ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBPBQBRBSBTBUBVBWBXBYBZCACBCCCDCECFCGCHCICJCKCLCMCNCOCPCQCRCSCTCUCV
1
INPUT SIGIZI
KESGA (V)
TANGGAL KUNJUNGAN PERTAMAFASKES PEMERIKSAAN PERTAMA NO KOHORTNO RMNAMA IBUNAMA SUAMIALAMAT KTPALAMAT DOMISILIRTRWWILAYAH DOMISILIPENDIDIKAN TERAKHIR PEKERJAANNO HPNIK IBUNO BPJSFASKES BPJSNIK SUAMINO KARTU KELUARGATANGGAL LAHIRUMURGRAVIDAJARAK KEHAMILAN SEBELUMNYA (..THN...BLN )HPHTTPUSIA KEHAMILANTRIMESTER KEK1 MURNIK1 AKSESK4/K5K6/K8ANAMNESISBB SAAT INI (KG)TINGGI BADAN (CM)BB SEBELUM HAMIL (KG)IMT
(SEBELUM HAMIL)
Kategori IMTTD (MMHG)TFU (CM)LILA (CM)STATUS GIZI (KEK/
RESIKO KEK/N)
REFLEK PATELA (+/-)DJJ (X/MNT)KEPALA THDP PAP (M/BM)TBJ (GR)JUMLAH JANIN (T/G)PRESENTASISTATUS TDINJEKSI TTFE (TAB)OBIMINKONSELING KIAVAKSIN COVIDDAPAT BUKU KIA (BK/BS)JARAK KEHAMILAN KURANG 2 TAHUN GOLDARHB (GR/DL)PROTEIN URINE (+/-)GULA DARAH SEWAKTUGDPGD2PPSIFILIS (+/-)HBSAG (+/-)ASAM URATUREUMKREATININSGOTSGPTIBU HAMIL DATANG DENGAN HIV (+)IBU HAMIL DITAWARKAN TESIBU HAMIL DITES HIVHASIL TES HIV (+/-)RUJUK POLI SAHABATIBU HAMIL MENDAPAT ARVKOMPLIKASI KEHAMILANRUJUK RSTGL PERSALINANKALA IKALA IIKALA IIIKALA IVJENIS PERSALINAN (SPT/SC)TEMPAT PERSALINANJENIS KELAMIN BAYIBB (GRAM)PB (CM)IMDNAMA BAYITANGGAL KF1/KN1TANGGAL KF2/KN2TANGGAL KF3/KN3TANGGAL KF4METODE KONTRASEPSI
2
v24/12/2025PUSTU RWS10014300intanDEFRIE WJL KP JAWA RAWASARI JL KP JAWA RAWASARI64RWSS1PPPK BNPB081388827690317105630379300010000042168216PUSKESMAS CEMPUT3174081702880005317105020818000323/07/199332G2P1A06 TH 6 BULAN15/08/202522/05/202619 MG 4 HRII-V--KRAM PERUT86,51608232OBESTITAS100/703 JARI BAWAH PUSAT33NORMALPOSITIF144BM-TBALTT4TIDAK30YAYABKTIDAKA12,9NEG99--NEGNEG-----TIDAKYAYANEGTIDAKTIDAKBSC 1X
OBESITAS
3
BSC 1X
OBESITAS
4
5
24/12/2025PUSTU RWS20000368RIA ANGGRAENIANDIKA PRATAMAJL PRAMUKA JAYASARIJL PRAMUKA JAYASARI22RWSSMAIRT08137115412731720454089200090001151464869KLINIK SUMBER SEHAT--14/08/199233G5P3A16 TH 4 BULAN10/11/202517/08/20266 MG 2 HRIV---TAK591445828NORMAL120/70BT28,5NORMALPOSITIF-----T5TIDAK30YAYABKTIDAKO14,6NEG366--NEGNEG-----TIDAKYAYANEGTIDAKTIDAKBSC 3X
DIABETES GESTASIONAL
6
BSC 3X
DIABETES GESTASIONAL
7
8
29/12/2025PUSTU RWS30005559ZALIKA AFARINHUDZAIFAH AZZUKRUFJL PERCETAKAN NEGARA 4/74DJL PERCETAKAN NEGARA 4/74D54RWSSMKIRT0856702454031710551040810030000372502629PUSKESMAS CEMPUT--11/04/200817G1P0A0-SEPT 202526/07/202610 MG 1 HRIV---PUSING, MUAL, PILEK38,31513716,2KURUS100/704 JAS19,5KEKPOSITIF149--TBALTT5TIDAK30YAYABKTIDAKB12,8NEG115--NEGNEG-----TIDAKYAYANEGTIDAKTIDAKKEK
9
KEK
10
11
