KABUPATEN KONAWE UTARA

KECAMATAN : SAWA
DESA : MATANGGONAWE

Kepesertaan

Bahteramas
Jamkesmas

Jamkesda

Lain_lain
Nama Tgl Lahir/ Alamat/
No JK KET

Askes

PNS
Peserta Umur RT/ RW

1 2 3 4 5 6 7 8 9 10 11 12
SULEMAN L 13 - 12 - 1979
MARWA P 30 - 12 - 1980
SULTAN L 06 - 12 - 1998
TAJUDIN L 12 - 03 - 2001
RAMATANG P 18 - 12 - 2004

DOLLA L 01 - 03 - 1953
HARLINA P 25 - 08 - 1965
MARWIA P 22 - 04 - 1999

MASSANG P 03 - 01 - 1952
NIRWANA P 20 - 02 - 1980
HASBIN L 19 - 07 - 1984
LISDA P 30 - 09 - 1995

HASJON L 07 - 11 - 1986
ASRIATI P
MUH. YAHYA L

KUDUSRAN L 22 - 07 - 1972
RISNA P 05 - 05 - 1977
PUTRI P 09 - 12 - 1998
IYAN L 01- 01- 2008
RISMA P 02 - 07 - 1997

IRMA L 23 - 07 - 1986
SRI NURPITASARI P 09 - 12 - 1992
GIRAL L 09- 12 - 2010

ERWIN L 03 - 04 - 1983
RAPIKA P 19 - 12 - 1991
ARYA DINATA L 14 - 12 - 2008
NUR SALSABILA P 29 - 01 - 2001

GUNTUR L 20 - 10 - 1967
SONA P 20 - 11- 1976
GUSLAN L 09 - 04 - 1996
GUSNANI P 25 - 04 - 2000
ZAINAL L 24 - 04 - 2004
FADLUKIDA L 24 - 05 - 2006

JUMARDIN L 12 - 12 - 1964
SUNAYA P 20 - 05 - 1970
SARINA P 07 - 07 - 1993
JUSMEILANI P 24 - 04 - 1995
JUSRIANI P 17 - 04 - 1999
NURLIN P 08 - 10 - 2006

SAMIR. S L 15 - 12 - 1964
IDAWATI P 31 - 12 - 1977
PARDIANSYAH L 11 - 12 - 1997
HARLIANSYAH L 17 - 07 - 2002
NURFADILLAH P 18 - 05 - 2010
1 2 3 4 5 6 7 8 9 10 11 12
SAYFUL L 08 - 02 - 1985
NIRMAWATI P 10 - 03 - 1986
NILSA P 19 - 12 - 2006
NELSI ANSALI P 05 - 07 - 2011
ABD. WAHID L 02 - 02 - 1957
MPAE P 12 - 12 - 1963
ILHAM L 04 - 02 - 1962
PUTRA WALIU L 05 - 06 - 1998
CITRA P 10 - 03 - 2004

MANSUR. L L 07-07-1975
SRIWATI P 27-12-1981
ALPINDRA ASTUTI P 23-03-1998
PIRA APRILIA P 12-04-2001
SIVA MUNAJAT P 20-12-2004

ABD. GONI. K L 15-07-1948

MUMINANG P 17-09-1950
SARDIANTI P 23-04-1998

NURIANTO L 31-03-1969
MISNAWATI P 14-03-1973
ZULKIFLI L 10-03-1996
KAHFI L 20-12-1997
VAHDAL L 04-04-2004

SAMSA P 11-12-1957
RAMSI L 03-01-1977

RUSLI L 20-06-1957
HAJAR P 25-06-1960

MEGIT L
PATRAH P
KESYA APRILIA P

SARMAN L 15-05-19972
HANIATIN P 12-04-1976
EKI AGUSTINA P 14-08-1995
ECI P 07-06-2003

HAPIAH P 06-04-1957
ASHAR L 06-04-1987

AMRIN L 06-03-1975
HASNAH P 02-04-1975

ILHAM L 04-02-1998
IKBAL L 14-10-2003

AJMAIN L 10-08-1981
HADIDAH P
AKBAR L
AKMAL L
SUSILAWATI P

ABIDIN SIMA L 15-05-1958

JUSNA P 03-05-1985
ALDIN L 04-03-2007

AMIR TALIB L 12-12-1972

SALMIA P 01-07-1979
KARTIKA P 08-01-1999
KARTINI P 14-09-2002
MUH. TIRTA SAPATRA P 12-03-2011

HARDIN (ATONG) L 12-05-1976

NIA P 05-05-1979
1 2 3 4 5 6 7 8 9 10 11 12
ARIPIN L 17-05-1971
GASIA P 20-05-1955
HARNO L 21-05-1987
HASRANINGSIH P 12-02-1988
SRI YULIDA P 02-02-1990
EVI SARNINA P 08-03-1993

TASRIPIN L 05-03-1965
JUMARTIN P 17-06-1975
TOMI L 27-11-2000

JAPAR. B L 10-04-1961
MBUI P 15-07-1969
IRWAN L 06-11-1994
MILDAWATI P 10-04-2004
RIANTI P 10-06-2006

MUHIDIN L 05-10-1965
LISNAWATI P 06-07-1971
TINA P 10-09-2009

SUHARDIN L 15-07-1975
SANIA P 21-01-1982
SAKIR L 15-07-2001
SARDIN L 13-07-2006

SAMIR. K L 31-12-1973
JUHARNI P 30-12-1981
HERIYANTO L 08-06-2000
JUSTIN L 17-08-2003
HENGKI ARWANA L 15-09-2006

ABD. ASIS L 11-12-1968

HASRA. A P 02-09-1972
HAYUL WAHYUDI L 16-03-2003
AL GIFARI L 27-10-2010

KADIR. K L 10-07-1976
MBODE P 11-05-1975
ASKAR L 01-01-2004
AKBAR L 01-07-2006
HAIKAL L 01-01-2008

TATO L 10-11-1974
RATNA P 24-10-1973
SANDI L 28-08-1996
SALDI L 12-12-1999
SANTRI P 18-06-2002
M. SARWAN L 09-11-2004
SAKTI L 27-11-2006
SAKIM SALEH L 24-*10-2004

BRIGADIR LA ALI L 08-10-1974

LISNAWATI P 18-08-1977
ALDIANSYAH L 17-09-2004
ALDA SEPTIASARI P 02-07-2007

BASRIN. T L 24-10-1981
RAHMATIA P 17-03-1979
RAHMA SINDI P 24-11-2005

RIANI HAKIM P 15-01-1978

SAWAL L 03-03-1996
RIWA L 28-03-2005

MAKMIN L 19-06-1962
SARLIAN P 20-04-1969

BRIPTU ANDI MUSTAKIM L 01-10-1980

HASTETIDA UMAR, S.Pd P 01-04-1984
ANDI SALSABILAH P 20-01-2010
1 2 3 4 5 6 7 8 9 10 11 12
PADLUN L 16-09-1989
HASRIANI P 28-11-1991
RAYYAN L
SUSIA LISDAWATI P 12-12-1973

HASANUDDIN L 09-02-1968
HAMRIANI P 05-05-1972
SATRIANI P 01-01-1999
10-05-1975
MANDIKE L 02-01-1980
SANTI P 09-03-1998
SRI ASRIKA P 03-03-2003
MUH. FAHRIAN L 16-06-2010
MARYANTO L

MUH. ISMAIL L 25-12-1975

NIRWATI P 07-07-1974
PUTRI ANANDA W P 08-12-2004
PRITNO L 07-06-2009

JAMURDIN L 24-02-1958
SUWARTIN P 05-01-1960
HALIBU L 12-12-1942

SUTRI, S.Pdi L 16-09-1978

SUSIANTI P 09-09-1983
SISILIA P 28-02-2003
MUH. HIDAYAT L 22-04-2013

NGGETE P 16-02-1943
DIMAN L 28-02-1999

WIWIN L 18-08-1981
ROSMINA P 08-08-1975
ROY L 31-12-2004

JAS ARA L 15-08-1966

ANNIS P 01-10-1964
NUR ARFA P 01-06-2000
YUGA L 13-10-2004

RASIDIN L 12-01-1961
ASNI LAITI P 04-10-1964
NABILA P 05-09-2007

JUSMAN L 01-01-1969
NUR ACNA P 01-07-1961
HASNIATIN P 05-07-1995
RANDI L 10-04-1999

MANSUR H L 11-04-1964
SANIA P 05-03-1973
ALPINDRA L 30-11-1995

MADONG L 01-01-1959
ROSI P 27-06-1966
RUKMAYANTI P 10-05-1988
MUH. KADIR L 23-03-1991
MUH. ARIS L 11-07-2010
MAYANTI P

ADHAR L 01-01-1971
KARTINI P 12-01-1969
JEFRI L 07-06-1994
SAIPUL L 01-08-1998
FIRDA ASHARI P 12-02-2001

NASRUN L 03-02-1976
RISKA, S.Pd P 23-03-1986
MUH. ZULKARWAN L 01-01-2007
1 2 3 4 5 6 7 8 9 10 11 12
MAHRUN L 08-05-1969
NURMIN P 15-01-1981
HIDAYATULLAH L 13-12-2004
RAHMATULLAH P 13-12-2006

JUBARIAH P 01-11-1939
MASDAR L 15-08-1985

MASNUR L 01-01-1977
TETRIANI P 01-11-1978
MARSELA P 11-12-2009

HAIDAR L 11-01-1982
RIKA P 04-06-1990
TIARA P 02-08-2008

IWAN L 13-12-1965
RAMLAN P 11-12-1974
IRLAN L 10-04-2001
MUH. RINTO L 03-06-2010

BUDI L
YULIA RATNASARI P
MUH. DARMA L

FATIMAH P 10-04-1947
AMIRULLAH L 01-04-1967
NGGOSSENG L 10-03-1988
MULIADIN L 15-01-1990

ARTOM L 05-12-1984
TENTI P 11-11-1986
SISILIA P 10-10-2008

ALAMSYAH L 17-04-1972
LISNAWATI P 08-08-1980
FAHRI L 28-06-2001
NURPELINDA P 29-05-2013
TASYA P 10-04-2011
03-03-1989
MUH. IRSAN L 16-05-1993
RISMAYANTI P 17-10-2011
FITRIYANI P

