Laporan Bulanan

LAPORAN BULANAN PENEMUAN DAN PENGOBATAN PENDERITA MALARIA DENGAN RDT
PUSKESMAS : Mootilango
KECAMATAN : Mootilango
BULAN : Januari
TAHUN : 2015
Penemuan Penderita POSITIF Jenis Parasit Pengobatan

0 - 11 Bln 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 53 Thn ≥ 54 Thn Jumlah Non ACT
Jumlah Dengan
Tanpa
No Desa Penduduk Pemeriksaa Pemeriksaa Total
Beresiko n Sediaan n Sediaan Penemuan Total Pf Pv Pm Po Mix Jlh ACT
Darah Penderita CH SP Kina
Darah
(RDT)
L P L P L P L P L P L P L P
1 2 3 4 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
1 Talumopatu 1361 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 8 8 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 - 33 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 31 Januari 2015

Mengetahui
Kepala Puskesmas Mootilango Pengelola Program
AGUS SANTOSO ROJIKAN, S.AP Wilyan Pomalo, SKM
NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Februari
TAHUN : 2015

Jumlah Dengan
Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1361 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 - 35 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 28 Februari 2015

Mengetahui
NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Maret
TAHUN : 2015

Jumlah Dengan
Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1361 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 - 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 31 Maret 2015
Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : April
TAHUN : 2015
Dengan 0 - 11 Bln 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 53 Thn ≥ 54 Thn Jumlah Non ACT
Jumlah Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1361 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 - 30 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 30 April 2015

Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Mei
TAHUN : 2015

Jumlah Dengan
Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1361 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 7 7 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 - 38 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 28 Mei 2015

Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Juni
TAHUN : 2015
Dengan 0 - 11 Bln 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 53 Thn ≥ 54 Thn Jumlah Non ACT
Jumlah Tanpa
Darah Penderita
Darah
(RDT)
Jumlah Dengan
Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1361 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 7 7 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 - 30 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 25 Juni 2015

Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Juli
TAHUN : 2015

Jumlah Dengan
Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1361 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 - 33 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 25 Juli 2015

Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Agustus
TAHUN : 2015

Jumlah Dengan
Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1361 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 7 7 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 9 9 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 - 47 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 25 Agustus 2015

Mengetahui
NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : September
TAHUN : 2015

Jumlah Dengan
Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1361 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 7 7 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 7 7 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 - 39 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 30 September 2015

Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Oktober
TAHUN : 2015

Jumlah Dengan
Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1320 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2003 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1294 - 2 2 - - - - - - - - - 1 - - - - 1 1 - - - - 1 - - - -
4 Satria 1207 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2024 - 4 4 - - - - - - - - - 1 - - - 1 1 - - - - 1 - - - -
6 Paris 2674 - 11 11 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1862 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1222 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2128 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2799 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18533 - 36 36 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 2 0 0 0 0 2 0 0 0 0
Mootilango, 31 Oktober 2015

Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Nopember
TAHUN : 2015

Jumlah Dengan
Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1320 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2003 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1294 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1207 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2024 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2674 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1862 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1222 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2128 - 8 8 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2799 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18533 - 34 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 30 Nopember 2015

Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Desember
TAHUN : 2015

Jumlah Dengan
Tanpa
Darah
(RDT)
1 2 3 4 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
1 Talumopatu 1320 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2003 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1294 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1207 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2024 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2674 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1862 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1222 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2128 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2799 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Lw - - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18533 - 18 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 25 Desember 2015

Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
LAPORAN BULANAN PENEMUAN DAN PENGOBATAN PENDERITA MALARIA DENGAN MIKROSKOP
BULAN : Januari
TAHUN : 2016

Dengan
Jumlah Tanpa Pemeriksa
Total
No Desa Penduduk Pemeriks an 0 - 11 Bln 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 53 Thn ≥ 54 Thn Jumlah Non ACT
Penemua
Beresiko aan Sediaan Total Pf Pv Pm Po Mix Jlh ACT
n
Sediaan Darah Penderita
Darah
Mikroskop L P L P L P L P L P L P L P CH SP Kina
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
1 Talumopatu 1361 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 0 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 31 Januari 2016

Mengetahui
NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Februari
TAHUN : 2015

Dengan
Total
No Desa Penduduk Pemeriks an Penemua 0 - 11 Bln 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 53 Thn ≥ 54 Thn Jumlah Non ACT
n
Darah
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
1 Talumopatu 1361 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 37 37 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 21 21 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 0 71 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 28 Februari 2015

Mengetahui
NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Maret
TAHUN : 2015

Dengan
Total
n
Darah
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
1 Talumopatu 1361 - 20 20 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 50 50 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 21 21 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 13 13 - - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 71 71 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 12 12 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 20 20 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 27 27 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 14 14 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 0 248 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 31 Maret 2015

Mengetahui
NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : April
TAHUN : 2015

Dengan
Total
n
Darah
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
1 Talumopatu 1361 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 14 14 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 37 37 - - - - - - - - - 1 - - - 1 1 1 - - - - 1 1 - - -
5 Huyula 2055 - 44 44 - - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 33 33 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 27 27 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 0 156 156 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0

Mengetahui
NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Mei
TAHUN : 2015

Dengan
Total
n
Darah
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
1 Talumopatu 1361 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 14 14 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 37 37 - - - - - - - - - 1 - - - 1 1 1 - - - - 1 1 - - -
5 Huyula 2055 - 44 44 - - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 33 33 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 27 27 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 0 156 156 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0

Mengetahui

NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Juni
TAHUN : 2015

Dengan
Total
n
Darah
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
1 Talumopatu 1361 - 3 3 - - - - - - - - 1 - - - 1 - 1 1 - - - - 1 1 - - -
2 Sidomukti 2027 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 55 55 - - - - - - 1 - - - - 1 1 1 2 2 - - - - 2 2 - - -
5 Huyula 2055 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 73 73 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 0 152 152 0 0 0 0 0 0 1 0 1 0 0 1 2 1 3 3 0 0 0 0 3 3 0 0 0
Mootilango, 25 Juni 2015

Mengetahui

NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Juli
TAHUN : 2015

Dengan
Total
n
Darah
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
1 Talumopatu 1361 - 30 30 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 7 7 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 8 8 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 0 65 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 25 Juli 2015
Mengetahui

NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Agustus
TAHUN : 2015

Dengan
Total
n
Darah
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
1 Talumopatu 1361 - 24 24 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2027 - 12 12 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 58 58 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 3 3 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2736 - 22 22 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 0 119 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 25 Agustus 2015
Mengetahui

NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : September
TAHUN : 2015

Dengan
Total
n
Darah
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
1 Talumopatu 1361 - 68 68 - - - - - - - - - 1 - - - 1 1 1 - - - - 1 - - - -
2 Sidomukti 2027 - 75 75 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1322 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1234 - 49 49 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2055 - 112 112 - - - - - - 1 - - - - - 1 - 1 1 - - - - 1 - - - -
6 Paris 2736 - 60 60 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1835 - 88 88 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1212 - 79 79 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2187 - 84 84 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2879 - 162 162 - - - - - - 1 2 - - - - 1 2 3 3 - - - - 3 - - - -
11 Luar Wilayah - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18848 0 777 777 0 0 0 0 0 0 2 2 0 1 0 0 2 3 5 5 0 0 0 0 5 0 0 0 0
Mootilango, 30 September 2015

Mengetahui

NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Oktober
TAHUN : 2015

Dengan
Total
n
Darah
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
1 Talumopatu 1320 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2003 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1294 - 50 50 - - - - - - - 1 - - - - 1 1 1 - - - - 1 1 - - -
4 Satria 1207 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2024 - 45 45 - - - - - - - 1 - - - - - 1 1 1 - - - - 1 1 - - -
6 Paris 2674 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1862 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1222 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2128 - 58 58 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2799 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18533 0 153 153 0 0 0 0 0 0 0 2 0 0 0 0 0 2 2 2 0 0 0 0 2 2 0 0 0
Mootilango, 31 Oktober 2015

Mengetahui

NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Nopember
TAHUN : 2015

Dengan
Total
n
Darah
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
1 Talumopatu 1320 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2003 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1294 - 0 0 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1207 - 4 4 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2024 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2674 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1862 - 2 2 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1222 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2128 - 2 2 - - - - - - - - 1 - - - 1 - 1 1 - - - - 1 1 - - -
10 Pilomonu 2799 - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 1 1 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18533 0 16 16 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 1 1 0 0 0
Mootilango, 30 Nopember 2015

Mengetahui

NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : Desember
TAHUN : 2015

Dengan
Total
n
Darah
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
1 Talumopatu 1320 - 12 12 - - - - - - - - - - - - - - - - - - - - - - - - -
2 Sidomukti 2003 - 9 9 - - - - - - - - - - - - - - - - - - - - - - - - -
3 Karyamukti 1294 - 5 5 - - - - - - - - - - - - - - - - - - - - - - - -
4 Satria 1207 - 6 6 - - - - - - - - - - - - - - - - - - - - - - - - -
5 Huyula 2024 - 11 11 - - - - - - - - - - - - - - - - - - - - - - - - -
6 Paris 2674 - 13 13 - - - - - - - - - - - - - - - - - - - - - - - - -
7 Helumo 1862 - 10 10 - - - - - - - - - - - - - - - - - - - - - - - - -
8 Sukamaju 1222 - 8 8 - - - - - - - - - - - - - - - - - - - - - - - - -
9 Payu 2128 - 14 14 - - - - - - - - - - - - - - - - - - - - - - - - -
10 Pilomonu 2799 - 14 14 - - - - - - - - - - - - - - - - - - - - - - - - -
11 Luar Wilayah - 0 0 - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL 18533 0 102 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mootilango, 25 Desember 2015

Mengetahui

NIP: 19730217 199303 1 006 NIP. 19820212 201101 2 001
LAPORAN STOCK DAN PEMAKAIAN LOGISTIK MALARIA
Puskesmas : Mootilango
Kabupaten/Kota : Gorontalo
Bulan/Periode : Bulan Januari 2015
No Kelompok Nama Barang Satuan Stok Awal Penerimaan Persediaan PengeluaranPenyesuaian Stok Akhir Permintaan Keterangan
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
Artesdiaquine Blistar
Lainnya DHP Blistar 3 18 10.5 10.5
NON-ACT
OBAT ANTI
1
MALARIA Chloroquin Tablet
Primaquin Tablet 21 0 3 18
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 105 300 33 372
Giemsa cc 439 0 439
BAHAN &
ALAT Anisol cc 921 0 921
2
DIAGNOSTI
K Immersion Oil cc 470 0 470
Microslide Buah 0 216 21 195
Bloodlancet Buah 83 100 21 162
Mikroskop BinokUnit 1 1
3
LAINNYA LLN'S Buah 0 0 0
PUTUS STOCK ANTI MALARIA (OAM) Lini Pertama

Kategori Nama Obat Jumlah hari
Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 31 Januari 2015


NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan Februari 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
Lainnya DHP Blistar 10.5 10.5
NON-ACT
OBAT ANTI
1
Primaquin Tablet 18 18
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 372 35 337
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
Microslide Buah 195 71 124
Bloodlancet Buah 162 71 91
3

Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 28 Februari 2015


NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan Maret 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
Lainnya DHP Blistar 10.5 10.5
NON-ACT
OBAT ANTI
1
Primaquin Tablet 18 18
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 337 22 315
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
3

Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 31 Maret 2015


NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan April 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
Lainnya DHP Blistar 10.5 9 1.5
NON-ACT
OBAT ANTI
1
Primaquin Tablet 18 3 15
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 315 30 285
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
3

Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 30 April 2015

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan Mei 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
NON-ACT
OBAT ANTI
1
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 285 38 247
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
3

Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 28 Mei 2015

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan Juni 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
Lainnya DHP Blistar 1.5 27 9 19.5
NON-ACT
OBAT ANTI
1
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 247 30 217
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
3

Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 25 Juni 2015

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan Juli 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
NON-ACT
OBAT ANTI
1
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 217 100 33 284
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
3

Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 25 Juli 2015

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan Agustus 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
NON-ACT
OBAT ANTI
1
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 284 47 237
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
3

Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 25 Agustus 2015

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan September 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
Lainnya DHP Blistar 19.5 90 30 79.5
NON-ACT
OBAT ANTI
1
Primaquin Tablet 12 50 7 55
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 237 39 198
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
3

Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 30 September 2015


NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan Oktober 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
NON-ACT
OBAT ANTI
1
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 198 36 162
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
3

Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 31 Oktober 2015


NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan Nopember 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
NON-ACT
OBAT ANTI
1
Primaquin Tablet 52 50 3 52 47
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 162 34 128
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
3
Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 30 Nopember 2015


NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
Bulan/Periode : Bulan Desember 2015
1 2 3 4 5 6 7 8 9 10 11 12
ACT Tablet
Arsuamon Blistar
NON-ACT
OBAT ANTI
1
Kina Tablet
Kina Ampul
Artmeter Ampul
Artesunate Ampul
RDT Test 128 18 110
Giemsa cc 439 0 439
BAHAN &
2
DIAGNOSTI
3
Putus Stok
ACT
Primakuin
Mengetahui Mootilango, 25 Desember 2015


NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
HASIL PEMERIKSAAN SEDIAAN DARAH MALARIA DENGAN RDT
PUSKESMAS : MOOTILANGO
BULAN : JANUARI
TAHUN : 2016
HASIL
UMUR
NO NAMA ALAMAT KODE SLIDE REPID TES
Negative Keteranga
TGL PEMERIKSAAN
L P Pf Pv Pm Po Mix n
1 Hadija Thaiba 24th Ds. Talumopatu - - - - - √ Bumil
2 Irawati Akuba 32th Ds. Talumopatu - - - - - √ Bumil
3 Melinda Tatu 24th Ds. Talumopatu - - - - - √ Bumil
4 Asma A. Kune 27th Ds. Talumopatu - - - - - √ Bumil
5 Karsum Lahay 16th Ds. Talumopatu - - - - - √ Bumil
6 Sulastri Arbi 36th Ds. Talumopatu - - - - - √ Bumil
7 Meis P. Dama 15th Ds. Karyamukti - - - - - √ Bumil
8 Ferawati abas 34th Ds. Satria - - - - - √ Bumil
9 Nursia Hasan 23th Ds. Satria - - - - - √ Bumil
10 Ikra N. Maji 19th Ds. Satria - - - - - √ Bumil
11 Rahmatia Nusi 19th Ds. Satria - - - - - √ Bumil
12 Aisa Nusi 25th Ds. Huyula - - - - - √ Bumil
13 Linda Ismail 19th Ds. Huyula - - - - - √ Bumil
14 Aisa Abdullah 21th Ds. Huyula - - - - - √ Bumil
15 Kartini Ade 38th Ds. Helumo - - - - - √ Bumil
16 Nining Mohamad 22th Ds. Helumo - - - - - √ Bumil
17 Maryam Humola 21th Ds. Helumo - - - - - √ Bumil
18 Ferawati Umar 21th Ds. Helumo - - - - - √ Bumil
19 Yuliyanti Rudju 24th Ds. Sukamaju - - - - - √ Bumil
20 Amna Poliyango 24th Ds. Sukamaju - - - - - √ Bumil
21 Nico Ibrahim 22th Ds. Sukamaju - - - - - √ Bumil
22 Ima Akune 35th Ds. Sukamaju - - - - - √ Bumil
23 Ama Juma 18th Ds. Payu - - - - - √ Bumil
24 Diana Idrus 28th Ds. Payu - - - - - √ Bumil
25 Iwin Juma 25th Ds. Payu - - - - - √ Bumil
26 Rita Kiu 32th Ds. Payu - - - - - √ Bumil
27 Raina Moha 28th Ds. Payu - - - - - √ Bumil
Mengetahui
Kepala Puskesmas
AGUS SANTOSO ROJIKAN, S.AP

NIP. 19730217 199303 1 006

BULAN : FEBRUARI
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Risna Rudin 21th Ds. Talumopatu - - - - - √ Bumil
2 Hartati Mohune 29th Ds. Talumopatu - - - - - √ Bumil
3 Citriyanti Tadu 23th Ds. Talumopatu - - - - - √ Bumil
4 Nonce Sinyo 34th Ds. Talumopatu - - - - - √ Bumil
5 Wiwin Moha 32th Ds. Talumopatu - - - - - √ Bumil
6 Rosdiana Latif 23th Ds. Talumopatu - - - - - √ Bumil
7 Eka Armayanti Dali 18th Ds. Sidomukti - - - - - √ Bumil
8 Rahayu Lahabu 23th Ds. Sidomukti - - - - - √ Bumil
9 Zenab Kadir 20th Ds. Sidomukti - - - - - √ Bumil
10 Asna Biki 39th Ds. Sidomukti - - - - - √ Bumil
11 Henik 28th Ds. Sidomukti - - - - - √ Bumil
12 Yungki Hasan 17th Ds. Karyamukti - - - - - √ Bumil
13 Indriyanti Uloli 20th Ds. Karyamukti - - - - - √ Bumil
14 Serlin Hanafi 24th Ds. Karyamukti - - - - - √ Bumil
15 Rahmayanti Lasaka 22th Ds. Karyamukti - - - - - √ Bumil
16 Siskawati Laju 20th Ds. Karyamukti - - - - - √ Bumil
17 Erni Ishak 32th Ds. Karyamukti - - - - - √ Bumil
18 Karmila Dama 22th Ds. Helumo - - - - - √ Bumil
19 Dian Noe 27th Ds. Helumo - - - - - √ Bumil
20 Hasni Kadjim 20th Ds. Helumo - - - - - √ Bumil
21 Asna Lasoma 41th Ds. Helumo - - - - - √ Bumil
22 Syahrin Pakaya 20th Ds. Helumo - - - - - √ Bumil
23 Yana Akune 28th Ds. Sukamaju - - - - - √ Bumil
24 Sumanti Arifin 22th Ds. Payu - - - - - √ Bumil
25 Iko Rahim 21th Ds. Pilomonu - - - - - √ Bumil
26 Titin R. Pakaya 20th Ds. Pilomonu - - - - - √ Bumil
27 Fatma Lakoro 30th Ds. Pilomonu - - - - - √ Bumil
28 Hapsa Hadiku 7th Ds. Pilomonu - - - - - √ Umum
29 Salsa Ma'ruf 5th Ds. Pilomonu - - - - - √ Umum
30 Erik Sa'ban 39th Ds. Pilomonu - - - - - √ Umum
31 Yulin Ishak 29th Ds. Satria - - - - - √ Bumil
32 Asrin Tohia 20th Ds. Huyula - - - - - √ Bumil
33 Maryam Husain 24th Ds. Huyula - - - - - √ Bumil
34 Siskawati Pujiwati 19th Ds. Huyula - - - - - √ Bumil
35 Marlina Umar 23th Ds. Huyula - - - - - √ Bumil
Mengetahui
Kepala Puskesmas MIKROSKOPIS
AGUS SANTOSO ROJIKAN, S.AP Wilyan A. Pomalo, SKM

