Lamp Iran

LAMPIRAN : 1

REGISTER HASIL PELAYANAN KB DI KLINIK KB PUSKESMAS HEDAM ABEPURA

NO Tanggal No Urut Kartu Nama Peserta Alamat Umur Pekerjaan Pendidikan Terakhir

Jumlah Anak PelayananBaru Lama

1 1/10/12 040/12 Ny.marselina Kamkey 19 IRT SMA 1 Depo,24/12/20122 1/10/12 0111/12 Ny.astina Organda 39 IRT SMA 2 Cyclo,29/10/20123 1/10/12 0034/12 Ny.ritna cicilia Pdg bulan 18 IRT SMA 1 Depo,24/12/20124 1/10/12 0106/11 Ny.grees Organda 29 IRT SMA 3 Pil 1 strep5 1/10/12 0242/01 Ny.beatrix Entrop 36 Bekerja S1 2 Cyclo,29/10/20126 3/10/12 0094/12 Ny.agustina.W Jln.biak 26 IRT SMP 3 Depo,29/12/20127 3/10/12 0095/12 Ny.lince kekri Uncen bwh 37 Bekerja S1 4 Depo,29/12/20128 3/10/12 0064/11 Ny.grace Jln.jeri 23 IRT SMA 2 Depo,29/12/20129 3/10/12 0030/11 Ny.lince .R USTJ 22 IRT SMA 1 Depo,29/12/201210 3/10/12 0305/10 Ny.eka ruamba Organda 22 IRT SMA 1 Depo,29/12/201211 3/10/12 Ny.salafiah 24 IRT SMA 4 Pil 2 strep12 3/10/12 0028/11 Ny.loisa Jln.biak 37 IRT SMA 3 Pil 2 strep13 3/10/12 0055/11 Ny.lusi Jln.merdee 24 IRT SMA 2 Depo,29/12/201214 3/10/12 Ny.foni Jln. V barat 27 Bekerja S1 1 Depo,29/12/201215 3/10/12 Ny.herki Organda 39 Bekerja S1 2 Depo 16 8/10/12 156/05 Ny.federika Jln.aru 28 Bekerja S1 2 Cyclo,05/11/201217 8/10/12 Ny.siti maryati Yotefa 37 IRT S1 5 Lepas implant18 10/10/12 0049/11 Ny.selvi Hedam 24 IRT SMA 1 Depo,02/01/201319 10/10/12 0013/12 Ny.sri utami Jln.sekolah 17 IRT SMP 1 Cyclo,07/11/201220 10/10/12 0002/08 Ny.mina simbiak Jln.kaimana 40 Bekerja S1 5 Depo,02/01/201321 10/10/12 0080/03 Ny.ketty pdg bulan 30 Bekerja S1 4 Depo.02/01/201322 10/10/12 0012/12 Ny.rosa Pdg bulan 28 Bekerja S1 3 Depo.02/01/201323 10/10/12 Ny.sri H Perumnas 1 19 IRT SMA 1 Depo.02/01/201324 10/10/12 0042/12 Ny.sarah Uncen bwh 30 IRT SMA 4 Depo.02/01/201325 10/10/12 0094/12 Ny.kartika Jln.sarmi 24 IRT SMA 1 Depo.02/01/201326 13/10/12 0089/11 Ny.yuli Perumnas 4 22 IRT SMA 2 Depo.05/01/201327 13/10/12 007/11 Ny.herodia Jln.biak 22 IRT SMA 2 Depo.05/01/2013