ABDULLAH L 10-04-1944
HASRAH P 31-12-1958
IBOH RAHMAT L 20-10-1992
MUH. IKSAN L 20-01-1999

LIMPO L 06-05-1970
MISBA P 15-12-1975
SOPHIYAN L 03-04-1994
JERO L 18-08-2004
JIHAN P 01-12-2008

MUKSIN L 07-01-1974
PIPI P 13-02-1990
DIANA P 02-07-2010
RAPAL L 05-02-2012
HAKIKAH P 04-01-1946

EDI SANTO L 01-07-1988

SUHARTIN P 10-01-1985
MUH.EDWIN SANTO L 15-03-2007
GITU L 06-01-2009

SUHAENA P 12-04-1946
SUKMAWATI P 12-05-1972
UJAYANTI P 10-04-1990
1 2 3 4 5 6 7 8 9 10 11 12
USMAN. A L 16-04-1963
NURHAENI P 13-01-1967
SARLINA P 10-10-1990
BAHTIAR L 04-11-1992
SARTIKA P 10-12-1994
SYAIFUL L 30-03-2000
SASKIA P 19-03-2011

USMAN C L 27-01-1991
SINAR P 10-11-1999

DATO L 18-03-1962
AGUSTINA P 07-08-1969
IMAN DERMAWAN L 05-05-1990
IRPAN L 14-08-1992
SUCI P 18-11-1995
RIPALDO L 21-11-1997
DIVA ANDRIANA P 23-05-2006

YUNAS. B L 01-10-1952
WEATI P 15-09-1959
INDRAWATI P 17-07-1987
MAWAR. B P 23-02-1992
LITA ASMITA P 28-05-1998

AMIN L 01-07-1985
SARWANI P 15-01-1986
IKSAN L 30-12-1999
ALDIN L 13-03-2000
ALMAN L 10-09-2006
MARTINA P 15-03-1986
ACO L 11-02-2012

LA OKO L 18-09-1942
NDERE P 26-11-1949

ANDRIS L 18-03-1990
LINDA P 09-04-1992
FIRAS RAFASYAH P 07-04-2012

RUSTAM L 02-10-1967
HARIJA P 18-02-1967

RASMAN L 06-06-1991
HARTIN UDIN P 05-07-1993
RASNAWATI P 15-09-2011

ARIF L 17-08-1981
DARMIATI P 18-07-1979
ARNIATIN P 10-01-2004
ARNA P 09-08-2006
ARLI L 20-07-2007
ARWAN L 06-09-2012

DAIMA P 15-07-1945
GUMRIN L 15-07-1971
DIRMAN L 01-06-1982

ALWI L 13-02-1963
JAHI P
YUSUF. R L

SAMIR T L 03-09-1982
JUNARTIN P 02-09-1991
NELSON L 11-10-2010

MAIL L 10-12-1989
SUSIANTI P 12-12-1994
SAHRUL L 10-03-2011
1 2 3 4 5 6 7 8 9 10 11 12
ANDI BASSO RAHIM L 25-03-1949
MURNI P 17-08-1967
SURYA RAHIM L 18-08-1995
ISTI DEWA P 23-11-1998
MAWAR P 15-05-2004

UDIN L 11-06-1986
IRAWATI P 13-04-1993
PUTRI DIANDRA P 15-05-2011

CANDRA L 29-04-1992
SUSI P 15-12-1993

ISRALUDIN L 20-03-1987
KISMAWATI P 17-05-1987
YUSTI GINA P 01-03-2012

MIRA P
SAPRI L
RINI P
SANDRI L

GUSLAN L 01-01-1988
MULIATI P 07-02-1986
MUH.GUSNANDAR L 04-03-2013

SAEBANI L 20-10-1968
NASRAH P 31-12-1980
NASRUN L 02-12-1997
RIFKI L 13-05-1999
AMRUN L 15-03-1982
NUR AISYAH P 29-03-2011

HASRUL. H L 26-07-1989
SUNARTIN P 24-01-1990
RAFLI L 07-09-2009
ARSYAHDILLAH P 18-06-2012

RATNI P 12-10-1990
ABD. RAHMAN S L 25-10-1999

ABD. ANNAS L 04-08-1961

NURLIAN P 15-02-1969
EKA ASTRIANA H P 26-06-1996
HASLINDA H P 14-06-1998

ABD. MANAN L 09-10-1962

DALENA P 11-11-1968
ROBI L 11-06-1994

HADRAN P 15-04-1958

ARIFUDDIN L 15-10-1989
MIRNA P

KUBADA L 12-10-1945
NURSIA P 01-12-1959
IMRAN L 13-12-1984
POSI L 19-05-1986
BUYUNG L 05-11-1995

SALIMIN L 13-12-1984
NUYANA P 19-05-1986
ARJUNA L 20-06-2006
RIFKI L 21-05-2011

BAHAR L 07-07-1971
LIAN P 02-02-1981
JADIR L 05-08-2007
1 2 3 4 5 6 7 8 9 10 11 12
BUSRAN L 13-12-1984
ERNAWATI P 07-07-1987

SUDIRMAN L 15-12-1971
ASRI L 08-08-1984
HAENA P 25-01-1947

ASDIN L 13-04-1966
JARIANI P 19-02-1969
ITA PUSPITASARI P 25-09-1994
NURHAYATI P 29-09-1999

LANJA L 12-02-1952
GEWANU P 10-01-1956

ADRIANTO L 10-01-1990
RASTI P 18-08-1994
PAJRIN L 22-01-2012

ABUHARA L 12-03-1956
HJ. MIY P 10-01-1956
FAREL L 10-04-2006

ARMAN. A L 02-03-1979
HERLINA P 27-01-1982
FAJAR L 01-08-2004
MUH. FARHAN L 08-05-2011
 43 Eti Afriani
40000

35000

30000

25000

20000

15000

10000

5000 Eti Afriani

0
P 24451
L 23749
P 40087
L 19/07/2002
P 30294
L 11/111977
P 37869
P 14/07/12001
L 35400
P 30592
L 22597
P 37895
L 34700
P 29133
L 27/07/1976
L 37895
L 31/05/2000
P 31/12/1983
L 29864
 ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

1 Al Rugaya P 9/11/1959 KEL,SAWA ISLAM SD IRT

2 Reno L 9/12/1982 KEL,SAWA ISLAM SMA SWASTA

Eva Indriani P 4/5/1988 ISLAM SMA IRT
Fitrah Anggreani P 9/10/2008 ISLAM PLJR
Kyara Azzarah P 21/09/2015 ISLAM

3 Muh.Takanama L 1/2/1953 KEL,SAWA ISLAM SLTP TANI

Haspia P 26-5-1962 ISLAM SLTP IRT
Ismail L 28-6-1999 ISLAM PLJR

4 Anhar,S.Sos L 24/12/1992 KEL,SAWA ISLAM SI SWASTA

Dewi Awalia, Spd P 21/12/1986 ISLAM SI SWASTA
Muh.Agam L 28/02/2015

5 Goni L 31-12-1956 KEL,SAWA ISLAM SD TANI

Siti P 13-1-1960 ISLAM SD IRT
Sarlin L 31-12-1997 ISLAM PLJR

6 Majido L 31-12-1964 KEL,SAWA ISLAM SLTP TANI

Murni P 31-12-1967 ISLAM SLTP IRT
Abdul Gapur L ISLAM
Tias p 16-06-2006 PLJR

7 Agus P 12/12/1985 KEL,SAWA ISLAM SMA SWASTA

Fitriyanti P 17-7-1988 ISLAM SMA IRT
Aqif L 4/24/2011 ISLAM
M.Alhafis L 14;11/2015 ISLAM
Dewi p ISLAM
 Deby P ISLAM

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

M.Kiasar Akbar 22/01/2015 ISLAM

Kayana Nursabila 19/05/2016 ISLAM

9 Muh. Tang L 7/1/1962 Kel,sawa ISLAM SLTP

Nurida L 3/2/1977 ISLAM SLTP
Andra P 19/02/2001 ISLAM
Andre L 19/02/2001 ISLAM
Apriani P 16/08/2002 ISLAM
M. Supriyanto L 17/04/2009 ISLAM

10 Lukman, S.Pd L 8/9/1959 Kel,sawa ISLAM SI PNS

Siti Rame P 20/03/1965 ISLAM SMA IRT
Eni Sastrawati , SKM P 9/8/1990 ISLAM SI PHL
Harjun Endriawan L 17/09/1994 ISLAM PLJR

11 Lamola L 24/01/1945 Kel,sawa ISLAM SD TANI

Wehadima L 16/12/1950 ISLAM SD TANI
Ruslin L 5/12/1985 ISLAM SMA L
Isran P 18/12/1994 ISLAM SMA
Iswanto 4/12/1998 ISLAM PLJR
Fitriani 11/10/2005 ISLAM PLJR

12 Amrun L 10/10/1992 Kel,sawa ISLAM SMA SWASTA

Suriani P 7/8/1994 ISLAM SMA IRT
Adit L 22/10/2008 ISLAM
Intan Putri Ambarsari P 22/09/2011 ISLAM

13 Hastiono L 16/10/1985 KEL,SAWA ISLAM SMA Tani

Ani P 9/10/2012 KEL,SAWA ISLAM
 ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

14 Asmaun,A.Ma L 29-6-1990 ISLAM DII IRT

Bunga Hilo P 7/12/1994 ISLAM SMA PLJR
Ebit L 24-10-1999 ISLAM PLJR
Ajisman P 22-7-2002 ISLAM PLJR
Ardiyansya P 3/12/2004 ISLAM PLJR
Aci PLJR
Arniatin

15 Asrun,S.Ag L 27-11-1973 KEL,SAWA ISLAM SI

Panti,A.Ma P 9/11/1974 ISLAM D-II PNS
Aindar Cahyani P 30-6-2000 ISLAM SLTP PNS
Afrah Nurfaizah L 30-7-2005 ISLAM SD PLJR
Tebe P 8/23/2010 ISLAM PLJR
Amirza Fajrina P 4/29/2013 ISLAM

