Lampiran 3
FORMULIR PEMANTAUAN PERTUMBUHAN BALITA DI POSYANDU
Berat Kepemilik
an Buku IMD 1=YA,
No Anak Tanggal Lahir Jenis No Kartu Keluarga NIK (Nomor Induk Nama Anak Badan KIA/KMS 2=Tidak Nama Ayah NIK Ayah No Tlp/ HP
Ke Kelamin Kependudukan) (BB) 1=YA, Ayah
Lahir
2=Tidak
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1 2 6/5/2016 p 180609100511002 1 180609460516000 1 refva meiyanti 3500 1 1 muhamad nasir 180609121087000 2
2 2 4/26/2018 l 180609090511011 7 180609260418000 1 alvaro Nijam 3000 1 1 jummin 180609260418000 1
3 2 28-06-2016 l 180609260712001 0 180609280616000 1 muhamad usup 2800 1 1 rodi 180609251189000 2
4 3 21-10-2016 l 180609260412000 7 180609211016000 2 fahrizal ramli 2400 1 1 syaihuzen 180609201181000 1
5 2 3/5/2019 l 180609171721000 2 180609050319000 1 M. Maulana 3400 1 1 Makruf 180609201189000 1
6 2 20-06-2018 l 180609190913000 8 180609200618000 2 abiyan ahza 3100 1 1 badrun 180609060780000 8
7 5 12/4/2016 p 180609020408477 4 180609520416000 1 rizqia farida 2300 1 1 agus 180609050775000 3
8 1 30-12-2017 p 180609060917000 2 180609701217000 1 kanaya olivia 2500 1 1 irsanuri 180609070682000 1
9 1 18-09-2018 p 180609101018000 4 180609580918000 1 elsa alma hanifa 2900 1 1 fahri huzaini 180609230596000 3
10 3 21-03-2018 p 180609150113000 4 180609610318000 1 marlina 2900 1 1 alian 180609230780000 1
11 2 16-10-2014 p 180609050312000 5 180609561014000 1 asifa herliana 2900 1 1 hery junaedi 180609080683000 1
12 4 9/4/2018 p 180609260712000 4 180609490418000 1 alisa alfakia 3300 1 1 suparman 180609150478000 2
13 2 15/8/2018 L - - Alif Maulana 3500 1 1 Mustofa -
14 4 2/5/2019 l 180609150719000 2 180609050219000 2 Akmal 2800 1 1 Suprani 180609050885OOO3
15 2 14-06-2018 p 180609290311000 7 180609540618000 1 siti khodizah 3500 1 1 rosid 180609301285000 1
16 1 5/21/2019 P 180609071010000 1 - Kaida mailina 2700 1 1 M. Karya 180609031170000 1
17 1 7/7/2016 L 180609200717000 2 180609170716000 1 A.baedowi 4000 1 1 Suherman 180609050691000 6
18 5 5/11/2019 L 180609030610000 6 180609110519000 2 Hasby Ashari 2500 1 1 Suhardi 180609281275000 2
19 2 2/11/2019 P 180609120718000 1 180624100714000 2 Hanifa 3600 1 1 Herman 180624270181000 1
20 1 25-01-2016 P 180609131114000 3 180609650116000 1 bilqis nur anisa 3600 1 1 samsul huda 180609150683000 2
21 2 29-06-2018 p 180609131114000 3 180609690618000 1 regita suci anjani 3000 1 1 samsul huda 180609150683000 2
22 2 4/3/2019 l 180609230713000 4 180609020419000 1 aji permana 2600 1 1 Nasraf 180609301184000 1
23 1 14/5/2019 l 180609030519000 1 180609140519000 1 Rivandra 2700 1 1 Misdiansah 180609121093000 3
