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Kecamatan : ANTAPANI
Kelurahan : ANTAPANI TENGAH
Puskemas : GRIYA ANTAPANI

Jml Balita Yg Ada Tanggal Penimbangan


No Nama Posyandu No
L P (bln/tgl/th)
1 Dahlia Sari 34 22 6-Feb-2020 16
16
2 Mutiara Sari 25 23 20-Feb-2020 17
17
3 Plamboyan 24 22 4-Feb-2020 18
18
4 Pelitasari 26 17 13-Feb-2020 19
19
5 Mekarsari 19 21 17-Feb-2020 20
20
6 Anggrek Sari 18 24 10-Feb-2020 21
21
7 Mulyasari 27 25 5-Feb-2020 22
22
8 Sehati 53 49 11-Feb-2020 23
23
9 Mekarsari 38 37 11-Feb-2020 24
24
10
10 Melati 21 12 19-Feb-2020 25
25
11
11 Supril 17 21 17-Feb-2020 26
26
12
12 Mawar 15 13 18-Feb-2020 27
27
13
13 Bugenvile 16 28 17-Feb-2020 28
28
14
14 Edelwise 10 11 18-Feb-2020 29
29
15
15 Cempaka 17 15 20-Feb-2020 30
30

Petugas Puskemas : Debi Putri Meilani, Amd.Gz


NIP : 19940505 201903 2 012
Di Susun Oleh :
Tian, Puri & Ids

Bulan : Februari MENU LAPORAN

Tahun : 2020
Isi Areal Putih dan klik Angka Untuk Pindah Ke Daftar Isian.
Klik Logo TPI (Sudut Kiri Atas) Bila Telah Selesai
Jml Balita Yg Ada Tanggal Penimbangan
Nama Posyandu
L P (bln/tgl/th)
Anggrek 22 23 12-Feb-2020
Harapan Bunda 10 14 7-Feb-2020
Flamboyan 9 18 18-Feb-2020
Mekarsari 21 21 6-Feb-2020
Aster 30 22 19-Feb-2020
Melati 21 17 12-Feb-2020
Tunas Sari 50 57 13-Feb-2020
Simpai Sari I 40 55 3-Feb-2020
Simpai Sari II 23 22 3-Feb-2020
Matahari 31 20 3-Feb-2020
Dandelion 34 20 5-Feb-2020
MENU LAPORAN TPI
STATUS GIZI (BB/U) LAKI-LAKI STATUS GIZI (BB/U) PE

STATUS GIZI (TB/U) LAKI-LAKI STATUS GIZI (TB/U) PE

STATUS GIZI (BB/TB) LAKI-LAKI STATUS GIZI (BB/TB) P

REKAPITULASI LAPORAN STATUS GIZI


TPI SELESAI

ATUS GIZI (BB/U) PEREMPUAN

ATUS GIZI (TB/U) PEREMPUAN

TUS GIZI (BB/TB) PEREMPUAN

STATUS GIZI
KEMBALI
LAPORAN BULAN PENIMBA
BULAN Februari
KOTA BANDUNG - J

1. Kecamatan : ANTAPANI
2. Puskesmas: GRIYA ANTAPANI
JU
BB SANGAT KURANG BB K
Jml Balita 0-6 6-11 12-23 24-35 36-59 0-6
Jml Balita
No KELURAHAN yang Di
yang Ada

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
timbang

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
ANTAPANI TENGAH 651 651 0 0 0 0 0 0 0 1 0 0 0 2
629 628 0 0 0 0 0 1 0 2 0 0 0 2

JU
KURUS SEKALI KU
Jml Balita 0-6 6-11 12-23 24-35 36-59 0-6
Jml Balita
No KELURAHAN yang Di
yang Ada
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
timbang
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

ANTAPANI TENGAH 651 651 0 0 0 0 0 0 0 0 0 0 0 0


629 628 0 0 0 0 0 1 0 0 0 0 0 0

J
SANGAT PENDEK PE
Jml Balita 0-6 6-11 12-23 24-35 36-59 0-6
Jml Balita
No KELURAHAN yang Di
yang Ada
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

timbang
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

ANTAPANI TENGAH 651 651 0 0 0 0 0 3 0 2 0 2 0 0


629 628 0 0 0 0 0 5 0 3 1 2 0 1

JUMLAH VITAMIN KAPSUL KAPSUL


A MERAH BIRU
SISA YANG LALU
YANG DITERIMA
JUML TOTAL VIT A 0 0
JUML VIT A DIPAKAI
SISA YANG ADA 0 0
N BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
OTA BANDUNG - JAWA BARAT

Dilaporkan ke DKK
JUMLAH ANAK MENURUT STATUS GIZI (BB/U)
BB KURANG BB NORMAL
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
0 5 0 9 1 7 0 13 0 36 0 65 0 139 3 117 7 220
0 0 0 9 0 9 4 15 0 39 0 69 0 103 3 119 6 220

JUMLAH ANAK MENURUT STATUS GIZI (BB/TB)


KURUS NORMAL
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
0 1 0 1 0 0 0 1 0 38 0 67 0 143 4 119 7 223
0 0 0 0 0 1 0 0 0 39 0 70 0 110 3 128 10 232

JUMLAH ANAK MENURUT STATUS GIZI (TB/U)


PENDEK NORMAL
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
0 1 0 13 0 12 0 5 0 34 0 67 0 130 4 110 7 232
0 4 0 8 0 8 3 12 0 41 0 61 0 99 4 118 6 225

Petugas Puskesmas
Debi Putri Meilani, Amd.Gz
NIP. 19940505 201903 2 012
FIII A/BPB/KEC/BDG/2012

Dilaporkan ke DKK

BB LEBIH VIT A
0-6 6-11 12-23 24-35 36-59
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

MERAH

BIRU
Gakin

Gakin

Gakin

Gakin

Gakin

35 36 37 38 39 40 41 42 43 44 45 46
0 3 0 2 0 5 0 6 0 10 72 538 651
0 3 0 5 0 6 1 3 0 8 74 509 627
0

GEMUK
0-6 6-11 12-23 24-35 36-59
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

35 36 37 38 39 40 41 42 43 44
0 3 0 4 0 9 0 12 0 19
0 5 0 4 0 8 1 4 0 11

TINGGI
0-6 6-11 12-23 24-35 36-59
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

35 36 37 38 39 40 41 42 43 44
0 7 0 4 0 7 0 7 0 4
0 2 0 9 0 7 0 4 0 4

s Puskesmas
utri Meilani, Amd.Gz
19940505 201903 2 012
FORMULIR PELAPORAN
KEMBALI HASIL BULAN PENIMBANGAN BALITA (BPB)
KELURAHAN ANTAPANI TENGAH BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

1. Kecamatan : ANTAPANI FII A - L/BPB


2. Puskesmas : GRIYA ANTAPANI

JUMLAH ANAK LAKI-LAKI MENURUT STATUS GIZI (BB/U)


Jml BB SANGAT KURANG BB KURANG BB NORMAL BB LEBIH
Jml 0-5 6-11 12-23 24-35 36-59 0-5 6-11 12-23 24-35 36-59 0-5 6-11 12-23 24-35 36-59 0-5 6-11
Balita
Balita
No NAMA POSYANDU yang Di

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
yang
timbang
Ada L
L

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
1 2 3 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 Dahlia Sari 34 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 3 0 1 0 5 0 7 0 13 0 0 0 0
2 Mutiara Sari 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 2 0 6 0 4 0 9 0 0 0 0
3 Plamboyan 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 3 0 5 0 2 0 9 0 0 0 0
4 Pelitasari 26 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 7 0 6 0 8 0 0 0 0
5 Mekarsari 19 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 4 0 8 0 0 0 1
6 Anggrek Sari 18 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 2 0 11 0 0 0 0
7 Mulyasari 27 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 5 0 6 0 9 0 0 0 0
8 Sehati 53 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 5 0 6 0 12 0 7 0 18 0 2 0 0
9 Mekarsari 38 38 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 0 0 0 4 0 1 0 5 0 10 0 5 0 9 0 0 0 0
10 Melati 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 9 0 5 0 3 0 0 0 0
11 Supril 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 5 0 4 0 6 0 0 0 0
12 Mawar 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 0 5 0 5 0 0 0 0
13 Bugenvile 16 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 5 0 3 0 6 0 0 0 0
14 Edelwise 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 6 0 0 0 0
15 Cempaka 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 0 2 0 3 0 3 0 5 0 0 0 0
16 Anggrek 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 5 0 3 0 3 0 10 0 0 0 0
17 Harapan Bunda 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 1 0 4 0 0 0 0
18 Flamboyan 9 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 1 0 2 0 3 0 0 0 0
19 Mekarsari 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 3 0 1 0 7 0 2 0 6 0 0 0 0
20 Aster 30 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 4 0 2 0 9 0 11 0 0 0 0
21 Melati 21 21 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 3 0 5 0 3 0 6 0 0 0 0
22 Tunas Sari 50 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 8 0 12 0 7 0 18 0 0 0 0
23 Simpai Sari I 40 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 0 4 0 4 0 4 3 7 7 6 0 1 0 0
JUMLAH ANAK LAKI-LAKI MENURUT STATUS GIZI (BB/U)
Jml BB SANGAT KURANG BB KURANG BB NORMAL BB LEBIH
Jml 0-5 6-11 12-23 24-35 36-59 0-5 6-11 12-23 24-35 36-59 0-5 6-11 12-23 24-35 36-59 0-5 6-11
Balita
Balita
No NAMA POSYANDU yang Di

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
yang
timbang
Ada L
L

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
1 2 3 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
24 Simpai Sari II 23 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 0 5 0 12 0 0 0 0
25 Matahari 31 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0 6 0 7 0 10 0 0 0 0
26 Dandelion 34 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 3 0 13 0 7 0 9 0 0 0 1
27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 651 651 0 0 0 0 0 0 0 1 0 0 0 2 0 5 0 9 1 7 0 13 0 36 0 65 0 139 3 117 7 220 0 3 0 2

Petugas Puskesmas

Debi Putri Meilani, Amd.Gz


NIP. 19940505 201903 2 012
FII A - L/BPB/KEL/BDG/2012

BB LEBIH VIT A
12-23 24-35 36-59
Non Gakin

Non Gakin

Non Gakin

MERAH
BIRU
Gakin

Gakin

Gakin

39 40 41 42 43 44 45 46
0 0 0 1 0 3 1 30
0 0 0 0 0 1 3 21
0 0 0 0 0 1 3 18
0 0 0 1 0 0 2 23
0 1 0 0 0 0 1 18
0 0 0 0 0 2 0 17
0 0 0 1 0 1 4 22
0 0 0 0 0 0 6 40
0 0 0 0 0 0 5 31
0 2 0 0 0 0 0 21
0 0 0 0 0 0 1 15
0 0 0 0 0 0 2 13
0 0 0 0 0 0 0 14
0 0 0 0 0 0 2 8
0 0 0 0 0 0 3 12
0 0 0 0 0 0 5 16
0 0 0 0 0 1 3 7
0 0 0 0 0 0 2 6
0 0 0 0 0 0 1 17
0 0 0 0 0 0 4 26
0 0 0 0 0 1 4 15
0 1 0 0 0 0 8 40
0 0 0 0 0 0 4 31
BB LEBIH VIT A
12-23 24-35 36-59
Non Gakin

Non Gakin

Non Gakin

MERAH
BIRU
Gakin

Gakin

Gakin

39 40 41 42 43 44 45 46
0 0 0 2 0 0 0 22
0 1 0 1 0 0 4 25
0 0 0 0 0 0 4 30
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 5 0 6 0 10 72 538

2 012
FORMULIR PELAPORA
KEMBALI HASIL BULAN PENIMBANGAN BA
KELURAHAN ANTAPANI TENGAH BULAN
KOTA BANDUNG - JAWA B

1. Kecamatan : ANTAPANI
2. Puskesmas : GRIYA ANTAPANI

JUMLAH ANAK L
Jml Jml KURUS SEKALI KURU
Balita Balita 0-6 6-11 12-23 24-35 36-59 0-6 6-11
No NAMA POSYANDU yang yang Di

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Ada timbang
L L

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Dahlia Sari 34 34 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mutiara Sari 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Plamboyan 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Pelitasari 26 26 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mekarsari 19 19 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Anggrek Sari 18 18 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Mulyasari 27 27 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Sehati 53 53 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Mekarsari 38 38 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Melati 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Supril 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Mawar 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Bugenvile 16 16 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Edelwise 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cempaka 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Anggrek 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Harapan Bunda 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Flamboyan 9 9 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Mekarsari 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Aster 30 30 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Melati 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Tunas Sari 50 50 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Simpai Sari I 40 40 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Simpai Sari II 23 23 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Matahari 31 31 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Dandelion 34 34 0 0 0 0 0 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 651 651 0 0 0 0 0 0 0 0 0 0 0 0 0
ORMULIR PELAPORAN
AN PENIMBANGAN BALITA (BPB)
ANI TENGAH BULAN Februari TAHUN 2020
BANDUNG - JAWA BARAT

FII B - L/BPB/KEL/BDG

JUMLAH ANAK LAKI-LAKI MENURUT STATUS GIZI (BB/TB)


KURUS NORMAL GEMUK
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59 0-6 6-11 12-23
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0 0 0 0 0 3 0 1 0 5 0 7 0 12 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 3 0 7 0 4 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 3 0 4 0 2 0 10 0 2 0 0 0 1
0 0 0 0 0 0 0 0 1 0 1 0 7 0 6 0 9 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 6 0 0 0 1 0 2
0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 11 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 4 0 5 0 7 0 9 0 0 0 0 0 0
0 0 0 0 0 0 0 0 6 0 6 0 12 0 9 0 18 0 1 0 0 0 1
0 0 0 0 0 0 1 0 2 0 4 0 12 0 6 0 12 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 10 0 5 0 4 0 0 0 0 0 2
0 0 0 0 0 0 0 0 1 0 1 0 5 0 4 0 6 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 2 0 3 0 5 0 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 0 0 4 0 3 0 6 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 2 0 1 0 1 0 6 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 3 0 3 0 2 0 6 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 5 0 3 0 2 0 10 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 3 0 1 0 1 0 4 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 2 0 1 0 2 0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 3 0 1 0 8 0 3 0 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 4 0 2 0 9 0 14 0 0 0 0 0 0
1 0 0 0 0 0 0 0 2 0 3 0 5 0 3 0 5 0 0 0 0 0 0
0 0 1 0 0 0 0 0 2 0 8 0 12 0 7 0 19 0 0 0 0 0 1
0 0 0 0 0 0 0 0 5 0 4 0 6 4 8 7 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 0 0 2 0 5 0 12 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 4 0 7 0 7 0 9 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 3 0 12 0 7 0 10 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 1 0 0 0 1 0 38 0 67 0 143 4 119 7 223 0 3 0 4 0 9

Petugas Puskesmas

Debi Putri Meilani, Amd.Gz


JUMLAH ANAK LAKI-LAKI MENURUT STATUS GIZI (BB/TB)
KURUS NORMAL GEMUK
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59 0-6 6-11 12-23
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
NIP. 19940505 201903 2 012
FII B - L/BPB/KEL/BDG/2012

GEMUK
24-35 36-59
Non Gakin

Non Gakin
Gakin

Gakin

41 42 43 44
0 2 0 4
0 0 0 2
0 0 0 1
0 1 0 0
0 0 0 2
0 2 0 2
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 1 0 0
0 1 0 0
0 0 0 1
0 0 0 1
0 0 0 1
0 1 0 0
0 0 0 2
0 0 0 0
0 0 0 1
0 3 0 0
0 1 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 12 0 19
FORMULIR PELAPORA
KEMBALI HASIL BULAN PENIMBANGAN BA
KELURAHAN ANTAPANI TENGAH BULAN
KOTA BANDUNG - JAWA B

1. Kecamatan : ANTAPANI
2. Puskesmas : GRIYA ANTAPANI

JUMLAH ANAK L
Jml Jml SANGAT PENDEK PEND
Balita Balita 0-6 6-11 12-23 24-35 36-59 0-6 6-11
No NAMA POSYANDU yang yang Di

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Ada timbang
L L

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Dahlia Sari 34 34 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mutiara Sari 25 25 0 0 0 0 0 1 0 0 0 1 0 0 0
3 Plamboyan 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Pelitasari 26 26 0 0 0 0 0 1 0 0 0 0 0 0 0
5 Mekarsari 19 19 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Anggrek Sari 18 18 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Mulyasari 27 27 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Sehati 53 53 0 0 0 0 0 1 0 0 0 0 0 0 0
9 Mekarsari 38 38 0 0 0 0 0 0 0 1 0 1 0 0 0
10 Melati 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Supril 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Mawar 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Bugenvile 16 16 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Edelwise 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cempaka 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Anggrek 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Harapan Bunda 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Flamboyan 9 9 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Mekarsari 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Aster 30 30 0 0 0 0 0 0 0 1 0 0 0 0 0
21 Melati 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Tunas Sari 50 50 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Simpai Sari I 40 40 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Simpai Sari II 23 23 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Matahari 31 31 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Dandelion 34 34 0 0 0 0 0 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 651 651 0 0 0 0 0 3 0 2 0 2 0 0 0
ORMULIR PELAPORAN
AN PENIMBANGAN BALITA (BPB)
ANI TENGAH BULAN Februari TAHUN 2020
BANDUNG - JAWA BARAT

FII C - L/BPB/KEL/BDG

JUMLAH ANAK LAKI-LAKI MENURUT STATUS GIZI (TB/U)


PENDEK NORMAL TINGGI
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59 0-6 6-11 12-23
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

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Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0 1 0 0 0 3 0 1 0 5 0 8 0 16 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 3 0 6 0 4 0 9 0 0 0 0 0 0
0 0 1 0 0 0 0 0 3 0 3 0 2 0 1 0 10 0 0 0 0 0 2
0 0 0 0 0 0 1 0 1 0 2 0 6 0 7 0 8 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 6 0 3 0 8 0 0 0 1 0 0
0 0 0 0 0 0 0 0 1 0 0 0 2 0 2 0 13 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 4 0 5 0 6 0 9 0 0 0 0 0 0
1 0 4 0 1 0 1 0 6 0 5 0 8 0 8 0 17 0 1 0 0 0 0
0 0 2 0 1 0 0 0 2 0 5 0 10 0 4 0 12 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 11 0 5 0 4 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 4 0 4 0 6 0 0 0 0 0 1
0 0 0 0 2 0 0 0 0 0 2 0 3 0 3 0 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 0 0 4 0 3 0 5 0 0 0 0 0 1
0 0 1 0 0 0 0 0 0 0 2 0 0 0 1 0 6 0 0 0 0 0 0
0 0 0 0 1 0 0 0 2 0 3 0 3 0 2 0 6 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 5 0 3 0 3 0 10 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 3 0 1 0 0 0 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 2 0 1 0 2 0 3 0 0 0 0 0 0
0 0 2 0 2 0 0 0 2 0 1 0 6 0 1 0 6 0 1 0 0 0 0
0 0 0 0 1 0 2 0 0 0 4 0 2 0 8 0 12 0 0 0 0 0 0
0 0 1 0 1 0 0 0 2 0 4 0 4 0 2 0 7 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 5 0 14 0 7 0 19 0 2 0 3 0 0
0 0 1 0 0 0 0 0 2 0 4 0 5 4 8 7 6 0 3 0 0 0 0
0 0 0 0 0 0 0 0 1 0 0 0 2 0 8 0 12 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 4 0 4 0 5 0 9 0 0 0 0 0 3
0 0 0 0 0 0 1 0 0 0 4 0 13 0 5 0 9 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 13 0 12 0 5 0 34 0 67 0 130 4 110 7 232 0 7 0 4 0 7

