| 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 | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | TANGGAL KUNJUNGAN | TANGGAL KUNJUNGAN ULANG | 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 (KG) | TINGGI BADAN (CM) | IMT | 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 | 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 (+/-) | RUJUK POLI SAHABAT | IBU HAMIL MENDAPAT ARV | TANGGALSWAB KUNJUNGAN 1(HASIL) | TANGGAL SWAB TM 3(HASIL) | TANGGAL SWAB ULANG TM 3(HASIL) | RAPID TEST | KOMPLIKASI KEHAMILAN | RUJUK RS | TGL PERSALINAN | JENIS PERSALINAN (SPT/SC) | TEMPAT PERSALINAN | JENIS KELAMIN BAYI | BB (GRAM)/PB BAYI (CM) | IMD | NAMA BAYI | TANGGALKF1/KN1 | TANGGALKF2/KN2 | TANGGALKF3/KN3 | TANGGAL KF4 | PASCA SALIN | METODE KONTRASEPSI | KOLOM KB | |||||||||||||||||||||
4 | 1 | 03/01/2023 | 3 | 0110739 | MELYNDA SULFIANA | JEFRI SELISTIO | JL CIPINANG ASEM NO.51 RT 12/9 KEL KEBON PALA KEC.MAKASAR | JL CIPINANG ASEM NO.51 RT 12/9 KEL KEBON PALA KEC.MAKASAR | 12 | 9 | LW | 087784671563 | 3175085803880003 | 0000207294366 | 18-03-1988 | 34 | G1P0A0 | 04/11/2022 | 11/8/2023 | 8 MGG 4 HR | 1 | JAN | MUAL, MUNTAH | 79.9 | 165 | 110/80 | BT | 33 | N | POS | BT | BT | T4 | VIT SENDIRI | YA | YA | 14/01/2021 | 28/01/2021 | SINOVAC | 13/8/2021 | MODERNA | K1 | BK | A | 12.6 | NEG | 97 | NEG | NEG | NEG | YA | YA | NR | KARYAWAN SUDIN | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
5 | 2 | 3/1/2023 | 4 | 0117069 | RIA CHRISTINA | PRIYONO DWI UTOMO | JL BIDURI BULAN IV RT 5 RW 6 SUMUR BATU KEMAYORAN | JL BIDURI BULAN IV RT 5 RW 6 SUMUR BATU KEMAYORAN | 5 | 6 | LW | 08111918318 | 3172024801860006 | 0001226432564 | 8/1/1986 | 36 | G4P2A1 | 14-11-2022 | 21-8-2023 | 7MG 1HR | 1 | JAN | MUAL | 79.9 | 165 | 110/80 | BT | 29 | N | POS | BT | BT | T5 | VIT SENDIRI | YA | TDK | 14/1/2021 | 28/1/2021 | SINOVAC | 27/8/2021 | MODERNA | K1 | BS | A | 13 | NEG | 129 | NEG | NEG | NEG | YA | YA | NR | KARYAWAN PKC SETIABUDI | HEP B + | RSUD CEMPUT | |||||||||||||||||||||||||||||||||||||||||||||||||||||
11 | 5/1/2023 | 10 | 0117127 | INNE NATASYA SANJAYA | YUDI EKO PUTRA | CEMPAKA PUTIH TENGAH XXII A NO 45 RT 14 RW 4 | JL KEBON KELAPA TUNGGAL 3 NO 24 G RT 5 RW 9 | 5 | 9 | LW | 0895600164898 | 3172036512961003 | 0001435926339 | 25-12-1996 | 26 | G1P0A0 | 26-6-2022 | 2-4-2023 | 27MG 4HR | 2 | JAN | TAK | 61.1 | 149 | 100/60 | 23 | 27 | N | POS | 137 | BM | 1550 | T | KEP | T5 | 30 | YA | YA | 15/6/2021 | 7/9/2021 | AZ | 1/4/2022 | AZ | K1 | BS | B | 12.2 | NEG | 88 | NEG | NEG | NEG | YA | YA | NR | 2/1/2023 NEGATIF | |||||||||||||||||||||||||||||||||||||||||||||||||||||
15 | 5/1/2023 | 14 | 0096237 | NINDI AYU WULANDARI | SANDI DARMAWAN | JL MESJID NO 1 G RT 6 RW 4 KAYUPUTIH PULOGADUNG | JL MESJID NO 1 G RT 6 RW 4 KAYUPUTIH PULOGADUNG | 6 | 4 | LW | 089698772446 | 3175024902960005 | 0001645474511 | 9-2-1996 | 26 | G3P2A0 | 19/11/2022 | 26-8-2023 | 6MG 5HR | 1 | JAN | MUAL | 47 | 162 | 100/80 | BT | 25 | N | POS | BT | BT | BT | T5 | 30 | YA | YA | K1 | BK | A | 12.4 | NEG | 82 | NEG | NEG | NEG | YA | YA | NR | 3/1/2023 NEGATIF | BSC 2X | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
18 | 6/1/2023 | 17 | 0002698 | SUMAYYAH | MU'ADZ NASRULLAH | JL MARDANI RAYA GG S NO 4 RT 13 RW 5 | JL MARDANI RAYA GG S NO 4 RT 13 RW 5 JOHAR BARU | 13 | 5 | LW | 089636460964 | 3171085302950001 | 0000372871912 | 13-2-1995 | 27 | G4P2A1 | 28-11-2022 | 4-9-2023 | 5MG 4HR | 1 | JAN | PERUT PEGEL | 48.9 | 157 | 100/70 | BT | 23.5 | N | POS | BT | BT | BT | T2 | YA | YA | TIDAK PERNAH VAKSIN COV | K1 | BK | O | 13.2 | NEG | 95 | NEG | NEG | NEG | YA | YA | NR | 3/1/2023 NEGATIF | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
19 | 6/1/2023 | 18 | 0092430 | KARTIKA | SUH ANWAR | JL H.TEN 2 NO.32 RT 04/01 KEL.RAWAMANGUN KEC.P.GADUNG | JL H.TEN 2 NO.32 RT 04/01 KEL.RAWAMANGUN KEC.P.GADUNG | 4 | 1 | LW | 085819857028 | 3175026704860014 | 0001795192931 | 27-04-1986 | 36 | G3P2A0 | 25-11-2022 | 01-09-2023 | 6 MGG | 1 | JAN | MUAL | 56 | 155 | 110/60 | BT | 27 | N | POS | BT | BT | BT | T5 | YA | YA | 06/05/2021 | 29/7/2021 | SINOVAC | 16/3/2022 | MODERNA | K1 | BK | O | 11.9 | NEG | 87 | NEG | NEG | NEG | YA | YA | NR | 04/01/2023 NEGATIF | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
23 | 09/01/2023 | 22 | 0116358 | AGIS GISELLA TJIPTA | UNTUNG RAHMAT HIDAYAT | JL. SISINGAMANGARAJA GG PETEK NO. 183 RT 004/001 PANJUNAN , LEMAHWUNGKUK CIREBBON | JL. PERINTIS KEMERDEKAAN NO. 23 RT 16 ( APARTEMEN TIFFOLIA KELAPA GADING ) | 0 | 16 | LW | 081270472921 | 3274025404950003 | 0001446361277 | 14/4/1995 | 27 | G4P3A0 | 27/10/2022 | 3/8/2023 | 10 MGG 4 HR | 1 | JAN | MUAL | 55.6 | 159.5 | 110/60 | 2 JAS | 25 | N | POS | BT | BT | T2 | AF 30 | YA | YA | 19/6/2021 | 16/7/2021 | SINOVAC | 15/2/2022 | ASTRAZENECA | K1 | BK | B | 13.1 | NEG | 95 | NEG | NEG | NEG | YA | YA | NR | 10/12/2022 NEGATIF | ABORTUS 3 KALI | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
25 | 09/01/2023 | 24 | 0064320 | IRMA ISNAWATI DEWI | KUSHERDIYANSYAH | JL. CEMPAKA PUTIH BARAT NO. 17 RT 005 / 005 , CPB | KP. BAHARI UJUNG GANG I RT 6 / 9 TANJUNG PRIOK | 6 | 9 | LW | 083892378587 | 3217136508980002 | 0002489057199 | 25/7/1998 | 24 | G2P1A0 | 8/11/2022 | 15/8/2023 | 8 MGG 6 HR | 1 | JAN | MUAL, PUSING , KRANAN KANAN BAWAH SAMPAI PAHA | 52.4 | 142 | 80/60 | 2 JAS | 27.5 | N | POS | BT | BT | T5 | AF 30 | YA | YA | 15/7/2021 | 14/8/2021 | SINOVAC | BELUM VAKSIN | K1 | BK | O | 12.3 | NEG | 100 | NEG | NEG | NEG | YA | YA | NR | 27/12/2022 NEGATIF | TB 142 CM | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
30 | 11/1/2023 | 29 | 0117285 | JENIPER OKTAPIANY SIAGIAN | RICHSON LAMRON PANGIHUTAN | KP. PISANGAN RT 003/011 PENGGILINGAN, CAKUNG | METLAND UNJUNG MENTENG L2/14 RT 7 / RW 11, CAKUNG JAKARTA TIMUR | 7 | 11 | LW | 081287851181 | 1471105310940003 | 0002358819742 - Klinik Cempaka Putih | PEKANBARU, 13/10/1994 | 28 | G1P0A0 | 11/10/2022 | 18/8/2023 | 8 MGG 5 HR | 1 | JAN | MUAL , HIPERSALIVA | 72.4 | 154 | 100/60 | 1 JAS | 29 | N | POS | BT | BT | T5 | 30 | YA | YA | 19/4/2021 | 17/5/2021 | SINOVAC | 31/1/2022 | ASTRAZENECA | K1 | BK | B | 14.7 | NEG | 82 | NEG | NEG | NEG | YA | YA | NR | 9/1/2023 NEGATIF | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
33 | 12/1/2022 | 32 | 0093126 | MEILITA AYU LESTARI | RIKI RAMDANI | JL. CEMPAKA PUTIH TENGAH XXVI D NO. 47 RT 020 / 004 , CEMPAKA PUTIH TIMUR | JL. PONCOL 2 RT 6 / 7 PONDOK BAMBU , KEC. DUREN SAWIT | 6 | 7 | LW | 081548555700 | 3375014805870008 | 0002052133615 - Kec. Cempaka Putih | PEKALONGAN, 8/5/1987 | 35 | G2P1A0 | 6/12/2022 | 12/9/2023 | 5 MGG 1 HR | 1 | JAN | KLIENGAN , PAYUDARA NYERI, GATAL | 66.6 | 156.5 | 120/80 | BT | 32 | N | POS | BT | BT | T3 | 30 | YA | YA | 25/6/2021 | 10/11/2021 | ASTRAZENECA | 23/3/2022 | PFIZER | K1 | BK | O | 13.6 | NEG | 83 | NEG | NEG | NEG | YA | YA | NR | 10/1/2023 NEGATIF | MIOPI 5.5 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
34 | 12/1/2022 | 33 | 0096002 | PUTRI NOVIANY | RAMAS ANDI SETIADI | KP BARU RT 8 RW 7 , KAYUPUTIH PULOGADUNG | KP BARU NO 4 RT 8 RW 7 KAYUPUTIH PULOGADUNG | 8 | 7 | LW | 085691154091 | 3171046411980004 | 0001623969011 | 24-11-1998 | 24 | G2P1A0 | 1-10-2022 | 8-7-2023 | 14MG 5HR | 2 | JAN | NYERI PINGGANG | 57.4 | 164 | 90/60 | 4JAS | 25 | N | POS | 140 | BALT | T3 | 30 | YA | YA | 30/7/2021 | 27/8/2021 | SINOVAC | K1 | BK | A | 10.1 | NEG | 71 | NEG | NEG | NEG | YA | YA | NR | 5/1/2023 NEGATIF | BSC, RIW EKLAMPSI | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
36 | 12/1/2022 | 35 | 0117335 | RATNA SEKARWANGI | RICKY FIRNANDO OCTIAN | JL PAGUYUBAN NO 67 RT 4 RW 5 KEL CAKUNG TIMUR KEC CAKUNG | JL PAGUYUBAN NO 67 RT 4 RW 5 KEL CAKUNG TIMUR KEC CAKUNG | 4 | 5 | LW | 0895359808764 | 3175065008000012 | 0001257740482 | 10-8-2000 | 23 | G2P1A0 | 6-7-2022 | 12-4-2023 | 27MG 1HR | 3 | JAN | TAK | 60.2 | 164 | 120/80 | 23 | 25.5 | N | POS | 147 | BM | 1550 | T | KEP | T5 | 30 | YA | YA | 4/6/2021 | 27-8-2021 | AZ | 2/4/2022 | AZ | K1 | BS | B | 11.4 | NEG | 101 | NEG | NEG | NEG | YA | YA | NR | 5/1/2022 NEGATIF | |||||||||||||||||||||||||||||||||||||||||||||||||||||
