Anda di halaman 1dari 31

No No Kartu Keluarga

NIK (Nomor Induk Kependudukan)


Anak Ke Nama AnakTanggal Lahir (YYYYMMDD)
JENIS
Berat
KELAMIN
Badan Lahir
Nama (Kg)
Orang Tua (Ayah) NIK Ayah No Tlp/Hp Orang TuaAlamat RW
RTTanggal
Dusun Pengukuran
Cara
BB(Kg)
Ukur
TB (Cm)
ASI
1=Telentang
Esklusif
Vitamin
IMD 1=Ya
2=Berdiri
Vitamin
1=Ya
A2=Tidak
Februari
2=Tidak
A Agustus
1=Ya 2=Tidak
1=Ya 2=Tidak

1 7108010703081400 7108012210160000 6 Moh. Rizky Hiola 22-10-2016 L Uteng Hiola 7108010107650010 Pangkusa 3 4/9/2018 12.5 86 2 2 2 1 1
2 7108010703081400 7108016207180000 7 Indah Safitri 22-07-2018 P 2.7 Uteng Hiola 7108010107650012 Pangkusa 3 4/9/2018 4 53.5 1 2 2 2 2
3 7108011901170000 7108010903170000 1 Rafizqi S. Satunsolang 9/3/2017 L 3.8 Arianto Datunsolang 7108012505950000 Pangkusa 2 4/9/2018 10 79 2 1 1 1 1
4 7108010609160000 2 Moh. Ikbar 6/9/2016 L 3 Supani Pangkusa 3 4/9/2018 12.3 89 2 1 2 1 1
5 7108010703081339 7108015702180000 2 Anurrohma F. Kobndaha 17-02-2018 P 3.4 Arafik Kobandaha 7108011704800000 Pangkusa 2 4/9/2018 13.8 97.5 2 2 1 2 1
6 7108010703081339 7108013107150000 3 Alif Julian Kobandaha 31-07-2015 L 2.9 Arafik Kobandaha 7108011704800000 Pangkusa 2 4/9/2018 10.7 85 2 2 1 1 1
7 7108010703081300 7108014807140000 2 Putri Maharani 8/7/2014 P 3 Sugeng Prianto 7108011103820000 Pangkusa 2 4/9/2018 15.3 102 2 1 1 1 1
8 7108013009150000 Moh. Nurbaim 30-9-2015 L 3.3 Suha Ridno Pangkusa 3 4/9/2018 10.3 84 1 1 1 1 1
9 7108010609170000 1 Alfatah A. Nayoan 6/9/2017 L 3.1 Arfian N Pangkusa 2 4/9/2018 9 72 1 1 1 2 1
10 7108010703081398 7108015706160000 4 Aidricia H. Hikant. H 17-6-2016 P 2.6 Sainudin Hasan 7108010309680000 Pangkusa 3 4/9/2018 12 87 1 2 2 1 1
11 7108012604120007 7108015501170000 2 Azkia Nurlatifa 15-01-2017 P 3 Kariadi 7108011707870002 Pangkusa 1 4/9/2018 10.8 81 1 1 1 1 1
12 7108013009150001 7108012306160000 1 Ramadan Modali 23-06-2016 L 3.2 Wolter Modali 7105152209830001 Pangkusa 1 4/9/2018 10 80 2 2 2 1 1
13 7108015806180000 1 Fadila Lasupu 18-06-2018 P 3.7 Usman Lasupu 7108021202940003 Pangkusa 1 4/9/2018 5.7 59 1 2 1 2 2
14 7108010710120002 7108011310130000 1 Fahmi A. Makaliwe 13-10-2013 L 3 Yuritman Makaliwe 7108011906830001 Pangkusa 1 4/9/2018 11.7 91 2 1 1 1 1
15 7108010703081451 7108012805140000 4 Moh. Alfajri Datunsolang 28-05-2014 L 2 Abd. Harik Datunsolan7108012006700002 Pangkusa 3 4/9/2018 14.1 96 2 2 1 1 1
16 7108010703081422 7108015911130000 2 Khaliza Azzahra Datunsol 19-11-2013 P 2.7 Setiawan Datunsolang7108012206820002 Pangkusa 1 4/9/2018 14.5 101 2 1 1 1 1
17 7108010911110028 7108021604180000 2 Satia Atmaza 16-04-2018 L 3.5 Triwidiyanto 7108010404840002 Pangkusa 1 4/9/2018 7.9 65 1 1 1 2 2
18 7108010703081433 7108012702150000 4 Verel Patra 27-02-2015 L 3 Harman Patra 7108010807730001 Pangkusa 1 4/9/2018 14.2 98 1 2 1 1 1
19 7108031502160005 7108016302150000 1 Azahra N. Pontoh 23-02-2015 P 2.5 Hendra Pontoh 7108031608900002 Pangkusa 2 4/9/2018 11 93.5 1 2 1 1 1
20 7108010710160004 7108011812150000 1 Rheifadli S. Topolo 18-12-2015 L 3 Rahmat Topolo 7108022106870003 Pangkusa 3 4/9/2018 12.5 98 1 1 1 1 1
21 7108010103100003 7108015511170000 4 Asifa A Jou 15-11-2017 P 2.4 Kevin Jou 7108010709820002 Pangkusa 4/9/2018 7.5 70 1 2 1 1 1
22 7108010703081388 7108012512130000 3 Moh. Nurabdilah 25-12-2013 L 3.6 Wijidro 7108011901980001 Pangkusa 1 4/9/2018 13.2 99 2 1 1 1 1
23 7108010301180002 7108015412170000 1 Islamay Sudarsono 14-12-2017 P 2.5 Sugeng Sudarsono 7108010510920002 Pangkusa 4/9/2018 6.2 65 1 1 1 1 1
DATA SASARAN BALITA

Provinsi :
Kabupaten/Kota :
Puskesmas :

No No Kartu Keluarga
NIK (Nomor Induk Kependudukan)
Anak Ke Nama Anak
Tanggal Lahir (YYYYMMDD)
JENIS
Berat
KELAMIN
Badan
Nama
Lahir
Orang
(Kg) Tua (Ayah)

