DATA SASARAN BALITA

PROPINSI
KABUPATEN/KOTA
PUSKESMAS

BB LAHIR
NO NIK ANAK KE NAMA ANAK TANGGAL LAHIR L/P NAMA AYAH NIK AYAH NO TELP/HP ORG TUA ALAMAT RT
(Kg)

1 "3515404405120000 1 Syafa putri miryan 4/6/2012 P 3.5 Lujiman "351504090690001 Kedungsolo 1

2 "3515042408120001 2 Ilham syafaludin 24-8-2012 L 3 Arif sudiarso "3515041906720001 Kedungsolo 3
3 "3515048909120001 2 Aurel dwi septia 29-9-2012 P 2.8 Siaman "3515041204770008 Kedungsolo 2
4" 1 Azzizah nafisah 19-9-2012 P 3.2 Kendra " Kedungsolo 1
5 "3515040811120001 2 M.Daffa rizkia 8/11/2012 L 3 Sapto "3515031507000001 Kedungsolo 4
6 "3515031312120002 Rafansyah rizki 13-12-2012 L 3.5 Darwin febrianto "351504212080005 Kedungsolo 1
7 "3515042012120001 1 Muh.dafin 20-12-2012 L 3.3 M.solihudin "3515041804840003 Kedungsolo 1
8 "3515040303130001 M.ferdiansyah 3/3/2013 L 3.5 M.komari "3515041204780006 Kedungsolo 2
9 "3515041212130002 1 M.alif sauro 12/3/2013 L 3.5 Sauhari "3527060505570001 Kedungsolo 1
10 "36141404130003 2 Abi yusuf 4/4/2013 L 2.8 Abdul wahid "3514141106620002 Kedungsolo 5
11 " 1 Anjeli 18-4-2013 P 3.5 Raharjo Kedungsolo 5
12 "3515045005130001 2 Nurin haffa 10/5/2013 P 3.2 M.nasir "3515040808730001 Kedungsolo 1
13 1 Rizki 20-6-2013 P 2.3 Winda Kedungsolo 4
14 "3515046606130001 Bungah nurishafizah 26-6-2013 P Sukandar "3515041011770007 Kedungsolo 1
15 "3515041507130001 2 M.zafran 15-7-2013 L Nanang mustofa "3515040802750002 Kedungsolo 1
16 "3515046407130002 Kenzi baauzza 24-7-2013 P 3 Rusdiayanto "3515040112720006 Kedungsolo 4
17 " 1 Azizah faradiza 30-8-2013 P 3.5 Kedungsolo 4
18 "3515044362140002 1 Dafiya zahira al A 3/2/2014 P 3 M.sahal suain "35150428780001 Kedungsolo 5
19 "3515041002140002 2 M.Dzurun 10/2/2014 L 3 Sulihadi "3514001007770004 Kedungsolo 1
20 " 1 Amelia efendi 29-2-2014 P 3 Kedungsolo 1
21 "3515046006140001 Meysa resti 20-5-2014 P 3 Fadli "3515040406780002 Kedungsolo 2
22 "3515042607140001 1 M.romadhani 25-7-2014 L 3.4 Purwanto "3518031501020002 Kedungsolo 3
23 "351504428140001 2 Nur sabrina 2/8/2014 P 3 A.rouf "3515040101020015 Kedungsolo 5
24 "3515040209140002 2 M.auvar putra 2/9/2014 L 3.1 Heri irama "351504080480002 Kedungsolo 5
25 "3515040111140002 1 M. ken Al Baihaqi 1/11/2014 L 3 Aan purnomo "3516030601870001 Kedungsolo 5
26 "3515045111140001 2 Ravika aulia 11/11/2014 P 2.9 Wahyu hidayat "351504074010002 Kedungsolo 5
27 M fikri zapran 21-5-2015 L 3.3 Kusaeri "3515041200720001 Kedungsolo 1
28 1 Rizki yudha 10/6/2015 L 2.6 Yusandi "3515040200750005 Kedungsolo 5
29 "351504610615000 2 Najwa lailatul 11/6/2015 P 2.8 Nidom "351504287020008 Kedungsolo 2
30 " 2 M.Arrifad 4/6/2015 L 3 Efendi (alm) " Kedungsolo 1
31 "35150410010150001 1 M.Gabril 10/7/2015 L 3.9 Robby junaedi "3515031506930001 Kedungsolo 5
32 "3515046307150001 1 Arrakhel key zahra 11/7/2015 P 4.1 April yusmanto "3510131704020005 Kedungsolo 5
33 "3515042010150001 2 Afanaryah wahyu P 20-10-2015 L 3.1 Imam wahyudi "3515051203820002 Kedungsolo 1
34 3 M.zaky Alfarur 19-10-2015 L 3.2 Paiman "351504200720001 Kedungsolo 2
35 2 Adivayasna kumaiza 2/3/2016 P 3.1 Samsul huda "351504150870008 Kedungsolo
36 "3515041801150002 2 Dika audy nidar 18-1-2015 L 3 Rudi hartono "3515041002760006 Kedungsolo 2
37 "3515041703130002 2 M.ilham 17-3-2013 L 2.9 VIA DULHAQ "3515040101910020 Kedungsolo 4
38 "3515042504130002 3 ACHMAD HAFIZ .A 25-4-2013 L 3.1 KHUDORI "3515041012680001 Kedungsolo 4
39 "3515043006160001 2 AHMAD DANIL H. 3/6/2015 L 3.1 M.TAUFIN "3515041208790004 Kedungsolo 1
40 "3515045607160003 1 DAHWA NAFIZA .A 16-7-2016 P 3.1 DENI ISWANTO "351503268510001 Kedungsolo 5
41 "3515041607160002 1 RASHYA ZAYID .A 16-7-2916 L 2,8 AHMAD BASORI "3515041105550001 Kedungsolo 2
42 "3515042407160001 2 SATRIA KHALIS .A 24-7-2016 L 3 AGUS SRI YANTO "351504226810008 Kedungsolo 2
43 "3515040309160001 2 ALFIANO ABDUL FATIH 3/9/2016 L 2.9 SAIFUL ARIFIN "3576153005650011 Kedungsolo 5
44 " 2 KEYNAKRA 7/9/2016 P 3.3 FENDI PRASETYO "3576301304670001 Kedungsolo 3
45 "3515042009150001 2 ABDUL MUKHLIS 20-9-2016 L 2.9 ROHMAD "3515042007760005 Kedungsolo 1
46 3 M.ALFAN HAFIZ 14-10-2016 L 3 KURANAH Kedungsolo 4
47 "3515042611160001 2 M.AZKA AL FARUQ P 26-11-2016 L 2.9 ABDUL MULIKAN "3515041808870006 Kedungsolo 4
48 "3515045911160001 4 ADELIA FARANISA 19-11-2016 P 3.1 IMAM BACHTIAR "3515040404820009 Kedungsolo 4
49 2 MEGA AULIA 3/2/2017 P 2.8 KISWANTO "3515043107820003 Kedungsolo 1
50 2 M.CAHYO PUTRA 8/3/2017 L 2.8 EKO BUDI S. "3515041512880001 Kedungsolo 5
51 3 M.RAKA AL FATAH 14-4-2017 L 3.1 SODIRIN "3515040811740006 Kedungsolo 4
