P B U L A N:
TANGGAL NO PELAKSANAAN KEGIATAN
TEMPAT KEGIATAN
JENIS KEGIATAN
HASIL KEGIATAN
Kepala Puskesmas Sidamulya
PROGRAMER
Yati Fironike, SKM NIP.19700604 199103 2 008
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PARAF PETUGAS/ SASARAN YG DI KUNJUNGI
DAFTAR HADIR UPTD PUSKESMAS SIDAMULYA BULAN: NO 1
NAMA
JABATAN
ALAMAT
TANDA TANGAN 1
2 3
2 3
4 5
4 5
6 7
6 7
8 9
8 9
10 11
10 11
12 13
12 13
14 15
14 15
16 17
16 17
18 19
18 19
20 21
20 21
22 23
22 23
24 25
24 25
26 27
26 27
28 29 30
28 29 30
NO 31
NAMA
JABATAN
ALAMAT
TANDA TANGAN 31
32 33
32 33
34 35
34 35
36 37
36 37
38 39
38 39
40 41
40 41
42 43
42 43
44 45
44 45
46 47
46 47
48 49
48 49
50 51
50 51
52 53
52 53
54 55
54 55
56 57
56 57
58 59 60
58 59 60
No
Tanggal
RENCANA KERJA PETUGAS PUSKESMAS SIDAMULYA NAMA: BULAN: Uraian Petugas Lokasi
Keterangan
No
Nama Bumil
Alamat
GPA
Jenis Resti
HPHT
BPJS
1
Suneni- Rohman
Sidamulya
G2 P1 A0
Hb: 10,6 gr % T1
V
2
Musni- Wardani
G1 P0 A0
KEK Lila: 22 cm
V
3
Badriyah- Saidi
G4 P3 A0
Usia > 35 thn
4
Rosikoh- Juwaihir
G1 P0 A0
Primi Tua
5
Kanah- Zaeni
G2 P1 A0
Jrk Kehamilan < 2 th
6
Lia- Agus
G2 P0 A1
KEK Lila: 22 cm
7
Tariah- Heryanto
G3 P2 A0
Anemia Ringan
8
Eli- Kuswanto
G4 P3 A0
Anemia Ringan
9
Tikah- Casda
G1 P0 A0
Hb: 8,0 gr % T3
10
Tika- Isnen
11
Tri Utami- Warkim
G2 P1 A0
Anemia Ringan T1, Hb: 10gr %
12
Triyanah- Koyim
G2 P1 A0
Anemia Ringan T1, Hb: 10gr %
13
Yani- Aan
G3 P2 A0
Anemia Ringan T1, Hb: 9,6gr %
V
14
Umi Naisah- Mus
G1 P0 A0
CPD
V
V
Kehamilan < 2 th, G2 P1 A0 Jrk Anemia Ringan V
No
Nama Bumil
Alamat
GPA
Jenis Resti
HPHT
BPJS
1
Suneti- Kasdi
Buntet
G6 P4 A1
Hb: 10,2 gr %
20- 11- 13
V
2
St. Warnani- Ais
G1 P0 A0
Hb: 10, 4 gr %
02- 11- 13
V
3
Dasini- Agus
G3 P2 A0
Hb: 10, 8 gr %
15- 11- 13
V
4
Soleha- Aris
G1 P0 A0
Lila: 20 cm
27- 10- 12
V
5
Rus- Hendri
Hb: 10, 8 G2 P0 A1 Lila: 23grcm, %
06- 01- 14
V
6
Ekas- Nawawi
G2 P1 A0
Lila: 23 cm
29- 12- 13
7
Roimah- Usman
G2 P1 A0
Hb: 10,6 gr %
24- 12- 13
8
Utami- Asep
G2 P1 A0
Jrk Kehamilan < 2 th
25- 12- 13
V
9
Mariah- Sumamo
G2 P1 A0
Hb: 10,6 gr %
10- 01- 14
V
10
Puput- Saepudin
G1 P0 A0
Umur 19 th
20- 01- 2014
V
11
Sakiroh- Rasudi
G4 P2 A1
Hb: 10,4 gr %
26- 01- 2014
V
12
Masnuah- Wastam
G6 P5 A0
Hb: 10,2 gr %
08- 01- 14
13
Aryati- Amsor
G1 P0 A0
Umur 19 th
28- 01- 14
V
14
Ida Elisa- Rohmat
G2 P1 A0
umur 37 th
24- 01- 14
V
15
Ratnawati- kamsari
16
Hb: 10, 4 G1 P0 A0 Lila: 23grcm, %
15- 02- 14
Sri Mutoharoh- Heru
G2 P0 A1
Hb: 10,4 gr %
23- 02- 14
17
Ami- Kusdi
G1 P0 A0
Lila: 23, Hb: 10,2 gr %
31- 02- 14
18
Lilis- Aris
G1 P0 A0
Lila: 22, Hb: 10,2 gr %
28- 03- 14
19
Inayah- Ridwan
G2 P1 A0
Lila: 21, Hb: 10,2 gr %
23- 03- 14
20
Yayah Wati- Maman
G3 P2 A0
Hb: 10,4 gr %
15- 03- 14
21
Marhamah- Hendri
G2 P1 A0
Hb: 10,2 gr %
10- 04- 14
22
Kusriwati- Samudi
G3 P2 A0
Hb: 10,2 gr %
18- 03- 14
23
Undus- Feri Andi
G1 P0 A0
Lila: 22, Hb: 10,4 gr %
10- 04- 14
24
Istiqomah- Hartono
G1 P0 A0
Asma Bronchiate
23- 01- 14
25
Misari- Suyatna
G4 P3 A0
PEB
10- 11- 13
V
26
Amah- Cardi
G3 P2 A0
PEB
15- 12- 13
V
27
Asiyah- Lili
G2 P1 A0
PEB
28- 11- 13
V
V
V
No 1
Nama Bumil Salamah- Isa