37 | 12/1/2022 | 36 | 0061675 | NOVI PRASASTI PUTRI | SEPNOTIAN | JL. GALUR SARI RT 009 / 007 KEL. UTAN KAYU UTARA , KEC. MATRAMAN , JAKARTA TIMUR | JL. GALUR SARI RT 009 / 007 KEL. UTAN KAYU UTARA , KEC. MATRAMAN , JAKARTA TIMUR | 9 | 7 | LW | 085777718360 | 3171054711930001 | 0001205904227 - Kec. Cempaka Putih | JAKARTA, 7/11/1993 | 29 | G2P1A0 | 30/11/2022 | 6/9/2023 | 6 MGG 1 HR | 1 | JAN | TAK | 56.2 | 156.5 | 110/70 | 1 JAS | 26.5 | N | POS | BT | T5 | 30 | YA | YA | 25/6/2021 | 22/7/2021 | SINOVAC | 28/3/2022 | PFIZER | K1 | BK | A | 11.9 | NEG | 87 | NEG | NEG | NEG | YA | YA | NR | 11/1/2023 NEGATIF | BSC 1 KALI | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
38 | 13/1/2023 | 37 | 0117375 | RUHYAT WULAN SARI | AHMAD HARIANTO | JL. RAWASARI TIMUR NO. 39 RT 016 / 002 , CEMPAKA PUTIH TIMUR | KP. MERAK RT 11/001 DESA MERAK KEC. SUKAMULYA BANTEN | 11 | 1 | LW | 08569991951 | 3603274206920001 | 0002772667304 - KLINIK MONHAL PERSADA | TANGERANG , 02/06/1992 | 30 | G1P0A0 | 16/10/2022 | 23/7/2023 | 12 MGG 5 HR | 2 | JAN | KRAM PERUT BAWAH, TIDAK ADA FLEK | 80.2 | 160 | 120/70 | 2 JAS | 33 | N | POS | 127 | BALT | T5 | 30 | YA | YA | 25/10/2021 | 8/4/2021 | SINOVAC | 15/8/2022 | PFIZER | K1 | BS | B | 12.1 | NEG | 89 | NEG | NEG | NEG | YA | YA | NR | 12/1/2023 NEGATIF | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
45 | 17/1/2023 | 44 | 0049627 | MARNI | AJIE EKO PRATOMO | JLN. CEMPAKA III RT 007 / 002 , CEMPAKA PUTIH BARAT | JL. DERMAGA RAYA RT 14 / RW 11, KLENDER, DUREN SAWIT | 14 | 11 | LW | 083892922411 | 3171054606980006 | 0001641596973 | JAKARTA, 6/6/1998 | 24 | G2P1A0 | 17/11/2022 | 24/8/2023 | 8 MGG 5 HR | 1 | JAN | MUAL, PUSING , LELAH | 41.4 | 153.5 | 90/60 | BT | 23 | KEK | POS | BT | BT | T5 | 30 | YA | YA | 31/1/2022 | 2/3/2022 | SINOVAC | BELUM VAKSIN | K1 | BS | O | 13.5 | NEG | 76 | NEG | NEG | NEG | YA | YA | NR | ONSITE | BSC 1 KALI, JARAK ANAK 7 BULAN | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
46 | 18/1/2023 | 45 | 0044950 | YUNIA RUNTANI | M. ZIDAN | JL. CEMPAKA PUITIH BARAT RT 014 / 001 , CPB | JL. JOHAR BARU UTARA V RT 17/3, JOHAR BARU | 17 | 3 | LW | 081511558195 | 3171054506031001 | 0001205936831 - Kel. Cempaka Putih Barat II | JAKARTA, 5/6/2003 | 19 | G1P0A0 | 13/10/2022 | 20/7/2023 | 13 MGG 6 HR | 2 | JAN | MUAL, MUNTAH | 46.4 | 160.5 | 90/60 | 2 JAS | 27 | N | POS | 143 | BALT | T4 | 30 | YA | YA | 1/5/2022 | MODERNA | BELUM VAKSIN | K1 | BK | A RH + | 12.8 | NEG | 79 | NEG | NEG | NEG | YA | YA | NR | ONSITE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
49 | 19/1/2023 | 48 | 0043597 | DIANA MARDIAH | AHMAD FAJRI | KP BARU RT 012 / 006 KAYU PUTIH, PULO GADUNG | KP. BARU NO. 45 RT 12 / 06 , KAYU PUTIH , PULO GADUNG | 12 | 6 | LW | 089572617217744 | 3175034310910006 | 0000369563038 - Kec. Cempaka Putih | JAKARTA, 3/10/1991 | 31 | G3P2A0 | 9/12/2022 | 15/9/2023 | 5 MGG 5 HR | 1 | JAN | MUAL | 78.9 | 159 | 110/70 | BT | 30 | N | POS | BT | BT | T5 | 30 | YA | YA | 30/7/2021 | 2/9/2021 | SINOVAC | k1 | BK | O | 11.9 | NEG | 86 | NEG | NEG | NEG | YA | YA | NR | ONSITE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
53 | 20/1/2023 | 52 | 0117570 | FITRIA SETYANINGSIH | BILLY ANDIKA | JL PULO BESAR I RT 01/11 KEL.SUNTER JAYA KEC. T.PRIOK | JL PULO BESAR I RT 01/11 NO.12 KEL.PULO BESAR I KEC. T.PRIOK | 1 | 11 | LW | 0895640317728/082124171472 | 3171035401000001 | 0002468881012 - KEL. SUNTER JAYA II (SEDANG PROSES PENGAKTIFAN) | SUKOHARJO, 14-01-2000 | 23 | G1P0A0 | 29-07-2022 | 05-05-2023 | 25 MGG | 2 | JAN | TAK | 67.9 | 158 | 110/80 | 20 | 27 | N | POS | 145 | BM | 1085 | T | BALT | T5 | VIT SENDIRI | YA | YA | LUPA | K1 | BS | B | 13.3 | NEG | 80 | NEG | NEG | NEG | YA | YA | NR | ONSITE | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
56 | 20/1/2023 | 55 | 0058873 | SINTA AMELIA | ANGGA KHARISMA | JATIPULORT 6 RW 9 PALMERAH JAKBAR | JL KEBON KELAPA RT 1 RW 9 UTAN KAYU SELATAN , MATRAMAN | 1 | 9 | LW | 085959358102 | 3173074805920004 | 0000041596468 - Kec. Cempaka Putih | JAKARTA 8-5-1992 | 30 | G3P2A0 | 27-11-2022 | 3-9-2023 | 7MG 5HR | 1 | JAN | TAK | 71.9 | 157.5 | 90/60 | BT | 30.5 | N | POS | BT | BT | T4 | YA | YA | LUPA HP GA BAWA | K1 | BK | A | 13.3 | NEG | 81 | NEG | NEG | NEG | YA | YA | NR | ONSITE | BSC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
58 | 24/01/2023 | 57 | 0117641 | SRI RIZDI LISTIANI | YOGA WANDA PRATAMA | JL KP.PANEUNGTEUNG RT 01/011 KEL. CIHANJUANG RAHAYU KEC.PARONGPONG | JL. JOHAR BARU GANG JAMBU RT 01/04 NO.39 KEL.JOHAR BARU KEC. JOHAR BARU | 1 | 4 | LW | 081278424343 | 3217025507920007 | 0000053092822 - Kec. Cempaka Putih | BANDUNG, 15-07-1992 | 31 | G2P0A1 | 12-09-2022 | 19-6-2023 | 19 MGG 1 HR | 2 | JAN | TAK | 68.7 | 146.5 | 140/80 | 2 JBP | 33.7 | N | POS | 132 | BM | T | BALT | T5 | 30 | YA | YA | 09/03/2021 | 23/3/2021 | SINOVAC | 3/2/2022 | PFIZER | K1 | BS | A | 11.7 | NEG | 83 | NEG | NEG | NEG | YA | YA | NR | ONSITE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
61 | 25/01/2023 | 60 | 0005524 | FIRDA PUTRI LESTARI | VICO ALVIANTO BAHRAIN | JL RAWA TENGAH NO 6 RT 8 RW 5 GALUR JOHAR BARU | JL RAWA TENGAH NO 6 RT 8 RW 5 GALUR JOHAR BARU | 8 | 5 | LW | 087782442989 | 3171056502001001 | 0001205860948 - Kec. Cempaka Putih | JAKARTA , 25-2-2000 | 22 | G2P0A1 | 27-6-2022 | 03-04-2023 | 30MG 2HR | 3 | JAN | EUNGAP | 67.1 | 146 | 100/60 | 26 | 28 | N | POS | 148 | BM | 2015 | T | KEP | T5 | 30 | YA | YA | 23/10/2021 | 7/3/2022 | PFIZER | 11/8/2022 | PFIZER | K1 | BS | O | 10 | NEG | 106 | NEG | NEG | NEG | YA | YA | NR | ONSITE | |||||||||||||||||||||||||||||||||||||||||||||||||||||
62 | 25/01/2023 | 61 | 0107638 | YOSEA SEPIYA ANDRIANI | BANON WIDI ANDRIANI | JL CEMPAKA WARNA NO.20 RT 16/4 KEL. CPT | JL TIRTA RAHARJA 3 KOMPLEK PAM RT 06/10 BLOK F NO. 236 KEL.JATI KRAMAT KEC.JATI ASIH | 6 | 10 | LW | 087889393561 | 3275095909870007 | 0001863819977 - Kel. Rawasari | JAKARTA, 19-09-1987 | 35 | G1P0A0 | 05-09-2022 | 12-06-2023 | 20 MGG 2 HR | 2 | JAN | NYERI BAGIAN BAWAH, PUSING SESEKALI | 119.4 | 157.5 | 150/100 | SEPUSAT | 36.5 | OBES | POS | 144 | T | BALT | T5 | 30 | YA | YA | 01/09/2021 | 24/11/2021 | AZTRA | 25/03/2022 | MODERNA | K1 | BK | O | 10.8 | NEG | 98 | NEG | NEG | 3.9 | 18 | 0.7` | 12 | 9 | NEG | YA | YA | NR | ONSITE | OBESITAS >100 KG | |||||||||||||||||||||||||||||||||||||||||||||||||
63 | 25/01/2023 | 62 | 0110402 | DIAR DWI OKTASARI | SUHERY | RSB JATI RAWASARI RT 15 RW 5 CPB | MENARA SAMAWA 624 RT 2 RW 15 PONDOK KELAPA DUREN SAWIT | 2 | 15 | LW | 085775276269 / '082367608784 (SUAMI) | 3171054810910001 | 0000038129038 - Kec. Cempaka Putih | JAKARTA 8-10-1991 | 31 | G1P0A0 | 17-12-2022 | 24-09-2023 | 5MG 4HR | 1 | JAN | TAK | 92.3 | 167 | 100/80 | BT | 32 | N | POS | BT | BT | T4 | YA | YA | 06/04/2021 | 4/5/2021 | SINOVAC | K1 | BK | B | 12.7 | NEG | 95 | NEG | NEG | NEG | YA | YA | NR | ONSITE | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
64 | 26/01/2023 | 63 | 0025789 | MAGODANG STEFFI SABATTINI | VEGA ADJIBUSONO | JL. PEMUDA III NOMOR 38 A RT 011 / 002 , RAWAMANGUN PULOGADUNG | JL. PEMUDA III NOMOR 38 A RT 011 / 002 , RAWAMANGUN PULOGADUNG | 11 | 2 | LW | 08989214295 | 3175021705971002 | 0002233002148 - Kec. Cempaka Putih | JAKARTA, 5/4/1993 | 29 | G2P1A0 | 12/10/2022 | 19/7/2023 | 15 MGG 1 HR | 2 | JAN | TENGGOROKAN SERET, SUARAGA AGAK BINDENG | 82.6 | 158.5 | 120/70 | 3 JARI ATAS SIMFISIS | 31 | N | POS | 150 | T | BALT | T4 | 30 | YA | YA | 11/6/2021 | 3/9/2021 | ASTRAZENECA | 4/3/2022 | MODERNA | K1 | BS | AB | 12.4 | NEG | 78 | NEG | NEG | NEG | YA | YA | NR | ONSITE | ABORTUS 1 KALI | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
68 | 26/01/2023 | 67 | 0079071 | DENASTIYA GUNAWAN | FIRMAN HAMDANI | JL RAWAMANGUN GG B NO 25 RT 1 RW 2 RAWASARI CEMPAKA PUTIH | UTAN KAYU JL MANGGA 4 NO 13 B RT 4 RW 6 MATRAMAN | 4 | 6 | LW | 085779032409 | 3175016212930003 | 0002265500362 - Kec. Cempaka Putih | JAKARTA 22-12-1993 | 29 | G2P1A0 | 15-12-2022 | 22-09-2023 | 6MG | 1 | JAN | PERUT KRAM MUAL | 60.9 | 160 | 90/60 | BT | 26.5 | N | POS | BT | BT | T5 | YA | YA | 17/09/2021 | 8/10/2021 | PFIZER | 16/7/2022 | PFIZER | K1 | BK | O | 12.4 | NEG | 95 | NEG | NEG | NEG | YA | YA | NR | ONSITE | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
