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DATA BAYI ASI EKSLUSIF

PUSKESMAS CIJULANG
Desa : Ciakar
Bulan : JUNI 2015
STATUS IMD STATUS ASI
NO NAMA BAYI L/P TANGGAL LAHIR NAMA ORANG TUA ALAMAT
YA TIDAK E1 E2 E3 E4 E5 E6
1 Daffa L 11/30/2014 Ita / Sarip Ciakar 3/3 v v 4/13/2015 5/13/2015
2 Mukaila P 2/18/2015 Devi / Otang Ciakar 3/3 5/13/2015
3 Elvina P 4/4/2015 Susi / U sep Ciakar 2/1 5/13/2015
4 Deva Aprilia P 4/7/2015 Hendra / Mahfud Ciakar 6/3 5/13/2015
5 Rizvan L 12/12/2014 Dodoh / Jana Cisodong 4/20/2015 5/18/2015
6 Fadlan L 1/10/2015 Maryani / Dani Cisodong 4/20/2015 x
7 Hersiansyah L 3/4/2015 Idah / Eris Cisodong 4/20/2015 5/18/2015
8 Azka L 3/30/2015 Sofa / Ato Cisodong 4/20/2015 5/18/2015
9 Dafa L 4/2/2015 Eka / Wahyudin Cisodong 8/4 5/18/2015
10 Aditia L 11/4/2014 Yati / Weli Cikareo 4/20/2015 5/20/2015
11 Alfin L 12/27/2014 Ai Imas / Yusuf Cikareo 4/20/2015 5/20/2015
12 Zandan L 1/1/2015 Teti / Usup Cikareo 4/20/2015 5/20/2015
13 Patra L 1/2/2015 Siti Rukiah / Tajudin Cikareo 4/20/2015 5/20/2015
14 Agina P 3/15/2015 Erni / Ma'aruf Cikareo 4/20/2015 5/20/2015
15 Azkia P 4/4/2015 Aisyah / Yanto Cikareo 5/20/2015
16 Ersyad L 11/7/2014 Nita / Dani Kertasari 4/11/2015 5/11/2015
17 Lia N P 11/14/2014 Ani / Dayat Kertasari 4/11/2015 5/11/2015
18 Nauval L 2/3/2015 Tita / Solihat Kertasari 4/11/2015 5/11/2015
19 Lutfi L 3/15/2015 Euis / Endi Kertasari 4/11/2015 5/11/2015
20 Faizan P 1/14/2015 Yeni / A. Rohman Kertasari 5/11/2015
21
22
23
24
25
26
27
28
29
30
KET
Cara pengisian
IMD dan ASI
: jika masih
X : jika tidak
A: jika absen

Pindahan
DATA BAYI ASI EKSLUSIF
PUSKESMAS CIJULANG
Desa : Kertayasa
Bulan : AGUSTUS 2015
STATUS IMD STATUS ASI
NO NAMA BAYI L/P TANGGAL LAHIR NAMA ORANG TUA ALAMAT
YA TIDAK E1 E2 E3 E4 E5 E6

