Lila 18 cm Okt

90 23 Nurul Hidayah / Abdul Hair 27 th J I RT.22 G2P1A0 20-7-2022 27-4-2023 12 mgg √ Lila 21,5 cm Okt
JELAPAT I
91 24 Nazmi Aisna M / Fahali 23 th J I RT.07 G2P1A0 11-7-2022 18-4-2023 11 mgg Okt

92 25 Dea Puspita / Riski 21 th J I RT.14 G1P0A0 30-8-2022 7-5-2023 7 mgg Okt

93 26 Misna Warni / Iwan 35 th J I RT.20 G2P1A0 2-4-2022 9-1-2023 Nov

94 27 Mariana / Yudi 31 th J I RT.11 G2P1A0 1-7-2022 8-4-2023 √ Lila 20cm Nov

95 28 Salasiah / Mukhtar 23 th J I RT.14 G3P2A0 23-4-2022 30-1-2023 Nov

96 29 Norma Yunita / Saiful 28 th J I RT.14 G2P1A0 6-5-2022 13-2-2023 √ Lila 21,5cm Nov

97 30 Miftah / Susanto 29 th J I RT.07 G2P1A0 6-10-2022 13-7-2023 Nov

98 31 Samsiah / Zulkifli 25 th J I RT.08 G1P0A0 10-5-2022 17-2-2023 Nov

99 32 Sam'ah / Zailani 39 th J I RT.22 G4P3A0 2-10-2022 9-7-2023 √ Umur >35th Nov

100 33 Khairunisa / Erlangga 20 th J I RT.06 G2P1A0 22-6-2022 29-3-2023 Nov

101 34 Husnul Hatimah / A Sabirin 29 th J I RT.14 G3P2A0 7-8-2022 14-5-2023 √ Lila 20cm Nov

102 35 Maimunah / Rian 17 th J I RT.20 G1P0A0 25-9-2022 2-7-2023 11 mgg √ Umur <20th, HB 10 Gr% 6304026605050001 Des

103 36 Saidah / M Jumadi 27 th J I RT.22 G4P3A0 9-9-2022 16-6-2023 6304025407950002 Des

104 37 Latifah / Heriady 20 th J I RT.09 G2P1A0 24-10-20221-8-2023 10 mgg 6304134101020002 Des

105 38 Anisa / Rajali 23 th J I RT.17 G2P1A0 15-9-2022 22-6-2023 6304024407990001 Des

106 39 Ratih / Triyo 31 th J I RT.21 G3P2A0 11-10-202218-7-2023 10 mgg 6203014811910007 Des

107 40 Arbayah / Jahrani 29 th J I RT.17 G2P1A0 1-11-2022 8-8-2023 8 mgg 6203046411930001 Des

108 41 Mariatul / Badarudin 39 th J I RT.07 G4P3A0 14-9-2022 21-6-2023 7 mgg √ Umur 39th 6304024903830002 Jan

109 42 Risma / Risky 18 ht J I RT.23 G1P0A0 13-8-2022 20-5-2023 11 mgg √ Umur 18th 6304045307040001 Jan

110 43 Elda / A Hidayat 30 th J I RT.17 G2P1A0 12-8-2022 19-5-2023 8 mgg 6304135507930001 Jan

111 44 Intan / Salman 30 th J I RT.13 G2P1A0 1-8-2022 8-5-2023 12 mgg 6304025802930000 083136604815 Jan

112 45 Nurlatifah / Norirwansyah 26 th J I RT.08 G3P2A0 12-8-2022 19-5-2023 11 mgg 6304026601920002 Jan

113 46 Siti Hapiah / Bustami 22 th J I RT.14 G1P0A0 28-8-2022 5-6-2023 8 mgg √ Lila 21,5cm 6304134508000001 Jan

114 47 Asmah / Bahtiar 37 th J I RT.23 G3P2A0 5-8-2022 12-5-2023 10 mgg √ Umur 37th 6371034601860008 Jan

115 48 Anita / Faridiansyah 27 th J I RT.20 G3P2A0 21-9-2022 28-6-2023 5 mgg 6304024103950001 Jan

116 1 Husnul wardah / Surian 21 th JB RT.08 G1P0A0 5-5-2022 11-3-2023 9 mgg ⱽ KEK 23 cm 083115812698 Juli
Vina Indriyani / Indra 22 th JB RT.07 G2P1A0 9-6-2022 16-3-2023 6 mgg ⱽ Hipertensi ABORTUS Juli
Mawaddah / A Husaini 26 th JB RT.07 G1P0A0 14-4-2022 21-01-2023 17 mgg ѵ HB 10,4 gr% PINDAH Agt
117 2 Yuliani / Fakhruzzain 33 th JB RT.07 G4P3A0 30-6-2022 7-4-2023 21 mgg 6304024107890118 085348589318 Sept

JELAPAT
BARU
 118 3 Salmah / Sugeng 37 th JB RT.04 G3P2A0 25-8-2022 2-6-2023 6 mgg 6304025004850002 0001808934524 085393679419 Okt
JELAPAT
119 4 Maissy Permata Sari / M Nor 25 th JB RT. G2P1A0 25-7-2022 2-5-2023 9 mgg 6304025008970004 083141412413 Okt
BARU
120 5 Hatriah / Saipudin 33 th JB RT.07 G2P1A0 18-8-2022 20-5-2023 10 mgg 6304026912890001 082256334459 Okt
121 6 Jahrah / Suryadi 28 th JB RT.13 G2P1A0 9-9-2022 16-6-2023 7 mgg √ KEK Lila 23cm 6304024402940004 082251571545 Nov
122 7 Samsiah / Abidin 41 th JB RT.13 G3P2A0 1-9-2022 8-6-2023 11 mgg √ KEK Lila 21,5cm, Umur >35th 6304025106810001 082352550671 Nov
123 8 Norhikmah Agustina / 21 th JB RT.07 G1P0A0 19-9-2022 26-6-2023 8 mgg 6304025708010002 083141692524 Nov
124 9 Maulidia / Arbain 33 th JB RT.09 G4P1A2 21-7-2022 28-6-2023 8 mgg √ Riwayat Abortus 2x 6304135108900001 0000891075971 Nov
125 1 Siti Fatimah / Syarif Hidayatulla 27 th T II L RT.06 G2P1A0 5-5-2022 12-2-2023 9 mgg 6304025401950002 Juli

126 2 Mirajana / Ahmad 28 th T II L RT.10 G3P2A0 19-5-2022 25-2-2023 8 mgg 6304134710950001 Juli

127 3 Mariana / Ardi 22 th T II L RT.14 G2P1A0 2-5-2022 9-2-2023 10 mgg Juli

128 4 Normaiyah / Andi 28 th T II L RT.02 G3P2A0 21-4-2022 27-1-2023 14 mgg 6304024107940080 Agt

129 5 Argiah / Jainudin 33 th T II L RT.19 G4P2A1 1-7-2022 9-4-2023 6 mgg R/Abortus 6304024507890003 Agt

130 6 Lina Hasanah / Nasrudin 33 th T II L RT.02 G3P2A0 9-5-2022 16-2-2023 14 mgg Lila 21,7cm Agt

131 7 St.Selfia / Abran Sulaiman 25 th T II L RT.06 G2P1A0 15-8-2022 22-5-2023 5 mgg 6304024802950002 Sept

132 8 Sumarni / Erwandi 23 th T II L RT.06 G1P0A0 8-7-2022 15-4-2023 7 mgg √ R/Abortus 6304026108990002 Okt

133 9 Erika / Rizal 22 th T II L RT.07 G2P1A0 8-6-2022 15-3-2023 15 mgg √ HB 10,1 gr% (pkm) 6304012310000000 Okt

134 10 Asiah / Misran 30 th T II L RT.05 G2P1A0 15-5-2022 22-2-2023 20 mgg √ HB 10,3 gr% 6304024109920001 Okt

TINGGIRAN 135 11 Yuliana / Agus Maulana 22 th T II L RT.19 G1P0A0 2-9-2022 9-6-2023 5 mgg 6304136006000001 Okt
II LUAR 136 12 27 th
Norhasanah / Supiyadi T II L RT.19 G2P1A0 15-6-2022 22-3-2023 16 mgg √ Lila 23,2cm 6304025010950001 Okt

137 13 Mawaddah / Hasrani 27 th T II L RT.09 G2P1A0 22-7-2022 29-4-2023 11 mgg 6304026909960001 Okt

138 14 Rahimah / Zulkifli 38 th T II L RT.04 G6P4A1 13-7-2022 20-4-2023 10 mgg √ Umur >35th, Paritas >4, R/Abortus 6304024107840025 Okt

139 15 Mardiah / Hendra 30 th T II L RT.06 G3P1A1 23-6-2022 30-3-2023 17 mgg √ R/Abortus, Lila 22.9 cm 6304054804920002 Nov

140 16 Bardah / Ma'ruf 29 th T II L RT.13 G4P1A2 8-7-2022 15-4-2023 16 mgg √ R/Abortus 6304025107910001 Nov

141 17 Khairunnisa / Habi 25 th T II L RT.09 G2P1A0 5-9-2022 12-6-2023 8 mgg 5206165002970001 Nov

142 18 Mariana / Daud Alpatani 24 th T II L RT.04 G1P0A0 18-6-2022 25-3-2023 20 mgg Lila 19cm 6304024507980002 Nov

143 19 Safitri / M Azhari 23 th T II L RT.14 G1P0A0 10-9-2022 17-6-2023 11 mgg √ Lila 22 cm 6304024905010001 Des

144 20 Leni Perawati / Jani 28 th T II L RT.05 G2P1A0 6-9-2022 13-6-2023 16 mgg 63040258009940001 083125712410 Jan

145 21 Munawarah / M Risman 24 th T II L RT.05 G1P0A0 16-11-2022 23-8-2023 6 mgg √ Lila 20,2 cm, BB 40Kg 6304024607970005 082255910675 Jan

146 22 Liana / Rahmadi 20 th T II L RT.14 G1P0A0 18-11-2022 25-8-2023 6304024411000001 08388638231 Jan
 DATA REAL IBU HAMIL
NAMA DESA :
KECAMATAN :
NAMA BIDAN DI DESA :
BULAN :

Umur Status
Ibu
No Nama Ibu Hamil / Suami Alamat GPA HPHT TP Rest Jenis Resti
( Thn )
2 3 4 5 6 7 8 9
 DATA RIIL IBU HAMIL
PUSKESMAS JELAPAT
: JanuariBULAN
2021 : FEBRUARI 2023

Stat
Umur us
Umur BULAN
NAMA DESA NO Kehamila Res NIK NO BPJS NO HP
No n K1 ti KI
Nama Ibu Hamil / Suami Ibu Alamat GPA HPHT TP Jenis Resti
Desa
( Thn )
1 2 3 4 5 6 7 8 9 10 11 12 13
1 1 Damayanti / Sadikin 33 th J II RT.01 G2P1A0 26-7-2022 3-5-2023 , √ R/SC & Hipertensi BPJS Sept

2 2 Hamdanah / Fauzi 21 th J II RT.06 G1P0A0 26-7-2022 3-5-2023 4 mgg √ Lila 23cm, BB 40Kg BPJS Sept

3 3 Rini / Abdullah 16/9/01 J 2 RT.09 G1P0A0 10-8-2022 17-5-2023 11 mgg √ Lila 22cm (KK 6304131201220001) 6304131201220000 0838255128083 Nov

4 4 Saniah / Bani 8/2/99 J 2 RT.09 G1P0A0 20-9-2022 27-6-2023 6 mgg √ Lila 21cm 6304134302950001 0000891082034 085388753812 Nov

