| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | AA | AB | AC | AD | AE | AF | AG | AH | AI | AJ | AK | AL | AM | AN | AO | AP | AQ | AR | AS | AT | AU | AV | AW | AX | AY | AZ | BA | BB | BC | BD | BE | BF | BG | BH | BI | BJ | BK | BL | BM | BN | BO | BP | BQ | BR | BS | BT | BU | BV | BW | BX | BY | BZ | CA | CB | CC | CD | CE | CF | CG | CH | CI | CJ | CK | CL | CM | CN | CO | CP | CQ | CR | CS | CT | CU | CV | ||||||
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1 | K1 | K2 | K3 | K4 | K5 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2 | ( 0-12 minggu ) | (> 12 minggu -24 minggu ) | (> 24 minggu -40 minggu) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
3 | Jumlah pasien K1 2024 | TANGGAL KUNJUNGAN PERTAMA | PKC CEMPUT | NO KOHORT | NO RM | NAMA IBU | NAMA SUAMI | ALAMAT KTP | ALAMAT DOMISILI | RT | RW | WILAYAH DOMISILI | NO HP | NIK | NO BPJS | TANGGAL LAHIR | UMUR | GRAVIDA | HPHT | TP | USIA KEHAMILAN | TRIMESTER KE | K1 MURNI | K1 AKSES | K4 | K6 | ANAMNESIS | BB SAAT INI (KG) | TINGGI BADAN (M) | BB SEBELUM HAMIL (KG) | IMT sebelum hamil | Kategori IMT | TD (MMHG) | TFU (CM) | LILA (CM) | STATUS GIZI (M/N) | REFLEK PATELA (+/-) | DJJ (X/MNT) | KEPALA THDP PAP (M/BM) | TBJ (GR) | JUMLAH JANIN (T/G) | PRESENTASI | STATUS TD | INJEKSI TT | FE (TAB/BOTOL) | KONSELING KIA | KONSELING KB | STATUS VAKSIN COVID | KELAS IBU ( Kasih tanda K1-K6) | MENDAPATKAN BUKU KIA (BK/BS) | JARAK KEHAMILAN KURANG 2 TAHUN | GOLDAR | HB (GR/DL) | PROTEIN URINE (+/-) | GULA DARAH SEWAKTU | GDP | GD2PP | SIFILIS (+/-) | HBSAG (+/-) | ASAM URAT | UREUM | KREATININ | SGOT | SGPT | IBU HAMIL DATANG DENGAN HIV (+) | IBU HAMIL DITAWARKAN TES | IBU HAMIL DITES HIV | HASIL TES HIV (+/-) | KOMPLIKASI KEHAMILAN | RUJUK RS | Hasil Pemeriksaan Kehamilan | Pemeriksaan USG | Pre Eklampsia | TBC | Anemia | Jiwa | Thalasemia | HIV | Hepatitis B | Sifilis | Gigi& Mulut | Hasil Pemeriksaan Kehamilan | Pre Eklampsia | TBC | Periksa Kehamilan | Pre Eklampsia | TBC | Hasil Pemeriksaan Kehamilan | Pre Eklampsia | TBC | Periksa Kehamilan | USG | Pre Eklampsia | TBC | Anemia | ||||||||||
4 | 1 | 23/5/2023 | PKC CEMPUT | 369 | 0053104 | YENI | AYUB BAROMALA | JL CPB RT 8 RW 1 NO 16 | JL CPB RT 8 RW 1 NO 16 | 8 | 1 | CPB | 088210397539 | 3171054309900002 | 0000372894895 - Kec. Cempaka Putih | 3-9-1990 | 35 | G5P4A0 | 15-01-2023 | 22/10/2024 | 18MG 2HR | 2 | K1 | TAK | 57.6 | 1.50 | 25.77 | 30.00 | 100/70 | 1JBP | 28 | N | POS | 140 | T | BALT | T5 | 30 | YA | GA DI BAWA | GA DIBAWA | LUPA | K1 | BK | O | 11,9 | NEG | 84 | NEG | NEG | NEG | YA | YA | NEG | RESTI USIA , GRANDE MULTI | Sudah | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | Disangkal | | | | | | | | |||||||||||||||||||||||||||||
5 | 2 | 14/6/2023 | PKC CEMPUT | 435 | 0119500 | ULVA NURUL FITRIA | YUSUF ISKANDAR | KEPOSONG RT 04 / 003 , TAMANSARI | JL. CEMPAKA WARNA RT 05 / 04 NOMOR 30 , CPT | 5 | 4 | CPT | 085717043720 | 3403026110990002 | 0000653481494 - Nglipar II | GUNUNGKIDUL , 21/10/1999 | 23 | G1P0A0 | 10-05-2023 | 14/02/2024 | 5 MGG 1 HR | 1 | JUNI | MUAL, MUNTAH, NAFSU MAKAN MENURUN | 47.4 | 1.465 | 22.09 | 30.00 | 100/60 | BT | 25.5 | NORMAL | POS | BT | BT | T5 | AF30 | YA | YA | IBU SUDAH VAKSIN TAPI LUPA TANGGAL | K1 | BK | AB | 14,1 | NEG | 87 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
6 | 3 | 20/6/2023 | PKC CEMPUT | 450 | 0025212 | AYU TRISNA DEWI | SUHENDRA | JL. N MURDAI RT 002 / 13 , CEMPAKA PUTIH BARAT | JL. MURDAI GG H MUHIRIN , RT 007 / 06 NOMOR 25 , CEMPAKA PUTIH BARAT | 7 | 6 | CPB | 089604159709 | 3171056208910004 | 0001208212132 - Kec. Cempaka Putih | JAKARTA, 22/8/1991 | 31 | G2P1A0 | 28-04-2023 | 28/02/2024 | 7 MGG 4 HR | 1 | JUNI | MUAL, PUSING | 65.6 | 1.52 | 28.39 | 30.00 | 110/70 | BT | 29 | NORMAL | POS | BT | BT | T5 | AF 30 | YA | YA | 16/8/2021 | 20/9/2021 | SINOVAC | K1 | BK | A | 13,6 | NEG | 109 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | | ||||||||||||||||||||||||||||||
7 | 4 | 21/6/2023 | PKC CEMPUT | 456 | 0123124 | SITI ROHIMAH | JONATHAN TIRTAPURA | KP. CISALAK SATU RT 002 / RW 014 | JL. CEMPAKA PUTIH TENGAH XXVII RT 16 / RW 04 NOMOR 32 , CPT | 16 | 4 | CPT | 085774456718 | 3175012405011001 | 0002360727966 - CIASMARA | BOGOR, 01/06/1998 | 23 | G1P0A0 | 13-05-2023 | 17/02/2024 | 5 MGG 4 HR | 1 | JUNI | CEPAT LELAH, MUAL | 55.5 | 1.54 | 23.40 | 30.00 | 90/60 | BT | 26 | NORMAL | POS | BT | BT | T3 | AF30 | YA | YA | 7/8/2021 | 7/9/2021 | SINOVAC | K1 | BK | O | 14,8 | NEG | 81 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | | ||||||||||||||||||||||||||||||
8 | 5 | 22/6/2023 | PKC CEMPUT | 461 | 0123163 | RANIYATI SINURAT | TONI MARYANTO SINAMBELA | JL DUREN TERUSAN NO.18 RT 13/12 KEL SEMPER BARAT KEC CILINCING | JL DUREN TERUSAN NO.18 RT 13/12 KEL SEMPER BARAT KEC CILINCING | 13 | 12 | LW | 085281761670 | 3172035308890002 | 0002329757616 - Kec. Cempaka Putih | PEREMPUAN, 13-8-1989 | 34 | G2P1A0 | 11-05-2023 | 15/02/2024 | 6 MGG | 1 | JUNI | TAK | 45.5 | 1.505 | 20.09 | 30.00 | 100/60 | BT | 24 | NORMAL | POS | BT | BT | T5 | YA | YA | LUPA | 16/7/2022 | SINOVAC | K1 | BK | O | 12,7 | NEG | 83 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | | |||||||||||||||||||||||||||||||
9 | 6 | 4/7/2023 | PKC CEMPUT | 478 | 0123932 | FITRIA | RAMLAN TRI WAHYUDI | JL KP SIBAJU RT 02 RW 03 KEL LINGGARJATI KEC SUKARATI | JL CPB RT 7/11 NO 48 KEL CPB | 7 | 11 | CPB | 081211660756 | 3206314104950002 | 0000436128693 - SUKARATU | 01-04-1995 | 28 | G2P1A0 | 01-06-2023 | 08/03/2024 | 4 MGG 5 HR | 1 | JULI | PUSING, MUAL | 59.5 | 1.62 | 22.67 | 30.00 | 110/70 | BT | 26 | NORMAL | POS | BT | BT | T5 | YA | YA | 19-10-2021 | 23-12-2021 | SINOVAC | K1 | BK | AB | 11,6 | NEG | 87 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | | |||||||||||||||||||||||||||||||
10 | 7 | 4/7/2023 | PKC CEMPUT | 481 | 0017171 | DESITA RAHMAN | FAJRI CAHYADI CHANDRA | JL CPB XXI GANG 9 A/26 RT 11/4 KEL CPB | JL CPB XXI GANG 9 A/26 RT 11/4 KEL CPB | 11 | 4 | CPB | 085825381127 | 3171056912950002 | 001206269853 - Kec. Cempaka Putih | 29-12-1995 | 27 | G3P2A0 | 11-05-2023 | 15/02/2024 | 7 MGG 5 HR | 1 | JULI | MUAL PUSING | 50.3 | 1.53 | 21.49 | 30.00 | 90/60 | BT | 24.5 | NORMAL | POS | BT | BT | T5 | 30 | YA | YA | 30/12/2021 | 27/1/2022 | SINOVAC | K1 | BK | B | 10,7 | NEG | 119 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | | ||||||||||||||||||||||||||||||
11 | 8 | 18/7/2023 | PKC CEMPUT | 531 | 0124859 | WARTINI | RIKI RAMDHANI | DUSUN PAHING RT 4 RW 1 KEL JAMBAR KEC NUSAHERANG KUNINGAN | GANG SWADAYA RT 6 RW 9 KEL PULOMAS , KEC PULOGADUNG | 6 | 9 | LW | 081906178250 | 3208176602980001 | 0002132061197 - DARMA | 26-2-1998 | 25 | G1P0A0 | 09-06-2023 | 15/03/2024 | 5MG 4HR | 1 | JULI | PUSING , ENEG-ENEG | 55.5 | 1.50 | 24.67 | 30.00 | 120/80 | BT | 27 | NORMAL | POS | BT | BT | T3 | YA | YA | 30-8-2021 | 20-9-2021 | PFIZER | 4-4-2021 | AZ | K1 | BK | A | 9,7 | NEG | 92 | NEG | NEG | NEG | YA | YA | NR | MIOPI 5,75 | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
12 | 9 | 27/6/2023 | PKC CEMPUT | 473 | 0056414 | EDEL WEISS BACAS | TOTO | JL. PEMUDA I NOMOR 48 , RT 002 / RW 002 , RAWAMANGUN PULO GADUNG | JL. PEMUDA I NOMOR 48 , RT 002 / RW 002 , RAWAMANGUN PULO GADUNG | 2 | 2 | LW | 085894911544 | 3175026903020008 | 0001216304842 - Kec. Cempaka Putih | JAKARTA, 29/3/2002 | 21 | G1P0A0 | 11-05-2023 | 18/02/2024 | 6 MGG 5 HR | 1 | JUNI | TAK | 52.9 | 1.52 | 22.90 | 30.00 | 90/60 | BT | 25.5 | NORMAL | POS | BT | BT | AF | YA | YA | 2/8/2021 | 30/8/2021 | SINOVAC | 18/4/2022 | ASTRAZENECA | K1 | BK | O | 12,2 | NEG | 74 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