16 Pandja Atmaja L 4/12/1979 Kel,sawa ISLAM POLRI

17 Arnolis L 4/11/1977 Kel,sawa ISLAM SMA SWASTA

Suniatin P 5/9/1972 ISLAM SMA IRT
Napa P 21/07/1997 ISLAM SMA PLJR
Ronal P 20/05/2001 ISLAM SLTP PLJR
Fitri P 21/11/2003 ISLAM SLTP PLJR

18 Jasman L 7/1/1980 Kel,sawa ISLAM SMA SWSTA

Irma P ISLAM SMA IRT
Dian L 12/7/2000 ISLAM PLJR
Ainun Saputri P 24/05/2016 ISLAM
19 Werni P 1/8/1994 Kel,sawa ISLAM SMA IRT
Aqila Dary Mutaqim P 4/1/2016 ISLAM

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

20 Lio Djais L 11/10/1953 Kel,sawa ISLAM SD TANI

21 Saiful L 7/1/1990 Kel,sawa ISLAM SMA SWASTA

Nursiah P 10/10/1990 ISLAM SMA IRT
Ibnu L 22/11/2011 ISLAM

22 Sunaeni L 04/02/1087 Kel,sawa ISLAM SMA TANI

Asrrawati P 11/10/1985 ISLAM SMA IRT
Khalifa Khaerunnisa P 6/6/2012 ISLAM

23 Edi L 28-10-1980 KEL,SAWA ISLAM SLTP TANI

Nurmin P 4/7/1988 ISLAM SLTP IRT
Dita Fahiya P 24-6-2007 ISLAM SD PLJR
M. Ridho L 21-2-2010 ISLAM SD PLJR
Raiyan L 12/11/2014 ISLAM

24 Isnan L 10/2/1988 KEL,SAWA ISLAM SMA

Hisna P 4/7/1995 ISLAM SD TANI
Idul L 13-8-2010 ISLAM IRT
Muh. Faizal L 13/11/2014 ISLAM

25 Nurlina P 2/4/1984 ISLAM SLTP IRT

Lilis Alena P 10/1/2001 ISLAM SMA PLJR
 Nining Rajonia P 20-9-2003 ISLAM SLTP PLJR
Haikal Ardimansandi P 22-9-2006 ISLAM SLTP PLJR
Alun Ardimansandi L 15-9-2009 ISLAM SD PLJR
Ade Ardimansandi L 4/12/2012 ISLAM SD PLJR

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

26 Wati. S P 12/10/1954 KEL,SAWA ISLAM SD TANI

27 La Uji, S.pd L 1/7/1965 KEL,SAWA ISLAM SI PNS

Saharia L P 1/1/1971 ISLAM SMA IRT
Fitriani P 2/20/1990 ISLAM SMA PLJR
Harmadan L 23-3-1991 ISLAM SMA PLJR
Aldias L 6/3/2001 ISLAM SLTP PLJR
Juradil L 16-7-2006 ISLAM SD PLJR

28 Lukman B,S.Pd L 12/12/1969 KEL,SAWA ISLAM SI PNS

Nurmia P 31/12/1975 ISLAM SMA IRT
Tina Sesariyastuti P 12/6/2003 ISLAM SLTP PLJR
Maulidya Ilmira P 11/4/2009 ISLAM SD PLJR
Muh.Iman Khalifatul A L 18/09/2016 ISLAM

29 Kalla L 7/12/1984 KEL,SAWA ISLAM SMA SWASTA

Rika Primawati S,Pd P 6/24/1986 ISLAM SI PNS
Salsa Zulhija P 10/16/2012 ISLAM

30 Amrin ,S.Pd L 1/7/1968 KEL,SAWA ISLAM SI PNS

Nurjana P 9/23/1965 ISLAM SMA IRT
Amar L 9/3/2000 ISLAM PLJR
Pirza P 7/25/2004 ISLAM PLJR

31 Abonia P 7/1/1963 KEL,SAWA ISLAM SD TANI

Andriani P 8/15/1991 ISLAM SMA PLJR
32 Harianto L 4/5/1988 KEL,SAWA ISLAM SLTP TANI
Liliyanti P 30/10/1993 ISLAM SLTP IRT
Ilmi P 11/4/2011 ISLAM

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

33 Yuslan L 20/5/1985 KEL,SAWA ISLAM SMA TANI

Marni P 5/20/1985 ISLAM SMA IRT
Martasia P 5/10/2006 ISLAM SLTP PLJR

34 Wenuhe P 31/12/1958 KEL,SAWA ISLAM SD TANI

35 Ahmad Aung L 31/121970 KEL,SAWA ISLAM SMA TANI

Harlina P 1/1/1975 ISLAM SLTP IRT
Riki Hardiyanto S P 22/05/1996 ISLAM SMA PLJR
Alta Faningsih L 26/03/1996 ISLAM SMA PLJR
Anisa Rahmayani P 19/12/2009 ISLAM SLTP PLJR

36 Hasana P 1/7/1950 KEL,SAWA ISLAM SD TANI

Hajaria P 1/7/1952 ISLAM SD TANI
Hartono L 21/04/1993 ISLAM SMA PLJR

37 Albert Johanis L 19/07/1979 KEL,SAWA ISLAM SMA SWSTA

Selviana Sambara,S.Pd P 9/6/1972 ISLAM SI PNS
Engel Febrianti P 3/2/2006 ISLAM SMA PLJR
Baim Alfian L 8/10/2010 ISLAM

38 Harjon L 0/01/1980 KEL,SAWA ISLAM SMA SWASTA

Harlina P 19/07/1984 ISLAM SLTP IRT
 Alham P 21/01/2001 ISLAM SMA PLJR
Nurbaya P 25/03/2003 ISLAM SLTP PLJR
Adelta L 28/11/2011 ISLAM

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

39 Nuriadin S.H L 10/5/1981 KEL,SAWA ISLAM SI SWASTA

Herlina Meronda P 31/12/1983 ISLAM SMA IRT
Fharel Ghifarid L 31/05/2000 ISLAM SMA PLJR
Rio Hermansya L 10/1/2003 ISLAM SLTP PLJR

40 Gafarudin L 27/07/1976 KEL,SAWA ISLAM SLTP TANI

Midaya P 10/5/1979 ISLAM SMA IRT
Rico Rahmadan L 1/1/1995 ISLAM SMA PLJR
Riska Ayu Lestari P 10/1/2003 ISLAM SLTP PLJR

41 Kurni L 11/12/1961 KEL,SAWA ISLAM SD TANI

Arjun P 10/3/1983 ISLAM SD TANI
Dina Asriani L 12/1/1996 ISLAM SMA PLJR
Dian Pratiwi P 7/14/2001 ISLAM SLTP PLJR
P 9/5/2003 ISLAM SLTP PLJR

42 Kalenggo L 5/11/1977 KEL,SAWA ISLAM SD TANI

Fitri P 12/9/1982 ISLAM SLTP TANI
Fadli L 19/07/2002 ISLAM SLTP PLJR
Vita P 10/1/2009 ISLAM SD PLJR

43 Harmin L 1/7/1965 KEL,SAWA ISLAM SD TANI

Nurhana P 12/10/1966 ISLAM SD TANI
Eti Afriani P 4/4/1993 ISLAM SMA PLJR
44 Harisman L 2/4/1989 KEL,SAWA ISLAM SMA TANI
Harniar P 8/8/1991 ISLAM SMA IRT
Esa Ramadhan L 4/8/2013 ISLAM

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

45 Badrun L 13/10/1950 KEL,SAWA ISLAM SD TANI

Siti Nurayat P 17/09/1952 ISLAM SD TANI

46 Buyung L 1/7/1980 KEL,SAWA ISLAM SLTP SWSTA

Megawati P 1/7/1982 ISLAM SLTP IRT
Selviana P 7/5/2000 ISLAM SLTP PLJR
Sulkifli L 2/4/2008 ISLAM SD PLJR

47 Rahmat M L 3/8/1978 KEL,SAWA ISLAM SMA TANI

Heni Wiana P 27/08/1985 ISLAM SMA IRT
Irsan Makadompit L 15/08/2008 ISLAM SD PLJR
Rahmadani L 14/08/2012 ISLAM

48 Hargono L 3/3/1983 KEL,SAWA ISLAM SLTP TANI

Hasriati P 12/3/1989 ISLAM SLTP IRT
Topan L 3/5/2005 ISLAM SD PLJR
Wafri P 26/12/2010 ISLAM
Sean P 17/08/2012 ISLAM

49 Hasnawati D P 18/06/1963 KEL,SAWA ISLAM SLTP TANI

Jufri L 1/8/1968 ISLAM SLTP TANI
Kiki P 9/8/1990 ISLAM SMA PLJR
 Poriodan L 04/03/21994 ISLAM SMA PLJR

50 Sudin L 1/7/1979 KEL,SAWA ISLAM SD TANI

Hastuti P 1/7/1982 ISLAM SD TANI
Adel P 10/8/1992 ISLAM SMA PLJR
Dela P 8/9/1996 ISLAM SMA PLJR

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

51 Hasriani P 1/1/1980 ISLAM SLTP TANI

Harno L 2/2/1982 ISLAM SLTP TANI
Haslan L 22-12-1989 ISLAM SMA SWSTA

52 Wearnia P P 30/01/1996 KEL.SAWA ISLAM SD TANI

KEL.SAWA ISLAM SMA PLJR
SLTP PLJR

52 Didi Kasim kia L 10/2/1991 KEL,SAWA ISLMA SMA SWSTA

Susianti P 22/02/1996 ISLAM SLTP IRT

ISLAM
53 Andi Ado L 7/7/1975 KEL,SAWA ISLAM SMA SWSTA
Mimang P 31/12/1977 ISLAM SMA IRT
M. Sabir L 12/7/1997 ISLAM SMA
Megi P 19/09/1999 ISLAM SMA
Alpian L 12/6/2002 ISLAM SLTP PLJR
Ismet L 12/9/2006 SD PLJR