5 5 Rahmadaniah / M Ikhwan 24/5 94 J II RT.04 G2P1A0 4-10-2022 11-7-2023 6 mgg 630436711940002 00023202876141
6 6 Refina Telkasari / Ahmad Dani 19/10/01 J 2 RT.09 G2P0A1 6-10-2022 13-7-2023 6 mgg √ R/Abortus 6304025910010001 083112895588
JELAPAT II
7 7 Rahmawati / M Fauzan 4-6-1992 J 2 RT.09 G1P0A0 23-10-202230-7-2023 8 mgg √ Lila 21cm, BB 39,9 Kg 630413440698009 Umum Des

8 8 Aisyah / A Fauzi 2-2-93 J 2 RT.03 G3P2A0 20-10-202227-7-2023 9 mgg 6304134202930001 000237554076 085787045116 Jan

9 9 Saudah / Husni Mubarak 14-3-88 J 2 RT.02 G3P2A0 -5-2022 -3-2023 32 mgg 6304135403880008 081522746400 Jan

10 10 Anida Luthfiya / Rahmat Hidaya22-11-03 J 2 RT.03 G1P0A0 -10-2022 -7-2023 14 mgg 6304136211030002 0002658862679 083143463534 Jan

11 11 Fitriyani / Ahmad Jumadi 10-10-98 J 2 RT.09 G1P0A0 30-10-20227-7-2023 16 mgg 6304135010980002 0000891032854 Feb

12 12 Hormiati / Safari 23-2-80 J 2 RT.06 G3P2A0 5-12-2022 12-9-2023 10 mgg 6304136302880002 0001728074079 Feb

13 1 Sarmila / Rian Rijani 20 th TB RT.05 G1P0A0 17-6-2022 20-3-2023 8 mgg ѵ TB <145cm, Lila 17cm Agt

14 2 Bebet R / Zainal Ilmi 40 th TB RT.05 G5P1A3 4-9-2022 11-6-2023 5 mgg √ Umur >35th, R/Abortus Okt

15 3 Ratiah / Kamarudin 30 th TB RT.05 G2P1A0 27-7-2022 3-5-2023 11 mgg Okt

16 4 Nia / Asri 22 th TB RT.04 G2P0A1 4-8-2022 11-5-2023 12 mgg √ R/Abortus Okt

17 5 Aida / Mursalim 27 th TB RT.03 G2P1A0 19-9-2022 26-6-2023 6 mgg 6304024407950001 Nov

18 6 Noraida / Rahman 32 th TB RT.09 G2P1A0 7-8-2022 14-5-2023 12 mgg √ Jarak Kehamilan <2th 6304054803890001 Nov

19 7 Norhasanah / Rahmani 27 th TB RT.07 G2P1A0 16-7-2022 24-4-2023 15 mgg √ KEK 6304134404960001 Nov

20 8 Fatmah / Karji 36 th TB RT.04 G3P2A0 16-9-2022 23-6-2023 8 mgg √ Umur >35th Nov

21 9 Jamiatun / Ihsan Hidayat 25 th TB RT.10 G1P0A0 17-8-2022 24-5-2023 12 mgg √ KEK Nov
TINGGIRAN
22 10 Fatmah / Mahdi 25 th TB RT.02 G3P2A0 -9-2022 6-2023 8 mgg Nov
BARU
23 11 Shaleha / Jakaria 31 th TB RT.01 G2P1A0 10-9-2022 17-6-2023 10 mgg 6304135507910001 0003261627944 Des

24 12 Sila / Jali 22 th TB RT.05 G1P0A0 5-10-2022 11-7-2023 12 mgg Des

25 13 Marni / Abdul Hadi 27 th TB RT.04 G2P1A0 28-8-2022 5-6-2023 12 mgg √ Lila 23cm 6304136209950001 0000891828808 Des
 26 14 Aida / Ahmadi 28 th TB RT.06 G3P1A1 5-11-2022 12-8-2023 6 mgg √ Lila 23cm Des

27 15 Urep Lindayani / Kudrat 32 th TB RT.09 G2P1A0 5-11-2022 12-2-2023 6 mgg Jan

28 16 Rubiah / Saprudin 30 th TB RT.01 G2P1A0 10-11-2022 17-8-2023 6 mgg Jan

29 17 Misnawati / Taufik Hidayat 30 th TB RT.02 G2P1A0 7-10-2022 14-7-2023 12 mgg Jan

30 18 Ainah / Ahim 24 th TB RT.05 G1P0A0 30-10-2022 7-7-2023 12 mgg Jan

31 19 Mistikamah / Adi N 30 th TB RT.09 G2P1A0 13-11-2022 20-8-2023 12 mgg √ HB 10,7Gr% 6304136502920001 0002615916047 Feb

32 1 Saliha / M Saini 22 th TT RT.01 G2P1A0 15-7-2022 22-4-2023 HB 11,7 Sep 630414558990001 Agt

33 2 Rizqi Amalia / M Padli 23 th TT RT.01 G1P0A0 15-7-2022 22-4-2023 Agt

34 3 Hj.Delima / Zainal Hadi 27 th TT RT. G2P1A0 5-8-2022 12-5-2023 4 mgg √ R/SC Sept

35 4 Fitri / Ahmad Hindrianor 31 th TT RT.07 G2P1A0 25-7-2022 2-5-2023 M 6304025107910002 BPJS Okt

36 5 Norhasanah / Ihwan Yusuf 22 th TT RT.03 G1P0A0 1-8-2022 2-5-2023 M BPJS Okt

37 6 Selastiani / M Rizky 31 th TT RT.03 G6P1A4 12-7-2022 19-4-2023 12 mgg √ R/Abortus 4x 6402175208910001 Nov

TINGGIRAN 38 7 Darma / Mahyuni 36 th TT RT.04 G6P4A1 -7-2022 -4-2023 20 mgg √ R/Abortus, Multigrapida, Umur BPJS Des
TENGAH >35th, KEK Lila 18cm, BB 38,6 Kg 6304134509860001
39 8 Noorsyifa / A Nurhadi 24 th TT RT.04 G1P0A0 19-10-202226-7-2023 8 mgg √ KEK Lila 22cm, BB 42Kg Des

40 9 Asiah / Hairani 36 th TT RT.06 G3P2A0 20-9-2022 27-6-2023 11 mgg √ Umur >35th 6304136303860003 Des

41 10 Elisa / Sudin 26 th TT RT.02 G1P0A0 10-10-202217-7-2023 10 mgg Des

42 11 Rida / Arif 20 th TT RT.01 G2P1A0 -10-2022 7-2023 10 mgg √ HBSAg Reaktif 6307014210030002 BPJS Jan

43 12 Herlina / Suhaimi 36 th TT RT.02 G3P2A0 2-12-2022 9-9-2023 11 mgg √ Umur >35th 6303196101860001 Feb

44 13 Aisyah / Rahmad Nor 20 th TT RT.01 G1P0A0 6-9-2022 12-6-2023 23 mgg 6206057003020001 Feb

45 1 Paujiah / Alvin A 22 th TD RT.15 G2P1A0 21-7-2022 28-4-2023 9 mgg Umum Sept

46 2 Halimah / Fathurrazi 27 th TD RT.04 G2P1A0 5-7-2022 12-4-2023 9 mgg ⱽ HB 10,1 Gr% Umum Sept

47 3 Siti Hadijah / Misnan 26 th TD RT.19 G2P0A1 18-7-2022 25-4-2022 7 mgg R/Abortus 0002657665124 Sept

48 4 Siti Aisyah / Abdianor 18 th TD RT.19 G1P0A0 1-9-2022 8-6-2023 6 mgg ⱽ Umur <20th BPJS Okt

49 5 Atikah / Mordian 43 th TD RT.16 G5P4A0 1-5-2022 8-2-2023 12 mgg ⱽ Umur >35 th BPJS Okt

50 6 Norbaiti / Yudi Bahraini 32 th TD RT.10 G3P1A1 23-6-2022 30-3-2023 16 mgg ⱽ R/Abortus BPJS Okt

51 7 Maskam / Abdullah 37 th TD RT.14 G3P2A0 17-8-2022 24-5-2023 9 mgg √ Umur >35 th, Lila 23 cm BPJS Okt

52 8 Maskanah / Suryadi 27 th TD RT.09 G3P2A0 24-7-2022 1-5-2023 7 mgg √ BB <45kg 6203134312950001 BPJS Nov

53 9 Santi / Ariyanto 30 th TD RT.05 G3P2A0 4-9-2022 11-6-2023 9 mgg √ KEK Lila 20,9cm, BB <45kg 6303025910970004 BPJS Nov

54 10 Rudiah / Aspiani 37 th TD RT.08 G2P1A0 15-9-2022 22-6-2023 7 mgg √ Umur >35th BPJS Nov
TINGGIRAN
DARAT 55 11 Supiati / M Hanafi 22 th G1P0A0 25-6-2022 2-4-2023 20 mgg Nov
TD RT.16 6304134310000001
56 12 Juairiah / Abdul Latif 36 th TD RT.09 G3P2A0 4-10-2022 11-7-2023 6 mgg √ Usia >35th, R/SC Letak Lintang 6304134205860001 BPJS Nov
TINGGIRAN
DARAT

57 13 Fatmawati / Aslian 33 th TD RT.14 G2P1A0 18-9-2022 25-6-2023 8 mgg 6304134502890002 Nov

58 14 Khairiah / Abdul Majid 23 th TD RT.10 G1P0A0 26-10-2022 3-1-2023 8 mgg √ BB <45Kg, Lila 23Cm 6304026209990003 Umum Des

59 15 Sela / Mulyadi 17 th TD RT.16 G1P0A0 15-6-2023 16 mgg √ BB <45Kg, Lila 18,5Cm Des

60 16 Rusita / Arsyad 30 th TD RT.16 G3P2A0 19-7-2022 26-4-2023 24 mgg √ Jarak Kehamilan <2th 6304134402920001 Umum Jan

61 17 Ramlah / Arifin 35 th TD RT.10 G3P2A0 22-11-2022 29-8-2023 9 mgg 6304135407870001 Jan

62 18 Septiani / Hawawi 19 th TD RT.09 G1P0A0 25-12-2022 2-10-2023 6 mgg Umur <20th, Lila 23,5cm, HB 9,2 Gr% 63040296090320002 0002599835512 Feb
√ (Feb), Alb (++)
63 19 Desi Aulia / Andri 25 th TD RT.13 G1P0A0 4-1-2023 2-10-2023 6 mgg 6304024912970001 Umum Feb

64 20 Siti Salami / Hasikin 24 th TD RT.09 G2P1A0 -12-2023 -9-2023 8 mgg 6304134107990004 BPJS Feb

65 1 Hatmah / Rahmadi 24 th J I RT.14 G2P1A0 23-3-2022 30-12-2022 6 mgg Mei

66 2 Siti Aminah / Berkati 29 th J I RT.22 G2P0A1 28-1-2022 5-10-2022 16 mgg ⱽ R/Abortus Mei
67 3 Halidah / Dwi Heri s 41 th J I RT.18 G3P2A0 10-3-2022 17-12-2022 11 mgg ⱽ Umur >35th Juni
68 4 Helma / Sopyan 24 th J I RT.09 G1P0A0 4-7-2022 11-4-2023 5 mgg ѵ Lila 21cm Agt

69 5 Asmariah / M Yusuf 24 th J I RT.20 G2P1A0 31-5-2022 7-2-2023 10 mgg Agt

70 6 Rahmawati / M Adriani 24 th J I RT.05 G1P0A0 2-6-2022 29-3-2023 9 mgg ѵ Lila 22cm 6304025001980003 Agt

71 7 Farida / M Kifli 21 th J I RT.07 G1P0A0 7-6-2022 14-3-2023 8 mgg ѵ Lila 23cm Agt

