PEMERINTAH KABUPATEN WONOSOBO

DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
Jaln Raya Kalibeber Km.03 Telp.( 0286) 3326207
MOJOTENGAH 56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU : RW 1-2
DESA : KALIBEBER
BULAN : Maret 2017
TANGGAL : 7 Maret 2017

Umur Status
NO Nama Balita Tgl Lahir Nama Ortu L P BB TB Ket Rt/Rw KB
Bln Gizi
Usia 24 bl - 60 bl
1 Taufiqi 8-3-2012 Anif- Istianah 60 1
2 Khafi Ardani 22-05-2012 Fuad - Eva 58 1
3 G Malik 30-05-2012 Mutaqqin 58 1
4 Salwa M Asmi 5-6-2012 Faisal - Tri Asih 57 1
5 M.Risqi Mualim 17-07-2012 Mahmudin -Siti rahayu 56 1
6 Sariatul 19-09-2012 Subhan 54 1
7 Putri K 2-10-2012 Rois 53 1
8 Tiara Nur 16-10-2012 Sawali- St zulfah 53 1
9 Rafa Syaifullah Yusuf '04-11-2012 Musyafak 52 1
10 Serinina 9-11-2012 A.Muji Syukur 52 1
11 Maulana M 20-11-2012 Marsidi 52 1
12 Khilwa 19-12-2012 Arifin - Indah 51 1
13 M.Alfaro 8-1-2013 Novianto 50 1
14 Febriyan 11-2-2013 Mia - Nurhasan 49 1
15 Fastabiq 29-3-2013 Basuki 48 1
16 Rifan Firdaus 3-6-2013 Rifai -Nita 45 1
17 Mafaza 6-6-2013 Achid- Dewi dwi 45 1
18 M. NaufalSidqi 11-6-2013 Faizin - Erva 45 1
19 Aulia Azizatun 24-09-2013 Jamaludin- Nurul asrifah 42 1
20 Mailly millatahaq 26-12-2013 Ana masruroh-Fahrudin 39 1
21 Ghaitsa nurmaulida 13-01-2014 Mustaqin- St musyarofah 38 1
22 Tsafeea kalista kamel 04-01-2014 Kuni-Fadhluroh 38 1
23 Keisya Kamila 19-4-2014 Tifa Duli arso 35 1
24 Aufa Zada Fitriana 24-4-2014 Dulfitriyanto-Umi sayidah 35 1
25 Priya Purwanto 14-5-2014 Nahdiah-Purwanto 34 1
26 M.Sahril 4-7-2014 Siti rahayu- mahmudin 32 1
27 Egan chiba ashadi 3-8-2014 Chikmah- herbayu 31 1
28 Achmad ibrahim 31-8-2014 Chilmi - Tino 31 1
29 Dhia Zahwa 23-9-2014 Nita - A rifai 30 1
30 Dian lestari 13-9-2014 Lestari- Rois 30 1
31 Diwasasri Sri Khoiruni 21-11-2014 Siti mukaromah-haryanto 28 1
32 Asyam alfatikh 11-12-2014 Irmanisyam- wahyu 27 1
33 Mahira hasna 26-3-2015 Nurkhafifah - yatino 24 1
34 Aisya qila vinaya 13-3-2015 Umi zuraida- ach saefudin 24 1

J U M LAH 16 18
Usia 12 bl - 23 bl
35 Randy adelio syahir 6-6-2015 Hepi - Hadi 21 1
36 Fajar 12-7-2015 Ana masruroh- Fahrudin 20 1
37 Adiba Shakila 5-9-2015 Rosad -Sri haryanti 18 1
38 Argani syaiful isla 3-11-2015 Nurkhamidah- Romadhon 16 1
39 Fazada '10-11-2015 Agus - Uskur 16 1
40 M Lukman Hakim 3-12-2015 Umi Sarofah- Sukirman 15 1
41 Ainaya 11-12-2015 Desta -Suhiyah 15 1
42 Mutiara Aretha 3-1-2016 Ismi 14 1

J U M LAH 5 3
USIA 6 bl - 11 bl
43 Najwa Anisa 2-4-2016 Ahid - Dewi 11 1
44 M. Khalil Muazam 14-8-2016 Muslihati- Zulfi 7 1
45 M Fatih Alwan 15-9-2016 Aminah- Nurudin 6 1

J U M LAH 2 1
Usia 0 - 5 bl
46 Athar Pahlevi 3-10-2016 Fuad-Eva 5 1
47 M Rizky Az Zahro 31-10-2016 isti -Slamet 5 1
48 Laurin Mashel 21-12-2016 Sigit - Yuyun 3 1
49 Kalam Abdullah deef 25-12-2016 Vivi- Abdurrahman 3 1

J U M LAH 3 1
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
Jaln Raya Kalibeber Km.03 Telp.( 0286) 3326207
MOJOTENGAH 56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU : Rw 3
DESA : Kalibeber
BULAN : Maret 2017
TANGGAL : 2 Maret 2017
Umur Status
No Nama Balita Tgl Lahir Nama Ortu L P BB TB Ket Rt/Rw KB
Bln Gizi
Usia 24 - 60 bl
1 Alfi 20-4-2012 Musadad - Undi 59 1
2 Nila 13-5-2012 Fatih - Utiya 58 1
3 Fairus Wafa Rifqi 10-7-2012 Husni- Ulfah 56 1
4 Ifanan Yuliani 12-7-2012 Supyan - Murdiyah 56 1
5 Sahara Aulia 28-10-2012 Pujiono -Mardiyah 53 1
6 Saif 4-1-2013 Ihsan- senen azizah 50 1
7 Ananda 2-2-2013 Rofik= Retno 49 1
8 Afifah Sofiatun 28-2-2013 Badriyatun -Sawaun 49 1
9 Adelia Anindiya 3-2-2013 Mustaqim -Asih 49 1
10 Abdullah 12-2-2013 Azizah ulum- Sofi 49 1
11 Ardan 26-2-2013 Mutongin-Afrohah 49 1
12 Bara 4-3-2013 Risma - Wildan 48 1
13 Sakira 30-4-2013 Gemi- Waris 47 1
14 Raihan 27-5-2013 Maklum-Musrifah 46 1
15 Kinza 28-7-2013 Mukodim-Muslimah 44 1
16 Danis 15-8-2013 Irfan - Anan 43 1
17 Alfa 29-10-2013 Nasihun 41 1
18 Hilman 22-3-2014 Rodiyah- Tukirman 36 1
19 Dirgan Hardana 23-1-2015 Sunarti- Edi Munif 26 1

J U M LAH 12 7
Usia 12 - 23 bl
20 Fitria Masudah 16-7-2015 Rosita - Teguh 20 1
21 FahrezaArseno 8-10-2015 Ismitiyana- Yudi 17 1

J U M LAH 1 1
Usia 6 - 11 bl

J U M LAH 1 0
Usia 0 - 5 bl

J U M LAH
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
JL.Raya Kalibeber.Km.03 Mojotengah.(.( 0286) 3326207 Wonosobo.56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU : Rw 5
DESA : Kalibeber
BULAN : Maret 2017
TANGGAL : 4 Maret 2017
Umur Status
No Nama Balita Tgl Lahir Nama Ortu L P BB TB Ket Rt/Rw KB
Bln Gizi
Usia 24 - 60 bl
1 Aisya Azzahra 29-4-2012 Wasiah - Mutowif 59 1
2 Trisa Erlita 6-6-2012 Haidar - Tri Haryadi 57 1
3 M Wahf Yan 17-7-2012 Ari - Mukodam 56 1
4 Badhiatul 28-9-2012 Ningsih - Arif 54 1
5 Ganis A Abinaya 27-10-2012 53 1
6 Raisya Abygel Hayan 23-5-2013 Suharti - Budi 46 1
7 Aqila Shofree Hayan 23-5-2013 Suharti - Budi 46 1
8 Kenzie 31-7-2013 44 1
9 Kanza 3-7-2013 Yuni 44 1
10 Aliya Zaidaturohmah 6-8-2013 Slamet - Siti karomah 43 1
11 Mezi Farah Diba 25-9-2013 Atik - Mujahidin 42 1
12 Maher M Zain 18-9-2013 Ani- Salman 42 1
13 Heaven Raveva Putra 10-12-2013 titik - Mada 39 1
14 Fetila Elvaresta 11-12-2013 Sri 39 1
15 Ilham Adhwa 10-12-2013 Nurul - Muhafit 39 1
16 Abriyam Ataya 5-12-2013 Tutik - Lutfi 39 1
17 Ubaidilah Alif 16-5-2014 Marfungah - Alfin 34 1
18 A Gibran Ar razak 22-8-2014 Musfaroh - Ahmad 32 1
19 Ghazi Najussaba 1-9-2014 Hayu - Bayu 30 1
20 Alif Naufal Pratama 27-10-2014 Rifa 29 1
21 Abdilah Fathir Alvaro 1-12-2014 27 1
22 Jian Alfarizi 11-1-2015 Mudrikah - Muji 26 1