1 7108010703081326 7108016301180000 2 Sumai Linda 23-01-2018 P 2.5 Sureb


2 7108017306100014 7108010411150000 2 Tufik Ramdani 4/11/2015 L 3.1 Sumari
3 7108010703081430 7108010205170000 2 Moh. Albar P 2/5/2017 L 2.8 Rahmat P
4 7108010703081305 7108011211150000 3 Moh. B Taman 12/11/2015 L 2.9 Supani
5 7108012204180000 1 Mikael P. Luas 24-04-2018 L 3.5 Densius Luas
6 7108010703081209 7108014306170000 3 Sity Nurkaila K 3/6/2017 P 2.8 Roni K
7 7108011412090008 7108010801180000 2 Moh. Dani Saputra 8/1/2018 L 3.4 Rudi Wiratno
8 7108010703081320 7108012807150000 3 Moh. Rizky Saputra 28-07-2015 L 3.4 Rianto
9 7108010604170000 1 Moh. Faturohim 6/4/2017 L 3 Rois
10 7108012305170002 7108012408170000 1 Nazril Nurkamiden 24-08-2017 L 3.3 Rizky
11 7108010409170000 2 Samuel Mutahang 4/9/2017 L 3 Dolvitor Mutahang
12 7108010703081251 7108016907160000 5 Julita Sisilia 29-07-2016 P 3.3 Vien Sumirar
13 7108016901170000 1 Julianti Kasehong 29-01-2017 P 3.9 Dedi Kasehong
14 7108010703081251 7108016808140000 1 Musqi Gani 28-08-2014 P 2.9 Darwin Gani
15 7108010703081317 7108015608150000 2 Langeng Sekar W 16-08-2015 P 3.5 Lasiman
16 7108010703081310 7108014409150000 6 Safiya M 4/9/2015 P 3 Irfan M
17 7108010703081395 7108011803150000 2 Dava Eato 18-03-2015 L 2.8 Sicipto Eato
18 7108010703081308 7108012705150000 1 Wahyu Widiono 27-05-2015 L 3.1 Sutikno
19 7108012705150000 2 Moh. Iklal Hiola 27-05-2015 L 3.5 Arista Hiola
20 7108014412150000 1 Aisya Londa 4/12/2015 P 3.1 Krisna Londa
21 7108010703081208 7108015503160000 2 Syakila D Arsifa 15-03-2016 P 2.8 Diding Suriato
22
23
ARAN BALITA

NIK AyahNo Tlp/Hp Orang Tua


Alamat RT
RW Dusun
Tanggal Pengukuran
Cara
BB(Kg)
Ukur
TBASI
(Cm)
1=Telentang
Esklusif
Vitamin
IMD1=Ya
1=Ya
Vitamin
A
2=Berdiri
Februari
2=Tidak
2=Tidak
A Agustus
1=Ya 2=Tidak
1=Ya 2=Tidak

7108010505830001 Suka Makmur 3 4/9/2018 7.7 69 1 2 2 2 1


7108011405810002 Suka Makmur 2 4/9/2018 10.5 86 1 2 2 1 1
7108010411820001 Suka Makmur 1 4/9/2018 7.2 72 1 2 2 1 1
7108010211690001 Suka Makmur 3 4/9/2018 13 100 1 2 2 1 1
Suka Makmur 1 4/9/2018 5.3 74 1 1 1 2 2
7108011809830003 Suka Makmur 1 4/9/2018 7.7 80 1 1 1 1 1
7108010612890003 Suka Makmur 3 4/9/2018 7.7 78 1 2 2 2 1
7108010803700001 Suka Makmur 3 4/9/2018 11.3 94 1 1 1 1 1
Suka Makmur 3 4/9/2018 10.2 80 1 2 2 1 1
7108012312960001 Suka Makmur 1 4/9/2018 8.2 76 1 2 2 1 1
vitor Mutahang Suka Makmur 1 4/9/2018 8.2 75 1 2 2 2 1
7108010502730001 Suka Makmur 1 4/9/2018 9.8 79 1 1 1 1 1
di Kasehong Suka Makmur 1 4/9/2018 9.4 79 1 1 1 1 1
7571061107780004 Suka Makmur 2 4/9/2018 12 98 1 2 2 1 1
7108010102810001 Suka Makmur 3 4/9/2018 11 93 1 1 1 1 1
7108011103740001 Suka Makmur 3 4/9/2018 15 102 1 1 1 1 1
7108012004840001 Suka Makmur 1 4/9/2018 12.5 98 1 1 1 1 1
7108011803790001 Suka Makmur 3 4/9/2018 11 96 1 2 1 1 1
Suka Makmur 2 4/9/2018 11.5 95 1 1 1 1 1
Suka Makmur 2 4/9/2018 9.5 88 1 2 2 1 1
7108011801830001 Suka Makmur 1 4/9/2018 10.4 89 1 2 2 1 1
DATA SASARAN BALITA

Provinsi :
Kabupaten/Kota :
Puskesmas :

No No Kartu Keluarga
NIK (Nomor Induk Kependudukan)
Anak Ke Nama Anak Tanggal Lahir
JENIS
BeratKELAMIN
Badan Lahir (Kg)

1 7108010703081807 7108015304140000 3 Apriliani Kaluku 13-04-2014 P 3.8


2 7108015305170000 4 Jesika R. Kaluku 3/5/2017 P 3
3 7108011209170002 7108016704150000 1 Devania S. Panna 27-04-2015 P 2.4
4 7108014301180000 2 Kheijia Panna 3/1/2018 P 2.9
5 7108012109120007 7108011503180000 2 Dhabid Halalutu 15-03-2018 L 2.8
6 7108011603160002 7108014810170000 1 Valeria Mokoagow 8/10/2017 P 3.7
7 7108010712150001 7108012308160000 1 Nurkhalis Potabuga 23-08-2016 L 2.5
8 7108010703081775 7108017007130000 3 Saskia Paputungan 30-07-2013 P 3
9 7108012909110001 7108012204170000 2 Aliski Mamahit 22-04-2017 L 2.7
10 7108014910170000 4 Aiga A. Mamonto 9/10/2017 P 4
11 7108010703081824 7108014107150000 1 Muvida Hiola 1/7/2015 P 2.8
12 7502022808130013 7108015906130000 1 MonalisaP. Balita 19-06-2013 P 3.2
13 7108011803140001 7108011208140000 1 Moh. Rista Datunsolang 12/8/2014 L 2.3
14 7108010501120004 7108015102130000 3 Silfana Injara 11/2/2013 P 2.1
15 7108012109120004 7108012907160000 3 Moh. Asraf Husni 29-07-2016 L 4.4
16 7108012903120005 7108010805150000 2 Moh. Risky Langke 8/5/2015 L 3.2
17 7108012609120002 7108012404180000 2 Afdilan Abas 24-04-2018 L 2.6
18 7108010403100001 7108014410170000 6 Askia P. Muhammad 4/10/2017 P 3.1
19 7108013001140002 7108015412150000 2 Vanetto A. Kaluku 14-12-2015 P 3
20 7108012101140001 7108011302140000 1 Moh. Furkon 13-02-2014 L 3
21 7108012101140001 7108015702150000 2 Fadira R 17-02-2015 P 2.7
22 7108012305170001 7108010809170000 1 Azka R. M 8/9/2017 L 3.3
23 7108010604110060 7108012807140000 2 Firza P 28-07-2014 L 3
24 7108012109120012 7108016801180000 2 Talita L 28-01-2018 P 2.8
25 7108010601170002 7108011110130000 2 Aqiansyah 11/10/2013 L 4
26 7108010601170002 7108012103180000 3 Alfatih M 21-03-2018 L 3
27 7108012908180001 7108012511130000 1 Armail 25-11-2013 L 2.5
28 7108010911110010 7108016504170000 2 Nur Fitri 25-04-2017 P 3.2
29 7108012701140001 7108010412140000 1 Rafi K 4/12/2014 L 3.1
30 7108012212100001 7108010210140000 2 Fadlan A 2/10/2014 L 3.1
31 7108012008090002 7108010605160000 2 Nizam L 6/5/2016 L 3.1
32 7108010501120002 7108012709160000 1 Agam K 27-09-2016 L 2.7
33 7108010904130002 7108016606150000 2 Inaya Olii 26-06-2015 P 3.1
34 7108010703081847 7108011404150000 4 Alif P 14-04-2015 L 3.9
35 7108010107940007 7108016405180000 1 Nazila H 24-05-2018 P 3
36 7108010703081744 7108010807130000 3 Astian M 8/7/2017 L 3.2
37 7108016505150000 1 Marsya H 25-05-2015 P 3.4
38 7108011101890011 7108012510160000 1 Afriansyah 25-10-2016 L 3.2
39 7108011101890011 7108017105180000 2 Nazalita H 31-05-2018 P 3.5
40 7108010607160000 1 Izan H 6/7/2016 L 3
41 7108010405170000 2 Marfilina 4/5/2017 L 2.8
42 7108040703083464 7108016604180000 1 Nadifa A. Husaini 26-04-2018 P 3.2
43 7108011609160002 7108011003170000 2 Adikyasa Hinur 10/3/2017 L 2.8
44 7108010405160004 7108010902150000 1 Alfatih P. Hinur 9/2/2015 L 3.3
45 7108013004120012 7108012912150000 2 Rafatar A . Wartabone 29-12-2015 L 3
46 7108011208110001 7108011802150000 2 Moh. Adiska Ngampo 18-02-2015 L 2.8
47 7108011208110001 7108015707180000 3 Atifa A. Ngampo 17-07-2018 P 4.3
48 7108012604120008 7108012307180000 3 Almumin Paputungan 23-07-2018 L 2.9
49 7108010703081788 7108011208130000 1 Moh. A. Paputungan 12/8/2018 L 4.2
50 7108012409120003 7108011907180000 2 Khairul Rauf 19-07-2018 L 3.1
51 7108010703081789 7108015906130000 5 Laila Lamuda 19-06-2013 P 4
52 7108010312140000 3 Moh. A. M 3/12/2014 L 2.8
53 7108010703081719 7108010808140000 3 Moh. Rafli Korompot 8/8/2014 L 3
54 7108010706110006 7108011205170000 3 Zulfikri Eato 12/5/2017 L 3.8
55 7108010703081774 7108010903180000 3 Lutfi Pakaya 9/3/2018 L 3.6
56 7108012401180000 7108012407180000 1 Fikar adam 24-07-2018 L 2.9
57 7108010604110061 7108015910140000 3 Salma Makalalag 19-10-2014 P 3.1
58 7108010612110006 7108015909160000 2 Nurasyfa L 19-09-2016 P 3.8
59 1 Moh Dzaky Nento 6/6/2014 L 3,6
60
61
62
DATA SASARAN BALITA