72 8 Malinda / Mika S 29 th J I RT.01 G2P1A0 26-6-2022 3-4-2023 6 mgg Agt

73 9 Normawati / M Sabani 23 th J I RT.17 G1P0A0 11-6-2022 18-3-2023 7 mgg (pkm) Agt

74 10 Jumiati / Syaiful Bahri 25 th J I RT.17 G1P0A0 14-7-2022 21-4-2023 8mgg Sept

75 11 Mutmainah / Harianto 29 th J I RT.14 G4P2A1 13-8-2022 20-5-2023 6 mgg ѵ Lila 22cm, R/Abortus & PEB Sept

76 12 Sariyanti / Supianor 26 th J I RT.16 G1P0A0 6-6-2022 13-3-2023 Sept

77 13 Fitriana / Faisal Ilmi 26 th J I RT.13 G2P1A0 11-6-2022 18-3-2023 Sept

78 14 Riya / Angga 16 th J I RT.16 G1P0A0 6-6-2022 13-3-2023 16 mgg √ Umur <20 th, Lila 18 cm Okt

79 15 Nurul Hidayah / Abdul Hair 27 th J I RT.22 G2P1A0 20-7-2022 27-4-2023 12 mgg √ Lila 21,5 cm Okt

80 16 Nazmi Aisna M / Fahali 23 th J I RT.07 G2P1A0 11-7-2022 18-4-2023 11 mgg Okt

81 17 Dea Puspita / Riski 21 th J I RT.14 G1P0A0 30-8-2022 7-5-2023 7 mgg Okt

82 18 Mariana / Yudi 31 th J I RT.11 G2P1A0 1-7-2022 8-4-2023 √ Lila 20cm Nov

83 19 Norma Yunita / Saiful 28 th J I RT.14 G2P1A0 6-5-2022 13-2-2023 √ Lila 21,5cm Nov

84 20 Miftah / Susanto 29 th J I RT.07 G2P1A0 6-10-2022 13-7-2023 Nov

85 21 Samsiah / Zulkifli 25 th J I RT.08 G1P0A0 10-5-2022 17-2-2023 Nov

86 22 Sam'ah / Zailani 39 th J I RT.22 G4P3A0 2-10-2022 9-7-2023 √ Umur >35th Nov

87 23 Khairunisa / Erlangga 20 th J I RT.06 G2P1A0 22-6-2022 29-3-2023 Rujuk RS Ansal Letsu Partus 26/2/2023 Nov
JELAPAT I
88 24 Husnul Hatimah / A Sabirin 29 th J I RT.14 G3P2A0 7-8-2022 14-5-2023 √ Lila 20cm Nov
JELAPAT I

89 25 Maimunah / Rian 17 th J I RT.20 G1P0A0 25-9-2022 2-7-2023 11 mgg √ Umur <20th, HB 10 Gr% 6304026605050001 Des

90 26 Saidah / M Jumadi 27 th J I RT.22 G4P3A0 9-9-2022 16-6-2023 6304025407950002 Des

91 27 Latifah / Heriady 20 th J I RT.09 G2P1A0 24-10-20221-8-2023 10 mgg 6304134101020002 Des

92 28 Anisa / Rajali 23 th J I RT.17 G2P1A0 15-9-2022 22-6-2023 6304024407990001 Des

93 29 Ratih / Triyo 31 th J I RT.21 G3P2A0 11-10-202218-7-2023 10 mgg 6203014811910007 Des

Arbayah / Jahrani 29 th J I RT.17 G2P1A0 1-11-2022 8-8-2023 8 mgg Abortus (Feb) 6203046411930001 Des

94 30 Mariatul / Badarudin 39 th J I RT.07 G4P3A0 14-9-2022 21-6-2023 7 mgg √ Umur 39th 6304024903830002 Jan

95 31 Risma / Risky 18 ht J I RT.23 G1P0A0 13-8-2022 20-5-2023 11 mgg √ Umur 18th 6304045307040001 Jan

Elda / A Hidayat 30 th J I RT.17 G2P1A0 12-8-2022 19-5-2023 8 mgg Janin tidak berkembang (Kuretage) Fe6304135507930001 Feb Jan

96 32 Intan / Salman 30 th J I RT.13 G2P1A0 1-8-2022 8-5-2023 12 mgg 6304025802930000 083136604815 Jan

97 33 Nurlatifah / Norirwansyah 26 th J I RT.08 G3P2A0 12-8-2022 19-5-2023 11 mgg 6304026601920002 Jan

98 34 Siti Hapiah / Bustami 22 th J I RT.14 G1P0A0 28-8-2022 5-6-2023 8 mgg √ Lila 21,5cm 6304134508000001 Jan

99 35 Asmah / Bahtiar 37 th J I RT.23 G3P2A0 5-8-2022 12-5-2023 10 mgg √ Umur 37th 6371034601860008 Jan

100 36 Anita / Faridiansyah 27 th J I RT.20 G3P2A0 21-9-2022 28-6-2023 5 mgg 6304024103950001 Jan

101 37 Jumriah / Ancah 34 th J I RT.05 G3P2A0 21-10-202228-7-2023 12 mgg 6304024306890001 Feb

102 38 Erniawati / M Rijal 21 th J I RT.16 G1P0A0 28-12-20225-10-2023 8 mgg 6304026002020002 Feb

103 39 Munjiah / A Rais 26 th J I RT.12 G1P0A0 19-11-202226-8-2023 12 mgg √ Lila 22cm 6303044107970245 Feb

104 40 Isnaniah / Ilham 29 th J I RT.10 G2P1A0 10-1-2023 17-10-2023 6 mgg 6304024403940003 Feb

105 41 Mahsonah / Satirin 31 th J I RT.20 G2P1A0 21-12-2022 28-9-2023 9 mgg √ R/SC 6304026003920003 Feb

106 42 Mawar Laila / Bahrudin 18 th J I RT.09 G2P1A0 4-11-2022 11-8-2023 16 mgg √ Lila 20,5cm, Umur 18th 6371016912040010 Feb

107 45 Rahmatunnisa / M Munir 23 th J I RT.15 G1P0A0 26-12-2022 3-10-2023 8 mgg 6308014904000002 Feb

108 46 Mahrita / Jadriansyah 34 th J I RT.15 G2P1A0 14-12-202221-9-2023 10 mgg 6304025002890001 Feb

109 1 Yuliani / Fakhruzzain 33 th JB RT.07 G4P3A0 30-6-2022 7-4-2023 21 mgg 6304024107890118 085348589318 Sept
110 2 Salmah / Sugeng 37 th JB RT.04 G3P2A0 25-8-2022 2-6-2023 6 mgg 6304025004850002 0001808934524 085393679419 Okt
111 3 Maissy Permata Sari / M Nor 25 th JB RT. G2P1A0 25-7-2022 2-5-2023 9 mgg 6304025008970004 083141412413 Okt
112 4 Hatriah / Saipudin 33 th JB RT.07 G2P1A0 18-8-2022 20-5-2023 10 mgg 6304026912890001 082256334459 Okt
113 5 Jahrah / Suryadi 28 th JB RT.13 G2P1A0 9-9-2022 16-6-2023 7 mgg √ KEK Lila 23cm 6304024402940004 082251571545 Nov

JELAPAT 114 6 Samsiah / Abidin 41 th JB RT.13 G3P2A0 1-9-2022 8-6-2023 11 mgg √ KEK Lila 21,5cm, Umur >35th 6304025106810001 082352550671 Nov
BARU 115 7 Norhikmah Agustina / 21 th G1P0A0 19-9-2022 26-6-2023 8 mgg
JB RT.07 6304025708010002 083141692524 Nov
116 8 Maulidia / Arbain 33 th JB RT.09 G4P1A2 21-7-2022 28-6-2023 8 mgg √ Riwayat Abortus 2x 6304135108900001 0000891075971 Nov
117 9 Ramadianti / M Husniansyah 31 th JB RT.08 G4P2A1 28-11-2022 5-9-2023 10 mgg √ R/Abortus, KEK 6304105507910001 083879604112 Feb
118 10 Elita damayanti / Gostomi 24 th JB RT.04 G2P0A1 23-12-2022 30-09-2023 6 mgg √ R/Abortus (Blackted Ovum) Feb
 119 11 Winda / khairani 30 th JB RT.07 G2P1A0 ' -10-2022 -7-2023 11 mgg √ R/SC 6304024911930004 08164562872 Feb
120 12 Halisah / M Fikri 18 th JB RT.11 G1P0A0 15-3-2023 36 mgg Umur <20th (HLN) 6304026607040001 Feb
121 1 Mirajana / Ahmad 28 th T II L RT.10 G3P2A0 19-5-2022 25-2-2023 8 mgg 6304134710950001 Juli

122 2 Argiah / Jainudin 33 th T II L RT.19 G4P2A1 1-7-2022 9-4-2023 6 mgg R/Abortus 6304024507890003 Agt

123 3 St.Selfia / Abran Sulaiman 25 th T II L RT.06 G2P1A0 15-8-2022 22-5-2023 5 mgg 6304024802950002 Sept

124 4 Sumarni / Erwandi 23 th T II L RT.06 G1P0A0 8-7-2022 15-4-2023 7 mgg √ R/Abortus 6304026108990002 Okt

125 5 Erika / Rizal 22 th T II L RT.07 G2P1A0 8-6-2022 15-3-2023 15 mgg √ HB 10,1 gr% (pkm) 6304012310000000 Okt

126 6 Asiah / Misran 30 th T II L RT.05 G2P1A0 15-5-2022 22-2-2023 20 mgg √ HB 10,3 gr% 6304024109920001 Okt

127 7 Yuliana / Agus Maulana 22 th T II L RT.19 G1P0A0 2-9-2022 9-6-2023 5 mgg 6304136006000001 Okt

128 8 Norhasanah / Supiyadi 27 th T II L RT.19 G2P1A0 15-6-2022 22-3-2023 16 mgg √ Lila 23,2cm 6304025010950001 Okt

129 9 Mawaddah / Hasrani 27 th T II L RT.09 G2P1A0 22-7-2022 29-4-2023 11 mgg 6304026909960001 Okt

130 10 Rahimah / Zulkifli 38 th T II L RT.04 G6P4A1 13-7-2022 20-4-2023 10 mgg √ Umur >35th, Paritas >4, R/Abortus 6304024107840025 Okt

131 11 Mardiah / Hendra 30 th T II L RT.06 G3P1A1 23-6-2022 30-3-2023 17 mgg √ R/Abortus, Lila 22.9 cm 6304054804920002 Nov

132 12 Bardah / Ma'ruf 29 th T II L RT.13 G4P1A2 8-7-2022 15-4-2023 16 mgg √ R/Abortus 6304025107910001 Nov

133 13 Khairunnisa / Habi 25 th T II L RT.09 G2P1A0 5-9-2022 12-6-2023 8 mgg 5206165002970001 Nov
TINGGIRAN 134 14 24 th
II LUAR Mariana / Daud Alpatani T II L RT.04 G1P0A0 18-6-2022 25-3-2023 20 mgg Lila 19cm 6304024507980002 Nov

135 15 Safitri / M Azhari 23 th T II L RT.14 G1P0A0 10-9-2022 17-6-2023 11 mgg √ Lila 22 cm 6304024905010001 Des

136 16 Leni Perawati / Jani 28 th T II L RT.05 G2P1A0 6-9-2022 13-6-2023 16 mgg 63040258009940001 083125712410 Jan

137 17 Munawarah / M Risman 24 th T II L RT.05 G1P0A0 16-11-2022 23-8-2023 6 mgg √ Lila 20,2 cm, BB 40Kg 6304024607970005 082255910675 Jan

138 18 Liana / Rahmadi 20 th T II L RT.14 G1P0A0 18-11-2022 25-8-2023 6304024411000001 08388638231 Jan

