LAPORAN IMUNISASI PIN CAMPAK TAHUN 2016

NO NAMA ANAK UMUR VAKSIN DIBERIKAN ALAMAT KETERANGAN

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43

Peureulak, .................................. Petugas Imunisasi

 LAPORAN PROGRAM GIZI TAHUN 2016

BULAN : AGUSTUS
DESA : TUALANG

NO NAMA BALITA/BAYI JK TANGGAL LAHIR NAMA ORANG TUA PB/TB BB VIT. A ALAMAT
1 FAWAS AL-AFGHAN L 9/12/2011 NURHAYATI 88.3 16.1 JEULEUBE
2 M. RIFKI L 9/21/2011 HERA MAYA SARI 91.2 16.2 JEULEUBE
3 ANDIKA DHARMA L 9/12/2011 MARYAMAH 92.4 16.2 T. ARA
4 M. FATIR ASRA L 9/1/2011 MAISARA 97.7 15.9 T. MESJID
5 QANITAH LAILAH P 10/14/2011 FITRIANI.AMD 86.6 16.2 T. MESJID
6 HUMAIRAH P 10/17/2011 NURHAYATI 85.4 15.1 T. ARA
7 NADIVATUL DAFIKA P 10/20/2011 NURHAFIFAH 83.3 15.9 T. ARA
8 M. AGHA AL-ATHAR L 11/16/2011 SITI ZAHARA 88.1 15.6 JEULEUBE
9 AHMAD DZAKYAL KHALIDI L 11/1/2011 ZURAIDA 87.4 15.8 JEULEUBE
10 IKRAM MAULIDI L 12/8/2011 MUSLINA 89.6 15.8 JEULEUBE
11 NURKAMALIA P 1/7/2012 NURBAITI 85.2 15 T. ARA
12 M. ALKHALIL L 2/16/2012 YUSRILAINI 84.4 15 T. ARA
13 NISAULMAHIRA P 3/30/2012 ARFIDA 84.4 14.8 JEULEUBE
14 M. ASRAR L 4/22/2012 MASTURA 79.8 15.1 T. MESJID
15 RAIHAN NABILA L 5/15/2012 FZUDIAH 77.8 15.6 T. MESJID
16 SHAFA AZZAHRA L 5/2/2012 NUR AZHARINA 84.1 14.9 JEULEUBE
17 M. ASYIRAF P 6/23/2012 MAWADDAH 79.7 15.5 JEULEUBE
18 MUNIRATUL AHYA P 6/18/2012 NAZARWIYAH 79.3 15.2 T. ARA
19 MAISARAH P 7/2/2012 NJRAFIDHAH 81.1 14.5 T. ARA
20 SUCI HUMAIRAH P 7/8/2012 ROSLIANA 79.2 15.2 T. MESJID
21 SYAHRIL L 7/31/2012 MARYAM 75.9 15.1 T. MESJID
22 M. RAMADHAN L 7/21/2012 NURMAYANTI 81.6 15.2 T. MESJID
23 SITI RADIATUL FITRI P 7/14/2012 MARIANI 82.1 15.2 T. MESJID
24 NAIZA AULIA P 10/24/2012 FAUZIAH 81.1 14.8 T. ARA
25 KHAIRA AMIRA P 2/27/2013 MASYITAH 76.2 14.9 T. MESJID
26 M. ABRAR L 2/17/2013 NURHAYATI ALI 75.2 14.7 JEULEUBE
27 ISLAHUDDIN L 3/4/2013 SYAFIYYATUN AHZAN 77.8 13.7 JEULEUBE
28 SAKINAZAHRA P 3/24/2013 AGUSTINA 79.8 13.9 T. MESJID
29 SYAKILAZAURA P 4/8/2013 MAISARAH 81.6 13.7 T. MESJID
30 MUTIA NAIRA P 4/25/2013 FITRIAH 84.5 14 T. ARA
31 M. REZA L 4/8/2013 NURUL HAYATI 76.5 13.7 T. ARA
32 FARRA UMAYYA P 6/1/2013 IRMA ANDRIANI 80.7 13.7 T. MESJID
33 DZAKI AL-HANIF L 7/17/2013 FITRIANI 80.3 13.7 T. ARA
34 M. AUFAR L 9/10/2013 NURKHADIMAH 79.5 13.8 T. ARA
35 NAURAFAUZHARA P 2/18/2014 SYAFRITA 79.4 13.1 JEULEUBE
36 MAULANA RIZKI L 4/19/2014 MARIATI 72.7 13.4 JEULEUBE
37 ADITYA DZAKI L 5/14/2014 RAHAYU 75.4 12.6 T. MESJID