13 | 10 | 6/7/2023 | PKC CEMPUT | 486 | 0026232 | VERDA LISTY | DARMA | JL CEMPAKA 3 RT 7 RW 2 CPB | JL CEMPAKA 3 RT 7 RW 2 CPB | 7 | 2 | CPB | 085697743822 | 3171056312830003 | 0002329751733 - Kec. Cempaka Putih | BEKASI , 27-8-1994 | 29 | G4P3A0 | 29-05-2023 | 07/03/2024 | 5MG 3HR | 1 | JULI | PUSING MUAL | 56.3 | 1.60 | 21.99 | 30.00 | 100/60 | BT | 29 | NORMAL | POS | BT | BT | T5 | YA | YA | 10-9-2021 | 8-10-2021 | SINOVAC | K1 | BK | AB | 11,8 | NEG | 92 | NEG | NEG | NEG | YA | YA | NEG | BSC 1X | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
14 | 11 | 6/7/2023 | PKC CEMPUT | 490 | 0124069 | DEBBI GARNIVA SARI | RICI RIZALDI | ASRAMA AIRUD A 4/7 RT 3 RW 9 KEL . SEMPER TIMUR KEC CILINCING | JL K CIPINANG MUARA RT 17 RW 3 , JATINEGARA | 17 | 3 | LW | 085782461038 | 1871076809900004 | 0002096522019 - Kec. Cempaka Putih | BANDAR LAMPUNG , 28-9-1990 | 32 | G2P0A1 | 14-05-2023 | 18/02/2024 | 7MG 4HR | 1 | JULI | TAK | 93.2 | 1.65 | 34.23 | 30.00 | 110/80 | BT | 35 | NORMAL | POS | BT | BT | T4 | 30 | YA | YA | 28-1-2021 | 11-2-2021 | SINOVAC | 25-7-2021 MODERNA | 16-9-2021 | PFIZER | K1 | BK | O | 13,7 | NEG | 85 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||
15 | 12 | 6/7/2023 | PKC CEMPUT | 491 | 0002839 | DITA INDRIANI | SOFIYAN HADI | JL SALEMBA BLUNTAS II B 157 RT 6 RW 5 KEL . PASEBAN , KEC SENEN | CEMPAKA WARNA RT 4 RW 4 | 4 | 4 | CPT | 085888613134 | 3171054112910002 | 0001208070516 - Kec. Cempaka Putih | JAKARTA , 1-12-1991 | 31 | G2P1A0 | 15-05-2023 | 19/02/2024 | 7MG 3HR | 1 | JULI | KEPUTIHAN , VAGINA GATAL | 51.1 | 1.525 | 21.97 | 30.00 | 90/60 | BT | 24.5 | NORMAL | POS | BT | BT | T5 | YA | YA | K1 | BK | AB | 12,2 | NEG | 84 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||||
16 | 13 | 4/7/2023 | PKC CEMPUT | 482 | 0123945 | NURHAYATI | RIYAN PRATAMA | JL DUSUN SUMBER RT 01/05 KEL GEDUNGAN KEC GILIGINTING | JL PERCETAKAN NEGARA 2 RT 03/06 KEL JOHAR BARU KEC.JOHAR BARU | 3 | 6 | LW | 081999608328 | 3171056710011001 | UMUM | 27-10-2001 | 22 | G1P0A0 | 20-05-2023 | 24/02/2024 | 6 MGG 3 HR | 1 | JULI | TAK | 64.1 | 1.47 | 29.66 | 30.00 | 100/80 | BT | 34 | NORMAL | POS | BT | BT | T5 | YA | YA | 9/8/2021 | 7/9/2021 | SINOVAC | K1 | BK | B | 12,5 | NEG | 97 | NEG | NEG | NEG | YA | YA | NEG | GO | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
17 | 14 | 7/7/2023 | PKC CEMPUT | 496 | 0124145 | NURHAYATI | AGUS SETIAWAN | JL RATIM I DALAM RT 11/02 KEL CPT | JL RATIM I DALAM RT 11/02 KEL CPT | 11 | 2 | CPT | 083122644708/083812535539 | 3604226002970001 | 0002233554952 - Kec. Cempaka Putih | 20-02-1997 | 26 | G1P0A0 | 19-05-2023 | 23/02/2024 | 7 MGG | 1 | JULI | KELIYENGAN | 81.0 | 1.69 | 28.36 | 30.00 | 120/80 | BT | 30.5 | NORMAL | POS | BT | BT | T4 | YA | YA | 26-1-2021 | 24-11-2021 | SINOVAC | K1 | BK | B | 12,5 | NEG | 83 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
18 | 15 | 7/7/2023 | PKC CEMPUT | 497 | 0095094 | MARISA INDAH SARI PUTRI | FIRGIAWAN | JL CPB RT 08/11 KEL CPB | JL CPB RT 08/11 NO.10 B KEL CPB | 8 | 11 | CPB | 08971182401 | 3171056306000003 | 0000370014142 - Kec. Cempaka Putih | 23-6-2000 | 23 | G1P0A0 | 16-05-2023 | 23/02/2024 | 7 MGG 3 HR | 1 | JULI | MUAL, PUSING | 33.8 | 1.61 | 13.04 | 30.00 | 90/60 | BT | 17.5 | KEK | POS | BT | BT | T5 | YA | YA | 30-7-2021 | 30-08-2021 | SINOVAC | 03-02-2023 | PFIZER | K1 | BK | A | 12,3 | NEG | 96 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
19 | 16 | 11/07/2023 | PKC CEMPUT | 501 | 0124304 | HUMAI SARAH NASUTION | READY KURNIAWAN | LINGKUNGAN SIBUAYA RT 000/RW000 SIOI DENGAN , RANTAU SELATAN | JL. RAWASARI TIMUR 02 NOMOR 26 RT 005 / 002 , CEMPAKA PUTIH TIMUR | 5 | 2 | CPT | 082276837178 | 1210025204930003 | 0001959056649 - SIGAMBAL | RANTAUPRAPAT, 12/04/1993 | 30 | G1P0A0 | 25-05-2023 | 29/02/2024 | 6 MGG 5 HR | 1 | JULI | MUAL, PUSING | 46.1 | 1.41 | 23.19 | 30.00 | 100/60 | BT | 24 | NORMAL | POS | BT | BT | T5 | AF 30 | YA | YA | 25/9/2021 | 5/4/2022 | SNOVAC | K1 | BK | A | 14 | NEG | 121 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
20 | 17 | 11/07/2023 | PKC CEMPUT | 502 | 0124303 | ANISA SEKAR WIDHI | BHIRAWA ANORAGA PURBANTORO | JL. LAGURA INDAH I / K19 RT 12 / RW 03 , CEMPAKA PUTIH TIMUR | JL. LAGURA INDAH I / K19 RT 12 / RW 03 , CEMPAKA PUTIH TIMUR | 12 | 3 | CPT | 085290848495 | 6202066103950009 | 0000118891045 - Kec. Cempaka Putih | 21/3/1995 | 28 | G1P0A0 | 10-05-2023 | 14/02/2024 | 8 MGG 6 HR | 1 | JULI | MUAL, MUNTAH , MAFSU MAKAN MENURUN | 46.6 | 1.59 | 18.43 | 30.00 | 100/60 | BT | 22.5 | NORMAL | POS | BT | BT | T4 | AF 30 | YA | YA | 5/4/2021 | 20/4/2021 | SINOVAC | 8//2/2021 | PFIZER | K1 | BK | A | 11.3 | NEG | 86 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
21 | 18 | 11/07/2023 | PKC CEMPUT | 505 | 0034419 | YULIANA | TOTO TOHADI | JL. H. TEN IV NOMOR 35 A RT 006/ RW 001 , RAWAMANGUN, PULOGADUNG | JL. H. TEN IV NOMOR 35 A RT 006/ RW 001 , RAWAMANGUN, PULOGADUNG | 6 | 1 | LW | 087886409419 | 3175026506810007 | 0001203967192 - Kec. Cempaka Putih | JAKARTA, 25/6/1981 | 42 | G4P2A1 | 23-05-2022 | 27/02/2024 | 7 MGG | 1 | JULI | MUAL, MUNTAH | 69.0 | 1.51 | 30.26 | 30.00 | 110/70 | BT | 30 | NORMAL | POS | BT | BT | T5 | AF30 | YA | YA | IBU BELUM VAKSIN | K1 | BK | A | 12.4 | NEG | 93 | NEG | NEG | NEG | YA | YA | NEG | ABORTUS 1 KALI | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
22 | 19 | 11/07/2023 | PKC CEMPUT | 508 | 0124077 | AROFANI | TRI PRIA SEPTIADI | JL. KALIBARU NOMOR 120 RT 007 / RW 002 , KRAMAT SENEN | JL. KALIBARU NOMOR 120 RT 007 / RW 002 , KRAMAT SENEN | 7 | 2 | LW | 082113197810 / 085715585505 | 3171045006920004 | 0001207732059 - Klinik Kimia Farma Senen | JAKARTA, 10/06/1992 | 31 | G2P1A0 | 13-05-2023 | 20/02/2024 | 8 MGG 3 HR | 1 | JULI | PUSING | 108.1 | 1.57 | 43.86 | 30.00 | 100/70 | BT | 35 | NORMAL | POS | BT | BT | T5 | AF30 | YA | YA | 25/8/2021 | 18/11/2021 | SINOVAC | 8/8/2022 | PFIZER | K1 | BK | A | 13.9 | NEG | 95 | NEG | NEG | NEG | YA | YA | NEG | BSC 1 KALI | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||
23 | 20 | 11/07/2023 | PKC CEMPUT | 510 | 0024444 | MARYAM ARAHMAN | HAIKAL BIN MUH AI | JL. SAYUTI I / 56 RT 002 / RW 006 , RAWASARI | JL. SAYUTI I / 56 RT 002 / RW 006 , RAWASARI | 2 | 6 | RWS | 081342578310 | 7371075506850001 | 0001876955321 - Kec. Cempaka Putih | UJUNG PANDANG , 15/06/1985 | 38 | G3P0A0 | 03-06-2023 | 10/03/2024 | 5 MGG 3 HR | 1 | JULI | SESAK DADA , NYERI DI BAGIAN BAWAH | 64.0 | 1.60 | 25.00 | 30.00 | 80/60 | BT | 29 | NORMAL | POS | BT | BT | T3 | 30 | YA | YA | 03/08/2021 | 31/08/2021 | SINOVAC | 28/032022 | PFIZER | K1 | BK | O | 12,5 | NEG | 105 | NEG | NEG | NEG | YA | YA | NEG | BSC 1 KALI | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||
24 | 21 | 11/07/2023 | PKC CEMPUT | 512 | 0119633 | SAFITRI NUR APRIYANI | ADITYA BIMA SAPUTRA | DUSUN NUSAWARU RT 004 / RW 004 , KLUMPRIT , NUSAWUNGU , CILACAP | GANG MUCHTAR RT 002 / RW 006 , RAWASARI , KEC. CEMPAKA PUTIH | 2 | 6 | RWS | 088293270397 | 3301055204000004 | UMUM | CILACAP, 12/04/2000 | 23 | G1P0A0 | 27-05-2023 | 03/03/2024 | 6 MGG 3 HR | 1 | JULI | MUAL, NAFSU MAKAN BERKURANG | 39.8 | 1.57 | 16.15 | 30.00 | 110/70 | BT | 21 | KEK | POS | BT | BT | T3 | AF 30 | YA | YA | 21/6/2021 | 13/9/2021 | ASTRAZENECA | K1 | BK | A | 12,5 | NEG | 92 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
25 | 22 | 11/07/2023 | PKC CEMPUT | 513 | 0063503 | RETNO DWI KARTIKA | ACHMAD FUAD | JL. CEMPAKA WARNA RT 002 / 004, CPT | JL. CEMPAKA WARNA RT 002 / 004, CPT | 2 | 4 | CPT | 081212555444 | 3171054205870001 | 0001438440254 - Kec. Cempaka Putih | JAKARTA, 02/05/1987 | 36 | G3P1A1 | 17-05-2023 | 21/02/2024 | 7 MGG 6 HR | 1 | JULI | TAK | 69.1 | 1.49 | 31.12 | 30.00 | 90/60 | BT | 30.5 | NORMAL | POS | BT | BT | T5 | AF 30 | YA | YA | BELUM PERNAH VAKSIN | K1 | BK | O | 12,5 | NEG | 114 | NEG | NEG | NEG | YA | YA | NEG | ABORTUS | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
