REGISTER PELAYANAN CATIN PUSKESMAS MEDAN DELI

Bulan : Januari 2019

No TGL Alamat NAMA CATIN UMUR TANGGAL PEMERIKSAAN YANG DILAKUKAN PADA CATIN
Kunjungan CATIN Pernikahan
Lk Pr Lk Pr Tekanan Darah Tinggi Badan Berat Badan Golongan Hb LiLa Wanita Protein
(mmHg) (Kg) Darah (cm)
( Cm) (gr%)
Lk Pr Lk Pr Lk Pr Lk PR Diperiksa

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 1/2/2019 LK.8 Kel.Mabar Maisyarah 24 2/8/2019 100/70 145 41 B 12 22 0
Calon Pasangan 0 0 0 0 0 0
2 1/2/2019 Lk.17 Kel.T.Mulia M.Walidun 25 1/9/2019 110/70 160 69 A 13 0
Calon Pasangan 0 0 0 0 0 0 0
3 1/2/2019 Lk.12 Mabar Novi 23 2/10/2019 100/70 150 49 O 12 22 0
Calon Pasangan 0 0 0 0 0 0
4 1/2/2019 Lk.16 Mabar Suwandi 29 2/12/2019 120/80 165 58 A 12.5 0
Calon Pasangan 0 0 0 0 0 0 0
5 1/2/2019 Jl.KL.YSD Km6,5 T.Mulia Dirham 24 2/1/2019 110/70 167 57 O 13 0
Calon Pasangan 0 0 0 0 0 0 0
6 1/3/2019 Lk.5 T.M.Hilir Dina amalia 22 2/3/2019 100/70 155 39 O 12 22 0
Calon Pasangan 0 0 0 0 0 0
1 1/3/2019 Lk.12 T.Mulia Atqia H. Lubis 27 2/9/2019 130/80 172 99 A 12 0
Calon Pasangan 0 0 0 0 0 0
8 1/3/2019 Lk.1 Kel.M.Hilir Miswan 38 1/19/2019 110/70 168 78 B 13 0
Lk.12 Kel.M.Hilir Popy M. Sari 26 100/60 157 48 B 11 22 0
9 1/3/2019 Lk.IV Kel.M.Hilir Sahrial 27 1/6/2019 130/70 172 72 O 13 0
Lk.V Kel.M.Hilir Kuta ila tari 14 110/70 152 54 O 12 23 0
10 1/4/2019 Lk.VI Kel.K.Bangun Rangga 19 1/14/2019 120/70 167 72 O 13 0
Calon Pasangan 0 0 0 0 0 0 0
11 1/4/2019 Lk.23 Kel.T.Mulia Ulan dari 21 2/9/2019 110/70 155 54 B 11.5 22 0
Lk.VI Kel.T.M.Hilir Ismail 34 100/70 160 49 O 12 0
12 1/4/2019 Lk.1 Kel.Kota Bangun Ulvani 25 2/10/2019 100/60 155 38 AB 12 21 0
Calon Pasangan 0 0 0 0 0 0
13 1/4/2019 Lk.15 Kel.T.M.Hilir Cindy 19 1/19/2019 110/70 154 39 AB 11.5 21 0
 Lk.11 Kel.T.M.Hilir M.Reza 21 110/70 161 52 AB 12.5 0
14 1/5/2019 Lk.23 Kel.T.Mulia Agus I. Nasution 45 2/10/2019 120/80 161 74 O 13 0
Calon Pasangan 0 0 0 0 0 0 0
15 1/5/2019 Lk.8 Kel.Mabar Boy sandy 30 2/8/2019 100/70 169 54 O 13 0
Lk.16 Kel.Titipapan Puput 19 110/70 165 54 B 12 22 0
16 1/7/2019 Lk.7 Kel.Mabar Hugeng 30 2/24/2019 110/70 175 114 O 12 0
Calon Pasangan 0 0 0 0 0 0 0
17 1/7/2019 Lk.II Kel. Mabar Rika 23 2/20/2019 110/70 153 79 O 12 25 0
Calon Pasangan 0 0 0 0 0 0
18 1/7/2019 Lk.18 Kel.T.Mulia Sugianto 22 2/2/2019 110/70 175 74 B 12.5 0
Calon Pasangan 0 0 0 0 0 0 0
19 1/7/2019 Lk.VI Kel.Mabar Evinda 22 1/26/2019 90/60 153 43 B 12 21 0
Calon Pasangan 0 0 0 0 0 0
20 1/7/2019 Lk.VIII Kel.T.Mulia Ayu cempaka 25 3/9/2019 90/60 154 47 A 12.5 22 0
Calon Pasangan 0 0 0 0 0 0
21 1/7/2019 Jl.Purwosari Wida 45 2/10/2019 90/60 142 50 B 12 23 0
Calon Pasangan 0 0 0 0 0 0
22 1/7/2019 Komplek Tasbi Taro enda H 32 1/19/2019 120/80 170 52 O 13 0
L.22 Kel. T.Mulia Sri utami 32 100/70 156 53 B 12 23 0
23 1/7/2019 Dusun Makmur Zulpadli 28 2/2/2019 100/60 165 53 B 12.5 0
Calon Pasangan 0 0 0 0 0 0 0
24 1/7/2019 Lk.II Kel. Mabar Dewi 31 2/9/2019 110/70 158 52 A 12.5 23 0
Calon Pasangan 0 0 0 0 0 0
25 1/7/2019 L.IV kel.T.M.Hilir Chacha 24 2/1/2019 100/70 165 50 A 12.5 0
Blok V Kel.Besar Novita 22 90/60 158 71 O 12 25 0
26 1/7/2019 Lk.V Kel.T.Mulia Juni Saputra 23 110/70 157 51 O 13 0
Calon Pasangan 1/12/2019 0 0 0 0 0 0 0
27 1/7/2019 Lk.IX Kel.Mabar Raju 24 3/2/2019 110/70 169 76 A 13 0
Calon Pasangan 0 0 0 0 0 0 0
CATIN TT

