DATA SASARA

Provinsi :
Kabupaten/Kota :
Puskesmas :

Tanggal
NIK (Nomor Berat Buku KIA Nama
No Kartu Nama Lahir
No Induk Anak Ke JK Badan 1=Punya Orang Tua
Keluarga Anak (YYYYMM
Kependudukan) Lahir (Kg) 2=Tidak (Ayah)
DD)
DATA SASARAN BALITA

ASI
Cara Ukur
Tgl Lahir No Tlp/HP Jaga / Tanggal Eksklusif
NIK Ayah Alamat BB (Kg) TB (Cm) 1=Telentang
Ayah Orang Tua Lingk. Pengukuran 1=YA,
2=Berdiri 2=Tidak
 Vitamin A Vitamin A
IMD Februari Agustus
1=YA, 1=YA, 1=YA,
2=Tidak 2=Tidak 2=Tidak
 DATA SASARAN IBU HA

Provinsi :
Kabupaten/Kota :
Puskesmas :

NIK (Nomor
Induk BB
No Kartu Kependudukan) Nama Ibu sebelum Jaga / Tanggal Tanggal
No Alamat BB (Kg)
Keluarga atau Ling. Lahir Pengukuran
hamil
NO. KTP
ATA SASARAN IBU HAMIL

TTD
Buku KIA (Tablet Jika YA,
Kehamilan 1=Punya Nama NIK Suami Tgl Lahir No. Hp Tambah brp butir
TB (Cm) LILA (cm) ke Suami Suami Suami darah) TTD
2=Tidak 1=YA, didapat
2=Tidak
 Jumlah
TTD yang
diminum
 DATA SASARAN BALITA

Provinsi :

Kabupaten/Kota :

Puskesmas :

Desa/Kel : Kawangkoan bawah

Berat ASI Vitamin A Vitamin A

Buku KIA Cara Ukur IMD
NIK (Nomor Induk Badan No Tlp/HP Orang Jaga / Tanggal BB (Kg) TB (Cm) 1=Telentan Eksklusif Februari Agustus
No No Kartu Keluarga Anak Ke Nama Anak Tanggal Lahir JK 1=Punya Nama Orang Tua (Ayah) NIK Ayah Tgl Lahir Ayah Alamat 1=YA,
Kependudukan) Lahir Tua Lingk. Pengukuran 1=YA, 1=YA, 1=YA,
2=Tidak g 2=Berdiri 2=Tidak 2=Tidak
(Kg) 2=Tidak 2=Tidak

25-01-2014 kabah IX
1 7105170605140001 *7105176501140001 1 Fheily fhilia maria paulus p 1 Fially Fattly Paulus 7105171112900001 111290 11/7/2018 15,2 96 2 2 2 1 1
Yesika Rori 150615
2 *7105175506150002 p 1 meike tiwow 4052018 13 90 2 2 2 1 1
Gabriel S.Y Karundeng 240914 kabah IV
3 7105170305160003 *7105172409140001 1 l 3,8 1 Riko Karundeng 7105173010860001 301086 100918 15 97 2 2 1 1 1
Cristiani Desier Teesen 151215 kabah VII
4 7105171001130003 *7105175512150002 2 p 1 Jekry Teesen 7105170201840001 20184 100918 1 90 2 1 1 1 1
Julia Mikaila Mangamba 230715 mobongo XI
5 7105171005160004 *7105176307150001 1 p 1 Roma Mangamba 7105172508850002 250885 60918 11,5 90 2 2 2 1 1

6 7105170809080795 7105174212160001 3 Divania Adventia Waroka 21216 p 1 Jantje J Waroka 7105172701760001 270176 Kabah XI 100918 12 85 2 2 1 1 1
Talitha Lombonawung 270218
7 1 Kabah 80518 6.2 60 2 1 2 1 1
Neria N. Manumpil 141017 XI
8 p 2.9 1 Sem Manumpil 60918 7.4 65 1 2 1 1 1
Ronal Rawuung 251214
9 l 1 Kabah 60918 12 90 2 1 1 1 1
Anggini Karundeng 30717
10 p 2,8 1 Eka Karundeng Kabah 60918 8,1 71 1 1 2 2 1
Moses Pangkey 70917
11 l 3,1 1 Kabah 60918 8,5 76 2 2 2 1 1
Adelia Alelo 221217
12 anak ke 2 p 4.2 1 Arki Alelo Kabah 60918 7 66 2 2 2 1 1
Varel Rampangayow 150218 XI
13 anak ke 2 l 3,7 1 Andre Rampangayow Kabah 60918 7,7 68 1 1 2 2 2

14 Marlax Tahang 91117 l 1 Kabah 60918 7.6 70 2 2 2 1 1

15 7105172406150002 7105172611140001 anak ke 2 Nehemia Judika Mahpal 201115 3.5 Julius Mahpal 7105171407870002 1407887 mobongo XI 110718 13.7 91 2 2 1 1 1

16 Chelsie Muaya 260917 1 80518 7 63 2 2 2 1 1

17 7105170801130003 7105174910160001 2 Yumiko Olivia Thalib 91016 p 1 Viko Thalib 7105172311850001 231185 kabah IX 100418 10 71 2 1 1 2 1

18 Exel Talumewo 160117 1 Kabah 100418 9.7 71 2 1 1 1 1

19 Jhosua Poyo 191216 1 Kabah 100418 9.4 73 2 2 2 1 1

20 Daniel Lamani 141117 l 1 Kabah 100418 7.5 61 2 2 1 1 1

21 Davelano Wangko 231117 l 3,5 1 Hans Wangko *085343915626 Kabah 100918 9,2 74 1 1 1 2 1

22 *7105170805170002 *7105174211170001 Abigai Tamara 21117 p 1 Belita Engkol 7105171209750001 120975 Kabah 100918 7 62 2 1 1 1 1

23 Farrsha Key Teesen 70218 1 Kabah 110718 6.7 55 2 2 2 1 1

24 Gerjio Pasla 100118 l 3.2 1 Kabah 50618 6.4 62 2 2 2 1 1

25 Kimberli Pangkey 100118 p 1 Kabah 40618 7.1 61 2 2 2 1 1

26 Hazael Ramlan 111117 l 1 Kabah 100418 6.6 62 1 2 2 1 1

27 Gabriel Segeer 140617 l 1 80518 10 73 2 2 1 1 1

28 7105170701150001 blm ada nik Geonatan Manorek 230118 1 Rama Kiki Manorek 7105171206930001 120693 kabah VIII 110718 8 65 2 2 1 1 1

29 7105170701150001 7105174602150001 1 Qwin Kirei S Manorek 60215 1 Rama Kiki Manorek 7105171206930001 120693 kabah VIII 80518 12 89 2 1 1 1 1

30 Kenri Manorek 60917 l 1 Kabah 110718 8,3 70 1 2 1 1 1

31 Melody Manorek 220817 p 1 Kabah 100918 8 66 1 2 2 1 1

32 Rilistine Hamel 70118 1 Claudia Hamel Kabah 40618 6.7 64 1 2 2 1 1

33 Sin Noel Nayoan 171217 l 1 Kabah 80518 7.8 64 1 2 2 1 1

34 Grand Sahensolar 211117 3.2 1 Kabah 100918 8,4 72 1 1 2 1 1

45 aurelia Sasela 30418 p 3,4 1 Soni Sasela *082190379079 Kabah 100918 4,6 55 1 1 1 2 2

46 Clowly Wayong 131017 p 3,2 1 Juan Wajong Kabah 100918 8,2 69 1 2 1 1 1

47 Justin Rory 50418 l 4 1 Yakob Rory *085656163586 Kabah 100918 9,5 67 1 1 1 2 2

48 Jugi Sampelan 21017 l 1 Kabah 110718 9 68 1 1 1 2 2

49 Blesshine Jhosua 190118 p 3.2 1 Korin Jhosua Kabah 100918 8,3 69 1 2 1 2 2

50 Archiles Ibrahim 140917 l 1 Kabah 40618 9 71 1 2 1 2 1

51 Sharon Tamara 40218 1 Kabah 80518 6.3 61 1 1 1 2 1

52 Brigita Pasla 60218 p 1 Kabah 110718 7 64 1 1 1 2 1

53 Natanael Koyongian 161216 l 1 Kabah 100418 11.9 84 2 2 2 1 1

54 Miksel Sumampow 11117 l 3,5 1 Vergi Pesik Kabah 100918 9 72 1 2 1 2 1

55 Leon Pusung 110817 l 1 Kabah 110718 9.1 71 1 1 1 2 1

56 Mico Anginaloy 61217 l 1 Kabah 100418 8.3 66 1 2 1 2 1

57 Brionel Oklan Pangkey 61017 l 3.6 1 Sinta Mapada Kabah 110718 10.5 71 1 1 1 2 1

58 Timotius Manase 20916 l 1 Kabah 60918 12,5 96 2 2 1 2 1

59 7105171403160004 7105172305160001 2 Gian Mailangkay 230516 l 1 Bili Mailangkay 7105102204850001 220485 Kabah XI 60918 13,6 87 1 2 1 1 1

60 7105171403160004 7105176904140001 1 Glayli Mailangkay 290414 p 1 Bili Mailangkay 7105102204850001 220485 Kabah XI 60918 19 109 1 2 1 1 1

61 Aprilia Samade 150418 p 1 firlina Lahea Kabah 80518 3 50 1 1 1 2 1

62 Daren Walintukan 301217 l 1 Kabah 80518 7.4 59 1 2 1 2 1

63 Geral Karundeng 80418 l 3,2 1 Riko Karundeng Kabah 100918 8 66 1 2 1 2 1

64 Safier Lelemboto 70917 l 1 Kabah 40618 9.9 70 1 2 1 2 1

65 Kristiam manambing 250717 1 Kabah 80518 8.9 68 1 2 1 2 1

66 Atalea Runtuwene 190416 1 Kabah 40618 10 80 2 1 1 2 1

67 Verel Mamusung 161117 1 Kabah 100918 16 66 1 2 1 2 1

68 shina Boki 200218 p 1 Kabah 110718 7.3 60 1 1 1 2 1

69 Cahya Leonardo 150517 p 3 1 Kabah 60918 81 2 1 2 2 1

70 Gabriel Runtunuwu 70617 l 1 Kabah 50618 8 69 1 1 2 2 1

71 7105170103160004 7105170703160001 1 Stevanli Taalaruga 70315 l 3,4 1 Eldis Ttaalaruga 7171053010900021 301090 *081214941194 mobongo XI 60918 14 93 2 2 2 1 1

72 Meifi Timbong 160518 p 3.1 1 Ester Antarramen Kabah 110718 5.2 62 1 1 1 2 1

73 Melfiani Lele 310518 p 1 Kabah 110718 4.4 52 1 2 1 2 2

74 Junior Tamara 300518 l 1 Kabah 110718 2.9 50 1 2 2 2 2

75 Eleaser Mokoagow 230618 l 1 Kabah 110718 38 52 1 1 1 2 2

76 Amoureyza Pasla 230618 1 Kabah 100918 5 52 2 1 1 2 2

77 Ferel Teesen 280416 l 1 Kabah 100918 13,5 92 2 2 2 1 1

78 Angi Lembong 20115 p 1 Kabah 110718 12.3 88 2 2 1 1 1

79 Alfianuo Setlight 180118 l 1 Kabah 100918 8 66 1 2 1 2 1

80 7105170106150001 7105174701170001 1 Alesandria Wajong 70117 p 1 Kalvian Marsil Harlen Wajong 7105171903880001 190388 kabah II 110718 15 102 2 1 2 1 1

81 7105170409140002 blm ada nik 2 Gevaril Ibrahim 110518 l 2,3 1 Rinto Ibrahim 7105172109860001 210986 kabah VI 110718 5.3 52 1 1 2 2 2
82 D. Talita Lombonaung 270218 p 3.7 1 Jenli Lombonaung mobongo XI 60918 7.8 66 1 2 1 2 1

83 Mondi Manese 50918 l 1 yelmin budiman Kabah 110718 10,5 70 1 2 2 2 2

84 7105172309140006 7105176209140001 anak ke 1 Sabrina Tumangken 220914 p 1 Cristian Tumanken 7105171511940001 151194 mobongo XI 110718 11.5 84 2 2 1 1 1

85 Clement Tiwow 250818 l 3,3 1 Marco Tiwow *085343567525 Kabah 100918 4,6 55 1 2 1 2 2

86 Gauri Mandagi 80418 p 2,7 1 Ferdinan mandagi *085240373913 Kabah 100918 5,9 57 1 1 1 2 2
87 7105170708120001 7105171002140001 2 Rahel Palembatas 100214 p 3 1 Maikel Palembatas 7105172507890003 250789 kabah IX 100918 17 99 1 1 2 1 1
88 Trinita Rintjap 230418 p 3 1 Novel Rintjap *0852420811813 Kabah 100918 15 104 1 2 1 1 1

89 7105170809081267 7105176303150001 3 Karunia Rumagit 230315 p 2,8 1 Novi Rumagit 7105171711690001 171169 kabah III 100918 14,3 95 1 1 1 1 1

90 Eldilan Luther 10718 l 2,6 1 Andre Luther Kabah 100918 5,5 58 1 1 1 2 2

91 meydelin Alelo 20517 p 4,2 1 Wengki Alelo *085340338856 Kabah 100918 12 80 1 2 1 1 1

92 Vania Waroka 50818 p 3,1 1 Kabah 100918 3,1 46 1 2 2 2 2

93 Melviani Lele 50918 p 1 Kabah 100918 3,1 50 1 1 1 2 2

94 Miko Annginaloy 61217 l 1 kabah 100918 9 78 1 1 1 2 1

95 Amos Piters 60814 l 1 Kabah 100918 13 104 2 1 1 1 1

96 Tristo Lapian 180414 l 1 Kabah 100918 16 116 2 2 1 1 1

97 *7105171710140001 Verel muntu 171014 l 1 Aprilia F Thomas Kabah 100918 16 118 2 2 1 1 1

98 Gloria Mononimbar 180915 p 1 Kabah 100918 14 112 2 1 1 1 1

99 Eleven Kelung 110116 l 1 kabah 100918 11,9 99 2 1 2 1 1

100 Cristian Mamarimbing 250717 l 1 Kabah 100918 9 68 1 1 1 1 1

101 Junior Tamara 21117 l 1 Kabah 100918 4,6 52 1 1 1 1 1

102 Anugerah Tamara 190718 l 3,6 1 Fandi Tamara *081285319131 Kabah 100918 5,1 55 1 1 1 2 2

103 *7105170402150001 Ezar Anes 40215 l 1 Kabah 100918 16

104 Geovano Torar 150818 l 3,9 1 Lesli Torar *082232199363 kabah 100918 4,9 53 1 1 1 2 2

105 Ravelio Tamara 280414 1 Maikel Tamara Kabah 100918 17 105 1 2 1 1 1

106 Daren Walintukan 301218 1 Ravelio Walintukan Kabah 100918 9 69 1 2 2 2 1

107 Meyvi Timbong 160518 p 1 Keke Timbong Kabah 100918 6,4 60 1 2 1 2 2

108 Vina rende 161117 p 1 Kabah 100918 9,6 72 1 1 1 2 1

109 Arsenio 210518 1 Kabah 100918 4 52 1 2 1 2 2

110 7105170409140002 7105173107140001 1 Nathanael Juvensio Ibrahim 310714 l 1 Rinto Ibrahim 7105172109860001 210986 kabah VI

111 Alexandro Sayow 250814 l 1 Kabah

112 Seina Boki 200218 p 1 Kabah 100918 7,3 60 1 1 1 2 1

113 7105171103140001 7105175911160002 3 Michiko Pinontoan 181116 p 1 Donald H C Pinontoan 7105171808820002 180882 kabah IX 100918 11,3 83 2 1 1 1 1

113 Saron Tamara 40118 p 3,4 1 Kabah 100918 8,2 72 1 1 1 2 1

114 Brayen Tamara 220816 l 1 Kabah 100918 13 83 2 1 1 1 1

115 7105171510150001 7105170905160001 4 Maikenzie Tamburian 90516 l 1 Jefrry Tamburian 7105171912910003 191291 kabah IX 100918 11 98 2 1 1 1

116 7105170809081196 7105175603140001 2 Injilila Valeris Tilaar 220316 p 1 Nobel Tilaar 7105172711860001 271186 kabah V 100918 9 78 1 1 1 1 1

117 Jesia Pangkey 141214 p 1 Kabah 100918 10 84 2 1 1 1

118 Janski Mintia 100718 l 3,4 1 Kabah 100918 6,4 60 1 2 2 2 2

119 7105171306160002 7105036411130002 2 Viona Militia Mamusung 241113 p 1 Ronal Mamusung 7105030203850004 20385 kabah IX 100918 16 117 2 1 1 1 1

120 Justin Tambayong 231113 l 1 Jekson Tambayong Kabah 100918 16 116 2 1 1 1 1

121 Amor Clau 90314 p 3,6 1 Mendes Clau Kabah 100918 16 118 2 1 1 1 1

122 Blessing Mongkareng 160618 p 4,2 1 Hardi Mongkareng Kabah 100918 5 51 1 2 1 2 2

123 Airillin Tumangken 10916 p 2,7 1 Fernando Tumangken Kabah 100918 9,8 83 1 2 1 1 1

124 Vindi Palit 250215 p 3,4 1 Kevin Palit Kabah 100918 12 93 1 1 1 1 2

125 7105171609130001 7105174103140001 1 Leori Leonardo 10314 p 3,4 1 Alan Kumayas 7105173008920001 300892 mobongo XI 60918 15 105 2 2 1 1 1

126 Gevariel Rawung 200818 l 3,4 1 Vino Rawung *081355634958 Kabah XI 60918 3,8 51 1 1 1 2 2

127 Gabriel Runtunuwu 70617 l 3,2 1 Chen Runttunuwu Kabah XI 60918 8,6 75 1 1 2 2 1

128 7105173001140004 7105172901140003 2 Daniel yabes Anugerah Mongkareng 290114 l 4 1 Breni Mongkareng 71051722310820001 231082 *085211953777 kabah IX 60918 15,3 98 1 1 2 1 1

129 Renaldi Sumampow 250916 l 1 Rolan Sumampow Kabah XI 60918 9,4 78 2 1 2 1 1

130 Angel Pangkey 161013 p 3,4 1 Arli Pangkey Kabah XI 60918 16,4 108 2 1 2 1 1

131 7105171902140002 7105175612130001 1 Mylania Shanesa F Sumampow 161213 1 Franklyn Benyamin Sumanpow 7105172505920003 250592 kabah V

132 Eliaser Waani 230618 l 3,3 1 Resa Waani *085256067419 Kabah XI 60918 5,1 57 1 1 1 2 2

133 Risky Makaliwe 260416 l 3,5 1 Stevan Makaliwe Kabah XI 60918 12 84 2 1 1 1 1

134 Herlina sariowan 240618 p 1 mobongo Kabah 60818 3,3 51 1 1 1 2 2

135 Jonathan Manorek 1 Kabah 70818 8,1 62 1 1 1 2 1

136 Anjelo 290416 l 1 Kabah 70818 12,4 84 2 2 1 1 1

137 7105172601170002 7105174308160001 1 Seysil Christina Sumampow 30816 p 1 Christo Z Sumampow 7105172312920001 231292 kabah VI 70818 9 2 2 1 1 1

138 7105170903170003 7105173005150001 1 Gianluca Franco Wungow 300515 1 Keefly F Wungow 7105172612930001 261293 kabah V 70818 14,9 2 2 1 1 1

139 Alesa Kalalo 291017 p 1 Kabah 70818 8,1 74 1 1 1 2 1

140 Enji Lembong 20115 p 1 Sutria Jansen Kabah 70818 14 116 2 2 1 1 1

141 7105171509160001 7105175905150001 2 Meyareta Hersoni 190515 p 1 Hendy Yulius Hersoni 7105170907880001 90788 kabah IX 70818 8,1 76 2 2 1 1 1

142 Yeremia Tamburian 151113 l 1 Sira Sumampow kabah 70818 14,3 108 2 2 1 1 1

143 Natania Pasla 130714 p Vivi Sumual Kabah 70818 16 114 2 1 1 1 1

144 7105171102110029 7105175901140001 2 Jerly Juventia Kakondo 190114 p 1 Juliando Kokondo 7105171106900001 110690 Kabah

Natanael Runtuwene 190416 l 1 Injali juju kabah 70818 10,5 88 2 1 1 1 1

Keiko Rumambong 2411116 p 1 Pingkan poyoh kabah 70818 10,3 86 2 1 1 1 1

Deren Walintukan 301217 l 1 Waria Wori Kabah 70818 8,9 76 1 1 1 1 1

Ranisa Aring 190514 p 1 Friska Lucky Kabah 70818 15 110 2 2 1 1 1

Alena Ondang 210415 p 1 Janti Palit kabah 70818 13 106 2 1 1 1 1

Noel Nayoan 171218 l 1 Jenifer Kawengian Kabah 70818 8,5 78 1 2 1 1 1

7105171109150001 7105172809150002 1 Kyle Enji Kenan Nayoan 280915 1 Swendy R Nayoan 7105171405900001 140590 kabah V 70818 13 106 2 2 1 1 1

Dwi kelin 30317 l 1 Widian Tarini Kabah 70818 10,1 84 1 1 1 1 1

71051722309160001 9109161401150001 1 Nathan Raja E Sihotang 140115 1 Noverto Sihotang 1208040211880001 21188 kabah XI 70818 8,8 76 1 2 1 1 1

7105172601120001 7105174506150001 3 Jesica Syalomita Buangbatu 50615 p 1 Arnold Buangbatu 7105172304770001 230477 kabah I 70818 11,8 90 1 2 2 1 1

Mentari Julius 40217 p 1 Karina Kojongian kabah 70818 10,3 86 1 1 1 1 1

Alexandria Wajong 70117 p 1 Gladis Paputungan Kabah 70818 11 89 2 2 1 1 1

Oklan Pangkey 61017 l 1 Shinta Tapeda Kabah 70818 10,2 86 1 2 1 1 1

7105170905160007 7105172610150001 1 Orvandi Wungow 261015 l 1 Keeven Wungow 7105170611830001 61183 kabah VII 70818 11,8 2 2 1 1 1

