DATA SASARAN IBU HAMIL

Provinsi : ACEH
Kabupaten/Kota : ACEH TIMUR
Puskesmas : IDI RAYEUK

NIK (Nomor Induk TANGGAL TANGGAL BB TB LILA Kehamilan TTD (Tablet Jika YA, brp butitr
No Kependudukan) atau NAMA IBU BB sebelum hamil ALAMAT RT RW LAHIR PENGUKURAN (Kg) (cm) (cm) ke Tambah Darah) TTD Didapat
No. KTP 1=Ya, 2=Tidak

1 1103034107830120 LINDA WATI 48 SNB. TUTONG 1/7/1983 1/19/2017 55 150 24 3

1 90

2 1103037112910012 NURJAMILAH 45 SNB. TUTONG 12/31/1991 1/19/2017 50 150 24 3

1 90

3 1103036606800001 RATNA DEWI 44 SNB. TUTONG 6/26/1980 1/19/2017 52 150 24 4

1 60

4 1103036305880008 SAFITRIANI 78 SNB. TUTONG 23/05/1988 3/17/2017 82 160 26 2

1 60

5 1103035006890003 DATUL FIKAR 48 SNB. TUTONG 6/10/1989 4/20/2017 54 160 24 1

1 30
 DATA SASARAN BALITA

Provinsi : ACEH
Kabupaten/Kota : ACEH TIMUR
Puskesmas : IDI RAYEUK

Vitamin A Vitamin A
NIK (Nomor Induk TANGGAL JENIS Berat Badan No Tlp/Hp Orang Tanggal BB TB Cara Ukur ASI Eksklusif IMD Februari Agustus Ada Buku
NO Kependudukan) ANAK KE NAMA ANAK LAHIR KELAMIN Lahir (Kg) Nama Ayah NIK Ayah Tua ALAMAT RT RW Pengukuran (kg) (cm) 1=Telentang 1=YA, 2=Tidak 1=YA, 1=YA, 1=YA, KIA 1=YA,
2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak

1 1103035604120003 2 PUJA D 4/3/2012 P 3000 gr SURYADI 1103032009760003 085261310341 SNB Tutong 2/17/2017 17,1 97 2 2 2 1 1 2

2 1103030107120002 8 AFTAHUL R 7/1/2012 L 3100 gr ARMIA 1103030307690001 085210475958 SNB Tutong 2/17/2017 15,2 97,5 2 2 2 1 1 2

3 1103030810120001 2 RAJUL U 9/3/2012 L 3200 gr ADNAN 1103030712830003 085277145827 SNB Tutong 2/17/2017 15,7 97,1 2 2 2 1 1 2

4 1103035110120001 2 ANISAH P 9/11/2012 P 2800 gr SAYUDDIN 1103030110850000 SNB Tutong 2/17/2017 11 96,5 2 2 2 1 1 2

5 1103036110120002 1 AZKIATUN 10/21/2012 P 3300 gr SYUKRI 1103031101870002 085275031151 SNB Tutong 2/17/2017 13 96 2 2 2 1 1 2

6 1103031212120000 6 M. ABRAL 10/23/2012 L 3400 gr ISMAIL MUSA 1103031203690001 082267975527 SNB Tutong 2/17/2017 13,7 97 2 2 2 1 1 2

7 1103031201130001 6 M. SANIF 1/13/2013 L 3000 gr MARJAN 1103030107680088 085297898182 SNB Tutong 2/17/2017 15 97 2 2 2 1 1 2

8 1103031201130001 2 SOFAL L 1/16/2013 P 3100 gr BUSRI 1103032107840001 085297878288 SNB Tutong 2/17/2017 14,1 96 2 2 2 1 1 2

9 1103030303130005 1 M. IKBAL 3/3/2013 L 3300 gr HAMDANI 1103210107890019 SNB Tutong 2/17/2017 14 96,5 2 2 2 1 1 2

10 1103037003130005 3 ASKILA 3/30/2013 P 3500 gr JUNAIDI 1103031501800002 081360042939 SNB Tutong 2/17/2017 12 95,5 2 2 2 1 1 2

11 1103033006130001 1 M. ALIF 6/30/2013 L 2700 gr SAMSUL BAHRI 1103031404830005 082363680448 SNB Tutong 2/17/2017 10,2 96 2 2 2 1 1 2

12 1103031008130004 3 M. RAIHAN 8/10/2013 L 3100 gr TARMIZI THAIB 1103031112720003 SNB Tutong 2/17/2017 14 96 2 2 2 1 1 2

13 1103032009130001 3 M. RIZKI 9/20/2013 L 3300 gr RAMLI 1103031205750005 085262651521 SNB Tutong 2/17/2017 13,3 96,2 2 2 2 1 1 2