Protein Gula darah

Status TT
+ diperiksa >125 dl TT1 TT2 TT3 TT4 TT5 Injeksi
(+) TT
20 21 22 23 24 25 26 27 28
0 0 0v v v v v 0
0 0 0
0 0 0
0 0 0
0 0 0v v v v v 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0v v v v v 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0v v v v v 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0v v v v 0
0 0 0 0
0 0 0 0v v v v 0
0 0 0 0
0 0 0 0v v v v 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0v v v v 0
0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0v v v v 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0v v v v 0
0 0 0 0
0 0 0 0v v v v 0
0 0 0 0
0 0 0 0 0 0 0 0v
0 0 0 0
0 0 0 0
0 0 0 0v v v v 0
0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0v
0 0 0 0
0 0 0 0
0 0 0 0v v v v 0
0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0
 REGISTER PELAYANAN CATIN PUSKESMAS MEDAN DELI
Bulan : Februari 2019
No TGL Alamat NAMA CATIN UMUR CATIN TANGGAL PEMERIKSAAN YANG DILAKUKAN PADA
Kunjungan Pernikahan
Lk Pr Lk Pr Tekanan Darah (mmHg) Tinggi Badan Berat Badan (Kg) Golongan Darah
( Cm)
Lk Pr Lk Pr Lk Pr Lk
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 2/1/2019 Lk.XV Mabar Hanna Pratiwi 22 2/8/2019 100/70 146 46
Medan Labuhan Arif Fadillah 21 2/8/2019 0 0 0 0
2 2/1/2019 Kayu Putih Agus Suhendra 28 3/10/2019 0 0 0 0
Lk.II Mabar Adelia Putri 28 3/10/2019 110/70 158 60
3 2/1/2019 Lk. VI Mabar Fadillah 22 3/2/2019
Calon Pasangan 3/2/2019 0 0 0 0
4 2/1/2019 Lk.VI T.M.Hilir Hadi wibowo 21 2/12/2019 100/60 167 56 O
Medan Selayang Tifani anggreini 24 2/12/2019 0 0 0
5 2/1/2019 Lk.15 Mabar Masna Wiyah 36 2/20/2019 80/60 165 50
Makassar Safaruddin 21 2/20/2019 0 0 0 0
6 2/1/2019 Lk.27 T.Mulia M.Imam Fauzi 24 3/3/2019 140/90 165 79 A
Pasar 3 M.Hilir Lestari 22 3/3/2019 0 0 0
1 2/1/2019 Lk.VI T.Mulia Suci Ramahdani 21 2/1/2019 100/70 152 52
Pasar 2 Marelan M.Afrizal 25 2/1/2019 0 0 0 0
8 2/1/2019 Lk.13 T.M.Hilir Lona Ari Muthia 29 2/15/2019 100/60 154 54
Binjai Timur Radius Prawiro 33 2/15/2019 0 0 0 0
9 2/1/2019 Percut Sei Tuan Pridho Wibowo 22 2/28/2019 110/60 165 62 B
Lk.12 T.Mulia Titin Wahyuni 20 2/28/2019 100/70 150 48
10 2/1/2019 Lk.4 T.Mulia Rukkayyah. P 25 3/10/2019 110/70 155 56
Calon Pasangan Adam M.S 25 3/10/2019 0 0 0 0
11 2/1/2019 Lk.26 T.Mulia Nurul Hamdiyah 31 3/10/2019 120/80 152 52