52 1 M.FARUR NISFI 21-2-2017 L 3.1 MAS´UD Kedungsolo 3
53 1 MAULANA WAHYU 6/5/2017 L 3.5 EKO Kedungsolo 4
54 "3515040410130001 2 M.JAWAD AN NAQI 4/10/2013 L 3.2 SAMIANTO 35150060 Kedungsolo 4
55 "3515031701130001 1 M.RIA FEBIAN 17-1-2013 L 3 RICHY AKHMAD "3514121006740000 Kedungsolo 5
56 "3515041205140001 1 M.HAIDAR HASAN 12/5/2014 L 2.9 M.WAHYU "3514121006740003 Kedungsolo 4
57 "3515041608140001 1 WISNU ARYA GUNA P 16-8-2014 L CHOIRUL NAFIK "3515040111890002 Kedungsolo 5
58 "3515048309140001 1 AFFIFAH KHOIRUNNISA 20-9-2014 P SUGIANTO "3514122804350001 Kedungsolo 4
59 1 NAURA PRAMUDITA 4/1/2017 P PRAMONO Kedungsolo 5
60 AISYAH NURHAMIDA 23-1-2017 P MUA´WANA Kedungsolo
61 "3515045408150002 4 ADAWIYATUL.F 14-8-2015 P 3.6 ABD,MALIK "3515040107750001 Kedungsolo 2
62 "3515040303130002 2 M.FARID AL AKHADI 3/3/2013 L 3 ANAS S "351504880180001 Kedungsolo 2
63 "3515047005160001 2 ALIYAH NABILA 3/5/2016 P 3.2 HARIS SUGIARTO "3578151002780001 Kedungsolo 2
64 "3515044605150003 1 MEINANDRA PUTRI 6/5/2015 P 3 EKO SUMARSONO "3514120604840001 Kedungsolo 2
65 "3515046606150002 1 ZHAFIRA ZAHRA P 16-6-2015 P 3.3 SAIFUL MASHURI "3515042607880002 Kedungsolo 2
66 "3515041003160001 1 M.ZIDAN ARROHMAN 10/3/2016 L 3.2 KHOIRUL ANAM "3515042702980002 Kedungsolo 1
67 "3515045606120006 1 MARIA AL QIBRI 16-6-2012 P 3 MATYASIR "3515041101740001 Kedungsolo 3
68 "3515040801130003 3 A.ALVIN TAJUDIN 8/1/2013 L 3 A.KODIR "3515041506710001 Kedungsolo 3
69 "3515042208140001 3 RANIA AZ ZAHWA 22-8-2014 P 3.1 NASRUL (ALM) Kedungsolo 3
70 "3515042906120001 2 M.SYIHABUDIN 29-6-2012 L 3 M.RIDWAN "3515040503720000 Kedungsolo 3
71 "3515046406150001 3 KURNIA AYU N 14-6-2015 P 2.9 HENDIK K "3515042003740002 Kedungsolo 3
72 "3515045107140002 1 PUTRI FACHTIYA 24-7-2014 P 3 FAHMIL ULUM "3515041905900002 Kedungsolo 1
73 "3515046204150001 2 M.HAFIDZ 2/4/2015 L 3.4 M.FARIH SOLEH "3515042002820004 Kedungsolo 1
74 "3515042511140001 2 M.SAHAL 25-11-2014 L 2.8 HUDIONO "3515041903760002 Kedungsolo 1
75 "3515042312120005 1 M.FAHRI 23-12-2012 L 3.2 TIYAS SUSANTO "3515042406840003 Kedungsolo 1
76 "3515042407150001 2 AYATULLAH 24-7-2015 L 3.4 TIYAS SUSANTO "3515042406840003 Kedungsolo 1
77 "3515046309160001 2 NAVISA 23-9-2016 P 3.5 ISKANDAR "3515040309840001 Kedungsolo 1
78 "3515042509150002 2 M.ILHAM 25-9-2015 L 3.1 TARMUJI "3515042507780007 Kedungsolo 1
79 "3515042707160003 1 M.ABIZAR 27-7-2016 L 3.5 A.WINARTO "3515041504920002 Kedungsolo 4
80 "35150410902170001 3 A.FARIS 19-2-2017 L 2.6 A.SUHURI "351504011730001 Kedungsolo 4
 81 "3515041412120001 1 M.ZYDAN 14-12-2012 L 2.2 ANDIK K "351504510130001 Kedungsolo 4
82 "3515040402170002 A.JIBRIL 4/2/2017 L 2.5 EKO P "3515042904790001 Kedungsolo 4
83 "3515040812120001 2 A.RAFA 8/12/2012 L 3 M.SOLIQ "3515041603750003 Kedungsolo 2
84 "3515042401130001 3 M. IMAM MAULANA 24-1-2013 L 3.4 SUWITO "351504305840007 Kedungsolo 2
85 "3515041109160002 2 LUTHFAN AKBAR P 11/9/2016 L 2.8 BUDI P "3515041505770004 Kedungsolo 2
86 "3515041911130001 1 M.NOVAL S 19-11-2013 L 3 BAMBANG "3520101307910001 Kedungsolo 2
87 "3515042210120001 1 RANGGA 22-10-2012 L 3.3 RAHMAD SUDARMAN "3515042807820006 Kedungsolo 2
88 "3515046406150001 2 VININDYA ARSYLA.R 24-6-2015 P 3.1 MAHFUD "3515040412810001 Kedungsolo 2
89 "3515044402150002 2 NATASYA DEVA N 4/2/2015 P 3.4 BUDIONO "3515042706790003 Kedungsolo 2
90 "3515044910130001 2 JIHAN TALITA F 9/10/2013 P 3 SYAMSUL ARIF "3515041009740004 Kedungsolo 2
91 "3515046109140001 1 NAOMI AQILA H 21-9-2014 P 3 FUAD H "3515040506880001 Kedungsolo 2
92 "3515040710150001 1 HAMIZAM MULYA P 7/10/2015 L 3.4 MULYADI "3516052405840002 Kedungsolo 2
93 "3515045008160001 1 ERLYZA SALSABILA 10/8/2016 P 2.7 M.AMIN TOHARI "3515043001940001 Kedungsolo 2
94 "3514045008160002 1 ERSYLA SALSABILA 10/8/2016 P 2.5 M.AMIN TOHARI "3515043001940001 Kedungsolo 2
95 " 1 ALIFIDILAN ADAMA 4/11/2016 L 2 MUHARDITO P "3514122705960001 Kedungsolo 2
96 "3515041909120002 1 M.DAVID 19-9-2012 L 3 INDRA "3514131604840000 Kedungsolo 5
97 "3515042504140001 1 M.BAGUS 25-4-2014 L 3 ANDRI "3515042210910001 Kedungsolo 5
98 "3515041403140001 1 M.EVAN 14-3-2014 L 3 ICHSANUDIN "351504177920002 Kedungsolo 5
99 "3515044206130002 FELDA N 2/6/2013 P 2.8 DINA N "2515046611920002 Kedungsolo 5
100 "3515042412150001 2 RAFAEL MAULANA 24-12-2015 L 3 SUTONO "3515041106820007 Kedungsolo 1
101 "3515041010120001 1 M.ATHAYA 10/10/2012 L 2.8 A.MUFID "3515041004840004 Kedungsolo 1
102 "3515040406160002 2 M.DAVAARDIANSYAH 4/6/2016 L 3 A.HASAN "3515041710890001 Kedungsolo 1