Petugas Puskesmas

Debi Putri Meilani, Amd.Gz


JUMLAH ANAK LAKI-LAKI MENURUT STATUS GIZI (TB/U)
PENDEK NORMAL TINGGI
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59 0-6 6-11 12-23
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
NIP. 19940505 201903 2 012
FII C - L/BPB/KEL/BDG/2012

TINGGI
24-35 36-59
Non Gakin

Non Gakin
Gakin

Gakin

41 42 43 44
0 0 0 0
0 0 0 0
0 1 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 1 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 3 0 1
0 2 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 7 0 4
FORMULIR PELAPORAN
KEMBALI HASIL BULAN PENIMBANGAN BALITA
KELURAHAN ANTAPANI TENGAH BULAN Febr
KOTA BANDUNG - JAWA BARA

1. Kecamatan : ANTAPANI
2. Puskesmas : GRIYA ANTAPANI

JUMLAH ANAK PEREM


Jml BB SANGAT KURANG BB KURANG
Jml Balita 0-6 6-11 12-23 24-35 36-59 0-6 6-11
Balita yang
No NAMA POSYANDU

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
yang Di
Ada P timban

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
g P

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Dahlia Sari 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mutiara Sari 23 23 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Plamboyan 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Pelitasari 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mekarsari 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Anggrek Sari 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Mulyasari 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Sehati 49 49 0 0 0 0 0 0 0 1 0 0 0 0 0
9 Mekarsari 37 37 0 0 0 0 0 0 0 0 0 0 0 1 0
10 Melati 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Supril 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Mawar 13 13 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Bugenvile 28 28 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Edelwise 11 11 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cempaka 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Anggrek 23 23 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Harapan Bunda 14 14 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Flamboyan 18 18 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Mekarsari 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Aster 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Melati 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Tunas Sari 57 57 0 0 0 0 0 1 0 0 0 0 0 0 0
23 Simpai Sari I 55 55 0 0 0 0 0 0 0 1 0 0 0 1 0
24 Simpai Sari II 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Matahari 20 20 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Dandelion 20 19 0 0 0 0 0 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 629 628 0 0 0 0 0 1 0 2 0 0 0 2 0
ORMULIR PELAPORAN
AN PENIMBANGAN BALITA (BPB)
ANI TENGAH BULAN Februari TAHUN 2020
A BANDUNG - JAWA BARAT

FII A - P/BPB/KEL/BDG/201

JUMLAH ANAK PEREMPUAN MENURUT STATUS GIZI (BB/U)


BB KURANG BB NORMAL BB LEBIH
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59 0-6 6-11 12-23
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

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Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0 0 0 0 0 3 0 3 0 2 0 3 0 9 0 0 0 0 0 1
0 0 1 0 0 0 0 0 1 0 3 0 2 0 5 0 8 0 0 0 1 0 0
0 0 1 0 0 0 2 0 2 0 2 0 1 0 4 0 9 0 1 0 0 0 0
0 0 0 0 0 0 0 0 2 0 1 0 3 0 3 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 3 0 1 0 4 0 3 0 7 0 0 0 3 0 0
0 0 0 0 0 0 1 0 1 0 2 0 4 0 5 0 9 0 0 0 0 0 2
0 0 2 0 1 0 0 0 3 0 2 0 3 0 6 0 8 0 0 0 0 0 0
0 0 0 0 1 0 4 0 3 0 7 0 4 0 10 0 19 0 0 0 0 0 0
0 0 1 0 0 0 1 0 3 0 4 0 9 0 4 0 13 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 2 0 7 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 1 0 6 0 8 0 4 0 0 0 0 0 0
0 0 0 0 0 0 1 0 2 0 0 0 1 0 2 0 6 0 0 0 0 0 0
0 0 0 0 1 0 1 0 2 0 4 0 2 0 7 0 11 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 2 0 5 0 0 0 0 0 0 0 1
0 0 0 0 0 0 1 0 0 0 0 0 0 0 5 0 8 0 0 0 0 0 0
0 0 0 0 1 0 1 0 1 0 2 0 5 0 2 0 8 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 3 0 3 0 3 0 5 0 0 0 0 0 0
0 0 0 0 0 0 1 0 4 0 2 0 1 0 4 0 6 0 0 0 0 0 0
0 0 1 0 1 0 1 0 0 0 5 0 5 0 2 0 6 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 6 0 5 0 2 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 4 0 3 0 8 0 0 0 0 0 0
0 0 0 0 1 0 0 0 1 0 6 0 15 0 11 0 22 0 0 0 0 0 0
0 0 0 0 2 4 0 0 3 0 8 0 11 3 6 6 7 0 2 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 3 0 5 0 11 0 0 0 0 0 1
0 0 3 0 1 0 1 0 1 0 2 0 3 0 1 0 7 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 3 0 3 0 3 0 10 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 0 9 4 15 0 39 0 69 0 103 3 119 6 220 0 3 0 5 0 6

Petugas Puskesmas

Debi Putri Meilani, Amd.Gz


JUMLAH ANAK PEREMPUAN MENURUT STATUS GIZI (BB/U)
BB KURANG BB NORMAL BB LEBIH
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59 0-6 6-11 12-23
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
NIP. 19940505 201903 2 012
FII A - P/BPB/KEL/BDG/2012

BB LEBIH VIT A
24-35 36-59
Non Gakin

Non Gakin

MERAH

BIRU
Gakin

Gakin

41 42 43 44 45 46
0 0 0 1 3 16
0 2 0 0 4 18
0 0 0 0 2 17
0 0 0 0 1 14
0 0 0 0 4 14
0 0 0 0 2 21
0 0 0 0 2 20
0 0 0 0 7 39
0 0 0 1 4 29
0 0 0 0 0 12
0 0 0 0 1 18
0 0 0 1 0 11
0 0 0 0 4 22
0 0 0 1 1 9
0 0 0 1 0 15
0 1 0 1 2 20
0 0 0 0 3 11
0 0 0 0 2 12
0 0 0 0 5 16
0 0 0 1 6 16
0 0 0 0 1 15
0 0 0 0 6 50
1 0 0 0 8 41
0 0 0 1 0 21
0 0 0 0 3 16
0 0 0 0 3 16
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 3 0 8 74 509
FORMULIR PELAPORA
KEMBALI HASIL BULAN PENIMBANGAN BA
KELURAHAN ANTAPANI TENGAH BULAN
KOTA BANDUNG - JAWA B

1. Kecamatan : ANTAPANI
2. Puskesmas : GRIYA ANTAPANI

JUMLAH ANAK PE
Jml Jml KURUS SEKALI KURU
Balita Balita 0-6 6-11 12-23 24-35 36-59 0-6 6-11
No NAMA POSYANDU yang yang Di

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Ada timbang
P P

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Dahlia Sari 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mutiara Sari 23 23 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Plamboyan 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Pelitasari 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mekarsari 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Anggrek Sari 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Mulyasari 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Sehati 49 49 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Mekarsari 37 37 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Melati 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Supril 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Mawar 13 13 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Bugenvile 28 28 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Edelwise 11 11 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cempaka 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Anggrek 23 23 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Harapan Bunda 14 14 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Flamboyan 18 18 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Mekarsari 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Aster 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Melati 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Tunas Sari 57 57 0 0 0 0 0 1 0 0 0 0 0 0 0
23 Simpai Sari I 55 55 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Simpai Sari II 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Matahari 20 20 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Dandelion 20 19 0 0 0 0 0 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 629 628 0 0 0 0 0 1 0 0 0 0 0 0 0
ORMULIR PELAPORAN
AN PENIMBANGAN BALITA (BPB)
ANI TENGAH BULAN Februari TAHUN 2020
BANDUNG - JAWA BARAT

FII B - P/BPB/KEL/BDG

JUMLAH ANAK PEREMPUAN MENURUT STATUS GIZI (BB/TB)


KURUS NORMAL GEMUK
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59 0-6 6-11 12-23
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0 0 0 0 0 2 0 2 0 1 0 3 0 9 0 1 0 1 0 2
0 0 0 0 0 0 0 0 1 0 4 0 3 0 6 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 2 0 2 0 4 0 10 0 1 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 3 0 3 0 8 0 1 0 0 0 0
0 0 0 0 0 0 0 0 2 0 4 0 4 0 3 0 7 0 1 0 0 0 0
0 0 0 0 0 0 0 0 1 0 2 0 5 0 5 0 10 0 0 0 0 0 1
0 0 0 0 0 0 0 0 3 0 2 0 5 0 7 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 3 0 6 0 4 0 12 0 23 0 0 0 1 0 0
0 0 0 0 0 0 0 0 4 0 3 0 9 0 4 0 14 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 2 0 7 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 5 0 8 0 3 0 1 0 0 0 1
0 0 0 0 0 0 0 0 2 0 0 0 1 0 2 0 7 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 4 0 2 0 7 0 11 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 2 0 5 0 1 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 9 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 2 0 5 0 3 0 9 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 3 0 3 0 3 0 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 4 0 2 0 1 0 4 0 7 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 5 0 6 0 3 0 7 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 6 0 5 0 2 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 3 0 3 0 7 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1 0 6 0 15 0 11 0 22 0 0 0 0 0 0
0 0 0 0 1 0 0 0 6 0 7 0 11 3 8 10 7 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 4 0 5 0 11 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 3 0 6 0 2 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 3 0 3 0 3 0 10 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 39 0 70 0 110 3 128 10 232 0 5 0 4 0 8

Petugas Puskesmas

Debi Putri Meilani, Amd.Gz


JUMLAH ANAK PEREMPUAN MENURUT STATUS GIZI (BB/TB)
KURUS NORMAL GEMUK
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59 0-6 6-11 12-23
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
NIP. 19940505 201903 2 012
FII B - P/BPB/KEL/BDG/2012

GEMUK
24-35 36-59
Non Gakin

Non Gakin
Gakin

Gakin

41 42 43 44
0 0 0 1
0 1 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 1
0 0 0 1
0 1 0 1
0 0 0 0
0 0 0 1
0 1 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 1
0 0 0 1
0 1 0 0
1 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 4 0 11
FORMULIR PELAPORA
KEMBALI HASIL BULAN PENIMBANGAN BA
KELURAHAN ANTAPANI TENGAH BULAN
KOTA BANDUNG - JAWA B

1. Kecamatan : ANTAPANI
2. Puskesmas : GRIYA ANTAPANI

JUMLAH ANAK PE
Jml SANGAT PENDEK PEND
Jml 0-6 6-11 12-23 24-35 36-59 0-6 6-11
Balita
Balita
No NAMA POSYANDU yang Di

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
yang
timbang
Ada P
P

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Dahlia Sari 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mutiara Sari 23 23 0 0 0 0 0 0 0 0 0 0 0 1 0
3 Plamboyan 22 22 0 0 0 0 0 1 0 0 0 0 0 0 0
4 Pelitasari 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mekarsari 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Anggrek Sari 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Mulyasari 25 25 0 0 0 0 0 1 0 0 0 0 0 0 0
8 Sehati 49 49 0 0 0 0 0 0 0 0 0 1 0 0 0
9 Mekarsari 37 37 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Melati 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Supril 21 21 0 0 0 0 0 1 0 1 0 0 0 0 0
12 Mawar 13 13 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Bugenvile 28 28 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Edelwise 11 11 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cempaka 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Anggrek 23 23 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Harapan Bunda 14 14 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Flamboyan 18 18 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Mekarsari 21 21 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Aster 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Melati 17 17 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Tunas Sari 57 57 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Simpai Sari I 55 55 0 0 0 0 0 0 0 2 1 1 0 0 0
24 Simpai Sari II 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Matahari 20 20 0 0 0 0 0 2 0 0 0 0 0 0 0
26 Dandelion 20 19 0 0 0 0 0 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 629 628 0 0 0 0 0 5 0 3 1 2 0 1 0
ORMULIR PELAPORAN
AN PENIMBANGAN BALITA (BPB)
ANI TENGAH BULAN Februari TAHUN 2020
BANDUNG - JAWA BARAT

FII C - P/BPB/KEL/BDG

JUMLAH ANAK PEREMPUAN MENURUT STATUS GIZI (TB/U)


PENDEK NORMAL TINGGI
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59 0-6 6-11 12-23
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0 0 0 1 0 3 0 3 0 3 0 3 0 9 0 0 0 0 0 0
0 0 1 0 1 0 1 0 0 0 3 0 2 0 5 0 7 0 0 0 1 0 0
0 0 1 0 0 0 0 0 3 0 2 0 0 0 4 0 11 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 1 0 3 0 3 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 3 0 1 0 4 0 3 0 7 0 0 0 3 0 0
0 0 0 0 0 0 0 0 1 0 2 0 5 0 5 0 10 0 0 0 0 0 1
0 0 0 0 0 0 0 0 3 0 2 0 4 0 6 0 8 0 0 0 0 0 0
1 0 0 0 2 0 1 0 3 0 6 0 4 0 10 0 21 0 0 0 0 0 0
1 0 1 0 0 0 2 0 4 0 3 0 8 0 4 0 13 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 2 0 7 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 1 0 5 0 7 0 3 0 0 0 0 0 0
0 0 0 0 0 0 1 0 2 0 0 0 1 0 2 0 7 0 0 0 0 0 0
1 0 0 0 1 0 0 0 2 0 3 0 2 0 7 0 12 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 3 0 4 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 10 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 2 0 5 0 4 0 9 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 3 0 3 0 3 0 5 0 0 0 0 0 0
0 0 0 0 0 0 1 0 4 0 2 0 0 0 4 0 6 0 0 0 0 0 1
1 0 1 0 0 0 2 0 0 0 4 0 5 0 3 0 5 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0 6 0 5 0 2 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 4 0 3 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 3 0 15 0 12 0 22 0 0 0 3 0 1
0 0 3 0 3 3 2 0 4 0 7 0 8 4 3 6 4 0 2 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 3 0 5 0 12 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1 0 2 0 3 0 2 0 7 0 0 0 1 0 1
0 0 1 0 1 0 0 0 0 0 3 0 2 0 2 0 10 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 8 0 8 3 12 0 41 0 61 0 99 4 118 6 225 0 2 0 9 0 7

Petugas Puskesmas

Debi Putri Meilani, Amd.Gz


JUMLAH ANAK PEREMPUAN MENURUT STATUS GIZI (TB/U)
PENDEK NORMAL TINGGI
6-11 12-23 24-35 36-59 0-6 6-11 12-23 24-35 36-59 0-6 6-11 12-23
Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin

Non Gakin
Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin

Gakin
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
NIP. 19940505 201903 2 012
FII C - P/BPB/KEL/BDG/2012