Nama Orang Tua (Ayah) NIK Ayah No Tlp/Hp Orang TuaAlamat RW


RT Tanggal
Dusun Pengukuran
Cara
BB(Kg)
Ukur
TB
ASI
(Cm)
1=Telentang
Esklusif 1=Ya
2=Berdiri
2=Tidak

Nikson Kaluku 7108011304850001 085255699566 Sangkub IV 2 10-09-2018 8.9 75 1 1


Nikson Kaluku 7108011304850001 085255699566 Sangkub IV 2 10-09-2018 8.9 73 1 1
Subhan Panna 7108010702960001 085397018818 Sangkub IV 2 10-09-2018 12 96 2 1
Sangkub IV 2 10-09-2018 6.3 64 1 1
Ismail Halalutu 7108010304810001 082290316221 Sangkub IV 2 10-09-2018 7.6 67 1 1
Hendrik Mokoagow 7105081804870002 085298901687 Sangkub IV 2 10-09-2018 9 75 1 2
Rio Potabuga 7101130805900302 081354922337 Sangkub IV 2 10-09-2018 11.5 89 1 1
Recki Mamonto 7108010112830002 082256766073 Sangkub IV 2 10-09-2018 15.5 105 2 2
Rey Mamahit 7108011208830001 052189202809 Sangkub IV 2 10-09-2018 9.3 77 1 1
Sangkub IV 2 10-09-2018 8.6 68 1 2
Moh. Afandi Hiola 7108010511810001 085342899342 Sangkub IV 2 10-09-2018 11 90 1 2
Aryanto Bolota 7502021101860002 085256701833 Sangkub IV 2 10-09-2018 15.6 105 2 1
Rendi Datunsolang 7108011011950002 Sangkub IV 2 10-09-2018 14 99 2 1
Agus Injara 7108010610810003 Sangkub IV 2 10-09-2018 15 100 2 2
Husni Johra 7108010404840004 085256835530 Sangkub IV 2 10-09-2018 11 87 1 2
Masri Langke 7108011403850001 Sangkub IV 2 10-09-2018 15 98 2 2
Rinto Abas 7108011807870004 085342814273 Sangkub IV 2 10-09-2018 7.1 75 1 1
Amran Muhammad 7108010107710017 Sangkub IV 2 10-09-2018 7 67 1 2
Roni Kaluku 7108011604810002 081355571750 Sangkub IV 2 10-09-2018 13 93 2 1
Ilham R 7108021011790002 Sangkub IV 1 10-09-2018 15.9 102 1 2
Ilham R 7108021011790002 Sangkub IV 1 10-09-2018 10.2 87 2 1
Sadik M 7108011812960002 082291482926 Sangkub IV 1 10-09-2018 10 77 1 1
Rinto P 7108010806830001 Sangkub IV 1 10/9/2018 11 94 1 2
Muin L 7108013009860002 085299378066 Sangkub IV 1 10/9/2018 6.3 62 1 1
Erwin M 7108010908920001 085311330825 Sangkub IV 1 10/9/2018 12 99 1 1
Erwin M 7108010908920001 085311330825 Sangkub IV 1 10/9/2018 6.7 63 1 2
Burhan 7209020403550003 082191758754 Sangkub IV 1 10/9/2018 12.5 101 2 1
Jufri P 7108010506870001 082292299663 Sangkub IV 1 10/9/2018 12 98 1 2
Afandi K 7108012010860001 085398626276 Sangkub IV 1 10/9/2018 18 109 2 2
Syarifudin A 7108011212720001 081244649555 Sangkub IV 1 10/9/2018 13 99 2 1
Karman L 7108011503800001 082393609355 Sangkub IV 1 10/9/2018 10.9 86 1 1
Sudirman K 7108011111840001 085146479060 Sangkub IV 1 10/9/2018 11.3 95 1 2
Masri Olii 7108012611760001 Sangkub IV 1 10/9/2018 10 85 2 1
Arman P 7108011208620002 085340289395 Sangkub IV 1 10/9/2018 13 101 1 2
Hendrik H 7108010107940007 082293682420 Sangkub IV 1 10/9/2018 6.3 60 1 2
Ahmad M 7108013010720001 Sangkub IV 1 10/9/2018 14.2 103 1 2
Ingky H 082259102675 Sangkub IV 1 10/9/2018 15 105 1 1
Jumadil H 7108011101890001 082347772693 Sangkub IV 1 10/9/2018 10 80 2 2
Jumadil H 7108011101890001 082347772693 Sangkub IV 1 10/9/2018 5.1 60 1 2
David H Sangkub IV 1 10/9/2018 10.5 82 1 2
Rival R Sangkub IV 1 10/9/2018 10.2 84 1 2
Abd. R Husaini 7108041209820003 Sangkub IV 3 10/9/2018 6.2 61 1 2
S. Hinur 7108020709860002 Sangkub IV 3 10/9/2018 9 87 1 2
Rusda Hinur 7108010609890001 082189200358 Sangkub IV 3 10/9/2018 14 96 1 1
Mansur Wartabone 7108010607870002 081356468665 Sangkub IV 3 10/9/2018 12.5 94 2 2
Ambo Ngampo 7108010411840001 Sangkub IV 3 10/9/2018 13 95 1 2
Ambo Ngampo 7108010411840001 Sangkub IV 3 10/9/2018 6.3 64 1 1
Jepli Paputungan 7108011505840001 Sangkub IV 3 10/9/2018 5.2 59 1 2
Fadli Paputngan 7108011305800002 Sangkub IV 3 10/9/2018 13.7 100 1 2
Uyan Rauf 7108042206870001 085240989551 Sangkub IV 3 10/9/2018 6.1 65 1 1
Hamid Lamuda 7108011306700001 Sangkub IV 3 10/9/2018 15 103 2 2
Masut M 7108010605830001 085311331067 Sangkub IV 3 10/9/2018 12 93 2 2
Idil Korompot 7108010107900006 085240122439 Sangkub IV 3 10/9/2018 10.5 88 1 2
Jagnal Eato 7108011707780002 085394866863 Sangkub IV 3 10/9/2018 8.2 85 1 2
S. Pakaya 085240106576 Sangkub IV 3 10/9/2018 7.9 71 1 2
A. Adam 7108012301920001 081242367671 Sangkub IV 3 10/9/2018 4.2 53 1 2
Yadi Makalalag 7108010302870002 Sangkub IV 3 10/9/2018 13 98 2 2
Risno L 7108011708850001 085398914438 Sangkub IV 3 10/9/2018 10 81 1 2
Mansur Nento 082190485657 Sangkub IV 2 10/9/2018 14 98 2 2
Vitamin
IMDVitamin
1=Ya
A Februari
2=Tidak
A Agustus
1=Ya1=Ya
2=Tidak
2=Tidak