103 "3515046312120001 1 ATIKAH MELIANA S 23-12-2012 P 3.1 M.IRAWAN "3515042310820003 Kedungsolo 1
104 "3515041504160001 2 NURUL ISTIQOMAH 15-4-2016 P 3.3 SYAIFUL ROZI "3515030205810002 Kedungsolo 1
105 "3515041606160001 1 BASYARDAN M 16-6-2016 L 3 M.AQIL AZIZI "3515042303900002 Kedungsolo 1
106 " 3 AZSYAM ISLAMY W 11/9/2016 L 4 EDYW "3515040312640003 Kedungsolo 1
107 "3515042407130001 1 PUTRI ZAZKIA 24-7-2013 P 3.4 KUSWANTO "3515042526830002 Kedungsolo 1
108 "3515045005140001 2 RAZITA AL 10/5/2014 P 3.6 EDYW "3515040312640003 Kedungsolo 1
109 "3515042109140001 1 DAFFA IBNU H 21-9-2014 L 3.5 DEDY H "3515040907890001 Kedungsolo 3
110 "3515042403160001 2 SAFAKAZ ASMA F 24-3-2016 L 3.5 DEDY H "3515040907890001 Kedungsolo 3
111 "3515045311150001 1 EALINE FALISYA 13-11-2015 P 3 BAGUS R "3515042810910001 Kedungsolo 3
112 "3515045801160001 2 EARLITA S.R 28-1-2016 P 2.8 MUJIB ROSYIDI "3514120506720002 Kedungsolo 3
113 "3515041506120002 1 M.SYFA ARIS HORI 15-6-2012 L 3.5 M.SYAIFUDIN "3515030001530001 Kedungsolo 3
114 "3515040901150001 2 ACH.NIZAM BAHTIAR 9/1/2015 L 2.7 HARIYANTO "3515040207750002 Kedungsolo 5
115 "3515041605140006 3 NATHAN MIKO B 15-5-2014 L 3.1 M.JAZULI "3515042301720001 Kedungsolo 5
116 "3515040605150003 1 M.BAGS NAFIANTO 23-5-2015 L AGUS S "3515041206670001 Kedungsolo 5
117 "3515041009130002 1 M.VICKY PRATAMA 10/9/2013 L 2.5 ARIP.P "3515042702820001 Kedungsolo 5
118 "3515042112130001 2 M.RIZKY ANUGRAH 21-12-2013 L 3.1 M.MUJIB "3515040504820002 Kedungsolo 5
119 "3515044203130002 1 NAURA MIKAILA K 2/3/2013 P 2.9 B.NADIR "3515040412830003 Kedungsolo 5
120 "3515046702140002 1 VIRENA TEVI A 27-2-2014 P 2.6 NURKASANA "3515044411970002 Kedungsolo 5
121 "3515043010120001 1 A.KELVIN PRATAMA 30-10-2012 L 3 IBNU KOTOB "3515041512510001 Kedungsolo 5
122 "3515046707120001 1 AISYYA ZAHRA R 27-7-2012 P 3.1 M.F ROZI "3515032602870003 Kedungsolo 5
123 "3515041309150001 2 M.FATUR P 13-9-2015 L 3.2 IMAM WAHYUDI "3515040607750003 Kedungsolo 5
124 "3515046703140001 1 WANDA AMURA S 27-3-2014 P 3 SUPARMAN "3515041008870001 Kedungsolo 5
125 "3515042705140001 1 DIFANIS FUNIZAR 27-5-2014 L 3.2 AWAB A "3515040204850001 Kedungsolo 5
126 "3515044601130001 1 AMELIA EKA P.Y 5/1/2013 P 2.8 SUGIANTORO "3515041604860002 Kedungsolo 5
127 "3515042703130002 1 M.HAMAH ZIDANI 27-3-2013 L 3 MUJIONO "3500170703070004 Kedungsolo 5
128 "3515047005130001 1 AZZAHRA P.M 30-5-2013 P 3.1 HARIYANTO "3515041703880003 Kedungsolo 5
129 "3515044308130002 2 NUR R IZZAH 3/8/2013 P 2.9 SUHENDAR "3515041712010002 Kedungsolo 5
130 "3515044506130000 3 SITI FATIMAH 5/6/2013 P 2.7 KUSDI "3515040505840002 Kedungsolo 5
131 "3515041708120001 1 FINO SEBASTIAN 17-8-2012 L 3 HALIM A "35150465920003 Kedungsolo 4
132 "3515042507130001 1 M.EVAN 25-7-2013 L 2.8 SULAIMAN "351504051100003 Kedungsolo 4
133 "3515043103110003 2 SYIFANU ALYA 6/8/2012 P 3 TUSTO YUWONO "3515042500700004 Kedungsolo 4
134 "3515012104130003 1 M.AJRIL 21-4-2013 L 3 M.ARIF "3514122810860001 Kedungsolo 4
135 "3515044805140001 1 SHOFIATUL H 8/5/2014 P 2.8 SUROSO "3514020701850004 Kedungsolo 4
136 "3515042109130001 2 PUTRA 21-9-2013 L 3 JOKO.S "3515042104750003 Kedungsolo 4
137 "3515040702140001 3 M.MUZAKKI 7/2/2014 L 2.8 KAMID "3515040404000001 Kedungsolo 4
138 "35150417071240001 1 M.RAIHAN 17-7-2012 L 3.1 NURADI "3515040407830001 Kedungsolo 4
139 "3515041703140001 1 DAFFA AKMALU 17-3-2014 L 2.9 M.ANTON "3515050709870002 Kedungsolo 4
140 "3515045206130001 2 VELICYA BELINDA 12/5/2013 P 2.5 ABD.KODIR "3515041506770007 Kedungsolo 4
141 "3515092610120001 1 ABBIGA EL ZAIDAN 26-10-2012 L 3.2 AGUS A "35150017000440001 Kedungsolo 4
142 "3515042512140001 1 M.YOGI.A 25-12-2014 L 3 EKO SETYOWIBOWO "3514131006650002 Kedungsolo 3
143 "3515045202130003 2 FARAH EVANGELICA 12/2/2013 P 3 SUGIANTO "351504106070806 Kedungsolo 3
144 "3515040608130001 1 M.ANDIKA RAMANSYAH 6/8/2013 L 3 ANDIK SULISTYO "35150410205820002 Kedungsolo 3
145 "3515041704130003 1 ROYYAN FATHALFAAS 17-4-2013 L 3 ACH.YENES "3515042101820001 Kedungsolo 3
146 "3515041704130003 2 ARZAQI FARIS 10/6/2014 L 3 ACH.YENES "3515042101820001 Kedungsolo 3
147 "3515044102160003 1 SALSABILA P 1/2/2016 P 3 FUJU SASMITO "3515030303680002 Kedungsolo 3
148 "3515040102150001 2 M.RAFI ARDIANSYAH 1/2/2015 L 3 ROHMANI "3515042108640003 Kedungsolo 3
149 "3515043106140001 1 M.ABIZAR AL QIFARI 31-5-2014 L 3 M.SAFIN "3514161303660003 Kedungsolo 3
150 "3515041010130003 1 M.ADINATA R 10/10/2013 L 3 ARIS RAHMAN "3515042212900001 Kedungsolo 4
151 "3515042310120001 1 RENDI OKTAWAN 23-10-2012 L 3 DEVI WAHYUDI "35150481412080900 Kedungsolo 4