TINGGI
24-35 36-59
Non Gakin

Non Gakin
Gakin

Gakin

41 42 43 44
0 0 0 0
0 1 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 1 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 1 0 1
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 1 0 0
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 4 0 4
FORMULIR PENCATATAN BULAN PE
KEMBALI BULAN Februari TA
KOTA BANDUNG - JA
1 Kecamatan ANTAPANI
2 Kelurahan ANTAPANI TENGAH
3 Puskesmas GRIYA ANTAPANI
4 Nama Posyandu Dahlia Sari
5 Jml Balita yang ada 56 Balita 34 Laki-Laki 22 Perempuan
6 Jml Balita ditimbang56 Balita 34 Laki-laki 22 Perempuan
7 Tgl Penimbangan 6-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Adreena Kinan Awan/Suli 01/01 Non Gakin P 04-Dec-16 15
2 Dylan Johan/ Vera 01/01 Non Gakin L 30-Apr-15 23.4
3 Faiq Fauzil Lukman/Risa 01/01 Non Gakin L 30-Jun-17 13
4 Kenzi Javas Agus/Susanti 01/01 Non Gakin L 25-Dec-17 15.8
5 Satrio Oong/ Mila 01/01 Non Gakin L 19-Aug-16 15.1
6 Aisya Davina Avieanto/ Dewi 02/01 Non Gakin P 30-Jan-16 15.2
7 Tabhita Johannes/ Zandra 02/01 Non Gakin P 04-May-15 18.1
8 Gilardino Gilang/Nyanyu 02/01 Non Gakin L 24-Oct-16 17.4
9 Faeza Yulianto/ Ranita 02/01 Non Gakin L 30-Nov-17 12
10 Aimar Avieanto/ Dewi 02/01 Non Gakin L 17-Feb-18 9.9
11 Fudhail Piza/ Diah 02/01 Non Gakin L 14-Feb-18 12.4
12 viola Angga/Linda 02/01 Non Gakin L 13-Jun-19 8
13 Aiyra Avieanto/ Dewi 02/01 Non Gakin P 08-Nov-19 6
14 Amberly Rizky/bella 02/01 Non Gakin P 23-Oct-18 11.6
15 Alunan Indra/ Wilda 03/01 Non Gakin P 23-Sep-16 20.8
16 Aluna Wistianto/ Ratih 03/01 Non Gakin P 22-Feb-16 13.6
17 Herdian Rayyan Herdian/ Kiki 03/01 Non Gakin L 24-Oct-15 13.8
18 Azri Alamsyah Saryanto/ Susi 03/01 Non Gakin L 19-Jun-17 16.7
19 Kalula Indra/ Sherly 03/01 Non Gakin P 22-Sep-17 11.9
20 Fathan Herdian/ Kiki 03/01 Non Gakin L 08-Oct-17 11.5
21 Khadija Yudi/ Anisa 03/01 Non Gakin P 31-May-18 14.3
22 Danish Yavuz Galih/ Citra 03/01 Non Gakin L 06-Dec-18 10.7
23 Falisha Erie/mella 03/01 Non Gakin P 31-Jul-19 7.3
24 Ameera Syaima/yoga 03/01 Non Gakin P 06-Jan-20 3.8
25 Muh Fawaz taif Achmad/ Dyah 03/01 Non Gakin L 26-Jan-20 4.1
26 Azlizan Dadan/ Ellen 04/01 Non Gakin L 29-Sep-16 15.1
27 Adla Rayyanka Dadan/Elen 04/01 Non Gakin L 29-Oct-19 6.6
28 Arman Faiz Rega/Eva 04/01 Non Gakin L 30-Sep-16 17.5
29 Rayyan Edy/Nurul 04/01 Non Gakin L 07-Apr-16 25.1
30 Yazid Toto/Santi 04/01 Non Gakin L 28-Nov-17 9.5
31 Andra Ridwan/ Hersa 04/01 Non Gakin L 15-Sep-16 13.2
32 Aira Ridwan/ Hersa 04/01 Non Gakin P 26-Jun-18 9
33 bilal dian/ anggita 04/01 Non Gakin L 16-Mar-16 14.6
34 zaenab dian/ anggita 04/01 Non Gakin P 11-Apr-19 9.5
35 syaima acu/ santi 04/01 Non Gakin P 30-Jul-19 8.4
36 Rafasha Handi/ Intan 05/01 Non Gakin L 12-Oct-16 14.5
37 Bilqis Afrian/ Irma 05/01 Non Gakin P 14-Nov-16 12.8
38 Axelle Stevan/Reni 05/01 Non Gakin L 20-Jun-15 14.4
39 Razaka Hamdan/ Dwi 05/01 Non Gakin L 03-May-15 29.9
40 Arkhan Didin/ Mona 05/01 Non Gakin L 20-Nov-15 17.5
41 Reyhan Dani/ Endah 05/01 Non Gakin L 01-May-17 14.1
42 Razka Dadang/ Mira 05/01 Non Gakin L 25-Aug-17 11
43 Al Fath Jusran/ Mira 05/01 Non Gakin L 20-Aug-17 13.5
44 Zema Hamdan/ Dwi 05/01 Non Gakin P 12-Dec-17 12.8
45 Al-Akhtar Dwi/ Neti 05/01 Non Gakin L 11-Feb-18 10
46 Khansa Diky/Winny 05/01 Non Gakin P 21-Sep-19 7.3
47 Fahira Usep/ nengsih 06/01 Non Gakin P 03-Oct-16 12.9
48 Difra Agung/ dwi 06/01 Non Gakin L 04-Feb-16 21.3
49 Nizam Supriatna/ Irma 06/01 Non Gakin L 04-Jun-16 14.6
50 Riana Achmad/ Rini 06/01 Non Gakin P 26-Jan-16 14.7
51 Faiz R. Robi/ Novi 06/01 Non Gakin L 18-Mar-15 16.1
52 Alifa Asep/Yani 06/01 Non Gakin P 02-Jul-16 15.2
53 Restu Jajang/sadiah 06/01 Non Gakin P 30-Mar-16 13.7
54 Sidqia Cici/ Dea 06/01 Non Gakin P 08-Jun-17 13.3
55 Hasbi Munawar/ Aneu 06/01 Non Gakin L 07-Nov-18 9.5
56 ezra Rizky Novy/robby 06/01 Non Gakin L 19-Nov-19 6.1
JUMLAH 34 22
MULIR PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
95 38 V V V
110 57 V V V
88.5 31 V V V
91 25 V V V
96 41 V V V
96 48 V V V
105 57 V V V
105 39 V V V
84 26 V V V
81 23 V V V
82 23 V V V
66 7 V V V
53 2 V V V
74 15 V V V
94 40 V V V
91.5 47 V V V
97 51 V V V
89 31 V V V
86 28 V V V
84 27 V V V
77 20 V V V
74 14 V V V
64 6 V V V
50 1 V V V
51 0 V V V
98 40 V V V
62 3 V V V
98 40 V V V
106.5 45 V V V
80 26 V V V
91 40 V V V
76 19 V V V
95 46 V V V
66 9 V V V
70 6 V V V
95 39 V V V
92.5 38 V V V
99 55 V V V
114 57 V V V
103 50 V V V
91 33 V V V
85 29 V V V
85 29 V V V
84.5 25 V V V
81 23 V V V
61 4 V V V
93 40 V V V
106 48 V V V
93 44 V V V
96.2 48 V V V
101 58 V V V
98 43 V V V
94 46 V V V
89 31 V V V
74 14 V V V
61 2 V V V
6 4 8 12 26 0 1 49 6 0 2 54 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
0 45 11 0 56 4 46
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG
1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Mutiara Sari
5 Jml Balita yang ada : 48 Balita 25 Laki-Laki 23 Perempuan
6 Jml Balita ditimbang : 48 Balita 25 Laki-laki 23 Perempuan
7 Tgl Penimbangan : 20-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Kholil Dhani 01/02 Non Gakin L 26-Jul-19 6.25
2 Rizki Ilham Eri/Siska 01/02 Non Gakin L 02-Jun-18 11
3 Rafa Hermawan Dede/ Ellis 01/02 Non Gakin L 12-Aug-18 10.1
4 Mahardika mustika 01/02 Non Gakin L 17-Aug-18 8.1
5 Sheefa Irfan/Rita 01/02 Non Gakin P 21-May-17 15
6 Shakila Adang/Monite 01/02 Non Gakin P 21-May-16 15
7 Andra Cipta Evi/ Mira 01/02 Non Gakin L 17-Oct-15 17
8 Dzaki Rizki Rizky/ Yuli 01/02 Non Gakin L 14-Nov-15 17
9 Putri Doni/Uyu 02/02 Non Gakin P 16-Apr-19 15
10 Al Farizi Ginanjar 02/02 Non Gakin L 10-Jan-19 8
11 Arila Harina 02/02 Non Gakin P 12-May-19 8
12 Rana Andhi 02/02 Non Gakin P 05-Jun-18 10
13 Andara dudi/alis 02/02 Non Gakin P 09-Dec-18 9.9
14 Devandra Deni/Alis 02/02 Non Gakin L 01-Jun-18 9.1
15 Asyifa Kirani Hana/Novita 02/02 Non Gakin P 29-May-17 21
16 Hasna humaira Yayat/Fitria 02/02 Non Gakin P 09-Apr-16 12.5
17 Keanu Sugeng/ Siti 02/02 Non Gakin L 01-Jun-15 14
18 Arjuna Sajid Hikmat/ Riza 02/02 Non Gakin L 20-May-15 20
19 Arsyila Rendi/Lisya 03/02 Non Gakin P 02-Jan-18 19
20 Alipiandra Drian/Andri 03/02 Non Gakin L 05-Feb-18 11.1
21 Mikala S Zein/Devi 03/02 Non Gakin P 28-Apr-17 14
22 Hamdan Ahmad/ Ati 03/02 Non Gakin L 20-Mar-18 11.1
23 Bilal Gilang/ Hanna 03/02 Non Gakin L 03-May-16 15
24 Zhalika A Asep/Ina 03/02 Non Gakin P 09-May-15 16
25 M. Adhyasta Topik/ Yulia 03/02 Non Gakin L 23-May-15 19
26 Tsabita Citra/Arry 03/02 Non Gakin P 16-Jun-15 17
27 Davina Dadan/Andin 03/02 Non Gakin P 30-Jun-15 15
28 Airin Aulia Yuda 04/02 Non Gakin P 13-Jul-19 6.8
29 Rayhan Budi 04/02 Non Gakin L 29-Jul-19 6.85
30 Hasna Edi/Yeti 04/02 Non Gakin P 19-Apr-17 13.4
31 Hasni Edi/Yeti 05/02 Non Gakin P 19-Apr-17 14
32 Aqila dina Asep/ Nanih 04/02 Non Gakin P 10-Jun-16 15
33 Arkam M Asep/ Nanih 04/02 Non Gakin L 11-May-15 17
34 Adhyatama Mugia 04/02 Non Gakin L 31-May-15 16
35 Arkan d. Putra Ginanjar/ Rina 04/02 Non Gakin L 03-Sep-15 15
36 Naila afika Deni/Yuci 05/02 Non Gakin P 18-Apr-19 9.2
37 Xavier Yuda 05/02 Non Gakin L 24-May-19 7.35
38 Ryu Abizar Ryan 05/02 Non Gakin L 28-Sep-19 7.75
39 Nazma Hasan 05/02 Non Gakin P 08-Nov-19 4.75
40 Azmya Ryan/Nabila 05/02 Non Gakin P 18-Jun-18 7.8
41 Salman Agra 05/02 Non Gakin L 05-Mar-17 12
42 Othmar Mutaqin/Mimin 05/02 Non Gakin L 23-Jul-17 11
43 Atala Rizki 05/02 Non Gakin P 04-Oct-17 15
44 M. Ibra Ginanjar/ Eni 05/02 Non Gakin L 01-Dec-17 12
45 Shanum beyza Mutaqin/ Mimin 05/02 Non Gakin P 13-Apr-16 15
46 Kinara Terza 05/02 Non Gakin P 30-Oct-15 13
47 m. Rasya barkah/sumiati 05/02 Non Gakin L 25-May-15 25
48 Albi Rizal 05/02 Non Gakin L 08-Jun-18 10.1
JUMLAH 25 23
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
64 6 V V V
85 20 V V V
84 18 V V V
73.5 18 V V V
95 32 V V V
96 44 V V V
105 52 V V V
105 51 V V V
100 10 V V V
73.5 13 V V V
70 9 V V V
85 20 V V V
79 14 V V V
80 20 V V V
96 32 V V V
89 46 V V V
85 56 V V V
111 57 V V V
106 25 V V V
85 24 V V V
89 33 V V V
86 23 V V V
98 45 V V V
102.6 57 V V V
111 56 V V V
107 56 V V V
105 55 V V V
66 7 V V V
68 6 V V V
85 34 V V V
87 34 V V V
98 44 V V V
110 57 V V V
110 56 V V V
105 53 V V V
74 10 V V V
70 8 V V V
65 4 V V V
54 3 V V V
75 20 V V V
90 35 V V V
86.3 30 V V V
90 28 V V V
85 26 V V V
102 46 V V V
98 51 V V V
108.5 56 V V V
79 20 V V V
2 7 10 11 18 0 3 41 4 2 4 40 2 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
0 45 3 0 48 7 39
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Plamboyan
5 Jml Balita yang ada : 46 Balita 24 Laki-Laki 22 Perempuan
6 Jml Balita ditimbang : 46 Balita 24 Laki-laki 22 Perempuan
7 Tgl Penimbangan : 4-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Khazindar Nurzaini/Tri Lestari 02/03 Non Gakin L 21-Jan-15 25
2 Fadhil F. P Ogi/Anis 05/03 Non Gakin L 20-Jan-16 12.5
3 Adril S Dede/Desi 04/03 Non Gakin L 11-Feb-16 15.3
4 Adi Avandi Sandi/ Rohaeni 04/03 Non Gakin L 27-Mar-16 15.7
5 Raja Fadil/ Ruri 02/03 Non Gakin L 30-Jan-16 18.5
6 Keizi Edo/Mita 02/03 Non Gakin L 30-Jun-16 13.5
7 Ghatan Pramudia/Rusanti 02/03 Non Gakin L 16-Aug-16 15.5
8 Fhatan Iim/ Yeni 02/03 Non Gakin L 05-Sep-16 13
9 M. Kiono Endang/Jundi 01/03 Non Gakin L 02-Oct-16 13.9
10 Mustofa Suherman/Uum 04/03 Non Gakin L 26-Oct-16 13.5
11 Mustafi Suherman/Uum 04/03 Non Gakin L 26-Oct-16 13.2
12 Adli Abiyu Atan/Titin 02/03 Non Gakin L 05-Feb-17 14.2
13 Al-Ghazali Fredi/Susi 02/03 Non Gakin L 20-Jun-17 13.2
14 Azkar Cakra Zulfikar/Nita 03/03 Non Gakin L 24-Apr-18 13.4
15 Afrizal K. Deni/ Heni 03/03 Non Gakin L 14-Apr-18 10.3
16 Naufal Iman/Leni 01/03 Non Gakin L 25-May-18 10
17 Khauzal H Nurzaeni/Trilestari 02/03 Non Gakin L 18-Jan-19 10
18 Kheagen H Nurzaeni/Trilestari 02/03 Non Gakin L 18-Jan-19 9.5
19 m. Shaquille Ali/ Eva 02/03 Non Gakin L 01-Jun-19 9.5
20 Syafiq Iman/Vika 02/03 Non Gakin L 12-Apr-19 8.25
21 Azzam. A Yunus/Erli 01/03 Non Gakin L 13-Aug-19 8.25
22 Umar M Yuli/Nurul 03/03 Non Gakin L 13-Jun-19 8.6
23 M Naufal Aries/Dwi 01/03 Non Gakin L 01-Nov-19 6.75
24 Mika Handaru M Selo/Yunikeu 02/03 Non Gakin L 02-Dec-19 5.5
25 Adeva K Dirgahari/Maya 03/03 Non Gakin P 04-Jun-15 13.5
26 Malika P. Tanto/ Rika 02/03 Non Gakin P 14-Jul-15 12.5
27 Farhana Abdurrohim/Lina 03/03 Non Gakin P 15-Nov-15 14.5
28 Heti Anang/Wati 04/03 Non Gakin P 31-Jan-16 14.6
29 Shazia Iman/Tika 02/03 Non Gakin P 05-Mar-16 14.9
30 Atthaya Purwanto/Rini 05/03 Non Gakin P 10-May-16 11.3
31 Renada Sopian/Al Zakia 05/03 Non Gakin P 01-Jun-16 13.5
32 Kanaya P Ravi/Eva 03/03 Non Gakin P 03-Sep-16 12
33 Syaina Dedi/ Lisda 01/03 Non Gakin P 04-Oct-16 18.5
34 Ailin N. Sunandar/Liska 05/03 Non Gakin P 21-Oct-16 14.1
35 Risma M Mardi/Momoh 05/03 Non Gakin P 15-Mar-17 13.1
36 Safira P. Ahmad/Linda 05/03 Non Gakin P 12-May-17 12.8
37 Maysadifa Yuli/Nurul 03/03 Non Gakin P 22-May-17 11.1
38 Aisya Reynold/ Setiawati 02/03 Non Gakin P 02-Feb-18 10.1
39 Salwa P Kiki/Nunung 05/03 Non Gakin P 07-Jul-18 8
40 Cammila M Permana/Putri 03/03 Non Gakin P 01-Dec-18 7.8
41 Kirana M rafi/ lutfia 03/03 Non Gakin P 09-Mar-19 8.2
42 Shella Ratu Fadil/ Ruri 02/03 Non Gakin P 18-Apr-19 9
43 Avika P Wahyu/Winda 02/03 Non Gakin P 10-Oct-15 13.4
44 Alesha Nur Nurkholis/Mariam 03/03 Non Gakin P 29-Oct-19 5
45 Risa Cantika Haris/Megawati 04/03 Non Gakin P 17-Nov-19 7
46 Katja Lakeisha Niko/Rani 02/03 Non Gakin P 13-Dec-19 3.5
JUMLAH 24 22
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
114 60 V V V
95.5 48 V V V
104.5 47 V V V
103.8 46 V V V
114.5 48 V V V
99 43 V V V
102 41 V V V
96.2 40 V V V
103 40 V V V
101 39 V V V
100 39 V V V
96 35 V V V
100 31 V V V
84 21 V V V
85 21 V V V
77 20 V V V
82 12 V V V
81 12 V V V
72 8 V V V
68 9 V V V
63.3 5 V V V
65 7 V V V
59 3 V V V
55 2 V V V
100 56 V V V
98 54 V V V
105 50 V V V
103.2 48 V V V
103 46 V V V
93 44 V V V
97 44 V V V
94 41 V V V
99 40 V V V
97.5 39 V V V
94 34 V V V
94 32 V V V
90 32 V V V
87 24 V V V
65 18 V V V
70 14 V V V
70 10 V V V
67 9 V V V
99 51 V V V
56 3 V V V
57 2 V V V
50 1 V V V
6 5 7 6 22 0 4 40 2 1 2 39 4 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V
0 40 6 0 46 5 35
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Pelitasari
5 Jml Balita yang ada : 43 Balita 26 Laki-Laki 17 Perempuan
6 Jml Balita ditimbang : 43 Balita 26 Laki-laki 17 Perempuan
7 Tgl Penimbangan : 13-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Zyandra N Isna/Helsi 04/04 Non Gakin P 03-Apr-15 18.5
2 M. Bushiri Wilman/Pratiwi 01/04 Non Gakin L 11-Jun-15 14
3 Kinanti Adista/Rachman 01/04 Non Gakin P 30-Sep-15 15
4 Kalisa Reni/Ahmad 04/04 Non Gakin P 28-Jan-16 14.5
5 M. Rasyid Lusi/Aris 04/04 Non Gakin L 19-Mar-16 16.5
6 Calya Salsabilla Furi/Ari 04/04 Non Gakin P 23-Mar-16 13
7 M. Fakhri Yoyoh/Amay 04/04 Non Gakin L 13-May-16 12.5
8 Khalifi Dimas/ elsa 02/04 Non Gakin L 04-Oct-16 12
9 Raffasya Engkus/ siti 04/04 Non Gakin L 07-Oct-16 18
10 zayd ludwig haryadi/tiara 02/04 Non Gakin L 21-Nov-16 14.3
11 M. Abilghazifi A. Dali/ Rian 02/04 Non Gakin L 06-Feb-17 11
12 Kian najwan Rakhman/Adisya 01/04 Non Gakin L 18-Apr-17 19
13 Aisyah Raudhah Ricy/ Maryamah 03/04 Non Gakin P 23-May-17 13
14 m. umar Hamdan Muhlis/imas 03/04 Non Gakin L 28-May-17 14.5
15 ganendra Gustaf/Nina 04/04 Non Gakin L 11-Jul-17 14
16 m. Rafasya Akbar/Nisa 02/04 Non Gakin L 25-Aug-17 14.5
17 Ambia Malik Dyah/Agus 04/04 Non Gakin L 24-Jan-18 10
18 Maulana Fuad Raudhah/Buggi 01/04 Non Gakin L 25-Jan-18 10
19 reyhan e k. Engkus/ siti 01/04 Non Gakin L 02-Mar-18 11
20 Zakiya Zendaya Haryadi/Tiara 02/04 Non Gakin P 03-Apr-18 10
21 hanifah azzahra Ricy/ Maryamah 03/04 Non Gakin P 02-Oct-18 12
22 Salsabila N. Angga/Ida 03/04 Non Gakin P 04-Oct-18 12
23 Rainaka Rizki/Fungki 03/04 Non Gakin L 15-Dec-18 11
24 Malika Mulya Dadi/Nina 04/04 Non Gakin L 16-Jan-19 8
25 keaka devank Ahdan/Ayudhia 02/04 Non Gakin L 19-May-19 8.3
26 tanisa Zaara dadan/Risna 01/04 Non Gakin P 13-Mar-19 7.7
27 ismail Abdurrahman Andri/Arie 01/04 Non Gakin L 15-Aug-18 9
28 M. Attala Ryandi/Tia 04/04 Non Gakin L 21-Aug-18 10.5
29 m. Nazwan Rizki Irfan/Yunni 04/04 Non Gakin L 02-Jan-19 9.3
30 m. abimanyu putra Sigit/Agnesya 02/04 Non Gakin L 19-Jun-19 9
31 Wafi Syarif/ika 04/04 Non Gakin P 24-Aug-15 16.5
32 Azzahra mayng/arman 04/04 Non Gakin P 06-Jul-17 13
33 Brian winy/edi 03/04 Non Gakin L 06-Oct-15 17
34 Altaf Wiwit/Agung 00/04 Non Gakin L 01-Jul-17 15
35 Arsyila marwah Arie/Andri 01/04 Non Gakin P 20-Apr-17 11
36 Khaira Pamela/Hasbi 03/04 Non Gakin P 27-Jul-16 12.3
37 Adiba Shakila Wilman/Pratiwi 01/04 Non Gakin P 30-Jul-16 13.7
38 Umar Al-Faruk Nila/Anggun 04/04 Non Gakin L 04-Aug-16 14
39 Aina Ai/ Rohmat 00/04 Non Gakin P 05-Jul-15 16
40 Annasya S Pratiwi/Wilman 00/04 Non Gakin P 03-Nov-19 7.5
41 Atthaya Pratiwi/Wilman 00/04 Non Gakin P 10-Oct-19 6.1
42 Khalif Arrasyid 01/04 Non Gakin L 11-Nov-19 6.4
43 M Daffa A Edi/Wini 00/04 Non Gakin L 13-Mar-18 10
JUMLAH 26 17
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
107 58 V V V
100 56 V V V
97 52 V V V
98.5 48 V V V
96.5 46 V V V
95 46 V V V
90 45 V V V
93 40 V V V
101 40 V V V
98 38 V V V
89 36 V V V
90 33 V V V
90 32 V V V
91 32 V V V
90 31 V V V
91 29 V V V
82 24 V V V
83 24 V V V
76 23 V V V
82 22 V V V
82 16 V V V
82 16 V V V
80 13 V V V
71 12 V V V
67 8 V V V
68 11 V V V
77 17 V V V
79 17 V V V
73 13 V V V
65 7 V V V
101 53 V V V
92 31 V V V
105 52 V V V
99 31 V V V
88 33 V V V
95 42 V V V
92 42 V V V
100 42 V V V
105 55 V V V
59 3 V V V
65 4 V V V
58 3 V V V
81 23 V V V
3 3 10 10 17 0 1 41 1 1 1 41 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V
V V V
0 40 3 0 43 3 37
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Mekarsari
5 Jml Balita yang ada : 40 Balita 19 Laki-Laki 21 Perempuan
6 Jml Balita ditimbang : 40 Balita 19 Laki-laki 21 Perempuan
7 Tgl Penimbangan : 17-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel (Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)
1 2 3 4 5 6 8
1 Hauzan Ghani wawan/dwi a. 03/05 Non Gakin L 08-Oct-15 18
2 Rajan A. Roni, Neni 01/05 Non Gakin L 19-Apr-16 17
3 M. Nabil hasna/novi 02/05 Non Gakin L 20-Jun-16 17.5
4 M. Azka Riki/Desi 02/05 Non Gakin L 10-Dec-16 18
5 Kaisar Bumi Teguh/Mia 01/05 Non Gakin L 11-Dec-16 15
6 Rafiki Aris/Nifa 01/05 Non Gakin L 12-Sep-16 12.5
7 Abid A.P Mislam/Tika 01/05 Non Gakin L 27-Jul-15 14
8 Ragil Feri/Rani 03/05 Non Gakin L 03-Jun-17 12
9 Fathian Ezha Vance/Iis 02/05 Non Gakin L 29-Dec-17 11
10 Dilan Arif/Yura 03/05 Non Gakin L 28-Aug-17 12
11 A. Desa N. Ramdani/Sifi 02/05 Non Gakin L 03-Apr-18 11
12 Alzio R. Roby/Tika 01/05 Non Gakin L 09-Jun-18 14
13 Rasya F. Amin/Wina 01/05 Non Gakin L 02-Nov-16 12.5
14 Syahlinazy Sutisna/Fitri 03/05 Non Gakin L 27-Jul-18 10
15 danis fikri/anisa 02/05 Non Gakin L 17-Jul-17 11
16 haitam hamdi/ yunita 02/05 Non Gakin L 14-Sep-18 14
17 Bagja gojin/rani 01/05/ Non Gakin L 12-Dec-18 10
18 M. Dzikra Doni/Irma 01/05 Non Gakin L 08-Jan-19 10
19 M. Naufal Husna/Noviana 01/05 Non Gakin L 21-Jul-19 13
20 Leta Norah Gamal/Intan 01/05 Non Gakin P 16-Mar-16 13.5
21 Shanum Umar/ Shela 02/05 Non Gakin P 19-May-16 16
22 Tabita Sabita Andri/Femmi 02/05 Non Gakin P 30-Jun-16 15
23 Elshanum Ido/nunik 03/05 Non Gakin P 22-Feb-16 15
24 Tasania Mufid wawan/enung Non Gakin P 08-Mar-15 16
25 Ghaida Khanzla arif/eka Non Gakin P 15-Feb-16 15
26 qailula Idon/nunik Non Gakin P 02-Dec-17 12
27 Rifa Jehan Vance/Iis Non Gakin P 20-Apr-16 14
28 Asyifa yusuf/ika Non Gakin P 26-Jan-18 10.5
29 sakila Taufik/Reni Non Gakin P 03-May-17 13
30 atikah Dimas/Rahmadina Non Gakin P 05-May-18 13
31 scalea roni/dita Non Gakin P 06-Sep-18 11
32 jannata dwi anto/ dewi Non Gakin P 14-Sep-18 9.3
33 Shakila idris/Isur Non Gakin P 17-Apr-19 13
34 salma g.h norman/ria Non Gakin P 10-Jul-19 12
35 laiba f.d afriza/ita Non Gakin P 04-May-19 12
36 Naima h. herlambang/hany Non Gakin P 20-Jul-19 7
37 Hamdi aina hamdi/ yunita Non Gakin P 12-Oct-19 6.5
38 Anindira N. M. Khafimun/siti Non Gakin P 23-Dec-19 4.4
39 K. Bintang F. Wildan/Kikit Non Gakin P 12-Dec-19 4.1
40 Aqila fatri/irva Non Gakin P 30-Dec-18 9.1
JUMLAH 19 21
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau (BB/TB)