7105172307130003 7105172709150001 2 Septiano Darel Manorek 270915 l 1 Christian Manorek 7105172312830001 231283 Kabah II 70818 13 98 2 2 1 1 1

7105170809081282 7105172812140001 Chrisrema W E Sorongan 281214 l 1 Meldy Sorongan 7105171310750001 Kabah 100418 12 85 2 1 2 1 2
'7105170212150002 71051720008150002 1 Divastie P.M Frans 200815 p Dadang Audy frans 7105102606860001 260686 Kabah II

7105170809080908 7105172708140001 6 Geheskia Yanis Pasla 270814 p Franky Pasla 7105171608770001 160877 Kabah XI

7105170904150001 7105170803150001 1 Jonathan Marvin Rawis 80315 l Jenefer C Rawis 7105170606910001 60691 Kabah VI

7105170809081111 7105176405150001 3 Chrisabelle trinity Mamias 240515 p Frengki Mamias 7105172602770001 260277 kabah IX

7105170809110001 7105170407150001 1 Giofani Distefano Tilaar 40715 l Audy Alex Ronal Tilaar 7105172108840001 210884 kabah IX

7105172101150003 7105100509850001 1 Stuart Agung J Hukubu 10815 l Herman Rocky Hukubu 7105100509850001 50985 kabah IV

7105170809081286 7105170501150001 4 Christia Hizkia Lembong 50115 p Hanie Lembong 7105172301670001 230167 kabah IX

7105172511130003 7105170402150001 1 Ezar Sergio Ares 40215 Steven Vendi Ares 7105170909820001 90982 kabah IX

7105172302150001 7105175109140002 2 Sefira Syalom Sujono 110914 p 1 Chandra Servi Sujono 7105171009870001 100987 kabah 0 70818 14,5 105 2 2 2 1 1

7105170809081017 7105176410150002 3 Ailsa God Bless Maria Tiwow 241015 p Royke Tiwow 7105170104800001 241015 Kabah I

7105170911150005 7105176812150001 1 Velia Christina C Noya 281215 p Ludvie Noya 7105176812150001 100790 Kabah 0

7105172210140002 7105176112130001 1 Alda Natalia 211213 p Dahlia Paputungan 7105175709800001 170980 Kabah I

7105172408160006 7105174410130001 family Muthiara Zefanya Laorensh 41013 Ikson Laorensh 7105171103850002 110385 kabah II

7105171303120001 7105171504160001 2 Brayden Mangindaan 150416 Terry Mangindaan 7105170906910001 90691 kabah VII

7105171401150001 7105171710140001 1 Verel Muntu 171014 Marco Munttu 710517240390003 240390 kabah VII

7105171808140009 7105170511140001 1 Saviera Alexis Cleo Rapar 51114 Chrisli Alexandro Rapar 7105170606950001 60695 kabah VII

7105172509120002 7105171804140001 2 Cristo Lapian 180414 Rico Alwin Lapian 710517230489002 230489 kabah VII

7105173010140003 7105176006150001 1 Bitya Bellvania V Sumajow 200615 Alvian Alfonso Sumajow 7105171508840002 150884 kabah VII

7105172304140001 7105174308140002 1 Tziporah Ivri R 30814 Victor Nero R 7105171902760001 190276 kabah

7105173110110001 7105171703140001 2 Marcel Rafa Pusung 170314 Dedi Handri Pusung 7105172006760001 200676 kabah II

7105170605140003 7105171608140001 5 Alvaro Barahama 160814 Ferdy Barahama 7105171402720001 140272 kabah III

7105172601770001 7105171710140002 2 Diego Adriano D Londong 171014 Dendy Londong 7105172601770001 260177 kabah VII

7105170505140001 7105175610140001 1 Asyera Fanesia Egeten 161014 Fadly Petrik Egeten 7105170502880001 50288 kabah IX

7105170108120001 7105175605150001 3 Bellvania Cintakirana Tulungen 290248 Alfa Tulungen 7105171406810001 140681 kabah VIII

7105172910130001 7105176212140001 2 Mikhaaela Mongkareng 221214 Barthel Mongkareng 7105171612860002 161286 kabah VIII

7105171703110002 7105172106150002 3 Alandri Gamaliel Lasut 210615 Ronny R Lasut 7105171709820001 170982 kabah VI

7105171703110002 7105172106150001 2 Alandri Gamalio Lasut 210615 Ronny R Lasut 7105171709820001 170982 kabah VI

7105170403130001 7105177006160001 4 Tabitha Clara Tamara 30616 Belly Tamara 7105172805770001 280577 kabah VII

7105170411150002 7105175608140001 2 Filia Christina Tiwow 160814 Jonli Hendri Tiwow 7105171307740001 130774 kabah VII

7105170510760001 7105172306080001 4 Raykel Marcelino Waroka 110314 Donni Osmon Waroka 7105170510760001 51076 kabah VII

7105171508140003 7105175809150001 1 Belvania Gloria H Mononimbar 151215 Hendro Karel Mononimbar 7105172710870002 271087 kabah VII

7105171205160003 7105171007150001 2 Grafiel Nathan C Sojow 100715 Jeri David Sojow 7105172506910001 250691 kabah I

7105171005160003 7105170106140002 1 Juniver Muaya 10614 Cristian Muaya 7105171912910002 191291 mobongo XI

7105171504140004 7105174508130001 1 Resita Anggreini J Pangkey 50813 Ronal Adris Pangkey 7105172204870001 220486 mobongo XI

7105172110130001 710517509130001 1 Kania Kirana Kowuren 100913 Armi Aprilius Kowuren 7105172604850001 260485 mobongo XI

7105172907150002 7105171509140002 2 Miraikel Sumampow 150914 1 Roland Sumampow 7105172803850003 280385 mobongo XI 60918 13,2 91 2 2 1 1 1

7105172307130001 7105171908130001 1 Vadelio Jonathan Olii 190813 Ridel Wolteer Olii 7105170909890001 90989 kabah IX

7105170809081200 7105175210130001 4 Kawaii Karaisa Ivly S 121013 Ivane Fitria Wongkar 7105175504840001 150484 kabah V

7105172402120004 7105172809140001 2 Christian Viky Sendow 280914 Swingly Sendow 7105172202860002 220286 kabah V

7105171001130004 7105170108130001 1 Agito Dustin R Ramlan 10813 Arly rramlan 710517280690001 280690 kabah VI
7105170408110001 7105170106160001 2 Yeremia Josep Tumbelaka 10616 Boyke Tumbelaka 7105100905810001 90581 kabah V

7105170809080860 7105171402980001 3 Alfin Falen Walukow 120215 l Alvian Walukow 7105170708800001 70880 mobongo XI

7105170809081336 7105175710140001 4 Princes Elisabeth P Sumampow 171015 Etli Sumampow 7105172604770001 260477 mobongo XI

7105171701120001 7105174508150001 4 Thabita cecilia T Wwaroka 50815 p Johny waroka 7105172106740001 210674 kabah VII

7105171012130001 7105171008150001 1 Hirosi Alfret Sumampo 100815 l Toyohaci Sumampow 7105172101930003 210193 kabah X

7105171012130001 7105171008150002 2 Hiroki Angga Sumampow 100815 Toyohaci Sumampow 7105172101930003 210193 kabah X

7105171604140006 7105170704140001 1 Kefas Paskah Wayongkere 70414 Jemmy wayomgkere 7105172506780002 250678 kabah X

7105172711130001 7105172412130002 2 Cristop Poli 241213 Deisy Poli 7105174812750001 81275 kabah X

7105172908160003 7105173110150001 3 Rivaldo Aliando Lamani 311015 David Lamani 7105171411810002 141181 kabah X

7105012009110002 7105170505160001 2 Virgio Morgan Lapian 50516 Doan Lapian 7105012301840001 230184 mobongo XI

7105170210130003 7105170511130002 1 Yehezkiel Yonatan Samade 51113 Rommy Samade 7105172209860002 220986 mobongo XI

7105172011150003 7105170606160001 1 Renaigel Nandi Sumual 60616 Rendy Januar Sumual 7105172201950001 220195 kabah 0

7105172909160004 7105175512150002 2 Cristian Desire Teesen 151215 Jacry Teesen 7105170201840002 20184 kabah

7105171507110004 7105173001140001 3 Samuel Chicago Tamburian 300114 Venda V F Tamburian 7105172702720001 270272 kabah X

7105170809081085 7105172804140001 2 Apriliio Prayer Sumampow 280414 Maikel Meydi Sumampow 7105170503790001 50379 kabah IX

7105170504110001 7105172309140001 3 Verrell Xasier Tumanken 230914 Djonson Tumanken 7105172006630003 200663 kabah VI

7105171606150007 7105171907150001 1 Cleverly Dhyvha Weol 190715 Reindi Weol 7105172206950001 220695 kabah VII

7105172603140001 7105171111130001 1 Cloud Stripe Poulge Schoemaker 111113 Marco Arend Schoemaker 710517407880001 140788 kabah VII

7105171409160002 7105176206150001 1 Enggeline Pelle 220615 Billy Yossi Pelle 7105173101940001 310194 kabah I

7105171910160001 7105171202160002 4 Djeki Lendo 200557 Michael Janes Lendo 7105172808780002 280878 kabah I

7105172101130003 7105173005140001 2 Edward Alden Edsel Maengkom 300514 Stenly Maengkom 7105172909850001 290985 kabah I

7105172804150001 7105176104150001 1 Aleena Kartini Ondang 210415 Mariani E Sumampow 7105174301690001 30169 kabah I

7105102607160008 7105174612160001 2 Hana Noela Mangilaleng 61216 Elia Jusak Mangilaleng 7105172903700001 290370 kabah

7105171408140007 7105171811140001 2 Novelio Firman F Rompas 181114 Fero Rompas 7105172209890001 220989 kabah IX

7105170601140001 7105172710140001 2 Edgar Bastian Mona Sumappow 271014 Bravelix Ellias Donny Sumampow 7105171712780001 171278 kabah IV

7105170605150004 7105170710160001 1 Elnathan Erico Tambajong 71016 Raimon Tambajong 7105170502880003 50288 kabah IV

7105170809081245 7105171710150001 4 Jerikho Angelo M Rarung 171015 Johanis Rarung 7105173101760001 310176 kabah IV

7105170603120003 7105172112140002 2 Andreas Marselio Loupatty 211214 Denny Jonly Loupatty 7105170312830001 31283 kabah V

7105170809080926 7105175810130001 3 Kobayashi Milkah Tamara 181013 Audy Tamara 7105170910750002 91075 kabah V

7105170703120016 7105171508130001 2 Leander Nathan S 150813 Kenly Lerry G S 7105171810820001 181082 kabah VI

7105170809081120 7105172909130001 3 Gilbert Chrustofel Poli 290913 Hanes Poli 7105170704790001 70479 kabah VI

7105170809081211 7105176710150001 3 Aiko Milka Mononimbar 271015 Servie Nouke Mononimbar 7105171612750001 161275 kabah IX

7105172903120017 7105172301160001 2 Tristan Samuel Runtuwene 230116 Allan Runtuwene 7105172711690002 271169 kabah 0

7105172104160002 7105171905140001 1 Milano Fransisko Damopolii 190514 Frengki Damopolii 7105101801820001 170182 kabah VI

7105171601140001 7105171412130001 1 Richard Cristian P 141213 Riedel S H 7105171206920003 120692 kabah III

7105170809080915 7105174402140001 3 Mikha Sarapova Salibana 40214 Erwin salibana 7105170410800001 41080 kabah VII

Mengetahui

Kepala Puskesmas Amurang Barat Petugas Gizi

 dr. Susy Livia Kandow Dewi R Napitu S.Kep

NIP. 19770614 201001 2 006

NIP. 19810322 201001 2 007
 DATA SASARAN BALITA

Provinsi :

Kabupaten/Kota :

Puskesmas : Amurang Barat

Desa/Kel : Tewasen

Vitamin A Vitamin A
Berat Buku KIA Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk Anak No Tlp/HP Orang Jaga / Tanggal Februari Agustus
No No Kartu Keluarga Nama Anak Tanggal Lahir JK Badan 1=Punya Nama Orang Tua (Ayah) NIK Ayah Tgl Lahir Ayah Alamat BB (Kg) TB (Cm) 1=Telentang 1=YA, 1=YA,
Kependudukan) Ke Tua Lingk. Pengukuran 1=YA, 1=YA,
Lahir (Kg) 2=Tidak 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak

Lionel Givano Waroka 110614 tewasen III

1 7105170511140024 *7105171106140001 1 l 1 Julayver R Waroka 7105171407930001 140793 *085256285485 270818 18 98 2 2 1 1 1
Kimberly A Matindas 260814 tewasen XVI
2 7105171507150001 *7105176608140001 3 p 3,1 1 Daniel Matindas 7105172312910002 231291 *082199965522 270818 14 100 2 2 2 1 1
Alinsky S Rintjap 100414 tewasen VII
3 7105172903170001 *7105171004140001 1 l 1 Rifky J Rintjap 710570806910001 80691 240418 7,6 64 2 1 1 1 1
Bellvania E Winerungan 40714 tewasen V
4 7105171901150001 *7105174407140001 2 p 1 Ssamuel B Winerungan 7105171902760002 190276 270618 15 100 2 1 1 1 1

210916 tewasen VIII

5 7105170809082693 *7105172109160002 4 Daren Tristan Timbong l 1 Erwin Berty Timbong 7105170310770001 31077 210518 10,2 80 2 1 1 1 1

Juvensi Eunike Kalalo 111113 tewasen VIII

6 7105170912130003 *7105175111130001 1 p 1 Gian Kalalo 7105172211900001 221190 270818 18 102 2 1 1 1 1

Caesariko Buge 11214 tewasen V

7 7105170809082680 *7105170112140001 3 l 1 Rocky Buge 7105170112820001 11282 270818 14 98 2 1 2 1 1

Martha Gracia Tamara 230915 tewasen VII

8 7105170308150002 7105176309150001 1 p 1 Bonny J Tamara 7105171101950001 110195 270818 11 90 2 2 2 1 1

Anugerah Siwu 280415 tewasen I

9 7105170809082391 *7105172804150001 4 l 1 Vanny Siwu 7105171702760001 170276 270818 14 86 2 1 1 1 1

Marsha Gratia N Tamara 230915 tewasen

10 *7105176309150001 p 1 Novia R pondaag 190718 15 88 2 1 1 1 1

11 7105171301140002 7105174201140001 1 Valencia Jelita Tandayu 20114 1 Wensy Tandayu 7105170611870004 61187 tewasen VIII 190718 14 94 2 1 1 1 1

Queenzino Rempowatu 270816 tewasen V

12 7105171503130002 *7105172708160001 2 l 1 Jeiner rempowatu 7105172006850001 200685 210518 12,8 83 2 1 1 1 1

Zakharia Lionel P Tumuyu 101113 tewasen

13 *7105171011130001 l 3,4 1 Melliysa R Tampemawa 270818 15 100 2 1 1 1 1

14 Bleesli Lapod 130117 3,0 1 Markel Lapod *08135668070 tewasen VII 270818 11 87 2 2 2 1 1

tewasen
15 Aleysha Bangki 301217 p 2,9 1 Alva Bangki *085255567047 VIII 270818 7 66 1 2 1 2 1

16 7105171301140002 blm ada NIK 2 Kensi Tandayu 60318 l 1 Wensy Tandayu 710517061187004 61187 tewasen VIII 190718 6,6 62 1 1 1 2 2

tewasen
17 Imanuel Paruntu 261117 l 3 1 Riza Paruntu *081241707307 210518 8,5 63 1 1 1 2 1

18 Velope Lumempow 310118 p 3,4 1 Gideon Lumempow *085341168133 tewasen VII 270818 7,3 66 1 2 2 2 1

tewasen
19 Daniela Rempowatu 80418 p 3 1 Stevan rempowatu *085241740432 27818 7 62 1 1 1 1 2

tewasen
20 Sean Rori 100118 p 3,6 1 Richard rori *081356110726 270818 8,7 68 1 2 2 2 1

21 Laurensia Raya Waroka 270318 p 1 tewasen 190718 6,4 59 1 2 1 2 2

tewasen
22 Gideon Kawalod 230917 l 1 Mikael Kawalod 270618 8 69 1 1 1 2 1

tewasen
23 Victory Muda 71217 l 1 240418 7,4 63 1 1 1 2 1
24 AlinsyaTimbong 271117 p 1 tewasen 240418 7 64 1 1 1 2 1

tewasen
25 Florensi Waroka 200416 p 2,9 1 Jery Waroka *081282811855 270818 11 80 2 2 2 1 1

tewasen
26 Glori Manampiring 181015 p 1 Hence Manampiring 270818 15 95 1 2 2 1 1

27 Evangli riyanti N Wokas 81117 p 3,4 1 Feki Wokas *08124806796 tewasen IV 270818 10 72 1 1 2 2 1

tewasen
28 Gevariel Ompi 221217 1 210518 7,2 64 1 1 1 2 1

tewasen
29 Kaka Marshal Rondonuwu 141217 l 3,5 1 Jeinal Rondonuwu *085240161693 VII 210818 9,2 71 1 1 2 2 1

30 Felicia Koloay 60817 p 3,5 1 Mitcel Koloai *085256285484 tewasen 270818 8,2 72 1 2 1 2 1

tewasen
31 Kaisar Yames 290617 l 2,7 1 Lexi Yames 210518 9,3 74 1 1 1 1 1

tewasen
32 Marsiela Mira 100318 p 1 Randi Mira 270818 7,2 76 1 1 2 2 2

33 Vika Runtu 20318 p 2 1 David Runtu tewasen 270817 7,5 63 1 2 1 2 2

tewasen
34 Ristan Timbong 200916 l 1 Erwin Timbong 270818 10 80 2 1 1 1 1

tewasen
35 Sabriel Y 21117 p 1 210518 7,7 63 1 1 1 2 1

36 Jovial Dexier Selat 150218 l 3,1 1 Jeinel Selat *082291717591 tewasen IV 270818 6,8 67 1 2 1 2 1

tewasen
37 Aurel Mira 170417 1 Nona Selat 190718 15 91 1 1 1 1 1

tewasen
38 Roland Mamusung 40117 1 240418 6,5 60 1 1 1 1 1

39 Dinda Kuhu 140716 1 tewasen 240418 9 76 2 1 1 1 1

tewasen
40 Mathea Agonta 131217 p 2,5 1 Desny Agonta *082190156067 210818 7,8 68 1 1 1 2 1

tewasen
41 Sevanya Ratu 20318 l 20318 1 210518 5,7 65 1 1 1 2 2

42 Viliora Rempowatu 50518 p 3,1 1 Vijay Rempowatu *081266669393 tewasen III 270818 6,1 57 1 1 1 2 2

tewasen
43 Gabriel Jakob 21117 l 3,2 1 Vidi Jakob *082271229227 270818 7,3 70 1 1 2 2 1

tewasen
44 Keyza Porajow 20616 p 3,5 1 David Porajow *081354296595 IV 190718 13 85 2 2 2 1 1

45 Gibran Radika Rataq 60518 l 3,5 1 Felty Rataq *082349060803 tewasen VIII 270818 7 62 1 2 1 2 2

tewasen
46 Prayse Sinubu 60617 p 1 Engling Sinubu 210818 9,7 76 1 1 1 1 1

tewasen
47 Cheyra supit 281217 1 Soni Supit 190718 6,5 64 1 1 1 2 1

48 Fransisko Tamara 80416 l 2,8 1 Fairy Tampemaawa *08145181806 tewasen 210818 15 93 2 2 2 1 1

tewasen
49 Jofrandy Kawalood 80917 l 2,8 1 Givany Kawalood *085341959430 190718 8,3 64 1 2 2 2 1

tewasen
50 Quenshy Cocomba 50618 p 1 Aldi Cocomba 190718 5,2 52 1 1 1 2 2

51 Kenneth Matindas 270218 l 1 Daniel Matindas *082199965522 tewasen 210818 8,7 69 1 2 2 2 2

tewasen
52 Mirando Runtu 160516 l 1 Jhon Runtu 190718 15 91 1 1 1 1 1

tewasen
53 Jefanka Injilia Mondoringin 80618 p 2,8 1 Nofri mondoringin *085341720374 210818 5,2 54 1 2 1 2 2

54 Jesus Jersie Tumbuan 50618 l 1 James Tumbuan tewasen 210818 3,3 50 1 1 1 2 2

tewasen
55 Mikaela Selat 240917 p 1 Fernal Selat 210818 7,6 65 1 1 1 2 1

tewasen
56 Kirey Larowo 230718 p 3 1 Ardi Selat 190718 3 48 1 1 1 2 2
57 Joana Sumolang 80117 p 1 Indah Sumolang tewasen 190718 7,5 70 2 1 1 1 1

tewasen
58 Feyfel Tumewu 270718 l 2,6 1 Franklin Tumewu *085256303733 III 210818 4 5,2 1 1 2 2 2

tewasen
59 Kenzy Porayow 70715 l 3,5 1 David Porayow *081354296595 210818 15 94 2 2 2 1 1

60 Zilvania tumuyu 21116 p 2,4 1 Fadli Tumuyu *0852564610 tewasen III 210818 9 77 2 1 1 1 1

tewasen
61 Nathanael Kilapong 281215 l 3,8 1 Andi Kilapong VII 210818 15 102 1 2 2 1 1

tewasen
62 Clint laoh 130618 l 4,1 1 Trivena Laoh *082347982445 IV 210818 7 61 1 1 1 2 1