152 "3515042911120001 2 M.HAMMAD AS 29-11-2012 L 3 M.ALI KASTOPO "3515042604786000 Kedungsolo 4
153 "3515045008150001 2 NAZIDA AL FARIZI 10/8/2015 L 3 WASIS SETYANTO "35150410406760007 Kedungsolo 4
154 "3515045908100002 1 RAFANDA ARSYFA 19-8-2016 P 3 M.CANDRA "3515042010940003 Kedungsolo 4
155 "3515044509140001 2 SIFIA DWI ATIKA 6/9/2014 P 3 IMAM GHOZALI "3515041200720002 Kedungsolo 4
156 "3515046411160002 2 DITA A 24-11-2016 P 3 KHOIRUL A "35150406850001 BLOK H
157 "3515042603140004 3 KARINA 22-3-2014 P 4 YUDO W "3515043009750003 BLOK G
158 "3515041903130001 2 RAFA 19-3-2013 L 3.2 ISROFI "3515042812760004 BLOK H
159 "3515040808150005 2 ACH. NOFAR 8/8/2015 L 3 TRI CAHYONO "3515042604900002 BLOK H
160 "3515042804130002 2 ISLAMUDIN 28-4-2013 L 3.1 MUSMULYADI "3515040602790002 BLOK G
161 "3515047808140002 3 IKA KAFAYANTI 3/8/2014 P 3 SOLIK "35150414057900014 BLOK J
162 "3515045108140001 1 NUR FITRI F 11/8/2014 P 2.8 AGUS SETIA D "3515041008850001 BLOK G
163 "35152112140002 2 HABIBI 21-12-2014 L 3.2 FATHUR ROCHMAN "3515042604780002 BLOK G
164 "3515046206140003 3 SOFIATUL N 22-6-2014 P 3.5 A HAJIR "3515041705790006 BLOK I
165 "3515045401160001 1 NAURA KEYSA 14-1-2016 P 3 MOCH.RIDOI "3515041912860005 BLOK I
166 "3515046311160001 1 ZEIN 23-11-2016 P 2.8 SAIFUDIN "3515040909880002 BLOK J
167 "3515040504150002 3 FITRI ULIYAH 1/4/2015 P 2.9 ROHMANI "3515041011720001 BLOK I
168 "3515046408140002 3 SITI HABIBAH 24-4-2014 P 3.2 PONADI "3515041007730001 BLOK I
169 "3515040505150002 2 ARKAADITYA 5/5/2015 L 3.5 HARIONO "3515043105820003 BLOK G
170 "351504060150002 2 ABDULLAH FAIZA 6/12/2015 L 3 RAHMANU "3515041111850004 BLOK H
171 "3515042407150001 1 ALVARO FERDIAN 24-7-2015 L 3.1 FARID S "3515041212810004 BLOK H
172 "3515046807150001 1 AMEL 28-7-2015 P 2.7 DAVID "3515042102920001 BLOK H
173 "3515045111150001 1 PUTRI AQILAH 11/11/2015 P 2.8 BLOK G
174 "3515040506150002 1 ANISAH 1/6/2016 P 2.8 BASORI "3515042804760004 BLOK G
175 "3515045004140002 1 FALISA 10/4/2014 P 3 BASUNI BLOK H
176 " 1 NOVELIA RANI 23-11-2016 P 3 BLOK H
177 " 2 RASKA L MUJIANTO BLOK K
178 "3515041507140001 1 M.BIMA SATRIA R 15-7-2014 L 3 M. NURHUDA "3518042000580004 BLOK L
179 "3515044410130001 1 CINDI L.N 4/10/2013 P 3.2 EDI P "351504131290002 BLOK L
180 "3515040711160001 2 ARSAKHA ADI P 7/11/2016 L 3.1 EDI P "351504131290002 BLOK L
181 "3515046011130003 2 AMIRAH NUR 20-11-2013 P 2.9 EDI PRANOTO "3515041010880004 BLOK L
182 "3515046010120002 2 ARUM 20-10-2012 P 2.8 M.WAHYUDI "3515041602760003 BLOK L
183 "3515044405160001 1 SEKAR C.K 4/5/2016 P 3.5 SYAIFUDIN "3515042609900004 BLOK L
184 " 2 CHIKO F.A L 4 KUSIONO "3515041012570003 BLOK L
185 "3515042305140002 2 M.ZIMAMI A 23-5-2015 L 3.2 M.SULTON "3515041111790002 BLOK L
186 " 2 HARISEPTIAN L HARIONO "3515041206940003 BLOK L
187 "3515042606150001 1 M.FADHIL KHIROM 26-6-2015 L 3.4 DAVIT A "3515040608940002 BLOK L
188 " 2 AFIFURROHMAN 13-9-2016 L 3.5 IMAM M "3515042612790003 BLOK M
189 "3515046409140001 1 NAYLA Z NAJMA 24-9-2014 P 3.6 SAIFUL Q "3515041110780001 BLOK M
190 "3515044111120003 2 ANNA A 1/11/2012 P 2.8 ANANG P "3515041204800003 BLOK M
191 "35150406120002 1 M.DAVA.A.Y 4/6/2012 L 3.2 SUPRAYIT.Y "3515041508790005 BLOK M
192 "3515043010120001 1 A.KELVIN P 30-10-2012 L 3 IBNU KHOTOB "3515041912010001 BLOK L
193 " 1 FARIS L ANTON " BLOK L
194 2 SINDU L 4 TOMAJI "3515040101000017 BLOK A 38
195 "3515047005140003 1 TALITA 7/5/2014 P 3.5 ANDIK "3522040602890002 BLOK A 39
196 "3515045909140001 2 DITA K 9/9/2014 P 3.2 BASORI "3515041611760002 BKOK A 37
197 "3515041611130001 2 M.AFDHAL 6/11/2013 L 3.5 YANTO "3515040412830004 BLOK A 32
198 " 2 TIARA P 4 SUHENDI "3515004055760002 BLOK B 4
199 "3515045507140001 2 FARISHA 5/7/2014 P 3.5 SUROTO "3515040707840005 BLOK B 12
200 "3515046706130001 3 RESYA 7/6/2013 P 4 MUSTOFA "3515043007670001 BLOK E 10
201 "3515040604160001 2 RISQI 6/4/2016 L 3.3 YUDIANTO "3515041910830006 BLOK E 20
202 "3515045503140004 2 AIRIN 5/3/2014 P 3.5 SUPARDI "3515001005780009 BLOK E 25
203 " 1 RERE P 3.1 HERONA "3515042009820001 BLOK E 38
204 " 2 RIZKI L HARGIANTO "3515042505880003 BLOK E 21
205 " 2 AQILLA L 3.2 AKHMAD "3515045401540001 BLOK D 9
206 "3515044203130003 DIAS 2/3/2013 P 3.3 RUDIANTO "3515040905870004 BLOK D 41
207 "35150469050001 SHEISYA P 3.3 RUDIANTO "3515040905870004 BLOK D 41
208 "3515044111120004 AZIZAH 1/11/2012 P 3.2 ANTON "3515032701860001 BLOK D 4
209 "3515046407120001 ABELLIA 4/7/2012 P 3.5 M.YASIN "3515042007700005 BLOK E 35
210 "3515046712160002 2 EARLITA ARSYFA 27-12-2016 P 3 TOHIRIN "3515040207640004 BLOK Q 36