24 1 18/6/2019 l 330918041018001 1 330918480619000 1 Jihan Ataya 2800 1 1 Doni. V 330918190493000 1
25 1 27-03-2015 p 180609090415000 3 180609670315000 1 siti nurhayati 3000 1 1 sutrisno 180609010785010 5
26 3 21-11-2018 L - - M. Ahda zaelani 3500 1 1 Hudori 180609200687OOO4
27 4 8/6/2018 P 180609060917000 1 180609480618000 1 Rumsi Ramadina 2600 1 1 Sanusi 180615070777000 7
28 1 7/3/2016 p 180609030816000 3 180609470316000 1 salsa nudrika 2800 1 1 nasduki 180609270295000 1
29 4 18/01/2016 l 180609921121100 1 180609180116000 1 Fikri 3500 1 1 Komarudin 180609210373000 2
30 2 24/6/2015 p 180609051214000 1 180609640615000 1 Putri Asda 3300 1 1 Damanhuri 180609060281000 1
31 4 2/3/2018 p 180609051011000 5 180609420318000 2 Marwa 3000 1 1 Tasrif 180609060763000 9
32 1 8/30/2017 p 180609060917000 3 180609700817000 1 Azzahra Yumna 2800 1 1 Abu Sidiq 180609120489000 3
33 5 4/4/2016 p 180609120511019 5 180609440416000 1 ratu anika rahmah 3000 1 1 muh. Najib 180609070665000 4
34 3 2/9/2017 l 180609120511021 4 180609020917000 1 farhan annizam 3200 1 1 buldani 180609010779006 2
35 2 16-05-2017 l 180609260712000 6 180609160517000 1 ahmad firdansyah 4100 1 1 mudafid 180609230888000 2
36 1 10/12/2015 p 180609190917000 4 180609501215000 1 jariyah 2800 1 1 jahri 180609151093000 6
37 3 8/4/2018 L - - Arya. S 4000 1 1 Nur Salam -
38 2 16-06-19 P 180609190219000 1 180609650619000 1 Salsabila Afida 2800 1 1 Zahmil Qudoni 140905290891000 1
39 2 8/5/2019 l 180609120216000 2 180609300519000 1 Firza. R 2800 1 1 Muhfian 18062423088700 0
40 2 27-02-2019 p 180609190716000 1 180609670219000 1 zainati sari 2500 1 1 naskori apta 180609101086000 2
41 3 27-02-2019 p 180609190716000 1 180609670219000 2 zainata rahma 2500 1 1 naskori apta 180609101086000 2
42 1 9/1/2016 P 180609190716000 1 180609490116000 1 Rosa Nada Awalia 2600 1 1 naskori apta 180609101086000 2
43 1 6/1/2109 P - - Lediyana 2700 1 1 Afrizal 180609120482OOO2
44 2 1/14/2016 P 180609540116OOO1 Khalifa 2400 1 1 Tartusi 180609080984OOO5
45 3 3/30/2019 L - - Husni Rozak 2500 1 1 Tartusi 180609080984OOO5
46 1 5/16/2017 P 180609230701001 5 180609560517000 1 Melta Sari 2700 1 1 Basarudin 180609210972000 1
47 4 5/16/2017 P 180609230701001 5 - Selfi 3800 1 1 Basarudin 180609210972000 1
48 1 3/12/2019 P - - Fana Realita 2900 1 1 Ah. Tazani 180609271279OOO2
49 2 12/12/2108 P 180609110810000 2 180609521218000 1 Tehani Desa Anisa 3300 1 1 Paizolli 180609050774000 2
50 3 6/6/2018 L 180609270513000 3 180609060618000 1 Raihan 3000 1 1 Mutazir 180609061190000 1
51 2 5/29/2018 P 180609140212000 4 180609690518000 1 Hikmah 3100 1 1 Nursidik 180609100282000 4
52 2 8/12/2019 L 180609030816000 2 180609120819000 1 Kapadi Fais 2800 1 1 Soleh 180609010292000 3