63 Dave Kembuan 241115 l 3,4 1 Yudi Kembuan *082233076367 tewasen VI 210818 13 88 2 1 1 1 1

tewasen
64 Felya Manangin 310718 p 3,5 1 Muliadi Manangin *082347981660 V 210818 3,7 50 1 2 1 2 2

tewasen
65 Cecilia Sabari 90915 p 2,9 1 Marcel Sabari VI 210818 12 88 1 2 2 1 1

66 Rafaael Waroka 80818 l 4,3 1 Julay Waroka *085256285485 tewasen VIII 210818 11 81 1 1 1 2 2

tewasen
67 Tanya Emily Waroka 270318 p 2,8 1 Jery Waroka III 210818 6,4 61 1 1 2 2 2

tewasen
68 Noella Nayoan 221116 p 2,6 1 Raymon Nayoan *082396726485 III 210818 10 82 2 1 2 1 1

69 Alisa Nayoan 230815 p 2,9 1 *082292671108 tewasen III 210818 12 93 2 1 2 1 1

tewasen
70 Rezalki Kalalo 90818 l 2,9 Jaki Kalalo *082292671108

71 7105170711140005 7105176810130001 1 Cheren Rempowatu 281013 p Vonda Rempowatu 7105174606940002 150950 tewasen I

72 7105171102110018 7105174906130001 1 Nike Porajow Porajow 90613 p Franky Porajow 7105172502760002 250276 tewasen I

73 71051721101300005 7105171011130001 1 Zakharia Tumuyu 101113 l 3,4 1 Fadly Tumuu 7105170702880002 70288 *0852564610 tewasen III 210818 15 100 1 1 1 1 1

tewasen
74 Tristan Timbong 200416 l 1 Erwin Timbong 210818 10 80 1 2 2 1 1

75 7105171102110022 7105171510140001 2 Markel Kristofel Kilapong 151014 l Ferdinan Kilapong 7105170711810001 71181 tewasen I

tewasen
76 Jovial Dexier Selat 1

77 Bilkis Kawaload 270315 p 1 tewasen 210818 14 108 2 2 1 1 1

tewasen
78 Joakim Pelle 301014 l 1 Deisy Kalalo 210818 17 119 2 1 1 1 1

tewasen
79 Alisya Bangki 301217 p 1 Alva Bangki *085255567047 VIII 210818 7 66 1 2 1 2 1

80 7105170208160002 7105171203160001 1 Gabriel Kawalood 120316 l 1 Maikel Kawalood 7105172103930001 210393 tewasen I 210818 10 90 2 2 2 1 1

tewasen
81 Andika Imanuell Parumtu 261117 l 3 1 Reza Paruntu *081241707307 VIII 210818 8 68 1 1 1 2 1

82 Injilia Mondoringin 80618 p 2,8 1 Novri Mondoringin *085341720374 tewasen VII 210818 5,2 54 1 1 1 2 2

tewasen
83 Gabriel Yakob 21117 l 3,2 1 Vidi Jakob *082271229227 VII 210818 12 93 2 2 2 1 1

7105171910090005 7105176308130001 2 Kimberly Wawointana 230813 p Kendy wawointana 7105172308820001 230882 tewasen VI

7105171507150001 7105176009130002 2 Beverlly Prilly Mathindas 200913 p Daniel B Mathindas 7105172312910002 231291 tewasen XVI

7105172709160001 7105176106140001 1 Christi Juliani Raintama 210614 p Cristian Raintama 7105172612890001 261289 tewasen IV

7105170809082684 7105170404150001 2 Aprilio Paul Ferdinand Tumuyu 40415 l Viktor Semuel Tumuyu 7105171007820003 71082 tewasen II

7105170202160001 7105171605150001 1 Glenly Godwin Kaligis 160515 l Fanly N Kaligis 7105170810800002 81080 tewasen VI

7105172505110002 7105170407130001 2 Rainhard Z Wenderly Kembuan 40713 l Ravles Kembuan 7105170710820001 71082 tewasen VI
7105172304120002 7105174909150001 2 Sisilia Silvania Wokas 90915 p Vecki Vicki Wokas 7105172806780002 280678 tewasen IV

7105171302110002 7105174804130001 2 Militia Christy Bangki 80413 p Eben e Bangki 7105170308790001 30879 tewasen V

7105172302120003 7105176010140001 2 Eysel Cicilya Kalalo 201014 p Janly Kalalo 7105172301810001 230181 tewasen II

7105170809082542 7105176705150001 2 Meisya Anggreyni Lomboan 270515 p Audy Lomboan 7105171104780002 110478 tewasen II

7105170903170005 7105171606130001 1 Yehezkiel Heavenly Kumendong 160613 l Klinten Yyefta Kumendong 7105172301930001 230193 tewasen I

7105171301100001 7105171604160001 2 Dilover Kaesario Kaawoan 160416 l Derby Kaawoan 7105170112850002 11285 tewasen I

7105171804160004 7105170805150001 1 Meyer Waroka 80515 l Nober Waroka 7105172710800001 271080 tewasen II

7105170511140006 7105171602150001 2 Revael Junus Tumewu 160215 l Oldy Tumewu 7105171210800001 121080 tewasen 0

7105170809082620 7105177107930001 3 Angel Rompaas 190413 p Maxi Rompas 7105171403640001 140364 tewasen II

7105171102110019 7105170209150001 2 Servan Israel Talumepa 20915 l Devi Talumepa 7105170812850001 81285 tewasen VI

7105170305160005 7105173112150001 1 Finsi christ Lengkey 311215 p Alfi Lengkey 7105172601970001 260297 tewasen VIII

7105170104160001 7105170601160001 2 Aaron Waraney Rotinsulu 60116 l Novianto C Rotinsulu 7105170511880001 51188 tewasen 0

7105170109160001 7105174104160003 1 Aprilia Manuhuruapon 10416 p Rivelino Manuhuruapon 7105101604880001 160488 tewasen

7105170809082663 7105170706150001 2 Luis Ferdinand Sambeka 70615 l Fadly sambeka 7105170404820001 40482 tewasen I

7105170809082663 7105170706150002 3 Solideo Luis sambeka 70615 l Fadly sambeka 7105170404820001 40482 tewasen I

7105172701150001 7105170106140001 2 Uzziel F Siwu 10614 l Rizky F Siwu 7105172002850001 200285 tewasen VI

7105172708130001 7105174307150001 1 Alisia Nathannia Porajow 30715 p Reysel Porajow 7105172603850001 260385 tewasen 0

7105171011140018 7105175401140002 1 Qirrey Chika J Sumual 140114 p Steven Sumual 7105172709950001 270995 tewasen 0

7105172104140001 7105171104140001 1 Cliverly Pangkey 110414 l Dian C Mangkey 7102015106910001 110691 tewasen 0

7105170611140026 7105170205140001 1 Xavier Matthew Turangan 20514 l Guisto A H Turangan 7105172308940001 230894 tewasen IV

7105171411140009 7105171011140001 1 Novan Shine Semuel Siwu 101114 l Indra Siwu 7105170908930001 90893 tewasen 0

7105170511140017 7105175606150001 1 Bellvania Xiemei Porajow 160615 p Swingly Porajow 7105170511900001 51190 tewasen VII

7105170804140024 7105176601160001 2 Fhensia Mikha Jacob 260116 p Jendry Jacob 7105170501860001 50186 tewasen VII

7105170809082436 7105175203140002 4 Filiani G Masinambow 120314 p Stenly H Masinambow 7105171711790002 171179 tewasen I

7105170809082677 7105173006140001 2 Joachin Juwesdy Pelle 300614 l 1 Wendy donny Pelle 7105171001760001 100176 tewasen V 210818 17 120 2 1 2 1 1

7105170810150001 7105175104160001 1 Audriella Revallin Tumewu 110416 p Valens Tumewu 7105170109910002 10991 tewasen V

7105171102110030 7105177112140002 2 Meisha Cheryl Manoela Wala 311214 p Bobbi Wala 7105170106840001 10684 tewasen V

'7105172206150002 7105172701160001 2 Friezky Fivel Tumilaar 270116 l Ferdinan Tumilaar 7105171902920001 1900292 tewasen V

7105173012140003 7105172008150001 1 Pray Gabriel F Sinubu 200815 l Frenly Sinubu 7105100802890001 80289 tewasen II

7105170609160007 7105175411150001 1 Nathania Maria Kesek 141115 p Arbi Maikel Kesek 7105171905940001 190594 tewasen III

7105170611140011 7105175504150001 2 Cristania Rachel Kalalo 150415 p Marlon Kalalo 7105173005890001 300589 tewasen III

7105170809082647 7105176805150001 3 Myisha Alicia Waroka 280515 p Mervin Waroka 7105172505830001 250583 tewasen III

7105170809150004 7105172607150001 1 Princess Kimiko Tontey 260715 p Firmansya Tontey 7106030608960001 60896 tewasen III
7105171202140002 7105171104160001 3 Ezrar Entaren 110416 p Giofanly Entaren 7105173010890001 301089 tewasen III

7105171302140005 7105170401140001 1 Grando Imanuel S Masinambow 40114 l Voke Rolly Masinambow 7105172110780001 21078 tewasen III

Mengetahui

Kepala Puskesmas Amurang Barat Petugas Gizi

dr. Susy Livia Kandow Dewi R Napitu S.Kep

NIP. 19770614 201001 2 006

NIP. 19810322 201001 2 007
 DATA SASARAN BALITA

Provinsi :

Kabupaten/Kota :

Puskesmas :

Desa/Kel : Tewasen

Vitamin A
Berat Buku KIA Cara Ukur ASI Eksklusif IMD
NIK (Nomor Induk Anak Tanggal No Tlp/HP Jaga / Tanggal Februari
No No Kartu Keluarga Nama Anak JK Badan 1=Punya Nama Orang Tua (Ayah) NIK Ayah Tgl Lahir Ayah Alamat Pengukuran BB (Kg) TB (Cm) 1=Telentang 1=YA, 1=YA,
Kependudukan) Ke Lahir Orang Tua Lingk. 1=YA,
Lahir (Kg) 2=Tidak 2=Berdiri 2=Tidak 2=Tidak 2=Tidak

Jelli M Legi 60316 Wakan I

1 7105170307090008 *71051706031360001 6 l 1 Aneke Umboh 7105172412600001 241260 260618 9,5 78 2 1 1 1

270415 wakan
2 7105170307090022 *7105176704150003 3 Milka F A Wungow p 1 Jefri H Wungow 7105172506790001 250679 260618 13 91 2 1 2 1

Fritra Militia Rompas 91213 Wakan I

7105172502140001 *7105174912130001 1 p 1 Defrit Rompas 7105172312890001 231289 260618 15 114 2 1 1 1

Elisabeth Lisbinka Talumewo 12014 Wakan

*7105171903140005 *7105175210140001 3 p 1 Sonny Si talumewo *7105172409780003 240978 200918 15 100 2 1 2 1

Brigita Sean Manintjolor 10815

7105172809150001 *7105174108150001 1 p 1 Sendi P Porajow 7105172004930001 200493 Wakan 260618 13 91 2 2 1 1

Aghna Eirene E Tambingon 190816 Wakan IV

7105171109130001 *7105175908160001 2 p 3,9 1 Jolly M Tambingon 7105171501850001 150185 260618 11 84 2 1 1 1

Junita Vrilia Tambingon 150613 Wakan V

7105171308140002 *7105175506130001 1 p 1 Meki Tambingon 7105172109770001 210977 120418 15,5 99 2 1 1 1

Jhezsan Lumintaintang 310116 Wakan II

7105172806160002 *7105173101160001 1 l 1 Jefta Lumintaintang 7105170302880001 30288 170518 12 84 2 2 1 1

*7105171012130002 *7105172310130001 1 Marc Marques Otniel Wungow 231013 l 1 Jensy Wungow 7105174809740001 80974 Wakan VI 200918 15 101 2 1 2 1

Deovano L J Ttampemawa 110916 Wakan III

7105170507090031 *7105171109160001 3 l 1 Denny Tampemawa 7105170204680002 20468 juli 10,5 81 2 1 1 1

Elshadai C Saud 241015 Wakan III

7105171607130001 *710517610150003 2 p 1 Stenli Saud 7105170609870001 60987 170518 11 87 2 1 1 1

Frato Mychael A Manembu 250714 Wakan III

7105171702110002 *7105172507140001 2 l 1 Oldi E Manembu 7105171510860002 151086 260618 14 95 2 2 1 1

Timothy stevanus Rembet 200913 Wakan III

7105171702110003 *71051720009130001 2 l 1 Frilke Rifky Rembet 7105172204750002 220475 120418 29 104 2 1 1 1

7105172603140003 *7105175902140001 1 Latizya Firli Liando 190214 p 1 Rikarly V Liando 7105171708930001 170893 Wakan IV juli 14 104 2 1 2 1

7105170507090064 *7105175207130001 3 Sandryna Sofia Reppi 120713 p 1 Steven B Reppi 7105172609720002 260972 Wakan 0 120418 12 105 2 1 1 1

7105170610160001 *77105170209160001 1 Josua Sebastian Kasenda 20916 l 1 Fandi Kasenda 7105222204960001 220496 Wakan V juli 13 100 2 2 2 1

7105170507090164 *7105171010150001 3 Mirakel Lonteng 101015 l 1,8 1 Alfrist R Lonteng 7105171012810001 101281 Wakan 0 260618 10,5 81 2 1 1 1

7105172507160001 *7105172510160001 1 Gracio Jose A Lapian 251016 l 1 Leonardo Lapian 7105171605880001 160588 Wakan V 120418 10,5 75 2 1 1 1

7105170507090136 *7105176110140001 4 Clayrine G Mandang 211014 p 1 Boy Mandang 7105171811660001 181166 Wakan VI 170518 8,2 75 2 1 1 1

Marco Rembet 150916 l 1 Wakan 260618 11 80 2 1 1 1

Aska Tampemawa 40617 l 1 Wakan 120418 7,9 67 2 1 1 1

7105170507090171 7105172204130001 2 Nathan Dominick Mawitjere 220413 l 1 Maykel Mawitjere 7105171803770001 180377 Wakan III 260618 11 77 2 2 1 1

Cloiel Lotar 281017 l 1 Wakan juli 8,2 67 1 2 1 2

 Mariana Rompas 50318 p 1 Wakan juli 6 57 1 1 1 2

Chelsen Lotar 20815 l 1 Wakan 260618 15 97 2 1 1 1

Arliando Lotar 160416 l 1 Wakan 120418 11 76 2 1 2 1

Prayer Nayoan 100316 l 1 Wakan 170518 12 83 2 2 1 1

*7105171208150001 *7105176012170001 1 Juwita tawaang 201217 p 1 Nofri Tawaang *7105172611770001 261177 Wakan 200918 7,2 68 1 1 1 2

Travis Rahman 190717 l 1 Wakan 120418 7,8 69 1 1 1 1

Felix Manoy 40516 l 1 Wakan 120418 13 89 2 1 1 1

Geovanni Somba 20517 l 1 Wakan 260618 10 76 1 1 1 1

Haneli Siwu 51217 p 1 Tirsa Tumiwa Wakan 260618 10 76 1 1 1 2

Zendeling Lembong 210717 p 1 Wakan 120418 8,9 70 1 1 1 1

Yosua Kasenda 20916 l 1 Wakan juli 13 85 2 1 1 1

Felicia Liando 50114 p 1 Wakan 260618 14 92 2 1 1 1

Glen Fino Liei 130118 l 1 Wakan juli 7,1 66 1 1 1 2

Marco Liei 180316 l 1 Wakan juli 11 87 2 1 1 1

Sean Manintjolor 10815 p 1 Wakan juli 14,5 92 2 1 2 1

Gilbert Saroinsong 50317 l 1 Wakan juli 9,6 74 1 1 1 1

Haikal 151015 l 1 Wakan 120418 11,5 84 2 1 1 1

Felicia Tampemawa 90817 p 1 Wakan 120418 6,8 63 2 1 1 1

Adinda Lintong 260517 p 1 Wakan 120418 9,2 71 2 1 1 1

7105171702110012 *7105177005150002 2 Putri E Siwu 300515 p 1 Lucky Siwu 7105172605800001 260580 Wakan I juli 13 88 2 1 1 1

Holi Runtuwene 140417 p 1 Wakan 260618 8,3 74 2 1 1 1

Aristo Wagey 10817 l 1 Wakan 260618 8,2 70 1 1 1 1

Amadeo Kalesaran 251016 l 1 Wakan 170518 12 83 2 1 1 1

Kezia Tumanke 20618 p 3,2 1 Wakan 260618 3,9 52 1 1 1 2

Mikha Tambingon 190716 p 2,6 1 Priska Tambingon Wakan 260618 12 78 2 1 1 1

Fedricho Malonda 100218 l 1 Wakan juli 5,9 65 1 1 1 2

Gibrael Tulungen 30618 l 3 1 Julian Legi Wakan juli 4,8 53 1 2 1 2

Steri Tawaang 170717 l 1 Stevi Tawaang Wakan 260618 8,8 68 1 1 1 1

Brenden Tumiwa 110618 l 4,5 1 Fenando Tumiwa Wakan juli 5,9 59 1 1 1 2

Putra Siwu 110618 l 3,25 1 Judi Siwu Wakan juli 6 53 1 1 1 2

Gamaliel Tambingon 270916 l 1 Wakan juli 8,3 69 2 2 2 1

Nathania Grace Rembet 310817 p 1 Wakan juli 8,3 69 2 1 1 1

Gideon Manintjolor 170718 l 3 1 Adre Manintjolor Wakan juli 3,5 51 1 1 1 1

7105171509160004 *7105171307140001 1 Christiano Ruung 130714 l 1 Frenly Ruung 7105171607920001 160792 Wakan I juli 14 95 1 1 1 2

Daniel Manimpurung 140616 l 3,7 1 Yubel Manimpurung Wakan juli 12 82 2 1 1 1

Jeselina Liando 10718 p 3,4 1 Karli Liando Wakan juli 4,2 51 1 1 1 2

7105170307090027 *7105170507140001 2 Theovany Manintjolor 50714 l l Adri Manintjolor 7105172004720001 200472 Wakan I

7105172111140001 *7105171411140001 2 A C Milandro Lembong 141114 l Hetli Lembong 7105170506840001 50684 Wakan 0

7105170203150001 *7105176010140002 2 Yohana A c Siwu 201014 p Franky Siwu 7105171112830001 111283 Wakan I

7105171109130003 *7105170603140001 3 Marvel M G Harbas 60314 l Ronny S Harbas 7105172910850001 291085 Wakan I

7105171109130004 *7105172308130001 1 Christofel Kerel Kandow 230813 l Erik David Kandow 7105171409940001 140994 Wakan I

7105170809082675 *7105170909160002 3 Jizrael Abdiel Tumewu 90916 l Yubil Tumeewu 7105171308840001 130884 Wakan I

7105131204110002 *7105174305140001 2 Marbelline H B Marentek 30514 p Benny Marentek 7105130808840001 80884 Wakan II

7105170706130001 *7105171205130001 1 Inkraist I Rembet 120513 Hence B Rembeet 7105171710780001 171078 Wakan III

7105170405160006 *7105170108150002 1 Marcelino Yoell Tamboto 10815 Marco Tamboto 7105171303930002 130393 wakan II

7105172402160003 *7105173003160001 1 Theodorus Efraim Takapente 300316 Marchael Takapente 7105172010850001 201085 wakan III

7105172408160002 *7105172809150001 1 Samuel M j Runtuwene 280915 Meilani Telap 7105176303930002 230393 wakan III

7105171109130001 *7105174302140001 1 Ellania M S Tambingon 30214 Jolly M Tambingon 7105171501850001 150185 wakan IV

7105171703140001 *7105172402160001 2 Sky Sinji Rumerung 240216 RiskyR umerung 7105173012960001 301296 wakan IV

7105172302120006 *7105171911130001 2 David J T Tumiwa 191113 Arthur L Tumiwa 7105171908850001 190885 wakan IV

*7105171702110008 *7105175912140001 2 Eklesia Christiano Manintjolor 191214 p 1 Deny M *7105171712810002 171281 Wakan II 200918 12 92 2 1 2 1

7105171810110001 *7105171112150001 1 Valery Christian Mongkareng 111215 l 1 Weldy Mongkareng 7105170712780001 71278 Wakan II 260618 11 77 2 1 1 1

*7105176208130002 Riscel Fransisco Imanuel 31116 l Milka M Sumampow

7105170305160004 *7105172009140001 2 Jeverlee K A Sumasa 200914 l Jendry Sumasa 7105170212840002 21284 wakan VI

7105170811160002 *7105175506140001 1 Gicella E Tumilaar 140614 p Meike Oroh 7105174805850002 80585 wakan III

7105172308160002 *7105174410150002 2 Renatha Nowella Sariowan 41015 p Rrendis Ssariowan 7105170406890001 40689 wakan III

71051724033170001 *7105170811130001 1 Willem Lorenzo Pratasik 81113 l Canser Julio Pratasik 7105180507970002 50797 wakan III

71051724033170001 *7105176403150001 2 Rebeca Catlin Pratasik 240315 p Canser Julio Pratasik 7105180507970002 50797 wakan III

7105170507090096 *7105176609130001 2 Majesty Beatrix Joanken 260913 p Jein Runtu 7105170106760002 10676 wakan IV

7105170507090095 *7105175707130001 2 Adelia Briigita Kesek 170713 p Arthur F Kesek 7105170402790001 40279 wakan 0

7105170507090120 *7105173004130002 2 Adriano Manintjolor 300413 l Fadly Manintjolor 7105171711750001 171175 wakan 0

7105170507090120 *7105173004130002 3 Sara G Manintjolor 300413 l Fadly Manintjolor 7105171711750001 171175 wakan 0

7105170507090164 *7105175105140001 2 Melisa Lonteng 110514 p Alfrist R Lonteng 7105171012810001 101281 wakan 0

7105171409150003 *7105175908150001 1 Andraya E Rombot 190815 p Maukar B Rombot 7105170910920003 91092 wakan VI

7105171607090001 *7105172709130002 2 Marwin A Y Lintong 270913 l Lucky Lintong 7105173005760001 300576 wakan VI

7105172703120009 *7105176605130001 2 Andini Cataleya M Sembel 260513 p Wandy X Sembel 7105170112810001 11281 wakan VI
7105170812160002 *7105170602160002 1 Sabatian Aron Wulur 60216 l Gary Marcel Wulur 7105171401980001 140198 wakan 0