1 Nadia P 11-May-15 Dede / Otis Bugel 12-Jun-15 12-Jul-15 8-Ags-15


2 Sifa P 10-May-15 Ai Iip / Irawan Bugel 12-Jun-15 12-Jul-15 8-Ags-15
3 Faizal L 20-Jun-15 Kosim / Lina Bugel 12-Jul-15 8-Ags-15
4 Azka Nurul P 20-Jun-15 Dani/ Nurhasanah Bugel 12-Jul-15 8-Ags-15
5 Afaz A.B L 1-Jul-15 Aay/Nuraidah Bugel 8-Ags-15
6 Fahri L 25-May-15 Ai / Jamal Bantarkawung x x x
7 Adiba P 31-May-15 Didi / Rostini Bantarkawung x x 6-Ags-15
8 Kaila P 7-May-15 Solihin / Neni Bantarkawung x x 6-Ags-15
9 Salsabila P 16-Jun-15 Dadang / Ihan Bantarkawung 7-Jul-15 6-Ags-15
10 Rifki L 14-Feb-15 Ani/Aris Cibuluh 9-Apr-15 9-May-15 11-Jun-15 10-Jul-15 9-Ags-15
11 By. Arum P .../04/2015 Arum / Abdul Cibuluh 9-May-15 11-Jun-15 10-Jul-15 9-Ags-15
12 Reva P 30-Apr-15 Sri / Sukmaja Cibuluh 11-Jun-15 10-Jul-15 9-Ags-15
13 By. Elis P 1-Jul-15 Elis/deni Cibuluh 9-Ags-15
14 by enung P 10-Mar-15 Enung / Enceng Tenjolaya V 2-Apr-15 12-May-15 10-Jun-15 11-Jul-15 10-Ags-15
15 By. Odisah P ..../4/2015 Odisah / Udin Tenjolaya V 12-May-15 10-Jun-15 11-Jul-15 10-Ags-15
16 by. Mimin P 1-Apr-15 mimin/eman Tenjolaya V 12-May-15 10-Jun-15 11-Jul-15 10-Ags-15
17 Rena P 3-May-15 Dedi /Susi Tenjolaya V 10-Jun-15 11-Jul-15 10-Ags-15
18 Kenji L 30-Apr-15 Candra/ Desi Tenjolaya V x 10-Ags-15
19 Malika P 23-May-15 Irpan/Nurma Tenjolaya V x x
20 Alip L 21-Jun-15 Ida/Jarwo Tenjolaya V x 10-Ags-15
21 Azka L 8-Feb-15 Ani/Jajang Karangpaci V x 14-Apr-15 18-May-15 18-Jun-15 13-Jul-15 11-Ags-15
22 Fauzi L 16-Mar-15 Eni/Sarip Karangpaci V x 18-May-15 18-Jun-15 13-Jul-15 11-Ags-15
23 Alif L .../4/2015 Aan/ Andri Karangpaci V x 18-Jun-15 13-Jul-15 11-Ags-15
24 Kifan Firdaus L 29/5/2015 Kamal / Suryani Karangpaci V x 11-Ags-15
25 Agia L 3-Jun-15 Ida / Yusuf Karangpaci V x 11-Ags-15
26 Giva P 14-Jun-15 Popi / Iwan Karangpaci V x x
27 By. Risyani L 20-Jun-15 Risyani / Hendta Karangpaci V x 11-Ags-15
28 M. Mahesa L 11-Jun-15 Yani/Kosidin Karangpaci V 11-Ags-15
29 Rara P 17-Jun-15 Amah/Maman Karangpaci V 11-Ags-15
30
31
32
33
34
KET
Cara pengisian
IMD dan ASI
V : jika masih