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : MARET
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Asdin Suimu 24th Ds. Talumopatu - - - - - √ Bumil
2 Hasni Suimu 27th Ds. Talumopatu - - - - - √ Bumil
3 Yulan Dunggio 20th Ds. Satria - - - - - √ Bumil
4 Risnawati yahya 33th Ds. Huyula - - - - - √ Bumil
5 Fatma Karim 19th Ds. Huyula - - - - - √ Bumil
6 Linda Mahalipa 22th Ds. Huyula - - - - - √ Bumil
7 Katriyanti Noho 20th Ds. Huyula - - - - - √ Bumil
8 Siska Pudjiyanti 19th Ds. Huyula - - - - - √ Bumil
9 Maryam Husain 24th Ds. Huyula - - - - - √ Bumil
10 Siti Palilati 43th Ds. Paris - - - - - √ Bumil
11 Yuriska Miras 20th Ds. Paris - - - - - √ Bumil
12 Ramlah Usman 39th Ds. Paris - - - - - √ Bumil
13 Hasra Jafar 21th Ds. Helumo - - - - - √ Bumil
14 Yowan Hasan 33th Ds. Helumo - - - - - √ Bumil
15 Karsum Umar 28th Ds. Sukamaju - - - - - √ Bumil
16 Aisa Rudju 27th Ds. Sukamaju - - - - - √ Bumil
17 Nining Lonto 21th Ds. Payu - - - - - √ Bumil
18 Irmawati Alin 17th Ds. Payu - - - - - √ Bumil
19 Erlan Igirisa 23th Ds. Pilomonu - - - - - √ Bumil
20 Aisa Hamsah 20th Ds. Pilomonu - - - - - √ Bumil
21 Isni Ma'ruf 20th Ds. Pilomonu - - - - - √ Bumil
22 Marni Kiama 17th Ds. Pilomonu - - - - - √ Bumil
Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001

BULAN : APRIL
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Meilan Harun 22th Ds. Talumopatu - - - - - √ Bumil
2 Asra Bagu 26th Ds. Talumopatu - - - - - √ Bumil
3 Nalsi Lahasan 20th Ds. Talumopatu - - - - - √ Bumil
4 Wahyuni Kadir 17th Ds. Satria - - - - - √ Bumil
5 Fatma Adam 36th Ds. Satria - - - - - √ Bumil
6 Hariyati Ahmad 22th Ds. Huyula - - - - - √ Bumil
7 Fatma Hasan 39th Ds. Helumo - - - - - √ Bumil
8 Ratna Polapa 33th Ds. Helumo - - - - - √ Bumil
9 Ermin Ishak 27th Ds. Sidomukti - - - - - √ Bumil
10 Widyawati Dunggio 20th Ds. Sidomukti - - - - - √ Bumil
11 Amina Abudi 23th Ds. Sidomukti - - - - - √ Bumil
12 Suryani Mustika 19th Ds. Sidomukti - - - - - √ Bumil
13 Heni K Juma 17th Ds. Sukamaju - - - - - √ Bumil
14 Risna Danial 38th Ds. Sukamaju - - - - - √ Bumil
15 Vernia Rotinjulu 29th Ds. Sukamaju - - - - - √ Bumil
16 Hasana Uwaya 24th Ds. Sukamaju - - - - - √ Bumil
17 Indri Karim 18th Ds. Karyamukti - - - - - √ Bumil
18 Ervina Ismail 22th Ds. Karyamukti - - - - - √ Bumil
19 Risna Ajulia 32th Ds. Karyamukti - - - - - √ Bumil
20 Yusran Tooli 17th Ds. Payu - - - - - √ Bumil
21 Sri Susanti Day 23th Ds. Payu - - - - - √ Bumil
22 Olis Sa'ban 16th Ds. Payu - - - - - √ Bumil
23 Desi Mohamad 24th Ds. Payu - - - - - √ Bumil
24 Porlan Hasim 24th Ds. Payu - - - - - √ Bumil
25 Mia Lahap 30th Ds. Pilomonu - - - - - √ Bumil
26 Werni Mile 38th Ds. Pilomonu - - - - - √ Bumil
27 Fatma Gobel 20th Ds. Pilomonu - - - - - √ Bumil
28 Nurain Djafar 21th Ds. Pilomonu - - - - - √ Bumil
29 Nuni Antoloyi 29th Ds. Pilomonu - - - - - √ Bumil
30 Kartin Irwan 19th Ds. Pilomonu - - - - - √ Bumil
Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001

BULAN : MEI
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Yusna Dalanggo 22th Ds. Talumopatu - - - - - √ Bumil
2 Salma Abjul 34th Ds. Talumopatu - - - - - √ Bumil
3 Wisna Palilati 39th Ds. Talumopatu - - - - - √ Bumil
4 Yuliyanti Utiarahman 17th Ds. Talumopatu - - - - - √ Bumil
5 Siti Mukharomah 28th Ds. Sidomukti - - - - - √ Bumil
6 Ainun Daud 23th Ds. Sidomukti - - - - - √ Bumil
7 Wawin Kadir 20th Ds. Karyamukti - - - - - √ Bumil
8 Sri Meisyan Samadi 19th Ds. Karyamukti - - - - - √ Bumil
9 Titin Laju 38th Ds. Karyamukti - - - - - √ Bumil
10 Titin Nabue 26th Ds. Karyamukti - - - - - √ Bumil
11 Yuyun Hanafi 28th Ds. Karyamukti - - - - - √ Bumil
12 Mukmin Pongoli 20th Ds. Satria - - - - - √ Bumil
13 Mantiara Daenglino 36th Ds. Satria - - - - - √ Bumil
14 Hastin Hasan 38th Ds. Huyula - - - - - √ Bumil
15 Maryam Nento 20th Ds. Huyula - - - - - √ Bumil
16 Fatma Harun 23th Ds. Huyula - - - - - √ Bumil
17 Siskawati Pakaya 16th Ds. Huyula - - - - - √ Bumil
18 Santi Karim 36th Ds. Huyula - - - - - √ Bumil
19 Trisnawati Une 21th Ds. Paris - - - - - √ Bumil
20 fatma Djafar 31th Ds. Paris - - - - - √ Bumil
21 Salma Ibrahim 25th Ds. Paris - - - - - √ Bumil
22 Yolanda Lamatenggo 23th Ds. Paris - - - - - √ Bumil
23 Erni Susanti 31th Ds. Paris - - - - - √ Bumil
24 Eka Nopriyanti Jaini 25th Ds. Paris - - - - - √ Bumil
25 Sartika Abdulah 19th Ds. Paris - - - - - √ Bumil
26 Yulan Buloto 32th Ds. Helumo - - - - - √ Bumil
27 Astuti Dunggio 17th Ds. Helumo - - - - - √ Bumil
28 Rusmin Nento 30th Ds. Helumo - - - - - √ Bumil
29 Pratiwi Sidiki 21th Ds. Helumo - - - - √ Bumil
30 Yulan Isa 35th Ds. Helumo - - - - - √ Bumil
31 Riyanti Musa 17th Ds. Helumo - - - - - √ Bumil
32 Isnawati 28th Ds. Sukamaju - - - - - √ Bumil
33 Ria R. 28th Ds. Sukamaju - - - - - √ Bumil
34 Winangsi Ali 27th Ds. Payu - - - - √ Bumil
35 Indriyani Soman 20th Ds. Payu - - - - - √ Bumil
36 Wirasutisna Mohune 36th Ds. Payu - - - - - √ Bumil
37 Salma Ntuna 35th Ds. Pilomonu - - - - - √ Bumil
38 Santi Insan 27th Ds. Pilomonu - - - - - √ Bumil
Mengetahui
NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : JUNI
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Hapni Gaib 35th Ds. Sidomukti - - - - - √ Bumil
2 Nurlindawati Wolinga 19th Ds. Sidomukti - - - - - √ Bumil
3 Irawati Ishak 30th Ds. Sidomukti - - - - - √ Bumil
4 Misna Nue 22th Ds. Sidomukti - - - - - √ Bumil
5 Erni Kaida 36th Ds. Sidomukti - - - - - √ Bumil
6 Ervina Rahman 25th Ds. Paris - - - - - √ Bumil
7 Vian Lamato 19th Ds. Paris - - - - - √ Bumil
8 Fitriyanti R. Kabu 23th Ds. Paris - - - - - √ Bumil
9 Maryam Rantung 25th Ds. Paris - - - - - √ Bumil
10 Purwanti Maruwae 20th Ds. Paris - - - - - √ Bumil
11 Hariyati Polapa 20th Ds. Helumo - - - - - √ Bumil
12 Yuliyanti Kadir 21th Ds. Helumo - - - - - √ Bumil
13 Riskawati Tilola 19th Ds. Helumo - - - - - √ Bumil
14 Maryam Hubu 36th Ds. Helumo - - - - - √ Bumil
15 Felma Hinta 19th Ds. Helumo - - - - - √ Bumil
16 Windrawati Panu 35th Ds. Payu - - - - - √ Bumil
17 Salma Sinto 20th Ds. Payu - - - - - √ Bumil
18 Milawati Ahmad 24th Ds. Pilomonu - - - - - √ Bumil
19 Ika Djakaria 21th Ds. Pilomonu - - - - - √ Bumil
20 Ramla Suleman 36th Ds. Pilomonu - - - - - √ Bumil
21 Hadija Abdulah 26th Ds. Pilomonu - - - - - √ Bumil
22 Osmin Latif 18th Ds. Pilomonu - - - - - √ Bumil
23 Maryam Limonu 38th Ds. Satria - - - - - √ Bumil
24 Linda Rosa 21th Ds. Huyula - - - - - √ Bumil
25 Hadija Halid 33th Ds. Huyula - - - - - √ Bumil
26 Warni Nasir 36th Ds. Huyula - - - - - √ Bumil
27 Lilan Arsad 23th Ds. Huyula - - - - - √ Bumil
28 Meis Dunggio 16th Ds. Huyula - - - - - √ Bumil
29 Fatma Husnan 16th Ds. Huyula - - - - - √ Bumil
30 Hadija Amir 17th Ds. Huyula - - - - - √ Bumil
Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : JULI
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Mastin Mohune 32th Ds. Talumopatu - - - - - √ Bumil
2 Juhura Ahmad 20th Ds. Sidomukti - - - - - √ Bumil
3 Firma Lahabu 21th Ds. Sidomukti - - - - - √ Bumil
4 Hestin Rajak 38th Ds. Sidomukti - - - - - √ Bumil
5 Sartin Djafar 25th Ds. Satria - - - - - √ Bumil
6 Sri Susanti Hailu 22th Ds. Satria - - - - - √ Bumil
7 Hajira Djakaria 31th Ds. Satria - - - - - √ Bumil
8 Sri Pitaloka Ntuiyo 22th Ds. Huyula - - - - - √ Bumil
9 Sri Agustina Mahmud 29th Ds. Paris - - - - - √ Bumil
10 Robiana Ismail 30th Ds. Paris - - - - - √ Bumil
11 Irmawati Ishak 23th Ds. Paris - - - - - √ Bumil
12 Fitriyanti Ibrahim 24th Ds. Paris - - - - - √ Bumil
13 Ningsi Hasan 17th Ds. Paris - - - - - √ Bumil
14 Darlin Nento 30th Ds. Paris - - - - - √ Bumil
15 Sumarni Diu 23th Ds. Helumo - - - - - √ Bumil
16 Mukmin Du'u 19th Ds. Helumo - - - - - √ Bumil
17 Rostin Gani 23th Ds. Helumo - - - - - √ Bumil
18 Emilia Dai 30th Ds. Helumo - - - - - √ Bumil
19 Yanti Maja'ali 34th Ds. Helumo - - - - - √ Bumil
20 Herlina Lahay 18th Ds. Sukamaju - - - - - √ Bumil
21 Yusrin P. Masi 27th Ds. Sukamaju - - - - - √ Bumil
22 Mariana Djafar 32th Ds. Sukamaju - - - - - √ Bumil
23 Fitri Ibrahim 16th Ds. Sukamaju - - - - - √ Bumil
24 Juwita Kapeo 20th Ds. Sukamaju - - - - - √ Bumil
25 Maryam Talib 19th Ds. Payu - - - - - √ Bumil
26 Yulan Tamani 34th Ds. Payu - - - - - √ Bumil
27 Ferawati Karim 18th Ds. Payu - - - - - √ Bumil
28 Heni S. Mauko 37th Ds. Pilomonu - - - - - √ Bumil
29 Merlin Hipi 36th Ds. Pilomonu - - - - - √ Bumil
30 Salma Muksin 23th Ds. Pilomonu - - - - - √ Bumil
31 Nining Muharam 21th Ds. Pilomonu - - - - - √ Bumil
32 Yulan Karim 27th Ds. Pilomonu - - - - - √ Bumil
33 Saira Hasan 29th Ds. Pilomonu - - - - - √ Bumil
Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : AGUSTUS
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Melinda Husain 21th Ds. Talumopatu - - - - - √ Bumil
2 Yusni Mustapa 21th Ds. Talumopatu - - - - - √ Bumil
3 Risna Suimu 24th Ds. Talumopatu - - - - - √ Bumil
4 Regina Ibrahim 33th Ds. Sidomukti - - - - - √ Bumil
5 Marsita Kaharu 18th Ds. Sidomukti - - - - - √ Bumil
6 Desrin Isu 18th Ds. Sidomukti - - - - - √ Bumil
7 Jaleha R. Bau 38th Ds. Sidomukti - - - - - √ Bumil
8 Sriyanti Talib 19th Ds. Sidomukti - - - - - √ Bumil
9 Maryam Delihula 15th Ds. Sidomukti - - - - - √ Bumil
10 Tiansi Igirisa 21th Ds. Sidomukti - - - - - √ Bumil
11 Fatma Djafar 24th Ds. Karyamukti - - - - - √ Bumil
12 Hajara Ahmad 39th Ds. Karyamukti - - - - - √ Bumil
13 Nurmin Hasan 45th Ds. Karyamukti - - - - - √ Bumil
14 Rasuna Ahmad 23th Ds. Satria - - - - - √ Bumil
15 Febriyana Ayuba 20th Ds. Huyula - - - - - √ Bumil
16 Mardiana Asoni 19th Ds. Huyula - - - - - √ Bumil
17 Fatma Abdulah 38th Ds. Huyula - - - - - √ Bumil
18 Erna Kiyai 40th Ds. Paris - - - - - √ Bumil
19 Fatma Mahajani 32th Ds. Paris - - - - - √ Bumil
20 Yulian Isa 24th Ds. Paris - - - - - √ Bumil
21 Nurnanigsi Kaku 25th Ds. Paris - - - - - √ Bumil
22 Fatma Umar 28th Ds. Paris - - - - - √ Bumil
23 Amelia Nabius 18th Ds. Paris - - - - - √ Bumil
24 Aisa Rauf 22th Ds. Helumo - - - - - √ Bumil
25 Suwarni Tilola 39th Ds. Helumo - - - - - √ Bumil
26 Melawati K. Noe 19th Ds. Helumo - - - - - √ Bumil
27 Juriyati Pakaya 26th Ds. Helumo - - - - - √ Bumil
28 Sri Ineng Hasan 21th Ds. Helumo - - - - - √ Bumil
29 Hadija Santu 20th Ds. Sukamaju - - - - - √ Bumil
30 Fatma Tahir 15th Ds. Sukamaju - - - - - √ Bumil
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
31 Selvi Iloponu 32th Ds. Payu - - - - - √ Bumil
32 Arlin Piko 20th Ds. Payu - - - - - √ Bumil
33 Ipin Juma 21th Ds. Payu - - - - - √ Bumil
34 Suhartin Alinti 25th Ds. Payu - - - - - √ Bumil
35 Erpina Labila 31th Ds. payu - - - - - √ Bumil
36 Fatma Moha 17th Ds. Payu - - - - - √ Bumil
37 Asna Tangahu 30th Ds. Pilomonu - - - - - √ Bumil
38 Yusna Djafar 23th Ds. Pilomonu - - - - - √ Bumil
39 Fatma Ahmad 41th Ds. Pilomonu - - - - - √ Bumil
40 Herlina Yusuf 35th Ds. Pilomonu - - - - - √ Bumil
41 Risna Malik 35th Ds. Pilomonu - - - - - √ Bumil
42 Yanti Bakari 25th Ds. Pilomonu - - - - - √ Bumil
43 Farida Insan 35th Ds. Pilomonu - - - - - √ Bumil
44 Marice Malik 35th Ds. Pilomonu - - - - - √ Bumil
45 Musrin Djafar 23th Ds. Pilomonu - - - - - √ Bumil
46 Ratna Dali 30th Bolmut - - - - - √ Bumil
47 Serli Adam 24th Bolmut - - - - - √ Bumil
Mengetahui
NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001