710517101016001 *7105172309160001 1 Rrayzhaka Alterio Moring 230916 l Rivaldo Moring 7105171308980001 130898 wakan 0

7105172209160004 *7105175005140001 2 Riska Runtuwene 100514 p Anrico Runtuwene 7105171609870002 160987 wakan 0

Clei Mandang 20817 l 3,4 1 Josua mandang Wakan 260618 8,8 74 2 2 1 1

Friski Tumilaar 290115 l 1 Ferdinan Wakan 200918 13 104 2 2 1 1

Miloon Umboh 101016 l 1 onli umboh Wakan 200918 9,3 78 1 1 1 1

*6171032901130006 *6171035604160007 Aura Cantika Salsabila 150416 p 1 Elliyana *6171034107760057 Wakan 200918 11 86 2 2 1 1

*6171032901130006 *6171031704130004 Ananda 170413 p 1 Elliyana *6171034107760057 Wakan 200918 15 104 2 2 1 1

*7105171905160000 *7105172107170001 Rayden Z Lembong 210717 l 1 Kendy S Lembong *6472062907770004 Wakan 200918 8 69 1 1 2 1

*7105171902110030 *7105174603140001 Virginia Princesss Manintjolor 60314 p 1 Franki R Manintjolor *7105172908860001 290886 Wakan II 200918 16 101 2 1 1 1

7105171305140005 7105171501150001 Semuelle H Wangania 150115 l Agner H Wangania 7105171708860001 170886 Wakan 0

7105171305150010 7105176208130003 2 Meysi C Tulungen 220813 p 0 Adri Yacob 7105170808770001 80877 wakan 0

Mengetahui

Kepala Puskesmas Amurang Barat Petugas Gizi

dr. Susy Livia Kandow Dewi R Napitu S.Kep

NIP. 19770614 201001 2 006

NIP. 19810322 201001 2 007
Vitamin A
Agustus
1=YA,
2=Tidak

1
2

1
2

1
1

1
 DATA SASARAN BALITA

Provinsi :

Kabupaten/Kota :

Puskesmas :

Berat Badan Buku KIA Cara Ukur

NIK (Nomor Induk Jaga / Tanggal ASI Eksklusif IMD
No No Kartu Keluarga Anak Ke Nama Anak Tanggal Lahir JK Lahir (Kg) 1=Punya Nama Orang Tua (Ayah) NIK Ayah Tgl Lahir Ayah No Tlp/HP Orang Tua Alamat BB (Kg) TB (Cm) 1=Telentang 1=YA,
Kependudukan) Lingk. Pengukuran 1=YA, 2=Tidak 2=Tidak
2=Tidak 2=Berdiri

Joudy Turangan Paat Elusan IV

715171202130001 *7105170404140001 3 40414 Franky C.Paat 7105171109710002 110971

Bil Rilkan M Turangan Elusan IV

7105171607120002 *7105172105140001 2 219514 Charles Turangan 7105170711800002 71180

Zacharia Micry Turangan Elusan IV

7105170612160003 *7105171010160001 1 101016 3,2 1 Megi Marentek 7105170506850002 50685 juli 10,2 80 2 2 1

Khaeyona Turangan
20418 1 Rindi Robot 140518 6,8 70 1 1 1

Yeremia Y Tambayong Elusan VI

7105172103120010 *7105171107130001 2 110713 Hendrik Tambajong 7105171310690001 131069

Megumi Angela Tewal elusan VI

7105172208130004 *7105176306130001 1 230613 Rival C Tewal 7105170801920001 80192

Anastasya Angelina Monique Elusan IV

7105170709160003 *7105177112140003 1 311214 Rivanita Uhing 7105011812800001 181280

Gevariel Sondakh Elusan

2 311216 1 Teni Sondakh juli 10,2 78 2 1 1

Sifania Turangan elusan

310117 1 170418 8,5 73 1 2 1

Elsaday Lahea Elusan

120617 1 170418 7,9 67 1 2 1

Aurora Lanes Elusan

230418 3,4 1 Richard Lanes julil 5,8 56 1 2 1

Juverly Mamesah elusan

190717 1 Omega Lumenta 140518 7,3 68 1 1 1

Rifka Tumangken Elusan

250418 3 1 Melvia Kolompoy 140518 7,3 68 1 1 1

Elusan
Jenifer Sepang 90118 1 Deiner Sepang VI julil 7 70 1 1 1

elusan
Alexa Lapian 201017 3,8 1 V 80618 8 68 1 2 1

Elusan
Ayona Turangan 101017 3,2 1 Sutrisno Turangan V julil 7,6 67 1 1 1

Elusan
Eliiora Ampow 70917 3,2 1 Faimah II 80618 9 67 1 2

elusan
David Tani 101017 3,2 1 Hartu Tani julil 13,1 102 1 2 1

Elusan
Achasia Tewal 3 1 Rival Tewal julil 7,9 64 1 2 1

Elusan
Tania Wowor 220815 christafel Wowor julil 12,7 102 2 1 1

elusan
Kenzi Wowor 31017 christafel Wowor julil 7,9 65 1 2 1

Elusan
Mityu Sumarandak julil 13,7 108 2 1 1

Elusan
Eru Muntuuntu julil 12,8 104 2 1 1

elusan
7105170809083344 blm ada NIK Diva Laoh 250717 jamaes laoh 7105171908770001 jagaI 140518 7,3 68 1 2 2

Elusan
7105172611100011 blm ada NIK Indira Cleo Lumantau 151214 Hendra Lumantaw 7105171503820001 jagaIII 140518 13 90 2 1 2
 Mengetahui

Kepala Puskesmas Amurang Barat Petugas Gizi

dr. Susy Livia Kandow Dewi R Napitu S.Kep

NIP. 19770614 201001 2 006

NIP. 19810322 201001 2 007
Vitamin A Vitamin A
Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak

1 1

2 2

1 1

1 1

1 1

1 1

1 1

2 2

2 2

2 1

2 1

2 1

2 1

2 1

1 1

2 1

1 1

1 1

2 1

1 1
 DATA SASARAN BALITA

Provinsi :

Kabupaten/Kota :

Puskesmas :

ASI
Berat Buku KIA Cara Ukur IMD
NIK (Nomor Induk Anak No Tlp/HP Jaga / Tanggal Eksklusif
No No Kartu Keluarga Nama Anak Tanggal Lahir JK Badan 1=Punya Nama Orang Tua (Ayah) NIK Ayah Tgl Lahir Ayah Alamat BB (Kg) TB (Cm) 1=Telentang 1=YA,
Kependudukan) Ke Orang Tua Lingk. Pengukuran 1=YA,
Lahir (Kg) 2=Tidak 2=Berdiri 2=Tidak
2=Tidak

Fritslly carmelita Senduk 290415 Pondos I

1 7105170711140011 *7105176904150001 1 p Jutike Senduk 7105171806810002 180681

Juan Timothy Tambingon 240217 Pondos I

2 7105170809083002 *7105172402170001 3 l 1 Deisy Kaligis 7105172402740001 240274 juli 8,9 68 2 1 1

Prayer Amos Liode 60915 Pondos V

3 7105170906150001 *7105170609150001 1 l Heydi S P 7105173007910001 300791

Euggelion Porajow 190813 Pondos IV

4 7105170809082845 *7105171908130002 1 l Mintje Saroinsong 7105172003720001 200372

70715 Pondos jagaIV

5 7105170809083039 *7105170707150001 2 Schwarz R v Bangki l 1 Yeli Lipan 7105173112820001 311282 juli 10 87 2 2 2

Riscel Yeremia Tambingon 240314 Pondos IV

6 7105171604140001 *7105172403140001 1 l Marcela Kalalo 7105172604890001 260489

Ayra Gratia Kalalo 80914 Pondos IV

7 7105170809082796 *7105174809140003 4 p Febri D Mawitjere 7105172809690001 280968

Miracle Arlan Sengkey 200814 Pondos III

8 7105170809083055 *7105172008140001 1 l 1 Modi Sengkey 710517070703740001 70374 juli 16,5 100 2 2 1

Aurelyn Juliana Lintjewas 220815 Pondos III

9 7105173007150001 *7105176208150002 1 Olivia Manembu 7105171508920001 150892

Stevan Waroka 100816 Pondos III

10 7105171810160003 *7105175008160001 1 p Harto Waroka 7105171210920001 121092

Gracio Ezra Runtu 60513 Pondos III

11 7105170809083022 *7105170605130001 2 l Dolvyi Runtu 7105170509770002 50977

Jiwan Yeremia Tioki 161013 Pondos III

12 7105173001140011 *71051751610130001 1 l Ryandi J Tiokki 7105170501910001 50191

Ryshone Yosua Tioki 40316 Pondos III

13 7105173001140011 *7105170403160002 2 Ryandi J Tiokki 7105170501910001 50191

14 7105170209150001 *7105170301150001 1 Joakim Katarre Manembu 30115 l Jhon H M Manembu 7105172603730001 260373 Pondos IV

15 7105170809083011 *7105174408140002 3 Lydia Lousa Moring 40814 p Johanes Moring 7105172406800002 240680 Pondos II

16 7105170809083012 *7105172909140001 3 Reey Yakob Marentek 290914 p Ronal Marenttek 7105171301830001 310183 Pondos II

17 7105172601170001 *7105175903170001 1 Syelani E Kapantow 190317 p Erweldy Kapantow 7105170910960001 91096 Pondos II

18 7105170109150001 *7105176711150001 1 Naomi G Siwu 271115 p 1 Nicky Siwu 7105171804930001 180493 pondos III juli 13 93 2 1 1

19 7105170312140002 *7105176009140001 1 Mizzima H Twenties Pelle 200914 p Toar Y Pelle 7105170406930001 40693 Pondos III

20 7105170512130003 *7105170411130001 1 Revano Y Kalengkongan 41113 l Didi Valentino L 7105172912880003 291288 Pondos III

21 7105171202110012 *7105171801140002 2 Juvano Imanuel Sinaulan 180114 l Sonny Sinaulan 7105172506850003 250685 Pondos III

22 7105172910140003 *7105174903150001 1 Nadine Nathaiela Lumangkun 90315 p Franli Lumangkun 7105173103870002 310387 Pondos I

23 7105170809082802 *7105174308140001 3 Cahaya F Waroka 30814 p Daniel A Waroka 7105170210700001 21070 Pondos II
24 7105170809083049 *7105176407140001 3 Eirene Tambingon 240714 p Indoneisia Tambingon 7105170112800002 11280 Pondos I

25 7105171601140004 *7105172606130003 1 Jaiden Mikhael Tambingon 260613 l An M Ttambingon 710513005880001 300588 Pondos I

26 7105171601140004 *7105172606130002 Kaiden Matthew Tambingon 260613 l An M Ttambingon 710513005880001 300588 Pondos I

27 7105170211160006 *7105170311160001 Michael E B Mawuntu 31116 l Marsel Mawuntu 7105173103960001 310396 Pondos II

28 Ezra Rempowat 10916 p 1 230418 9 78 2 1 1

29 7105221211130001 *7105221810130001 1 Reydo H Somba 181013 l 3 1 Meysila komolontang 7105222907920002 jagaI juli 16,5 128 2 1 2

30 Verel Josep Manala 270218 1 juli 7,2 61 1 1 1

31 Ervina rempowatu 140416 1 juli 6,3 56 2 2 1

32 Chris Ampow 130416 1 juli 13 88 2 1 1

33 Febriano Kalalo 10218 1 juli 7,5 62 1 1 1

34 Dave Kembuan 241115 1 juli 12,5 89 2 1 1

35 Dea Laluyan 101214 1 juli 14 97 2 1 1

36 Keano A Rantung 190917 l 1 juni 7,8 67 1 1 1

37 Meygita Tumiwa 140316 1 juli 14 88 2 1 1

38 Chris Jhon Kevin Luis Ttarek 231217 1 180518 7,3 64 1 1 1

39 Majesty M Jr Rantung 280317 1 180518 48 53 1 2 1

40 Briliano Mamoto 250417 1 juni 10 79 2 1 1

41 Michelle Mumu 40517 1 juli 9,5 77 2 1 1

42 Julinsky Gifen Tumuyu 250417 1 230418 10 74 2 2 1

43 Prayer Ngayow 170416 1 juli 12,5 84 2 1 1

44 Gratia Lomboan 90114 1 juli 19 103 2 1 1

45 7105170809082864 *7105170711150001 4 Yehezkiel Gamaliel J Soewarso 71115 l 1 Muljono Sowarso 7105170608650002 60865 pondod I 180518 16,5 90 2 1 1

46 Karmelita Karu 290415 1 juli 13,4 90 2 2 1

47 Elkarsten Tambingon 110518 1 juli 5,8 58 1 1 1

48 Jovanka Tummiwa 180618 1 Royke Tumiwa juli 4,6 56 1 1 1

49 Meidia Bangki 50517 1 Aldi Bangki Juni 9,8 75 1 1 1

50 Fedriko Malondo 100218 1 juni 5,5 59 1 1 1

51 Fransisco Tampemawa 80416 1 juni 14 110 2 1 1

52 Aprilio rampen 240417 1 juli 9,8 78 2 2 1

53 Velove Lumempow 310118 1 juli 7,1 60 1 2 1

54 Enjel Mamonto 250516 1 juli 12 106 2 2 1

55 7105172604170003 7105177107170001 1 Julynsa Rempowatu 310717 p 2,9 1 Melky rempowatu 7105172505800001 juli 8 62 1 2 2

56 7105170805150001 *7105172303140001 family Riscel F Imanuel Tambingon 230314 l Claudio Runtuwene 7105170512970002 51297 pondos II
 57 7105172609160002 *7105176312150001 1 Nathalia Bangki 231215 p Nova Bangki 7105170711840002 71184 pondos 0

58 7105172504160004 *7105174304140001 3 Amelia Regina Rampen 30414 p Robby R Rampen 7105170909910001 90981 pondos V

59 710517140616001 *7105171401150001 2 Jeremia Tilaar 140115 Elany Tilaar 7105174608930001 60893 pondos 0

60 Junior Neymar Bangki 281016 1 juni 10 80 2 1 1

61 *7105177107170001 Julinsky Rempowatu 310717 1 Eunike Rumerung juni 7,5 69 2 2 1

62 71051730001140008 710517535130001 2 Meisya Miranda Mengko 130513 p Jemmy Mengko 7105172007800001 200780 pondos III

63 7105170504120002 7105172912150001 2 Chris Graviel Tampemawa 291215 l Bobby Tampemawa 7105170806770001 80677 pondos IV

64 7105171307160002 7105170909160001 1 Gevarel Aliando Angkow 90916 l Indri Angkow '7105170604900003 60490 pondos IV

65 7105171802130001 7105174604130001 2 Natasya Tuwo 60413 p Ventje Tuwo 7105172602800003 260280 pondos I

Kepala Puskesmas Amurang Barat Petugas Gizi

dr. Susy Livia Kandow Dewi R Napitu S.Kep

NIP. 19770614 201001 2 006 NIP. 19810322 201001 2 007
Vitamin A Vitamin A
Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak

1 1

1 1

1 1

1 1
1 1

1 1

2 1

1 1

1 1

2 1

1 1

1 1

1 1

1 1

2 1

2 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

2 2

2 2

1 1

2 1

1 1

1 1

2 1

1 1

2 1
1 1

1 1
 DATA SASARAN BALITA

Provinsi :

Kabupaten/Kota :

Puskesmas :

Berat ASI Vitamin A Vitamin A

Buku KIA Tanggal
NIK (Nomor Induk Badan Nama Orang Tua Tgl Lahir No Tlp/HP Orang Jaga / Pengukur BB TB Cara Ukur Eksklusif IMD Februari Agustus
No No Kartu Keluarga Anak Ke Nama Anak Tanggal Lahir JK 1=Punya NIK Ayah Alamat (Kg) (Cm) 1=Telentan 1=YA,
Kependudukan) Lahir (Ayah) Ayah Tua Lingk. 1=YA, 2=Tidak 1=YA, 1=YA,
2=Tidak an g 2=Berdiri 2=Tidak
(Kg) 2=Tidak 2=Tidak

Digo S Bangki teep VI

1 7105170804140023 7105172410150001 2 20151024 L 1 Marios Bangki 7105172903920001 290392 230818 13 104 2 2 2 1 1

Eunike Lamuda teep VI

2 7105170809083646 7105174501150001 famili 20150105 L Nisran Lamuda 7105170510730001 051073

Bellvania Elsa Tumewu teep I

3 7105171106120003 7105176908160001 3 20160829 L Iwan Tumewu 7105172501810001 250181

Gil Aaron Pirang teep I

4 7105173103160002 7105170403160000 1 20160304 L Franky Prang 7105171707830001 170783

Miracle Nathaniella Katihokang teep II

5 7105170802170006 7105174201170000 1 20170102 P 2.1 1 Marten L Katihokang 7105173110940001 311094 230818 9.8 77 1 1 1 2 1

Tesalonika Durant teep IV

6 7105170809083850 7105175406160001 6 20160614 P Adri Durant 7105172004660002 200468

Bellvania Azzaira Ulalan teep I

7 7105170703160005 7105175405160001 1 20160514 P 1 Rivo Rulalan 7105171606910002 160691 230818 12 106 2 2 1 1 1

Eklesia D Porong teep I

8 7105170703160010 7105174612150001 1 20151206 P Yanter Porong 7105171001900002 100190

Misael Ulalan teep 0

9 7105170909130003 7105172908130001 2 20130829 P Swingly Rulalan 7105170809870002 080987

Tiquar Dwiaryaputra Pondaang teep 0

10 7105171102150011 7105170903160001 4 20160309 L 1 Harvie T H Pondaag 7105173004780002 300478 230818 15 102 2 2 2 1 1

Andrea Pirlo Palenteng teep IV

11 7105172503140010 7105170708130001 1 20130807 L Frengky V Palenteng 7105171002830002 100283

Jibril Lumempow teep IV

12 7105172903170002 7105172805140001 2 20140528 P 1 Jimmy Lumempow 7105172908790001 290879 230818 15 108 2 2 1 1 1

Gilbert Dominic Sumampow teep IV

13 7105173004130003 7105172109160001 2 20160621 L 1 Noven Sumampow 7105170911840001 091184 230818 11.6 98 2 1 1 1 1

14 7105170307120001 7105172109160001 2 Dwi Theresa Welfeynace 20160223 P Rommy Katihokang 7105171901860001 190186 teep V

15 7105170803160003 7105173004160001 1 Karsten Meqyu Katihokang 20160430 L Frensix Katihokang 7105170511950002 051195 teep V 230818 12.5 98 2 2 1 1 1

16 7105170809083598 7105171701140001 4 Jiver Mongkareng 20140117 L Stenly Mongkareng 7105170601780001 060178 teep V

17 7105170809083535 7105174610140002 3 Jenifer Rintjap 20141006 P Jems Rintjap 7105170808780001 080878 teep I

18 7105170809083778 7105175806150001 3 Delicia G Sumampow 20150618 P Freedy Sumampow 7105170902870002 090287 teep IV

19 7105170809083822 7105170607130001 2 Fadly Lombogia 20130706 L Meydy Lombogia 7105172305840001 230584 teep IV

20 7105170809083603 7105171409140001 5 Sefanya Jesen A Lesar 20140914 L Jendry Lesar 7105173009720001 300972 teep III

21 7105171311130006 7105174412140001 2 Noella Debora Larenggam 20141204 P Ferdi Larenggam 7105170702880003 070288 teep III

22 7105172603140004 7105175410130001 2 Fahira A Ronansyah 20131014 P Maya Marla Mahino 7105176203830001 220383 teep III
23 7105170509140001 7105176012140001 1 Advensia Immanuela Jacob 20141220 P 1 Rayendra J Jacobs 7171030210910001 021091 teep III 230818 11 96 2 2 1 1 1

24 7105170801130001 7105172604130001 1 Davinci Benyamin Sumual 20130426 L Fraysel Sumual 7105173010830001 301083 teep III

25 7105171311130003 7105176507130001 3 Stevana Losu 20130725 P Yuliana Losu 7105175807720002 180772 teep V

26 7105171709130005 7105176706130001 1 Nhaya Nanangkong 20130627 P 1 Novry Nanangkong 7105081611880001 161198 teep V 230818 16 118 2 1 1 1 1

27 7105171709130005 7105174705160001 2 Libby Ashera Nanangkong 20160507 P 1 Novry Nanangkong 7105081611880001 161198 teep V 230818 13 102 2 1 2 1 1

28 7105171812120002 7105172510160002 2 Yoel Oflan Porajow 20161025 L 1 Meidy Porajow 7105170405830001 040583 teep V 230818 14 102 2 1 1 1 1

29 7105172404150004 7105170908130001 1 Yohanes devino Angelo Go 20130809 L Arnoldus Gaisler Go 7105170502900003 050290 teep V

30 7105172907130002 7105176208130001 1 Aquene Blenda Rompas 20130822 P 1 Rommy Rompas 7105171702850001 170285 teep V 230818 17 121 2 1 2 1 1

31 7105172907130002 7105176904160001 2 Amoreisa Briseis Rompas 20160429 P Rommy Rompas 7105171702850001 170285 teep V

32 7105172206160002 7105175309140001 2 Meltia M Makaraas 20140913 P 3 1 Riko Makaraas 7105170604920001 060491 teep VII 240718 15 128 2 1 2 1 1

33 7105171011140005 7105175508150001 2 Chiko Jeriko Manue 20150815 P Hendra Manuel 7105170307820001 030782 teep VI

34 7105171409150007 7105171912130001 1 Franly Axlon Lahengko 20131219 L 1 Frado Slahengko 7105171101930001 110193 teep VI 230818 18 126 2 2 2 1 1

35 7105172505150001 7105171708160001 2 Mesifa Dhirga Manumpil 20160617 L Meldy Manumppil 7105172305910001 230591 teep VI

36 7105170809083501 7105174911150001 3 Eklesia Ezra Sahamula 20151109 P Berty Sahamula 7105171010710001 101071 teep I