J U M LAH 13 9
Usia 12- 23 bl
23 Feodora Azamani 10-4-2015 Anita Taufikur 23 1
24 Falih Fasta 18-9-2015 Suharti - Budi 18 1
25 Sarah Nisa Ardani 14-9-2015 Siti karomah - Slamet 18 1
26 M Abad 25-11-2015 Mukodam- Budi ari 16 1
27 Javas Arsenio Farali 2-12-2015 Tutik - Lutfi 15 1
28 Rafardhan 4-1-2016 Nurul-Levi 14 1

J U M LAH 4 2
Usia 6 - 11 bl
29 10-5-2016 Ningsih - Arif Hidayat 10 1
30 M Ziatan Fidelyo 17-5-2016 Evi Haryanti- Andri 10 1
31 M Bariq Ardawan 25-5-2016 Nurhayati - Aan 10 1
32 8-9-2016 Latifah- muji syukur 6 1

J U M LAH 4 0
Usia 0 - 5 bl

J U M LAH 0 0
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
Jaln Raya Kalibeber Km.03 Telp.( 0286) 3326207
MOJOTENGAH 56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU : Rw 6
DESA : Kalibeber
BULAN : Maret 2017
Tanggal : 11 Maret 2017
Umur Status
No Nama Balita Tgl Lahir Nama Ortu L P BB TB Ket Rt/Rw KB
Bln Gizi
Usia 24- 60 bl
1 M.mahatir 9-5-2012 Syukur- ulfah 58 1
2 M.Zikri rahmatullah 29-5-2012 Sukendar- suratilah 58 1
3 Idwar zharif 14-6-2012 Damanhuri- umu 57 1
4 Raditya Ahmad 22-7-2012 Rosnani-Dewi 56 1
5 Najwan Nadif 7-8-2012 Syaidi-Alma 55 1
6 M.mahatir 5-9-2012 Syukur- ulfah 54 1
7 Permata haura 6-2-2013 Tentrem- nurul azizah 49 1
8 Nadhif al azis 8-2-2013 Mustofa-Tuziah 49 1
9 M. Royan 7-5-2013 Mustakim- inayah 46 1
10 Riska Aulia 22-7-2013 Fajar- Lisda 43 1
11 Fawaz 23-8-2013 Septiyono- lisa 43 1
12 Lisa aurina salsa 25-8-2013 Aryadin -fajar hayati 43 1
13 Umi khotijah 20-10-2013 Saniah- mukodam 41 1
14 Faizal daris 23-10-2013 Kusfendi bowo- aqilatul 41 1
15 M Furqon 15-11-2013 Slamet 40 1
16 Jamaludin 1-4-2014 Usnan-Mukodimah 35 1
17 Keisya Kamila 19-4-2014 Nikmatul- Tifadul 35 1
18 Erina Salma 26-6-2014 Nurhidayati-samsi 33 1
19 Arkan Said 17-7-2014 Rohayah- Imam 32 1
20 Dafik Ghulam Al Abkari 25-7-2014 Puji Astuti- Akhsan 32 1
21 A.Abdullah Asy Syakur 20-8-2014 Istiqomah- Masrur 31 1
22 Aqila Bumi 27-8-2014 Lilik- wasito 31 1
23 Razik Hanan 7-9-2014 Nurfika - A>Karim 30 1
24 Althan shean 1-12-2014 Fuad-Retno 27 1

J U M LA H 18 6
Usia 12- 23 bl
25 Alya Syauqi Ghaisani 12-6-2015 Rahma- Haris 21 1
26 Elvarata Arini Putri 15-6-2015 Sri handayani- Arif 21 1
27 Cayamysha Gaziya' 23-6-2015 Rina - Iim 21 1
28 Gibran 23-7-2015 Astetika- Supriyadi 20 1
29 Mandihijul Albab 28-9-2015 Fuadah- Yahya 18 1
30 Hana Wardatul Janah 6-1-2016 Istiqomah- Masrur 14 1
31 Yardan Wiryawan 31-1-2016 Khusna Fatmawati- Wibowo 14 1

J U M LA H 3 4
Usia 6- 11 bl
32 Quesiya Kamelia 19-3-2016 Siti Maria - Khoirul 12 1
33 Chika Kanza maulifa 23-4-2016 Latif- Rusita 11 1
34 Aiman Ahwas Nurdafa 30-4-2016 Sri Rojiah- Mutamam 11 1

J U M LA H 1 2
Usia 0 - 5 bl
J U M LA H 0 0
R BALITA PENIMBANGAN
ESMAS MOJOTENGAH
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
JL.Raya Kalibeber.Km.03 Mojotengah.(.( 0286) 3326207 Wonosobo.56351

REGISTER BALITA PENIMBANGAN

POSYANDU : Rw 7-8
DESA : Kalibeber
BULAN : Maret 2017
Tanggal : 13 Maret 2017

N Umur Status
Nama Balita Tgl Lahir Nama Ortu L P BB TB Ket Rt/Rw KB
o Bln Gizi
Usia 24- 60 bl
1 Amar kurniawan 1-3-2012 Basarudin - st aminah 60 1
2 Aliya Naila 29-4-2012 Neli 59 1
3 Bara fatahilah 6-5-2012 Istiqomah - Zami 58 1
4 Raffasya Dzakwan 1-7-2012 Chotimah- Rofik afifi 56 1
5 M.Bian syaelendra 16-7-2012 Lia sri mulyani- sadam 56 1
6 Renata Ghaitsa putri 13-8-2012 Tatik- mufariskin 55 1
7 Yardan alghazy 27-8-2012 Aan anafi - diah 55 1
8 Maila Fikrotul amna 27-9-2012 Mustikhanah- barkah 54 1
9 Bekti estiningtyas 3-10-2012 Ristiyana- yusuf 53 1
10 Hanif Mazid 22-12-2012 Sulastri- khunaifi 51 1
11 Ardan Zadha maulana 24-2-2013 Heni safitri - Muji 49 1
12 Rohmatun nafisa 9-3-2013 Ragil- maesuri 48 1
13 Syafiq aufa ilham 9-5-2013 Yuniati - nurhasan 46 1
14 Alline karafa 23-6-2013 Apriyanto 45 1
15 Akila dwi danuarta 10-6-2013 Rofiatun- tukiyo 45 1
16 Cindy suryani 6-7-2013 Fitria- irawan 44 1
17 Nayla nafisa zahra 20-7-2013 Nurhayati- lukpintoro 44 1
18 Rayyan amru fathani 1-8-2013 Estu zuniawati- slamet 43 1
19 M.Syafiq bahrur rizqi 2-8-2013 Berlina farah- a.toifin 43 1
20 Putraku Fariz haqqi 2-9-2013 Zulia - 42 1
21 Najma Gharesa 13-10-2013 A Riyanto - Nurhaini 41 1
22 Nuril auliya 22-10-2013 Alfisana- fakhrudin 41 1
23 M.Imdadurrohman azzahi 10-11-2013 Suyanti-abdurahman 40 1
24 Ainiya faida azmi 14-11-2013 Ismiyati - kholidin 40 1
25 Zidna Ilma 1-11-2013 Farid - Naili 40 1
26 Sholahudin 15-12-2013 Yuliani - Romadhon 39 1
27 Kirana 22-12-2013 Novi- yasin 39 1
28 NAJIA 39 1
29 Tsalitsa mya heavena 22-1-2014 Zumaroh - Imbuh 38 1
30 Nafisa Saza 9-1-2014 Dewi -Fuadi 38 1
31 Andi Muhammad Bilal 16-3-2014 Citra - Solahudin 36 1
32 Lutfhi Sakhi 9-3-2014 Khoirul - baryanti 36 1
33 Nia Almira 1-3-2014 Solihati- Saefan 36 1
34 M. ADIYASTA 36 1
35 Carisa 30-4-1014 Yazid - Melina 35 1
36 Adiba Aqila 21-5-2014 Fajar - Ufi 34 1
37 Sisfanska 6-5-2014 Yuanani - Slamet 34 1
38 Aztyasti Rafa 6-5-2014 Nora - Irfanudin 34 1
39 M Zafran Asraf 19-5-2014 Siti Zul -Mudhofar 33 1
40 ALFARO 33 1
41 Khanza Davina 18-6-2014 Abdul Rojak-Dewi Amalia 32 1
42 Akhmad Aufa 19-8-2014 Muadib - Durotun nafis 30 1
43 M Abdil Rafif 3-10-2014 Meri toifah- Miftahudin 28 1
44 Zahrotul 26-10-2014 Yuni- Rahmad 28 1
45 Bilqis Sholehah 14-11-2014 Solehah - Beni Gunawan 27 1
46 Kamila Nuraini 22-11-2014 Munzhofi - Takiyah 27 1
47 M Fakhrie Abdillah 14-12-2014 Nurjanah - Nurkholid 26 1
48 M Naufal 25-12-2014 Haryati - Mafahri 26 1
49 M Imam Lutfi 14-1-2015 Lilik- Mukodas 26 1
50 Azzahra 19-1-2015 Vita - Makhin 26 1
51 Vita 23-1-2015 Nurlaili - Andi 26 1
52 ASSIFA MAULIDA 26 1
53 Refika Febri Budiariza 28-2-2015 Anis - Rifki 25 1
54 Naufal 26-3-2015 Weni - Agus 24 1