ISLAM
54 Marudin L 30-12-1950 KEL,SAWA ISLAM SD TANI
Tina Ode L 12/5/1960 ISLAM SLTP IRT
Rizal M L 3/1/1985 ISLAM SMA
 Irham L 6/7/1991 ISLAM SMA
Miswan L 21-12-1994 SMA

55 Yusniati P 4/3/1983 KEL,SAWA ISLAM SMA TANI

Celci P 13/06/2009 ISLAM PLJR

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

56 Juhardin L 1/5/1974 KEL,SAWA ISLAM SMA SWASTA

Harsia P 22-4-1983 ISLAM SMA IRT
Gilang Pratama P 22-1-2004 ISLAM SD PLJR
Giska Addia P 7/5/2007 ISLAM SD PLJR
Ridho Triawan L 6/6/2011
ISLAM
57 Andrey L 10/8/1963 KEL,SAWA ISLAM SLTP TANI
Nurhaena P 1/1/1968 ISLAM SLTP IRT
Heriawan L 8/12/1990 ISLAM SMA
Randa L 12/1/2001 ISLAM SLTP PLJR

58 Asriadi L 8/6/1975 KEL,SAWA ISLAM SMA TANI

Surni P 8/2/1977 KEL,SAWA ISLAM SMA IRT
Helni Melasari P 18-6-2001 ISLAM SLTP PLJR
M. Iqbal L 5/2/2009 ISLAM SD PLJR
Salma P 18/09/2016 ISLAM
Salwa P 18/09/2016 ISLAM

59 Abd. Kadir P 1-1--1979 KEL,SAWA ISLAM SLTP TANI

Agustina Santi L 3/8/1980 ISLAM SLTP IRT
Hana Haerana P 13-7-2009 ISLAM PLJR
Najma Lufya P 23-12-2012
 ISLAM SMA TANI
60 Arpa L 15-4-1986 KEL,SAWA ISLAM SMA IRT
Irmayanti P 8/8/1989

61 Saleh Hasan L 1/7/1958 KEL,SAWA ISLAM SD TANI

62 Eliawan L 17-2-1985 KEL,SAWA ISLAM SLTP TANI

Lisnawati P 5/5/1991 SLTP IRT

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

63 Joni H L 10/4/1969 KEL,SAWA ISLAM SD TANI

Nuri P 10/4/1974 ISLAM SD IRT
Tri P 24-5-2000 ISLAM SMA PLJR
Caca Melda Setya P 30-3-2007 ISLAM SLTP PLJR

64 Bambang Hermawan L 12/8/1993 ISLAM SMA SWASTA

Wiwin Wijayanti P 13-1-1991 KEL,SAWA ISLAM SMA IRT
Nabila P 13/03/2014 ISLAM

65 J0hansya L 5/5/1983 ISLAM SMA SWSTA

Irma P 1/1/1982 KEL,SAWA ISLAM SMA IRT
Rangga Adit L 2/1/2005 ISLAM SD PLJR
Nabila P 12/8/2009 ISLAM SD PLJR
Fitrah L 4/9/2010 ISLAM

66 Jayanuddin Amin L 6/23/1988 KEL,SAWA ISLAM SMA SWASTA

Mirna P 19-3-1985 KEL,SAWA ISLAM SMA PNS
Siti Arnelia P 19-3-2005 ISLAM SLTP PLJR
Putri Arlianti P 15-2-2008 ISLAM SLTP PLJR
 Muh Rifi L 12/29/2014 ISLAM
Hafizah P 19/10/2016 ISLAM

67 Dapit L KEL,SAWA ISLAM SMA SWASTA

Siska p 4/10/1998 KEL,SAWA ISLAM SMA IRT
Kalista Arsylia P 28/04/2016 KEL,SAWA ISLAM

68 Harmania.M P 1/1/1960 KEL,SAWA ISLAM SD TANI

Ermayanti,A.M.Keb P 10/10/1989 ISLAM D-III PTT
Ed.hardoyo L 10/4/1984 ISLAM SMA SWASTA

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

69 Suhendri L 12/4/1982 KEL,SAWA ISLAM SMA SWSTA

Noni Febrianti P 22-2-1988 ISLAM SMA IRT
M.fadil L 19-10-2009 ISLAM
Rahmadani P 21-7-2012 ISLAM

70 Haema P 3/8/1951 KEL,SAWA ISLAM SD TANI

Darlianti P 10/10/1989 ISLAM SMA

71 La Ode Aminudin ,STP L 15-9-1977 KEL,SAWA ISLAM SI PNS

Daniati P 17-5-1986 ISLAM SMA IRT
Dimas L 3/12/2005 ISLAM SD PLJR
Dwi Pertiwi P 12/8/2008 ISLAM SD PLJR

72 Husein B L 10/11/1959 KEL,SAWA ISLAM SD TANI

Bania P 13-5-1959 ISLAM SD TANI
Haspiono L 14-5-1985 ISLAM SMA
Rita P 10/3/1989 ISLAM SLTP
Hasmajudin L 16-5-1989 ISLAM SMA
 Reno Rifal A L 13-12-2001 ISLAM SLTP PLJR

73 Yurudin L 1/1/1970 KEL,SAWA ISLAM SLTP TANI

Siti Hawa P 12/2/1971 ISLAM SLTP IRT
Royen Afriadi L 16-4-1995 ISLAM SMA
Yustan Cahyani L 18-9-2002 ISLAM SLTP PLJR
Delfian Yusi P 1/1/2004 ISLAM SD PLJR

74 Patma Ertin M P 23-12-1993 KEL,SAWA ISLAM SMA IRT

Raul L 2/1/2009 ISLAM SMA PLJR
Rahel Divandra L 14-8-2012 ISLAM SLTP

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

75 Samrin L 5/4/1976 KEL,SAWA ISLAM SD TANI

Siti Aminah P 1/5/1980 ISLAM SD IRT
Adri L 9/7/1998 ISLAM SMA PLJR
Anggur L 27-9-2002 ISLAM SMA PLJR
Aca Meldasari P 13-5-2008 ISLAM SD PLJR
Amar Nurul ukhwan P 2/4/2012 ISLAM

76 Andi M, Darmin S.pd L 11/1/1959 KEL,SAWA ISLAM SI PNS

Hj. Minarti A.Ma P 12/9/1961 ISLAM DII PNS
Hendriawan Darmin P 3/6/1990 ISLAM SMA PLJR

77 Ardhan L 19-7-1988 KEL,SAWA ISLAM SMA SWASTA

Rosmadani Darmin P 4/6/1985 ISLAM S1 PNS
M.Ammar Yasid A L 9/4/2012 ISLAMI
Abizar L 1/28/2014 ISLAM

78 Bakri L 28-2-1952 KEL,SAWA ISLAM SD

Nurhaena P 8/9/1974 ISLAM SD
 Jumadil L 12/4/1992 ISLAM SMA
Agustina P 17-8-1997 ISLAM SLTP
Muh.Ikbal L 22/05/2015 ISLAM

79 Suriadin L 10/10/1981 SAWA ISLAM SLTP

Husna P 8/8/1986 ISLAM SLTP
Gian Fahreza L 3/11/2002 ISLAM SD
Gista Aprilia P 28-4-2008 ISLAM SD
Trysia P 2/21/2015 ISLAM

80 Hanibau L 1/7/1965 SAWA ISLAM SD TANI

Hasrin L 11/4/1990 ISLAM SMA
Efrin L 5/11/2004 ISLAM SD

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

80 Aksar L 23-8-1982 SAWA ISLAM SMA TANI

Hastuti P 10/3/1989 ISLAM SMA IRT
M.Alfian Alrasyid L 25-6-2008 ISLAM SD PLJR
Rabiah Anisa P 30-5-2012 ISLAM

81 Agus R L 4/3/1973 SAWA ISLAM SMA SWASTA

Hasratinsyah P 7/3/1978 ISLAM SMA IRT
Elsa P 8/7/1988 ISLAM SMA PLJR
Arsandi L 10/11/2002 ISLAM SLTP PLJR
Dion L 22-5-2005 ISLAM SD PLJR
Keizah Aulia Putri P 10/5/2012 ISLAM

82 Rustam L 27-7-1984 SAWA ISLAM SLTP TANI

Hasna P 10/4/1991 ISLAM SLTP IRT
M. Alwan Alfikri L 26-11-2012 ISLAM

83 Sunusia L 1/7/1950 SAWA ISLAM SD TANI

84 Wasdin Rumanda L 9/8/1982 SAWA ISLAM SMA TANI

 Umran P 1/7/1983 ISLAM SMA IRT
Gian Adi Pratama L 29-8-2001 ISLAM SLTP PLJR
Rifan Ari Fraditya P 26-5-2006 ISLAM SD PLJR
Reyhan L 11/15/2014 ISLAM

85 Jamaludin L 9/11/1962 SAWA ISLAM SD TANI

Nursati P 7/11/1969 ISLAM SD IRT
Jainal M P 14-9-1988 ISLAM SMA
Jayanti L 29-12-1990 ISLAM SMA
Dwi L 27-10-1992 ISLAM SMA
Budiman L 3/10/1994 ISLAM SMA
Desi Oktaviani P 27-10-1996 ISLAM SMA
Dimas L 27-10-2002 ISLAM SD PLJR
Anto Wiro L 28-1-2004 ISLAM SD PLJR

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

86 Dahala L 28-12-1961 SAWA ISLAM TANI

87 Wasiu P 1/7/1952 ISLAM TANI

Musrifa P 21-1-1993 ISLAM IRT
Ld.M. Tasyrik L 18-10-2012 ISLAM

88 Bripka. Amir Murtiono L 30-10-1978 Kel,sawa ISLAM SI P0LRI

Asniatin P 4/2/1987 ISLAM SD IRT
Farhan L 2/2/2006 ISLAM
Ratu Andin Murtono p 1/8/2015

89 Harudin L 1/1/1972 ISLAM SD TANI

Hasnawati P 1/12/1975 ISLAM SMA PLJR
Aldin P 22-11-1999 ISLAM SLTP PLJR
M. Ilham L 27-12-2001 ISLAM SD PLJR
Wahyu Periadi P 20-2-2008 ISLAM SD PLJR
 Tiara P 28-3-2012 ISLAM PLJR