BB Sangat

BB Lebih
Tinggi Umur

Pendek

Pendek
Kurang

Kurang

Normal
Normal

Sangat

Tinggi

Kurus
Sekali
BB

BB
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
97 52 V V V
105 45 V V V
105 43 V V V
98 38 V V V
97 38 V V V
93 41 V V V
102 54 V V V
90 32 V V V
82 25 V V V
83 29 V V V
81 22 V V V
82 20 V V V
91 39 V V V
80 18 V V V
87 31 V V V
79 17 V V V
80 14 V V V
73 13 V V V
75 6 V V V
102 47 V V V
102 44 V V V
92 43 V V V
103 47 V V V
110 59 V V V
105 48 V V V
85 26 V V V
94 45 V V V
80 24 V V V
90 33 V V V
87 21 V V V
82 17 V V V
75 17 V V V
90 10 V V V
85 7 V V V
84 9 V V V
65 6 V V V
62 4 V V V
51 1 V V V
54 2 V V V
71 13 V V V
3 5 10 7 15 0 0 35 5 0 1 35 4 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V
V V V
0 34 6 0 40 5 32
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Anggrek Sari
5 Jml Balita yang ada : 42 Balita 18 Laki-Laki 24 Perempuan
6 Jml Balita ditimbang : 42 Balita 18 Laki-laki 24 Perempuan
7 Tgl Penimbangan : 10-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Atthasa I Arya/Valiana 05/06 Non Gakin P 07-Oct-19 5.5
2 Ziya Lunara Q Teguh/Eni 05/06 Non Gakin P 11-Jul-19 8
3 Jeslyn Angelica Budi/Dwi 05/06 Non Gakin P 10-Jun-19 7
4 Sabahat Zafiran Slamet/Risa 03/06 Non Gakin P 30-Jan-19 8
5 Nafeiza Ava Aris/Ratvina 05/06 Non Gakin P 21-Oct-18 13
6 Zivanya J Fran/Mega 03/06 Non Gakin P 27-Apr-18 11.5
7 Chairunisa P.S Asep/Tita 03/06 Non Gakin P 03-Apr-18 11.5
8 Nafezza Riki DDN/Santi 01/06 Non Gakin P 09-Mar-18 13
9 Saafiya Salma Hendi/Gita 04/06 Non Gakin P 22-Feb-18 20
10 Edelwais Cendra Koko/ Lia 04/06 Non Gakin P 13-Nov-17 10
11 Kinanti Azza Iwan/ Antiq 05/06 Non Gakin P 04-Nov-17 10
12 Faziah Zulfan/Welvi 04/06 Non Gakin P 07-Jan-18 9.5
13 Hanum Latifah Yozi/ Susi 01/06 Non Gakin P 24-Jul-17 12
14 Nrysha Almira Ivan/Putri 04/06 Non Gakin P 04-Jul-17 10.5
15 Raventia M.V Kusnandar/ Dini 05/06 Non Gakin P 24-Dec-16 12
16 Grsyila P Sukma/ Pepi 01/06 Non Gakin P 28-Oct-16 13.2
17 Ananda Nuraini Andika/ Erna 01/06 Non Gakin P 07-May-16 13.5
18 Ratu A Deni/Desi 03/06 Non Gakin P 15-Feb-16 12.3
19 Faziatul Wafa Dedi/ Nani 02/06 Non Gakin P 01-Jan-16 14.5
20 Merunisa AZ Irwan/ Desi 01/06 Non Gakin P 15-Jul-15 13
21 Aura Miza Rely/Riatrianti 02/06 Non Gakin P 07-Jul-15 17
22 Maisya Aulia Nuriman/ Ira 04/06 Non Gakin P 23-May-15 14
23 Almira Humairah Novri/ Gina 04/06 Non Gakin P 20-Mar-15 14
24 Kineta Budi/Rina 03/04 Non Gakin P 09-Apr-15 15.3
25 Alvinodaff S Windu/Krisna 01/06 Non Gakin L 22-Sep-19 6.7
26 Ravijar Agla B Kusnandar/ Dini 05/06 Non Gakin L 08-Nov-18 8.5
27 Ahmad Rayan H Andika/ Erna 01/06 Non Gakin L 18-Feb-18 10.5
28 Zaidan Kawakib Ardhiana/Intan 01/06 Non Gakin L 05-Apr-17 15.5
29 Mohamad Gaisyan Agus/susi 04/06 Non Gakin L 31-Mar-17 16
30 Riki Putra Nugraha Ari/Rizki 05/06 Non Gakin L 01-Nov-16 14.5
31 Attaya Ibrahim Arya/Valiana 05/06 Non Gakin L 05-Sep-16 17
32 Giansyah AndriFebri 03/06 Non Gakin L 27-Jun-16 13.7
33 Hanif Arsyid Ade/ Nurhasanah 05/06 Non Gakin L 05-Jun-16 16
34 Aksel Belami Adhi/cucu 04/06 Non Gakin L 01-Apr-16 14.5
35 Raffa Abizalal Erwin/ Ria 04/06 Non Gakin L 19-Feb-16 16.5
36 Baqir Abdulah Agus/Nurjanah 01/06 Non Gakin L 27-Nov-15 21.9
37 Raihan Ardani Juanda/Mayang 03/06 Non Gakin L 17-Oct-15 24
38 Hafiz Elsarawy Dani/Yan 04/06 Non Gakin L 04-Oct-15 16
39 Raka Albarka Parid/Sumiati 03/06 Non Gakin L 01-Oct-15 14
40 Fairel Athariz Windu/Krisna 01/06 Non Gakin L 04-May-15 16
41 Afif Fauzil A. Wahyu/Indi 04/06 Non Gakin L 15-Apr-15 17
42 Zidan Riatun 02/06 Non Gakin L 21-Mar-15 16.5
JUMLAH 18 24
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
61 4 V V V
64 6 V V V
65 8 V V V
72 12 V V V
85 15 V V V
84.5 21 V V V
82 22 V V V
85 23 V V V
85 23 V V V
81 26 V V V
84 27 V V V
82 25 V V V
93 30 V V V
86 31 V V V
89 37 V V V
99 39 V V V
95 45 V V V
94 47 V V V
102 49 V V V
99 54 V V V
104 55 V V V
100 56 V V V
100 58 V V V
105 58 V V V
63 4 V V V
77 15 V V V
82 23 V V V
89 34 V V V
88 34 V V V
98 39 V V V
105 41 V V V
99 43 V V V
98 44 V V V
94 46 V V V
99 47 V V V
107 50 V V V
106 51 V V V
104.5 52 V V V
97 52 V V V
104 57 V V V
113 57 V V V
105.5 58 V V V
2 2 8 7 23 0 1 37 4 0 0 41 1 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
0 37 5 0 42 2 38
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Mulyasari
5 Jml Balita yang ada : 52 Balita 27 Laki-Laki 25 Perempuan
6 Jml Balita ditimbang : 52 Balita 27 Laki-laki 25 Perempuan
7 Tgl Penimbangan : 5-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 M. Arka Tiwi 03/07 Non Gakin L 02-Jul-19 8
2 Fakhril Umar Siti Hamidah 03/07 Non Gakin L 05-Oct-19 8.3
3 Shiddiq S Rini 04/07 Non Gakin L 14-Apr-19 8.8
4 Azhar Erlangga Leni 04/07 Non Gakin L 06-Jul-19 8
5 Abizar Hafiz Alfatih Nevi / Irfansyah 04/07 Non Gakin L 26-Dec-18 10.5
6 Arya Fahriza Nurlaelasari 02/07 Non Gakin L 20-Aug-18 11.5
7 Erza Zachery P Regina / Wildan 02/07 Non Gakin L 04-Dec-18 9.4
8 Aresya Winda 04/07 Non Gakin L 28-Jul-18 10
9 Ghailan Rayyan Januar 03/07 Non Gakin L 03-Sep-18 10
10 M. Fahri Anas/ Sukma 04/07 Non Gakin L 03-Apr-16 24.5
11 Rizki Aditya Widi/ Mely 03/07 Non Gakin L 24-Jul-15 17
12 Rd. Calvino R Lucky 05/07 Non Gakin L 18-Dec-15 17
13 M. Syailendra Ade/ Wini 03/07 Non Gakin L 02-Oct-16 13
14 Davi Siti Hamidah 04/07 Non Gakin L 20-Jan-16 15
15 Deyki Winda 04/07 Non Gakin L 27-Feb-15 15
16 Arkenza Rezky Pian/ Tri 02/07 Non Gakin L 15-Oct-17 13
17 Yongki teti 04/07 Non Gakin L 16-Mar-16 16
18 Rizki Wawan/ Eni 02/07 Non Gakin L 13-May-17 11
19 Virendra Baristan Intan 01/07 Non Gakin L 04-Sep-17 13
20 M Nabil Yayan/ Rina 04/07 Non Gakin L 08-Jul-15 14.5
21 M Tirta Rini 01/07 Non Gakin L 05-May-17 18.5
22 David Kaka Lina Anggraeni 02/07 Non Gakin L 25-Mar-17 12
23 Rizki Dwi 05/07 Non Gakin L 17-Oct-15 17.5
24 Abidzar Algifari Miftahul 03/07 Non Gakin L 25-Mar-17 12
25 Arziki Ami 01/07 Non Gakin L 04-Oct-17 11
26 Alhan Heni 05/07 Non Gakin L 29-Nov-15 13.5
27 Gwen Callista Gishela 05/07 Non Gakin L 13-Jul-19 8
28 Keinara Andari Friska 03/07 Non Gakin P 21-Nov-18 9
29 Keinara Anne 03/07 Non Gakin P 14-Jun-16 12
30 Elsa Queen Wildan 02/17 Non Gakin P 09-Dec-16 11.8
31 Anisa Ari/Tiwi 03/07 Non Gakin P 01-Jun-16 14.5
32 Ashila Humaira Nani 01/07 Non Gakin P 11-Mar-19 8.9
33 Alina Dewi 01/07 Non Gakin P 09-Aug-19 7.9
34 Adzkia Ismi nurfitriani 02/17 Non Gakin P 19-Mar-17 13
35 Nadisha Siti Saniah 01/07 Non Gakin P 16-Dec-18 8.9
36 Kania Yuhan Lita 01/07 Non Gakin P 26-Feb-18 8.7
37 Sahabrina Shanum Ajeng 01/07 Non Gakin P 28-Nov-18 8
38 Jihan Shafira Yanti 04/07 Non Gakin P 09-Apr-18 8.5
39 Zalfa Riana Ryan 03/17 Non Gakin P 27-Aug-16 13
40 Lamuella Lina 02/17 Non Gakin P 28-Sep-19 6
41 Isna Novianti Siti Nurhayati 04/07 Non Gakin P 08-Nov-17 14
42 Kanaya Silmi Sahrul/ Elin 03/07 Non Gakin P 29-Aug-15 13.5
43 Lashira Dania Atiya Nur 03/07 Non Gakin P 21-May-17 12.8
44 fatimah hana Asvika 05/07 Non Gakin P 06-Dec-17 12.8
45 Azkia agung/Ajeng 01/07 Non Gakin P 15-Dec-15 16
46 Alifa Nathalia Megawati 02/17 Non Gakin P 31-Mar-17 12
47 Kinandari Timur Eza/ Adel 02/17 Non Gakin P 24-Jun-17 10
48 Adzkia Sajeeda Neisya 04/07 Non Gakin P 11-Aug-17 10
49 Mikaila Aan/Firman 04/07 Non Gakin P 26-Jul-15 16
50 Alika Anisa 05/07 Non Gakin P 08-Oct-19 5.7
51 Nayyara Khalimatus 03/07 Non Gakin P 06-May-19 6.8
52 Wahyu Darmiah 02/17 Non Gakin P 19-Dec-15 15
JUMLAH 27 25
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
73 7 V V V
67 4 V V V
69 9 V V V
69 6 V V V
78 13 V V V
78 17 V V V
75 14 V V V
78 18 V V V
80 17 V V V
113 46 V V V
112 54 V V V
109 49 V V V
96 40 V V V
103 48 V V V
103 59 V V V
92 27 V V V
106 46 V V V
88 32 V V V
95.5 29 V V V
104 54 V V V
103 33 V V V
92 34 V V V
107 51 V V V
92 34 V V V
88 28 V V V
100 50 V V V
65 6 V V V
80 14 V V V
96 43 V V V
90 37 V V V
105 44 V V V
74 10 V V V
66 5 V V V
93 34 V V V
80 13 V V V
80 23 V V V
68 14 V V V
80 21 V V V
100 41 V V V
62 4 V V V
95.5 26 V V V
100 53 V V V
95.8 32 V V V
93 25 V V V
107 49 V V V
96 34 V V V
85 31 V V V
83 29 V V V
110 54 V V V
57 3 V V V
68 8 V V V
106 49 V V V
4 6 10 14 18 0 3 47 2 1 0 48 3 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
0 51 1 0 52 6 42
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Sehati
5 Jml Balita yang ada : 102 Balita 53 Laki-Laki 49 Perempuan
6 Jml Balita ditimbang : 102 Balita 53 Laki-laki 49 Perempuan
7 Tgl Penimbangan : 11-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Ahmad Aqil Abdul Azis/Roham 01/08 Non Gakin L 20-Oct-18 9.3
2 Adit f Sutardi/Siti 01/08 Non Gakin L 03-Nov-18 9
3 Abizar Thomas/Sukma 02/08 Non Gakin L 04-Dec-16 15
4 Azka Maman/Beti 02/08 Non Gakin L 15-Mar-16 14.1
5 Alfan M.R Mahfuri/Supiah 02/08 Non Gakin L 19-Mar-16 12.5
6 Arsaka Angga/Sopi 03/08 Non Gakin L 14-Nov-17 14.3
7 Arka Gingin/Hani 03/08 Non Gakin L 21-Feb-17 13.2
8 Aldevaro Abidin/Yuli 03/08 Non Gakin L 18-Mar-16 14.4
9 Atabik Ali Sutrisno/Ani 03/08 Non Gakin L 25-Jan-16 12.9
10 Agung Saputra Rikam/Ina 03/08 Non Gakin L 22-Sep-15 14.4
11 Arsyl Ikhsan/Hesti 03/08 Non Gakin L 22-Jul-19 7.6
12 Baihaqi M.Rifqi/Siti 03/08 Non Gakin L 27-Feb-18 10.5
13 Bisma Mustopa/Ratna 02/08 Non Gakin L 24-Feb-17 11
14 Bayu Nasrullah/Ria 01/08 Non Gakin L 07-Oct-18 8.4
15 Daffa Andi/Wariah 02/08 Non Gakin L 17-Sep-18 10.1
16 Danan Teten/Yani 03/08 Non Gakin L 25-Apr-18 9.4
17 Fakri A. Andi/Wariah 02/08 Non Gakin L 23-Aug-16 12.9
18 Fatih T. N. Indra/Eva 03/08 Non Gakin L 13-Dec-18 9
19 Fahim Bagus/Jeni 02/08 Non Gakin L 04-Aug-19 7.7
20 Daufin Yayan/Neng 03/08 Non Gakin L 15-Dec-19 6
21 Geza R. A. Agus/ Risma 03/08 Non Gakin L 06-Feb-19 8.7
22 Farel G Ilham/Risa 03/08 Non Gakin L 17-Nov-16 14.5
23 Habibie Adi/ Maemunah 01/08 Non Gakin L 30-Apr-19 8.1
24 Keanu Dede/Niah 03/08 Non Gakin L 01-Dec-19 7.3
25 Khoiril R. Yoyo/Tika 03/08 Non Gakin L 13-Jul-19 8
26 Luthfi A Miftah/Neng 03/08 Non Gakin L 19-Jul-17 12.6
27 M. Hafizh P Afi/Rosanah 01/08 Non Gakin L 22-May-18 10.8
28 M. Bilal Tedi/Santi 01/08 Non Gakin L 06-Jan-18 11.7
29 M. Alfatih Yanyan/Sulastri 02/08 Non Gakin L 26-May-19 8
30 M. Arfan Andri/Meyri 03/08 Non Gakin L 26-Mar-16 12.7
31 M. Rafasya Jembar/Lustana 03/08 Non Gakin L 28-May-15 17.5
32 M. Noval Didin/Herni 03/08 Non Gakin L 09-Jan-19 9.4
33 M. Fathan Yogi/Esa 01/08 Non Gakin L 09-Aug-18 11
34 m. Zapran Noval/ Maryam 01/08 Non Gakin L 19-Apr-19 9.2
35 M. Ridwan Uum/Kurnia 03/08 Non Gakin L 24-Oct-19 5.6
36 Mikael Leo/Irma 03/08 Non Gakin L 02-Sep-19 6.4
37 M. Rafasha Rin/Upi 01/08 Non Gakin L 06-Oct-19 5.9
38 Putra Tyo Taufik/Sri Asih 02/08 Non Gakin L 01-Sep-15 14
39 Rayyan Dimas/Riska 03/08 Non Gakin L 03-Oct-17 11
40 Rizqi Tri P. Pardi/Tita 03/08 Non Gakin L 12-Nov-15 15.6
41 Rasel Triana/Rani 03/08 Non Gakin L 09-Aug-17 10.4
42 Travis Suryana/Ratih 03/08 Non Gakin L 20-Mar-17 14.1
43 Wildan Kadiyo/Idah 03/08 Non Gakin L 23-Apr-16 14
44 Zaki P Kasiran/Dewi 01/08 Non Gakin L 10-Sep-18 8.8
45 Revan A.R Suhanar/Diah 01/08 Non Gakin L 05-Jan-16 18.1
46 Abid Den Rahman/Yuli 03/08 Non Gakin L 24-Jul-16 15.2
47 Fathan Fahri/Fani 03/08 Non Gakin L 04-Feb-20 4.1
48 Gibran Yaya/Maya Non Gakin L 08-Mar-17 14.1
49 Dava Ibnu Lifa/Hamze 01/08 Non Gakin L 14-Mar-16 14.1
50 M Hafidz Yudi/Susi 02/08 Non Gakin L 09-May-15 15.3
51 Givandra Agung/Riska 03/08 Non Gakin L 15-Mar-18 13.2
52 M. Al Fatih Ahmad/Nur 02/08 Non Gakin L 12-Nov-16 14.4
53 M. Adam B. Nanang/Evi 01/08 Non Gakin L 14-Jan-20 3.6
54 Apriliani Ating/Siti 01/08 Non Gakin P 24-May-17 10.9
55 Aqila F. Kasiran/Dewi 01/08 Non Gakin P 24-Apr-17 10
56 Alisha Faisal/Dedeh 01/08 Non Gakin P 30-Dec-19 4.2
57 Asalsabila nurdin/ santi 03/08 Non Gakin P 26-Jan-17 12
58 Alsya N.P Lukman/Yani 03/08 Non Gakin P 14-Oct-16 16.6
59 Amelia Erik/Hikmah 03/08 Non Gakin P 15-Dec-15 13.5
60 Alsya Jaelani/Yanti 03/08 Non Gakin P 14-Feb-19 8.1
61 Ananda S.T irwan/ nuri 03/08 Non Gakin P 18-Jul-19 6.6
62 Bilqis Andri/Ina 01/08 Non Gakin P 23-Jan-18 9.4
63 Chuswatun Mamat/sutini 03/08 Non Gakin P 07-Apr-17 11.2
64 Chika A Dedi/Eli 03/08 Non Gakin P 09-Apr-16 12
