DATA SASARAN BALITA

Provinsi : JAWA TIMUR

Kabupaten/Kota : PROBOLINGGO
Puskesmas : WONOMERTO

NIK (Nomor Induk JENIS Berat Badan No Tlp/HP

No Kependudukan) ANAK KE NAMA ANAK TANGGAL LAHIR KELAMIN Lahir (Kg) Nama Ayah NIK Ayah Orang Tua ALAMAT

3513226209130001 1 ROBI'ATUL 'ADAWIYAH 22 9 2013 P 3.2 SYAH AMAD ALI 3513222608880002 DUSUN KRAJAN

nuril 8 10 2013 P 3 DUSUN KRAJAN

3513224210130001 1 RISMA NADIFATUN NISA 2 10 2013 P 3.2 TOTOK HERMANTO 3574010505830004 DUSUN KRAJAN

3513225910130001 1 SYAKIRA RATNA WICAKSONO 17 10 2013 P 2.8 AGUNG WICAKSONO 3513222604870002 DUSUN KRAJAN

labib 5 11 2013 L 2.5 DUSUN KRAJAN

3513224611130001 1 DEVI KURNIA RAHMAWATI 6 11 2013 P 3.1 SYARIP 3513221210820002 DUSUN KRAJAN

3513220502130002 3 MUHAMMAD RAISYA AFIF 5 12 2013 L 2.4 AHMADI 3513222107660002 DUSUN KRAJAN

rizky 14 12 2013 L 3 DUSUN KRAJAN

3513220912130001 1 NAUFAL ALI ABDILLAH 9 12 2013 L 2.5 LAILATUL FITRIAH 3513225006920003 DUSUN KRAJAN

3513226112130002 3 HIKMATUL NISA 21 12 2013 P 2.6 MISRAN 3513222705700002 DUSUN KRAJAN

DINDA 10 1 2014 P 3.2 DWI DUSUN KRAJAN

nouval 28 1 2014 L 3.3 DUSUN KRAJAN

3513222911130002 2 RAYYAN SHAHID 31 1 2014 L 3.7 SUPRIONO 3513221804830001 DUSUN KRAJAN

3513220102140001 2 ALDI ALFIANO 1 2 2014 L 3 AHMAD BUDI UTOMO 3513222009750001 DUSUN KRAJAN
3513222002140002 4 FEBRYAN AL HABSY 20 2 2014 L 3 CHANDRA TRI LESMANA 3513220809720001 DUSUN KRAJAN
3513220103140001 1 NAUFAL RIFQI ZAYYIDAN 1 3 2014 L 3 MUHAMAD HUSNI 3513220802840001 DUSUN KRAJAN
LAILA 10 3 2014 P 3.5 DUSUN KRAJAN
3574036012100002 3 ACHMAD ALFARIZIE 27 3 2014 L 3.3 RUDI PURWANTO 3574012407780001 DUSUN KRAJAN
1 ARISKI 1 4 2014 P 3 MUSRIATI DUSUN KRAJAN
 Cara Ukur ASI Eksklusif IMD Vitamin A Vitamin A Ada Buku
Tanggal BB TB 1=Telentang 1=YA, 1=YA, Februari Agustus KIA
RT RW pengukuran (Kg) (Cm) 1=YA, 1=YA, 1=ya
2=Berdiri 2=Tidak 2=Tidak
2=Tidak 2=Tidak 2=tidak

1 4 21/08/2018 15.5 100 2 2 1 1 1 1

21/08/2018 16 105 2 2 1 1 1 1
4 2 21/08/2018 2 2 1 1 1 1
1 2 21/08/2018 16.8 103 2 2 1 1 1 1
21/08/2018 20.5 105 2 2 1 1 1 1
3 2 21/08/2018 15.9 100 2 2 1 1 1 1
2 3 21/08/2018 15.3 100 2 2 1 1 1 1
21/08/2018 14.5 101 2 2 1 1 1 1
1 1 21/08/2018 14.8 99 2 2 1 1 1 1
4 3 21/08/2018 15.3 101 2 2 2 1 1 1
21/08/2018 16 99 2 2 1 1 1 1
21/08/2018 13 98 2 2 1 1 1 1
4 3 21/08/2018 14 99 2 2 1 1 1 1
4 3 21/08/2018 15 99 2 2 1 1 1 1
1 2 21/08/2018 13.6 98 2 2 2 1 1 1
2 3 21/08/2018 13 97 2 2 1 1 1 1
21/08/2018 13.5 98 2 2 1 1 1 1
2 2 21/08/2018 13 99 2 2 1 1 1 1
21/08/2018 16.8 100 2 2 1 1 1 1
 DATA SASARAN BALITA

Provinsi :
Kabupaten/Kota :
Puskesmas :

NIK (Nomor Induk JENIS Berat Badan

No Kependudukan) ANAK KE NAMA ANAK TANGGAL LAHIR KELAMIN Lahir (Kg) Nama Ayah NIK Ayah No Tlp/HP Orang Tua ALAMAT RT

1 3513225209130002 2 DEWI NURHOFIFAH 11-Sep-2013 2 2.8 MAHFUD 3513221406820001 krajan 4

2 3513220909140002 2 ARYA SYAH PUTRA 11-Oct-2013 1 3.2 wiwk 3513224603860004 krajan 2

3 3513220511130002 2 AHMAD ZAINAL ARIFIN 5-Nov-2013 1 29 ASMAMAT 3513220403740001 krajan 3

4 3513224607760001 3 yuli 23-Nov-2013 2 28 SANADI 3513220302720002 krajan 2

5 3513224610920001 1 dedy irawan 1-Dec-2013 1 3 MUSTOFA 3513210508890001 krajan 2

6 3513015611920002 1 MUHAMMAD ZIDAN MUBAROK 13-Dec-2013 1 29 BAHRUL ROZI 3513221708900003 krajan 3

7 3513221512130001 1 ROBY ANDHIKA SAPUTRA 15-Dec-2013 1 28 DONY EKO WAHYU SEPTIAN YUL 3513220109890002 krajan 3

8 3513227112130001 1 RAHMA DEWI SANTIKA 31-Dec-2013 2 2.5 holim 3513220302870003 krajan 3

9 3513224102140002 2 Diana sauqiah 1-Feb-2014 2 1.5 SU'ERWANTO 3513220707840002 krajan 5

10 3513224102140001 2 Diana D.J 1-Feb-2014 2 1.6 SU'ERWANTO 3513220707840002 krajan 5

11 3513221302140002 3 rofiq 13-Feb-2014 1 2.7 SUDAR 3513220107600174 krajan 2

12 3513224205140001 2 AISAH MEILANI PUTRI 2-May-2014 2 3 SUPRIONO 3513222801880002 krajan 5

13 3513211806140002 2 M. ALDI FAIRUS 18-Jun-2014 1 3 TOHAN B.H 3513212207750001 krajan 4

14 3513226006140001 1 luluk 6/20/2014 2 3.4 nafisah 3575025908940002 krajan 3

15 3513220807140001 1 REHAN RAMA DANI 7/12/2014 1 2.5 SOLIHIN 3513050812860002 krajan 4

16 3513220808140001 1 alvaro 8/8/2014 1 3.2 nur rosida 3513226011960004 krajan 4

17 3513225908140001 2 Indi rohmiati 6/18/2014 2 3 RAHMID 3513220107780247 krajan 4

18 3513225409140002 2 DINDA MAHARANI 9/14/2014 2 3 PONIDI 3513221203840001 krajan 2

19 1 siti Maimuna 14/09/2014 2 2.6 siti hotija 3513225704940003 krajan 1

20 3513222606060001 2 MUHAMMAD ALDI PRAYOGA 9/22/2014 1 2.5 ATMU 3513221001830003 krajan 3

21 1 Naila 10/6/2014 2 3 desi yanti krajan 2

22 3513226310140002 3 SOFIATUN ANJANI 10/23/2014 2 2.7 NIMAN 3513220107770021 krajan 2

 Vitamin A Vitamin A Ada Buku
Tanggal Cara Ukur ASI Eksklusif IMD Februari Agustus KIA
RW pengukuran BB (Kg) TB (Cm) 1=Telentang 1=YA, 1=YA, 1=YA, 1=YA, 1=ya
2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

1 8/22/2018 13.5 101 2 1 1 1 1

2 8/22/2018 17 100 2 1 1 1 1
2 8/22/2018 17 100 2 1 1 1 1
1 8/22/2018 13.5 99 2 1 1 1 1
1 8/22/2018 14.6 99 2 1 1 1 1
2 8/22/2018 12.7 99 2 1 1 1 1
2 8/22/2018 19.2 106 2 1 1 1 1
2 8/22/2018 13.5 108 2 1 1 1 1
2 8/22/2018 13.2 98 2 2 1 1 1
2 8/22/2018 13.3 98 2 2 1 1 1
1 8/22/2018 14.6 96 2 1 1 1 1
2 8/22/2018 13 96 2 1 1 1 1
1 8/22/2018 13.3 96 2 1 1 1 1

2 8/22/2018 13 95 2 1 1 1 1

1 8/22/2018 12.3 93 2 1 1 1 1

1 8/22/2018 14 95 2 1 1 1 1

1 8/22/2018 13.9 96 2 1 1 1 1

1 8/22/2018 13.6 95 2 1 1 1 1

2 8/22/2018 13.2 95 2 1 1 1 1

1 8/22/2018 12.5 96 2 1 1 1 1

2 8/22/2018 13.2 94 2 1 1 1 1

1 8/22/2018 13.4 95 2 1 1 1 1
 DATA SASARAN BALITA

Provinsi : JAWA TIMUR

Kabupaten/Kota : PROBOLINGGO
Puskesmas : WONOMERTO

Berat
No NIK (Nomor Induk ANAK KE NAMA ANAK TANGGAL LAHIR JENIS Badan Nama Ayah NIK Ayah No Tlp/HP Orang Tua ALAMAT RT RW
Kependudukan) KELAMIN
Lahir (Kg)

1 1 alvia nailatul magfiroh 30 8 2013 2 3.2 iin 3513224103980000 KRAJAN 2 1

2 1 Nur Muhammad Samsul Hude 5 9 2013 1 3.1 Nurlaila 3513224411940000 KRAJAN 3 1

3 2 irmaKurniawat 24 9 2013 2 3 juat 3513224107820010 KRAJAN 4 1

4 1 Delisa Ferlinda Putri 27 11 2013 2 3.1 nurfaida 3513225803840000 KRAJAN 1 1

5 3513221512130002 1 moch. Rehan 13 12 2013 1 3 Supaida 3513224107810200 KRAJAN 4 1

6 2 Sri Maningsih 3 3 2014 1 3 Mani KRAJAN 3 1

7 1 Fikaila 14 3 2014 2 2.9 buyat 3513225404870000 KRAJAN 4 1

8 2 A. Ilham Ashari 23 5 2014 1 3.3 isaroyani 3513225102880000 KRAJAN 1 1

9 1 M. Aska Fais Alhamduh 2 6 2014 1 3,8 musrifah 3513225812980000 KRAJAN 1 1

10 3513223105140002 2 Ainul yakin 1 6 2014 1 2.5 solehatn 3513224107870010 KRAJAN 4 1

11 1 ulfi 14 6 2014 2 3 hosnawiyah 3513226201990000 KRAJAN 4 1

12 1 Fadelatul Munawaroh 14 9 2014 2 3.2 sit aisah KRAJAN 1 1

13 1 Sit Kholifatun 17 9 2014 2 3.2 wilujeng r / Satman 3513220107880140 KRAJAN 3 1

14 3513220611140001 1 Putra Pratama Yudistra 6 11 2014 1 3.3 rita 3513225704920000 KRAJAN 1 1

15 1 delisa 12 11 2014 2 3.1 nurfaida 3513225803840000 KRAJAN 1 1

16 2 Dafa Ibnu H.A 25 11 2014 1 3.1 ima 3513224407960000 KRAJAN 1 1

17 2 m. maulana habibi 1 1 2015 1 3 arsiat 3513224107820050 KRAJAN 1 1

18 2 m. Husein maulidin 2 1 2015 1 3.2 Iin Sofi 3513225507900000 KRAJAN 1 1

19 2 m. hairul ahyer 2 2 2015 1 3 supik 3513224407850000 KRAJAN 3 1

20 1 maulidia rahadatan n 23 2 2015 2 2.9 juliawat 3513224710940000 KRAJAN 3 1

 ASI Vitamin A Vitamin A Ada Buku
Cara Ukur IMD
Tanggal BB TB (Cm) 1=Telentan Eksklusif 1=YA, Februari Agustus KIA
pengukuran (Kg) 1=YA, 1=YA, 1=YA, 1=ya
g 2=Berdiri 2=Tidak
2=Tidak 2=Tidak 2=Tidak 2=tidak

8/7/2018 13.5 94 2 1 1 1 1 1

8/7/2018 12.2 97 2 2 2 1 1 1

8/7/2018 18 106 2 2 1 1 1 1

8/7/2018 15.5 105 2 2 1 1 1 1

8/7/2018 17 100 2 2 1 1 1 1

8/7/2018 14 99 2 2 1 1 1 1

8/7/2018 16 94 2 2 1 1 1 1

8/7/2018 18.1 100 2 2 2 1 1 1

8/7/2018 15 101 2 1 1 1 1 1

8/7/2018 11.1 92 2 2 1 1 1 1

8/7/2018 14 98 2 2 1 1 1 1

8/7/2018 11 90 2 2 1 1 1 1

8/7/2018 13.8 90 2 2 1 1 1 1

8/7/2018 13 90 2 2 1 1 1 1

8/7/2018 12.8 94 2 2 1 1 1 1

8/7/2018 12 90 2 2 1 1 1 1

8/7/2018 14 96 2 2 1 1 1 1

8/7/2018 12 89 2 1 1 1 1 1

8/7/2018 12.3 92 2 1 1 1 1 1

8/7/2018 12.4 90 2 1 1 1 1 1
 DATA SASARAN BALITA

Provinsi :
Kabupaten/Kota :
Puskesmas :