14/01/2026PUSTU RWS40014483DESIFIAN RAHMANINGRUMM. ANSHORUDDINJL C2 NO. IIAJL C2 NO. IIA77RWSS1PNS BPOM08386779379734041344129500010002279429728PUSKESMAS CEMPUT3471141003930001347114111122000104/12/199530G2P0A1-03/12/202510/09/20266 MGIV---MUAL57,3154,55523NORMAL90/60BT26NORMALPOSITIF----BALTT4TIDAK30YAYABKTIDAKA12,4NEG103--NEGNEG-----TIDAKYAYANEGTIDAKTIDAKSRQ 8
12
SRQ 8
13
14
22/01/2026PUSTU RWS50014532CITRA NUR'AUNIAGUSJL BACANG 41BJL BACANG 41B57RWSS1KARYAWAN SWASTA08122002417415022054069800010002377120432PUSKESMAS CEMPUT--04/06/199827G2P1A03 TH 4 BULAN27/09/202504/07/202616 MG 5 HRII-V--PUSING, KEPUTIHAN GATAL60,31625420,6NORMAL110/701427NORMALPOSITIF136--TBALTT5TIDAK60YAYABKTIDAKB9,8POS 193--NEGNEG-----TIDAKYAYANEGTIDAKTIDAKANEMIA SEDANG
BSC 1X
15
ANEMIA SEDANG
BSC 1X
16
17
28/01/2026PUSTU RWS60014580REFILTA FAUZIADIL HASSANSUMATRA BARATAPART GREEN PRAMUKA139RWSSMUIRT08119912374137103480192000300014220208341372022006860001137202260216000108/01/199234G6P5A05 TH 10 BLN28/04/202502/02/202639MGG 2HRIIIVBATUK 1 MGG61,7158,54919,5NORMAL100/703124,5NORMALPOSITIF134M2945TKEPALAT5TIDAK30YAYABKTIDAKA10,7NEG85--NEGNEG-----TIDAKYAYANEGTIDAKTIDAKBSC 1.ANEMIA RINGAN
18
BSC1X,ANEMIA RINGAN
19
20
04/02/2026PUSTU RWS70014624ELSA EMILIANISSYAIFUDINJL KP JAWAJL KP JAWA49RWSSMKIRT089580311474731720460129710030000378160413PUSKESMAS--20/12/199728G1POA0-17/11/202524/08/202615MGG4HRIIBAPIL61,41555522,9NORMAL90/6012CM27,5NORMALPOSITIF147BALTT5TIDAK30YAYABKTIDAKB11,7NEG94NEGNEGTIDAKYAYANEGTIDAKTIDAK-
21
22
06-02-2026PUSTU RWS80001074DHITTA MONIKAHENDRYJL. P .NEGARA XA 7/4JL. P .NEGARA XA 7/474RWSSMAIRT08829017744931710562079800020000372078494PUSKESMAS 22-07-199827G2P1A03 TH24-10-202501-08-202615 MGGIIVKRAM PERUT87,81557432,5OBESITAS120/807 CM 31NORMALPOSITIF137BMTBALTT5TIDAK30YAYA-TIDAKB12,7NEG112NEGNEGTIDAKYAYANEGTIDAKTIDAKOBESITAS
23
OBESITAS
24
25
11/02/2026PUSTU RWS90008142ZALFA YUSMA NADIAALVINJL PN XIAJL PN XIA55RWSSMKIRT08136877003131710461090200050001229064445PUSKESMAS-21/09/200223G2P1A015/12/202522/09/20268MGGIVMUAL83,71558334,5OBESITAS120/80BT33NORMALPOSITIF-BTT5TIDAK30OBIMINYAYABKTIDAKO10,9NEG156NEGNEGTIDAKYAYANEGTIDAKTIDAKRIWAYAT SC 1X,ANEMIA RINGAN ,OBESITAS
26
ANEMIA RINGAN
27
28
sudah masuk sihepi12-02-2026PUSTU RWS100014691ALFI NUR AMALIAAFWANJL. P. NEGARA V 8/1JL. P. NEGARA V 8/181RWSD4PNS08389683044733290857020000030001083901871PUSKESMAS17-02-200025G1POA012-06-202519-03-202535 MGGIIIVTAK70,31596927,3NORMAL100/7030 CM27,5NORMALPOSITIF137BM2635TKEPALAT5TIDAK30YAYATDKTIDAKO10,6NEG82NEGNEGTIDAKYAYANEGTIDAKTIDAKANEMIA RINGAN
29
30
31
32
