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

UPTD PUSKESMAS : USA (PKD TANA TENGNGAH) PROPINSI : SUL - SEL

ALAMAT : DESA TANA TENGNGAH 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

1 FADLI 1/3/2011 L ERNA /JUMADI DS. T T

2 M. RASUL 1/4/2011 L MINA / NURDIN DS. T T

3 M. IRSYAD 1/18/2011 L ROSDIANA / SAHARUDDIN DS. T T

4 SUCI RAMADANI 2/8/2011 P A. YUSRIANI / AHMAD DS. T T

5 CITRA AULIA 3/1/2011 P SATRIANA / SAPRIADI DS. T T

6 ARIEL 3/15/2011 L HAPIDA / NGANRO DS. T T

7 KISMAN 3/24/2011 L HASNI / HAMMATANG DS. T T

8 CELSI 3/26/2011 P NAHARIA / RAMLI DS. T T

9 AFRIZAL 4/2/2011 L KASMILA / SARIFUDDIN DS. T T

10 ASIFAH 4/9/2011 P HAJERAH / SAMIRE DS. T T

11 NUGRAHA DEWANGGA 4/29/2011 L IRMAWATI / SUPARDI DS. T T

12 KIKI 6/9/2011 P NATALIA / RUSTANG DS. T T

13 M. FAHRIL 6/13/2011 L MISNA / JAFAR DS. T T

14 FAHRI 6/30/2011 L MARNI / TAHANG DS. T T

15 PINGKI AMPERA 7/21/2011 P SRIDEWI / JAMAL DS. T T

16 M. RISWAN 7/24/2011 L LINA / SAINUDDIN DS. T T

17 NAYSILA 7/25/2011 P ERNA / COTTANG DS. T T

18 RIFKI 8/10/2011 L ASNI / WAHAB DS. T T

19 RIFKI RAMADAN 8/10/2011 L SUKAWATI / SALAMA DS. T T

20 SAHRA NAJMA 9/1/2011 P MARHANI / RUSDI DS. T T

21 NUR SAKILA 9/13/2011 P ARNI / ADI IRWANTO DS. T T

22 RESA 9/20/2011 L DIANA / SUYUTI DS. T T

23 YULIANA 10/1/2011 P MATANG / AMBOTUO DS. T T

24 M. ARIF 10/29/2011 L SUDARMI / HELMI DS. T T

25 AMEL 12/7/2011 P KASMA/ ASSE DS. T T

26 SARLINA HARIANTI 12/10/2011 P MANNI / MARSAYANG DS. T T

27 M. GABRIEL 12/10/2011 L ARYANI / SURIADI. R DS. T T

28 ALYA MUKHBITA 12/11/2011 P ANGRIANI / ARMAN DS. T T

29 M. AL-FATIR 1/9/2012 L ST. NURBAYA / NURDIN DS. T T

30 M. IRSAK 1/18/2012 L SURI / HUSENG DS. T T

31 MUH. AL-FATUR 2/9/2012 L ROSDIANA / SAHARUDDIN DS. T T

32 FAHRI 2/14/2012 L MISNA / LUKMAN DS. T T

33 UPPI 2/18/2012 L HASTUTI / ASTUR DS. T T

34 ISMAIL 2/26/2012 L SAMSINAR / DADI DS. T T

35 RISKI ARDIKA 3/8/2012 L SANATANG / TAIMING DS. T T

36 DWI CAHYA 3/13/2012 P TENRI / IHSAN DS. T T

37 AYU 3/21/2012 P MARSIA / ARIFUDDIN DS. T T

38 NUR AQILA 4/9/2012 P MASRIANI / SOFIAN DS. T T

39 ANISA 5/27/2012 P HJ. SURIANI / M. SUYUTI DS. T T

40 SAHARUDDIN 6/6/2012 L WAHIDA / ABD. KADIR DS. T T

41 AWAL SAPUTRA 6/13/2012 L A. ASNAWATI / KURNIAWAN DS. T T

42 HAWA 6/14/2012 P JUNAEDA / MIRI DS. T T

43 RAMA 6/18/2012 L MUAFIAH / KAMARUDDIN DS. T T

44 RIZKI 7/1/2012 L DS. T T

45 NUR AZIZAH 8/25/2012 P NURJAYA / TAKWA DS. T T

46 RIFKI SYAWAL 9/19/2012 L MULI / SUPRIADI DS. T T

47 AMELIA 11/22/2012 P SUMARNI / M. RASYID DS. T T