211 "3515044403890002 2 DIOFEBRIAN PUTRA M 15-2-2013 L 2.8 MULIADI "351412101180003 BLOK S 4
212 "3515047008120002 2 LAILATUL 30-6-2012 P 2.9 M.KUSAERI "3515041605610003 BLOK S 14
213 "3515045505150001 2 COSLIA NUR 16-5-2016 P 3 YUDI RASWONO "351504510850003 BLOK Q 26
214 "3515034710960003 1 SYAFA 31-3-2016 P 3 ZAENAL "3515040101320014 BLOK R 01
215 "3515041612150002 2 DONI FIRMSYAH 16-12-2015 L 3 ROSIDI "3515040106650002 BLOK R 02
216 "3515046309130001 1 IFFA NAILA RAHMA 23-9-2013 P 3.2 ABDUL ROHMAN S "35102907640002 BLOK R 03
217 "3515041006120003 1 ACHMAD A.REYHAN 10/6/2012 L 3 AINUR ROZAK "3515042605570001 BLOK R 04
218 "3515045611120001 2 ZIHAN DWI SYAFIRA 16-11-2012 P 3 M.MUSTOFA "3515041510770001 BLOK R 05
219 "3515050910140001 1 AHMAD HANIF 9/10/2014 L 3 M.HARUN ROSYID "3515050110900002 BLOK R 13
220 "3515045201120004 1 ZHIFARA ADELIA 22-5-2012 P 3 SUNTORO "3515042212030002 BLOK R 16
221 "3515042912120001 2 SOFYAN WANANDI 29-12-2012 L 3 SAUMAN "3515041004920003 BLOK R 17
222 "3515045012900002 2 M.ROBBI NAZZIM 1/9/2015 L 3 M.HORSAMSI BLOK R 18
223 "351504906140003 2 GADIS CLARITA AZIZ 18-5-2014 P 3 FATHUR AZIZ "3515062005810002 BLOK Q 27
224 "3515046502170001 2 SYANIFA 25-12-2017 P 3.2 FATKHUL MUSTOFA "3515060303780004 BLOK Q 36
225 "35150566505140001 1 KANSIAL MAIRA P 3 DEDIK MUSADI "3515042609620001 BLOK Q 42
226 "3515046106740001 4 ALAHIFARI WAHYU 11/10/2016 L 3 FURQON HIDAYAT "3515042909790001 BLOK Q 01
227 "3515045408930001 2 M.ROZER GUSTI 19-3-2017 L 3 HERMANTO "35150405670002 BLOK Q 02
228 "3515041505120001 2 M.SIROJ UDDIN 15-6-2012 L 3 MACHFUD "351541505120001 BLOK Q 11
229 "3515040504160003 1 JIHAN QONITA 15-4-2016 P 2.9 WAHYU INDRA "3525121505030001 BLOK Q 12
230 "3515041609120002 1 A FAHRI AKBAR 16-9-2012 L 3 TRIO BASUKI " BLOK Q 14
231 1 RANDY 11/11/2015 L 3.2 ANDI BLOK P 9
232 2 CANTIK 4/11/2016 P 2.3 ANDI BLOK P 9
233 3 NAFI 29-1-2014 L 3 SOLEH BLOK P 13
234 2 ARGA 21-2-2014 L 3.2 SUHARJO "3515045608860004 BLOK P 15
235 2 ANGGI 22-5-2015 P 3.3 DIDIK BLOK O 25
236 "3515045805160002 1 INA 18-5-2016 P 2.7 JOHAN "3515042110890001 BLOK O 35
237 3 DITA 27-4-2015 P 2.5 TOMMY BLOK O 36
238 1 ALIZYA P 2.5 ANWAR BLOK O 37
239 "3319022010140001 1 RASYID 20-10-2014 L ARDIAN "3316161301870002 BLOK O 44
240 2 KAMILIATUS 29-4-2016 P 3.2 SULAIMAN "3515040602730002 BLOK O 9
241 1 RAFA 3/6/2016 L JUNIANTO "3515040504850002 BLOK O 10
242 2 AISYAH 29-3-2017 P 2.9 SLAMET "3516042603850005 BLOK O 20
243 2 AZZAM 1/8/2016 L ROKIM BLOK N 26
244 "3515040201150002 1 FAHRIL 2/1/2015 L 2.7 FARUQ "3515031201850002 BLOK N 27
245 1 VERO L 2.7 WAWAN "3515042703880002 BLOK N 34
246 3 EGAR 18-3-2017 L 4.5 PUJI E "3515043009740001 BLOK N 40
247 "3515042901140001 1 NADZIF 29-1-2014 L 2.8 KOHIR "3515042410870002 BLOK N 10
248 "3515042406150002 2 FATAN 24-6-2015 L 2.2 SUYADI "3515042601810002 BLOK N 12
249 " 3 WULAN 17-7-2016 P 2.5 FERDIANSYAH "3515041004890006 BLOK N 14
250 1 RAISA 8/4/2017 P 3 SUHARSONO "3515040907830004 BLOK N 15
 CARA UKUR ASI EKS IMD VIT A PEB VIT A AGUST Ada Buku KIA
RW TGL PENGUKURAN BB(Kg) TB(Cm) 1.Telentang 1.Ya 1 Ya 1 Ya 1 Ya 1 Ya
2.Berdiri 2.Tidak 2.Tidak 2.Tidak 2.Tidak 2.Tidak
1 8/5/2017 21.4 105 2 1
1 8/5/2017 18
1 8/5/2017 15
1 8/5/2017
1 8/5/2017 15
1 8/5/2017 22
1 8/5/2017 20
1 8/5/2017
1 8/5/2017 22
1 8/5/2017 13.2
1 8/5/2017 16
1 8/5/2017 15.5
1 8/5/2017 17
1 8/5/2017 23.7
1 8/5/2017 16
1 8/5/2017 15
1 8/5/2017 18
1 8/5/2017 18.9
1 8/5/2017 13.5
1 8/5/2017 15.5
1 8/5/2017 12.9
1 8/5/2017
1 8/5/2017
1 8/5/2017 13.5
1 8/5/2017 11.7
1 8/5/2017
1 8/5/2017 12.4
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
1 8/5/2017
8/6/2017
3 5/5/2017 10.3 70
3 5/5/2017 11.9 88
3 5/5/2017 7.7 69
3 5/5/2017 8.5 70
3 5/5/2017 9.5 67
3 5/5/2017 8.3 61
3 5/5/2017 15 107
3 5/5/2017 19.5 109
3 5/5/2017 10.3 77
3 5/5/2017 16 105
3 5/5/2017 9.7 68
3 5/5/2017 10 73
3 5/5/2017 11.2 71
3 5/5/2017 9.6 75
3 5/5/2017 17.5 112
3 5/5/2017 9.8 72
3 5/5/2017 8.5 58
3 5/5/2017 10.9 69
2 5/5/2017 8.5 67
2 5/5/2017 7.7 63
2 5/5/2017 12.7 89
2 5/5/2017 6.7 57
2 5/5/2017 15.2 101
2 5/5/2017 16.5 109
2 5/5/2017 8.1 61
2 5/5/2017 14.2 75
2 5/5/2017 15.5 115
2 5/5/2017 12.6 68
2 5/5/2017 11.2 64
2 5/5/2017 14.3 91
2 5/5/2017 10 75
2 5/5/2017 10.2 64
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
2 5/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
3 7/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
4 5/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
7/5/2017
PROPINSI
KABUPATEN/KOTA
PUSKESMAS