18-02-2026pustu rws110011050WIWIK ANARIANDRI EKAJL PERCETAKAN NGRJL PERCETAKAN NGR84RWSSMUIBU RUMSH TANGGA083804674877332710470395008507-03-199531G2P1A002-01-202609-10-20266MGGIVLEMAS461584518.4NORMAL90/60BLM TRB24,5NORMALPOSITIF-BLM TRBT5TIDAK-OBIMINYAYABKO13,5NEG91NEGNEGTIDAKYAYANEGTIDAKTIDAK-
33
34
35
36
37
V09-03-2026PUSTU RWS120008978VITA WAHYU HIDAYANISYAKIRUN NI"AMSEMARANGPRAMUKA SARI III137RWSS1IRT08573341713135241870069400030002157632177PUSKESMAS30-06-199431G2P1A026-01-202602-11-20266MGG1VMUAL,PUSING56,81575522,3NORMAL130/80BLM TRB27NORMALPOSITIF----BLM TRBT5TIDAK30OBIMINYAYABKTIDAKA12NEG82NEGNEGTIDAKYAYANEGTIDAKTIDAK-
38
39
40
sudah masuk sihepi&anemia kek09-03-2026PUSTU RWS130001078LINDA SANDRA SOPYANAHAMZAHPERC NGR VPERC NGR V81RWSSMAIRT08952872370731710368069000090001228843697PUSKESMAS28-06-199035G4P3A03 TH 8 BULAN18-01-202625-10-20267MGG1VMUAL,MUNTAH451474520,8NORMAL90/60BLM TRB23,5NORMALPOSITIF----BLM TRBT5TIDAK30OBIMINYAYABKTIDAKB11,6NEG93NEGNEGTIDAKYAYANEGTIDAKTIDAKUSIA>35 THN
41
Lap. AprV25-03-2026PUSTU RWS140010956META ERVINDA SETYAWATIKHOIRUL ANWARPACITANPRAMUKA SARI108RWSSMAIRT08223418135535010165099600020002277840194PUSKESMAS350101080489000125-09-199827G3P1A15TH 6 BULAN13-02-202620-11-20265MGG1VMUAL.PERUT KDG KRAM501545021NORMAL110/80BLM TRB24NORMALPOSITIF----BLM TRBT5TIDAK30OBIMINYAYABKTIDAKO11,9NEG125NEGNEGTIDAKYAYANEGTIDAKTIDAKBSC 1XABORTUS IMINENS
42
43
V30-03-2026PUSTU RWS150011498TIKA JUWITAHENDRIPERC NGRJL PERV NGR III141RWSSMKIRT08950557954231710550089300010001207376605PUSKESMAS-10-08-199332G4P2A119-02-202626-11-20265MGG1VDEMAM 2 HR611596124,1NORMAL100/60BLM TRB26,5NORMALPOSITIFBLM TRBT5TIDAK30OBIMINYAYABKTIDAK11,9NEG104NEGNEGTIDAKYAYANEGTIDAKTIDAKRIWAYAT SC 1X
44
45
V02-04-2026PUSTU RWS16'0015034NAFA AZURA BUDIM BENI UMARHALIM JAKARTA TIMURPRAMUKA SARI88RWSD3KARYAWATI08969957233631750848040110020002085180693PUSKESMAS737202190395000508-01-200124G1P0A02-2-20269-11-20267MGG1VMUAL ,PUSING45,61584222,3NORMAL90/60BLM TRB23,5NORMALPOSITIFBLM TRBT3TIDAK30OBIMINYAYABKTIDAKA12,2NEG88NEGNEGTIDAKYAYANEGTIDAKTIDAK-
46
47
RAHMAN V02-04-2026PUSTU RWS170015035MITHA MUTIARA DITARAHMAN SIGIT SATOTOJL BACANGJL BACANG57RWSS1WIRASWASTA08129443779131710566098900030000043664286PUSKESMS26-09-202636G2P1A01TH 7 BULAN18-01-202625-10-20268 MGG(USG)1VPUSING,MUAL72,21567028,8GEMUK90/60UT MEMB31NORMALPOSITIF136BMTUT MEMBT5TIDAK30OBIMINYAYABKTIDAKO12,8NEG87NEGNEGTIDAKYAYANEGTIDAKTIDAKRIWAYAT SC 1X,USIA >35 TH,JARAK KEHAMILAN<2TH
48
49
sudah msk sihepiV02-04-2026PUSTU RWS180015035INTAN INDARWATIM IBNU FAJARJL PN VJL PN V 141RWSSMAIRT08380840755131710566049400010000372248201PUSKESMAS26-04-199432G2P1A01TH10 BLN01-02-202608-11-202610MGG1VMUAL PUSING40,71553920,1NORMAL90/60UT MEMB23RESIKO KEKPOSITIF132BMTUT MEMBT5TIDAK30OBIMINYAYABKTIDAKAB13,5NEG114NEGNEGTIDAKYAYANEGTIDAKTIDAKKEK