90 Yunus, ST L 19/08/1967 SAWA ISLAM SI PNS

Hijeriah P 11/8/1970 SAWA ISLAM SMA IRT
Eriyun P 24-5-1990 ISLAM SLTP IRT
Rara P 18-6-2004

91 Andi Herman L 7/12/1980 Kel,Sawa ISLAM SMA SWASTA

Afrianti P 9/26/1984 ISLAM PHL
Lovely P 13/09/2014
Andi Diaz L 22/09/2015

92 Darianti L 1/7/1937 SAWA ISLAM SD TANI

93 La Uto L 1/7/1953 SAWA ISLAM

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

Nasrun L Sawa ISLAM SMA SWASTA

Sumarni P 1/5/1983 SMA IRT
Alifa P 22//09/2008
Osil L 12/4/2016

94 Arsad S L 31/12/1960 SAWA ISLAM SLTP TANI

Haerina P 31/12/1964 SLTP IRT
Amel L 8/10/2005 PLJR

95 Agus M L 1/1/1971 SAWA ISLAM SLTP TANI

Sunartin P 23/03/1975 SLTP IRT
Peri Sandria P 20/12/1995

97 Rahman L 12/12/1983 SAWA ISLAM SMA TANI

Asry Prasetya Wera P 16/031992 SMA IRT
Firan L 24/11/2009
Novan P 14/11/2014
98 Sumardin L 31/12/1974 SAWA ISLAM SMA TANI
Nuriha P 31/12/1975 SMA IRT
Supriyanto L 16/11/1996
Fera P 6/1/2004
Chika P 23/06/2007

99 Marsudin L 7/1/1964 SAWA ISLAM SD TANI

Siti Aji P 7/1/1971 SD IRT
Hendra L 21/09/1988
100 Makaraus P 20/03/1968 SAWA ISLAM SD TANI
Rahmatia 31/01/1976 SD IRT
Darwin L 18/05/1995
Pandi P 3/5/1997
Rahmi P 20/08/1998
Fajar P 1/3/2002

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

101 Nursia P 7/1/1958 SAWA ISLAM SD TANI

102 Jusnawati P 5/10/1975 SAWA ISLAM SMA PNS

Yayan L 21/01/1994 PLJR
Yeyen L 7/7/1997 PLJR

103 Andi Herman S.Pd L 02/011974 SAWA ISLAM SI PNS

Ida Asri SE P 8/10/1973 SI PNS
M. Al Fairus L 3/7/2012
L SLTP PLJR

104 Budurahma L 1/5/1968 SAWA ISLAM SD TANI

Rosi P 10/10/1998 SD IRT
Harlianti P 22/09/1997
 Winda P 2/9/2003

105 Bayu L 17/08/1990 SAWA ISLAM SMA SWASTA

Nirmawati P 14/03/1986 SMA IRT
M. Iqbal L 6/3/2009

106 Arman L 17/04/1984 SAWA ISLAM SMA SWASTA

Niatin P 19/09/1988 SMA IRT

107 Hasnawi L 3/3/1972 SAWA ISLAM SLTP TANI

Misna P 3/9/1969 SD IRT
Dian Lestari P 11/10/1996
Yogit Alfian L 20-10-1999
Fatmawati P 20/10/2001
Abd.Ali Maptu L 19/03/2005

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

109 M. Rayung L 22/01/1968 SAWA ISLAM DI PNS

Hartati P 4/10/1979 SLTP IRT
Oktaviani P 10/9/1997 PLJR
Dwi Bangkit L 20/05/1998 PLJR
Oscar L 20/05/2002 PLJR
Arsyipa Nursabila P 13/02/2015

110 Marwia P 6/8/1985 SAWA ISLAM SMA IRT

Indra Jaya L 25/05/2008 SMA PLJR
Indriani P 23/05/2010 PLJR

111 Talib Aspa L 7/1/1953 SAWA ISLAM SD TANI

Sartia P 7/1/1954 SD IRT
 Jojon L 21/01/1985
Dona P 23/08/199
Akbar L 4/7/2000

112 Musgondo L 19/05/1971 SAWA ISLAM SLTP TANI

Nursida P 1/1/1974 SLTP IRT
Gita P 12/10/2000 PLJR

113 Hasrat L 15/08/1985 SAWA ISLAM SMA SWASTA

Minartin P 15/04/1986 SMA IRT
Suci Rahmadani P 22/09/2005 PLJR
Dwi Mildamayanti P 11/1/2009 PLJR
Absari Nuria Rahmatyani p 8/1/2016

114 Henderman L 5/6/1982 SAWA ISLAM SMA SWASTA

Aswia P 12/7/1987 SMA IRT
Aqilah Rahmadani P 17/07/2014

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

115 M. Yusuf L 3/2/1945 SAWA ISLAM SMA PNS

Tapeu P 1/1/1952 SMA IRT
Ririn Risnawati,S.KEP P 17/07/1986 SI PHL
Indriani Safitri S.KOM L 3/6/1989 SI PHL

116 Kaharudin L 26/06/1979 SAWA ISLAM SMA TANI

Diana P 8/8/1988 SMA IRT
Rimba L 19/01/2009 PLJR
Ranggga L 17/01/2010 PLJR

117 Suraeni L 7/10/1952 SAWA ISLAM SD TANI

Sabona P 10/7/1953 SD IRT
 Irham L 22/03/1983 SMA
Irsan L 4/1/1992 SMA
Irlan L 16/07/1995 SMA

118 Titin L 7/1/1976 SAWA ISLAM SLTP TANI

Indra S L 7/6/1979 SLTP IRT
Andri S L 6/10/1999

119 Aguswan L 8/8/1989 SAWA ISLAM SMA TANI

ita P 10/10/1993 SMA IRT
Nur alifa p 30/05/2014

120 Alex Johanis S.Hut L 4/12/1972 SAWA ISLAM SI PNS

Nasda P 2/1/1970 SMA IRT
Tri Oldi A, Johanis L 28/10/1997
Fresky Audia Johanis P 8/11/2004
Geraldon Johanis P 8/4/2007

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

121 Arman L 12/12/1991 SAWA ISLAM SMA TANI

Bella Fransisca J P 9/12/1991 SMA IRT
Tezar L 16/12/2011
Aiko Queen Amora P 16/08/2014

121 Hayung L 9/9/1992 SAWA ISLAM SMA SWASTA

Fitri P SMA IRT
Muh.Al Fikram L 8/10/2015

122 Andi Galu L 7/7/1955 SAWA ISLAM SLTP TANI

Nurhana AG P 1/1/1971 SMA PNS
 Yayuk Restika P 21/10/1991 DIII PHL
Popi Andriani P 9/11/1993 DIII PHL
Galang L 12/1/1999 SMA PLJR

L 7/1/1976 SAWA ISLAM SMA TANI

123 Musbar P 31/12/1975 SMA IRT
Hanapia L 17/03/1988
Ismail

124 Waura P 31/12/1950 SAWA ISLAM SD TANI

Irpan L 5/12/1988 SMA
Romayanti P 15/12/1994

125 Bece DP P 31-12-1950 SAWA ISLAM SD TANI

126 Andi Masalindring L 29/01/1983 SAWA ISLAM SMA SWASTA

Indah Sari P 20/01/1993 SMA IRT
M. Zaki L 30/06/2010
M,Dzeand L 1/6/2015

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

127 Juhaepa L 3/2/1968 SAWA ISLAM SMA TANI

Yasir L 7/1/2000 PLJR

128 Nurdin L 1/6/1973 SAWA ISLAM SMA SWASTA

Rima P 21/05/1980
M. Jufri L 14/04/1999
Husni P 10/3/2000
Nadia L 22/04/2008

129 Amin L 1/1/1977 SAWA ISLAM SMA PNS

Agustina P 11/2/1980 IRT
Hendriawan L 3/5/1999 PLJR
 Dila Apriani P 4/3/2001 PLJR
Afdal Agim P 12/3/2008 PLJR

130 Edison L 7/1/1979 SAWA ISLAM SD TANI

Rumiati P 11/2/1980 SD IRT
Neliana L 13/03/2003 PLJR
Aldi P 29/09/2007 PLJR

131 Mbaja L 1/7/1979 SAWA ISLAM SMA TANI

Harni P 12/2/1978 SMA IRT
Destika Adelia L 13-3-2003 PLJR
Afni Feranika P 29-9-2007

132 Tinggi L 9/8/1953 SAWA ISLAM SD TANI

135 Jumadin L 2/5/1970 SAWA ISLAM SLTP TANI

Suriati P 7/1/1973 SMA IRT
Wilda Wahyuni P 12/2/1995
Wahyuda Wahyudin L 17/08/1999
Jirman L 5/12/2003
Wika Wahyuni P 13/11/2008
Wiken Wahyuni P 14/11/2009

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

136 Ansari Rahmat L 5/1/1985 SAWA ISLAM SMA SWASTA

Umi Triana P 9/1/1980 SMA IRT
Aliq Rahmat Ansari L 7/4/2007
Alika P 14/04/2014

137 Sudomo SE L 22/05/1977 SAWA ISLAM SI PNS

Jumartin SPD P 4/1/1970 SI PNS
M. Sapril L 30/03/2002 PLJR
Owen L 31/03/2006 PLJR
Alamsyah L 1/1/2011
138 Sudirman L 1/1/1968 SAWA ISLAM SMA PNS
Nurhayati P 12/12/1962 SMA IRT
Rosnina P 19/09/1989
Meilani P 5/1/1997

139 Hariyato L 2/12/1961 SAWA ISLAM SMA SWASTA

Siti Saira P 7/7/1964 SMA PNS
Veni Triana P 7/6/1990 DIII PTT
Elvan L 6/1/1998 PLJR
Diva Reiysa P 20/09/2003 PLJR
Maulia Rahmadani P 14/10/2006 PLJR

140 Hendrik Johanis L 6/10/1976 SAWA ISLAM SMA SWASTA

Marlina P 8/11/1979 SMA IRT
Aril Saputra Johanis L 1/6/1998 PLJR
Nada Cician Johanis P 2/2/2000
Naira Ilmira Johanis P 27/11/2012