65 Dini A. Hartono/Fitri 03/08 Non Gakin P 16-Apr-17 11
66 Fadiya Erys/Lia 01/08 Non Gakin P 20-Aug-17 10
67 F. Rahma Pipin/Solihat 01/08 Non Gakin P 25-Sep-15 12.4
68 F. Rahmy Pipin/Solihat 01/08 Non Gakin P 25-Sep-15 13.2
69 Fayza Eka/Kiki 02/08 Non Gakin P 01-Jul-18 9.5
70 Farwah Sandra/Dila 03/08 Non Gakin P 20-Jun-17 11
71 Hifza A.P suyatno/ tri 01/08 Non Gakin P 08-Mar-19 8.6
72 Inara Iwan/Rika 02/08 Non Gakin P 12-Sep-17 10.2
73 Jezi A Putri Saidi/Sulastri 01/08 Non Gakin P 09-May-16 11.7
74 Kanza Yudi/Irma 02/08 Non Gakin P 10-Oct-17 12.9
75 kireina fierza/ elis 03/08 Non Gakin P 27-Jan-18 12.6
76 Mikaila Sachi Firman/Sari 02/08 Non Gakin P 06-Sep-15 16.3
77 Mikaila S. H. Alam/Tia 03/08 Non Gakin P 16-Oct-16 13.4
78 mikha edy/ istiyah 03/08 Non Gakin P 24-May-19 9.4
79 Naysila Ridwan/Dini 01/08 Non Gakin P 22-Sep-15 13.1
80 Naila Koswara/Susi 03/08 Non Gakin P 13-Jan-19 7.9
81 Naurah S. Ari/Fitri 03/08 Non Gakin P 27-Jan-17 11.7
82 Nabila Ahmad/Rini 03/08 Non Gakin P 29-Dec-15 13.8
83 Putri E. Komar/Komariah 03/08 Non Gakin P 12-Apr-15 14.3
84 Putri R. Dadang/Rina 03/08 Non Gakin P 21-Jun-16 12.6
85 Rina N Dede/Daryati 01/08 Non Gakin P 07-Apr-17 9.3
86 Regita Heru/Eva 02/08 Non Gakin P 13-Mar-16 13.2
87 Shera Hilwanul/Leni 01/08 Non Gakin P 16-Mar-18 9.8
88 Sherly a. mira/ reni 03/08 Non Gakin P 25-Feb-19 8.3
89 Siti hofifah Kurniawan/Noneng 01/08 Non Gakin P 15-Jun-16 11.2
90 Sahla Ainun Sumiarsah/Lela 03/08 Non Gakin P 16-Apr-17 12.6
91 Saila z ary/ maya 03/08 Non Gakin P 19-Apr-19 7.7
92 Siti Asep/Imas 03/08 Non Gakin P 22-Aug-19 7.2
93 Sahfira Yono/Susi 03/08 Non Gakin P 08-Jan-20 4.6
94 Viqqi Cantika Rika/Iwan 02/08 Non Gakin P 28-Jun-15 15.8
95 Vioranika Juju/Citra 03/08 Non Gakin P 05-May-15 16
96 Yumna Sandi/linda 03/08 Non Gakin P 23-May-19 8.9
97 Zachira Imam/Wina 03/08 Non Gakin P 01-Jul-18 11
98 Aqila P.P Yuda/Dian 03/08 Non Gakin P 23-Jun-15 14.1
99 Dwi Syifa Zamzam/Saras 03/08 Non Gakin P 02-Feb-16 15.2
100 Nezha Almeri/Cindy Non Gakin P 21-Nov-16 12
101 Kayla Asep/Dari 02/08 Non Gakin P 01-Jun-15 17.1
102 Ratu Nanang/Evi 01/08 Non Gakin P 14-Feb-15 16
JUMLAH 53 49
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
73 15 V V V
75 15 V V V
97.5 38 V V V
95.5 46 V V V
97 46 V V V
90.5 26 V V V
89 35 V V V
104 46 V V V
97 48 V V V
104 52 V V V
65 6 V V V
88 23 V V V
89 35 V V V
76 16 V V V
75 16 V V V
81 21 V V V
93 41 V V V
70.6 13 V V V
66 6 V V V
51 1 V V V
72.7 12 V V V
97 38 V V V
68 9 V V V
68 2 V V V
65.5 6 V V V
90 30 V V V
74.2 20 V V V
86.5 25 V V V
65.2 8 V V V
92 46 V V V
111 56 V V V
73 13 V V V
78 18 V V V
67.5 9 V V V
58 3 V V V
62 5 V V V
61 4 V V V
100 53 V V V
84 28 V V V
102 50 V V V
84 30 V V V
96.5 34 V V V
95.5 45 V V V
73.5 17 V V V
102 49 V V V
95 42 V V V
52 0 V V V
94 35 V V V
100 46 V V V
100.5 57 V V V
81 22 V V V
92.2 38 V V V
50 0 V V V
86 32 V V V
86 33 V V V
52 1 V V V
92.5 36 V V V
101 39 V V V
100 49 V V V
69 11 V V V
65 6 V V V
81 24 V V V
84 34 V V V
95 46 V V V
87 33 V V V
86 29 V V V
96.5 52 V V V
97 52 V V V
79.5 19 V V V
87 31 V V V
68 11 V V V
83.8 28 V V V
83 45 V V V
87 28 V V V
85 24 V V V
99.5 53 V V V
92.5 39 V V V
65 8 V V V
97 52 V V V
69 12 V V V
92.5 36 V V V
104 49 V V V
99 57 V V V
92 43 V V V
83 34 V V V
93.5 46 V V V
84 22 V V V
67 11 V V V
90 43 V V V
93 33 V V V
68 9 V V V
63 5 V V V
56.5 1 V V V
103.9 55 V V V
104 57 V V V
67.5 8 V V V
82 19 V V V
99 55 V V V
101 48 V V V
90.5 38 V V V
109.5 56 V V V
103 59 V V V
10 13 17 21 41 1 8 91 2 2 11 88 1 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
0 99 3 0 102 13 79
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Mekarsari
5 Jml Balita yang ada : 75 Balita 38 Laki-Laki 37 Perempuan
6 Jml Balita ditimbang : 75 Balita 38 Laki-laki 37 Perempuan
7 Tgl Penimbangan : 11-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Wildan ipa/ asep 02/09 Non Gakin L 16-Apr-19 9.9
2 anisa susan/deni 02/09 Non Gakin P 10-Apr-19 7.1
3 Alisa risman/erni 02/09 Non Gakin P 21-Apr-19 7.5
4 Samudra diki/sinta 02/09 Non Gakin L 09-Mar-19 8.8
5 Nadira Toto/Intan 02/09 Non Gakin P 09-Mar-19 7.7
6 Rafli yusuf/siti 02/09 Non Gakin L 16-Feb-19 10
7 malika budi/marisa 03/09 Non Gakin P 11-May-19 10.1
8 Bilal dadi/ Ulfa 03/09 Non Gakin L 22-Jun-19 9
9 elvano puja/rina 02/09 Non Gakin L 14-Jun-19 8.3
10 syifa.n Non Gakin P 02-Nov-19 4.5
11 aviza sopia 02/09 Non Gakin P 04-Sep-19 6.7
12 m. praditya pipit/angga 03/09 Non Gakin L 27-Nov-19 4
13 m. iksan lina/ijan 02/09 Non Gakin L 25-Nov-19 6.3
14 aqila dedi/yanah 03/09 Non Gakin P 14-Nov-19 5.8
15 shakira juwita/soni 02/09 Non Gakin P 27-Dec-19 5
16 Rachel Akbar/Nisa 03/09 Non Gakin P 06-Sep-18 10
17 Aldeanka Muslim/Kurnia 02/09 Non Gakin P 14-Apr-18 13.1
18 Fabian ruly/titik 02/09 Non Gakin L 30-Apr-18 9.5
19 Shakila Epul/Mira 02/09 Non Gakin P 19-Apr-18 14
20 Aziz riki/ sari 02/09 Non Gakin L 19-Dec-18 7.5
21 Zidan Nunu/Jejeh 03/09 Non Gakin L 23-May-17 11.4
22 Zibril Aris/Ridha 02/09 Non Gakin L 22-Apr-17 12.3
23 Arsya Dedi/Putik 02/09 Non Gakin L 21-Dec-16 12
24 Maura Az. Baban/Dede 01/09 Non Gakin P 17-Jul-17 12.4
25 Zafia Lukman/Sari 02/09 Non Gakin P 11-Oct-16 12.4
26 Anisa Udan/Iwi 02/09 Non Gakin P 31-Jul-16 15.3
27 m. farel diding/susanti 02/09 Non Gakin L 16-Mar-18 11.4
28 Jasmin Ivan/Tuti 03/09 Non Gakin P 27-Jun-16 16.5
29 Arsen doni/mira 03/09 Non Gakin L 30-Oct-15 13
30 Rania Agah/Lasnia 03/09 Non Gakin P 14-May-16 12
31 Nadia Sarif/Fani 03/09 Non Gakin P 19-May-16 20.5
32 Rendra Sudirman/Ani 02/09 Non Gakin L 21-Apr-16 11.5
33 Yolanda Damar/Yuni 01/09 Non Gakin L 05-Apr-16 13.5
34 Saqira Asikin/Ety 02/09 Non Gakin P 08-Apr-16 14.1
35 Isna Lia/awan 03/09 Non Gakin P 04-Mar-16 13.2
36 Sehril Seli 03/09 Non Gakin L 06-Jan-16 15.8
37 Azka Rohandi/Imas 01/09 Non Gakin L 25-Dec-15 15.7
38 Adam Dana/Wiwi 01/09 Non Gakin L 01-Nov-15 16.3
39 M. Nathan Eka/Ega 02/09 Non Gakin L 04-Mar-18 10.8
40 Aretha Reza/Mita 02/09 Non Gakin P 07-Feb-18 10.6
41 Abizar Ivan/Tuti 03/09 Non Gakin L 12-Feb-18 11.1
42 Naura S. Mamat/Reni 03/09 Non Gakin P 16-Feb-18 8.5
43 Rahma Mimin/Hadi 02/09 Non Gakin P 18-Dec-18 7.5
44 Disya M. Sopia/Aziz 01/09 Non Gakin P 14-Dec-18 8.1
45 tsabit utang/imas 02/09 Non Gakin L 12-Dec-18 8.4
46 M. Anfha Juanda/Oneng 03/09 Non Gakin L 03-Aug-18 9.8
47 Abiyama Dedi/Ai 02/09 Non Gakin L 10-Oct-17 11
48 Elvan Iwan/Asti 03/09 Non Gakin L 07-Nov-18 9.3
49 m. Rafi Yusup/ Winda 01/09 Non Gakin L 18-Aug-18 8.5
50 asabiq ai y k/ kari 02/09 Non Gakin L 10-Nov-18 10.5
51 Athaya saepul/dita 02/09 Non Gakin P 01-Oct-18 8.6
52 M.Fariz Dede/Mimin 03/09 Non Gakin L 15-Jun-16 11.9
53 Aglan Yayat/Imas 03/09 Non Gakin L 09-Oct-18 10.9
54 Daffa R. Entang/Yuyun 01/09 Non Gakin L 18-May-18 10.1
55 isyana dara/ari 03/09 Non Gakin P 30-Oct-18 9.6
56 Ayudia Bintang/Ai 03/09 Non Gakin P 11-Oct-18 8.4
57 Fatimah Asep/Leni 03/09 Non Gakin P 13-Sep-18 9.6
58 Azka Hermizen/neli 01/09 Non Gakin L 16-Dec-15 17.2
59 Namira Muslim/Nia 02/09 Non Gakin P 18-Oct-15 17.7
60 Nasyan N. Iman/Denti 02/09 Non Gakin P 18-Jul-17 11.2
61 Syifa Asep/Santi 02/09 Non Gakin P 16-May-15 13.3
62 Syafa Asep/Santi 02/09 Non Gakin P 16-May-15 14
63 Rasyid Nasusianta/Titih 03/09 Non Gakin L 25-May-15 12.9
64 Mujihar Jajat/Sania 03/09 Non Gakin L 30-Jun-15 17.2
65 Elmas Angga/Anita 02/09 Non Gakin P 05-Apr-15 21.3
66 Faiz Ramadan/Dea 03/09 Non Gakin L 29-Apr-15 14.6
67 Andika Ade/Rumi 03/09 Non Gakin L 12-Mar-15 15
68 Adrian Sofiana/Leni 02/09 Non Gakin L 22-Dec-17 10.1
69 Arrana Agus/Titik 01/09 Non Gakin P 06-Dec-15 20
70 Naura K. Anwar/Ica 01/09 non Gakin P 15-May-16 12.2
71 Karina Dani/Ifah 01/09 Non Gakin P 20-Apr-15 12.8
72 bilqis dani/iis 02/09 Non Gakin P 02-Mar-15 15
73 Abrar Zulfikar/Asti 02/09 Non Gakin L 3/13/2017 11.1
74 Azril Harmizen 01/09 Non Gakin L 16-Jan-18 7.1
75 Alisia Agung/Lusi 01/09 Non Gakin P 13-Jan-18 9.7
JUMLAH 38 37
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
74 9 V V V
65 10 V V V
66 9 V V V
70 11 V V V
68 11 V V V
71 11 V V V
68 9 V V V
66 7 V V V
67 7 V V V
57 3 V V V
60 5 V V V
55 2 V V V
58 2 V V V
56 2 V V V
54 1 V V V
75.5 17 V V V
83 21 V V V
79 21 V V V
97 21 V V V
70 13 V V V
87 32 V V V
90.5 33 V V V
90 37 V V V
88.5 30 V V V
90 40 V V V
99 42 V V V
81 22 V V V
98 43 V V V
98 51 V V V
90 44 V V V
104 44 V V V
86 45 V V V
94 46 V V V
94 46 V V V
94 47 V V V
100 49 V V V
100 49 V V V
103 51 V V V
85 23 V V V
82 24 V V V
85.5 23 V V V
80 23 V V V
70 13 V V V
73 13 V V V
73 13 V V V
77 18 V V V
86 28 V V V
75 15 V V V
77 17 V V V
75 15 V V V
71 16 V V V
95 43 V V V
82 16 V V V
79 20 V V V
73 15 V V V
74 16 V V V
77 16 V V V
103 49 V V V
101 51 V V V
87 30 V V V
99 56 V V V
99 56 V V V
99 56 V V V
104 55 V V V
111 58 V V V
104 57 V V V
101 58 V V V
85 25 V V V
107 50 V V V
93 44 V V V
94 57 V V V
99.5 59 V V V
85.5 34 V V V
67 24 V V V
82 24 V V V
6 9 22 10 28 1 10 63 1 2 7 65 1 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V
V V
V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
1 70 4 0 75 9 60
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Melati
5 Jml Balita yang ada : 33 Balita 21 Laki-Laki 12 Perempuan
6 Jml Balita ditimbang : 33 Balita 21 Laki-laki 12 Perempuan
7 Tgl Penimbangan : 19-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Maryam Sayyida Azhar M/Nurul S. 02/10 Non Gakin P 24-Mar-18 10
2 Falisha Zaleeka Faris WB/Vitta 04/10 Non Gakin P 09-Nov-17 13.3
3 Mikhayla Sulistyo/Esti M 04/10 Non Gakin P 17-Jun-18 9.6
4 Nadia Xaviera Donal/Lina 04/10 Non Gakin P 12-Apr-17 12
5 Shaima Zam-zam/Raisa 01/10 Non Gakin P 21-Jun-17 11.5
6 Alula Fajar/Rossy 03/10 Non Gakin P 29-Jun-17 13
7 Arsyla heri/imasaroh 04/10 Non Gakin P 18-Aug-17 12
8 Indira Sophie Mega/Laisa 02/10 Non Gakin P 25-Sep-17 13.2
9 Mikalea Faisal/Maulida 04/10 Non Gakin P 27-Feb-15 17.2
10 Kaeera Zam-zam/Raisa 01/10 Non Gakin P 04-Oct-15 16.1
11 Alifah Kirana Deden/Uswati 01/10 Non Gakin P 29-May-16 14.5
12 Alisa Adit/Desi 04/10 Non Gakin P 13-Aug-17 10.4
13 Abid Adzka Kemal/Lita 04/10 Non Gakin L 06-Oct-17 12
14 Ibrahim Hadist/Resti 02/10 Non Gakin L 04-Feb-18 12.3
15 Ar Caska Wildan/Hilda 03/10 Non Gakin L 17-Jul-18 8.9
16 Rafizqi Ari M/Susan 02/10 Non Gakin L 01-Sep-18 8.6
17 Rifat Andi/Nurdiana 04/10 Non Gakin L 01-Sep-18 11.5
18 Arrakan Andi/Ana 04/10 Non Gakin L 27-Mar-17 14.4
19 Revan Atep/Yuli 03/10 Non Gakin L 30-May-18 10.7
20 Faiz Toni/Nia 03/10 Non Gakin L 27-Aug-17 12.6
21 Berryl Bilfaqih Herlambang/Indri 03/10 Non Gakin L 02-Aug-17 13.6
22 Rakean Dedi/Ivah 04/10 Non Gakin L 26-Jul-15 13
23 Luthfi Sakhi Z. Kuswandi/Anisa 04/10 Non Gakin L 21-Apr-16 15.5
24 Shafiq Angga/Yulianti 04/10 Non Gakin L 18-Jun-15 15
25 Malik Arif/Karina 02/10 Non Gakin L 14-Oct-18 11
26 Maliq M Sidiq Yosep/Dini 03/10 Non Gakin L 10-Jan-19 10.6
27 bilal deri/ putri 10 Non Gakin L 25-Jul-18 15
28 Albifardzan heri/ina 04/10 Non Gakin L 14-Feb-19 17.5
29 Sea Dhiaurrahman roni/ Intan 04/10 Non Gakin L 11-Feb-19 11
30 Fathan Febri/meti 02/10 Non Gakin L 10-Aug-18 13
31 Fadel Amar mugi/ lina 04/10 Non Gakin L 12-May-15 16
32 m. Raqila a Toni/Vivi 03/10 Non Gakin L 11-Apr-18 11.7
33 quengy 6.34
34 bela 17.2
35 Sea Dhiaurrahman roni/ Intan 04/10 Non Gakin L 11-Feb-19 11
36 gia 8.5
37 alfaro 8.5
38 ar saka 9
39 al mera 6.8
40 kalandra 7.5
41 deandra 18.3
42 alfarendra 9.5
43 kirana 14.5
44 raka 16.2
45 gifani 6.31
46 fadel 15.5
47 nadia 11.6
JUMLAH 21 12
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
83 22 V V V
91 27 V V V
80 20 V V V
94 34 V V V
91 31 V V V
87.5 31 V V V
89 30 V V V
91 28 V V V
107 59 V V V
104 52 V V V
98 44 V V V
88.4 30 V V V
85 28 V V V
83 24 V V V
79 19 V V V
76 17 V V V
76 17 V V V
96 34 V V V
76 20 V V V
90 29 V V V
92.5 30 V V V
99 54 V V V
99 45 V V V
105 56 V V V
80 16 V V V
78 13 V V V
82.5 18 V V V
74 12 V V V
74 12 V V V
83 18 V V V
110 57 V V V
86.7 22 V V V
56
107
78 12 V V V
67
67
71
67
67
100.2
72
98
106
57.4
104
90
0 0 14 12 7 0 2 29 2 0 1 32 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V

