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SASARAN PIN MR PUSKESMAS TAMPOJUNG PREGI USIA 13-15 Thn

Desa : Tampojung Pregi


Dusun : Ja'ah
0
NAMA ORANG TUA
TANGGAL
NO NAMA L/P ALAMAT KETERANGAN
LAHIR
AYAH IBU
Dsn. Ja'ah, Ds.
1 raudatul jannah P 12/6/2001 mosni khodaifah Tampojung Pregi
Dsn. Ja'ah, Ds.
2 hotim khalifah P 26/12/2002 muarram sumyana Tampojung Pregi
Dsn. Ja'ah, Ds.
3 mafruhah P 21/05/2002 muhammad s Tampojung Pregi
Dsn. Ja'ah, Ds.
4 mahfud L 3/4/2001 muhdar bunimah Tampojung Pregi
Dsn. Ja'ah, Ds.
5 erik L 29/04/2002 muhdi m sit Tampojung Pregi
Dsn. Ja'ah, Ds.
6 hoiruddin L 2/1/2001 mulan fatimah Tampojung Pregi
Dsn. Ja'ah, Ds.
7 faridah P 5/3/2003 baihaqi murhasiyeh Tampojung Pregi
Dsn. Ja'ah, Ds.
8 fahrul L 10/10/2002 mustofa ideh Tampojung Pregi
Dsn. Ja'ah, Ds.
9 moh.ali ghuffron L 27/06/2003 nayan suhama Tampojung Pregi
Dsn. Ja'ah, Ds.
10 khofifah P 29/05/2003 niman nur pati Tampojung Pregi
Dsn. Ja'ah, Ds.
11 hamdani L 8/4/2003 noer hasanah Tampojung Pregi
Dsn. Ja'ah, Ds.
12 ivan afdali L 17/03/2001 nur hayati Tampojung Pregi
Dsn. Ja'ah, Ds.
13 musdalipah P 1/7/2004 puani Tampojung Pregi
Dsn. Ja'ah, Ds.
14 hafidatul rofiah P 4/10/2001 puriman Tampojung Pregi
Dsn. Ja'ah, Ds.
15 muhammad rofiqi P 4/7/2003 ra'e juhairiyah Tampojung Pregi
Dsn. Ja'ah, Ds.
16 ahmad hafiluddin L 10/12/2003 ra'e juhairiyah Tampojung Pregi

17 afandi L 15/07/2003 riki Dsn. Ja'ah, Ds.


Tampojung Pregi
Dsn. Ja'ah, Ds.
18 kholifatur rohman L 8/7/2002 sadali sutimah Tampojung Pregi
Dsn. Ja'ah, Ds.
19 istiana P 18/04/2003 salaman rubaiyah Tampojung Pregi
Dsn. Ja'ah, Ds.
20 nailur rahman L 21/08/2002 samsiatul Tampojung Pregi
Dsn. Ja'ah, Ds.
21 zeinur rahman L 15/06/2002 samsuri farida Tampojung Pregi
Dsn. Ja'ah, Ds.
22 fathor rozi L 17/05/2002 santah jumaati Tampojung Pregi
Dsn. Ja'ah, Ds.
23 m. syahid L 7/2/2002 sarkawi sutiyeh Tampojung Pregi
Dsn. Ja'ah, Ds.
24 badrus samsih L 3/4/2003 satromo samana Tampojung Pregi
Dsn. Ja'ah, Ds.
25 sito L 22/09/2003 senni sit fatimah Tampojung Pregi
Dsn. Ja'ah, Ds.
26 ach. Fendi L 10/9/2003 subeidi surtik Tampojung Pregi
Dsn. Ja'ah, Ds.
27 elliyah P 6/10/2002 sudi sarifah Tampojung Pregi
Dsn. Ja'ah, Ds.
28 salamat L 26/02/2001 sudi yuliana Tampojung Pregi

Dsn. Ja'ah, Ds.


29 zelvia P 17/08/2001 monanggi b maidi Tampojung Pregi
Dsn. Ja'ah, Ds.
30 roihan nurfikri L 3/1/2001 supatla indrawati Tampojung Pregi
Dsn. Ja'ah, Ds.
31 husni muberok L 25/03/2003 tumen holiyeh Tampojung Pregi
yusuf Dsn. Ja'ah, Ds.
32 syarif abdullah L 24/01/2003 hamimah
abbdullah Tampojung Pregi
Dsn. Ja'ah, Ds.
33 moh. Khoiruddin L 30/05/2003 abd kadir maryam Tampojung Pregi
Dsn. Ja'ah, Ds.
34 noruddin L 15/07/2003 abd muis sahidah Tampojung Pregi
Dsn. Ja'ah, Ds.
35 liqman hakim L 23/11/2001 abd qohir nima Tampojung Pregi
Dsn. Ja'ah, Ds.
36 mudmai nahi L 27/12/2002 abd hamid mai Tampojung Pregi
Dsn. Ja'ah, Ds.
37 ach. Robitul huda L 24/02/2003 ach husaini hamimah Tampojung Pregi
Dsn. Ja'ah, Ds.
38 holifatus soleha P 1/1/2001 amina hozaimah Tampojung Pregi
Dsn. Ja'ah, Ds.
39 hosnol wasilah P 17/01/2001 armin siti romlah Tampojung Pregi
Dsn. Ja'ah, Ds.
40 fauzah L 26/05/2003 atman jurina Tampojung Pregi
Dsn. Ja'ah, Ds.
41 achmad fahri nuruddin L 23/11/2003 bahri Tampojung Pregi
Dsn. Ja'ah, Ds.
42 badrud tamam L 10/11/2002 baido'i juhairiyah Tampojung Pregi
Dsn. Ja'ah, Ds.
43 lailiyah P 13/10/2002 bukari susmiati Tampojung Pregi
Dsn. Ja'ah, Ds.
44 hozaimah P 19/07/2003 bukon samuna Tampojung Pregi
Dsn. Ja'ah, Ds.
45 rifin afandi L 17/11/2003 edi cahyono samawati Tampojung Pregi
Dsn. Ja'ah, Ds.
46 wahyu eka fitriyah P 10/12/2001 fauzan junaisah Tampojung Pregi
Dsn. Ja'ah, Ds.
47 indah afri ana P 12/4/2003 fauzan junaisah Tampojung Pregi
Dsn. Ja'ah, Ds.
48 nor azizah P 2/5/2002 hadi juhairiyah Tampojung Pregi
Dsn. Ja'ah, Ds.
49 riyanto L 5/10/2003 hakim sumaina Tampojung Pregi
Dsn. Ja'ah, Ds.
50 evi shinta P 17/12/2001 hanimu milah Tampojung Pregi