72 | 30/01/2023 | 71 | 0117429 | DESTY RAHMA DANTI | MAWARDI | JL. RAWASARI BARAT VIII RT 009 / 001 , CPT | JL. CEMPAKA BARU RT / RW | LW | 0895413758125 | 3171055112001001 | 0001208705455 - Kec. Cempaka Putih | TG PANDAN , 11-12-2000 | 22 | G1P0A0 | 27/5/2022 | 3/3/2023 | 35 MGG 3 HR | 3 | JAN | NYERI PERUT BAWAH | 93.6 | 144.5 | 120/70 | 28 | 34 | N | POS | 139 | BM | 2325 | T | KEP | T5 | 30 | YA | YA | 2/8/2021 | 30/8/2021 | SINOVAC | K1 | BK | O | 10.4 | NEG | 74 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
75 | 31/1/2023 | 74 | 0089496 | LENY MULYANI HUTABARAT | MUHAMMAD IKHSAN, SE | JL. RAWAMANGUN TEGALAN RT 005 / 001 , RAWAMANGUN , PULOGADUNG | PESONA KAHURIPAN , KELAPA NUNGGAL , BLOK O8 , NOMOR 012 , CILEUNGSI | LW | 081513571145 | 3175026804900007 | 0001826787159 - Kec. Cempaka Putih | JAKARTA, 28 / 4 / 1990 | 32 | G2P1A0 | 25/10/2022 | 1/9/2023 | 14 MGG | 2 | JAN | PUSING, MUAL, MUNTAH | 55.6 | 157.5 | 90/60 | 3 JAS | 26.5 | N | POS | 140 | T | BALT | T5 | 30 | YA | YA | 25/10/2022 | 1/8/2023 | ASTRAZENECA | K1 | BS | A | 12.6 | NEG | 81 | NEG | NEG | NEG | YA | YA | NR | BSC 1 KALI | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
77 | 31/1/2023 | 76 | 0116729 | MAILIA PUTRI UTAMI | IRPAN PAHRUDIN | JL. KH AGUS SALIM GG PENDAWA I RT 002 / 006 PEGAGAN , PALIMANAN CIREBON | JL. PERCETAKAN NEGARA IV GG JORDAN RT 02/03, SALEMBA JAKARTA PUSTA | 2 | 3 | LW | 082246340501 | 3209175705970002 | 0000976336986 - KLINIK AZIZAH MEDICAL CENTRE | JAKARTA, 17/05/1997 | 25 | G1P0A0 | 25/10/2022 | 1/8/2023 | 14 MGG | 2 | JAN | RADA SESAK SAAT TIDUR , MUAL, DAN MUNTAH | 53.8 | 158.5 | 90/60 | 3 JAS | 26 | N | POS | 144 | T | BALT | T5 | 30 | YA | YA | 20/9/2021 | 16/10/2021 | SINOVAC | 14/4/2022 | ASTRAZENECA | K1 | BK | A | 8.9 | NEG | 92 | NEG | NEG | NEG | YA | YA | NR | ANEMIA BEAT | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
78 | 31/1/2023 | 77 | 0052904 | SITI SAARAH | MUHAMMAD RAZAK SAPUTRA | JL. PAPANGGO I GG. KELAPA RT 011 / 002 , PAPANGGO , TANJUNG PRIOK | JL. PAPANGGO I GG. KELAPA RT 011 / 002 , PAPANGGO, NO. 25 , TANJUNG PRIOK | 11 | 2 | LW | 081316890616 | 3172024101780019 | 0001209232822 - Kec. Cempaka Putih | JAKARTA, 01/01/1978 | 45 | G5P4A0 | 03/10/2022 | 10/7/2023 | 17 MGG 1 HR | 2 | JAN | PEGAL-PEGAL, MUAL, MUNTAH TIDKA ADA | 68.8 | 154 | 110/80 | 4 JAS | 32.5 | N | POS | 130 | T | BALT | T5 | 30 | YA | YA | 25/6/2021 | 17/9/2021 | ASTRAZENECA | 28/3/2022 | ASTRAZENECA | K1 | BS | B | 12.8 | NEG | 119 | NEG | NEG | NEG | YA | YA | NR | GRANDE MULTIPARA, RIWAYAT SIFILIS | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
82 | 01/02/2023 | 81 | 0115894 | DEVIA SUNDARI | RINO ANDRIANSYAH P | JL. SUMUR BATU RT 014 / 003 , SUMUR BATU , KEMAYORAN | JL. SUMUR BATU RT 014 / 003 , SUMUR BATU , KEMAYORAN | 14 | 3 | LW | 08986792458 | 3202065306960002 | 0001157245942 - Kel. Cempaka Putih Barat II | SUKABUMI , 13/6/1996 | 26 | G1P0A0 | 31/8/2022 | 7/6/2023 | 22 MGG | 2 | JAN | OS MENGATAKAN SEMPAT BASAH DI CD SEJAK 2 HARI YANG LALU | 45.9 | 143 | 80/60 | 1 JBP | 22.5 | KEK | POS | 140 | BALT | T5 | 30 | YA | YA | 1/7/2021 | 29/7/2021 | SINOVAC | K1 | BK | AB | 11.4 | NEG | 88 | NEG | NEG | NEG | YA | YA | NR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
89 | 2/2/2023 | 88 | 0117941 | PUTRI INDAH MAYA | SUHENDRP WICAKSONO | JL PLUIT DALAM RT 17 RW 08 | JL PLUIT DALAM RT 17 RW 08 | 17 | 8 | LW | 082125720101 | 3275085505860067 | 0001081868703 - Kec. Cempaka Putih | JAKARTA, 15/5/1986 | 36 | G2P1A0 | 18/5/2022 | 22/2/2023 | 37 MGG 1 HR | 3 | FEB | TAK, IBU INGIN MINTA RUJUKAN | 74.7 | 162 | 120/80 | 32 | 28 | N | POS | 150 | T | KEP | T5 | VITAMIN MASIH ADA | YA | YA | IBU LUPA DAN APLIKASI PEDULI LLINDUNGI EROR | K1 | BS | O | 10.9 | NEG | 105 | NEG | NEG | NEG | YA | YA | NEG | BSC 1 KALI | RS PERTAMINA JAYA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
92 | 3/2/2023 | 91 | 0117985 | METTY NURHAYATI | KUSPRIYADI | JL. BIDURI BULAN NO. 33 RT 015 / 003 SUMUR BATU, KEMAYORAN | JL. BIDURI BULAN NO. 33 RT 015 / 003 SUMUR BATU, KEMAYORAN | 15 | 3 | LW | 081311170820 | '3171034501840006 | 0001208226969 - Kec. Cempaka Putih | JAKARTA, 5/1/1984 | 39 | G1P0A0 | 4/12/2022 | 11/9/2023 | 8 MGG 5 HR | 1 | FEB | TA | 55.8 | 158 | 120/80 | BT | 24.5 | N | POS | BT | BT | T3 | AF 30 | YA | YA | 13/7/2021 | 10/8/2021 | SINOVAC | 16/8/2022 | PFIZER | K1 | BK | O | 12.8 | NEG | 81 | NEG | NEG | NEG | YA | YA | NEG | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
97 | 6/2/2023 | 96 | 0007615 | DEWINTA DAMAYANTI | ARIF RAHMAN | RUSUN PINUS ELOK BLOK B3 RT 20 / RW 009 , PENGGILINGAN CAKUNG , JAKARTA TIMUR | RUSUN PINUS ELOK BLOK B3 RT 20 / RW 009 , PENGGILINGAN CAKUNG , JAKARTA TIMUR | 20 | 9 | LW | 08888089120 | 3171056912930002 | 0001207834661 - Kec. Cempaka Putih | JAKARTA, 29/12/1993 | 29 | G4P2A1 | 25/12/2022 | 1/10/2023 | 6 MGG 1 HR | 1 | FEB | TAK | 67 | 152 | 100/60 | BT | 30 | N | POS | BT | BT | T3 | 30 | YA | YA | 9/8/2021 | 6/9/2021 | SINOVAC | 28/7/2022 | PFIZER | K1 | O | 13.8 | NEG | 121 | NEG | NEG | NEG | YA | YA | NEG | ABORTUS 1 KALI | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
98 | 6/2/2023 | 97 | 0086848 | NENNY SIRAIT | RANTO EFRAJIM APRIANTO | KAMPUNG BARU RT 013 / 06 , KAYU PUTIH, PULO GADUNG | KAMPUNG BARU RT 013 / 06 , KAYU PUTIH, PULO GADUNG | 13 | 6 | LW | 081319621788/081297959055 | 3175025212780015 | 0002322569709 - Kec. Cempaka Putih | JAKARTA, 12/12/1978 | 44 | G2P1A0 | 22/12/2022 | 29/9/2023 | 6 MGG 4 HR | 1 | FEB | MUAL, MUNTAH, SERING PUSING | 68.8 | 152 | 120/80 | BT | 31.5 | N | POS | BT | BT | T5 | 30 | YA | YA | 5/5/2021 | 28/7/2021 | ASTRAZENECA | K1 | O | 13.7 | NEG | 101 | NEG | NEG | NEG | YA | YA | NEG | BSC 1 KALI | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
103 | 7/2/2023 | 102 | 0118101 | SRI DARWATI | GUNTUR PRAJADIPUTRA | JL. KAWI-KAWI SAWAG RT 015 / 007 , JOHAR BARU | JL. KAWI-KAWI SAWAG RT 015 / 007 , JOHAR BARU | 15 | 7 | LW | 082297093251 | 3172024808890011 | 0002098346567 - Kec. Cempaka Putih | JAKARTA, 8/8/1989 | 34 | G2P0A1 | 31/8/2022 | 7/6/2023 | 22MGG 6 HR | 2 | FEB | TAK | 54.5 | 158 | 90/60 | 18 | 24 | N | POS | 146 | BALT | T4 | 30 | YA | YA | 18/6/2021 | 13/9/2021 | ASTRAZENECA | 11/3/2022 | ASTRAZENECA | K1 | AB | 11.2 | NEG | 83 | NEG | NEG | NEG | YA | YA | NEG | ABORTUS 1 KALI | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
113 | 9/2/2023 | 112 | 0114970 | ELIS NURLESTIANI | ANDHIKA BUDIMAN | JL. JOHAR BARU V NO. 4 RT 004 / RT 011, JOHAR BARU | JL. JOHAR BARU V NO. 4 RT 004 / RT 011, JOHAR BARU | 4 | 11 | LW | 082126619131 | 3209345103920001 | 0002375334786 - Kel. Rawasari | CIREBON , 11/3/1992 | 30 | G4P2A1 | 17/7/2022 | 23/4/2023 | 29 MGG 5 HR | 3 | FEB | TAK | 86.3 | 164 | OBESE | 120/80 | 26 | 31.5 | N | POS | 143 | BM | 2015 | T | OBLIQUE | T3 | 30 | YA | YA | 19/10/2021 | 21/12/2021 | SINOVAC | 9/1/2023 | PFIZER | K1 | BS | A | 9.3 | NEG | 83 | NEG | NEG | NEG | YA | YA | NEG | ABORTUS 1 KALI | ||||||||||||||||||||||||||||||||||||||||||||||||||||
114 | 9/2/2023 | 113 | 0018082 | SELLA PRAMUNI | REPPY MAULANA | JL. CEMPAKA PUTIH BARAT RT 003 / 009 , CPB | JL. KAMPUNG JATI UUNG NOMOR 41 RT 4 / RW 10 , KOTA TANGERANG | 4 | 6 | LW | 081283863044 | 3171055511940001 | 0002082295732 - KLINIK KIMIA FARMA PERIUK | JAKARTA, 15/11/1994 | 28 | G3P2A0 | 21/11/2022 | 28/8/2023 | 11 MGG 4 HR | 1 | FEB | KADANG KRAM PERUT | 82 | 164 | OBESE | 120/80 | 2 JAS | 28 | N | POS | BT | BT | T3 | 30 | YA | YA | 7/9/2021 | 6/10/2021 | MODERNA | 20/7/2022 | MODERNA | K1 | BS | O | 10.8 | NEG | 92 | NEG | NEG | NEG | YA | YA | NEG | SERVIKS INKOMPETEN, RIWAYAT ABORTUS 1 KALI | RSUD CEMPAKA PUTIH | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
117 | 13/2/2023 | 116 | 0079176 | ELIKA HERLIANA | ZAINAL ABIDIN | JL TANAH TINGGI IV/42 RT 04/03 KEL TANAH TINGGI KEC.JOHAR BARU | JL GG M.ALI NO.11 RT 09/03 KEL TANAH TINGGI KEC. JOHAR BARU | 9 | 3 | LW | 085803050572 | 3171055310930001 | 0001206002441 - Kec. Cempaka Putih | JAKARTA, 13-10-1993 | 29 | G2P1A0 | 08-11-2022 | 15-08-2023 | 13 MGG 6 HR | 2 | FEB | TAK | 52.5 | 159 | 120/80 | 3 JAS | 25 | N | POS | BALT | T | BALT | T5 | VIT SENDIRI | YA | YA | 06/08/2021 | 03/09/2021 | SINOVACQ | 12/5/2022 | MODERNA | K1 | BK | YA | O | 13 | NEG | 94 | NEG | NEG | NEG | YA | YA | NR | BSC, MATA MINUS 3.5 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