139 19 Denah / Aliani 35 th T 2 L RT.12 G2P1A0 16-9-2022 27-6-2023 18 mgg 630402456880001 08125517030 Feb

140 20 Rosita / Taryono 32 th T II L RT.17 G2P1A0 28-12-2022 7-10-2023 5 mgg 6304025005910004

141 21 Hatmah / Iskandar 40 th T II L RT.09 G6P4A1 28-7-2022 7-5-2023 26 mgg √ Umur >35th, Paritas >4, R/Abortus 6304024102830003
142 22 Nurbaya / Tirisno 31 th T II L RT.06 G2P1A0 10-12-2022 18-9-2023 8 mgg
143 23 Ayu Gita Safitri / Ramadani 32 th T II L RT.09 G4P3A0 20-11-2022 27-8-2023 11 mgg 6304024912880001
144 24 Windy Rianti / Bambang 25 th T II L RT.13 G2P1A0 23-12-2022 30-9-2023 6 mgg 6304024605980003
145 25 Mislah / Supian Sauri 33 th T II L RT.19 G2P1A0 6-12-2022 13-9-2023 9 mgg 6304026808900004
146 26 Ervina Juniarti / Mujiarto 35 th T II L RT.04 G2P1A0 1-1-2023 8-10-2023 6 mgg √ Lila 22,7 cm, BB 44Kg 6304025405880001
147 27 Rahmaniah / Ardani 39 th T II L RT.07 G4P3A0 22-12-2022 29-9-2023 8 mgg √ Usia >35th 6304026106530001
 DATA REAL IBU HAMIL
NAMA DESA :
KECAMATAN :
NAMA BIDAN DI DESA :
BULAN :

Umur Status
Ibu
No Nama Ibu Hamil / Suami Alamat GPA HPHT TP Rest Jenis Resti
( Thn )
2 3 4 5 6 7 8 9
 DATA RIIL IBU HAMIL
PUSKESMAS JELAPAT
: JanuariBULAN
2021 : MARET 2023

Stat
Umur us
Umur BULAN
NAMA DESA NO Kehamila Res NIK NO BPJS NO HP
No n K1 ti KI
Nama Ibu Hamil / Suami Ibu Alamat GPA HPHT TP Jenis Resti
Desa
( Thn )
1 2 3 4 5 6 7 8 9 10 11 12 13
1 1 Damayanti / Sadikin 33 th J II RT.01 G2P1A0 26-7-2022 3-5-2023 , √ R/SC & Hipertensi BPJS Sept

2 2 Hamdanah / Fauzi 21 th J II RT.06 G1P0A0 26-7-2022 3-5-2023 4 mgg √ Lila 23cm, BB 40Kg BPJS Sept

3 3 Rini / Abdullah 16/9/01 J 2 RT.09 G1P0A0 10-8-2022 17-5-2023 11 mgg √ Lila 22cm (KK 6304131201220001) 6304131201220000 0838255128083 Nov

4 4 Saniah / Bani 8/2/99 J 2 RT.09 G1P0A0 20-9-2022 27-6-2023 6 mgg √ Lila 21cm 6304134302950001 0000891082034 085388753812 Nov

5 5 Rahmadaniah / M Ikhwan 24/5 94 J II RT.04 G2P1A0 4-10-2022 11-7-2023 6 mgg 630436711940002 00023202876141
6 6 Refina Telkasari / Ahmad Dani 19/10/01 J 2 RT.09 G2P0A1 6-10-2022 13-7-2023 6 mgg √ R/Abortus 6304025910010001 083112895588
7 7 Rahmawati / M Fauzan 4-6-1992 J 2 RT.09 G1P0A0 23-10-202230-7-2023 8 mgg √ Lila 21cm, BB 39,9 Kg 630413440698009 Umum Des
JELAPAT II
8 8 Aisyah / A Fauzi 2-2-93 J 2 RT.03 G3P2A0 20-10-202227-7-2023 9 mgg 6304134202930001 000237554076 085787045116 Jan

9 9 Anida Luthfiya / Rahmat Hidaya22-11-03 J 2 RT.03 G1P0A0 -10-2022 -7-2023 14 mgg 6304136211030002 0002658862679 083143463534 Jan

10 Fitriyani / Ahmad Jumadi 10-10-98 J 2 RT.09 G1P0A0 30-10-20227-7-2023 16 mgg ABORTUS Maret 6304135010980002 0000891032854 Feb

11 10 Hormiati / Safari 23-2-80 J 2 RT.06 G3P2A0 5-12-2022 12-9-2023 10 mgg 6304136302880002 0001728074079 Feb

12 11 Safitri / Fadli 26-10-20 J 2 RT.01 G1P0A0 1-2-2023 8-11-2023 5 mgg 630413660100001 Mar

13 12 Aisyah / Muhammad 8-4-01 J 2 RT 06 G1P0A0 15-2-2023 22-11-2023 4 mgg √ HB 10,7Gr%, BB 41kg 6304134404030003 Mar

14 13 Liana Sari Didi Riadi 5-4-97 J 2 RT.05 G2P1A0 6-12-2022 13-6-2023 11 mgg √ R/PEB 304134504970001 Mar

15 1 Hatniah / Aulia R 23 th TB RT.01 G1P0A0 10-6-2021 17-3-2022 32 mgg

16 2 Megawati / Juhran 29 th TB RT.03 G1P0A0 12-4-2022 19-1-2023 8 mgg ⱽ KEK Lila 22cm Juni

17 3 Sarmila / Rian Rijani 20 th TB RT.05 G1P0A0 17-6-2022 20-3-2023 8 mgg ѵ TB <145cm, Lila 17cm Agt

18 4 Bebet R / Zainal Ilmi 40 th TB RT.05 G5P1A3 4-9-2022 11-6-2023 5 mgg √ Umur >35th, R/Abortus Okt

19 5 Ratiah / Kamarudin 30 th TB RT.05 G2P1A0 27-7-2022 3-5-2023 11 mgg Okt

20 6 Nia / Asri 22 th TB RT.04 G2P0A1 4-8-2022 11-5-2023 12 mgg √ R/Abortus Okt

21 7 Aida / Mursalim 27 th TB RT.03 G2P1A0 19-9-2022 26-6-2023 6 mgg 6304024407950001 Nov

22 8 Noraida / Rahman 32 th TB RT.09 G2P1A0 7-8-2022 14-5-2023 12 mgg √ Jarak Kehamilan <2th 6304054803890001 Nov

23 9 Norhasanah / Rahmani 27 th TB RT.07 G2P1A0 16-7-2022 24-4-2023 15 mgg √ KEK 6304134404960001 Nov

24 10 Fatmah / Karji 36 th TB RT.04 G3P2A0 16-9-2022 23-6-2023 8 mgg √ Umur >35th Nov

25 11 Jamiatun / Ihsan Hidayat 25 th TB RT.10 G1P0A0 17-8-2022 24-5-2023 12 mgg √ KEK Nov

TINGGIRAN
 26 12 Fatmah / Mahdi 25 th TB RT.02 G3P2A0 -9-2022 6-2023 8 mgg Nov

TINGGIRAN 27 13 Erni / Aspianor 18 th TB RT.10 G1P0A0 28 mgg √ Umur <20th Des

BARU 28 14 Shaleha / Jakaria 31 th TB RT.01 G2P1A0 10-9-2022 17-6-2023 10 mgg 0003261627944 Des
6304135507910001
29 15 Sila / Jali 22 th TB RT.05 G1P0A0 5-10-2022 11-7-2023 12 mgg Des

30 16 Marni / Abdul Hadi 27 th TB RT.04 G2P1A0 28-8-2022 5-6-2023 12 mgg √ Lila 23cm 6304136209950001 0000891828808 Des

31 17 Aida / Ahmadi 28 th TB RT.06 G3P1A1 5-11-2022 12-8-2023 6 mgg √ Lila 23cm Des

32 18 Urep Lindayani / Kudrat 32 th TB RT.09 G2P1A0 5-11-2022 12-2-2023 6 mgg Jan

33 19 Rubiah / Saprudin 30 th TB RT.01 G2P1A0 10-11-2022 17-8-2023 6 mgg Jan

34 20 Misnawati / Taufik Hidayat 30 th TB RT.02 G2P1A0 7-10-2022 14-7-2023 12 mgg Jan

35 21 Ainah / Ahim 24 th TB RT.05 G1P0A0 30-10-2022 7-7-2023 12 mgg Jan

36 22 Mistikamah / Adi N 30 th TB RT.09 G2P1A0 13-11-2022 20-8-2023 12 mgg √ HB 10,7Gr%, HBSAg (+)Maret 6304136502920001 0002615916047 Feb

37 23 Saudah / Ruswandi 38 th TB RT.09 G2P1A0 20-12-2022 27-9-2023 12 mgg √ Lila 20,5cm, umur >35th 6304134403850001 Mar

38 24 Masni / M Dahri 33 th TB RT.09 G3P1A1 20-10-202227-7-2023 20 mgg √ R/Abortus 6304135105890004 Mar

39 25 Fitria / Indra 21 th TB RT.01 G1P0A0 12-1-2023 19-10-2023 9 mgg 6306085612010002 Mar

40 26 Muslimah / Sarbani 23 th TB RT.05 G1P0A0 12-1-2023 19-10-2023 8 mgg √ HB 8,6 Gr% 6304134907990001 Mar

41 1 Saliha / M Saini 22 th TT RT.01 G2P1A0 15-7-2022 22-4-2023 HB 11,7 Sep 630414558990001 Agt

42 2 Rizqi Amalia / M Padli 23 th TT RT.01 G1P0A0 15-7-2022 22-4-2023 Agt

43 3 Hj.Delima / Zainal Hadi 27 th TT RT. G2P1A0 5-8-2022 12-5-2023 4 mgg √ R/SC Sept

44 4 Fitri / Ahmad Hindrianor 31 th TT RT.07 G2P1A0 25-7-2022 2-5-2023 M 6304025107910002 BPJS Okt

45 5 Norhasanah / Ihwan Yusuf 22 th TT RT.03 G1P0A0 1-8-2022 2-5-2023 M BPJS Okt

46 6 Selastiani / M Rizky 31 th TT RT.03 G6P1A4 12-7-2022 19-4-2023 12 mgg √ R/Abortus 4x 6402175208910001 Nov

TINGGIRAN 47
7 Darma / Mahyuni 36 th TT RT.04 G6P4A1 -7-2022 -4-2023 20 mgg √ R/Abortus, Multigrapida, Umur BPJS Des
>35th, KEK Lila 18cm, BB 38,6 Kg 6304134509860001
TENGAH
48 8 Noorsyifa / A Nurhadi 24 th TT RT.04 G1P0A0 19-10-202226-7-2023 8 mgg √ KEK Lila 22cm, BB 42Kg Des

49 9 Asiah / Hairani 36 th TT RT.06 G3P2A0 20-9-2022 27-6-2023 11 mgg √ Umur >35th 6304136303860003 Des

50 10 Elisa / Sudin 26 th TT RT.02 G1P0A0 10-10-202217-7-2023 10 mgg Des

51 11 Rida / Arif 20 th TT RT.01 G2P1A0 -10-2022 7-2023 10 mgg √ HBSAg Reaktif 6307014210030002 BPJS Jan

52 12 Herlina / Suhaimi 36 th TT RT.02 G3P2A0 2-12-2022 9-9-2023 11 mgg √ Umur >35th 6303196101860001 Feb

53 13 Aisyah / Rahmad Nor 20 th TT RT.01 G1P0A0 6-9-2022 12-6-2023 23 mgg 6206057003020001 Feb

54 14 Rizqa Agustina / Aditya Handok32 th TT RT.02 G1P0A0 26-1-2023 3-11-2023 5 mgg 6304135308900001 Mar