1 1 1
1 1 1
1 1 1
1 2 1
1 2 1
2 2 1
1 1 1
2 1 1
1 1 1
2 2 1
2 1 1
1 1 1
1 1 1
2 1 1
2 1 1
2 1 1
1 2 2
1 2 1
1 1 1
2 1 1
2 1 1
2 2 1
2 1 1
2 2 2
2 1 1
2 2 2
1 1 1
2 1 1
2 1 1
1 1 1
1 1 1
2 1 1
1 1 1
2 1 1
2 2 2
2 1 1
1 1 1
2 2 2
2 2 2
2 1 1
2 2 2
2 2 2
2 1 1
1 1 1
1 1 1
2 1 2
1 2 2
1 2 2
1 2 2
1 2 2
1 1 1
2 1 1
2 1 1
2 1 1
2 2 2
2 2 2
1 1 1
1 1 1
1 1 1
DATA SASARAN BALITA

Provinsi :
Kabupaten/Kota :
Puskesmas :

No No Kartu Keluarga
NIK (Nomor Induk Kependudukan)
Anak Ke Nama Anak TanggalJENIS
Berat
Lahi KELAMIN
Badan Lahir (Kg)

1 7108010703081039 7108011110130000 1 Moh. Akbar Kansiba 11/10/2013 L 2


2 7108012006140002 7108014312130000 4 Nazwa Koro 3/12/2013 P 3.5
3 7108010703081183 7108013012130000 3 Abid A. Tone 30-12-2013 L 2.7
4 7108010703081067 7108012808130000 1 Axchelino Wowor 28-08-2013 L 2.9
5 7108010411140001 7108012801140000 1 Dafa Musa 28-01-2014 L 3,7
6 7108010703081088 7108015203140000 2 Musdalifah Alamri 12/3/2014 P 3
7 7108016705140000 1 Nasyifa Tjajo 27-05-2014 P 2.5
8 7108010107140001 7108012604140000 1 Malfariji Kulase 26-04-2014 L 3.7
9 7108011604140000 1 Malgadafi Hasan 16-04-2014 L 2.8
10 7108013004120008 7108012104140000 1 Adipratama Mautu 21-04-2014 L 2.2
11 7108012601150003 7108012805180000 2 Rayyan Mokodenseho 28-05-2018 L 3.1
12 7108011412000001 7108014406140000 1 Khanifa Sahudi 4/6/2014 P 2.5
13 7108010108120001 7108010306140000 1 Moh. Restu Dg Masenge 3/6/2014 L 3.2
14 7108012601150003 7108010306140000 1 Restu Mokodenseho 3/6/2014 L 3
15 7108015708140000 1 Laura Mokodenseho 17-08-2014 P 2.6
16 7108016907140000 1 Zahra Lasuasa 29-07-2014 P 3
17 7108013010140000 1 Araffi Hiola 30-10-2014 L 3.6
18 7108010109140001 7108015011140000 1 Nagita Genda 10/11/2014 P 2.7
19 7108011112140000 1 Abizar Bata 11/12/2014 L 2.7
20 7108016911140000 1 Novita Rohani 29-11-2014 P 2.9
21 7108011010140000 2 Haikal Usman 10/10/2014 L 2.8
22 7108014909140000 1 Amelia Paputungan 9/9/2014 P 3
23 7108010611140002 7108010602150000 2 Khiranza Mokodenseho 6/2/2015 L 3.1
24 7108016702150000 3 Triyani Bandu 27-02-2015 P 2.5
25 7108011608110002 7108015705150000 2 Azzahra Tjajo 17-05-2015 P 2.5
26 7108012312100003 7108011206150000 2 Abi Humunggio 12/6/2015 L 2.8
27 7108012601150002 7108011307150000 1 Alfi Patawe 13-07-2015 L 3
28 7108014708150000 1 Aqila Papungan 7/8/2015 P 2
29 7108013108150000 1 Alfikri Lundeto 31-08-2015 L 3.2
30 7108012403100001 7108017107150000 2 Queenara Ladala 31-07-2015 P 3.6
31 7108012706150000 1 Fata Paputungan 27-06-2015 L 2.8
32 7108010805180001 7108012909150000 1 Aska Tone 29-09-2015 L 2.5
33 7108011410090001 7108014210150000 2 Aqila Baso 2/10/2015 P 3
34 7108011911150000 1 Wahyu Panna 19-11-2015 L 2.6
35 7108012201180002 7108012210150000 1 Abbar M'Nur 22-10-2015 L 3.1
36 7108010607110028 7108010811150000 2 Dwi Rayhan Hassan 8/11/2015 L 2.5
37 7108022903100001 7108012111150000 2 Arziki Datunsolang 21-11-2015 L 3.1
38 7108016312150000 2 Putri Arsila Ibrahim 23-12-2015 P 2.8
39 7108010703080979 7108016108150000 2 Cantika Natunggele 21-08-2015 P 3.9
40 7108010704110007 7108010901160000 2 Diaz Marsyam 9/1/2016 L 2.5
41 7108013004120013 7108012402160000 2 Afkar Mokodompit 24-02-2016 L 2.6
42 7108012004160001 7108015604160000 2 Ginar Paputungan 16-04-2016 P 3
43 7108012304160000 1 Gabriel Hufagalune 23-04-2016 L 2.9
44 7108013005160000 1 Alfi Wuwumbene 30-05-2016 L 2.8
45 7108012904160001 7108015107160000 1 Safira Lasuasa 11/7/2016 P 2.9
46 7108010611140001 7108010406160000 Ray Bata 4/6/2016 L 2.9
47 7108010611140001 7108010406160000 Rey Bata 4/6/2016 L 3
48 7108011010160000 1 Asraf Suaib 10/10/2016 L 2.8
49 7108014904160000 1 Eyra Mokoginta 9/4/2016 L 3
50 7108014611160000 2 Marwa Suaib 6/11/2016 P 3.5
51 7108014511160000 1 Revalina Ningalo 5/11/2016 P 3
52 7108010703080974 7108011011160000 6 Rimansyah Mokodenseho 10/11/2016 L 2.8
53 7108010703080974 7108012011160000 2 Moh. Azka Kulase 20-11-2018 L 3
54 7108010703081132 7108011311160000 4 Narsyama Baso 13-11-2016 L 3.3
55 7108010312160000 1 Moh. Fadli Hermansyah 3/12/2016 L 2.6
56 7108012912160000 1 Farhan Lundeto 29-12-2016 L 3.1
57 7108010703081156 7108011012160000 Dafa Dg Masiga 10/12/2016 L 2.9
58 7101130207940301 7108011401170000 1 Moh. Rasya Patingki 14-01-2017 L 3
59 7108012003170000 1 Moh. Ikra Korompot 20-03-2017 L 3.2
60 7108014304170000 3 Fatin Suaib 3/4/2017 P 2.7
61 7108011412100001 7108010105170000 2 Khalifa Sahudi 1/5/2017 L 3
62 7108015905170000 1 Riska Dilapanga 19-05-2017 P 2.7
63 7108011506170000 2 Alfil Laurestabo 15-06-2017 L 3
64 7108016805170000 2 Narfa Bolota 28-05-2017 P 2.8
65 7108014307140000 1 Tri Yuliana Bolota 3/7/2018 P 3.3
66 7108010703081091 7108016105170000 2 Zulaika Djake 21-05-2017 P 3.3
67 7108014106170000 2 Ashila Bata 1/6/2017 P 3.3
68 7108010703081091 7108011407170000 4 Alfa Djake 14-07-2017 L 2.3
69 7108010703081091 7108011407170000 3 Alfi Djake 14-07-2017 L 3.5
70 7108010703080989 7108010910170000 2 Fazzar Panna 9/10/2017 L 3.5
71 7108010703081093 7108015710170000 3 Shean Kupang 17-01-2017 P 4
72 7108014711140000 1 Balqis Pawa 7/11/2017 P 2.8
73 7108016412170000 1 Naraya Izati 24-12-2017 P 3.3
74 7108016002180000 1 Anindya Jumain 20-02-2018 P 3.3
75 7101130902800304 7108012003180000 4 Fahrul Paputungan 20-03-2018 L 3.6
76 7108010703081110 7108010503180000 2 Faizan Laengge 5/3/2018 L 2.1
77 7108015806180000 1 Dwi Anesya Tone 18-06-2018 P 2.6
78 7108010703081130 7108011906180000 2 Ramzi Nento 19-06-2018 L 3.5
79 7108011707180000 2 Moril Stall 17-07-2018 L 2.8
80
DATA SASARAN BALITA