121 | 14/2/2023 | 120 | 0073608 | ASTERI SULAIMAH | LUCKY CHANDRA ANGRIAWAN | JL. RAWA SELATAN RT 017 / 004 , KAMPUNG RAWA JOHAR BARU | KP. RAWA TENGAH NO. 22 RT 004 / 004 , RAWA TENGAH JOHAR BARU , | 4 | 4 | LW | 085888618388 | 3171086305961002 | 0001207459427 - Kec. Cempaka Putih | JAKARTA, 23/5/1996 | 26 | G2P0A1 | 5/1/2023 | 12/10/2023 | 5 MGG 5 HR | 1 | FEB | PERUT KRAM, PUSING, MUAL | 66.6 | 152.5 | 120/80 | BT | 31.5 | N | POS | BT | BT | T5 | AF 30 | YA | YA | 11/5/2021 | 11/8/2021 | ASTRAZENECA | 1/3/2022 | PFIZER | K1 | YA | A | 12.4 | NEG | 83 | NEG | NEG | NEG | YA | YA | NR | ABORTUS 1 KALI | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
122 | 14/2/2023 | 121 | 0052984 | OKTAVIANI MEGA | MUHAMAD SARIFUL ANAM | JL. RAWASARI SELATAN RT 014 / 009 , RAWASARI | JL. KRAMAT BARU 2 RT 3 / 2 NO. 29 A, JOHAR BARU | 3 | 2 | LW | 082110904588 | 3171056810990001 | 0000976820501 - Kec. Cempaka Putih | JAKARTA, 28/10/1999 | 23 | G1P0A0 | 31/12/2022 | 7/10/2023 | 6 MGG 3 HR | 1 | FEB | TAK | 49.6 | 145.0 | 100/70 | 1 JAS | 26.5 | N | POS | BT | BT | T5 | AF 30 | YA | YA | 16/7/2021 | 16/8/2021 | SINOVAC | 21/4/2022 | ASTRAZENECA | K1 | BK | A | 13.8 | NEG | 77 | NEG | NEG | NEG | YA | YA | NR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
130 | 16/2/2023 | 129 | 0016788 | ANGGIT PANGESTU WENOI | ILHAM MAULANA | JL. KARET PASAR BARU BARAT II RT 008 / 005 , KARET TENGSIN , TANAH ABANG | JL. KEBON KOSONG NO. 27/30 RT 8 / 9 , KEMAYORAN | 8 | 9 | LW | 089502992713/ 08990752076 | 3171076707890007 | 0002062548281 - Kec. Cempaka Putih | JAKARTA, 27/7/1989 | 33 | G2P1A0 | 03-09-2022 | 10-06-2023 | 23 MGG 5 HR | 2 | FEB | TAK, IBU BELUM PERNAH USG | 53 | 159 | 110/70 | 14 CM , 3 JBP | 23 | KEK | POS | 144 | T | BALT | T3 | 30 | YA | YA | SUDHA PERNAH VAKSIN 1 KALI, IBU LUPA | K1 | BK | O | 12.4 | NEG | 83 | NEG | NEG | 2 | 27 | 0.8 | 15 | 12 | NEG | YA | YA | NR | RIWAYAT HT HAMIL ANAK PERTAMA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
132 | 17/2/2023 | 131 | 0044773 | IKE PRASETYAWATI | RUDI DARMAWAN | KP. PEDONGKELAN RT 004 / 015 , KAYU PUTIH PULO GADUNG | KP. PEDONGKELAN RT 004 / 015 , KAYU PUTIH PULO GADUNG | 4 | 15 | LW | 085719081035 | 3175026010900002 | 0001217547606 - Kec. Cempaka Putih | JAKARTA, 20/10/1990 | 32 | G3P2A0 | 25-12-2022 | 01-10-2023 | 7 MGG 5 HR | 1 | FEB | MUAL, MUNTAH | 74 | 157 | OBESE | 110/70 | BT | 32 | OBESE | POS | BT | BT | T5 | AF30 | YA | YA | 13/8/2021 | ASTRAZENECA | K1 | BK | B | 14.3 | NEG | 82 | NEG | NEG | NEG | YA | YA | NR | BSC 2 KALI, ASMA AKTIF | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
135 | 20/02/2023 | 134 | 0082345 | NUR SYLVI OKTAVIANI | FADLY | JL H JIAN RT 03/03 KEL CIPETE UTARA KEC KEBAYORAN BARU | JL SALEMBA BLUNTAS RT 14/05 NO. B90 KEL PASEBAN KEC SENEN | 14 | 5 | LW | 081280983774 | 3171046910910004 | 0001648629156 - CILODONG | JAKARTA, 29-10-1991 | 31 | G2P1A0 | 18-07-2022 | 24-04-2023 | 31 MGG | 3 | FEB | TAK | 60 | 166 | 110/70 | 26 | 22 | KEK | POS | 150 | BM | 2015 | T | KEP | T5 | VIT SENDIRI | YA | YA | 16/6/2021 | 14/9/2021 | AZTRA | 01/04/2022 | PFIZER | K1 | BS | O | 10 | NEG | 79 | NEG | NEG | NEG | YA | YA | NR | BSC 1X, PENGENTALAN DARAH | |||||||||||||||||||||||||||||||||||||||||||||||||||||
136 | 20/02/2023 | 135 | 0032721 | CHRISTIN VERONICA PAKPAHAN | DEDEN HERMANTO | JL PELITA II NO.11 RT 10/9 KEL KAYU PUTIH KEC.PISANGAN TIMUR KEC. P.GADUNG | JL GADING RAYA GG III RT 04/04 KEL.PISANGAN TIMUR KEC. P.GADUNG | 4 | 4 | LW | 085692956276 | 3175026401980007 | 0000371898707 - Kec. Cempaka Putih | JAKARTA, 24-01-1998 | 25 | G1P0A0 | 01-01-2023 | 08-10-2023 | 7 MGG 1 HR | 1 | FEB | GATAL DIDAERAH TANGAN, PERUT, DAN LEHER | 88 | 160 | 120/80 | BT | 36 | N | POS | BT | BT | T5 | AF | YA | YA | 8/8/2021 | 8/11/2021 | SINOVAC | K1 | BK | B | 13.7 | NEG | 127 | NEG | NEG | NEG | YA | YA | NR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
137 | 20/02/2023 | 136 | 0113673 | PUTRI SUWARDINA | RAINER BURHAN | JL RAWA TENGAH NO.18 RT 02/04 KEL GALUR KEC JOHAR BARU | JL RAWA TENGAH NO.18 RT 02/04 KEL GALUR KEC JOHAR BARU | 2 | 4 | LW | 087755561298 | 3175026401980007 | 0000371898707 - Kec. Cempaka Putih | JAKARTA, 28-08-1996 | 26 | G1P0A0 | 22-10-2022 | 29-07-2023 | 17 MGG 2 HR | 2 | FEB | PEGAL-PEGAL | 70 | 160 | OBESE | 120/80 | 1 JBP | 31 | N | POS | 150 | T | BALT | T5 | 30 | YA | YA | 12/12/2022 | 16/01/2022 | SINOVAC | K1 | BS | O | 13.7 | NEG | 89 | NEG | NEG | NEG | YA | YA | NR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
142 | 21/2/2023 | 141 | 0067913 | NURFITRIANA | MUHAMMAD YUSUF | JL. KP . RAWA SAWAH RT 004 / 002 , JOHAR BARU | JL. KP . RAWA SAWAH RT 004 / 002 , JOHAR BARU | 4 | 2 | LW | 081292367788 | 3171084902970001 | 0001208909305 - Kec. Cempaka Putih | JAKARTA, 09/02/1997 | 26 | G4P3A0 | 05-10-2022 | 12-07-2023 | 19 MGG 6 HR | 2 | FEB | TAK | 59.8 | 152 | 110/80 | 21 | 27.5 | N | POS | 144 | 1240 | T | BT | T5 | 30 | YA | YA | 2021 | ASTRAZENECA | K1 | BK | B | 11.3 | NEG | 94 | NEG | NEG | NEG | YA | YA | NR | BELUM | BSC 2 KALI | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
145 | 22/2/2023 | 144 | 0118527 | FITRIA | SANDI PURNOMO | JL. KRAMAT PULO GUNDUL NO. K15 RT 6 / 13 | JL. KRAMAT PULO GUNDUL NO. K15 RT 6 / 13 | 6 | 13 | LW | 085892229985 | 3171086303930005 | 0001208907617 - Kec. Cempaka Putih | JAKARTA, 23/3/1993 | 30 | G2P1A0 | 25-11-2022 | 01-09-2023 | 12 MGG 3 HR | 2 | FEB | KEMARIN KELUAR FLEK | 54.4 | 150 | 100/70 | 4 JAS | 29.5 | N | POS | 130 | BALT | T4 | 30 | YA | YA | 27/3/2021 | 24/4/2021 | SINOVAC | 2/2/2022 | ASTRAZENECA | K1 | O | 14.9 | NEG | 113 | NEG | NEG | NEG | YA | YA | NR | BESOK | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
154 | 27/2/2023 | 153 | 0018822 | MARSHELLA SUGESTI | DWI NANDU ADITYO | KP. KALI BARU RT 001 / 001 , TRIDAYA SAKTI TAMBUN SELATAN | KP. KALI BARU RT 001 / 001 , TRIDAYA SAKTI TAMBUN SELATAN | 1 | 1 | LW | 081289670505 | 3171055103020004 | 0001206533046 - Kec. Cempaka Putih | JAKARTA, 11/3/2002 | 20 | G1P0A0 | 09-09-2022 | 16-06-2023 | 24 MGG 3 HR | 2 | FEB | TAK | 67.2 | 149.5 | 110/70 | 16 | 31 | N | POS | 146 | 465 | T | BALT | T5 | 30 | YA | YA | 10/6/2021 | 2/9/2021 | ASTRAZENECA | K1 | BS | O | 12.2 | NEG | 106 | NEG | NEG | NEG | YA | YA | NR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
155 | 27/2/2023 | 154 | 0118671 | YENI TRI UTAMI | DEDI SUWITNYO | JL. CEMPAKA PUTIH BARAT 21 NO. 2 KOMPLEK JATOP RT 009 / 008 , CPB | PERUM GRAHA CIPTA 5 RT 6 RW 17 NOMOR E2, 68 KEL. JEJALEN JAYA , TAMBUN UTARA | 6 | 17 | LW | 081288718691 | 3501034708930004 | 0003310589013 - Kec. Cempaka Putih | PACITAN, 07/08/1993 | 29 | G1P0A0 | 14-07-2022 | 20-04-2023 | 32 MGG 4 HR | 3 | FEB | KAKI BENGKAK | 63.3 | 151 | 100/80 | 28 | 27 | N | POS | 147 | BM | 2325 | T | SUNGSANG | T5 | 30 | YA | YA | 11/7/2021 | 8/8/2021 | SINOVAC | 25/3/2022 | ASTRAZENECA | K1 | BS | B | 13.9 | NEG | 105 | NEG | NEG | NEG | YA | YA | NR | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
157 | 27/2/2023 | 156 | 0118692 | SUMINI | MUKSIN | JL. PUALAM 2 NOMOR 103 RT 16 / 2 , SUMUR BATU . KEMAYORAN | JL. PUALAM 2 NOMOR 103 RT 16 / 2 , SUMUR BATU . KEMAYORAN | 16 | 2 | LW | 085211727101 | 3172025204811001 | 0003293617498 - Kec. Cempaka Putih | 12/4/1981 | 41 | G2P1A0 | 27-06-2022 | 03-04-2023 | 35 MGG | 3 | FEB | PUSING SEDIKIT | 50.3 | 141 | 90/60 | 30 | 21 | N | POS | 147 | 2635 | T | SUNGSANG | T5 | 30 | YA | YA | 13/8/2021 | 12/11/2021 | ASTRAZENECA | K1 | BK | B | 11.3 | NEG | 92 | NEG | NEG | NEG | YA | YA | NR | USIA 41 TAHUN | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
162 | 1/3/2023 | 161 | 0002371 | NINA KARTINA | ACHMAD AFANDI | JL. CEMPAKA WARNA RT 19 / 04 , CPT | JL. SANDONG RT 03 / 05 KEL PONDOK PUCUNG KEC. KARANG TENGAH KOTA TANGERANG | 3 | 5 | LW | 085817591814 | 3171055904890003 | 0001657786173 - Kec. Cempaka Putih | JAKARTA, 19/4/1989 | 33 | G4P3A0 | 01-10-2022 | 08-07-2023 | 21 MGG 4 HR | 2 | FEB | TAK | 59.2 | 1.50 | 2.25 | 26.31 | 30.00 | NORMAL | 110/80 | SEPUSAT | 29.5 | 23.5 | N | POS | 140 | T | BALT | T5 | 30 | YA | YA | IBU BELUM PERNAH VAKSIN | K1 | BK | B | 11.6 | NEG | 106 | NEG | NEG | NEG | YA | YA | NR | BELUM | BSC 1 KALI | |||||||||||||||||||||||||||||||||||||||||||||||||||||