53 4 2/12/2019 p 180609031209000 1 180609520219000 1 miska qornelia 3600 1 1 kusairi 180609250975000 1
54 3 2/24/2019 P 180609230712001 3 180609650219000 1 Laura indriyani 2800 1 1 Solihin 180609140587000 2
55 1 12/12/2017 L 180609140318000 1 180609121217000 2 Rafasya 3400 1 1 Chandra 180624310387000 1
56 2 11/4/2017 l 180609260816000 1 180609110417000 2 muhamad defta maulana 3000 1 1 irwansyah 180627010686000 3
57 2 23-09-2017 P 180609111010000 7 180609630917000 1 viriya septiyani 3200 1 1 joni heriyanto 180609180986000 4
58 1 17-04-2016 l 180609161216000 2 180609170416000 1 deny kurniawan 3300 1 1 mukholil 180609190792000 1
59 1 7/12/2019 P - - Aqila Salma Nafisa 2800 1 1 Suryanto 181003150694OOO1
60 6 10/2/2018 L 181004020910009 1 - Azam Nur kholik 3400 1 1 Sanusi 181004080767OOO2
61 4 29-01-2017 p 180609291210000 2 180609690117000 2 nur aini salwa 3000 1 1 m. ikhwanudin 180609100675000 2
62 1 5/6/2019 p 180609151118000 1 180609460518000 1 Ahazna Nur Azsilla 3100 1 1 Roni 180601100692000 8
63 1 18-07-2015 p 180624090915000 3 180624580715000 2 alisha khoira wilda 2500 1 1 andreas priantoro 180624291091000 2
64 3 3/28/2016 P 180609290710001 9 180609680316000 1 Safrina 3500 1 1 Tas'ad 180609010178000 1
65 2 27-06-2018 p 180609100713000 2 180609670618000 1 luqyana halwa 2900 1 1 roza irsani 180609020882000 3
66 3 10/15/2014 l 180609161211000 2 180609151014000 1 Alvino 2600 1 1 Haryanto 180609240279000 1
67 3 17-11-2018 l 180609050411000 4 180609171118000 1 muhammad zahran rafiq 3500 1 1 suparno 180609130780000 3
68 1 11/6/2018 L 180609101018000 4 180609580918000 1 Riyandi 2400 1 1 Sahrudin 180624071289000 1
69 1 7/10/2014 L 180609120718000 1 180624100714000 2 M. Yusuf Lutfan 3700 1 1 Herman 180624270181000 1
70 1 7/10/2014 L 180609120718000 1 180624100714000 2 Fajar. S 3700 1 1 M. Fathul 180624270181000 1
71 1 7/10/2014 L 180609120718000 1 180624100714000 2 Reza. A 3700 1 1 M. Yadi 180624270181000 1
72 2 1/8/2017 l 180609160712001 5 180609010817OOO1 Agus. M 3000 1 1 Aplah 180609010673OOO2
73 2 1/8/2017 l 180609160712001 5 180609281216OOO1 M. Azlan. F 3000 1 1 Mursalin 180609020984OOO2
74 1 2/1/2019 p 180609280818000 1 180609420119000 2 Ainan 3800 1 1 Ahya 180609090690000 2
75 1 1/5/2019 l 180609040915000 2 180609010519000 2 Azlan 3600 1 1 Imron 180609020591000 4
76 3 25/2/2019 p 180609230712001 3 180609650219000 1 Laura. I 2500 1 1 solihin 180609140387000 2
77 3 2/1/2016 l 180609271112000 6 180609020116000 1 muhamad asraffi 3400 1 1 saiyful 180609120684000 6
79 1 11/2/2015 l 180609050515000 1 180609110215000 1 muhammad fajri assidiqi 2900 1 1 naning 180624080983000 1