37 7105170809083766 7105172410130001 3 Mesiano Makapenas 20131024 L Stenly Makapenas 7105170409810001 040981 teep I

38 7105171301150009 7105170708140001 1 Exel Yehezkiel Maumina 20140807 L Nathalia E Maumina 7105175812930002 181293 teep VII

39 7105171512150004 7105175910150001 1 Adinda Bangki 20151019 P Oktavin Bangki 7105174602770001 060277 teep VII

40 7105172212140014 7105176805160001 3 Beauty Ana Maria Langkai 20160528 P 1 Rony Langkai 7105171805810002 180581 teep VII 230818 12 104 2 1 1 1 1

41 7105172411110002 7105176410150001 2 Sweetania O Leviany Ambalembang 20151024 P 1 Soleman Ambalembang 7105171112800001 111280 teep VII 230818 10.5 96 2 2 2 1 1

42 7105170809083776 7105171811130001 2 Shine Dijel Rembet 20131118 L 1 Stieron A Rembet 7105170711850001 071185 teep II 230818 18 122 2 2 2 1 1

43 7105170901150001 7105170907160001 2 Julio Mikhaela Runtuwene 20160709 L Nofrie Y runtuwene 7105171511820002 151182 teep II

44 7105171002110028 7105175701140001 2 Caithlyn Agalala Osal 20140117 P 1 Northen Osal 7105170911880003 091188 teep II 230818 16 108 2 2 2 1 1

45 7105171002110029 7105171801140001 1 Revdi Olongsongke 20140118 L Azer Olongsongke 7105172608850001 260885 teep II

46 7105171605160001 7105176504160001 1 Avrilly Zanetha Mailangkay 20160425 P Ronaldo Mailangkay 7105171906890001 190689 teep II

47 7105172409140003 7105176603170001 2 Rayshi Aerlene Fellycia 20170726 P Raymond F Lintang 7105170504880001 050488 teep II

48 7105172409140003 7105174711140001 1 Rayshia Ellisa Fitje Lintang 20141107 P Raymond F Lintang 7105170504880001 050488 teep II

49 7105170312120001 7105171404140001 1 Samuel Lungly L Pondang 20140414 L Albert Pondaag 7105173008870003 300887 teep III

50 7105170312120001 7105175505150001 2 Meiliana Aveenly Jenery 20150515 P Albert Pondaag 7105173008870003 300887 teep III

51 7105170310110001 7105172901140001 2 Jeyferlee Manumpil 20140129 L Semuel Manumpil 7105170809870001 080987 teep VII

52 7105170804140015 7105172901140001 2 Evelin Estela Sumajow 20141031 P 1 Julius Sumayow 710517250740001 250784 teep VI 230818 11 96 2 2 2 1 1

53 7105170909160002 7105175105160001 1 Revalia Eklesia Natunggele 20160511 P Renaldi Natunggele 7105171405960002 140596 teep VI

54 7105171112140001 7105176212140002 1 Vanesa Langkai 20141224 P 1 Alfons Langkai 7105171506940001 060694 teep VI

55 7105170303140003 7105171308150001 3 Emrick J Waluyan 20150813 L Elvis Waluyan 7105172701820001 270182 teep VII 230818 11 98 2 2 1 1 1
56 7105170804140005 7105176901150001 3 Anita Aira Waroka 20150129 P Melinda Katihokang 7105175603940001 160394 teep VII

57 7105170908160002 7105170901160001 1 Jackson Kingshine Chandra 20160129 L Steven T Chandra 7105171109900001 110990 teep I

58 7105171711150001 7105176604150001 1 Queen Mizhel Razak 20150426 P Vicky Razak 7105172709810001 270985 teep I

59 7105172102130002 7105172007130001 4 Juliano Mangumpas 20130727 L Albert Mangumpaus 7105172601650002 260165 teep I

60 7105172704160002 7105176812130001 1 Nathaniela Anayta Tanasa 20131228 P Yendri H Tanasa 7105172505870001 250587 teep I

61 7105172704160002 7105170703160002 2 Gevaniel Elreal Tanasa 20160307 P Yendri H Tanasa 7105172505870001 250587 teep I

62 7105171311130007 7105171410130001 7 Gerson Prans 20131014 L Darius Prans 7105172606720003 260672 teep V

63 7105171504140002 7105172011130002 1 Nelzar Rahmat Makawanbang 20131120 L Nelson Makawimbang 7105171411810001 141181 teep V

64 7105171906130001 7105171806130001 2 Junior Sahamula 20130618 L Yenni Sahamula 710175007690001 100769 teep V

65 7105170304140002 7105170412130001 1 Stievenly S.S Deralt Kalangi 20131204 P Fadly Kalangi 7105171611840002 161184 teep VI

66 7105170809083756 7105176404150001 1 Gatriela Agnesia Mahamurah 20150424 P Abner Mahamuran 7105171204800001 120480 teep 0

67 7105171807160002 7105174410150001 1 Rut Rini Gaginsa 20151004 P 1 Ridel S Gaginsa 7105173011860001 301186 teep 0 230818 11 106 2 2 1 1 1

68 7105172305130004 7105176607150001 2 Risca M C Mamuaya 20150726 P Andrianus Mamuaya 7105173108880002 310888 teep III

69 7105170611150002 7105176301150001 2 Fitara Waroka 20150123 P Fandi Waroka 7105170502910001 050291 teep IV

70 7105171301150010 7105176606140001 1 Mikhaila Kimberly Negelan 20140626 P Michael M Negelen 7105170705920001 070592 teep IV

71 7105170608150002 7105171706160001 1 Evan D Benedict Sumual 20160217 L Wesly Sumual 7173032710780002 271078 teep V

72 7105172701120001 7105174107140001 family Kimberly Sumual 20140701 P Venly C Sumual 7105171612810001 161281 teep 0

73 7105170809083743 7105176312140001 2 Tiara Deswita Sumakul 20141223 P 1 Wolter Sumakul 7105170510850001 161281 teep 230818 15 110 2 1 1

74 7105170404160003 7105172711160001 1 Nandito Gavriel Moningkey 20161127 L 1 Roni Manengkey 7105171810910001 181091 081245306331 teep I 230818 10 82 1 2 1 2 1

75 7105170505140008 7105175404140001 2 Emelio Eirene Palempung 20140414 L Rivai Palempung 7105172505770002 250577 teep III

76 7105170703160006 7105170803140000 2 Kevin R Putra 20140308 L Samuel Buddin 710517006760001 100676 teep III

77 7105170812140002 710517511114000 2 Felofe Ilona Gugu 20141111 P 1 Fernando Gugu 7105171702870001 170287 teep III 230818 13 104 2 2 1 1 1

78 Rafael Damera 20170715 L 1 Noldi Damera 230818 8.1 76 1 2 1 1 1

79 Marvel Lamia 20180301 L 1 Jani Lamia 085146015600 230818 6.9 62 1 2 2 1 1

80 Syallom Indira Turang 20170915 P 1 240818 9,1 89 1 1 1 1 1

81 Aqila Gugu 20170723 P 3.8 1 Fernando Gugu 08968877430 230818 9.3 74 1 2 2 1 1

82 Prayer bunder 20170907 L 3.4 1 230818 8.6 75 1 1 1 1 1

83 Zefanya Sumakul 20170807 L 1 Stefen Sumakul 82296404922 230818 8.5 70 1 1 2 1 1

84 Febrian Tamburian 20180206 L

85 Marsela Tambingon 20170814 P 1 230818 7.9 53 1 1 1 2 2

86 Alardo Tamburian 20180220 L 1 R Tamburian 230818 8.3 67 1 1 1 2 1

87 Gabriel Keru 20171107 L

88 Roger Runtuwarow 20180122 L

89 Ray Samsudin 20180313 L

90 Arki Manumpil 20170617 L 1 230818 7.9 53 1 1 1 1 1

91 Gracio Osal 20180226 L 1 Betsi Sondakh 230818 8.8 56 1 1 2 2 1

92 7105172901180002 7105175012170001 1 Aurora Tiwow 20171210 P 3,2 1 Cherry Tiwow 7105171205960001 240718 12 75 1 2 1 2 1

93 7105171406160002 7105175203180001 2 Marquin Pongantung 20180312 P 1 Wandy Pongantung 7105171204850001 jagaVII 230818 7.3 68 1 1 2 2 2

94 Alvaro Tumengkol 20170103 L 1 230818 13 78 1 1 1 1

95 Caiwen Laoh 20180126 L 1 Naldo Laoh 082210699679 230818 7.2 68 1 2 1 2 1

96 7105171601180005 tidak ada NIK 1 Clairine Celona Lapian 20180302 P 1 Renaldy Lapian 7105176603950002 085240515412 jagaVII 230818 6.8 63 1 1 1 2 2

97 Valensia Tendean 20180214 P

98 Mathew Mundung 20170304 L 1 230818 9.3 69 1 1 2 1 1

99 Veronika Nunubeda 20170404 P 1 Gabriel Nunubeda 230818 8 7.7 2 2 2 1 1

100 Raifan T 20170925 L 1 230818 8.8 55 1 1 2 2 1

101 7105171002110036 7105171111170003 anak ke-3 Theodore rafael yeheskiel Sagai 20171111 l 3 1 Sonny Ssagai 7105171809710002 230818 8 63 1 2 1 1 1

102 Natalia Nayoan 20171214 P 3.3 1 Markus Nayoan 230818 8.8 63 1 1 2 2 1

103 Jillin Ciansi Allin 20170603 P

104 Aisha Katiandago 20170627 P 1 Dedi Katiandago 230818 8 7.5 1 2 2 1 1

105 Mejerking 20170530 L 1 230818 9 73 1 1 2 1 1

106 Chrismas Rajasaya 20171222 L 1 230818 7.9 56 1 1 1 2 1

107 Pinky Malondo 20161206 P 1 230818 10 86 2 1 1 1 1

108 Kania Waha 20161119 P

109 Reva Leop 20160201 P

110 Olivia Maluensang 20171219 P

111 Rivan Katihokang 20180204 L 1 230818 5.2 58 1 1 1 2 1

112 Revan Katihokang 20180204 L 1 230818 5.5 62 1 1 1 2 1

113 Davinci Sumual 20130426 L

114 Keysi Esing 20170503 L 1 Exel Esing 230818 10.5 80 1 1 2 1 1

115 Meylin Yau 20160513 P 1 230818 10.5 78 2 2 2 1 1

116 Brian Katiandago 20170802 L 1 Manani Pangkey 240718 8,5 69 2 1 1 1 1

117 Kiandra singal 20170927 P 1 230818 8.6 69 1 1 1 2 1

118 Bela Rompas 20160429 P 1 230818 11 101 2 1 2 1 1

119 Valensia Grase Rumengan P

120 7105171311130005 blm ada NIK 3 Inggrit Gaginsa 20140527 P 3,1 1 Fadly Gaginsa 7105172908830002 230818 14 126 2 1 2 1 1

121 7105080804150001 7105085007140001 1 Adizta Hapiza Tololiu 100714 3 1 jhon kenedy tololiu 7105081108860001 240718 14 105 2 2 1 1 1
122 7105081510140005 7105084606160001 1 Neyla Pernita Gabriel 20160606 P 2,8 1 Yanni Gabriel 7105081707800001 230818 10.5 94 2 2 2 1 1

123 Leviani S O Ambalembang 20151024 P

124 Jordan Jonatan Harudin 2018011 L

125 Elyora Kayla Mangantibe 20160325 L

126 Dinda Cansu A Sasihiang 20151019 P

127 William Beverly Pandey 20160417 L

128 Zhevanya Kesia Matawang 20170425 P

129 Samuel Gilbert K Lasut 20151110 L

130 Putri Maria Tawaang 20131130 P 1 230818 18.5 124 2 1 2 1 1

131 Avio Kaligis 20170412 L

132 Welingle Jenifer Sumondakh 20140907 P 1 230818 16 112 2 1 1 1 1

133 Ridwan Gaginsa 20170312 L 1 230818 11 98 1 1 2 1 1

134 Bellvania Mangkesi P

135 Julio Frans 20180731 L 1 230818 3.9 53 1 2 2 2 2

136 Alvio Waroka 20171112 L 2.9 1 Victor Waroka 230818 10 82 1 2 2 1 1

137 Marvin Pongantung 20180318 L 3.9 1 Wendi Pangantung ### 230818 7.3 66 1 1 1 2 1

138 Endru Razak 20180518 L 3.2 1 Viky Razak 230818 6.7 61 1 1 1 2 2

139 Arseino Durand 20171016 L 1 Joni Durand 230818 8 7.5 1 1 2 2 1

140 Enjel Bangki 20180803 P 1 Marios Bangki 230818 3.9 1 1 2 2 2

141 Lurey Sinadia 20180610 1 230818 4.8 56 1 2 1 2 2

142 Nabila Khainyan 20180502 P 3.4 1 230818 5.1 56 1 2 1 2 2

143 Gilbert Bulandala 20180811 L 1 230818 3.4 51 1 2 1 2 2

144 Rafael Tamburian 20180206 L 1 230818 6.9 58 1 1 1 2 1

145 Meyla Korompot 20180502 P 3.2 1 Angga korompot 085341886569 230818 7 62 1 1 2 2 2

146 Meilan Oroh 20180519 P 3.2 1 Julian Oroh 085340722223 230818 5.7 55 1 1 1 2 2

147 Rendy Sahamula 20180612 L 4.1 1 Yani Sahamula 230818 6.1 59 1 2 1 2 2

148 Aliando Rawung 20180403 L 3.3 1 Fier Rawung 082347952414 230818 5.6 58 1 1 1 2 2

149 Michel Rawung 20170307 3.5 1 Fier Rawung 082347952414 230818 10 76 2 1 1 1 1

150 Jestia Masegi 20170628 1 230818 8.8 62 1 1 2 1 1

151 Geovany Ambalen 20180606 L 1 Soleman 230818 6 56 1 2 2 2 2

152 Mika Tambingon 20180612 P 1 230818 4.9 54 1 1 2 2 2

153 Viva Gala 20180618 1 Meidy Gala 230818 4.9 52 1 1 2 2 2

154 Jovan Runtuwarow 20161119 L 1 230818 11 99 2 1 1 1 1

155 Marsya Runtuwarow 20140308 P 1 230818 16 110 2 2 1 1 1

156 Egen Runtuwarow 20180122 1 230818 7.3 60 1 2 1 2 1

0 Metiu Mundung 20170304 l 1 Aprilia Frans 240718 9,5 78 1 2 1 1 1

Arti Manumpil 20170630 p 1 240718 7,9 60 1 2 1 1 1

Syallom turang

Evandi Makapenas 20170910 l 1 Linda Makapenas 240718 7,5 59 1 1 2 2 1

2 Emelly Kakondo 20171008 p 1 240718 6,9 53 1 1 1 2 1

Kesya Michico Masinambow 20170729 p 1 240718 7,3 56 1 1 1 1 1

Mercy Katihokang 20180302 1 240718 6,3 55 1 1 1 2 2

3 Milka Lombogia 20180612 p 1 240718 4,2 53 1 1 2 2 2

Haikal Manaf 20130710 1 240718 18,5 118 1 2 1 1 1

2 Randy Sahamula 20180612 4,1 Marie Tiwow 240718 5,1 57 1 1 1 1 1

Eflany Katihokang 20170730 1 Linda Rempawatu 240718 11,8 92 1 1 1 1 1

Meqyu Katihokang 20160416 1 240718 11,8 90 2 1 2 1 1

Bellvania Rulalan 20160514 1 Viani Saroinsong 240718 11 92 2 1 1 1 1

Kayrala Anastasia Wowor 20180606 240718 4,3 51 1 1 1 2 2

Pingki Malondo 20161206 1 240718 9,6 72 1 2 1 1 1

7105170809083756 7105176404150001 3 Gabriela Arminia Mahamurah 20150424 1 Abner Mahamurah 7105171204800001 240718 13 108 1 2 2 1 1

Mengetahui

Kepala Puskesmas Amurang Barat Petugas Gizi

dr. Susy Livia Kandow Dewi R Napitu S.Kep

NIP. 19770614 201001 2 006

NIP. 19810322 201001 2 007
 DATA SASARAN BALITA

Provinsi :

Kabupaten/Kota :

Puskesmas :

Berat Buku KIA Cara Ukur ASI Eksklusif IMD

NIK (Nomor Induk Tanggal Lahir Nama Orang Tua Tgl Lahir Jaga / Tanggal
No No Kartu Keluarga Anak Ke Nama Anak JK Badan 1=Punya NIK Ayah No Tlp/HP Orang Tua Alamat BB (Kg) TB (Cm) 1=Telentang 1=YA, 1=YA,
Kependudukan) (YYYYMMDD) (Ayah) Ayah Lingk. Pengukuran
Lahir (Kg) 2=Tidak 2=Berdiri 2=Tidak 2=Tidak

Elroy Christofel Asa 20140502

1 7105170205140002 L

Geovany Pakaya 20130719 teep trans I

2 7105170309140003 7105171907130001 4 L 1 Nontje Liando 7105175404630002 140463 190418 14.5 116 2 1 1

Nathanael Dirk Ponumbol 20151224 teep trans

3 7105170809083512 7105172412150001 5 L 4 1 victor ponumbol 71005171804790001 180479 081342137949 190418 11 86 1 1 2

Daniel Christofel Marbun 20131201 teep trans III

4 7105101105110004 7105100112130001 2 L 1 Tamrin Marbun 7105100507830001 50783 190418 13 108 2 1 1

Haidee Blesly Maerah 20130913 teep trans III

5 7105170705130001 7105175309130001 1 P Denny Maerah 7105092812880001 281287

Trivena E Rumaat 20140916 teep trans III

6 7105172502110003 7105175609140001 2 P 1 Jekson Rumuat 7105170301780001 30178 190418 13.5 98 2 2 1

Raysa Gaginsa 20150813 teep trans

7 7105172809160005 7105171308150002 4 P Resmon Gaginsa 7105171507850001 150785

Irene Alatas 20140107 teep trans 0

8 7105171009150003 7105174701140001 1 P 1 irawan Alatas 7105170401900001 40190 190418 15 120 2 1 1

Aisyah Bazlan Amalina 20141005 teep trans II

9 7105172903120011 7105174510140001 3 P Riyanto 7105173107810001 310781

Fadlan Y Timbol 20160423 teep trans

10 7105172003170001 7105172304160001 cucu L Nichlolas Timbong 7102130111580003 11158

Belvina Amoreiza Cristan 20160514 teep trans III

11 7105170205160004 7105175405160002 1 P Yosua J Boki 7105172101990001 210199

Sellomitha Prisiela Paat 20130920 teep trans I

12 7105171604150003 7105176009130001 4 P Jemmy Paat 7105170509650002 50965

Karunia Aprilisti Liando 20140405 teep trans II

13 7105170404130001 7105174504140001 1 P 4,3 1 Warnegsen Liando 7105171004850001 100485 190418 21 107 2 2 2

14 7105170404130001 7105172210160001 2 Gerardo Octora Liando 20161022 L 3,6 1 Warnegsen Liando 7105171004850001 100485 teep trans II 190418 11.5 82 2 2 2

15 7105171002170001 7105172212160001 1 Rafael Guardo Talumepa 20161222 L 3 1 Benny M Talumepa 7171070305800001 30580 082187792288 teep trans II 190418 8.9 73 1 1 1

16 7105092404130002 7105090504130001 2 Akbar Masyudi 20130405 L Fadli S Masyudi 7105091802850001 180285 teep trans III

17 7105172507120002 7105174604130002 1 Duice Claire V Kaunang 20130406 P Johanis R Kaunang 7172070505880002 50588 teep trans IV

teep trans
18 Gita Runtuwailan 20141209 P 1 190418 12.1 106 2 2 1

teep trans
19 Natanael Runtuwailan 20171114 L 1 190418 6.8 54 1 1 1

20 Sefanya Lesar 20170925 L 3,5 1 Elsa lesar teep trans 190418 7.2 70 1 1 1

21 Melvina Kandacong 20131110 P 1 teep trans 190418 13 114 2 1 1

teep trans
22 Melcaira Kandacong 20170910 P 1 7 55 1 1 1

teep trans
23 Karstein Palilingan 20171005 L 3.1 1 Albertus Paliling 81340803883 11 84 1 2 1
24 Christhart Tilaar 20131021 L 3,1 1 teep trans 13.5 112 2 1 2

25 Adistya Ludong 20170602 P 2,7 1 teep trans 11.5 88 2 1 2

teep trans
26 Kenwar Lomolontoi 20170905 L 3,6 1 10 2 1 1

teep trans
27 Rafael Palit 20171111 L 3,3 1 Florentiano Palit 81342981651 8 68 1 1 1

28 Melani Tarumamper 20150430 P 1 teep trans 13 92 2 1 1

29 Claerin Damopoli p 3,1 1 teep trans 14 92 2 1 2

teep trans
30 Sharon Damopoli 20170928 P 3,2 1 8.3 73 1 2 1

teep trans
31 Nathanael Runtuwailang 20171114 L 3 1 Very Runtuwailan 82291115176 6.8 67 1 1 1