48 VITA 11/29/2012 P DARMAWATI / MUSLIADI DS. T T

49 AINUN MAURA 12/26/2012 P ROSMA / SARIFUDDIN DS. T T

50 A. WAHYU DESTA 1/10/2013 L ROSMINI / A. PALLAWARUKKA DS. T T

51 DION ADITIA 6/24/2013 L SUNARTI / RONI TAHIR DS. T T

52 M. ZAUKI 3/21/2013 L ST. FATIMA / SUARDI DS. T T

53 WILDA SYAFIRA 4/1/2013 P SUARNI / SULTAN DS. T T

54 APIP SYAHRI 5/1/2013 P ROSNI / ARIFUDDIN DS. T T

55 MUH. AEDIL SYAWAL 5/3/2013 L HASRIANA / RIJAL DS. T T

56 DION 6/27/2013 L DS. T T

57 A. AQIL ANUGRAH 7/1/2013 L HASNI / A. ARIS DS. T T

58 RESKI 7/4/2013 L HASTUTI / MAMIRE DS. T T

59 A. AILA 7/10/2013 P BUNGAEJA / A. USMAN DS. T T

60 NUR RAMADANI 7/19/2013 P SANAWIYAH / TAHANG DS. T T

61 NUVAL 8/11/2013 L ANGGRIANI / SAMAILA DS. T T

62 MELDA IRAWAN 9/21/2013 P ROSNAENI / ALIMUDDIN DS. T T

63 AINUN SAPUTRI 10/2/2013 P SELDA / BURHAN DS. T T

64 DINI 10/25/2013 P MARYAM / SUARDI DS. T T

65 AKILA SAPUTRI 11/6/2013 P NURTANG / JUMASE DS. T T

66 MUH. UZAIN AZ-NUR 11/23/2013 L NURJANNAH / M. ARSYAD DS. T T

67 M. SYAHRIL 12/12/2013 L SULIANA / BAHARUDDIN DS. T T

68 MUH. ANJAS 12/18/2013 L IRNA / IYALI DS. T T

69 SALSA 4/29/2014 P RAHMATANG / ARI DS. T T

70 M. SYAFWAN FAIZ 5/4/2014 L SAMSIAR / M. YUNUS DS. T T

71 LATISYA SYAVIA 5/11/2014 P HASNI / ALIMUDDIN DS. T T

72 AFKAR 5/17/2014 L ASRITA / MUSLIADI DS. T T

73 ZALZA 5/20/2014 P HARDIAN / JUMARDI DS. T T

74 AL-RIFKI 5/25/2014 L JUSMI / SARIFUDDIN DS. T T

75 A. SYARAL 6/5/2014 L HASNI / A. ARIS DS. T T

76 ALIF 6/5/2014 L NURSIA / LATONG DS. T T

77 DONI 7/11/2014 L SUNARTI / RONI TAHIR DS. T T

78 RIFKI 7/23/2014 L SULFIDA / SULTANG DS. T T

79 M. FAUZAN 8/16/2014 L HASNI / ADI DS. T T

80 WILDAYANTI 8/20/2014 P RISNAWATI / SUARDI DS. T T

81 ARGA 9/6/2014 L JUMIATI / ANCU DS. T T

82 ANISA 9/13/2014 P YULIANTI / RIDWAN DS. T T

83 LISA 9/15/2014 P IRMAWATI / SUPARDI DS. T T

84 AKSAR 9/29/2014 L SAMSIAR DS. T T

85 MUH. FAREL 9/30/2014 L HASNAWATI / GUNAWAN DS. T T

86 ADWA PARIDIA 10/8/2014 P IDIAWATI / MUSLIADI DS. T T

87 GINA 10/16/2014 P JUSMA / AGUSTANG DS. T T

88 MUH. FATIR 10/20/2014 L MISNA / JAMALUDDIN DS. T T

89 MUH. FATUR 10/20/2014 L MISNA / JAMALUDDIN DS. T T

90 AQILA AWALIA 11/4/2014 P NOVIANA / BURHANUDDIN DS. T T

91 NAYLA 11/5/2014 P LUKIANA / JUMARDI DS. T T

92 AURA 11/13/2014 P ILA / YUDISTIRA DS. T T

93 MUH. AL-FAKRI 11/23/2014 L SUHARTINI / SUHARDI DS. T T

94 HISAM AL-GIFATAH 11/24/2014 L ASRIANI / SUARDI DS. T T

 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 .
s

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