BULAN : SEPTEMBER
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Sulastri Modjo 34th Ds. Talumopatu - - - - - √ Bumil
2 Melisnawati Hidia 29th Ds. Talumopatu - - - - - √ Bumil
3 Indrawati Oputu 25th Ds. Talumopatu - - - - - √ Bumil
4 Fitriyanti Mohulalo 17th Ds. Talumopatu - - - - - √ Bumil
5 Rita Nasaru 35th Ds. Sidomukti - - - - - √ Bumil
6 Lian Adam 17th Ds. Sidomukti - - - - - √ Bumil
7 Merlin Garai 17th Ds. Sidomukti - - - - - √ Bumil
8 Irma Yusuf 26th Ds. Sidomukti - - - - - √ Bumil
9 Yulan Umar 23th Ds. Karyamukti - - - - - √ Bumil
10 Aisya Yunus 20th Ds. Karyamukti - - - - - √ Bumil
11 Titin Nur 29th Ds. Karyamukti - - - - - √ Bumil
12 Indriyanti Suleman 16th Ds. Karyamukti - - - - - √ Bumil
13 Maimun Suleman 31th Ds. Karyamukti - - - - - √ Bumil
14 Maryam Ismail 42th Ds. Karyamukti - - - - - √ Bumil
15 Fatma Dunggio 18th Ds. Karyamukti - - - - - √ Bumil
16 Mastin Naku 30th Ds. Satria - - - - - √ Bumil
17 Suwarni Maa 32th Ds. Satria - - - - - √ Bumil
18 Iin Sione 23th Ds. Satria - - - - - √ Bumil
19 Yulin S Juko 20th Ds. Huyula - - - - - √ Bumil
20 Irmawati Usman 23th Ds. Huyula - - - - - √ Bumil
21 Maryam Manono 42th Ds. Huyula - - - - - √ Bumil
22 Hadija D. Sadat 34th Ds. Huyula - - - - - √ Bumil
23 Merlin Tahoi 25th Ds. Huyula - - - - - √ Bumil
24 Nurnaningsi Mowuu 22th Ds. Huyula - - - - - √ Bumil
25 Nurhayati Pirus 30th Ds. Paris - - - - - √ Bumil
26 Novita Harun 26th Ds. Paris - - - - - √ Bumil
27 Nurhayati Kai 20th Ds. Paris - - - - - √ Bumil
28 Salma Mohamad 35th Ds. Paris - - - - - √ Bumil
29 Wiwin Ismail 30th Ds. Paris - - - - - √ Bumil
30 Wiwin Ma'ruf 25th Ds. Paris - - - - - √ Bumil
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
31 Satria Karim 24th Ds. Paris - - - - - √ Bumil
32 Maryam Yusuf 40th Ds. Helumo - - - - - √ Bumil
33 Fitriyanti Tomelo 30th Ds. Helumo - - - - - √ Bumil
34 Nasran Nabu 18th Ds. Helumo - - - - - √ Bumil
35 Meis Kau 17th Ds. payu - - - - - √ Bumil
36 Irawati Pou 26th Ds. Payu - - - - - √ Bumil
37 Siskawati Djafar 19th Ds. Payu - - - - - √ Bumil
38 Selvawati Iskandar 17th Ds. Payu - - - - - √ Bumil
39 Yulin Mohamad 21th Ds. Pilomonu - - - - - √ Bumil
Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : OKTOBER
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Nurmin Abas 37th Ds. Talumopatu - - - - - √ Bumil
2 Indrawati Asude 23th Ds. Talumopatu - - - - - √ Bumil
3 Erwin T. Miungo 20th Ds. Talumopatu - - - - - √ Bumil
4 Amina Musa 41th Ds. Talumopatu - - - - - √ Bumil
5 Min Jingo 30th Ds. Talumopatu - - - - - √ Bumil
6 Restina Nusi 33th Ds. Talumopatu - - - - - √ Bumil
7 Sartin Mahabu 29th Ds. Sidomukti - - - - - √ Bumil
8 Ningsi 35th Ds. Sidomukti - - - - - √ Bumil
9 Masni Yusuf 25th Ds. Sidomukti - - - - - √ Bumil
10 Nurafni Yasin 21th Ds. Sidomukti - - - - - √ Bumil
11 Hamira Bobihu 37th Ds. Sidomukti - - - - - √ Bumil
12 Risna Paki 45th Ds. Karyamukti - - - - - √ Bumil
13 Risna Rahman 24th Ds. Karyamukti - - - - - √ Bumil
14 Salma Hamid 21th Ds. Satria - - - - - √ Bumil
15 Rilan rasid 20th Ds. Huyula - - - - - √ Bumil
16 Merlin Dangkua 21th Ds. Huyula - - - - - √ Bumil
17 Fatma Idris 15th Ds. Huyula - - - - - √ Bumil
18 Santi Muksin 32th Ds. Huyula - - - - - √ Bumil
19 Marni Djafar 28th Ds. Paris - - - - - √ Bumil
20 Isnawati Djafar 22th Ds. Paris - - - - - √ Bumil
21 Nurhayati Bahtiar 38th Ds. Paris - - - - - √ Bumil
22 Saira Djafar 27th Ds. Paris - - - - - √ Bumil
23 Nurhayati Dunggio 33th Ds. Paris - - - - - √ Bumil
24 Wiwin Karim 30th Ds. Paris - - - - - √ Bumil
25 Salma Bano 19th Ds. Paris - - - - - √ Bumil
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
26 Rosita Harun 42th Ds. Helumo - - - - - √ Bumil
27 Fatmawati Yasin 18th Ds. Sukamaju - - - - - √ Bumil
28 Mastin Mohamad 28th Ds. Pilomonu - - - - - √ Bumil
29 Linda Mahmud 19th Ds. Pilomonu - - - - - √ Bumil
30 Agustin Rauf 19th Ds. Pilomonu - - - - - √ Bumil
31 sarlin Moha 34th Ds. Pilomonu - - - - - √ Bumil
32 Ulfa Kaluku 27th Ds. Paris - - - - - √ Bumil
33 Nolvi M. Ladji 26th Ds. Paris - - - - - √ Bumil
34 Arni Nabius 40th Ds. Paris - - - - - √ Bumil
35 Yanti Tomayahu 34th Ds. Paris - - - - - √ Bumil
36 Anisa Dumbi 22th Ds. Helumo - - - - - √ Bumil
Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001

BULAN : NOPEMBER
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Sri Nurti S.Z Auna 19th Ds. Talumopatu - - - - - √ Bumil
2 Sri Dewiyanti Mukmin 20th Ds. Talumopatu - - - - - √ Bumil
3 Ewin Hasan 23th Ds. Talumopatu - - - - - √ Bumil
4 Jumiati 32th Ds. Sidomukti - - - - - √ Bumil
5 Yunda Thalib 31th Ds. Sidomukti - - - - - √ Bumil
6 Asmin Usman 22th Ds. Sidomukti - - - - - √ Bumil
7 Rusniati Palilati 19th Ds. Sidomukti - - - - - √ Bumil
8 Rini K. Lamalani 18th Ds. Karyamukti - - - - - √ Bumil
9 Novita Hiya 21th Ds. Satria - - - - - √ Bumil
10 Yunita Manto 23th Ds. Satria - - - - - √ Bumil
11 Lian Ibrahim 23th Ds. Huyula - - - - - √ Bumil
12 Nurhalisa Mahajani 29th Ds. Huyula - - - - - √ Bumil
13 Riyanti Kasim 22th Ds. Paris - - - - - √ Bumil
14 Sulastri 22th Ds. Paris - - - - - √ Bumil
15 Yunita Potale 20th Ds. Helumo - - - - - √ Bumil
16 Tiansi Igirisa 21th Ds. Helumo - - - - - √ Bumil
17 Salma Mustapa 18th Ds. Helumo - - - - - √ Bumil
18 Hadija Umar 24th Ds. Helumo - - - - - √ Bumil
19 Lilanti Buloto 29th Ds. Helumo - - - - - √ Bumil
20 Risnawati Usman 39th Ds. Helumo - - - - - √ Bumil
21 Astin Juma 27th Ds. Sukamaju - - - - - √ Bumil
22 Rapi Udin 32th Ds. Sukamaju - - - - - √ Bumil
23 Yusrin Maso 27th Ds. Sukamaju - - - - - √ Bumil
24 Hartati Hadi 37th Ds. Sukamaju - - - - - √ Bumil
25 Natasya Noviyanti 19th Ds. Payu - - - - - √ Bumil
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
26 Indrawati Roino 16th Ds. Payu - - - - - √ Bumil
27 Salma Karim 29th Ds. Payu - - - - - √ Bumil
28 Oten D. Umar 25th Ds. Payu - - - - - √ Bumil
29 Ratna Sodoti 39th Ds. Payu - - - - - √ Bumil
30 Asrin Hasan 15th Ds. Payu - - - - - √ Bumil
31 Melan Tahir 23th Ds. Payu - - - - - √ Bumil
32 Marlin Mursidi 21th Ds. Payu - - - - - √ Bumil
33 Inang Nusi 32th Ds. Pilomonu - - - - - √ Bumil
34 Hadija Ango 32th Ds. Pilomonu - - - - - √ Bumil
Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001

BULAN : DESEMBER
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Tina Jaala 17th Ds. Talumopatu - - - - - √ Bumil
2 Indra Mustafa 15th Ds. Talumopatu - - - - - √ Bumil
3 Maryam Bagu 17th Ds. Sidomukti - - - - - √ Bumil
4 Astin Antu 29th Ds. Sidomukti - - - - - √ Bumil
5 Jumira 30th Ds. Sidomukti - - - - - √ Bumil
6 Rini Lamalani 18th Ds. Karyamukti - - - - - √ Bumil
7 Cindrawati Ibrahim 23th Ds. Satria - - - - - √ Bumil
8 Nisa Abjul 28th Ds. Satria - - - - - √ Bumil
9 Hasni Bakari 22th Ds. Huyula - - - - - √ Bumil
10 Hawa Kedei 32th Ds. Huyula - - - - - √ Bumil
11 Herlina Mahalipa 33th Ds. Huyula - - - - - √ Bumil
12 Maria Nurkamiden 20th Ds. Helumo - - - - - √ Bumil
13 Samran Mointi 30th Ds. Helumo - - - - - √ Bumil
14 Nilan Rahim 18th Ds. Helumo - - - - - √ Bumil
15 Zenab Y. Tuli 17th Ds. Pilomonu - - - - - √ Bumil
16 Nursagita Lawani 20th Ds. Pilomonu - - - - - √ Bumil
17 Sartin Suko 18th Ds. Pilomonu - - - - - √ Bumil
18 Hamsia Harun 25th Ds. Pilomonu - - - - - √ Bumil
Mengetahui MIKROSKOPIS
Kepala Puskesmas
Wilyan A. Pomalo, SKM

AGUS SANTOSO ROJIKAN, S.AP NIP. 19820212 201101 2 001
NIP. 19730217 199303 1 006
HASIL PEMERIKSAAN SEDIAAN DARAH MALARIA DENGAN MIKROSKOP
BULAN : JANUARI
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Samin Ishak 25th Ds. Pilomonu - - - - - √
2 Beti Buna 38th Ds. Satria - - - - - √
3 Yanti Ismail 36th Ds. Paris - - - - - √
4 Sudin M. 53th Ds. Paris - - - - - √
5 Mastin H 45th Ds. Paris - - - - - √
6 Mun Rivai 43th Ds. Paris - - - - - √
7 Anggriani 13th Ds. Paris - - - - - √
8 Farida S 36th Ds. Paris - - - - - √
9 Rohana B 56th Ds. Talumopatu - - - - - √
10 Toni R. Ajiji 39th Ds. Payu - - - - - √
11 Maryam S 20th Ds. Huyula - - - - - √
12 Ferdi S 11th Ds. Karyamukti - - - - - √
13 Irfan Imran 19th Ds. Banggai - - - - - √
14 Sumantri L 39th Ds. Helumo - - - - - √
15 Risna Saleh 44th Ds. Helumo - - - - - √
Mengetahui
Kepala Puskesmas Mootilango MIKROSKOPIS
AGUS SANTOSO ROJIKAN, S.AP WILYAN A. POMALO, SKM

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
BULAN : JUNI
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Suparni Husain 56th Ds. Helumo - - - - - √
2 Hairiya Yalili 74th Ds. Helumo - - - - - √
3 Feriyanto Umar 13th Ds. Helumo - - - - - √
4 Erpin Pongoliu 36th Ds. Helumo - - - - - √
5 Riski One 21th Ds. Helumo - - - - - √
6 Anton Husain 20th Ds. Helumo - - - - - √
7 Nurjanah Tambi 30th Ds. Helumo - - - - - √
8 Sartin Hamsa 36th Ds. Helumo - - - - - √
9 Hadija Hamsa 30th Ds. Helumo - - - - - √
10 Asna Hamsa 20th Ds. Helumo - - - - - √
11 Siskawati Arsad 24th Ds. Helumo - - - - - √
12 Hadija One 51th Ds. Helumo - - - - - √
13 Usman Ahmad 30th Ds. Helumo - - - - - √
14 Asna Panju 23th Ds. Helumo - - - - - √
15 Raditya Ahmad 8th Ds. Helumo - - - - - √
16 Isabela Said 6th Ds. Helumo - - - - - √
17 Dewi Hunta 41th Ds. Helumo - - - - - √
18 Wiwin Mbiu 30th Ds. Helumo - - - - - √
19 Melis Budiko 22th Ds. Helumo - - - - - √
20 Saripa Ismail 47th Ds. Helumo - - - - - √
21 Adam Abdullah 33th Ds. Helumo - - - - - √
22 Yusuf Nawuo 52th Ds. Helumo - - - - - √
23 Samsia Amir 70th Ds. Helumo - - - - - √
24 Risna Saleh 43th Ds. Helumo - - - - - √
25 Dunce Hunta 53th Ds. Helumo - - - - - √
26 Olis Tahir 42th Ds. Helumo - - - - - √
27 Arwin Mustapa 40th Ds. Helumo - - - - - √
28 Nurcahyani Ismail 6th Ds. Helumo - - - - - √
29 Susanti Jeden 5th Ds. Helumo - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
30 Nurain Yusuf 6th Ds. Helumo - - - - - √
31 Nopriyanti Ladiku 25th Ds. Helumo - - - - - √
32 Natasya Yusuf 6th Ds. Helumo - - - - - √
33 Nurain Lihawa 6th Ds. Helumo - - - - - √
34 Elis Matahari 41th Ds. Helumo - - - - - √
35 Ahmad Daud 6th Ds. Helumo - - - - - √
36 Alfian Daud 5th Ds. Helumo - - - - - √
37 Apin Wahab 11th Ds. Helumo - - - - - √
38 Rahman Dalanggo 5th Ds. Helumo - - - - - √
39 Salman Djafar 30th Ds. Helumo - - - - - √
40 Zenab Djafar 40th Ds. Helumo - - - - - √
41 Alfian Hasan 10th Ds. Helumo - - - - - √
42 Asnawati Ibrahim 46th Ds. Helumo - - - - - √
43 Asna Yusuf 47th Ds. Helumo - - - - - √
44 Satrin Pakaya 45th Ds. Helumo - - - - - √
45 Indri Cahyani Dali 12th Ds. Helumo - - - - - √
46 Nurwinda Talib 12th Ds. Helumo - - - - - √
47 Lian Taib 20th Ds. Helumo - - - - - √
48 Jufri Udi 39th Ds. Helumo - - - - - √
49 Abelta Daud 12th Ds. Helumo - - - - - √
50 Fandi Manisa 3,5th Ds. Helumo - - - - - √
51 Inong Loyi 30th Ds. Helumo - - - - - √
52 Rahima Usman 50th Ds. Helumo - - - - - √
53 Halima Umar 75th Ds. Helumo - - - - - √
54 Danial Mootalu 60th Ds. Helumo - - - - - √
55 Mahdil saridi 13th Ds. Helumo - - - - - √
56 Lisna Yusup 48th Ds. Helumo - - - - - √
57 Risnawati Usman 36th Ds. Helumo - - - - - √
58 Putri Sandi 2th Ds. Helumo - - - - - √
59 Fajril Saridi 8th Ds. Helumo - - - - - √
60 Romin Saridi 38th Ds. Helumo - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
61 Saira Paladio 71th Ds. Helumo - - - - - √
62 Maryam Husain 60th Ds. Helumo - - - - - √
63 Ratna Djafar 6th Ds. Helumo - - - - - √
64 Amran Datau 27th Ds. Helumo - - - - - √
65 Fajri Usman 7th Ds. Helumo - - - - - √
66 Ilham Usman 7th Ds. Helumo - - - - - √
67 Hasmin Hasan 46th Ds. Helumo - - - - - √
68 Rihana Ali 55th Ds. Helumo - - - - - √
69 Saripa Saleh 80th Ds. Helumo - - - - - √
70 Rabia Husain 65th Ds. Helumo - - - - - √
71 Suri Nisabu 59th Ds. Satria - - - - - √
72 Halim Dalanggo 48th Ds. Satria - - - - - √
73 Salma Uloli 68th Ds. Satria √ - - - -
74 Aripin Kanon 34th Ds. Satria - - - - - √
75 Hipen kanon 36th Ds. Satria - - - - - √
76 Riski Akule 14th Ds. Satria - - - - - √
77 Erni Zees 54th Ds. Satria - - - - - √
78 Rita Tamadi 32th Ds. Satria - - - - - √
79 Hanco Yosa 69th Ds. Satria - - - - - √
80 Robin kanon 38th Ds. Satria - - - - - √
81 Risna Rauf 35th Ds. Satria - - - - - √
82 Fitri Pakaya 39th Ds. Satria - - - - - √
83 Jemi Pakaya 41th Ds. Satria - - - - - √
84 Astin Suleman 35th Ds. Satria - - - - - √
85 Asna Mahalipa 34th Ds. Satria - - - - - √
86 Nia Nusi 18th Ds. Satria - - - - - √
87 Aisa Kai 43th Ds. Satria - - - - - √
88 Iksan Adam 35th Ds. Satria - - - - - √
89 Jamir R. Diyohu 45th Ds. Satria - - - - - √
90 Mastin Abas 35th Ds. Satria - - - - - √
91 Agustin Buna 26th Ds. Satria - - - - - √
92 Asna Nune 45th Ds. Satria - - - - - √
93 Narti Panju 32th Ds. Satria - - - - - √
94 Malik Tangahu 14th Ds. Satria - - - - - √
95 Abd. Rajak Inange 14th Ds. Satria - - - - - √
96 Ardila Wulandari 14th Ds. Satria - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
97 Maryam Manhia 43th Ds. Satria - - - - - √
98 Saiful Manhia 48th Ds. Satria - - - - - √
99 Rasman Manhia 42th Ds. Satria - - - - - √
100 Karim Manhia 25th Ds. Satria - - - - - √
101 Asmi Uloli 38th Ds. Satria - - - - - √
102 Fadli Manhia 12th Ds. Satria √ - - - -
103 Karni Manhia 40th Ds. Satria - - - - - √
104 Abd. Jefri Daud 10th Ds. Satria - - - - - √
105 Aliandi Manhia 12th Ds. Satria - - - - - √
106 Amanda Manhia 8th Ds. Satria - - - - - √
107 Ardiman Koem 12th Ds. Satria - - - - - √
108 Adit Septian Uno 7th51th Ds. Satria - - - - - √
109 Ibrahim Manhia 14th Ds. Satria - - - - - √
110 Aditya Putra Koem 9th Ds. Satria - - - - - √
111 Agus Supriyanto Koem 15th Ds. Satria - - - - - √
112 Julia Manhia 20th Ds. Satria - - - - - √
113 Aisya manhia 12th Ds. Satria - - - - - √
114 Nadia Sekar wangi 7th Ds. Satria - - - - - √
115 Zenab Kumai 41th Ds. Satria - - - - - √
116 Astin Manhia 31th Ds. Satria - - - - - √
117 Samsudin Lamusu 32th Ds. Satria - - - - - √
118 Marcela Manhia 12th Ds. Satria - - - - - √
119 Maryam Tomayahu 44th Ds. Satria - - - - - √
120 Irmawati Daud 15th Ds. Satria - - - - - √
121 Rajak Kanon 41th Ds. Satria - - - - - √
122 Serlin Saleh 47th Ds. Satria - - - - - √
123 Zenab Hasim 41th Ds. Satria - - - - - √
124 Ismail Daud 46th Ds. Satria - - - - - √
125 Antu Dai 63th Ds. Satria - - - - - √
126 Sartin Yusup 34th Ds. Talumopatu - - - - - √
127 Nesya Nur Toyiba 9th Ds. Talumopatu - - - - √
128 Yunus Toyiba 39th Ds. Talumopatu √ - - - -
129 Salma Laya 50th Ds. Paris - - - - - √
130 Hajira Hasan 16th Ds. Karyamukti - - - - - √
131 Sarini Abudi 12th Ds. Sidomukti - - - - - √
132 Raina S. Anju 24th Ds. Sukamaju - - - - - √
133 Rabia Iriani 19th Ds. Huyula - - - - - √
134 Amir A. Yahidin 44th Ds. Paris - - - - - √
135 Raman Yusuf 30th Ds. Sukamaju - - - - √
136 Hamsa Pobi 17th Ds. Sidomukti - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
137 Rimawati D 30th Ds. Paris - - - - - √
138 Suwarni mohamad 61th Ds. Paris - - - - - √
139 Ismail Tahir 7th Ds. Payu - - - - - √
140 Ridwan Lawuo 46th Ds. Helumo - - - - - √
141 Tahera Tutuna 40th Ds. Helumo - - - - - √
142 Hapsa Adude 25th Ds. Sidomukti - - - - - √
143 Lena Yasin 34th Ds. Helumo - - - - - √
144 Sandri Abdulah 7th Ds. Sidomukti - - - - - √
145 Minarti Antu 35th Ds. Sidomukti - - - - - √
146 Sarini Zakaria 40th Ds. Paris - - - - - √
147 Merlin Mahmud 20th Ds. Paris - - - - - √
148 Yasrin Ibrahim 21th Ds. Huyula - - - - - √
149 Arsad Ibrahim 50th Ds. Huyula - - - - - √
150 Maryam Hasan 16th Ds. Huyula - - - - - √
151 Suriyati Katanuju 48th Ds. Bandung Rejo - - - - - √
152 Karlin Gani 40th Ds. Puncak - - - - - √
Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001