50
V13-04-2026PUSTU RWS190001349DESTI RANTISYAHHELDI ARISKIJL PRAMUKA SARI IJL PRAMUKA SARI 1118RWSS1KARYAWATI08757770484031710546129400010001206302984PUSKESMAS317402101289000106-12-199431G2P1A05TH 6 BLN26-02-202603-12-20267MGG1VMUAL,MUNTAH,PUSING67,51586526NORMAL90/60BLM TRB30NORMALPOSITIFBLM TRBT5TIDAK30OBIMINYAYABKTIDAKO11,5NEG84NEGNEGTIDAKYAYANEGTIDAKTIDAKRIW PERDARAHAN PERSALINAN SEBELUMNYA
51
V15-04-2026PUSTU RWS200015128DESY RETNAWATIMUH TANZIL MAULANAJL KP JAWA RWSJL KP JAWA RWS89RWSSMAKARYAWATI08960170256031710859039500010000039439607PUSKESMAS3217142709930003360425240717000419-03-199531G4P3A04TH1 BLN25-01-202601-11-202611MGG1VMUAL PUSING60,51566426,2GEMUK100/703JR ATAS SYM27NORMALPOSITIF137BMT3 JR AT SYMT5TIDAK30OBIMINYAYABKTIDAKAB12,1NEG81NEGNEGTIDAKYAYANEGTIDAKTIDAKRIWAYAT SC
52
V15-04-2026PUSTU RWS210007757DIANA ROSITAMUH BIMO ARDAVAPRAMUKA SARI IPRAMUKA SARI I98RWSSMKIRT08521271555231710536090000020002131130237PUSKESMAS317103251202000506-09-200025G2P1A03 TH29-10-2505-08-202624MGG2VMUAL,PUSING45,21614417,3KURUS90/6018CM21KEKPOSITIF134BMSUNGSANGT5TIDAK60YAYABKTIDAKO9,6NEG101NEGNEGTIDAKYAYANEGTIDAKTIDAKANEMIA.KEK
53
V16-04-2026PKM CP
(66)
220015133KINAN GHEAFAUZANCEMPAKA PUTIH TIMURKOMP BPKP109RWSS1IRT08569311053733290957039900130001306758881PUSKESMAS--17-03-199727G2P1A02,5 TH26-10-2502-08-202623MGG2VNYERI PERUT BAG BWH71,71526528,1GEMUK100/7023CM30NORMALPOSITIF148BMTBALLT5TIDAK30YAYABKYABTIDAKYAYANEGTIDAKTIDAKRIW SC,JARAK KEHAMILAN <20 TH
54
V16-04-2026PUSTU RWS230015143DESWINA RAFIQOLTEUKU GIBRANRAWASARI SELATANRAWASARI SELATAN149RWSSMAIRT08967502084331710558120400020001773492208PUSKESMAS-18-12-200421G2P1A02TH 8 BLN04-02-202611-11-20269MGG1VMUAL,PUSING65,91526028,1GEMUK100/70BLM TRB31NORMALPOSITIF149BLM TRBT5TIDAK30OBIMINYAYABKTIDAKAB13,3NEG87NEGNEGTIDAKYAYANEGTIDAKTIDAK-
55
V22-04-2026PUSTU RWS240005213INDAH SULISTYAWATITEDI SEPTIANJL SAYUTI 5JL SAYUTI 586RWSSMAIRT08139978518131710556109500020001157463832PUSKESMAS16-10-199530G4P2A11 TAHUN15-03-202622-12-20265 MGG1VPUSING,MUAL,MUNTAH54153.55322.6NORMAL90/60BLM TRB28.5NORMALPOSITIFBLM TRBT5TIDAK30YAYABKYA12.1NEG78NEGNEGTIDAKYAYANEGTIDAKTIDAKJARAK ANAK <2 THN
56
Lap. MeiV27-04-2026PUSTU RWS250007845NURLENIM RIZALJL PRAMUKA SARI IIIJL PRAMUKA SARI III127RWSSMPIRT08595268751031710844129900030000372298116PUSKESMAS04-02-199926G3P1`A13 TH21-03-202628-10-20265MGG1VMUAL ,PUSING69,61557029,1GEMUK100/70BLM TRB31NORMALPOSITIF-BLM TRBT5TIDAK30OBIMINYAYABKTIDAKAB12,3NEG91NEGNEGTIDAKYAYANEGTIDAKTIDAK-
57