J U M LAH 24 28
USIA 12-23 bl
55 M Rafa 20-4-2015 Eko Herlina - Arif 23 1
56 Almaz Antey 21-4-2015 Santi - Helmi 23 1
57 Attaya 27-4-2015 Sukesi - Wahyu basuki 23 1
58 Arziqi 11-5-2015 Husna - Farihun 22 1
59 Rafi 17-5-2015 Wulan - Saiful 22 1
60 Zarira 25-5-2015 Mustaqoroh-Khamid 22 1
61 ADEKIA SAMHA 22 1
62 Aisyah Aila 20-6-2015 Rusgiyanti - Hernawan 21 1
63 Irbab Ubaidillah 29-7-2015 Rini - Wakhid 20 1
64 Aufar Parasraya Athara 19-7-2015 Safitri - Ritoam 20 1
65 Anita Nurazizah 22-8-2015 Suprihati - Fahrur 19 1
66 M Qomar Al Fayyadh 17-8-2015 Ulin nuha - Unang Ufat 19 1
67 Afti Martha Widyawati 24-8-2015 Ristiyana- yusuf 19 1
68 Alfia Inayati Rafa 27-8-2015 Yani - Ghofur 19 1
69 6-9-2015 Nurafifah - Hasan 18 1
70 Vania Ayu Dama 30-9-2015 Tri mulyani - Rohimat 18 1
71 Albi Muhamad Shidqi 7-10-2015 Khumayah - Mudakir 17 1
72 Alniya 14-11-2015 Ismiyati - Kholidin 16 1
73 19-11-2015 Ismi - Gaung 16 1
74 Aqil qolbu hasan 26-11-2015 Septiana - Agus 16 1
75 Sabila Khoirunisa 4-12-2015 Ani zulaikah- Fauzi 15 1
76 Alesha Ziya 28-12-2015 Fatma - Alif zulfthon 15 1
77 Khaliqa Syahla 17-12-2015 Tri imantri - Asep fajar 15 1
78 Kaisa Malihatul Kamil 12-1-2016 Mustianah-Barkah hasan 14 1
79 Aisha shofia 25-1-2016 Upik - muhison 14 1

J U M LAH 12 13
Usia 6 -11 bl
80 Najwa Sihab 4-4-2016 Habudin - Ulfah 11 1

J U M LAH 0 1
Usia 0 - 5 bl

J U M LAH 0 0
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
Jaln Raya Kalibeber Km.03 Telp.( 0286) 3326207
MOJOTENGAH 56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU : RW 9
DESA : KALIBEBER
BULAN : Maret 2017
Tanggal ; 14 Maret 2017

No Umur Status
Nama Balita Tgl Lahir Nama Ortu L P BB TB Ket Rt/Rw KB
Bln Gizi
Usia 24 - 60 bl
1 Briyan reskika 23-3-2012 Sri rejeki 60 1
2 Apreliza 26-4-2012 Supriyanto-nurjanah 59 1
3 M.Syaiun sudrajat 30-5-2012 Matkuri- chalis 58 1
4 Nadira izzatinnisa 6-6-2012 Afif 57 1
5 M.Nahif 6-6-2012 Adib subakti- musokawati 57 1
6 Dewi rahmawati 15-6-2012 Miskam- paijem 57 1
7 Fahri zafran 14-8-2012 Nurohman- mukminah 55 1
8 M.Ramadani 8-8-2012 Santoso-siti hapni 55 1
9 Ali wardana 1-9-2012 Pujiyanto-suprihati 54 1
10 Nadien putri imania 14-9-2012 Agus- siti 54 1
11 Iqbal rafif 17-10-2012 Khamim-Bandiyah 53 1
12 Aqila ayu wandira 22-11-2012 Rejeb- anisah siam 52 1
13 Reinisa z 17-11-2012 Abdul kholid-Erni 52 1
14 Athaya aulia izzatinisa 17-3-2013 eko susilo - afifa nur 48 1
15 Diena elmahmada 17-4-2013 A.Maksum- nurhidayati 47 1
16 M.Yudha arifki 17-4-2013 Parlan- kusmiyatun 47 1
17 Maora nabila 12-5-2013 Hendro- lis meinasari 46 1
18 Karim ahmad 5-5-2013 Waginah- slamet 45 1
19 Hidayatul jibran 13-6-2013 Eni - Mualip 45 1
20 Dzakiyya talitha sakhi 29-6-2013 mafruhin- marlina 44 1
21 M.Dwi ramadhani 30-7-2013 Muji syukur- tri 44 1
22 Isman taqiya 31-7-2013 Daroji- walimah 44 1
23 \ 24-8-2013 Sabar- umi amanah 43 1
24 Sayyida fatma agustina 28-8-2013 Faisol- Rohatun 43 1
25 Arjuka taghfiruly 11-9-2013 nurul yahya- hanik 42 1
26 M.Akhdan salim 20-9-2013 Kastari- ita fauziah 42 1
27 Persie 10-9-2013 Is saropati 42 1
28 Zarif noval 10-10-2013 Lukman- sukasti 41 1
29 M.Krisna putra 6-10-2013 Tri apriyanto- Wihartatik 41 1
30 M.Nabil fayadh 1-10-2013 Mafnuh- Chanifah 41 1
31 Fazura bilqisma 25-10-2013 A.Nurul huda- susi 41 1
32 kinayu sabrina khanza 16-10-2013 Sukirno- siti choiriyah 41 1
33 Hilwa adzana fahima 4-11-2013 Fauzan- sumarti 40 1
34 M.Riyadlus solihin 16-12-2013 Hanif fath- Khodingah 39 1
35 Qeisya putri zakaria 6-1-2014 agus zakaria- kristyowati 38 1
36 A.Rendi 15-1-2014 Listyawati- puji 38 1
37 zahrotus shofiyah 15-2-2014 Asih - Didin 37 1
38 M ulul azmi 14-2-2014 Somadiyah 37 1
39 Nadhifa alkarima 8-2-2014 Barokah- muzaki 37 1
40 Hasna deyana azzakiya 15-3-2014 Hajar- asnawi 36 1
41 Azahra qoirunisa 24-4-2014 Iklim - subhan 35 1
42 M.nawafal ibah 29-4-2014 Umul barokah-nurofik 35 1
43 Dila Larasati 24-5-2014 Giyati - ngahadun 34 1
44 Fausta Azarina 12-6-2014 Fina- ibnu sakban 33 1
45 Rausyan syaiful 31-7-2014 Siti munawaroh-solihin azi 32 1
46 A. Fahri khusaini 17-8-2014 Subur ibah - majid 31 1
47 Aida qolbi nadhifa 22-8-2014 Umi - Alwi 31 1
48 Agustin sabila 23-8-2014 Umu - miftah 31 1
49 M.yazeed alfatih 15-8-2014 Ulin- mega 31 1
50 Basyasya humaida 3-9-2014 Nurhidayati- maksum 30 1
51 M qorin alqifari 28-9-2014 Eni- Tantowi 30 1
52 21-10-2014 Ngadah- Risyadi 29 1
53 Ulfia nuraini 30-12-2014 Chalis- Slamet 27 1
54 Nasya Maulidah 13-1-2015 Novitasari- fathurohman 26 1
55 Air nakhla 16-1-2015 Desy palopi- Aryo 26 1
56 Aimar ahzan 16-1-2015 Yuli- ayek 26 1
57 Dinda aulia 18-1-2015 Riyati- m mufrad 26 1
58 Rahma anindya 13-2-2015 Yanti - Rohim 25 1