BULAN : JULI
TAHUN : 2015
HASIL
UMUR
NO TGL PEMERIKSAAN NAMA ALAMAT KODE SLIDE
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Masni Toyiba 35th Ds. Talumopatu - - - - - √
2 Fajar Monto 4th Ds. Talumopatu - - - - - √
3 Mei Manhia 22th Ds. Talumopatu - - - - - √
4 Maryam Adam 50th Ds. Talumopatu - - - - - √
5 Siti Habiba Toyiba 2th Ds. Talumopatu - - - - - √
6 Herlinda Amuntu 23th Ds. Talumopatu - - - - - √
7 Asna Ibrahim 23th Ds. Talumopatu - - - - - √
8 Ibrahim Yusli Toyiba 6th Ds. Talumopatu - - - - - √
9 Min Jingo 29th Ds. Talumopatu - - - - - √
10 Hadija Toyiba 33th Ds. Talumopatu - - - - - √
11 Asna Sayedi 42th Ds. Talumopatu - - - - - √
12 Iyam Akuba 43th Ds. Talumopatu - - - - - √
13 Kepriani Ismail 29th Ds. Talumopatu - - - - - √
14 Misran Mahajani 30th Ds. Talumopatu - - - - - √
15 Yusrin Laiya 8th Ds. Talumopatu - - - - - √
16 Halid Abdulah 7th Ds. Talumopatu - - - - - √
17 Anisa Mahajani 2,9th Ds. Talumopatu - - - - - √
18 Saprin laiya 3th Ds. Talumopatu - - - - - √
19 Yeni B. Asi 30th Ds. Talumopatu - - - - - √
20 Salma Fadila Mujano 6th Ds. Talumopatu - - - - - √
21 Fais Hasan 4th Ds. Talumopatu - - - - - √
22 Wiranto Ahmad 8th Ds. Talumopatu - - - - - √
23 Mince Sayedi 52th Ds. Talumopatu - - - - - √
24 Sri Yolanda Saleh 10th Ds. Talumopatu - - - - - √
25 Aprilia Hasan 2th Ds. Talumopatu - - - - - √
26 Sri Susanti 9th Ds. Talumopatu - - - - - √
27 Farida Dalanggo 50th Ds. Talumopatu - - - - - √
28 Abd. Kadir Abay 8th Ds. Talumopatu - - - - - √
29 Halipa Toyiba 37th Ds. Talumopatu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
30 Amir Mohamad 38th Ds. Talumopatu - - - - - √
31 Risni Latif 46th Ds. Satria - - - - - √
32 Musa Kasim 32th Boalemo - - - - - √
33 Rinto Ambela 25th Puncak - - - - - √
34 Murni Nento 44th Ds. Paris - - - - - √
35 Fitria Feni 23th Ds. Satria - - - - - √
36 Hapsa Maja 37th Ds. Paris - - - - - √
37 Risman Lunggo 26th Ds. Helumo - - - - - √
38 Ahmad Djunaidi 54th Puncak - - - - - √
39 Ahmad Suronoto 50th Ds. Paris - - - - - √
40 Muriyati 37th Puncak - - - - - √
41 Karsum Nusi 54th Ds. Paris - - - - - √
42 Jari Zakaria 38th Ds. Payu - - - - - √
43 Asna Bouti 26th Ds. Payu - - - - - √
44 Hadija Hasan 41th Ds. Satria - - - - - √
45 Wirda Talib 40th Ds. Sidomukti - - - - - √
46 Mohamad Habib 15th Ds. Satria - - - - - √
47 Moh. Yayan Potale 18th Ds. satria - - - - - √
48 Rusdin Abdulah 55th Ds. Helumo - - - - - √
49 Yahya Kasim 52th Ds. Payu - - - - - √
50 Lena yasin 28th Ds. Paris - - - - - √
51 Ferdi Musa 18th Ds. Helumo - - - - - √
52 Sopyan Husain 25th Ds. Payu - - - - - √
53 Yanto Yahidin 42th Ds. Huyula - - - - - √
54 Yance Nusi 40th Ds. Sidomukti - - - - - √
55 Rosna Mootalu 50th Ds. Payu - - - - - √
56 Salma Sadju 47th Ds. Paris - - - - - √
57 Lilis Sube 53th Ds. Sidomukti - - - - - √
58 Sati Ismail 38th Ds. Huyula - - - - - √
59 Maryam R 40th Ds. Satria - - - - - √
60 Fitriyanti Rasid 22th Ds. Satria - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
61 Mohamad Rijaldi 11th Ds. Helumo - - - - - √
62 Yunus Dalanggo 62th Ds. Paris - - - - - √
63 Faisal Ma'ruf 12th Ds. Helumo - - - - - √
64 Ratna Hinio 39th Ds. Sidomukti - - - - - √
65 Sasmita 12th Ds. Paris - - - - - √
Mengetahui

NIP. 19730217 199303 1 006 NIP. 19820212 201101 2 001
p

BULAN : AGUSTUS
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Dedi Ismail 9th Ds. Talumopatu - - - - - √
2 Mohamad Husain 8th Ds. Talumopatu - - - - - √
3 Ismail Husin 9th Ds. Talumopatu - - - - - √
4 Moh. Faldi Yasin 8th Ds. Talumopatu - - - - - √
5 Saida Rahim 8th Ds. Talumopatu - - - - - √
6 Yolin Hasim 8th Ds. Talumopatu - - - - - √
7 Karsum Rahim 8th Ds. Talumopatu - - - - - √
8 Fatra Unti 8th Ds. Talumopatu - - - - - √
9 Sri Tuti Latif 8th Ds. Talumopatu - - - - - √
10 Sarif U. Lamalani 8th Ds. Talumopatu - - - - - √
11 Alfin Masalubu 9th Ds. Talumopatu - - - - - √
12 Ahmad Ismail 8th Ds. Talumopatu - - - - - √
13 Erik Mishil 9th Ds. Talumopatu - - - - - √
14 Sri Laila Mustafa 9th Ds. Talumopatu - - - - - √
15 Sintia Jingo 8th Ds. Talumopatu - - - - - √
16 Hawa Dai 10th Ds. Talumopatu - - - - - √
17 Desi Ismail 9th Ds. Talumopatu - - - - - √
18 Anggraini Husin 8th Ds. Talumopatu - - - - - √
19 Fitri Rahim 8th Ds. Talumopatu - - - - - √
20 Karsum Rahim 10th Ds. Talumopatu - - - - - √
21 Tasya Bobihu 7th Ds. Talumopatu - - - - - √
22 Raflin Husain 11th Ds. Talumopatu - - - - - √
23 Mohamad Adam 9th Ds. Talumopatu - - - - - √
24 Frangki Jamaa 12th Ds. Talumopatu - - - - - √
25 Apriyanto Daud 11th Ds. Sidomukti - - - - - √
26 Erens Dai 12th Ds. Sidomukti - - - - - √
27 Farlan Ibrahim 12th Ds. Sidomukti - - - - - √
28 Rendi Saputra 12th Ds. Sidomukti - - - - - √
29 Rido wira Yuda 10th Ds. Sidomukti - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
30 Asnawati Maunte 12th Ds. Sidomukti - - - - - √
31 Revadila S. Alim 11th Ds. Sidomukti - - - - - √
32 Sriwati Kaharu 12th Ds. Sidomukti - - - - - √
33 Imkia Usadah 9th Ds. Sidomukti - - - - - √
34 Evi Erawati 9th Ds. Sidomukti - - - - - √
35 Sri Natasya Tangio 10th Ds. Sidomukti - - - - - √
36 Rahmiyati Kaharu 9th Ds. Sidomukti - - - - - √
37 Riski Henuli 10th Ds. Satria - - - - - √
38 Yusni Mahajani 13th Ds. Satria - - - - - √
39 Abd. Ziad Yahidin 12th Ds. Satria - - - - - √
40 Afit Rahim 10th Ds. Karyamukti - - - - - √
41 Agus A. Dua 10th Ds. Karyamukti - - - - - √
42 Alwin Musa 13th Ds. Karyamukti - - - - - √
43 Adriyansah Nur 10th Ds. Karyamukti - - - - - √
44 Irpan Nunge 11th Ds. Karyamukti - - - - - √
45 Kepin Buloto 11th Ds. Karyamukti - - - - - √
46 Mufit A. Paulu 11th Ds. Karyamukti - - - - - √
47 Ismail Abdulah 13th Ds. Karyamukti - - - - - √
48 Jafar Amuntu 11th Ds. Karyamukti - - - - - √
49 Rahmat Lahabu 11th Ds. Karyamukti - - - - - √
50 Rifki Botulo 11th Ds. Karyamukti - - - - - √
51 Riyan kahali 12th Ds. Karyamukti - - - - - √
52 Yunan Aswin 11th Ds. Karyamukti - - - - - √
53 Bayu K Malahika 11th Ds. Karyamukti - - - - - √
54 Nobelito Soput 11th Ds. Karyamukti - - - - - √
55 Amelia Tabulinggi 13th Ds. Karyamukti - - - - - √
56 Fatma Adam 13th Ds. Karyamukti - - - - - √
57 Fatma Ismail 11th Ds. Karyamukti - - - - - √
58 Fadilawati kalay 10th Ds. Karyamukti - - - - - √
59 Fitriyani Hanafi 12th Ds. Karyamukti - - - - - √
60 Hadija Abdulah 15th Ds. Karyamukti - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
61 Hapsa Daulima 11th Ds. Karyamukti - - - - - √
62 Jamila Pansu 12th Ds. Karyamukti - - - - - √
63 Karsum Pakaya 12th Ds. Karyamukti - - - - - √
64 Maryam Manhia 11th Ds. Karyamukti - - - - - √
65 Nurain Hatu 12th Ds. Karyamukti - - - - - √
66 Nuraisyah Pansu 10th Ds. Karyamukti - - - - - √
67 Nurnaningsi Matakiu 12th Ds. Karyamukti - - - - - √
68 Novalianda Samadi 15th Ds. Karyamukti - - - - - √
69 Sunarti Adam 11th Ds. Karyamukti - - - - - √
70 Sulastri Lahay 11th Ds. Karyamukti - - - - - √
71 Sriyanti kahali 11th Ds. Karyamukti - - - - - √
72 Titandrawati Muhsin 11th Ds. Karyamukti - - - - - √
73 Uldawati Kahali 11th Ds. Karyamukti - - - - - √
74 Sri Wahyuni Adam 11th Ds. Karyamukti - - - - - √
75 Abd. Jefri Daud 11th Ds. Karyamukti - - - - - √
76 Abd. Rahman Daud 11th Ds. Karyamukti - - - - - √
77 Fadli Manhia 11th Ds. Karyamukti - - - - - √
78 Ishak Malik 10th Ds. Karyamukti - - - - - √
79 Ismail Hatu 12th Ds. Karyamukti - - - - - √
80 Ismail Modjo 10th Ds. Karyamukti - - - - - √
81 Rahman Baruadi 14th Ds. Karyamukti - - - - - √
82 Julfikriyanto Adam 10th Ds. Karyamukti - - - - - √
83 Fitriyanti Ahmad 10th Ds. Karyamukti - - - - - √
84 Hapsa Pengo 12th Ds. Karyamukti - - - - - √
85 Isdawati Wolinelo 10th Ds. Karyamukti - - - - - √
86 Iwin Majilawo 12th Ds. Karyamukti - - - - - √
87 Jesika Abdulah 10th Ds. Karyamukti - - - - - √
88 Juliyanti Pongoliu 10th Ds. Karyamukti - - - - - √
89 Juwita Pongoliu 10th Ds. Karyamukti - - - - - √
90 Nurdian Saleh 10th Ds. Karyamukti - - - - - √
91 Nurhuda Rauf 10th Ds. Karyamukti - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
92 Nurmala Pansu 10th Ds. Karyamukti - - - - - √
93 Nurmiyati Tahir 10th Ds. Karyamukti - - - - - √
94 Rahma Latuda 10th Ds. Karyamukti - - - - - √
95 Rika Ajiji 10th Ds. Karyamukti - - - - - √
96 Tantri Nusi 11th Ds. Karyamukti - - - - - √
97 Zein Daud 10th Ds. Karyamukti - - - - - √
98 Abd. Rahman Dama 11th Ds. Paris - - - - - √
99 Abd. Rahim Hipy 10th Ds. Paris - - - - - √
100 Abd. Zakir Latif 11th Ds. Paris - - - - - √
101 Adam Djaati 12th Ds. Paris - - - - - √
102 Reyhan Azril Liputo 11th Ds. Paris - - - - - √
103 Suleman Hiu 10th Ds. Paris - - - - - √
104 Usman Mustapa 11th Ds. Paris - - - - - √
105 Sufrin Y, Nani 10th Ds. Paris - - - - - √
106 Ilham R. Ilolu 11th Ds. Paris - - - - - √
107 Amir Botutihe 11th Ds. Paris - - - - - √
108 Salma Husain 10th Ds. Paris - - - - - √
109 Anggraini Kiyai 11th Ds. Paris - - - - - √
110 Apriliyani Maliki 11th Ds. Paris - - - - - √
111 Cindra Napu 10th Ds. Paris - - - - - √
112 Dwi Misa Haka 12th Ds. Paris - - - - - √
113 Dea Mbiu 11th Ds. Paris - - - - - √
114 Fadilah Pakaya 10th Ds. Paris - - - - - √
115 Friska Sione 11th Ds. Paris - - - - - √
116 Indriyanti Panju 11th Ds. Paris - - - - - √
117 Maryam Ladju 13th Ds. Paris - - - - - √
118 Maryam Yusuf 11th Ds. Paris - - - - - √
119 Abd. Ishak Yusuf 13th Ds. Paris - - - - - √
Kepala Puskesmas Mootilango
WILYAN A. POMALO, SKM

