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DATA SASARAN BALITA

Provinsi : JAWA BARAT


Kabupaten/Kota : KOTA CIREBON
Puskesmas : PULASAREN

Vitamin A Vitamin A Ada Buku


Berat Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk JENIS Badan Nama Orang NIK Orang No Tlp/HP Tanggal BB TB Februari Agustus KIA
No ANAK KE NAMA ANAK TANGGAL LAHIR ALAMAT RT RW 1=Telentang 1=YA, 1=YA,
Kependudukan) KELAMIN Lahir Tua Tua Orang Tua pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

327404030914000 1 2 1 32740425
4 sutinah-ahmad Pultim 2 01
1
Al Zaidan 3 9 2014 0485000 1 13-8-2018 2
327404140814000 2 1 1 4 32740408 Pultim 4 01
2
aldo 14 8 2014 slamet 1287000 3 13-8-2018 2
327404170417000 1 4 Arjun 17 4 2017 1 3.5 Nurlela-adi32740430 081 312 Pultim 3 01
3 0383000 3 125 353 13-8-2018 1
327404091014000 1 3 1 3 32740416 089 537 Pultim 1 01
4
Arjuna 9 10 2014 Mulyati 0977000 7 509 8337 13-8-2018 2
327404090817000 1 3 1 32740402 082 218
3.5Yuliana-sayuma Pultim 1 01
5
Azka 9 8 2017 1184000 1 444 790 13-8-2018 1
327404050614000 1 3 1 3.5 32740209 089 537 Pultim 5 01
6
Dafa 5 6 2014 Ade-karniti0493000 4 329 9267 13-8-2018 2
327404250114000 2 4 1 3.5 32740451 Pultim 4 01
7
Farhi 25 1 2014 Nur 279000 8 13-8-2018 2
327404160318000 1 1 1 3 32740410 089 643 Pultim 3 01
8
Felix 20 3 2018 Fitri-yulianto
0795000 7 484 949 13-8-2018 1
327404010214000 1 1 1 3.1 32740410 081 717 Pultim 5 01
9
Fikri 1 2 2014 rian 0989000 1 202 370 13-8-2018 2
Inah-Tri
327404501215000 2 1 3.5 32740418 085 223 Pultim 4 01
purwant 0679000 1 328 821 13-8-2018 2
10 Frili 8 12 2015
o
Hamas 8 9 2014 1 umar-tantri Pultim 3 01
11 13-8-2018 2
3274704291114000 1 2 1 3 32740427 085 248 Pultim 4 01
12
Iksan 21 9 2014 Irwanto 0685000 3 248 357 13-8-2018 2
327404041015000 1 1 3.5 32740414 085 793 Pultim 3 01
13
Keanu 4 10 2015 rikha wulan118700 11 999 919 13-8-2018 2
327404290815000 2 2 1 3.4 32082010 081 717 Pultim 01
14
Keisar 29 8 2015 amanah-ryan 0509000 7 202 370 5 13-8-2018 2
327404160917000 1 1 3.2 32740416 082 323 Pultim 01
15
M Abizar 16 9 2017 Eli-anto 0917000 1 694 225 1 13-8-2018 1
327404170514000 1 3 M adrian akbar 1 3.5 32740420 082 153 Pultim 01
16
11 5 2014 m taufik 0169000 3 627 296 4 13-8-2018 2

M Ali akbar 6 5 2016 1 arya-yanti Pultim 01


17 3 13-8-2018 2
327404301015000 2 1 32740407 Pultim 01
18
M Azka 30 10 2015 Suni 0482000 1 4 13-8-2018 2
327404100617000 1 1 32740418 089 888 Pultim 01
19
M Fajar 22 5 2017 Gina-andri0395000 5 871 88 3 13-8-2018 1
327404200816000 3 2 1 32092101 Pultim 01
20
M Farhan 22 8 2016 rochman-amin037000 10 4 13-8-2018 1

M hafiz 21 3 2018 1 Nining-susanto Pultim 01


21 3 13-8-2018 1
327404291114000 1 1 32740427 Pultim 01
22
M iksan 29 11 2014 irma 0685000 3 4 13-8-2018 2

M Nur R 8 6 2017 1 rosmita-anjar Pultim 01


23 13-8-2018 1
327404150418000 1 1 1 Nurhasa 32740430 089 537 Pultim 01
24
M Rafa 14 4 2018 nah-juli 068900 13 403 1227 4 13-8-2018 1
1 Supriati Pultim 01
25
M raka 2 5 2018 n-wahyu 13-8-2018 1

M Zaidan 15 5 2014 1 ali Pultim 01


26 13-8-2018 2
327404241017000 1 2 1 32740404 085 224
3.7 Rina-bahrudin Pultim 01
27
M zaki 24 10 2017 0970000 7 569 283 2 13-8-2018 1

Nur alwan 8 11 2014 1 nur alfiah Pultim 01


28 13-8-2018 2
327404040617000 1 2 1 3.1 32740209 089 537 Pultim 01
29
Rafael r 8 6 2017 Ade-karniti0493000 4 329 9267 5 13-8-2018 1

Rafif 1 6 2018 1 ahmad-dewi Pultim 01


30 13-8-2018 1

Rendi 10 7 2017 1 gilang-slamet Pultim 01


31 13-8-2018 1
327404040216000 2 2 1 32740466 083 824 Pultim 01
32
Sandya 4 2 2016 indri-yudi 0689000 3 006 508 4 13-8-2018 2
327404090215000 1 3 1 32740415 083 818 Pultim 01
33
Valenciano 11 2 2015 berliana 0270000 5 234 234 4 13-8-2018 2
327404430814000 1 2 2 32740431 Pultim 01
34
Adel 3 8 2014 irwan 1082000 4 4 13-8-2018 2
327404600816000 2 4 2 32740421 Pultim 01
35
Adelie 19 8 2016 Kartini 1077000 1 3 13-8-2018 1
327404660914000 1 2 2 32740404 Pultim 01
36
Adinda 26 9 2014 Udin-lina 0970000 7 2 13-8-2018 2
327404460418000 2 1 2 2.5 32093902 Pultim 01
37
Adzkayra 5 4 2018 Fitri-yosep0594000 3 089 662 80 4 13-8-2018
327404480617000 1 3 2 32740455 082 386 Pultim 01
38
Afrinka 10 5 2017 Tantri 068700 17 846 225 3 13-8-2018 1
siti
327404040577000 8 4 2 3.9 32740400 082 119 Pultim 01
39
Aira 29 12 2017 maryam 45 578 174 3 13-8-2018 1
-johan
327404490716000 1 1 2 3.3 32091413 083 824 Pultim 01
40
Aisyah 9 7 2016 purwinda 1190000 5 800 724 4 13-8-2018 2

Aqila 13 8 2015 2 nining-santo Pultim 01


41 13-8-2018 2
327404470215000 1 2 2 32740425 083 822 Pultim 01
42
Aqila 7 2 2015 elis
0788000 5 430 606 3 13-8-2018 2
327404120415000 2 2 2 1.9 32740402 089 648 Pultim 01
43
Asila 11 4 2015 nurhayati 0591000 3 110 110 4 13-8-2018 2
327404420618000 1 1 2 32740411 Pultim 01
44
Berlian 2 5 2018 nur-kartini0584000 3 3 13-8-2018 1

Bhuvan 16 10 2017 2 Saomah Pultim 01


45 13-8-2018 1
327404510515000 2 2 2 32740112 Pultim 01
46
Earlita 12 5 2015 Maya 0993000 3 4 13-8-2018 2
327404590617000 1 4 2 32091502 Pultim 01
47
endang 14 6 2017 Gandi-jarum
0184000 7 2 13-8-2018 1
327403541213000 2 3 2 32740403 Pultim 01
48
Fatimah 14 12 2013 roful 0675000 7 1 13-8-2018 2
327404591115000 1 1 2 32740428 082 127 Pultim 01
49
Firli 19 11 2015 Rizky-syarif0389000 3 891112 3 13-8-2018 2
327404520415000 3 1 2 3 Nuroktaviani 32740424 081 214 Pultim 01
50
Hilda 11 4 2015 0795000 1 269 905 13-8-2018 2
327404290614000 1 3 2 3.5 32740421 Pultim 01
51
Karen 29 5 2014 ariyanto 1077000 1 13-8-2018 2
327404711215000 1 2 2 3.2sugiarto-anwar 32740427 082 320 Pultim 01
52
Kholida 31 12 2015 01900 1 000 561 13-8-2018 2
327404610418000 1 3 2 3.5 32080723 089 636 Pultim 01
53
Kiara 21 4 2018 eti-edi 0989000 3 891 565 13-8-2018 1
327404660517000 1 3 2 3.5 32740415 083 818 Pultim 01
54
Leony 25 5 2017 berliana 0270000 5 234 234 13-8-2018 1
327404490317000 1 3 2 32740408 Pultim 01
55
lexia 3 8 2016 farihah-yusuf0588000 1 5 13-8-2018 1
327404580816000 1 3 2 3.5 elyana-junaedi32740425 085 324 Pultim 01
56
Nadin 27 8 2015 0681000 2 243 031 5 13-8-2018 2
327402691116000 1 2 2 32740218 089 634 Pultim 01
57
nafisa 29 11 2016 novi-saeful0285000 6 003 104 13-8-2018 1
32740443091000 3 2 2 32740403 089 664 Pultim 01
58
Najwa 15 1 2017 Rianti/Rustani0482000 5 128 192 13-8-2018 1
327404551116000 1 1 2 32740414 Pultim 01
59
Naura 28 11 2016 Mike-ridwan0496000 3 4 13-8-2018 1
327404530416000 2 2 2 32740561 Pultim 01
60
Qirotu aida 13 4 2016 yusi-agus 048400 10 1 13-8-2018 2
327404501015000 1 2 2 32091529 089 513 Pultim 01
61
Rashya 1 10 2015 Cici-agus 0884000 7 912 937 3 13-8-2018 2
327404430315000 1 2 2 32740429 085 977 Pultim 01
62
Safira 7 3 2015 jumiati 0572000 1 877 506 4 13-8-2018 2
327404561016000 1 2 2 33030526 087 841 Pultim 01
63
Sea 15 10 2016 marline 0282000 2 529 007 4 13-8-2018 1
327404520914000 2 1 2 32740466 083 824 Pultim 01
64
Selma 12 9 2014 Yudi-indra 0689000 3 006 508 13-8-2018 2
nurfatm
327404480915000 1 3 2 32740407 083 822 Pultim 01
65
Septi 10 9 2015 a- 0782000 8 100 6508 13-8-2018 2
sunjaya
327403450913000 4 5 2 32091502 Pultim 01
66
Septiana 5 9 2013 gundi-jarum0484000 7 2 13-8-2018 2

Siti adevah 25 4 2016 2 iin-finki Pultim 01


67 13-8-2018 2
327404500514000 1 3 Syfa amalia 10 5 2014 2 adi Pultim 01
68 081 312 12 13-8-2018 2
327404480317000 2 4 2 32740427 Pultim 01
69
yasmin 8 3 2017 irma 0685000 3 4 13-8-2018 1
327404410317000 5 1 2 31750617 Pultim 01
70
yumna 1 3 2017 chusnul-asep 0988100 2 13-8-2018 1
327404521013000 1 2 2 3.1 32740427 082 320 Pultim 01
71
Zidny 12 10 2013 Anwar 0190000 1 000 561 3 13-8-2018 2
327404660518000 1 1 1 32121817 Pultim 01
72
Almahira 25 8 2018 siti asiyah 0789000 6 4
2
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DATA SASARAN BALITA
Provinsi : JAWA BARAT
Kabupaten/Kota : KOTA CIREBON
Puskesmas : PULASAREN