51 alisa natalia P 10/12/2002 heji muryati Dsn. Ja'ah, Ds.


Tampojung Pregi
Dsn. Ja'ah, Ds.
52 rudi haryanto L 1/7/2001 ladin sahani Tampojung Pregi
Dsn. Ja'ah, Ds.
53 nurhasanah P 9/12/2002 lahwar amina Tampojung Pregi
Dsn. Ja'ah, Ds.
54 ika wardani P 2/5/2002 m. yatim marni Tampojung Pregi
aisyatul mar'ah Dsn. Ja'ah, Ds.
55 P 21/08/2001 madi honaidah
agustina Tampojung Pregi
Dsn. Ja'ah, Ds.
56 ach. Irwan L 12/12/2003 marli saridah Tampojung Pregi
Dsn. Ja'ah, Ds.
57 ach. Hafiluddin L 1/7/2002 samsul msiyah Tampojung Pregi
masrufah Dsn. Ja'ah, Ds.
58 lu'luil lutfiyah P 24/04/2001 bukhari Tampojung Pregi

masrufah Dsn. Ja'ah, Ds.


59 hilyatul auliya P 9/4/2003 bukhari Tampojung Pregi

Dsn. Ja'ah, Ds.


60 susanti P 3/4/2001 mat ali mae Tampojung Pregi
Dsn. Ja'ah, Ds.
61 fiqia s P 1/7/2001 naemah Tampojung Pregi
Dsn. Ja'ah, Ds.
62 siti fatimah P 6/6/2002 matyo suhama Tampojung Pregi
Dsn. Ja'ah, Ds.
63 nurul hidayat L 8/9/2002 misradin patmina Tampojung Pregi
Dsn. Ja'ah, Ds.
64 khofifah P 1/5/2001 mistari samsiyah Tampojung Pregi
SASARAN PIN MR PUSKESMAS TAMPOJUNG PREGI USIA 7 Thn - 12 Thn
Desa : Tampojung Pregi
Dusun : Ja'ah

NAMA ORANG TUA


TANGGAL
NO NAMA L/P ALAMAT KETERANGAN
LAHIR
AYAH IBU

Dsn. Ja'ah, Ds.


1 moh. Yunus L 04/05/20017 samsuri masni Tampojung Pregi

Dsn. Ja'ah, Ds.


2 aan sholehah P 13/11/2004 samsuri hona Tampojung Pregi

Dsn. Ja'ah, Ds.


3 jihan nabila P 1/7/2010 samsuri hona Tampojung Pregi

Dsn. Ja'ah, Ds.


4 alawiyeh novitas P 11/12/2005 samu'en ferdinan Tampojung Pregi

Dsn. Ja'ah, Ds.


5 andika khoir L 17/05/2002 sarkawi sutiyeh Tampojung Pregi

Dsn. Ja'ah, Ds.


6 nor aida P 15/06/2004 sarnadin sakami Tampojung Pregi

Dsn. Ja'ah, Ds.


7 khoiril anwar L 9/3/2006 sinti hoiriyah Tampojung Pregi

Dsn. Ja'ah, Ds.


8 faisol anwar L 27/10/2014 subahri subia Tampojung Pregi

Dsn. Ja'ah, Ds.


9 rani P 15/06/2006 subehri norma Tampojung Pregi

Dsn. Ja'ah, Ds.


10 abd rahman L 11/1/2004 subeidi surtik Tampojung Pregi

Dsn. Ja'ah, Ds.


11 iqbal farhan hakiki L 22/07/2008 Tampojung Pregi

Dsn. Ja'ah, Ds.


12 reyyo al halbiy L 24/10/2009 sudiyono asmawati Tampojung Pregi

Dsn. Ja'ah, Ds.


13 wildan firdausi L 28/12/2009 suhari rohmawati Tampojung Pregi

Dsn. Ja'ah, Ds.


14 isabela P 15/10/2004 sumadi tutik Tampojung Pregi

Dsn. Ja'ah, Ds.


15 aisah firdausi P 17/12/2008 syahridin patimah Tampojung Pregi

Dsn. Ja'ah, Ds.


16 rosi L 10/1/2005 tokiman misrama Tampojung Pregi

Dsn. Ja'ah, Ds.


17 azkan nufus L 15/11/2009 waris wiboowo miskina Tampojung Pregi

Dsn. Ja'ah, Ds.