Nama Orang Tua (Ayah) NIK Ayah No Tlp/Hp Orang Tua Alamat RW
RT Tanggal
Dusun Pengukuran
Cara
BB(Kg)
Ukur
ASI
TB 1=Telentang
(Cm)
Esklusif 1=Ya2=Berdiri
2=Tidak

Junaidi Kansiba 7108010909690002 085342817672 Tombolango 1 11-09-2018 13 102 2 1


Nasir Koro 7105093008780001 Tombolango 3 11-09-2018 11.2 98 2 1
Abdullah Tone 7108012803730001 Tombolango 2 11-09-2018 12 100 2 1
Hanny Wowor 7108011510630001 085394295436 Tombolango 1 11-09-2018 13.8 102 2 1
Rafik Musa 7108011010860001 085242032348 Tombolango 2 11-09-2018 11.5 94 1 1
Rizal Alamri 7108012010850001 082189495124 Tombolango 2 11-09-2018 10.3 89 1 1
Wahyu Tjajo Tombolango 3 11-09-2018 11 95 1 1
Wawan Kulase 7108011106840001 082191601665 Tombolango 1 11-09-2018 11.2 94 1 1
Nurlian Hasan Tombolango 3 11-09-2018 11.2 98 1 2
Sukardi Mautu 7108011201830002 Tombolango 3 11-09-2018 10.8 89 1 2
Yanto Mokodenseho 7108012712190001 085395997424 Tombolango 3 11-09-2018 6.4 62 1 1
Sultan Sahudi 7108011101840001 Tombolango 2 11-09-2018 13 102 1 2
Fikri Dg Masenge 7108010211840001 085396345300 Tombolango 1 11-09-2018 11.8 92 1 2
Yanto Mokodenseho 7108012712190001 085395997424 Tombolango 3 11-09-2018 11.1 94 1 2
Tombolango 2 11-09-2018 12.2 97 1 1
Tombolango 3 11-09-2018 11 95 1 2
Imeng Hiola 7108016610910002 Tombolango 4 11-09-2018 15 105 1 1
Moh. Iqbal Lenda 7108011803930001 085244628725 Tombolango 4 11-09-2018 11.7 98 1 2
Todi Bata Tombolango 1 11-09-2018 11.6 97 1 1
Adi Rohani Tombolango 3 11-09-2018 11 89 1 1
Tombolango 3 11-09-2018 12 90 1 2
Tombolango 1 11-09-2018 11.5 96 1 1
Rahmat Mokodenseho 7108023108800002 Tombolango 2 11/9/2018 10.9 87 1 1
Tombolango 2 11/9/2018 10.9 88 1 2
Moh. Nur Tjajo 7108010802800001 Tombolango 2 11/9/2018 11.1 93 1 1
Halik Humunggio 7108010203720001 085342816644 Tombolango 3 11/9/2018 11.8 98 1 1
Jamaludin Patawe 7108012306910004 081342727197 Tombolango 1 11/9/2018 10.8 88 1 2
7174030704940002 Tombolango 1 11/9/2018 11.2 95 1 1
Tombolango 1 11/9/2018 11 93 1 2
Supandi Ladala 7108010107810004 085298597892 Tombolango 2 11/9/2018 11.4 96 1 2
Tombolango 3 11/9/2018 10.9 87 1 1
Tombolango 3 11/9/2018 11.4 97 1 2
Jamal Baso 7108011312790001 085240325000 Tombolango 4 11/9/2018 11 91 1 1
Tombolango 3 11/9/2018 9.9 85 1 1
Ardiansyah M'Nur 7108010506940001 082259503867 Tombolango 2 11/9/2018 12.1 99 1 2
Hindro Hassan 7108010309800002 082191327702 Tombolango 1 11/9/2018 9.9 87 1 2
Moh. Rizal Datunsolang7108021604820001 085256866054 Tombolango 4 11/9/2018 11.1 96 1 1
Tombolango 4 11/9/2018 10.8 87 1 1
Irfan Natunggele 7108010610710003 Tombolango 1 11/9/2018 11.8 92 1 2
Joko P. Marsyam 7108011109800001 Tombolango 3 11/9/2018 9.3 83 1 1
Idil Mokodompit 7108012805870001 085256475992 Tombolango 1 11/9/2018 9.8 87 1 1
Tombolango 1 11/9/2018 10.1 86 1 2
Tombolango 4 11/9/2018 10.2 89 1 1
Aco Wuwumbene 7108012609900002 Tombolango 3 11/9/2018 9.9 87 1 2
Ruku Lasuasa 7108011510870001 081244641454 Tombolango 2 11/9/2018 9.5 88 1 1
Mamat Bata 7108022405800002 Tombolango 2 11/9/2018 10 85 1 1
Mamat Bata 7108022405800002 Tombolango 2 11/9/2018 10.1 85 1 1
7108011303870001 082296607175 Tombolango 2 11/9/2018 9.9 89 1 2
Tombolango 1 11/9/2018 10.5 89 1 1
Rustam Suaib 7108011208910001 Tombolango 3 11/9/2018 11.1 96 1 1
Isram Ningalo 7108012307760002 082259137528 Tombolango 3 11/9/2018 10.8 89 1 2
Sahril Mokodenseho 7108010911670001 085343643371 Tombolango 1 11/9/2018 10.6 86 1 1
Siswanto Kulase 7108011106840001 Tombolango 1 11/9/2018 11 91 1 2
Samsul Ham Baso 7108012406770001 Tombolango 4 11/9/2016 11.2 95 1 2
Tombolango 1 11/9/2018 10.2 89 1 1
Tombolango 1 11/9/2018 11 92 1 1
Reling Dg Masiga 7108012103690001 082396898245 Tombolango 3 11/9/2018 10.3 87 1 2
Dafit Patingki 085399031922 Tombolango 1 11/9/2018 9.9 84 1 2
Fikrianto Korompot 7108021105970001 085398216143 Tombolango 2 11/9/2018 10.9 86 1 1
Tombolango 3 11/9/2018 10.5 85 1 1
Sultan Sahudi 7108011101840001 085256677878 Tombolango 1 11/9/2018 9.2 88 1 2
Tombolango 1 11/9/2018 8.9 80 1 2
Febri Lauretabo Tombolango 2 11/9/2018 9 76 1 1
Tombolango 1 11/9/2018 9.5 79 1 2
Tombolango 1 11/9/2018 60 61 1 2
Ilham Djake 7108011609800001 Tombolango 2 11/9/2018 8.9 79 1 2
Tombolango 1 11/9/2018 9.1 80 1 2
Julian Djake 7108011203810002 081354494738 Tombolango 2 11/9/2018 9.3 84 1 1
Julian Djake 7108-11203810002 081354494738 Tombolango 2 11/9/2018 9.4 88 1 1
Hamdan Panna 7108012704800001 085341690663 Tombolango 4 11/9/2018 8.9 85 1 2
Kusliadi Kupang 7108010707750001 082143302750 Tombolango 1 11/9/2018 8.6 82 1 2
Tombolango 4 11/9/2018 8 80 1 1
Ali Mahruz 7174042606890005 082395414187 Tombolango 4 11/9/2018 8.2 78 1 2
Kastang Jumain 7101050705920001 085327848000 Tombolango 4 11/9/2018 7 71 1 1
Lakapala Paputungan 7108010208860001 085342897177 Tombolango 3 11/9/2018 6.7 68 1 2
Tombolango 4 11/9/2018 6.8 67 1 1
Ariski Tone 7108013005950001 Tombolango 2 11/9/2018 6.5 64 1 2
Riton Nento 7108011010800002 082347960859 Tombolango 4 11/9/2018 5.1 56 1 2
Tombolango 4 11/9/2018 4.8 51 1 1
Vitamin
IMD
Vitamin
A1=Ya
Februari
A2=Tidak
Agustus
1=Ya1=Ya
2=Tidak
2=Tidak