Cara Ukur
No NIK (Nomor Induk ANAK KE NAMA ANAK TANGGAL LAHIR JENIS KELAMIN Berat Badan Nama Ayah NIK Ayah No Tlp/HP ALAMAT RT RW Tanggal BB TB 1=Telentang
Kependudukan) Lahir (Kg) Orang Tua pengukuran (Kg) (Cm) 2=Berdiri

zahro 10-Aug-2013 PEREMPUAN 3.2 16 80 2

wijaya 19-Nov-2013 LAKI-LAKI 3 15 104 2
andini 8-Dec-2013 PEREMPUAN 3.1 2
13.2 97

3513225002140002 1 LINA SINTIA DIVA 10-Feb-2014 PEREMPUAN 2.8 NARTO 3513030107900229 KRAJAN `14 4 2
19 109

3513225504140001 1 ZAHRA BUNGA LATIFAH 15-Apr-2014 PEREMPUAN 2.7 ZAINI 3513220811840001 KRAJAN `14 4
19 104 2
By.sit hotja 10-Feb-2014 PEREMPUAN 3.6 KRAJAN 17 101 2
Novi 25-May-2014 PEREMPUAN 3.7 KRAJAN 16 104 2
HILMINA MAYYASA
3513226905140001 1 ZAHIRA 29-May-2014 PEREMPUAN 2.8 HOLILI 3513220807850002 KRAJAN `14 4 14 97 2

3513220906140002 1 mahendra roy P.E.Y 9-Jun-2014 LAKI-LAKI 2.7 MUHAMMAD YASIN 3513221706930002 KRAJAN 13 4 14 97 2
By. ayu 12-Jan-2014 PEREMPUAN 3.6 KRAJAN 15 97 2
ridho 1-Jan-2015 LAKI-LAKI 3.7 KRAJAN 13 97 2

3513220810140002 1 M. ARGA 8-Oct-2014 LAKI-LAKI 3.7 KRAJAN 13 97 2

3513226610140001 1 FAZA MALIKA ZIDNA 26-Oct-2014 PEREMPUAN 2.8 AHMAD GUFRON 3513231107860001 KRAJAN 16 4 13 97 2

deni kusuma 12-Jan-2014 LAKI-LAKI 3.7 KRAJAN 14 96 2

3513226111140002 2 AYU IDA SITI HANDOKO 21-Nov-2014 PEREMPUAN 2.8 HERU HANDOKO 3513220110690003 KRAJAN `14 4 2
14 90

arjuna 1-Jan-2015 LAKI-LAKI 2.7 KRAJAN 2

9 81

3513225203150001 2 ADELIA NURFADILLAH 12-Mar-2015 PEREMPUAN 3.6 LIANTO 3513221609820001 KRAJAN `14 4 2
12 93

3513227004150001 1 SITI NURHASANAH 30-Apr-2015 PEREMPUAN 2.7 SLAMET 3513221804910003 KRAJAN 15 4 11.8 90 2

3513224404150001 1 SINDI APRILIA PUTRI 4-Apr-2015 PEREMPUAN 3.6 TOHIT 3513030405930003 KRAJAN `14 4 12 91 2
ASI Eksklusif IMD Vitamin A Vitamin A Ada Buku
1=YA, 1=YA, Februari Agustus KIA
2=Tidak 2=Tidak 1=YA, 1=YA, 1=ya
2=Tidak 2=Tidak 2=tidak

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
 DATA SA

Provinsi :
Kabupaten/Kota :
Puskesmas :

Berat
NIK (Nomor Induk ANAK NAMA JENIS
No TANGGAL LAHIR Badan
Kependudukan) KE ANAK KELAMIN Lahir (Kg)

LAYLA 9/14/2013
1 3513224107770039' 3 ZAHRO P 3
2 3513222009130001' 2 REZA 9/21/2013 L 3.2
3 3513224110130003' 2 INTAN 10/5/2013 P 2.8
SITI 11/15/2013
4 3513225811130001' 1 HANIFAH P 3
5 3513221312130002' 3 FARIS 12/13/2013 L 3.2
NUR
6 3513224208930004' 1 AZIZAH 11/22/2013 P 2.4
NURUL
7 3513224208930004' 2 FADILLAH 11/22/2013 P 2.2
8 3513221512130003' 2 ABDUL MUJ 1/26/2013 L 3
NABILA 1/26/2014
9 3513226601140001' 2 PUTRI P 2.5
10 3513221703140001' 1 ALFIN 3/16/2014 L 2.5
11 3513225802140001' 1 ST NAURA 3/1/2014 P 3
ABDUL
12 351322304140001' 1 WASID 5/1/2014 L 3.4
ABDUL
13 351322904140001' 2 MALIK 5/1/2014 L 3
DWI
14 313225505140002' 2 NOFITA 5/14/2014 P 2.5
15 3513226106140001' 1 ST AZIZA 6/21/2014 P 3
KINAN
16 3513226112140004' 3 LESTARI 7/1/2014 P 3
17 3513220508140001' 1 DIMAS 8/5/2014 L 2.8
18 3513221609140001' 1 IZAM 9/16/2014 L 2.5
19 3513220710140001' 2 M HAIKAL 10/7/2014 L 3.2
20 3513201109140001' 1 NOVAL 10/14/2014 L 3
21 3513226810140001' 2 AYU 10/28/3014 P 2.5
22 3513220612740002' 2 M ALFAN 12/6/2014 L 2.5
23 3513226012140001' 3 ALFIA 12/20/2014 P 3.6
24 3513225401150002' 1 ICA 1/14/2015 P 3
25 3513226003150001' 1 NATASA 3/21/2015 P 3.5
26 3513226005150001' 1 ADELIA 5/4/2015 P 3
 M
MUTTASA
27 3513222704800004' 2 M 5/5/2015 L 3.4
ST
28 3513224717150001' 2 SA'DIYAH 7/6/2015 P 3.2
29 3513225008150001' 2 ASSIFA 8/10/2015 P 1.8
30 3513221601890003' 1 M FATIR 9/3/2015 L 3
31 3513222509150001' 2 ALI WAFA 9/25/2015 L 3
DEWI
32 3513225611150003' 3 RATIH 11/15/2015 P 2.8
33 3513225904160001' 2 INTAN 4/19/2016 P 3
34 3513224106160002' 2 AINI 6/1/2016 P 2.8
35 3513224206160001' 1 IFA 6/2/2016 P 2.4
36 3513220608160002' 1 M AZRIEL 6/8/2016 L 3
LISA
37 3513226607160001' 2 NATALIA 7/26/2016 P 3.2
38 3513224708160001' 2 SITI AISAH 8/7/2016 P 2.6
39 3513220209160001' 2 FIAN 9/2/2016 L 3.2
40 3513222211160001' 1 AISAL 11/22/2016 L 2.2
41 3513221607900006' 2 ABD HADI 12/5/2016 L 3.4
42 3513225112160001' 2 MAULIDIA 12/11/2016 P 3.2
M
NASIRUDD
43 3513222612160001' 2 IN 12/26/2016 L 3.2
44 3513225901170001' 4 AFIFAH 1/19/2017 P 3
45 3513226802170001' 1 FARA 2/28/2017 P 2.8
46 3513220311960002' 1 SIFANI 6/27/2017 P 2.7
AISYAH
47 3513224308170001' 2 DWI A 8/3/2017 P 3.4
48 3513226309170001' 2 HOLIPA 9/23/2017 P 3
49 3513225701910001' 1 AYU 11/4/2017 P 2.5
50 3513225812117001' 1 DIANA 12/18/2017 P 3.2
UNI
51 3513226512170002' 1 ZAZKIYA 12/26/2017 P 3.4
52 3513222303180001' 2 M JIBRIL 3/22/2018 L 3
53 3513224605180001' 2 HANUN 5/6/2018 P 3
54 3513225005180001' 3 RAISA 5/10/2018 P 3.4
55 3574111098440001' 2 LAILY 5/11/2018 P 2.7
NATA
56 3513225104970002' 1 BIANI 6/13/2018 P 3.4
IKSANUDI
57 3513221706180001' 2 N 6/17/2018 L 3
SITI
58 3513220305880003' 1 HOFIFA 7/1/2018 P 3.2
59 3513220107810185' 2 ANGEL 8/3/2018 P 3.4

1 3513225209130003' 1 AURA 9/14/2013 P 2.5

2 3513221910130001' 2 FRENGKI 10/20/2013 L 2.8
3 3513220502140001' 1 HABIBI 10/21/2013 L 2.7
4 3513224610150002' 1 SAHIRA 11/1/2013 P 2.5
5 3513221603140001' 1 ROSI 3/16/2014 L 3
6 3513226804140004' 1 DIAN 4/26/2014 P 3
7 3513223004140002' 2 ACH.KHUSA4/1/2014 P 3.2
8 3513224306140001' 1 KANIYA 6/4/2014 P 3.2
9 3513226206140001' 2 ANISA ULF 6/22/2014 P 3
10 3513221006140001' 2 M HASAN 6/10/2014 L 3.4
11 3513226007140001' 3 FAIRIS 7/19/2014 L 3
12 3513222907140001' 1 PRASETYO 8/1/2014 L 3.2
13 3513225201950001' 1 WAHYU 9/27/2014 L 3
14 3513225905080002' 2 FIFI 12/11/2014 P 3
15 3513225212140001' 2 RINA 12/11/2014 P 1.8
16 3513224107780509' 3 ROFIDAH 12/20/2014 P 3
17 3513220401150001' 2 SAINAL AB 1/5/2015 L 3
18 3513224103150001' 5 NAKSA 3/1/2015 P 3.4
19 3513220604150001' 3 UMAR FAR 4/4/2015 L 2.8
20 3513226604150002' 2 ILUL 4/26/2015 P 2.8
21 3513220503750001' 4 HAFID 7/5/2015 L 3
22 3513225611920002' 1 ARIKA 6/15/2015 P 2.8
23 3513223108150005' 1 AQIL 8/21/2015 L 2.5
24 3513222609150002' 1 AKBAR 9/25/2015 L 3
25 3513224610150002' 1 ZAHRA 9/26/2015 P 2.7
26 3513224107690010' 2 RIAN 10/19/2015 L 3
27 3513222208700001' 3 ZAIFULLAH10/10/2015 L 2.8
28 3513220805160001' 2 M NASIR 5/8/2016 L 3.2
29 3513220105160003' 2 M HAIKAL 5/1/2016 L 2.7
30 3513225209160002' 3 ST AISAH 5/1/2016 P 2.4
31 3513226102930019' 1 M. ALFARIZ1/5/2016 L 1.8
32 3513224506850004' 2 M. RIDO'I 1/3/2017 L 3.2
33 3513221702890002' 1 M. IRFAN 1/9/2017 L 3
34 3513220302170001' 3 M. REHAN 2/3/2017 L 3.3
35 3513220512160001' 1 M. ALFARIS3/1/2017 L 3.5
36 3513225302870001' 3 ISMATUL 3/13/2017 P 2.8
37 3513225705170002' 3 ST ROMLA 5/17/2017 P 2.8
38 3513227101180001' 3 PUTRI ATIK2/1/2016 P 3
39 3513226605890002' 2 SAFIA 4/5/2018 P 2.9
40 3513224107910106' 2 SELFI 5/8/2018 P 3
41 3513225904900001' 2 FEBI 6/10/2018 P 3
42 3513224107910105' 2 FA'IZ 7/20/2018 L 3
43 3513224107880161' 2 LAILATUL F 8/1/2018 P 3
44 3513226006960001' 1 ST NURAIS 8/27/2018 P 2.4
 WULANDA
9/23/2013 2.8
1 3513226309130001' 1 RI P
M YUSUF 10/3/2013 3
2 3513220310130001' 1 ADITYA L
3 3513221910130003' 2 NAZILA 10/19/2013 P 3.2
4 3513221010130002' 1 M HUDA 10/24/2013 L 3.4
5 3513220611130001' 3 DIMAS 11/6/2013 L 3
6 3513220603140001' 1 M ALVIN 3/6/2014 L 3.2
7 3513227103140001' 1 IVA 4/1/2014 P 2.5
8 3513226704140001' 1 AUREL 4/27/2014 P 2.8
9 3513224305140001' 1 EKA 5/3/2014 P 2.8
10 3513223006140003' 2 RAMA 7/1/2014 L 3.6
11 99999999999999' 1 NURIELIS 8/3/2014 P 3.2
12 3513220608140002' 2 BUSTOMI 8/6/2014 L 3
13 3513224908140001' 2 SYAHINA 8/8/2014 P 3.2
14 9999999999999999' 1 NAILA 8/28/2014 P 3.4
15 3513222709140003' 2 DAFA 9/26/2014 L 2.8
16 3513225912140001' 2 AUREL 12/19/2014 P 3.2
17 3513225701150001' 2 SHELA 1/28/2015 P 2.8
IMAM 3.4
18 3513226702150001' 2 SAFII 2/6/2015 L
19 3513225601500003' 3 BELLA 2/16/2015 P 3.2
PUTRI 3
20 3513225602150001' 2 NAILA 2/16/2016 P
21 3513225802150001' 2 DAIS 2/18/2015 P 3.4
22 3513220609150001' 2 ARJUNA 3/6/2015 L 2.5
23 9999999999999999' 2 M ADITYA 4/10/2015 L 3.4
24 3513222904150001' 1 ALEQ 4/29/2015 L 3.2
25 3513223004150001' 2 RAFI 4/30/2015 L 3.4
26 3513220507150002' 1 AFDAN 7/5/2015 L 3.4
27 3513224507150001' 1 HAFISAH 7/5/2015 P 3.2
28 3513224107860223' 2 SINDI 7/6/2015 P 2.8
29 3513225009150001' 2 NAILA 9/10/2015 P 3
30 3513220909150002' 2 M ROBI 9/13/2015 L 3.2
31 3513225402860004' 2 AYU 9/19/2015 P 2.8
LUTFIANAF
IA 3
32 3513225610150001' 2 10/16/2015 P
33 3513225706950001' 1 NAFIS 10/17/2015 P 2.5
34 3513224702160001' 2 FEBI/LENA 2/7/2016 P 3
35 3513224204150001' 1 RISMA 4/2/2015 P 2
M 3.2
36 3513222502160002' 3 MAULANA 3/24/2016 L
37 3513226603150003' 2 IFA 3/26/2016 P 3.1
38 3513226107950001' 1 ITA 4/17/2016 P 3
M
SYAMSUDI 2.5
39 35132210106160001' 2 N / PUTRA 6/18/2016 L
40 3513225906060001' 2 MELINDA 6/19/2016 P 3
41 3513226206160002' 2 ANGGITA 6/23/2016 P 3.2
42 3513226709160001' 1 ZAHRA 9/27/2016 P 3.2
43 9999999999999999' 1 M ILHAM 10/10/2016 L 2.8
44 3513220601170001' 3 M IQBAL 1/6/2017 L 2.4
45 3513220602170001' 1 SODIKIN 2/6/2017 L 3
46 3513226219300003' 1 ICA 2/26/2017 P 3
47 3513226303170001' 2 LINDA 3/19/2017 P 3.2
48 3513035504990002' 1 FIRMA 3/21/2017 P 2.5
49 3513224202890005' DIFA 4/10/2017 P 3
50 3513222805170001' 2 WARDAH 6/1/2015 P 2.3
M
SYAMSUL 3.4
51 99999999999999999' 1 ARIFIN 6/27/2017 L
52 3513220607170001' 1 M RAFA 7/6/2017 L 3
M.AL
ARDIANSY 3.2
53 3513221107170001' 2 AH 7/11/2017 L
54 99999999999999999' 1 ANDRA 7/14/2017 L 3
M ARYA/ 3.2
55 3513222407170001' 1 ANGGA 7/24/2017 L
M HUSAIRI 3.4
56 3513220207170003' 3 8/2/2017 L
57 3513224107780182' 2 PRASETYO 8/18/2017 L 3
58 3513226108170001' 1 MIA 8/21/2017 P 3.2
59 3513224107870013' 2 NAZWA 9/10/2017 P 3
60 3513225109170001' 2 FERDI 9/11/2017 L 2.8
61 3513226011170001' 2 SALSABILA 11/20/2017 P 3
62 3513221101180001' 2 WILDAN 1/10/2018 L 2.4
63 3513225502950003' 2 RADIT 2/10/2018 L 2.8
64 9999999999999999' 1 NADA 2/14/2018 P 2.5
65 3513225502180001' 2 TASYA 2/15/2018 P 3.2
66 3513221107170001' 1 ARDI 3/9/2018 L 3
M. FATRUL 2.5
67 9999999999999999' 3 ROZI 4/3/2018 L
68 3513221605180001' 1 AZRIL 5/16/2018 L 3.8
69 3513226812890002' 2 FAJAR 5/24/2018 L 3
70 1 FAREL 6/25/2018 P 3
1 9/15/2018 L 3.3