NIP. 19730217 199303 1 006
BULAN : SEPTEMBER
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Adam Laiya 10th Ds. Pilomonu - - - - - √
2 Aristio Idris 12th Ds. Pilomonu - - - - - √
3 Engki Bano 12th Ds. Pilomonu - - - - - √
4 Merlin Saleh 10th Ds. Pilomonu - - - - - √
5 Winda Lasena 9th Ds. Pilomonu - - - - - √
6 Yepin Yenteo 11th Ds. Pilomonu - - - - - √
7 Yulinda Palilati 9th Ds. Pilomonu - - - - - √
8 Parmin Puluhulawa 13th Ds. Pilomonu - - - - - √
9 Aldiyanto Lamusu 11th Ds. Pilomonu - - - - - √
10 Abd. Rahman Polapa 10th Ds. Pilomonu - - - - - √
11 Suleman Lumintang 11th Ds. Pilomonu - - - - - √
12 Wahyudiyanto Hulao 10th Ds. Pilomonu - - - - - √
13 Rabia Umar 10th Ds. Pilomonu - - - - - √
14 Nurhalija Matiti 11th Ds. Pilomonu √ - - - -
15 Abd. Rahman Irfan 12th Ds. Pilomonu √ - - - -
16 Iswan Usman 12th Ds. Pilomonu - - - - - √
17 Zulkarnain Mopili 11th Ds. Pilomonu - - - - - √
18 Cindrawati Yatu 13th Ds. Pilomonu - - - - - √
19 Fatma Yenteo 13th Ds. Pilomonu - - - - - √
20 Fatmawati Djibu 12th Ds. Pilomonu - - - - - √
21 Sintiya A. Yusuf 13th Ds. Pilomonu √ - - - -
22 Cindriyani Mahmud 11th Ds. Pilomonu - - - - - √
23 Angki Haka 11th Ds. Pilomonu - - - - - √
24 Aldi Julaini 11th Ds. Pilomonu - - - - - √
25 Harmain Hadikum 11th Ds. Pilomonu - - - - - √
26 Idris Datau 11th Ds. Pilomonu - - - - - √
27 Moh. Azka Hafid 10th Ds. Pilomonu - - - - - √
28 Moh. Diki Tamutu 11th Ds. Pilomonu - - - - - √
29 Moh. Fahril Piyo 10th Ds. Pilomonu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
30 Moh. Rafli Sunai 10th Ds. Pilomonu - - - - - √
31 Moh. Riski Ismail 12th Ds. Pilomonu - - - - - √
32 Rahmat Maharuju 12th Ds. Pilomonu - - - - - √
33 Riskiyanto Palilati 10th Ds. Pilomonu - - - - - √
34 Sahrul A. Mohune 11th Ds. Pilomonu - - - - - √
35 Adelia Putri Baili 13th Ds. Pilomonu - - - - - √
36 Amelia Abjul 10th Ds. Pilomonu - - - - - √
37 Chairun P. Lumbato 10th Ds. Pilomonu - - - - - √
38 Indriyati Ismail 11th Ds. Pilomonu - - - - - √
39 Jesika Adam 11th Ds. Pilomonu - - - - - √
40 Maryam Kai 11th Ds. Pilomonu - - - - - √
41 Medika I. Koni 11th Ds. Pilomonu - - - - - √
42 Nadia Suleman 11th Ds. Pilomonu - - - - - √
43 Nurain Dunggio 11th Ds. Pilomonu - - - - - √
44 Sinta Hamid 12th Ds. Pilomonu - - - - - √
45 Sintiawati Kau 10th Ds. Pilomonu - - - - - √
46 Adnan Abd. Rahman 12th Ds. Pilomonu - - - - - √
47 Aditiar Dumbela 12th Ds. Pilomonu - - - - - √
48 Alpian Pansu 12th Ds. Pilomonu - - - - - √
49 Ardin Menu 13th Ds. Pilomonu - - - - - √
50 Bayu Adiwiyono 12th Ds. Pilomonu - - - - - √
51 Febriyanto Ahmad 13th Ds. Pilomonu - - - - - √
52 Irfan Ahmad 15th Ds. Pilomonu - - - - - √
53 Moh. Hefsi S. Ina 11th Ds. Pilomonu - - - - - √
54 Moh. Kefin saleh 12th Ds. Pilomonu - - - - - √
55 Moh. Rizaldi Taabi 11th Ds. Pilomonu - - - - - √
56 Rahmad Tangahu 13th Ds. Pilomonu - - - - - √
57 Sapril Lapangi 11th Ds. Pilomonu - - - - - √
58 Alya N. Tooli 11th Ds. Pilomonu - - - - - √
59 Fadliyawati Kau 12th Ds. Pilomonu - - - - - √
60 Hadija Husain 12th Ds. Pilomonu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
61 Heldina Tomayahu 12th Ds. Pilomonu - - - - - √
62 Maryam Bilale 13th Ds. Pilomonu - - - - - √
63 Rosalinda Matiti 11th Ds. Pilomonu - - - - - √
64 Siti Hardiyanti Suleman 13th Ds. Pilomonu - - - - - √
65 Susan Adam 12th Ds. Pilomonu - - - - - √
66 Antika Abuniyo 13th Ds. Pilomonu - - - - - √
67 Gio Poloalo 9th Ds. Pilomonu - - - - - √
68 Lion H. Musa 11th Ds. Pilomonu - - - - - √
69 Moh. Raflin Harun 10th Ds. Pilomonu - - - - - √
70 Ismail Daud 12th Ds. Pilomonu - - - - - √
71 Usman Hamsa 11th Ds. Pilomonu - - - - - √
72 Maryam Samaun 9th Ds. Pilomonu - - - - - √
73 Novita Diyou 11th Ds. Pilomonu - - - - - √
74 Nurmila Husain 9th Ds. Pilomonu - - - - - √
75 Siti Adityaningsi Galema 10th Ds. Pilomonu - - - - - √
76 Alfin Yahya Alim 12th Ds. Pilomonu - - - - - √
77 Elma Tiara Anwar 11th Ds. Pilomonu - - - - - √
78 Fatma Ayuba 11th Ds. Pilomonu - - - - - √
79 Fitriyani Tinelo 12th Ds. Pilomonu - - - - - √
80 Mutmaina A. Said 11th Ds. Pilomonu - - - - - √
81 Sartin R. Insan 12th Ds. Pilomonu - - - - - √
82 Susanti Monggalo 11th Ds. Pilomonu - - - - - √
83 Sri Anisa Huruji 11th Ds. Pilomonu - - - - - √
84 Arjun Adun 12th Ds. Pilomonu - - - - - √
85 Ali Otoluwa 13th Ds. Pilomonu - - - - - √
86 Gias Potihedu 14th Ds. Pilomonu - - - - - √
87 Irpan Husain 14th Ds. Pilomonu - - - - - √
88 Rifaldi Ajiiji 12th Ds. Pilomonu - - - - - √
89 Rendi S. Ali 11th Ds. Pilomonu - - - - - √
90 Yurian Bano 12th Ds. Pilomonu - - - - - √
91 Halid Berbek 10th Ds. Pilomonu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
92 Ismail Datau 11th Ds. Pilomonu - - - - - √
93 Ajis Rauf 10th Ds. Pilomonu - - - - - √
94 Gias Muharam 11th Ds. Pilomonu - - - - - √
95 Hendrik Husain 12th Ds. Pilomonu - - - - - √
96 Yolanda Berbek 10th Ds. Pilomonu - - - - - √
97 Serlin Hasan 10th Ds. Pilomonu - - - - - √
98 Karlina Berbek 10th Ds. Pilomonu - - - - - √
99 Indri Tuna 10th Ds. Pilomonu - - - - - √
100 Wirnawati Rauf 10th Ds. Pilomonu - - - - - √
101 Uyan Abdjul 10th Ds. Pilomonu - - - - - √
102 Alma Ismail 11th Ds. Pilomonu - - - - - √
103 Hasna Harun 10th Ds. Pilomonu - - - - - √
104 Wisnawati Naki 37th Ds. Pilomonu - - - - - √
105 Sayedi Paise 50th Ds. Pilomonu - - - - - √
106 Deis U. Jaini 31th Ds. Pilomonu - - - - - √
107 Muhidin Wahiji 46th Ds. Pilomonu - - - - - √
108 Sudarmin 29th Ds. Pilomonu - - - - - √
109 Lian Mukmin 38th Ds. Pilomonu - - - - - √
110 Ramlah 24th Ds. Pilomonu - - - - - √
111 Erfina 26th Ds. Pilomonu - - - - - √
112 Almawati Lamusu 35th Ds. Pilomonu - - - - - √
113 Abdul Kadir Kasim 13th Ds. Payu - - - - - √
114 Aldion M. Abas 10th Ds. Payu - - - - - √
115 Andika Rumawir 10th Ds. Payu - - - - - √
116 Apriyanto Datau 10th Ds. Payu - - - - - √
117 Ariyandi Ibrahim 10th Ds. Payu - - - - - √
118 Fian Abdulah 12th Ds. Payu - - - - - √
119 Iskar Matolodula 12th Ds. Payu - - - - - √
120 Ismail Rahman 11th Ds. Payu - - - - - √
121 Maman Abas 11th Ds. Payu - - - - - √
122 Minata Alfadli 13th Ds. Payu - - - - - √
123 Moh. Patuti 13th Ds. Payu - - - - - √
124 Risal Tahir 10th Ds. Payu - - - - - √
125 Rizal Sulango 13th Ds. Payu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
126 Rizal Nabu 13th Ds. Payu - - - - - √
127 Riski Husain 13th Ds. Payu - - - - - √
128 Riskiyanto Panani 11th Ds. Payu - - - - - √
129 Sugiyarto Slamet 13th Ds. Payu - - - - - √
130 Wahyu Ismail 12th Ds. Payu - - - - - √
131 Yusuf Bakari 12th Ds. Payu - - - - - √
132 Aisya Ismail 12th Ds. Payu - - - - - √
133 Atika Suleman 12th Ds. Payu - - - - - √
134 Ayu Ismail 12th Ds. Payu - - - - - √
135 Olan Matolodula 12th Ds. Payu - - - - - √
136 Dinda Ayu Nurkamiden 11th Ds. Payu - - - - - √
137 Erni Misilu 11th Ds. Payu - - - - - √
138 Fatma Ibrahim 12th Ds. Payu - - - - - √
139 Rilis Adam 12th Ds. Payu - - - - - √
140 Sri Ayu Djafar 10th Ds. Payu - - - - - √
141 Yasmiyati Slamet 11th Ds. Payu - - - - - √
142 Adriyanto Ali 11th Ds. Payu - - - - - √
143 Asriyansyah P. Pakulu 11th Ds. Payu - - - - - √
144 Didin Kauna 12th Ds. Payu - - - - - √
145 Finarki S. Nabu 12th Ds. Payu - - - - - √
146 Ismail Ali 12th Ds. Payu - - - - - √
147 Juliansar Halid 12th Ds. Payu - - - - - √
148 Pandri Sa'ban 11th Ds. Payu - - - - - √
149 Rahmad Djafar 12th Ds. Payu - - - - - √
150 Rifat Badu 11th Ds. Payu - - - - - √
151 Roliyanto Rajak 11th Ds. Payu - - - - - √
152 Thomas S. Suleman 11th Ds. Payu - - - - - √
153 Ainun R. Hasan 12th Ds. Payu - - - - - √
154 Ferawati Umar 12th Ds. Payu - - - - - √
155 Fitria Meilan Umar 12th Ds. Payu - - - - - √
156 Isti Ali 12th Ds. Payu - - - - - √
157 Julistri D. Anjili 12th Ds. Payu - - - - - √
158 Kartin Tooli 12th Ds. Payu - - - - - √
159 Nolvawati Umar 11th Ds. Payu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
160 Nurfadila Laudje 11th Ds. Payu - - - - - √
161 Nurfadila Nabu 11th Ds. Payu - - - - - √
162 Riyanti Hulopi 12th Ds. Payu - - - - - √
163 Riyanti Sa'ban 11th Ds. Payu - - - - - √
164 Sintiya S. Ahaya 12th Ds. Payu - - - - - √
165 Sri Delfiyanti Yusuf 12th Ds. Payu - - - - - √
166 Sri Meilanda Dayi 12th Ds. Payu - - - - - √
167 Windrawati Rahman 12th Ds. Payu - - - - - √
168 Arlan Dinggile 12th Ds. Payu - - - - - √
169 Alim Kupepe 10th Ds. Payu - - - - - √
170 Yendris Ibrahim 12th Ds. Payu - - - - - √
171 Yasir Djuma 12th Ds. Payu - - - - - √
172 Susanto Ismail 12th Ds. Payu - - - - - √
173 Alwin A. Poloalo 14th Ds. Payu - - - - - √
174 Iyam Lihu 12th Ds. Payu - - - - - √
175 Lolan Bano 11th Ds. Payu - - - - - √
176 Sri Gustina Asama 12th Ds. Payu - - - - - √
177 Tahrun Ibrahim 11th Ds. Payu - - - - - √
178 Indra A. Paida 11th Ds. Payu - - - - - √
179 Ismail R. Djuma 10th Ds. Payu - - - - - √
180 Windi D. Djafar 11th Ds. Payu - - - - - √
181 Cindi N. Sapa 11th Ds. Payu - - - - - √
182 Ferlis Ibrahim 8th Ds. Payu - - - - - √
183 Guslan Pateda 9th Ds. Payu - - - - - √
184 Haikal Mohamad 9th Ds. Payu - - - - - √
185 Rolan Aliwu 10th Ds. Payu - - - - - √
186 Fatma Hubu 10th Ds. Payu - - - - - √
187 Fatma Ibrahim 10th Ds. Payu - - - - - √
188 Hawa Rahma Harun 9th Ds. Payu - - - - - √
189 Nurain Noho 8th Ds. Payu - - - - - √
190 Fitri Djuma 9th Ds. Payu - - - - - √
191 Sri Alya Mohamad 9th Ds. Payu - - - - - √
192 Suwardi Aswar Karim 50th Ds. Payu - - - - - √
193 Medi Daud Piyo 49th Ds. Payu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
194 Wiwin Idris 25th Ds. Payu - - - - - √
195 Alexander Muhu 26th Ds. Payu - - - - - √
196 Misiyati Sayiti 47th Ds. Payu - - - - - √
197 Abdul R. Mohamad 9th Ds. Sukamaju - - - - - √
198 Ahmad Mile 9th Ds. Sukamaju - - - - - √
199 Hendri Nento 10th Ds. Sukamaju - - - - - √
200 Faisal Ahmad 9th Ds. Sukamaju - - - - - √
201 Ayu Ismail 10th Ds. Sukamaju - - - - - √
202 Ayu Monoarfa 10th Ds. Sukamaju - - - - - √
203 Fatma Abas 10th Ds. Sukamaju - - - - - √
204 Salma Noho 11th Ds. Sukamaju - - - - - √
205 Ali Ismail 10th Ds. Sukamaju - - - - - √
206 Amir Aliu 11th Ds. Sukamaju - - - - - √
207 Ismail Mohune 12th Ds. Sukamaju - - - - - √
208 Abd. Hamid Ibrahim 12th Ds. Sukamaju - - - - - √
209 Sartika Husnan 12th Ds. Sukamaju - - - - - √
210 Ririn Kadir 11th Ds. Sukamaju - - - - - √
211 Indriyani Hinta 11th Ds. Sukamaju - - - - - √
212 Irman Kadjim 11th Ds. Sukamaju - - - - - √
213 Nur Sarintan Ismail 10th Ds. Sukamaju - - - - - √
214 Juwitan Pilomonu 10th Ds. Sukamaju - - - - - √
215 Regina Daud 10th Ds. Sukamaju - - - - - √
216 Hadija Kasim 11th Ds. Sukamaju - - - - - √
217 Dahlan Pilomonu 12th Ds. Sukamaju - - - - - √
218 Faldi Monoarfa 12th Ds. Sukamaju - - - - - √
219 Jamaludin Musa 11th Ds. Sukamaju - - - - - √
220 Mardianto Daud 12th Ds. Sukamaju - - - - - √
221 Rais Imbran 12th Ds. Sukamaju - - - - - √
222 Yusrin Hinta 12th Ds. Sukamaju - - - - - √
223 Aspariani Nento 12th Ds. Sukamaju - - - - - √
224 Betaria Mile 12th Ds. Sukamaju - - - - - √
225 Cica Y. Masi 12th Ds. Sukamaju - - - - - √
226 Irmawati Usman 12th Ds. Sukamaju - - - - - √
227 Istan Muka 11th Ds. Sukamaju - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
228 Juwitan Santu 12th Ds. Sukamaju - - - - - √
229 Nurjana Mahajani 11th Ds. Sukamaju - - - - - √
230 Nurlaila Usman 12th Ds. Sukamaju - - - - - √
231 Rusni Ahmad 11th Ds. Sukamaju - - - - - √
232 Serlina Lahay 11th Ds. Sukamaju - - - - - √
233 Alpian Hasan 11th Ds. Helumo - - - - - √
234 Alpian Wahab 11th Ds. Helumo - - - - - √
235 Angki I. Dula 11th Ds. Helumo - - - - - √
236 Febriyanto Husain 11th Ds. Helumo - - - - - √
237 Haikal Mile 13th Ds. Helumo - - - - - √
238 Iswanto Taha 11th Ds. Helumo - - - - - √
239 Moh. Firdaus 11th Ds. Helumo - - - - - √
240 Saripudin Mootalu 11th Ds. Helumo - - - - - √
241 Walsandi Basalama 10th Ds. Helumo - - - - - √
242 Rivaldo Saripudin 11th Ds. Helumo - - - - - √
243 Anggi Lawuo 10th Ds. Helumo - - - - - √
244 Asni Diu 11th Ds. Helumo - - - - - √
245 Febrian Lihawa 10th Ds. Helumo - - - - - √
246 Merlin Sipago 12th Ds. Helumo - - - - - √
247 Nandri Jabali 10th Ds. Helumo - - - - - √
248 Nirma Mangga 12th Ds. Helumo - - - - - √
249 Selviana Umar 10th Ds. Helumo - - - - - √
250 Tantri Mohamad 10th Ds. Helumo - - - - - √
251 Yulianda Husain 11th Ds. Helumo - - - - - √
252 Mirlan Ibrahim 11th Ds. Helumo - - - - - √
253 Aan Kahali 12th Ds. Helumo - - - - - √
254 Apris Tilola 12th Ds. Helumo - - - - - √
255 Awaludin Ahmad 12th Ds. Helumo - - - - - √
256 Fikran Dalanggo 12th Ds. Helumo - - - - - √
257 Ilyas Habi 13th Ds. Helumo - - - - - √
258 Ismail Husain 12th Ds. Helumo - - - - - √
259 Nurdin Hedimo 12th Ds. Helumo - - - - - √
260 Sukri Moh Riski 11th Ds. Helumo - - - - - √
261 Zakaria Arsad 12th Ds. Helumo - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
262 Zendi Zulkarnain 11th Ds. Helumo - - - - - √
263 Zubair Dalanggo 12th Ds. Helumo - - - - - √
264 Nanda Yusuf 12th Ds. Helumo - - - - - √
265 Cindri Dalanggo 11th Ds. Helumo - - - - - √
266 Faizah Trisnawati 12th Ds. Helumo - - - - - √
267 Febriyanti Dalanggo 12th Ds. Helumo - - - - - √
268 Firawati Layingo 13th Ds. Helumo - - - - - √
269 Vera Ibrahim 11th Ds. Helumo - - - - - √
270 Jeni Lasimpala 12th Ds. Helumo - - - - - √
271 Lisa Lihawa 12th Ds. Helumo - - - - - √
272 Nur Fitriani S. Mile 13th Ds. Helumo - - - - - √
273 Riski Matolodula 12th Ds. Helumo - - - - - √
274 Sri Dewi Sarino 12th Ds. Helumo - - - - - √
275 Sri Nova Ibrahim 11th Ds. Helumo - - - - - √
276 Sri Yuliyanti Djafar 12th Ds. Helumo - - - - - √
277 Susanti Djibu 11th Ds. Helumo - - - - - √
278 Nur Fidya Kaluku 11th Ds. Helumo - - - - - √
279 Siskawati Mohamad 25th Ds. Huyula - - - - - √
280 Mohamad Fadel 11th Ds. Huyula - - - - - √
281 Mohamad Sahrul 11th Ds. Huyula - - - - - √
282 Sahril Rahim 10th Ds. Huyula - - - - - √
283 Yusup Mohamad 11th Ds. Huyula - - - - - √
284 Fitri 11th Ds. Huyula - - - - - √
285 Hadija Usman 11th Ds. Huyula - - - - - √
286 Magfira Kanon 10th Ds. Huyula - - - - - √
287 Nurain Mustafa 11th Ds. Huyula - - - - - √
288 Uyan Talib 12th Ds. Huyula - - - - - √
289 Mohamad Efendi !2th Ds. Huyula - - - - - √
290 Agim Usman 11th Ds. Huyula - - - - - √
291 Ismail Hasan 11th Ds. Huyula - - - - - √
292 Jufri Hasan 11th Ds. Huyula - - - - - √
293 Fitran Jabali 11th Ds. Huyula - - - - - √
294 Raden Saleh 12th Ds. Huyula - - - - - √
295 Tirta Mahmud 12th Ds. Huyula - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
296 Ainun Saleh 12th Ds. Huyula - - - - - √
297 Anisa Djuu 11th Ds. Huyula - - - - - √
298 Indri Dai 12th Ds. Huyula - - - - - √
299 Rosalinda 11th Ds. Huyula - - - - - √
300 Sri Rahayu 12th Ds. Huyula - - - - - √
301 Tantri Karim 12th Ds. Huyula - - - - - √
302 Yuliyanti Umar 11th Ds. Huyula - - - - - √
303 Alim Abd. Kadir 11th Ds. Huyula - - - - - √
304 Alin Hamid 11th Ds. Huyula - - - - - √
305 Nursandi 10th Ds. Huyula - - - - - √
306 Adelia 10th Ds. Huyula - - - - - √
307 Elan Tahali 10th Ds. Huyula - - - - - √
308 Herlina Unti 10th Ds. Huyula - - - - - √
309 Nadia 10th Ds. Huyula - - - - - √
310 Nandayani 8th Ds. Huyula - - - - - √
311 Siti Nur 10th Ds. Huyula - - - - - √
312 Siti Nur Halifa 9th Ds. Huyula - - - - - √
313 Abdul Rahim 8th Ds. Huyula - - - - - √
314 Ahmad Adam 9th Ds. Huyula - - - - - √
315 Fajar Mahmud 8th Ds. Huyula - - - - - √
316 Fahrul 8th Ds. Huyula - - - - - √
317 Yayan Ibrahim 9th Ds. Huyula - - - - - √
318 Defyan 9th Ds. Huyula - - - - - √
319 Maryam Puhi 9th Ds. Huyula - - - - - √
320 Sri Amina 9th Ds. Huyula - - - - - √
321 Sri Rahayu 8th Ds. Huyula - - - - - √
322 Susanti Tahiji 8th Ds. Huyula - - - - - √
323 Zulkifli Nonoi 10th Ds. Huyula - - - - - √
324 Hajira Rauf 22th Ds. Huyula - - - - - √
325 Sofya Ibrahim 31th Ds. Huyula - - - - - √
326 Hadija Djafar 31th Ds. Huyula - - - - - √
327 Hadija Abubakar 17th Ds. Huyula - - - - - √
328 Astin Harun 32th Ds. Huyula - - - - - √
329 Rusni Husa 26th Ds. Huyula - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
330 Elan Mahalipa 24th Ds. Huyula - - - - - √
331 Rusni Y.Mou 37th Ds. Huyula - - - - - √
332 Abd. Rahman Datau 10th Ds. Helumo - - - - - √
333 Dzulfikar Mifta 10th Ds. Helumo - - - - - √
334 Mahfud Mahmud 13th Ds. Helumo - - - - - √
335 Moh. Zikir Mointi 12th Ds. Helumo - - - - - √
336 Moh. Wirsan Rasid 11th Ds. Helumo - - - - - √
337 Moh. Kurniawan Arjun 12th Ds. Helumo - - - - - √
338 Rizaldi Amir 11th Ds. Helumo - - - - - √
339 Riski Taib 12th Ds. Helumo - - - - - √
340 Refliyanto Djafar 12th Ds. Helumo - - - - - √
341 Setiyawan Mantulangi 13th Ds. Helumo - - - - - √
342 Saiful Kidam 12th Ds. Helumo - - - - - √
343 Nurul Haikal P. Rahman 12th Ds. Helumo - - - - - √
344 Noldi Yasin 10th Ds. Helumo - - - - - √
345 Fksal Danto Mii 10th Ds. Helumo - - - - - √
346 Riyo A. Tuna 10th Ds. Helumo - - - - - √
347 Ciyanti Buloto 10th Ds. Helumo - - - - - √
348 Karina Yusuf 10th Ds. Helumo - - - - - √
349 Fatmadiah Mohamad 12th Ds. Helumo - - - - - √
350 Patra Polapa 11th Ds. Helumo - - - - - √
351 Merlinda Arsad 10th Ds. Helumo - - - - - √
352 Siti Moltazam Mayang 10th Ds. Helumo - - - - - √
353 Siskawati Lasoma 10th Ds. Helumo - - - - - √
354 Siska Male 11th Ds. Helumo - - - - - √
355 Saswita Abdul 10th Ds. Helumo - - - - - √
356 Amran Polapa 13th Ds. Helumo - - - - - √
357 Amrin Buloto 13th Ds. Helumo - - - - - √
358 Andre Saputra Husain 12th Ds. Helumo - - - - - √
359 Ardiyah M. Ahmad 11th Ds. Helumo - - - - - √
360 Asnawati Polapa 12th Ds. Helumo - - - - - √
361 Cindrawati Umar 12th Ds. Helumo - - - - - √
362 Detiya Lijali 14th Ds. Helumo - - - - - √
363 Eka Alimun Taib 11th Ds. Helumo - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
364 Fatma Bakari 11th Ds. Helumo - - - - - √
365 Fajria Mahmud 11th Ds. Helumo - - - - - √
366 Hairunisa Ahmad 11th Ds. Helumo - - - - - √
367 Jefriyadi Mohamad 13th Ds. Helumo - - - - - √
368 Jurnia Igirisa 11th Ds. Helumo - - - - - √
369 Majid Lihawa 11th Ds. Helumo - - - - - √
370 Meykel Ahmad 11th Ds. Helumo - - - - - √
371 Moh. Alwi Igirisa 11th Ds. Helumo - - - - - √
372 Mulhilmaya Mahmud 11th Ds. Helumo - - - - - √
373 Nurfadli Rahim 11th Ds. Helumo - - - - - √
374 Rahman Hanapi 10th Ds. Paris - - - - - √
375 Adriyansah A. Laju 12th Ds. Paris - - - - - √
376 Aryo S. Ibrahim 10th Ds. Paris - - - - - √
377 Dandi Poiyo 10th Ds. Paris - - - - - √
378 Ais Daud 10th Ds. Paris - - - - - √
379 David Poiyo 10th Ds. Paris - - - - - √
380 Fajrin Datau 10th Ds. Paris - - - - - √
381 Hendrisman Rauf 10th Ds. Paris - - - - - √
382 Ikbal Djafar 12th Ds. Paris - - - - - √
383 Kelpin Ponelo 11th Ds. Paris - - - - - √
384 Moh. Ridho Saini 11th Ds. Paris - - - - - √
385 Rahmad Husain 12th Ds. Paris - - - - - √
386 Rahmatio P. Pateda 10th Ds. Paris - - - - - √
387 Renaldi Halaa 11th Ds. Paris - - - - - √
388 Merlin Djau 12th Ds. Paris - - - - - √
389 Putri Almirah Burhan 12th Ds. Paris - - - - - √
390 Riskawati Ma'ruf 12th Ds. Paris - - - - - √
391 Riskawati Pajiri 11th Ds. Paris - - - - - √
392 Samsia Abdulah 11th Ds. Paris - - - - - √
393 Sintia Hasan 11th Ds. Paris - - - - - √
394 Sri Hilma Podungge 11th Ds. Paris - - - - - √
395 Siti Safira Dihuma 11th Ds. Paris - - - - - √
396 Wiranti Husain 12th Ds. Paris - - - - - √