26 | 23 | 13/7/2023 | PKC CEMPUT | 518 | 0043499 | AGUSTINA | ACEP | JL CPB NO.31 RT 08/09 KEL CPB | JL CPB NO.31 RT 08/09 KEL CPB | 8 | 9 | CPB | 087772949463 | 3171055708810001 | 0001741930187 - Kec. Cempaka Putih | 17-08-1981 | 41 | G2P1A0 | 27-05-2023 | 02/03/2024 | 6 MGG 5 HR | 1 | JULI | PUSING, MUAL TANPA MUNTAH | 62.4 | 1.54 | 26.31 | 30.00 | 120/70 | BT | 27 | NORMAL | POS | BT | BT | T5 | YA | YA | 12/7/2021 | 9/8/2021 | SINOVAC | 15/12/2021 | SINOVAC | K1 | BK | B | 12,4 | NEG | 93 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
27 | 24 | 13/7/2023 | PKC CEMPUT | 522 | 0038498 | SITI NURHAYATI | IZRONI | JL KAMPUNG BUGIS RT 05/03 KEL. CEMPAKA BARU KEC.KEMAYORAN | JL MURDAI I RT 6/13 NO.14 B KEL CPB | 6 | 13 | CPB | 081281585551 | 1808015407950009 | 0002448400961 - Kec. Cempaka Putih | 10-10-1995 | 28 | G3P2A0 | 04-06-2023 | 11/03/2024 | 5 MGG 4 HR | 1 | JULI | MUAL | 38.4 | 1.46 | 18.01 | 30.00 | 120/80 | BT | 21 | KEK | POS | BT | BT | T5 | YA | YA | BELUM VAKSIN | K1 | BK | YA | B | 13,6 | NEG | 101 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||
28 | 25 | 13/7/2023 | PKC CEMPUT | 523 | 0111989 | MARTA DWI RIFKA | HARDIANTO HM | JL LEBAK HASAN RT 04/02 KEL SUNGAI PINANG KEC BUNGO DANI KAB BUNGO JAMBI | APT GPS RT 13/9 KEL RWS | 13 | 9 | RWS | 081272925070 | 1508125203960001 | 0001834030427 - Kec. Cempaka Putih | 12-3-1996 | 27 | G1P0A0 | 22-05-2023 | 26/02/2024 | 7 MGG 3 HR | 1 | JULI | MUAL, MUNTAH | 59.3 | 1.61 | 22.88 | 30.00 | 90/60 | BT | 28 | NORMAL | POS | BT | BT | T5 | YA | YA | 4/3/2021 | 19/3/2021 | SINOVAC | 9/2/2022 | AZTRA | K1 | BK | A | 13,1 | NEG | 86 | NEG | NEG | NEG | YA | YA | NR | MIOPI KA 1,5 KI 1 | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
29 | 26 | 13/7/2023 | PKC CEMPUT | 524 | 0080677 | MEILYZAR SALMIYANTI | CANIGIA AL HABSY | JL RAWA TENGAH GG BONSAY NO.21 RT 12/5 KEL GALUR KEC JOHAR BARU | JL RAWA TENGAH GG BONSAY NO.21 RT 12/5 KEL GALUR KEC JOHAR BARU | 12 | 5 | LW | 083807830998 | 3171064805930001 | 0002329796823 - Klinik Afia | 8-5-1993 | 30 | G3P1A1 | 10-06-2023 | 16/03/2024 | 4 MGG 5 HR | 1 | JULI | TAK | 55.5 | 1.49 | 25.00 | 30.00 | 100/60 | BT | 26 | NORMAL | POS | BT | BT | T5 | YA | YA | LUPA | K1 | BK | YA | B | 11,6 | NEG | 102 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||
30 | 27 | 18/7/2023 | PKC CEMPUT | 530 | 0074319 | MUFTI RAHAYU | ADANG SAPUTRA | POKOH JL PUSPA II/5 RT 4 RW 5 KEL WONOBOYO , KEC WONOGIRI | JL RAWASARI BARAT X RT 1 RW 4 KEL. RAWASARI , KEC CEMPAKA PUTIH | 1 | 4 | RWS | 088809365503 | 3171055010031004 | 0002099887424 - Kec. Cempaka Putih | 10-10-2003 | 19 | G1P0A0 | 04-06-2023 | 10/03/2024 | 6MG 2HR | 1 | JULI | TAK | 82.8 | 1.60 | 32.34 | 30.00 | 120/80 | BT | 33.5 | NORMAL | POS | BT | BT | T4 | 30 | YA | YA | 12-7-2021 | 9-8-2022 | SINOVAC | 25-3-2022 | MODERNA | K1 | BK | O | 13,4 | NEG | 100 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
31 | 28 | 18/7/2023 | PKC CEMPUT | 534 | 0116959 | RETNO ZULMAIDAH | M REZA DWIYANSYAH | JL CPB XI RT 5 RW 11 | JL CPB XI RT 5 RW 11 | 5 | 11 | CPB | 087770172848 | 3171054303870003 | 0001205500566 - Kec. Cempaka Putih | 3-3-1987 | 36 | G2P1A0 | 09-06-2023 | 15/03/2024 | 5MG 4HR | 1 | JULI | TAK | 93.3 | 1.575 | 37.61 | 30.00 | 120/70 | BT | 37 | NORMAL | POS | BT | BT | T3 | YA | YA | 12-7-2021 | 9-8-2021 | SINOVAC | K1 | BK | B | 12,4 | NEG | 84 | NEG | NEG | NEG | YA | YA | NR | BSC 1X | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
32 | 29 | 18/7/2023 | PKC CEMPUT | 536 | 0023427 | DESY EKA PRATIWI | INDRA SAKTI NURRACHMAN | CPB NO 19 RT 4 RW 1 | CPB NO 19 RT 4 RW 1 | 4 | 1 | CPB | 08979482197 | 3171054612950002 | 0000370138026 - Kec. Cempaka Putih | 6-12-1995 | 27 | G1P0A0 | 14-05-2023 | 21/02/2024 | 9MG 2HR | 1 | JULI | MUAL MUNTAH PUSING | 44.8 | 1.617 | 17.13 | 30.00 | 100/80 | BT | 21 | KEK | POS | BT | BT | T4 | YA | YA | 17-8-2021 | 12-1-2021 | SINOVAC | K1 | BK | O | 14,1 | NEG | 91 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
33 | 30 | 20/7/2023 | PKC CEMPUT | 541 | 0118388 | DIAN NOVITA SARI | ADHY MUHAMMAD PRABOWO | JL. KAPEH PANJI JORONG KAPEH PANJI, RT 0 / RW 0 , TALUAK IV SUKU , BANUHAMPU | JL. M SAARI NO. 17 RT 011 / RW 19 , KEL. SUNTER JAYA, KEC. TANJUNG PRIOK | 11 | 19 | LW | 082283475539 | 1306064806930001 | 0002220404927 - Kec. Cempaka Putih | BUKITTINGGI, 08/06/1993 | 30 | G2P1A0 | 31-05-2023 | 06/03/2024 | 7 MGG 1 HR | 1 | JULI | MUAL | 43.5 | 1.56 | 17.87 | 30.00 | 90/60 | BT | 20 | KEK | POS | BT | BT | T4 | 30 | YA | YA | IBU SUDAH VAKSIN, LUPA BAWA KARTU | K1 | BK | YA | B | 12,9 | NEG | 116 | NEG | NEG | NEG | YA | YA | NR | ABORTUS 1 KALI | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
34 | 31 | 21/7/2023 | PKC CEMPUT | 543 | 0021349 | NENG OCI | ILHAM UDIN | JL CPB XIX RT 08/11 KEL CPB | JL CPB NO.33 RT 11/8 KEL CPB | 11 | 8 | CPB | 0895410335731 | 3501035402840003 | 0001635550244 - Kec. Cempaka Putih | JAKARTA, 14-02-1984 | 38 | G4P3A0 | 16-05-2023 | 23/02/2024 | 9 MGG 3 HR | 1 | JULI | PUSING, MUAL | 51.5 | 1.59 | 20.37 | 30.00 | 90/60 | BT | 24.5 | NORMAL | POS | BT | BT | T5 | 30 | YA | YA | 2/12/2021 | SINOVAC | K1 | BK | YA | A | 9,7 | NEG | 106 | NEG | NEG | NEG | YA | YA | NR | BSC 3X, JARAK HAMIL < 2TH | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
35 | 32 | 21/7/2023 | PKC CEMPUT | 544 | 0122517 | YULIANA INA KII | MELKIANUS LENDE | JL REDA MATA RT 0/0 KEL KALEMBU KAHA KEC KOTA TAMBOLAKA | JL GG DAMAI NO 1 RT 11/01 KEL CPB | 11 | 1 | CPB | 081393276672 | 5318096507980001 | 0002871402546 - Kec. Cempaka Putih | WANNO DIKO, 25-07-1988 | 25 | G1P0A0 | 03-06-2023 | 10/03/2024 | 6 MGG 6 HR | 1 | JULI | BETIS PEGAL | 62.4 | 1.51 | 27.37 | 30.00 | 110/60 | BT | 28.5 | NORMAL | POS | BT | BT | T3 | 30 | YA | YA | 30-7-2021 | 30-8-2021 | SINOVAC | 08-03-2022 | AZTRA | K1 | BK | B | 14,3 | NEG | 90 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
36 | 33 | 25/7/2023 | PKC CEMPUT | 547 | 0056055 | SITI RANI SUMINAR | M. ADRIAN | JL. MARDANI GG S RT 003 / 013 , CEMPAKA PUTIH BARAT | JL. MARDANI GG S RT 003 / 013 , CEMPAKA PUTIH BARAT | 3 | 13 | CPB | 081513786216 | 3171057110950003 | 0000372770144 - Kec. Cempaka Putih | JAKARTA, 31/10/1995 | 28 | G1P0A0 | 31-05-2023 | 06/03/2024 | 7 MGG 6 HR | 1 | JULI | MUAL, TIDAK SAMPAI MUNTAH | 87.0 | 1.53 | 37.17 | 30.00 | 120/80 | BT | 35 | NORMAL | POS | BT | BT | T4 | AF 30 | YA | YA | 30/7/2021 | 27/8/2021 | SINOVAC | 31/3/2022 | MODERNA | K1 | BK | A | 12,1 | NEG | 153 | NEG | NEG | NEG | YA | YA | NR | INFERTIL 4 TAHUN | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||
37 | 34 | 25/7/2023 | PKC CEMPUT | 548 | 0074487 | SUSANTI | ASEP JALALUDIN | JL. CEMPAKA PUTIH BARAT GG DAHLIA III RT 014 / 007 , CPB | JL. CEMPAKA PUTIH BARAT GG DAHLIA III RT 014 / 007 , CPB | 14 | 7 | CPB | 088214436828 | 3171054606830006 | 0002329622662 - Kec. Cempaka Putih | JAKARTA, 06/06/1983 | 40 | G4P3A0 | 15-06-2023 | 21/03/2024 | 5 MGG 5 HR | 1 | JULI | BAB DAN TIDAK LANCAR, TIDAK ADA MUAL MUNTAH | 62.4 | 1.47 | 28.88 | 30.00 | 100/60 | BT | 27 | NORMAL | POS | BT | BT | T5 | AF 30 | YA | YA | 30/8/2021 | 22/11/2021 | ASTRAZENECA | K1 | BK | AB | 13,8 | NEG | 101 | NEG | NEG | NEG | YA | YA | NR | USIA 40 TAHUN | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
38 | 35 | 26/7/2023 | PKC CEMPUT | 553 | 0125185 | ULFA FAUZIAH | MUHAMMAD YUSUF | KP. BARU RT 011 / RW 007 , KAYU PUTIH , PULO GADUNG | JL. METRO JAYA I ( KP. BARU ) RT 05 / RW 07 , KAYU PUTIH | 5 | 7 | LW | 08889267397 / 089526565877 | 3175024808970005 | 0002235008114 - Kec. Cempaka Putih | JAKARTA, 08/08/1997 | 25 | G1P0A0 | 17-06-2023 | 23/03/2024 | 5 MGG 3 HR | 1 | JULI | BATUK DARI 3 HARI YANG LALU BERDAHAK | 40.0 | 1.535 | 16.98 | 30.00 | 90/60 | BT | 21 | KEK | POS | BT | BT | T5 | 30 | YA | YA | SUDAH VAKSIN, IBU LUPA TANGGAL | K1 | BK | O | 12,5 | NEG | 95 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||