Alamat Bunpes
GPA G2 P1 A0
2
Kulsum- Ilik
Bunpes
Jenis Resti Sungsang
HPHT 02- 11- 13
BPJS V
+ Umur G5 P4 A0 Grande>Multi 35 th
10- 10- 13
V
11- 10- 13
V
15- 11- 13
V
3
Hikmah- Abd. Basir
Bunpes
Plasenta letak rendah, anemia G6 P5 A0 sedang, grande multi, Varices Vagina
4
Eem- Najib
Bunpes
+ Umur G5 P3 A1 Grande>Multi 35 th
5
Etun- Yusif
Bunpes
G2 P1 A0
Riwayat SC 3 th yg lalu
28- 11- 13
V
6
Fatimah- Umar
Manis Patwa
G4 P2 A1
Umur > 35 th
30- 12- 13
V
7
Inun- Hanif
Bunpes
< 2 th, G4 P3 A0 Jrk Kehamilan Umur > 35 th
26- 12- 13
V
8
Hj. Muadah- Saefudin
Bunpes
G2 P1 A0
Umur > 35 th
27- 12- 13
-
9
Iif Laifah- Nopaldi
Bunpes
G2 P1 A0
Riwayat SC 3 th yg lalu
15- 02- 14
V
10 Tuti Alawiyah- Mustain
Bunpes
G2 P1 A0
KEK
19- 12- 13
-
11
Rodiah- Karim
Bunpes
G2 P1 A0
Menderita Peny. Berat ( Batu Empedu)
02- 12- 13
V
12
Suni- Jaenal
Manis Patwa
G2 P1 A0
KEK, Jrk kehamilan < 2 th
14- 03- 14
-
13
Salamah- Lamri
Bunpes
+ Umur G8 P5 A2 Grande>Multi 35 th
20- 01- 14
V
14
Erna- Wildan
Bunpes
G5 P4 A0
Grande Multi
16- 03- 14
V
15
Maryam- M. Saefudin
Bunpes
G5 P4 A0
Grande Multi, Umur > 35 th
23- 03- 14
-
16 17
Sari'ah- Asan samroh- Suriman
Manis Patwa Manis Patwa
G1 P0 A0 G2 P1 A0
KEK Umur > 35 th
04- 04- 14 30- 03- 14
V V
18
St. Khodijah- Ismail
Manis Patwa
G4 P2 A1
Umur > 35 th, Hipertensi esensial
31- 03- 14
V
No
Nama Bumil
Alamat
GPA
Jenis Resti
HPHT
BPJS
1
Witi- Agung
Munjul blok kliwon
G3 P0 A2
Riwayat Abortus 3x
15- 02- 14
V
2
Wasih- Nana
blok wage
Multi + Umur G6 P4 A1 Grande > 35 th, Riwayat PEB
19- 04- 14
3
Sumiati- Munajat
blok pahing
+ Umur G9 P8 A0 Grande>Multi 35 th
01- 01- 14
V
4
Soproh- Tarsim
blok manis
+ Umur G7 P5 A1 Grande>Multi 35 th
11- 10- 13
V
5
Heti- Muhammad
blok kliwon
G2 P0 A1
Anemia < 11,0 gr %
29- 01- 14
V
6
Dewi- Sulaeman
blok pahing
G1 P0 A0
Anemia < 11,0 gr %
07- 03- 14
7
Haryani- Ahmad
blok manis
G1 P0 A0
KEK
02- 02- 14
V
8
Murni- Sholeh
blok manis
+ Umur G6 P4 A1 Grande>Multi 35 th
04- 10- 14
V
9
Kartini- Durohman
blok manis
+ Umur G6 P5 A0 Grande>Multi 35 th
11- 02- 14
V
10
Umini- Ahmad
blok manis
G6 P5 A0
17- 01- 14
V
11
Maryah- A. Ahmad
blok pesantren
29- 11- 13
V
12
Entin- Suha
blok kliwon
G8 P6 A1
13
Sofiah- Rohman
blok pahing
+ Umur G5 P4 A0 Grande>Multi 35 th
Grande Multi
+ Umur G6 P5 A0 Grande>Multi 35 th Riwayat Kontraksi Prematur
21- 03- 14 01- 03- 14
V
RENCANA KERJA HARIAN NAMA : BULAN: TAHUN 2018 NO TANGGAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Kepala Puskesmas Sidamulya Yati Fironike, SKM
URAIAN KEGIATAN
SASARAN
WAKTU
PROGRAMER
LOKASI
KETERANGAN
NIP.19700604 199103 2 008
.....................................................
RENCANA KERJA HARIAN NAMA: BULAN: NO
TAHUN 2018 URAIAN KEGIATAN
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3
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TANGGAL 15 16 17 18
19 20
21
22 23 24
25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Kepala Puskesmas Sidamulya
Programer
26
27
28 29
Yati Fironike, SKM NIP.19700604 199103 2 008
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RJA HARIAN
TANGGAL 30 31