165 | 1/3/2023 | 164 | 0047241 | YULINAR EKA AFRILIA | RUSENO EKA AFRILIA | JL KRAMAT PULO GG XXI NO.E8 B RT 09/08 KEL. KRAMAT KEC SENEN | JL SWADAYA 10 RT 4/6 NO.E11B KEL MAJA KEC MAJA KAB LEBAK BANTEN | 4 | 6 | LW | 082288880686 | 3171044604971001 | 0000998587304 - Kec. Cempaka Putih | JAKARTA, 06-04-1997 | 25 | G2P1A0 | 21-10-2023 | 28-07-2023 | 18 MGG 5 HR | 2 | FEB | LAPAR | 58.9 | 1.54 | 2.37 | 24.84 | 30.00 | NORMAL | 80/60 | 1 JBP | 28 | 23.5 | N | POS | 147 | T | BALT | T5 | 30 | YA | YA | IBU SUDAH VAKSIN NAMUN LUPA TANGGAL | SINOVAC | 18/07/2022 | PFIZER | K1 | BK | YA | O | 10.1 | NEG | 109 | NEG | NEG | NEG | YA | YA | NR | SUDAH | BSC 1X | |||||||||||||||||||||||||||||||||||||||||||||||||
167 | 2/3/2023 | 166 | 0118804 | FILMI AFRIDA YANI | SUPRIYANTO KURNIASANDI | KP KAYU MAS RT 007 / 004 PULO GADUNG | KP KAYU MAS RT 007 / 004 PULO GADUNG | 7 | 4 | LW | 087776312414 | 3175025204960010 | 0001770135017 - Kec. Cempaka Putih | JAKARTA, 12/4/1996 | 26 | G2P1A0 | 23-12-2022 | 23-09-2023 | 9 MGG 6 HR | 1 | FEB | MUAL, MUNTAH, NAFSU MAKAN MENURUN | 73.2 | 1.56 | 2.42 | 30.27 | 30.00 | OBESE | 100/70 | 1 JAS | 31 | 23.5 | N | POS | BT | BT | T5 | 30 | YA | YA | 6/4/2021 | 4/5/2021 | SINOVAC | 1/4/0202 | PFIZER | K1 | BK | YA | B | 14 | NEG | 100 | NEG | NEG | NEG | YA | YA | NR | |||||||||||||||||||||||||||||||||||||||||||||||||||
168 | 2/3/2023 | 167 | 0007771 | DWI PAWITRA WULAN | GUSTI GEVAERT GONDEWA PUTRA | JL. BARANANG SIANG INDAH B3 / 10 RT 07 / 05 , BOGOR TIMUR | JL. BARANANG SIANG INDAH B3 / 10 RT 07 / 05 , BOGOR TIMUR | 7 | 5 | LW | 083811280489 | 3271026006840007 | 0000195690317 - Kec. Cempaka Putih | TANGERANG, 20/6/1984 | 38 | G4P3A0 | 23-01-2023 | 30-10-2023 | 5 MGG 3HR | 1 | MARET | MUAL, MUNTAH | 53.20 | 1.61 | 2.59 | 20.52 | 30.00 | NORMAL | 120/70 | BT | 25 | 23.5 | N | POS | BT | BT | T5 | 30 | YA | YA | 2/3/2021 | 16/3/2021 | SINOVAC | 23/9/2021 | 29/7/2022 | PFIZER | K1 | BK | O | 12,1 | NEG | 94 | NEG | NEG | NEG | YA | YA | NR | BELUM | BSC 1 KALI, USIA 38 TAHUN | 28/3/2023 | CURETASE | RS BOGOR | ABORTUS | |||||||||||||||||||||||||||||||||||||||||||||
169 | 2/3/2023 | 168 | 0041030 | SITI JUWAROH | IING GUSTI MUBAROK | JL. RS ANCOL SELATAN RT 001 / 001 SUNTER AGUNG | JL. MATRAMAN DALAM 2 NOMOR 28 RT 19 / 08 , PEGANGSAAN MENTENG | 19 | 8 | LW | 083808868983 / 083808868984 | 3328026012960005 | 0001647574143 - Kec. Cempaka Putih | TEGAL , 20/12/1996 | 26 | G2P1A0 | 08-12-2022 | 14-09-2023 | 12 MGG ? | 1 | MARET | MUAL, MUNTAH, PUSING | 41.80 | 1.54 | 2.36 | 17.74 | 30.00 | NORMAL | 100/60 | BT | 21 | 23.5 | KEK | POS | BT | BT | T4 | 30 | YA | TIDAK | 22/6/2021 | 14/9/2021 | ASTRAZENECA | 16/3/2022 | ASTRAZENECA | K1 | BK | B | 11,3 | NEG | 138 | NEG | NEG | NEG | YA | YA | NR | BELUM | BSC 1 KALI , RIWAYAT TBC sebelumnya | ||||||||||||||||||||||||||||||||||||||||||||||||||
170 | 2/3/2023 | 169 | 0091815 | ROSALIA YESSICA | FAIZAL MAULANA MUHAMAD | JL. KR KWITANG I . J NO. 104 RT 008 / 008 , KWITANG SENENG | JL. KP RAWA II NO. 55 D RT 010 / 03 , KEBON JERUK | 10 | 3 | LW | 087785191060 | 3171044407940002 | 0001207780121 - Kec. Cempaka Putih | JAKARTA, 4/7/1994 | 28 | G1P0A0 | 21-09-2022 | 28-06-2023 | 23 MGG 1 HR | 2 | MARET | TAK, GERAK JANIN AKTIF | 85.50 | 1.59 | 2.53 | 33.82 | 30.00 | OBESE | 130/90 | 19 CM | 32 | 23.5 | N | POS | 134 | T | BALT | T5 | 30 | YA | YA | 11/6/2021 | 3/9/2021 | ASTRAZENECA | 10/6/2022 | MODERNA | K1 | BS | B | 13,8 | NEG | 124 | NEG | NEG | NEG | YA | YA | NR | MIOPI 9 | ||||||||||||||||||||||||||||||||||||||||||||||||||
172 | 3/3/2023 | 171 | 0069002 | NURJAYANTI | ARNO TRI PRAMUDITO | JL SAMBILOTO RAYA NO 2 D RT 7 RW 6 | JL SAMBILOTO RAYA NO 2 D RT 7 RW 6, KAYUPUTIH, PULOGADUNG | 7 | 6 | LW | 081212240438 | 3175024601910005 | 0001647574143 - Kec. Cempaka Putih | JAKARTA, 6-1-1991 | 32 | G2P1A0 | 03-01-2023 | 10-10-2023 | 8MG 3HR | 1 | MARET | MUAL MUNTAH KEPUTIHAN JARANG | 67.00 | 1.57 | 2.45 | 27.36 | 30.00 | NORMAL | 100/70 | BT | 31 | 23.5 | N | POS | BT | BT | T4 | AF 30 | YA | YA | 30/6/2021 | 28/7/2021 | SINOVAC | 6/4/2022 | AZ | K1 | BS | B | 14,8 | NEG | 120 | NEG | NEG | NEG | YA | YA | NR | BELUM | |||||||||||||||||||||||||||||||||||||||||||||||||||
174 | 3/3/2023 | 173 | 0118339 | RIMA APRI LUSIANA | YUSKHA RAHMATULLAH | GRIYA PERMATA ASRI , JL ANGGREK IV NO. 6 BLOK RT 005 / 006 , DALUNG CIPOCOK JAYA | JL. SAMBILOTO 3 RT 11 RW 6 KAYU PUTIH, PULO GADUNG | 11 | 6 | LW | 085211391060 / 081222990789 | 1809046704960003 | 0000355591631 - KLINIK UWEN YUHENI | PADANG MANIS, 27/4/1996 | 26 | G3P0A2 | 25-09-2022 | 02-07-2023 | 22 MGG 5 HR | 2 | MARET | KEPUTIHAN | 62.2 | 1.53 | 2.34 | 26.57 | 30.00 | NORMAL | 110/70 | 16 | 27 | 23.5 | N | POS | 140 | T | BALT | T4 | 30 | YA | YA | 13/9/2021 | 11/10/2021 | SINOVAC | 9/4/2022 | ASTRAZENECA | K1 | BS | YA | AB | 12 | NEG | 94 | NEG | NEG | NEG | YA | YA | NR | ABORTUS 2 KALI | |||||||||||||||||||||||||||||||||||||||||||||||||
201 | 13/3/2023 | 200 | 0046928 | ANI SEPTIANA | FERY FERDINAN HARDIANTONO | JL KP BARU I NO.13 RT 09/09 KEL KELAPA DUA WETAN KEC.CIRACAS | JL KP BARU I NO.13 RT 09/09 KEL KELAPA DUA WETAN KEC.CIRACAS | 9 | 9 | LW | 089506945879/089513356067 | 3171055809860006 | 0001438325627 - Kec. Cempaka Putih | JAKARTA, 18-09-1989 | 36 | G1P0A0 | 16-07-2022 | 22-04-2023 | 34 MGG 2 HR | 1 | MARET | TAK | 109.70 | 1.66 | 2.74 | 40.05 | 30.00 | OBESE | 100/70 | 29 | 34 | 23.5 | N | POS | 138 | BM | 2480 | T | KEP | T5 | 30 | YA | YA | 3/8/2021 | 31/8/2021 | SINOVAC | K1 | BS | O | 10,5 | NEG | 98 | NEG | NEG | NEG | YA | YA | NEG | INFERTIL 6 TH, | RS PRIMAYA EVASARI A.N INFERTIL | |||||||||||||||||||||||||||||||||||||||||||||||||
205 | 13/3/2023 | 204 | 0003530 | CITRA NURHASANAH | EKA KURNIAWAN | JL. SAMBILOTO IV NOMOR 4 RT 011 / RW 06 , KAYU PUTIH , PULO GADUNG | JL. SAMBILOTO IV NOMOR 4 RT 011 / RW 06 , KAYU PUTIH , PULO GADUNG | 11 | 6 | LW | 081212648884 | 3175024709840004 | 0001766870177 - Kec. Cempaka Putih | JAKARTA, 7/9/1984 | 38 | G2P1A0 | 26-01-2023 | 02-11-2023 | 6 MGG 4 HR | 1 | MARET | MUAL | 72.6 | 1.54 | 2.37 | 30.61 | 30.00 | OBESE | 120/70 | BT | 32.5 | 23.5 | N | POS | BT | BT | T5 | AF 30 | YA | YA | 8/6/2021 | 6/9/2021 | ASTRRAZENECA | 16/8/2022 | PFIZER | K1 | BK | O | 11,9 | NEG | 97 | NEG | NEG | NEG | YA | YA | NEG | BELUM | RIWAYAT KISTA | ||||||||||||||||||||||||||||||||||||||||||||||||||
208 | 14/3/2023 | 207 | 0002758 | SRI LESTARI | MARSONY | JL. PORSELEN IV NO. 14 RT 013 C/ 003, KAYU PUTIH PULO GADUNG | JL. PORSELEN IV NO. 14 RT 013 C/ 003, KAYU PUTIH PULO GADUNG | 13 | 3 | LW | 085773538300 / 081399651081 | 3175024108890007 | 0001190754213 - Kec. Cempaka Putih | JAKARTA, 1/8/1989 | 34 | G4P3A0 | 05-09-2022 | 12-06-2023 | 27 MGG 1 HR | 2 | MARET | KEPUTIHAN TIDAK BERBAU | 62.20 | 1.60 | 2.56 | 24.30 | 30.00 | NORMAL | 110/80 | 23 | 27 | 23.5 | N | POS | 144 | BM | 1550 | T | KEP | T5 | 30 | YA | YA | 31/7/2021 | 28/8/2021 | SINOVAC | K1 | BK | O | 10,9 | NEG | 99 | NEG | NEG | NEG | YA | YA | NEG | BELUM USG | BSC 1 KALI | |||||||||||||||||||||||||||||||||||||||||||||||||
210 | 15/3/2023 | 209 | 0025477 | IMANDA ANGGRAINI | IWAN FITRIANSYAH | JL. MULTI KARYA II NOMOR 19 , RT 009 / RW 009 , UTAN KAYU UTARA , MATRAMAN | JL. MULTI KARYA II NOMOR 19 , RT 009 / RW 009 , UTAN KAYU UTARA , MATRAMAN | 9 | 9 | LW | 089601810521 / 081113013810 | 3171036208000003 | 0001207901946 - Kec. Cempaka Putih | JAKARTA, 22/8/2000 | 22 | G2P1A0 | 23-01-2023 | 30-10-2023 | 7 MGG 2 HR | 1 | MARET | TAK | 75.60 | 1.55 | 2.40 | 31.47 | 30.00 | OBESE | 100/80 | BT | 33 | 23.5 | N | POS | BT | BT | T5 | AF 30 | YA | YA | 13/7/2021 | 13/8/2021 | SINOVAC | K1 | BK | YA | O | 13 | NEG | 107 | NEG | NEG | NEG | YA | YA | NEG | BELUM USG | ||||||||||||||||||||||||||||||||||||||||||||||||||||