141 Husein S L 7/1/1963 SAWA ISLAM SD TANI

142 Andris Johanis

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN
KEPESERTAAN HAMIL

PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

143 Salomo L
Selvi P
Abdul Muis, AMK L
M. Arjam L
Sindi Sasmita P

145 Muliyadi S.Pd L 9/2/1974 SAWA ISLAM SI PNS

Andriyani Johanis P 23/06/1981 SMA PNS
 Abim Aksa Adi L 6/1/2004 PLJR
Ardika Dwi Putra Adi L 28/03/2007 PLJR
Alzenorica Tri Anita P 19/10/2011 PLJR
Al kafi Catrazena Adi L 17/03/2016

146 Badrun L 7/1/1944 SAWA ISLAM SMA TANI

Siti Nurbaya P 24/04/1960 SMA IRT
Selfiana P 27/07/2000
Reski L 12/12/1991

147 Hamadung, spd L 10/1/1965 SAWA ISLAM SI PNS

Mas'an ,ssi P 1/1/1969 SI PNS
Ayu Ristanti ,am.keb P 2/3/1991 DIII PTT
Helen P 2/3/1995
Heni P 20/06/2000
Nanda P 12/9/2004

148 Ernawati P 9/2/1978 SAWA ISLAM SLTP IRT

Dea P 5/3/2000 SLTP PLJR
Diah Ayu Nabila P 4/2/2004 PLJR

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN

KEPESERTAAN HAMIL
PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

149 Abdullah L 15/08/1978 SAWA ISLAM SWASTA

Hastuti P 05/12/19870
Adit L 12/6/2010

150 Yudi Setiawan L 15/07/1988 SAWA ISLAM SMA TANI

 Hamriati P 15/08/1988 SMA IRT
Zahra P 6/2/2014

151 Muhklis L 5/12/1990 SAWA ISLAM SMA SWSTA

Hasni P 6/8/1992 SMA IRT
Nursakinah P 24/10/2010

152 Yusran Yusuf L 2/2/1982 SAWA ISLAM SMA TANI

Isra Wahyuningsih P 12/6/1983 SMA IRT

153 Nasrun L 12/8/1986 SAWA ISLAM SMA SWASTA

Indriani P 12/4/1997 SLTP IRT
Bian L 7/1/2015

ISLAM SI PNS
154 Abdul Makmur, S.Pd L 5/9/1987 SAWA SI PNS
Sri Ulfa Agustini S.Pd P 17/08/1984
Nur Adeva Safrani P 19/7/2010
Asia P 6/1/2015

155 Muh.Saddam L 23/06/1990 SAWA ISLAM SMA SWASTA

Arna Sasmita P 26/06/1992 SMA IRT
Muh.Naufal L 31/03/2015

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN

KEPESERTAAN HAMIL
PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

156 Aris L 7/1/1998 SAWA ISLAM SD TANI

Nurmina P 10/2/1990 SD IRT
Armin L 22/02/2007
Afika P 9/8/2009

157 Yuge L 16/04/1973 SAWA ISLAM SMA TANI

 Nurhayati P 06/07/19743 SMA IRT

158 Usman Jaya L 20/07/1985 SAWA ISLAM SMA TANI

Ati P 9/11/1998 SMA IRT
Ilham L 12/3/2008

159 Iskandar L 23/03/1972 SAWA ISLAM SMA TANI

Nuru P 22/03/1976 SMA IRT
Isrul L 30/09/2000
Isra P 10/9/2003
Isna P 4/6/2008
Rahmadani P 26/08/2010

160 Latib L L 25/10/1961 SAWA ISLAM SD TANI

Celci P 6/12/2000 SLTP PLJR

161 A. Sudarwan L 21/08/1983 SAWA ISLAM SMA SWASTA

Andriani P 15/08/1991 SMA IRT

162 Safarudin L 7/5/1975 SAWA ISLAM SMA TANI

Elisandriani P 3/1/1982 SMA IRT
Natasya Eka Putri P 14/08/2004
Dwi Agil P 18/11/2005
Tristan L 17/07/2007

ANBAL

APRAS

LANSIA JA
BAYI
PENDIDIKAN

KEPESERTAAN HAMIL
PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y

BPJS

JKM
D
A
K

163 Parida,SE P 11/02//1977 SAWA ISLAM SI PNS

Icha P 3/11/2000 PLJR

164 Aki L 3/1/1970 SAWA ISLAM SD TANI

165 Sarijo L 1/3/1937 SAWA ISLAM SD TANI
Tri P 14/12/1966 SD TANI

166 Limba Sara L 1/7/1943 SAWA ISLAM SD TANI

167 Harun L 2/10/1984 SAWA ISLAM SMA TANI

Wina P 15/04/1990 SMA IRT
Muh.Juan L 12/1/2012

168 Jumadil L 04/12/1992/ SAWA ISLAM SMA TANI

Eka P SMA IRT
Salva P 22/09/2015

169 Ardan Moita L SAWA ISLAM SMA SWASTA

Resta P 17/05/1995 SMA IRT

170 Alias L 15/09/1991 SAWA ISLAM SMA SWASTA

Nova P SMA SWASTA

ANBAL

APRAS
BAYI

LANSIA JA
PENDIDIKAN

KEPESERTAAN HAMIL
PEKERJAAN

A
PUSGAKIN

M
PUS 4T
STATUS

RE
JENIS

WUS
PUS
ALAMAT
NO NAMA KK/ANGGOTA JK TGL LAHIR AGAMA AKSEPTOR KET
RT/RW
KB AKTIF

12-59 bln

60-71 bln

10-14 thn

15-18 thn
T

ASKES

0-11bln
Y
BPJS

JKM
D
A
K

171 Muh.Alimran L 14/01/1988 SAWA ISLAM SMA SWASTA

Siti Nadira P
172 Tietie P SAWA ISLAM SMA IRT
Mei P

173 Busran L 5/10/1975 SAWA ISLAM SD TANI

Nurlina P 5/19/1972 SD IRT
Sartia P 12/10/2000
Sarpian P 12/9/2003
Saban L 1/12/2004
Iswan L 5/10/2004
Rahul L 4/3/2010

174 Baharu L SAWA ISLAM SD TANI

Wenau P SD IRT
Biswan L
Bisran L
Bagong L
Rangga L

175 Jaya L SAWA ISLAM SMA SWASTA

Ririn P SMA IRT
Ega P
 : SAWA
DESA KELURAHAN SAWA
Jenis Tgl Lahir Status dlm
No Nama Peserta Agama Pendidikan Pekerjaan
Kelamin keluarga PUS WUS PUS GAKIN PUS ALKI PUS 4T KB AKTIF ALKON Bayi 0-11 bulan
1 2 4
1 Al Rugaya 9/11/1959

2 Reno L 9/12/1982
Eva Indriani P 4/5/1988
Fitrah Anggreani P 9/10/2008

3 Muh.Takanama L 1/2/1953
Haspia P 26-5-1962
Ismail L 28-6-1999

4 Muhijad, SP L 11/18/1980
Widi Astuti ,SE P 8/8/1986

5 Goni P 31-12-1956
Siti L 13-1-1960
Sarlin L 31-12-1997

6 Majido P 31-12-1964
Murni P 31-12-1967
Tias L 16-6-2006

7 Agus P 12/12/1985
Fitriyanti P 17-7-1988
Aqif L 4/24/2011

8 Youning L 11/3/1988
Nita Sasmita P 17-8-1991
Kanza Salsabila P 25-6-2013
Ian L 22/01/2015

9 Muh. Tang L 1/7/1962

Nurida P 10/3/1977
 Al Imran L 14-1-1988
Andra L 19-2-2001
Andre L 19-2-2001
Apriani P 16-8-2002
M. Supriyanto L 17-4-2009

10 Lukman, A.Ma L 9/8/1959

Siti Rame P 20-3-1965
Eni Sastrawati P 8/9/1990
Harjun Endriawan L 17/9/1994
 L
11 Lamola P 24-1-1945
Wehadima L 16-12-1950
Ruslin L 12/5/1985
Isran L 18-12-1994
Iswanto L 12/4/1998
Fitriani P 10/11/2005

12 Amrun L 10/10/1992
Suriani P 8/7/1994
Adit L 22-9-2011
Intan Putri Ambarsari P 16-9-2012

13 Hastiono L 10/16/1985
Ani P 10/9/2012

14 Asmaun,A.Ma L 3/5/1967
Bunga Hilo P 5/3/1967
Ebit L 29-6-1990
Ajisman L 7/12/1994
Ardiyansya L 24-10-1999
Aci P 22-7-2002
Arniatin P 3/12/2004

15 Asrun,S.Ag L 27-11-1973
Panti,A.Ma P 9/11/1974
Aindar Cahyani P 30-6-2000
Afrah Nurfaizah P 30-7-2005
Tebe L 8/23/2010
Amirza Fajrina P 4/29/2013

16 Pandja Atmaja L 04//12/1979

17 Arnolis L 11/4/1977
Suniatin P 9/5/1902
Napa P 21-5-1997
Ronal L 20-5-2001
Fitri L 21-11-2003
18 Rasmin L 13/05/1990
Desi P 15/07/1998
Rio L 17/05/2014

19 Jasman L 1/7/1980
Tia P 1/7/1951
Dian L

20 Lio Djais L 10/11/1953

Duhuria P 5/7/1951

21 Saiful L 1/7/1990
Nursiah P 10/10/1990
Ibnu L 22-11-2011

22 Sunaeni L 2/4/1987
Asrrawati P 10/11/1985
Khalifa Khaerunnisa P 6/6/2012

23 Edi L 28-10-1980
Nurmin P 4/7/1988
Dita Fahiya P 24-6-2007
M. Ridho L 21-2-2010
Raiyan L 12/11/2014
24 Isnan L 10/2/1988
Hisna P 4/7/1995
Idul L 13-8-2010
Muh. Faizal L 13/11/2014