18 maulana izhaq L 25/02/2008 yusuf abdullah hamimah Tampojung Pregi
Dsn. Ja'ah, Ds.
19 alfin hidayah L 10/6/2004 zainuddin surama Tampojung Pregi

Dsn. Ja'ah, Ds.


20 hasnaini P 13/03/2006 zali hasanah Tampojung Pregi

Dsn. Ja'ah, Ds.


21 hafilatul hasanah P 10/11/2005 zeinal khotijeh Tampojung Pregi

Dsn. Ja'ah, Ds.


22 fitriana P 2/12/2005 abd. Halil mutihah Tampojung Pregi

23 indriani P 6/7/2005 abd. Hamid hasiyah Dsn. Ja'ah, Ds.


Tampojung Pregi

Dsn. Ja'ah, Ds.


24 narjul ghofron rofi L 23/10/2007 abd. Mannan maisseh Tampojung Pregi

Dsn. Ja'ah, Ds.


25 uli nikmah P 12/11/2004 abd. Qoher rukmiyati Tampojung Pregi

Dsn. Ja'ah, Ds.


26 tasfiatun nufus P 25/12/2006 abd. Roqib faizah Tampojung Pregi

Dsn. Ja'ah, Ds.


27 mahfud efendi L 4/3/2008 abdullah siti nawati Tampojung Pregi

Dsn. Ja'ah, Ds.


28 fatlatul jazilah P 5/5/2006 abd hamzeh rukmiyati Tampojung Pregi

ach samsul Dsn. Ja'ah, Ds.


29 abd wahed L 6/10/2005 sama
arifin Tampojung Pregi

Dsn. Ja'ah, Ds.


30 nadia assiadali P 18/03/2009 ach husaini hamimah Tampojung Pregi

Dsn. Ja'ah, Ds.


31 moh. Iqmal maulana L 2/1/2006 adman susmi Tampojung Pregi

Dsn. Ja'ah, Ds.


32 sandikin L 3/5/2004 ahmad hodeh Tampojung Pregi

Dsn. Ja'ah, Ds.


33 nadianoriyali P 25/07/2006 ahmad ena Tampojung Pregi

Dsn. Ja'ah, Ds.


34 ahmad fajar L 12/5/2005 ahmad halili Tampojung Pregi

Dsn. Ja'ah, Ds.


35 moh. Na'inul itqon L 19/07/2009 ahmad yasid monawwaroh Tampojung Pregi

Dsn. Ja'ah, Ds.


36 eka anniyatul m P 21/07/2006 akhmad rifa'i surifah Tampojung Pregi

Dsn. Ja'ah, Ds.


37 roysal umam L 30/12/2009 ahmad taufik rahmah Tampojung Pregi
ahmad Dsn. Ja'ah, Ds.
38 salman alfarizi L 20/05/2006 hotimah
wahyudi Tampojung Pregi

Dsn. Ja'ah, Ds.


39 amin fahrul rosi L 14/06/2007 amsul isa Tampojung Pregi

Dsn. Ja'ah, Ds.


40 sohibur rohman L 26/04/2007 nurrahman apsati Tampojung Pregi

Dsn. Ja'ah, Ds.


41 ummu diana P 9/2/2008 arba'e tiani Tampojung Pregi

Dsn. Ja'ah, Ds.


42 aisyatul charsiyah P 2/9/2007 ashuri masiyah Tampojung Pregi

Dsn. Ja'ah, Ds.


43 suzana P 8/3/2004 ashuri mu'mina Tampojung Pregi

44 ahmad susanto rohim L 7/4/2004 bahrawi juma'ana Dsn. Ja'ah, Ds.


arrohman Tampojung Pregi

bahrawi Dsn. Ja'ah, Ds.


45 istisada effati P 21/09/2008 juma'ana
arrohman Tampojung Pregi

Dsn. Ja'ah, Ds.


46 eliysatur rohmah P 10/1/2007 bahri Tampojung Pregi

Dsn. Ja'ah, Ds.


47 syafiuddin L 12/12/2007 baido'i juhairiyah Tampojung Pregi

Dsn. Ja'ah, Ds.


48 abdur rouf L 11/9/2004 basri hamidah Tampojung Pregi

edy taidakumur Dsn. Ja'ah, Ds.


49 L 7/2/2004 binatah punimah
rohman Tampojung Pregi

Dsn. Ja'ah, Ds.


50 moh. Kevin L 12/2/2007 bukari susmiati Tampojung Pregi

Dsn. Ja'ah, Ds.


51 arifatul hikmah P 10/4/2007 busen muryati Tampojung Pregi

Dsn. Ja'ah, Ds.


52 maldatus zahroh P 22/01/2004 dani rasimah Tampojung Pregi

Dsn. Ja'ah, Ds.


53 ach. Abul fida lidinillah L 9/5/2005 erfan siddik kamaliyah Tampojung Pregi

Dsn. Ja'ah, Ds.


54 motmainah P 25/08/2008 hanimu milah Tampojung Pregi

Dsn. Ja'ah, Ds.


55 haizatus sehroh P 2/1/2006 masiruddin rohmatun Tampojung Pregi

Dsn. Ja'ah, Ds.


56 ach. Fawaid L 15/02/2004 hasiyah Tampojung Pregi
Dsn. Ja'ah, Ds.
57 may P 1/1/2005 hawi hamimah Tampojung Pregi

Dsn. Ja'ah, Ds.