39 | 36 | 27/7/2023 | PKC CEMPUT | 554 | 0028742 | MEGA DESIANA | ANTHONY HALIM | JL PERCETAKAN NEGARA XA/11 RT 07/04 KEL RWS | JL PERCETAKAN NEGARA XA/11 RT 07/04 KEL RWS | 7 | 4 | RWS | 081389136192 | 3171055012960002 | 0001635236021 - Kec. Cempaka Putih | BEKASI, 10-12-1996 | 26 | G1P0A0 | 02-06-2023 | 09/03/2024 | 8 MGG | 1 | JULI | MUAL, PUSING TIDAK ADA MUNTAH | 58.1 | 1.52 | 25.15 | 30.00 | 120/60 | BT | 26 | NORMAL | POS | BT | BT | T5 | YA | YA | 11/6/2021 | 13/9/2021 | AZTRA | 28/7/2022 | PFIZER | K1 | BK | AB | 12,6 | NEG | 85 | NEG | NEG | NEG | YA | YA | NR | MATA MINUS 3 KA/KI | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
40 | 37 | 27/7/2023 | PKC CEMPUT | 555 | 0056185 | MEYLINDA | BOSKO YAMLEAN | JL PRAMUKASARI I NO.26 RT 11/8 KEL RWS | JL PRAMUKASARI I NO.26 RT 11/8 KEL RWS | 11 | 8 | RWS | 087780531122 | 3171054301840005 | 0002329649763 - Kec. Cempaka Putih | PEMALANG, 03-01-1984 | 39 | G3P2A0 | 17-06-2023 | 24/03/2024 | 5 MGG 5 HR | 1 | JULI | GATAL SEJAK SEBELUM HAMIL | 47.0 | 1.50 | 20.89 | 30.00 | 120/70 | BT | 24 | NORMAL | POS | BT | BT | T5 | YA | YA | 6-7-2021 | 3-8-2021 | PF | 13-4-2022 | AZTRA | K1 | BK | O | 13 | NEG | 91 | REAKTIF THPHA R | NEG | NEG | YA | YA | NR | RPHA SYF REAKTIF, RESTI USIA 39 TH | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
41 | 38 | 28/7/2023 | PKC CEMPUT | 557 | 98687 | Muthia Salsabila | Fajar Andriansyah | Jl. Rawasari Timur V no.16 , Cempaka Putih - RT 02 / RW 02, 10510 Jakarta Pusat | Jl. Rawasari Timur V no.16 , Cempaka Putih - RT 02 / RW 02, 10510 Jakarta Pusat | 2 | 2 | CPT | 082246489611 / 085228424874 | 3.17105E+15 | 0001620678339, Kec. Cempaka Putih | JAKARTA, 06/11/1994 | 29 | G1P0A0 | 28-04-2022 | 02/04/2024 | 13 MGG | 2 | JULI | MIMISAN SEJAK 3 HARI YANG LALU | 80.8 | 1.62 | 30.79 | 30.00 | 100/60 | 3 JAS | 36 | NORMAL | POS | 147 | T | BALT | T4 | 30 | YA | YA | 20/7/2022 | PFIZER | K1 | BK | O | 11.2 | NEG | 110 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
42 | 39 | 28/7/2023 | PKC CEMPUT | 560 | 0055247 | WIDYA AYU PERMATASARI | HERU FERDIANSYAH | KP. UTAN BAHAGIA RT 10 RW 07 , NOMOR 8 CENGKARENG TIMUR | JL. RAWAMANGUN MUKA RAYA RT 004 / RW 014 NOMOR 5 PULO GADUNG | 04 | 14 | LW | 08976994426 / 081386149917 | 3173014307970012 | 0002333475134-Puskesmas Kecamatan Cengkareng | BLITAR , 03/07/1997 | 26 | G1P0A0 | 20-06-2023 | 27/03/2024 | 5 MGG 3 HR | 1 | JULI | SERING MUAL DAN PUSING | 65.9 | 1.55 | 27.43 | 30.00 | 110/80 | BT | 29.5 | NORMAL | POS | BT | BT | T5 | 30 | YA | YA | SUDAH VAKSIN, IBU LUPA TANGGAL | K1 | BK | O | 15.1 | NEG | 104 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||
43 | 40 | 28/7/2023 | PKC CEMPUT | 561 | 0004421 | NURUL FAHIRA | MUHAMMAD ARIF MAULANA | JL. MARDANI RAYA RT 03 / RW 05 NOMOR 40 , CEMPAKA PUTIH BARAT | JL. MARDANI RAYA RT 03 / RW 05 NOMOR 40 , CEMPAKA PUTIH BARAT | 03 | 05 | CPB | 085893101348 | 3172056502020002 | 0000372580749 | 25/2/2002 | 21 | G1P0A0 | 27-05-2023 | 05/03/2024 | 8 MGG 6 HR | 1 | JULI | NYERI PERUT BAGIAN BAWAH | 64.4 | 1.614 | 24.72 | 30.00 | 90/60 | BT | 28.5 | NORMAL | POS | BT | BT | T5 | AF 30 | YA | YA | 18/6/2021 | 10/9/2021 | 23/3/2022 | K1 | BK | O | 13 | NEG | 104 | NEG | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||||
44 | 41 | 28/7/2023 | PKC CEMPUT | 563 | 93708 | DESTI PRITIAFNI | RYAN AL THOF ROBBANIO | JL PORSELEN 4 NO 14 | JL PORSELEN 4 NO 14 | 13 | 3 | LW | 81312595853 | 3174035512951000 | 0001317546213 - Kec. Cempaka Putih | KUNINGAN, 15/12/1995 | 28 | G2P1A0 | 28-05-2023 | 03/06/2024 | 8 MGG 5 HR | 1 | JULI | MUAL, MUNTAH, NYERI PINGGANG | 65 | 1.555 | 26.88 | 30.00 | 120/80 | BT | 29.5 | NORMAL | POS | BT | BT | T4 | AF 30 | YA | YA | IBU SUDAH VAKSIN | K1 | BK | O | 11.8 | NEG | 167 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||
45 | 42 | 1/8/2023 | PKC CEMPUT | 564 | 0006210 | RABIATUL ADAWIYAH | KOKO RAHARJO | JL KP PEDURENAN NO.31 A RT 10/06 KEL RAWA TERATE KEC CAKUNG | JL CPT 17 RT 11/03 NO.17 KEL CPT | 11 | 3 | CPT | 0895384800383 | 3171057010950001 | 0001205830192 - Kec. Cempaka Putih | JAKARTA, 30-10-1995 | 27 | G3P2A0 | 05-06-2023 | 12/03/2024 | 8 MGG 1 HR | 1 | AGUSTUS | PUSING | 66.2 | 1.552 | 27.48 | 30.00 | 100/60 | BT | 30.5 | NORMAL | POS | BT | BT | T5 | YA | YA | 18-6-2021 | SINOVAC | K1 | BK | A | 10,4 | NEG | 116 | NEG | NEG | NEG | YA | YA | NR | BSC 1X, MATA MINUS KA/KI 2,5 | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
46 | 43 | 1/8/2023 | PKC CEMPUT | 565 | 0065458 | ARUM WIDIANINGSIH | KARTONO WIJAYA | BANTAR KEMANG RT 5 RW 7 KEL BARANANGSIANG KEC BOGOR TIMUR, KOTA BOGOR | PURI KHATULISTIWA BLOK B NO 23 , JL PULO TIMAHA RT 20 RW 9 , KEL KEDUNGJAYA , KEC BABELAN , KAB BEKASI | 20 | 9 | LW | 085210328318 | 3271025604940007 | 0000058746925 - Kec. Cempaka Putih | BOGOR , 16-4-1994 | 29 | G2P1A0 | 21-05-2023 | 28/02/2024 | 10MG 2HR | 1 | AGUSTUS | MUAL | 52.3 | 1.56 | 21.49 | 30.00 | 90/60 | BT | 24 | NORMAL | POS | BT | BT | T5 | YA | YA | 16-2-2021 | 2-3-2021 | SINOVAC | 9/9/2021 | 30/9/2022 | PFIZER | K1 | BK | YA | AB | 12,7 | NEG | 110 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||
47 | 44 | 1/8/2023 | PKC CEMPUT | 567 | 0125414 | DILA MARYANI | GARLA AKBAR | KP KADALEMAN RT 8 RW 3 KEL . CARITA KEC CARITA , KAB PANDEGLANG | JL KABEL ATAS RT 8 RW 9 NO 28 B, KEL RAWASARI , KEC CEMPAKA PUTIH | 8 | 9 | RWS | 085693389961 | 3601286803020001 | 0000794522755 - CARITA | PANDEGLANG , 28-3-2002 | 21 | G1P0A0 | 07-06-2023 | 13/03/2024 | 7MG 6HR | 1 | AGUSTUS | MUAL | 89.0 | 1.53 | 38.02 | 30.00 | 110/80 | BT | 36 | NORMAL | POS | BT | BT | T5 | YA | YA | 28-4-2021 | 27-5-2021 | SINOVAC | 20/04/2022 | AZ | K1 | BK | A | 12,6 | NEG | 106 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
48 | 45 | 1/8/2023 | PKC CEMPUT | 569 | 0120490 | SELFIANA SARI | SULIS | JL MARDANI RAYA GG A NO 14 RT 02/05 KEL CPB | JL MARDANI RAYA GG A NO 14 RT 02/05 KEL CPB | 2 | 5 | CPB | 082111300083 | 3171086007960002 | 0001206979301- CPB II | CILACAP, 20-07-1996 | 27 | G2P0A1 | 18-06-2023 | 25/03/2024 | 6 MGG 2 HR | 1 | AGUSTUS | TAK | 98.7 | 1.653 | 36.12 | 30.00 | 110/80 | BT | 38 | NORMAL | POS | BT | BT | T5 | YA | YA | 22-10-2021 | 19-11-2021 | SINOVAC | K1 | BK | B | 13,8 | NEG | 162 | NEG | NEG | NEG | YA | YA | NR | MATA MINUS 5,5, BSC 1 X | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
49 | 46 | 2/8/2023 | PKC CEMPUT | 570 | 0113750 | SRI WAHYUNI BAKRI | M. RIZAL NURMAN WAHYU | JL DELTA SERDANG RT 3 RW 7 NO 5 , KEL SERDANG , KEC KEMAYORAN | JL DELTA SERDANG RT 3 RW 7 NO 5 , KEL SERDANG , KEC KEMAYORAN | 3 | 7 | LW | 081385352282 | 7308234509930004 | 0001941746308 - Kec. Cempaka Putih | BAJOE , 5-9-1993 | 29 | G2P1A0 | 21-05-2023 | 28/02/2024 | 10MG 3HR | 1 | AGUSTUS | MUAL MUNTAH | 51.6 | 1.545 | 21.62 | 30.00 | 110/80 | BT | 23.5 | NORMAL | POS | BT | BT | T5 | YA | YA | 21-5-2023 | 28-2-2024 | 26-4-2021 | 24/05/2021 | SINOVAC | 11-2-2022 | K1 | BS | YA | A | 13,7 | NEG | 98 | NEG | NEG | NEG | YA | YA | NR | JARAK HAMIL < 2TH | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||
50 | 47 | 2/8/2023 | PKC CEMPUT | 571 | 0125437 | IKE PRASETIWI | DIANDRANA GIBRAN | KOMPLEK PURI CEMPAKA INDAH II BLOK C2 RT 28 RW 0 , KEL SIMPANG EMPAT SIPIN , KEC TELANAIPURA, KOTA JAMBI | APARTEMEN GREEN PRAMUKA | 13 | 9 | RWS | 08117498282 | 1571016310890001 | 0001081813847 - Kec. Cempaka Putih | KUALA TUNGKAL , 23-10-1989 | 33 | G1P0A0 | 19-05-2023 | 26/02/2024 | 10MG 5HR | 1 | AGUSTUS | PERUT KRAM | 65.0 | 1.60 | 25.39 | 30.00 | 100/60 | BT | 28 | NORMAL | POS | BT | BT | T3 | YA | YA | 4-5-2021 | 02-06-2021 | SINOVAC | K1 | BK | B | 11,3 | NEG | 109 | NEG | NEG | NEG | YA | YA | NR | INFERTIL 9TH | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
51 | 48 | 2/8/2023 | PKC CEMPUT | 572 | 0057563 | MARLINI DESRITA ARLEN | CATUR SEPTIYANTO | JL MARDANI RAYA GG A NO 14 RT 02/05 KEL CPB | JL MARDANI RAYA GG A NO 14 RT 02/05 KEL CPB | 2 | 5 | CPB | 082111300083 | 3171086007960002 | 0001206979301- CPB II | CILACAP, 20-07-1996 | 27 | G2P0A1 | 18-06-2023 | 25/03/2024 | 6 MGG 2 HR | 1 | AGUSTUS | TAK | 98.7 | 1.653 | 36.12 | 30.00 | 110/80 | BT | 38 | NORMAL | POS | BT | BT | T5 | YA | YA | 22-10-2021 | 19-11-2021 | SINOVAC | K1 | BK | B | 13,8 | NEG | 162 | NEG | NEG | NEG | YA | YA | NR | MATA MINUS 5,5, BSC 1 X | |||||||||||||||||||||||||||||||||||||||||||||||||||