V27-04-2026PUSTU RWS260015219SANTIWAHYUJL PN XIAJL PN XIA75RWSSDART08560626688232033246069600060000400338652PUSKESMAS6-6-199629G3P2A05 THN26-01-202602-11-202612MGG1VKELUAR FLEK 4 HR43,81514218,5NORMAL100/70BLM TRB24NORMALPOSITIFBLM TRBT5TIDAK30YAYABKTIDAKO13.5NEG89NEGNEGTIDAKYAYANEGTIDAKTIDAK-
58
sihepiV27-04-2026PUSTU RWS270009064KARENINAFAITHKP JAWA RWSKP JAWA RWS37RWSSMAIRT08967625244031710549070510010001208424082PUSKESMAS09-07-200520G1P0A0-24-10-202531-7-202626 MGG2VTAK79.31676222.2NORMAL100/7024CM30NORMALPOSITIF136BMTBALLT4TIDAK30YAYABK10.7NEG82POSNEGTIDAKYAYANEGYATIDALANEMIA,SIPHILIS +
59
sihepiV04-05-2026PUSTU RWS280001838EVARIA TONDANGTEDI JL P.SARIJL P SARI98RWSSMAIRT08569435893131710565078400070001208382906PUSKESMAS317105141279000631705010411000225-07-198441G6P3A24TH6BLN30-11-202506-09-202622MGG2VTAK75,71547531,6OBES128/8620CM27NORMALPOSITIF138BMTSUNGSANGT5TIDAK30YAYABKTIDAKO13,5NEG96NEGNEGTIDAKYAYANEGTIDAKTIDAKMULTIPARA,USIA >35 TH,OBESITAS,RIW HIPERTENSI PERSALINAN SEBELUMNYARUJUK RSIJ
60
sihepiV22-05-2026PUSTU RWS290015403EVI AMALIAH MUHAMMAD ARLIN ILHAM JL. RAWA BEBEK RT 05 / RW 03 , PENJARINGANAPARTEMENT GREEN PRAMUKA RT 13 / RW 09 , KEL RAWASARI , KEC CEMPAKA PUTIH139RWSS1KARYAWAN SWASTA081310349188/ 08123451015231720155019500010001294211744PUSKESMAS CEMPAKA PUTIH3171060107920001317201091225003315/01/199531G1P0A0-10/12/202516/9/202623 MGG 2 HR 2VTANGAN KEBAS691495524,7NORMAL 120/701432NORMAL POSITIF147BMTBALLOTEMENT T5TIDAK 30YAYA2XBKTIDAKA12,6NEG91NEGNEGTIDAKYAYANEGTIDAKTIDAK1 FR SEDANG PE
61
Lap. JuniV25-05-2026PUSTU RAWASARI300007637YUNISA PRATIWIDANI APRIANTOJL PNJL PN124RWSSMAIRT08581456338732760649068700070001739678466PUSKESMAS3175031504830008-09/06/198738G6P2A34 THN 20/04/202627/1/20275MGG1VMUAL91,61558535,3OBES100/70BLM TRB34NORMALPOSITIF-BLM TRBT5TIDAK30OBIMINYAYABKTIDAKB12,8NEG97NEGNEGTIDAKYAYANEGTIDAKTIDAKRIW SC 2X,RIW ABORTUS 3X,USIA >35 THRUJUK RSIJ
62
V04-06-2026PUSTU RWS310015462FIRDHA WIDYASARIHARDIAN NUGRAHAPRAMUKA SARI IIPRAMUKA SARI II88RWSSMAIRT0852112078843171077005010003000120782189PUSKESMAS317108270302000430-05-200125G2P1A01 TH 9 BLN22-11-202529-08-202628MGG3VLEMAS69,21596224,5NORMAL90/6019CM29NORMALPOSITIF147BMTSUNGSANGT5TIDAK30YAYABKYAA8NEG93NEGNEGTIDAKYAYANEGTIDAKTIDAKANEMIA SEDANG,RIW PERDARAHAN,JARAK KEHAMILAN <2THRUJUK RSIJ
63
V05-06-2026PUSTU RWS320015462TAHARAH RAFIKAWAHYUPRAMUKA SARI IIIPRAMUKA SARI III107RWSS1KARYAWATI0813883658790002329699206PUSKESMAS-19-09-199926G1P0A0-10-11-202517-08-202628 MGG3VVTAK70.71595522.9NORMAL110/8026CM31.5NORMALPOSITIF139BMTSUNGSANGT2+TIDAK30YAYABKTIDAKO11.6NEG97NEGNEGTIDAKYAYANEGTIDAKTIDAKMATA MINUS 3/3RUJUK RS YARSI10-08-2026SCRS YARSILAKI LAKI293047YAARKANENDRA KAMANDANU PURNOMO