Vitamin A Vitamin A Ada Buku


Berat Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk JENIS Badan Nama Orang NIK Orang No Tlp/HP Tanggal BB TB Februari Agustus KIA
No ANAK KE NAMA ANAK TANGGAL LAHIR ALAMAT RT RW 1=Telentang 1=YA, 1=YA,
Kependudukan) KELAMIN Lahir Tua Tua Orang Tua pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

32081202 087 779


1 328404301116000 2 3 Abad 30 11 2016 1 2.7 Aam-soleh 0577000 9 660 734 Kcrbnan 02
8-8-2018 1
32740425 089 661
2 327404130218000 1 2 Abdul basit 13 2 2018 1 3 ahmad-soleha
1177000 7 162 043 Kcrbnan 02
8-8-2018 1

3 327404021217000 1 3 Ata Azka 2 12 2017 1 3 Sutari-suma32740424 088 809 Kcrbnan 02


5889000 1 529 744 8-8-2018 1

4 1 1 32740467
2.9 devi-yusuf1289000 089 661 Kcrbnan 02
Azam 16 10 2017 1 479 685 8-8-2018 1

5 2 1 3.2 Jaenah-wawan 32740415 083 824 Kcrbnan 02


Fadli 22 7 2015 7131050 5 475 745 8-8-2018 2
Supriati
6 2 1 3.8 32740359 085 321 Kcrbnan 02
Jubair 7 3 2018 n- 098600 17 505 150 8-8-2018 1
suprapto
7 327404070617000 1 1 1 2.7 32740463 085 886 Kcrbnan 02
M aldi 7 5 2017 Ayul 0396000 5 814 498 8-8-2018 1

8 327404051013000 1 1 1 3 32740424 088 095 Kcrbnan 02


M Dzulvikry 5 10 2013 sutasih 0588000 1 297 94 8-8-2018 2

9 327404030714000 1 3 1 4 33010123 082 395 Kcrbnan 02


M Hafiz 3 7 2014 Sutirah 1177000 6 953 072 8-8-2018 2

10 327404250414000 1 2 1 33122417
3.3 Markayat 0487000 089 643 Kcrbnan 02
M Rafi 25 4 2014 1 408 497 8-8-2018 2

11 327404040814000 1 1 1 2.5 32092129 081 946 Kcrbnan 02


M syawal 4 8 2014 sari 389000 5 837 110 8-8-2018 2

12 327404121014000 2 1 1 3.1 32091824 085 224 Kcrbnan 02


Raf 12 10 2014 lutfi 0881000 8 771 847 8-8-2018 2

13 1 1 2.8 32740461 089 770 Kcrbnan 02


Raihan 22 10 2017 isah-eko 1194000 1 110 09 8-8-2018 1

14 327404070614000 1 3 1 2 32740412 085 353 Kcrbnan 02


Ricky 7 6 2014 Rini 169000 3 200 959 8-8-2018 2

15 327404171113000 1 1 1 2.8 32740415 083 824 Kcrbnan 02


Rifky 17 11 2013 Wawan 1181000 5 475 745 8-8-2018 2
32091401
16 327404161213000 1 2 1 2.5 081 222
Zahwan 16 12 2013 Sukesih 028500 223 811 Kcrbnan 02
8-8-2018
142 2
32740328 085 320
17 1 Salman 20 10 2016 1 3.5 dwi-kusnandar
0275000 6 700 303 Kcrbnan 02
8-8-2018 1

18 327404140518000 1 1 Al khalifi 14 5 2018 1 2.9 Gita-sahrul 32740429 Kcrbnan 02


0391000 2 8-8-2018 1

19 327404661116000 1 2 2 32740424
2.3 Sutari-suma0588000 088 809 Kcrbnan 02
Aisyah 26 11 2016 1 524 744 8-8-2018 1

20 32740600517000 1 1 2 2.5 32091421 087 837 Kcrbnan 02


Arsila 20 5 2017 Ade-noni 1192000 1 257 476 8-8-2018 1

21 Arzeta 26 8 2015 2 Ria Kcrbnan 02


8-8-2018 2
32740210
22 327402470214000 1 3 2 3.4 0 172000 082 319 Kcrbnan 02
Aviska 7 2 2014 Kurniati 588 429 8-8-2018
3 2

23 327404530716000 1 1 Azkadina 13 7 2016 2 3.5 siti fatonah32001213 083 827 Kcrbnan 02


1084000 4 462 363 8-8-2018 1
Rumiatu
24 32740446048000 1 1 2 3.7 32740410 085 703 Kcrbnan 02
Khansa 6 4 2018 n- 0778000 3 277 177 8-8-2018 1
mahbub
25 32740447016000 1 1 2 32740402
3 Ratih-rosid0369000 088 822 Kcrbnan 02
Bilqis 7 9 2016 3 113 129 8-8-2018 1

26 320913700314000 1 1 2 32070912 1085 230 Kcrbnan 02


Dila Nur 30 3 2014 Novianah 0787000 1 514 413 8-8-2018 2

27 Faizah 9 8 2014 2 erli Kcrbnan 02


8-8-2018 2

28 Fayza 17 2 2017 2 Satya-m aziz Kcrbnan 02


8-8-2018 1

29 1 2 3 085 224 Kcrbnan 02


Janeta 29 1 2014 ikhsan 686 011 8-8-2018 2

30 327404691014000 1 2 2 32740414
1.5 Dinda-dede0180000 089 630 Kcrbnan 02
Keiko 29 10 2014 1 786 787 8-8-2018 2

31 32740442107000 1 1 2 32740428 085 316 Kcrbnan 02


Maryam 2 10 2017 taufik-ricky0591000 7 266 088 8-8-2018 1

32 327404601116000 1 1 2 32092113 085 316


2.5 jesika-heri 1081000 Kcrbnan 02
Mikaila 12 11 2017 5 266 088 8-8-2018 1

33 327404690516000 1 2 2 32740425 Kcrbnan 02


Pulana Udaika 29 5 2016 ahmad syauqi 0385000 1 8-8-2018 2

34 327404641214000 1 2 2 4 32740127 089 536 Kcrbnan 02


Retno wulansari24 12 2014 sri r 0087000 3 817 8412 8-8-2018 2

35 327404670815000 1 2 2 3.1 32740410 081 222 Kcrbnan 02


sabrina 27 8 2015 santi 275000 5 683 31 8-8-2018 2

36 327404460914000 1 1 2 3.8 32080923 087 779 Kcrbnan 02


Syfa 6 9 2014 yeni 0889000 6 660 934 8-8-2018 2

37 327402620117000 3 3 2 3.5 32740425 087 829 Kcrbnan 02


Zeta 22 1 2017 Sunita 0877000 5 750 020 8-8-2018 1

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DATA SASARAN BALITA
Provinsi : JAWA BARAT
Kabupaten/Kota : KOTA CIREBON
Puskesmas : PULASAREN

Vitamin A Vitamin A Ada Buku


Berat Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk JENIS Badan Nama Orang NIK Orang Tua No Tlp/HP Tanggal BB TB Februari Agustus KIA
No ANAK KE NAMA ANAK TANGGAL LAHIR ALAMAT RT RW 1=Telentang 1=YA, 1=YA,
Kependudukan) KELAMIN Lahir Tua Orang Tua pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

3274030412
1 327403271114000 6 1 Azfar 4 12 2017 1 2.8 Naniel-aji 93000 5
Pulasaren Brt 03 15-8-2018
1
3274042308
2 327404300409000 3 1 Al Ghozali 9 9 2015 1 3.2 Rika-sugianto 79000 1
Pulasaren Brt 03 15-8-2018
2

3 3274042804070 119 4 Ali S 22 4 2018 1 3.5 Aan-juhana3274041009


72000 5
Pulasaren Brt 03 15-8-2018
1
3206240410 082 318
4 320624221211000 1 2 Andika 25 7 2014 1 4.2 Hendra 85000 1 304 811
Pulasaren Brt 03 15-8-2018
2

5 31736429061000 645 1 Andistia 2 2 2018 1 2.8 Desi-slamet3274047011


16000 1
Pulasaren Brt 03 15-8-2018
1
3274040401
6 327404260416000 2 1 Carlos 4 1 2015 1 2.7 Yuliana 15000 1
Pulasaren Brt 03 15-8-2018
2
3274045210 089 537
7 32740424040700 68 5 Dodi 2 2 2014 1 3.1 julaeni 74000 3 229 1582
Pulasaren Brt 03 15-8-2018
2
3273022804 089 535
8 32730223121600 12 1 Enggar 28 4 2014 1 3.1 May - Safrizal 14000 7 290 1953
Pulasaren Brt 03 15-8-2018
2
3302191809
9 33021922020 31369 4 Ilham 28 11 2015 1 3.3 suroso 67000 1
Pulasaren Brt 03 15-8-2018
2
3274040814 083 156
10 32740424040700 73 2 Ilham W 1 8 2014 1 2.8 Juju-rosidi 000 2 778 035
Pulasaren Brt 03 15-8-2018
2
Julia-
3212230807
11 327404121112000 3 M abizar 3 5 2018 1 3.3 maemun 79000 2 Pulasaren Brt 03 15-8-2018
1
ah
3274041905
12 3274040105070 332 4 M Bilal 30 12 2013 1 3.4 kuslani 65000 3
Pulasaren Brt 03 15-8-2018
2
3274042306
13 327404101111000 7 2 M Faisal 28 9 2017 1 3.7 Sri-basuki 7000 6 Pulasaren Brt 03 15-8-2018
1
3274031712
14 320813070409000 3 1 M Firza 17 12 2015 1 4 Widya-ricky 1000 1 Pulasaren Brt 03 15-8-2018
2

15 327404090118000 2 3 m Ikhsan 5 2 2018 1 2.65 Nunik-wahid3274040602


18000 1
082 216
383 365
Pulasaren Brt 03 15-8-2018
1
3274048117 085 351
16 32740424040700 64 2 M Nurkholik 19 2 2015 1 3.7 kasmo 6000 3 220 331
Pulasaren Brt 03 15-8-2018
2
Nikeo
3274041909
17 327404280416000 2 2 Owen 28 4 2016 1 3.2 cahya- 86000 3
Pulasaren Brt 03 15-8-2018
2
yuliana
3272021610 083 824
18 327404120917000 2 2 Rafardan 12 9 2017 1 3.5 Nur-Endang 8300 41 529 336
Pulasaren Brt 03 15-8-2018
1
3274042205 083 156728 Pulasaren Brt
19 327404271112000 2 3 Ramdani 22 5 2018 1 3.5ratnawati-asep18000 1 035 03 15-8-2018
1
3274041008 089 537
20 32740412100900 12 2 Rasyha 15 8 2014 1 3.6 herman 84000 1 490 2230
Pulasaren Brt 03 15-8-2018
2

21 1 ravi aryanto 26 11 2013 1 nita Pulasaren Brt 03 15-8-2018


2
3274040310
22 327404050115000 8 1 Rayyen 5 7 2015 1 2.7 tina-deden 6100 10 Pulasaren Brt 03 15-8-2018
2
3274041811
23 327404301116000 2 1 Zayn 4 4 2017 1 3.1 Mamta 96000 4
Pulasaren Brt 03 15-8-2018
1
3204052201 082 315
24 320936230817000 7 2 zulfikar 23 1 2015 1 2.9 sulaiman 71000 5 903 800
Pulasaren Brt 03 15-8-2018
2

25 32740427071000 5 1 Amaria 5 6 2017 2 3.1 Yuli-akhmad3274040718


2000 4
Pulasaren Brt 03 15-8-2018
1
3274040211
26 32740650117000 1 2 Fatimah sarah 25 1 2017 2 2.6 Defi-rudi 83000 1 Pulasaren Brt 03 15-8-2018
1