Banda Aceh Herijal 35 3/10/2019 0 0 0 0
12 2/1/2019 Lk.10 M.Hilir Syaputra 27 2/27/2019 110/70 160 56 A
Jl.Metal T.Mulia Evi Junianti 22 2/27/2019 0 0 0
13 2/1/2019 Lk.21 T.M.Hilir Malvina 19 2/10/2019 100/60 152 50
 Pasar 4 M.Hilir Surya Pratama 21 2/10/2019 0 0 0 0
14 2/1/2019 Lk.VIII T.Mulia Safri Gunawan 34 2/3/2019 110/70 162 58 B
T.Balai Gustiana .H 28 2/3/2019 0 0 0
15 2/1/2019 Lk.16 T.m.Hilir Natalia C.J.S 25 3/2/2019 120/70 163 57
Sunggal Angga 24 3/2/2019 0 0 0 0
16 2/1/2019 Lk.10 T.M.Hilir Gumilang Wibowo 28 2/17/2019 120/80 174 75 O
Tembung Ainun Mardiah 24 2/17/2019 0 0 0
17 2/1/2019 Lk.12 Mabar Putri Mayasari 24 2/16/2019 130/90 148 47
Calon Pasangan 2/16/2019 0 0 0 0
18 2/1/2019 Lk.27 T.Mulia Dewi Amalia 21 3/2/2019 110/70 151 42
Calon Pasangan 3/2/2019 0 0 0 0
19 2/1/2019 Lk.21 T.M.Hilir Rahmat Syaputra 25 3/31/2019 100/70 160 54 O
Mabar Novi Yanti 22 3/31/2019 0 0 0
20 2/1/2019 Lk.16 Mabar Warni 37 3/1/2019 120/70 152 52
Marelan Supriadi 38 3/1/2019 0 0 0 0
21 2/1/2019 Lk.4 T.Mulia Hilir Tri Hartono 22 3/1/2019 120/70 162 56 B
Calon Pasangan 3/1/2019 0 0 0
22 2/1/2019 Lk.9 M.Hilir Riska Indriyani 21 3/1/2019 110/70 155 54
Calon Pasangan 3/1/2019
23 2/1/2019 Lk.26 T.Mulia Silvia Rani 20 2/17/2019 110/70 158 56
M.Amplas Fahrurozi S 21 2/17/2019
24 2/1/2019 Lk.21 T.Mulia Susanti 37 2/15/2019 110/70 151 53
Belawan Dedek Satria 2/15/2019 0 0 0 0
25 2/1/2019 Lk.13 T.M.Hilir Soufy Rian Mufty 24 3/1/2019 120/70 162 62 A
Calon Pasangan 3/1/2019 0 0 0
26 2/1/2019 Lk.13 T.M.Hilir Dinda Ariska 21 1-Mar 110/70 155 48
Calon Pasangan 3/1/2019 0 0 0 0
27 2/1/2019 Lk.12 Mabar Rahmad Syaputra 27 2/24/2019 120/70 160 54 A
Jl.Karya Sukadame Yuni Effida 24 2/24/2019 0 0 0
28 2/1/2019 Lk.14 T.Mulia Robby Teguh F 28 3/23/2019 110/70 155 58 O
Calon Pasangan Putri Pratiwi 3/23/2019 0 0 0
29 2/1/2019 Lk.7 Mabar Ramahdani Safitri 25 3/16/2019 110/70 160 54
Singapura Alan RajaRatnam 54 3/16/2019 0 0 0 0
30 2/1/2019 LK.9 T.Mulia Naiman Karim 26 3/3/2019 110/70 164 62 A
Calon Pasangan 3/3/2019 0 0 0
31 2/1/2019 Lk.22 T.Mulia Heni Astuti 38 1/27/2019 110/70 155 56
Malaysia Zalani 55 1/27/2019 0 0 0 0
32 2/1/2019 Lk.6 Mabar Boy Andri kaban 30 3/9/2019 120/80 160 66 O
Tembung Deliana Sari L 24 3/9/2019 0 0 0
33 2/1/2019 Lk.10 M.Hilir Taufik Hidayat 24 2/1/2019 110/70 155 56 O