397 Yulinda Payulu 12th Ds. Paris - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
398 Andriyanto Mahajani 13th Ds. Paris - - - - - √
399 Arif Kasim 13th Ds. Paris - - - - - √
400 Supriyanto Yasin 13th Ds. Paris - - - - - √
401 Bahrul Djafar 12th Ds. Paris - - - - - √
402 Bagus Saputra 12th Ds. Paris - - - - - √
403 Ilhamudin Uno 11th Ds. Paris - - - - - √
404 Indra Kasim 12th Ds. Paris - - - - - √
405 Ismail Rahman 12th Ds. Paris - - - - - √
406 Ismail Suleman 12th Ds. Paris - - - - - √
407 Isran Dalanggo 11th Ds. Paris - - - - - √
408 Moh. Aldiyanto Manumba12th Ds. Paris - - - - - √
409 Moh. Azmiyahul harun 11th Ds. Paris - - - - - √
410 Risaldi Ibrahim 11th Ds. Paris - - - - - √
411 Taufik Mustafa 13th Ds. Paris - - - - - √
412 Tri Aditya Manumba 13th Ds. Paris - - - - - √
413 Alfira Matani 13th Ds. Paris - - - - - √
414 Dwi Fanti Utina 13th Ds. Paris - - - - - √
415 Eka Nurain Pirus 12th Ds. Paris - - - - - √
416 Elisawati Dunggio 12th Ds. Paris - - - - - √
417 Estefani Dalanggo 12th Ds. Paris - - - - - √
418 Lutia Ladju 11th Ds. Paris - - - - - √
419 Mirnawati Mointi 12th Ds. Paris - - - - - √
420 Nurain Haka 11th Ds. Paris - - - - - √
421 Nuraisa Ladju 12th Ds. Paris - - - - - √
422 Nurain Pakaya 12th Ds. Paris - - - - - √
423 Pepin Umar 12th Ds. Paris - - - - - √
424 Pratiwi A. Ahmad 13th Ds. Paris - - - - - √
425 Rahmawati Damalu 13th Ds. Paris - - - - - √
426 Rusni Olabu 13th Ds. Paris - - - - - √
427 Siti Nurfadila Arsad 13th Ds. Paris - - - - - √
428 Siti Hajar Rauf 11th Ds. Paris - - - - - √
429 Sri Nursia Tuluki 12th Ds. Paris - - - - - √
430 Sri Mutia Arbi 12th Ds. Paris - - - - - √
431 Putri Celsi Abas 12th Ds. Paris - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
432 Elsa Dwi Dalanggo 13th Ds. Paris - - - - - √
433 Moh. Ikbal Dude 13th Ds. Paris - - - - - √
434 Reyhan Mukmin 12th Ds. Huyula - - - - - √
435 Jenab Pulubuhu 12th Ds. Huyula - - - - - √
436 Sandri Napu 12th Ds. Huyula - - - - - √
437 Tinsi A. Moha 11th Ds. Huyula - - - - - √
438 Hamida Adam 10th Ds. Huyula - - - - - √
439 Elen T. Daud 10th Ds. Huyula - - - - - √
440 Wawan Hasan 12th Ds. Huyula - - - - - √
441 Pandi Ponelo 12th Ds. Huyula - - - - - √
442 Isran Rauf 10th Ds. Huyula - - - - - √
443 Noho Harun 8th Ds. Huyula - - - - - √
444 Saira Rauf 8th Ds. Huyula - - - - - √
445 Rahmat Udin 6th Ds. Huyula - - - - - √
446 Al Hafis Halaa 5th Ds. Huyula - - - - - √
447 Ismail P. Huja 5th Ds. Huyula - - - - - √
448 Harun T. Adam 12th Ds. Sidomukti - - - - - √
449 Riyanto Palo 11th Ds. Sidomukti - - - - - √
450 Hendriyanto Lakuma 10th Ds. Sidomukti - - - - - √
451 Indrawan Toe 10th Ds. Sidomukti - - - - - √
452 Ariel Karim 10th Ds. Sidomukti - - - - - √
453 Usman Mahajani 10th Ds. Sidomukti - - - - - √
454 Wahyu Tri Putra 9th Ds. Sidomukti - - - - - √
455 Abd. Rahman Busura 9th Ds. Sidomukti - - - - - √
456 Aril Yulah Yabu 9th Ds. Sidomukti - - - - - √
457 Supriyanto Guni 10th Ds. Sidomukti - - - - - √
458 Riski Talib 11th Ds. Sidomukti - - - - - √
459 Nasir Lamalani 10th Ds. Sidomukti - - - - - √
460 Agung P. Kaharu 10th Ds. Sidomukti - - - - - √
461 Riski Kadir 12th Ds. Sidomukti - - - - - √
462 Zenab Parta 9th Ds. Sidomukti - - - - - √
463 Isti Ariska Taib 9th Ds. Sidomukti - - - - - √
464 Nabila Tangio 9th Ds. Sidomukti - - - - - √
465 Kartin Abudi 9th Ds. Sidomukti - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
n
NO NAMA ALAMAT KODE SLIDE
Negative Keteranga
TGL PEMERIKSAAN
466 Cindra Hikman 11th Ds. Sidomukti - - - - - √
467 Nuraisah H. Gesa 9th Ds. Sidomukti - - - - - √
468 Andris Mustafa 12th Ds. Sidomukti - - - - - √
469 Jefri Abas 13th Ds. Sidomukti - - - - - √
470 Ahmad kadir 11th Ds. Sidomukti - - - - - √
471 Karim P. Uloli 12th Ds. Sidomukti - - - - - √
472 Rahmat Ahmad 12th Ds. Sidomukti - - - - - √
473 Supriyanto Hayun 12th Ds. Sidomukti - - - - - √
474 Verawati Saripudin 31th Ds. Sidomukti - - - - - √
475 Ismail Pobi 13th Ds. Sidomukti - - - - - √
476 Yusup Ahmad 13th Ds. Sidomukti - - - - - √
477 Abd. Rajak Yusup 11th Ds. Sidomukti - - - - - √
478 Ismail Tuna 12th Ds. Sidomukti - - - - - √
479 Mahmud Olii 12th Ds. Sidomukti - - - - - √
480 Aditya De'u 14th Ds. Sidomukti - - - - - √
481 Rinal k. Taib 12th Ds. Sidomukti - - - - - √
482 Rahmad Abdulah 13th Ds. Sidomukti - - - - - √
483 Rian Saputra 13th Ds. Sidomukti - - - - - √
484 Andriyanto Tangio 11th Ds. Sidomukti - - - - - √
485 Salman Bano 12th Ds. Sidomukti - - - - - √
486 Fatma Tahir 12th Ds. Sidomukti - - - - - √
487 Rostin Hanapi 12th Ds. Sidomukti - - - - - √
488 Rusmiyati Luneto 11th Ds. Sidomukti - - - - - √
489 Dian Mahuntu 12th Ds. Sidomukti - - - - - √
490 Miranda Musa 12th Ds. Sidomukti - - - - - √
491 sarini Abudi 12th Ds. Sidomukti - - - - - √
492 Maryam Karim 15th Ds. Sidomukti - - - - - √
493 Dela Puspita Lahay 12th Ds. Sidomukti - - - - - √
494 Alan Abas 12th Ds. Talumopatu - - - - - √
495 Zupriyanto Supu 12th Ds. Talumopatu - - - - - √
496 Andika Kaida 11th Ds. Talumopatu - - - - - √
497 Kasim Kaida 12th Ds. Talumopatu - - - - - √
498 Alandri Salim 10th Ds. Talumopatu - - - - - √
499 Amir Matiti 11th Ds. Talumopatu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
500 Apris Melangi 10th Ds. Talumopatu - - - - - √
501 Arif Oputu 11th Ds. Talumopatu - - - - - √
502 Asbiyantoro K Baderan 11th Ds. Talumopatu - - - - - √
503 Ismail Panigoro 11th Ds. Talumopatu - - - - - √
504 Sahrain Modjo 11th Ds. Talumopatu - - - - - √
505 Fatmawati Kaida 13th Ds. Talumopatu - - - - - √
506 Fitriyanti Abas 10th Ds. Talumopatu - - - - - √
507 Santi Abas 12th Ds. Talumopatu - - - - - √
508 Riska Suimu 12th Ds. Talumopatu - - - - - √
509 Nadia Rifai 10th Ds. Talumopatu - - - - - √
510 Nurainun H. Akune 12th Ds. Talumopatu - - - - - √
511 Popi Vasriani Arbi 11th Ds. Talumopatu - - - - - √
512 Yunita Arbi 11th Ds. Talumopatu - - - - - √
513 zenab Husain 10th Ds. Talumopatu - - - - - √
514 Zurawati Yusup 11th Ds. Talumopatu - - - - - √
515 Salma Oputu 10th Ds. Talumopatu - - - - - √
516 Firman Ruf 11th Ds. Talumopatu - - - - - √
517 Hamid Laiya 13th Ds. Talumopatu - - - - - √
518 Hamrain Yusuf 11th Ds. Talumopatu - - - - - √
519 Hendra Rubai 13th Ds. Talumopatu - - - - - √
520 Juhardi Akase 12th Ds. Talumopatu - - - - - √
521 Reza Melangi 12th Ds. Talumopatu - - - - - √
522 Riswanto Maunte 13th Ds. Talumopatu - - - - - √
523 Saprudin Modjo 12th Ds. Talumopatu - - - - - √
524 Taib Radjak 12th Ds. Talumopatu - - - - - √
525 Zumardi R. Oki 13th Ds. Talumopatu - - - - - √
526 Destin Lalebo 12th Ds. Talumopatu - - - - - √
527 Gustin H. Miungo 11th Ds. Talumopatu - - - - - √
528 Meli Sintya Dalanggo 12th Ds. Talumopatu - - - - - √
529 Nurnaningsi Modjo 11th Ds. Talumopatu - - - - - √
530 Rahmawati Mudjano 11th Ds. Talumopatu - - - - - √
531 Rahmawati Latawa 11th Ds. Talumopatu - - - - - √
532 Rilanti R. Kama 12th Ds. Talumopatu - - - - - √
533 Sandra Eka P. Kai 11th Ds. Talumopatu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
534 Salma Harun 12th Ds. Talumopatu - - - - - √
535 Sinta Abd Rahman 11th Ds. Talumopatu - - - - - √
536 Sri Siska Rubai 11th Ds. Talumopatu - - - - - √
537 Windarti Kaida 15th Ds. Talumopatu - - - - - √
538 Yulandri Ismail 13th Ds. Talumopatu - - - - - √
539 Zulfa Dwi Tangio 11th Ds. Talumopatu - - - - - √
540 Haina Rauf Patila 43th Ds. Talumopatu - - - - - √
541 Sriyanti Ibrahim 27th Ds. Talumopatu - - - - - √
542 Ariyanto Igirisa 44th Ds. Talumopatu - - - - - √
543 Herlinda Amuntu 23th Ds. Talumopatu √ - - - -
544 Danial Dai 11th Ds. Talumopatu - - - - - √
545 Hairul Zakaria 11th Ds. Talumopatu - - - - - √
546 Nabila Fitra Yasin 10th Ds. Talumopatu - - - - - √
547 Zuriyati Bobihu 9th Ds. Talumopatu - - - - - √
548 Karsum Usole 10th Ds. Talumopatu - - - - - √
549 Sartika Ismail 11th Ds. Talumopatu - - - - - √
550 Hasim Ismail 11th Ds. Talumopatu - - - - - √
551 Riski Husain 12th Ds. Talumopatu - - - - - √
552 Hasan Mohamad 11th Ds. Talumopatu - - - - - √
553 Abdul Kadir Q. 13th Ds. Talumopatu - - - - - √
554 Dea Adelia Nur 11th Ds. Talumopatu - - - - - √
555 Fatma Akino 13th Ds. Talumopatu - - - - - √
556 Fatma Rahman 10th Ds. Talumopatu - - - - - √
557 Misfa Pakaya 11th Ds. Talumopatu - - - - - √
558 Santi K. Ina 11th Ds. Talumopatu - - - - - √
559 Idris Hasan Ngguti 46th Ds. Talumopatu - - - - - √
560 Hamid Wuler 48th Ds. Talumopatu - - - - - √
561 Sania Rifai 40th Ds. Talumopatu - - - - - √
562 Andika Suleman 10th Ds. Satria - - - - - √
563 Alfin Hasan 15th Ds. Satria - - - - - √
564 Adam Ismail 11th Ds. Satria - - - - - √
565 Danial Adam 10th Ds. Satria - - - - - √
566 Fendi Latake 10th Ds. Satria - - - - - √
567 Husain Kahali 13th Ds. Satria - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
568 Haikal Amara 12th Ds. Satria - - - - - √
569 Idris Abdulah 10th Ds. Satria - - - - - √
570 Nizwar Laiya 10th Ds. Satria - - - - - √
571 Aliandi Manhia 12th Ds. Satria - - - - - √
572 Suleman Hasan 10th Ds. Satria - - - - - √
573 Wahyuman Abay 11th Ds. Satria - - - - - √
574 Ifantri Bulango 11th Ds. Satria - - - - - √
575 Meis Mohamad 10th Ds. Satria - - - - - √
576 Mirnawati Hamzati 9th Ds. Satria - - - - - √
577 Mukmin Saludinti 10th Ds. Satria - - - - √
578 Ulik Nur Halifah 11th Ds. Satria - - - - - √
579 Verawati Gani 10th Ds. Satria - - - - - √
580 Abd. Wahid Uno 12th Ds. Satria - - - - - √
581 Ardiman Koem 12th Ds. Satria - - - - - √
582 Dandiyanto Wahiji 11th Ds. Satria - - - - - √
583 Harun Nusi 11th Ds. Satria - - - - - √
584 Ismail Harun 12th Ds. Satria - - - - - √
585 Melki Akase 11th Ds. Satria - - - - - √
586 Riyan Nabius 12th Ds. Satria - - - - - √
587 Rahmad Igirisa 12th Ds. Satria - - - - - √
588 Sairun Saludinti 12th Ds. Satria - - - - - √
589 Safrudin Arsad 12th Ds. Satria - - - - - √
590 Safrudin Harun 12th Ds. Satria - - - - - √
591 Yunus Dunggio 12th Ds. Satria - - - - - √
592 Rahman Suleman 11th Ds. Satria - - - - - √
593 Zainal Bakari 12th Ds. Satria - - - - - √
594 Amnawati Ishak 13th Ds. Satria - - - - - √
595 Fatma Igirisa 11th Ds. Satria - - - - - √
596 Febriyanti Mukusa 11th Ds. Satria - - - - - √
597 Maryam Dunggio 13th Ds. Satria - - - - - √
598 Maryam Nggilu 12th Ds. Satria - - - - - √
599 Maryam Maruwae 12th Ds. Satria - - - - - √
600 Meilanda Dau 12th Ds. Satria - - - - - √
601 Mikawati Akase 12th Ds. Satria - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
602 Nuraisa Usman 12th Ds. Satria - - - - - √
603 Riya Maruwae 12th Ds. Satria - - - - - √
604 Siti Nur Aisa Woloto 12th Ds. Satria - - - - - √
605 Sri Mulyaningsi Uno 11th Ds. Satria - - - - - √
606 Sri Puput Labansir 12th Ds. Satria - - - - - √
607 Suada Mestari 11th Ds. Satria - - - - - √
608 Laniasti 11th Ds. Satria - - - - - √
609 Widyasari Inangge 12th Ds. Satria - - - - - √
610 Amir Yahidin 46th Ds. Satria - - - - - √
611 Akbar Majid 12th Ds. Sidomukti - - - - √
612 Sutriyani Hunowu 13th Ds. Sidomukti - - - - - √
613 Verawati Hatiku 12th Ds. Sidomukti - - - - - √
614 Widyawati Abaidata 12th Ds. Sidomukti - - - - - √
615 Yulistin Riska Putri 11th Ds. Sidomukti - - - - - √
616 Aldian Hatiku 12th Ds. Sidomukti - - - - - √
617 Risal Kaharu 11th Ds. Sidomukti - - - - - √
618 Arif Albarkia 10th Ds. Sidomukti - - - - - √
619 Rivanto Biki 12th Ds. Sidomukti - - - - - √
620 Rivan Rudiyanto 10th Ds. Sidomukti - - - - - √
621 Roy Ismail 12th Ds. Sidomukti - - - - - √
622 Karim Ismail 14th Ds. Sidomukti - - - - - √
623 Febriyanti Latif 10th Ds. Sidomukti - - - - - √
624 Fitriyanti Ibrahim 10th Ds. Sidomukti - - - - - √
625 Susanti Hamid 12th Ds. Sidomukti - - - - - √
626 Fitriah Nurul Karim 11th Ds. Sidomukti - - - - - √
627 Frangki Atali 10th Ds. Sidomukti - - - - - √
628 Riyanto Aliu 9th Ds. Sidomukti - - - - - √
629 Bagas Suliwa 9th Ds. Sidomukti - - - - - √
630 Ramdan Nur Alimula 10th Ds. Sidomukti - - - - - √
631 Moh. Adriyansah M. 10th Ds. Sidomukti - - - - - √
632 Amir Fatahillah Arbie 9th Ds. Sidomukti - - - - - √
633 Moh. Tamsil Kaharu 8th Ds. Sidomukti - - - - - √
634 Ismi Khairatunisa 10th Ds. Sidomukti - - - - - √
635 Siska Biki 10th Ds. Sidomukti - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
636 Siti Mahmud 10th Ds. Sidomukti - - - - - √
637 Sindi Laju 9th Ds. Sidomukti - - - - - √
638 Moh. Fahri 9th Ds. Sidomukti - - - - - √
639 Abdul Ibrahim 12th Ds. Huyula - - - - - √
640 Abd. Rahman Karim 12th Ds. Huyula - - - - - √
641 Adam Abubakar 12th Ds. Huyula - - - - - √
642 Ahmad H. Njue 12th Ds. Huyula - - - - - √
643 Alan Ishak 13th Ds. Huyula - - - - - √
644 Andris S. Moha 13th Ds. Huyula - - - - - √
645 Fidriyanti Ismail 11th Ds. Huyula - - - - √
646 Fidyawati Dunggio 12th Ds. Huyula - - - - - √
647 Hasan Muhsin 11th Ds. Huyula - - - - - √
648 Hestin Laingo 12th Ds. Huyula - - - - - √
649 Ingka Ismail 11th Ds. Huyula - - - - - √
650 Kartin Poneo 12th Ds. Huyula - - - - - √
651 Nurain Mohamad 12th Ds. Huyula - - - - - √
652 Pingki Ismail 13th Ds. Huyula - - - - - √
653 Riski Kurniawan 12th Ds. Huyula - - - - - √
654 Sandi Y. Suleman 12th Ds. Huyula - - - - - √
655 Siskawati Umar 12th Ds. Huyula - - - - - √
656 Usman Isa 13th Ds. Huyula - - - - - √
657 Yahya Umar 14th Ds. Huyula - - - - - √
658 Abd. Gani S. Damali 11th Ds. Huyula - - - - - √
659 Abd. Rahman Puhi 11th Ds. Huyula - - - - - √
660 Adrian Karim 11th Ds. Huyula - - - - - √
661 Ismail T. Isa 11th Ds. Huyula - - - - - √
662 Mahmud Kue 12th Ds. Huyula - - - - - √
663 Ronal N. Saleh 11th Ds. Huyula - - - - - √
664 Rolis Talib 11th Ds. Huyula - - - - - √
665 Yunus Puhi 10th Ds. Huyula - - - - - √
666 Yusuf Abdulah 12th Ds. Huyula - - - - - √
667 Karsum Taulane 11th Ds. Huyula - - - - - √
668 Nurmala Unti 11th Ds. Huyula - - - - - √
669 Sintya Latif 12th Ds. Huyula - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
670 Arifin abdulah 11th Ds. Huyula - - - - - √
671 Dandi Katili 11th Ds. Huyula - - - - - √
672 Hengki Kue 13th Ds. Huyula - - - - - √
673 Mahmud Laingo 11th Ds. Huyula √ - - - -
674 Rahmad Talib 12th Ds. Huyula - - - - - √
675 Suwarjan Kisman 11th Ds. Huyula - - - - - √
676 Yunus Bialangi 12th Ds. Huyula - - - - - √
677 Asriyanti Abuni 10th Ds. Huyula - - - - - √
678 Maryam Idula 11th Ds. Huyula - - - - - √
679 Mutiara Kanon 10th Ds. Huyula - - - - √
680 Sartin Adam 9th Ds. Huyula - - - - - √
681 Siti Sahrain 10th Ds. Huyula - - - - - √
682 Sri Maryam Kuki 10th Ds. Huyula - - - - - √
683 Poni Suleman 11th Ds. Huyula - - - - - √
684 Adam D. Kasim 11th Ds. Pilomonu - - - - - √
685 Agus Saba 12th Ds. Pilomonu - - - - - √
686 Karim R. Haji 12th Ds. Pilomonu - - - - - √
687 Reski Pilomonu 12th Ds. Pilomonu - - - - - √
688 Siska A. Kau 13th Ds. Pilomonu - - - - - √
689 Hadija Dai 12th Ds. Pilomonu - - - - - √
690 Hadija Kasim 12th Ds. Pilomonu - - - - - √
691 Nurain Mangalo 11th Ds. Pilomonu - - - - - √
692 Wirta Ma'ruf 12th Ds. Pilomonu - - - - - √
693 Abd. Kadir Ahmad 12th Ds. Pilomonu - - - - - √
694 Jafar Karim 10th Ds. Pilomonu - - - - - √
695 Riyan Jafar 10th Ds. Pilomonu - - - - - √
696 Indriyanti Kasim 10th Ds. Pilomonu - - - - - √
697 Olan R. Haji 11th Ds. Pilomonu - - - - - √
698 Riski kadir 12th Ds. Pilomonu - - - - - √
699 Aisa Kadir 9th Ds. Pilomonu - - - - - √
700 Fikran Basuna 9th Ds. Pilomonu - - - - - √
701 Fitriyanti Yatu 9th Ds. Pilomonu - - - - - √
702 Sarlin Huruji 9th Ds. Pilomonu - - - - - √
703 Wilin R. Kai 10th Ds. Pilomonu - - - - - √
HASIL
UMUR
NO TGL PEMERIKSAAN NAMA ALAMAT KODE SLIDE
UMUR
Negative Keteranga
TGL PEMERIKSAAN
704 Ifriyanto Kiama 11th Ds. Pilomonu - - - - - √
705 Andriyansah M. 13th Ds. Pilomonu - - - - - √
706 Fengki Saipi 11th Ds. Pilomonu - - - - - √
707 Rahman Harun 12th Ds. Pilomonu - - - - - √
708 Usman Suleman 12th Ds. Pilomonu - - - - - √
709 Jihan Ali 13th Ds. Pilomonu - - - - - √
710 Lidya Hudewu 13th Ds. Pilomonu - - - - - √
711 Mastin Djafar 13th Ds. Pilomonu - - - - - √
712 Ningsilawati H. 12th Ds. Pilomonu - - - - - √
713 Sriyanti Mayang 12th Ds. Pilomonu - - - - √
714 Ais Rahman 15th Ds. Pilomonu - - - - - √
715 Risman Haji 15th Ds. Pilomonu - - - - - √
716 Elis Hasan 13th Ds. Pilomonu - - - - - √
717 Emis Tamuna 14th Ds. Pilomonu - - - - - √
718 Hasan Kadir 15th Ds. Pilomonu - - - - - √
719 Irsan Latif 15th Ds. Pilomonu - - - - - √
720 Ishak Kau 15th Ds. Pilomonu - - - - - √
721 Ismanto Suleman 14th Ds. Pilomonu - - - - - √
722 Rivaldi Iloponu 13th Ds. Pilomonu - - - - - √
723 Riman S. Pulu 13th Ds. Pilomonu - - - - - √
724 Irma Kasim 14th Ds. Pilomonu - - - - - √
725 Lilis Mantuka 14th Ds. Pilomonu - - - - - √
726 Sri Susanti Halid 13th Ds. Pilomonu - - - - - √
727 Wiwiwn S. Latif 14th Ds. Pilomonu - - - - - √
728 Yuliana Rahman 12th Ds. Pilomonu - - - - - √
729 Alis Kasim 16th Ds. Pilomonu - - - - - √
730 Alpian Suleman 15th Ds. Pilomonu - - - - - √
731 Ismail Saba 15th Ds. Pilomonu - - - - - √
732 Dian Husain 15th Ds. Pilomonu - - - - - √
733 Nur Askia Suleman 15th Ds. Pilomonu - - - - - √
734 Santika Dunggio 15th Ds. Pilomonu - - - - - √
735 Ibrahim Djafar 12th Ds. Sukamaju - - - - - √
736 Ibrahim Nunu 12th Ds. Sukamaju - - - - - √
737 Ismail Bakari 11th Ds. Sukamaju - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
738 Mustafa K Juma 13th Ds. Sukamaju - - - - - √
739 Ramdan Laudengi 11th Ds. Sukamaju - - - - - √
740 Yuyun S Pipii 11th Ds. Sukamaju - - - - - √
741 Zulkifli Bakari 12th Ds. Sukamaju - - - - - √
742 Fatma Feronita 12th Ds. Sukamaju - - - - - √
743 Hariyati Ahmad 13th Ds. Sukamaju - - - - - √
744 Hartati Akule 12th Ds. Sukamaju - - - - - √
745 Irawati S. Isa 11th Ds. Sukamaju - - - - - √
746 Lidya Nursahbani 11th Ds. Sukamaju - - - - - √
747 Melis Musa 12th Ds. Sukamaju - - - - - √
748 Sartin Kulupani 12th Ds. Sukamaju - - - - - √
749 Silcawati Zees 11th Ds. Sukamaju - - - - - √
750 Sri Nurmin Suleman 11th Ds. Sukamaju - - - - - √
751 Tian T. Juma 12th Ds. Sukamaju - - - - - √
752 Yuliyanti Yasin 12th Ds. Sukamaju - - - - - √
753 Zein S. Ibrahim 11th Ds. Sukamaju - - - - - √
754 Agustian Taib 9th Ds. Sukamaju - - - - - √
755 Hamsa Pikuli 11th Ds. Sukamaju - - - - - √
756 Rapsan Nunu 9th Ds. Sukamaju - - - - - √
757 Riskiyanto Ayuba 10th Ds. Sukamaju - - - - - √
758 Rezal Pakaya 11th Ds. Sukamaju - - - - - √
759 Santu Nusi 9th Ds. Sukamaju - - - - - √
760 Sutriyandi Hasan 11th Ds. Sukamaju - - - - - √
761 Fatma Juma 9th Ds. Sukamaju - - - - - √
762 Fitriyanti Zees 10th Ds. Sukamaju - - - - - √
763 Sindi Djafar 10th Ds. Sukamaju - - - - - √
764 Siti Pikuli 9th Ds. Sukamaju - - - - - √
765 Idris Yasin 9th Ds. Sukamaju - - - - - √
766 Ibrahim Ishak 11th Ds. Sukamaju - - - - - √
767 Miftahul Jannah 9th Ds. Sukamaju - - - - - √
768 Suleman Umar 11th Ds. Sukamaju - - - - - √
769 Talib Djafar 10th Ds. Sukamaju - - - - - √
770 Usman W. Sana 11th Ds. Sukamaju - - - - - √
771 Anggraini Bakari 10th Ds. Sukamaju - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
772 Dewi Asriyana D 9th Ds. Sukamaju - - - - - √
773 Fatma Umar 10th Ds. Sukamaju - - - - - √
774 Fatma Ahaya 9th Ds. Sukamaju - - - - - √
775 Fitri Naway 9th Ds. Sukamaju - - - - - √
776 Iyam Ombili 9th Ds. Sukamaju - - - - - √
777 Roshien Leo 10th Ds. Sukamaju - - - - - √