ROBIATUL
2 10/1/2013 3
ADAWIYAH
1 3513226709130002' P
RIKI
1 1/25/2014 3.2
2 3513222401140002' MUBAROK L
3 3513226612880001' 1 NASA 3/11/2014 P 3.4
4 3513221209710004' 3 M ILHAM 3/16/2014 L 3.4
5 3513221909850002' 3 IBRAHIM 3/16/2014 L 3
6 3513226501900006' 1 VIKA 4/1/2014 P 3
7 3513226004140001' 1 NALA 4/20/2014 P 3.2
8 3513223006140002' 3 ADITYA 6/26/2014 L 3
9 3513225609140001 1 BILQIS 7/5/2014 P 2.5
10 3513225507140002' 2 PUTRI 7/15/2014 P 3.2
11 3513225408140001' 2 AINUN 8/14/2014 P 3
12 3513225609140001 2 BILKIS 9/16/2014 P 2.5
13 3513221510910002' 1 MESSA 10/8/2014 P 3.1
14 3513222010140001' 1 RISKI 10/20/2014 P 2.7
15 3513226411140001' 1 SITI ROHM 11/24/2014 P 3.1
16 3513220812140002' 2 ABBAS 12/8/2014 L 3.4
17 3513224204870001' 2 NAZRIL 12/13/2014 P 2.8
18 3513225412140001' 1 VINA 12/13/2014 P 3
19 3513221812140002' 2 UFAT 12/15/2014 L 2.8
20 3513220107700214' 1 M DANAN 2/22/2014 L 3.1
21 3513222602150001' 1 M IQBAL 2/25/2014 L 2.9
22 3513226303150001' 3 SITI NURA 3/23/2015 P 2.6
23 3513226603150001' 1 AISYAH 3/25/2015 P 3
24 3513221804150002' 2 VIKRI 4/18/2015 L 3
25 3513226802870002' 1 DINA 4/22/2015 P 2.5
26 3513225808890001 1 MIA 4/29/2015 P 2.9
27 3513225705150001' 3 MUYES SA 5/16/2015 P 2.8
28 3513221506150001' 1 REZA 6/15/2015 L 2.7
29 3513222509820002' 2 MADDA 6/29/2015 P 2.6
30 3513220502950001' 1 IZZAH 7/25/2015 P 3
31 3513227008150001' 1 ZAHRA 8/30/2015 P 3.1
32 3513225104890002' 1 ANISA PUT 8/31/2015 P 2.9
33 3513221210150002' 1 UBAI 10/12/2015 L 2.7
34 3513221210150001' 1 M DANIL 10/12/2015 L 3.2
35 3513225007870003' 2 M RIDO 11/7/2015 L 3
36 3513225902160001' 1 WIDYA 2/19/2016 P 3
37 3513226268970001' 1 KESYA 2/21/2016 P 3.4
38 3513226802870002' 2 ASIFA / DE 4/24/2016 P 3.2
39 3513224409960002' 1 M HALIM 5/19/2016 L 2.5
40 3513225006160003' 1 ILMI MUFI 6/10/2016 P 3.1
41 3513221807160001' 1 M ALFIN 7/17/2016 L 2.8
42 3513225006710001' 3 INATUS 7/17/2016 P 2.7
43 3513226707160002' 3 SITI MAIS 7/26/2016 P 3
44 3513220108160001' 1 M FERDI 8/1/2016 L 3.1
45 3513227107160001' 1 LIDIA 9/1/2016 P 2.9
46 3513220109160001' 3 AKBAR 31/09/2016 L 3
47 3513224501860002' 2 ALIYA 9/18/2016 P 2.6
48 3513221309160001' 2 PUTRA 9/12/2016 L 3.7
49 3513222409160001' 1 M ILHAM 9/24/2016 L 3.6
50 3513222401880001' 1 HIMATUL U 10/9/2016 P 3.5
51 3513224107730571' 2 SILFIA MA 10/15/2016 P 3
52 3513225370160001' 1 SITI QOMA 10/14/2016 P 2.8
53 3513220311160001' 1 NABIL 10/3/2016 L 3
54 1 AISYAH 11/13/2016 P 2.7
55 3513220711160001' 1 AFIF 11/27/2016 L 3.1
56 3513224212160002' 1 MAULA 12/2/2016 P 3.2
57 3513224403170001' 1 SITI SOLEH 3/5/2017 P 3
58 3513226802930003' 1 HAFIS 4/13/2017 L 2.8
59 3513220812930001' 1 MOSTOFA A 5/18/2017 L 3.7
60 3513222905170001' 1 M RAGIL 6/22/2017 L 2.9
61 1 M ANGGA 6/28/2017 L 3
62 3513224307170001' 2 SALSABILA 7/2/2017 P 2.8
63 1 DIA 7/23/2017 P 2.5
64 3513220108170001 2 ROBI 8/1/2017 L 3
65 3513226608170001' 2 NAJWA 8/26/2017 P 3.5
66 2 TAZUL 9/5/2017 L 3.2
67 3513220403850001' 2 M HASAN 10/5/2017 L 2.2
68 3513226008950001' 3 AZMI 10/23/2017 L 3.3
69 3513222407170001' 2 M HAIKAL 7/24/2017 L 3
70 3513220605890004' 2 A.MUZAKKI 2/3/2018 L 2.4
71 3513221007980002' 1 ALFINO 2/14/2018 L 3.5
72 3513228031800001' 2 M.BAYU 3/28/2018 L 3
73 3513225903010003' 1 M ALFIN 5/8/2018 L 3.6
74 3513226408900001' 2 WAHYU 5/25/2018 L 2.9
75 3513220407810003' 1 RAISA 6/1/2018 P 2.8
76 3513221908830002' 3 REZA 6/3/2018 L 2.7
77 3527020608860013' 2 BERLIAN / 6/12/2018 P 2.5
78 3513224703930002' 2 SIHUA NAI 9/14/2018 P 2.6
79 3513225603980001' 1 BY, SITI ZA 9/18/2018 P 3
 DATA SASARAN BALITA

NIK Ayah No Tlp/HP Tanggal

Nama Ayah ALAMAT RT RW BB (Kg) TB (Cm)
Orang Tua pengukuran

krajan 4 1
SITI AMINAH 3513224107770039' 13/08/2018
SIPUL 3513221704820001' krajan 3 1 13/08/2018 14.5 100
LISNATI 3513224107860060' krajan 3 1 13/08/2019 16 100
krajan 1 1
NURASIA 3513225909940001' 14/08/2018 16.2 100
IDAROYANI 3513224402820006' krajan 4 1 13/08/2020 14 98
krajan 4 1
MUT MAINNAH 3513224208930004' 15/08/2018 15 100
krajan 4 1
MUT MAINNAH 3513224208930004' 13/08/2021 16.3 103
SRI UTAMI 3513224107870140' krajan 4 1 16/08/2018 16.8 100
krajan 1 1
HOLIFA 3513225103580002' 13/08/2022 13.5 102
ROKIB 3513221010092004' krajan 3 1 17/08/2018 17.1 99
KARIM 3513221098400001' krajan 4 1 13/08/2023 13 97
krajan
TOMO 3513220107820121' 3 1 18/08/2018 13.8 95
krajan
LIUTIN 3513225202890006' 4 1 13/08/2024 13.5 97
krajan
EDIANTO 3513220505870002' 1 1 19/08/2018 14 95
ROHMAN 3513222005900004' krajan 3 1 13/08/2025 17 100
krajan
SLAMET 3513224107780420' 2 1 20/08/2018 16.1 96
DARMINTO 3513221903880002' krajan 3 1 13/08/2026 13 95
SANTUSO 3513220107800285' krajan 4 1 21/08/2018 14 97
ISMAIL 3513222906830001' krajan 3 1 13/08/2027 13 95
ZAINAL 3513221903900002' krajan 4 1 22/08/2018 13 103
SODIKIN 3513220602900002' krajan 2 1 13/08/2028 13 96
NURIMAN 3513221701800003' krajan 2 1 23/08/2018 17 92
RUMIANA 3513224107780130' krajan 3 1 13/08/2029 13.5 95
SUGIONO 3513221305890001' krajan 2 1 24/08/2018 14 92
OSEN 3513220103840001' krajan 3 1 13/08/2019 13.3 96
SAHID 3513221007930003' krajan 1 1 14/08/2018 13 93
 krajan
SODIKIN 3513222704800004' 4 1 13/08/2020 10 82
krajan
BONGSO 3513221312850002' 4 1 15/08/2018 12.5 94
SAWITO 3513220709620001' krajan 1 1 13/08/2021 11.2 90
MISTU 3513221601890003' krajan 2 1 16/08/2018 13.5 90
HOTIMA 3513226104680004' krajan 4 1 13/08/2022 10.5 81
krajan
JUMALI 3513220107700137' 4 1 17/08/2018 12 82
SABAR 3513220107850222' krajan 4 1 13/08/2023 13.4 84
SARU 3513221504780002' krajan 4 1 18/08/2018 13 87
YULIATIN 3513225203890006' krajan 3 1 13/08/2024 12 82
BUYANTO 3513220304880001' krajan 4 1 19/08/2018 11 80
krajan
MARSAN 3513220107360293' 4 1 13/08/2025 10 82
AHMD FAUZI 3513220107840162' krajan 2 1 20/08/2018 9.2 85
ISMAIL 3513222906870001' krajan 2 1 13/08/2026 10 80
SUHERMANTO 3513220909100001' krajan 2 1 21/08/2018 8.3 78
SOLIHIN 3513221607900006' krajan 1 1 13/08/2027 8.7 80
SULIHATIN 3513225102840003' krajan 3 1 22/08/2018 9 80

krajan
ROHIMA 3513224907890002' 4 1 13/08/2028 9 75
IDAROYANI 3513224402820006' krajan 4 1 23/08/2018 10 75
YULIANA 3513221204950001' krajan 3 1 13/08/2029 8.8 71
JOKO PRAYETNO 3513220311960002' krajan 1 1 24/08/2018 14.4 102
krajan
JUMROTUL 3513224212940001' 1 1 13/08/2030 14.4 100
MU SUTEK 3513220107680087' krajan 1 1 25/08/2018 9.2 68
MUSRIFA 3513225701910001' krajan 2 1 13/08/2020 7.5 67
SAMSUL ARIFIN 3513220906920003' krajan 2 1 15/08/2018 7.3 65
krajan
ABD KARIM 3513222507980002' 3 1 13/08/2021 8.1 65
SELAMET 3513220610830001' krajan 3 1 16/08/2018 7.5 62
EKA RAHAYU 3513225801910002' krajan 3 1 13/08/2022 5.7 60
ASMANIA 3513226003770002' krajan 3 1 17/08/2018 5.3 60
KARIM 3574111098440001' krajan 4 1 13/08/2023 6.1 58
krajan
SUSI 3513225104970002' 2 1 18/08/2018 5.4 57
krajan
MISRI 3513225005810002' 4 1 13/08/2024 6 61
krajan
TOMO 3513220305880003' 3 1 19/08/2018 6 61
SU'EB 3513220107810185' krajan 1 1 13/08/2019 3.4 48