27 Giafinta 13 10 2017 2 Agung Pulasaren Brt 03 15-8-2018


1
3274042801
28 327404200814000 2 1 Katrina 22 12 2014 2 3.4 indah 93000 3
Pulasaren Brt 03 15-8-2018
2
3274047011
29 31730429061000 45 1 Keshya 29 11 2015 2 3 Siti F-Endang 16000 1
Pulasaren Brt 03 15-8-2018
2
3274044609
30 3274042704070 134 2 Khalisa 5 9 2015 2 4.1 Kiki-dodi 16000 1 Pulasaren Brt 03 15-8-2018
2
3274022310
31 327404170118000 3 1 Salsabila 4 6 2018 2 3.5 Yuni-Yogi 38000 7 Pulasaren Brt 03 15-8-2018
1
3274042910
32 3274042704070 118 2 Sara putri 15 4 2014 2 3.4 sandi 82000 6
Pulasaren Brt 03 15-8-2018
2
3274013010 085 220
33 327401170513000 1 1 Siti Aisah 8 8 2015 2 3.7 unaeni 7000 1 102 475
Pulasaren Brt 03 15-8-2018
2
3274042704
34 32740428040700 52 2 Zahara 9 4 2017 2 2.6 Yusuf-lilis 85000 1 Pulasaren Brt 03 15-8-2018
1

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115

116

117

118

119

120

121

122

123

124

125
126

127

128

129

130
DATA SASARAN BALITA
Provinsi : JAWA BARAT
Kabupaten/Kota : KOTA CIREBON
Puskesmas : PULASAREN

Vitamin A Vitamin A Ada Buku


Berat Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk JENIS Badan Nama Orang NIK Orang No Tlp/HP Tanggal BB TB Februari Agustus KIA
No ANAK KE NAMA ANAK TANGGAL LAHIR ALAMAT RT RW 1=Telentang 1=YA, 1=YA,
Kependudukan) KELAMIN Lahir Tua Tua Orang Tua pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

32740511 081 222


1 327404160817000 1 2 Al Haden 16 8 2017 1 3 Nela 1187000 5 163 027
Pekalipan Slt 4 04 8.5
9-8-2018 72 1
32740412 081 802
2 327404080814000 2 2 Aliandro 8 8 2014 1 3.6 budi 1277000 3 000 030
Pekalipan Slt 5 04 12
9-8-2018 93 2

3 327404240716000 1 2 Alvaro 24 7 2016 1 3.5 Serli-asep 32740402 081 221 Pekalipan Slt 3 04 10.3
0987000 3 189 935 9-8-2018 76.8 1

4 327404081115000 2 3 1 32740401
3.4 Nurlela-dodi0685000 085 221
Ardan M 8 11 2015 1 881 706
Pekalipan Slt 5 04 14
9-8-2018 98 2

5 320910190915000 1 1 1 3.5 32091017 088 151


Azzam 12 9 2015 Aisyah-diki0890000 8 577 35
Pekalipan Slt 1 04 11.6
9-8-2018 87.8 2

6 327404221217000 1 1 1 32740414 085 295


3.1 Fitri-hermanto
Devan 22 12 2017 0674000 5 903 157
Pekalipan Slt 3 04 8.3
9-8-2018 69 1

7 327404481214000 3 1 1 3.2 32740402 081 221


Fariz 8 12 2014 Riana 0987000 3 189 935 Pekalipan Slt 3 04 14.6
9-8-2018 95.9 2

8 327404120914000 3 1 1 3.8 32740207 089 650


Haikal 12 9 2014 atikah 0792000 1 995 982 Pekalipan Slt 3 04 25
9-8-2018 106.5 2

9 327404150417000 1 1 M Asfa Purnayudi 1 32740421 087 829


3.5 ayu/bintang0690000
15 4 2017 3 505 844
Pekalipan Slt 4 04 9.1
9-8-2018 77.3 1

10 327404260216000 1 3 32740408
M Hafiz 26 2 2015 1 sri mulyani0679000 5 Pekalipan Slt 1 04 16
9-8-2018 98.1 2

11 327404251116000 1 2 1 3.4 Dian-mawardi 32091320 082 315


Hafiz 25 11 2016 0383000 4 002 922
Pekalipan Slt 1 04 11.6
9-8-2018 79.5 1

12 327404170417000 3 2 1 32740327 082 318


2.8 Yani-endi 0566000
M Isa 17 4 2017 6 965 737
Pekalipan Slt 3 04 8.4
9-8-2018 72 1

13 327404170614000 2 3 1 3.5 33280612 089 629


M Sesar 18 5 2014 amir 0677000 5 173 780
Pekalipan Slt 1 04 15.6
9-8-2018 102.5 2

14 327404021116000 1 2 1 3.3 supriani- 32740410 085 224


M Wahyu 2 11 2016 Pekalipan Slt 04 7
sanudin 0375000 9 269 996 3 9-8-2018 79.2 1

15 327404130616000 1 1 1 2.8Salamah-zaenal32740416 085 254 Pekalipan Slt 04


Raizel azzam 15 6 2016 083000 7 102 641 10
9-8-2018 79.6 2

16 327404161217000 1 2 1 3.5 32740419 089 537 Pekalipan Slt 04


Rosyid 16 12 2017 Yeyen 0584000 1 316 7871 8.7
3 9-8-2018 69.8 1
32740418
17 Tegar 1 3 2016 1 wawan 0263000 1 Pekalipan Slt 04 12.6
3 9-8-2018 87.2 2
Nurjana
18 327404090118000 2 1 1 2.9 32743009 083 827
Ahmad 10 1 2018 h-abdl 83000 5 618 885
Pekalipan Slt 04 7.2
1 9-8-2018 63 1
kodir
19 327404511116000 1 1 Alula 10 11 2016 2 3.2 nurul/tabroni091000 1 085
32121081 294 Pekalipan Slt 04 12
856 209 1 9-8-2018 82.5 1

20 327404621113000 1 2 2 3.5 32740414 081 928


Alvina 22 11 2013 susanto 0275000 3 704 773 Pekalipan Slt 04 14.3
2 9-8-2018 99.4 2

21 32740414530614000 2 1 2 3.4 32740401 089 535


Anindya 13 5 2014 nurita 918200 11 743 4883 Pekalipan Slt 04 14.1
5 9-8-2018 96.5 2
22 327404660614000 2 1 2 32740444
Annisa 24 7 2014 yulia 0788000 3
Pekalipan Slt 04 14.5
3 9-8-2018 95.5 2

23 327404511213000 1 1 2 32740401 087 829


Azalea 11 12 2013 afrizal 0481000 7 475 535
Pekalipan Slt 04 16
1 9-8-2018 108 2

24 327404579215000 1 1 2 32740219
Gysela 16 2 2015 euis 109200 11
Pekalipan Slt 04
5 9-8-2018 2

25 2 2 19040310 082 212 Pekalipan Slt 04


Hanalie 25 7 2014 Ati 1088000 7 747 1200 1 9-8-2018 2

26 327404470316000 1 1 2 2.6 32740431 088 214 Pekalipan Slt 04


Nadia 7 3 2016 Yulia-agus 0665000 3 970 715 12.1
5 9-8-2018 85.9 2
32740460 085 220
27 1 Naumi 14 12 2017 2 3.5 Given 1293000 5 789 500 Pekalipan Slt 04 6.8
4 9-8-2018 64.3 1

28 327404560914000 1 1 2 3.6 32740406 087 728


Naura 16 9 2014 Widi 1287000 6 720 800
Pekalipan Slt 04 23
2 9-8-2018 111.6 2

29 1 2 2.7 32740458 089 5700


Pipin 15 11 2017 Sekar-adi 0301000 1 4100 59 Pekalipan Slt 04 7.5
4 9-8-2018 66.3 1

30 327404450114000 3 2 2 4 32740422 089 537


Putri 5 1 2014 mela 1289000 3 544 3454
Pekalipan Slt 04 17
3 9-8-2018 102.1 2

31 327404480814000 1 2 2 3.2 32740423 08772979


Yasmin 8 8 2014 heni 0573000 1 0 804
Pekalipan Slt 04 16.3
4 9-8-2018 102.7 2

32 3 2 3 32091320 082 215


Keisya 4 3 2018 Nia-dirja 1181000 3 657 926 Pekalipan Slt 04 6
5 9-8-2018 63 1

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

68

69

70

71

72

73
74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99
100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125
126

127

128

129

130
DATA SASARAN BALITA
Provinsi : JAWA BARAT
Kabupaten/Kota : KOTA CIREBON
Puskesmas : PULASAREN

Vitamin A Vitamin A Ada Buku


Berat Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk JENIS Badan Nama Orang NIK Orang No Tlp/HP Tanggal BB TB Februari Agustus KIA
No ANAK KE NAMA ANAK TANGGAL LAHIR ALAMAT RT RW 1=Telentang 1=YA, 1=YA,
Kependudukan) KELAMIN Lahir Tua Tua Orang Tua pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

32740412 089 505


1 abimanaya 15 1 2017 1 3 Watningsih-azis
0390000 1 888 263 Purwasari 3 05 8.3
7-8-2018 77.5 1
32740528 089 525
2 327404420717000 1 Abizar 24 7 2017 1 3 dian-daus 0387000 3 167 124 Purwasari 4 05 8.3
7-8-2018 68 1

3 082 213 Purwasari 2


Abizar althaf 5 5 2018 1 2.7 ratna 339 549
05
7-8-2018 6.1 59.3 1

4 327404130317000 1 32092010 089 660 Purwasari 1


Al kholifia 13 3 2017 1 3.1Intan-sugiharto
0993000 8 235 501
05
7-8-2018 8.7 75 1

5 327404231213000 1 32740419 081 222 Purwasari 3


Alby 23 12 2013 1 2.5 lastri 0581000 1 087 210
05 13
7-8-2018 96.1 2

6 Alfan Alfarizi 15 11 2017 1 3 Rosaeni-irfan Purwasari 4 05


7-8-2018 8.5 68.5 1

7 327404231017000 1 32740448 087 829 Purwasari 2


Alief 23 10 2017 1 2.5 lidiawati 0681000 4 411 514 05 7.1
7-8-2018 68.5 1

8 327404181116000 2 32740203 087 727 Purwasari 3


Alif 18 11 2016 1 2.25 mulyati 1191000 1 141 977 05
7-8-2018 10.7 79.7 1

9 Alnerado 11 4 2015 1 Indri-lufi Purwasari 05


7-8-2018 2

10 327404311216000 2 32740415 085 317 Purwasari 2


Anggara 31 12 2015 1 3 Rismanto 1184000 8 664 347 05
7-8-2018 11.8 87 2

11 327404221107000 1 32740411 082 113 Purwasari 5


Arfan 21 11 2017 1 3.5Endah-sunarya
1285000 1 962 695
05 8.5
7-8-2018 69.4 1

12 Askal 26 4 2018 1 Panca-juleha Purwasari 05


7-8-2018 6.5 65.4 1

13 085 215 Purwasari 3


Andra 16 2 2018 1 3 Mirna-azis 989 893
05
7-8-2018 8.5 66.3 1

14 089 784 Purwasari 2


Dafa 22 6 2015 1 2.5 Komariah 070 99
05 11
7-8-2018 88.8 2

15 327404181114000 1 32740444 Purwasari 5 05


Fadilah 18 11 2014 1 2.4 sirmaniati 079100 10 11.5
7-8-2018 89 2

16 327404181114000 2 32740401 089 643 Purwasari 2 05


Fahrezi 16 6 2014 1 3.1 yogi 1191000 1 484 5656 16
7-8-2018 98.8 2
32740448
17 327404241013000 1 Fajar 10 10 2013 1 3 Imra-ega 0388000 3 Purwasari 1 05 29
7-8-2018 106.7 2
32740415 082 350
18 Faqih 27 3 2016 1 Marnis-ade 07730000 188 100 Purwasari 2 05
7 7-8-2018 10.7 80.7 2