J U M LAH 30 28
Usia 12 - 23 bl
59 Izzati 28-4-2015 Qoni - Nurhasan 23 1
60 Keisya 12-5-2015 Haryati- Nurulfaizin 22 1
61 Ibadurahman 11-6-2015 Sriati -Indra 21 1
62 Syakila khalika 9-7-2015 Erni- A kholik 20 1
63 Vicky 30-7-2015 Ira - taufik 20 1
64 M alif nur rokhman 22-7-2015 khuzaemah- Rohiman 20 1
65 A.Nafi syam 15-7-2015 Erna - Masruh 20 1
66 Hamida 13-8-2015 Tutik kholifah- Arifudin 19 1
67 M ubaid zubir 16-10-2015 Nita -Afid 17 1
68 Rachel aqueena 11-10-2015 Silvi - Eka darmawan 17 1
69 Oktaviana 30-10-2015 suryanti - bejo 17 1
70 Agam 20-11-2015 Nurfarida- ngaini 16 1
71 Rashif Rafdan 6-11-2015 Nursolehah- sudianto 16 1
72 20-12-2015 Waginah-slamet 15 1
73 A.Fathan Asfa 26-12-2015 Ari suciati- farid 15 1
74 Jihan Awa Tifa 27-12-2015 Marliyani- kiswandono 15 1
75 Zafira 31-3-2016 Mustamix - Desi 12 1

J U M LAH 9 8
Usia 6- 11 bl
76 Asyraf 7-4-2016 Fatimah - Mufid 11 1
77 Citra Rahayu 21-4-2016 Tri Maryani- Ismanto 11 1
78 M Aldebaran Nabhan 2-5-2016 Nabila - Ragil 10 1
79 10-6-2016 Dewi - Munjil 10 1

J U M LAH 2 2
Usia 0- 5 bl

J U M LAH 0 0
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
JL.Raya Kalibeber.Km.03 Mojotengah.(.( 0286) 3326207 Wonosobo.56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU :RW 10
DESA : KALIBEBER
BULAN : MARET I 2017
TANGGAL : 21 Maret 2017
Umur Status
No Nama Balita Tgl Lahir Nama Ortu L P BB TB Ket Rt/Rw KB
Bln Gizi
Usia 24 - 60 bl
1 Andi M Cahyo 20-3-2012 Wulan - Andi 60 1
2 Vavian Mahardika 2-5-2012 Fitri - Romadhon 58 1
3 Hanif Nailul Huda 23-5-2012 Wifina 58 1
4 Zada Maghsa Sakifa Almuntaha 20-5-2012 Latifah - Sofan Rizqi 58 1
5 Aeesha Nazila Azahra 5-8-2012 Siti Dite- 55 1
6 Raditya Nurishofa 23-10-2012 Mutmainah-Kholid 53 1
7 M Nadhru Haidar Maulana 13-3-2013 Ulya - Lukni 48 1
8 Falesta Arghad 19-4-2013 Lena - Jodi 47 1
9 Sena Diasaravana 6-4-2013 Dewi - Seto 47 1
10 Barata Lesmana 4-7-2013 Yanti- Mujiono 44 1
11 Keano Difa Al Afkari 24-7-2013 Nila - Agung 44 1
12 Khufaira Askana 28-9-2013 Ice - Kamil 42 1
13 Naura Nabilah 15-1-2014 Siti solehah- Amin 38 1
14 M Latif Kamal Alazzam 21-7-2014 Zahrotun- Nurkhamid 33 1
15 Izat Jiwo Syarifulloh 22-8-2014 Nurhasanah- Nurohman 31 1
16 M Al Fatih 00-12-2014 Fida - afan 27 1
17 A.Hauz Hamsad Al Adly 19-2-2015 Nura Fajria- Asyhar 25 1
18 M Shokiyah Ghoza 27-3-2015 Latifah - Sofan Rizqi 24 1
19 Shofa Sahrifatul 12-3-2015 Nahriyah- Latif usman 24 1

J U M LAH 13 6
Usia 12- 23 bl
20 Andi M Cahyo Ade Wibisono 6-4-2015 Wulan - Andi 23 1
21 Syami 2-6-2015 Toifah - Imam hariri 21 1
22 Ahmad Muh Ngalim 9-6-2015 Ikrimah - Masrukhin 21 1
23 Senja Kamila 30-6-2015 Sri hasmiati -Faizin 21 1
24 M Akif Assajid 31-8-2015 Fata -Rian 19 1
25 Amalia Rani Arfa 5-10-2015 Arini - Heri 17 1
26 A.Hafiz Syarkhan 19-12-2015 Siti marfungah- m Sodik 15 1
27 Al Ghozali 5-2-2016 Yayuk - Firman 13 1 3.7 44 Tetes
28 M Ibrahim 19-3-2016 Mustaqiroh- Aan 12 1

J U M LAH 7 2
Usia 6 - 11 bl

J U M LAH 0 0
Usia 0 - 5 bl

J U M LAH 0 0
ISTER BALITA PENIMBANGAN
USKESMAS MOJOTENGAH
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
JL.Raya Kalibeber.Km.03 Mojotengah.(.( 0286) 3326207 Wonosobo.56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH

POSYANDU :RW 11
DESA :KALIBEBER
BULAN : Maret 2017
TANGGAL : 20 Maret 2017

Umur Status
No Nama Balita Tgl Lahir Nama Ortu L p BB TB Ket Rt/Rw KB
Bln Gizi
Usia 24 - 60 bl
1 Helga Zam Zam 23-3-2012 Mahsun- uli 60 1
2 M.Labib 23-4-2012 Fauzan- siyami 59 1
3 Ernika 28-4-2012 Khozin- nurkhasanah 59 1
4 Galih widi atmoko 21-6-2012 Wahyu- nurjayanti 57 1
5 M.Dzakwan 8-8-2012 Rofik- muntafingah 55 1
6 Setyo suseno 19-9-2012 Arifin- eni 54 1
7 Zafarani 21-11-2012 Siti - Khamid 52 1
8 Azam Zamzani 14-1-2013 Zuhdi - Aminatun 50 1
9 Aska azizah 7-2-2013 Annas- evy 49 1
10 M.Dhia ulhaq 12-2-2013 M.Tahmid- Ermi 49 1
11 Sarah inka 15-2-2013 Sulton- endang 49 1
12 Dimas cendikiawan 18-3-2013 Suhartati- faturohman 48 1
13 Abdul hasan 28-5-2013 maimunah- m ghofir 46 1
14 A.Revan 11-6-2013 Sirin- juwariyah 45 1
15 Arfila julita 3-7-2013 Afif- rohana 44 1
16 Farhatun naila 9-7-2013 m fatnan- ita 44 1
17 Nisa almas ghizemi 15-7-2013 lindiyati- menur 44 1
18 Laela syarifatun 16-9-2013 muhlas- ruwiyah 42 1
19 Sarah arifda maharani 3-10-2013 a.sabar- siti jauhariyah 41 1
20 M. La,aliyah zidni 6-11-2013 miftah- siti lisarofatul 40 1
21 Fatikhatul khafiza 16-11-2013 sigit - halimatus 40 1
22 M.Asip sulaiman 13-1-2014 rohim- sundar 38 1
23 Adib gatan maulana 25-1-2014 Yuliyanti- nursahal 38 1
24 M hasanudin 28-1-2014 Ulfa - M zaizan 38 1
25 Zahra aqilatun nadifa 2-2-2014 Ayun - khoiril amin 37 1
26 Dina nuriana 29-3-2014 miftahudin- mani 36 1
27 Adinka daniswara 2-4-2014 Eka - budi 35 1
28 Alip arfa hidayat 16-5-2014 Hidayat- erawati 34 1
29 A.Aliyudin 6-6-2014 Misribah- Uswatun 33 1
30 Satir hibana hilmi 14-6-2014 Siti hardiyati-hamid 33 1
31 Gibran Arif rahman 19-7-2014 Ani sofiani- Miftahurohm 32 1
32 Rafifatul Rifda ramadani 10-7-2014 Naimah - A.Mughis 32 1
33 Aftina lehya nadja 16-8-2014 siti nafiah- habib 31 1
34 Abizar Zahran Fatahilah 8-9-2014 Sabarudin - Nilawati 30 1
35 M Adlin Al Arsyad 17-9-2014 Sofiana - sutriyono 30 1
36 M.Ilham nasrullah 6-10-2014 Siyami- Fauzan 29 1
37 Elvina Mestika Anjani 1-11-2014 Eviyatun- Suparno 28 1
38 M Fais Abdilah 26-11-2014 Srihidayati- Ngusman 28 1
39 Ajubah Khayakil Halimi 6-11-2014 Sofiyah- Dulhalim 28 1
40 Palupi Aditya Safaras 16-2-2015 Nanik - Sudarno 25 1
41 M Zulfahmi Zaki 5-2-2015 Nursolehah- Suparman 25 1
42 Salma Mumtazas 17-2-2015 Via - Agus 25 1
43 Nurasyifa Febriyani 20-2-2015 Rukomah- Wandi 25 1
44 Firyal NurAbdillah 20-3-2015 Triwahyuningsih-K Amin 24 1