HOTIMA 3513227012930002' sengon 10 3 8/22/2018 13.6 101

ATMARI 3513225102800006' sengon 11 3 8/22/2018 12 90
HILDA 3513221011900002' sengon 10 3 8/22/2018 14.6 100
ALIYA 3513225904900002' sengon 13 3 8/22/2018 14 100
ROHANA 3513225600582001' sengon 13 3 8/22/2018 15.5 102
ROIDATUL MARDIY 3513220909900001' sengon 10 3 8/22/2018 14.5 100
HJ. ST.AISAH 3513224305750001' sengon 12 3 8/22/2018 14.6 98
IMAM SOLIHIN 3513220806880019' sengon 10 3 8/22/2018 13.5 97
NURHAYATI 3513224107810130' sengon 13 3 8/22/2018 12.5 97
SULAIKA 3513226106810002' sengon 10 3 8/22/2018 14 98
ST AISAH 3513225310800002' sengon 11 3 8/22/2018 13 95
ST SULAIHA 3513226903870001' sengon 10 3 8/22/2018 12.5 97
FARIDATUL 3513225201950001' sengon 12 3 8/22/2018 16 96
SRI MANIS 3513224806880002' sengon 13 3 8/22/2018 14.5 95
MUSRIFAH 3513225905900001' sengon 13 3 8/22/2018 12 90
JUMRIANI 3513224107780509' sengon 13 3 8/22/2018 11.7 90
INDRAWATI 351322421850001' sengon 12 3 8/22/2018 12 93
HJ USWATUN HAS 3513224105760002' sengon 10 3 8/22/2018 12.5 94
BUATI 3513224107770205' sengon 11 3 8/22/2018 15 96
SUHATI 3513225407820001' sengon 10 3 8/22/2018 12.1 90
SITI 3513224610610001' sengon 10 3 8/22/2018 11.6 88
SULEHA 3513225611920002' sengon 11 3 8/22/2018 13.3 90
SUSILO WATI 3513224710960004' sengon 13 3 8/22/2018 13 90
RIPADIA 3513224105860003' sengon 11 3 8/22/2018 12.4 90
SULIANA 3513225804950002' sengon 13 3 8/22/2018 11 85
SU SINGO 3513224107690010' sengon 13 3 8/22/2018 13.2 90
HJ SAINI 3513222208700001' sengon 12 3 8/22/2018 14.5 90
HOSMIATUM 3513224407860003' sengon 11 3 8/22/2018 13 85
NURAZIZAH 3513224107910105' sengon 10 3 8/22/2018 11 85
FAUZIAH 3513225706840001' sengon 10 3 8/22/2018 8.5 78
TULIK AGUSTIN 3513226102930019' sengon 10 3 8/22/2018 9.5 80
ENIK 3513224506850004' sengon 10 3 8/22/2018 10.3 78
SUBUR 3513221702890002' sengon 10 3 8/22/2018 11 80
SRI MANIS 3513224806880002' sengon 13 3 8/22/2018 9.8 80
LULUK HANDAYANI 3513224107970003' sengon 10 3 8/22/2018 9 78
ROMLA 3513225302870001' sengon 11 3 8/22/2018 9.8 78
LILIK 3513224801900002' sengon 13 3 8/22/2018 9.2 70
MALIHATUN 3513224107870148' sengon 13 3 8/22/2018 7 65
ERNAWATI 3513226605890002' sengon 12 3 8/22/2018 6.5 60
YENI 3513224107910106' sengon 10 3 8/22/2018 6 60
ALIYA 3513225904900001' sengon 13 3 8/22/2018 5.7 57
ANIS 3513224107910105' sengon 13 3 8/22/2018 5.9 57
NURUL HASANAH 3513224107880161' sengon 11 3 8/22/2018 3 48
HOLIFA 3513226006960001' sengon 13 3 8/22/2018 2.5 47
 3513227006950001' beringin 9 2
MILLAWATI 8/14/2018 17 102
beringin 8 2
ERLINA WATI 3513226909920002' 8/14/2018 16 101
HOLILA 3513224107860156' beringin 7 2 8/14/2018 15.5 100
IDA 3513226103870002' beringin 7 2 8/14/2018 15 100
YULIA 3513224406810001' beringin 5 2 8/14/2018 23.2 102
HOTIMAH 3513225711930002' beringin 5 2 8/14/2018 17.8 98
ROFIAH 3513225209930001' beringin 8 2 8/14/2018 14 98
NOVITA 3513225804920001' beringin 9 2 8/14/2018 16.5 100
FATIMA 3513224504930001' beringin 8 2 8/14/2018 15 100
SAMI 3513225502850001' beringin 5 2 8/14/2018 13.7 97
HOSILAH beringin 6 2 8/14/2018 14.1 98
LILIK 3513224107880152' beringin 8 2 8/14/2018 12.3 95
MILA 3513224107820247' beringin 9 2 8/14/2018 12.8 95
LISA 3513227004950002' beringin 7 2 8/14/2018 16.4 98
SULIHA 3513224107820223' beringin 6 2 8/14/2018 12.1 95
ZAHRO 3513226403900002' beringin 7 2 8/14/2018 12.5 96
SUPARMI 3513224107870074' beringin 8 2 8/14/2018 14.3 86
beringin 2
INDAYATI 3513224107900019' 9 8/14/2018 17.4 107
IDA 3513224107810031' beringin 9 2 8/14/2018 11.5 92
beringin 2
SOLEHA 3513226006850002' 7 8/14/2018 10.8 91
NUR HAYATI 3513226212870001' beringin 9 2 8/14/2018 15.1 93
MANISA 3513224107840015' beringin 8 2 8/14/2018 10.3 77
HALIMA 3513224107770198' beringin 9 2 8/14/2018 11.5 92
SOLEHA 3513225106940001' beringin 7 2 8/14/2018 15 93
ARIN 3513226006850002' beringin 9 2 8/14/2018 12.5 92
SUTIN 3513224511910001' beringin 9 2 8/14/2018 11.5 90
RIRIN 3513225104940002' beringin 7 2 8/14/2018 12 89
SULIHATIN 3513224107860223' beringin 7 2 8/14/2018 12.8 93
SALIK 3513220107750033' beringin 9 2 8/14/2018 13.6 100
SITI ROMLA 3513224204880002' beringin 8 2 8/14/2018 12.9 90
SALAMA 3513225402860004' beringin 7 2 8/14/2018 11 88
beringin 2
ALIANA 3513224107790043' 7 8/14/2018 12.2 89
UMI KULSUM 3513225706950001' beringin 7 2 8/14/2018 10.5 85
SENIMA 3513225806880003' beringin 9 2 8/14/2018 12.2 85
IIN FADILLA 3513225502950003' beringin 7 2 8/14/2018 17.8 100
beringin 2
NURLI 3513224102780001' 9 8/14/2018 10.8 85
YANI 3513225903870002' beringin 8 2 8/14/2018 13.1 99
NURUL HAYATI 3513226107950001' beringin 7 2 8/14/2018 12.4 86

beringin 2
RUSDIANA 3513224107820217' 6 8/14/2018 10 80
NUR AINI 3513226602890003' beringin 5 2 8/14/2018 11 82
YULIASIH 3513226708830001' beringin 9 2 8/14/2018 11 83
LIA SUSANTI 3513226305950002' beringin 8 2 8/14/2018 10 80
USWATUN 9999999999999999' beringin 7 2 8/14/2018 9.5 82
RUA 3513225507720001' beringin 7 2 8/14/2018 9.3 80
SULIHA 3513226107860002' beringin 9 2 8/14/2018 10.9 80
SAK ADAH 3513226219300003' beringin 6 2 8/14/2018 8.5 80
BEBUN 3513220909910002' beringin 8 2 8/14/2018 8.1 75
FITRI 3513035504990002' beringin 6 2 8/14/2018 7.9 75
YUYUN 3513224202890005' beringin 6 2 8/14/2018 9.5 78
JUMIATI 3513224910880002' beringin 7 2 8/14/2018 7.4 70

beringin 2
YULIATIN 99999999999999999' 7 8/14/2018 8 75
RIBUT 3513225708950001' beringin 7 2 8/14/2018 9.1 75

beringin 2
ROFIAH 3513225209930001' 7 8/14/2018 9.5 75
SITI AMINAH 9999999999999999' beringin 7 2 8/14/2018 10.6 72
beringin 2
ENDANG 3513224504940002' 6 8/14/2018 10.6 76
beringin 2
HALILA 3513224907900152' 9 8/14/2018 9.4 72
MINA 3513224107780182' beringin 7 2 8/14/2018 8.7 75
SAMA 3513224204870003' beringin 8 2 8/14/2018 8.8 70
SLAMET 3513224107870013' beringin 5 2 8/14/2018 8 70
ERLINAWATI 3513226909920002' beringin 8 2 8/14/2018 7.8 70
BUNAYA 3513224810380002' beringin 7 2 8/14/2018 7.6 67
LINTANG 3513225609810002' beringin 9 2 8/14/2018 7.5 65
IIN FADILLA 3513225502950003' beringin 7 2 8/14/2018 7.2 65
NUR IKE 9999999999999999' beringin 8 2 8/14/2018 7.2 66
NURUL HASANAH 3513225111880002' beringin 5 2 8/14/2018 7.4 65
SITI ROFI'AH 3513225209930001' beringin 8 2 8/14/2018 6.2 65
beringin 2
SUSMIATI 3513224107810011' 5 8/14/2018 6 63
ATMIATUN 3513225303940002' beringin 6 2 8/14/2018 6.8 63
HOLILA 3513226812890002' beringin 5 2 8/14/2018 7 60
ISMAWATI beringin 5 2 8/14/2018 5 54
BUDI beringin 62 8/14/2018 3.3 48