T.M.Hilir Nabila 20 2/1/2019 0 0 0
34 2/1/2019 Lk.10 Mabar Ridho Alfani 23 2/10/2019 110/70 160 54 B
Mabar Silvina Zahra 20 2/10/2019 0 0 0
35 2/1/2019 Lk.7 Mabar Yusfi Arfah 21 4/7/2019 110/80 154 52
Hamparan Perak T.M.Hidayat 23 4/7/2019 0 0 0 0
36 2/1/2019 Jl.Gurami Titipapan Hera Jumiati 30 2/23/2019 110/70 157 72
Kisaran Edi Gunawan 32 2/23/2019 0 0 0 0
37 2/1/2019 Lk.16 Mabar Ayu Wandara 27 3/1/2019 110/70 155 50
T.Morawa M.Fadli 27 3/1/2019 0 0 0 0
38 2/1/2019 LK.9 T.Mulia Candra halim 29 3/9/2019 120/70 167 74 A
Simpang Kantor Nurul 24 3/9/2019 0 0 0
39 2/1/2019 LK.9 T.Mulia Hilir Ardi Ramadhan 26 3/17/2019 100/70 165 56 B
Calon Pasangan Ayu Cristina 26 3/17/2019 0 0 0
40 2/1/2019 Lk.19 T.M.Hilir Rahmadi 23 2/10/2019 110/70 163 58 AB
Calon Pasangan 2/10/2019 0 0 0
41 2/1/2019 Lk.5 Mabar Silvina Zahra 19 2/9/2019 100/70 158 58
Calon Pasangan 2/9/2019 0 0 0 0
42 2/1/2019 Lk.12 Mabar Thita Rizki 22 2/20/2019 110/80 155 50
Jl.Setia Luhur M.Iqbal Al Zarezi 24 2/20/2019 0 0 0 0
43 2/1/2019 Lk.20 T.M.Hilir Sri Lestari 21 1/26/2019 120/80 150 56
Jl.Sisingamaraja Ilham Nurgaha 30 1/26/2019 0 0 0 0
44 2/1/2019 LK.5 T.M.Hilir Rahmadsyah P 40 3/1/2019 130/90 167 103 O
Calon Pasangan 3/1/2019 0 0 0
45 2/1/2019 Lk.12 T.Mulia Sopian 28 3/1/2019 110/70 165 53 O
Calon Pasangan 3/1/2019 0 0 0
46 2/1/2019 Lk.14 T.Mulia Hilir Sri Ramahdani 20 2/9/2019 110/70 164 72
 Jl.Kapten Muslim 27 2/9/2019 0 0 0 0
47 2/1/2019 Lk.IV M.Hilir Agus Pratama 24 1/25/2019 100/70 165 53 A
Calon Pasangan 1/25/2019 0 0 0
48 2/1/2019 Lk.9 T.M.Hilir Hari Setiawan 26 2/8/2019 120/70 158 55 B
Psr.II Marelan Esti Juliani 21 2/8/2019 0 0 0
49 2/1/2019 Lk.8 T.M.Hilir Nabila 20 2/16/2019 110/80 154 54
Psr.III Mabar Zulfikar T.H 24 2/16/2019 0 0 0 0
50 2/1/2019 Lk.7 T.M.Hilir AndiJaya Kesuma 39 3/1/2019 120/80 168 65 O
Calon Pasangan 3/1/2019 0 0 0
51 2/1/2019 Lk.3 T.Mulia Lismayani Hasibuan 34 3/1/2019 120/70 150 47
Calon Pasangan 3/1/2019 0 0 0 0
52 2/1/2019 Lk.26 T.Mulia Alia Fahlisa 28 2/16/2019 110/70 154 78
Calon Pasangan 2/16/2019 0 0 0 0
53 2/1/2019 Lk.6 Mabar Hanna Agustina 35 2/7/2019 110/70 162 54
Calon Pasangan 2/7/2019 0 0 0 0
54 2/1/2019 Lk.2 Kota Bangun Lala Azizah 18 2/16/2019 100/80 156 52
Calon Pasangan 2/16/2019 0 0 0 0
55 2/1/2019 Lk.5 Kota bangun Rabiatun sakdiah 23 3/16/2019 100/70 147 64