38 AHMAD MUKRAMAN L 5/10/2014 MARIANI 74.7 17.7 JEULEUBE
39 TALKIA ULFA P 6/22/2014 RATNA DEWI 76.3 12.6 JEULEUBE
40 MIFZAL LUTFI L 7/30/2014 NURAINI 72.8 11.7 JEULEUBE
41 M. MUJARAIMI L 7/26/2014 RIA AGUSTINA 73.8 11.7 JEULEUBE
42 AHIUL ZIKRI L 8/12/2014 SYAMSIAH 81.5 11.7 JEULEUBE
43 SYAFIYYA RAHMA P 8/14/2014 YUSNAINI 74.3 11.4 JEULEUBE
44 ZANDRA BALIDIN L 8/27/2014 ROSNAINI 75.8 11.3 JEULEUBE
45 FATIYA HUMAIRA P 9/18/2014 SATRIANTI 72.4 11.6 JEULEUBE
46 PUTRI HUMAIRA P 10/14/2014 FITRIANI 71.7 11.2 T. ARA
47 M. NURKIRAM L 10/28/2014 NURLIZA 72.2 11.8 JEULEUBE
48 AZZAHRA P 11/2/2014 MARIANI 72.1 11.3 T. MESJID
49 MUHARAMMAINI L 11/9/2014 MASYITAH 72.2 11.2 T. ARA
50 HAZID HILMI L 11/21/2014 JUNAIDA 71.2 11.4 JEULEUBE
NO NAMA BALITA/BAYI JK TANGGAL LAHIR NAMA ORANG TUA PB/TB BB VIT. A ALAMAT
1 M. ZIDDAN L 11/23/2014 ARMAWATI 72.3 11.8 JEULEUBE
2 M. ALIF L 11/25/2014 NURHAFIFAH 71.3 11.2 T. ARA
3 MAULIDDIA P 1/11/2015 ZAHARA 72.7 10.4 T. ARA
4 SITI BALQIS P 1/3/2015 MILDA WATI AM.KEB 71.5 11.2 T. MESJID
5 NAZILA KHANZA P 2/11/2015 AZRIL MUTIA 70.7 10.7 JEULEUBE
6 M. DAFA L 3/16/2015 DIAN IRAWANI 60.8 10.3 JEULEUBE
7 M. DZAKY L 3/18/2015 LINA MAILIZA 59.8 10.3 T. ARA
8 AZKYA P 3/18/2015 MARYAMAH 61.4 9.3 T. ARA
9 RIZKIA RANI P 5/29/2015 MARLAINI 60.4 10.2 JEULEUBE
10 M. ARIF L 5/1/2015 MURSYIDA 61.3 9.8 T. MESJID
11 PUTRI AISYAH P 7/13/2015 MARIANA 56.7 10.2 JEULEUBE
12 ANIF AULIANI P 6/25/2015 MULYASTUTI 58.7 8.8 T. ARA
13 AFKAR L 6/30/2015 RUSDA 58.5 9.2 T. MESJID
14 CAHAYA SALSABILA P 8/8/2015 LIA MARFIANA 55.6 8.8 T. MESJID
15 M. SULTAN L 8/28/2015 NURVITA 56.7 8.9 T. MESJID
16 M. ABBAS L 8/30/2015 SRIMAHYUNI 58.3 9.1 T. MESJID
17 SISKA P 9/13/2015 PUTRI MAILISNA 56.4 8.8 JEULEUBE
18 INTAN RAMADHANI P 7/4/2014 MASYITAH 80.3 11.4 T. MESJID
19 HAURA FIRARA P 4/24/2014 LIA 79.4 12.2 T. MESJID
20 SYAFA MAIRA P 3/26/2014 MALA 77.8 12.3 T. MESJID
21 M. NAUFVAL L 4/2/2014 NURAIDA 79.4 12.3 T. MESJID
22 M. ASKAL L 11/27/2013 CUT MUTIA 79.2 12.5 T. MESJID
23 NURFADILLA P 9/13/2013 SALMIAH 79.3 12.8 T. MESJID
24 FILZAH P 3/23/2013 ATI 82.7 13.9 T. MESJID
25 M. NAZIM ZAFRAN NUR L 12/9/2013 NURHAYATI 79.5 12.8 T. MESJID
26 ZIFA AZAWA P 12/16/2013 MAHMUDIAH 79.8 11.8 T. MESJID
27 NURI TAZKIA P 1/20/2013 RAHMAH 81.2 12.9 T. ARA
28 ABDUL RAHMAH L 6/28/2013 SALWA 81.4 12.8 T. ARA
29 DARA AFTAHUL NISA P 6/15/2013 MARIANA 79.8 12.8 T. MESJID