X : jika tidak
DATA BAYI ASI EKSLUSIF
PUSKESMAS CIJULANG
Desa : batukaras
Bulan : AGUSTUS 2015
STATUS IMD STATUS ASI
TANGGAL
NO NAMA BAYI L/P NAMA ORANG TUA ALAMAT
LAHIR YA TIDAK E1 E2 E3 E4
1 Raka L 4-Feb-15 Padil/Leni Batukaras 12-Apr-15 x 13-Jun-15
2 Rizky L 4-Feb-15 Padil/Leni Batukaras 12-Apr-15 x 13-Jun-15
3 Dalfa L ..../2/2015 Apip/Yeni Batukaras 12-Apr-15 13-May-15 13-Jun-15
4 Fikri L 6-Feb-15 Andris/Iyam Batukaras X 12-Apr-15 13-May-15 13-Jun-15
5 Marsel L 24-Mar-15 Saeful/Sarti Batukaras 12-Apr-15 13-May-15 13-Jun-15 11-Jul-15
6 Rayvan L 16-Mar-15 Rian/Risma Batukaras A 13-May-15 13-Jun-15 11-Jul-15
7 Marsela P .../03/2015 Kosasih/Irma Batukaras A X 13-Jun-15 11-Jul-15
8 M. Iqbal L 20-Apr-15 Popo/Ani Batukaras 13-May-15 13-Jun-15 11-Jul-15 13-Ags-15
9 Gian L 8-Apr-15 Sarip/Ai Batukaras 13-May-15 13-Jun-15 11-Jul-15 13-Ags-15
10 Zahran L 14-May-15 Yandi / Irma Batukaras 13-Jun-15 11-Jul-15 13-Ags-15
11 Riska M P 12-May-15 Bendi / Iim Batukaras 13-Jun-15 11-Jul-15 13-Ags-15
12 Fahri L 19-May-15 Suryana / Maya Batukaras 13-Jun-15 11-Jul-15 13-Ags-15
13 Lutfi Aulic P 23-May-15 Dani / Sri Batukaras 13-Jun-15 11-Jul-15 13-Ags-15
14 Umar L 26-May-15 Uci / Nur Batukaras 13-Jun-15 11-Jul-15 13-Ags-15
15 Rifki Fatwa L 30-Jun-15 Iyus/Seni Batukaras 13-Ags-15
16 M. Fadilan L 10-Jul-15 Amar/Sri Batukaras 13-Ags-15
17 Evan J L 14-Jul-15 Ipin/Mira Batukaras 13-Ags-15
18 Rifal L 25-Mar-15 Warman/Irma S. Kalang 14-Apr-15 18-May-15 17-Jun-15 11-Jul-15
19 Nazwa P 14-Mar-15 Aris/Yuli S. Kalang 14-Apr-15 18-May-15 17-Jun-15 11-Jul-15
20 Rizki L 14-Mar-15 Ruhanda/Siti S. Kalang 14-Apr-15 18-May-15 17-Jun-15 11-Jul-15
21 Erisa P 19-Mar-15 Yana/Yani S. Kalang 14-Apr-15 18-May-15 17-Jun-15 11-Jul-15
22 Nabila P 7-Apr-15 Deni / Siska S. Kalang 18-May-15 17-Jun-15 11-Jul-15 13-Ags-15
23 Fina A P 23-Apr-15 Lili / Sahnah S. Kalang 18-May-15 17-Jun-15 11-Jul-15 13-Ags-15
24 Nuril E L 24/6/15 Tri M / Ervi S. Kalang 11-Jul-15 13-Ags-15
25 Andreas G L 16-Jun-15 Budi/Ayu S. Kalang 13-Ags-15
26 Najura P 30-Mar-15 Nurdin/Eros Mandala 10-Apr-15 11-May-15 11-Jun-15 9-Jul-15
27 Novita P 1-Feb-15 Parid / Tika Mandala 10-Mar-15 A 11-May-15 11-Jun-15
28 Raihan B L Mar-15 Mandala 9-Jul-15 8-Ags-15
29 Natasya P 13-Mar-15 Didin/Iis Pasuketan 10-Apr-15 11-May-15 11-Jun-15 9-Jul-15
30 Ali Rendra L 25-Feb-15 Baban/Nurlayinah Cidahu 8-Apr-15 9-May-15 10-Jun-15
31 Febri Rizky L 1-Feb-15 Solih/Dedeh Cidahu 8-Apr-15 9-May-15 10-Jun-15
32 Haifa P 1-Apr-15 Saripin / Lilis Cidahu 9-May-15 10-Jun-15 7-Jul-15 7-Ags-15
33 Erlita P 15-Apr-15 Wawa / Erna Cidahu x 10-Jun-15 7-Jul-15 7-Ags-15
34 Hildo Meidina P 31-May-15 Cidahu 10-Jun-15 7-Jul-15 7-Ags-15
35 Wirda N P 13/5/2015 Yayat / Nurlaela Nagrog 7-Jul-15 7-Ags-15
36 Syakir L 21/6/2015 Nasrudin / Dewi Nagrog 7-Jul-15 7-Ags-15
37
38
39
40
41
42
43
44
45
46
47
ASI
KET
E5 E6
11-Jul-15 x
11-Jul-15 x
11-Jul-15 13-Ags-15
11-Jul-15 x
13-Ags-15
13-Ags-15
13-Ags-15