211 | 15/3/2023 | 210 | 0037067 | JUNITA | CHAIRULI | JL. PERCETAKAN NEGARA GG MUHIRIN II / 38 RT 002 / 006 , CPB | JL. JOHAR BARU NOMOR 15 RT 09 / RW 05 , JOHAR BARU | 9 | 5 | LW | 085889826221 | 3171045706900004 | 0000197323694 - Kec. Cempaka Putih | JAKARTA, 17/6/1990 | 32 | G3P1A1 | 05-01-2023 | 12-10-2023 | 9 MGG 6 HR | 1 | MARET | PUSING | 119.10 | 1.48 | 2.18 | 54.74 | 30.00 | OBESE | 110/80 | BT | 43 | 23.5 | N | POS | BT | BT | T5 | AF 30 | YA | YA | 23/7/2021 | 20/8/2021 | SINOVAC | K1 | BK | B | 14,1 | POS | 131 | NEG | NEG | NEG | YA | YA | NEG | BELUM USG | OBSESITAS , BSC 1 KALI | ||||||||||||||||||||||||||||||||||||||||||||||||||||
217 | 15/3/2023 | 216 | 0115290 | BERLIANA AGBIN PUTRI UTAMI | ANGGA SUBIRDA | KEBAK RT 008 / 004 , KEBAK KRAMAT , KABUPATEN KARANGANYAR | JL. CIPINANG BARU BUNDER NO. 23 RT 003 / 013 , CIPINANG PULO GADUNG | 3 | 13 | LW | 085752937220 | 3313145708970003 | 0000571111211 - Kebakkramat | KARANGANYAR, 17/8/1997 | 25 | G1P0A0 | 20-01-2023 | 27-10-2023 | 7 MGG 5 HR | 1 | MARET | MUAL, MUNTAH , BADAN PEGAL | 65.7 | 1.60 | 2.54 | 25.83 | 30.00 | NORMAL | 110/70 | BT | 29 | 23.5 | N | POS | BT | BT | T5 | AF30 | YA | YA | 21/1/2021 | 4/2/2021 | SINOVAC | 27/8/2021 | SINOVAC | K1 | BK | A | 14 | NEG | 112 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||||||
220 | 16/3/2023 | 219 | 0047494 | LISA OKTAVIANI | AHMAD NURROFAI | JL. CEMPAKA PUTIH BARAT RT 013 / RW 002 , CPB | BTR II , JL, KOLIDRI 3 BLOK Q 3 NOMOR 2 RT 1 / 10 BEKASI TIMUR | 1 | 10 | LW | 089526496600 | 3171056810020003 | 0001208385369 - Klinik Sirandy Medika | JAKARTA, 28/10/2002 | 20 | G1P0A0 | 17-12-2022 | 23-09-2023 | 12 MGG 5 HR | 2 | MARET | KRAM PERUT BAWAH | 38.10 | 1.55 | 2.40 | 15.86 | 30.00 | NORMAL | 120/70 | 3 JAS | 19.5 | 23.5 | KEK | POS | 147 | BALT | T5 | 30 | YA | YA | 5/7/2021 | 2/8/2021 | SINOVAC | 16/2/2022 | PFIZER | K1 | BK | B | 11,7 | NEG | 117 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||||||
222 | 17/3/2023 | 221 | 0080949 | DHEA NATASHIA | SIGIT PRAYITNO | JL. PERCETAKAN NEGARA I , KAWI-KAWI ATAS NO. 20 RT 007 / RW 007 , JOHAR BARU | JL. PERCETAKAN NEGARA I , KAWI-KAWI ATAS NO. 20 RT 007 / RW 007 , JOHAR BARU | 7 | 7 | LW | 08111130689 | 3171085306890002 | 0001205626735 - Kec. Cempaka Putih | JAKARTA, 13/6/1989 | 33 | G5P2A2 | 09-01-2023 | 16-10-2023 | 9 MGG 4 HR | 1 | MARET | MUAL, MUNTAH | 46.90 | 1.50 | 2.24 | 20.98 | 30.00 | NORMAL | 110/70 | 1 JAS | 24 | 23.5 | N | POS | BT | BT | T4 | AF 30 | YA | YA | 7/9/2021 | 8/11/2021 | ASTRAZENECA | 19/2/20222 | MODERNA | K1 | BK | O | 12 | NEG | 78 | NEG | NEG | 2 | 12 | 0.7 | 40 | 18 | NEG | YA | YA | NEG | BSC 2 KALI , BAD OBSTETRI HISTORY | RS EVASARI | |||||||||||||||||||||||||||||||||||||||||||||
223 | 17/3/2023 | 222 | 0119293 | TRISIYA WULANDARI | AHMAD HAFIDALLAH | JL. METRO JAYA I NOMOR 28 RT 007 / 007 , KAYU PUTIH, PULO GADUNG | JL. METRO JAYA I NOMOR 28 RT 007 / 007 , KAYU PUTIH, PULO GADUNG | 7 | 7 | LW | 087741484322 | 3175026009970001 | 0000370901215 - Kec. Cempaka Putih | JAKARTA, 20/9/1997 | 25 | G1P0A0 | 15-10-2023 | 23-07-2023 | 21 MGG 5 HR | 2 | MARET | TAK | 79.90 | 1.56 | 2.42 | 33.04 | 30.00 | OBESE | 110/60 | 2 JBP | 34 | 23.5 | N | POS | 149 | T | BALT | T4 | 30 | YA | YA | 11/6/2021 | ASTRAZENECA | K1 | BK | O | 11,6 | NEG | 113 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
224 | 17/3/2023 | 223 | 0119178 | SEFANYA WOWOR | LODEWYKE HABEL | JL. MUSI RAYA BLOK F - 756 RT 006 / RW 007 , JAKA MULYA BEKASI SELATAN | JL. MUSI RAYA BLOK F - 756 RT 006 / RW 007 , JAKA MULYA BEKASI SELATAN | 6 | 7 | LW | 082112220072 | 3275045004960023 | 0002903727159 - Kec. Cempaka Putih | JAKARTA, 10/4/1996 | 26 | G1P0A0 | 29-11-2022 | 05-09-2023 | 15 MGG 3HR | 2 | MARET | TAK | 70.90 | 1.63 | 2.66 | 26.69 | 30.00 | NORMAL | 120/70 | 3 JAS | 30 | 23.5 | N | POS | 143 | T | BALT | T5 | 30 | YA | YA | 25/5/2021 | 20/8/2021 | ASTRAZENECA | K1 | BS | O | 12,4 | NEG | 118 | NEG | NEG | NEG | YA | YA | NEG | |||||||||||||||||||||||||||||||||||||||||||||||||||||
225 | 17/3/2023 | 224 | 0119300 | APRILIA RAHMADHANI | SULAIMAN SURYA | JL. KEBON KELAPA RT 013 / RW 013 , UTAN KAYU SELATAN MATRAMAN | JL. KEBON KELAPA RT 013 / RW 013 , UTAN KAYU SELATAN MATRAMAN | 13 | 13 | LW | 081298417669 / 081298417663 | 3175014204920004 | 0000040843629 - Kel. Rawasari | JAKARTA, 2/4/1992 | 30 | G3P1A1 | 12-08-2022 | 19-05-2023 | 31 MGG | 3 | MARET | SETIAP MALAM DAN PAGI KONTRAKSI PALSU | 72.90 | 1.54 | 2.37 | 30.74 | 30.00 | OBESE | 90/60 | 23 | 30 | 23.5 | N | POS | 145 | BM | 1550 | T | KEP | T4 | 30 | YA | YA | 30/7/2021 | 27/8/2021 | SINOVAC | 25/6/2022 | PFIZER | K1 | BS | YA | B | 12,1 | NEG | 78 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||
235 | 21/03/2023 | 234 | 0119417 | RAHMA BOOY | ASRI LESILAWANG | DESA WAETEBA KEL WAETEBA KEC WAESAMA | JL PEMUDA III A RT 01/02 KEL RAWAMANGUN KEC.P.GADUNG | 1 | 2 | LW | 082113444310 | 8109026506900001 | 0002369313832 - WAMSISI | WAETEBA, 17-05-1995 | 27 | G1P0A0 | 18-08-2022 | 25-05-2023 | 30 MGG 5 HR | 3 | MARET | TAK | 53.00 | 1.52 | 2.31 | 22.94 | 30.00 | NORMAL | 100/60 | 23 | 23 | 23.5 | KEK | POS | 144 | BM | 1550 | T | KEP | T3 | 30 | YA | YA | 2/9/2021 | 25/1/2022 | SINOVAC | 13/9/2022 | PFIZER | K1 | BS | O | 11,7 | NEG | 109 | NEG | NEG | NEG | YA | YA | NR | BELUM | SUSP PJT | RSUD CP | ||||||||||||||||||||||||||||||||||||||||||||||
236 | 21/03/2023 | 235 | 0119421 | NURJANAH | WIRANDA | JL RAWASARI TIMUR RT 18/2 KEL CPT | JL. PANCAWARGA 2 RT 12/02 NO.32 KEL CIPINANG BESAR SELATAN KEC. JATINEGARA | 12 | 2 | LW | 08990600198 | 3175036501910004 | 0001606300683 - Kec. Jatinegara | JAKARTA, 25-01-1991 | 32 | G1P0A0 | 03-02-2023 | 10-11-2023 | 6 MGG 4 HR | 1 | MARET | BANGUN TIDUR PAYUDARA TERASA NYERI/PERUT | 41.60 | 1.53 | 2.33 | 17.89 | 30.00 | NORMAL | 90/60 | BT | 21 | 23.5 | KEK | POS | BT | BT | T2 | YA | YA | BELUM VAKSIN | K1 | BK | B | 12,4 | NEG | 110 | NEG | NEG | NEG | YA | YA | NR | BELUM USG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
238 | 24/03/2023 | 237 | 0055709 | AGUS TRIYANA | IWAN SETIAWAN | JL CPB RT 08/09 KEL CPB | JL JOHAR BARU RT 01/04 NO 30 KEL JOHAR BARU KEC J.BARU | 1 | 4 | LW | 083808258205 | 3171054108890001 | 0000372499604 - Kec. Cempaka Putih | JAKARTA, 01-08-1989 | 33 | G3P1A1 | 14-02-2023 | 21-11-2023 | 5 MGG 3 HR | 1 | MARET | TAK | 57.30 | 1.55 | 2.40 | 23.85 | 30.00 | NORMAL | 110/70 | BT | 26.5 | 23.5 | N | POS | BT | BT | T5 | YA | YA | 25/7/2021 | 7/9/2021 | SINOVAC | 15/10/2022 | PFIZER | K1 | BK | A | 12,8 | NEG | 104 | NEG | NEG | NEG | YA | YA | NR | BELUM USG | ||||||||||||||||||||||||||||||||||||||||||||||||||||
239 | 24/03/2023 | 238 | 0111857 | YUSNITA | AHMADI | JL CEMPAKA WARNA NO 37 RT 6 RW 4 CPT | JL DUKUH 3 NO 7 RT 2 RW 2 KEL. DUKUH, KEC KRAMAT JATI | 2 | 2 | LW | 0895375800720/081901881774 | 3171054808830005 | 0001207714476 - Kec. Cempaka Putih | JAKARTA 8-6-1983 | 39 | G2P0A1 | 07-01-2023 | 14-10-2023 | 10MG 6HR | 1 | MARET | TAK | 47.70 | 1.51 | 2.27 | 21.06 | 30.00 | NORMAL | 100/70 | 2JAS | 23 | 23.5 | KEK | POS | 145 | BALT | T3 | 30 | YA | YA | 30/8/2021 | 29/12/2021 | AZ | 12/7/2022 | 16/2/2023 | PFIZER | K1 | BK | B | 11,9 | NEG | 97 | NEG | NEG | NEG | YA | YA | NR | BELUM USG | USIA 39TH , PRIMITUA | |||||||||||||||||||||||||||||||||||||||||||||||||
243 | 27/03/2023 | 242 | 0082922 | SITI AISYAH | M. ACHYAR FIRMANSYAH | JL PULOMAS SEL KP BARU RT 13/7 KEL KAYU PUTIH KEC P.GADUNG | JL PULOMAS SEL KP BARU RT 13/7 KEL KAYU PUTIH KEC P.GADUNG | 13 | 7 | LW | 081271009964 | 3172024505930004 | 0001607868674 - Kec. Cempaka Putih | JAKARTA, 05-05-1993 | 29 | G2P1A0 | 27-02-2023 | 04-12-2023 | 4 MGG | 1 | MARET | TAK | 48.80 | 1.51 | 2.28 | 21.40 | 30.00 | NORMAL | 100/70 | BT | 24 | 23.5 | N | POS | BT | BT | T3 | YA | YA | 5/1/2021 | 6/11/2021 | SINOVAC | K1 | BK | AB | 12,4 | NEG | 97 | NEG | NEG | NEG | YA | YA | NR | BELUM USG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
245 | 27/3/2023 | 244 | 0118388 | DIAN NOVITA SARI | ADHY MUHAMMAD PRABOWO | JL KAPEH PANJI JORONG KAPEH PANJI RT -/- KEL TALUAK IV SUKU KEC.BANUHAMPU | JL M SAARI NO.17 RT 11/9 KEL SUNTER JAYA KEC. TJ PRIOK | 11 | 9 | LW | 082283475539 | 1306064806930001 | 0002220404927 - Kec. Cempaka Putih | BUKIT TINGGI, 08-06-1993 | 29 | G1P0A0 | 18-02-2023 | 25-11-2023 | 5 MGG 2 HR | 1 | MARET | SERING BERKEMIH | 44.10 | 1.56 | 2.43 | 18.12 | 30.00 | NORMAL | 110/70 | BT | 22 | 23.5 | KEK | POS | BT | BT | T5 | YA | YA | 30/3/2021 | 27/4/2021 | SINOVAC | 20/8/2021 | MODERNA | PFIZER | K1 | BK | B | 13,7 | NEG | 104 | NEG | NEG | NEG | YA | YA | NR | BELUM USG | |||||||||||||||||||||||||||||||||||||||||||||||||||