19 32740405 087 710 Purwasari 1


Fariz 29 8 2015 1 4.5 wati-lukman0875000 1 565 088 05 11.4
7-8-2018 88.4 2

20 327404171114000 1 32740411 089 868 Purwasari 2


Fauzi 17 11 2014 1 4.1 solihin 0583000 7 789 64 05
7-8-2018 15.6 101.6 2

21 327404160614000 2 32740566 089 868 Purwasari 2


Ghiyats fawwaz14 6 2015 1 3 Sri Irna 108900 14 789 64 05
7-8-2018 15 90.3 2
22 320812230317000 2 pipin-m 35070821 089 770 Purwasari 2
Gifari 23 3 2017 1 3.2 05 8.1
Buhkori 0407000 2 068 87 7-8-2018 72.8 1

23 327404080815000 1 32740430 082 217 Purwasari 5


Irsyad 8 8 2016 1 3.6 nita-fredy 0792000 5 718 211
05
7-8-2018 9.8 83 1

24 327404100716000 1 32740416 Purwasari


Jonatan 10 7 2016 1 2.6 ayu-wijoyo067800 13 05 12.4
7-8-2018 86.8 1

25 320810240316000 2 32081003 085 321 Purwasari 05


Juan 24 3 2016 1 3 Lina-yadi 0374000 6 855 607 10.1
7-8-2018 82 2

26 327404180414000 1 32740429 082 319 Purwasari 4 05


Kagendra 18 4 2014 1 3 widya-ismail0880000 1 149 809 12.9
7-8-2018 98.8 2
32120902 085 759
27 327404220515000 1 Kara haidar 22 5 2015 1 3.1 Diana-johan0985000 2 777 470 Purwasari 3 05
7-8-2018 13.5 94.5 2
32740461
28 Khilan 22 11 2014 1 2.6 dudin 05911000 Purwasari 3 05 12
1 7-8-2018 95.4 2

29 327404101217000 1 M Abid 10 12 2017 1 2.9 Novi-haris Purwasari 3 05 7.8


7-8-2018 69.8 1

30 089 666 Purwasari


M Ageng 13 6 2018 1 3 Puput-irwan 234 155
05
7-8-2018 5.2 58.2 1

31 32740403 Purwasari 3
M Aldi 15 3 2014 1 2.5 debi 1288000 1
05 19
7-8-2018 101.5 2

32 327404130415000 1 32092006 085 351 Purwasari 2


M Alfarid 11 4 2015 1 2.8 Eva-alex 057600 13 342 098
05 13
7-8-2018 92.5 2

33 327404040915000 1 32404110 081 322 Purwasari 3


m arsyad 4 9 2015 1 3 Eti-Yuki 969000 1 877 919
05
7-8-2018 15 90.3 2

34 32740417 085 295 Purwasari 2


M Dave 25 1 2014 1 3 amirudin 0972000 7 704 498
05 14.0
7-8-2018 95.4 2

35 327404091017000 3 M Fajri 9 10 2017 1 3 gina-fadli Purwasari 2 05 8.7


7-8-2018 72 1

36 327404261016000 2 32740417 Purwasari 5


M Hizam 26 10 2016 1 3 nunu 0194000 6 05 12.3
7-8-2018 82.1 1

37 32740424 089 515 Purwasari 2


M Irfan 9 10 2017 1 1.4 asih-taufik 0479000 8 627 398
05 7.5
7-8-2018 66.2 1

38 327404301215000 1 32740418 Purwasari 2


M Khaerul R 30 12 2015 1 4 Murni-subur0476000 3 05 13
7-8-2018 89.5 2

39 327404021215000 1 32740402 085 224 Purwasari 5


M Nizham 2 12 2015 1 2.6 irma 087000 1 772 030
05
7-8-2018 12.8 92 2

40 327404141715000 2 32740301 089 660 Purwasari 4 05


M ramadhan 14 7 2015 1 3.3 Atik 110700 12 824 349 13.2
7-8-2018 92.6 2

41 32740220 081 214 Purwasari 2 05


M rasya 12 12 2016 1 2.6 saedah-dedi0687000 5 634 054 10
7-8-2018 79.5 1

42 M Wahyu 2 4 2017 1 indah/saefullah Purwasari 05


7-8-2018 1
089 666
43 M Wahyu ar rasyid
24 10 2015 1 3.3 Dewi-yudi Purwasari 05 13
23 337 7-8-2018 90.2 2
32063005 081 817
44 327404140717000 1 Marco 14 7 2017 1 edi-ana 0980000 2 262 7 Purwasari 2 05 8.7
7-8-2018 71.3 1
32740456
45 327404290115000 3 Noval 29 1 2015 1 3.8 kartika 0484000 3 Purwasari 3 05
7-8-2018 14.2 98 2
32740404 085 862
46 327404240215000 2 Noval 11 2 2015 1 4 merry 1086000 6 173 548 Purwasari 05
7-8-2018 14 97.8 2
32740426
47 327403130217000 3 Noval 13 2 2017 1 3 Listi-tarhim0379000 1 Purwasari 2 05 12.1
7-8-2018 81 1
48 32740422 089 681 Purwasari 3
Rafanda 14 1 2018 1 3.5 suci-yulianto0786000 2 222 592
05
7-8-2018 6.9 66.2 1

49 089 936 Purwasari


Rakha Bilal 8 3 2018 1 Laras-aripin 702 33
05 6.1
7-8-2018 63.5 1

50 327404110617000 2 32740419 089 660 Purwasari 2


Rama nugraha11 6 2017 1 2.9 silvi/bagja 0887000 3 496 965
05
7-8-2018 7.6 73.8 1

51 327404040516000 2 32740512 Purwasari 2 05


Rangga 5 5 2016 1 2.8 Indra-evi 0676000 6 14
7-8-2018 89.3 2

52 32740408 082 130 Purwasari 2 05


Rayan gibran 9 6 2017 1 2.6 yuli-muhtar1185000 1 762 171 9
7-8-2018 72.8 1
32740426 089 660
53 Razka 19 1 2015 1 3 andi-lili 0588000 2 625 873 Purwasari 2 05 13.4
7-8-2018 95 2

54 327404030916000 1 32092115 089 639 Purwasari 1


Reiki farid 3 9 2016 1 3.2 raiska-agung 0891000 4 222 284
05 12
7-8-2018 86.2 1

55 327404210411000 1 32740420 089 654 Purwasari 2


Reza 5 4 2018 1 4 Sahroni-Masri 0501000 6 508 389
05
7-8-2018 6.4 64 1

56 Rino 14 10 2013 1 nono-rina Purwasari 05


7-8-2018 2

57 327404220714000 1 32092115 085 224 Purwasari 3


syahrul 22 7 2014 1 3.4 Sahrim 067800 15 350 972
05 14.1
7-8-2018 94.5 2

58 320526070715000 1 33052624 Purwasari 4


tajri 7 7 2015 1 Khotimah 0989000 2 05
7-8-2018 12.4 89.5 2

59 32740426115000 1 32740430 081 312 Purwasari 5


umar 26 11 2015 1 3.4 Ayu-heri 0187000 5 405 171
05
7-8-2018 10.8 85 2

60 089 649 Purwasari


Adila 15 11 2016 2 3 Wisnu-fegi 641 666 05 11
7-8-2018 80 1

61 Adila 15 11 2016 2 Wisnu-fegi Purwasari 05


7-8-2018 1

62 32740460016000 2 32740423 089 825 Purwasari 3


Adinda 19 1 2016 2 3.5Wida-andayana
066200 10 393 12
05 12
7-8-2018 86.2 2

63 085 224 Purwasari


Agna 13 9 2017 2 2.7Desi-sulaeman 9100 61
05 9.1
7-8-2018 70.1 1

64 327404540315000 2 Aina 25 3 2015 2 3 Deni Purwasari 05 12.8


7-8-2018 90.4 2

65 3274044301114000 1 42091213 091 911 Purwasari 2


Ainun 3 1 2014 2 3 salim 0605000 7 301 501
05 18.9
7-8-2018 97.8 2

66 327404421115000 1 32740462 089 664 Purwasari 2 05


aisyah 2 11 2015 2 3.2Bambang-pipit
0686000 3 732 662 13
7-8-2018 99.8 2

67 Almira 6 10 2013 2 3 Titi-ujang Purwasari 05 13.6


7-8-2018 96.6 2
32091405
68 327404121214000 2 Alya 4 11 2014 2 3 asep-melan0486000 7 Purwasari 3 05 13
7-8-2018 93.5 2
081 219
69 Amalia 16 11 2017 2 2 Nuraeni-taufik Purwasari 05
071 202 7-8-2018 6.5 65.6 1
32740406
70 327404020507011 7 anindia 17 1 2016 2 3 dian -teguh0676000 3 Purwasari 3 05 13.2
7-8-2018 90.1 2
32740416 089 674
71 327404520316000 1 aqila 12 3 2016 2 3.3 Neneng-edi087800 11 981 791 Purwasari 2 05
7-8-2018 9.3 82 2
32740301 089 660
72 Arrasy 16 10 2017 2 3 Atik-ari 11670 13 824 349 Purwasari 4 05
7-8-2018 8.5 68.6 1

73 Asifa 10 10 2015 2 pujian-erlin Purwasari 05


7-8-2018 2
74 327404020615000 1 32740409 087 837 Purwasari 3
Asila 21 6 2015 2 3.8 ramadanti 1187000 3 256 494
05 12.5
7-8-2018 98.4 2

75 327404490915000 1 32740407 089 665 Purwasari 2


Azahra 9 9 2015 2 2.6 Laela 099200 11 083 522
05
7-8-2018 11 88.7 2

76 327404411214000 1 32740402 087 829 Purwasari 2


Azarin 1 12 2014 2 3 lidiawati 0680000 3 411 514
05 12.5
7-8-2018 93.1 2

77 327404561015000 1 083 840 Purwasari 05


Azzahra 16 10 2015 2 3 Riyanti 761 222 7-8-2018 11 81.2 2

78 327404570217000 1 Dinar 17 2 2017 2 3.2 Irma-taufik Purwasari 05 8.5


7-8-2018 74 1

79 327404531214000 2 Earlena 13 12 2014 2 3.15 Margareta Purwasari 3 05


7-8-2018 16.7 97.1 2

80 327404091014000 2 32740461 081 383 Purwasari 1


Fatin 29 10 2014 2 2.8 Lilis 077000 1 740 570
05 15
7-8-2018 98.7 2

81 Faudina 22 10 2014 2 fatmawati Purwasari 05 12.7


7-8-2018 92.2 2

82 327404670216000 1 32740422 089 562 Purwasari 5


Febriana 27 2 2016 2 2 Amanah-ryan
0292000 3 820 8930
05 10.8
7-8-2018 85 2

83 32740401050703 66 32740416 085 862 Purwasari 3


finy 16 4 2017 2 3.5 May-dana 0673000 3 173 548
05
7-8-2018 8 73.4 1

84 327404260314000 1 32744070 Purwasari 3


Fitri 18 7 2014 2 2.2 helmi-DWI 494000 5 05
7-8-2018 12.4 97.8 2

85 32740410 089 626 Purwasari 5


Indri sufani 2 3 2017 2 3 silvi/deta 0595000 1 981 589
05
7-8-2018 8.9 77 1

86 089 956 Purwasari


Izzatun syfa 15 5 2018 2 3.4 Tanti-suhari 53083
05
7-8-2018 5.1 51.5 1

87 081 909 Purwasari


Keren 25 2 2017 2 2.8 Melisa 962 404
05 9.8
7-8-2018 80 1

88 33052502 085 218 Purwasari


Laela 23 10 2014 2 rini-hayun 0888000 2 468 402
05 13.6
7-8-2018 94 2
atikah-
89 327404441115000 1 32740405 085 224 Purwasari 2
Mahya Ivana 4 11 2015 2 3.2 mudiant 0478000 8 409 904
05
7-8-2018 12.6 91 2
o
90 327404561216000 1 32740416 Purwasari 1
maulidia 16 12 2016 2 Ani -hendra1191000 7 05 8.2
7-8-2018 79 1