80 1 30-10-2014 p 180609190913000 8 180609701014000 1 naisyabila 3100 1 1 badrun 180609060780000 8
81 2 7/6/2016 P - 180609460716OOO1 Nurbaeti 2000 1 1 Pulung Hidayat 180904100281OOO3
82 3 5/21/2015 L - 180609210515OOO1 Nurdiansyah.P 3100 1 1 Jumadi 180609140372OOO1
83 4 23/8/2014 L 180609141111000 3 180609230814000 3 M. Reza 3000 1 1 Samudi 180609220971000 1
84 3 1/2/2016 L - 180609020116OOO1 M. Asraffi 3000 1 1 Saiful 180609120684OOO6
85 2 11/27/2014 L 180609100511011 0 180609671114OOO1 Anisatul. M 2900 1 1 Rafiudin 180609070270OOO3
86 2 9/21/2016 P 1800609120712000 5 180609610916OOO3 Raina. A 3000 1 1 Sambas 180609170582OOO2
87 1 10/6/2016 l 180609250417000 3 180609100616000 1 aji jumroni 3500 1 1 aliyani 180611250290000 4
88 4 8/4/2015 p 180609200612000 1 180609480415000 2 kanaya patmasari 3500 1 1 nanang 180609011176000 2
89 2 2/5/2016 L - 180609050216OOO1 Arkan.A.W 3100 1 1 Murtaji, S.Pd 180609110675OOO1
90 2 3/19/2016 P - 180609690316OOO1 Fauzia. R 2900 1 1 Roin 180609140585OOO2
91 1 11/25/2015 L - 180609251115OOO1 Farhan Abadan 2800 1 1 Saepudin 180609250792OOO5
92 1 5/4/2016 P - 180609440516OOO1 Noviya. S 3000 1 1 Nasrul Hakim 180609200792OOO1
93 1 6/12/2015 L - 180609120615OOO2 Farid. A 2800 1 1 A. Nuddin 180609270788OOO3
94 3 1/29/2016 P - 180609690116OOO1 Tri. H 2900 1 1 Sarino 180609301272OOO1
95 4 3/2/2017 L - 180609020317OOO1 M. Zulfikar 2700 1 1 Ishaq 180609270373OOO1
96 3 3/6/2015 L - 180609060315OOO1 Rizki.H.D 3100 1 1 Aceng 180609050286OOO5
97 3 3/11/2019 P 180609110511033 6 180609510319000 1 Maida Tiri 3500 1 1 Hosen 180609180790000 2
98 2 12/12/2018 P 180609050774000 2 180609521218000 1 Tihani Desi 3400 1 1 paizoli 180609050774000 2
99 1 4/5/2018 P 180609060318000 1 180609440518000 1 Aliqa 3100 1 1 Erwin 180108270784000 6
100 1 24/6/2019 P 180609110619000 2 180609640619000 1 Salwa Wafiatul Humaira 2700 1 1 Sahrul Wafi 180609030889000 2
101 2 5/1/2019 l - 180609010519000 2 A. Hidayat 3600 1 1 Imron 180609020591000 4
102 3 26-02-2018 l 180609020118000 1 180609260218000 1 febrian saputra 3500 1 1 lestiono 180609260218000 1
103 2 1/11/2019 L 180624090915000 3 180609110119OOO1 Helmi alfaruq 3000 1 1 andreas priantoro 180624291091000 2
104 2 8/1/2017 L - 180609010817OOO2 Usmanda Alifa 3000 1 1 Husen 180609260181OOO2
105 3 12/21/2015 L - 180609211215OOO1 Rizaldi Multazam 2800 1 1 Hayatul Ilmi 180609170869OOO4
106 4 1/22/2016 L - 180609220116OOO1 Zahri Alyanda 3100 1 1 Hendri Sopian 180609300976OOO1
107 1 8/23/2016 P - 180609630816OOO1 Silvia Agustina 3200 1 1 Misni 180609111089OOO3
108 1 4/24/2015 L - 180609240415OOO2 Irwan Hadi 2900 1 1 Soleh 180609010292OOO3