58 lidiya P 15/05/2009 heji muryati Tampojung Pregi

rohmat putra dana Dsn. Ja'ah, Ds.


59 L 5/11/2008 hirah sumaina
ilahi Tampojung Pregi

Dsn. Ja'ah, Ds.


60 hafidah P 2/1/2009 ikhsan ismiyati Tampojung Pregi

Dsn. Ja'ah, Ds.


61 milliatin nisa' P 10/7/2007 ismail farida Tampojung Pregi

Dsn. Ja'ah, Ds.


62 fauzen amin L 24/12/2005 jetem busenten Tampojung Pregi

63 ach.roysah aminullah L 17/01/2007 jauzi Dsn. Ja'ah, Ds.


Tampojung Pregi

Dsn. Ja'ah, Ds.


64 indah lestari P 23/12/2009 jasuri suibah Tampojung Pregi

nor hasibatul fitriyah Dsn. Ja'ah, Ds.


65 P 26/07/2008 junaidi junaidah
junaidi Tampojung Pregi

Dsn. Ja'ah, Ds.


66 zelviatus soleha P 20/08/2005 juri m pusri Tampojung Pregi

Dsn. Ja'ah, Ds.


67 padlul haromain L 9/4/2008 kamiluddin nurhasanah Tampojung Pregi

Dsn. Ja'ah, Ds.


68 reyadi ramadani L 29/09/2007 kide ninten Tampojung Pregi

Dsn. Ja'ah, Ds.


69 holifah P 29/06/2008 kide ninten Tampojung Pregi

Dsn. Ja'ah, Ds.


70 mutawakkail alallh L 9/5/2004 lamed suma Tampojung Pregi

Dsn. Ja'ah, Ds.


71 melliyatul maufiroh P 26/11/2008 m. narto sumyati Tampojung Pregi

muhammad amin Dsn. Ja'ah, Ds.


72 L 19/09/2007 m. ali muksin sumiyati
outbbiy Tampojung Pregi

Dsn. Ja'ah, Ds.


73 fathor munif L 29/05/2005 maena sinur Tampojung Pregi

Dsn. Ja'ah, Ds.


74 ummamatus soleha P 9/9/2006 maena admani Tampojung Pregi

Dsn. Ja'ah, Ds.


75 siti khatijah P 24/01/2009 mangko miskati Tampojung Pregi
Dsn. Ja'ah, Ds.
76 siti munawarah P 4/6/2004 marlawi samsiyah Tampojung Pregi

Dsn. Ja'ah, Ds.


77 maftuhah P 10/11/2005 maryam Tampojung Pregi

Dsn. Ja'ah, Ds.


78 halili L 23/12/2007 maryam Tampojung Pregi

Dsn. Ja'ah, Ds.


79 amiliyatus zahrah P 15/08/2009 moh. Heri musfiroh Tampojung Pregi

Dsn. Ja'ah, Ds.


80 amiruddin L 18/02/2005 matkiyen nama Tampojung Pregi

Dsn. Ja'ah, Ds.


81 sahrul L 15/0/2004 matnito rohimah Tampojung Pregi

82 abd. Rohim L 8/5/2005 matromo darmi Dsn. Ja'ah, Ds.


Tampojung Pregi

Dsn. Ja'ah, Ds.


83 fikriansah L 8/5/2006 matromo darmi Tampojung Pregi

Dsn. Ja'ah, Ds.


84 hefatun hasanah P 9/7/2006 misnalah juhariyah Tampojung Pregi

Dsn. Ja'ah, Ds.


85 fatmawati P 12/7/2005 misnu kiyeh Tampojung Pregi

Dsn. Ja'ah, Ds.


86 surayyah P 27/06/2004 misradin patmina Tampojung Pregi

Dsn. Ja'ah, Ds.


87 mohammad. nizam L 17/08/2006 surati Tampojung Pregi

Dsn. Ja'ah, Ds.


88 moh. Rofiqi L 17/08/2007 mistari samsiyah Tampojung Pregi

Dsn. Ja'ah, Ds.


89 alfiyeh P 21/11/2004 moh. Roqib siyah Tampojung Pregi

Dsn. Ja'ah, Ds.


90 mafrudatul aulia P 21/09/2007 moh. Aliyah rodiyah Tampojung Pregi

Dsn. Ja'ah, Ds.


91 anis sulalah P 29/08/2005 moh. Hari baitiyeh Tampojung Pregi

Dsn. Ja'ah, Ds.


92 robbiyatul adawiyah P 20/11/2005 moh. Jufri fatima Tampojung Pregi

Dsn. Ja'ah, Ds.


93 moh. Atqil fahmi L 1/1/2008 moh. Jufri fatima Tampojung Pregi

Dsn. Ja'ah, Ds.


94 hafidatus zahrah P 27/03/2007 moh. Nafi siti kholifah Tampojung Pregi

Dsn. Ja'ah, Ds.


95 isabela P 30/11/2007 moh.salam fatmawati Tampojung Pregi

Dsn. Ja'ah, Ds.


96 taufiqqurrahman L 3/4/2004 moh. Hasan sutima Tampojung Pregi
moh. Husni Dsn. Ja'ah, Ds.
97 moh.zaky firmansah L 29/06/2006 kiptiyah
mubarok Tampojung Pregi

Dsn. Ja'ah, Ds.


98 aghina ikvi el- zafiyana P 12/6/2007 moh. Zeinullah muzdalifah Tampojung Pregi

Dsn. Ja'ah, Ds.


99 atiqotul hasanah P 4/1/2005 moh. Adi subainah Tampojung Pregi

Dsn. Ja'ah, Ds.