J U M LAH 25 19
 Usia 12 - 23 bl
45 Azaliya Sayidati 28-5-2015 Lutfi - Nikmatul mufid 22 1
46 Adeva Calista Maharani 17-8-2015 Tuyami- Nurasad 19 1
47 Afika Nur alifa 7-11-2015 Sartini- Mad isro 16 1
48 Rafandra Aqila 11-12-2015 Sumiyati - wahab 15 1
49 Syafira Umaya Asifa 15-12-2015 Amin - Sarjono 15 1
50 Adiba 15-3-2016 Shofi - Abd Halim 12 1

J U M LAH 0 6
Usia 6 - 11 bl
51 Keysa Putri 24-4-2016 Rahayu - Hendra 11 1
52 Arya Hafid muqorobin 16-7-2016 Nisa - Muqorobin 8 1 Pindahan srage
53 Nuraya 8 1
54 Bilqis
55 Aisya syifa 7-9-2016 Kanti - Tohirin 7 1

J U M LAH 1 3
Usia 0 - 5 bl
56 Senta 4
57 Nur okaya nurfalina 26-11-2016 Rukomah- Wandi 4 1

J U M LAH 0 1
 BALITA PENIMBANGAN
SMAS MOJOTENGAH
Pindahan sragen
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
JL.Raya Kalibeber.Km.03 Mojotengah.(.( 0286) 3326207 Wonosobo.56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU : RW 12
DESA : KALIBEBER
BULAN : MARET 2017
TANGGAL : 18 Maret 2017
Umur Status
No Nama Balita Tgl Lahir Nama Ortu L P BB TB Ket Rt/Rw KB
Bln Gizi
Usia 24-60 bl
1 Khoirina Khurotun 27-6-2012 Untung - Siti Insofah 57 1
2 Alika W 00-6-2012 Alqoriatun 57 1
3 Alika Z 28-8-2012 Eviana - Lukman 55 1
4 Zaira Ananda 27-11-2012 Muk0dam - Tiana Sofi 52 1
5 Dhirandra Abkari 21-12-2012 Dwi Pamilu- Sri Rejeki 50 1
6 Hasna Nabila 31-1-2013 M Kristiyan-Lely 50 1
7 M Raffa Azmi 8-5-2013 Muhasim- Suprapty 46 1
8 Bayu Rio 11-9-2013 Eva - Rangga 42 1
9 Khoizainis Salsabilla 3-10-2013 A Efendi - Zuhrotun 41 1
10 Akhmad Farish 4-10-2013 Hermono - Siti Zubaidah 41 1
11 Talita Asyifatun Nada 20-10-2013 Heri Heryanto- Istiqoma 41 1
12 A.Bani Nurhija 17-10-2013 Bambang - Yani 41 1
13 Khalilila Kanaya 23-10-2013 A Solikhin - Wiwik 41 1
14 Danish Gibran 6-10-2013 Tri Yoga- Heny 41 1
15 Novval Arfa 1-11-2013 Shohibul Fadil- Fatma ar 40 1
16 M Aditya Arkan 20-11-2013 Fatul khasani- Kutsiyah 40 1
17 Kyandra Yafran 18-12-2013 Dwi Anzas - zumaroh 39 1
18 Raykhanah Hafiza 4-1-2014 M Syakir - Tini Rahayu 38 1
19 Barik 21-4-2014 Rahmawati-Ridho 35 1
20 Syauqia Aqifa Fatin 19-5-2014 Mustakim - Hastuti 34 1
21 Dzakira Haura 7-9-2014 Susilo - Alfin 30 1
22 Mahira Hasna 22-10-2014 Khamim - Siti M 29 1
23 Bilqis Talita 28-11-2014 Indra - Ika 28 1
24 M Fikri Risqullah 7-2-2015 Salafudin - Khasanah 25 1
25 Aurelio 24-3-2015 Melisa- Wili 24 1

J U M LAH 13 12
Usia 12-23 bl
26 M Nabhan 14-3-2015 Alfina - sabiqul 20 1
27 Rumaisha Adzikya 18-7-2015 M Syakir - Tini Rahayu 20 1
28 Syakilla Aghna 22-8-2015 Muji Slamet - Fikri 19 1
29 Kaila Adiba 24-8-2015 Dedi - Ina Ika 19 1
30 Aufa Almeida 2-10-2015 Ardi - Niken 17 1
31 Luna Rafani 3-11-2015 Tomi Hasani - Hartati 16 1
32 M Fahad 21-1-2016 Indri- Nurholik 14 1
33 Kun Kynan 11-3-2016 Laela - Mukodam 12 1

J U M LAH 4 4
Usia 6- 11 bl
34 Zafira 11-4-2016 Sutopo - Sundari 11 1
35 Fathina Nesya 8-5-2016 Solehatun- aan 10 1

J U M LAH 0 2
Usia 0-5 bl
36 Adora Naysa 27-10-2016 Istiqomah- Heri 5 1
J U M LAH 0 1
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
Jalan Raya Kalibeber Km.03 telp. ( 0286) 3326207

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU : RW 13
DESA : KALIBEBER
BULAN : MARET 2017
TANGGAL : 16 Maret 2017