55 1 Paujiah / Alvin A 22 th TD RT.15 G2P1A0 21-7-2022 28-4-2023 9 mgg Umum Sept

56 2 Halimah / Fathurrazi 27 th TD RT.04 G2P1A0 5-7-2022 12-4-2023 9 mgg ⱽ HB 10,1 Gr% Umum Sept
 57 3 Siti Hadijah / Misnan 26 th TD RT.19 G2P0A1 18-7-2022 25-4-2022 7 mgg R/Abortus 0002657665124 Sept

58 4 Siti Aisyah / Abdianor 18 th TD RT.19 G1P0A0 1-9-2022 8-6-2023 6 mgg ⱽ Umur <20th BPJS Okt

59 5 Norbaiti / Yudi Bahraini 32 th TD RT.10 G3P1A1 23-6-2022 30-3-2023 16 mgg ⱽ R/Abortus BPJS Okt

60 6 Maskam / Abdullah 37 th TD RT.14 G3P2A0 17-8-2022 24-5-2023 9 mgg √ Umur >35 th, Lila 23 cm BPJS Okt

61 7 Maskanah / Suryadi 27 th TD RT.09 G3P2A0 24-7-2022 1-5-2023 7 mgg √ BB <45kg 6203134312950001 BPJS Nov

62 8 Santi / Ariyanto 30 th TD RT.05 G3P2A0 4-9-2022 11-6-2023 9 mgg √ KEK Lila 20,9cm, BB <45kg 6303025910970004 BPJS Nov

63 9 Rudiah / Aspiani 37 th TD RT.08 G2P1A0 15-9-2022 22-6-2023 7 mgg √ Umur >35th BPJS Nov

64 10 Supiati / M Hanafi 22 th TD RT.16 G1P0A0 25-6-2022 2-4-2023 20 mgg 6304134310000001 Nov

65 11 Juairiah / Abdul Latif 36 th TD RT.09 G3P2A0 4-10-2022 11-7-2023 6 mgg √ Usia >35th, R/SC Letak Lintang 6304134205860001 Umum Nov
TINGGIRAN
DARAT 66 12 Fatmawati / Aslian 33 th TD RT.14 G2P1A0 18-9-2022 25-6-2023 8 mgg 6304134502890002 BPJS Nov

67 13 Khairiah / Abdul Majid 23 th TD RT.10 G1P0A0 26-10-2022 3-1-2023 8 mgg √ BB <45Kg, Lila 23Cm 6304026209990003 Umum Des

68 14 Sela / Mulyadi 17 th TD RT.16 G1P0A0 15-6-2023 16 mgg √ BB <45Kg, Lila 18,5Cm Des

69 15 Rusita / Arsyad 30 th TD RT.16 G3P2A0 19-7-2022 26-4-2023 24 mgg √ Jarak Kehamilan <2th 6304134402920001 Umum Jan

70 16 Ramlah / Arifin 35 th TD RT.10 G3P2A0 22-11-2022 29-8-2023 9 mgg 6304135407870001 Jan

Umur <20th, Lila 23,5cm, HB 9,2 Gr%
71 17 Septiani / Hawawi 19 th TD RT.09 G1P0A0 25-12-2022 2-10-2023 6 mgg √ (Feb), Alb (++) 63040296090320002 0002599835512 Feb

72 18 Desi Aulia / Andri 25 th TD RT.13 G1P0A0 4-1-2023 2-10-2023 6 mgg 6304024912970001 Umum Feb

73 19 Siti Salami / Hasikin 24 th TD RT.09 G2P1A0 -12-2023 -9-2023 8 mgg 6304134107990004 BPJS Feb

74 20 Rahayu / Dody E 28 th TD RT.19 G4P3A0 2-11-2022 15-8-2023 18 mgg √ Jarak <2th, Lila 23cm, TB 138,5cm 6304134509940001 0000890764108 Mar
14 mgg Umur <20th, TB 144cm, BB <45kg,
75 21 Siti Fauziah / Alan 19 th TD RT.09 G1P0A0 7-12-2022 14-9-2023 (12mgg) √ HBSAg (+) 630413470304001 00008907898004 Mar

76 22 Siti Maysarah 31 th G1P0A0 25-7-2022 2-5-2023 Mar

TD RT.17 6304135907920001
77 1 Hatmah / Rahmadi 24 th J I RT.14 G2P1A0 23-3-2022 30-12-2022 6 mgg Mei
78 2 Siti Aminah / Berkati 29 th J I RT.22 G2P0A1 28-1-2022 5-10-2022 16 mgg ⱽ R/Abortus Mei
79 3 Halidah / Dwi Heri s 41 th J I RT.18 G3P2A0 10-3-2022 17-12-2022 11 mgg ⱽ Umur >35th Juni
80 4 Helma / Sopyan 24 th J I RT.09 G1P0A0 4-7-2022 11-4-2023 5 mgg ѵ Lila 21cm Agt

81 5 Laila Farida / M Kifli 21 th J I RT.07 G1P0A0 7-6-2022 14-3-2023 8 mgg ѵ Lila 23cm Agt

82 6 Jumiati / Syaiful Bahri 25 th J I RT.17 G1P0A0 14-7-2022 21-4-2023 8mgg Sept

83 7 Mutmainah / Harianto 29 th J I RT.14 G4P2A1 13-8-2022 20-5-2023 6 mgg ѵ Lila 22cm, R/Abortus & PEB Sept

84 8 Nurul Hidayah / Abdul Hair 27 th J I RT.22 G2P1A0 20-7-2022 27-4-2023 12 mgg √ Lila 21,5 cm Okt

85 9 Nazmi Aisna M / Fahali 23 th J I RT.07 G2P1A0 11-7-2022 18-4-2023 11 mgg Okt

86 10 Dea Puspita / Riski 21 th J I RT.14 G1P0A0 30-8-2022 7-5-2023 7 mgg Okt

87 11 Norma Yunita / Saiful 28 th J I RT.14 G2P1A0 6-5-2022 13-2-2023 √ Lila 21,5cm Nov

88 12 Miftah / Susanto 29 th J I RT.07 G2P1A0 6-10-2022 13-7-2023 Nov

 89 13 Samsiah / Zulkifli 25 th J I RT.08 G1P0A0 10-5-2022 17-2-2023 Nov

90 14 Sam'ah / Zailani 39 th J I RT.22 G4P3A0 2-10-2022 9-7-2023 √ Umur >35th Nov

91 15 Husnul Hatimah / A Sabirin 29 th J I RT.14 G3P2A0 7-8-2022 14-5-2023 √ Lila 20cm Nov

92 16 Maimunah / Rian 17 th J I RT.20 G1P0A0 25-9-2022 2-7-2023 11 mgg √ Umur <20th, HB 10 Gr% 6304026605050001 Des

93 17 Saidah / M Jumadi 27 th J I RT.22 G4P3A0 9-9-2022 16-6-2023 6304025407950002 Des

94 18 Latifah / Heriady 20 th J I RT.09 G2P1A0 24-10-20221-8-2023 10 mgg 6304134101020002 Des

95 19 Anisa / Rajali 23 th J I RT.17 G2P1A0 15-9-2022 22-6-2023 6304024407990001 Des

96 20 Ratih / Triyo 31 th J I RT.21 G3P2A0 11-10-202218-7-2023 10 mgg 6203014811910007 Des

97 21 Mariatul / Badarudin 39 th J I RT.07 G4P3A0 14-9-2022 21-6-2023 7 mgg √ Umur 39th 6304024903830002 Jan

98 22 Risma / Risky 18 ht J I RT.23 G1P0A0 13-8-2022 20-5-2023 11 mgg √ Umur 18th 6304045307040001 Jan

JELAPAT I 99 23 Intan / Salman 30 th J I RT.13 G2P1A0 1-8-2022 8-5-2023 12 mgg 6304025802930000 083136604815 Jan

100 24 Nurlatifah / Norirwansyah 26 th J I RT.08 G3P2A0 12-8-2022 19-5-2023 11 mgg 6304026601920002 Jan

101 25 Siti Hapiah / Bustami 22 th J I RT.14 G1P0A0 28-8-2022 5-6-2023 8 mgg √ Lila 21,5cm 6304134508000001 Jan

102 26 Asmah / Bahtiar 37 th J I RT.23 G3P2A0 5-8-2022 12-5-2023 10 mgg √ Umur 37th 6371034601860008 Jan

103 27 Anita / Faridiansyah 27 th J I RT.20 G3P2A0 21-9-2022 28-6-2023 5 mgg 6304024103950001 Jan

104 28 Jumriah / Ancah 34 th J I RT.05 G3P2A0 21-10-202228-7-2023 12 mgg 6304024306890001 Feb

105 29 Erniawati / M Rijal 21 th J I RT.16 G1P0A0 28-12-20225-10-2023 8 mgg 6304026002020002 Feb

106 30 Munjiah / A Rais 26 th J I RT.12 G1P0A0 19-11-202226-8-2023 12 mgg √ Lila 22cm 6303044107970245 Feb

107 31 Isnaniah / Ilham 29 th J I RT.10 G2P1A0 10-1-2023 17-10-2023 6 mgg 6304024403940003 Feb

108 32 Mahsonah / Satirin 31 th J I RT.20 G2P1A0 21-12-2022 28-9-2023 9 mgg √ R/SC 6304026003920003 Feb

109 33 Mawar Laila / Bahrudin 18 th J I RT.09 G2P1A0 4-11-2022 11-8-2023 16 mgg √ Lila 20,5cm, Umur 18th 6371016912040010 Feb

110 34 Rahmatunnisa / M Munir 23 th J I RT.15 G1P0A0 26-12-2022 3-10-2023 8 mgg 6308014904000002 Feb

111 35 Mahrita / Jadriansyah 34 th J I RT.15 G2P1A0 14-12-202221-9-2023 10 mgg 6304025002890001 Feb

112 36 Siti Fatimah / Sandi 21 th J I RT.05 G2P1A0 13-1-2023 20-10-2023 6 mgg √ Lila 21cm Mar