13-Ags-15
13-Ags-15
13-Ags-15
13-Ags-15

8-Ags-15
9-Jul-15 x

8-Ags-15
7-Jul-15 7-Ags-15
7-Jul-15 7-Ags-15
DATA BAYI ASI EKSLUSIF
PUSKESMAS CIJULANG
Desa : Cijulang
Bulan : AGUSTUS 2015
STATUS IMD STATUS ASI
TANGGAL NAMA ORANG
NO NAMA BAYI L/P ALAMAT
LAHIR TUA YA TIDAK E1 E2 E3 E4 E5
1 Alika P 2/4/2015 Vicky / Hendri Ciwaru 11-Apr-15 11-May-15 11-Jun-15 9-Jul-15
2 M. Alghi L 2/10/2015 Tutin / Didin Ciwaru 11-Apr-15 11-May-15 11-Jun-15 9-Jul-15
3 Devan L 23/4/2015 Sri Sugesti Ciwaru 11-May-15 11-Jun-15 9-Jul-15 x
4 Dhafitha P 30/5/2015 Inu/Yayat Ciwaru 11-Jun-15 9-Jul-15 8-Ags-15
5 Ilmi Ayundia P 26/4/2015 Emi / Lili Ciwaru x x x x
6 Syafaq L 6/15/2015 Dedeh/Luki Ciwaru 9-Jul-15 8-Ags-15
7 Albi L 3/13/2015 Dede / Dede Kalenwadas 6/8 X x x x A
8 Arkan L 7/7/2015 Ani/Iwan Kalenwadas 3/9 v 10-Ags-15
9 M. Hilmi L 4/5/2015 Maemunah / Sidik Haurseah 6/3 13-May-15 13-Jun-15 11-Jul-15 A
10 Eizi K P 13/5/2015 Eris/ Ihep Haurseah 4/1 13-Jun-15 11-Jul-15 11-Ags-15
11 Hiban L 28/4/2015 yunyun/roni Haurseah 6/3 13-Jun-15 11-Jul-15 11-Ags-15
12 Barly L 20/5/2015 Meli/ Aditya Haurseah x x 11-Ags-15
13 Salsabil P 3/5/2015 Septina/Darsun Haurseah 13-Jun-15 11-Jul-15 11-Ags-15
14 Naila P Hj. Madriah Haurseah 13-Jun-15 x A
15 Valentino L 16/3/2015 Fitri / Yudi Haurseah x
16 M. Daffa L 2/4/2015 Sri/Nandi Barengkok 9-Apr-15 9-May-15 9-Jun-15 7-Jul-15
17 Denon P 5/4/2015 Marlina Barengkok 9-May-15 9-Jun-15 7-Jul-15 6-Ags-15
18 Mutiara P Omayah Barengkok 9-Jun-15 7-Jul-15 6-Ags-15
19 Prisa P 16/4/2015 Gina / Jajang Barengkok 9-Mei-15 9-Jun-15 7-Jul-15 6-Ags-15
20 Narendra L 21/5/2015 Desi / Oman Barengkok 9-Jun-15 7-Jul-15 6-Ags-15
21 M. Alfi L 15/5/2015 Yunus / Jikan Barengkok 9-Jun-15 7-Jul-15 6-Ags-15
22 Adi F L 2/14/2015 Budi/Fitri Nusagede x 16-Apr-15 18-May-15 18-Jun-15 13-Jul-15
23 Alfin L ..../2/2015 Dadan / Siti Nusagede x 16-Apr-15 18-May-15 18-Jun-15 13-Jul-15
24 Putri P 2/24/2015 Amar/Susi Nusagede x 16-Apr-15 18-May-15 18-Jun-15 13-Jul-15
25 Citra P 3/7/2015 Jayus/Atik Nusagede 16-Apr-15 18-May-15 18-Jun-15 13-Jul-15 14-Ags-15
26 Bela P 3/14/2015 Popon/Iwan Nusagede 16-Apr-15 18-May-15 18-Jun-15 13-Jul-15 A
27 Faiz A L 4/21/2015 Ubad / Nur Nusagede 18-May-15 18-Jun-15 13-Jul-15 18-Ags-15
28 Farabie L 22/5/2015 Basar/ Ani Nusagede 18-Jun-15 13-Jul-15 14-Ags-15
29 Dendi L 19/5/2015 Dadi / Defi Nusagede 13-Jul-15 14-Ags-15
30 M. Gibran L Andri / J.Fransiska Nusagede 13-Jul-15 A
31 Juniar L 20/6/2015 Agung / Romsih Nusagede 13-Jul-15 A
32 Raihan L 19-Jun-15 Aisah/dede Nusagede 14-Ags-15
33 Andrea L 21-Jun-15 Cucu/Cucu Nusagede 14-Ags-15
34 Mutiara L 6/23/2015 arti/Aju Nusagede 14-Ags-15
35 Yusuf M L 7/22/2015 Dewi/Ahyar Nusagede 14-Ags-15
36 Rasya L 7/24/2015 Ipah/roni Nusagede 14-Ags-15
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
KET
E6 Cara pengisian
8-Ags-15 : jika masih
8-Ags-15 X : jika tidak
A: jika absen