2 1 1
2 1 1
2 1 1
2 1 1
1 1 1
2 1 1
2 1 1
1 1 1
2 1 1
2 1 1
1 2 2
2 1 1
2 2 2
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
2 1 1
1 1 1
2 1 1
2 1 1
1 1 1
2 1 1
2 1 1
2 1 1
1 1 1
1 1 1
2 1 1
1 1 1
2 1 1
2 1 1
1 1 1
2 1 1
1 1 1
2 1 1
2 1 1
2 1 1
1 1 1
2 1 1
1 1 1
2 1 1
2 1 1
2 1 1
1 1 1
2 1 1
2 1 1
2 1 1
2 1 1
1 1 1
2 1 1
2 1 1
1 1 1
2 1 1
1 1 1
2 1 1
2 1 1
1 1 1
2 1 1
2 1 1
1 1 1
2 1 1
2 1 1
1 1 1
2 1 1
2 1 1
1 1 1
2 1 1
2 1 1
1 1 1
1 1 1
2 1 1
2 1 1
1 2 1
2 2 1
2 2 2
1 2 2
1 2 2
1 2 2
DATA SASARAN BALITA

Provinsi :
Kabupaten/Kota :
Puskesmas :

No No Kartu Keluarga
NIK (Nomor Induk Kependudukan)
Anak Ke Nama Anak TanggalJENIS
Berat
Lahi KELAMIN
Badan Lahir (Kg)