100 ali wafa L 10/1/2005 mohammad juhairiyeh Tampojung Pregi

101 siti aisyah P o4/08/2016 mohammad juhairiyeh Dsn. Ja'ah, Ds.


Tampojung Pregi

mohammad Dsn. Ja'ah, Ds.


102 moh. Abibur rohman L 16/08/2007 bunaryami
ramli Tampojung Pregi

Dsn. Ja'ah, Ds.


103 nur miati P 1/1/2004 muddin ummatun Tampojung Pregi

Dsn. Ja'ah, Ds.


104 miyatun P 15/08/2005 muddin ummatun Tampojung Pregi

Dsn. Ja'ah, Ds.


105 qurratulaini P 12/6/2006 mudali hosriyeh Tampojung Pregi

Dsn. Ja'ah, Ds.


106 zainatul jannah P 10/1/2006 mudi m maskiyah Tampojung Pregi

mohammad Dsn. Ja'ah, Ds.


107 muzayyanah P 1/10/2004 punisa
ramli Tampojung Pregi

Dsn. Ja'ah, Ds.


108 moh. Erdin L 21/05/2005 mohammad s Tampojung Pregi

Dsn. Ja'ah, Ds.


109 moh. Riki L 15/12/2008 muhdar bunimah Tampojung Pregi

Dsn. Ja'ah, Ds.


110 alfin L 10/6/2009 muhyi supyati Tampojung Pregi

Dsn. Ja'ah, Ds.


111 ali mahrus L 29/06/2006 mulyadi susmiati Tampojung Pregi

Dsn. Ja'ah, Ds.


112 nurul arifah P 20/03/2006 muna ra'i Tampojung Pregi

Dsn. Ja'ah, Ds.


113 mila P 21/04/2008 hasiyeh Tampojung Pregi

Dsn. Ja'ah, Ds.


moh.riski
114 L 10/1/2009 mur hasiyeh Tampojung Pregi

Dsn. Ja'ah, Ds.


laili nurul hidayati
115 P 2/2/2005 musamman mariyah Tampojung Pregi
Dsn. Ja'ah, Ds.
sahrul gunawan
116 L 28/07/2007 mustajib nur lailah Tampojung Pregi

chelsi aulia Dsn. Ja'ah, Ds.


117 P 20/03/2009 normal hatiyah Tampojung Pregi
ismail fahmi rizal Dsn. Ja'ah, Ds.
118 L 24/08/2009 nur salam khozainah Tampojung Pregi
hairulmufit Dsn. Ja'ah, Ds.
119 L 20/12/2009 riko Tampojung Pregi
moh. Firman Dsn. Ja'ah, Ds.
120 hidayatullah L 21/12/2006 sa'roni imyatun Tampojung Pregi
siti latifah Dsn. Ja'ah, Ds.
121 P 6/11/2008 saha juma'ati Tampojung Pregi
nurhasanah Dsn. Ja'ah, Ds.
122 P 14/03/2009 sahawi sa'diyah Tampojung Pregi
diani Dsn. Ja'ah, Ds.
123 L 20/06/2005 sahuri sit Tampojung Pregi

iftira khoirun nisa' Dsn. Ja'ah, Ds.


124 P 29/07/2009 salamet yati Tampojung Pregi
kholid fahmi Dsn. Ja'ah, Ds.
125 L 13/07/2007 salehoddin juwarna Tampojung Pregi
ahmad ropiqi Dsn. Ja'ah, Ds.
126 L 14/04/2009 sami Tampojung Pregi
khoirul anwar Dsn. Ja'ah, Ds.
127 L 30/08/2005 samsiatun Tampojung Pregi
rifkiy al farisiy Dsn. Ja'ah, Ds.
128 L 19/09/2004 samsuri subliha Tampojung Pregi

ismail Dsn. Ja'ah, Ds.


129 L 24/08/2009 samsuri masni Tampojung Pregi
SASARAN PIN MR PUSKESMAS TAMPOJUNG PREGI USIA 9 bln - 59 bln
Desa : Tampojung Pregi
Dusun : Ja'ah

NAMA ORANG TUA


NO NAMA L/P TANGGAL LAHIR ALAMAT KETERANGAN
AYAH IBU

Robbioh Firly Dsn. Ja'ah, Ds.