52 | 49 | 3/8/2023 | PKC CEMPUT | 573 | 0098594 | ELSA HERAWATI | MUHAMMAD JAILANI | JL NGELO BRONGKAH RT 02/05 KEL NGELO KEC CEPU | Jl pramuka sari 1 no 16 rt 10/8 KEL RWS | 10 | 8 | RWS | 08990441080 | 3316056808950003 | 0002144800078 - Kec. Cempaka Putih | BLORA, 28-8-1995 | 27 | G2P1A0 | 16-06-2023 | 23/03/2024 | 7 MGG | 1 | AGUSTUS | SEDIKIT MUAL, | 63.6 | 1.597 | 24.94 | 30.00 | 120/80 | BT | 32.5 | NORMAL | POS | BT | BT | T5 | YA | YA | 29-3-2022 | 28-7-2022 | AZTRA | 24-01-2023 | PFIZER | K1 | BK | O | 13,1 | NEG | 110 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
53 | 50 | 3/8/2023 | PKC CEMPUT | 574 | 0013467 | TIARA HANDAYANI | ALWAN KURNIAWAN | JL MALAKA 1 GG VETERAN NO 92 RT 11 RW 12 KEL . ROROTAN , KEC CILINCING | JL MALAKA 1 GG VETERAN NO 92 RT 11 RW 12 KEL . ROROTAN , KEC CILINCING | 11 | 12 | LW | 083876578174 | 3172036403940009 | 0001302190209 - Kec. Cempaka Putih | JAKARTA 24-3-1994 | 29 | G2P1A0 | 15-05-2023 | 22/02/2024 | 11MG 3HR | 1 | AGUSTUS | MUAL | 54.0 | 1.53 | 23.07 | 30.00 | 100/70 | 4JAS | 24.5 | NORMAL | POS | 140 | T | BALT | T5 | 30 | YA | YA | 21-1-2021 | 4-2-2021 | SINOVAC | 13-8-2021 | MODERNA | K1 | BK | O | 12 | NEG | 82 | NEG | NEG | NEG | YA | YA | NR | BSC 1X | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||
54 | 51 | 3/8/2023 | PKC CEMPUT | 578 | 0125509 | LIE LAN SIANTURI | RYCO FERNANDO | UJUNG MENTENG RT 8 RW 2 KEL . UJUNG MENTENG , KEC CAKUNG | JL IRIGASI NO 5 RT 8 RW 2 KEL UJUNG MENTENG , KEC CAKUNG | 8 | 2 | LW | 082370275798 | 1207236002970004 | 0002293903708 - Kec. Cempaka Putih | DISKI 20-2-1997 | 26TH | G1P0A0 | 13-05-2023 | 17/02/2024 | 11MG 5HR | 1 | AGUSTUS | TAK | 71.4 | 1.47 | 33.04 | 30.00 | 90/70 | 4JAS | 29.5 | NORMAL | POS | 130 | T | BALT | T5 | 30 | YA | YA | 3/3/2021 | 17/3/2021 | SINOVAC | 8-2-2022 | AZ | K1 | BK | B | 12,1 | NEG | 82 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||
55 | 52 | 3/8/2023 | PKC CEMPUT | 579 | 0049567 | PUTRI YUNITASARI | SLAMET RIYADI | JL RAWASARI SELATAN NO.36 RT 14/9 KEL RWS | JL RAWASARI SELATAN NO.36 RT 14/9 KEL RWS | 14 | 9 | RWS | 087887183239 | 3171054206950001 | 0001206225134 - Kec. Cempaka Putih | JAKARTA, 02-06-1995 | 28 | G2P1A0 | 17-06-2023 | 24/03/2024 | 6 MGG 5 HR | 1 | AGUSTUS | MUAL | 107.0 | 1.62 | 40.77 | 30.00 | 120/70 | BT | 38 | NORMAL | POS | BT | BT | T5 | YA | YA | 29-6-2021 | 27-7-2021 | SINOVAC | 02-02-2022 | PFIZER | K1 | BK | B | 12,9 | NEG | 99 | NEG | NEG | NEG | YA | YA | NEG | OBESITAS | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
56 | 53 | 8/8/2023 | PKC CEMPUT | 582 | 0125566 | INA PATRICIA GRAZIELLA PANGGABEAN | ALVIN MARCO BASA TOBING | PATRIA JAYA VIII NO.136, RT003 RW 014 | Apartemen Green Pramuka, tower Fagio, unit 07PK | 13 | 9 | RWS | 08111037067 atau 08111027027 | 3275124204890002 | 0001839827046 Klinik Nayaka Era Husada 01 | 02/04/1990JAKARTA, | 33 | G1P0A0 | 26-05-2023 | 04/03/2024 | 10 MGG 4 HR | 1 | AGUSTUS | TAK | 53.9 | 1.58 | 21.59 | 30.00 | 90/60 | BT | 24.5 | NORMAL | POS | BT | BT | T4 | AF30 | YA | YA | 13/7/2021 | 12/8/2021 | SINOVAC | 23/4/2022 | MODERNA | K1 | BK | 0 | 12.8 | NEG | 109 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
57 | 54 | 8/8/2023 | PKC CEMPUT | 583 | 0054011 | MUTIARA PUTRI AYU S | HAZIMA YURDILLAH | JL. KP. JAWA RAWASARI RT 005 / 009, NOMOR 16 B RAWASARI CEMPAKA PUTIH | JL. KP. JAWA RAWASARI RT 005 / 009, NOMOR 16 B RAWASARI CEMPAKA PUTIH | 5 | 9 | RWS | 085697856920 | 3171056208020001 | 0001207665527, Kec. Cempaka putih | JAKARTA, 22/8/2002 | 20 | G2P0A1 | 14-07-2023 | 20/04/2024 | 3 MGG 4 HR | 1 | AGUSTUS | TAK | 56.9 | 1.635 | 21.29 | 30.00 | 110/60 | BT | 23.5 | NORMAL | POS | BT | BT | T4 | AF30 | YA | YA | 10/8/2021 | ASTRAZENECA | K1 | BK | B | 13.6 | NEG | 89 | NEG | NEG | NEG | YA | YA | NEG | RIWAYAT ABORTUS 1 KALI | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
58 | 55 | 8/8/2023 | PKC CEMPUT | 584 | 0016183 | WARNINGSIH | Muhamad Mukmin | Jl.Cempaka Putih Tengah 16/32 Rt02Rw08.Kelurahan Cempaka putih Timur.Kecamatan Cempaka putih | Jl Cempaka Putih Barat Gang 9A | 10 | 04 | CPB | 082210746123/082125444646 | 3171056910870006 | 0001208152113 - Kec. Cempaka Putih | 29/10/1987 | 35 | G3P2A0 | 15-06-2023 | 22/03/2024 | 7 MGG 5 HR | 1 | AGUSTUS | MUAL, BELUM ANC DAN BELUM USG | 70.0 | 1.535 | 29.71 | 30.00 | 110/70 | BT | 32 | NORMAL | POS | BT | BT | T5 | AF30 | YA | YA | 25 June 2021 | 19 October 2021 | ASTRAZENECA | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||||||||||||
59 | 56 | 8/8/2023 | PKC CEMPUT | 585 | 0075026 | RINI ZAINI | RIZKI SATRIO WIBOWO | Rusunawa Rorotan RT 02 Rw 14. Kel cilincing jakarta utara | Rusunawa Rorotan Twr B LT.06 U.10 | 02 | 14 | LW | 081311670944, 081293681132 | 3171056811950001 | 0001654074922, PUSKESMAS KEC. CEMPAKA PUTIH | JAKARTA, 28/11/1995 | 28 | G2P1A0 | 01-06-2023 | 08/03/2024 | 8 MGG | 1 | AGUSTUS | TAK | 62.0 | 1.55 | 25.81 | 30.00 | 110/70 | BT | 28 | NORMAL | POS | BT | BT | T5 | AF30 | YA | YA | 15/6/2021 | 2/9/2021 | ASTRAZENECA | K1 | BK | B | 12.4 | NEG | 114 | NEG | NEG | NEG | YA | YA | NEG | BSC 1 KALI | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
60 | 57 | 8/8/2023 | PKC CEMPUT | 586 | 0125618 | DINA NOVITA | Ibnu Hakim | Jl cempaka putih timur no 13 RT 008/003 cempaka putih timur Cempaka putih Jakarta pusat | Jl cempaka putih timur no 13 RT 008/003 cempaka putih timur Cempaka putih Jakarta pusat | 8 | 3 | CPT | 081370518989/081214024936 | 3171086711970011 | 0001207037981 KLINIK SUMBER SEHAT | JAKARTA, 27/11/1997 | 25 | G1P0A0 | 14-06-2023 | 21/03/2024 | 7 MGG 6 HR | 1 | AGUSTUS | TAK | 71.8 | 1.5 | 31.91 | 30.00 | 100/60 | BT | 32 | NORMAL | POS | BT | BT | T5 | AF30 | YA | YA | 29/6/2021 | 27/7/2021 | sinovac | 10/4/2022 | ASTRAZENECA | K1 | BK | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||||||||
61 | 58 | 11/8/2023 | PKC CEMPUT | 594 | 0088084 | BENI RATMILA | TOMI DEFISA | JL MANGGA VI NO.10 B RT 03/06 KEL UTAN KAYU UTARA KEC MATRAMAN | JL MANGGA VI NO.10 B RT 03/06 KEL UTAN KAYU UTARA KEC MATRAMAN | 3 | 6 | LW | 085365559891 / 081381475767 | 1304016302910006 | 0001458051028 - Kec. Cempaka Putih | PADANG PANJANG,23-02-1991 | 32 | G3P2A0 | 10-05-2023 | 17/02/2024 | 13 MGG | 2 | AGUSTUS | TAK | 68.7 | 1.52 | 29.74 | 30.00 | 110/70 | 3 JAS | 30 | NORMAL | POS | 140 | T | BALT | T5 | 30 | YA | YA | 14-8-2021 | 06-11-2021 | AZTRA | 28-3-2022 | MODERNA | K1 | BK | O | 12.1 | NEG | 108 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||
62 | 59 | 11/8/2023 | PKC CEMPUT | 595 | 0125793 | BENI PUJIASTUTI | HADI PRAYITNO | DUSUN JONGGRANGAN RT 2 RW 10 , KEL SUKOREJO , KEC MERTOYUDAN KAB MAGELANG | JL SAMBILOTO V RT 8 RW 6 , KEL KAYUPUTIH KEC PULOGADUNG | 8 | 6 | LW | 085740024834/ 08561662121 | 3308106105860001 | UMUM | MAGELANG 21-5-1986 | 37 | G3P2A0 | 09-06-2023 | 16/03/2024 | 9MG | 1 | AGUSTUS | MUAL PUSING | 41.7 | 1.49 | 18.78 | 30.00 | 120/70 | 4JAS | 22 | KEK | POS | 140 | BALT | T5 | 30 | YA | YA | 15-7-2021 | 13-8-2021 | SINOVAC | 31-3-2022 | AZ | K1 | BK | A | 11,8 | NEG | 100 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
63 | 60 | 15/8/2023 | PKC CEMPUT | 597 | 0045841 | SABRINATA SILALAHI | PRADANA RANGGA | JL BULEVAR HIJAU BLOK C2 NO.20 RT 03/30 KEL PEJUANG KEC BEKASI | Apart Gading Greenhill Jakarta Utara RT 01/01 KEL PEGANGGSAAN DUA | 01 | 01 | LW | 081388444293 | 3275064509930014 | 0001637448759 | BATAM, 05-09-1993 | 29 | G2P1A0 | 19-06-2023 | 26/03/2024 | 8 MGG 1 HR | 1 | AGUSTUS | MUAL | 69.6 | 1.61 | 26.85 | 30.00 | 100/60 | BT | 30 | NORMAL | POS | BT | BT | T5 | YA | YA | K1 | BK | 12,2 | NEG | 110 | NEG | NEG | NEG | YA | YA | NEG | BSC 1X | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||||
