R E G I S T E R K O H O R T

UPTD PUSKESMAS : USA (PKD MICO) PROPINSI : SUL - SEL

ALAMAT : DESA MICO KABUPATEN : BONE
TELP :− KECAMATAN : PALAKKA

TAHUN KE I TAHUN KE II
Punya
No.U J J J J
No.Index Nama Tgl.Lahir L/P Nama Orang Tua Alamat RT/RW Buku J F M A M A S O N D J F M A M
rut u u u u
KIA a e a p e g e k o e a e a p e
n l n l
n b r r i t p t v s n b r r i
i i i i
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27

NUR' AISYAH 1/16/2013 P RABASIAH / DS. MICO

NUR AFIKA 1/27/2013 P PATMAWATI / MASIDING DS. MICO

SULFIKAR 2/17/2013 L NARTIKA / DS. MICO

RAHMAT 2/24/2013 L RUHANI / MUSTAMIN DS. MICO

ASWAN ERZAYRI 2/26/2013 L ERNI / DS. MICO

RISWAN 3/30/2013 L MARTINI / SAMSUL R. DS. MICO

MUH. RAFKA WIRANATA 3/31/2013 L MARDIANA S. / SUPRIADI DS. MICO

JIDAN 4/13/2013 L HANI RAMADANI / SUHARDI DS. MICO

FATHIN RIZKI RIANTI 4/22/2013 L MIA MARIANI / SUPRIANTO DS. MICO

LISNAWATI 5/13/2013 P RATNA / BEDDU DS. MICO

FARUSAL ADISTIAN 8/23/2013 L SURYANTI / AGUNG DS. MICO

FIKA 9/27/2013 P MACITA / NURDIN DS. MICO

AQILA DWI QUMAIRAH 9/27/2013 P MANAWIA / MELLONG DS. MICO

AZRANI MAISAVA ULFA 9/30/2013 P KASMI / ASDAR DS. MICO

NUR SARKILAH JUSMAN 10/7/2013 P SUGIRA / JUSMANG DS. MICO

MUH. AL QIKRAN 10/10/2013 L RADIA / LENNA DS. MICO

MUH. ZAKIR PRATAMA 10/26/2013 L KARTINA / ARISWANDI DS. MICO

SELVIANA 11/13/2013 P RISMA / DS. MICO

MUH. FAJAR 31/11/2013 L IDA / AJRING DS. MICO

RIZALDI 12/12/2013 L RAJANI / DS. MICO

ACO 12/15/2013 L SITTI / MULTANG DS. MICO

MUH. IHSAN 12/24/2013 L SALMIATI / UMAR DS. MICO

A. MUH. FARID M. 1/11/2014 L JUMARNI / A.RISMAN DS. MICO

SULFIKAR 1/12/2014 L IRMAWATI / JUSRIADI DS. MICO

RIZKA 1/24/2014 P FITRI HANDAYANI / LAMU DS. MICO

MUH. RIZKY 2/4/2014 L ARNI / HERMAN DS. MICO

NURSABELLA 2/10/2014 P ASRIANI / BASIR DS. MICO

MUH. ARSYANDI 2/15/2014 L MATAHARI / SULTAN DS. MICO

ASBIL ARZAHWAN 3/15/2014 L ERNI / DS. MICO

AMAR KISA 4/29/2014 L MARWIAH / ARIPUDDIN H. DS. MICO

ARJUANSYA 5/2/2014 L NURTANG / AGUS DS. MICO

A. RISKI 5/20/2014 L ERLINAWATI / DS. MICO

MUH. DIRGA 6/4/2014 L MILI / ADI DS. MICO

AHMAD ZULFIKRI 6/5/2014 L YULIANA / SUDIRMAN DS. MICO

ARJUANSA PUTRA 6/16/2014 L RUSMI / ARIPUDDING DS. MICO

SEFIA RAMADANI 7/1/2014 P FATIMANG / JUHAERIL DS. MICO

AISYAH 7/30/2014 P SUDARMI / MUH. RUSLI DS. MICO

NAFILA 8/21/2014 P HASNAWATI / DS. MICO

NISMAH ASTISAH 9/8/2014 P HASNI / YEMMANG DS. MICO

FAILAH FEBRIYANTI 9/9/2014 P SURYANTI / AGUNG DS. MICO

SALSABILA PUTRI 9/12/2014 P ARMIANTI / SUHERMAN DS. MICO

IBRAHIM 11/12/2014 L SAPRIANTO / DS. MICO

ANDARA KHAIRA WILDA 11/29/2014 P DARNA / ANCU DS. MICO

NUR AKILAH 12/18/2014 P BARAIYYA / ISA DS. MICO

ACO 12/22/2014 L CORA / ANCA DS. MICO

HERLINA 1/15/2015 P MASE / MANSUR DS. MICO

AHMAD TSABIT 2/7/2015 L MIRNAWATI / MUH. KAHAR DS. MICO

SERLI 2/21/2015 P SAHE / YABANG DS. MICO

FADILLA NUR-AENI 2/24/2015 P MARHATI / ABD. SALAM DS. MICO

AIRUL 3/23/2015 L MARYATI / ANTO DS. MICO

A. ADITYA MAHYA 6/6/2015 L ST. ASIDA / A.ASDAR DS. MICO

 A N A K B A L I T A
SEL BIDAN :
BULAN :
AKKA TAHUN :
Pelayanan Anak Balita
TAHUN KE III TAHUN KE IV TAHUN KE V
J J J J J J
A S O N D J F M A M A S O N D J F M A M A S O N D J F M A M A S O N
u u u u u u
g e k o e a e a p e g e k o e a e a p e g e k o e a e a p e g e k o
n l n l n l
t p t v s n b r r i t p t v s n b r r i t p t v s n b r r i t p t v
i i i i i i
28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
 Meninggal
K
Tanggal dan e
D Penyebab t
e Kematian .
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