91 32001721 089 739 Purwasari 4


nurul 30 9 2017 2 3.8 Eppi-sahroni127000 2 815 04
05
7-8-2018 8.1 67.5 1

92 327404711014000 2 32101903 Purwasari 5 05


Oca oktavia 31 11 2014 2 3.2 nunik 048400 21 14
7-8-2018 96.6 2

93 Qiana 15 12 2017 2 Dewi-wahyudi Purwasari 05


7-8-2018 8 67.8 1

94 327404540817000 1 Rafa Alian 14 8 2017 2 ayu-reza Purwasari 05


7-8-2018 7.8 69.5 1
32740301
95 327404541016000 2 Reakimu 20 10 2016 2 3.2 anisa-jajang020900 12 Purwasari 3 05 12
7-8-2018 82.1 1
32740405 089 580
96 327404600416000 1 Riana 20 4 2015 2 2.8 Lina-ryan 0600000 6 415 0399 Purwasari 2 05 10.8
7-8-2018 89.1 2
089 697
97 safia 4 1 2015 2 3.6 linda-sanito 830 667 Purwasari 05
7-8-2018 12.1 92.6 2
32740415
98 327404470814000 3 Salsa 7 8 2014 2 3.2 Rismanto 1184000 8 Purwasari 2 05 13.8
7-8-2018 97 2
081 319
99 327404241216000 1 Salwa Zaskia 24 12 2016 2 3.2 titi-ujang 918 339 Purwasari 05
7-8-2018 9.7 77 1
100 327404420216000 1 32740528 Purwasari 4
Selvi 8 2 2016 2 3.5 Dian-jamal0367000 3 05 10.2
7-8-2018 80.5 2

101 32740466 Purwasari 3


Sesa 12 4 2016 2 2.8 Roliyah-indra
1189000 1
05
7-8-2018 9.1 78.5 2

102 Shafa 23 10 2013 2 3 nono- vivi Purwasari 05 14.9


7-8-2018 99.3 2

103 Susilawa 089 631 Purwasari 05


Shazia 2 10 2017 2 3.2 531 560
ti-sulala 7-8-2018 8.8 72.7 1

104 32740410 085 294 Purwasari 05


Shofi 12 1 2018 2 3 aminah-sofyan
0582000 1 501 370 7-8-2018 7.5 65.4 1

105 Silvani 19 4 2016 2 feni Purwasari 05 10.8


7-8-2018 82.2 2

106 327404670914000 1 32740418 089 535 Purwasari 4


Tiana 27 8 2014 2 1.8 Subandra 0877000 3 781 7701 05 12.3
7-8-2018 94.2 2

107 327404670914000 2 32740418 089 535 Purwasari 4


Tiara 27 8 2014 2 1.9 Subandra 0877000 3 781 7701 05 10.3
7-8-2018 88 2

108 327404100412000 6 32740405 089 852 Purwasari 1


Vanesa 15 4 2014 2 3.2 Sri ningsih 0190000 1 201 12
05 16
7-8-2018 97.2 2

109 fairel 11 7 2018 2 2.6 yuli 3.6


48

110 089 770


nursabila 26 6 2018 2.7nuraeni-sopyan 670 44 4
47

111 083 893


alika 24 12 2014 2.7 widyawati 413 707

112 087 829


arzan 7 4 2018 2.5 nunik-edi 353 567
113 dewi- 085 721
bayu 3 4 2014 2.9 maman 144 133
114

115

116

117

118

119

120

121

122

123

124

125
126

127

128

129

130
DATA SASARAN BALITA
Provinsi : JAWA BARAT
Kabupaten/Kota : KOTA CIREBON
Puskesmas : PULASAREN

Vitamin A Vitamin A Ada Buku


Berat Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk JENIS Badan Nama Orang No Tlp/HP Orang Tanggal BB TB Februari Agustus KIA
No ANAK KE NAMA ANAK TANGGAL LAHIR NIK Orang Tua ALAMAT RT RW 1=Telentang 1=YA, 1=YA,
Kependudukan) KELAMIN Lahir Tua Tua pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

327404140982
1 327404160614000 1 3 A. Kafi 16 6 2014 1 3 purnama 000 3
Plbr utara 2 06 14
16-8-2018 101.5 2
327404120282 089 631 771
2 3 Afdan 3 12 2014 1 3 Zaenal 000 5 607
Plbr utara 4 06 16
16-8-2018 100.3 2

3 327404280715000 1 2 1 3 327404200277
afdel 27 7 2015 fitri-iwan 000 3
Plbr utara 3 06 13.9
16-8-2018 90.6 2

4 327404121216000 2 2 1 4 327403180983
Affandra 12 12 2016 risa-agung 000 6
Plbr utara 1 06 11.2
16-8-2018 82 1

5 2 1 Mayasar 327404710386
Agil M 13 5 2018 000 1
Plbr utara 4 06 4.8
i-ahmad 16-8-2018 54 1

6 327404160317000 2 1 1 3.2 327402021182


Al Farel 16 3 2017 encum 000 1
Plbr utara 5 06 10.1
16-8-2018 73.5 1

7 327404310516000 1 1 1 3.6 Euis-kama 320914171188


Anggara 31 5 2016 523 7
Plbr utara 5 06 11
16-8-2018 80 2

8 327404070318000 2 1 1 2.9 320912300595


Arfa 7 3 2018 Ana-heri 00 15
Plbr utara 2 06 8
16-8-2018 63 1

9 327404070815000 3 3 1 3.2 karidah- 327404070380


Arif 7 8 2015 000 3
Plbr utara 2 06 15
sutrisno 16-8-2018 94 2

10 327404230914000 1 1 1 320102210190
3.7 Arifin-haryati 000 4
Arjuna 23 9 2014 Plbr utara 5 06 17.1
16-8-2018 104.2 2

11 3 1 3 327404680584 083 824 484


Arvino 22 8 2017 suhaenah 000 7 999
Plbr utara 2 06
16-8-2018 1

12 327404480416000 1 1 1 320812050188
3 melinda-tedy 000 1
Azril 8 4 2016 Plbr utara 3 06 17
16-8-2018 91.6 2

13 327404290118000 1 1 Bambang 29 1 2018 1 2.3 Indah-basri327404170288


000 3
Plbr utara 3 06 7
16-8-2018 66.1 1

14 327404251017000 2 2 1 327404071189
3 santi-sodikin 000 3 5
Dafa 25 10 2017 Plbr utara 06 8.4
16-8-2018 73.5 1

15 330405020314000 2 2 1 3 330405131187 Plbr utara 5 06


Denis 2 3 2014 Purwanto 000 2 14.7
16-8-2018 101.8 2

16 327404030314000 2 4 1 3.2 327402070683 Plbr utara 4 06


Egi S 3 3 2014 lukman 000 7 15
16-8-2018 96.4 2
327404211294 088 972 192
17 327404120517000 1 2 El Gibran 12 5 2017 1 Iin -Romi 000 4 985
Plbr utara 3 06 9
16-8-2018 72.4 1

18 327405171116000 3 1 1 3 327405151091
Fadhil 17 11 2016 Dian 001 2
Plbr utara 06 11.2
5 16-8-2018 80.5 1

19 327404261214000 1 1 1 2.6 327405090186


Fahril 26 12 2014 Indra 000 6
Plbr utara 06 15.9
4 16-8-2018 97.4 2

20 327404290817000 1 1 1 327404200690
3 jayanti-risandi 000 6
Faiz 28 8 2017 Plbr utara 06 8.1
5 16-8-2018 73 1

21 327404010215000 1 2 1 3.2 317503230672


Fatan 1 2 2015 rosdiana 000 1
Plbr utara 06 15
2 16-8-2018 102.4 2
22 327404120316000 1 2 1 2.6 327404230879
Gibran 12 3 2016 Sulaeman 000 5
Plbr utara 06 10.4
5 16-8-2018 81.7 2

23 327404200716000 1 2 Khoirullah azzam 1 327404210484


3.7irawati-abd azis
20 7 2016 000 4
Plbr utara 06 12.1
2 16-8-2018 83.2 1

24 1 Lajendra 19 5 2016 1 3 rina Plbr utara 06 11


1 16-8-2018 86 2

25 327404310516000 3 1 1 2.3 327404211294 088 972 192 Plbr utara 06


M al Mahrez 31 5 2016 Romi-Iin 000 4 985 10
3 16-8-2018 84.8 2

26 327404190415000 1 1 1 3 327404011083 Plbr utara 06


M Azril 19 4 2015 serli-adi 000 6 17
2 16-8-2018 100 2
Fitriyani-
327404560400
27 1 M Dafa 23 4 2018 1 3 hermaw 00 11
Plbr utara 06 6.1
2 16-8-2018 56.5 1
an
28 327404021114000 2 1 1 3 327404061288
M Daffa 2 11 2014 aris 000 1
Plbr utara 06 18.4
5 16-8-2018 101 2

29 327404241114000 3 3 1 3.4 327404101274


M Fahrurozi 24 11 2014 rohaeni 000 3
Plbr utara 06 15.1
2 16-8-2018 95 2

30 327404280414000 1 3 1 3 327404130978 082 319 636


M hafiz 28 4 2014 Idi 000 5 941
Plbr utara 06 15.8
3 16-8-2018 99.7 2

31 327404230414000 2 3 1 3.7 327404280880


M Haikal 23 4 2014 Dwini 00 06
Plbr utara 06 16
1 16-8-2018 102.5 2

32 327401080317000 2 1 1 2.6 327401280601


M Rabil 8 3 2017 kosim-lastri 000 6
Plbr utara 06 10.5
5 16-8-2018 76.2 1

33 327404160415000 1 1 1 3 327404120893
M reza 16 4 2015 Agus-mia 000 3
Plbr utara 06 12.7
3 16-8-2018 94.2 2

34 327404310715000 1 1 1 3 320812010686
M rizki 31 7 2015 edi-esih 000 7
Plbr utara 06 12
3 16-8-2018 90.7 2

35 327404100517000 1 2 1 3 327404230387
M Syahban 10 5 2017 ani-andri 000 4
Plbr utara 06 9.2
2 16-8-2018 76.8 1