L
25 Zakaria P 3/3/1978
Nurlina P 2/4/1984
Lilis Alena P 10/1/2001
Nining Rajonia P 20-9-2003
Haikal Ardimansandi L 22-9-2006
Alun Ardimansandi L 15-9-2009
Ade Ardimansandi L 4/12/2012

26 Wati. S P 12/10/1954

27 La Uji, S.pd L 1/7/1965

Saharia L P 1/1/1971
Fitriani P 20-2-1968
Harmadan L 23-3-1991
Aldias L 6/3/2001
Juradil L 16-7-2006

L
28 Lukman B,S.Pd P 12/12/1969
Nurmia P 31/12/1975
Tina Sesariyastuti P 12/6/2003
Maulidya Ilmira P 11/4/2009

29 Kalla L 7/12/1984
Rika Primawati S,Pd P 6/24/1986
Salsa Zulhija P 10/16/2012

L 1/7/1968
30 Amrin ,S.Pd P
Nurjana L
Amar P
Pirza

31 Bahri L 7/30/1963
 Abonia P 7/1/1963
Andriani P 8/15/1991

L 4/5/1988
32 Harianto P 30/10/1993
Liliyanti P 11/4/2011
Ilmi

33 Yuslan L 20/5/1985
Marni P 5/20/1985
Martasia P 5/10/2006

34 Wenuhe P 31/12/1958

35 Ahmad Aung L 31/121970

Harlina P 1/1/1975
Riki Hardiyanto S P 22/05/1996
Alta Faningsih L 26/03/1996
Anisa Rahmayani P 19/12/2009

36 Hasana P 1/7/1950
Hajaria P 1/7/1952
Hartono L 21/04/1993
37 Albert Johanis L 19/07/1979
Selviana Sambara,S.Pd P 9/6/1972
Engel Febrianti P 3/2/2006
Baim Alfian L 8/10/2010

38 Harjon L 0/01/1980
Harlina P 19/07/1984
Alham P 21/01/2001
Nurbaya P 25/03/2003
Adelta L 28/11/2011

39 Nuriadin S.H L 10/5/1981

Herlina Meronda P 31/12/1983
Fharel Ghifarid L 31/05/2000
Rio Hermansya L 10/1/2003

40 Gafarudin L 27/07/1976
Midaya P 10/5/1979
Rico Rahmadan L 1/1/1995
Riska Ayu Lestari P 10/1/2003

41 La Alusu L 11/12/1961
Kurni P 10/3/1983
Arjun L 12/1/1996
Dina Asriani P 14/07/12001
Dian Pratiwi P 9/5/2003

42 Kalenggo L 11/111977
Fitri P 12/9/1982
Fadli L 19/07/2002
Vita P 10/1/2009

43 Harmin L 1/7/1965
Nurhana P 12/10/1966
Eti Afriani P 4/4/1993

44 Harisman L 2/4/1989
Harniar P 8/8/1991
 Esa Ramadhan L 4/8/2013

45 Badrun L 13/10/1950
Siti Nurayat P 17/09/1952

46 Buyung L 1/7/1980
Megawati P 1/7/1982
Selviana P 7/5/2000
Sulkifli L 2/4/2008

47 Rahmat M
Heni Wiana L 3/8/1978
Irsan Makadompit P 27/08/1985
Rahmadani L 15/08/2008
L 14/08/2012

48 Hargono L 3/3/1983
Hasriati P 12/3/1989
Topan L 3/5/2005
Wafri P 26/12/2010
Sean P 17/08/2012
49 Hasnawati D P 18/06/1963
Jufri L 1/8/1968
Kiki P
Poriodan L

50 Sudin L 1/7/1979
Hastuti P 1/7/1982
Adel P 10/8/1952
Dela P

51 Haula P 10/8/1952
Hasriani P 1/1/1980
Harno L 2/2/1982
Habidin L 3/4/1984
Haslan L 22-12-1989

52 Nurtia P 17/10/1963
Wearnia P P 30/01/1996

53 Didi Kasmita L 10/2/1991

Susianti P 22/02/1996
Olif P 07/06/20011

54 Andi Ado L 7/7/1975

Mimang P 31/12/1977
M. Sabir L 12/7/1997
Megi P 19/09/1999
Alpian L 12/6/2002
Ismet L 12/9/2006

55 Marudin L 30-12-1950
Tina Ode L 12/5/1960
Rizal M L 3/1/1985
Irham L 6/7/1991
Miswan L 21-12-1994

56 Yusniati P 4/3/1983
Celci P 13/06/2009
57 Juhardin L 1/5/1974
Harsia P 22-4-1983
Gilang Pratama P 22-1-2004
Giska Addia P 7/5/2007
Ridho Triawan L 6/6/2011

58 Andrey L 10/8/1963
Nurhaena P 1/1/1968
Heriawan L 8/12/1990
Anhar L 24-12-1992
Randa L 12/1/2001

59 Asriadi L 8/6/1975
Surni P 8/2/1977
Helni Melasari P 18-6-2001
M. Iqbal L 5/2/2009

60 Abd. Kadir P 1-1--1979

Agustina Santi L 3/8/1980
Hana Haerana P 13-7-2009
Najma Lufya P 23-12-2012

61 Arpa L 15-4-1986
Irmayanti P 8/8/1989
62 Saleh Hasan L 1/7/1958

63 Eliawan L 17-2-1985
Lisnawati P 5/5/1991

L
64 Joni H P 10/4/1969
Nuri L 10/4/1974
Popiyana P 27-4-1992
Tri P 24-5-2000
Caca Melda Setya P 30-3-2007

65 Bambang Hermawan L 12/8/1993

Wiwin Wijayanti P 13-1-1991
Nabila P 13/03/2014

66 J0hansya L 5/5/1983
Irma P 1/1/1982
Rangga Adit L 2/1/2005
Nabila P 12/8/2009
Fitrah L 4/9/2010

67 Agus L 6/23/1988
Mirna P 19-3-1985
Siti Arnelia P 19-3-2005
Putri Arlianti P 15-2-2008
Ahmad Wikra L 15-2-2008
Rahmat L 12/29/2014

68 Binsar L 3/12/1963
Bese P 1/2/1966
Mira L 8/2/1994
Mirna P 2/8/1991
Andri P 13-3-2004

69 Hermania P 1/1/1960
Ermayanti,A.M.Keb P 10/10/1989
Edhardoyo L 10/4/1984
70 Suhendri P 12/4/1982
Noni Febrianti P 22-2-1988
M.fadil L 19-10-2009
Rahmadani P 21-7-2012

71 Haema P 3/8/1951
Darlianti P 10/10/1989

72 La Ode Aminudin ,STP L 15-9-1977

Daniati P 17-5-1986
Dimas L 3/12/2005
Dwi Pertiwi P 12/8/2008
73 Husein B L 10/11/1959
Bania P 13-5-1959
Haspiono L 14-5-1985
Haswin P 5/4/1987
Rita P 10/3/1989
Hasmajudin L 16-5-1989
Reno Rifal A L 13-12-2001

74 Yurudin L 1/1/1970
Siti Hawa P 12/2/1971
Royen Afriadi L 16-4-1995
Yustan Cahyani L 18-9-2002
Delfian Yusi P 1/1/2004

75 Ruldimas L 1/7/1991
Patma Ertin M P 23-12-1993
Raul L 2/1/2009
Rahel Divandra L 14-8-2012

76 Samrin L 5/4/1976
Siti Aminah P 1/5/1980
Adri L 9/7/1998
Anggur L 27-9-2002
Aca Meldasari P 13-5-2008
Amar Nurul ukhwan P 2/4/2012

77 Andi M, Darmin S.pd 11/1/1959

Hj. Minarti A.Ma L 12/9/1961
Hendriawan Darmin P 3/6/1990

78 Ardhan L 19-7-1988
Rosmadani Darmin P 4/6/1985
M.Ammar Yasid A L 9/4/2012
Abizar L 1/28/2014

79 Bakri L 28-2-1952
Nurhaena P 8/9/1974
Jumadil L 12/4/1992
 Agustina P 17-8-1997
Fitriani P 15-12-2003

80 Suriadin L 10/10/1981
Husna P 8/8/1986
Gian Fahreza L 3/11/2002
Gista Aprilia P 28-4-2008
Gita P 2/21/2015

81 Hanibau L 1/7/1965
Siska P 10/4/1988
Hasrin L 11/4/1990
Efrin L 5/11/2004

82 Aksar L 23-8-1982
Hastuti P 10/3/1989
M.Alfian Alrasyid L 25-6-2008
Rabiah Anisa P 30-5-2012

83 Agus R L 4/3/1973
Hasratinsyah P 7/3/1978
Elsa P 8/7/1988
Arsandi 10/11/2002
Dion L 22-5-2005
Keizah Aulia Putri P 10/5/2012

84 Rustam L 27-7-1984
Hasna P 10/4/1991
M. Alwan Alfikri L 26-11-2012

85 Sunusia L 1/7/1950

86 Wasdin Rumanda L 9/8/1982

Umran P 1/7/1983
Gian Adi Pratama L 29-8-2001
Rifan Ari Fraditya P 26-5-2006
Reyhan L 11/15/2014
87 Jamaludin L 9/11/1962
Nursati P 7/11/1969
Jainal M P 14-9-1988
Jayanti L 29-12-1990
Dwi L 27-10-1992
Budiman L 3/10/1994
Desi Oktaviani P 27-10-1996
Dimas L 27-10-2002
Anto Wiro L 28-1-2004

88 Dahala P 28-12-1961

89 Wasiu P 1/7/1952
Musrifa L 21-1-1993
Ld.M. Tasyrik 18-10-2012

90 Bripka. Amir Murtiono L 30-10-1978

Asniatin P 4/2/1987
Farhan L 2/2/2006

91 Harudin P 1/1/1972
Hasnawati P 1/12/1975
Hayung P 9/9/1992
Aldin P 22-11-1999
M. Ilham L 27-12-2001
Wahyu Periadi P 20-2-2008
Tiara P 28-3-2012