NIP. 19730217 199303 1 006
BULAN : OKTOBER
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Salma Kahali 40th Ds. Karyamukti - - - - - √
2 Lian Hasan 36th Ds. Karyamukti - - - - - √
3 Rabia Kahali 55th Ds. Karyamukti - - - - - √
4 Sriyanti Kahali 10th Ds. Karyamukti - - - - - √
5 Yunan Aswin 11th Ds. Karyamukti - - - - - √
6 Mia Hasan 33th Ds. Karyamukti - - - - - √
7 Ipantri Bulango 11th Ds. Karyamukti - - - - - √
8 Nurmin Hasan 46th Ds. Karyamukti - - - - - √
9 Yeni ibrahim 35th Ds. Karyamukti - - - - - √
10 Salma Ntoe 57th Ds. Karyamukti - - - - - √
11 Sano Kaharu 60th Ds. Karyamukti - - - - - √
12 Hapsa Harun 20th Ds. Karyamukti - - - - - √
13 Ishak Hasan 33th Ds. Karyamukti - - - - - √
14 Hariyanto Ismail 23th Ds. Karyamukti - - - - - √
15 Anisa Ismail 16th Ds. Karyamukti - - - - - √
16 Sartika Dotu 26th Ds. Karyamukti - - - - - √
17 Asna Uloli 27th Ds. Karyamukti - - - - - √
18 Nurain Bulango 19th Ds. Karyamukti - - - - - √
19 Elis Kahali 27th Ds. Karyamukti - - - - - √
20 Lius Nasir 33th Ds. Karyamukti - - - - - √
21 Aisa Kimbo 72th Ds. Karyamukti - - - - - √
22 Rifal Ahmad 12th Ds. Karyamukti - - - - - √
23 Fatma Lahijun 38th Ds. Karyamukti - - - - - √
24 Asma Ismail 43th Ds. Karyamukti - - - - - √
25 Tia Nur Pansu 18th Ds. Karyamukti - - - - - √
26 Serlin Manhia 29th Ds. Karyamukti - - - - - √
27 Zulfikriyanto Adam 9th Ds. Karyamukti - - - - - √
28 Nuraisa Pansu 10th Ds. Karyamukti - - - - - √
29 Umar D. Pansu 9th Ds. Karyamukti - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
30 Maryam D. Pansu 4th Ds. Karyamukti - - - - - √
31 Serli Abdulatif 36th Ds. Karyamukti - - - - - √
32 Jamila Pansu 12th Ds. Karyamukti - - - - - √
33 Marni Duki 39th Ds. Karyamukti - - - - - √
34 Karim Umar 47th Ds. Karyamukti - - - - - √
35 Abd. Rahman Daud 11th Ds. Karyamukti - - - - - √
36 Maryam Ismail 30th Ds. Karyamukti - - - - - √
37 Rita Pau 42th Ds. Karyamukti - - - - - √
38 Nining Puno 25th Ds. Karyamukti √ - - - -
39 Isna Paki 45th Ds. Karyamukti - - - - - √
40 Marni Adam 32th Ds. Karyamukti - - - - - √
41 Husain Adam 9th Ds. Karyamukti - - - - - √
42 Idris Pakaya 6th Ds. Karyamukti - - - - - √
43 Rapia Djafar 65th Ds. Karyamukti - - - - - √
44 Hasan Pau 60th Ds. Karyamukti - - - - - √
45 Dewi Ismail 36th Ds. Karyamukti - - - - - √
46 Maryam Datau 50th Ds. Karyamukti - - - - - √
47 Sagita Lihu 5th Ds. Karyamukti - - - - - √
48 Asna Ismail 26th Ds. Karyamukti - - - - - √
49 Hadija Adam 8th Ds. Karyamukti - - - - - √
50 Samsudin Suleman 56th Ds. Karyamukti - - - - - √
51 Rostin Lukum 20th Ds. Huyula - - - - - √
52 Hadija Mou 20th Ds. Huyula - - - - - √
53 Rusni Mou 35th Ds. Huyula - - - - - √
54 Amira Usman 45th Ds. Huyula - - - - - √
55 Isnawati Harun 30th Ds. Huyula - - - - - √
56 Harun Njuu 31th Ds. Huyula - - - - - √
57 Uyan Njuu 22th Ds. Huyula - - - - - √
58 Hamida Tuge 40th Ds. Huyula - - - - - √
59 Rostaini Njuu 19 bln Ds. Huyula - - - - - √
60 Fitriyani Njuu 4th Ds. Huyula - - - - - √
61 Pemi Djabali 3th Ds. Huyula - - - - - √
62 Indriyanti Njuu 11th Ds. Huyula - - - - - √
63 Indra Njuu 9th Ds. Huyula - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
64 Idris Mahmud 12th Ds. Huyula - - - - - √
65 Sri Alya Hasan 7th Ds. Huyula - - - - - √
66 Jein Polapa 8th Ds. Huyula - - - - - √
67 Hariyanti Panu 7th Ds. Huyula - - - - - √
68 Inal Basiru 8th Ds. Huyula - - - - - √
69 Siti Matuntu 11th Ds. Huyula - - - - - √
70 Daud Matuntu 9th Ds. Huyula - - - - - √
71 Ribiyanti Panu 8th Ds. Huyula - - - - - √
72 Irwan Hamsa 8th Ds. Huyula √ - - - -
73 Rendi Abdurahman 12th Ds. Huyula - - - - - √
74 Karsum Latif 7th Ds. Huyula - - - - - √
75 Siti Rahman B. 6th Ds. Huyula - - - - - √
76 Risnawati Yahya 21th Ds. Huyula - - - - - √
77 Fikran Katili 12th Ds. Huyula - - - - - √
78 Noprin Tahiji 12th Ds. Huyula - - - - - √
79 Abdurahman 8th Ds. Huyula - - - - - √
80 Nabila Lukum 10th Ds. Huyula - - - - - √
81 Rahmat Katili 8th Ds. Huyula - - - - - √
82 Yusni Ahmad 3th Ds. Huyula - - - - - √
83 Hestin Katili 14th Ds. Huyula - - - - - √
84 Ismail Lukum 5th Ds. Huyula - - - - - √
85 Salma Ismail 30th Ds. Huyula - - - - - √
86 Lindawati Monggalo 31th Ds. Huyula - - - - - √
87 Santi Rifai 32th Ds. Huyula - - - - - √
88 Aripin Kaida 47th Ds. Huyula - - - - - √
89 Mryam Dai 23th Ds. Huyula - - - - - √
90 Nonce Antu 31th Ds. Huyula - - - - - √
91 Risna Samahu 40th Ds. Huyula - - - - - √
92 Nurhayati Maa 47th Ds. Huyula - - - - - √
93 Indrawati Juliya 21th Ds. Huyula √ - - - - Bumil
94 Hadija T. Ahmad 48th Ds. Huyula - - - - - √
95 Maryam Umar 30th Ds. Huyula - - - - - √
96 Nico Tahir 45th Ds. Payu - - - - - √
97 Saripa Sodoti 75th Ds. Payu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
98 Mia Alim 48th Ds. Payu - - - - - √
99 Asiya Tomayahu 58th Ds. Payu - - - - - √
100 Aisa 58th Ds. Payu - - - - - √
101 Wisna Datau 30th Ds. Payu - - - - - √
102 Since Adede 60th Ds. Payu - - - - - √
103 Fatma Abdulah 24th Ds. Payu - - - - - √
104 Rostin Tomayahu 44th Ds. Payu - - - - - √
105 Rabia Ibrahim 51th Ds. Payu - - - - - √
106 Neis Saleh 27th Ds. Payu √ - - - -
107 Yusri Tomayahu 24th Ds. Payu - - - - - √
108 Dince M. P Slamet 45th Ds. Payu - - - - - √
109 Misran Tomayahu 33th Ds. Payu - - - - - √
110 Hariyati P 39th Ds. Payu - - - - - √
111 Sri Endang Yatune 30th Ds. Payu - - - - - √
112 Nurdin Kabi 32th Ds. Payu - - - - - √
113 Salma Ibrahim 40th Ds. Payu - - - - - √
114 Adam Ismail 41th Ds. Payu - - - - - √
115 Roy Ismail 22th Ds. Payu - - - - - √
116 Rio Ismail 14th Ds. Payu - - - - - √
117 Umar Ibrahim 30th Ds. Payu - - - - - √
118 Ibrahim Taib 25th Ds. Payu - - - - - √
119 Hapsa Pauke 23th Ds. Payu - - - - - √
120 Aditya Ismail 8th Ds. Payu - - - - - √
121 Irfan Taib 22th Ds. Payu - - - - - √
122 Mastin Daiko 20th Ds. Payu - - - - - √
123 Lisa Mahajani 22th Ds. Payu - - - - - √
124 Marsah Ismail 13th Ds. Payu - - - - - √
125 Nuning Djafar 26th Ds. Payu - - - - - √
126 Farel Panju 6th Ds. Payu - - - - - √
127 Haikal Siu 10th Ds. Payu - - - - - √
128 Iwan Siu 31th Ds. Payu - - - - - √
129 Karim Santu 56th Ds. Payu - - - - - √
130 Santi Santu 13th Ds. Payu - - - - - √
131 Ratna Ishak 45th Ds. Payu - - - - - √
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
132 Desriyanti Noe 22th Ds. Payu - - - - - √
133 Riki Ishak 20th Ds. Payu - - - - - √
134 Merlina Ishak 42th Ds. Payu - - - - - √
135 Yona Bouti 29th Ds. Payu - - - - - √
136 Fatma Napu 28th Ds. Payu - - - - - √
137 Siti Aisa 17th Ds. Payu - - - - - √
138 Misna Ismail 20th Ds. Payu - - - - - √
139 Asni Said 21th Ds. Payu - - - - - √
140 Indriyani soman 20th Ds. Payu - - - - - √
141 Elan Tooli 22th Ds. Payu - - - - - √
142 Marlin Said 30th Ds. Payu - - - - - √
143 Yulin R. Dayi 47th Ds. Payu - - - - - √
144 Risna Rauf 35th Ds. Payu - - - - - √
145 Ratna Sodoti 38th Ds. Payu - - - - - √
146 Hasni Tooli 37th Ds. Payu - - - - - √
147 Asni Bouti 25th Ds. Payu - - - - - √
148 IrmawatiKadir 22th Ds. Payu - - - - - √
149 Salma Karim 27th Ds. Payu - - - - - √
150 Asna Bouti 21th Ds. Payu - - - - - √
151 Nisma Kobiji 12th Ds. Payu - - - - - √
152 Irna Thalib 14th Ds. Payu - - - - - √
153 Wilis Djafar 14th Ds. Payu - - - - - √