1 7108013011100002 7108010605170002 2 Moh Fajar A. Wahani 6/5/2017 L 2.7


2 7108010309180002 7503026310170001 1 Syafira P. Kobandaha 23-10-2017 P 2.8
3 7108010703081851 7108016401160001 5 Reva Korompot 24-01-2016 P 3.2
4 7108011411140001 7108015010140001 1 Fifiana Mokodenseho 10/10/2014 P 3.5
5 7108011411140001 7108010701180000 2 Fahrul Mokodenseho 7/1/2018 L 3.4
6 7108016507180000 1 Kagisa Damogalag 25-07-2018 P 3
7 7108012401120004 7108012612170001 2 Mofli Hinur 26-12-2017 L 3
8 7108012001150001 7108013009160000 1 Riza P. Kobandaha 30-09-2016 L 3
9 7108010612110008 7108016307160001 2 Asma D. Kaluku 23-07-2016 P 3
10 7108012401140001 7108012301140001 1 Tauhid Wartabone 23-01-2014 L 3.6
11 7108010904180003 7171056109170001 1 Syahila Kaluku 21-09-2017 P 3
12 7108010704140001 7108015012150001 2 Idca L. Wahiji 10/12/2015 P 3.4
13 7108010904130001 7108013007170001 2 Rifki A. Patingki 30-07-2017 L 3.6
14 7108010105170000 1 Alifki Inra 1/5/2017 L 2.6
15 7108012602180000 2 Moh. Aksom Kaluku 26-02-2018 L 3.1
16 7108011201180000 3 Moh. Raski Hinur 12/1/2018 L 2.2
17 7108014703140000 1 Cantika P 7/3/2014 P 2.8
18 7108012012110003 7108010606160001 2 Moh Rasya M 6/6/2016 L 3.2
19 7108011707120001 7108012501160001 2 Moh Rama Bolota 25-01-2016 L 3.6
20 7108012805120004 7108015909160003 3 Putra Isita Liputo 19-09-2016 P 2.5
21 7108016604180000 2 Alfiza D. Hasan 26-04-2018 P 2.8
22 7108010904180000 1 Rava D. Tindage 9/4/2018 L 2.3
23 7108011805100002 7108012004150001 4 Moh. N. Tanoy 20-04-2015 L 4.3
24 7108016304140000 1 Tasya Mokodongan 23-04-2014 P 2.5
25 7108014308180000 1 Saprianti A. Tahir 3/8/2018 P 2.7
26 7108012109120009 7108010904140001 1 Moh. Hafis Hinur 9/4/2014 L 2.7
27 7108010608130000 4 Wajit Bata 6/8/2013 L 3.4
28 7108010704110005 7108012403160002 4 Alif Mamonto 24-03-2016 L 4.2
29 7108016211170000 1 Marwa A. Mamonto 22-11-2017 P 2.8
30 7108012502180000 1 Eza Yono Wartabone 25-02-2018 L 3
31 7108012009160029 7108010609160001 1 Moh. Afdi Lakoro 6/9/2016 L 3
32 7108012912160002 7108012312160001 1 A. Ifnu Kaluku 23-12-2016 L 2.6
33 7108011204160001 7108010506160000 1 Iqro Mokodompit 5/6/2016 L 3.2
34 7108011101160001 7108015104140001 3 Trisia Hinur 11/4/2014 P 3.6
35 7108010512140004 7108014408150001 1 Revananda Ginoga 4/8/2015 P 3
36 7108015101180000 4 Karmila Siga 11/1/2018 P 2.5
37 7108014706170000 2 Aida Makalalag 7/6/2017 P 2.3
38 7108012405180000 3 Bilal Mokodenseho 24-05-2018 L 2.7
39 7108012011170004 7108011204140001 5 Hafis Hamdani Dusi 12/4/2014 L 3.2
40 7108012011170004 7108014211170001 6 Naura Klarisa P. Dusi 2/11/2017 P 3.3
41 7108012009160012 7108014308170000 1 Nur Khofifah Kobandaha 3/8/2017 P 2.8
42 7108011009180003 7108016406170001 1 Anisa Fitri Samuel 24-06-2017 P 2.6
43 7108012009160023 7108015512140002 1 Shafya Binolombangan 15-12-2014 P 4
44 7108012804160002 7108011112130001 1 Rahmat Aditya Piter 11/12/2013 L 3.2
45 7108011608180003 7101121801160001 2 Moh. Azril Makalalag 18-01-2016 L 3.8
46 7108011401130002 7108015308180000 2 Mifka P Bawimbang 13-08-2018 P 2.5
47 7108010604110040 7108012312170000 4 Moh. Riski Wartabone 23-12-2017 L 2.9
48 7108013112130003 7108010406140001 2 Shelo A. Ponamon 4/6/2014 L 2.5
49 7108011803160001 7108012710150001 2 Moh. A. Z Alamri 27-10-2015 L 2
50 7108011008100002 7108014808140000 4 Adinda Lifia Mamonto 8/8/2014 P 2.2
51 7108010912140005 7108015705160000 1 Alifka Kobandaha 17-05-2016 P 2.8
52 7108016805180000 1 Naisifa R. Hasan 28-05-2018 P 2.6
53 7108011308180003 7108011010150000 2 Deo Armando Patingki 10/10/2015 L 2.6
54 7108011908170000 1 Moh. Rafka Pontoh 19-08-2017 L 3.3
55 7108012806140000 1 M. Farhasa M 28-06-2014 L 2.9
56 7108014103180000 3 Naila Putri 1/3/2018 P 3.3
57 7108012204180000 3 Fadil Lamaju 22-04-2018 L 3.2
58 7108013011170000 1 Abizar Hassan 30-11-2017 L 3.1
59 7108014401170001 1 Aufanda Paputungan 4/1/2017 P 2.6
60 7108012708150001 7108016707160001 1 Isnayati Putri Olii 27-07-2016 P 2.7
61
62
63
64
65
DATA SASARAN BALITA

Nama Orang Tua (Ayah) NIK Ayah No Tlp/Hp Orang Tua Alamat RW
RT Tanggal
Dusun Pengukuran
Cara
BB(Kg)
Ukur
TB 1=Telentang
(Cm) 2=Berd

Ismail Wahani 7108010904860002 081356533126 Sangkub II 2 12-09-2018 9.3 82 1


Sucisno Kobandaha 7108012408900001 081355848539 Sangkub II 1 12-09-2018 6.6 68 1
Adam Korompot 7108010210800001 082141021935 Sangkub II 1 12-09-2018 9.5 82 1
Kadri Mokodenseho 7108021702880001 085398449132 Sangkub II 1 12-09-2018 13.3 100 1
Kadri Mokodenseho 7108021702880001 085398449132 Sangkub II 1 12-09-2018 7.1 69 1
Fikri Damogalag 082194469093 Sangkub II 1 12-09-2018 4.3 58 1
Supriadi Hinur 7108010807860001 082196201012 Sangkub II 1 12-09-2018 7.4 72 1
Moh. Kobandaha 7108010702940001 085394176314 Sangkub II 1 12-09-2018 11.6 91 1
Suyanto 3316041003820001 085298112298 Sangkub II 1 12-09-2018 12.2 96 1
Arianto Wartabone 7108011309940001 081354856487 Sangkub II 3 12-09-2018 15 103 1
Abd. R Kaluku 7314081612950001 082297099480 Sangkub II 2 12-09-2018 8.5 80 1
Renal Wahiji 7171021609870003 082189036622 Sangkub II 1 12-09-2018 11.2 95 1
Asril Patingki 7108011701920001 085397173129 Sangkub II 1 12-09-2018 8.6 79 1
Agus Inra Sangkub II 2 12-09-2018 8.2 76 1
Amraf Kaluku Sangkub II 3 12-09-2018 7.6 61 1
Arip Hinur Sangkub II 2 12-09-2018 8.5 76 1
Aprianto P Sangkub II 2 12-09-2018 12 98 1
Safri M Sangkub II 4 12-09-2018 `10.8 81 1
Risman Bolota 7108013012880001 082299501675 Sangkub II 4 12-09-2018 12.7 98 1
Atif Liputo 7108010709900001 081354330784 Sangkub II 4 12-09-2018 9.2 87 1
Rahil Hasan 7108016305990002 085399006906 Sangkub II 4 12-09-2018 6.3 60 1
Rian Tindage Sangkub II 4 12-09-2018 6.5 61 1
Roki Tanoy 7108010706790001 Sangkub II 4 12/9/2018 15.5 104 1
Rukiat Laurestabo Sangkub II 4 12/9/2018 13.2 96 1
Iqbal Tahir Sangkub II 4 12/9/2018 4.2 49 1
Andris Hinur 7108010111880003 085396343607 Sangkub II 4 12/9/2018 12.1 97 1
Lahmuda Bata 7108010101660003 Sangkub II 4 12/9/2018 10 83 1
Arianto Mamonto 7108010308730002 082347616094 Sangkub II 3 12/9/2018 10.5 85 1
Kifrianto Mamonto 7108012303930003 082193065692 Sangkub II 3 12/9/2018 8 76 1
Wagiono Sangkub II 3 12/9/2018 8.1 78 1
Asril Lakoro 7108022911970002 081241016191 Sangkub II 3 12/9/2018 10.8 91 1
Rivandri Kaluku 7108011108940001 087188529175 Sangkub II 4 12/9/2018 9.6 87 1
Irman Mokodompit 7108011511910003 085299775996 Sangkub II 3 12/9/2018 10 85 1
Herni Hinur 7108010610810002 085342816470 Sangkub II 4 12/9/2018 11.6 95 1
Wahidin Ginoga 7108011609930001 082349664630 Sangkub II 4 12/9/2018 11.8 96 1
Abd. M Siga Sangkub II 4 12/9/2018 7.2 69 1
Pendi Makalalag Sangkub II 4 12/9/2018 10 89 1
Prigandi Mokodenseho Sangkub II 4 12/9/2018 6 61 1
Madi Dusi 7108010504840001 081242164478 Sangkub II 2 12/9/2018 12.6 93 1
Madi Dusi 7108010504840001 081242164478 Sangkub II 2 12/9/2018 6.6 67 1
Dalvin Kobandaha 7108011204950001 Sangkub II 2 12/9/2018 7.1 72 1
Stedi Samuel 7108012808890001 081354597211 Sangkub II 3 12/9/2018 8.2 75 1
Yudi Binolombangan 7108021709900001 082259502168 Sangkub II 2 12/9/2018 7 71 1
Musindi Piter 7501041507820008 Sangkub II 2 12/9/2018 15.8 101 1
Ardi Makalalag 7101122301830213 Sangkub II 2 12/9/2018 6.8 72 1
James Bawimbang 7108013107810001 085398848681 Sangkub II 2 12/9/2018 8 76 1
Rinto Wartabone 7108012811800002 085256778267 Sangkub II 2 12/9/2018 8.5 79 1
Steven Ponamon 7110012706830001 085421917744 Sangkub II 2 12/9/2018 15 102 1
Moh. G. Alamri 7108030312940001 Sangkub II 2 12/9/2018 11.5 93 1
Binroro Manopo 7108010705820001 085342327343 Sangkub II 2 12/9/2018 10.9 89 1
Husmanto Kobandaha 7108011302870001 081244699081 Sangkub II 2 12/9/2018 9.2 86 1
Sari Damopolii 7108010609940001 082187701229 Sangkub II 3 12/9/2018 5 51 1
Samsudin Patingki 6107141506780001 Sangkub II 4 12/9/2018 10 89 1
Widiawati Korompot 7108015309900002 Sangkub II 4 12/9/2018 8.8 76 1
Ruso M Sangkub II 4 12/9/2018 12.1 99 1
Linang Samuel 7108010507790002 Sangkub II 4 12/9/2018 6.5 63 1
Kning Mamonto Sangkub II 4 12/9/2018 6.1 60 1
Herli Hassan Sangkub II 1 12/9/2018 9.4 83 1
Isrul Paputungan Sangkub II 3 12/9/2018 8.9 78 1
Trifandi Olii 7108052905940002 Sangkub II 3 12/9/2018 9.8 89 1
ASI Esklusif
Vitamin
IMD
Vitamin
1=Ya
1=Ya
A Februari
A2=Tidak
2=Tidak
Agustus
1=Ya
1=Ya
2=Tidak
2=Tidak