klompang 17 4
SAIFUL ANAM 3513222501780004' 8/21/2018 15 100
klompang 17 4
KARIM 3513220403850001' 8/21/2018 15.8 102
NITO 3513226612880001' klompang 15 4 8/21/2018 13 97
ABDULLAH 3513221209710004' klompang 15 4 8/21/2018 21.6 105
NIMAN 3513221909850002' klompang 15 4 8/21/2018 13.9 100
FADILA 3513226501900006' klompang 17 4 8/21/2018 12.7 94
RUDI 3513221109910002 klompang 15 4 8/21/2018 15.3 102
SU SUMI 3513220107540052' klompang 15 4 8/21/2018 12.5 95
HOSNAWATI 3513224703930002' klompang 15 4 8/21/2018 13 95
MUHAMMAD 3513220407873003' klompang 16 4 8/21/2018 15 95
SUHAR 351322609770002' klompang 15 4 8/21/2018 11.1 90
SUPRIADI 3513222009820001' klompang 17 4 8/21/2018 12 90
MISKAI 3513221510910002' klompang 15 4 8/21/2018 12 95
ABDUL KODIR 3513210808880007' klompang 15 4 8/21/2018 12 90
TOLI 3574011503870001' klompang 16 4 8/21/2018 12.3 93
SUTAR 3513221412830002' klompang 16 4 8/21/2018 12.8 93
SOLEHA 3513224204870001' klompang 15 4 8/21/2018 12 95
HOLIQ 3513221908820002' klompang 15 4 8/21/2018 13 95
EMAD 3513221002740002' klompang 16 4 8/21/2018 16.2 90
SADI 3513220107700214' klompang 15 4 8/21/2018 13.5 85
SLAMET 3513221003940005' klompang 15 4 8/21/2018 12.9 95
SLAMET 3513220107800039' klompang 15 4 8/21/2018 13 90
M AHMAD 3513052303830001' klompang 16 4 8/21/2018 15 95
EDI 3513221406860002' klompang 16 4 8/21/2018 15.1 91
SRI WAHYUNINGSI 3513226802870002' klompang 15 4 8/21/2018 16.1 93
YULISTIOWATI 3513225808890001 klompang 15 4 8/21/2018 12 95
HJ SIN 3513220405800002' klompang 16 4 8/21/2018 11 90
ASTUTIK 3513226208980001' klompang 16 4 8/21/2018 12.9 94
MUHID 3513222509820002' klompang 15 4 8/21/2018 12 93
ABDUSSAKUR 3513220502950001' klompang 15 4 8/21/2018 14.1 94
SUGIADI 3513222006880001' klompang 17 4 8/21/2018 13 90
MISNATI 3513225104890002' klompang 15 4 8/21/2018 11 84
IFTA 3513225111930001' klompang 16 4 8/21/2018 11 85
SOLI 3513221066880004' klompang 16 4 8/21/2018 12 90
SITI FATIMAH 3513225007870003' klompang 16 4 8/21/2018 11 92
MISTILA 3513226206860001' klompang 16 4 8/21/2018 10.3 85
BUDI 3513220808920001' klompang 14 4 8/21/2018 13.8 85
SRI WAHYUNINGSI 3513226802870002' klompang 15 4 8/21/2018 11.3 85
SITI MAIMUNAH 3513224409960002' klompang 15 4 8/21/2018 11 85
NURUL YAKIN 3513220304950008' klompang 16 4 8/21/2018 7.8 75
M ALIF 3513221401880002' klompang 14 4 8/21/2018 12 83
HALIMA 3513225006710001' klompang 16 4 8/21/2018 8.5 80
SUMARYO 3513220107400106' klompang 17 4 8/21/2018 9 80
BUDI 3574052907900001' klompang 17 4 8/21/2018 11.3 88
M IRFAN 351322610930004' klompang 15 4 8/21/2018 8.5 78
AGUNG 3574032806850001' klompang 16 4 8/21/2018 12 85
MUT MAINNA 3513224501860002' klompang 16 4 8/21/2018 10.7 82
NIRAM 3513222408870001' klompang 15 4 8/21/2018 8.8 78
ARMAN 3513221012900001' klompang 14 4 8/21/2018 9 78
HASAN 3513222401880001' klompang 16 4 8/21/2018 12.7 85
ESA 3513224107730571' klompang 15 4 8/21/2018 9 76
ISMAIL 3513222108820002' klompang 16 4 8/21/2018 9 78
SUMIATI 3513224709970003' klompang 17 4 8/21/2018 11 84
HERIATI klompang 16 4 8/21/2018 8.5 80
SAHRI 27020608860013' klompang 17 4 8/21/2018 11.4 83
SUNAN 3513220704870003' klompang 15 4 8/21/2018 9.3 80
BUNALIA 3513224902960003' klompang 15 4 8/21/2018 9 75
RINTO 3513226802930003' klompang 17 4 8/21/2018 11 80
MISBAH 3513220812930001' klompang 16 4 8/21/2018 11 78
USWATUN 35174051704870003' klompang 15 4 8/21/2018 9.3 75
SANIN RAIS 3513221911910001' klompang 15 4 8/21/2018 9.3 73
DEWI FATIMAH 3513224904840001' klompang 15 4 8/21/2018 8 70
HAMID klompang 16 4 8/21/2018 7.5 70
ANDINI 3513226611920001' klompang 15 4 8/21/2018 9 75
HERLINA 3513224107840032' klompang 14 4 8/21/2018 9 75
ASI klompang 15 4 8/21/2018 8 76
KARIM 3513220403850001' klompang 17 4 8/21/2018 8.6 75
HOTIMA 3513226008950001' klompang 16 4 8/21/2018 8 70
SUGENG 3513220107880034' klompang 15 4 8/21/2018 8.2 75
ZAINUL 3513220605890004' klompang 16 4 8/21/2018 8 70
ELIAS 3513221007980002' klompang 16 4 8/21/2018 6.1 65
SULFIANA 3513224410920002' klompang 16 4 8/21/2018 8.5 65
YANI 3513225903010003' klompang 17 4 8/21/2018 6.5 62
TUTIK. H 3513226408900001' klompang 15 4 8/21/2018 5.6 62
ELI BINTARO 3513220407810003' klompang 16 4 8/21/2018 5.5 58
ROMLI 3513221908830002' klompang 15 4 8/21/2018 6 60
SAHRI 27020608860013' klompang 17 4 8/21/2018 5.1 55
HOSNAWATI 3513224703930002' klompang 15 4 8/21/2018
SITI ZAINAP 3513225603980001' klompang 15 4 8/21/2018
Cara Ukur ASI IMD Vitamin A Vitamin A Ada Buku
Eksklusif Februari Agustus KIA
1=Telentan 1=YA,
1=YA, 1=YA, 1=YA, 1=ya
g 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1

2 1 1 1

2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1

2 1 1 1

2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1

1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1

1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1

1 1 1 1

1 1 1 1

1 1 1 1
1 1

2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1

2 1 1 1
2 1 1 1

2 1 1 1

2 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1

1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1

2 1 1 1

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

Provinsi :
Kabupaten/Kota :
Puskesmas :

NIK (Nomor Induk JENIS Berat Badan No Tlp/HP BB TB

No Kependudukan) ANAK KE NAMA ANAK TANGGAL LAHIR KELAMIN Lahir (Kg) Nama Ayah NIK Ayah Orang Tua ALAMAT RT RW Tanggal pengukuran (Kg) (Cm)

10-Sep-2013 3.3 hidayat KRAJAN 3 1

1 "3513221009130001 1 GIBRAN FAIZ BILFAQIH 1 "3513221009730001 8/8/2018 16.7 109
4-Oct-2013 2.8 sulhan KRAJAN 1 1
2 3513224410130002 2 HULLIATUN NIKMAH 2 "3574022303860004 8/8/2018 14 100
26-Oct-2013 3.3 imam KRAJAN 3 1
3 "3513226610130001 1 AINUN ILYATUL LAILY 2 "3513221408720002 8/8/2018 11 95
28-Jan-2014 3 suber KRAJAN 2 1
4 "3513222701140001 2 Riko 1 "3513224906900001 8/8/2018 12 95
3-Feb-2014 2.5 KRAJAN 1 1
5 "3513224302140001 2 Naura Putri 2 MOH RIDHA FISABILILLAH 3513220107840125 8/8/2018 13 94

6 2 Novika amalia "15/05/2014 2.5 umi kulsum "3513224901870000 KRAJAN 3 1 8/8/2018

2 13 96

7 3513220107140001 1 Angga ramadani 1-Jul-2014 3.5 Moch. Mohed KRAJAN 5 1 8/8/2018

1 3513221810870003 15 96

8 3513220907140001 1 NOUFAL FAIZ ABDILAH 9-Jul-2014 3.5 KRAJAN 4 1 8/8/2018 14.6

1 M. ZAINI 3513220509960003 97

9 3513221107140002 1 AHMAD LUTFI RAMADANI 11-Jul-2014 2.5 KRAJAN 4 1 8/8/2018

1 MARHAWI 3574051506930002 13 94
5-Aug-2014 alvin KRAJAN 1 1
10 "3513220508140000 1 M.putra p 1 "35132201001920000 8/8/2018 12 92
7-Sep-2014 3.8 KRAJAN 4 1
11 351322470914 0001 2 MICHELLIE AISYAH PUTRI 2 MUHAMMAD ALEM DIKAPRIO 3574020107830254 8/8/2018 12.8 96
6-Oct-2014 3 KRAJAN 1 1
12 "3513220610140001 2 MUHAMMAD FARHAN NASYRULLA 1 SYAIFUL HAROMIN 3513222512760004 8/8/2018 14 96
6-Nov-2014 3 holili KRAJAN 5 1
13 3513224611140001 3 NOVITA ANGGRAENI 2 3513222106800003 8/8/2018 11.8 94

14 3513220312140003 1 MUHAMMAD DANI 12/3/2014 3.7 KRAJAN 51 8/8/2018 17.4

1 KHOLIK 3513220107720012 97

15 "3513225912140002 1 nasifatuljannah 12/19/2014 3 budiono KRAJAN 51 8/8/2018

2 3513220402920002 15 97

16 3513220901150001 1 ahmad farel 1/9/2015 4 bahri KRAJAN 11 8/8/2018

1 3574050802900001 17 104

17 "3513226606150002 2 siti rohmania 6/26/2015 3.2 matliyeh KRAJAN 31 8/8/2018 11.8

2 3513031101750002 88

3 aulia ramadhani 7/2/2015 3.2 KRAJAN 21

18 3513224207150001 2 ANDRI WAHYUDI 3175062308860008 8/8/2018 12 90

3 m rizal hamdanu 8/17/2015 3.8 sugiono KRAJAN 51

19 3513221708150003 1 3513220601780001 8/8/2018 15 95
 Vitamin A Vitamin A Ada Buku
Cara Ukur ASI Eksklusif IMD Februari Agustus KIA
1=Telentang 1=YA, 1=YA, 1=YA, 1=YA, 1=ya
2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

1 1 1 1

1 1 1 1

1 1 1 1

1 1 1 1

1 1 1 1

1 1 1 1

1 1 1 1

1 1 1 1

1 1 1 1

1 2 1 1

1 2 1 1

1 1 1 1

1 1 1 1

1 1 1 1

1 1 1 1

1 2 1 1

1 2 1 1

1 2 1 1

1 1 1 1
 DATA SASARAN BALITA

Provinsi :
Kabupaten/Kota :
Puskesmas :

NIK (Nomor Induk JENIS Berat Tanggal Cara Ukur

No Kependudukan) ANAK KE NAMA ANAK TANGGAL LAHIR KELAMI Badan Nama Ayah NIK Ayah No Tlp/HP Orang Tua ALAMAT RT RW pengukuran BB (Kg) TB (Cm) 1=Telentan
N Lahir (Kg) g 2=Berdiri

1 '3513220105040003 1 M.septa adtya 6/9/2013 1 3 supiyat '3513226505830002 krajan 2 14/8/2018 12.8 95 2

2 3574021609130001 2 M. alif 26/10/2013 1 2.9 Kurnia 3574025407860001 krajan 2 14/8/2018 13.5 94 2

3 2 Prastwi 1/10/2013 2 3.2 misriah '3513225209770002 krajan 5 14/8/2018 13 95 2

4 2 Arif akbar 14/11/2013 1 2.8 sani '3513220107780420 krajan 6 14/8/2018 13.2 96 2

5 5 Alifa novilia 6/2/2014 2 2.9 rumiah krajan 4 14/8/2018 14.5 94 2

6 3513221002140001 1 Mazaz albi 10/2/2014 1 3.4 musayyanah '3513225012930002 krajan 2 14/8/2018 12 93 2

7 3513221202140001 1 F galang 12/2/2014 1 3.6 eka '3513225310910002 krajan 6 14/8/2018 11.5 93 2

8 1 Zaidan 16/3/2014 1 3.1 Rika '3513225806880002 krajan 2 14/8/2018 15.6 94 2

9 1 Sit zahro 4/4/2014 2 2.8 Rohaya '3513226508910002 krajan 5 14/8/2018 11.7 93 2

10 3513224504140002 2 Naila 5/3/2014 2 2.75 endah 3513224908810001 082318317209 krajan 2 14/8/2018 10.6 94 2

11 351322670314001 2 Dian irawat 27/4/2014 2 2.4 muzdalifah '351322521190002 krajan 3 14/8/2018 10.8 92 2

12 3513224504140001 1 Bilqis h 5/4/2014 2 2.4 ttk 3513225002920001 krajan 5 14/8/2018 10.8 89 2

13 3 Muhammad 10/4/2014 1 3 Buadi '3513220107790040 krajan 1 14/8/2018 12.7 89 2

14 1 Bima 30/5/2014 1 2.7 musyayaroh '3513226904930002 krajan 4 14/8/2018 11.4 89 2

15 3513224905140001 1 Naura 9/5/2014 2 2.6 kamma 3513226510870003 085313078008 krajan 2 14/8/2018 8 80 2

16 2 Zafira 15/5/2014 2 3.3 yuniar 3513224107900110 krajan 6 14/8/2018 12.9 94 2

17 1 Assifa 4/6/2014 2 3,2 novita krajan 3 14/8/2018 12.8 88 2

18 3513220606140001 1 M zakki m 6/7/2014 1 2.8 husnul khatma3513226703960001 krajan 4 14/8/2018 11.1 89 2

18 1 Soffa wida 4/7/2014 2 2.8 nur azizah '3513225119300002 krajan 5 14/8/2018 8.6 84 2
 ASI Vitamin A
Eksklusif IMD Februari
1=YA, 1=YA, 1=YA,
2=Tidak 2=Tidak 2=Tidak