30 FAZILA MAIDA P 5/27/2013 MURSYIDA 100.4 15.2 T. ARA
31 FAHROL RAMADHAN L 8/8/2013 ZAHARA 99.8 15 T. ARA
32 NABILA P 6/15/2013 HUSNIAH 100.7 14.7 T. MESJID
33 M. AZIZI L 12/26/2013 MURSYIDAH 85.8 13.9 T. ARA
34 FARHAN PRASETYO L 12/15/2013 MASITAH 87.4 13.8 T. ARA
35 T. RAJA ATHA L 10/13/2012 IIN 89.3 14.5 T. MESJID
36 BILAL AL-WAFI ADNAN L 1/11/2012 NURHALIMAH 100.2 15.1 T. MESJID
37 FATIMAH AZZAHRA P 9/24/2015 MASTHURA 55.7 8.9 T. ARA
38 M. PRATAMA L 9/25/2015 SAFRIANI 57.4 8.8 T. MESJID
39 SAFITRI P 9/20/2015 NURJANNAH 57.3 9.3 T. MESJID
40 M. APAS L 10/10/2015 MULIANI 57.4 8.9 T. ARA
41 SABRINA P 10/11/2015 MUTIA SARI 56.3 8.1 T. MESJID
42 M. MIFTAHUDDIN L 10/24/2015 SA'DIAH 56.6 9 JEULEUBE
43 ULMULKIS P 10/30/2015 FITRIANI 55.7 8.3 T. MESJID
44 M. RIDHA L 10/31/2015 RAHMAH 55.6 8.2 T. ARA
45 TALITA SAAFIA P 11/6/2015 FITRIAH 54.4 8.2 T. MESJID
46 NURVITA P 9/19/2015 JUAIRIAH 56.4 9.9 JEULEUBE
47 FACHRIZAL L 11/14/2015 MULIANI 56.3 8.4 T. ARA
48 KAZIM SAHAB AKBAR L 12/13/2015 HASLINDA 56.4 7.8 JEULEUBE
49 FARAH SAFITRI P 1/4/2016 NURHAYATI 55.4 7 T. ARA
50 MUZZAMMIL L 1/11/2016 NURHAYATI RAMLI 55.5 7.8 JEULEUBE
NO NAMA BALITA/BAYI JK TANGGAL LAHIR NAMA ORANG TUA PB/TB BB VIT. A ALAMAT
1 ATHIFA DZAZILA P 1/21/2016 NUKHADIMAH 56.7 7.6 T. MESJID
2 M. ZULFAN L 2/10/2016 ASLAWATI 52.1 7.3 JEULEUBE
3 ARKAN FAKHRIZA L 2/18/2016 NURLIZA 53.1 7.2 T. MESJID
4 MURTHADA L 3/9/2016 YULIA RATNA 52.3 6.7 T. MESJID
5 MUFAIS L 3/13/2016 NURMALA 52.2 7.4 T. MESJID
6 MIRNA P 3/15/2016 NURHAYATI S 52.1 7.2 T. MESJID
7 VIRNA P 4/10/2016 ERVINA 52.1 5.7 T. MESJID
8 ABID AL-FATIH L 5/11/2016 NURLITA 51.4 5 T. MESJID
9 SAIDATUN NAFISA P 4/25/2016 NURAIDA 49.6 5.1 T. ARA
10 NIDIA SALSABILA P 4/20/2016 FADILAH 50.4 4.8 JEULEUBE
11 AFAREEN ANNAURA P 5/19/2016 ZUHAIRAH 50 4.7 JEULEUBE
12 SITI UMAIRA P 6/5/2016 DAHLIANA 50 4.8 JEULEUBE
13 CUT ALYA SAKIRA P 6/17/2016 TUTIK S 50 5.1 JEULEUBE
14 M. AL ARIF L 3/19/2016 EVAYANI 56.2 7.2 T. ARA
15 ZAKIS P 3/10/2016 NURJANNAH 54.3 7.9 JEULEUBE
16 BY MARIANI P 7/1/2016 MARIANI 50 4.4 JEULEUBE
17 BY NURAFIDHAH L 7/20/2016 NURAFIDHAH 50 4.8 T. ARA
18 BY SALWA L 7/25/2016 SALWA 50 4.3 T. ARA
19 BY MARIANI P 8/14/2016 MARIANI 50 3.2 JEULEUBE
20 p 8/30/2016 MAFUZAH T. ARA
21 SARAH p 9/24/2016 YUNI T. ARA
22 p 10/23/2016 SAFRITA JEULEUBE
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
 DATA SASARAN BALITA
Provinsi : ACEH
Kabupaten : ACEH TIMUR
Puskesmas : PEUREULAK DESA : TUALANG