113 37 Yuyun / Ma'assabirin 31 th J I RT.21 G2P1A0 15-12-202222-9-2023 12 mgg

114 38 Miya Audina / Andry 24 th J I RT.08 G1P0A0 21-1-2023 28-10-2023 8 mgg Lila 22cm
115 39 Heny Paramita / M Zainal 23 th J I RT.11 G1P0A0 17-1-2023 24-10-2023 8 mgg Lila 21,5cm
116 40 Isnawati / Rahmadi 39 th J I RT>4 G4P3A0 20-12-202227-9-2023 12 mgg Umur 39th
117 41 B Wilis N / Hadi 22 th J I RT.17 G2P1A0 15-12-202222-9-2023 12 mgg Lila 21 cm
118 42 Mukarramah / Diky 24 th J I RT.15 G1P0A0 7-1-2023 14-10-2023 10 mgg Lila 22cm
119 43 Raudatul Jannah / A Rahim 18 th J I RT>14 G1P0A0 28-1-2023 5-11-2023 8 mgg Umur 18th
120 44 Yuyun Itasari / Sony 37 th J I RT.04 G4P3A0 28-9-2022 5-7-2023 24 mgg Umur 37 th
 121 45 Aluh Arbayah / Rahmat 32 th J I RT.07 G3P2A0 16-2-2023 23-11-2023 4 mgg
122 1 Yuliani / Fakhruzzain 33 th JB RT.07 G4P3A0 30-6-2022 7-4-2023 21 mgg 6304024107890118 085348589318 Sept
123 2 Salmah / Sugeng 37 th JB RT.04 G3P2A0 25-8-2022 2-6-2023 6 mgg 6304025004850002 0001808934524 085393679419 Okt
124 3 Maissy Permata Sari / M Nor 25 th JB RT. G2P1A0 25-7-2022 2-5-2023 9 mgg 6304025008970004 083141412413 Okt
125 4 Hatriah / Saipudin 33 th JB RT.07 G2P1A0 18-8-2022 20-5-2023 10 mgg 6304026912890001 082256334459 Okt
126 5 Jahrah / Suryadi 28 th JB RT.13 G2P1A0 9-9-2022 16-6-2023 7 mgg √ KEK Lila 23cm 6304024402940004 082251571545 Nov
127 6 Samsiah / Abidin 41 th JB RT.13 G3P2A0 1-9-2022 8-6-2023 11 mgg √ KEK Lila 21,5cm, Umur >35th 6304025106810001 082352550671 Nov
JELAPAT
BARU 128 7 Norhikmah Agustina / 21 th JB RT.07 G1P0A0 19-9-2022 26-6-2023 8 mgg 6304025708010002 083141692524 Nov
129 8 Maulidia / Arbain 33 th JB RT.09 G4P1A2 21-7-2022 28-6-2023 8 mgg √ Riwayat Abortus 2x 6304135108900001 0000891075971 Nov
130 9 Ramadianti / M Husniansyah 31 th JB RT.08 G4P2A1 28-11-2022 5-9-2023 10 mgg √ R/Abortus, KEK 6304105507910001 083879604112 Feb
Elita damayanti / Gostomi 24 th JB RT.04 G2P0A1 23-12-2022 30-09-2023 6 mgg √ R/Abortus (Blackted Ovum) 6304026802990001 Abortus Maret 083159993719 Feb
131 10 Winda / khairani 30 th JB RT.07 G2P1A0 ' -10-2022 -7-2023 11 mgg √ R/SC 6304024911930004 08164562872 Feb
132 11 Norsam / M Aqli 29 th JB RT.11 G2P1A0 21-12-2022 28-9-2023 11 mgg 6304056603940001 0819098010 Mar
133 12 Hayatul Husna / Hamdan- 30 th JB RT.11 G2P1A0 18-12-2022 25-9-2023 11 mgg 6304024103920006 085849309006 Mar
134 1 Argiah / Jainudin 33 th T II L RT.19 G4P2A1 1-7-2022 9-4-2023 6 mgg R/Abortus 6304024507890003 Agt

135 2 St.Selfia / Abran Sulaiman 25 th T II L RT.06 G2P1A0 15-8-2022 22-5-2023 5 mgg 6304024802950002 Sept

136 3 Erika / Rizal 22 th T II L RT.07 G2P1A0 8-6-2022 15-3-2023 15 mgg √ HB 10,1 gr% (pkm) 6304012310000000 Okt

137 4 Yuliana / Agus Maulana 22 th T II L RT.19 G1P0A0 2-9-2022 9-6-2023 5 mgg 6304136006000001 Okt

138 5 Mawaddah / Hasrani 27 th T II L RT.09 G2P1A0 22-7-2022 29-4-2023 11 mgg 6304026909960001 Okt

139 6 Rahimah / Zulkifli 38 th T II L RT.04 G6P4A1 13-7-2022 20-4-2023 10 mgg √ Umur >35th, Paritas >4, R/Abortus 6304024107840025 Okt

140 7 Mardiah / Hendra 30 th T II L RT.06 G3P1A1 23-6-2022 30-3-2023 17 mgg √ R/Abortus, Lila 22.9 cm 6304054804920002 Nov

141 8 Bardah / Ma'ruf 29 th T II L RT.13 G4P1A2 8-7-2022 15-4-2023 16 mgg √ R/Abortus 6304025107910001 Nov

142 9 Khairunnisa / Habi 25 th T II L RT.09 G2P1A0 5-9-2022 12-6-2023 8 mgg 5206165002970001 Nov

143 10 Mariana / Daud Alpatani 24 th T II L RT.04 G1P0A0 18-6-2022 25-3-2023 20 mgg Lila 19cm 6304024507980002 Nov

144 11 Safitri / M Azhari 23 th T II L RT.14 G1P0A0 10-9-2022 17-6-2023 11 mgg √ Lila 22 cm 6304024905010001 Des

145 12 Leni Perawati / Jani 28 th T II L RT.05 G2P1A0 6-9-2022 13-6-2023 16 mgg 63040258009940001 083125712410 Jan

TINGGIRAN 146 13 Munawarah / M Risman 24 th T II L RT.05 G1P0A0 16-11-2022 23-8-2023 6 mgg √ Lila 20,2 cm, BB 40Kg 6304024607970005 082255910675 Jan
II LUAR 147 14 20 th
Liana / Rahmadi T II L RT.14 G1P0A0 18-11-2022 25-8-2023 6304024411000001 08388638231 Jan

148 15 Denah / Aliani 35 th T 2 L RT.12 G2P1A0 16-9-2022 27-6-2023 18 mgg 630402456880001 08125517030 Feb

149 16 Rosita / Taryono 32 th T II L RT.17 G2P1A0 28-12-2022 7-10-2023 5 mgg 6304025005910004

150 17 Hatmah / Iskandar 40 th T II L RT.09 G6P4A1 28-7-2022 7-5-2023 26 mgg √ Umur >35th, Paritas >4, R/Abortus 6304024102830003
151 18 Nurbaya / Tirisno 31 th T II L RT.06 G2P1A0 10-12-2022 18-9-2023 8 mgg
152 19 Ayu Gita Safitri / Ramadani 32 th T II L RT.09 G4P3A0 20-11-2022 27-8-2023 11 mgg 6304024912880001
153 20 Windy Rianti / Bambang 25 th T II L RT.13 G2P1A0 23-12-2022 30-9-2023 6 mgg 6304024605980003
154 21 Mislah / Supian Sauri 33 th T II L RT.19 G2P1A0 6-12-2022 13-9-2023 9 mgg 6304026808900004
155 22 Ervina Juniarti / Mujiarto 35 th T II L RT.04 G2P1A0 1-1-2023 8-10-2023 6 mgg √ Lila 22,7 cm, BB 44Kg 6304025405880001
156 23 Rahmaniah / Ardani 39 th T II L RT.07 G4P3A0 22-12-2022 29-9-2023 8 mgg √ Usia >35th 6304026106530001
157 24 Dewi / M Alpianor 23 th T II Luar RT.12 G1P0A0 7-12-2022 14-9-2023 10 mgg 6304024102000004 Mar

158 25 Maisyarah / Ayan 27 th T II Luar RT.12 G3P2A0 4-11-2022 11-8-2023 16 mgg 6304024906900002 Mar

159 26 Rinanti / Alek Ibrahim 26 th T II Luar RT.3 G1P0A0 29-1-2023 8-11-2023 6 mgg 6306024611960002 Mar
 DATA REAL IBU HAMIL
NAMA DESA :
KECAMATAN :
NAMA BIDAN DI DESA :
BULAN :

Umur Status
Ibu
No Nama Ibu Hamil / Suami Alamat GPA HPHT TP Rest Jenis Resti
( Thn )
2 3 4 5 6 7 8 9
 DATA RIIL IBU HAMIL
PUSKESMAS JELAPAT
: JanuariBULAN
2021 : DESEMBER 2022

Stat
Umur us
Umur
NAMA DESA NO Kehamila Res NIK NO BPJS NO HP BULAN
No KI
Nama Ibu Hamil / Suami Alamat GPA HPHT TP n K1 ti Jenis Resti
Desa Ibu
( Thn )
1 2 3 4 5 6 7 8 9 10 11 12 13
1 1 Maulida / M Arbain 33 th J II RT.06 G2P1A0 15-1-2022 23-10-2022 12 mgg ⱽ Lila 22 cm Apr

2 2 Risma Damayanti / Muslim 22 th J II RT.03 G2P0A1 25-2-2022 2-12-2022 19 mgg ⱽ R/Abortus Juli

3 3 Damayanti / Sadikin 33 th J II RT.01 G2P1A0 26-7-2022 3-5-2023 , √ R/SC & Hipertensi BPJS Sept

4 4 Hamdanah / Fauzi 21 th J II RT.06 G1P0A0 26-7-2022 3-5-2023 4 mgg √ Lila 23cm, BB 40Kg BPJS Sept

5 5 Sahdah / Amat 40 th JL II RT.03 G2P1A0 24-4-2022 2-2-2023 24 mgg √ Lila 23cm, HB 9,2 gr% BPJS Okt

JELAPAT II 6 6 Rini / Abdullah 16/9/0 J 2 RT.09 G1P0A0 10-8-2022 17-5-2023 11 mgg √ Lila 22cm (KK 6304131201220001) 6304131201220000 0838255128083 Nov

7 7 Saniah / Bani 8/2/99 J 2 RT.09 G1P0A0 20-9-2022 27-6-2023 6 mgg √ Lila 21cm 6304134302950001 0000891082034 085388753812 Nov

8 8 Rahmadaniah / M Ikhwan 24/5 94 J II RT.04 G2P1A0 4-10-2022 11-7-2023 6 mgg 630436711940002 00023202876141
9 9 Ainun Syifa / M Khair 9/12/9 J 2 RT.09 G1P0A0 15-4-2022 22-1-2023 29 mgg √ TB 138cm, Lila 21cm 6304134312980002 083159111552
10 10 Refina Telkasari / Ahmad Dani 19/10/01 J 2 RT.09 G2P0A1 6-10-2022 13-7-2023 6 mgg √ R/Abortus 6304025910010001 083112895588
11 11 Rahmawati / M Fauzan 4-6-199 J 2 RT.09 G1P0A0 23-10-202230-7-2023 8 mgg √ Lila 21cm, BB 39,9 Kg 630413440698009 Umum Des

12 1 Hatniah / Aulia R 23 th TB RT.01 G1P0A0 10-6-2021 17-3-2022 32 mgg

13 2 Rizka W / Fazrian 25 th TB RT.06 G1P0A0 1-4-2022 8-1-2023 6 mgg Juni

14 3 Masrah / Rahmani 33 th TB RT.03 G4P3A1 2-4-2022 9-1-2023 8 mgg ⱽ Post Abortus Juni

15 4 Megawati / Juhran 29 th TB RT.03 G1P0A0 12-4-2022 19-1-2023 8 mgg ⱽ KEK Lila 22cm Juni

16 5 Siti Aminah / Usin 27 th TB RT.10 G2P1A0 18-4-2022 25-1-2023 8 mgg ⱽ KEK Lila 21cm Juni

17 6 Siti Maysarah / Rubai 26 th TB RT 05 G1P0A0 9-5-2022 16-2-2023 12 mgg Juli

18 7 Widia / M Saman 21 th TB RT.08 G1P0A0 11-4-2022 18-1-2023 12 mgg ѵ TB <145cm, Lila 20cm Agt

19 8 Sarmila / Rian Rijani 20 th TB RT.05 G1P0A0 17-6-2022 20-3-2023 8 mgg ѵ TB <145cm, Lila 17cm Agt

20 9 Rini / Irin 24 th TB RT.03 G2P1A0 4-2022 -1-2023 12 mgg Agt

21 10 Annisa / Haris Fadillah 33 th TB RT.03 G4P3A0 24-4-2022 30-1-2023 20 mgg √ Lila <23,5cm Sept

22 11 Mardiani / M Hidayat 28 th TB RT.03 G1P0A0 1-6-2022 8-3-2023 8 mgg Sept

23 12 Rahma / Huldani 30 th TB RT.04 G4P3A0 14-5-2022 21-2-2023 12 mgg Sept

24 13 Ananda / Jamaludin 16 th TB RT.10 G1P0A0 18-4-2022 25-1-2023 24 mgg √ umur 16th (pkm) Sept
TINGGIRAN
BARU 25 14 Bebet R / Zainal Ilmi 40 th TB RT.05 G5P1A3 4-9-2022 11-6-2023 5 mgg √ Umur >35th, R/Abortus Okt
TINGGIRAN
BARU
26 15 Ratiah / Kamarudin 30 th TB RT.05 G2P1A0 27-7-2022 3-5-2023 11 mgg Okt