109 1 4/15/2017 L - 180609150417OOO1 M. Abdul Gopur 3200 1 1 Satra'i 180609170290OOO1
110 6 3/15/2015 P - 180609550315OOO1 Juna Zurni.H 3000 1 1 Zukhropa 180609010778OOO3
111 1 2/18/2016 P - 180609580216OOO1 Alifa Zuhrina.F 2900 1 1 Zuhri 180609300671OOO9
112 3 11/21/2014 P 180609061109000 5 180609421114OOO1 Arumni Azalea 3000 1 1 husnut tamam 180609191080000 1
113 4 9/26/2018 L 180609061109000 5 180609260918000 1 M.bazil Faiz 3100 1 1 husnut tamam 180609191080000 1
114 2 10/22/2016 L 180609030512000 3 180609221016OOO1 Adly Fairuz 3000 1 1 Danika Putra 180609080883OOO5
115 3 10/24/2015 L - 180609241015OOO1 Yarham.P 3000 1 1 Khoirozi 180609181277OOO1
116 3 4/3/2016 P - 180609430416OOO1 Adiba Shakila.O 2900 1 1 Taufik Hidayatulloh 180609020983OOO1
117 1 12/6/2016 P 180609060117000 3 180609461216OOO1 Salsa Maulida 2800 1 1 Herwansyah 180609180277OOO2
118 3 9/23/2015 P - 180609230915OOO1 Saprillah. K 3100 1 1 H.Sairozi 180609120943OOO2
119 2 5/30/2017 L - 180609300517OOO2 Azril Kurnia.R 3000 1 1 Khoirul Maulana 180609170787OOO6
120 3 11/16/2016 P - 180609561116OOO1 Rahma. S 3200 1 1 Hammad Paqih 180609070880OOO3
121 3 7/18/2017 P - 180609580717OOO1 Saira. K 2900 1 1 Ari Patriansyah 180609261279OOO1
122 4 3/14/2015 P - 180609540315OOO1 Alvia. S 3000 1 1 Sa'id 180609180673OOO1
123 5 10/25/2017 L - 180609251017OOO1 Zibran. A 2800 1 1 Sa'id 180609180673OOO1
124 2 9/16/2015 P - 180609560915OOO1 Tugana Hilda.A 2700 1 1 Hermansyah 180609180379OOO6
125 2 3/19/2016 L - 180609190316OOO1 Aliful Khoir 3000 1 1 Ibnu Rozin 180609190882OOO2
126 2 5/3/2017 L - 180609030517OOO2 Azzam Elfatih 2900 1 1 Ahmad Ridho Sajila 180609220185OOO1
127 4 10/14/2015 P - 180609140115OOO1 Ma'mun Annah Rawi 3100 1 1 Ahmad Husen 180609241170OOO1
128 2 8/22/2015 L - 180609220815OOO1 Khoiril. P 3200 1 1 Min Kholik 18060901O782OO52
129 2 7/16/2016 P - 180609560716OOO1 Azkadina Ghania 2900 1 1 Tafta Zana 180609081077OOO3
130 3 12/31/2016 L - 180609311216OOO1 Arkan.Z.Y 2700 1 1 Misjaya Rohman 180609100673OOO2
131 2 1/22/2016 P - 180609620116OOO1 Salsadila.H 3000 1 1 Daman Huri 180609041283OOO3
132 3 8/30/2016 L - 180609300816OOO1 Iqtidar.V 3200 1 1 Sakroni 327507270175OOO8
133 2 5/1/2017 L - 180609010517OOO1 Faizan.A 2900 1 1 Riswanda 180609051283OOO1
134 4 6/27/2016 P - 180609670616OOO2 Leni. J.E 2800 1 1 Nurmala 180609030570OOO3
135 3 10/22/2016 L 180609030512000 3 180609420218000 1 Fatimah 3000 1 1 Danika Putra 180609080883OOO5
136 2 2/7/2018 P 180609221013000 3 180609470218000 1 Keisa Anindita 3100 1 1 A. Hudaini 180609040481000 3
137 1 9/23/2017 L 180609020408460 7 - Arsya Rafsi. H 2700 1 1 Husnul Lana 180609200986000 1