Berat
NIK (No Induk Jenis Badan ASI Vit A Vit A Ada
Kependudukan) Atau Anak Tgl BB TB Cara Eksl
No Nama Anak Tgl Lahir Kela Lahir Nama Ayah NIK Ayah No Tlp/HP Ortu Alamat RT RW Pengukuran IMD Febru agust Buku
Ke (kg) (Cm) ukur usif
no KTP min (Kg) ari us KIA

1 1103071105160001 4 Abid Alfatih 5/11/2016 L 3800 Azhari 1103070107730306 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
2 1103074101170001 2 Salsa Maulida 1/1/2017 P 2800 Agus Suwandri 1103071808870004 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
3 1103070405140001 1 Aditya Dzaki 5/4/2014 L 1800 Agus Suwandri 1103070107730306 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
4 1103075407120002 7 Siti Radiatul Fitri 7/14/2012 P 4200 Suparno 1103071706670001 Tualang Mesjid - - 4/10/2017 2 1 1 1 - 1
5 1103073107120001 3 Syahril 7/31/2012 L 3400 Izzuruddin 1103072908780001 Tualang Mesjid - - 4/10/2017 2 2 1 1 - 1
6 1103074807120001 5 Suci Humaira 7/8/2012 P 2900 M. Yusuf. SE 1103070505620001 Tualang Mesjid - - 4/10/2017 2 2 1 1 - 1
7 1103076004160001 1 Nidia Salsabila 4/20/2016 P 2500 Zubir 1103100107670063 Jeuleubee/LW - - 4/10/2017 1 1 1 1 - 1
8 1103070303170001 1 Muhammad Rifki 3/3/2017 L 2800 Jupri Ramadhan 1103072401950004 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
9 1103076504160002 2 Saidatun Nafisa 24-0402016 P 2900 Sabral 1103071509850001 Tanjung Ara - - 4/10/2017 2 1 1 1 - 1
10 1103100204140001 1 M. Naufal 4/2/2014 L 2800 Sabral 1103071509850001 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
11 1103071303160001 5 Mufais 3/13/2016 L 2800 Musri 1103070607730001 0823 1046 1196 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
12 1103072808150001 4 Wazikri Maulana 8/28/2015 L 2800 Ardiansyah 1103071303790002 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
13 - 3 M. Abbas 9/30/2015 L 3200 Helmi Razali 1174010205770002 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
14 1103071802160001 2 Arkan Fakhriza 2/18/2016 L 2700 Syahrul Dani 1103071306830005 0823 6013 2861 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
15 1103075309130002 1 Nurfadila 9/13/2013 P 3200 Sulaiman 1103070705870001 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
16 1103016409150001 1 Fathimah Azzahra 9/24/2015 P 3400 Indra Saputra 1103010509870003 Tanjung Ara/LW - - 4/10/2017 1 1 1 1 - 1
17 1103015301170001 2 Saidah Aisyah 1/13/2017 P 3400 Indra Saputra 1103010509870003 Tanjung Ara/LW - - 4/10/2017 1 1 1 1 - 1
18 1103070912130001 3 Moh Nazim Zafran Nur 12/9/2013 L 3400 Nuruis 1103071205750003 Tualang Mesjid - - 4/10/2017 2 1 1 1 - 1
19 1103075503160001 4 Elya Shakila Amalia Nur 3/15/2016 P 3600 Nuruis 1103071205750003 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
20 1103076409160001 1 Sarah 9/24/2016 P 2800 Safaruddin G 1103101703890001 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
21 1103076710160001 2 Nurul Marissa 10/27/2016 P 3000 Edwar Ibrahim 1103071601830007 Jeuleubee - - 4/10/2017 1 2 1 1 - 1
22 1103077008160001 1 Shakila Alnahyra 8/30/2016 P 3600 Muhammad Zaini 1108070502890002 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
23 - 1 Nadifa Alamaira 3/20/2017 P 2500 Dedi azwar 1103071811880001 0822 7653 9699 Tanjung Ara/LW - - 4/10/2017 1 1 1 1 - 1
24 - 1 Intan Ramadani 7/4/2014 P 2600 Maimuddin 1103091312880004 0823 0431 8282 Tualang Mesjid - - 4/10/2017 2 1 1 1 - 1
25 1103075401160001 1 Khayla Sania 1/14/2016 P 3150 Zainuddin 1103072107810001 0822 6797 6288 Tualang Mesjid - - 4/10/2017 1 2 1 1 - 1
26 - 2 Arafi Farza Sakil 12/31/2016 L 2800 Sufyan AST. Sauri 120509230790002 Tualang Mesjid - - 4/10/2017 1 2 1 1 - 1

DESA : TUALANG
Berat
NIK (No Induk Jenis Badan BB TB Cara ASI IMD Febru
Vit A Vit A Ada
Kependudukan) Atau Anak Tgl
No Nama Anak Tgl Lahir Kela Lahir Nama Ayah NIK Ayah No Tlp/HP Ortu Alamat RT RW Pengukuran (kg) (Cm) ukur Eksl agust Buku
Ke
no KTP min (Kg) usif ari us KIA