64 | 61 | 15/8/2023 | PKC CEMPUT | 598 | 0001441 | ELVIRA KHUSNUL | ALAM BUDIMAN | JL MARDANI RAYA GG C RT 07/05 KEL CPB | JL MARDANI RAYA GG C RT 07/05 KEL CPB | 7 | 5 | CPB | 085774445466 | 3171054804930001 | 0001308614411 - Kec. Cempaka Putih | MALANG, 06-04-1993 | 30 | G2P1A0 | 14-06-2023 | 21/03/2024 | 9 MGG | 1 | AGUSTUS | TAK | 87.0 | 1.65 | 31.96 | 30.00 | 120/80 | BT | 35 | NORMAL | POS | BT | BT | T3 | 30 | YA | YA | LUPA | K1 | BK | O | 13,2 | NEG | 257 | NEG | NEG | NEG | YA | YA | NEG | BSC, DMG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
65 | 62 | 15/8/2023 | PKC CEMPUT | 599 | 0007275 | SANTI | MUHAMMAD FACHRI | JL H TEN I RT 02/01 KEL RAWAMANGUN KEC. P.GADUNG | JL H TEN I RT 02/01 KEL RAWAMANGUN KEC. P.GADUNG | 2 | 1 | LW | 081918263636 | 3175024502910003 | 0000998538568 - Kec. Cempaka Putih | JAKARTA, 25-02-1991 | 32 | G3P2A0 | 13-07-2023 | 20/04/2024 | 4 MGG 5 HR | 1 | AGUSTUS | TAK | 50.8 | 1.58 | 20.35 | 30.00 | 110/70 | BT | 26 | NORMAL | POS | BT | BT | T5 | YA | YA | LUPA | K1 | BK | B | 13,1 | NEG | 119 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||||
66 | 63 | 15/8/2023 | PKC CEMPUT | 600 | 0080687 | SELLI FITRI HAERANI | Rekiamsyah sulistyo | Jl. Cempaka IV no.12 rt.001 rw.002, cempaka putih barat, jakarta pusat 10520 | Jl. Cempaka IV no.12 rt.001 rw. 002 cempaka putih barat, jakarta pusat 10520 | 001 | 002 | CPB | 082299584842 / 082299584843 | 3171054709920004 | 0001208537256 - Kec. Cempaka Putih | JAKARTA, 07-9-1992 | 30 | G3P2A0 | 27-06-2023 | 03/04/2024 | 7 MGG | 1 | AGUSTUS | TAK | 59.4 | 1.578 | 23.85 | 30.00 | 90/60 | BT | 24.5 | NORMAL | POS | BT | BT | T5 | YA | YA | 29-3-2021 | 26-4-2021 | MODERNA | 24-2-2022 | SINOVAC | K1 | BK | O | 11,8 | NEG | 93 | NEG | NEG | NEG | YA | YA | NEG | BSC 2X, GEMELI DGN IUD | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
67 | 64 | 15/8/2023 | PKC CEMPUT | 601 | 0117725 | HALISTA MARIYANA | HARUN | JL CPB RT 07/04 KEL CPB | Jl. Cempaka putih barat No. 13 Rt 007 rw 04 kel. Cempaka putih barat kec. Cempaka putih 10520 | 7 | 4 | CPB | 0895397887578 | 3171056509830006 | 0001207837337 - Kec. Cempaka Putih | JAKARTA, 25-09-1983 | 39 | G3P2A0 | 16-06-2023 | 23/03/2024 | 9 MGG | 1 | AGUSTUS | AGAK PUSING | 111.5 | 1.61 | 43.02 | 30.00 | 140/100 | BT | 34.5 | NORMAL | POS | BT | BT | T5 | YA | YA | 15-7-2021 | AZTRA | K1 | BS | O | 13,5 | NEG | 115 | NEG | NEG | 3.5 | 34 | 0.9 | 19 | 16 | NEG | YA | YA | NEG | DMG, BSC 1X, RESTI 4O TH | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||
68 | 65 | 15/8/2023 | PKC CEMPUT | 602 | 0033251 | FRINA EKA NELLA | JAYA SAPUTRA | JL PERCETAKAN NEGARA VI RT 03/03 KEL RWS | jalan percetakan negara VI rt 003 rw 003 no 11 b KEL RWS | 3 | 3 | RWS | 082125842202 | 3171055112950002 | 0002329693053 - Kec. Cempaka Putih | JAKARTA, 11-12-1995 | 27 | G3P1A1 | 14-5-2021 | 21/04/2024 | 13 MGG 2 HR | 2 | AGUSTUS | TAK | 125.3 | 1.645 | 46.30 | 30.00 | 120/70 | BT | 40 | NORMAL | POS | BT | BT | T4 | YA | YA | K1 | BK | O | 13,8 | NEG | 107 | NEG | NEG | NEG | YA | YA | NEG | BSC 1X | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||||
69 | 66 | 15/8/2023 | PKC CEMPUT | 603 | 0125900 | RIANA RAUDHA ADHI | MUHAMMAD IRFAN FADLI | JL KP JAWA RAWASARI RT 02/08 KEL RWS | JL KP JAWA RAWASARI RT 02/08 KEL RWS | 2 | 8 | RWS | 082297487299 | 3174046110970001 | 0001738736278 - Klinik BP Cilandak | JAKARTA, 21-10-1997 | 25 | G1P0A0 | 27-06-2023 | 03/04/2024 | 7 MGG | 1 | AGUSTUS | MUAL ENEG | 62.8 | 1.628 | 23.69 | 30.00 | 90/60 | BT | 30.5 | NORMAL | POS | BT | BT | T5 | YA | YA | 01/04/2021 | 29-4-2021 | SINOVAC | 29-7-2022 | PFIZER | K1 | BK | B | 14,4 | NEG | 100 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
70 | 67 | 18/8/2023 | PKC CEMPUT | 607 | 0116097 | DA'WATUL HASANAH | JOKO PURNOMO | JL CPB XI NO 10 A RT 02/11 KEL CPB | JL CPB XI NO 10 A RT 02/11 KEL CPB | 2 | 11 | CPB | 081282822595 | 3317065002960001 | 0000583370109 - Kec. Cempaka Putih | REMBANG, 10-02-1996 | 27 | G1P0A0 | 08-05-2023 | 15/02/2024 | 14 MGG 4 HR | 2 | AGUSTUS | MUAL MUNTAH | 66.1 | 1.471 | 30.55 | 30.00 | 90/60 | 4 JAS | 28.5 | NORMAL | POS | 130 | T | BALT | T5 | 30 | YA | YA | 28-06-2021 | 09-10-2021 | SINOVAC | 07-03-2022 | PFIZER | K1 | BK | YA | O | 13,4 | NEG | 89 | NEG | NEG | NEG | YA | YA | NEG | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||
71 | 68 | 18-08-2023 | PKC CEMPUT | 609 | 0052643 | DWI FEBIANA | ACHMAD FIKRI MUHARRAM | JL PERCETAKAN NEGARA IV A NO.31 RT 011/09 KEL JOHAR BARU | Jl. Percetakan Negara IV/A No.31 RT.011 RW.09 Kec&Kel. Johar Baru | 11 | 9 | LW | 082122226044 / +62 856-9799-9828 | 3171084302970002 | 0001900388834 - Kec. Cempaka Putih | JAKARTA, 03-02-1997 | 26 | G1P0A0 | 07-07-2023 | 14/04/2024 | 6 MGG | 1 | AGUSTUS | MUAL MUNTAH | 67.6 | 1.429 | 33.10 | 30.00 | 120/80 | BT | 32 | NORMAL | POS | BT | BT | T5 | YA | YA | 07-07-2023 | 14-4-2024 | SINOVAC | 11-7-2022 | SINOPHARM | K1 | BK | O | 13,4 | NEG | 114 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
72 | 69 | 18-8-2023 | PKC CEMPUT | 610 | 0029406 | LINA NOVAYANTI | TUMIRAN | JL CEMPAKA PUTIH TIMUR 24A NO 14 RT 4 RW 3 KEL CEMPAKA PUTIH TIMUR KEC CEMPAKA PUTIH | JL CEMPAKA PUTIH TIMUR 24A NO 14 RT 4 RW 3 KEL CEMPAKA PUTIH TIMUR KEC CEMPAKA PUTIH | 4 | 3 | CPT | 0882001049612 | 3171056011790001 | 0002099051381 - Kec. Cempaka Putih | JAKARTA 20-11-1979 | 43 | G3P2A0 | 10-05-2023 | 17/02/2024 | 14MG 2HR | 2 | AGUSTUS | TAK | 60.4 | 1.51 | 26.49 | 30.00 | 110/80 | 4JAS | 27 | NORMAL | POS | 140 | BALT | T5 | 30 | YA | YA | 12/8/2021 | 9/9/2021 | SINOVAC | K1 | BK | B | 14,7 | NEG | 104 | NEG | NEG | NEG | YA | YA | NR | RESTI USIA 43 TH | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
73 | 70 | 22/8/2023 | PKC CEMPUT | 612 | 0057464 | AYU NING SAVITRI | KRIS USODO KAWULO | JL GAMBARAN RT 021/8 KEL GABUNGAN KEC TANON | JL RAWASARI SELATAN RT 15/02 KEL RWS KEC CEMPAKA PUTIH | 15 | 2 | RWS | 081329638231/081281719150 | 3314125710970002 | 0000572511824 - Kec. Cempaka Putih | SRAGEN, 17-10-1997 | 25 | G2P1A0 | 04-07-2023 | 11/04/2024 | 7 MGG | 1 | AGUSTUS | MUAL JARANG JARANG | 75.2 | 1.615 | 28.83 | 30.00 | 120/70 | BT | 29.5 | NORMAL | POS | BT | BT | T4 | YA | YA | 10/6/2021 | 02/09/2021 | AZTRA | 01-03-2022 | MODERNA | K1 | BK | AB | 12,9 | NEG | 101 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
74 | 71 | 22/8/2023 | PKC CEMPUT | 613 | 0114135 | NUR LAILA SHOFI | LALAN PRASETIYA | JL BUGOHARJO RT 05/02 KEL BOGOHARJO KE LAMONGAN | Jl. Utan Panjang III no. 5 RT 10/7 KEL UTAN PANJANG KEC KEMAYORAN | 10 | 7 | LW | 082217132085, 081318163033 | 3524136406960001 | UMUM | LAMONGAN, 24-6-1996 | 27 | G1P0A0 | 09-07-2023 | 16/04/2024 | 6 MGG | 1 | AGUSTUS | TAK | 54.0 | 1.552 | 22.42 | 30.00 | 90/70 | BT | 26.5 | NORMAL | POS | BT | BT | T5 | YA | YA | 25-6-2021 | 23-7-2021 | SINOVAC | 18-3-2022 | AZTRA | K1 | BK | O | 13,3 | NEG | 100 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
75 | 72 | 22/8/2023 | PKC CEMPUT | 614 | 0005737 | FIQIH NUR FATIMAH | RENDI PRATAMA | JL PERCETAKAN NEGARA V RT 07/01 KEL RWS | Jl. Percetakan Negara V Rt07/Rw07 No. 20 , Rawasari, Cempaka putih | 7 | 7 | RWS | 087861755010/085959961840 | 3171056707000001 | 0001205424584 | JAKARTA, 27-7-2000 | 23 | G2P1A0 | 05-06-2023 | 12/03/2024 | 11 MGG 1 HR | 1 | AGUSTUS | MUAL, PERUT KRAM | 51.8 | 1.55 | 21.56 | 30.00 | 100/60 | BT | 25.5 | NORMAL | POS | BT | BT | T5 | 30 | YA | YA | LUPA | K1 | BK | O | 13,6 | NEG | 80 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||
76 | 73 | 22/8/2023 | PKC CEMPUT | 615 | 0012559 | WINDA LESTARI | MUHAMMAD YUSUF | JL CPT RT 09/03 KEL CPT | Jl. Cempaka Putih Timur 17 No 27 Rt 009/03, CPT | 9 | 3 | CPT | 081297808056 / 081283804476 | 3174015708910002 | 0001285163324 | JAKARTA, 17-8-1991 | 32 | G2P1A0 | 07-07-2023 | 14/04/2024 | 6 MGG 4 HR | 1 | AGUSTUS | MUAL | 53.5 | 1.51 | 23.46 | 30.00 | 100/70 | BT | 24.5 | NORMAL | POS | BT | BT | T2 | YA | YA | 6-12-2021 | 03-01-2022 | SINOVAC | 29-7-2022 | PFIZER | K1 | BK | YA | AB | 13,7 | NEG | 101 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