32 Putri Yusuf 20150725 P 3,2 teep trans

33 Anjeli Walean 20140911 P 1 teep trans 14 110 2 1 2

teep trans
34 Mikenzi Kalangi 20180525 L 3,5 1 Fadli Kalangi 85256750586 6.4 58 1 1 1

teep trans
35 Stevanli Kalangi 20131204 L 3 1 12 108 2 1 1

36 Kenward Rondonuwu 20180420 L 2,7 1 Rudi Rondonuwu 085244986234 teep trans 5.8 63 1 1 1

37 Adriel Takaed 20180418 L 2,8 1 Yunus Takaed 085340633880 teep trans 5.3 61 1 1 1

teep trans
38 Kimberly Mokoginta 20160915 P 2,1 1 7 89.5 1 1 2

teep trans
39 Melani Legi 20150430 P 1 13 109 2 1 1

40 Jeviano Naya 20180628 L 3,4 1 Asri Naya 081337454376 teep trans 5.1 58 1 1 1

41 Gabriel Mui 20170508 P 2,6 1 Aldo Mui 082293552504 teep trans 9 75 2 1 1

teep trans
42 Queenly Yansa 20150831 P 3 1 Noldi Yansa 085240087497 12 89 2 1 1

teep trans
43 Theodore R H Sagai 20171111 3 1 Soni Sagai 8.7 71 1 2 1

44 Kainara Katiandago 20161211 3,4 1 Frisky Katiandago teep trans 9.5 75 1 1 2

45 Queenly Palit 20130908 p 2,6 1 Florentiano Palit 081342981651 teep trans 17 104 2 1 1

46 Chirly Tenda 20171026 p 2,6 1 vero tenda 082349338050 teep trans 7.9 72 1 1 1

47 Kayrala Diza 20180606 P 3,3 1 teep trans 49 58 1 1 1

Mengetahui

Kepala Puskesmas Amurang Barat Petugas Gizi

dr. Susy Livia Kandow Dewi R Napitu S.Kep

NIP. 19770614 201001 2 006

NIP. 19810322 201001 2 007
 Vitamin A Vitamin A
Februari 1=YA, Agustus 1=YA,
2=Tidak 2=Tidak

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

2 1

2 1

1 1

2 1

2 1
1 1

1 1

2 1

2 1

1 1

1 1

2 1

0 1

1 1

2 2

1 1

2 2

0 0

2 1

1 1

0 0

0 1

1 1

0 1

2 1

1 1

2 1

2 2
 DATA SASARAN BALITA

Provinsi :

Kabupaten/Kota :

Puskesmas :

Berat Buku KIA Tanggal Cara Ukur ASI Eksklusif IMD

NIK (Nomor Induk Jaga /
No No Kartu Keluarga Anak Ke Nama Anak Tanggal Lahir JK Badan 1=Punya Nama Orang Tua (Ayah) NIK Ayah Tgl Lahir Ayah No Tlp/HP Orang Tua Alamat Pengukura BB (Kg) TB (Cm) 1=Telentang 1=YA, 1=YA,
Kependudukan) Lingk.
Lahir (Kg) 2=Tidak n 2=Berdiri 2=Tidak 2=Tidak

Gilbert Zlee Prasetyo Kapitu X

1 7105172103120002 7105172104140001 1 20140421 L Arif Prasetyo 7105170404810002 40481 040818

Yulian Injilia Tasing Kapitu VIII

2 7105172207110009 7105175307140002 3 20140713 L Franky Tasing 7105171302780001 130278

Jones Jordan Pantow Kapitu X

3 7105171409110003 7105170906150001 2 20150609 L Christian Pantow 7105170512840001 51284

Elguard Prince lapian Kapitu VIII

4 7105170503120001 7105170605150001 3 20150506 L Berty Lapian 7105171208740001 120874

Jeisen Salmon Kapitu VIII

5 7105171202150011 7105172901140002 2 20140129 L Heendrik Salmon 7105171912780002 191278

Misel Reva Salmon Kapitu VIII

6 7105171202150011 7105174703160001 3 20160307 P Heendrik Salmon 7105171912780002 191278

Karunia Durand Kapitu VIII

7 7105171307150001 7105175008150003 3 20150810 L Oldy Aldy Durand 7105170210790002 21079

Aprilio Prince Winokan Kapitu VIII

8 7105171309110004 7105171404140002 2 20140414 L Alf R V Winokan 710517150490001 150490

Elreal Kristen Ubis Kapitu VII

9 7105172809160007 7105171211130002 1 20131112 L Yanto Ubis 7105172601910001 260191

Jericho Vincent Hasani Kapitu VII

10 7105173008110027 7105171411150001 2 20151114 L Bobby Hasani 7105171210810001 121081

Revan Tumbelaka Kapitu VII

11 7105172103120005 7105170202140001 3 20140202 L Marten Tumbelaka 7105170605610001 60561

Brayen Stiven Muat Kapitu VII

12 7105172110130003 7105171909130001 1 20130919 L Berty Muat 7105171104760001 110476

Israel Zuars Dalako Kapitu II

13 7105170905160006 7105170906150003 1 20150609 L Yehezkiel Dalako 7105170903970001 90397

14 7105170711160003 7105170903160002 1 Gerhana Pasla 20160309 L 1 Alfa Pasla 7105170804930001 80493 Kapitu III 040818 10 79 2 2 1

15 7105171301150003 7105171611140001 2 Jiovanly Jailany Daud 20141116 P Wisno Daud 7105171401880001 140188 Kapitu VI

16 7105171311130009 7105173010140001 2 Nur Halim Mohammad 20141030 L Ridwan Mohammad 7105171303850001 130385 Kapitu VI

17 7105171602150012 7105175902160001 2 Elshaday Tumiwa 20150219 P Bobby Tumiwa 7105171804780001 180478 Kapitu VI

18 7105170505150002 7105175507140004 1 Michaela Juliani Rompas 20140715 P Romi Rompas 7105170310870002 31087 Kapitu VII

19 7105171306110001 7105172707160001 2 Ribka Deofrin Kusendi 20160727 P Gideon Kusendi 7105170112850003 11285 Kapitu V

20 7105171308140004 7105175702140001 2 Ester Naomi Lumenta 20140217 P Herdy Patris Lumenta 7105172005860002 200586

21 7105171602150016 7105172505140001 1 Rafael Tumbol 20140525 L Mikson Tumbol 7105171005890001 100589 Kapitu V

22 710517300511002 7105171506130002 2 Lionel Natanael Essing 20130615 L Agus Esing 7105173005110002 180890 Kapitu V
23 710517300511002 7105171309140001 3 xyz Imanuel Essing 20140913 L Agus Esing 7105173005110002 180890 Kapitu V

24 7105171304120002 7105170509140001 1 Imanuel Anugerah Tampemawa 20140905 L Alwin Rompas 7105171304120002 90974 Kapitu IX

25 7105172601150008 7105175302150001 1 Karina Tiffani Porajow 20150213 P Handri Porajow 7105170511920001 51192 Kapitu IX

26 7105171409110010 7105172401140001 2 Christiano Roger Toporundeng 20140124 L Rommy Toporundeng 7105172011780001 201178 Kapitu IV

27 7105171409150004 7105173105140001 1 Dheovany Timbong 20140531 P Novan Timbong 7105172711920001 271192 Kapitu IV

28 7105172305120004 7105171409150001 2 Erlandi Jaden Karsten Lembong 20150914 L Reiner G E Lembong 7105170108810001 10881 Kapitu IV

29 7105170809080120 7105174104160001 2 Aprilia Christian Mononimbar 20160401 P Fadly Mononimbar 7105172409790001 240979 Kapitu IX

30 7105172709110001 7105170601160002 2 Cleine Ivander Oroh 20160106 P Roby Oroh 7105172606770001 260677 Kapitu III

31 7105100103160004 7105104312130001 1 Chricella Euginia Ingkiriwang 20131203 P Resky M Ingkiriwang 710517102302980001 230298 Kapitu IV

32 7105170411090001 7105174511150001 2 Clairine E E Pontoh 20151105 P Indra Pontoh 7105170208880001 20888 Kapitu IV

33 7105171302120001 7105176106160001 2 Tsa Niya Lyla Naazaila 20150615 P Zainal Abidin 7105170203830001 20383 Kapitu IV

34 7105171403160002 7105171504150001 1 Alvaro Gavriel Pattyrani 20150415 L Novan Pattyrani 7105170310940001 31094 Kapitu I

35 7105170809080429 7105171506130001 3 Samuel Wendika Ngelo 20130615 L Weldy Ngelo 7105172107750001 210775 Kapitu I

36 7105170809080433 7105174206130001 2 Hana Gaha Tumurang 20130602 P Denar Tumurang 7105171909660001 190966 Kapitu I

37 7105170809080461 7105176308130002 2 Vina Regina Tatuil 20131023 P Rajendra Tatuil 7105170804700001 80470 Kapitu III

38 7105170103160006 7105170107160001 1 Erlan Yoel Tiwow 20160701 L Yani M Tiwow 6472030401840010 40184 Kapitu III

39 7105170304120018 7105172805130001 2 William M Liow 20130528 L Jandri B Liow 7105170701720003 71072 Kapitu 0

40 7105174710130001 Syalomita Ave Maria A 20131007 P

41 7105170809080529 7105172512140001 2 Elnoel King Porajow 20141225 L Fanny Fendy Porajow 7105170502790001 50279 Kapitu II

42 7105170809080241 7105176810130001 2 Violeta Clarisa Lesar 20131028 P Hendra Lesar 7105173105820001 310582 Kapitu VI

43 7105170809080241 7105176406150001 3 Serena Angela Lesar 20150624 P Hendra Lesar 7105173105820001 310582 Kapitu VI

44 7105170809080300 7105175510130002 2 Syalom Cheren Sinubu 20130303 P Fredi Sinubu 7105170702590001 70258 Kapitu II

45 7105171005160001 Giorgio Clark Elhanan 20160510 L

46 7105170809080312 7105176603140001 3 Marsia Midiane Kirangen 20140326 P Jendri Kirangen 7105172809730001 280973 Kapitu III

47 7105170610130001 Syanensia Friscaila S 20131020 P

48 7105172506150001 Rey Piter N Sumampow 20130615 L

49 7105171603150001 7105174102160001 2 Selena H V Mondota 20160201 P Noldy Sumampow 7105170303850001 30385 Kapitu II

50 7105171710120003 7105170501140001 2 Juvano J Josua Mamesah 20140105 L 1 Jenly Mamesah 7105171207900001 120790 Kapitu II 040818 14 119 2 1 2

51 7105172103120013 7105171403140001 5 Marselo I Tombokan 20140312 L Max Tombokan 7105171111600003 111160 Kapitu II

52 7105171508140001 71051752033140001 1 Nyx Rut Roeroe 20140312 P Xyz Roeroe 7173031111890002 111189 Kapitu IX

53 7105172108140002 7105175702150001 1 Evalin Walangare 20150217 P 1 Rio B Walangare 7105173107830002 310783 Kapitu IX 040818 14.9 118 2 1 1

54 7105100505150002 7105175707150001 1 Scarlet Claire Tiwow 20150717 P Theodoorus Tiwow 7105100390001 100390 Kapitu X

55 7105170212140004 7105172607140001 2 Alif Demantiri 20140726 L Rizal Demantiri 7105170806850004 80685 Kapitu X
56 7105170312140001 7105172403150001 1 Ken Matthew Taroreh 20150324 L Steven Taroreh 7105172212860001 221286 Kapitu X

57 7105170708140003 7105171311130001 1 Rafa krisna Sarajar 20131113 L Jonny sarajar 7105171603790001 160379 Kapitu X

58 7105170809080150 7105174909150002 4 Hendryna G N Hutubessy 20150909 P Meyline Mononimbar 7105172602700001 260271 Kapitu X

59 7105171409150005 7105171302160001 1 Febryano Javier Mongkareng 20160213 L 1 Mewin Jekson Mongkareng 7105172006870002 200687 Kapitu X 040818 12.4 98 2 1 2

60 7105173108120001 7105175805130001 1 Alexandra T T Tumbun 20130518 P 1 Amies Tumbuan 7105170107880001 10788 Kapitu X 040818 19.2 1285 2 1 1

61 7105170809080495 7105174904140001 7 Asri Sakamole 20140409 P Johanis sakamole 7105172009700001 200970 Kapitu VIII

62 7105171312130001 Miracle D Tamburian 20131213 L

63 7105173003160003 7105170312150001 1 Princely Christlove Umboh 20151203 L Fiani Umboh 7105171309880002 130988

64 7105173007130008 7105173006140002 1 Ricky Sakamole 20140630 L Meydi sakamole 7105171205910001 120591 Kapitu VIII

65 7105171704140001 7105172208140001 2 Verel Timoti Talumepa 20140822 L Dolli Royjer Talumepa 7105172812850001 281285 Kapitu VII

66 7105171709130002 7105171007130002 1 Arjuna 20130710 L Rizal 7105170806840003 80684 Kapitu VII

67 7105172202110006 7105171011130002 1 Marselino Noel Rampisela 20131110 L Ridmon Rampisela 7105171709870003 170987 Kapitu VII

68 7105172307140003 7105177001150001 2 Hishah Khalifah Pido 20150130 P Arifin Pido 7105170902910001 90291 Kapitu VII

69 7105175708160001 Ability Isaura Ubis 20160817 L

70 7105171302150005 7105174308130001 1 Aurelia Timbowo 20141018 P Philipus Timbowo 7105172202890001 220289 Kapitu VI

71 7105171302150004 7105174308130001 2 Davva Palendeng 20130803 P Riko Palendeng 7105173006940001 300694 Kapitu VI

72 7105171903120007 7105174606160001 2 Fitria Ubis 20160606 P 1 Irwanto Ubis 7105171305910001 130591 Kapitu VI 040818 11 100 2 2 2

73 7105172510160004 7105172904160002 2 Alfredo Alfando Salamate 20160429 L Sanny Salamate 7105174202840001 20284 Kapitu VI

74 7105172712130001 Tristan Stevano Suunilat 20131227 L

75 7105170902150010 7105170206140001 3 Juniveer Katiandago 20140602 L Jeri K 7105170403910001 40391 Kapitu VII

76 7105170902150011 7105176108140002 2 Farel F Mamesah 20140821 L Fanly Mamesah 710517101090001 101090 Kapitu VII

77 71051713021500112 7105176108140002 1 Agnecia Ubis 20140821 P Fernando Ubis 7105173011920001 301192 Kapitu VII

78 7105171302150001 7105174602140001 2 iska Friski Ubis 20140206 p Melki Ubis 7105171203800001 120380 Kapitu VI

79 7105176306130002 2 Claudia theresia Y Rintjap 20130623 P

80 7105171302150011 7105170511130001 1 Gabriel Pondaang 20131105 L Hardy Pondaag 7105171204890001 120489 Kapitu V

81 7105171704140002 7105172105130001 1 Mikael Waroka 20130521 P Romi Waroka 7105170902920001 261085 Kapitu V

82 7105171309160002 7105171412160001 1 Zabdi Xoav Gallio Siahaan 20161214 L Hotner Yustin Siahaan 7105171402850001 140285 Kapitu IV

83 7105171404140002 7105170607130002 1 Hilkia fabiano Timbong 20130706 L Fanli Timbong 7105172801940001 280194 Kapitu IV

84 7105171408130002 7105170908130002 1 Azka Alvanz Manuel 2030809 L Maikel H Manuel 7105171412820001 141282 Kapitu IV

85 7105171503160001 7105177010150001 1 Bellvania Octaviane K 20151030 P Alfrets G Kaeng 7105171606870002 160687 Kapitu IV

86 7105172209150002 7105171208130001 2 Amos Imanuel Udada 20130812 L Rico Udada 7105171805810001 80581 Kapitu IV

87 7105172407150001 7105174301140001 2 Lettly Rumkorem 20140103 P Kundrat Rumkorem 7105172206760001 220676 Kapitu IV

88 7105173006150004 7105171101140001 2 Jainer Alif Tamburian 20140111 L Rahmawati Timbowo 7105174801840002 80184 Kapitu IV
89 7105170809080359 7105171705130001 2 Olmes Timoti Mondota 20130517 L Teidi Feidi Mondota 7105170412760001 41276 Kapitu IV

90 7105170809080364 7105171405140001 3 Christovorus F Setlight 20140514 L 1 Tenny T Setlight 710517036710001 30671 Kapitu IV 040818 14.7 116 2 1 2

91 71051700809080334 7105175911140001 2 Rovilia Chika Sumampow 20141119 P Royke Sumampow 710517310880001 310880 Kapitu III

92 7105170912130002 7105175811130001 1 Naysila Gracia Lamboan 20131118 P Rraymon Lomboan 7105172107930001 210793 Kapitu III

93 7105171211140005 7105174810140001 1 Jefine Challista Ubis 20141008 P Jackie Rifal Ubis 7105170101850001 10185 Kapitu III

94 7105172307140006 7105175412150001 2 Mikhayla Manorek 20151214 P Fendy Manorek 7105170602810001 60281 Kapitu III

95 7105173007130008 Nicky Behomia Sakamole 20171129 L 1 meydi sakamole 7105171205910001 Kapitu 040818 7.5 61 1 2 2

96 *71051708041440003 7105175407140001 Elshaday K M Mandagi 20140714 P 1 Riko Fni Mandagi *7105171910890001 Kapitu 040818 13.4 97 2 1 2

97 Cleverlio Y T Mandagi 20160710 L 1 Kapitu 040818 9.4 75 1 1 1

98 Efraim Delope 20170625 L 1 Kapitu 040818 9 68 2 1 1

99 Elbarak Sumampow 20171025 L 1 Kapitu 8.6 64 1 1 1

100 Aurora MunalSeche 20171113 P Kapitu

101 Valinski Durand 20170805 L 1 Kapitu 040818 7.4 61 1 1 2

102 Keydi Angela 20180323 L Kapitu

103 Rafa Sinubu 20171029 L 3.9 1 Kapitu 040818 8.7 62 1 1 1

104 Nathania Talumepa 20170912 P 1 Kapitu 040818 6.7 58 1 1 1

105 Militia Sumampow 20170420 P Kapitu

106 Virgio Makaraas 20180203 L Kapitu

107 Diandra Udada 20171005 P 3.5 1 Kapitu 040818 6.7 60 1 1 2

108 Revalina Timbol 20161210 P 3.9 Kapitu

109 Revanaliana Tumbelang 20160511 P Kapitu

110 Rulifki Ongeruala 20170703 L Kapitu

111 Rarex Lumenta 20171108 L Kapitu

112 Marcel Manorek 20170606 L 3.2 1 Kapitu 040818 8.4 70 1 1 2

113 Brigita Pangkey 20170905 P 2.5 1 Kapitu 040818 9 82 1 1 1

114 Mikhaela Tangkilisan 20171108 P 1 Kapitu 040818 6.4 1 1 1

115 Akasia Lomboan 20180211 P 3.3 1 Kapitu 040818 6.7 1 1 1

116 Dinda Runtuwarow 20161216 P Kapitu

117 Pascalina Pido 20180325 P Kapitu

118 Rizky Ubis 20171216 L 3.2 Kapitu

119 Harley Tasing 20180111 L Kapitu

120 Exelent Luis 20160922 L Kapitu

121 Devan Takaindengan 20160916 L Kapitu

122 Josua Marduta 20170611 L Kapitu

123 Alvin Tamara 20170912 L Kapitu

124 Alfrait Tumbelaka 20171214 L Kapitu

125 Mikael Tumon Rumopa 20180308 L 3.5 1 Kapitu 040818 5.4 52 1 1 2

126 Eunike Belembele 20170709 P Kapitu

127 Aiko 20180330 P 2.6 Kapitu

128 Azariel yakob 20180428 L Kapitu

129 Velecia Mahamurah 20170627 P Kapitu

130 Rafaila Kaligis 20180405 P 3.5 1 Kapitu 040818 5.6 53 1 2 1

131 Gracela Hasani 20180317 P 2.9 Kapitu

132 71051730003110001 7105175997160001 Elvira Timbong 20160710 P 1 fernando timbong 7105171202880001 Kapitu 040818 8.4 81 1 2 2

133 Syalomita Ubis 20171117 P 1 Kapitu 040818 8.9 85 1 1 2

134 Kasih Putri saharatu 20170915 P Kapitu

135 Elvina Tamara 20160929 P Kapitu

136 Monika Mamahit 20171015 P Kapitu

137 Nancy Lumenta 20171108 P 1 Kapitu 040818 13.3 114 1 2 1

138 7105171302150005 7105171810140001 2 Axelino Timbowo 181014 l Philious Timbowo 7105172202890001 220289 Kapitu VI

139 Nathania Kembuan 20180323 P 1 Kapitu 040818 6.7 58 1 1 1

140 Jezhy Makawekas 20180412 L Kapitu

141 Kenwarrd Rondonuwu 20180420 L Kapitu

142 Arka Joseph 20170602 L 1 Kapitu 040818 11 106 2 1 1

143 Feily Tambingon 20180323 P 1 Kapitu 040818 7.3 60 1 1 1

144 Marfen Pido 20180325 L 1 Kapitu 040818 5.3 53 1 2 1

145 Winsy Nelwan 20180424 P 1 Kapitu 040818 7.2 68 1 1 1

146 Hizkia Mointi 20170711 L 1 Kapitu 040818 9.1 74 1 1 1

147 Yeheskiel Lumenta L Kapitu

148 Injilia Tiwow 20161111 P 1 Kapitu 040818 8.5 66 1 2 1

149 Gabriel Mondota 20160205 L Kapitu

150 Karunia Durand 20160810 L Kapitu

151 Mefi Pondalos 20180526 L Kapitu

152 Meisya Rumopa 20180522 P 1 Kapitu 040818 5.6 54 1 1 1

153 Arkhan Azka 20180516 L Kapitu

154 Alexandere Tangkere 20180511 L 2.7 1 Kapitu 040818 5.4 52 1 1 1

155 Arkhan Bakaru 20180516 L Kapitu

156 Fergio Senduk 20180203 L Kapitu

157 Mario Adahati 20150706 L Kapitu

158 Michaela Nelwan 20170714 P Kapitu

159 Michael Mawuntu 20161103 L Kapitu

160 Marcelino Pido 20170308 L 1 Kapitu 040818 8.9 68 1 1 1

161 Efret ubis 20171216 L Kapitu

162 Girardi Ubis 20170126 L 1 Kapitu 040818 10.6 90 1 1 1

163 Agato Tasing 20160428 L Kapitu

164 Alfialdo Tampemawa 20170516 L Kapitu

165 Israel Lamonge 20161123 L 1 Kapitu 040818 9.4 79 1 1 2

166 Velianta Waroka 20180621 P 3 Kapitu

167 Patric Rumagit 20180521 L 3.1 1 Kapitu 040818 6.4 60 1 1 2

168 Brigita Kuku 20180614 P 3.5 Kapitu

169 Fitri Takaindengan 20170916 P Kapitu

170 Junior Tatuil 20180516 L 2.7 1 Kapitu 040818 5.8 58 1 1 2

171 Oktovianus Galatia Sumampow 20171008 L 3.2 1 Kapitu 040818 7.9 68 1 1 1

172 Kairos Sinaulan 20180510 L Kapitu

173 Gabriel Lumenta 20180607 L 3.1 1 Kapitu 040818 4.6 56 1 1 1

174 Gabriel Katihokang 20170925 L 3.2 Kapitu

175 Jenifer Aurora Ubis 20180608 P 1 Kapitu 040818 5 54 1 1 1

176 Jezhy Makawekes 20180412 P 4.5 Kapitu

177 Azael Salmon 20170805 L 3.1 Kapitu

178 Ardiyansyah Mandang 20180619 L 3.5 Kapitu

179 Yuvi Mamahit 20160418 L 1 Kapitu 040818 12.1 106 2 2 1

180 Elisabeth Pangkey 20140304 P 1 Kapitu 040818 18 122 2 1 2

181 Gabriel Trakisan 20150731 L 1 Kapitu 040818 10 98 2 1 2

182 Refa Natunggele 20160511 P Kapitu 040818 9.3 86 2 1 1

183 Junior Lilipali 20160109 L Kapitu 040818 11.9 2 1 2

184 Laras Rampongayow 20171105 P Kapitu 040818 12.7 1 1 2

185 Yesi Makawenas 20180412 P Kapitu 040818 6.2 1 1 1

186 Grasia Londengan 20171118 P Kapitu 040818 14 1 1 1

187 71051730003110001 7105175997160001 Elveera Angeli Timbong 20170710 p Kapitu

188 7105173001140002 7105172712130001 2 Daerel Timbowo 271213 l Alfian M Timbowo 7105171604860001 160486 Kapitu VI