27 1103070809140001 1 T.M. Khalis 9/8/2014 L 3400 T Hermizal 1103070107870464 0822 7980 8882 Tualang Mesjid - - 4/10/2017 2 1 1 1 - 1
28 - 1 Nuraini 4/24/2014 P 2500 Ambrizal 1103070107840444 0822 8717 0441 Tualang Mesjid - - 4/10/2017 2 2 1 1 - 1
29 1103072206150003 3 Afkar Alfariz 6/22/2016 L 4700 Waliul Khalidin 1103072606810003 0852 7071 2360 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
30 - 6 Risma Akmalia 2/1/2017 P 4700 Muhibbuddin 1103070402790002 Tualang Mesjid - - 4/10/2017 1 2 1 1 - 1
31 - 5 Syifa Mahira 3/26/2014 P 3300 Muhibbuddin 1103070402790002 Tualang Mesjid - - 4/10/2017 2 2 1 1 - 1
32 1103071310120001 2 M. Fadhil 10/13/2012 L 3500 Amir Sofyan B 1103072602750001 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
33 1103075108150001 2 Cahaya Salsabila 8/11/2015 P 3700 Mukhlis 1103070804860004 Tualang Mesjid - - 4/10/2017 1 2 1 1 - 1
34 1103075110120001 1 Raisa Adila 10/11/2012 P 3400 Bismi ali Basyah 1103071201780001 Tualang Mesjid - - 4/10/2017 2 2 1 1 - 1
35 1103075004160003 2 Sabiya Nazaha 4/10/2016 P 3000 Bismi ali Basyah 1103071201780001 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
36 1103076403130001 2 Shakina Zahra 3/24/2013 P 2600 TGK Mahyuddin 1103070507720002 Tualang Mesjid - - 4/10/2017 2 2 1 1 - 1
37 1103072612120001 4 Muhammad Azizi 12/26/2012 L 3200 Amiruddin M 1103070210730001 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
38 - 5 Muhammad 3/11/2017 L 3400 Amiruddin M 1103070210730001 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
39 - 2 Sabrina 10/8/2015 P 3200 Mutia Sari 1103075106940003 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
40 1103074807120001 5 Suci Humaira 7/8/2012 P 2700 M. Yusuf. SE 1103070505620001 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
41 1103074804130003 2 Syaqila Zaura 4/8/2013 P 3600 Athailah 1103071108750003 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
42 1117032909120001 2 Teuku Raja Atha 9/29/2012 L 3100 Teuku Rahmadi,A.Md 1104032011820002 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
43 1103072711130003 1 M. Asyiqal Athiya 11/27/2013 L 3400 Lukmanul Hakim 1103170107870114 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
44 1103074106130002 1 Fara Ummayya 6/1/2013 P 3200 Saiful Anwar 1103072408870002 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
45 1103072107120006 2 M. Ramadhan 7/21/2012 L 3400 Muliadi Nurja 1103070808820004 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
46 1103076702130001 2 Khaira Amira 2/27/2013 P 2800 Muslim 1103071005750005 Tualang Mesjid - - 4/10/2017 2 1 1 1 - 1
47 - 3 Fitri Syafian 8/19/2013 P 3800 Amiruddin 1174021010790009 Tanjung Ara - - 4/10/2017 2 2 2 1 - 1
48 - 2 Sakinah 3/18/2015 P 3700 Abdi Brata Nugraha 1103072503830001 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
49 1103074207120001 4 Maisarah 7/2/2012 P 3500 Bustami 1103071207720002 Tanjung Ara - - 4/10/2017 2 1 1 1 - 1
50 - 5 Salahuddin Al-Ayubi 7/20/2016 L 3800 Bustami 1103071207720002 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
51 1103071512120002 2 Farhan Prasetyo 12/15/2012 L 3500 Kasiono 1103072009830002 Tanjung Ara - - 4/10/2017 2 2 2 1 - 1
52 1103075806120001 2 Muniratul Ahya 6/18/2012 P 3100 Khairul Amri ST 1103070508760001 Tanjung Ara - - 4/10/2017 2 2 2 1 - 1
53 1103072408130001 4 M. Khairisyah 8/24/2013 L 2800 Nurhayati 1103074101780003 Tanjung Ara - - 4/10/2017 2 2 2 1 - 1
54 1103076504130001 1 Mutia Naira 4/25/2013 P 3100 Saiful Bahri 1103071509490001 Tanjung Ara - - 4/10/2017 2 2 2 1 - 1
55 1103071707130001 1 Dzaki Al Hanif 7/17/2013 L 2600 Saiful Bahri 1103073010760001 Tanjung Ara - - 4/10/2017 2 2 2 1 - 1
56 1103071009130002 2 M. Aufar 9/10/2013 L 2700 Wahidin 1103070601820003 Tanjung Ara - - 4/10/2017 2 2 2 1 - 1