Calon Pasangan 3/16/2019 0 0 0 0
56 2/1/2019 Lk.5 Kota bangun Nurul Umi 21 2/9/2019 110/70 166 71
Calon Pasangan 2/9/2019 0 0 0 0
57 2/1/2019 Lk.24 T.Mulia Dwi Retnowati 28 2/14/2019 120/80 158 80
Rantau Parapat M.Yakup Harepa 28 2/14/2019 0 0 0 0
58 2/1/2019 Lk.III T.M.Hilir Novita 26 2/15/2019 100/70 141 38
Calon Pasangan M.Fajar 25 2/15/2019 0 0 0 0
59 2/1/2019 Lk.6 Kota Bangun Tri Chandra P 18 2/16/2019 110/70 174 63 O
Calon Pasangan Anggita J 2/16/2019 0 0 0
60 2/1/2019 Lk.10 Mabar Very Darmawan 35 2/14/2019 120/70 162 72 A
Calon Pasangan 2/14/2019 0 0 0
61 2/1/2019 Lk.24 T.Mulia Rika Isma Yunita 23 3/3/2019 110/70 155 56
Calon Pasangan 3/3/2019 0 0 0 0
62 2/1/2019 Lk.22 T.Mulia Hendra Eka Saputra 29 3/6/2019 110/70 164 56 O
Rantau Parapat Siti Nurhayati 24 3/6/2019 0 0 0
63 2/2/2019 Lk.18 T.M.Hilir Yetti Pranaza 28 2/4/2019 110/70 154 50
Padang Alexander 24 2/4/2019 0 0 0 0
64 2/4/2019 Lk.11 T.M.Hilir Rita Dara 27 2/22/2019 120/80 152 48
Calon Pasangan Candra antonius 2/22/2019 0 0 0 0
65 2/4/2019 Lk.3 T.Mulia Hary Ismayanto 28 3/30/2019 100/60 168 85 B
Calon Pasangan Amanda rheza S 3/30/2019 0 0 0
66 2/4/2019 Lk.20 T.Mulia Ayu Agustina 26 3/17/2019 100/60 154 60
Calon Pasangan Andi Ramadhan 3/17/2019 0 0 0 0
67 2/4/2019 Lk.23 T.Mulia M.Addi M 27 2/10/2019 110/70 163 60 O
Jl.Pelajar Fitri Aini 27 2/10/2019 0 0 0
68 2/6/2019 Lk.23 T.Mulia Fredi Suhandoko 26 3/1/2019 120/80 158 52 B
Psr II Marelan Siti Nurdiana 22 3/1/2019 0 0 0
69 2/6/2019 Lk.6 T.M.Hilir Al Azis Ramhddin 29 3/18/2019 110/70 168 65 B
Karya Siti Ismaniah 25 3/18/2019 0 0 0
70 2/6/2019 Lk.1 T.Mulia Alfan 44 3/3/2019 130/80 163 62 A
Aek Kanopan Dian hasri S 32 3/3/2019 0 0 0
71 2/6/2019 Lk.21 T.M.Hilir Supriadi 34 3/24/2019 120/80 158 52 AB
Calon Pasangan Asnita Sani 27 3/24/2019 0 0 0
72 2/6/2019 Lk.21 T.M.Hilir Jamiah 60 2/8/2019 120/80 148 56
Calon Pasangan Sumanto 65 2/8/2019 0 0 0 0
73 2/6/2019 Lk.26 T.Mulia Andry Rinaldi 25 3/17/2019 110/80 160 55 O
Calon Pasangan Susi Astuti 25 3/17/2019 0 0 0
74 2/6/2019 Lk.16 Mabar Mulianingsih 19 2/24/2019 120/80 154 64
Calon Pasangan Adi saputra 2/24/2019 0 0 0 0
74 2/7/2019 Lk.5 Kota bangun Lia Waldani 23 3/7/2019 110/70 156 50
Lk.8 Marelan Darmansyah 30 3/7/2019 0 0 0 0
75 2/7/2019 Lk.9 T.Mulia Chairunisa 19 2/21/2019 100/70 150 48