NIP. 19730217 199303 1 006
BULAN : NOPEMBER
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Indrawati T. 43th Ds. Talumopatu - - - - - √
2 Nangsi 35th Ds. Sidomukti - - - - - √
3 Fitra Pengo 23th Ds. Satria - - - - - √
4 Hartati Yunus 18th Ds. Satria - - - - - √
5 Amir P 60th Ds. Satria - - - - - √
6 Salma Hamid 21th Ds. Satria - - - - - √
7 Rostin Hamid 47th Ds. Huyula - - - - - √
8 Ismail A 15th Ds. Paris - - - - - √
9 Mukmin 19th Ds. Paris - - - - - √
10 Rahman 5th Ds. Helumo - - - - - √
11 Mia Alim 52th Ds. Helumo - - - - - √
12 Suwarni 49th Ds. Sukamaju - - - - - √
13 Nining 22th Ds. Payu - - - - - √
14 Hamsa Moha 52th Ds. Payu √ - - - -
15 Hamdan 22th Ds. Pilomonu - - - - - √
16 Sri Yanti 34th DS. Puncak - - - - - √

NIP. 19730217 199303 1 006

BULAN : DESEMBER
TAHUN : 2015
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
1 Ishak Abdjul 35th Ds. Sukamaju - - - - - √ Umum
2 Marlin Tahiji 27th Ds. Huyula - - - - - √ Bumil
3 Hapni Gaib 35th Ds. Sidomukti - - - - - √ Bumil
4 Fatma Djafar 24th Ds. Karyamukti - - - - - √ Bumil
5 Ulfan Kaluku 27th Ds. Paris - - - - - √ Bumil
6 Yuyun Hanafi 25th Ds. Karyamukti - - - - - √ Bumil
7 Nilan Rahman 18th Ds. Helumo - - - - - √ Bumil
8 Ayun Biu 23th Ds. Helumo - - - - - √ Bumil
9 Nurhayati Maani 17th Ds. Payu - - - - - √ Bumil
10 Ratna Sodoti 39th Ds. Payu - - - - - √ Bumil
11 Asrin Hasan 15th Ds. Payu - - - - - √ Bumil
12 Natasya N. Bahtiar 19th Ds. Payu - - - - - √ Bumil
13 Indah Wati 16th Ds. Payu - - - - - √ Bumil
14 Hadi Kadjim 15th Ds. Payu - - - - - √ Bumil
15 Astin Djuma 27th Ds. Sukamaju - - - - - √ Bumil
16 Nurhayati Pirus 30th Ds. Paris - - - - - √ Bumil
17 Jaleha R. Bau 38th Ds. Sidomukti - - - - - √ Bumil
18 Annisa Dumbi 24th Ds. Helumo - - - - - √ Bumil
19 Fatma Mahajani 32th Ds. Paris - - - - - √ Bumil
20 Sulastri Monjo 34th Ds. Talumopatu - - - - - √ Bumil
21 Risnawati Usman 36th Ds. Helumo - - - - - √ Bumil
22 Maryam Yusuf 40th Ds. Helumo - - - - - √ Bumil
23 Hadija Santu 20th Ds. Sukamaju - - - - - √ Bumil
24 Rostina Nusi 33th Ds. Talumopatu - - - - - √ Bumil
25 Riska Nuraini Halid 19th Ds. Helumo - - - - - √ Bumil
26 Mastin Mohune 32th Ds. Talumopatu - - - - - √ Bumil
27 Irmawati Usman 22th Ds. Huyula - - - - - √ Bumil
28 Indrawati Suludadu 17th Ds. Karyamukti - - - - - √ Bumil
29 Yulan Umar 23th Ds. Karyamukti - - - - - √ Bumil
30 Hajira Djakaria 37th Ds. Satria - - - - - √ Bumil
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
31 Irma Rauf 35th Ds. Satria - - - - - √ Bumil
32 Cindrawati Ibrahim 23th Ds. Satria - - - - - √ Bumil
33 Hadija D. Sadat 38th Ds. Huyula - - - - - √ Bumil
34 Indrawati Oputu 25th Ds. Talumopatu - - - - - √ Bumil
35 Risna Suimu 24th Ds. Talumopatu - - - - - √ Bumil
36 Nurhayati Kai 20th Ds. Paris - - - - - √ Bumil
37 Iin Sione 23th Ds. Satria - - - - - √ Bumil
38 Yunita Mantu 23th Ds. Satria - - - - - √ Bumil
39 Mastin Mohamad 28th Ds. Pilomonu - - - - - √ Bumil
40 Risna Male 35th Ds. Pilomonu - - - - - √ Bumil
41 Lian Ibrahim 22th Ds. Huyula - - - - - √ Bumil
42 Salma Karim 29th Ds. Huyula - - - - - √ Bumil
43 Indrawati Asuge 20th Ds. Talumopatu - - - - - √ Bumil
44 Erwin Mungo 20th Ds. Talumopatu - - - - - √ Bumil
45 Juwita Kapeo 20th Ds. Sukamaju - - - - - √ Bumil
46 Irma Yusuf 26th Ds. Sidomukti - - - - - √ Bumil
47 Sulasmi 22th Ds. Paris - - - - - √ Bumil
48 Suhartin Alinti 25th Ds. Payu - - - - - √ Bumil
49 Emilia Dai 30th Ds. Helumo - - - - - √ Bumil
50 Asmin Usman 22th Ds. Sidomukti - - - - - √ Bumil
51 Mastin Naku 30th Ds. Satria - - - - - √ Bumil
52 Yulin Mohamad 24th Ds. Pilomonu - - - - - √ Bumil
53 Rapi Udin 32th Ds. Sukamaju - - - - - √ Bumil
54 Herlina yusuf Huruji 35th Ds. Pilomonu - - - - - √ Bumil
55 Linda Mahmud 19th Ds. Pilomonu - - - - - √ Bumil
56 Aisa Rauf 22th Ds. Helumo - - - - - √ Bumil
57 Nurhalisa Mahajani 32th Ds. huyula - - - - - √ Bumil
58 Yanti Muhsin 20th Ds. Talumopatu - - - - - √ Bumil
59 Sri Murtin S. Auna 20th Ds. Talumopatu - - - - - √ Bumil
60 Nurafni Yasin 21th Ds. Sidomukti - - - - - √ Bumil
61 Hamsia Harun 25th Ds. Pilomonu - - - - - √ Bumil
62 Raina Abdjul 33th Ds. Pilomonu - - - - - √ Bumil
63 Melan Tahir 23th Ds. Payu - - - - - √ Bumil
64 Inang Nusi 32th Ds. Pilomonu - - - - - √ Bumil
65 Amina Nusi 41th Ds. Talumopatu - - - - - √ Bumil
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
66 Sartin Suko 18th Ds. Pilomonu - - - - - √ Bumil
67 Nurlin Hasan 20th Ds. Paris - - - - - √ Bumil
68 Sartika Karim 24th Ds. Paris - - - - - √ Bumil
69 Nuning Moharam 22th Ds. Pilomonu - - - - - √ Bumil
70 Marni Djafar 28th Ds. Paris - - - - - √ Bumil
71 Salma Mohamad 35th Ds. Paris - - - - - √ Bumil
72 Min Djingo 31th Ds. Talumopatu - - - - - √ Bumil
73 Nurhayati Bahtiar 38th Ds. Paris - - - - - √ Bumil
74 Fatma Umar 28th Ds. Paris - - - - - √ Bumil
75 Yusri Dalanggo 29th Ds. Payu - - - - - √ Bumil
76 Marlin Mursidi 21th Ds. Payu - - - - - √ Bumil
77 Hamira Bobihu 37th Ds. Sidomukti - - - - - √ Bumil
78 Mardiana Asoni 19th Ds. huyula - - - - - √ Bumil
79 Yulin Sudirman 20th Ds. huyula - - - - - √ Bumil
80 Neli Husnan 16th Ds. huyula - - - - - √ Bumil
81 Herlina Mahalipa 33th Ds. huyula - - - - - √ Bumil
82 Maimun Suleman 32th Ds. Karyamukti - - - - - √ Bumil
83 Djuriati Djafar 26th Ds. Helumo - - - - - √ Bumil
84 Fatma Tahir 15th Ds. Sukamaju - - - - - √ Bumil
85 Indra Mustafa 15th Ds. Talumopatu - - - - - √ Bumil
86 Zulfa Umar 26th Ds. Payu - - - - - √ Bumil
87 Maryam Mootalu 21th Ds. Payu - - - - - √ Bumil
88 Rianti Kasim 22th Ds. Paris - - - - - √ Bumil
89 Sri Ineng Hasan 21th Ds. Helumo - - - - - √ Bumil
90 Irawati N. Dou 26th Ds. Payu - - - - - √ Bumil
91 Agustin S. Rauf 19th Ds. Pilomonu - - - - - √ Bumil
92 Ewin Hasan 20th Ds. Sidomukti - - - - - √ Bumil
93 Salma Muksin 23th Ds. Payu - - - - - √ Bumil
94 Marlin H. Depo 20th Ds. Pilomonu - - - - - √ Bumil
95 Nur Sagita Lawani 20th Ds. Pilomonu - - - - - √ Bumil
HASIL
UMUR
Negative Keteranga
TGL PEMERIKSAAN
96 Yusna Safar 23th Ds. Pilomonu - - - - - √
97 Yusrin Masi 27th Ds. Sukamaju - - - - - √
98 Hawa Kedei 32th Ds. Huyula - - - - - √
99 Rita Nasaru 35th Ds. Sidomukti - - - - - √
100 Sartin Mahabu 29th Ds. Sidomukti - - - - - √
101 Lilis Lahay 18th Ds. Sukamaju - - - - - √
102 Yulan Isa 25th Ds. Paris - - - - - √

NIP. 19730217 199303 1 006
145
152
114
178
188
178
219
122
128
205
10
1639

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