1 1
2 1
2 1
2 1
2 1
2 1
2 1
1 1
2 1
2 1
1 1
1 1
2 1

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

Provinsi :JAWA TIMUR

Kabupaten/Kota :PROBOLINGGO
Puskesmas :POHSANGIT LOR WONOMERTO

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

1 2 ULUM 7-Oct-2013 L 2.8 MURSIT 3513220107770176 BLIMBING 20 5 8/6/2018 12.5 100 2 2 1 1

2 3513222010130003 1 DENTA 15-Oct-2013 L 3.2 AGUS 3513221003880004 085204937322 BLIMBING 2 5 8/6/2018 26 97 2 2 1 1
3 3513221710130002 2 RIKO 17-Oct-2013 L 2.9 EPON/YON 3513225104820003 WARU 17 4 8/6/2018 15 115 2 2 1 1
4 3513220911130001 2 RENDRA 9-Nov-2013 L 2.8 NURYATIN 3513224704880005 085236596259 WARU 15 4 8/6/2018 14 101 2 2 1 1
5 3513225511130001 1 NOVI WULANDARI 15-Nov-2013 P 3 ROHIM 3513040107870084 WARU 17 4 8/6/2018 15 101 2 2 1 1
6 3513226203140002 1 BELLA 22-Mar-2014 P 2.7 SAMSUL 3513220107920005 WARU 16 4 8/6/2018 13.8 98 2 2 1 1
7 3 RINDIATIKA 2/10/2014 P 3.2 SUGIONO 3513220107730078 WARU 16 4 8/6/2018 15.7 99 2 2 2 1
8 3513221905140002 1 IDRUS 5/19/2014 L 3.8 SLAMET 351305190870003 WARU 15 4 8/6/2018 21.1 104 2 2 1 1
9 3513222705150001 2 M FIRDAUS 5/27/2014 L 3.5 MAAT 3513220704830002 WARU 17 4 8/6/2018 13 97 2 2 1 1

10 3513221706140001 1 RISKI 6/17/2014 L 2.7 DEDI 3513051401860002 BLIMBING 20 5 8/6/2018 13 94 2 2 1 1

11 3513221307140001 2 FIRMANSYAH 7/13/2014 L 2.7 WIWID 3513225609880001 WARU 17 4 8/6/2018 20 96 2 2 1 1

12 3513222707140002 1 IQBAL 7/27/2014 P 3.7 BATER 3513222103830002 WARU 17 4 8/6/2018 13 100 2 2 1 1

13 1 SINTIA 8/12/2014 P 3 RUDI BLIMBING 8/6/2018 16.1 104 2 2 1 1

14 3513225908140002 2 NURAINI 8/19/2014 P 3 SLAMET 3513221203750001 WARU 16 4 8/6/2018 15 94 2 2 1 1
15 3513220309140001 2 UBAIDILAH 9/3/2014 L 3 TONO 3513220107900090 WARU 15 4 8/6/2018 14 100 2 2 1 1
16 3513220409140001 1 M NABIL 9/4/2014 L 3.5 MOH SAHI 3513220107730013 WARU 16 4 8/6/2018 13 94 2 2 1 1
17 3513221409140001 1 M GALANG 9/14/2014 L 3.5 NURHASANAH 3513224107930023 BLIMBING 20 5 8/6/2018 13 94 2 2 1 1
18 3513224412140001 2 RIKO JAILANI 12/4/2014 L 3 MISTU 3513220101780005 BLIMBING 18 5 8/6/2018 13.2 99 2 2 1 1
19 3513226412150003 1 KAFA 1/4/2015 L 3.2 FIFIN 3513225805980002 WARU 17 4 8/6/2018 11 90 2 2 1 1
Vitamin A Ada Buku
Agustus KIA
1=YA, 1=ya
2=Tidak 2=tidak

1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
Provinsi : JAWA TIMUR
Kabupaten/Kota : PROBOLINGGO
Puskesmas : WONOMERTO

NIK (Nomor Induk ANAK

No NAMA ANAK TANGGAL LAHIR
Kependudukan) KE

3513220111130001
1 3 ramzil 1 11 2013

3513221608670003
2 2 moh.okto 24 10 2013

3513225411130001
3 1 AZZAHWA PUTRI MUHAR 1 11 2013

3513221911130001
4 3 moh.fadil 18 11 2013

3513225112130001
5 1 mikhayla nurul 11 12 2013

3513220904140001
6 1 ardi 17 3 2014

7 1 Rendi 13 3 2014

3513225906140002
8 2 siti asifa 5 6 2014

3513222707140001
9 1 MUHAMMAD RAFA NUR R 27 7 2014

3513225907140001
10 1 INAYAH MAGHFIROH 19 7 2014

3513221209140001
11 2 MUHAMMAD HAFIZ UBAY 11 9 2014

3513226008140001
12 2 FITRIA ANISA DWI ANGGR 20 8 2014
13 2 gitalis 11 10 2014

3513224311140001
14 2 JIHAN EKA DWI SAPUTRI 1 11 2014

3513225812110002
15 1 CHELSEA CANDY OLIVIA 18 12 2014

3513225001150001
16 2 DZAKIRA TALITA WILDA 10 1 2015

3513222801150001
17 3 muh. Satria airlangga 28 1 2015

3513224402150003
18 1 LUTFIAH FEBRIATUN NAB 2 2 2015

3513222303150001
19 2 FIKRI GALANG PRAWIRO 23 3 2015

3513224804150001
20 1 KHAYLA ALMIRA MARITZ 7 4 2015

3513226205150001
21 1 NURIS SYAMSIA 13 5 2015

3513225806150002
22 3 RAISA RAMADANI 2 6 2015

3513224305150004
23 2 ANDINI INDAH LESTARI 18 6 2015

3513221310150002
24 3 MUHAMMAD FITRAH MA 20 10 2015

3513221109150002
25 1 moh. Hilmi 11 11 2015

3513224502160001
26 3 Rheyna Rachman S. 5 2 2016

27 1 ahmad ridwan babus salam 22 7 2016

3513226307160001
28 3 AYU DIRA MAWAR PUSPIT 24 7 2016

29 2 nadifa rhomadoni 1 7 2016

3513221507160001
30 2 MOH. DAVID AGHA PRASE 8 8 2016
 3513226012160002
31 1 RAYSHA ZAYARIF 21 12 2016

3513226001170001
32 1 AISHA ALINA ROCHMAN 20 1 2017

3513220403170001
33 2 MOHAMMAD DANIYAL AD 4 3 2017

3513220303170002
34 2 MOCH. FIQRI ADITYAS ZA 15 3 2017

35 3 putra samboja 10 12 2017

36 2 ubay 6 1 2018

37 2 dabi 26 1 2018

38 1 by. Nia 27 2 2018

39 2 mauza 6 3 2018

40 2 zahra 7 3 2018

41 3 by. Novi 11 7 2018

3513221609130001
42 1 m.faris 15 9 2013

3513220106140003
43 1 m. Ghozali 1 6 2014

3513226605140001
44 2 NAIFATUN KHOIRUN NISA 25 5 2014

45 2 Rehan 21 10 2014

3513225611140001
46 1 AYUDIA ROHMA DEN SOF 9 11 2014

3513225012140002
47 1 NUR AINI LAILATUS S. 10 12 2014

3513221712140001
48 2 syarifatul 17 12 2014
49 3513225201150001 1 ALFA FELIZANINGTIAS 12 1 2015

50 3513220502150001 1 misbahul munir 8 2 2015

51 3513222702150001 2 AHMAT ALIANDO SARIFF 26 2 2015

52 3513225704150003 1 ASYIFAPUTRI NUR JANNA 17 4 2015

53 3513222804150001 1 MUHAMMAD DAIFI SYAH 24 4 2015

54 3513224405150001 2 SITI NUR AMANAH 4 5 2015

55 3513225005150001 2 SITI APRIYASAH 10 5 2015

56 3513222805150002 1 MUHAMMAD ABDUL SALI 3 6 2015

3513225207150001
57 2 Munifatun Nisa'ir Ramadani 12 6 2015

58 1 ridwan romadoni 25 6 2015

59 3513222906150001 1 ADRIAN AZKA RAMADHA 28 6 2015

60 3513225408150002 1 NABILATUL LUTFIAH 13 8 2015

61 3513225408150001 2 HOIRUN NISA 13 8 2015

62 3513222510150001 1 abraham alexi pratama 25 10 2015

63 3513221111150002 1 M. Rehan 11 11 2015

64 3513225611150002 2 ANA KHOIROTUN NISA' 16 11 2015

65 3513221312150001 2 Moh. Nizar 13 12 2015

66 3513222812150001 2 sahirul mauludin 28 12 2015

67 3513220901160002 1 MUHAMAT ALVIN SAPUTR 20 1 2016

68 3513226603160001 1 madinatus soleha 26 3 2016

69 3513226703160001 2 HABIBA DWI LESTARI 27 3 2016

70 1 naura 3 4 2016

71 3513226406160001 1 FARANISA ADIA RAMADH 24 6 2016

72 3513220106160001 2 abdul basith basmalah 1 6 2016

73 3513226010160001 1 umi habibatus soleha 19 9 2016

74 3513222309160002 1 MUHAMMAD YASIN SEFTI 22 9 2016

75 3513221809160001 2 MUHAMMAD SODIKIN 16 9 2016

76 3513222609160001 1 ABD. MALIK AL HAROMAI 25 9 2016

77 1 ANGELINA ARDIN 28 9 2016

78 3513226810160003 2 SITI NAILA ARINA PUTRI 1 10 2016

79 3513221310160001 2 M. AHSAN ABDUL HADY 8 10 2016

80 2 FIRMAN 14 3 2017

81 3513221503170001 3 REHAN 15 3 2017

82 1 AIRIN RATNA WIDIAWATI 15 3 2017

83 2 HAIKAL ALI GHOZI 22 3 2017

84 3513226104170002 1 LATIFAH ABQORIYAH BILQ 21 4 2017

85 2 ifan wahyudi 20 5 2017

86 1 lutfiatul zahra 19 6 2017

87 3 HIDA 3 7 2017

88 1 moh. nizar 15 8 2017

89 2 kenzi 9 10 2017

3513221210170002
90 1 WAHYU ADITIA B. 11 10 2017

3513226512170001
91 1 AMELIA MUFIDA 14 12 2017

92 1 NURIL 14 1 2018

3513226701180002
93 2 AINA TALITA ZAHRA 26 1 2018

94 3 Rizal 30 3 2018

3513224504180002
95 1 NUR AIRAWATI 2 4 2018

96 1 by. Nur Fitria 2 4 2018

97 1 by. sumiati 10 5 2018

3513221505180001
98 3 abbas syarif hermanto 15 5 2018

99 1 REHAN 25 5 2018

100 1 by. Iim 1 6 2018

101 1 FIRA 12 6 2018

102 1 by. Nurul fitria 8 7 2018

103 1 NAZILA SALSABILA S. 11 8 2018

3513224111130001
104 1 Nazikotul 1 11 2013

105 1 siti aisyah 9 11 2013

106 2 adinda 4 1 2014

3513224101140002
107 2 SAFINATUL NAJAH 1 1 2014

3513220601140001
108 2 Samsul A. 11 1 2014

3513225302140001
109 1 Marsha A. 14 2 2014

3513221205140001
110 1 gilang 12 5 2014

3513221505140001
111 2 moh. Rehan 15 5 2014

3513226904140001
112 1 aurel adiratna 30 4 2014

113 1 bunga imas 11 8 2014

3513221808140001
114 1 AHMAD MUTAWAKIL AMR 20 8 2014

115 3513220310150001 1 RIYAN ANDI NATA 12 10 2014

3513224111140001
116 2 KAYLA NOVITA PUTRI RO 10 11 2014

117 3 robby 8 12 2014

3513226112140003
118 1 nabila P 17 11 2014

119 1 Rizal 11 12 2014

120 3513220212140001 2 MAHDA FARREL BRAMAS 5 12 2014

121 3513225102150001 2 DWI FEBRIYANTI 18 2 2015

122 3513220503150001 1 ABDILLAH NAUFAL PRAT 6 3 2015

123 3513221007150001 2 AKHMAD ROMADHONI 12 7 2015

3513227108150000
124 1 Zahrotul hasanah 31 8 2015

125 2 Yazid 11 9 2015

126 3513226510150001 2 NAYLA IZZATUN NAFISAH 24 10 2015

127 3513225112150001 2 Kayra 15 12 2015

128 3513224605160001 2 REVANIA DEWI LEORA 3 1 2016

129 3513226703160002 2 ahvi putri purnma 27 3 2016

130 3513222104160001 1 misbahul munir 21 4 2016

131 3513224105160001 1 nur afifah 1 5 2016

132 3513221505160002 1 M. ABRIZAM ABBASY YU 7 5 2016

133 3513220105160001 1 DAVIN ANANTHA 28 5 2016

134 3513226906160001 2 ANGGITA FITRI DEVARA 2 7 2016

135 1 siti aminah 2 8 2016

136 1 wilda 16 8 2016

137 1 moh. Ali alfa 16 8 2016

138 3513221909160001 1 ABD. JABFAR AS SIDDIQ 19 9 2016

139 3513225301170001 1 RAYNA FARZANA SALSAB 18 1 2017

140 3513226705170002 1 JIHAN ALMEERA AZZAHR 11 6 2017

141 1 YASHA HUMAERA 26 8 2017

142 1 MELIA SALSABILA 25 9 2017

143 1 by.siti rosida 23 12 2017

144 2 by. Endang buani 10 1 2018

145 1 by. Fatimah 17 1 2018

146 2 by. Haryani 26 1 2018

147 2 PRADIKA 3 3 2018

148 2 ALIKA 16 4 2018

149 1 by. Nurhafifah 6 6 2018

150 3 by. Anis kurnia 12 6 2018

151 2 ZAFRAN 14 8 2018

 DATA SASARAN BALITA

Berat
JENIS Badan No Tlp/HP
Nama Orang Tua NIK Orang Tua
KELAMIN Lahir Orang Tua
(Kg)