Calon Pasangan Reza H 25 2/21/2019 0 0 0 0
76 2/7/2019 Lk.15 Mabar Bugi Lestari 27 3/22/2019 110/60 155 73
Jl.Rawe Martubung Suyatno 31 3/22/2019 0 0 0 0
77 2/7/2019 Lk.17 T.Mulia Vivi villa sari 25 3/9/2019 110/70 153 66
Calon Pasangan Fatur Rahim 29 3/9/2019 0 0 0 0
78 2/7/2019 Lk.24 T.Mulia Lili aulya 21 3/2/2019 110/70 163 52
 Jl.Karya M.Haji Fahsetia 23 3/2/2019
79 2/7/2019 Lk.14 Mabar Bagus Mulyana 24 3/7/2019 110/70 178 55 A
Calon Pasangan Khairunisa safira 3/7/2019 100/60 159 50
80 2/7/2019 Lk.11 Mabar Meidi E.Tarigan 25 3/1/2019 120/80 173 90 B
Jl.Kayu Putih Erika Irna G 25 3/1/2019 0 0 0
81 2/7/2019 Lk.6 T.Mulia Khairul Azmi 30 4/18/2019 110/70 164 54 O
Martubung Yuni Lubis 36 4/18/2019 0 0 0
82 2/7/2019 Lk.11 T.M.Hilir Latifah Hanum 29 3/2/2019 110/70 150 56
Calon Pasangan Gunawan S 3/2/2019 0 0 0 0
83 2/8/2019 Lk.2 M.Hilir Desi Putri 23 4/5/2019 100/60 155 44
Psr.9 Tembung Khairil Irawan R 26 4/5/2019 0 0 0 0
84 2/8/2019 Lk.11 T.M.Hilir Andry 24 3/24/2019 120/80 165 56 B
Jl.Gaperta Maulida sari 22 3/24/2019 0 0 0
85 2/8/2019 Lk.15 T.Mulia Laila Zariah 22 3/23/2019 90/70 154 52
labuhan Deli Steven 30 3/23/2019 0 0 0 0
86 2/8/2019 Lk.11 T.M.Hilir Yugo Hariwibowo 29 3/24/2019 110/60 166 70 B
Laut Dendang Lydia Syafitri 20 3/2/2019 0 0 0
87 2/8/2019 Jl.Kawat 7 T.M.Hilir Ahmad Marzuki B 26 3/9/2019 100/70 160 54 O
Calon Pasangan Evi Kusuma Harmia 26 3/9/2019 0 0 0
88 2/9/2019 Lk.20 T.M.Hilir Septia Pratiwi 22 3/8/2019 120/80 149 53
Lubuk Pakam Indasyah putra G 25 3/8/2019 0 0 0 0
2/9/2019 Lk.8 Mabar Putri Choirunisa 23 3/23/2019 100/60 149 49
Jl.Rahmatsyah Amaliun M.Husaini 27 3/23/2019
90 2/9/2019 Gg.Madio T.Mulia Fitrtya Arifin 24 4/21/2019 110/60 154 54
Cianjur Jawa Barat M.Jibriyan 26 4/21/2019 0 0 0 0
91 2/9/2019 Lk.2 Kota Bangun Diana 33 3/2/2019 120/80 150 45
Cemara Asri Billy Putra ansari 24 3/2/2019 0 0 0 0
92 2/11/2019 Lk.14 T.Mulia Ihsan Ramadhan P 26 3/17/2019 110/60 165 72 O
Glugur Arnisa 22 3/17/2019 0 0 0
93 2/11/2019 Lk.21 T.M.Hilir Senja Feby Lestari 20 3/22/2019 100/60 150 44
Sialang Buah Ali 24 3/22/2019 0 0 0 0
94 2/11/2019 Jl.Sidomulyo T.Mulia Tri Utari 24 3/4/2019 110/70 162 78
Jl.Pancing Wan Pratama D 29 3/4/2019 0 0 0 0
95 2/11/2019 Jl.Alumunium T.Mulia Nona Diana P 21 3/2/2019 100/60 162 64
Tembung Sucipto 23 3/2/2019 0 0 0 0
MAS MEDAN DELI