246 | 28/3/2023 | 245 | 0119627 | LILY WAHYUNI | RISWANDI | KP CIKADAKA RT 03/07 KEL SUKASIRNA KEC CIBADAK | JL. H. TEN RAYA RT 04 / 06 , KAYU PUTIH , PULO GADUNG | 4 | 6 | LW | 08976383992 | 3674055207930007 | 0002363711771 - PUSKESMAS PISANGAN | TANGERANG, 12-07-1993 | 29 | G1P0A0 | 24-01-2023 | 31-10-2023 | 9 MGG | 1 | MARET | MUAL DENGAN OBESITAS | 124.60 | 1.53 | 2.33 | 53.58 | 30.00 | OBESE | 120/80 | BT | 45.5 | 23.5 | N | POS | BT | BT | T5 | YA | YA | 4/5/2021 | 4/8/2021 | SINOVAC | K1 | BK | O | 14,1 | NEG | 179 | NEG | NEG | NEG | YA | YA | NR | BELUM USG | OBESITAS | |||||||||||||||||||||||||||||||||||||||||||||||||||||
249 | 28/3/2023 | 248 | 0060515 | ASH SHOHWATUN NIDA FIKRY | BUDI APRIHARTONO | JL RAWAMANGUN TEGALAN RT 12/01 KEL RAWAMANGUN KEC P.GADUNG | JL. RAWAMANGUN TEGALAN RT 012 / 001 , RAWAMANGUN PULO GADUNG | 12 | 1 | LW | 081381384746 | 3175035611910003 | 0001879261413 - Kec. Cempaka Putih | JAKARTA, 16/11/1991 | 31 | G3P1A1 | 01-12-2023 | 07-09-2023 | 16 MGG 5 HR | 2 | MARET | TAK | 53.70 | 1.50 | 2.25 | 23.87 | 30.00 | NORMAL | 100/70 | 3 JBP | 25 | 23.5 | N | POS | 140 | T | BALT | T4 | 30 | YA | YA | 26/1/2021 | 9/2/2021 | SINOVAC | 13/8/2021 | PFIZER | K1 | BK | YA | O | 12,2 | NEG | 101 | NEG | NEG | NEG | YA | YA | NEG | BSC 1X | |||||||||||||||||||||||||||||||||||||||||||||||||
254 | 29/3/2023 | 253 | 0015317 | SANDRA EVANTRIANTI | MARTIN ADI PURWANTO | JL. KETAPANG BARU III RT 012 / 003 , KEBON KOSONG , KEMAYORAN | JL. TRAMPIL II / 38 RT 4 / 2 , KELAPA GADING , JAKARTA UTARA | 4 | 2 | LW | 081286510030 | 3172066610900003 | 0001287696993 - Kec. Cempaka Putih | BEKASI, 26/10/1990 | 32 | G2P1A0 | 02-02-2023 | 09-11-2023 | 7 MGG 6 HR | 1 | MARET | RIWAYAT HIDRONEFROSIS, MUAL | 77.70 | 1.62 | 2.61 | 29.79 | 30.00 | NORMAL | 120/80 | BT | 31.5 | 23.5 | N | POS | BT | BT | T4 | YA | YA | BELUM VAKSIN COVID | K1 | BK | O | 14 | NEG | 125 | NEG | NEG | NEG | YA | YA | NEG | BSC 1 KALI, HIDRONEFROSIS, POST DJ STENT , POST LAPAROSKOPI , ADHESIOLYSIS | RS ISLAM | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
262 | 31/03/2023 | 261 | 0102753 | ARANI NADHIRA | ALFIAN KUSUMA PUTRA | JL JOHAR BARU V NO.6 RT 6/11 KEL JOHAR BARU KEC J. BARU | JL JOHAR BARU V NO.6 RT 6/11 KEL JOHAR BARU KEC J. BARU | 6 | 11 | LW | 081224948717 | 3171084512900002 | 0001207639438 - Kec. Cempaka Putih | JAKARTA, 05-12-1990 | 32 | G1P0A0 | 03-11-2022 | 10-08-2023 | 21 MGG 1 HR | 2 | MARET | TAK | 50.20 | 1.50 | 2.25 | 22.31 | 30.00 | NORMAL | 100/60 | 18 | 25.5 | 23.5 | N | POS | 138 | BM | 775 | T | BALT | T5 | 30 | YA | YA | SDH VAKSIN 4 X TAPI GA BS BUKA APS | K1 | BK | O | 10,7 | NEG | 154 | NEG | NEG | NEG | YA | YA | NEG | RIW OP PNEUMOTORAKS, ASMA, TBC ON OAT | RSUD CP | |||||||||||||||||||||||||||||||||||||||||||||||||||
263 | 31/03/2023 | 262 | 0119433 | YUNITA SUHANA | DARJAT | JL KP SAWAH RT 04/02 KEL KAMPUNG RAWA KEC. J.BARU | JL KP RAWA RT 04/02 KEL KP RAWA KEC. J.BARU | 4 | 2 | LW | 087832004782 | 3171085006830006 | 0001167746714 - Kec. Cempaka Putih | JAKARTA, 10-06-1983 | 39 | G3P2A0 | 15-09-2022 | 22-06-2023 | 28 MGG 1 HR | 3 | MARET | NYERI PINGGANG | 84.40 | 1.61 | 2.59 | 32.56 | 30.00 | OBESE | 110/80 | 28 | 34 | 23.5 | N | POS | 135 | BM | 2325 | T | KEP | T5 | 30 | YA | YA | 11/5/2021 | 3/8/2021 | AZTRA | 8/7/2022 | PFIZER | K1 | BK | A | 10,9 | NEG | 123 | NEG | NEG | NEG | YA | YA | NEG | BELUM USG | RESTI USIA >35 TH, | |||||||||||||||||||||||||||||||||||||||||||||||
274 | 06/04/2023 | 273 | 0016151 | SILMY ATQIYAH | M.NAJIB SIRAJ | JL KRAMAT ASEM NO.37 RT 07/05 KEL UTAN KAYU SELATAN KEC MATRAMAN | JL ALFALAH 2 NO.117 RT 4/6 KEL JATIRANGON KEC JATISAMPURNA, BEKASI | 4 | 6 | LW | 087801977918 | 3175017006990002 | UMUM | JAKARTA, 30-06-1999 | 23 | G1P0A0 | 01-01-2023 | 08-10-2023 | 13 MGG 4 HR | 2 | APRIL | MUAL, MUNTAH | 55.9 | 1.62 | 2.62 | 21.30 | 30.00 | NORMAL | 90/70 | 2 JAS | 24.5 | 23.5 | N | POS | 149 | T | BALT | T1 | VIT SENDIRI | YA | YA | 8/9/2021 | 29/9/2021 | PFIZER | K1 | BK | O | 12,1 | NEG | 92 | NEG | NEG | NEG | YA | YA | NEG | |||||||||||||||||||||||||||||||||||||||||||||||||||||
275 | 06/04/2023 | 274 | 0119924 | ELLY NOOR ROHMAWATI | YOGA PRI RESKHA PUTRA | JL MENGKER RT 06/03 KEL SIRNAGALIH KEC JONGGOL | JL JOHAR BARU V RT 04/11 KEL JOHAR BARU | 4 | 11 | LW | 082122229434 | 3201066003960001 | 0002510724216 - Kel. Cempaka Putih Barat II | BOGOR, 20-03-1996 | 27 | G1P0A0 | 01-01-2023 | 08-10-2023 | 13 MGG 4 HR | 2 | APRIL | MUAL GATAL DI SELURUH BADAN | 57.6 | 1.61 | 2.59 | 22.22 | 30.00 | NORMAL | 90/60 | 4 JAS | 27 | 23.5 | N | POS | 140 | T | BALT | T5 | 30 | YA | YA | 4/6/2021 | 27/8/2021 | AZTRA | 1/4/2022 | PFIZER | K1 | BK | O | 11,8 | NEG | 97 | NEG | NEG | NEG | YA | YA | NEG | RIW OP MIOMA 2019 | ||||||||||||||||||||||||||||||||||||||||||||||||||
282 | 11/4/2023 | 281 | 0059695 | DINA EKAYANTI | FARIZ BUDI PRASETYA | JL. TAMAN ANGGREK BULAN F1 / II RT 002 / RW 014 , JAKASETIA , BEKASI SELATAN | JL. PISANGAN BARU 1 NOMOR 17 , RT 006 / 08 , PISANGAN BARU , KEC. MATRAMAN | 6 | 8 | LW | 085337933339 | 5171044807920001 | 0001438120923 - Kec. Cempaka Putih | DENPASAR, 8/7/1992 | 31 | G2P1A0 | 10-01-2023 | 22-10-2023 | 12 MGG 2 HR | 2 | APRIL | MUAL | 84.7 | 1.56 | 2.43 | 34.80 | 30.00 | OBESE | 110/70 | 2 JAS | 35 | 23.5 | N | POS | 140 | T | BALT | T5 | 30 | YA | YA | 13/7/2021 | 5/10/2021 | ASTRAZENECA | K1 | BS | O | 11,5 | NEG | 121 | NEG | NEG | NEG | YA | YA | NEG | BSC 1 KALI | ||||||||||||||||||||||||||||||||||||||||||||||||||||
287 | 12/4/2023 | 286 | 0049928 | RONA RIZKY AMIRAH SIAGIAN | FIRMAN NUR IKHWAN | KP. RAWA SAWAH II NO. 32 RT 11 / RW 01 , KAMPUNG RAWA, JOHAR BARU | KP. RAWA SAWAH II NO. 32 RT 11 / RW 01 , KAMPUNG RAWA, JOHAR BARU | 11 | 1 | LW | 089643381301/ 081318335840 | 3171086201970004 | 0001458148184 - Kec. Cempaka Putih | JAKARTA, 22/1/1997 | 26 | G1P0A0 | 30-01-2023 | 06-11-2023 | 10 MGG 2 HR | 1 | APRIL | MUAL, ADA MAAG | 65.6 | 1.565 | 2.45 | 26.78 | 30.00 | NORMAL | 100/60 | 1 JAS | 28 | 23.5 | N | POS | BT | BT | T5 | AF 30 | YA | YA | IBU SUDAH VAKSIN NAMUN LUPA TANGGAL | K1 | BK | B | 12,7 | NEG | 120 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
290 | 13/4/2023 | 289 | 0010616 | TASSYA ALYAROSSA KHAERANI | ANDYKA KRISTIANTO | JL. CIPINANG KEBEMBEM NO. 34 RT 006 / 013 , PISANGAN TIMUR , | JL. MAWAR MERAH VII GG RT 001 / RW 007 , MALAKA JAYA , DUREN SAWIT | 1 | 7 | LW | 089512503919 | 3171056803011001 | 0001209269158 - Kec. Cempaka Putih | JAKARTA, 28/3/2001 | 22 | G2P1A0 | 02-03-2023 | 09-12-2023 | 6 MGG | 1 | APRIL | BEGAL, ENEG-ENEG BAU | 72.0 | 1.60 | 2.56 | 28.13 | 30.00 | NORMAL | 110/70 | BT | 34 | 23.5 | N | POS | BT | BT | T4 | AF30 | YA | YA | 21/8/2021 | 15/11/2021 | ASTRAZENECA | K1 | BK | B | 13,3 | NEG | 99 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
293 | 14/4/2023 | 292 | '0120178 | SITI KHODIJAH | RHISMAN | BLOK TELAGA RT 011 / RW 003 , KAPLONGAN LOR KARANGAMPEL | JL. RAWAMANGUN MUKA SELATAN I RT 08 / RW 13 NOMOR 26 , RAWAMANGUN PULO GADUNG | 8 | 13 | LW | 081395116011 | 3212105407960003 | 0001189784665 - Kec. Cempaka Putih | INDRAMAYU, 14/7/1996 | 26 | G1P0A0 | 18-10-2022 | 25-07-2023 | 25 MGG 3 HR | 2 | APRIL | TAK | 82.2 | 1.58 | 2.50 | 32.93 | 30.00 | OBESE | 120/80 | 16 | 34 | 23.5 | N | POS | 130 | 465 | T | BT | T4 | 30 | YA | YA | 23/9/2021 | 14/1/2021 | PFIZER | 14/10/2022 | MODERNA | K1 | BK | O | 8,8 | NEG | 125 | NEG | NEG | NEG | YA | YA | NEG | ANEMIA | |||||||||||||||||||||||||||||||||||||||||||||||||
295 | 14/4/2023 | 294 | 0120183 | OKTAVIYANA | HERWANA | JL. RAWA SELATAN RT 003 / 004 , KAMPUNG RAWA, JOHAR BARU | JL. RAWA SELATAN RT 003 / 004 , KAMPUNG RAWA, JOHAR BARU | 3 | 4 | LW | 083149188610 | 3171086410860005 | 0002068658695 - Kel. Kampung Rawa | JAKARTA, 24/10/1986 | 36 | G5P4A0 | 23-01-2023 | 30-10-2023 | 11 MGG 4 HR | 1 | APRIL | LEMES, PUSING | 51.8 | 1.535 | 2.36 | 21.98 | 30.00 | NORMAL | 110/70 | BT | 25 | 23.5 | N | POS | BT | BT | T5 | AF 30 | YA | YA | 30/9/2021 | SINOVAC | K1 | BK | B | 13,2 | NEG | 136 | NEG | NEG | NEG | YA | YA | NEG | GRANDE MULTI PARA, BSC 2 KALI | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