1 L 4/8/2013 ABD. Mannan Maiseh Tampojung Pregi
Alifah Hibatillah Dsn. Ja'ah, Ds.
2 L 1/8/2014 ABD.Mu'id Norasiseh Tampojung Pregi
Ach. Nawa ilul Dsn. Ja'ah, Ds.
3 L 9/2/2014 ABD. Roqib Faizah Tampojung Pregi
khodaifah Dsn. Ja'ah, Ds.
4 L 2/4/2014 ABD. Mughni halisah Tampojung Pregi
avlia izzatun Dsn. Ja'ah, Ds.
5 P 2/2/2013 ABD. Wahid waina Tampojung Pregi
moh. Jamaluddin Dsn. Ja'ah, Ds.
6 L 27/12/2015 Abdullah sakinah Tampojung Pregi
moh. Roisul ulum Dsn. Ja'ah, Ds.
7 L 16/01/2014 Ahmad ena Tampojung Pregi
fahruz zaman sit Dsn. Ja'ah, Ds.
8 L 20/07/2014 Ahmad rosi maimunah Tampojung Pregi
vina rahmatika Dsn. Ja'ah, Ds.
9 P 10/2/2013 ahmad rifa'i surifah Tampojung Pregi
wafiq azizah Dsn. Ja'ah, Ds.
10 P 3/3/2014 ammanah marsiha Tampojung Pregi
hasibur rohman Dsn. Ja'ah, Ds.
11 L 4/4/2012 amruki asina Tampojung Pregi
ghaisal maromi amin Dsn. Ja'ah, Ds.
12 L 6/10/2012 armin siti romlah Tampojung Pregi
jadikatul azhar Dsn. Ja'ah, Ds.
13 P 4/3/2014 admari rokayyah Tampojung Pregi
achmad faiz bahri Dsn. Ja'ah, Ds.
14 L 3/2/2014 bahri Tampojung Pregi
qonita lillah Dsn. Ja'ah, Ds.
15 P 27/02/2013 baida'i juhairiyah Tampojung Pregi
amilatul hoyyimah Dsn. Ja'ah, Ds.
16 P 5/10/2014 basri Hamidah Tampojung Pregi
qurrotul ouyun Dsn. Ja'ah, Ds.
17 P 13/11/2012 bhunasi Tampojung Pregi
muhhammad. Maghribiy Dsn. Ja'ah, Ds.
18 L 3/10/2013 dani rasimah Tampojung Pregi
noer hasiyah Dsn. Ja'ah, Ds.
19 P 9/6/2012 didik reyadi farihah Tampojung Pregi
m. hafil athallah bukhori Dsn. Ja'ah, Ds.
20 L 18/09/2013 erfan siddik khamaliyah Tampojung Pregi
muhammad wahid Dsn. Ja'ah, Ds.
21 L 8/3/2013 fathor sutihah Tampojung Pregi
mohammad khairu al imroatus Dsn. Ja'ah, Ds.
22 sholihin L 14/08/2012 fathorrohman sholeha Tampojung Pregi
ahmad yazdan robbani imroatus Dsn. Ja'ah, Ds.
23 L 4/7/2015 fathorrohman sholeha Tampojung Pregi
kayla putri auliya Dsn. Ja'ah, Ds.
24 P 19/11/2012 hamdeni admani Tampojung Pregi
tamamiyatul hasanah Dsn. Ja'ah, Ds.
25 P 15/11/2015 hasan sabna Tampojung Pregi

iqroul hasanah Dsn. Ja'ah, Ds.


26 P 1/8/2012 hasan sabna Tampojung Pregi
ahmat fadhal karmi Dsn. Ja'ah, Ds.
27 L 16/11/2012 heji muslimah Tampojung Pregi
mohammad maheir zain Dsn. Ja'ah, Ds.
28 L 14/07/2012 herman zainah Tampojung Pregi
lailiyatun najah Dsn. Ja'ah, Ds.
29 P 13/12/2014 jetem businten Tampojung Pregi
syafia nurussholehah Dsn. Ja'ah, Ds.
30 junaidi P 9/1/2012 junaidi junaidah Tampojung Pregi
hikam al farobiy Dsn. Ja'ah, Ds.
31 L 30/03/2014 kamiruluddin nur hasanah Tampojung Pregi
aisyatul fauziyah Dsn. Ja'ah, Ds.
32 P 19/09/2012 khoiri mayzah Tampojung Pregi
arina darissalamah Dsn. Ja'ah, Ds.
33 P 12/6/2013 kholis susmiyati Tampojung Pregi
shohibil maromi kholis Dsn. Ja'ah, Ds.
34 L 26/12/2014 kholis susmiyati Tampojung Pregi
adelia putri maulida Dsn. Ja'ah, Ds.
35 P 12/1/2014 m. siddiq.a hamidah Tampojung Pregi
muhammad jashihan Dsn. Ja'ah, Ds.
36 masyhuri L 22/09/2015 m. ali muksin sumiyati Tampojung Pregi
azka fikri Dsn. Ja'ah, Ds.
37 L 25/12/2012 marsuki jatem Tampojung Pregi
luthfi hozayyani Dsn. Ja'ah, Ds.
38 L 9/1/2013 mat ja'e subaidah Tampojung Pregi
moh. Robi' holil Dsn. Ja'ah, Ds.
39 L 13/04/2012 mattahri sutipah Tampojung Pregi
hafid hozen Dsn. Ja'ah, Ds.
40 L 6/6/2014 misnalah juhariyah Tampojung Pregi
mohamad rahul amin Dsn. Ja'ah, Ds.
41 L 26/06/2012 misnu kiyeh Tampojung Pregi
putri aulia Dsn. Ja'ah, Ds.
42 P 28/04/2012 misnu muslimah Tampojung Pregi
luluatul islahiyah Dsn. Ja'ah, Ds.
43 P 28/03/2012 moh. Roqib siyah Tampojung Pregi
mohammad Dsn. Ja'ah, Ds.
44 hasburrobikali L 19/11/2012 rosimunadin Tampojung Pregi
nailatul hidayah Dsn. Ja'ah, Ds.
45 P 22/01/2015 moh. Hari baitiyah Tampojung Pregi
nur al-nadzifah Dsn. Ja'ah, Ds.
46 P 30/09/2012 moh. Suhud anis sukilah Tampojung Pregi
m. roisul umam Dsn. Ja'ah, Ds.
47 L 19/11/2013 moh. Zuhri noer halimah Tampojung Pregi
tazkiyatul qolbi Dsn. Ja'ah, Ds.
48 P 15/09/2013 moh. Sugianto misbahah Tampojung Pregi
haikal fatir sutriesno Dsn. Ja'ah, Ds.
49 L 27/10/2014 moh. Sutrisno siti rahmah Tampojung Pregi
naila sifaul qolbiyeh Dsn. Ja'ah, Ds.
50 P 30/04/2014 mudi m maskiyah Tampojung Pregi

nur ainiyatur romadhoni mohamad Dsn. Ja'ah, Ds.