64
65
V08-06-2026PUSTU RWS330015484DWI SYIFAFITRIANIADE RAFLIPN XBPN XB84RWSSMKIRT089539193675331710556120100030000043547894PUSKESMAS3171053012970003317105210524000916-12-200126G2P1A016-03-202623-12-202612MGG1VPUSING,BAPIL 4 HARI86,21517037,7OBESITAS90/6010CM36NORMALPOSITIF134BMBLM TRBT5TIDAK30OBIMINYAYABKTIDAKO13,7NEG92NEGNEGTIDAKYAYANEGTIDAKTIDAKOBESITAS
66
11-06-2026PUSTU RWS340003553MUTIARA R FEBRIYANIHARRY WIDIATNOPRAMUKA GG TAMIANGPRAMUKA GG TAMIANG24RWSS1KARYAWATI08577072065031710548029800020001647972437PUSKESMAS08-02-199828G3P2A04 TH 2 BL10-01-202617-10-202622MGG2VKEPUTIHAN ,GATAL,BAU+821578530.1OBESITAS100/6020CM33NORMALPOSITIF143BMTSUNGSANGT5TIDAK30YAYABMTIDAKO12NEG97NEGNEGTIDAKYAYANEGTIDAKTIDAKOBESITAS ,RIW SC
67
Lap. Juli
68
v24-06-2026PUSTU RWS350003407SITTA NUR FADILAHALI ASADILAHJL. SAYUTI II NO 21 4/6JL. SAYUTI II NO 21 4/646RWSD4KARYAWATI083893671009317105666970002
0001772465207
PUSKESMAS--26-06-199728G3P1A13TH 8 BL1-5-20258-2-20277 MGG 5 HR1VMUAL641616424,7NORMAL150/80BLM TRB27,5NORMALPOSITIF-BMBLM TRBT5TIDAK30OBIMINYAYABKTIDAK-13,4NEG98NEGNEGTIDAKYAYANEGTIDAKTIDAKPEB/RIWAYAT PEB
69
v24-06-2026PUSTU RWS360015577SABILA NUR RRAMA T JL. KOMPLEK AL JL. KOMPLEK AL 129RWS SMKIRT089516949278
3276066106050002
0000512683198
PUSKESMAS--21-06-200521G1P0A0-02-11-202509-08-202633 MGG 3 HR3VSAKIT PINGGANG51,31544621,5NORMAL100/702522,5
RESIKO KEK
POSITIF147BMTKEPT5TIDAK30YAYABMTIDAKA/+10,4NEG74NEGNEGTIDAKYAYANEGTIDAKTIDAKANEMIA,KEK
70
V25-06-2026PUSTU RWS370000658DIANTI INTAN PERTIWISUHERMANJL BACANG F2JL BACANG F217RWSSMAIRT08897531302031710561058600020001206439481PUSKESMAS3171052012810002317105160109645821-05-198640G6P5A03TH10BL29-04-202605-02-20278 MGG1VBATUK LAMA731487033,3OBESITAS140/90BLM TRB34NORMALPOSITIFBLM TRBT5TIDAK30OBIMINYAYABKTIDAKO11,8NEG100NEGNEGTIDAKYAYANEGTIDAKTIDAKOBES,MULTIPARA,RIW PEB
71
V01-07-2026PUSTU RWS380000520AULIA ZAMNIILHAM SUGANTARJATINEGARA KAUMJATINEGARA KAUM63LWSMAKARYAWATI089532483754231750243030200020002140336462PUSKESMAS03-03-200224G2P1A01 TH 8 BL06-05-202613-02-20279 MGG1VPUSING MUAL481504721,3NORMAL100/70BLM TRB24NORMALPOSITIF-BMBLM TRBT5TIDAK30OBIMINYAYABKYAA/+11,1NEG76NEGNEGTIDAKYAYANEGTIDAKTIDAKRIW VACUM,JARAK KEHAMILAN <2 TH
72
V01-07-2026PUSTU RWS390015601SITI MUTMAINAHAKHMAD SAMSULJL PN GGJJL PN GGJ79RWSM AIRT08319562889133271443049800010000617177902PUSKESMAS03-04-199828G1P0A0-26-04-202603-02-20279 MGG1VMUAL MUNTAH521485125,1NORMAL120/80UT MEMB25NORMALPOSITIF146BMTUT MEMT4TIDAK30OBIMINYAYABKTIDAKO12,6NEG130NEGNEGTIDAKYAYANEGTIDAKTIDAK-
73