DESA : TUALANG
Berat
NIK (No Induk Jenis Badan BB TB Cara ASI IMD Febru
Vit A Vit A Ada
Kependudukan) Atau Anak Tgl
No Nama Anak Tgl Lahir Kela Lahir Nama Ayah NIK Ayah No Tlp/HP Ortu Alamat RT RW Pengukuran (kg) (Cm) ukur Eksl agust Buku
Ke
no KTP min (Kg) usif ari us KIA

57 1103076101160001 3 Athifa Dzajila 1/21/2016 P 2800 Wahidin 1103070601820003 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
58 1103074610130001 6 Zahlianur 10/6/2013 P 3200 Zulkifli 1103071005680005 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
59 - 2 M. Ayubi 4/6/2013 L 3400 Mursyida 1103075104830001 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
60 - 3 M. Alkamal 5/1/2015 L 2200 Mursyida 1103075104830001 Tualang Mesjid - - 4/10/2017 1 2 2 1 - 1
61 - 1 Al Hafiz 1/14/2017 L 2900 Mustafa 1103071808920003 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
62 - 9 Azzahra 11/2/2014 P 4200 M. Nur 1103070804570001 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
63 - 6 M. Alif 11/25/2014 L 3800 Nasruddin 1103073112650022 Tanjung Ara - - 4/10/2017 2 2 1 1 - 1
64 - 4 Maulidia 1/11/2015 P 2600 Ramli Marzuki 1103070802770001 Tanjung Ara - - 4/10/2017 1 2 1 1 - 1
65 1103072509150001 1 Athalariq Alfarizi 9/25/2015 L 2700 Ahmad Rifai 1103073112870011 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
66 1103075410140001 1 Fatia Humaira 10/14/2014 P 2900 Edy Syahputra 1103070501850004 Tanjung Ara - - 4/10/2017 2 1 1 1 - 1
67 - 6 Kifa Azzahwa 12/16/2013 P 3500 Khairul Indah 1103070107680219 Tualang Mesjid - - 4/10/2017 2 2 2 1 - 1
68 - 4 Abdul Rahmah 6/28/2013 L 4000 Bahlias Sazli 1103072010730006 Tanjung Ara - - 4/10/2017 2 1 1 1 - 1
69 - 5 Ismail 7/25/2016 L 3800 Bahlias Sazli 1103072010730006 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
70 1103074301150002 3 Zafira Nazira 1/3/2015 P 4200 Helmi, S.Pd.SD 1103072606730001 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
71 1103076001130001 2 Nuri Tazkia 1/20/2013 P 3600 Yusrizar 1103071610770001 Tanjung Ara - - 4/10/2017 2 1 1 1 - 1
72 1103073110150001 3 Muhammad Ridha 10/31/2015 L 3800 Yusrizar 1103071610770001 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
73 1103077010150002 3 Ulmulkis 10/30/2015 P 3600 Muhammad Nur 1103070508660002 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
74 1103074611150002 1 Talita Saafia 11/6/2015 P 3400 Ridwan 1173030103780002 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
75 - 4 Aditya Rifki 3/9/2016 L 3400 Jamaluddin AR 1103072011730001 Tualang Mesjid - - 4/10/2017 1 2 1 1 - 1
76 1103075007140005 1 Zakiatun Nisa 7/10/2014 P 3200 Safaruddin 1103070410710001 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
77 1103072103160004 2 M. Haras Nabil 3/21/2016 L 3600 Safaruddin 1103070410710001 Tanjung Ara - - 4/10/2017 1 1 1 1 - 1
78 1103076006140002 1 Syafiqatun Nazira 6/20/2014 P 3600 Fahrul 1103071112610002 Tualang Mesjid - - 4/10/2017 2 1 1 1 - 1
79 - 2 Muhammad Luthfi Azka 11/29/2016 L 3400 Fahrul 1103071112610002 Tualang Mesjid - - 4/10/2017 1 1 1 1 - 1
80 - 1 Hummaira 4/21/2017 P 3700 Indra Munawar 1103071709850001 Tanjung Ara - - 4/10/2017 3.6 50 1 1 1 1 - 1
81 1103071109120003 2 Ikramullah 9/11/2012 L 3200 Muzakir 1103182206830001 Tualang Mesjid - - 4/10/2017 2 2 1 1 - 1
82 - 4 Akmaria 12/16/2013 P 3800 Armia 1103070104710004 Tanjung Ara - - 4/10/2017 2 2 2 1 - 1
83 - 8 Muharammaini 11/9/2014 L 3800 Ibrahim 1103070107670228 Tanjung Ara - - 4/10/2017 2 2 1 1 - 1
84 - 1 Siti Ummaira 6/5/2016 P 3200 Ahmadi 1103140508810001 Jeuleubee - - 4/10/2017 1 1 1 1 - 1
85 1103071603150002 3 Luthfi Humaidi 3/16/2015 L 3300 Ahmad Zaini 1116031705790004 Jeuleubee - - 4/10/2017 1 1 1 1 - 1
86 1103076904150002 4 Natzatul kaila 4/29/2015 P 3200 Akrami Daud 1103070604740005 Jeuleubee - - 4/10/2017 1 2 1 1 - 1
87 1103072310140001 3 Muhammad Hafisz 10/23/2014 L 3400 Azharuddin 1103070107810279 Jeuleubee - - 4/10/2017 2 2 1 1 - 1