BB LAHIR NAMA AYAH

NO NIK ANAK KE NAMA ANAK TANGGAL LAHIR L/P (Kg)
 DATA SASARAN BALITA

NIK AYAH NO TELP/HP ORG TUA ALAMAT RT RW TGL PENGUKURAN BB(Kg)

 CARA UKUR ASI EKS IMD VIT A PEB VIT A AGUST Ada Buku KIA
TB(Cm) 1.Telentang 1.Ya 1 Ya 1 Ya 1 Ya 1 Ya
2.Berdiri 2.Tidak 2.Tidak 2.Tidak 2.Tidak 2.Tidak
PROPINSI
KABUPATEN/KOTA
PUSKESMAS

BB LAHIR NAMA AYAH

NO NIK ANAK KE NAMA ANAK TANGGAL LAHIR L/P (Kg)
 DATA SASARAN BALITA

NIK AYAH NO TELP/HP ORG TUA ALAMAT RT RW TGL PENGUKURAN BB(Kg)

 CARA UKUR ASI EKS IMD VIT A PEB VIT A AGUST Ada Buku KIA
TB(Cm) 1.Telentang 1.Ya 1 Ya 1 Ya 1 Ya 1 Ya
2.Berdiri 2.Tidak 2.Tidak 2.Tidak 2.Tidak 2.Tidak
PROPINSI
KABUPATEN/KOTA
PUSKESMAS

BB LAHIR NAMA AYAH

NO NIK ANAK KE NAMA ANAK TANGGAL LAHIR L/P (Kg)
 DATA SASARAN BALITA

NIK AYAH NO TELP/HP ORG TUA ALAMAT RT RW TGL PENGUKURAN BB(Kg)

 CARA UKUR ASI EKS IMD VIT A PEB VIT A AGUST Ada Buku KIA
TB(Cm) 1.Telentang 1.Ya 1 Ya 1 Ya 1 Ya 1 Ya
2.Berdiri 2.Tidak 2.Tidak 2.Tidak 2.Tidak 2.Tidak
PROPINSI
KABUPATEN/KOTA
PUSKESMAS

BB LAHIR NAMA AYAH

NO NIK ANAK KE NAMA ANAK TANGGAL LAHIR L/P (Kg)
 DATA SASARAN BALITA

NIK AYAH NO TELP/HP ORG TUA ALAMAT RT RW TGL PENGUKURAN BB(Kg)

 CARA UKUR ASI EKS IMD VIT A PEB VIT A AGUST Ada Buku KIA
TB(Cm) 1.Telentang 1.Ya 1 Ya 1 Ya 1 Ya 1 Ya
2.Berdiri 2.Tidak 2.Tidak 2.Tidak 2.Tidak 2.Tidak
PROPINSI
KABUPATEN/KOTA
PUSKESMAS