77 | 74 | 22/8/2023 | PKC CEMPUT | 616 | 0033873 | HALIMATUSSADIYAH | TOTO JULIANTO | JL CPB RT 05/13 KEL CPB | Jalan Mardani No.45 RT/RW:05/13 Kel. Cempaka Putih Barat Kec. Cempaka Putih | 5 | 13 | CPB | 0895330027113, 08568119075 | 3314125710970002 | 0000572511824 - Kec. Cempaka Putih | JAKARTA, 07-11-1995 | 27 | G1P0A0 | 29-06-2023 | 05/04/2024 | 7 MGG 5 HR | 1 | AGUSTUS | PUSING, SAKIT KEPALA, ENEG | 75.9 | 1.545 | 31.80 | 30.00 | 110/70 | BT | 33.5 | NORMAL | POS | BT | BT | T5 | YA | YA | 30-7-2021 | 27-8-2021 | SINOVAC | 28-5-2022 | PFIZER | K1 | BK | O | 13,5 | NEG | 81 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
78 | 75 | 22/8/2023 | PKC CEMPUT | 617 | 0126121 | LAKSMITA RAMADHANTI | YASRIL AMRI | JL KEMAYORAN GEMPOL RT 08/06 KEL KEBON KOSONG KEC KEMAYORAN | Apartement Sunter Parkview RT 3/11 KEL SUNTER JAYA , KEMAYORAN | 3 | 11 | LW | 088213378540 | 3171036602950002 | 0001372362805 - Kec. Cempaka Putih | JAKARTA, 26-02-1995 | 28 | G1P0A0 | 20-05-2023 | 24/02/2024 | 13 MGG 3 HR | 2 | AGUSTUS | TAK | 88.5 | 1.52 | 38.31 | 30.00 | 120/70 | BT | 35 | NORMAL | POS | BT | BT | T5 | YA | YA | 21-5-2021 | 18-8-2021 | SINOVAC | 25-5-2022 | 07-02-2023 | PFIZER | K1 | BK | AB | 13,1 | NEG | 138 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
79 | 76 | 24/8/2023 | PKC CEMPUT | 619 | 0030358 | CINTYA DEWI | MUHAMAD RIDHO NURCAHYO | CEMPAKA PUTIH TIMUR RT 1 RW 3 NO 19 | CEMPAKA PUTIH TIMUR RT 1 RW 3 NO 19 | 1 | 3 | CPT | 085697170579 | 3171057011010001 | 0001174466158 - Kec. Cempaka Putih | 30-11-2001 | 21 | G2P0A1 | 06-07-2023 | 13/04/2024 | 7MG | 1 | AGUSTUS | PUSING | 54.8 | 1.60 | 21.41 | 30.00 | 100/60 | BT | 23.5 | KEK | POS | BT | BT | T5 | YA | YA | BELUM VAKSIN | K1 | BK | YA | AB | 12,1 | NEG | 80 | NEG | NEG | NEG | YA | YA | NR | AB 1X | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
80 | 77 | 24/8/2023 | PKC CEMPUT | 620 | 0026802 | MUTIARA PRIHATINI | RAHMAT SODIKIN | JL MARDANI RAYA GG B NO 26 A RT 13 RW 5 KEL CPB | JL MARDANI RAYA GG B NO 26 A RT 13 RW 5 KEL CPB | 13 | 5 | CPB | 081211962914 | 3171056703980001 | 0001636117424 - Kec. Cempaka Putih | JAKARTA 27-3-1998 | 25 | G3P2A0 | 20-06-2023 | 27/03/2024 | 9MG 2HR | 1 | AGUSTUS | DIARE | 75.4 | 1.57 | 30.59 | 30.00 | 130/90 | BT | 31 | NORMAL | POS | BT | BT | T5 | YA | YA | 31/7/2021 | 28/8/2021 | SINOVAC | 5/6/2023 | ZIFIFAC | K1 | BK | YA | O | 13 | NEG | 85 | NEG | NEG | NEG | YA | YA | NR | RIW LAHIR PREMATUR, BAYI + USIA 14HR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||
81 | 78 | 24/8/2023 | PKC CEMPUT | 621 | 0028330 | WIWI HARYATI | CECEP SEFTIANA PUTRA | RAJEGWESI RT 4 RW 5 KEL RAJEGWESI KEC PAGERBARANG KAB TEGAL | JL H MURTADO NO 229 RT 6 RW 6 KEL PASEBAN , KEC SENEN | 6 | 6 | LW | 085717895842 | 3328055908950001 | 0003060244179 - Kec. Cempaka Putih | TEGAL 19-8-1995 | 28 | G2P1A0 | 23-06-2023 | 29/03/2024 | 8MG 6HR | 1 | AGUSTUS | MUAL NYERI PINGGANG | 55.4 | 1.54 | 23.36 | 30.00 | 90/70 | BT | 25 | NORMAL | POS | BT | BT | T5 | YA | YA | BELUM PERNAH VAKSIN | K1 | BK | O | 12,5 | NEG | 88 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||||
82 | 79 | 24/8/2023 | PKC CEMPUT | 622 | 0082064 | ITA MUSTOFA | SAEPUL FAHMI | KP JAWA RAWASARI RT 10 RW 9 | KP JAWA RAWASARI RT 10 RW 9 NO 21, KEL RWS , KEC CEMPAKA PUTIH | 10 | 9 | RWS | 08971371267 / 089653778623 | 3171056101870002 | 0001205793909 - Klinik Cempaka Putih | JAKARTA , 21-1-1987 | 36 | G4P2A1 | 27-06-2023 | 03/04/2024 | 8MG 2HR | 1 | AGUSTUS | MUAL MUNTAH | 59.0 | 1.46 | 27.68 | 30.00 | 100/70 | BT | 29 | NORMAL | POS | BT | BT | T5 | YA | YA | K1 | BK | A | 12.7 | NEG | 94 | NEG | NEG | NEG | YA | YA | NR | RESTI USIA 36TH | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||||
83 | 80 | 25/8/2023 | PKC CEMPUT | 626 | 0101251 | RIZZA ANDINI | M. Fajar Ramdani | Jl. Rawasari Barat IX No.E/157A, RT010/RW001, Kel. Cempaka Putih Timur, Kec. Cempaka Putih | Jl. Rawasari Barat IX No.E/157A, RT010/RW001, Kel. Cempaka Putih Timur, Kec. Cempaka Putih | 10 | 001 | CPT | 081992436352, 089517698087 | 3171056312900003 | 0002216965904 - Kec. Cempaka Putih | 23-December-1990 | 32 | G1P0A0 | 11-07-2023 | 17/04/2024 | 6 MGG 3 HR | 1 | AGUSTUS | ibu keluhan pusing , ibu sudah usg di rs evasari ditemukan kista di ovarium kanan | 55.2 | 1.505 | 24.37 | 30.00 | 120/70 | BT | 28.5 | NORMAL | POS | BT | BT | T5 | 30 | YA | YA | 3/8/2021 | 31/8/2021 | SINOVAC | 14/8/2022 | PFIZER | K1 | BK | 13.3 | NEG | 81 | NEG | NEG | NEG | YA | YA | NR | KISTA OVAROIM KANAN | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
84 | 81 | 25/8/2023 | PKC CEMPUT | 627 | 0126302 | RICKE RINDANI | Bilal Abdullah Asher | Jln. Cempaka Putih Indah Kav.15 Cempaka Putih Barat, Cempaka Putih | Jln. Cempaka Putih Indah Kav.15 Cempaka Putih Barat, Cempaka Putih | 10 | 07 | CPB | 085695899444/082122774182(suami) | 3175026402941001 | 0001214705564 - Kec. Cempaka Putih | 24-February-1994 | 29 | G2P1A0 | 21-07-2023 | 27/04/2024 | 5 MGG | 1 | AGUSTUS | mual, ada kliengan , ibu belum pernah usg | 50.6 | 1.58 | 20.27 | 30.00 | 110/70 | BT | 24.5 | NORMAL | POS | BT | BT | T5 | 30 | YA | YA | 7/7/2021 | 7/8/2021 | SINOVAC | 22/2/2022 | ASTRAZENECA | K1 | BK | 12.4 | NEG | 24 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
85 | 82 | 25/8/2023 | PKC CEMPUT | 629 | 0126289 | AULIA DZULFI | Eron Sahwondo | Kp kandang rt03/09 duren seribu Bojongsari Depok | Jl. Pramuka Sari 3 Rt 012/007 No.34 Kel.Rawasari Kec.Cempaka putih | 012 | 007 | RWS | 083806298077 - 089690544828 | 3174075503000004 | 0000510892874 - DUREN SERIBU | 15-March-2000 | 23 | G1P0A0 | 23-07-2023 | 29/04/2024 | 4 MGG 5 HR | 1 | AGUSTUS | ibu tidak ada keluhan | 57.1 | 1.63 | 21.49 | 30.00 | 90/60 | BT | 25 | NORMAL | POS | BT | BT | T5 | 30 | YA | YA | 4/9/2021 | 25/9/2021 | PFIZER | K1 | BK | B | 13.6 | NEG | 106 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||
86 | 83 | 29/8/2023 | PKC CEMPUT | 631 | 0098703 | AMIRIL RAHMI FARADINI | STENLI DANNY | JL CEMPAKA PUTIH TENGAH XXVI A RT 02/06 KEL CPT | Komplek Naman Regency blok C no 1 rt 10/10 kel Bintara Jaya kec bekasi barat. | 10 | 10 | LW | 081314415099 | 3171054206900002 | 0000041434119 - KEC CEMPAKA PUTIH | JAKARTA, 02-06-1990 | 33 | G2P1A0 | 10-07-2023 | 17/04/2024 | 7 MGG | 1 | AGUSTUS | LEBIH CEPAT CAPEK | 82.1 | 1.51 | 36.01 | 30.00 | 110/80 | BT | 33 | NORMAL | POS | BT | BT | T5 | 30 | YA | YA | 9-6-2021 | 12-9-2021 | SINOVAC | 01-04-2022 | SINOPHARM | K1 | BS | YA | B | 12,1 | NEG | 100 | NEG | NEG | NEG | YA | YA | NR | BSC 1, KEHAMILAN < 1,5 THN | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||
87 | 84 | 29-8-2023 | PKC CEMPUT | 632 | 0046568 | ANI SURYATI | Triyono | Jl. Siaga Dharma VIII No. 31A Rt.012 Rw. 05 Kel. Pejaten Timur, Kec. Ps Minggu, Jakarta Selatan 12510 | Jl. Siaga Dharma VIII No. 31A Rt.012 Rw. 05 Kel. Pejaten Timur, Kec. Ps Minggu, Jakarta Selatan 12510 | 012 | 005 | LW | 085777027222/085777027111 | 3174046807850009 | 0001441006255- KEC PANCORAN | 28-7-1985 | 38 | G2P1A0 | 20-07-2023 | 27/04/2024 | 5 MGG 5 HR | 1 | AGUSTUS | PINGGANG PEGAL, | 90.8 | 1.595 | 35.69 | 30.00 | 120/70 | BT | 33.5 | NORMAL | POS | BT | BT | T5 | - | YA | YA | LUPA | K1 | BK | B | 12,6 | NEG | 93 | NEG | NEG | NEG | YA | YA | NR | RIW BSC, RIW PP TOTALIS | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
88 | 85 | 29-8-2023 | PKC CEMPUT | 633 | 00008000 | OKTAVIA RAMADANI | SAIFUL ARIFIN | JL MARDANI RAYA RT 01/05 KEL CPB | JL cempaka putih barat XI rt 02/11 no 13 kel cpb | 002 | 011 | CPB | 085711669569 | 3171055410050002 | 0001653767572 - KEL CPB II | 14-10-2005 | 17 | G2P1A0 | 27-07-2023 | 04/05/2024 | 5 MGG | 1 | AGUSTUS | TAK | 38.2 | 1.508 | 16.80 | 30.00 | 100/80 | BT | 21.7 | KEK | POS | BT | BT | T3 | - | YA | YA | 23-10-2021 | 15-11-2021 | PFIZER | K1 | BK | AB | 11,7 | NEG | 97 | NEG | NEG | NEG | YA | YA | NR | RIW PRETERM, BY MENINGGAL | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||