Umur Status
No Nama Balita Tgl Lahir Nama Ortu L P BB TB Ket Rt/Rw KB
Bln Gizi
Usia 24 - 60 bl
2 M.ni,am 24-3-2012 Mudakir- Sundiyah 59 1
3 Kunly ahmada 30-3-2012 M.Fatahilah-makinatun 59 1
4 Najma Giptiana Rista 23-4-2012 Banar- Cita 58 1
5 Reyno caesaria 15-5-2012 Rifki suyatno- siti yuli 57 1
6 Dini hasna 16-5-2012 A.somad - yuni 57 1 16.1 NB
7 Mahira 21-5-2012 Wahyu puji 57 1
8 Aufa Naufalin 8-6-2012 Mahrus - Sutarmi 56 1
9 Arifo 26-6-2012 Mukhotib- Desi 56 1
10 Ferensia jeanita 8-6-2012 A.Faiz 56 1
11 Rosa maulida 5-6-2012 Mualim - Baridah 56 1
12 Rendi firmansyah 5-6-2012 Towil sutanto- Arifah 56 1
13 Naura 19-6-2012 Ponco- Catur 56 1
14 Aliya Najwa Azzahra 7-6-2012 Agus -Nurfitriyanti 56 1
15 M.Asfahami 24-6-2012 Ibrahim- Arsimawati 56 1
16 Fatih khoiri 28-7-2012 M.Usman - Maratus 55 1
17 Astia putri 6-7-2012 Ribut- Fitriana 55 1 16.1 NB
18 M.Syahru 25-7-2012 Azis- Khusnul Khotimah 55 1
19 Maulana ahsan 24-8-2012 Lukman- Isnaeni 54 1
20 Anya Ralika 27-9-2012 A.Fauzi- titi 53 1
21 Fatih Aji 14-9-2012 Seno aji 53 1
22 Heif 11-11-2012 Saeful bahri- Heti 51 1
23 Dhea chuantri 19-11-2012 Slamet- Zakrifah 51 1 13.8 NB
24 Aufar kian 22-11-2012 A.Suroto 51 1
25 Zakra almaila 18-11-2012 Syaiful mujab 51 1
26 Tegar catur 6-11-2012 Slamet Riyadi 51 1
27 ThifaL Gavin 7-12-2012 A.Awaludin- Dewi 50 1 17 NB
28 Elvira 8-12-2012 Rudi armanto- Darsiyah 50 1 17 TB
29 Najla anindita 4-12-2012 Arif-yeni 50 1
30 Badai 29-1-2013 Imam 49 1
31 Firda maulida 15-1-2013 Sukirno- Mutingah 49 1 18 OB
32 Raka damar 30-1-2013 Mila- Dwi 49 1 19 NB
33 Zaedan 18-2-2013 Asnariyah 48 1
34 Zaidan Alfarizi 18-2-2013 Shohibul burhan 48 1
35 Ardan Zada Maulana 24-2-2013 Saiful 48 1 15.9 NB
36 Amira mufida 29-3-2013 Bambang- halimah 47 1 13.3 OB
37 Dzakiyatun 4-3-2013 Mursidi- naila 47 1
38 A.Zaid 13-3-2013 Sudirman 47 1 15 OB
39 Denta ahmad 16-4-2013 Nurohman 46 1
40 Anggun 23-4-2013 Said - Uswatun 46 1
41 Raisha putri 16-4-2013 A.Haryono- Aning 46 1
42 M.Barca 18-5-2013 A.Subur - suliyah 45 1
43 Rinjani wahyu 4-6-2013 Wahyu 44 1
44 Nafieza 7-6-2013 Sudirman 44 1
A Maulana 3-7-2013 Khotimah -Sunar 43 1
45 Fairuz 15-7-2013 Bukhori - Sitijanati 43 1
46 Atif mubarok 27-8-2013 Sawal- malikhah 42 1
47 Lintang Azkiya 4-9-2013 Siti- Kristianto 41 1 12.6 NB
48 Aqila zahra 4-9-2013 Abdul zalil 41 1
49 Naila 8-9-2013 Ngafiyah- ngafiyo 41 1 13.2 NB
50 M.Agil fakhri 310-2013 Darmanto 40 1
51 Viola aulia 20-10-2013 Uun Rufaedah 40 1
52 Abiyzal hilmi maulana 26-10-2013 Paidi galih-isti khanifah 40 1
53 Rafa Raditya 12-11-2013 Yamah 39 1
54 Zidna ilmannafian 10-11-2013 Farid adi wibowo 39 1
55 Adliya ameena 10-11-2013 Diana - Fasichun 39 1
56 Alesha Ayudia inara 13-11-2013 Angga - Winda 39 1
57 M. Amzar hamizan 7-12-2013 Lilik- Kholik arif 38 1
58 Aisyah 6-12-2013 Asfiyatun-Toriq 38 1
59 Fajra nada nadifa 17-12-2013 Rohmad- makrifah 38 1
60 Rizki 24-12-2013 Rifton 38 1 12.7 NB
61 Dafa ibnu 9-12-2013 Riyani-Rohman 38 1
62 Radit Pratama Wijaya 1-12-2013 Simon Wijaya 38 1
63 Raisha Ayunda Aurora 19-12-2013 Eko Prasetyo-Istiqomah 38 1 12.2 NB
64 Ahmad Yazid 4-12-2013 Nasihun- Khomsatun 38 1 12.4 TB
65 Nafisa Sarah Fuadi 9-1-2014 Fuadi - Dewi 37 1
66 Andhini nathania 11-1-2014 Sri - pato slamet 37 1 15.6 OB
67 Alse caroline 20-1-2014 Nuraini- turah 37 1
68 Fayyad 2-2-2014 Ikah - Joni 36 1
69 A.Aldo 4-2-2014 Wati - mukodam 36 1
70 Nur assifa azahra 7-3-2014 Tuminah - haryadi 35 1
71 Hafiza khairan lubna 19-3-2014 Sarah - Hafit 35 1 12.2 NB
72 Nala tri resendria 3-3-2014 Siti komsah- Ridwan 35 1 14.9 NB
73 Aulia latifatun 11-4-2014 Sri - Alfan 34 1
74 Sabina ainun mahya 16-6-2014 Suprih - hengki 32 1
75 Afira qurotu ain 8-6-2014 Dwi retna - jainul fatah 32 1
76 Zalwa Salsa 2-6-2014 Musyarofah- bustana 32 1
77 Zaskia 14-6-2014 uun- wahri 32 1 14.4 TB
78 Haviza 8-6-2014 Wahida- zuwan 32 1
79 M Zaki 19-7-2014 Rohman- Lailiyah 31 1 12 OB
80 Mada sakhi zaidan 1-7-2014 Nanik - miftahul huda 31 1
81 Rasydan sabil 3-7-2014 Aksamawati- mutoam 31 1
82 Anindita Keisha Azahra 4-7-2014 Sabar Mutofik 31 1 12.8 NB
83 Sefiana 29-8-2014 30 1
84 M.faiz prasojo 20-8-2014 Totok - Lulus 30 1 12 NB
85 Hamizan 2-9-2014 Defi - jo asagan 29 1 11.3 OB
86 Achmada Kafa 6-9-2014 Sukini- mahfud 29 1
87 Zabda Rachman 6-9-2014 M Fatahilah 29 1
88 Aina Rafa Fatina 23-9-2014 Mega - Heri Susanto 29 1
89 Adrian Pradipta 24-10-2014 Sigit Dwi Cahyo 28 1
90 Dafa Ahnaf 8-11-2014 Ma,ruf- Nurfarida 27 1
91 Novelin Intan 12-11-2014 Ribut - Sariyanti 27 1
92 Salwa Salsabila 19-11-2014 Wiqih - Sulasih 27 1
93 Silvia Kasyifatul 6-12-2014 Lukman - Isnaeni 26 1
94 Alfian Rizqi 6-12-2014 Sujianto-Ema Susanti 26 1 13.5 NB
95 Anisa Salsabila 9-1-2015 Fatonah-Dirtam 25 1 9.2 NB
96 Hilmi Maulana 13-1-2015 Suparmi- Awaludin 25 1
97 Adiba Banundia Nazwa 28-2-2015 Zaidah - Arif 24 1
98 Fikri 7-2-2015 Zahriyah- arfan 24 1

J U M LAH 48 50
Usia 12-23 bl
99 Nur fauziah nikeisha 8-3-2015 Fauzi - Nurfarida 23 1
100 Ailf Arfa Muhammad 24-3-2015 Hasbi- Isianah 23 1 11.1 OB
101 Bagas Khairulloh 25-3-2015 Barokah - Paryani 23 1 10.4 NB
102 Pranaja Abad Ghani 2-4-2015 Sukardi - Nasifah 22 1
103 M. Irfan Nasrulloh 4-4-2015 Ansor - Rohati 22 1 9.8 OB
104 Abyan haidar rais 18-4-2015 Budi raharjo- Muhayatun 22 1
105 Anisa Pramudia 29-4-2015 Wibowo - Eva 22 1
106 Khoimatul Hilda 27-5-2015 Teguh - Khusnul 21 1 12 OB
M Wadhif Asyiaf 9-5-2015 Nurfaizah- M Fatah 21 1 8.6 NB
107 Naryva Adzana Putri 11-5-2015 Rifanti - Nurul huda 21 1 10.8 OB
108 Fera Ananda 1-6-2015 Suyamdi - Nurhayati 20 1 14.3 NB
109 Danish El azzam 19-6-2015 Yuni- Abd Somad 20 1 10.6 NB
110 Ibnu Syarif 17-6-2015 Soim - Arshoh 20 1 12 TB
111 Ariya Sifta 29-6-2015 Sinta- musif 20 1
112 Fegi Ali nur ahmad 30-6-2015 Mugi - Fedri 20 1
113 Kamal 6-7-2015 Ikah - Joni 19 1
114 Yusuf Ahmad Rizky 13-8-2015 Arif- Siti munawaroh 18 1
115 Adyasta 3-9-2015 Angga - Winda 17 1
116 Aufa Sakila 5-9-2015 Idris - Siti yuliah 17 1 8 TB
117 Alifa Naufalin 18-9-2015 Imam Hanafi- ngadiyah 17 1 10.5 TB
118 M Hisyam 12-9-2015 Atik- Imron 17 1 11.6 OB
119 M Syafikal 12-9-2015 Muzaki- Vivi 17 1
120 Dzakiya Rafifatu 12-9-2015 Faishol - Umu 17 1
121 Syakira Zulfa Afriyani 13-9-2015 Asep eka- Fitriyani 17 1 9.4 NB
122 Auliya Wafda Satya 21-9-2015 Miftahul huda- Sulfikaningsi 17 1 8.2 TB
123 Shaquela Selena 6-10-2015 Diah - Slamet Riyadi 16 1
124 Ahmad Zidni Khasan 8-10-2015 Arifin - Maryamah 16 1
125 Fawwaz 14-11-2015 Mursidi- naila 15 1
126 Zahwa Khaliqa Dzahin '30-11-2015 Imam Sopingi- Mubarokah 15 1 10.8 NB
127 Afifa Syifa Alinar 13-12-2015 Faerozi - Ruayah 14 1
128 Aisya Silmi 24-12-2015 Suwati - Arofi 14 1 8.3 NB
129 Adam Fais Al Arkhan 28-12-2015 Sriningsih 14 1 11.1 NB
130 Asyifa Nurlaili 30-12-2015 Sukafti - Fauzi 14 1
131 Nada 9-12-2015 Yati Karomah- Slamet 14 1 11 NB
132 Aisha Zhafira Ahmad 5-1-2016 Laeli - Baihaki 13 1
133 3-2-2016 Marfiyah ambarwati- Hafidin 12 1
134 Afsheena Dzakiya 5-2-2016 Nanik 12 1 7.5 OB
135 Nindi Adiba 20-2-2016 Makrifatun - Mahmud 12 1 7.7 NB

J U M LAH 19 19
Usia 6- 11 bl
136 Najla 8-3-2016 Sutarmi- 11 1 8.2 NB
137 Syauqi Janatul Halwa 4-5-2016 Janatur- Fuad 9 1 7.5 NB
138 Rafatika 13-5-2016 Fiin- Heri 9
139 M Kevin 19-5-2016 Wiwik safitri- Fadludin 9 1 8.9 NB
140 M Ulin Nuha 26-5-2016 Darsiyah- Rudi 9 1 9 NB
141 M Raif Azzahid 20-6-2016 Heni - Misrun 8 1 9 NB
142 M Rafif said elnando 31-8-2016 Istikomah - M soleh 6 1 7.8 NB
143 Kinanti Putri 19-8-2016 Ervin - Siti Makrifah 6 1 8.1 NB
144 A.Sakha Arkaan 10-8-2016 Alfi - Mahasin 6 1 7.7 NB