36 327404090416000 3 1 1 3.7 327402100893


Pandu 9 4 2016 deri-ainia 000 7
Plbr utara 06 11.5
4 16-8-2018 88.8 2

37 327404270118000 1 3 1 3.4 327404240983 085 224 456


Rafasya 27 1 2018 Neneng-asep 000 1 120
Plbr utara 06 7.6
2 16-8-2018 65.3 1

38 2 Rayyanda 8 3 2018 1 3 Rina-ryan Plbr utara 06 8


1 16-8-2018 69 1

39 327404210417000 2 7 1 3.6 327402660485


Revan 21 4 2017 Juleha 000 8
Plbr utara 06 10.8
3 16-8-2018 80.1 1

40 327404280913000 1 4 1 3 327404160880 Plbr utara 06


Revan 28 9 2013 rosid 00 10 17.1
5 16-8-2018 105.4 2

41 327404290415000 1 1 1 3 327404140589 Plbr utara 06


Rubi 29 4 2015 Sugeng 000 8 16.4
5 16-8-2018 97 2
327404070486
42 327404280215000 1 2 Satria 28 2 2015 1 3 Nurfiana 00 10
Plbr utara 06
5 16-8-2018 2
327403070990
43 327404020216000 1 1 Wahyu 2 2 2016 1 3.2 Siti-wawan Plbr utara 06 13.6
00 13 4 16-8-2018 88.8 2
327404150277
44 327404610116000 1 3 Aan Anisah 11 1 2016 2 3 Jeni-tarno 000 6
Plbr utara 06 12.6
5 16-8-2018 89.2 2
327404071189
45 327404431114000 1 1 Ajeng 3 11 2015 2 3.2 m sodikin 000 3
Plbr utara 06 15.9
5 16-8-2018 99.7 2
320912021172
46 327404590917000 1 4 Alfiana 19 9 2017 2 3 irma-sajun 000 7
Plbr utara 06 10.1
4 16-8-2018 68.7 1
320831170989
47 327404630417000 1 1 Alika 24 4 2017 2 3 widya-wawan 000 2 Plbr utara 06 9.8
5 16-8-2018 73 1
48 2 2 Mayasar 327404710386
Anggun 13 5 2018 000 1
Plbr utara 06 4.5
i-ahmad 4 16-8-2018 55 1

49 1 2 3 327404040488
Aruhi 20 4 2017 Aris 000 3
Plbr utara 06 10.2
4 16-8-2018 75.5 1

50 327404550416000 2 6 2 3 327402660485
Audy intan 15 4 2015 Juleha 000 8
Plbr utara 06 12.3
3 16-8-2018 90.4 2

51 2 3 327404430484 Plbr utara 06


Aurora 9 5 2018 Lena-imam 000 1 6.4
3 16-8-2018 61.7 1

52 327404691216000 1 1 2 3 327404100892 Plbr utara 06


Celsea 29 12 2016 Tri-ade 000 3 7.8
2 16-8-2018 75.6 1
320921051094
53 327404450618000 1 1 Elsa 5 6 2018 2 3 Apriani-agung 000 7 Plbr utara 06 4.8
5 16-8-2018 58 1

54 327404460215000 1 2 2 3.2 320919120683


Felesa 6 2 2015 Laenah 000 7
Plbr utara 06 17.1
2 16-8-2018 100.9 2

55 327404510917000 1 2 2 2.6 Aryati-indra327405090186


Felesia 11 9 2017 000 6
Plbr utara 06 7.2
4 16-8-2018 68 1

56 327404570915000 2 2 2 3 327404161180
Hanifah 17 9 2015 Nuripah 000 3
Plbr utara 06 11.5
1 16-8-2018 86.3 2

57 327404450617000 3 3 2 3 327404140882
Hanina 5 6 2017 widy-ayu 000 1
Plbr utara 06 8.7
1 16-8-2018 72.2 1

58 327404521216000 2 3 2 3 327404150587
Ilena 12 12 2016 sujana 000 9
Plbr utara 06 9.6
5 16-8-2018 76.1 1

59 327404531214000 1 1 2 3 327401270484
Maulidia 13 12 2014 wawang 00 11
Plbr utara 06 13.7
5 16-8-2018 95.6 2

60 32740446048000 4 7 Nazwa 6 4 2018 2 3 saripin/sari327404160669


000 1
Plbr utara 06 6.7
4 16-8-2018 60 1

61 327402631116000 1 1 2 3 327402070475
Nur Putri 23 11 2016 Fini-anang 000 3
Plbr utara 06 13.4
5 16-8-2018 83.6 1

62 327404561016000 1 1 2 3 327403260291
Rania sofi 16 10 2016 Sri ayu 00 12
Plbr utara 06 11
5 16-8-2018 79 1

63 327403450314000 6 3 2 3 Hendi--imas 327404020484


Riska 15 3 2014 000 7
Plbr utara 06 14
Mardian 5 16-8-2018 97.2 2

64 327404651015000 1 1 2 3 a- 320935280684
Rizky mardiah 24 10 2015 000 7
Plbr utara 06 11.4
supriyad 5 16-8-2018 84.3 2
i 327404070169
65 327404461016000 1 4 Salsa 7 10 2015 2 3.4 Yayu-bambang 000 3 Plbr utara 06 12.7
1 16-8-2018 89.5 2

66 327404581017000 1 1 Siren 18 10 2017 2 3.4 Irma-rendi 217102020190


900 2
Plbr utara 06 7.7
4 16-8-2018 66 1

67 327404650315000 1 2 2 3 327404140882 Plbr utara 06


Sofiyah 25 3 2015 ayu 000 1 13
1 16-8-2018 98.3 2
purnom 327404100886 089 535 748
68 327404530516000 1 2 Tsuraya 13 5 2016 2 3.2 000 5 167 8
Plbr utara 06 12
o-kokom 4 16-8-2018 89 2
327404200277
69 327404570517000 3 3 Vidya 17 5 2017 2 3 fitri-iwan Plbr utara 06 8.2
000 3 3 16-8-2018 71 1
327404070272
70 327404640714000 2 2 Yuliarti 24 7 2014 2 3 Heri-evi 000 3
Plbr utara 06 30
5 16-8-2018 101.1 2
327404040386
71 327404550214000 2 2 Yumna 15 2 2014 2 3 Sartun 000 1
Plbr utara 06 15.2
5 16-8-2018 103.3 2
327404050178
72 327404240618000 1 2 Fairuzi 24 6 2018 1 Arief-yeni 000 5
Plbr utara 07 4.4
4 16-8-2019 52 1

73
74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99
100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125
126

127

128

129

130
DATA SASARAN BALITA
Provinsi : JAWA BARAT
Kabupaten/Kota : KOTA CIREBON
Puskesmas : PULASAREN

Vitamin A Vitamin A Ada Buku


Berat Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk JENIS Badan Nama Orang NIK Orang No Tlp/HP Tanggal BB TB Februari Agustus KIA
No ANAK KE NAMA ANAK TANGGAL LAHIR ALAMAT RT RW 1=Telentang 1=YA, 1=YA,
Kependudukan) KELAMIN Lahir Tua Tua Orang Tua pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

32081313 083 824


1 327404300717000 1 2 Abizard 30 7 2017 1 2.7 dwi-didi 0489000 7 218 658 Pbru Sltn 07 8.9
14-8-2018 74 1
32740229 081 930
2 327404111115000 3 3 ahmad Muzzalah
11 11 2015 1 3.1 Sadir-Kurniasih
0581000 1 031 727 Pbru Sltn 07
14-8-2018 10.9 87.1 2

3 327402190316000 3 1 32740205 087 805 Pbru Sltn


Al asyafi 19 3 2016 1 enok-andi 0485000 6 734 659
07 9.3
14-8-2018 82.7 2

4 327404071113000 1 4 2.8 32740402 087 710 Pbru Sltn


Aldi 7 11 2013 1 taufik 0579000 7 361 991
07 15.7
14-8-2018 98.6 2

5 327404180915000 1 1 3 32740401 089 224 Pbru Sltn


Arsen 18 9 2015 1 Catur-indah0667000 8 372 601
07 14.5
14-8-2018 95.7 2

6 327404230615000 1 1 4 32081313 083 824 Pbru Sltn


Aufa 22 6 2015 1 Dwi Lestari0489000 7 218 658 07 14.3
14-8-2018 97.5 2

7 327404111014000 2 1 2.9 32740453 089 666 Pbru Sltn


Azka fatan 11 10 2014 1 nur 0484000 3 018 121
07 15
14-8-2018 92.8 2

8 327404160615000 2 1 3 32740456 083 824 Pbru Sltn


Azkan 16 6 2015 1 nurkhotimah 0391000 3 087 9
07 13.9
14-8-2018 93.9 2

9 327404130318000 2 2 3.4 Winda- 32740422 089 2 469 Pbru Sltn


Ibrahim 13 3 2018 1 07 7.3
bahrudin 0394000 2 248 14-8-2018 65.7 1

10 327404050115000 1 2 3.7 32740404 082 219 Pbru Sltn


dafa 5 1 2015 1 hasan 0971000 3 323 321 07 14
14-8-2018 97.7 2

11 327404030216000 1 2 3.6 32404270 Pbru Sltn


Dahlan Arifin 3 2 2016 1 Sri ami 183000 1 07 11.2
14-8-2018 84.4 2

12 327404230514000 1 1 2.5 32740423 087 717 Pbru Sltn


Fadil 23 5 2014 1 Farhan 0891000 7 547 488 07
14-8-2018 13.2 98.2 2

13 Fazli 16 7 2017 1 lusi-dian Pbru Sltn 07 8.2


14-8-2018 71.3 1
Dwi
14 327404110516000 1 2 3.3 32740421 089 537 Pbru Sltn
Fridal 11 5 2016 1 atikah- 0393000 6 309 4896 07 11.8
14-8-2018 84.2 2
andri 089
15 327404190614000 1 3 32740415 537b409
2.9 zaenal- sopiah Pbru Sltn 07
Haical 19 6 2014 1 0668000 9 16.3
7325 14-8-2018 99.2 2

16 327404041016000 1 2 3.4 32740401 089 53 Pbru Sltn 07


haidar 4 10 2016 1 Yulia 1066000 4 749 6982 12.1
14-8-2018 87.5 1
32740409 085 294
17 327404111113000 1 2 ikhwan 11 11 2013 1 3 masnun 0378000 7 919 769 Pbru Sltn 07 15.7
14-8-2018 104.3 2

18 Irwan 11 11 2014 1 yuliana Pbru Sltn 07 14.5


14-8-2018 97.3 2

19 327405080215000 1 2 32740406
3.3 ayu-wawan0685000 089 660 Pbru Sltn
Karis 8 2 2015 1 5 277 564
07 12.1
14-8-2018 90.4 2

20 327804270817000 2 1 32063125 Pbru Sltn


Khaerul azam 27 8 2017 1 Budi-upi 0691000 4 07 7.8
14-8-2018 70.4 1

21 327404120614000 1 2 3.5 32740408 083 863 Pbru Sltn


Khorul dinar 12 6 2014 1 sumadi 0281000 4 414 133
07 16.1
14-8-2018 100.5 2
Juhaena
22 327404170217000 2 4 3 32740415 081 212 Pbru Sltn
Kian wijaya 20 2 2017 1 h 1269000 5 508 403
07 8.1
14-8-2018 77.2 1
-suhana
23 327404101213000 1 1 32740401 089 643 Pbru Sltn
M abizar 10 12 2013 1 juwahir 0286000 3 069 796
07 12.3
14-8-2018 98 2

24 327404300614000 1 4 2.7 32740427 089 682 Pbru Sltn


M Athan 30 6 2014 1 suryadi 0674000 6 995 380
07 13.3
14-8-2018 98.5 2

25 327404130414000 1 1 4.3 32133013 089 660 Pbru Sltn 07


M Fadil 13 11 2014 1 karna 0884000 7 013 173 13.8
14-8-2018 102.8 2

26 327404160714000 2 3 2.7 32740401 083 145 Pbru Sltn 07


M Haris 16 7 2014 1 Sahidin 0174000 5 799 572 15.2
14-8-2018 97.1 2
32740417 087 710
27 327404100515000 1 1 M Khaerudin 10 5 2015 1 3.9 ali 069000 3 361 991 Pbru Sltn 07
14-8-2018 12.7 94 2

28 327404221115000 1 2 32740411
2 Maryani-Basari 081 222 Pbru Sltn
M Rafa 29 11 2015 1 088000 4 169 626
07 14.1
14-8-2018 90.7 2