27 16 Nia / Asri 22 th TB RT.04 G2P0A1 4-8-2022 11-5-2023 12 mgg √ R/Abortus Okt

28 17 Aida / Mursalim 27 th TB RT.03 G2P1A0 19-9-2022 26-6-2023 6 mgg 6304024407950001 Nov

29 18 Noraida / Rahman 32 th TB RT.09 G2P1A0 7-8-2022 14-5-2023 12 mgg √ Jarak Kehamilan <2th 6304054803890001 Nov

30 19 Norhasanah / Rahmani 27 th TB RT.07 G2P1A0 16-7-2022 24-4-2023 15 mgg √ KEK 6304134404960001 Nov

31 20 Fatmah / Karji 36 th TB RT.04 G3P2A0 16-9-2022 23-6-2023 8 mgg √ Umur >35th Nov

32 21 Jamiatun / Ihsan Hidayat 25 th TB RT.10 G1P0A0 17-8-2022 24-5-2023 12 mgg √ KEK Nov

33 22 Fatmah / Mahdi 25 th TB RT.02 G3P2A0 -9-2022 6-2023 8 mgg Nov

34 23 Erni / Aspianor 18 th TB RT.10 G1P0A0 28 mgg √ Umur <20th Des

35 24 Shaleha / Jakaria 31 th TB RT.01 G2P1A0 10-9-2022 17-6-2023 10 mgg 6304135507910001 0003261627944 Des

36 25 Sila / Jali 22 th TB RT.05 G1P0A0 5-10-2022 11-7-2023 12 mgg Des

37 26 Marni / Abdul Hadi 27 th TB RT.04 G2P1A0 28-8-2022 5-6-2023 12 mgg √ Lila 23cm 6304136209950001 0000891828808 Des

38 27 Aida / Ahmadi 28 th TB RT.06 G3P1A1 5-11-2022 12-8-2023 6 mgg √ Lila 23cm Des

39 1 Saliha / M Saini 22 th TT RT.01 G2P1A0 15-7-2022 22-4-2023 HB 11,7 Sep 630414558990001 Agt

40 2 Rizqi Amalia / M Padli 23 th TT RT.01 G1P0A0 15-7-2022 22-4-2023 Agt

41 3 Hj.Delima / Zainal Hadi 27 th TT RT. G2P1A0 5-8-2022 12-5-2023 4 mgg √ R/SC Sept

42 4 28 th √ Sept
Arbayah / Mulyadi TT RT. G2P1A0 -4-2022 -1-2023 20 mgg Jarak <2th
43 5 Fitri / Ahmad Hindrianor 31 th TT RT.07 G2P1A0 25-7-2022 2-5-2023 M BPJS Okt
TINGGIRAN 44 6 22 th TT RT.03 BPJS Okt
TENGAH Norhasanah / Ihwan Yusuf G1P0A0 1-8-2022 2-5-2023 M
45 7 Selastiani / M Rizky 31 th TT RT.03 G6P1A4 12-7-2022 19-4-2023 12 mgg √ R/Abortus 4x 6402175208910001 Nov

46 8 Darma / Mahyuni 36 th TT RT.04 G6P4A1 -7-2022 -4-2023 20 mgg √ R/Abortus, Multigrapida, Umur BPJS Des
>35th, KEK Lila 18cm, BB 38,6 Kg
47 9 Noorsyifa / A Nurhadi 24 th TT RT.04 G1P0A0 19-10-202226-7-2023 8 mgg √ KEK Lila 22cm, BB 42Kg Des

48 10 Asiah / Hairani 36 th TT RT.06 G3P2A0 20-9-2022 27-6-2023 11 mgg √ Umur >35th Des

49 11 Elisa / Sudin 26 th TT RT.02 G1P0A0 10-10-202217-7-2023 10 mgg Des

50 1 Ruwaida / Mahmuid Siddiq 30 th TD RT.14 G2P1A0 28-4-2022 5-2-2023 9 mgg Juli

51 2 Rusmini / Rahimi 31 th TD RT.11 G3P2A0 4-4-2022 11-1-2023 13 mgg ⱽ Jarak Kehamilan <2 th BPJS Juli

52 3 Hatmisari / Mustafa Yusuf 28 th TD RT.06 G1P0A0 ;16-1-2022 16-1-2023 12 mgg ⱽ Lila 21,5cm, BB <45kg Umum Juli

53 4 Nurliana / M Fadli 40 th TD RT.15 G4P3A0 1-5-2022 8-2-2023 15 mgg ѵ Usia >35th Agts
54 5 Lidia / M Janu Ma'rif 20 th TD RT.16 G1P0A0 27-4-2022 3-2-2023 8 mgg √ Lila 18cm BB <45Kg BPJS Sept

55 6 Paujiah / Alvin A 22 th TD RT.15 G2P1A0 21-7-2022 28-4-2023 9 mgg Umum Sept

56 7 Halimah / Fathurrazi 27 th TD RT.04 G2P1A0 5-7-2022 12-4-2023 9 mgg ⱽ HB 10,1 Gr% Umum Sept

57 8 Siti Hadijah / Misnan 26 th TD RT.19 G2P0A1 18-7-2022 25-4-2022 7 mgg R/Abortus 0002657665124 Sept
 58 9 Siti Aisyah / Abdianor 18 th TD RT.19 G1P0A0 1-9-2022 8-6-2023 6 mgg ⱽ Umur <20th BPJS Okt

59 10 Atikah / Mordian 43 th TD RT.16 G5P4A0 1-5-2022 8-2-2023 12 mgg ⱽ Umur >35 th BPJS Okt

60 11 Norbaiti / Yudi Bahraini 32 th TD RT.10 G3P1A1 23-6-2022 30-3-2023 16 mgg ⱽ R/Abortus BPJS Okt

61 12 Maskam / Abdullah 37 th TD RT.14 G3P2A0 17-8-2022 24-5-2023 9 mgg √ Umur >35 th, Lila 23 cm BPJS Okt
TINGGIRAN
DARAT 62 13 Maskanah / Suryadi 27 th TD RT.09 G3P2A0 24-7-2022 1-5-2023 7 mgg √ BB <45kg 6203134312950001 BPJS Nov

63 14 Santi / Ariyanto 30 th TD RT.05 G3P2A0 4-9-2022 11-6-2023 9 mgg √ KEK Lila 20,9cm, BB <45kg 6303025910970004 BPJS Nov

64 15 Rudiah / Aspiani 37 th TD RT.08 G2P1A0 15-9-2022 22-6-2023 7 mgg √ Umur >35th BPJS Nov

65 16 Supiati / M Hanafi 22 th TD RT.16 G1P0A0 25-6-2022 2-4-2023 20 mgg 6304134310000001 Nov

66 17 Juairiah / Abdul Latif 36 th TD RT.09 G3P2A0 4-10-2022 11-7-2023 6 mgg √ Usia >35th, R/SC Letak Lintang 6304134205860001 BPJS Nov

67 Misbah / Sam'ani 30 th TD RT.11 G2P1A0 9-9-2022 16-6-2023 7 mgg √ KEK Lila 19cm, BB <45kg, TB <145cm Abortus Desember 2022 Nov

68 18 Fatmawati / Aslian 33 th TD RT.14 G2P1A0 18-9-2022 25-6-2023 8 mgg 6304134502890002 Nov

69 19 Supiati / M Hanafi 22 th TD RT.16 G1P0A0 25-6-2022 2-4-2023 20 mgg 6304134310000001 Nov

70 20 Juairiah / Abdul Latif 36 th TD RT.09 G3P2A0 4-10-2022 11-7-2023 6 mgg √ Usia >35th, R/SC Letak Lintang 6304134205860001 BPJS Nov

71 21 Misbah / Sam'ani 30 th TD RT.11 G2P1A0 9-9-2022 16-6-2023 7 mgg √ KEK Lila 19cm, BB <45kg, TB <145cm Nov

72 22 Fatmawati / Aslian 33 th TD RT.14 G2P1A0 18-9-2022 25-6-2023 8 mgg 6304134502890002 Nov

73 23 Khairiah / Abdul Majid 23 th TD RT.10 G1P0A0 26-10-2022 3-1-2023 8 mgg √ BB <45Kg, Lila 23Cm 6304026209990003 Umum Des

74 24 Sela / 17 th TD RT.16 G1P0A0 15-6-2023 16 mgg √ BB <45Kg, Lila 18,5Cm Des

75 1 Rahmilayanti / Rahman 40 th J I RT 15 G3P2A0 6-2-2022 13-11-2022 6 mgg ˅ Umur >35th

76 2 Siti Aisyah / M Alfianor 26 th J I RT 11 G1P0A0 13-2-2022 20-11-2022 7 mgg 6304024305960002 Apr
77 3 Siti Fatimah / Edy Sujarwo 25 th J I RT 13 G3P2A0 5-3-2022 12-12-2022 6 mgg ⱽ Lila 23 cm Apr
78 4 Karyati / Alfianur 22 th J I RT 12 G2P1A0 5-3-2022 12-12-2022 6 mgg Apr
79 5 Hatmah / Rahmadi 24 th J I RT.14 G2P1A0 23-3-2022 30-12-2022 6 mgg Mei
80 6 Irfah / Basrani 36 th J I RT.08 G3P2A0 27-3-2022 4-1-2023 6 mgg ⱽ Umur >35th Mei
81 7 Salamah / Kasrani 29 th J I RT.22 G2P1A0 6-4-2022 13-1-2023 5 mgg Mei
82 8 Siti Aminah / Berkati 29 th J I RT.22 G2P0A1 28-1-2022 5-10-2022 16 mgg ⱽ R/Abortus Mei
83 9 Ana Mahdina / M Rizal 24 th J I RT.02 G1P0A0 12-4-2022 19-1-2023 7 mgg Mei
84 10 Halidah / Dwi Heri s 41 th J I RT.18 G3P2A0 10-3-2022 17-12-2022 11 mgg ⱽ Umur >35th Juni
85 11 Hamidah / Suhaimi 21 th J I RT.17 G1P0A0 14-5-2022 21-2-2023 6 mgg ⱽ KTP Anjir Muara Juni
86 12 Hasanah Amini / M Rahmani 26 th J I RT.14 G2P1A0 11-5-2022 18-2-2023 6 mgg Juni
87 13 Anis Kurniasari / Arman 23 th J I RT.08 G1P0A0 27-4-2022 4-2-2023 8 mgg sdh USG (6 mgg) Juni
88 14 Iyah / Jamal 40 th J I RT.23 G3P2A0 4-4-2022 11-1-2023 10 mgg ⱽ Umur >35th 6304025005820006 083141409295 Juni
89 15 Nursyifa / Abdul Hakim 22 th J I RT.21 G1P0A0 3-5-2022 10-2-2023 9 mgg Juli
90 16 Mariyana / Herman 40 th J I RT.21 G4P3A0 22-6-2022 29-3-2023 6 mgg ⱽ Umur >35th, Lila 21cm Juli
 91 17 Rini / Jahrani 28 th J I RT.03 G3P2A0 15-5-2022 22-2-2023 8 mgg ⱽ Lila 23cm Juli
92 18 Juana / Supiannor 27 th J I RT.22 G2P1A0 20-4-2022 27-1-2023 8 mgg ⱽ Lila 22cm Juli
93 19 Misnawati / Ferdi 24 th J I RT.15 G1P0A0 1-6-2021 8-3-2023 6 mgg Juli
94 20 Habibah / M Iqbal 17 th J I RT.16 G1P0A0 3-5-2022 10-2-2023 10 mgg ⱽ Umur <20th Juli
95 21 Helma / Sopyan 24 th J I RT.09 G1P0A0 4-7-2022 11-4-2023 5 mgg ѵ Lila 21cm Agt

