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LAPORAN IMUNISASI PIN CAMPAK TAHUN 2016

NO NAMA ANAK UMUR VAKSIN DIBERIKAN ALAMAT KETERANGAN


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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
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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