51 P 12/8/2012 junaidi wardi Tampojung Pregi
lizna azalia Dsn. Ja'ah, Ds.
52 P 18/07/2013 muhlis niah susmiati Tampojung Pregi
syauratul jamilah Dsn. Ja'ah, Ds.
53 P 7/11/2014 mulan fatimah Tampojung Pregi
hosnol khotimah Dsn. Ja'ah, Ds.
54 P 12/6/2012 mulyadi sunaya Tampojung Pregi

riskiatul imamah Dsn. Ja'ah, Ds.


55 P 5/5/2012 muna ra'i Tampojung Pregi
ach. Safiudin Dsn. Ja'ah, Ds.
56 L 20/12/2012 musahri musdah Tampojung Pregi
mohammad sofal fikri Dsn. Ja'ah, Ds.
57 L 28/09/2012 mustofa ideh Tampojung Pregi
moh. Naufal abdillah Dsn. Ja'ah, Ds.
58 L 10/5/2013 muzahri nur azizah Tampojung Pregi
ach. Alfin faqih Dsn. Ja'ah, Ds.
59 L 14/08/2013 niman nur pati Tampojung Pregi
safinatun naja Dsn. Ja'ah, Ds.
60 P 7/10/2015 ninti Tampojung Pregi
moh. Khailur umam Dsn. Ja'ah, Ds.
61 L 2/10/2012 noer hasanah Tampojung Pregi
eka yuliana shafitri Dsn. Ja'ah, Ds.
62 P 27/04/2012 nur tala masliyeh Tampojung Pregi
rizki ramadhani Dsn. Ja'ah, Ds.
63 L 21/07/2012 patmu'e putiyeh Tampojung Pregi
mohammad nurul yakin Dsn. Ja'ah, Ds.
64 kamil L 12/1/2012 pusidi maimuna Tampojung Pregi
farhana nadiroh Dsn. Ja'ah, Ds.
65 P 10/12/2015 pusidi maimuna Tampojung Pregi
ahmad zainul fata Dsn. Ja'ah, Ds.
66 L 10/11/2012 ra'e juhairiyah Tampojung Pregi
sit khotijah Dsn. Ja'ah, Ds.
67 P 5/5/2013 readi adni Tampojung Pregi
moh. Irfan malik Dsn. Ja'ah, Ds.
68 L 26/02/2014 romli santikawati Tampojung Pregi
lia isabela Dsn. Ja'ah, Ds.
69 P 31/12/2013 sadeli sutimah Tampojung Pregi
naysa jinan zifana Dsn. Ja'ah, Ds.
70 P 23/12/2014 sahri lizah Tampojung Pregi
alfiyatul magfiroh Dsn. Ja'ah, Ds.
71 P 28/02/2014 sahuri sit Tampojung Pregi
moh. Ardiansah Dsn. Ja'ah, Ds.
72 L 17/07/2012 salaman rubeiah Tampojung Pregi
nurlinda safira Dsn. Ja'ah, Ds.
73 P 4/9/2013 salaman rubeiah Tampojung Pregi
moh. Fauzan zidan Dsn. Ja'ah, Ds.
74 L 22/08/2014 saniman siti romlah Tampojung Pregi
zahratus zyfa addehlani Dsn. Ja'ah, Ds.
75 P 8/11/2012 slamet sahriyah Tampojung Pregi
ach. Khomaini Dsn. Ja'ah, Ds.
76 rohmatullah L 27/10/2012 subahri subia Tampojung Pregi
ulfi laylatus sa'adah Dsn. Ja'ah, Ds.
77 P 2/8/2014 subaidi trisnawati Tampojung Pregi
hosnol hotimah Dsn. Ja'ah, Ds.
78 P 9/3/2015 subeidi surtik Tampojung Pregi
siti nayla rohmah Dsn. Ja'ah, Ds.
79 P 14/07/2012 suda'e sahrima Tampojung Pregi
ana syaatun nisa' Dsn. Ja'ah, Ds.
80 P 19/06/2014 suhari sit fatima Tampojung Pregi
toriqul khoir Dsn. Ja'ah, Ds.
81 L 30/04/2013 supardi rusmiati Tampojung Pregi
agus purwanto Dsn. Ja'ah, Ds.
82 L 29/09/2012 supriadi suryani Tampojung Pregi

siska mila Dsn. Ja'ah, Ds.