92 Yunus A.Md L 19-8-1967

Eriyun P 24-5-1990
Rara P 18-6-2004

93 Andi Herman L 7/12/1980

Afrianti P 9/26/1984
94 Darianti P 1/7/1937

95 La Uto L 1/7/1953
Suarni P 1/7/1954

96 Sumarni P 1/5/1983
Alifa P 22-9-2008

97 Arsad S L 31-12-1960
Haerina P 31-12-1964
Amel P 8/10/2005

98 Agus M L 1/1/1971
Sunartin P 23-3-1975
Arsedi L 10/10/1990
Peri Sandria P 20-12-1995

99 Rahman L 12/12/1983
Asry Prasetya Wera P 16-3-1992
Firan P 24-11-2009
Novan L
100 Sumardin L 31-12-1974
Nuriha P 31-12-1975
Supriyanto L 16-11-1996
Fera P 1/6/2004
Chika P 23-6-2007

101 Marsudin P 1/7/1964

Siti Aji L 1/7/1971
Hendra L 21-9-1988
Indri

L
102 Makaraus P 20-3-1968
Rahmatia L 31-1-1976
Darwin L 18-5-1995
Rahmi P 5/3/1997
Pandi L 20-8-1998
Fajar L 3/1/2002

103 Nursia P 1/7/1958

104 Jusnawati P 10/5/1975

Yayan L 21-1-1994
Yeyen L 7/7/1997

105 Andi Herman S.Pd L 1/2/1974

Ida Asri SE P 10/8/1973
M. Al Fairus 7/3/2012

106 Budurahma P S
Rosi L 5/1/1968
Alias P 10/10/1988
Harlianti P 15-9-1991
Winda P 22-9-1997

107 Bayu L 17-8-1990

Nirmawati P 14-3-1986
M. Iqbal L 3/6/2009
108 Arman L 4/17/1984
Niatin P 9/19/1988

109 Hasnawi L 3/3/1972

Misna P 3/9/1969
Dian Lestari P 11/10/1996
Yogit Alfian L 20-10-1999
Fatmawati P 20-10-2001
Abd.Ali Maptu L 19-3-2005

110 M. Rayung L 22-1-1968

Hartati P 10/4/1979
Oktaviani P 9/10/1997
Dwi Bangkit P 20-5-1998
Oscar L 20-5-2002
Amel P 2/12/2015

111 Geleng L 15-3-1985

Marwia P 8/6/1985
Indra Jaya L 25-5-2008
Indriani P 23-5-2010

112 Talib Aspa L 7-1-19953

Sartia P 1/7/1954
Rabudin L 24-1-1991
Jojon L 21-1-1985
Dona P 8/23/1999
Holi L 12/12/1987
Akbar L 7/4/2000

113 Musgondo L 19-5-1971

Nursida P 1/1/1974
Resta P 17-5-1995
Gita L 10/12/2000
114 Hasrat L 15-8-1985
Minartin P 15-4-1986
Suci Rahmadani P 22-9-2005
Dwi Mildamayanti P 1/11/2009

115 Henderman L 22-11-1983

Aswia P 7/12/1987
Aqilah Rahmadani P 7/17/2014

116 M. Yusuf L 2/3/1945

Tapeu P 1/1/1952
Ririn Risnawati P 17-7-1986
Indriani Safitri P 6/3/1989

117 Kaharudin L 26-6-1979

Diana P 8/8/1988
Rimba L 19-1-2009
Ranggga L 17-1-2010

118 Suraeni L 10/7/1952

Sabona P 7/10/1953
Irham L 22-3-1983
Irsan L 1/4/1992
Irlan L 16-7-1995

119 Arfa L 5/5/1986

Irma A P 8/8/1989

120 Titin P 1/7/1976

Indra S P 6/7/1979
Andri S L 10/06/199

121 Alex Johanis L 12/4/1972

Nasda P 1/2/1970
Tri Oldi A, Johanis L 28-10-1997
Fresky Audia Johanis L 11/8/2004
Geraldon Johanis L 4/8/2007
122 Arman L 12/12/1991
Bella Fransisca J P 12/9/1991
Tezar L 16-12-2011
Aiko Queen Amora P 8/16/2014

123 Ibrahim Muslimin L 17-11-1991

Meiske Johanis P 17-11-1993
Darul Ibrahim L 16-12-2011

124 Andi Galu L 7/7/1955

Nurhana AG P 1/1/1971
Yayuk Restika P 21-10-1991
Popi Andriani P 11/9/1993
Galang L 1/12/1999

125 Musbar L 1/7/1976

Hanapia P 31-12-1975
Ismail L 17-3-1988

126 Waura P 31-12-1950

Irpan L
Romayanti P 15-12-1994

127 Bece DP L 12/12/1943

128 Andi Masalindring L 29-1-1983

Indah Sari P 20-1-1993
M. Zaki L 30-6-2010
129 Juhaepa L 2/3/1968
Yasir L 1/7/2000

130 Nurdin L 6/1/1973

Rima P 21-5-1980
M. Jufri L 14-4-1999
Husni L 3/10/2000
Nadia P 22-4-2008

131 Amin L 1/1/1977

Agustina P 2/11/1980
Hendriawan L 5/3/1999
Dila Apriani P 3/4/2001
Afdal Agim L 3/12/2008

132 Edison L 1/7/1979

Rumiati P 12/2/1978
Neliana L 13-3-2003
Aldi 29-9-2007

L
133 Mbaja P 17-11-1982
Harni L 6/9/1983
Destika Adelia L 25-2002
Afni Feranika P 17-1-2010

134 Tinggi L 8/9/1953

135 Jumadin L 5/2/1970

Suriati P 1/7/1973
Wilda Wahyuni P 2/12/1995
Wahyuda Wahyudin L 17-8-1999
Jirman L 12/5/2003
Wika Wahyuni P 13-11-2008
Wiken Wahyuni P 14-11-2009

136 Andu L 19-12-1961

137 Ansari Rahmat L 1/5/1985
Umi Triana P 1/9/1980
Aliq Rahmat Ansari L 4/7/2007
Alika P 4/14/2014

138 Sudomo SE L 22-5-1977

Jumartin A.Ma P 1/4/1970
M. Sapril L 30-3-2002
Owen L 31-3-2006
Alamsyah L 1/1/2011

139 Sudirman L 1/1/1968

Nurhayati P 12/12/1962
Rosnina P 19-9-1989
Meilani P 1/5/1997

140 Hariyanto L 12/2/1961

Siti Saira P 7/7/1964
Veni Triana P 6/7/1990
Elvan L 1/6/1998
Diva Reiysa P 20-9-2003
Maulia Rahmadani P 14-10-2006

141 Hendrik Johanis L 14-8-1976

Marlina P 11/8/1979
Aril Saputra Johanis L 6/1/1998
Nada Cician Johanis L 2/2/2000
Naira Ilmira Johanis L 27-11-2012

142 Subohan L 20-7-1971

Olvi Orlando S L 4/24/1999

143 Husein S L 1/7/1963

144 Andris Johanis L 1/3/1946

145 Salomo L 14-7-1966
Selvi P 31-3-1969
Abdul Muis, AMK L 30-11-1989
M. Saddam L 29-1-1991
M. Arjam L 26-1-2000
Sindi Sasmita P 14-11-2008

146 Muliyadi S.Pd L 2/9/1974

Andriyani Johanis P 23-6-1981
Abim Aksa Adi L 1/6/2004
Ardika Dwi Putra Adi L 28-3-2007
Alzenorica Tri Anita P 19-10-2011

147 Badrun L 1/7/1944

Siti Nurbaya P 24-4-1960
Selfiana P 27-7-2000
Reski P 12/12/1991

148 Hamadung L 1/10/1965

Mas'an P 1/1/1969
Ayu Ristanti P 3/2/1991
Helen P 3/2/1995
Nanda P 20-6-2000
Heni P 9/12/2002
P 11/2/1990

149 Ernawati P
Dea P
Diah Ayu Nabila P 1/7/2001

150 Abdullah L 15-8-1980

Hastuti P 12/5/1980
Adit L 6/12/2010

151 Yudi Setiawan L 7/15/1988

Hamriati P 8/15/1988
Zahra P 2/6/2014
152 Muhklis L
Hasni P
Nursakinah L 24-10-2010

153 Yusran Yusuf L 2/2/1982

Isra Wahyuningsih P 6/12/1983

154 Nasrun L 8/12/1986

Indriani P 4/12/1997
Isar L 1/7/2015

155 Abdul Makmur, S.Pd L 9/5/1987

Sri Ulfa Agustini S.Pd P 17-8-1984
Nur Adeva Safrani L 19-7-2010
Bombom P 1/6/2015

156 Muh.Saddam L 6/23/1990

Arna Sasmita P 26/061992

157 Aris L 1/7/1998

Nurmina P 2/10/1990
Armin L 22-2-2007
Afika P 8/9/2009

158 Yuge L 16-4-1973

Nurhayati P 7/6/1974

23-9-1968

159 Usman Jaya L 20-7-1985

Ati P
Ilham L 3/12/2008
160 Iskandar L 23-3-1972
Nuru P 22-3-1976
Isrul L 30-9-2000
Isra L 9/10/2003
Isna P 6/4/2008
Rahmadani P 26-8-2010

161 Latib L L 25-10-1961

Celci P 12/6/2000

162 Sumarni P 1/3/1993

Alifa P 22-9-2008

163 A. Sudarwan P 21-8-1983

Andriani P 15-8-1991

164 Safarudin L 5/7/1975

Elisandriani P 1/3/1982
Natasya Eka Putri P 14-8-2004
Dwi Agil P 18-11-2005
Tristan L 17-7-2007

165 La Ami L 9/23/1968

167 Junaidin L 7/23/1983

Nurida P 9/25/1988

168 Parida P 2/11/1977

Icha P 11/03/200

169 Aki L 1/3/1970

Fatma P 5/20/1996

170 Amran L 4/22/1990

Ikhsan L 11/4/2011
171 Sarijo L 3/1/1937
Tri P 12/14/1966

172 Limba Sara L 7/1/1943

173 Keo L 10/11/1943

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Apras 60-71 bulan Remaja 10- 14 tahun Remaja 15-18 tahun BUMIL BULIN BUFAS LANSIA Kepesertaan KET
bulan RW
JAMKESMAS BPJS PNS
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