V V V
0 31 2 0 33 0 33
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Supril
5 Jml Balita yang ada : 38 Balita 17 Laki-Laki 21 Perempuan
6 Jml Balita ditimbang : 38 Balita 17 Laki-laki 21 Perempuan
7 Tgl Penimbangan : 17-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Qaireen M. Rangga/ Yani 01//11 Non Gakin P 16-Nov-15 19.2
2 Farelia Adang/ Suci 04/11 Non Gakin P 05-Feb-16 17.2
3 stefani lean martinus/ dede z. 03/11 Non Gakin P 09-Mar-16 16.2
4 Fatimah Mira/ Nugraha 03/11 Non Gakin P 03-Aug-16 13.7
5 Kimora elsa samuel Non Gakin P 12-Mar-17 10.9
6 Kinandia Azzahra kemas/ imaniar 05/11 Non Gakin P 21-May-17 12.1
7 Rindu Ayu Latief/Nenti 04/11 Non Gakin P 24-Mar-17 11
8 malaika nines 04/11 Non Gakin P 11-Apr-17 11.6
9 Hanna Kholifah Agus/ Yani 05/11 Non Gakin P 24-Jul-17 13.1
10 Laili Syakiran Anton/ Nova 05/11 Non Gakin P 21-Aug-17 14.2
11 audy ifan/Widy 03/11 Non Gakin P 29-Sep-17 10.3
12 Lydia Iwan/Tuti 03/11 Non Gakin P 22-Jan-18 12.1
13 Sabila Haura Rafania Aris/Melly 05/11 Non Gakin P 30-Mar-18 9.2
14 Alesha Beni/ Rika 03/11 Non Gakin P 05-Apr-18 13.5
15 Nailah S. Nofand/Nilam 04/11 Non Gakin P 11-Oct-18 8.1
16 Arsyila Pramelia Putri Ilham/Ine Melani 04/11 Non Gakin P 19-Dec-18 7.6
17 Nazla Hafizhah Sumiyarjo/Arie 05/11 Non Gakin P 01-Jan-19 7.6
18 Ameera Aiza Safa erwin/ indah 02/11 Non Gakin P 24-Jan-19 8.3
19 Fatina k. Sapta/ Kenaya 02/11 Non Gakin P 25-Jul-19 6.5
20 faizah putri heri/nurida 01/11 Non Gakin P 03-Jan-20 5.1
21 ayesha soni/linda 02/11 Non Gakin P 28-Jan-20 3.9
22 Satria Putra Ginanjar Aji/ Sopie 02/11 Non Gakin L 19-Mar-15 15.4
23 Miftah Abdullah Amir/ Yuanita 05/11 Non Gakin L 20-Apr-15 17.2
24 Darrel Sakha Bagus/ Dea 01/11 Non Gakin L 26-Jul-15 16.8
25 altan mahvin dilara firmansyah Romi/ Fauziah 01/11 Non Gakin L 03-Aug-15 18.5
26 akhtar muammar natiq firmansyah Romi/ Fauziah 01/11 Non Gakin L 03-Aug-15 16.5
27 M. Nizam Farida/Kusdiono 03/11 Non Gakin L 03-Jul-16 15.5
28 Devara A Bagas/Dea 01/11 Non Gakin L 06-Sep-17 14.7

### Maliq K. H Yogiana/Ade 05/11 Non Gakin L 08-Sep-17 13.2


### Kael Mauza Ardana/ Silvia 03/11 Non Gakin L 13-Dec-17 12.6
### M. Davindra Megi/ Nia 05/11 Non Gakin L 20-Dec-17 11.6
### magika daru anton/ wulan 03/11 Non Gakin L 10-Apr-18 9.5
### Rafka helmi/ tria 04/11 Non Gakin L 01-Jan-19 9.6
### leon martinus/ dede z. 03/11 Non Gakin L 25-May-19 6.8
### naufal yusuf 03/11 Non Gakin L 02-Nov-19 6.4
### A. Arsyil Indrawanyan alexi/tities 05/11 Non Gakin L 03-Mar-18 10
### Dirga adjie/sofie 02/11 Non Gakin L 14-Feb-19 10
### Airlangga anne/renaldi 02/11 Non Gakin L 29-Oct-18 10.6
JUMLAH 17 21
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
100 51 V V V
112 48 V V V
97 47 V V V
94.4 42 V V V
83 35 V V V
92.5 32 V V V
90 34 V V V
89 34 V V V
91.2 30 V V V
95 29 V V V
85 28 V V V
82 24 V V V
79 22 V V V
84.5 22 V V V
68 16 V V V
70 13 V V V
70 13 V V V
69 12 V V V
63 6 V V V
53 1 V V V
51.1 0 V V V
105.9 58 V V V
106 57 V V V
98 54 V V V
104 54 V V V
102 54 V V V
101 43 V V V
89 29 V V V

92 29 V V V
85.5 26 V V V
86.7 25 V V V
81 22 V V V
80 13 V V V
67 8 V V V
61.2 3 V V V
85 23 V V V
85 12 V V V
79 15 V V V
3 2 11 12 10 0 1 37 0 2 0 34 2 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V