J U M LAH 6 2
Usia 0 - 5 bl
145 Alfina 26-10-2016 Khotimah - Sunar 4 1 5.5 NB
146 Zema Reska Ibrahim 24-11-2016 Leni Afida- Rudi Kurniawan 3 1 4.1 NB
147 Rahmat Fajrul Fatah 10-12-2016 Nikmah -Slamet 2 1 4.7 NB
148 Hana Putri Khumaira 21-1-2017 Erisa - Slamet 2 1 4.8 BB
149 Anindita Shaqueena Hum22-1-2017 Rina -Supri 2 1 4 BB
150 Aran Merlick 6-1-2017 Wati - 2 1 3.2 BB

J U M LAH 3 3
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
Jaln Raya Kalibeber Km.03 Telp.( 0286) 3326207
MOJOTENGAH 56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU : RW 4
DESA : KALIBEBER
BULAN : MARET 2017
TANGGAL : 9 Maret 2017
Umur Status
No Nama Balita Tgl Lahir Nama Ortu L P BB TB Ket Rt/Rw KB
Bln Gizi
Usia 24- 60 bl
1 Kinan Amru 7-3-2012 Ana - Mutholib 60 1
2 Zauda Akmala 25-5-2012 Nurul - Afan 58 1
3 Asabila 15-6-2012 Basiroh - Slamet 57 1
4 Azril 12-9-2012 Sugeng- Rohabiyah 54 1
5 Dede Ad dzikra 27-9-2012 M. Rizal 54 1
6 Siti musdalifah 30-10-2012 Solehah - Solihin 53 1
7 Nisara 21-12-2012 Muslikhatun - Subhan 51 1
8 M. Izzudin Algojali 3-12-2012 Festy - Khoirul Rizal 51 1
9 Azda Fadla 29-3-2013 Rofiatun - Muataq 48 1
10 M.Royan 7-5-2013 Nurinayah - Mustakim 46 1
11 Abad Nailun 23-7-2013 Siti ngarifah - Arif 44 1
12 Najwa 16-7-2013 Sri Haryati - Rofa 44 1
13 Sayyidati Amalia Rahma 5-9-2013 wondiyah - Fatiin 42 1
14 Zifara Aisyah 29-5-2014 M Torik - Nurhasanah 34 1
15 Zeraldo 10-2-2015 Masirojudin 25 1
16 M.Daffa 3-3-2015 Mundirin - Siti hikmah 24 1

J U M LA H 9 7
Usia 12- 23 bl
17 Afifudin 20-7-2015 Asyiyah-Khulafudin 20 1
18 Umar Athariz Sakhi 21-9-2015 Suci-Tosa 18 1
19 Rama Maulida 14-1-2016 Sugeng - Sri rohabiyah 14 1
20 Reza Adrea 4-3-2016 Istikomah -Wibowo 12 1

J U M LA H 3 1
Usia 6- 11 bl
21 19-7-2016 Neng lia- Zainal 8 1

J U M LA H 0 1
Usia 0- 5 bl

J U M LA H 0 0
TER BALITA PENIMBANGAN
SKESMAS MOJOTENGAH
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
Jalan Raya Kalibeber Km.03 Telp. ( 0286) 3326207
pusk.mojotengah@gmail.com
MOJOTENGAH
56351

PENCATATAN HASIL PELAKSANAAN PIN POLIO 2016

POSYANDU /POS IMUNISASI : Tulip /Rw 12

DESA / KELURAHAN : Kalibeber
PUSKESMAS : Mojotengah
TANGGAL PELAKSANAAN : 8 Maret 2016
TAHUN : 2016

Umur
No Nama Balita Nama Ortu L/P Alamat Rt/Rw Keterangan
( Bl)
1 Marsya Ayudina 60 Sugiyono - Tari Aryanti P Kalibeber Rt..../Rw....
2 M.Putra Aditya 59 Ari Purwanto - Ika L Kalibeber Rt..../Rw....
3 Kinanti Kesya 58 Tri Yoga - Heny P Kalibeber Rt..../Rw....
4 Riky Firman 58 Sabarudin - Hartati L Kalibeber Rt..../Rw....
5 Dimas Arya 54 Mustofa - Lianawati L Kalibeber Rt..../Rw....
6 Zafi Argya 53 Safiin - Haryani L Kalibeber Rt..../Rw....
7 Aesara Nabila 53 Eka Ardhy - Siwityasari P Kalibeber Rt..../Rw....
8 M.Faza Al Farkhan 50 Nurkhotim- Emi Sri L Kalibeber Rt..../Rw....
9 Rafandra Abibasma 50 Sutrisno - Sulistyowati L Kalibeber Rt..../Rw....
10 Vira Saskia 50 Arif Mustofa- Agustira P Kalibeber Rt..../Rw....
11 M Baehaqi 49 M Faizin - Faridha L Kalibeber Rt..../Rw....
12 Khoirina Khurotun 45 Untung - Siti Insofah P Kalibeber Rt..../Rw....
13 Alika W 45 Alqoriatun P Kalibeber Rt..../Rw....
14 Alika Z 43 Eviana - Lukman P Kalibeber Rt..../Rw....
15 Zaira Ananda 40 Muk0dam - Tiana Sofi P Kalibeber Rt..../Rw....
16 Dhirandra Abkari 38 Dwi Pamilu- Sri Rejeki L Kalibeber Rt..../Rw....
17 Hasna Nabila 38 M Kristiyan-Lely P Kalibeber Rt..../Rw....
18 M Raffa Azmi 34 Muhasim- Suprapty L Kalibeber Rt..../Rw....
19 Bayu Rio 30 Eva - Rangga L Kalibeber Rt..../Rw....
20 Khoizainis Salsabilla 29 A Efendi - Zuhrotun P Kalibeber Rt..../Rw....
21 Akhmad Farish 29 Hermono - Siti Zubaidah L Kalibeber Rt..../Rw....
22 Talita Asyifatun Nada 29 Heri Heryanto- Istiqomah P Kalibeber Rt..../Rw....
23 A.Bani Nurhija 29 Bambang - Yani L Kalibeber Rt..../Rw....
24 Khalilila Kanaya 29 A Solikhin - Wiwik P Kalibeber Rt..../Rw....
25 Danish Gibran 29 Tri Yoga- Heny L Kalibeber Rt..../Rw....
26 Novval Arfa 28 Shohibul Fadil- Fatma ari L Kalibeber Rt..../Rw....
27 M Aditya Arkan 28 Fatul khasani- Kutsiyah L Kalibeber Rt..../Rw....
28 Kyandra Yafran 27 Dwi Anzas - zumaroh L Kalibeber Rt..../Rw....
29 Raykhanah Hafiza 26 M Syakir - Tini Rahayu P Kalibeber Rt..../Rw....
31 Barik 23 Rahmawati-Ridho L Kalibeber Rt..../Rw....
32 Syauqia Aqifa Fatin 22 Mustakim - Hastuti L Kalibeber Rt..../Rw....
33 Dzakira Haura 18 Susilo - Alfin P Kalibeber Rt..../Rw....
34 Mahira Hasna 17 Khamim - Siti M P Kalibeber Rt..../Rw....
35 Bilqis Talita 16 Indra - Ika P Kalibeber Rt..../Rw....
36 M Fikri Risqullah 13 Salafudin - Khasanah L Kalibeber Rt..../Rw....
30 Aurelio 12 Melisa- Wili L Kalibeber Rt..../Rw....
37 M Nabhan 11 Alfina - sabiqul L Kalibeber Rt..../Rw....
38 Rumaisha Adzikya 8 M Syakir - Tini Rahayu P Kalibeber Rt..../Rw....
39 Syakilla Aghna 7 Muji Slamet - Fikri P Kalibeber Rt..../Rw....
40 Kaila Adiba 7 Dedi - Ina Ika P Kalibeber Rt..../Rw....
41 Aufa Almeida 5 Ardi - Niken P Kalibeber Rt..../Rw....
42 Luna Rafani 4 Tomi Hasani - Hartati P Kalibeber Rt..../Rw....
43 M Fahad 2 Indri- Nurholik L Kalibeber Rt..../Rw....
JUMLAH PEMAKAIAN PELAKSANA
1. VAKSIN :
2. DROPER :

..................................
NIP:
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
Jaln Raya Kalibeber Km.03 Telp.( 0286) 5802202
MOJOTENGAH 56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU :
DESA :
BUALAN :
Nama Tgl Nama Umur Status
NO L/P BB TB Ket
Balita Lahir Ortu Bln Gizi
Usia 24 bl - 60 bl
 PEMERINTAH KABUPATEN WONOSOBO
DINAS KESEHATAN
BLUD PUSKESMAS MOJOTENGAH KECAMATAN MOJOTENGAH
JL.Raya Kalibeber.Km.03 Mojotengah.(.( 0286) 5802202 Wonosobo.56351