7105171602150001 7105171312130001 1 Mirakel Tamburian 131213 l Meldi Tamburian 7105171303870001 130387 Kapitu VII

710171508140001 7105171202160001 2 Xzy Cristia Roeroe 12032016 l Xyz Roeroe 7105171508140001 111189 Kapitu IX

7105171305160001 7105176610130001 1 Syerensia Friscaila Sumampow 261013 p Agustina Y Wajong 7105174908850001 90885 Kapitu II

7105172505110001 7105174710130001 2 Syalomitha Avemaria A Pasla 71013 p Franki Pasla 7105171010750003 101075 Kapitu IX

710517120560001 7105175110130001 2 Ovelia Silangen 111013 p Maikel Silagen 710517063850001 60385 Kapitu I

7105171403160001 7105175206160003 2 Clerisa Fredeline Alelo 120616 p Maichel Alelo 7105170205950001 20595 Kapitu I

7105171403160001 7105175206160002 1 Clarisa Fredelin Alelo 120616 p Maichel Alelo 7105170205950001 20595 Kapitu I

7105170509160005 7105176310140004 1 Safia Qhumaira Nduru 231014 Heri Wantones Nduru 1206160706900003 70690 Kapitu X

Mengetahui

Kepala Puskesmas Amurang Barat Petugas Gizi

dr. Susy Livia Kandow Dewi R Napitu S.Kep

NIP. 19770614 201001 2 006

NIP. 19810322 201001 2 007
Vitamin A Vitamin A
Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak

1 1
1 1

1 1
1 1

1 1

1 1
1 1

2 1

1 1

1 1

1 1

2 1

1 1

2 1

2 1

2 1

1 1

2 1

2 1

2 1
2 2

2 2

1 1

2 1

2 1

2 1

1 1

2 1

2 1

2 2

2 1

1 1

2 2

2 2
1 1

1 1

1 1

2 2

2 2

2 1

2 2

2 2

1 1

1 1

1 1

1 1

1 1

2 1

2 2

2 1
 DATA SASARAN BALITA

Provinsi :

Kabupaten/Kota :

Puskesmas :

Berat Buku KIA Cara Ukur ASI Eksklusif IMD

NIK (Nomor Induk Anak Tgl Lahir No Tlp/HP Orang Jaga / Tanggal
No No Kartu Keluarga Nama Anak Tanggal Lahir JK Badan 1=Punya Nama Orang Tua (Ayah) NIK Ayah Alamat Pengukuran BB (Kg) TB (Cm) 1=Telentang 1=YA, 1=YA,
Kependudukan) Ke Ayah Tua Lingk.
Lahir (Kg) 2=Tidak 2=Berdiri 2=Tidak 2=Tidak

Anna Natalia Putri kel.rumbah XII

1 7105171802140002 7105176212130001 1 20131222 P 0 Afandi Amirulah 7105170404940001 040494

Amora Milanisty Manorek kel.rumbah linkVII

2 7105171312110002 7105175001160001 2 20160110 P 2.9 1 Donal Manorek 7105173008870002 310887 085298395301 140818 10.9 89 2 1 1

Timothy Asensio Lorenso kel.rumbah I

3 7105172404150003 7105171808150001 1 20150818 L 1 Jerry Gabriel 7105100901920001 090192 140818 12 108 2 1 1

Wilovely Juvenlee Rarung kel.rumbah VII

4 7105171208140001 7105176402140001 1 20140224 P Stenly Ivan Rarung 7105171506870001 150687

Tristan Farrell Ponumbol kel.rumbah

5 7105170809081693 7105170312160001 2 20161203 L 1 Ferrel L Ponumbol 7105171510680001 151068 140818 9.7 78 1 1 2

Kenzho Jeconia Usman kel.rumbah X

6 7105170809082010 7105171311150002 2 20151113 L 1 Nichal F Usman 7105172711760001 271176 140818 12.3 108 2 1 1

Kristen Gavrila Karepu kel.rumbah VII

7 7105172906150001 7105176608150001 1 20150826 P 2.3 1 Kiven Karepu 7105170202910001 020291 140818 12 90 2 1 2

Vania Juvedona Nua kel.rumbah linkVIII

8 7105171208140003 7105174408140001 1 20140804 P 2,9 1 Andrey Nua 7105171809920001 180992 140818 15 136 2 1 1

Aditya Justicio A Girsang kel.rumbah VIII

9 7105172704150001 7105171506150001 1 20150615 L Anry Poltak L Girsang 7104072510840001 251084

Alvino Aprilio Tumiwa kel.rumbah X

10 7105170809081423 7105171504130001 2 20130415 L Meiky Tumiwa 7105170205740002 020574

Juriko Ganka Rumengan kel.rumbah X

11 7105170809081513 7105170806130001 2 20130613 L Franky Rumengan 7105170302650001 030265

Clyvi Vilovely Sojow kel.rumbah X

12 7105170809081651 7105175507140002 3 20140715 P Noldy Sojow 7105173010690001 301069

Dona Milani H Manorek kel.rumbah linkXI

13 7105170801130002 7105177007150001 1 20150730 P 2,8 1 Ries Afni N Manorek 7105172911820001 291182 140818 13.5 110 2 1 1

14 7105171602150011 7105174104150001 1 Nagita Karunia Tambuku 20150401 P 2.7 1 Falentino Tambuku 7105171304920001 130492 0852256342612 kel.rumbah II 140818 14 93 2 1 1

15 7105170302140002 7105175912130001 1 Michelle Choo 20131219 P Deybi Atne Tatara 7105175712840001 171284 kel.rumbah I

16 7105171102140006 7105172408150001 1 Marchel Yehezkiel Tandipayung 20150824 L Marvil Tandipayung 7105173103870001 310387 kel.rumbah I

17 7105170712150001 7105174412150001 1 Natasta kesya Talumepa 20151204 P Sutrisno Talumepa 7105172302800001 2230280 kel.rumbah II

18 7105172506150002 7105176910150001 1 Gracia Igrea Karundeng 20151029 P 2.2 1 Aldo karundeng 7105170804950002 080495 kel.rumbah II 140818 10 87 2 2 2

19 7105171310140006 7105175008150002 1 Jc Carissa Karepu 20150810 P Demsy Karepu 7105173112910001 311291 kel.rumbah XI

20 7105170707140003 7105174705140001 1 Lady Sascha Jeanne Oroh 20140507 P Yolif Ferril S Oroh 7105175109930001 110993 kel.rumbah XII

21 7105170809081408 7105170208160001 3 Anugrah Miracle Jonatan Mononege 20160802 L 1 Sam Daniel Mononege 7105172309620001 230962 kel.rumbah XII 140818 12 2 1 1

22 7105170809082061 7105176704130002 2 Gracella Sifra Maria Tombuku 20130427 P 1 Stetnly Audy Tombuku 7105171608790001 linkIX 140818 15 128 2 1 1

23 7105172101130004 7105176405130001 1 Ribka Keyla Margi Langi 20130524 P Jamry Langi 7105171903740001 kel.rumbah IX
24 7105172402140003 7105173012150001 2 Gafrah Desfran J Motiley 20151230 L 3.5 1 Aldi Montiley 7105170604910001 60491 085796857661 kel.rumbah link IX 140818 12 102 2 1 1

25 7105173007130006 7105172207130001 1 Lionssi Christian Geoege 20130722 L Foclen Pusung 7105170902890001 090289 kel.rumbah IX

26 7105170708120002 7105177112140001 2 Christy Nadia D Tambingon 20141231 P Fernando Tambingon 7105172302850001 230285 kel.rumbah V

27 7105170809150006 7105172111140001 1 Glendy Pratama Raintama 20141121 L 4 1 A Raintama 7105170505920000 050592 082347327149 kel.rumbah V 140818 15.5 102 2 1 2

28 7105170911150001 7105172906150001 1 Erlangga Bastian P R Rarung 20150629 L 1 Givary Rarung 7105171504960001 150496 kel.rumbah V 140818 17 138 2 1 1

29 7105170911150002 7105170706160001 1 Varrel Ridel juventus Luly 20160607 L 1 Weitel Feins Luly 7105172202860001 220286 kel.rumbah link V 140818 10 80 1 2 1

30 7105171302130002 7105175404160001 2 Reren Abigael Lomboan 20160414 L Mario S Lomboan 7105172903810001 290381 kel.rumbah V 140818 12.1 99 2 1 1

31 7105171408150001 7105171105160001 1 Ellexgio Nathan D Ngajow 20160511 L 2.8 Franky Ngajow 7105232807640001 280784 82345016388 kel.rumbah V 140818 10.1 82 1 1 1

32 7105172305130002 7105171906140001 1 Yosua Junexmar Oping 20140619 L Freky Oping 7105171601790001 160179 kel.rumbah VI

33 7105172406110001 7105170707140001 2 Dave Wemly Edwar Saroinsong 20140707 L 1 Fernando H Saroinsong 7105172602800002 260280 kel.rumbah VI 140818 13.5 104 2 1 2

34 7105173007130005 7105172604160001 1 Giver Savior 20130926 L Andre S Ponto 7105171409900001 140990 kel.rumbah XII

35 7105171910150001 7105174610140001 1 Octiffany Cleydie Ruus 20141006 P Rano Juan Ruus 7105170606900001 060690 kel.rumbah X

36 7105172910140005 7105172103150001 1 Glenviko Marcello Briel Kelung 20150321 L Aldy Royke Kelung 7105173107900001 310790 kel.rumbah X

37 7105171510140004 7105171812140001 1 Davenoel Ellisky Tambuwun 20141218 L 1 Lus D.Y. Tambuwun 7105171802950002 180295 kel.rumbah XI 140818 10 80 2 1 1

38 7105170605130001 7105171501170001 2 Godwin Yehezkiel Mesi 20170115 L Ivan Adri Mesi 7105171610890001 181089 kel.rumbah XII

39 7105171003160002 3172012703141002 2 Kenzo Nua 20140327 L Fendy frangki Nua 3172011311780009 131178 kel.rumbah IV

40 7105172408090001 7105176204130001 2 Cinta A Porajow 20139422 P Rowry Porajow 7105170901830003 090183 kel.rumbah IV

41 7105172602150002 7105174703150001 1 Clairine Elzira Avigael Runtuwene 20150307 P Chrisye Amanda Elia R 7105172612920001 261292 kel.rumbah IV

42 7105171810120001 7105177110160001 2 Azania Shakila Wibowo 20161031 P 1 Wahyudi Wibowo 7105170609880002 060988 kel.rumbah IX 140818 9.5 88 2 1 2

43 7105171810120001 7105173110160001 3 Abyan Nur A Wibowo 20161031 L 1 Wahyudi Wibowo 7105170609880002 060988 kel.rumbah IX 140818 12.5 106 2 2 1

44 7105172202110003 7105170204130001 2 Ricy Jhonatan Aprilio Rampisela 20130402 L Eden Ridel Ever R 7105171106850002 110685 kel.rumbah IX

45 7105172811110001 7105171711130002 2 Clayment Theodoric Manalu 20131117 L Jufri R Monalu 7105170107820001 010782 kel.rumbah IX

46 7105172709130001 Pearkha Jillo Pangemanan 20130927 L 1 140818 17 112 2 1 1

47 7105171204160001 7105171005160001 1 Giorgio Clark Elhanan Gunawan 20160510 L Egi Paulus Gunawan 7105170603920001 060392 kel.rumbah X

48 7105170809082027 7105174308130002 3 Ghrascia Eunike Soyow 20130803 P Densly Soyow 7105172211750001 221175 kel.rumbah VI

49 7105171005160001 7105175706160001 1 Kaila Juristin Karepu 20160617 P 1 Glandy Caarvel Karepu 7105171707910001 170791 kel.rumbah VI 11.5 2 1

50 7105170207140002 7105176412140001 1 Kalinda Elsya Defi Wongkar 20141224 P Irto Maikel Wongkar 7105171803830001 180383 kel.rumbah VII

51 7105170809082037 7105176104160001 1 Kimberly Alyasita Princes Manorek 20160421 P Jantje Yani Manorek 7105170701760001 070176 kel.rumbah VII

52 7105170809081988 7105172504130001 2 Ariel Injilio Wagey 20130425 L Nofry Wagey 7105171611750001 161175 kel.rumbah III

53 7105175205160001 7105175205160001 1 Stesa Meyquin Tumbuwun 20160512 P 2,9 1 Stevent Tambuwun 710517301170001 301171 085397696973 kel.rumbah linkIII 140818 10,5 85 1 1 1

54 7105170510160001 Heaven Andreas A Rungkat 20161005 L 2.9 1 Rudi Rungkat 085242880928 linkII 140818 14.2 87 1 2 2

55 7105170204120001 7150176204140001 2 Deandra Astra Lumi 20140422 P 1 Varanan Alfriets Lumi 7105171512820001 150282 kel.rumbah VI 140818 18.5 154 2 1 1

56 7105170403150003 7105175509150001 3 Feodora Verena Tangkilisan 20150915 P MosesYohanis Ttangkkilisan 7105172703760002 270376 kel.rumbah VI
57 7105170809081732 7105175205130001 cucu Marisabella Putri Manorek 20130512 P Yulin Walukow 7105174507510001 050751 kel.rumbah II

58 7105170809081643 7105173010130001 2 Benedictus Filio J Rumondor 301013 l Silverster Hartje Rumondor 7105172411680001 241168

59 7105172905130001 Gabriel Samuel 20130529 L

60 7105170809081830 7105170508140001 cucu Richelle Nicky Kandow 20140805 P Richard Karepu 7105170505490001 050549 kel.rumbah V

61 7105170404160006 7105174505160001 1 Mikenzi Michelle Achazia Manorek 20160505 L 2.5 1 Gary Manorek 7105170806930001 080693 kel.rumbah III 140818 11.9 87 2 2 2

62 7105170111160001 7105151912150001 1 Gavriel Christ I Langkai 20151219 P 1 Jerry Fransisco 7105171506850001 150685 kel.rumbah I 140818 14 2

63 7105175008150004 Aling Nadin Fransisco 20150810 L 2.6 1 Jeri Fransisco 085342060438 140818 13 84 1 1 1

64 7105171209150001 Nunococha Benedict Batory 20150912 L 15 2 1 1

65 7105170504170001 7105175509150001 1 Josua Yehezkiel Rungkat 20150915 L Rinto Audry Rungkat 7105170910890001 091089 kel.rumbah II

66 7105170504170001 7105103006130001 2 Chelsea Revania Rungkat 20130630 P Rinto Audry Rungkat 7105170910890001 091089 kel.rumbah II

67 710517300114000 7105175602140001 1 Valensia Viola Kesek 20140214 P 3.8 Tomas Kesek 7105171611840001 161184 kel.rum.bah V 140818 16.1 100 2 1 1

68 7105172502160003 7105171412150001 1 Alderardo Benedict Nua 20151214 L 2.6 Stevanus Nua 7105172306920001 230692 085298405513 kel.rum.bah VII 14.5 95 2 1 1

69 7105174103140002 Marsya safilia 20140301 P kel.rumbah

70 7105181902140001 7105182304140001 1 Azareel Faith Sumilat 20140423 L Vaugen Jan Markus Sumilat 7105180106850001 010685 kel.rumbah IV

71 7105181902140001 7105183003160002 2 Tystan Stefano Sumilat 20160330 L Vaugen Jan Markus Sumilat 7105180106850001 010685 kel.rum.bah IV

72 7105173010130001 7105172311130002 Novel Cristian Rumengan 2013123 L Samuel Yahya Rumengan 7105171505650001 150565 kel.rum.bah IX

73 7105175906150001 Elvita Ariella Rarung 20150619 P 2.4 Ovaldo Rarung kel.rumbah 14 89 2 1 1

74 7105176704130001 Michaela Reymita 20130427 P kel.rumbah

75 7105172502140003 7105176502140001 Felycia Aqyla Anggel Porajow 20140225 P Fendy Porajow 7105171202720001 kel.rum.bah

76 7105170809081673 7105170610170001 3 Elvarga Surusa 20171006 L 1 Swingly Surusa 7105171511820001 kel.rum.bah linkIII 140818 8 69 1 1 1

77 7105170103160003 7105170505170002 1 Alvio Loupatty 20170505 P 1 Alvian Lopati 7105172408810001 kel.rumbah linX 140818 9.2 80 1 1 1

78 7105170809082023 7105176809160001 2 Kristend Vanesa Tombuku 20160928 P 1 Meidi Tombuku 7105171205820002 081245243927 kel.rumbah linkIII 140818 11,5 92 2 1 1

79 7105171308150003 7105171910150002 1 Agathan Tampi 20151019 L 1.5 1 Riffo Tampi 7105172711860002 081245306519 kel.rum.bah linkX 140818 12 93 2 2 2

80 7105172910140005 7105172103150001 1 Glen Viko Kelung 20150321 L 3.7 1 Aldi Kelung 7105173107900001 kel.rum.bah linkX 140818 16.2 98 1 1 1

81 7105171402170004 7105176912160001 1 Clairin Z Masinambow 20161229 P 2.9 1 Nico Masinambow 7105170207920001 kel.rumbah linkX 140818 11.5 74 2 1 1

82 Gisel Tangkudung 20160513 P kel.rumbah

83 Bellen Kaligis 20170217 L kel.rum.bah

84 Leonardo Rarung 20180131 L kel.rum.bah

85 7105172208130004 bln ada NIK 2 Acasia Tewal 20171103 P 3 1 Rival C Tewal 7105170801920001 kel.rumbah link VI 140818 8,2 69 1 2 1

86 7105172208130004 7105176306130001 1 Megumi Tewal 20130623 P 2,9 1 Rival C Tewal 7105170801920001 kel.rumbah link VI 140818 14 128 2 2 1

87 7105172610110002 7105174503130001 1 Mirabel Tappi 20130305 P 3,2 1 Hendra Tappi 7105170503860001 kel.rum.bah linkVIII 140818 15 132 2 2 1

88 7105172106160001 7105171906170001 2 Joaquin Cleon M Pangkey 20170619 P 3,4 1 Oktavianus B Pangkey 7171041110810003 kel.rum.bah linkVII 140818 9.4 64 1 1 2

89 7105170809081999 7105170806170002 2 Gevarel Karepu 20170608 L 1 Tonny O Karepu 7105171110730001 kel.rumbah linkVII 140818 8.1 59 1 1 1
90 Syane Tampi 20170426 P kel.rumbah

91 7105171907170001 7105176105170001 1 Adriela Rampisela 20170521 P 3,1 1 Dandy Rampisela 7105171208980001 kel.rum.bah linkXI 140818 8.6 64 1 1 2

92 7105171803110002 7105175907130001 3 Zherenya Julli Ponumbol 20130719 P 1 Melky Ponumbol 7105170805810001 kel.rum.bah 140818 15 118 2 1 2

93 7105171709150003 7105172508150001 2 Jeremia Hendriks 20150813 L 3,1 1 Adhe Hendriks 7105170310780002 kel.rumbah linkXI 140818 12 90 2 1 2

94 7102211403180002 7102216302180001 1 Calyista Miojo 20180223 P 3,2 1 Alfian H Miojo 7102121808960001 kel.rumbah link III 140818 5,4 57 1 1 1

95 Algralio Sumual 20180403 L 2.7 1 Fainer Sumual 08981508903 kel.rum.bah 140818 6 61 1 1 1

96 7105170901180002 7105176912170001 1 Milania Kani 20171229 P 3.3 1 Ardi Kani 7105170608930001 082194963286 kel.rum.bah 140818 7.2 67 1 1 1

97 7105172107160003 7105170510160001 3 Heaven Andreas Rungkat 20161005 P Ruddy Rungkat 7105172701650001 210165 kel.rumbah II

98 Kaisar Tani 20180131 L 2.7 1 Fendi Tani kel.rumbah 140818 8.8 66 1 2 1

99 Amorcisa Sayowan 20180403 P 2.9 1 Dibert Sayowan 085341194186 kel.rumbah 140818 5.3 57 1 1 1

100 7105172911120001 7105171509170001 2 Rey kelung 20170915 L 3 1 Mario Wesli Kelung 7105170410820001 kel.rum.bah 140818 8 68 1 2 1

101 Celsi Rungkat 20170316 P kel.rum.bah

102 7105173001140001 7105172807170001 2 Verlanchio J Kesek 20170728 L 2.6 1 Tomas Kesek 7105171611840001 kel.rumbah 140818 8.8 72 1 1 1