AAN YANG DILAKUKAN PADA CATIN TT

Golongan Darah Hb LiLa Wanita Protein Gula darah

(cm)
(gr%) Status TT
PR Diperiksa + diperiksa >125 dl (+) TT1 TT2 TT3 TT4 TT5 Injeksi TT
16 17 18 19 20 21 22 23 24 25 26 27 28
B 12 21 0 0 0 0 v v v v v
0 0 0 0 0
0 0 0 0 0
O 12.5 22 0 0 0 0 v v v v v
0 0 0 0 v v v v v
0 0 0 0 0 0
13 0 0 0 0
0 0 0 0 0 0 0 v v v v v
O 21 0 0 0 0 v v v v v
0 0 0 0 0
12.8 0 0 0 0
0 0 0 0 0 0 0 v v v v v
O 11.5 21 0 0 0 0 v v v v v
0 0 0 0 0
O 12 23 0 0 0 0 v v v v v
0 0 0 0 0
12 0 0 0 0
B 10.8 21 0 0 0 0 v v v v v
B 12 23 0 0 0 0 v v v v v
0 0 0 0 0
A 12.5 23 0 0 0 0 v v v v v
0 0 0 0 0
12.5 0 0 0 0
0 0 0 0 0 0 0 v v v v v
AB 13 23 0 0 0 0 v v v v v
 0 0 0 0 0
13 0 0 0 0
0 0 0 0 0 0 0 v v v v v
B 10.8 22 0 0 0 0 v v v v v
0 0 0 0 0
13.5 0 0 0 0
0 0 0 0 0 0 0 v v v v v
O 12.5 21 0 0 0 0 v v v v v
0 0 0 0 0
O 12.5 22 0 0 0 0 v v v v v
0 0 0 0 0 v v v v v
12.8 0 0 0 0
0 0 0 0 0 0 0 v v v v v
O 11.2 22 0 0 0 0 v v v v v
0 0 0 0 0
12.2 0 0 0 0
0 0 0 0 0 0 0 v v v v v
O 11.2 23 0 0 0 0 v v v v v
0 0 0 0 v v v v v
AB 11.8 23 0 0 0 0 v v v v v
0 0 0 0
AB 12.5 24 0 0 0 0 v v v v v
0 0 0 0 0
13 0 0 0 0
0 0 0 0 0 0 0 v v v v v
O 12 23 0 0 0 0 v v v v v
0 0 0 0 0 v v v v v
13 0 0 0 0
0 0 0 0 0 0 0 v v v v v
13 0 0 0 0 v v v v v
0 0 0 0 0 0 0 v v v v v
B 10.8 23 0 0 0 0 v v v v v
0 0 0 0 0
 12.8 0 0 0 0
0 0 0 0 0 0 0 v v v v v
O 11.2 24 0 0 0 0 v v v v v
0 0 0 0 0
12.8 0 0 0 0
0 0 0 0 0 0 0 v v v v v
13.8 0 0 0 0
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 PMTCT Malaria TB IMS Deteksi Faktor

Diberikan Obat

Diberikan Obat

Diberikan Obat
Kesehatan Jiwa
Lab Lab Lab Hasil Pemeriksaan Resiko

Profilaksi

Kelambu
Berinsek

Thalasemia

Hemofilia
Diagnosis
Malaria +
Diperiksa

Diperiksa

tisida

Rujukan
Skrining
ARV
VCT

Diperi
Sputu
ogis +

BTA +
Serol

Hasil
s

Lab.
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m
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v v (-) 0 0 0 0 0 0 0 v (-) v 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
v v (-) 0 0 0 0 0 0 0 v (-) 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
v 0 (-) 0 0 0 0 0 0 0 v (-) 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
v v (-) 0 0 0 0 0 0 0 v (-) v 0 0 0 0 0
Konseling KIE Kespro
Catin Informasi Keteranga
Tentang
Buku KIA n

Tidak
Ya

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