V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
0 35 3 0 38 2 33
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Mawar
5 Jml Balita yang ada : 28 Balita 15 Laki-Laki 13 Perempuan
6 Jml Balita ditimbang : 28 Balita 15 Laki-laki 13 Perempuan
7 Tgl Penimbangan : 18-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Zhafran Rizal 01/12 Non Gakin L 04-Feb-17 15.5
2 Elvio Dony 01/12 Non Gakin L 28-Jul-17 13.5
3 Holid Gun-Gun 05/12 Non Gakin L 22-Mar-16 14
4 Hamzah Adis 05/12 Non Gakin L 24-Feb-17 12.5
5 Arjuna Meydi 01/12 Non Gakin L 24-Apr-17 12
6 M.Kholid Misno 04/12 Non Gakin L 10-Mar-17 13
7 Akhtar Aditya 02/12 Non Gakin L 19-Jan-16 14.5
8 Salsabila Rizal 01/12 Non Gakin P 06-Jun-15 16.5
9 Rafiizky M. Reza 01/12 Non Gakin L 25-Mar-18 13.5
10 Delisa Dony 01/12 Non Gakin P 28-Jan-15 17
11 Arsyila Mei.K 05/12 Non Gakin P 19-Dec-15 16.5
12 Maryam Indro 01/12 Non Gakin P 02-Nov-17 10
13 Qonita Agung 03/12 Non Gakin P 27-Jan-15 17
14 Albiayan Arief 04/12 Non Gakin P 10-Feb-17 11
15 Fathiana Dadang 02/12 Non Gakin P 27-Jul-18 11
16 Jedi Kavin Jefri Sahat 01/12 Non Gakin L 02-Oct-18 10.5
17 Radeya Aglan D m. reza 01/12 Non Gakin L 09-Jul-19 8
18 Taqi leni 02/12 Non Gakin L 30-Dec-17 10.5
19 kenzie sandy 02/12 Non Gakin L 26-Jan-19 9
20 Kiran Indra Apdianto 03/12 Non Gakin P 30-Mar-15 17
21 Raihan Bambang 04/12 Non Gakin L 29-Mar-15 17
22 Muthiah darul ihsan 01/12 Non Gakin P 17-Oct-19 6.5
23 Haiqal dede yusuf 01/12 Non Gakin L 16-Apr-19 8.9
24 Queensha rusanto 04/12 Non Gakin P 21-Oct-19 6.5
25 dwi panca aditia 03/12 Non Gakin L 21-Jun-15 17.5
26 Aiko Robinson 04/12 Non Gakin P 03-Feb-16 24
27 Asyiah Dede 04/12 Non Gakin P 02-Dec-16 11
28 Fathimah wawan 05/12 Non Gakin P 20-Aug-17 11
JUMLAH 15 13
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
96 36 V V V
91 30 V V V
95 46 V V V
88 35 V V V
86 33 V V V
89 35 V V V
96 48 V V V
107 56 V V V
89 22 V V V
110 60 V V V
104 49 V V V
85 27 V V V
110 60 V V V
85 36 V V V
82 18 V V V
85 16 V V V
70 7 V V V
87 25 V V V
79 12 V V V
110 58 V V V
108 58 V V V
66 4 V V V
75 10 V V V
64 3 V V V
112 55 V V V
111 48 V V V
90 38 V V V
83 29 V V V
2 2 4 7 13 0 1 26 1 0 3 25 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V
V V V
V V V
V V V
V V V
0 27 1 0 28 2 24
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Bugenvile
5 Jml Balita yang ada : 44 Balita 16 Laki-Laki 28 Perempuan
6 Jml Balita ditimbang : 44 Balita 16 Laki-laki 28 Perempuan
7 Tgl Penimbangan : 17-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Marsya Yayan/Sugiyem 02/13 Non Gakin P 03-Mar-15 15.4
2 Ghenaya Iqbal/Feni 04/13 Non Gakin P 24-Mar-15 18.6
3 Alifa Ramdan/Linda 02/13 Non Gakin P 31-Jul-15 14
4 Jenahara Irvan/Dewi 02/13 Non Gakin P 07-Jan-16 14
5 Adiva Veni 02/13 Non Gakin P 22-Apr-16 12
6 Dinda Afika Dasikin/Mursinah 03/13 Non Gakin P 18-Aug-16 15.2
7 Anindita Setyo Budi 02/13 Non Gakin P 16-Oct-16 13.5
8 Arsifa Nurjannah Ridwan/Rani 02/13 Non Gakin P 27-Oct-16 12.6
9 Mashela H Dudy/Fitri 04/13 Non Gakin P 25-Jan-17 13.8
10 Athaleta Dicky/Firna 03/13 Non Gakin P 31-Mar-17 10.5
11 Pranesha imam/Prima 02/13 Non Gakin P 20-May-17 13.5
12 Aliya Khaira Yudi/Lisnawati 03/13 Non Gakin P 06-Jul-17 11
13 Yumi Zea Aswin/Wita 03/13 Non Gakin P 01-Aug-17 12.2
14 Nayyara Arsi/ Desy 01/13 Non Gakin P 27-Oct-17 11
15 Savina Almahira Sopyan/Wina 04/13 Non Gakin P 23-Dec-17 10
16 Rajan Jumadi/Ikoh 02/13 Non Gakin L 18-Apr-15 19.6
17 Zean Eizi Aswin/Wita 03/13 Non Gakin L 26-Jul-15 20.2
18 Rifat Gustiawan Roni/Yuni 04/13 Non Gakin L 01-Aug-15 14.2
19 Ayu Dya A. Sandi/ Yanti 04/13 Non Gakin P 19-Jan-17 10.6
20 Alesha Fauzan/Sari 02/13 Non Gakin P 20-Oct-18 9
21 m. Syafiq R. Candra/ Anita 04/13 Non Gakin L 05-Jan-19 10.8
22 fatiyah sony/mae 02/13 Non Gakin P 29-May-17 10.9
23 Vanessa Erwin/Yati 02/13 Non Gakin P 15-Nov-17 15.3
24 agtias Nafisa dezyka 02/13 Non Gakin P 30-Jan-19 10.6
25 Dafeena E. Fadil/ Veni 02/13 Non Gakin P 29-Mar-19 8.2
26 andara kiki/risna 02/13 Non Gakin P 10-Oct-19 6
27 Muh Arfan Ridwan/Rani 02/13 Non Gakin L 04-Apr-18 10.7
28 m. ghazi muggi/ovi 01/13 Non Gakin L 20-Dec-18 9.8
29 Zihar Deni/Susi 04/13 Non Gakin L 22-Apr-16 12.5
30 Alby Davian Rifan/Dewi 04/13 Non Gakin L 22-Nov-17 11.4
31 Arjuna Arya/Widya 02/13 Non Gakin L 15-May-17 17
32 M. Keandra Raka/Anis 01/13 Non Gakin L 20-May-17 11.5
33 Alfauzan Arief/Neni 03/13 Non Gakin L 25-Oct-18 11.4
34 Al Fath Rifan/Dewi 04/13 Non Gakin L 21-Nov-19 5.3
35 Qaireen S H Ganjar/Yani 02/13 Non Gakin P 01-Mar-19 7.5
36 mecca eka/elfi 04/13 Non Gakin P 06-Jul-19 7.5
37 Maheera Gandara/Meylani 04/13 Non Gakin P 11-May-19 7.1
38 salsabila Saefullaoh/Titin 04/13 Non Gakin P 07-Feb-15 23.8
39 Jehan h Irvan/Dewi 02/13 Non Gakin P 16-Sep-19 7
40 Dzikri A Wini Puji 01/13 Non Gakin L 27-May-18 9.7
41 Jayan Dade/Titin 02/13 Non Gakin L 11-Feb-15 15.1
42 Vanessa Anton/ Yuka 03/13 Non Gakin P 06-Aug-15 14.8
43 M. Arfodhi Januar/wini 02/13 Non Gakin L 09-Jan-20 4.5
44 Rayyanza Windy/Isyana 02/13 Non Gakin L 16-Jan-17 14.6
JUMLAH 16 28
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
101 59 V V V
115 58 V V V
104 54 V V V
104 49 V V V
94 45 V V V
102 41 V V V
92 40 V V V
95.2 39 V V V
95 36 V V V
88 34 V V V
94 32 V V V
90 31 V V V
92 30 V V V
80 27 V V V
86 25 V V V
112 57 V V V
116 54 V V V
100 54 V V V
89 36 V V V
80 15 V V V
86 13 V V V
85 32 V V V
87.5 27 V V V
78 12 V V V
69 10 V V V
63 4 V V V
87 22 V V V
79 13 V V V
97 45 V V V
87 26 V V V
100 33 V V V
90 32 V V V
74.3 15 V V V
55 2 V V V
72.5 11 V V V
65 7 V V V
65 9 V V V
108 60 V V V
66 5 V V V
82 20 V V V
104 60 V V V
104 54 V V V
52 1 V V V
98 37 V V V
4 4 7 11 18 0 2 42 0 0 2 40 2 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V
V V V
0 41 3 0 44 4 36
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Edelwise
5 Jml Balita yang ada : 21 Balita 10 Laki-Laki 11 Perempuan
6 Jml Balita ditimbang : 21 Balita 10 Laki-laki 11 Perempuan
7 Tgl Penimbangan : 18-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Ijaj 03/14 Non Gakin L 29-Apr-19 7
2 Zivani Widodo 02/14 Non Gakin P 11-Apr-19 7.5
3 tatan B Iyan 05/14 Non Gakin L 13-Aug-19 7.5
4 Hanin Ade Putra 04/14 Non Gakin P 10-Oct-19 5.8
5 Khaidir Taufik/Destra 05/14 Non Gakin L 16-Oct-17 12
6 Zulfa Rizal/Dian 01/14 Non Gakin P 09-Jun-17 12
7 Azmia Rian 05/14 Non Gakin P 04-Jun-17 10.5
8 Gaurila Tia Chandra 02/14 Non Gakin P 15-Jul-17 12
9 Nabila Putri Rachmat/Feni 04/14 Non Gakin P 27-Apr-17 16
10 M. Fathan Hendi 04/14 Non Gakin L 02-Mar-16 14
11 Tristan Iyan 05/14 Non Gakin L 26-Jul-16 14
12 Faeza Atilla Agung 05/14 Non Gakin L 20-May-16 16.1
13 M. Albinaya Bonti 01/14 Non Gakin L 27-Jul-16 17
14 Hasna Ade Putra 04/14 Non Gakin P 06-Jul-16 21
15 Resfan Gugun 04/14 Non Gakin L 07-Nov-16 12
16 Salim Rinto 05/14 Non Gakin L 07-Nov-15 19
17 Aqila Agus/Titi 03/14 Non Gakin P 27-Dec-17 11
18 Bening Falid 03/14 Non Gakin P 29-Sep-18 9.2
19 Dania Deddy 04/14 Non Gakin P 02-Oct-18 95
20 Naufal Harris 04/14 Non Gakin L 07-Nov-18 9.4
21 Shofiah Sukma 03/14 Non Gakin P 12-Jan-19 7.9
JUMLAH 10 11
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
68 9 V V V
67 10 V V V
64 6 V V V
61 4 V V V
88 28 V V V
95 32 V V V
87.5 32 V V V
87 31 V V V
105 33 V V V
95 47 V V V
96 42 V V V
108 44 V V V
107 42 V V V
116 43 V V V
92 39 V V V
111 51 V V V
84 25 V V V
74 16 V V V
75 16 V V V
72 15 V V V
74.3 13 V V V
1 3 4 6 7 0 1 18 2 0 1 18 2 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
0 20 1 0 21 3 17
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Cempaka
5 Jml Balita yang ada : 32 Balita 17 Laki-Laki 15 Perempuan
6 Jml Balita ditimbang : 32 Balita 17 Laki-laki 15 Perempuan
7 Tgl Penimbangan : 20-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Avaren A. Arfan 01/15 Non Gakin L 30-Jan-17 14
2 Keyla Nina/Indra 01/15 Non Gakin P 28-Feb-16 14.5
3 Nadila Erna/Asep 01/15 Non Gakin P 16-Aug-16 11.3
4 Arkendra Jihan Gumilar Mila/Restu 01/15 Non Gakin P 30-Jul-16 15
5 Zikra Ari/Dodi 01/15 Non Gakin P 30-Aug-16 14.2
6 Syahira Keisha Budi S. Lina/Budi 01/15 Non Gakin P 01-Nov-15 19.2
7 Aluardo Althafarizqi Budzair Lina/Budi 01/16 Non Gakin L 08-Aug-18 10.5
8 Alifa F. Hendri Saputra 02/15 Non Gakin p 02-Nov-17 15
9 Ammar Hendri Saputra 02/15 Non Gakin L 29-May-19 8.5
10 Rachel Asep Darmawan 02/15 Non Gakin P 12-Jun-15 15.6
11 Anindya Latisha Gian Nugraha 02/15 Non Gakin P 23-Mar-17 11.7
12 Anissya Zafirah D. M. Yudhi Andhika 02/15 Non Gakin P 14-Oct-15 15.9
13 Nizam Rafandra Yadi 03/15 Non Gakin L 21-Apr-17 16
14 Naysila Armina Nova 03/15 Non Gakin P 20-Nov-15 15.6
15 Dimas Radhitya Eko 03/15 Non Gakin L 02-Sep-16 11.8
16 Rajendra Malik Ermawati Lubis 03/15 Non Gakin L 05-Oct-15 15
17 Sultan Melviano Bagus Setyo Laksono 04/15 Non Gakin L 16-Jul-19 6.5
18 M. Gilang Nur Wahyo Mulyana 04/15 Non Gakin L 21-Jul-15 15
19 Lutria Zahra T. Rizki Risdiansyah 05/15 Non Gakin P 21-Nov-16 13
20 Angga Raksa Purnomo 05/15 Non Gakin L 01-Feb-15 15
21 Rakean Yana Supriatna 05/15 Non Gakin L 25-Aug-16 14.5
22 Xaviera Meti/Prana 05/15 Non Gakin P 21-Mar-17 11.5
23 Aria Permana Angga Perwira 04/15 Non Gakin L 26-Aug-18 10
24 Rafandria Rizky Ramadhan 05/15 Non Gakin L 21-Dec-17 12.5
25 Faiq Sharga Setiawan Gilang Ramadhan 02/15 Non Gakin L 15-Mar-19 8.8
26 Kyoya Ambe Rlee Irfan Nugraha 01/15 Non Gakin P 08-Aug-17 12.3
27 Mikayla Dzahin Ikral Prima 04/15 Non Gakin P 12-Oct-17 11.3
28 Alaric Ricka/Wahyudi 02/15 Non Gakin L 08-Aug-17 11.5
29 Mikayla 03/15 Non Gakin P 14-Dec-16 18.8
30 Gataf Cristina/andria 03/15 Non Gakin L 03-Aug-18 10.3
31 Gibran Ines/Ririn 04/15 Non Gakin L 12-Nov-19 6.3
32 Langit senja Rini/Wahyu 03/15 Non Gakin L 25-Oct-19 7.6
JUMLAH 17 15
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
96 36 V V V
97.6 47 V V V
92 42 V V V
93 42 V V V
94 41 V V V
109 51 V V V
81 18 V V V
91.1 27 V V V
67 8 V V V
100 56 V V V
89 34 V V V
102 52 V V V
91 33 V V V
100 51 V V V
92 41 V V V
103 52 V V V
65 7 V V V
100 54 V V V
94 38 V V V
105 60 V V V
94 41 V V V
91 34 V V V
79.5 17 V V V
84.5 25 V V V
78 11 V V V
85 30 V V V
85 28 V V V
83 30 V V V
99.5 38 V V V
82 18 V V V
59.5 3 V V V
62 3 V V V
2 3 3 8 16 0 3 28 1 0 1 31 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
0 30 2 0 32 3 27
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Anggrek
5 Jml Balita yang ada : 45 Balita 22 Laki-Laki 23 Perempuan
6 Jml Balita ditimbang : 45 Balita 22 Laki-laki 23 Perempuan
7 Tgl Penimbangan : 12-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Hana Haura Hangkasa/ Ratih 01/16 Non Gakin P 25-Jun-15 12.5
2 Hanum Rizal/ Dewi 02/16 Non Gakin P 10-Sep-15 15.2
3 Adzmi Zea Suwarno/ Endang 05/16 Non Gakin P 09-May-16 12
4 Azarine Sandra/ Irnis 05/16 Non Gakin P 29-May-16 18
5 Ainiyah Didin/ Ika 04/16 Non Gakin P 02-Jun-16 22.5
6 Anasya Hangkasa/ Ratih 01/16 Non Gakin P 24-Jul-17 9.5
7 Ixora Khalisa Erfan/ Gita 05/16 Non Gakin P 02-Jan-18 12
8 Naraya Kiandra Sulaeman/Nia 02/16 Non Gakin P 29-Mar-17 14
9 Adzkkiyyah Kriswanto/Meli 01/16 Non Gakin P 17-Jun-18 9.5
10 Sayyidah Aska/Sekar 02/16 Non Gakin P 20-Jun-18 10
11 Quira Ayunindya Resmana/Yanti 05/16 Non Gakin P 08-Oct-18 9.2
12 Nayara Kayra Sulaeman/Nia 02/16 Non Gakin P 18-Oct-18 8.5
13 Havika Dhyana Aldi/Ayu 05/16 Non Gakin P 13-Dec-18 12
14 Athifa Eko/ Ani 01/16 Non Gakin P 22-Feb-19 8.5
15 Clemira hidayad/dora 02/16 Non Gakin P 27-Jun-19 6.5
16 Alzea defprisma/tita 01/16 Non Gakin P 27-Jan-20 2.7
17 Hipdi Nandang/ Sifa 05/16 Non Gakin L 17-Sep-15 17
18 Fauzan Erik/ Yuyun 03/16 Non Gakin L 03-Nov-15 15.5
19 M Revan Yono/Juju 05/16 Non Gakin L 22-Jan-16 16
20 Hussein Fitriadi/ Sifa 01/16 Non Gakin L 02-Feb-16 15.6
21 Arka Rajendra Akmal/Mutrifa 03/16 Non Gakin L 02-Jan-16 18.5
22 Bagas Ari/ Restie 05/16 Non Gakin L 16-Nov-16 15
23 Abiyan Eko/Ani 01/16 Non Gakin L 20-Jun-16 13
24 M Iqbal Cece/ Heni 05/16 Non Gakin L 15-Jan-17 18.2
25 Ahmad Dirgham Ardi/ Mawar 01/16 Non Gakin L 01-Nov-17 12
26 M. Adrich Irsyad/ Rosi 04/16 Non Gakin L 13-Nov-17 15
27 Kamandaka Aldi/Ayu 05/16 Non Gakin L 10-Jan-18 13
28 Army Sahil Suwarno/ Endang 05/16 Non Gakin L 11-Mar-18 10
29 Rheynandra Sandra/ Irnis 05/16 Non Gakin L 07-Jan-19 9.5
30 Bilal f. Ardi/ Mawar 01/16 Non Gakin L 17-Mar-19 7.4
31 Ghazi G. Gilang/ Ines 05/16 Non Gakin L 20-Jun-19 8.8
32 M. Gibran Dedi/ Sani 02/16 Non Gakin L 12-Jul-19 8.3
33 Renjana Erfan/ Gita 05/16 Non Gakin L 24-Sep-19 6.2
34 Irfan/ Maya Irfan/ Maya 03/16 Non Gakin L 03-Jun-16 13
35 Kirana A Hilman/mega 03/16 Non Gakin P 14-Nov-15 15
36 Tanaya A Zulnasar/risca 03/16 Non Gakin P 17-Aug-18 11
37 Syakira Lana Aurora Soni/ Dhila 02/16 Non Gakin P 19-Sep-17 25
38 Friera Kansa Deni/Meira 05/16 Non Gakin P 13-Jan-17 14
39 Arka Nanta gumyar/fitra 05/16 Non Gakin L 26-Apr-16 17
40 Alika Naila saipul 05/16 Non Gakin P 31-Oct-16 12.5
41 Tolha prengki/yusi 05/16 Non Gakin L 16-Jan-19 11
42 M Rafi Ayi/ Ika 04/16 Non Gakin L 03-Jun-19 7.6
43 Mika adhi 05/16 Non Gakin P 16-Aug-15 17.5
44 Salman adhi 05/16 Non Gakin L 09-Jun-19 7.5
45 Atalia farid/ayu 05/16 Non Gakin P 31-Jan-17 17
JUMLAH 22 23
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
98 55 V V V
100 53 V V V
94 45 V V V
104 44 V V V
103 44 V V V
84 30 V V V
81 25 V V V
91.5 34 V V V
79.5 19 V V V
80 19 V V V
79 16 V V V
73 15 V V V
71.5 13 V V V
68 11 V V V
64 7 V V V
45.5 0 V V V
98 52 V V V
104 51 V V V
98 48 V V V
100 48 V V V
106 49 V V V
97 38 V V V
93.5 43 V V V
101 36 V V V
93 27 V V V
88 26 V V V
85 25 V V V
81 23 V V V
80 13 V V V
70 10 V V V
67 7 V V V
69 7 V V V
62 4 V V V
94 44 V V V
99 50 V V V
90 17 V V V
92 28 V V V
98 36 V V V
97 45 V V V
93 39 V V V
75 12 V V V
67 8 V V V
100 53 V V V
67 8 V V V
110 36 V V V
2 7 9 7 20 0 2 40 3 0 0 43 2 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
0 41 4 0 45 7 36
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Harapan Bunda
5 Jml Balita yang ada : 24 Balita 10 Laki-Laki 14 Perempuan
6 Jml Balita ditimbang : 24 Balita 10 Laki-laki 14 Perempuan
7 Tgl Penimbangan : 7-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Langit Bima Agung/ Santi 05/17 Non Gakin L 21-Jul-15 24.4
2 M. Rais Ridwan Kasmianto 02/17 Non Gakin L 25-Dec-15 15.9
3 Jibril Arshavin Bimo/ Twidy 04/17 Non Gakin L 29-Mar-16 15
4 Raffasya Andri/ Dini 01/17 Non Gakin L 20-Jun-16 14.2
5 Nabil Arifin Eifin/ Rita 03/17 Non Gakin L 18-Aug-16 11.9
6 Dzaky Egy/Nurhalifa 03/17 Non Gakin L 30-Oct-17 10.7
7 Azlan Arif/ Ulfa 04/17 Non Gakin L 14-May-19 8.2
8 Raka Rizal/Emi 04/17 Non Gakin L 25-Feb-19 8.2
9 Ammarilla Arif/ Ulfa 04/17 Non Gakin P 01-Jun-15 19.2
10 Shakira Fajar/ Apriyani 03/17 Non Gakin P 23-Feb-16 16.2
11 Alifa Syaida Budi/ Endang 05/17 Non Gakin P 16-Jan-17 12.8
12 Altafazza Afif/Ulfa 04/17 Non Gakin P 11-Jan-17 12.3
13 Shira F Suhendar/ Elly 03/17 Non Gakin P 17-Feb-17 14
14 Inara Alula Fikri/ Devin 03/17 Non Gakin P 16-Feb-17 11.6
15 Ayara Suwarno/ Erni 02/17 Non Gakin P 29-Mar-17 12.4
16 Qiana Yudi/Rossy 03/17 Non Gakin P 11-Oct-16 12.7
17 Aluna L. A. Arif/Oxsa 03/17 Non Gakin P 24-Jul-18 11
18 Ameera Devy/devi 04/17 Non Gakin P 05-Jun-19 8.3
19 Latifah Hadi/Dewi 01/07 Non Gakin P 11-Aug-18 11

### Syahreza hidayat/lina 01/17 Non Gakin L 08-Apr-19 9


### clayrin santi/lorman 01/17 Non Gakin P 09-Jan-19 9.4
### Agia Non Gakin P 19-Feb-19 9.2
### Ainaya Vika/Azhar Non Gakin P 17-Apr-19 7.4
### atala Daif/kurnia 01/17 Non Gakin L 10-Mar-18 11
JUMLAH 10 14
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
103.5 54 V V V
100 49 V V V
99 46 V V V
95 43 V V V
92 41 V V V
80.6 27 V V V
68 8 V V V
70 11 V V V
108 56 V V V
103 47 V V V
90.8 36 V V V
94 36 V V V
92.5 35 V V V
88 35 V V V
87.5 34 V V V
95 39 V V V
85.5 18 V V V
70 8 V V V
85 17 V V V

69 9 V V V
75 12 V V V
74 11 V V V
69 9 V V V
81 22 V V V
0 6 4 4 10 0 0 23 1 0 1 23 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V

V V V
V V V
V V V
V V V
V V V
0 23 1 0 24 6 18
FORMULIR PENCATATAN BULAN
KEMBALI
BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Flamboyan
5 Jml Balita yang ada : 27 Balita 9 Laki-Laki 18 Perempuan
6 Jml Balita ditimbang : 27 Balita 9 Laki-laki 18 Perempuan
7 Tgl Penimbangan : 18-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Adelia Dendi 02/18 Non Gakin P 14-Apr-16 14.5
2 M. Fadhalan Dendi 02/18 Non Gakin L 19-Jul-19 7.4
3 Lutfi Engkos 02/18 Non Gakin L 18-Apr-16 15
4 Rizkiya Yana 04/18 Non Gakin P 14-Aug-16 19
5 Akleema Susanti 04/18 Non Gakin P 05-Aug-17 11
6 Alisha Akbar 04/18 Non Gakin P 29-Nov-17 11
7 Abrisyam Yuda 04/18 Non Gakin L 22-Oct-17 14
8 Kanaya Daries 03/18 Non Gakin P 23-Nov-17 12.5
9 Alesha Heri 05/18 Non Gakin P 11-Apr-19 7.1
10 Sekar ayu Sakti 05/18 Non Gakin P 03-Jul-16 12
11 Gaziya Firman 03/18 Non Gakin P 15-Jan-19 11.8
12 M. Zafran Jajat s. 02/18 Non Gakin L 20-Apr-19 8.9
13 M.Raffa Niman 03/19 Non Gakin L 01-Aug-15 16
14 Aruna Reza 03/18 Non Gakin P 03-Feb-17 15
15 Ibrahim M.Yusuf 01/18 Non Gakin L 27-Dec-17 11
16 Galaxia redian 01/18 Non Gakin L 30-Sep-19 7.1
17 Adeva Galih 02/18 Non Gakin P 14-Mar-16 12
18 Maira Galih 02/18 Non Gakin P 05-Nov-19 5.3
19 Alifa Dadang 05/18 Non Gakin P 17-Jan-17 14.8
20 Senja Sakti 05/18 Non Gakin P 12-Feb-20 2.8
21 Carlise yose 01/18 Non Gakin P 18-Dec-19 6.3
22 Tamu
23 Benyamin corry 05/18 Non Gakin L 30-Jun-18 11.5
24 Cerika Ruhimat 04/18 Non Gakin P 21-Sep-17 11
25 Halimah Iwan Non Gakin P 18-Nov-19 5
26 Glori josi Non Gakin P 20-Apr-19 6.8
27 Gabriano Eva Non Gakin L 20-Sep-16 16
28 Alma Dita Non Gakin P 29-Sep-16 13.5
JUMLAH 9 18
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
98.5 46 V V V
65 6 V V V
97.5 46 V V V
102 42 V V V
87 30 V V V
82 26 V V V
93.5 27 V V V
85 26 V V V
68 10 V V V
91.5 43 V V V
83 13 V V V
70 9 V V V
103 54 V V V
95 36 V V V
83 25 V V V
66.5 4 V V V
91 47 V V V
57.5 3 V V V
95 37 V V V
47 0 V V V
61 2 V V V