A
6-Ags-15

A
A
A
DATA BAYI ASI EKSLUSIF
PUSKESMAS CIJULANG
Desa : Kondangjajar
Bulan : AGUSTUS 2015
TANGGAL NAMA ORANG STATUS IMD STATUS ASI
NO NAMA BAYI L/P ALAMAT
LAHIR TUA YA TIDAK E1 E2 E3 E4 E5
1 M.Rizki L 7-Feb-15 Santi/Harun Binangun 16-Apr-15 16-May-15 16-Jun-15 9-Jul-15
2 Bilqis P 8-Feb-15 Jeni/Erik Binangun 16-Apr-15 16-May-15 16-Jun-15 9-Jul-15
3 Nadia P 6-Mar-15 Jojoh Cikaler 9-Apr-15 16-May-15 9-Jun-15 6-Jul-15 6-Jul-15
4 P 5-Jul-15 Nur/Lilih Cikaler 5-Ags-15
5 L 12-Jul-15 Idah/Tahyo Cikaler 5-Ags-15
6 Asqha L 1-Mar-15 Cucu / Idrus Kalensari 10-Apr-15 16-May-15 14-Jun-15 10-Jul-15 10-Ags-15
7 Ira Azzahra P 7-Apr-15 Irma / Iwan Binangun 16-May-15 16-Jun-15 9-Jul-15 10-Ags-15
8 Ibrahim L 25-Apr-15 Titin / Nana Kalensari 13-May-15 14-Jun-15 9-Jul-15 9-Ags-15
9 Zidan L 6-May-15 Dela / Ekun Kalensari 14-Jun-15 9-Jul-15 9-Ags-15
10 Syamil L 26-May-15 Epih / Epul Kalensari 16-Jun-15 10-Jul-15 14-Ags-15
11 Fitri P 24-Jul-15 Nur/Ujer Garunggang 18-Ags-15
12
13
14
15
16
17
18
19
20
KET
E6
9-Ags-15
9-Ags-15
DATA BAYI ASI EKSLUSIF
PUSKESMAS CIJULANG
Desa : Cibanten
Bulan :AGUSTUS 2015
STATUS IMD STATUS ASI
NO NAMA BAYI L/P TANGGAL LAHIR NAMA ORANG TUA ALAMAT
YA TIDAK E1 E2 E3 E4
1 Haura P 22/4/2015 Dini Cicurug 9-Jul-15
2 Maya P 13/05/2015 Ipah / Andri Cicurug 9-Jun-15 7-Jul-15 6-Ags-15
3 Jian Maura Adila P 11-Feb-14 Enung/Agus Cibodas A 11-Apr-15 11-Apr-15 11-Jun-15
4 Thalita P 16-Apr-15 Dede Entin/Haryaman Cibodas 11-May-15 11-Jun-15 9-Jul-15 8-Ags-15
5 Rahma Safiya P 4-May-15 Omin / Usup Cibodas 11-Jun-15 9-Jul-15 8-Ags-15
6 Fahmi L 16-Feb-15 Nani/Rahmat Cisagu A 14-Apr-15 12-May-15 13-Jun-15
7 Maulana L 19-Apr-15 Yeyen / Itan Cisagu 12-May-15 13-Jun-15 11-Jul-15 11-Ags-15
8 Noviani P 4-Jun-15 Azizah / Supyana Cisagu 11-Jul-15 11-Ags-15 10-Ags-15
9 Refan L 9-Mar-15 Acih/Agus Cibanten 13-Apr-15 13-May-15 15-Jun-15 9-Jul-15
10 Alfi L 20-Mar-15 Yanto/Towiyah Cibanten 13-Apr-15 13-May-15 15-Jun-15 9-Jul-15
11 Samsi L 13-May-15 Ani / Samin Cibanten 9-Jul-15 10-Ags-15
12 Rainanda L Cici / Sahlan Cibanten 9-Jul-15 10-Ags-15
13 Ai Salwa P 27-Feb-15 Saryong/Oning Cilubang 16-Apr-15 18-May-15 17-Jun-15
14 Rifki L 11/6/2015 Rani / Egi Cilubang 13-Jul-15 13-Ags-15
15
16
17
18
19
20
21
22
23
24
25
26
27
28
SI
KET
E5 E6
6-Ags-15