89 | 86 | 29-8-2023 | PKC CEMPUT | 634 | 0099813 | ARIFAH PUTRI RAMADHANI | REZKI SANANDA | JL PRAMUKASARI III JL I RT 10/7 KEL RWS | Jalan Pramukasari III no.2C rt 10 rw 07 Rawasari, Cempaka Putih | 10 | 07 | RWS | 081317277841, 081380336121 | 3171056302950003 | 0001766761896 | JAKARTA, 23-02-1995 | 28 | G1P0A0 | 06-07-2023 | 13/04/2024 | 7 MGG 5 HR | 1 | AGUSTUS | MUAL, LEMES, PUSING | 86.4 | 1.634 | 32.36 | 30.00 | 110/70 | BT | 34 | NORMAL | POS | BT | BT | T5 | - | YA | YA | 17-6-2021 | 30-9-2021 | SINOVAC | 09-07-2022 | SINOPHARM | K1 | BK | B | 12,4 | NEG | 92 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
90 | 87 | 31/8/2023 | PKC CEMPUT | 637 | GANITA KUMALASARI | ARTUR RAUNANG | CEMPAKA PUTIH BARAT XI NO 2 RT 4 RW 8 | CPB XI NO 7B RT 12 RW 8 KEL CPB , KEC CEMPAKA PUTIH | 12 | 8 | CPB | 081225030001 | 3311096907960005 | 0002758486331 - Klinik Asty | KLATEN , 29-7-1996 | 27 | G2P0A1 | 21-07-2023 | 28/04/2024 | 5MG 6HR | 1 | AGUSTUS | MUAL JARANG | 39.5 | 1.53 | 16.87 | 30.00 | 90/70 | BT | 21 | KEK | POS | BT | BT | YA | YA | 26/2/2021 | 12/3/2021 | SINOVAC | 28/10/2021 | MODERNA | K1 | BK | B+ | 13 | NEG | 96 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
91 | 88 | 31/8/2023 | PKC CEMPUT | 638 | 0019094 | CINDY DESTRIANI | YUMAEDIE | JL KRAMAT PULO GG VI/B.51 RT 03/03 KEL KRAMAT KEC SENEN | Jl.Kramat Pulo GG.VI NO.B51G, Rt.003/Rw.003, Kel.Kramat Kec.Senen | 003 | 003 | LW | 085219571293/081223236078 | 3171085212951001 | UMUM | PRABUMULIH, 12-12-1996 | 27 | G3P2A0 | 14-06-2023 | 21/03/2024 | 11 MGG 1 HR | 1 | AGUSTUS | SEJAK SEMALAM PEGAL', PUSING, MUAL | 48.9 | 1.573 | 19.76 | 30.00 | 90/70 | 2 JAS | 23.2 | KEK | POS | 140 | T | BALT | T5 | 30 | YA | YA | 01-02-2021 | 22-2-2021 | SINOVAC | 12-8-2021 | MODERNA | K1 | BK | A | 11 | NEG | 99 | NEG | NEG | NEG | YA | YA | NR | BSC 2X, RIW PLASENTA PREVIA | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||
92 | 89 | 31/8/2023 | PKC CEMPUT | 639 | 0041570 | EMMA RISMI HUMAIROH | JOKO SUTRISNO | JL CEMPAKA PUTIH TIMUR 17 RT 11 RW 3 , KEL CPT , KEC CEMPAKA PUTIH | CPT NO 17 RT 11 RW 3, KEL CPT , KEC CEMPAKA PUTIH | 11 | 3 | CPT | 081317146064 | 3171054703860004 | 0001372028319 - Kec. Cempaka Putih | BOGOR , 7 / 3/ 1986 | 37 | G3P2A0 | 10-07-2023 | 17/04/2024 | 7MG 3HR | 1 | AGUSTUS | TAK | 59.5 | 1.58 | 23.83 | 30.00 | 110/80 | BT | 26.5 | NORMAL | POS | BT | BT | T5 | YA | YA | 9-7-2021 | 6-8-2021 | SINOVAC | 29-7-2022 | PFIZER | K1 | BK | B+ | 13,4 | NEG | 110 | NEG | NEG | NEG | YA | YA | NR | USIA 37TH | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
93 | 90 | 31/8/2023 | PKC CEMPUT | 640 | 0000140 | DITANIA INDAH FARELA | DIVA PRATAMA | JL RAWASARI BARAT GG X RT 01/04 KEL CPT | JL RAWASARI BARAT X RT 1/4 NO. 13 A KEL CPT | 01 | 04 | CPT | 081574529490 | 3171054107011001 | 0001205861253 - Kec. Cempaka Putih | JAKARTA, 01-07-2001 | 22 | G2P1A0` | 17-06-2023 | 24/03/2024 | 10 MGG 5 HR ? | 1 | AGUSTUS | TAK | 76.4 | 1.633 | 28.65 | 30.00 | 110/70 | BT | 31 | NORMAL | POS | BT | BT | T5 | 30 | YA | YA | LUPA | K1 | BK | B | 12,2 | NEG | 92 | NEG | NEG | NEG | YA | YA | NR` | BSC 1X, | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
94 | 91 | 31/8/2023 | PKC CEMPUT | 641 | 0126524 | ANNISA KAMILAH | AGUS SUNARDI | JL PRAMUKASARI V RT 6 RW 4, RAWASARI , KEC CEMPAKA PUTIH | JL PULOGEBANG RT 7 RW 6 NO 11 , KEL PULOGEBANG , KEC CAKUNG | 7 | 6 | LW | 08981391123 / 081385780660 | 3171054808910002 | 0001386844018 - Kec. Cempaka Putih | JAKARTA 8-8-1991 | 32 | G2P1A0 | 13-05-2023 | 20/02/2024 | 15MG 5 HR | 2 | AGUSTUS | TAK | 48.0 | 1.57 | 19.47 | 30.00 | 90/70 | 4JBP | 21 | KEK | POS | 145 | BALT | T5 | 30 | YA | YA | 1-8-2021 | 25-10-2021 | SINOVAC | 9-8-2021 | AZ | K1 | BS | B+ | 12,2 | NEG | 89 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
95 | 92 | 31/8/2023 | PKC CEMPUT | 642 | 0002296 | MEYLIANTIKA USWATUN HASANAH | AHMAD HIKMATIAR | JL KP PISANGAN RT 07/11 KEL PENGGILINGAN KEC. CAKUNG | Jl. Kutruk Jambe, Perumahan Mega Pesona 2 Block C No 11 RT 19/5 KEL TAPOS KEC TIGARAKSA | 019 | 005 | LW | 08111559497 , 081294472645 | 3175064205970007 | 0001217244701 - Kec. Cempaka Putih | JAKARTA, 02-05-1997 | 26 | G2P1A0 | 08-06-2023 | 15/03/2024 | 12 MGG | 1 | AGUSTUS | SAKIT PINGGANG, KADANG' MUAL MUNTAH | 54.9 | 1.55 | 22.85 | 30.00 | 100/60 | 4 JBP | 26 | NORMAL | POS | 135 | T | BALT | T5 | 30 | YA | YA | 15-3-2021 | 12-4-2021 | SINOVAC | 03-02-2022 | AZTRA | K1 | BK | A | 13 | NEG | 74 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||
96 | 93 | 31/8/2023 | PKC CEMPUT | 644 | 0063202 | NOVIANTI | RADIYANTO | CPB RT 8 RW 11 | CPB RT 8 RW 11 NO 11 | 8 | 11 | CPB | 088210976988 | 3171056011910001 | 0001207164598 - Kec. Cempaka Putih | JAKARTA 20-11-1991 | 31 | G3P2A0 | 15-06-2023 | 22/03/2024 | 11? | 1 | AGUSTUS | TAK | 75.9 | 1.54 | 32.00 | 30.00 | 100/70 | 3JBP | 30 | NORMAL | POS | 148 | BALT | T5 | 30 | YA | YA | BELUM PERNAH VAKSIN | K1 | BK | A+ | 12,1 | NEG | 89 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||||
97 | 94 | 1/9/2023 | PKC CEMPUT | 646 | 0089989 | YULIANI | HERMAWAN | JL CPB RT 14 RW 1 KEL CPB KEC CEMPAKA PUTIH | JL CPB RT 14 RW 1 KEL CPB KEC CEMPAKA PUTIH | 14 | 1 | CPB | 085776134285 | 3173016207860006 | 0001205850396 - Kec. Cempaka Putih | JAKARTA 22-7-1986 | 37 | G3P2A0 | 17-07-2023 | 24/04/2024 | 6MG 4HR | 1 | SEPTEMBER | TAK | 39.5 | 1.64 | 14.69 | 30.00 | 100/80 | BT | 39.5 | NORMAL | POS | BT | BT | T5 | YA | YA | 30/6/2021 | 28/7/2021 | SINOVAC | 6/11/2021 | PFIZER | K1 | BK | O | 12,3 | NEG | 132 | NEG | NEG | NEG | YA | YA | NR | RESTI USIA 37TH | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||
98 | 95 | 4/9/2023 | PKC CEMPUT | 647 | 0038080 | SISCA PRATIWI | ANTON SANJAYA | Komplek PIK blok E no 117 Rt009/Rw010, Penggilingan Cakung | jl. Pramukasari 1, rawasari RT 12 / RW 8 | 12 | 8 | RWS | 085814563446 | 1871055502910006 | 0000032528248 | 15/02/1991 | 32 | G2P1A0 | 05-07-2023 | 11/04/2024 | 8 MGG 5 HR | 1 | SEPTEMBER | MUAL, MUNTAH | 94.3 | 1.575 | 38.01 | 30.00 | 110/80 | BT | 36 | NORMAL | POS | BT | BT | T4 | YA | YA | 4/8/2021 | SINOVAC | K1 | BK | O | 13.6 | NEG | 165 | NEG | NEG | NEG | YA | YA | NR | BSC 1 kali | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||||||||
99 | 96 | 5/9/2023 | PKC CEMPUT | 649 | 0015053 | MEILANI HANDAYANI | AFISKY ZUMARDANI | Jl. Rawasari Rimur 2 no 28 rt 05 rw 02, kel. Cempaka putih timir, kec. Cempaka putih, Jakarta Pusat 10510 | Jl. Raya pulogebang no 106. Rt 12 rw 04 kelm ujung menteng, kec. Cakung, Jakarta Timur | 12 | 04 | LW | 089610581258 / 085930214844 | 3171055305951001 | 0001208291962, Puskesmas Cempaka Putih | 13/5/1995 | 28 | G2P1A0 | 13-05-2023 | 17/02/2024 | 16 MGG 3 HR | 2 | SEPTEMBER | FLEK, ADA HEMATOMA | 46.2 | 1.44 | 22.28 | 30.00 | 90/60 | 4 JAS | 24 | NORMAL | POS | 149 | BALT | T4 | YA | YA | 5/11/2021 | 7/3/2021 | SINOVAC | K1 | BK | O | 12.6 | NEG | 134 | NEG | NEG | 2.6 | 23 | 0.5 | 17 | 10 | NEG | YA | YA | NR | TBC USUS DAN PARU. SEDANG PENGOBATAN BULAN KE 10 | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | ||||||||||||||||||||||||||
100 | 97 | 6/9/2023 | PKC CEMPUT | 651 | 0000773 | ATIKA ANGGRAINI | DARYANTO | Jl cempaka putih barat xxv RT 3/ RW 7 NO. 15 | Jl cempaka putih barat xxv RT 3/ RW 7 NO. 15 | 7 | 15 | CPB | 081337713377 / 081224259595 (suami) | 3171054911890001 | 0001207176794 - Kec. Cempaka Putih | 9/11/1989 | 34 | G2P1A0 | 29/7/2023 | 05/05/2024 | 5 MGG 4 HR | 1 | SEPTEMBER | TAK | 75.7 | 1.57 | 30.71 | 30.00 | 120/70 | BT | 31 | NORMAL | POS | BT | BT | T3 | AF30 | YA | YA | 9/9/2021 | 30/9/2021 | PFIZER | K1 | BK | O | 10.7 | NEG | 111 | NEG | NEG | NEG | YA | YA | NR | | | | | Belum Skrinning | | Non Reaktif | Non Reaktif | Non Reaktif | | | | | | | | | | | | |||||||||||||||||||||||||||||||