DESA : TUALANG
Berat
NIK (No Induk Jenis Badan BB TB Cara ASI IMD Febru
Vit A Vit A Ada
Kependudukan) Atau Anak Tgl
No Nama Anak Tgl Lahir Kela Lahir Nama Ayah NIK Ayah No Tlp/HP Ortu Alamat RT RW Pengukuran (kg) (Cm) ukur Eksl agust Buku
Ke
no KTP min (Kg) usif ari us KIA

88 1103074210130001 5 Alya Jazila 10/2/2013 P 3100 Drs.Husaini,S.Pd.M.Pd 1103071707690003 Jeuleubee - - 4/10/2017 2 1 1 1 - 1

89 1103071609130001 3 Muhammad Rasya 9/16/2013 L 2600 Faisal 1103070103770004 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
90 1103072310150001 4 Muhammad Miftahuddin 10/23/2015 L 3600 Jamhur 1103070504710003 Jeuleubee - - 4/10/2017 1 1 1 1 - 1
91 1103071005140001 2 Ahmada mukraman 5/10/2014 L 3800 Jumadi 1103070106790004 Jeuleubee - - 4/10/2017 2 1 1 1 - 1
92 1103075408160003 3 Qaisa Mukramah 8/14/2016 P 3600 Jumadi 1103070106790004 Jeuleubee - - 4/10/2017 1 1 1 1 - 1
93 1103076206140002 1 Talkia Ulfa 6/22/2014 P 3800 Khaidir 1103072205850001 Jeuleubee - - 4/10/2017 2 1 1 1 - 1
94 1103071001130002 1 Irfan Jais 1/10/2013 L 3400 Khairil 1103070506860003 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
95 - 2 Niswatul Mukhlisa 3/5/2016 P 3200 Khairil 1103070506860003 Jeuleubee - - 4/10/2017 1 2 1 1 - 1
96 1103071702130001 3 Muhammad Abral 2/17/2013 L 3500 Lukman H 1103073112740023 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
97 1103074107160003 5 Balqis fatia 7/1/2016 P 3600 Muchtar musa 1103074107160003 Jeuleubee - - 4/10/2017 1 1 1 1 - 1
98 1103070403130001 2 Ishlahuddin 3/4/2013 L 3200 Muchalid 1116011707810001 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
99 - 2 M. Haziz Hilmi 11/19/2015 L 3400 Muslim 1103020101810005 Jeuleubee - - 4/10/2017 1 2 2 1 - 1
100 1103074710120003 1 Shafikatun Nazira 10/7/2012 P 3100 Mustafa 1103071809870001 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
101 1103072607140002 2 Muhammad Mujaraimi 7/26/2014 L 3200 Mustafa 1103071809870001 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
102 1103071612120001 3 Muhammad Aufar Hafidhi 12/16/2012 L 3400 Murtadha,S.Pd 1103070606750001 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
103 1103071010120001 3 Muktar Lutfi 10/10/2012 L 2800 Muhammad Taib 1103072803670001 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
14 1103072306120001 3 Muhammad Asyraf 6/23/2012 L 3400 Muhajir 1103071507760003 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
105 1108180210140003 1 Fariz Naufal 10/2/2014 L 2900 Ridwan Abdullah 1103070905800002 Jeuleubee - - 4/10/2017 2 2 1 1 - 1
106 1103075211130003 1 Naila Rizqia 11/12/2013 P 3000 Safiat Zahri 1103072909000002 Jeuleubee - - 4/10/2017 2 1 1 1 - 1
107 1103075802140001 2 Naura Fauzhara 12/18/2014 P 3200 Saiful Anwar 1103071005850003 Jeuleubee - - 4/10/2017 2 1 1 1 - 1
108 1103076210160001 3 Mahya Safira 10/22/2016 P 3500 Saiful Anwar 1103071005850003 Jeuleubee - - 4/10/2017 1 2 1 1 - 1
109 1103071904140001 2 Maulana Rizki 4/19/2014 L 2800 Samsul Bahri 1103070107840448 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
110 1103074912120003 5 Deswita Nabila Putri 12/9/2012 P 2700 Syarifuddin 1103071611800003 Jeuleubee - - 4/10/2017 2 2 2 1 - 1
111 1103075706160002 3 Cut Alya Syakira 6/17/2016 P 3200 Teuku Ayis 1103072504770001 Jeuleubee - - 4/10/2017 2 1 2 1 - 1
112 - 4 Cut Safia Rahma 8/14/2014 P 3100 Teuku Taharuddin 1103071704670001 Jeuleubee - - 4/10/2017 2 1 1 1 - 1
113 1103072012130002 1 Muhammad Althaf 12/20/2013 L 2900 Yusli 1103072912690002 Jeuleubee - - 4/10/2017 2 1 1 1 - 1
114 1103074201140001 1 Gina Arizkia 1/2/2014 P 2800 Zahrul Fuadi 1103071710820002 Jeuleubee - - 4/10/2017 2 2 1 1 - 1
115 - 4 Maqfiratul Khaira 7/14/2015 P 3400 Zulfikar Yunus 1103071710810002 Jeuleubee - - 4/10/2017 1 1 2 1 - 1
116 - 5 Muzzammil 1/11/2016 L 3600 Zulkifli S 1103071009660001 Jeuleubee - - 4/10/2017 1 1 1 1 - 1
117 - 3 Rasya Aditya 5/22/2015 L 2700 Zulkifli Sulaiman 1103070809560002 Jeuleubee - - 4/10/2017 1 1 1 1 - 1