Panjang Cara Ukur Vitamin A Vitamin A
Badan/
Alamat Usia Tgl BB (kg) Tinggi 1=Telenta ASI EksklusifF1=YA, 2=Tidak Februari Agustus
Pengukuran Badan ng 1=YA 1=YA
2=Berdiri 2=Tidak 2=Tidak
(cm)
(14) (15) (17) (18) (19) (20) (21) (22) (23) (24) (25) (26) (27) (28)
way bangik 42 bln 12/11/2019 13 kg 92 cm 2 1 1 1 1 1
semberangan 17 bln 4/11/2019 9,3 kg 75 cm 2 1 1 1 1 1
way bangik 41 bln 12/11/2019 13,6 kg 91 cm 2 1 1 1 1 1
way bangik 37 bln 12/11/2019 13,3 kg 91 cm 1 1 1 1 1 1
suka makmur 8 bln 4/11/2019 7,6 kg 73 cm 2 1 1 1 1 1
way bangik 17 bln 12/11/2019 9,7 kg 76 cm 2 1 1 1 1 1
way bangik 43 bln 12/11/2019 13 kg 94 kg 2 1 1 1 1 1
way bangik 23 bln 12/11/2019 10,9 bln 82 cm 2 1 1 1 1 1
way bangik 14 bln 12/11/2019 8,1 kg 79 cm 2 1 1 1 1 1
way bangik 20 bln 12/11/2019 8,4 kg 71 cm 2 1 1 1 1 1
way bangik 60 bln 12/11/2019 15 kg 100 cm 2 1 1 1 1 1
way bangik 19 bln 12/11/2019 11 kg 80 cm 2 1 1 1 1 1
way bangik 39 bln 12/11/2019 11,2 kg 79 cm 2 1 1 1 1 1
way bangik 9 bln 12/11/2019 6,4 kg 66 cm 1 1 1 1 1
suka makmur 17 bln 4/11/2019 10,5 kg 77 cm 1 1 1 1
Penyandingan 6 bln 4/11/2019 8,3 kg 63 cm 1 1
way bangik 40 bln 12/11/2019 13,5 kg 92 cm 1 1 1 1 1 1 1
way bangik 6 bln 12/11/2019 8,3 kg 66 cm 1 1 1 1 1
way bangik 9 bln 12/11/2019 6,8 kg 66 cm 2
suka makmur 47 bln 4/11/2019 12,6 kg 90 cm 2 1 1 1 1
suka makmur 16 ln 4/11/2019 8,7 kg 76 cm 2 1 1 1 1
suka makmur 7 bln 4/11/2019 8,2 kg 69 cm 1 1 1 1 2 2
Pekondoh 5 bln 4/11/2019 6,7 kg 62 cm 1 1 1 1 1 2
Pekondoh 5 bln 4/11/2019 6,2 kg 63 cm 2
suka makmur 54 bln 4/11/2019 15,3 kg 104 cm 1 1 1 1
way bangik 12 bln 12/11/2019 9,5 kg 64 cm
way bangik 17 bln 12/11/2019 7,5 kg 69 cm 2 1 1 1 1 2 1
suka makmur 42 bln 4/11/2019 14 kg 97 cm 2 1 1 1 1 2 1
Pekondoh 46 bln 4/11/2019 14,7 kg 96 cm 2 1 1 1 1 2
Pekondoh 52 bln 4/11/2019 13,5 kg 98 cm 2 1 1 1 1 2
Tanjung Agung 19 bln 4/11/2019 9,4 kg 77 cm 2 1 1 1 1 2
Tanjung Agung 25 bln 4/11/2019 10 kg 2 1 1 1 1 2
semberangan 54 bln 4/11/2019 12 kg 93 cm 1 1 1 1 2
way bangik 23 bln 12/11/2019 12 kg 82 cm 2 1 1 1 1 1
way bangik 30 bln 12/11/2019 14 kg 90 cm 2 1 1 1 1 1
way bangik 48 bln 12/11/2019 12 kg 87 cm 2 1 1 1 1 1
way bangik 15 bln 12/11/2019 9,1 kg 74 cm 2 1 1 1 1
Pekondoh 4,5 bln 4/11/2019 5,1 kg 56 cm 1 1 1 1 1 1
Pekondoh 5 bln 4/11/2019 6 kg 62 cm 1 1 1 1 1 2
pekon doh 8 bln 4/11/2019 6,9 kg 63 cm 2 1 1 1 1
pekon doh 8 bln 4/11/2019 6,6 kg 64 cm 2 1 1 1 1
Pekondoh 45 bln 4/11/2019 12,4 kg 84 cm 2 1 1 1 1
Pekondoh 5 bln 4/11/2019 4 kg 56 cm 1 1 1 1 1
Tanjung Makmur 45 bln 4/11/2019 10 kg 85 cm 2 1 1 1 1
Tanjung Makmur 8,8 ln 4/11/2019 7,2 kg 67 cm 2 1 1 1 1