sidik/sucip 3513224707820002
1

3.2 juarno/mariana 3513221608670003

1

faisal/susi 3513224905930002
2

yudi/fitria 3513224712850001
1

edi/mega 3513224904960002
1

2.8 ariyanto/iin 3513226305940002

1

ririn
1

2.8 hasan/maryam 3513225003810002

2

3.4 apriyanto/yati 3513224504930003

1

3.8 m. iksan/laila 3513226704960002

2

3.3 anang/neneng 3513225604830003

1

2.8 sahari/misnati 3513224504900002

2
 2.6
2 atmuji/sofie

2.9 hosin/eka 3513226802890002

2

3.3 aditia/yuliatin 3513244107980073

2

3.2 eben/hosnawiah 3513225912890003

2

2.8 atmo/astutik 3513224507790001

1

2.5 3513225111960001
2 laksono/siti aisyah

3.1 rio/novi 3513227110890002

1

2.7 roy/laila 3513185808880003

2

2.8 sutono/tumina 3513224903820003

2

3.2 suhud/arsini 3513226508750001

2

haryanto/nurul 3513225109890002
2

2.9 fauzi/kustin 3513224804800002

1

3.2 badrus saleh/kholifa 3513034802970001

1

2.8 andi/imas 3513055510890002

2

2.7 hotija
1

2.8 3513224209880005
2 soleha

1.8 siti romla 3513225807850002

2

2.8 bebun / fais 3513226005950003

1
 3.8 murni 3574016605880003
1

2.8 satri 3513224710950002

2

2.8 lilik 3513225810880001

1

2.9 novita 3574035801950002

1

2.8 3513225408810003
1 mislika

2.8 3513224411910001
1 siti komariah

3.2 3513225507900004
1 ruha

3
1 nia

3.2 3513224904960002
1 mega

2.3
2 irma

3.2 3513227110890002
1 novi

3513225301950001
1 rohim/salma

3.4 toha/dita 3574045604940005

1

3.2 3513226002850002
2 fendi/nurul bulqis

1.9 3513225504760001
1 edi/tiwoto

3.6 3513225210930001
2 deni/zubaidah
soleh/intan
3.3 3513224504930005
2

2.8 3513226411820001
2 sundari/sri rahayu
 2.7 3574036308990001
2 sulima/adelia

3 3513225001770001
1 sulam/suti

2.8 3513225108880002
1 hariyanto/maryam

3.1 3574014604960003
2 hadi/misnawati

3.2 3513210107840045
1 kholes/siti aisyah

3 3513224606780001
2 seniman/maria

3 3513226603760001
2 rohman/bebun

3 3513225402970002
1 samik/nuris

3.8 3513225506790002
2 sumik/ahmad

3.2 3513225502960001
1 hasan/fatima

3.2 3513225012910001
1 kosim/etriningsih

2.9 3513225104000003
2 sigit/fatima

3.2 3513226503890002
2 widiharianto/juma'ati

2.8 3513224412960002
1 farida/slamet

2.9 3513225101960003
1 slamet asbudi/siti soleha

2.5 3513224703780001
2 supi'a/aksan

3.2 3513226702870001
1 abu asan / ike

3.3 3513224609880001
1 herlindayati/zainuri
 3.1 3513224107960069
1 INDRAYANI

3.1 3513216801970002
2 siti maryamah/eko

2.8 3513224510880002
2 nisa/abdullah

3.6 3513225406000005
2 sahal / maula

3.5 3513226809860002
2 sunarti/sueb

3.8 3513226110870002
1 triami/mariyono

3.2 3513225811940002
2 muallimah/aan

3.3 yuliana 3574016510930004

1

3 tutik/marji 3513224102890002
1

3.1 jamila/jumadi 3513224408970002

1

2.9 arse 3513225004980001

2

3.1 samsi hona/hasim 3513224106870004

2

2.7 istiharoh/soleh 3513226001900005

1

4.4 3513226512890002
1 suliha/sutarji

3 3513225005840003
1 bunati/asmat

3.2 3513220804970002
2 hasanah/joni

3.5 3513225907900001
1 tatik/hamim

3.1 3508044406930002
2 amila/munir
 2.8 3513224107800281
1 kusmiati/ali

3.1
2 nabila

2.8 3513224306820002
2 st. amina

3 3513226909000003
1 kholimatul

3.3 3513225002780003
1 patma nima

3 3513226203990003
1 nurul fitria/wahyudi

2.9 3513226303970001
2 Hotima

3.8
2 lutfiah

2.2 3513224107880149
2 nanik

3.2 3513224206970002
2 ani/buhan

3 3513225301950001
2 salma

2.9
1 nur fitria

2.7 3513224107710004
2 sumiati

2.8 3513226208910002
1 lia agustin

3.1
1 sutim

2.6
1 iim

2.9 3513226709970001
2 oktavia

3
1 nurul fitria
 3 3513227008950001
2 YULIANA

mustain/risa 3513224707870001
2

rosid/jumiati
2

3 candra/tina s
2

3.1 sallal/suliha 3513225104850005

2

3 slamet/suhartin 3513224911910001
1

2.7 ahmadi/nurul ilmiah 3513226808950001

2

3.8 ilham/wiwin 3513224511880004

1

2.5 sunam/tatik 3513224504790001

1

2.8 basien/iim 3513224505850003

2

2.6 salam/nurhayati 3513224903890001

2

3.1 3513224109860001
2 nurudin/misnaya

2.5
1 Erni/Munir 3513195312970003

2.8 3513226606860001
2 raju/siti romla

3 3513224107800102
1 mulyono/siti maimuna

3 3513226609920001
2 hakim/ sinta

1 Sumarsih

3.2 3513224105830002
1 sugeng/sugiani
 3 3513224902860002
2 sutali/juma'ati

3 3574015211930001
1 hadi/siti komariah

3.3 Nanik 3513225706940002

1

2.8 siti maimuna 3513214202950000

2

2.6
1 nurhayatin

2.5 kustini/syaiful 3513224605740001

2

3 lilik/lukman 3508195201940006
2

3 wahyu/sugianto 3513224505890001
2

3.1 Devi 3574056310940002

2

2.8 mujiati/amsal 3513226709900001

1

3 juma'ati/sugianto 3513227101940002
2

2.8 3513224404940003
1 nike

3 sumiati/zainul 3513225409930002
1

3 3513224205940002
2 lindawati/sugi

3.1 siti maria

2

2.8 mutimah
2

3 surtimah
1

2.8 suryati 3513224305980002

1
 2.8 dewi 3513226001960002
2

3 3513224109920002
2 dewi susi s

2.8
1 Hotima

2.8 3513225107840001
2 Yuliati

2.5 3513224406000002
2 siti rosida

3513225405900004
2 3.2 endang buani

1 2.9 fatimah

3513224903920003
2 3.1 haryani

3513224511880004
1 3.5 wiwin

3574015211930001
2 3 siti qomariah

2 2.8 nurhafifah

3574026107920001
2 2.9 anis kurnia

3513226001960002
1 2.7 DEWI
LITA

Cara
Ukur ASI
Tanggal BB TB 1=Telent Eksklusif
ALAMAT RT RW
pengukuran (Kg) (Cm) ang 1=YA,
2=Berdir 2=Tidak
i