V02-07-2026PUSTU RWS400015618MORIN NINDA SAPUTRIMUINUDINJL PRAMUKA JAYA SARIJL PRAMUKA JAYA SARI142RWSSMAIRT08313883696331720254099900050002331465208PUSKESMAS360120010796014814-09-199926G4P3A03 TH 4 BL17-03-202624/12/202615MGG2VKADANG PUSING.MUAL66,61556927NORMAL90/701232NORMALPOSITIF144BMTBALLT5TIDAK30YAYABMTIDAKO11,6NEG93NEGNEGTIDAKYAYANEGTIDAKTIDAKRIW INDUKSI ANAK KE 3
74
v10-07-2026PUSTU RWS410015683FITRIANI NUR AZIZAHWISNU NANDAJL PN GG hJL PN GG H81RWSS1PNS08586655915634710868029600030001189869129PUSKESMAS28-02-199630G2P1A06TH4BL30-05-202609-03-20275 MGG1VMUAL LEMAS451504419,6NORMAL104/68BLM TRB23RESIKO KEKPOSITIF---BLM TRBT2+TIDAK30OBIMINYAYABKTIDAKB11,5NEG75NEGNEGTIDAKYAYANEGTIDAKTIDAKKEK
75
V15-07-2026PUSTU RWS42'0015699TARI HEMATIT PUTRIARYANDIJL PRAMUKA SARI IJL PRAMUKA SARI 1118RWSS1PERAWAT08221011828636740760039100020001841153174PUSKESMAS317105061089000420-03-199135G3P2A04 TH 2 BL12-06-202619-03-20275 MGG1VMUAL57,31595722,5NORMAL110/70BLM TRB26NORMALPOSITIF--BLM TRBT5TIDAK30OBIMINYAYABKTIDAKA/+13,6NEG117NEGNEGTIDAKYAYANEGTIDAKTIDAKUSIA >35,RIW SC,RIW PLACENTA PREVIA
76
V15-07-2026PUSTU RWS430015698YULI PRIYANIM ALWI ABDUL AZISCILACAP JATENGPRAMUKA SARI I108RWSSMPIRT0818027511383302062207990005-22-07-199926G1P0A0-25-05-202604-03-20277MGG1VLEMAS52,91635120,7NORMAL100/70BLM TRB26NORMALPOSITIFBLM TRBT3TIDAK30OBIMINYAYABKTIDAKAB12,8NEG89NEGNEGTIDAKYAYANEGTIDAKTIDAK-
77
sihepiV21-07-2026PUSTU RWS440015734LUCIANA ANGELINAPETER PRAMUKA JAYA SARIPRAMUKA JAYA SARI22RWSS1KARYAWATI08231953453432710556019800050001630314575PUSKESMAS347112211190000316-01-199828G1P0A0-10-12-202517-09-202632MGG3VMUAL,MUNTAH78,51586831,2OBESITAS110/702931NORMALPOSITIF148BMTKEPALAT3TIDAK15YAYABKTIDAKA11,7NEG103NEGNEGTIDAKYAYANEGTIDAKTIDAKRIW OP TIROID
78
V23-07-2026PUSTU RWS450015752SIFA NURDIANIISLAHUDINJL PN NO 26JL PN NO 2631RWSSMAIBU RT08560394718932063555060000030000435741131PUSKESMAS320635550600000315-10-200026G2P1A02TH6 BULAN15-05-202622-02-20279MGG1VNAFSU MAKAN KURANG48,31455124,2NORMAL100/70UT MEMB27NORMALPOSITIF143TUT MEMBT5TIDAK30YAYABMTIDAKO11,8NEG105NEGNEGTIDAKYAYANEGTIDAKTIDAKRIW SC
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Lap. AgustusV30-07-2026PUSTU RWS460002451WINDA FRINJANIERIK HERLAMBANGJL KP JW RWSKP JW RWS99RWSD3IRT0897353959131710542059800030000372246592PUSKESMAS02-05-199828G2P1A004 TAHUN 0 BULAN18-06-202625-03-20266MGG1VMUAL,MUNTAH60,6145,56028,5NORMAL100/70BLM TRB29NORMALPOSITIF-BLM TRBT5TIDAKOBIMINYAYABKTIDAKO13,7NEG126NEGNEGTIDAKYAYANEGTIDAKTIDAKRIW SC 1X
80
V30-07-2026PUSTU RWS470015770CRISIE CRISTAYANTIADAMRWMGUN UTARARWMG UTARA81RWSSMAIRT08782579332031710542099100010001228035598PUSKESMAS02-09-202634G3P2A01TH 6 BL08-05-202615-02-202711MGG6HR1VTAK66,31576727,2NORMAL120/70BALL29NORMALPOSITIF153BMTBALLT5TIDAKOBIMINYAYABKYAO11,1NEG125NEGNEGTIDAKYAYANEGTIDAKTIDAKJARAK KEHAMILAN <2 TH