9-Jul-15 x

11-Jul-15 11-Ags-15

10-Ags-15
10-Ags-15

13-Jul-15 13-Ags-15
DATA BAYI ASI EKSLUSIF
PUSKESMAS CIJULANG
Desa : Margacinta
Bulan : AGUSTUS 2015
TANGGAL STATUS IMD STATUS ASI
NO NAMA BAYI L/P NAMA ORANG TUA ALAMAT
LAHIR YA TIDAK E1 E2 E3 E4
1 Wulan P 12-Apr-15 Deni/ Dewi Cidawung 18-Apr-15 21-May-15 15-Jun-15 10-Jul-15
2 Raisya A P 13-Apr-15 Aditya/Santi Cidawung 18-Apr-15 21-May-15 15-Jun-15 10-Jul-15
3 Azhka Fahmi L 24-Apr-15 Tita / Ade Cidawung 21-May-15 15-Jun-15 10-Jul-15 15-Ags-15
4 Surya L 15-Jun-15 Nining / Gunawan Cidawung 10-Jul-15 15-Ags-15
5 Angga P 18-Apr-15 Toha / Yeni Balengbeng 20-May-15 19-Jun-15 10-Jul-15 19-Ags-15
6 Yusuf L 27-Jun-15 Tintin/Yudi Balengbeng 11-Jul-15 19-Ags-15
7 Zahra L 29/5/2015 Iis / Jumli Pangancaraan 10-Jul-15 10-Ags-15
8 L 15-Jun-15 Witar / Dede Pangancaraan 10-Jul-15 10-Ags-15
9 L 5-Jul-15 yuyun/Yudi Pangancaraan 10-Ags-15
10 Firman Wildanu L 15-Jul-15 Desi/Imat Pangancaraan 10-Ags-15
11 L 9-Jul-15 Kuryati/Jumed Pangancaraan 10-Ags-15
12 Sahara P 10-Mar-15 Rosmiati/Iwa Cibunian 12-Apr-15 12-May-15 13-Jun-15 6-Jul-15
13 Reza L 8-Mar-15 Maulidin/Fitriani Cikadu 18-Apr-15 19-May-15 16-Jun-15 13-Jul-15
14 Gebi Aprilia P 10-Apr-15 Dede/Miskiyah Cikadu 19-May-15 16-Jun-15 13-Jul-15 13-Ags-15
15 28-Jul-15 Nati/Sugiwa Cikadu 13-Ags-15
16 Dini Apriliyani 14-Apr-15 Nani/Rustandi Margajaya 7-May-15 6-Jun-15 7-Sep-15 6-Ags-15
17
18
19
20
21
22
23
24
25
26
27
28
29
30
I
KET
E5 E6
15-Ags-15
15-Ags-15

11-Ags-15
13-Ags-15

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