29 327404220813000 1 2 3 32740410 089 662 Pbru Sltn


M yahya 22 8 2013 1 agus 0869000 1 147 872
07 17
14-8-2018 111 2

30 327404130714000 1 2 3.8 32740424 085 353 Pbru Sltn


M zain 13 7 2014 1 Mazdi 0283000 3 858 884
07 17
14-8-2018 105 2

31 327404270315000 1 2 32740420 083 824 Pbru Sltn


Nizar 27 3 2015 1 Ikhsan 0280000 5 210 519 07 12.7
14-8-2018 98.5 2

32 327404260517000 1 2 31720430 089 620 Pbru Sltn


Panji 26 5 2017 1 Sri wulan 019000 18 469 248 07
14-8-2018 1

33 327404270915000 1 1 2.9 32740401 089 535 Pbru Sltn


Rasya 27 9 2015 1 yulia-indra 1066000 4 749 6982 07
14-8-2018 14 94.3 2

34 32740481216000 2 3 3.8 32740430 081 395 Pbru Sltn


Sakha 8 12 2016 1 ristin 884000 4 004 350
07 11
14-8-2018 80.9 1

35 327404211213000 1 2 3 32740406 Pbru Sltn


Satia 21 12 2013 1 hasan-yani0375000 5 07 18.3
14-8-2018 102.3 2

36 Semi 10 8 2015 1 Herlina Pbru Sltn 07


14-8-2018 2

37 327404081214000 2 1 32740428 Pbru Sltn


Tarangga 8 12 2014 1 Gera-fitri 1089000 6 07
14-8-2018 13.9 93.1 2

38 327404220517000 2 2 3.3 32740401 089 643 Pbru Sltn


Zafran 22 5 2017 1 Rosita 0286000 3 069 796 07 7.7
14-8-2018 67.2 1

39 327404440118000 1 2 2.5 32740460 089 923 Pbru Sltn


Adair Nabila 4 1 2018 2 Riska 0389000 3 619 44 07 7.1
14-8-2018 71.3 1

40 327404520616000 1 1 2.8 32740425 Pbru Sltn 07


Afilia ramadanti12 6 2016 2 sukron-rina1083000 9 11.9
14-8-2018 83.5 2

41 327404650415000 1 3 3.3 32740423 082 318 Pbru Sltn 07


almira 26 4 2015 2 Nurhayati 0279000 4 311 038 14.5
14-8-2018 93.7 2
32740311 089 537
42 32740446061000 1 1 Anisa 6 6 2016 2 2.6 evi-ekhi 0595000 5 326 8634 Pbru Sltn 07 8.4
14-8-2018 80 2

43 Areta 18 4 2018 2 windi-hari Pbru Sltn 07


14-8-2018 1
33062023 087 829
44 32704410218000 1 1 Azaara 1 2 2018 2 2.8 Nuramalia-kiki
0566000 2 666 065 Pbru Sltn 07 6.9
14-8-2018 69.2 1

45 Azalea 17 9 2015 2 kadir Pbru Sltn 07 9.8


14-8-2018 84.9 2
32740451 082 219
46 327404701017000 1 2 Balga Yolisdia 30 10 2017 2 3.5 Dita-poltak0194000 3 323 321 Pbru Sltn 07 6.8
14-8-2018 68.5 1

47 Bilqis 16 5 2015 2 dian-lusi Pbru Sltn 07 9.7


14-8-2018 84.1 2
48 327404600815000 1 3 Calisa 20 8 2015 2 3.3 Sartini-soleh32740405 089 660 Pbru Sltn 07 11
0664000 2 450 178 14-8-2018 91.7 2

49 2 32740426
2.2 yayan-badriah Pbru Sltn
Calista 15 2 2016 2 0488000 7
07
14-8-2018 2

50 1 3.2 32740420 085 223 Pbru Sltn


Diah ayu 3 11 2017 2 evi-cecep 0978000 1 336 135
07 7.8
14-8-2018 68.5 1

51 Elsa 4 2 2014 2 hendra Pbru Sltn 07 14


14-8-2018 98.7 2

52 327404440115000 1 1 3 32740422 089 620 Pbru Sltn 07


Fathiya 24 1 2015 2 winda 0394000 2 469 248 12.2
14-8-2018 94 2
32740410
53 1 Fitri 26 6 2017 2 2.8 Ayu-kusnadi0269000 1 Pbru Sltn 07 7.3
14-8-2018 71.1 1

54 327404471214000 1 2 3.1 32740410 085 7212 Pbru Sltn


Khanza 7 12 2014 2 wati 1076000 8 366 90
07 13
14-8-2018 97.6 2

55 327404680518000 1 1 32160821 089 619


3.2 Inggit-aria 0886000 Pbru Sltn
Melita 28 5 2018 2 2 812 989
07 6.2
14-8-2018 59 1

56 327404681017000 2 3 Miftahul 28 10 2017 2 3.3 Hani-sobirin32740467


019000 3
085 314
049 524 Pbru Sltn 07 6.2
14-8-2018 69.3 1

57 naura 5 7 2016 2 nurilah-andri Pbru Sltn 07


2

58 327404550214000 1 3 3.2 32740416 Pbru Sltn


Nazwa 15 2 2014 2 agung 127500 6 07 14.2
99.8 2

59 327404580418000 3 1 3.2 32092103 081 823 Pbru Sltn


Putih 18 4 2018 2 Yosi-kerfi 0292000 2 3890
07 5.8
59.8 1

60 327404530317000 1 1 32740423 089 671


3.8 kartini/taufik0493000 Pbru Sltn
Putri 13 3 2017 2 2 893 145
07 8
72.1 1

61 327404700314000 1 1 Sakila 31 3 2016 2 3.2 monika-irfan0897000 5 089


32740464 623
883 995 Pbru Sltn 07 13.8
99.3 2

62 327404711014000 4 1 3.5 32740421 089 537 Pbru Sltn


Selvi 31 10 2014 2 andri 0493000 6 309 4896 07 15.1
100.9 2

63 327404611016000 2 1 32740404 Pbru Sltn


Serina 21 10 2016 2 m yusuf-susanti1165000 3
07 10.3
84.2 1

64 327403610815000 3 1 2.8ade-nurhidayah 32740466 089 963 Pbru Sltn


Sevilla 21 8 2015 2 0397000 3 956 10
07 12
87.5 2

65 327404710813000 1 3 3.6 32740425 081 223 Pbru Sltn


shafira 31 8 2013 2 sri 0173000 3 413 26
07 14
101.2 2

66 5 4.5 Nurhoti 32740413 081 223 Pbru Sltn 07


Siti Aisyah 13 8 2017 2 7.7
mah-edi 0272000 2 460 992 70.1 1

67 2 3.6 32061407 087 729 Pbru Sltn 07


Siti zaenah 27 10 2017 2 tata 0786000 3 584 466 10.2
71.8 1
32740430 085 353
68 327404520417000 1 2 Tifani 12 4 2017 2 3.2 eti-ibnu 0381000 1 535 2502 Pbru Sltn 07 10.8
77 1
32740420 085 223
69 32740441016000 1 2 Viona 1 10 2016 2 3.3 Evi-cecep Pbru Sltn 07 9.5
0978000 1 336 135 81.4 1

70 11.7
87.4

71 3.1
48

72 3.9
55

73 14.7
88.4
74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99
100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125
126

127

128

129

130
DATA SASARAN BALITA
Provinsi : JAWA BARAT
Kabupaten/Kota : KOTA CIREBON
Puskesmas : PULASAREN

Vitamin A Vitamin A Ada Buku


Berat Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk JENIS Badan Nama Orang NIK Orang Tua No Tlp/HP Tanggal BB TB Februari Agustus KIA
No ANAK KE NAMA ANAK TANGGAL LAHIR ALAMAT RT RW 1=Telentang 1=YA, 1=YA,
Kependudukan) KELAMIN Lahir Tua Orang Tua pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

327404201 089 660 872


1 327404300817000 1 2 Abizar 30 8 2017 1 2.7 Ida-saeful 276000 5 014
Cantilan 2 08 9
10-8-2018 76 1 1 1 1 1
327404210 089 563 614
2 327404120814000 2 2 Affan 12 8 2014 1 3 saefudin 784000 3 1287
Cantilan 1 08 13.4
10-8-2018 97.8 2 1 1 1 1

3 327404050814000 1 2 Al gatan 5 9 2014 1 3.4 Candra-yeni327404290 089 820 093 Cantilan 1 08 15


386000 3 44 10-8-2018 92 2 1 1 1 1

4 327404300814000 1 2 1 3 327404280 085 320 809 Cantilan 3


Alby 30 8 2014 Arif 488000 1 396
08 15
10-8-2018 103.1 2 1 1 1 1

5 327404270917000 1 1 1 2.8 320812070 089 930 342 Cantilan 1


Arsakha 27 9 2017 Febriani 493000 8 814
08 7.4
10-8-2018 68 1 1 1 1 1

6 327404100118000 2 3 1 2.7 Hapsari- 327404090 089 582 277 Cantilan 3


Arvino 10 1 2018 08 7.4
rahman 884000 1 79 10-8-2018 70.5 1 1 1 1 1

7 327404011015000 1 1 1 3.2 327404080 081 224 566 Cantilan 4


Azzam 1 10 2015 Ferry-riska 989000 1 692
08 12.3
10-8-2018 91.5 2 1 1 1 1

8 327404221013000 2 2 1 3.8 327404011 088 822 622 Cantilan 3


Cleavega 22 10 2013 fatonah 28500 12 12
08 15
10-8-2018 101.6 2 1 1 1 1

9 3274044230216000 1 2 1 4.2 327404010 089 664 367 Cantilan 3


M Azka 23 2 2016 Siti-Tedi 382000 7 661
08 20
10-8-2018 92.6 2 1 1 1 1

10 327404240917000 1 1 1 2.8 320820270 089 624 242 Cantilan 1


M Faizar 24 9 2017 dewi-idris 689000 2 656
08 9
10-8-2018 80.2 1 1 1 1 1

11 320912201217000 1 1 1 2.8 320921040 089 784 866 Cantilan 4


M fathir 20 12 2017 Desi-fajar 19300 11 41
08 8.5
10-8-2018 66.7 1 1 1 1 1

12 327404091017000 1 2 1 2.9 327404240 083 824 431 Cantilan 4


M Irham 9 10 2017 Soleh-fitri 585000 5 99
08 8.6
10-8-2018 69 1 1 1 1 1

13 327404170814000 1 3 1 3.4 320921211 085 282 707 Cantilan 5


M Mikail 17 8 2014 susanti 18000 5 203
08 17
10-8-2018 98 2 1 1 1 1

14 M Rafif 5 5 2017 1 wulan Cantilan 08


10-8-2018 1 1 1 1 1

15 327404210915000 1 3 1 327412068
3.2Sri rachmawaty 089 888 229 Cantilan 3 08
M Zulfar 29 9 2015 0000 8 49 11.5
10-8-2018 90 2 1 1 1 1

16 327404140516000 1 1 1 327402171
2.8 Ade-ratna 093000 3 089 540 573 Cantilan 4 08
Maldini 14 5 2016 440 10.7
10-8-2018 84.5 2 1 1 1 1
320823072 085 295 932
17 327404030415000 1 1 Raju 3 4 2015 1 3.9 Budiono 88000 11 24
Cantilan 3 08 16.2
10-8-2018 94.6 2 1 1 1 1

18 327404221214000 1 2 1 3 327404140 085 321 276 Cantilan 3


Refan 22 12 2014 andrayani 585000 7 389
08 12
10-8-2018 96 2 1 1 1 1

19 327404280218000 1 3 Revaldo 28 2 2018 1 2.8 Susi-heru 327404151 089 541 178 Cantilan 4 08 7.9
279000 2 3447 10-8-2018 63.1 1 1 1 1 1

