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Format Ibu Hamil 2020

This document contains a list of 14 pregnant women with their basic information including name, age, address, education level, expected due dates, and medical checkup details. It includes tables with information like blood pressure, weight, fetal heart rate, and lab test results from checkups. The document seems to be a monthly report format to track the progress of pregnant women in a community.

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Lin Lin Shoffwatun Nida
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36 views4 pages

Format Ibu Hamil 2020

This document contains a list of 14 pregnant women with their basic information including name, age, address, education level, expected due dates, and medical checkup details. It includes tables with information like blood pressure, weight, fetal heart rate, and lab test results from checkups. The document seems to be a monthly report format to track the progress of pregnant women in a community.

Uploaded by

Lin Lin Shoffwatun Nida
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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NAMA

PENDID
NO UMUR ALAMAT HPHT HTP
IKAN
ISTRI SUAMI PK
1 Herlina Muhlis eni.k 27 th keleke S1 22/8/2019 29/5/2020
2 Srisusanti Dafrin eni.k 34 th keleke SMA ?/8/2019 ?/ 5/2020
3 Sandra Yunita Arie Kurniawan eni.k 24 th keleke D3 ?/8/2019 ?/ 5/2020
4 Yulce malota Fredi Makaredes eni.k 36 th keleke SMA 15/8/2019 22/5/2020
5 Rosna Saka eni.k 30 th keleke SMP 5/9/2019 12/6/2020
6 Deby Sintia Delmi eni.k 27 th keleke S1 26/6/2019 3/4/2020
7 Samsidar Sudin eni.k 35 th keleke SD 15/8/2019 22/5/2020
8 Susanti Muh adrianto eni.k 28 th keleke SMA 4/7/2019 11/4/2020
9 Anisa Reska eni.k 20 th keleke SMA 11/10/2019 18/7/2020
10 Nikita Somba Dedi Dores eni.k 22 th keleke SMA 23/7/2019 30/4/2020
11 Siti Aminah Anwar Marsonji eni.k 22 th keleke SMA 19/11/2019 26/8/2020
12 Sriyunita Z Harianto Male eni.k 21 th keleke SMA 17/12/2019 24/9/2020
13 Yuri Dalimo Maksweber eni.k 26 th keleke SMA 26/9/2019 3/7/2020
14 Lestari Putri Panji eni.k 27 th keleke SMA 13/12/2019 20/9/2020
FORMAT LAPORAN BULANAN IBU HAMIL 2020
KUNJUNGAN JARAK PEMERIKSAAN LA
UK KEHAMIL TD GPA TB BB LILA
K1 K4 AN HB GOLDA
7/7/2019 2,6 th 110/80 G2P1A0 148 54 kg 24 cm 12,6 gr% O
2/10/2019 5,9 th 90/80 G4P2A1 158 47 kg 24 cm
15/10/2019 1,10 th 90/80 G2P1A0 153 42 kg 23,5 cm 11,8 gr%
17/10/2019 8 th 130/80 G2P1A0 150 57 kg 28 cm A
6/12/2019 7 th 90/70 G4P3A0 148 55 kg 24 cm
21/8/2019 110/80 G1P0A0 147 62 kg 28 cm 12,8 gr%
2/11/2019 7 th 90/80 G5P4A0 151 49 kg 28 cm 11,3 gr%
11/10/2019 6,9 th 110/80 G2P1A0 154 85 kg 38 cm 12,6gr%
2/12/2019 90/70 G1 P0 a0 146 62 kg 24 cm 11,5 gr%
22/10/2019 4,5 th 110/80 G2P1A0 150 76 kg 28 cm 12,6 gr%
2/1/2020 3,5 th 90/70 G2P1A0 155 81 kg 32 cm
18/1/2010 1,6 th 90/70 G2P1A0 148 55 kg 24 cm 12,8 gr%
2/11/2019 110/80 G2P1A0 152 47 kg 24 cm
10/2/2019 4 th 110/80 G3P2A0 143 55 kg 24 cm 12,8 gr%
PEMERIKSAAN LABORATORIUM RIWAYAT No KK
KEHAMILAN RESTI ASURANSI
HIV/AIDS HEPATITIS B MALARIA TB PROTEIN URINE LALU
normal normal 0002089826504
normal normal 0001566619828
normal normal 000229372688
bayi besar Resti 0002254253939
normal normal
normal normal BPJS Mandiri
normal Resti
normal normal
normal
normal normal 0000136416521
normal normal
normal normal 0001566819641
normal normal 0000943605775
normal normal 00022906368468
NIK

7201046608920001

5371055708880001
,720104491292004

7201046101920004
7172014209990002
7207065511970001

7201045010980000
7326182803930001
7201046307930002

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