REGISTER BALITA PENIMBANGAN

PUSKESMAS MOJOTENGAH
POSYANDU : Nusa Indah RW 9
KELURAHAN: KALIBEBER
BULAN : MARET 2015
Umur Status
No Nama Balita Tgl Lahir Nama Ortu L/P BB TB Ket
Bln Gizi
Usia 24 - 60 bl
1 Aprilia khamilatun 11-4-2010 Sulastri - Muhtarudin 59 P
2 Alda kumala dewi 23-5-2010 Lucia - Hidayah 58 P
3 Meta widya kirana 25-3-2010 Karsinah - azis 58 P
4 M Azka Rafitama 22-6-2010 Leni marliyani- Embuh 57 L
5 Lailatin Niswa 13-6-2010 Paijem - Miskam 57 P
6 A.Zuhrul anam 12-6-2010 Zubaedah - Wahyudi 57 L
7 Maulana saputra 19-7-2010 Maryam 56 L
8 Aisy khoirunisa 29-7-2010 Nurhayati - Sugi harjono 56 P
9 Dewi kamila zaida 3-8-2010 Ani - Ridwan 55 P
10 M.Firly habibi 17-8-2010 Erna yuliani - Masruh 55 L
11 3-9-2010 Rohimatun - 54 P
12 M.Fadly septian 29-9-2010 Zakronah - ngahadi 54 L
13 Jarvis naldo lazarus 26-10-2010 Siti hapsoh- Arif 53 L
14 Zeety ayu anggraeni 10-3-2011 Laila askiyah - A Ma ruf 48 P
15 Miftahul Fauzi aga 2-3-2011 Istikomah - 48 L
16 Nafisa Minatul 9-3-2011 Tutik 48 P
17 Alvianu Ahmad Rifai 4-4-2011 Nurjanah - Supriyanto 47 L
18 M. Faza ubaidhillah 16-2-2011 Novitasari - Fathurohman 47 L
19 Akbar Riyadi 7-4-2011 Sabariyah - Muhadi 47 L
20 Farhatunnisa 17-5-2011 Pitoyowati - saparohman 46 P
21 A. Taifiqul hakim 29-5-2011 Nurlailati - Mukodas 46 L
22 M.Abqory chisan 24-6-2011 Lailatin nasibah - m yasin 45 L
23 Rasni Ashab 10-7-2011 Etik Rahayu- Kholidin 44 P
24 Dzikrotun Nur ulaya 4-7-2011 Erni - Subhan 44 P
25 Isna Hidayati Nurjanah 11-8-2011 Lucia - Hidayah 43 P
26 A.Kayyisan Ramadhani 21-8-2011 Yuhriyah - Bayu 43 L
27 Alaric Azzahidi 10-9-2011 ariani 42 L
28 Novan Oktaviano 4-10-2011 Siti mudrikah - Wildan 41 L
29 M.Arkan 7-10-2011 Siti mudrikah - Kuatno 41 L
30 Evan Fadhilah 7-11-2011 Sri suharti - Faisol 40 L
31 Raina afifah 21-11-2011 Ina - 40 P
32 Salsa miladia rahma 7-12-2011 Muslihatun - Muzahid 39 P
33 Dina Muti Sabriyani 8-1-2012 Winarti - Munir 38 P
34 Azka kafin abdillah 27-1-2012 Nuraini - Slamet 38 L
35 Liana Qutrotunnada 25-2-2012 Laili qodriyah - Mutasim 37 P
36 Malika Dina Razita Arifin 3-2-2012 Mega Dinawati - Arifin 37 P
37 Briyan Reskika 23-3-2012 Sri rejeki 36 L
38 Apreliza 26-4-2012 Nurjanah - Supriyanto 35 P
39 M.Syaiun sudrajat 30-5-2012 Chalis yuliyanti - Matkuri 34 L
40 M Nashif Mustofa kamal 6-6-2012 Musowati - Adib subakti 33 L
41 Dewi Rahmawati 15-6-2012 Paijem - Miskam 33 P
42 Nadira Izzatinnisa 6-6-2012 Afif ar ramli 33 P
43 Fahri Zafran Khoiri 14-8-2012 Mukminah - Turip 31 L
44 M. Ramadhani 8-8-2012 Siti Hapni - Santoso 31 L
45 Ali wardana amandangi 1-9-2012 Suprihati - Pujiyanto 30 L
46 Nadien Putri Imania 14-9-2012 Siti - Agus 30 P
47 Iqbal rafif shakiy 17-10-2012 Bandiyah - Khamim 29 L
48 Reinisa zhafira 17-11-2012 Erni - Abdul kholid 28 P
49 Aqila ayu wandira 22-11-2012 Anisah siam- onten rejeb 28 P
50 Athaya Aulia Izzatinnisa 17-3-2013 Eko susilo 24 P

Usia 12 - 23 bl
51 Diena El Mahmada 17-4-2013 Nurhidayati - maksum 23 P
52 M.Yudha Arifki 17-4-2013 Khusmiyatun- parlan 23 L
53 Maora Nabila Tiffani 12-5-2013 Lis meinasari 22 P
54 Karim ahmad benzeema 05-5-2013 Waginah- Slamet 22 L
55 Dzakiyya Talitha Sakhi 29-6-2013 Marlina - Mafruhin 21 P
56 Hidayatul jibran 13-6-2013 Eni hartati- mualip 21 P
57 M. Dwi Ramadhani 30-7-2013 Tri Rahayu - Muji syukur 20 L
58 Isman Taqiya 31-7-2013 Walimah- Daroji 20 L
59 Sayyida fatma agustina 28-8-2013 Rohatun- Faisol 19 P
60 Zhahira Fitria bilqis 24-8-2013 Umi amanah - Sabar 19 P
61 M.Akhdan salim 11-9-2013 Ita fauziyah - Kastari 18 L
62 Arjuka Taghfiruly 11-9-2013 Hanik arena- Nurul yahya 18 L
63 Zarif noval Arfansyah 10-10-2013 Sukasti - Lukman 17 L
64 M.Krisna Putra 06-10-2013 Wihartatik- Tri apriyanto 17 P
65 M.Nabil Fayadh 01-10-2013 Chanifah - Mafnuh 17 L
66 Fazura Bilqisma Yudha 25-10-2013 Susi handayani-Nurulhuda 17 P
67 Kinayu sabrina khansa 16-10-2013 Siti khoiriyah- sukirno 17 P
68 Hilwa Adzana fahima 04-11-2013 Sumarti- fauzan 16 P
69 M Riyadlus solikhin 16-12-2013 Khodingah - Hanif fatah 15 L
70 Qeisya Putri zakaria 06-1-2014 Kristiyowati- agus zakaria 14 P
71 A. Rendi 15-1-2014 Listyawati - puji 14 L
72 M.Ulul Azmi 14-2-2014 Somadiyah- 13 L
73 M.Jawwada mumtaza 08-2-2014 Hani - Mustangin 13 L
74 Zahrotus shofiyah 15-2-2014 Asih sikhatul -didin 13 P
75 Nadhifa alkarima 08-2-2014 Barokah -Muzaki 13 P
76 Hasna Deyana az zakiya 15-3-2014 Hajar -asnawi 12 P
Usia 6- 11 bl
77 Azahra qhoirunisa 24-4-2014 Iklim -M subhan 11 P
78 M.Nawwafal ibah 29-4-2014 Umul barokah- nurofik 11 L
79 Dila Larasati 24-5-2014 Giyati - Ngahadun 10 P
80 Fausta azarina 12-6-2014 Fina sukriya- ibnu sakban 9 P
81 Rausyan syaiful mahdi 31-7-2014 Siti munawaroh- azis 8 L
82 A.fahri khusaini 17-8-2014 Subur ibah- majid 7 L
83 Aida qolbi nadhifa 22-8-2014 Umi kholifatur -alwi 7 P
84 Agustin sabila 13-8-2014 Umu -Miftah 7 P
85 M.Yazeed alfatih 15-8-2014 Ulin nuha-Mega 7 L
86 Basyasya humaida 03-9-2014 Nurhidayati - maksum 6 P
87 M Qorin Algifari 28-9-2014 Eni - Tantowi 6 L
Usia 0- 5 bl
88 Ahimsa 19-10-2014 Ngadah - Risyadi 5 L
89 Nasya maulidah 13-1-2015 Novitasari - Fathurohman 3 P
90 Air nakhla 16-1-2015 Desy - aryo 3 L
91 15-1-2015 Yuli -Ayek 3 L
92 Dinda Aulia 18-1-2015 Riyati - Mufron 3 P