83 P 11/4/2015 ummi Tampojung Pregi
muhammad zaki Dsn. Ja'ah, Ds.
84 L 4/8/2014 yasid affan erna susanti Tampojung Pregi
ach. Alfan hupbul khoir Dsn. Ja'ah, Ds.
85 L 8/8/2014 zairi zaitun Tampojung Pregi
baitur rohmah Dsn. Ja'ah, Ds.
86 P 4/7/2012 zeinal abidin sima Tampojung Pregi
SASARAN PIN MR PUSKESMAS TAMPOJUNG PREGI USIA 5-6 Thn
Desa : Tampojung Pregi
Dusun : Ja'ah

NAMA ORANG TUA


TANGGAL
NO NAMA L/P ALAMAT KETERANGAN
LAHIR
AYAH IBU

moh. Dsn Ja'ah, Desa


1 Nisa Ulfadilah L 30/05/2011 asmi
Syamhari Tampojung Pregi
Dsn Ja'ah, Desa
2 Adhif Al Fairus L 28/06/2010 moh. Adi subainab Tampojung Pregi
Dsn Ja'ah, Desa
3 Filza Aisy P 11/1/2011 mosni khodaifah Tampojung Pregi
Dsn Ja'ah, Desa
4 Hilwa Auliya P 19/12/2011 muhdar bunimah Tampojung Pregi
Dsn Ja'ah, Desa
5 Moh. Al- Ghazali P 29/06/2010 mukhlis niah susmiati
Tampojung Pregi
Dsn Ja'ah, Desa
6 Qurratul Aini P 2/7/2010 musahrih musidah Tampojung Pregi
Dsn Ja'ah, Desa
7 Millatul Ulya P 9/12/2010 nurhayati Tampojung Pregi
Dsn Ja'ah, Desa
8 moh. Syamsul arifin L 1/3/2010 puani Tampojung Pregi
Dsn Ja'ah, Desa
9 romadani L 18/09/2011 salaman toriyah Tampojung Pregi
samsul Dsn Ja'ah, Desa
10 moh. Wildan ma'arif L 25/01/2010 nur halimah
mu'arif Tampojung Pregi
Dsn Ja'ah, Desa
11 m. rofiq anwar L 3/11/2011 samsuri farida Tampojung Pregi
Dsn Ja'ah, Desa
12 saifur rizal L 20/07/2010 senni sit fatimah Tampojung Pregi
Dsn Ja'ah, Desa
13 safiya P 30/05/2010 slamet sahriyah Tampojung Pregi
achmad fahmi ulum al- Dsn Ja'ah, Desa
14 L 12/4/2011 subairi hasiyeh
ayubi Tampojung Pregi
Dsn Ja'ah, Desa
15 kholipatus sholihah P 30/07/2010 subeidi surtik Tampojung Pregi
Dsn Ja'ah, Desa
16 jihan nabila P 1/7/2010 samsuri hona Tampojung Pregi
Dsn Ja'ah, Desa
17 ahmad ulul albab L 8/12/2010 sudi yuliana Tampojung Pregi
Dsn Ja'ah, Desa
18 danil saputra L 14/08/2010 suliha Tampojung Pregi
Dsn Ja'ah, Desa
19 syahrul mubarok maulidi L 20/08/2011 sudiyono asmawati Tampojung Pregi
Dsn Ja'ah, Desa
20 shabilal huda L 3/6/2010 sunarto samsiye Tampojung Pregi
Dsn Ja'ah, Desa
21 roifatul jannah P 19/06/2010 supardi hapiyah Tampojung Pregi
Dsn Ja'ah, Desa
22 sit mallatul aulia P 24/03/2010 supatla indrawati Tampojung Pregi
Dsn Ja'ah, Desa
23 firman hidayat L 5/10/2011 tallib iyeh Tampojung Pregi
Dsn Ja'ah, Desa
24 st norul aini P 29/06/2011 ummi Tampojung Pregi
yusuf Dsn Ja'ah, Desa
25 robiatul adawiyah P 22/10/2010 hamimah
abdullah Tampojung Pregi

Dsn Ja'ah, Desa


26 ribiatul adawiyah P 22/10/2011 zainal abidin kholifah Tampojung Pregi
Dsn Ja'ah, Desa
27 eliya qoidah P 17/03/2010 abd. Muis subaidah Tampojung Pregi
Dsn Ja'ah, Desa
28 fathol ibad L 15/08/2011 abd. Rohman sumani Tampojung Pregi
Dsn Ja'ah, Desa
29 moh. Syaifullah L 17/02/2011 abd. Muhyi samsiatun Tampojung Pregi
Dsn Ja'ah, Desa
30 rifki L 29/06/2010 abdullah misti Tampojung Pregi
ahmad Dsn Ja'ah, Desa
31 fikri faizul i L 11/1/2011 hotimah
wahyudi Tampojung Pregi
Dsn Ja'ah, Desa
32 moh. Dafa hulafy L 19/05/2011 suparto amrina Tampojung Pregi
andra Dsn Ja'ah, Desa
33 moh. Vikry zaen L 5/11/2011 norhayati
hariyono Tampojung Pregi
Dsn Ja'ah, Desa
34 hayatus saniyah P 26/04/2011 ashuri masiyah Tampojung Pregi
Dsn Ja'ah, Desa
35 abd. Rosyid L 17/09/2010 nabi bainah Tampojung Pregi
Dsn Ja'ah, Desa
36 zaiful bahri L 22/04/2011 hadi juhairiyah Tampojung Pregi

37 muhammad ali dafir L 6/3/2010 haris suyyinah Dsn Ja'ah, Desa


Tampojung Pregi
Dsn Ja'ah, Desa
38 fitri maisyaroh P 27/07/2010 hasiruddin rohmatun Tampojung Pregi
kodrun nada karimana Dsn Ja'ah, Desa
39 L 15/09/2011 hermanto maryana
ruib Tampojung Pregi
Dsn Ja'ah, Desa
40 hamiliyah mili P 15/04/2011 moh. Raki hosniyah Tampojung Pregi
Dsn Ja'ah, Desa
41 qurrotul uyun cica kirana P 1/7/2011 kamaruddin amina Tampojung Pregi
Dsn Ja'ah, Desa
42 raka haidar L 1/3/2011 maisura Tampojung Pregi

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