BB LAHIR NAMA AYAH

NO NIK ANAK KE NAMA ANAK TANGGAL LAHIR L/P (Kg)
 DATA SASARAN BALITA

NIK AYAH NO TELP/HP ORG TUA ALAMAT RT RW TGL PENGUKURAN BB(Kg)

 CARA UKUR ASI EKS IMD VIT A PEB VIT A AGUST Ada Buku KIA
TB(Cm) 1.Telentang 1.Ya 1 Ya 1 Ya 1 Ya 1 Ya
2.Berdiri 2.Tidak 2.Tidak 2.Tidak 2.Tidak 2.Tidak
PROPINSI
KABUPATEN/KOTA
PUSKESMAS

BB
NO NIK ANAK KE NAMA ANAK TANGGAL LAHIR L/P LAHIR
(Kg)

1 "3515065201140000 1 St.Fatimah 12/1/2014 P

2 "3515044963130002 2 Yumna putri A 9/3/2013 P
3 "3515040307120001 2 Muhamad nafis 3/9/2012 L
4 "3515046404140001 2 Hikmatul A M 24-4-2014 P
5 "3515042108120005 2 M salman AL 21-08-2012 L
6 "3515041006130003 3 M raihan 10/6/2013 L
7 "3515042604140001 2 A zhidan A 26-4-2014 L
8 "2515045410120001 2 Shafira A D 14-10-2012 P
9 "3515046306120001 1 Naila salsa 23-6-2012 P
10 "3515046004130001 2 Elsya frilie A 20-04-2013 P
11 "3515041612150003 3 Elzyno W 16-12-2015 L
12 "3515044610140001 2 Akifa naila 6/10/2014 P
13 "3515042102170003 3 M miko S 21-02-2017 L
14 "3515046905130002 2 Dea afreyda 29-05-2014 P
15 "3515046106150002 1 Najwa Z P 21-06-2015 P
16 "3515046701160001 2 Adzam Y R 27-01-2016 L
17 "3515046411160002 1 Aiasya ayu M 24-11-2016 P
18 "3515061010120002 2 M rozaq alif 10/10/2012 L
19 "3515041604160001 2 M firman P S 16-04-2016 L
20 "3515040805140002 2 M ilham P D 8/5/2014 L
21 "3515046704160004 2 Natasya D P 27-04-2016 P
22 "3515041002140003 2 Levania A 10/2/2014 P
23 "3515041505140007 1 M al ghozali 15-5-2014 L
24 "3515040302160001 2 M zain Al F 3/2/2016 L
25 "3515045308120001 2 Eryna keisha 13-8-2012 P
26 "3515040602160001 2 M candra W 6/2/2016 L
27 "3515041602120002 1 M afrizal P 16-2-2016 L
28 "3515046311160002 2 Inez aurelia 23-11-2016 P
29 "3515040204140002 2 Akhsan W 2/4/2014 L
30 "51504067120001 3 Moch. Firdaus 5/7/2012 L
31 "35150469061100003 1 Melati hikmah 28-6-2011 P
32 "35150454120001 2 Nabila putri 14-12-2014 P
33 "3515045504160001 2 Yenny dini siswanti 13-5-2016 P
34 "3515046202160001 1 Fionta putri 22-2-2016 P
35 "3515041411140001 2 Moch hafis rama 14-11-2016 L
36 "3515040202170001 2 Farel veka auandra 2/2/2017 L
37 "3515046907120002 2 Maiatiyah A putri 29-7-2012 P
38 "3515040808120001 1 Khais kurnia 8/8/2012 L
39 "3515041411130001 2 M.nanang 14-11-2013 L
40 "3515046911120003 1 Stefany N 29-11-2012 P
41 "3515041910130002 3 M.reza riskia 14-10-2013 L
42 "3515041511130001 1 Muhamad R 15-11-2013 L
43 "3515041505150001 2 M fahri ali 15-5-2015 L
44 "3515045016130005 1 Dewi wanda 11/6/2013 P
45 "3515045210120001 2 Laura putri 12/10/2912 P
46 "3515045362120001 2 Dinda putri 13-2-2013 P
47 "351504640960001 Chika nadindra 24-9-2016 P
48 "3515041406140002 1 Riski bagus pratama 14-6-2014 L
49 "3515041604130001 3 M. abrisam A.A 16-4-2017 L
50 "3515040106150002 1 Revano dwi anugrah 1/9/2015 L
51 "3515040811120002 1 Nauval ptratama putra 8/11/2012 L
52 "3515042809130001 2 Ahmad maulana zamroh 28-9-2013 L
53 "3515045904160001 Sriwahyu ningsih L 19-4-2015 P
54 "3515040604130001 2 Aufa hibra syadewa 6/4/2013 L
55 "3515041001140001 2 Novan rizki ardiansyah 10/1/2014 L
56 "3515042005130003 1 Dimas aditya 26-6-2013 L
57 "3515040106730002 3 Muhammad wahyu P 1/6/2013 L
58 "3515040806140000 3 Much.santria arjuna 8/5/2014 L
59 "3515045309120001 1 Zara septiana 13-9-2012 P
60 "3515040702140003 2 Alhalifi hamidzan 7/2/2014 P
61 "3515041111120003 1 Muhammad fajar S 11/11/2012 L
62 "3515040202160001 1 Rafatah aqilla A 12/2/2016 L
63 "3515040202160002 Rafiyatakh azzamy 12/2/2016 L
64 "3515040807150002 1 M salman 8/7/2015 L
65 "3515045211120002 2 Dinasti aulia 12/11/2012 P
66 "3515046302140001 1 Niken F 23-02-2014 P
67 "3515044605140001 1 Salsabila M 6/5/2014 P
68 "3515040712130002 2 Rizki wahyu 7/12/2013 L
69 "3515044602150001 2 Eardita A 6/2/2015 P
70 "3515044304130002 3 Cahya dewi 3/4/2013 P
71 "3515041808120002 1 Arif sauqi 18-08-2012 L
72 "3515045803150002 2 St. sufia 18-03-2015 P
73 "31044406150002 2 Naswa 4/6/2015 P
74 "3515044506150001 2 Azka wilda A 5/6/2015 P
75 "3515042712140001 3 M abid tri R 27-12-2014 P
76 "3515042209120001 2 M daffa I 22-09-2012 L
77 "3515045311160001 2 Naila dwi A 13-11-2016 P
78 "3515042201170002 2 Wildan A 22-02-2017 L
79 "3515045106150002 3 Nesya aqila 11-06-29=015 P
80 "351504170860001 1 A. Hanif AL 17-08-2016 L
81 "351540411150003 3 A.Adenta F 4/11/2015 L
82 "3515040502130002 1 Anugrah A 5/2/2013 L
83 "3515046209130002 1 Alifia S.A 21-09-2013 P
84 "3515042207140001 2 M. Rafa AL 22-07-2014 L
 DATA SASARAN BALITA