20 Ridho 12 2 2016 1 Fitri-iwan Cantilan 08


10-8-2018 2 1 1 1 1

21 327404170140000 2 1 1 3 327404205 083 824 431 Cantilan 4


Wildan 17 1 2014 soleh 86000 5 900
08 16.4
10-8-2018 104.5 2 1 1 1 1
22 327404160214000 2 2 1 3.5 327404061 089 661 009 Cantilan 1
Zezar 16 2 2014 Rani 274000 1 983
08 12.3
10-8-2018 95.7 2 1 1 1 1

23 3274040913000 1 4 1 3.2 327404030 089 580 440 Cantilan 1


Zidan 22 9 2013 yuyun 378000 1 1586
08 17
10-8-2018 107 2 1 1 1 1

24 327404250417000 1 1 1 2.6 320912081 089 512 229 Cantilan 3


M alvaro 25 4 2017 Ayu-akyas 095000 8 984
08 9
10-8-2018 77.2 1 1 1 1 1

25 327404530215000 1 6 2 2.8 327404030 089 690 731 Cantilan 1 08


Aisyah 13 2 2015 erli-gatot 67000 1 915 14.2
10-8-2018 95.3 2 1 1 1 1

26 327404630218000 1 2 Aldera 23 2 2018 2 2.3 Riri-jaenudin327404131


284000 4
089 628 523
364
Cantilan 4 08 6.4
10-8-2018 60 1 1 1 1 1
327404010 089 541 223
27 327404401017000 1 1 Almeera 8 10 2017 2 2.9 trisna-rahman987000 3 6659
Cantilan 3 08 8.5
10-8-2018 67.3 1 1 1 1 1

28 327404490917000 1 1 2 3 327404460 098 541 178 Cantilan 4


Almira 9 9 2017 ade-sinta 695000 3 3455
08 8
10-8-2018 171.1 1 1 1 1 1

29 327404500414000 1 2 Andisya 10 4 2014 2 2.8 Euis-andre 327402030


879000 9
Cantilan 5 08 15
10-8-2018 102.5 1 1 1 1

30 327404440217000 1 2 Aniq azkia 4 2 2017 2 2.7 Nisa-durosid320839210


991000 1
085 212 521
221
Cantilan 1 08 9
10-8-2018 73.3 1 1 1 1 1

31 327404581214000 1 1 2 2.8 327404500 089 666 999 Cantilan 3


Aqila 18 12 2014 iwan 591000 3 240
08 13.2
10-8-2018 93.6 2 1 1 1 1

32 Azahra 7 4 2015 2 puji Cantilan 08 15.3


10-8-2018 94.2 2 1 1 1 1

33 327404600714000 2 1 2 3.2 321221050 089 537 307 Cantilan 1


Azahwa 20 7 2014 yanto 878000 6 1036
08 15.2
10-8-2018 103 2 1 1 1 1

34 327404511015000 2 1 Bilqis 5 10 2015 2 2.8 Darini-toha 327402270


77400 12
081 946 911
273
Cantilan 3 08 13.8
10-8-2018 91.7 2 1 1 1 1

35 327404511215000 1 1 2 320933231
2.6 Kasmirah 178000 1 089 967 375 Cantilan 3
Daevista 11 12 2015 19
08 10.3
10-8-2018 88.3 2 1 1 1 1

36 327404511016000 1 2 Devaska 12 10 2016 2 3.2 Asep-diana 327404200


679000 6
082 167 484
807
Cantilan 4 08 11
10-8-2018 80 1 1 1 1 1

37 327404640215000 1 3 2 3.2 327404150 089 532 684 Cantilan 3


Dinar 23 2 2015 kesih 68200 12 8992
08 15
10-8-2018 96.1 2 1 1 1 1

38 327404581217000 2 4 2 3.2Rasminah-nana327404100 083 824 909 Cantilan 5


fathiyah 8 12 2017 482000 3 099
08 7.2
10-8-2018 64 1 1 1 1 1

39 327404521115000 1 2 2 327404270
2.15Novi-haryanto582000 3 088 808 244 Cantilan 4
Hillarry 20 11 2016 122
08 8.4
10-8-2018 78.8 1 1 1 1 1

40 32740454014000 1 3 2 2.5 327404020 085 316 897 Cantilan 3 08


Humaira 14 10 2014 khodijah 774000 5 143 12.3
10-8-2018 91 2 1 1 1 1

41 327404570615000 1 1 Izmah (Izmah)16 6 2015 2 2.5 Nisa-durosid320939210


991000 1
085 212 521
221
Cantilan 1 08 12.4
10-8-2018 91.3 2 1 1 1 1
327404200 089 537 405
42 327404660114000 1 3 Kayla 25 1 2014 2 2.8 Nuraeni-asep879000 8 2806
Cantilan 3 08 12.3
10-8-2018 99.1 2 1 1 1 1
327404020 083 871 391
43 327404510318000 1 2 Klarisa 11 3 2018 2 3.5 nia-aryanto Cantilan 4 08 8
380000 7 991 10-8-2018 62.3 1 1 1 1 1
327404010 089 525 166
44 327404691015000 3 1 Magis 29 10 2015 2 3 Gisa-Mahendra 993000 3 851
Cantilan 4 08 13
10-8-2018 91 2 1 1 1 1
130402281 089 580 460
45 327404560615000 1 1 Nabila (Aqila) 11 6 2015 2 2.8 Dewi-hendra 285000 1 2882
Cantilan 1 08 13.2
10-8-2018 92.6 2 1 1 1 1

46 Putri 4 4 2017 2 Fitri-iwan Cantilan 08


10-8-2018 1 1 1 1 1

2.7 nia-aryanto327404120
089 560 616
47 327404430318000 1 2 Sabrina 3 3 2018 2 893000 3 0613
Cantilan 5 08 5.7
10-8-2018 60.2 1 1 1 1 1
48 327404620618000 1 1 2 2.1 327405290 089 628 523 Cantilan 4
Salviya 22 6 2018 Ais-sisko 897000 1 364
08 4.1
10-8-2018 55 1 1 1 1 1

49 327404500117000 1 1 2 3.2 321203008 083 824 246 Cantilan 5


Salwa 10 1 2017 Ita-warno 82000 6 380
08 9.3
10-8-2018 74 1 1 1 1 1

50 327404471213000 1 3 2 2.7 327404050 085 224 810 Cantilan 3


Salwa 7 12 2013 tatang 575000 8 199
08 15
10-8-2018 107 2 1 1 1 1

51 327404671115000 1 2 2 3.2 327404081 089 527 479 Cantilan 1 08


SaqilA 27 11 2015 dede-lela 087000 1 391 11.4
10-8-2018 85.1 2 1 1 1 1

52 327404500214000 1 1 2 2.7 327404131 089 628 523 Cantilan 4 08


Sasih 10 2 2014 Jaenudin 284000 4 364 13.6
10-8-2018 99 2 1 1 1 1
327404260 087 736 900
53 327404470314000 1 1 Varinza 7 3 2014 2 3.5 dita-juhro ani387000 1 627
Cantilan 2 08 15.7
10-8-2018 102.1 2 1 1 1 1

54 327401470315000 2 1 2 2.8 Feni-heryanto327404200 089 537 391 Cantilan 3


Vega 7 3 2015 395000 3 2489
08 14
10-8-2018 92 2 1 1 1 1

55 327404551014000 1 2 2 327404290
2.6 suhartati 974000 1 087 729 345 Cantilan 4
Wasifa 15 10 2014 229
08 14
10-8-2018 95.8 2 1 1 1 1

56 327404601014000 1 1 2 2.7 327405150 087 829 288 Cantilan 3


Yasmin 20 10 2014 sumarni 58300 14 300
08 23
10-8-2018 99 2 1 1 1 1

57 10
79.5 1 1 1 1 1

58 4.2
44 1 1 1 1 1

59 12.6
98 2 1 1 1 1

3.3
60 49 1 1 1 1 1

3
61 48 1 1 1 1 1

3.9
62 49 1 1 1 1 1

63 1 1 1 1

64 1 1 1 1

65 1 1 1 1

66 1 1 1 1

67 1 1 1 1

68 1 1 1 1

69 1 1 1 1

70 1 1 1 1

71 1 1 1 1

72 1 1 1 1

73 1 1 1 1
74 1 1 1 1

75 1 1 1 1

76 1 1 1 1

77 1 1 1 1

78 1 1 1 1

79 1 1 1 1

80 1 1 1 1

81 1 1 1 1

82 1 1 1 1

83 1 1 1 1

84 1 1 1 1

85 1 1 1 1

86 1 1 1 1

87 1 1 1 1

88 1 1 1 1

89 1 1 1 1

90 1 1 1 1

91 1 1 1 1

92 1 1 1 1

93 1 1 1 1

94 1 1 1 1

95 1 1 1 1

96 1 1 1 1

97 1 1 1 1

98 1 1 1 1

99 1 1 1 1
100 1 1 1 1

101 1 1 1 1

102 1 1 1 1

103 1 1 1 1

104 1 1 1 1

105 1 1 1 1

106 1 1 1 1

107 1 1 1 1

108 1 1 1 1

109 1 1 1 1

110 1 1 1 1

111 1 1 1 1

112 1 1 1 1

113 1 1 1 1

114 1 1 1 1

115 1 1 1 1

116 1 1 1 1

117 1 1 1 1

118 1 1 1 1

119 1 1 1 1

120 1 1 1 1

121 1 1 1 1

122 1 1 1 1

123 1 1 1 1

124 1 1 1 1

125 1 1 1 1
126 1 1 1 1

127 1 1 1 1

128 1 1 1 1

129 1 1 1 1

130 1 1 1 1
DATA SASARAN BALITA
Provinsi : JAWA BARAT
Kabupaten/Kota : KOTA CIREBON
Puskesmas :

Vitamin A Vitamin A Ada Buku


Berat Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk JENIS Badan Nama Orang NIK Orang No Tlp/HP Tanggal BB TB Februari Agustus KIA
No ANAK KE NAMA ANAK TANGGAL LAHIR ALAMAT RT RW 1=Telentang 1=YA, 1=YA,
Kependudukan) KELAMIN Lahir Tua Tua Orang Tua pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

10

11

12

13

14

15

16

17

18

19

20

21
22

23

24

25

26

27

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

68

69

70

71

72

73
74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99
100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125
126

127

128

129

130
DATA SASARAN IBU HAMIL

Provinsi :
Kabupaten/Kota :
Puskesmas :

TTD
NIK (Nomor Induk (Tablet Jika YA,
Kependudukan) BB sebelum TANGGAL Tanggal BB TB LILA Kehamilan Tambah brp butir
No NAMA IBU ALAMAT RT RW
atau hamil LAHIR pengukuran (Kg) (Cm) (cm) ke darah) TTD
NO. KTP 1=YA, didapat
2=Tidak
DATA SASARAN BALITA
Provinsi : JAWA BARAT
Kabupaten/Kota : KOTA CIREBON
Puskesmas :

Vitamin A Vitamin A Ada Buku


Berat Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk JENIS Badan Nama Orang NIK Orang No Tlp/HP Tanggal BB TB Februari Agustus KIA
No ANAK KE NAMA ANAK TANGGAL LAHIR ALAMAT RT RW 1=Telentang 1=YA, 1=YA,
Kependudukan) KELAMIN Lahir Tua Tua Orang Tua pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

10

11

12

13

14

15

16

17

18

19

20

21
22

23

24

25

26

27

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

68

69

70

71

72

73
74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99
100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125
126

127

128

129

130

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