Tanjung Makmur 29 bln 4/11/2019 10,6 kg 85 cm 2 1 1 1 1
Tanjung Makmur 29 bln 4/11/2019 10,6 kg 79 cm 2 1 1 1 1
Tanjung Makmur 8 bln 4/11/2019 7,6 kg 69 cm 1 1 1 1 1
Penyandingan 10 bln 4/11/2019 8 kg 76 cm 2 1 1 1 1
Tanjung Makmur 16 bln 4/11/2019 9,1 kg 82 cm 2 1 1 1 1
Pekondoh 18 bln 4/11/2019 7,2 kg 68 cm 2 1 1 1 1
suka makmur 3 bln 4/11/2019 6 kg 63 cm 1 1 1 1 1
semberangan 8,5 bln 4/11/2019 7 kg 69 cm 1 1 1 1 1 2
suka makmur 9 bln 4/11/2019 7,7 kg 65 cm 1 1 1 1 1
way bangik 23 bln 12/11/2019 13 kg 82 cm 2 1 1 1 1
way bangik 31 bln 12/11/2019 10,7 kg 85 cm 2 1 1 1 1 1
way bangik 26 bln 12/11/2019 9.4 kg 88 cm 2 1 1 1 1 1
way bangik 43 bln 12/11/2019 13,8 kg 101 cm 2 1 1 1 1 1
way bangik 4 bln 12/11/2019 5,7 kg 54 cm 1 1 1 1 1 1
way bangik 21 bln 12/11/2019 10,8 kg 77 cm 2 1 1 1 1 1 1
way bangik 33 bln 12/11/2019 10,9 kg 84 cm 2 1 1 1 1 1
way bangik 18 bln 12/11/2019 11,5 kg 80 cm 2 1 1 1 1 1
way bangik 51 bln 10/10/2019 11,4 kg 92 cm 2 1 1 1 1 2 1
Tanjung Agung 40 bln 8/6/2019 12 kg 91 cm 2 1 1 1 1 1 1
pasar lama 14 bln 8/6/2019 8,8 kg 71 cm 2 1 1 1 1 1 1
way bangik 57 bln 7/17/2019 1 1 1 1
pekon doh 9 bln 8/6/2019 7,5kg 70 cm 1 1 1 1 1
way bangik 8 bln 7/17/2019 8 kg 66 cm 1 1 1 1 1 1 1
way bangik 59 bln 7/17/2019 16,9 kg 104 cm
way bangik 59 bln 7/17/2019 16,9 kg 104 cm
way bangik 59 bln 7/17/2019 16,9 kg 104 cm
Pekondoh 32 bln 6/8/2019 12 kg 90 cm 2
Pekondoh 2,9 bln 6/8/2019 13 kg 80 cm 2
Pekondoh 7 bln 6/8/2019 9 kg 67 cm 2
Pekondoh 5 bln 6/8/2019 6,4 kg 66 cm 2
Pekondoh 6 bln 6/8/2019 8,1 kg 67 cm 2
way bangik 44 bln 10/10/2019 15,8 kg 98 cm 2 1 1 1 1 2 1
way bangik 53 bln 10/10/2019 17 kg 97 cm 2 1 1 1 1 2 1
way bangik 11/5/2019 2 1 1 1 1 1
way bangik 11/5/2019 2 1 1 1 1 1
way bangik 11/5/2019 2 1 1 1 1 1
way bangik 60 bln 10/10/2019 17 kg 106 cm 1 1 1 1 1 1 1
way bangik 11/5/2019 2 1 1 1 1 1
way bangik 11/5/2019 2 1 1 1 1 1
way bangik 11/5/2019 2 1 1 1 1 1
way bangik 35 bln 6/15/2019 15 kg 2 1 1 1 1 1
way bangik 51 bln 7/17/2019 12,5 kg 97 cm 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Tanjung Agung 7 bln 4/9/2019 7,6 kg 63 cm 2 1 1 1 1 1
Tanjung Agung 10 bln 10/5/2019 8,2 kg 72 cm 2 1 1 1 1 1
Pekondoh 1,5 bln 4/9/2019 8,3 kg 76 cm 1 1 1 1 1 2
Pekondoh 4 bln 10/5/2019 5,3 kg 62 cm 1 1 1 1 2 2
Tanjung Agung 2 bln 7/4/2019 6,9 kg 62 cm 2 1 1 1 1 1
way bangik 11/5/2019 2 1 1 1 1 1
way bangik 5 bln 6/15/2019 7,5 kg 55 cm 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
semberangan 60 bln 11/5/2019 2 1 1 1 1 1
semberangan 14 bln 11/5/2019
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
Pekondoh 11/5/2019 2 1 1 1 1 1
No Tanggal Lahir NIK (Nomor Induk Nama Anak Nama Ayah
Kependudukan)