DESA : TUALANG

NIK (No Induk Jenis Berat ASI Vit A Vit A Ada

Kependudukan) Atau Anak Kela Badan Tgl BB TB Cara
No Nama Anak Tgl Lahir Nama Ayah NIK Ayah No Tlp/HP Ortu Alamat RT RW Pengukuran (kg) (Cm) ukur Eksl IMD Febru agust Buku
Ke
no KTP min Lahir usif ari us KIA
(Kg)

118 1103070810130001 1 Muhammad Firdaus 10/8/2013 L 3400 Zulkarnaini 1107162809750001 Jeuleubee - - 4/10/2017 2 1 1 1 - 1
119 1103070805140001 2 Muhammad Firdaus 5/8/2014 L 3600 Zulkarnaini 1107162809750001 Jeuleubee - - 4/10/2017 2 1 1 1 - 1
120 1103070802160001 3 Muhammad Zulfan 2/8/2016 L 3600 Zulkarnaini 1107162809750001 Jeuleubee - - 4/10/2017 1 2 1 1 - 1
121 1103071612160001 1 Maalik Ghaisan Assuja 12/16/2016 L 3800 Zahrul Amri 1103141303840005 Jeuleubee - - 4/10/2017 1 2 1 1 - 1
122 1103075909150001 1 Nurvita 9/19/2015 P 3200 Umar 1103070106830006 Jeuleubee - - 4/10/2017 1 1 1 1 - 1
123 1103071108140001 1 Ahlul Zikri 8/11/2014 L 3600 Marzuki Adam 1103070107830407 Jeuleubee - - 4/10/2017 2 2 1 1 - 1
124 1103070403160003 2 Muhammad 3/4/2016 L 3700 Marzuki Adam 1103070107830407 Jeuleubee - - 4/10/2017 1 2 1 1 - 1
 DESA : TUALANG
Berat
NIK (No Induk Jenis Badan ASI Vit A Vit A Ada
Kependudukan) Atau Anak Tgl BB TB Cara Eksl
No Nama Anak Tgl Lahir Kela Nama Ayah NIK Ayah No Tlp/HP Ortu Alamat RT RW IMD Febru agust Buku
Ke min Lahir Pengukuran (kg) (Cm) ukur usif
no KTP ari us KIA
(Kg)

- - 4/10/2017 - - 1
- - 4/10/2017 - - 1
- - 4/10/2017 - - 1
- - 4/10/2017 - - 1
- - 4/10/2017 - - 1
- - 4/10/2017 - - 1
- - 4/10/2017 - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
 - - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1

DESA : TUALANG
Berat
NIK (No Induk Jenis Badan ASI Vit A Vit A Ada
Kependudukan) Atau Anak Tgl BB TB Cara Eksl
No Nama Anak Tgl Lahir Kela Lahir Nama Ayah NIK Ayah No Tlp/HP Ortu Alamat RT RW Pengukuran IMD Febru agust Buku
Ke (kg) (Cm) ukur usif
no KTP min ari us KIA
(Kg)

- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1
- - - - 1