103 Airin Walukow 20170916 P 3.5 1 Skivo Walukow kel.rumbah 140818 10 86 1

104 Leren Tumigolung 20141221 L kel.rum.bah

105 Chrisrema Sorongan 20141228 L 1 kel.rum.bah 140818 16.5 120 2 1 1

106 Queen Rarung 20170205 P 1 kel.rumbah 140818 10.7 84 2 1 1

107 7105171905170003 7105171105170001 1 Jowklin Tilaar 20170511 L 1 Jufry Jemmy Tilaar 7105170201790002 kel.rumbah link II 140818 11.7 87 2 1 2

108 Alvaro Rumbing 20171105 L 3 1 Steven Rumbing 085197330332 kel.rum.bah 140818 8.2 72 1 2 1

109 7105102607170005 bln ada NIK 2 Delano Loan 20171221 L 1 Rizky Makawimbang 7105101911890001 kel.rum.bah 140818 72 67 1 2 1

110 Aprilio Tumuju 20140404 L kel.rumbah

111 7105102607170005 7105102509140001 1 Rael Wakawimbang 20140925 P 1 Rizky Makawimbang 7105101911890001 kel.rumbah 140818 14 102 2 2 1

112 Carisa Sambenaung 20170922 P 4.9 1 kel.rum.bah 140818 8.6 1 2 1

113 7105172402140003 7105170808170001 3 Gaddiel A J Montiley 20170808 L 3.4 1 Charles Montiley 7105170604910001 085796857661 kel.rum.bah 140818 11 79 1 1 1

114 Petra Wowor 20170610 L kel.rumbah 140818 10.8 84 1 1 2

115 King Wongkar 20170630 L kel.rumbah

116 Elroiy Wongkar 20170713 L 3.7 1 Novel Wongkar kel.rum.bah 140818 9.8 78 1 1 2

117 7105173108150001 7105172311170001 1 Sunzifa Rzen Z Kalengkongan 20171123 P 3 1 Ziapril Rafdi Kalengkongan 7105172104950001 kel.rum.bah link VII 140818 7,2 66 1 1 1

118 Eliakim Rampisela 20170617 L 2.8 1 Dedi Rampisela 089681196915 kel.rumbah 140818 8.1 70 1 1 1

119 Kriseira Sariowan 20140919 P kel.rumbah

120 7105170801130002 7105177007150001 2 GodwinManorek 20170503 L 1 Ries Afni N Manorek 7105172911820001 kel.rum.bah linkXI 140818 10.3 86 1 1 1

121 Iriana Tumigolung 20161022 P kel.rum.bah

122 Steve Ante 20151218 L kel.rumbah

123 Kevin Ante 20170830 L 3 1 Vani Ante kel.rumbah 140818 8.6 75 1 1 2

124 Hikari Oroh 20171030 L 2.7 1 Marsel Oroh kel.rum.bah 140818 7.4 60 1 1 2

125 Marsya Supriyadi 20140301 P kel.rum.bah

126 Vilen Ludong 20170816 P 1 kel.rumbah 140818 8.5 68 1 1 2

127 Gisel Manorek 20180613 P 2.7 1 Donal Manorek 085298395301 kel.rumbah 140818 5.3 57 1 1 1

128 Azarya Kani 20180501 P 3.1 kel.rum.bah

129 Alvio Kawengian L kel.rum.bah

130 Clarier Sangkaeng P kel.rumbah

131 Aurel Masie P kel.rumbah

132 Aurel Tumbuan P kel.rum.bah

133 Leonardo Rarung L 1 kel.rum.bah 140818 6.8 60 1 2 1

134 Rzen Kalengkongan L kel.rumbah

135 Green Waluko P 1 Skivo Walukow kel.rumbah 140818 13 110 1 1 1

136 Misael Sumampow 20180518 P 3.9 kel.rum.bah

137 Winirah Masinambow 20180614 P 3.6 Pascal Masinambow kel.rum.bah

138 Pressi Mahino 20180621 P 4 Fandro Mahino kel.rumbah

139 Daniel J Ludong 20180730 L 3.7 1 Stenly Ludong kel.rumbah 140818 4.9 50 1 1 1

140 7105121701180003 7105172112140001 1 Natan Tumigolung 20141221 P 2.7 1 Stevi T 7107082509830001 250983 085256082928 kel.rum.bah X 140818 13 97 2 1 1

141 7105121701180003 7105175403170001 2 Victoria Tumigolung 20170314 P 3 1 Stevi T 7107082509830001 250983 085256082928 kel.rum.bah X 140818 8.7 75 1 1 1

142 Tesa Tambuwun 20160422 P 2.9 1 Steven Tambuwun 085397696973 kel.rumbah 140818 10.5 85 1 1 1

143 Julika T 20180711 P 3.6 1 Juwendi T 089647392979 kel.rumbah 140818 4.8 57 1 1 1

144 Meysi Mahino 20180621 P 4 1 Vandro Mahino 082187840541 kel.rum.bah 140818 5.8 57 1 2 1

145 Valen K 20180809 P 3.2 1 Alvendi 085240724739 kel.rum.bah 140818 3.6 49 1 2 1

146 Nugania Kaat 20180528 P 3.3 1 Stenly Kaat 085298634459 kel.rumbah 140818 5.7 60 1 2 1

147 Cristian Imanuel Rampisela 20180727 L 3.5 1 Romi Rampisela 085394343849 kel.rumbah 140818 3.5 50 1 2 1

148 Gabriel Rampisela 20180714 L 1 Jeki Rampisela 081355932782 kel.rum.bah 140818 4.8 54 1 1 2

149 Septian rarung 20150905 L 3.4 1 Riski kel.rum.bah 140818 12.6 91 2 1 1

150 Urtria Poli 20180715 P 3.2 1 AB Poli kel.rumbah 140818 4 48 1 1 1

151 Chelsea Rarung 20170205 P 3 1 G Rarung 085757554380 kel.rumbah 140818 10.7 79 1 2 2

7105170805170003 7105172604170001 1 ShanreMosha Shiloh Tampi 260417 p 2,9 1 Marsel Tampi 7105171808860001 kel.rum.bah linkVII 140818 85 70 2 1 1

710517240214000 7105170606130001 1 Gabriel Rafael J Montiley 20130606 l 3 1 Charles Montiley 7105170604910001 60491 kel.rum.bah IX 140818 14 97 2 2 1

7105170811160006 7105175906150001 1 Elvita Ariela rarung 190615 p Osvaldo viky Rarung 7105170302950001 kel.rum.bah

7105170809081645 7105172905130001 3 Gibrael Farel Hendrik 290513 l Ferdinan Hendriks 7105172702800001 270280 kel.rum.bah V
7105173007130005 7105172604160001 2 Gianluci Andrea Pontoh 260416 l Andre S Ponto 7105171409900001 140990 kel.rum.bah XII

Mengetahui

Kepala Puskesmas Amurang Barat Petugas Gizi

dr. Susy Livia Kandow Dewi R Napitu S.Kep

NIP. 19770614 201001 2 006

NIP. 19810322 201001 2 007
 Vitamin A
Vitamin A Agustus
Februari
1=YA, 2=Tidak 1=YA,
2=Tidak

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
1 1

1 1

2 1

1 1

1 1

1 1

1 1

2 1

1 1

1 1

1 1

1 1

1 1

2 1

1 1

1 1

1 1

1 1
1 1

1 1

1 1

2 1

2 2

2 1

2 1

2 2

2 1

1 1

1 1

1 1

1 1

2 1

2 1

1 1

2 1

2 1

2 1

2 1

2 1

1 1

1 1
1 1

2 1

1 1

2 1

2 1

1 1

1 1

1 1

1 1

1 1

2 1

2 2

2 2

2 2

1 1

1 1

2 1

1 1

1 1

1 1

1 1
 DATA SASARAN BALITA

Provinsi :

Kabupaten/Kota :

Puskesmas :

Berat Buku KIA Cara Ukur ASI Eksklusif IMD Vitamin A Vitamin A
NIK (Nomor Induk Tanggal Lahir No Tlp/HP Orang Jaga / Tanggal TB
No No Kartu Keluarga Anak Ke Nama Anak JK Badan 1=Punya Nama Orang Tua (Ayah) NIK Ayah Tgl Lahir Ayah Alamat Lingk. Pengukuran BB (Kg) (Cm) 1=Telentang 1=YA, 1=YA, Februari Agustus 1=YA,
Kependudukan) (YYYYMMDD) Tua
Lahir (Kg) 2=Tidak 2=Berdiri 2=Tidak 2=Tidak 1=YA, 2=Tidak 2=Tidak

Nadine Florenci Rarung 20140530 ds.Rumbah IV

1 7105172604130002 7105177005140001 1 P 0 Vikny M Rarung 7105171105850001 110585

Noela Fanya Anabel Rasak 20151107 ds.Rumbah V

2 7105170309140001 7105174711150001 2 P 3 1 Sofan suharto Rasak 7105171211820001 121182 160418 10 85 2 2 2 1 1

Elshadai Waluko 20151113 ds.Rumbah III

3 7105170809082263 7105171311150001 1 L 1 Danny Walukow 7105171106710001 110670 130918 15 124 2 1 12 1 1

Loim Syalomita Zefanya Tuela 20140715 ds.Rumbah V

4 71051708090822139 7105175507140003 2 P Ricky S Tuela 7105171408870002 140887

Meily Avril Kenzi Panumbol 20130507 ds.Rumbah V

5 7105170809082143 7105174705130001 4 P Erwin Ponumbol 7105172307780001 230778

Mathew Alcander Kenzo Ponumbol 17092016 ds.Rumbah V

6 7105170809082143 7105171709160001 5 L Erwin Ponumbol 7105172307780001 230778

Karis Karunia Kirangen 20140109 ds.Rumbah 0

7 7105170809082102 7105174901140001 2 P Arthur A Kirangen 7105170708810001 70881

Darrell Mathew Sayow 20150603 ds.Rumbah V

8 7105173011120002 7105170306150001 2 L Yerry Sayow 7105170106810002 10681

Junior Reinhard Luly 20130620 ds.Rumbah V

9 7105173110110003 7105172006130001 3 L 1 Demron Raf Luly 7105171412830001 10681 160418 19,5 100 2 2 2 2 2

Rachel T B Tamunu 20131121 ds.Rumbah I

10 7105170706130002 7105176111130001 3 P Rully D Tamunu 7105171710780002 171078

Immanuel Davin Lumantow 20131216 ds.Rumbah IV

11 7105172804160001 7105171612130001 2 L 1 Fendy Lumantaw 7105173003850001 300385 160418 14 112 2 2 1 1 1

Karunia Aprilio P Lokey 20170404 ds.Rumbah 0

12 7105170909140003 7105170404170002 3 L 1 Kjemmy M Lokey 7105171903770001 190377 160418 10.4 70 1 1 1 1 1

Christian Sumendap 20131202 ds.Rumbah 0

13 7105170809082287 7105170212130001 2 L 1 Alfrets Sumendap 7105171304660001 130466 160418 15 9,7 2 2 1 1 1

14 7105172007110001 7105172306140001 1 Dirgio Merfil J Ulaan 20140623 L 1 Merol Ulaan 7105172805890001 280589 ds.Rumbah 0 160818 18.5 124 2 1 1 1 1

15 7105170605150006 7105177005150001 1 Mikhaella M Ludong 20150530 P 1 Mikhael Ludong 7105172312940001 231294 ds.Rumbah 0 160818 13.3 108 2 2 1 1 1

16 7105170809082112 7105174809140002 2 Braveniel H Lalawi 20140908 P Melky Lalawi 7105172905830001 290583 ds.Rumbah I

17 7105170809082213 7105176406140001 4 Florelya Andreany Teesen 20140624 P Feldy Teesen 7105172611750002 261175 ds.Rumbah I

18 7105170809082214 7105170508160001 3 Miguel Samuel Kelung 20160805 L Kivly Kelung 7105171706800001 170680 ds.Rumbah I

19 7105170602150001 7105172001150001 1 Hideyoshi Faren Tonapa 20150120 L Frans Tonapa 7105172511830001 251183 ds.Rumbah III

20 7105171101130001 7105171008160001 2 Grandey Stevanus Sengkey 20160810 L Erwin Sengkey 7105172401930001 240193 ds.Rumbah III

21 7105171910160004 7105174210150001 1 Helsea Virgie O Rantung 20151002 P Jufri H Rantung 7105171407840002 140784 ds.Rumbah III

22 7105170707140004 7105176404140001 1 Nathania Aurel Lovens Sumampow 20140424 P Raner Sumampow 7105172501920002 250192 ds.Rumbah IV

23 7105171501140002 7105175905140001 1 Ranika Maria Aring 20140519 P Randy A Aring 7105171905860001 190586 ds.Rumbah I

24 7105172007110003 7105170207140001 1 Gerald Yuliando R Tampi 20140702 L 4,2 1 Raymon Tampi 7105171507900001 150790 ds.Rumbah I 130918 15,1 98 2 2 1 1 1

25 7105171705160001 7105087008140001 2 Tivany Anabel L Pasla 20140830 P 1 steven S Pasla 7105080609830001 60983 ds.Rumbah IV 130918 13.7 112 2 1 1 1 1

26 7105170304120028 7105176801140001 3 Jesika Myajecti Djaladi 20140228 P Ruke R Djaladi 7105173003770001 300377 ds.Rumbah V

27 7105171703140006 7105176302140001 2 Vania V Rumengan 20140223 P Jonvidi S Rumengan 7105170709880002 70988 ds.Rumbah V

28 7105170809082255 7105170504150001 4 Paskah A Piay 20150405 L 1 Rico piay 7105171709840001 170984 ds.Rumbah III 160418 15 92 2 2 1 1 2

29 7105170809082257 7105173112130001 1 Xaviero eloy Angel Ludong 20131231 L 1 Stenly E Ludong 7105171009770001 100977 ds.Rumbah III 130418 24 130 2 1 1 1 1

30 7105170809082257 7105173108160001 2 Javier Elim Angelo Ludong 20160831 L 1 Stenly E Ludong 7105171009770001 100977 ds.Rumbah III 130418 15 120 2 1 2 1 1

31 7171042304090013 7105175805140001 2 Mikha Ester Bararita 20140518 L 3,5 1 Cornelts Bararita 7171041207700002 120770 ds.Rumbah V 70618 15 99 2 2 2 1 1

32 7105172709160003 7105172210140001 1 Sneyder G Rarung 20141022 L 1 Given R Rarung 7105171911880001 191188 ds.Rumbah V 130918 15 122 2 1 1

33 7105172602150003 7105176704150001 1 Rosella Bellvania Rarung 20150427 P 2,7 1 Evander Rarung 7105170612910001 61291 ds.Rumbah III 130918 13 118 2 1 1

34 blm ada KK Jesika Marsela Tiwow 20131010 P 1 Melisa Barends ds.Rumbah 160418 15 99 2 2 2 2 2

35 blm ada KK Jeremy Tiwow 20170105 L 1 Melisa Barends ds.Rumbah 160418 10 75 1 2 2 2 2

36 blm ada KK Glory O E Malangkading 20160818 P 1 Giska Rampisela ds.Rumbah 110718 8,3 66 2 2 2 1 1

37 7105171911880001 blm ada KK Davelino Ponix w Punumbol 20180204 L 1 David Ponumbol *081351176162 ds.Rumbah 110718 9 71 1 1 2 2 1

38 blm ada NIK Clayree Rarung 20180102 P 1 Given Reynald Rarung 7105172910140010 ds.Rumbah 130918 5.6 56 1 1 1 2 2

39 7105173110110003 blm ada di KK Miya Ailinea Luly 20180321 P 3.7 1 Demron Luly 7105171412830001 ds.Rumbah 130918 6,2 61 1 2 1 2 1
40 7105170809082079 blm ada di KK Aurelia Aurora Tatinting 20140331 P 1 Dantje Tatinting 7105170503650001 ds.Rumbah 160418 14 99 2 2 2 1 1

41 7105170809082079 blm ada di KK Raditia Demon Tatenting 20170412 L 1 Dantje Tatinting 7105170503650001 ds.Rumbah 160418 8 70 1 2 2 2 1

42 Christian Delon Tamburian 20141215 L ds.Rumbah

43 7105172605170003 7105176207170001 Jesia gloria Runtuwene 20170721 P 3 1 Rino Runtuwene 7105170601930001 *089695690764 ds.Rumbah 130918 9,5 73 1 2 1 2 1

44 7105170605150003 7105176706170001 Jenifer Aurella Rarung 20170627 P 1 Adrian wensi rarung 7105170304800001 ds.Rumbah 110518 10.2 73 1 2 2 2 1

45 7105172007110003 7105174202180001 Geselia Aleza Tampi 20180202 P 4.2 1 Raymon Tampi 7105171507900001 ds.Rumbah jagaI 130918 6,9 65 1 2 2 2 2

46 Riebelyna Saada 20151206 P 1 ds.Rumbah 130918 16.5 124 2 1 1

47 Athalia Ludong 20180312 P ds.Rumbah

48 Ferel Durand 20171212 L 1 ds.Rumbah 130918 8.3 68 1 2 1 2 1

49 Cevinco Mamangkey 20170928 L ds.Rumbah

50 Clareine E V Sangkaeng 20170905 P ds.Rumbah

51 Christian Sumendap 20131202 L ds.Rumbah

52 Princess Rampangayow 20180103 P 1.5 1 ds.Rumbah 130918 7 59 1 1 1 2 1

53 Harvey Mawicere 20180103 L 2 1 Yani Mawicere *089698508796 ds.Rumbah 130918 9 68 1 2 1 2 1

54 Shevanco Frans 20180409 P 2,9 1 Steven Frans *085241709113 ds.Rumbah 130918 7 58 1 1 1 1 1

55 Gerald Karundeng 20180408 L ds.Rumbah

56 Fergio Lalawi 20170226 L 3 ds.Rumbah

57 Faith Lalawi 20180317 L 3.7 1 ds.Rumbah 130918 7,4 95 1 2 1 2 2

58 Caylori mewo 20170302 P ds.Rumbah

59 SyalomitaTuela 20140715 P 1 ds.Rumbah 130918 15 126 1 1 1 1 1

60 Ferel Durand 20171212 L 3 1 Febri Durand ds.Rumbah 130918 8,4 67 1 1 1 2 1

61 Rivina Runtuwene 20180407 P 3,4 1 Hendri Runtuwene *085340007858 ds.Rumbah 130918 6,2 63 1 1 1 2 2

62 Salvator Frans 20160627 L 3,6 1 *085241709113 ds.Rumbah 130918 12 105 2 2 1 2 1

63 Mauren Manorek 20170415 P 2,8 1 Mouritz Manorek *08981506665 ds.Rumbah 130918 9 74 1 2 1 2 1

64 Kairos Rey 20180418 L 3.2 ds.Rumbah 7.1 59 1 1 2 2 1

65 Timothy Porajow 20160210 L ds.Rumbah

66 Milan Lalawi 20170226 ds.Rumbah

67 Andris Pangkey 20161126 ds.Rumbah

68 Ribelina Saada 1 ds.Rumbah 130918 16,5 132 1 1 1 1 1

69 Yorda Manengkey 20150529 ds.Rumbah

70 Alona Lolos 20160317 p 2,5 1 Chrisye Lolos *081318173283 ds.Rumbah 130918 12.3 88 2 2 1 1 1

71 Chole M 20180424 2.9 ds.Rumbah

72 Kenwar Busra 20180813 L 1 ds.Rumbah 30918 8 668 1 2 1 2 2

73 Amelia Kalalo 20180628 P 2.8 1 Aldi Kalalo ds.Rumbah 130918 4,5 51 1 1 1 2 2

74 Natania Kesek 20151114 P 4,8 1 Arbi Kesek ds.Rumbah 130918 15.3 93 2 2 2 1 1

75 Hizkia Mokorowuk 20170204 L 3,2 1 Bili Mokorouok *082346992206 ds.Rumbah 130918 10.4 77 1 2 1 2 1

76 Divia Lolos 20180608 P 3,6 1 Chrisye Lolos ds.Rumbah 130918 5,7 1 2 1 2 2

Vinda Tamburian 200180904 p 2,9 1 Vindi Nelwan ds.Rumbah 13/09/18 2,9 50 1 2 1 2 2

Yoel Rarung 20180906 l 2,8 1 Ovaldo Rarung ds.Rumbah 130918 2,8 47 1 2 2 2 2

Dareen Mohini 20170927 l 3,8 1 Audi Mohino *089698111483 ds.Rumbah 1309918 5,1 56 1 2 2 2 2

Marsha Ramper 20140615 p 4,,9 1 Franki Ramper ds.Rumbah 130918 12 88 2 1 1 1 2

Christiano Alfareza Aling 20180815 l 3,5 1 Rico Aling *085244145705 ds.Rumbah 130918 4,4 50 1 1 1 2 2

Theresia Porayow 20180711 p 3,2 1 Anggi Porayow *089695422034 ds.Rumbah 130918 9 68 1 2 1 2 1

Miya Ailinea Ruly ds.Rumbah

Kristi Tambingon 20180904 p 1 ds.Rumbah 130918 4 41 1 1 1 2 2

Karnia Lokey 20170404 p 3,2 Jemi Lokey ds.Rumbah 130918 11 79 1 2 1 1 1

Michaela Ludong ds.Rumbah 130918 13,8

Princess Turangan 20180103 1,5 Karol Turangan ds.Rumbah 130918 7,1 67 1 2 1 2 1

 Triando Runtuwene 20150602 l 3,2 Doni Runtuwene ds.Rumbah 130918 13 90 2 2 1 1 1

Tivany Anabel L Pasla 20140814 p 3,5 Steven Pasla ds.Rumbah 130918 13,8 98 2 1 1 1 1

7105172409120001 7105175805140001 2 Mikha Ester Bararita 18052014 p Cornelys Bararita 7105171207700001 ds.Rumbah

Mengetahui

Kepala Puskesmas Amurang Barat Petugas Gizi

dr. Susy Livia Kandow Dewi R Napitu S.Kep

NIP. 19770614 201001 2 006

NIP. 19810322 201001 2 007