81
V03-08-2026PUSTU RWS480015793ANI SUTRIANIADE BAGAS SAPUTRACEMPAKA PUTIH TIMURPRAMUKA SARI I128RWSSMAIRT8577534042232780271108700040002057992806KLINIK CEMPAKA PUTIH31-10-198738G3P2A07TH10 BL19-05-202625-02-202711 MGG1VPUSING,MUAL,MUNTAH68,71606526,5NORMAL140/90BALL30NORMALPOSITIF144BALLT5TIDAK30OBIMINYAYABKTIDAKO10,2NEG92NEGNEGTIDAKYAYANEGTIDAKTIDAKSC2X,ANEMIA,HIPERTENSI
82
V07-08-2026PUSTU RWS490015817RIAHNA BR KEMBARENALOSIUS-APART GREEN PRAMUKA149RWSS3PENELITI08151011260014710663038900020000021016552PUSKESMAS23-03-198934G1P0A0-13-01-202620-10-202629MGG3 HR3VTAK56,61534318,4KURUS90/60OBLIQ24NORMALPOSITIF144TOBLIQT5TIDAK30YAYABM-A11,4NEG84NEGNEGTIDAKYAYANEGTIDAKTIDAKBAYI TABUNG ,MIOPIA
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V13-08-2026PUSTU RWS500015839DIBA FHANIA MUHARANIARIF NANDAAPART GREEN PRAMUKA APART GREEN PRAMUKA139RWSS1KARYAWATI08129464397731750344108600040001839476103KLINIK CEMPAKA PUTIH317507210983100104-10-198639G2P0A1-20-06-202627-03-20278 MGG1VPUSING113,416311342,5OBESITAS150/95BLM TRB44NORMALPOSITIF-TBLM TRBT3TIDAKOBIMINYAYABK-O12,5NEG143NRNEG210,51112TIDAKYAYANEGTIDAKTIDAKOBESITAS,USIA >35 TH,HIPERTENSIPERTAMINA JAYA
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V21-08-2026PUSTU RWS530002358LUSI ANGGRAWATIREZA FAUZIJL P.NEGARAJL P.NEGARA25RWSSMKKARYAWATI087876732811
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V21-08-2026PUSTU RWS550015869LYDIA HANDAYANIDESUANDROJL APART GPCAPART GPC149RWSS1KARYAWATI0811895010514710745019500210001621428039PUSKESMAS--05-01-199531G2P1A03 TH 8 BLN14-05-202621-02-202714 MGG?2TAK69,31617328,1NORMAL119/751829NORMALPOSITIF132BMTBALLT5TIDAK30YAYABKTIDAKO13,1NEG93NRNEGTIDAKYAYANEGTIDAKTIDAK
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V26-08-2026PUSTU RWS570002223DINI AISYAHM ARDIANASYAHJL PRAMUKA SARI VJL PRAMUKA SARI V64RWSSMAIRT08569492926431710554129700030000372199296PUSKESMAS14-12-199728G2P1A01TH6 BLN07-06-202614-03-202711MGG1VTAK73,31567129,1NORMAL142/865 CM31NORMALPOSITIF133TBALLT5TIDAKOBIMINYAYABKTIDAKB12,4NEG108NRNEGTIDAKYAYANEGTIDAKTIDAKRIW PEB,RIW SC 1X
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V31-08-2026PUSTU RWS5900076551ALDA AGUSTINAABDUL RAHMANKP JW RWSRASEL 42CPTSMADAGANG08828483841831750842080110020002284656661PUSKESMAS02-08-200125G2P1A03TH8BL25-07-202602-05-20275MGG1VMUAL591575823,5NORMAL114/773CM25,5NORMALPOSITIFBLM TRBT5TIDAKOBIMINYAYABKTIDAKA11,6NEG78NRNEGTIDAKYAYANEGTIDAKTIDAK-
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