1 1 1 1
1 1 2 1
1 1 1 1
1 1 1 1
1 1 2 1
2 1 2 2
1 1 2 1
1 2 1 1
2 2 1 1
2 1 1 1
1 2 2 1
1 2 1 1
2 1 1 1
2 2 1 1
1 1 2 1
1 1 2 1
1 2 1 1
2 2 1 1
2 1 1 1
2 1 1 1
2 2 2 2
1 2 2 2
1 2 1 1
1 2 2 2
2 1 2 2
2 2 1 1
2 1 1 1
1 2 1 1
2 2 2 1
1 1 2 1
2 1 1 1
1 1 1 1
1 2 1 1
2 1 1 1
1 2 1 1
2 2 2 1
1 2 1 1
2 2 2 2
2 1 1 1
2 1 2 1
1 1 1 1
1 1 1 1
1 2 1 1
2 1 1 1
1 1 1 1
2 1 2 2
2 2 2 1
2 1 1 1
2 2 1 1
1 2 1 1
2 1 1 1
1 2 2 2
2 1 1 1
1 2 1 1
1 2 2 2
2 1 2 2
1 2 2 2
2 2 2 1
1 2 1 1
1 2 1 1
DATA SASARAN BALITA

Provinsi :
Kabupaten/Kota :
Puskesmas :

No No Kartu Keluarga
NIK (Nomor Induk Kependudukan)
Anak Ke Nama Anak TanggalJENIS
Berat
Lahi KELAMIN
Badan Lahir (Kg)

1 7108012211160001 7108016001180000 1 Alika Putri. D 20-01-2018 P 2.7


2 7108011704130002 7108016301150001 2 Raisa Biorodi 23-01-2015 P 3.5
3 7108011704130002 7108011405160001 3 Rio Ihsan Biorodi 14-05-2016 L 3.1
4 7108012012110002 7108011002140001 2 Abian N. Kaluku 10/2/2014 L 3
5 7108015112170000 1 Anisa Siti Umaya Nasaru 11/12/2017 P 2.8
6 7108010208180007 7108012607180001 2 Khalika Lifa Antogia 26-07-2018 L 2.6
7 7108010703081508 7108016105170001 5 Aklima Syafira M 21-05-2017 P 3.7
8 7108010607110024 7108011703140001 2 Abidzar Alfarizi Paputungan 17-03-2014 L 3
9
10
11
DATA SASARAN BALITA

Nama Orang Tua (Ayah) NIK Ayah No Tlp/Hp Orang Tua Alamat RT
RW Tanggal
Dusun Pengukuran
Cara
BB(Kg)
Ukur
TB (Cm)
1=Telentang 2=Berdiri

Abd. Mutalip B 7108012508950001 085240771561


Monompia 2 13-09-2018 8.5 74 1
Busran Biorodi 7108012905720002 082393602761
Monompia 2 13-09-2018 13.5 97 1
Busran Biorodi 7108012905720002 082393602761
Monompia 2 13-09-2018 10.5 85 1
Sandi kaluku 7108010709880002 085299097727
Monompia 2 13-09-2018 12.1 99 1
Iksan Nasaru Monompia 2 13-09-2018 7.1 68 1
Susanti Lakoro 7108014508920001 082195840393 Monompia 1 13-09-2018 4.6 56 1
Labdin Modeong 7108010802720001 081340408380 Monompia 3 13-09-2018 7 72 1
Arlandi Paputungan 7108010408880001 085342598480 Monompia 3 13-09-2018 15.3 103 1
ASI Esklusif
Vitamin
IMD
Vitamin
1=Ya
1=Ya
A Februari
A2=Tidak
2=Tidak
Agustus
1=Ya1=Ya
2=Tidak
2=Tidak

2 1 2 2
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 2 2 2
1 1 1 1
1 1 1 1
DATA SASARAN BALITA

Provinsi :
Kabupaten/Kota :
Puskesmas :

No No Kartu Keluarga
NIK (Nomor Induk Kependudukan)
Anak Ke Nama Anak TanggalJENIS
Berat
Lahi KELAMIN
Badan Lahir (Kg)

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
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
DATA SASARAN BALITA

Nama Orang Tua (Ayah) NIK Ayah No Tlp/Hp Orang Tua Alamat RW
RT Tanggal
Dusun Pengukuran
Cara
BB(Kg)TB
Ukur
ASI(Cm)
1=Telentang
Esklusif
IMD 1=Ya
1=Ya2=Berdiri
2=Tidak
2=Tidak
amin
Vitamin
A Februari
A Agustus
1=Ya
1=Ya
2=Tidak
2=Tidak

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