297 | 15/4/2023 | 296 | 0120253 | RIA RISTI HEDIYANTI | AHMAD FAUZI | KP. JAWA RAWASARI RT 010 / 009 NO. 8 , RAWASARI CEMPAKA PUTIH | METLAND TRANSYOGI , CLUSTER SHERWOOD , BLOK RM 35 , NO. 12 , | LW | 085888811436 / 080973080962 | 3601156807990001 | 0002769540118 - Kec. Cempaka Putih | PANDEGLANG, 18/7/1999 | 24 | G1P0A0 | 16-08-2022 | 23-05-2023 | 34 MGG 6 HR | 3 | APRIL | TAK | 61.8 | 1.575 | 2.48 | 24.91 | 30.00 | NORMAL | 100/60 | 28 | 27 | 23.5 | N | POS | 134 | BM | 2325 | T | KEP | T4 | 30 | YA | YA | 1/8/2021 | ASTRAZENECA | K1 | BS | B | 11 | NEG | 96 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
299 | 18/04/2023 | 298 | 0028500 | HUSNUL KHATIMAH | RIZKI NUGRAHA SUKAMTO | JL CPB II G/26 B RT 06/03 KEL CPB | JL SEMPURNA GG SWADAYA NO.53 RT 03/20 KEL. KAMPUNG KELAPA, BOJONG GEDE | 3 | 20 | LW | 08118902093/082298504423 | 3171054209930004 | 0001207378449 - Kec. Cempaka Putih | JAKARTA, 02-09-1993 | 30 | G2P1A0 | 16-01-2023 | 23-10-2023 | 13 MGG 1 HR | 2 | APRIL | TAK | 82.9 | 1.565 | 2.45 | 33.85 | 30.00 | OBESE | 110/60 | 3 JAS | 33 | 23.5 | N | POS | 131 | T | BALT | T5 | 30 | YA | YA | 22/5/2021 | 14/8/2021 | AZTRA | 18/3/2022 | MODERNA | K1 | BS | B | 12,9 | NEG | 97 | NEG | NEG | NEG | YA | YA | NEG | BSC 1X, ALERGI KEPITING | ||||||||||||||||||||||||||||||||||||||||||||||||||
300 | 18/4/2023 | 299 | 0009870 | RANI YUDI PRAMESWARI | REZA CIPTA ABADI | JL BIDURI NO.15 RT 02/03 KEL GALUR KEC. JOHAR BARU | JL RAWAMANGUN MUKA TIMUR NO.22 RT 02/12 KEL RAWAMANGUN KEC P.GADUNG | 2 | 12 | LW | 0881025106767 | 3175024501880009 | 0002068752194 - Kec. Cempaka Putih | JAKARTA, 05-01-1988 | 35 | G2P1A0 | 06-03-2023 | 12-12-2023 | 6 MGG 1 HR | 1 | APRIL | TAK | 70.9 | 1.575 | 2.48 | 28.58 | 30.00 | NORMAL | 110/70 | BT | 30.5 | 23.5 | N | POS | BT | T | BT | T5 | YA | YA | 18/8/2021 | 01/10/2021 | SINOVAC | 14/8/2022 | PFIZER | K1 | BK | O | 12,9 | NEG | 87 | NEG | NEG | NEG | YA | YA | NEG | BELUM | BSC 1X | ||||||||||||||||||||||||||||||||||||||||||||||||||
301 | 18/4/2023 | 300 | 0038640 | NADIAH ZAHKIA | MUHAMMAD MUKHLISIN | JL. PEMUDA I NO. 09 RT 002 / RW 002 , RAWAMANGUN, PULO GADUNG | JL. PEMUDA I NO. 09 RT 002 / RW 002 , RAWAMANGUN, PULO GADUNG | 2 | 2 | LW | 089516849152 | 3175026412931001 | 0000370699918 - Kec. Cempaka Putih | JAKARTA, 24/12/1993 | 30 | G2P1A0 | 12-02-2023 | 19-11-2023 | 9 MGG 2 HR | 1 | APRIL | TAK | 60.6 | 1.48 | 2.19 | 27.67 | 30.00 | NORMAL | 60.6 | BT | 27 | 23.5 | N | POS | BT | BT | T5 | AF 30 | YA | YA | 7/8/2021 | 7/9/2021 | SINOVAC | K1 | BK | B | 12,2 | NEG | 129 | NEG | NEG | NEG | YA | YA | NEG | BSC 1 KALI | |||||||||||||||||||||||||||||||||||||||||||||||||||||
302 | 27-4-2023 | 301 | 0120424 | TRISNA EKAWATI | JULIAN F LOYD SIMANJUNTAK | JL RAWA BOLA NO 66 RT 02/07 KEL KELAPA DUA WETAN KEC. CIRACAS | JL RAWA BOLA NO 66 RT 02/07 KEL KELAPA DUA WETAN KEC. CIRACAS | 2 | 7 | LW | 08999143199 | 3276015001890007 | 0001297742905 - Klinik Pratama Setia Rumanda | DEPOK, 10-01-1989 | 34 | G1P0A0 | 12-12-2022 | 18-09-2023 | 19 MGG 3 HR | 2 | APRIL | AGAK PUSING | 55.2 | 1.58 | 2.50 | 22.11 | 30.00 | NORMAL | 90/60 | 18 | 26 | 23.5 | N | POS | 130 | T | BALT | T3 | 30 | YA | YA | 26/6/2021 | 17/7/2021 | SINOVAC | 28-01-2022 | AZTRA | K1 | BS | B | 11,4 | NEG | 92 | NEG | NEG | NEG | YA | YA | NEG | MIOMA UTERI | RS PERTAMINA JAYA | |||||||||||||||||||||||||||||||||||||||||||||||||
304 | 27-4-2023 | 303 | 0002325 | ELLYEZER INDAH | GACOV FERDINAN | JL. CEMPAKA WARNA RT 10 / 04 , CPT | JL. VILLA MAKMUR I BLOK B 12 NOMOR 12 , TAMBUN SELATAN | LW | 085779072359 | 3171054603001002 | 0001207865092 - Kec. Cempaka Putih | JAKARTA, 6/3/2000 | 23 | G1P0A0 | 19-01-2023 | 26-10-2023 | 14 MGG | 2 | APRIL | TAK | 51.7 | 1.49 | 2.22 | 23.29 | 30.00 | NORMAL | 110/70/ | 3 JAS | 25 | 23.5 | N | POS | 147 | BALT | T4 | 30 | YA | YA | 29/4/2021 | 18/8/2021 | SINOVAC | 25/3/2022 | MODERNA | K1 | BS | AB | 11,2 | NEG | 95 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
308 | 28/4/2023 | 307 | 0110903 | GINA SONIA | DERY DERMAWAN | KP PULO GUNDUL K 63 RT 006 / 009 , TANAH TINGGI JOHAR BARU | KP PULO GUNDUL K 63 RT 006 / 009 , TANAH TINGGI JOHAR BARU | 6 | 9 | LW | 082113718853 | 3171086504970004 | 0001206277119 - Kec. Cempaka Putih | JAKARTA, 25/4/1997 | 26 | G2P1A0 | 10-02-0223 | 17-11-2023 | 11 MGG | 1 | APRIL | MUAL, MUNTAH JARANG | 45.3 | 1.475 | 2.18 | 20.82 | 30.00 | NORMAL | 110/60 | 2 JAS | 27 | 23.5 | N | POS | BT | BT | T4 | 30 | YA | YA | SUDAH VAKSIN | K1 | BK | A | 11,4 | NEG | 112 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
309 | 28/4/2023 | 308 | 0074953 | KRISDIANA SEPTAHERLINA | BERANTAS HUTAURUK | PERUM GRAHA PERSADA SENTOSA BLOK A 5 / 15 RT 010 / RW 011 , KALIABANG TENGAH , BEKASI UTARA | JL. TUPAREV NOMOR 13 A RT 01 / RW 09 , KAYU PUTIH, PULO GADUNG | 1 | 9 | LW | 081213224482 | 3216024809900016 | 0001256245828 - Kec. Cempaka Putih | JAKARTA, 08/09/1990 | 32 | G2P1A0 | 04-02-2023 | 11-11-2023 | 11 MGG 6 HR | 1 | APRIL | ALERGI | 65.4 | 1.61 | 2.59 | 25.23 | 30.00 | NORMAL | 110/70 | 3 JAS | 26 | 23.5 | N | POS | 148 | BALT | T4 | 30 | YA | YA | SUDAH VAKSIN, TAPI HANDPHONE MATI | SINOVAC | K1 | BK | YA | B | 12 | NEG | 146 | NEG | NEG | NEG | YA | YA | NEG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
310 | 2/5/2023 | 309 | 0047586 | MIFTAHUR RASYIDAH | SADRI SAPUTRA | KP. BARU NOMOR 36 RT 009 / 006 , KAYU PUTIH , PULO GADUNG | KP. BARU NOMOR 36 RT 009 / 006 , KAYU PUTIH , PULO GADUNG | 9 | 6 | LW | 088221953431 / 089637905950 | 3175025307950008 | 0001218059122 - Kec. Cempaka Putih | JAKARTA, 13/7/1995 | 28 | G2P1A0 | 17-03-2023 | 22-12-2023 | 6 MGG 4 HR | 1 | MEI | MUAL, PUSING, MAKAN MASIH BISA | 43.4 | 150 | #DIV/0! | 31.00 | #DIV/0! | 100/60 | BT | 22 | 23.5 | KEK | POS | BT | BT | T5 | AF 30 | YA | YA | 7/7/2021 | 6/8/2021 | SINOVAC | 7/3/2023 | PFIZER | K1 | BK | O | 12.5 | NEG | 103 | NEG | NEG | NEG | YA | YA | NEG | |||||||||||||||||||||||||||||||||||||||||||||||||||||
311 | 2/5/2023 | 310 | 0088037 | KATRUN NADA | M. RIDHO FADHILLAH | JL. KEAMANAN NO. 63 A RT 001 / 007 , KEAGUNGAN , TAMAN SARI , JAKARTA BARAT | JL. KEAMANAN NO. 63 A RT 001 / 007 , KEAGUNGAN , TAMAN SARI , JAKARTA BARAT | 1 | 7 | LW | 081286963301 082112830845 | 3173034911860001 | 0001144676079 - Kec. Cempaka Putih | JAKARTA, 9/11/1986 | 37 | G4P2A1 | 01-03-2023 | 06-12-2023 | 8 MGG 6 HR | 1 | MEI | PILEK TIDAK SERING | 53.8 | 1.555 | 2.42 | 22.25 | 32.00 | NORMAL | 110/70 | BT | 23.5 | 23.5 | N | POS | BT | BT | T5 | AF 30 | YA | YA | 14/6/2021 | 6/9/2021 | ASTRAZENECA | 26/3/2022 | MODERNA | K1 | BS | AB | 10.1 | NEG | 107 | NEG | NEG | NEG | YA | YA | NEG | USIA 37 TAHUN | |||||||||||||||||||||||||||||||||||||||||||||||||||
313 | 2/5/2023 | 312 | 0083107 | FITRI WULANDARI | FADLI SABILILLAH | JKP. TANAH KOJA RT 002 / 002 JATINEGARA KAUM , PULO GADUNG | APT CER TWR ARJUNA RT 001 / 013 , B LT. 02 NO. 15 , DUREN SAWIT PONDOK BAMBU | 1 | 13 | LW | 081296903932 / 081219215299 | 3172037101980009 | 0001218732355 - Kec. Cempaka Putih | JAKARTA, 31/1/1998 | 25 | G2P1A0 | 23-03-2023 | 30-12-2023 | 5 MGG 5 HR | 1 | MEI | PUSING, MUAL | 56.2 | 1.555 | 2.42 | 23.24 | 34.00 | NORMAL | 100/60 | BT | 26.5 | 23.5 | N | POS | BT | BT | T5 | AF30 | YA | YA | 17/7/2021 | 8/9/2021 | SINOVAC | K1 | BK | O | 13.1 | NEG | 100 | NEG | NEG | NEG | YA | YA | NEG | BSC 1 KALI | 10-05-2023 | CURETASE | RS | ||||||||||||||||||||||||||||||||||||||||||||||||||
315 | 2/5/2023 | 314 | 0120578 | THASYA RAIHANY | KEVIN MAXMILLIAN EDSON | PERUM CAHAYA GARUDA PERMAI NO. 45 RT 011 / 009, PASIR PUTIH , SAWANGAN DEPOK | PERUM CAHAYA GARUDA PERMAI NO. 45 RT 011 / 009, PASIR PUTIH , SAWANGAN DEPOK | 11 | 9 | LW | 081908898316 | 3175016512990002 | 0001229387321 - Kec. Cempaka Putih | JAKARTA, 25/12/1999 | 23 | G1P0A0 | 06-04-2023 | 28-12-2023 | 5 MGG 5 HR | 1 | MEI | MUAL, MUNTAH, , TIDAK NAFSU MAKAN | 60.6 | 1.53 | 2.34 | 25.89 | 36.00 | NORMAL | 90/60 | BT | 31 | 23.5 | N | POS | BT | BT | T5 | AF30 | YA | YA | SUDAH VAKSIN, TAPI LUPA | K1 | BK | O | 11.5 | NEG | 98 | NEG | NEG | NEG | YA | YA | NEG | ENDOMETRIOSIS | RS EVASARI | ||||||||||||||||||||||||||||||||||||||||||||||||||||||