96 22 Asmariah / M Yusuf 24 th J I RT.20 G2P1A0 31-5-2022 7-2-2023 10 mgg Agt

97 23 Rahmawati / M Adriani 24 th J I RT.05 G1P0A0 2-6-2022 29-3-2023 9 mgg ѵ Lila 22cm 6304025001980003 Agt

98 24 Farida / M Kifli 21 th J I RT.07 G1P0A0 7-6-2022 14-3-2023 8 mgg ѵ Lila 23cm Agt

99 25 Malinda / Mika S 29 th J I RT.01 G2P1A0 26-6-2022 3-4-2023 6 mgg Agt

JELAPAT I 100 26 Normawati / M Sabani 23 th J I RT.17 G1P0A0 11-6-2022 18-3-2023 7 mgg (pkm) Agt
101 27 Jumiati / Syaiful Bahri 25 th J I RT.17 G1P0A0 14-7-2022 21-4-2023 8mgg Sept

102 28 Mutmainah / Harianto 29 th J I RT.14 G4P2A1 13-8-2022 20-5-2023 6 mgg ѵ Lila 22cm, R/Abortus & PEB Sept

103 29 Sariyanti / Supianor 26 th J I RT.16 G1P0A0 6-6-2022 13-3-2023 Sept

104 30 Fitriana / Faisal Ilmi 26 th J I RT.13 G2P1A0 11-6-2022 18-3-2023 Sept

105 31 Nurhayati / Arif 22 th J I RT.14 G1P0A0 20-5-2022 27-2-2023 16 mgg Okt

106 32 Riya / Angga 16 th J I RT.16 G1P0A0 6-6-2022 13-3-2023 16 mgg √ Umur <20 th, Lila 18 cm Okt

107 33 Nurul Hidayah / Abdul Hair 27 th J I RT.22 G2P1A0 20-7-2022 27-4-2023 12 mgg √ Lila 21,5 cm Okt

108 34 Zahratunisa / Fahruzi 20 th J I RT.16 G1P0A0 5-5-2022 12-2-2023 24 mgg √ Lila 18,1 cm, ODGJ Okt

109 35 Nazmi Aisna M / Fahali 23 th J I RT.07 G2P1A0 11-7-2022 18-4-2023 11 mgg Okt

110 36 Dea Puspita / Riski 21 th J I RT.14 G1P0A0 30-8-2022 7-5-2023 7 mgg Okt

111 37 Misna Warni / Iwan 35 th J I RT.20 G2P1A0 2-4-2022 9-1-2023 Nov

112 38 Mariana / Yudi 31 th J I RT.11 G2P1A0 1-7-2022 8-4-2023 √ Lila 20cm Nov

113 39 Salasiah / Mukhtar 23 th J I RT.14 G3P2A0 23-4-2022 30-1-2023 Nov

114 40 Norma Yunita / Saiful 28 th J I RT.14 G2P1A0 6-5-2022 13-2-2023 √ Lila 21,5cm Nov

115 41 Miftah / Susanto 29 th J I RT.07 G2P1A0 6-10-2022 13-7-2023 Nov

116 42 Samsiah / Zulkifli 25 th J I RT.08 G1P0A0 10-5-2022 17-2-2023 Nov

117 43 Sam'ah / Zailani 39 th J I RT.22 G4P3A0 2-10-2022 9-7-2023 √ Umur >35th Nov

118 44 Khairunisa / Erlangga 20 th J I RT.06 G2P1A0 22-6-2022 29-3-2023 Nov

119 45 Husnul Hatimah / A Sabirin 29 th J I RT.14 G3P2A0 7-8-2022 14-5-2023 √ Lila 20cm Nov

120 46 Maimunah / Rian 17 th J I RT.20 G1P0A0 25-9-2022 2-7-2023 11 mgg √ Umur <20th, HB 10 Gr% 6304026605050001 Des

121 47 Saidah / M Jumadi 27 th J I RT.22 G4P3A0 9-9-2022 16-6-2023 6304025407950002 Des

122 48 Latifah / Heriady 20 th J I RT.09 G2P1A0 24-10-20221-8-2023 10 mgg 6304134101020002 Des

123 49 Anisa / Rajali 23 th J I RT.17 G2P1A0 15-9-2022 22-6-2023 6304024407990001 Des

 124 50 Ratih / Triyo 31 th J I RT.21 G3P2A0 11-10-202218-7-2023 10 mgg 6203014811910007 Des

125 51 Arbayah / Jahrani 29 th J I RT.17 G2P1A0 1-11-2022 8-8-2023 8 mgg 6203046411930001 Des

126 1 Tiara / M Arbain 17 th G2P1A0 11-3-2022 18-12-2022 12 mgg ⱽ R/Partus Sungsang 083854670179 Juni
127 2 Husnul wardah / Surian 21 th JB RT.08 G1P0A0 5-5-2022 11-3-2023 9 mgg ⱽ KEK 23 cm Juli
128 3 Vina Indriyani / Indra 22 th JB RT.07 G2P1A0 9-6-2022 16-3-2023 6 mgg ⱽ Hipertensi Juli
129 4 Mawaddah / A Husaini 26 th JB RT.07 G1P0A0 14-4-2022 21-01-2023 17 mgg ѵ HB 10,4 gr% Agt
130 5 Muliyana / Jarsono JB RT.04 G3P2A0 20-4-2022 27-1-2023 11 mgg √ Lila 23cm Sept
131 6 Yuliani / Fakhruzzain 33 th JB RT.07 G4P3A0 30-6-2022 7-4-2023 21 mgg 6304024107890118 Sept

JELAPAT 132 7 Salmah / Sugeng 37 th JB RT.04 G3P2A0 25-8-2022 2-6-2023 6 mgg 6304025004850002 Okt
BARU 133 8 25 th JB RT. G2P1A0 25-7-2022 2-5-2023 9 mgg 6304025008970004
Maissy Permata Sari / M Nor Okt
134 9 Hatriah / Saipudin 33 th JB RT.07 G2P1A0 18-8-2022 20-5-2023 10 mgg 6304026912890001 082256334459 Okt
135 10 Jahrah / Suryadi 28 th JB RT.13 G2P1A0 9-9-2022 16-6-2023 7 mgg √ KEK Lila 23cm 6304024402940004 Nov
136 11 Samsiah / Abidin 41 th JB RT.13 G3P2A0 1-9-2022 8-6-2023 11 mgg √ KEK Lila 21,5cm, Umur >35th 6304025106810001 Nov
137 12 Norhikmah Agustina / 21 th JB RT.07 G1P0A0 19-9-2022 26-6-2023 8 mgg 6304025708010002 083141692524 Nov
138 13 Maulidia / Arbain 33 th JB RT.09 G4P1A2 21-7-2022 28-6-2023 8 mgg √ Riwayat Abortus 2x 6304135108900001 0000891075971 Nov
139 14 Nordiana / Hamdan 37 th JB RT.07 G4P3A0 5-6-2022 12-3-2023 30 mgg √ PEB (Menolak dirujuk, HPHT lupa) Des
140 1 Ayu Safitri / Endro Rushariyanto22 th T II L RT.07 G2P0A1 3-4-2022 10-1-2022 4 mgg ⱽ R/Abortus Mei
141 2 Maskanah / Sahrani 26 th T II L RT.12 G2P1A0 27-3-2022 2-1-2023 7 mgg ⱽ Lila 22,6cm Mei
142 3 Normala / M Iman 24 th T II L RT.15 G1P0A0 5-4-2022 11-1-2022 8 mgg Juni
143 4 Siti Fatimah / Syarif Hidayatullah 27 th T II L RT.06 G2P1A0 5-5-2022 12-2-2023 9 mgg Juli

144 5 Masrita / Andrie Pratama 23 th T II L RT.03 G1P0A0 20-3-2022 26-12-2022 16 mgg Juli

145 6 Mirajana / Ahmad 28 th T II L RT.10 G3P2A0 19-5-2022 25-2-2023 8 mgg Juli

146 7 Hamidah / Sugianor 38 th T II L RT.16 G2P1A0 28-3-2022 3-1-2023 14 mgg ⱽ Umur >35th, Lila 22 cm, BB <45kg Juli

147 8 Mariana / Ardi 22 th T II L RT.14 G2P1A0 2-5-2022 9-2-2023 10 mgg Juli

148 9 Normaiyah / Andi 28 th T II L RT.02 G3P2A0 21-4-2022 27-1-2023 14 mgg Agt

149 10 Argiah / Jainudin 33 th T II L RT.19 G4P2A1 1-7-2022 9-4-2023 6 mgg R/Abortus Agt

150 11 Lina Hasanah / Nasrudin 33 th T II L RT.02 G3P2A0 9-5-2022 16-2-2023 14 mgg Lila 21,7cm Agt

151 12 St.Selfia / Abran Sulaiman 25 th T II L RT.06 G2P1A0 15-8-2022 22-5-2023 5 mgg Sept
TINGGIRAN
152 13 Sumarni / Erwandi 23 th T II L RT.06 G1P0A0 8-7-2022 15-4-2023 7 mgg √ R/Abortus Okt
II LUAR
153 14 Erika / Rizal 22 th T II L RT.07 G2P1A0 8-6-2022 15-3-2023 15 mgg √ HB 10,1 gr% (pkm) Okt

154 15 Asiah / Misran 30 th T II L RT.05 G2P1A0 15-5-2022 22-2-2023 20 mgg √ HB 10,3 gr% Okt

155 16 Yuliana / Agus Maulana 22 th T II L RT.19 G1P0A0 2-9-2022 9-6-2023 5 mgg Okt

156 17 Norhasanah / Supiyadi 27 th T II L RT.19 G2P1A0 15-6-2022 22-3-2023 16 mgg √ Lila 23,2cm Okt
157 18 Mawaddah / Hasrani 27 th T II L RT.09 G2P1A0 22-7-2022 29-4-2023 11 mgg Okt

158 19 Rahimah / Zulkifli 38 th T II L RT.04 G6P4A1 13-7-2022 20-4-2023 10 mgg √ Umur >35th, Paritas >4, R/Abortus Okt

159 20 Mardiah / Hendra 30 th T II L RT.06 G3P1A1 23-6-2022 30-3-2023 17 mgg √ R/Abortus, Lila 22.9 cm 6304054804920002 Nov

160 21 Bardah / Ma'ruf 29 th T II L RT.13 G4P1A2 8-7-2022 15-4-2023 16 mgg √ R/Abortus 6304025107910001 Nov

161 22 Khairunnisa / Habi 25 th T II L RT.09 G2P1A0 5-9-2022 12-6-2023 8 mgg 5206165002970001 Nov

162 23 Mariana / Daud Alpatani 24 th T II L RT.04 G1P0A0 18-6-2022 25-3-2023 20 mgg Lila 19cm Nov

163 24 Safitri / M Azhari 23 th T II L RT.14 G1P0A0 10-9-2022 17-6-2023 11 mgg √ Lila 22 cm 6304024905010001 Des

164 25 Marfuah / Edi Priyanto 35 th T II L RT.06 G3P2A0 5-11-2022 12-8-2023 6 mgg √ Lila 21 cm, BB 42Kg 6304026605870003 Des
 DATA REAL IBU HAMIL
NAMA DESA :
KECAMATAN :
NAMA BIDAN DI DESA :
BULAN :

Umur Status
Ibu
No Nama Ibu Hamil / Suami Alamat GPA HPHT TP Rest Jenis Resti
( Thn )
2 3 4 5 6 7 8 9