28 13/10/12 0083/12 Ny.nur Jln.kali acai 24 IRT SMA 2 Depo.05/01/201329 13/10/12 Ny.aruanatur Jln.yotefa 24 IRT SMA 2 Depo.05/01/201330 13/10/12 0041/12 Ny.novalia Jln.baru 21 IRT SMA 1 Depo.05/01/201331 13/10/12 0095/12 Ny.sarce Jln.kali acai 26 Bekerja S1 1 Cyclo,10/11/201232 13/10/12 Ny.yane Perumnas 4 31 Bekerja S1 2 Depo,05/01/201333 13/10/12 00241 Ny.ixareni Ab.pante 28 Bekerja S1 1 Depo,05/01/201334 15/10/12 26100/03 Ny.imeliana lussy Uncen bwh 32 IRT SD 6 Depo,07/01/201335 15/10/12 0096/12 Ny.monalisa deda organda 21 IRT SMA 1 Depo,07/01/201336 15/10/12 26100/03 Ny.siti maryati Yotefa 36 IRT SMA 5 Depo,07/01/201337 15/10/12 0110/11 Ny.dwi organda 43 IRT SMA 4 Depo,07/01/201338 15/10/12 0047/12 Ny.abdul rasyd Jln.yotefa 34 Bekerja S1 3 Depo,07/01/201339 15/10/12 Ny.dian permatsri Jln.timika 35 IRT SMA 3 Depo,07/01/201340 17/10/12 0097/12 Ny.kristofara Pdg bulan 22 IRT SMA 1 Depo,09/01/201341 17/10/12 0189/05 Ny.yane raja-raja organda 33 Bekerja S1 3 Cyclo,14/11/201242 17/10/12 015/10 Ny.natalia organda 23 Bekerja S1 1 Pil 1 strep43 17/10/12 0011/10 Ny.cristina clau Perumnas 2 23 Bekerja S1 1 Depo,09/01/201344 17/10/12 0009/12 Ny.rosalina w Kpg korem 26 Bekerja S1 1 Depo,09/01/201345 17/10/12 Ny.yohana Jln.biak 37 IRT SMP 4 Cyclo,14/11/201246 17/10/12 0072/11 Ny.indri Blkg citra 38 IRT SMA 2 Cyclo,14/11/201247 17/10/12 2520/09 Ny.maria Pasar yotefa 27 Bekerja SMA 1 Lepas implant48 17/10/12 0048/05 Ny.marike Tanah hitam 23 IRT SMA 3 Depo,09/01/201349 17/10/12 0074/12 Ny.lisa Yotefa 29 IRT S1 2 Cyclo,17/11/201250 17/10/12 0064/12 Ny.kaida Blkg citra 25 IRT SMP 1 Cyclo,17/11/201251 17/10/12 0091/04 Ny.rufia organda 30 Bekerja S1 2 Pil 2 strep52 20/10/2012 0014/12 Ny.treni BTN puskop 37 IRT SMP 3 Depo,12/01/201353 20/10/2012 0077/11 Ny.ribka Uncen ats 32 IRT SMP 3 Depo,12/01/201354 20/10/2012 0058/05 Ny.masita Pdg bulan 39 Bekerja S1 2 Depo,12/01/2013

LAMPIRAN : 2



55 20/10/2012 Ny.milka Jln,biak 28 Bekerja S1 3 Depo,12/01/201356 20/10/2012 0016/12 Ny.oktovina kamkey 22 IRT SMP 2 Depo,12/01/201357 20/10/2012 0098/12 Ny.mira Jln.kesehatan 36 Bekerja S1 3 Pil 1 strep58 20/10/2012 0099/12 Ny.rita Perum polda 23 IRT S1 1 Depo,14/01/201359 20/10/2012 0017/12 Ny.agustina Uncen atas 28 IRT SD 4 Depo,14/01/201360 24/10/2012 0015/11 Ny.kartini Hedam 40 Bekerja S1 3 Depo,16/01/201361 24/10/2012 100/12 Ny.mance niki Jln.mankwar

i25 IRT S1 1 Depo,16/01/2013

62 24/10/2012 0085/12 Ny.marta yowa kotaraja 23 IRT SMA 1 Depo,16/01/201363 24/10/2012 101/12 Ny. Grace k organda 24 IRT SMA 1 Pil 1 strep64 24/10/2012 102/12 Ny.novela T.hitam 37 Bekerja S1 3 implant65 24/10/2012 103/12 Ny.ruhmanti T.hitam 29 IRT SMA 2 implant66 27/10/2012 0071/12 Ny.juwita Jln.sekolah 21 IRT SMP 1 Depo,19/01/201367 27/10/2012 0058/10 Ny.rina organda 38 Bekerja SMA 3 Depo,19/01/201368 27/10/2012 0020/12 Ny.imelda Kali acai 23 IRT SMA 2 Depo,19/01/201369 27/10/2012 104/12 Ny.elisabet Uncen bwh 28 IRT SMP 4 Depo,19/01/201370 27/10/2012 0065/12 Ny.nova Pdg bulan 22 Bekerja SMP 1 Cyclo,24/11/201271 29/10/2012 106/11 Ny.gres roya organda 29 IRT SMA 3 Pil 1 strep72 29/10/2012 111/10 Ny.astima organda 39 IRT S1 2 Cyclo,26/11/201273LAMPIRAN : 3

Lamp Iran

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