NAMA AYAH NIK AYAH NO TELP/HP ORG TUA ALAMAT RT RW

Nurul habib "3515040103890002 Candipari 3 1

Yani S "3515045412780003 Candipari 3 1
Agus prayitno "3515042405820001 Candipari 3 1
Moh. Syaifudin "3515040808790003 Candipari 3 1
Pitono "35160603970001 Candipari 3 1
Pitono "35160603970001 Candipari 3 1
suliadi "351504035760002 Candipari 3 1
Sutikno "3515042005750001 Candipari 3 1
Hendra S "3515030910860003 Candipari 3 1
Eko purnomo "3515161302790002 Candipari 3 1
Eko. P "3515161302790002 Candipari 3 1
Dony H R "3515070306820002 Candipari 3 1
Buadi S "3515040502710001 Candipari 3 1
Agus P .eko "351504300800001 Candipari 3 1
Purwanto "3524231505900001 Candipari 3 1
Misbafudin "3515041710800006 Candipari 3 1
Siswanto "3515031610800003 Candipari 3 1
Edi siswanto "3515061411790002 Candipari 3 1
Samsul "3515040809730002 Candipari 3 1
Iwan S "3515041411770001 Candipari 3 1
Eko H "3515040407840003 Candipari 3 1
A. irfan "3515040503920001 Candipari 3 1
M.novi "3515041203770004 Candipari 3 1
Kastubi "3515040706840005 Candipari 3 1
Indra W "3515041208790003 Candipari 3 1
Wigiarto "3515041908790002 Candipari 3 1
Fadil "3515042103820001 Candipari 3 1
Fadil "3515042103830001 Candipari 3 1
M mujib "3515041404790005 Candipari 3 1
M.imam basori "35150401017900034 Candipari 5 2
Nur komari "3515941703630002 Candipari 5 2
Muh.sulis "351504010049008 Candipari 5 2
Siswanto "3515040405600004 Candipari 5 2
Moch.suryaman "3515041006920003 Candipari 5 2
Suhardi "3515041005770003 Candipari 5 2
Gatot mardiono "3515050308800002 Candipari 5 2
Eko setyo atmojo "3515042701240001 Candipari 5 2
Kayumi "3515046500770007 Candipari 5 2
Abandi "3515041107830001 Candipari 5 2
Hendra S "3515041900020002 Candipari 5 2
Agus salim "3515042905760001 Candipari 5 2
Asmari "351504007670001 Candipari 5 2
Nursalim "3515040202040002 Candipari 5 2
Agus K "3515040505920003 Candipari 5 2
Sulkan Candipari 5 2
Sumantri Candipari 5 2
hadi priyanto "3515041200760004 Candipari 6 3
Suliyono "35150406005002 Candipari 6 3
Acet mulyadi "3515041209780002 Candipari 6 3
Iswantoni "3515040605810003 Candipari 6 3
Suprapto "35150422040002 Candipari 6 3
Asno "351504010270001 Candipari 6 3
Soni hermawan "3515053005900004 Candipari 6 3
Supa´at "3515042709910000 Candipari 6 3
Pribadi "3515022312040003 Candipari 6 3
Ahmad saher Candipari 6 3
Much. Syahroni "3515041710730002 Candipari 6 3
Ismail "3515040109740003 Candipari 6 3
Erdianto "3515040904670002 Candipari 6 3
Erdianto "3515040904670002 Candipari 6 3
Maryono "3515041001640003 Candipari 6 3
Rizki amiru "357623130650001 Candipari 6 3
Rizki amiru "357623130650001 Candipari 6 3
Haris K "3515040710840001 Candipari 1 1
Misdi "3515040101730020 Candipari 1 1
Agus S "3515042410810001 Candipari 1 1
Suherman "3515041705840002 Candipari 1 1
Bambang "3515042210770002 Candipari 1 1
Ismawanto "3515041309790001 Candipari 1 1
Mustofa M "3515041907790001 Candipari 1 1
Syaiful A "3511412280984003 Candipari 1 1
Sutikno "351510607790001 Candipari 1 1
Siswanto "351504290620001 Candipari 1 1
Mugi P "3515041110790005 Candipari 1 1
Imam T "3515041807790001 Candipari 1 1
Harioni "3515040305800001 Candipari 1 1
Nurul H "351504910810004 Candipari 1 1
Sonaji "3515042410700004 Candipari 1 1
Hariono "3515040101670062 Candipari 1 1
Mansyur I "3515040908840001 Candipari 1 1
Solikin "3515041404690004 Candipari 1 1
M. andi S "3515040812890001 Candipari 1 1
M.Muhroji "3515041303880052 Candipari 1 1
Fajar S "3515040303870003 Candipari 1 1
 CARA UKUR ASI EKS IMD VIT A PEB VIT A AGUST
TGL PENGUKURAN BB(Kg) TB(Cm) 1.Telentang 1.Ya 1 Ya 1 Ya 1 Ya
2.Berdiri 2.Tidak 2.Tidak 2.Tidak 2.Tidak
 Ada Buku KIA
1 Ya
2.Tidak
PROPINSI
KABUPATEN/KOTA
PUSKESMAS

BB LAHIR NAMA AYAH

NO NIK ANAK KE NAMA ANAK TANGGAL LAHIR L/P (Kg)
 DATA SASARAN BALITA

NIK AYAH NO TELP/HP ORG TUA ALAMAT RT RW TGL PENGUKURAN BB(Kg)

 CARA UKUR ASI EKS IMD VIT A PEB VIT A AGUST Ada Buku KIA
TB(Cm) 1.Telentang 1.Ya 1 Ya 1 Ya 1 Ya 1 Ya
2.Berdiri 2.Tidak 2.Tidak 2.Tidak 2.Tidak 2.Tidak
PROPINSI
KABUPATEN/KOTA
PUSKESMAS

BB LAHIR NAMA AYAH

NO NIK ANAK KE NAMA ANAK TANGGAL LAHIR L/P (Kg)
 DATA SASARAN BALITA

NIK AYAH NO TELP/HP ORG TUA ALAMAT RT RW TGL PENGUKURAN BB(Kg)

 CARA UKUR ASI EKS IMD VIT A PEB VIT A AGUST Ada Buku KIA
TB(Cm) 1.Telentang 1.Ya 1 Ya 1 Ya 1 Ya 1 Ya
2.Berdiri 2.Tidak 2.Tidak 2.Tidak 2.Tidak 2.Tidak