DUSUN KRAJAN 2 1 8/8/2018 14.3 101 2

DUSUN KRAJAN 1 1 8/8/2018 14.5 100 2

DUSUN KRAJAN 2 1 8/8/2018 14.4 99 2

DUSUN KRAJAN 1 1 8/8/2018 14 99 2

DUSUN KRAJAN 2 1 8/8/2018 13.8 99 2

DUSUN KRAJAN 2 1 8/8/2018 14 97 2

DUSUN KRAJAN 2 1 8/8/2018 13.9 97 2

DUSUN KRAJAN 1 1 8/8/2018 14.2 97 2

DUSUN KRAJAN 2 1 8/8/2018 14.3 96 2

DUSUN KRAJAN 2 1 8/8/2018 14 95 2

DUSUN KRAJAN 1 1 8/8/2018 13.8 95 2

DUSUN KRAJAN 1 1 8/8/2018 13 94 2

DUSUN KRAJAN 1 1 8/8/2018 14 93 2

DUSUN KRAJAN 2 1 8/8/2018 14.2 93 2

DUSUN KRAJAN 2 1 8/8/2018 12.9 92 2

DUSUN KRAJAN 1 1 8/8/2018 13.9 91 2

DUSUN KRAJAN 2 1 8/8/2018 14 92 2

DUSUN KRAJAN 2 1 8/8/2018 13.5 91 2

DUSUN KRAJAN 1 1 8/8/2018 14 91 2

DUSUN KRAJAN 2 1 8/8/2018 13.2 92 2

DUSUN KRAJAN 2 1 8/8/2018 13.6 89 2

DUSUN KRAJAN 2 1 8/8/2018 13.8 89 2

DUSUN KRAJAN 2 1 8/8/2018 14.1 89 2

DUSUN KRAJAN 1 1 8/8/2018 13.1 88 2

DUSUN KRAJAN 1 1 8/8/2018 13.7 87 2

DUSUN KRAJAN 1 1 8/8/2018 11.9 85 2

DUSUN KRAJAN 1 1 8/8/2018 12.8 82 1

DUSUN KRAJAN 1 1 8/8/2018 12.4 81 1

DUSUN KRAJAN 1 1 8/8/2018 12.5 82 1

DUSUN KRAJAN 1 1 8/8/2018 12.2 82 1

DUSUN KRAJAN 1 1 8/8/2018 11.5 78 1

DUSUN KRAJAN 1 1 8/8/2018 11.5 77 1

DUSUN KRAJAN 2 1 8/8/2018 11.5 78 1

DUSUN KRAJAN 2 1 8/8/2018 10.8 76 1

DUSUN KRAJAN 2 1 8/8/2018 8.4 66 1

DUSUN KRAJAN 1 1 8/8/2018 7.3 66 1

DUSUN KRAJAN 1 1 8/8/2018 7.4 64 1 1

DUSUN KRAJAN 1 1 8/8/2018 6.5 63 1 1

DUSUN KRAJAN 2 1 8/8/2018 6.7 62 1 1

DUSUN KRAJAN 1 1 8/8/2018 6.4 62 1 1

DUSUN KRAJAN 1 1 8/8/2018 3.2 49 1 1

DUSUN KRASAK 4 2 8/14/2018 13.8 100 2

DUSUN KRASAK 4 2 8/14/2018 13.5 97 2

DUSUN KRASAK 2 8/14/2018 14.4 97 2

5

DUSUN KRASAK 5 2 8/14/2018 14.5 95 2

DUSUN KRASAK 4 2 8/14/2018 13.4 95 2

DUSUN KRASAK 4 2 8/14/2018 13.7 95 2

DUSUN KRASAK 3 2 8/14/2018 13 95 2

DUSUN KRASAK 4 2 8/14/2018 13.5 93 2

DUSUN KRASAK 2 8/14/2018 13.4 92 2

4

DUSUN KRASAK 3 2 8/14/2018 13.3 92 2

DUSUN KRASAK 3 2 8/14/2018 14.2 91 2

DUSUN KRASAK 3 2 8/14/2018 13.3 91 2

DUSUN KRASAK 4 2 8/14/2018 14.1 91 2

DUSUN KRASAK 3 2 8/14/2018 13.2 90 2

DUSUN KRASAK 4 2 8/14/2018 14 90 2

DUSUN KRASAK 5 2 8/14/2018 13.7 90 2

DUSUN KRASAK 4 2 8/14/2018 13.2 90 2

DUSUN KRASAK 3 2 8/14/2018 13 91 2

DUSUN KRASAK 3 2 8/14/2018 13 88 2

DUSUN KRASAK 4 2 8/14/2018 13.7 88 2

DUSUN KRASAK 4 2 8/14/2018 13.3 87 2

DUSUN KRASAK 3 2 8/14/2018 12.8 88 2

DUSUN KRASAK 4 2 8/14/2018 13.4 86 2

DUSUN KRASAK 4 2 8/14/2018 13.4 88 2

DUSUN KRASAK 3 2 8/14/2018 12.5 87 2

DUSUN KRASAK 4 2 8/14/2018 12.7 86 2

DUSUN KRASAK 5 2 8/14/2018 13 84 1

DUSUN KRASAK 3 2 8/14/2018 12.2 83 1

DUSUN KRASAK 5 2 8/14/2018 12.5 83 1

DUSUN KRASAK 3 2 8/14/2018 13 83 1

DUSUN KRASAK 3 2 8/14/2018 12.2 83 1

DUSUN KRASAK 5 2 8/14/2018 12.5 83 1

DUSUN KRASAK 4 2 8/14/2018 12.3 82 1

DUSUN KRASAK 3 2 8/14/2018 11.8 81 1

DUSUN KRASAK 5 2 8/14/2018 11.8 81 1

DUSUN KRASAK 4 2 8/14/2018 12 80 1

DUSUN KRASAK 4 2 8/14/2018 12 80 1

DUSUN KRASAK 4 2 8/14/2018 11.3 81 1

DUSUN KRASAK 4 2 8/14/2018 10.8 76 1

DUSUN KRASAK 4 2 8/14/2018 10.5 76 1

DUSUN KRASAK 4 2 8/14/2018 10.4 74 1

DUSUN KRASAK 4 2 8/14/2018 10 76 1

DUSUN KRASAK 5 2 8/14/2018 10.2 73 1

DUSUN KRASAK 5 2 8/14/2018 10.4 74 1

DUSUN KRASAK 5 2 8/14/2018 9.7 72 1

DUSUN KRASAK 5 2 8/14/2018 9.5 70 1

DUSUN KRASAK 3 2 8/14/2018 9 70 1

DUSUN KRASAK 3 2 8/14/2018 9.3 69 1

DUSUN KRASAK 3 2 8/14/2018 8.9 70 1

DUSUN KRASAK 5 2 8/14/2018 7.9 65 1

DUSUN KRASAK 4 2 8/14/2018 7.3 63 1

DUSUN KRASAK 4 2 8/14/2018 7.2 62 1 1

DUSUN KRASAK 3 2 8/14/2018 5.9 58 1 1

DUSUN KRASAK 4 2 8/14/2018 5.6 58 1 1

DUSUN KRASAK 3 2 8/14/2018 6.1 60 1 1

DUSUN KRASAK 3 2 8/14/2018 5.4 58 1 1

DUSUN KRASAK 4 2 8/14/2018 4.7 56 1 1

DUSUN KRASAK 5 2 8/14/2018 4.8 57 1 1

DUSUN KRASAK 3 2 8/14/2018 4.7 56 1 1

DUSUN KRASAK 3 2 8/14/2018 4 54 1 1

DUSUN KRASAK 3 2 8/14/2018 3.8 52 1 1

DUSUN KRASAK 4 2 8/14/2018 3 49 1 1

DUSUN KOLOR 8 3 8/21/2018 13.9 99 2

DUSUN KOLOR 7 3 8/21/2018 14.2 99 2

DUSUN KOLOR 7 3 8/21/2018 14.5 98 2

DUSUN KOLOR 7 3 8/21/2018 14.9 99 2

DUSUN KOLOR 7 3 8/21/2018 13.9 99 2

DUSUN KOLOR 6 3 8/21/2018 14 98 2

DUSUN KOLOR 7 3 8/21/2018 14.2 97 2

DUSUN KOLOR 7 3 8/21/2018 13.7 98 2

DUSUN KOLOR 6 3 8/21/2018 13.5 96 2

DUSUN KOLOR 6 3 8/21/2018 13.5 95 2

DUSUN KOLOR 8 3 8/21/2018 13.3 95 2

DUSUN KOLOR 8 3 8/21/2018 13.9 95 2

DUSUN KOLOR 6 3 8/21/2018 14.5 94 2

DUSUN KOLOR 7 3 8/21/2018 13.5 93 2

DUSUN KOLOR 7 3 8/21/2018 14.4 94 2

DUSUN KOLOR 6 3 8/21/2018 13.8 93 2

DUSUN KOLOR 6 3 8/21/2018 13.5 94 2

DUSUN KOLOR 7 3 8/21/2018 13.9 91 2

DUSUN KOLOR 7 3 8/21/2018 14.5 92 2

DUSUN KOLOR 7 3 8/21/2018 13.8 90 2

DUSUN KOLOR 6 3 8/21/2018 13.5 90 2

DUSUN KOLOR 8 3 8/21/2018 14.3 89 2

DUSUN KOLOR 7 3 8/21/2018 13.2 86 2

DUSUN KOLOR 3 8/21/2018 13 85 2

7

DUSUN KOLOR 7 3 8/21/2018 12.5 86 2

DUSUN KOLOR 3 8/21/2018 12.7 83 1

8

DUSUN KOLOR 8 3 8/21/2018 13.1 85 1

DUSUN KOLOR 7 3 8/21/2018 12.6 85 1

DUSUN KOLOR 7 3 8/21/2018 13.5 85 1

DUSUN KOLOR 7 3 8/21/2018 12.6 84 1

DUSUN KOLOR 7 3 8/21/2018 11.7 82 1

DUSUN KOLOR 7 3 8/21/2018 12.7 82 1

DUSUN KOLOR 7 3 8/21/2018 12.5 82 1

DUSUN KOLOR 7 3 8/21/2018 12.6 83 1

DUSUN KOLOR 8 3 8/21/2018 10.8 82 1

DUSUN KOLOR 7 3 8/21/2018 11.7 79 1

DUSUN KOLOR 6 3 8/21/2018 10.4 75 1

DUSUN KOLOR 3 8/21/2018 9.2 71 1

7

DUSUN KOLOR 3 8/21/2018 8.7 68 1

7

DUSUN KOLOR 3 8/21/2018 8 64 1

6

DUSUN KOLOR 3 8/21/2018 7.9 64 1

6

DUSUN KOLOR 3 8/21/2018 7.4 65 1

7

DUSUN KOLOR 3 8/21/2018 7.3 63 1 1

8

DUSUN KOLOR 3 8/21/2018 7 62 1 1

7

DUSUN KOLOR 3 8/21/2018 5.6 58 1 1

7

DUSUN KOLOR 3 8/21/2018 4.5 55 1 1

7

DUSUN KOLOR 3 8/21/2018 4.8 56 1 1

6

DUSUN KOLOR 3 8/21/2018 2.7 48 1 1

7
 Vitamin Vitamin Ada
IMD A A Buku
1=YA, Februari Agustus KIA
2=Tidak 1=YA, 1=YA, 1=ya
2=Tidak 2=Tidak 2=tidak

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1
2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1
2 2 1

2 2 1

1 2 1

1 2 1

1 1

1 1

1 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1
2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1
2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

1 2 1

1 2 1

1 2 1

1 2 1

1 2 1
1 2 1

1 2 1

1 2 1

1 1

1 1

1 1

1 1

1 1

1 1

1
1 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1
2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1

2 2 1
 2 2 1

1 2 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
 DATA SASARAN BALITA

Provinsi : Jawa Timur

Kabupaten/Kota : Probolinggo
Puskesmas : Wonomerto

NIK (Nomor Induk JENIS Berat Tanggal BB TB Cara Ukur

No Kependudukan) ANAK KE NAMA ANAK TANGGAL LAHIR KELAMIN Badan Nama Ayah NIK Ayah No Tlp/HP Orang Tua ALAMAT RT RW pengukuran (Kg) (Cm) 1=Telentang
Lahir (Kg) 2=Berdiri

13-Mar-2013 3513240502850004 KRAJAN I

1 3513224302130002 1 nuraisah P 3 suseno 17 03 14-8-2018 14.3 101 2

1-Aug-2013 KRAJAN I
2 3513224307650184 1 maher zein L 3 endang 3513224307650184 17 03 14-8-2018 13.7 100 2

7-Aug-2013 3513220107900002 KRAJAN I

3 3513220708130001 1 M ariya L 3 Asim 17 03 14-8-2018 14.5 110 2

18-Aug-2013 3513224711960001 KRAJAN I 17 3

4 3513222500310001 1 enjilina P 3.1 wiwik 14-8-2018 14 102 2

21- 8- 2013 3513220105800001 KRAJAN I

5 351322512140001 1 nazril L 4 rudi 16 03 14-8-2018 15.2 103 2

27-Aug-2013 KRAJAN I
6 3513226712130001 2 hamima P 2.9 supiyanto 35132221510800002 17 03 14-8-2018 14 100 2

30-Aug-2018 3513221303810001 KRAJAN I

7 3513223012130002 2 dani L 3.2 eko misrin 15 03 14-8-2018 14.5 108 2

8-Aug-2014 3513211606860002 KRAJAN I

8 3513220801140001 2 nurahmad L 3.5 sidik 17 03 14-8-2018 14.5 100 2

16-Aug-2014 3513222810870002 KRAJAN I

9 3513221602140002 1 fainel ataris L 3 andri 15 03 14-8-2018 14.7 90 2

3-Mar-2014 3513222103770002 KRAJAN I

10 3513221212130002 2 kesya P 2.8 siti samsiyah 17 03 14-8-2018 14.2 98 2

4-Mar-2014 KRAJAN I
11 3613224403140001 2 fistara L 2.8 bukat 3513220503840001 17 3 14-8-2018 14.7 100 2

27-Mar-2014 3513220708620002 KRAJAN I

12 3513221704140002 2 rafi L 2,7 suhud 17 03 14-8-2018 15 101 2

16-Apr-2014 3513222507660002 KRAJAN I

13 3513221604140003 4 alisya P 2,9 husnul 16 03 14-8-2018 13.7 102 2

KRAJAN I
14 3513221803140001 1 azka 4/18/2014 L 3 budiharyono 3513221506860005 16 3 14-8-2018 13.8 97 2

3513220604750004 KRAJAN I
15 3513220107140002 3 tika 6/6/2014 P 2.6 muhammad 17 3 14-8-2018 12.9 98 2

3513220107840072 KRAJAN I
16 3513221707140001 2 M.Ramadani 7/16/2014 L 3 jumar 17 03 14-8-2018 13.8 98 2

3513172010870001 KRAJAN I
17 3513220407140001 1 muhammad reyhan 7/17/2014 L 2,8 iwan 16 03 14-8-2018 14 99 2

3513221701760002 KRAJAN I
18 35132204008140001 2 M. Alfarisi 8/4/2014 L 2,9 rohma 15 03 14-8-2018 14.3 97 2

3513220905920002 KRAJAN I
19 3513223108140002 1 nafisah 8/5/2014 P 3 soleh 17 03 14-8-2018 13.5 97 2
 Vitamin A Vitamin A Ada Buku
ASI Eksklusif IMD Februari Agustus KIA
1=YA, 1=YA, 1=YA, 1=YA, 1=ya
2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1
 DATA SASARAN BALITA

Provinsi : JAWA TIMUR

Kabupaten/Kota : PROBOLINGGO
Puskesmas : WONOMERTO

NIK (Nomor Induk ANAK JENIS Berat Badan Tanggal

No Kependudukan) KE NAMA ANAK TANGGAL LAHIR KELAMIN Lahir (Kg) Nama Ayah NIK Ayah No Tlp/HP Orang Tua ALAMAT RT RW pengukuran BB (Kg) TB (Cm)

1 3513221811140001 2 m abdul hakim 18-Nov-2014 1 3.2 juanda 3513220706800002 KRAJAN 7 2 8/5/2018 15 100.7

2 3513225004180002 2 karina amira aida 10/Apr/2018 2 3 samad 3513220902870001 KRAJAN 7 2 8/5/2018 14.5 100

3 3513221110130001 2 Dian 22-Sep-2013 3.2 PAING 3513220502780002 KRAJAN 6 2 8/5/2018 13.4 100.3

4 3513226909130001 2 Maya 29-Sep-2013 2.8 suyono 3513220107720047 KRAJAN 6 2 8/5/2018 14.2 99.8

5 3513220210130002 2 m najib daviddin 2-Oct-2013 2.5 maskur 3513221605810003 KRAJAN 6 2 8/5/2018 13.2 100.4

6 3513223112130001 1 m andika 31/Dec/2013 3.1 misnan 3513211910820005 KRAJAN 7 2 8/5/2018 15.3 100

7 2 Irfan 11-Oct-2013 3.2 SUTILA KRAJAN 7 2 8/5/2018 14.3 99.8

8 1 by. Nurul 8/9/2018 3 purwanto KRAJAN 7 2 8/5/2018 14.4 99.9

9 1 siti mutmainah 8/1/2018 2.5 syamsul hidayah 3513220803790001 KRAJAN 7 2 8/5/2018 15 99.9

10 3 by hotim 8/21/2018 2.6 hosan 3513220106870001 82331043801 KRAJAN 6 2 8/5/2018 14.4 99.4

11 3513221411130001 2 Alfarisi 14/Nov/2013 3.2 suriyanto 3574031410830004 KRAJAN 7 2 8/5/2018 13.8 99.7

12 3513221909130001 2 z. mustofa 19-Sep-2013 3.3 supar 3513222005830002 KRAJAN 7 2 8/5/2018 13.7 98.9

13 3513222602140001 2 joni 4-Feb-2014 3.7 soli 3513221204830002 KRAJAN 9 2 8/5/2018 15.3 98.3

14 3513221903140001 1 M. aleisalam 2/10/2014 3 salamun 3513221406900003 KRAJAN 7 2 8/5/2018 14.3 98.4

15 3513225004180001 1 aprilia putri damayanti 10/Apr/2018 3 sugianto 3513220101900003 KRAJAN 7 2 8/5/2018 5.2 55.6

16 2 faris 5/4/2018 3 rohmatun 3513220801860001 KRAJAN 7 2 8/5/2018 5.3 57.9

17 3513220810130003 2 m arya mahardika 5/26/2014 3.5 samsul maarif 3513220107840181 KRAJAN 7 2 8/5/2018 13.2 97.4

18 3513225906140001 1 Basmalia 6/16/2014 3.3 subur 3513220910770003 KRAJAN 7 2 8/5/2018 14.3 96.9

19 3513222605140001 1 ahmad daffa abidillah 6/19/2014 3 abdullah 3513220212860002 KRAJAN 7 2 8/5/2018 13.6 96.2
 Vitamin A Vitamin A Ada Buku
Cara Ukur ASI Eksklusif IMD Februari Agustus KIA
1=Telentang 1=YA, 1=YA, 1=YA, 1=YA, 1=ya
2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak 2=tidak

2 2 1 1 1 1

1 2 1 1 1 1

2 2 1 1 1 1

2 2 1 1 1 1

2 2 1 1 1 1

2 2 1 1 1 1

2 2 1 1 1 1

1 2 1 1 1 1

1 2 1 1 1 1

1 2 1 1 1 1

2 2 1 1 1 1

2 2 1 1 1 1

2 2 1 1 1 1

2 2 1 1 1 1

1 2 1 1 1 1

1 2 1 1 1 1

2 2 1 1 1 1

2 2 1 1 1 1

2 2 1 1 1 1