14 1103032311130002 2 M. FAUZI 10/27/2013 L 3000 gr MUKLIS 1103030107870139 SNB Tutong 2/17/2017 11 94,1 2 2 2 1 1 2

15 1103034511130003 1 AURA I 11/5/2013 P 2700 gr ABDUL WAHAB 1103030107610068 081260672691 SNB Tutong 2/17/2017 11,1 93 2 2 2 1 1 2

16 1103030706140003 3 RAFA A 6/7/2014 L 3500 gr FAIRUL 1106203010860001 085373589152 SNB Tutong 2/17/2017 13,7 91,3 2 2 2 1 1 2

17 110303036140002 2 SAIDIL A 6/3/2014 L 3000 gr SULAIMAN 1103031803800004 SNB Tutong 2/17/2017 13,2 92 2 2 2 1 1 2

18 1103034609140003 5 ASYIFA T 9/22/2014 P 3200 gr NASRUL 1103031007710003 082277026438 SNB Tutong 2/17/2017 11 85 2 2 2 1 1 2

19 1103034501150003 1 MAULIDIA 1/5/2015 P 3000 gr AFWAN BAHRI 085270900885 SNB Tutong 2/17/2017 9 81 2 2 2 1 1 2

20 1103032401150002 3 M. NIZAM 1/24/2015 L 3300 gr RUSLI 1103031007750004 085227476690 SNB Tutong 2/17/2017 9 81,5 2 2 2 1 1 2

21 1103031802150003 1 HABIBUR 2/18/2015 L 3200 gr FAISAL 1103210310900001 085358097932 SNB Tutong 2/17/2017 12 82 2 2 2 1 1 2

22 1103030505150003 2 M. RASYA 5/5/2015 L 2900 gr ABDUL SAMAD 1103031011880003 SNB Tutong 2/17/2017 8.1 81,7 2 2 2 1 1 2
23 1103030907150001 9 RISKI M 7/9/2015 L 3000 gr ARMIA 1103030307690001 085210475958 SNB Tutong 2/17/2017 9 80 2 2 2 1 1 2

24 1174020907150001 1 SULTHAN 7/9/2015 L 3800 gr RAMLI 1103020202820002 081260487118 SNB Tutong 2/17/2017 9.5 80,1 2 1 2 1 1 1

25 1103032108150003 1 FATAN A 8/21/2015 L 3000 gr FADLI 1103140107840021 085373857778 SNB Tutong 2/17/2017 8.7 80 2 1 2 1 1 2

26 1103030112150003 3 SAIDUL A 12/1/2015 L 3000 gr SURYADI 1103032009760003 085261310341 SNB Tutong 2/17/2017 8.7 80 2 2 2 1 1 2

27 1103032312150001 2 M. KARNI 12/23/2015 L 2800 gr SANUSI 1103030608820004 SNB Tutong 2/17/2017 9 78,2 2 2 2 1 1 2

28 1103031305160001 4 M. GIBRAN 5/13/2016 L 3200 gr FAIRUL 1106203010860001 085373589152 SNB Tutong 2/17/2017 6.1 70 2 1 1 1 2 1

29 10 M. SHOKI 7/12/2016 L 3000 gr ARMIA 1103030307690001 085210475958 SNB Tutong 2/17/2017 6 72,3 2 2 2 1 2 1

30 2 NOVA SOFIA 8/1/2016 P 3300 gr SYUKRI 1103031101870002 085275031151 SNB Tutong 2/17/2017 7.1 72 2 1 2 1 2 1

31 1103030802160002 4 M. ZIKRI 8/2/2016 L 2900 gr SYAMSUDDIN 1103030206670001 082369968938 SNB Tutong 2/17/2017 7 72 2 2 1 1 2 1

32 1103031609160001 1 M. HAFID 9/16/2016 L 3000 gr MAHYIDDIN 1103030406800004 082383283442 SNB Tutong 2/17/2017 5.2 70 1 2 2 2 2 1

33 1103036209160001 1 ANNATUN 9/22/2016 P 3300 gr YUSNI 1103080704780003 085222435321 SNB Tutong 2/17/2017 6.1 70 1 2 1 2 2 1

34 110303600117002 3 LUTIFA I 1/20/2017 P 3200 gr MUSTAFA 1103030206750001 085370187143 SNB Tutong 2/17/2017 3.4 50 1 2 1 2 2 1

35 1103031502170002 1 M. IQBAL 2/15/2017 L 2900 gr ISKANDAR 1205141604800005 082353109169 SNB Tutong 2/17/2017 2.9 48 1 2 1 2 2 1