80 19 V V V
86 28 V V V
56 3 V V V
67 9 V V V
92 40 V V V
91 40 V V V
5 4 2 6 10 0 1 26 0 0 1 25 1 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V
V V V
V V
V V

V V V
V V V
V V
V V V
V V V
V V V
0 26 1 0 27 4 18
FORMULIR PENCATATAN BULAN
KEMBALI
BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Mekarsari
5 Jml Balita yang ada : 42 Balita 21 Laki-Laki 21 Perempuan
6 Jml Balita ditimbang : 42 Balita 21 Laki-laki 21 Perempuan
7 Tgl Penimbangan : 6-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 M. Fayadh fifi/ Dodi M. 01/19 Non Gakin L 26-Nov-17 12
2 Fathya fifi/ Dodi M. 01/19 Non Gakin p 24-Jun-19 8
3 Moch. Keigo AR. Rajab Ajeng/Gilang 01/19 Non Gakin L 17-May-15 15
4 Jun Ataqqi Ajeng/Gilang 01/19 Non Gakin L 31-May-18 11
5 Annisa Rahmaniar Sujarwanto 01/19 Non Gakin P 15-Sep-18 11.2
6 Reyman Nurjanah 03/19 Non Gakin L 08-Mar-18 10
7 Gwenaya Rio 03/19 Non Gakin P 25-May-15 18
8 Arsyila S.A Herdis 03/19 Non Gakin L 12-Mar-18 12
9 Jennaira Satria 01/19 Non Gakin P 18-May-19 8.3
10 Luffy Lutfy 03/19 Non Gakin L 01-Dec-17 11
11 Ayunira H Rahmat A 04/19 Non Gakin P 11-Jul-18 10.3
12 Sifra Candra 04/19 Non Gakin P 17-Jul-15 12.5
13 Siti Arsyila Aziz 04/19 Non Gakin P 27-Dec-16 11.5
14 Keanu Yuda Yudianto 01/19 Non Gakin P 24-May-18 10
15 Kaylila Siti/Rota 05/19 Non Gakin P 25-Sep-18 7.5
16 Abstar rina/taupiq 01/19 Non Gakin L 03-Jul-15 15.5
17 Alesha Rizki 03/19 Non Gakin P 04-Sep-15 16.6
18 Azlan Diona/iwan 03/19 Non Gakin L 28-Nov-19 5
19 Cherika Agus 01/19 Non Gakin p 25-Jul-18 9
20 Aysha Vika/Dion 01/19 Non Gakin p 19-Aug-15 19
21 Azzumar Priyono/yani 05/19 Non Gakin L 11-Mar-16 14
22 Arfa Radeva Viky 02/19 Non Gakin L 06-Nov-15 18.5
23 Azian Zaydan Diana 03/19 Non Gakin L 28-Nov-19 5
24 Baharudin triana 02/19 Non Gakin L 04-Dec-18 8
25 Baraka Utsman Edo 01/19 Non Gakin L 08-May-18 13
26 Syauqi Lia/sandy 03/19 Non Gakin L 25-Sep-19 8.4
27 Reyman Nurjanah 03/19 Non Gakin L 08-Mar-18 10
28 Shakil Sandi 03/19 Non Gakin L 06-Apr-18 9.6
29 Keanu Yudha 01/19 Non Gakin L 24-May-18 10
30 Ayudha Desi 04/19 Non Gakin L 07-Feb-16 14
31 M. Rizky R. Alen 01/19 Non Gakin L 04-Jun-17 10.5
32 Rafif Siti M 03/19 Non Gakin L 03-Jul-19 7.4
33 Razhaa Siti M 03/19 Non Gakin L 01-May-16 17.7
34 Zia Fatimah Siti Khodijah 01/19 Non Gakin P 05-Dec-17 9.5
35 An Raya Rahmat A 03/19 Non Gakin P 22-Aug-18 9.4
36 Ranaya Siti ayun 01/19 Non Gakin P 12-Apr-19 7
37 Qisya Candra 04/19 Non Gakin P 01-Jul-19 6.1
38 Putri Alesya Yopi 04/19 Non Gakin P 09-Mar-17 13
39 Aisyah Rizki Rizki 02/19 Non Gakin P 02-May-19 7.2
40 Afika Hendi 01/19 Non Gakin P 12-Feb-16 15
41 Marina Maryam 01/19 Non Gakin P 05-Nov-16 13
42 Aqila Ganjar Permana 04/19 Non Gakin P 11-Feb-17 10.1
JUMLAH 21 21
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
80 26 V V V
67 7 V V V
99 56 V V V
82 20 V V V
83 16 V V V
79 22 V V V
106 56 V V V
85.5 22 V V V
70 8 V V V
87 26 V V V
82 18 V V V
96 54 V V V
85 37 V V V
77 20 V V V
72.5 16 V V V
99.5 55 V V V
101 53 V V V
58 2 V V V
78 18 V V V
107 53 V V V
94.5 46 V V V
103 51 V V V
58 2 V V V
73.5 14 V V V
83 20 V V V
69 4 V V V
81 22 V V V
79 22 V V V
85 20 V V V
99 47 V V V
85 32 V V V
71 7 V V V
96 45 V V V
82 26 V V V
76 17 V V V
67 9 V V V
62 7 V V V
89 34 V V V
68 9 V V V
97 47 V V V
95 39 V V V
87 35 V V V
3 6 14 6 13 0 5 37 0 0 8 33 1 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
0 41 1 0 42 6 33
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Aster
5 Jml Balita yang ada : 52 Balita 30 Laki-Laki 22 Perempuan
6 Jml Balita ditimbang : 52 Balita 30 Laki-laki 22 Perempuan
7 Tgl Penimbangan : 19-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Gibran A H Siska/Cecep 01/20 Non Gakin L 31-Mar-16 17
2 Arkana A W Ratih/Yusuf 01/20 Non Gakin L 22-Apr-15 16.3
3 Fayyas Syaki Yona/Angga 01/20 Non Gakin L 16-Sep-16 15
4 Malik Arkan M Endah/Eko 01/20 Non Gakin L 23-Feb-17 16
5 Hanan A S Ai Tita/Deden 01/20 Non Gakin L 11-Apr-17 13
6 Ghozi R Hakim Hendang/Salman 01/20 Non Gakin L 11-May-17 16.5
7 Dzawin Hafidz L Nur/Yadi 01/20 Non Gakin L 22-May-19 8.5
8 Nabil Irsyad Novi/Roni 01/20 Non Gakin L 04-Aug-19 7.9
9 Dzaky Alfaeza M Okeu/Edi 02/20 Non Gakin L 22-Nov-16 11.4
10 Naufal Alfiandra A Wulan/Yoga 03/20 Non Gakin L 22-Nov-16 11.9
11 M Adha Syahrul Santi/Yudi 03/20 Non Gakin L 03-Aug-17 10.1
12 Althap Nurhafidh P Kokom/Welly 04/20 Non Gakin L 01-Apr-16 12.7
13 Rafasya Dylan A Eka/Daud 04/20 Non Gakin L 28-Jul-16 14
14 M Raffaza A H Diah/Lukman 04/20 Non Gakin L 25-Dec-15 12.6
15 Gio Alkalifi P Y Nita/Andri 04/20 Non Gakin L 23-Apr-16 13.6
16 Muh. Kindra R P I Dewi L /Fadli 04/20 Non Gakin L 22-Mar-18 10
17 Azril Rafasya Enah/Bunyamin 04/20 Non Gakin L 15-Jul-16 15.6
18 Ryshaka Alva R Riani/Rohma 04/20 Non Gakin L 02-Dec-17 12.5
19 Aulian Hayfa Al A Haziz/Cian 04/20 Non Gakin L 17-Sep-17 14.2
20 Alfariq Mikail F Helni / Yuki 04/20 Non Gakin L 12-Jan-17 14
21 M Alfatik R Y Dian/Yosep 04/20 Non Gakin L 16-Nov-17 11
22 Zyan Ramadi S Y Nita/Andri 04/20 Non Gakin L 17-Apr-19 8.6
23 Abdul Rahman H H Ai/Yayat 05/20 Non Gakin L 25-Sep-16 12
24 Nadasha Qim L Sendi/Ridha 01/20 Non Gakin P 29-Aug-15 17.5
25 Syakilla Gava A Erna/Anton 01/20 Non Gakin P 02-Feb-16 13.2
26 Zulva F S Ipah/Nanang 01/20 Non Gakin P 10-Mar-15 18
27 Alinka Sabina P W Ratih/Yusuf 01/20 Non Gakin P 14-Nov-18 9.1
28 Hafsah Cahaya Erna/Anton 01/20 Non Gakin P 26-Dec-18 9.1
29 Narisha Qim Jamewna Sendi/Ridha 01/20 Non Gakin P 22-May-19 9
30 Nafara Ratu A Dian/Ruhiat 02/20 Non Gakin P 09-Jul-15 13.3
31 Binar Kamala Ervi/Fauji 02/20 Non Gakin P 06-Sep-16 14
32 Calista Jane M Ria /Jane 02/20 Non Gakin P 02-Aug-19 8
33 Marzia Fadilla/Irfan 03/20 Non Gakin P 09-Aug-18 10.3
34 Siti Marwa S Rika/ M Ludani 04/20 Non Gakin P 08-Feb-16 21.6
35 Kanaya Amara Dewi/Anto 04/20 Non Gakin P 03-Oct-17 10
36 Siti Maura K Rika/ M Ludani 04/20 Non Gakin P 20-Nov-17 10
37 Ryshana Aleyyandra Y Riani/Rohma 04/20 Non Gakin P 22-Mar-19 8.8
38 Hanifah Muslimah Ai/Yayat 05/20 Non Gakin P 03-Jul-19 8.6
39 Shakila Alesha P D Nia / Dedi 05/20 Non Gakin P 13-Oct-16 14.6

### Tamu
### Wlliam Morgan D Tri S/Rendy A /20 Non Gakin L 15-Jun-18 12.3
### Davie Alluca P Cindi/Beni 02/20 Non Gakin L 04-Dec-16 11.5
### Nadzia Gina/Septian 01/20 Non Gakin P 05-Apr-19 9
### Nada Fjria Gina/Septian 01/20 Non Gakin P 16-Apr-15 14.7
### M Sudais Ruli/Tanti 01/20 Non Gakin L 24-Oct-17 12
### Taqya Bambang/Rosa 01/20 Non Gakin P 17-Sep-18 10
### Ninara Raka Kilas Devia/Gilang 05/20 Non Gakin P 28-Nov-18 8
### Arbani Afier Wula/Adjie 04/20 Non Gakin L 10-Jan-18 11
### Davin Azel T Astri/Richard 20 Non Gakin L 05-Apr-19 8
### Salisa Salsa B Irma/Dikdik 02/20 Non Gakin P 02-Apr-19 7.1
### Arfi Putra f Gani/Dedi 20 Non Gakin L 28-Apr-16 12.5
### Rabiza 20 Non Gakin P 16-Apr-16 20
### Msauqi F Hasan/Surti 05/20 Non Gakin L 26-Jun-17 12
JUMLAH 30 22
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
104 46 V V V
105 57 V V V
92 41 V V V
99 35 V V V
91 34 V V V
93 33 V V V
72 8 V V V
70 6 V V V
88.5 38 V V V
86 38 V V V
81 30 V V V
94 46 V V V
100 42 V V V
97 49 V V V
95 45 V V V
82 22 V V V
98 43 V V V
95 26 V V V
94 29 V V V
90 37 V V V
83 27 V V V
70 10 V V V
91 40 V V V
104 53 V V V
93 48 V V V
104 59 V V V
82 15 V V V
73 13 V V V
71 8 V V V
98 55 V V V
97 41 V V V
70 6 V V V
80 18 V V V
107 48 V V V
83 28 V V V
85 26 V V V
73 10 V V V
69 7 V V V
94 40 V V V

85 20 V V V
90 38 V V V
70 10 V V V
99 58 V V V
92 27 V V V
77 17 V V V
74 14 V V V
86 25 V V V
70 10 V V V
70 10 V V V
94 45 V V V
105 46 V V V
92 31 V V V
0 10 7 12 23 0 4 47 1 1 4 47 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V

V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
0 50 2 0 52 10 42
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Melati
5 Jml Balita yang ada : 38 Balita 21 Laki-Laki 17 Perempuan
6 Jml Balita ditimbang : 38 Balita 21 Laki-laki 17 Perempuan
7 Tgl Penimbangan : 12-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Shakiya Kamil/Aam 01/21 Non Gakin P 21-Jul-15 16
2 Alesha Joni/Yanti 01/21 Non Gakin P 28-May-16 18
3 Rayna Alvi/Ismawati 01/21 Non Gakin P 20-May-17 14
4 Rey Asep/Santi 01/21 Non Gakin L 05-Apr-16 17
5 Keiko Indra/Nur 01/21 Non Gakin P 15-Jan-18 10
6 Sean Iqbal /Tri 02/21 Non Gakin L 20-Apr-19 8.8
7 River Iqbal/Sri 02/21 Non Gakin L 22-Dec-15 18
8 Ken Syaeful/Tresni 02/21 Non Gakin L 02-Oct-16 13
9 Jourel Alwi/Sri 02/21 Non Gakin L 09-Aug-16 18
10 Magichyo Surya/Dela 02/21 Non Gakin L 22-Aug-19 5.7
11 Magichya Surya/Dela 02/21 Non Gakin P 18-Sep-17 11
12 Maylani Agus/Sopuroh 02/21 Non Gakin P 02-May-16 20
13 M Adit Fredi/Widya 03/21 Non Gakin L 21-Jul-16 22
14 m fadil Hadian/Dini 03/21 Non Gakin L 18-Jun-18 9
15 Sabian Sandi/Erin 03/21 Non Gakin P 19-May-18 9.1
16 Ziyad Sina/Rifka 03/21 Non Gakin L 11-Feb-18 11
17 Musfirah Sina/Rifka 03/21 Non Gakin P 03-Aug-19 6.5
18 Nadif Anjar/deta 03/21 Non Gakin L 29-Mar-19 8
19 Zafran Andi/Nining 03/21 Non Gakin L 06-Oct-16 19
20 Hanif Rizal/ Nisa 04/21 Non Gakin L 31-Jan-17 16
21 Abrisam Rizal/ Nisa 04/21 Non Gakin L 18-Apr-18 12
22 Shakila Fauzi/Amanda 03/21 Non Gakin P 11-Oct-15 15
23 Althaf Fauzi/Amanda 03/21 Non Gakin L 24-Oct-17 10.3
24 Fatiya Fajar/Novi 03/21 Non Gakin P 16-Jun-16 15
25 Elisya Sangga/ Titin 03/21 Non Gakin P 29-Mar-15 15
26 Rasyid Yoghi/ Nur 02/21 Non Gakin L 01-Jun-18 10
27 Fathan Ivan/Nuri 02/21 Non Gakin L 20-Oct-17 11
28 Alendra Haidar/Devi 02/21 Non Gakin L 17-Jul-19 7
29 Mahardika Dudung/ Rima 02/21 Non Gakin L 12-Sep-19 7
30 Tabina Vian/Heru 03/21 Non Gakin P 17-Aug-19 8.2
31 Khalifah Iwan/Dian 04/21 Non Gakin P 22-Aug-18 8.1
32 Rhistia Heri/Hilda 04/21 Non Gakin P 26-Sep-18 10
33 Mauli Tomi/Wina 04/21 Non Gakin P 01-Jan-16 17
34 Arsyifa Andri/Erna 04/21 Non Gakin P 21-Jan-16 15
35 M Arkan Hari/Sofi 05/21 Non Gakin L 11-Nov-18 10
36 Nazril Taufik/Mulyani 05/21 Non Gakin L 09-May-18 10
37 Faeyza Adri/ Rani 05/21 Non Gakin L 23-Feb-19 6.8
38 Kanaya taufik/ yasinta 05/21 Non Gakin P 11-Nov-18 11
JUMLAH 21 17
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
101 54 V V V
100 44 V V V
92 32 V V V
100 46 V V V
81 24 V V V
73 9 V V V
109 49 V V V
99 40 V V V
99 42 V V V
62 5 V V V
86 28 V V V
103 45 V V V
103 42 V V V
79 19 V V V
77 20 V V V
80 24 V V V
62 6 V V V
70 10 V V V
103 40 V V V
97.5 36 V V V
84 21 V V V
102 52 V V V
86 27 V V V
95 43 V V V
101 58 V V V
80 20 V V V
85 27 V V V
64 6 V V V
63 5 V V V
66 5 V V V
75 17 V V V
76 16 V V V
106 49 V V V
99 48 V V V
76 15 V V V
79 21 V V V
70 11 V V V
73 15 V V V
3 5 9 6 15 0 2 35 1 0 2 36 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
1 33 4 0 38 5 30
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Tunas Sari
5 Jml Balita yang ada : 107 Balita 50 Laki-Laki 57 Perempuan
6 Jml Balita ditimbang : 107 Balita 50 Laki-laki 57 Perempuan
7 Tgl Penimbangan : 13-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Alya Ananda R Didin 02/22 Non Gakin P 30-Sep-15 14.7
2 Akbar Oktavian Hilman H 03/22 Non Gakin L 01-Oct-15 14
3 Aisyah F UCU 01/22 Non Gakin P 19-Nov-15 17
4 Davika Aulia Suryana 03/22 Non Gakin P 18-Dec-15 14
5 Haikal Adi P Mahrudin 02/22 Non Gakin L 10-May-15 15.3
6 Sakha R. P.W. Irvan W 02/22 Non Gakin P 18-Jun-15 17
7 Salsabila ayu Hana Maman S 03/22 Non Gakin P 08-Dec-15 16
8 Humaira Shafarulia Edi Rusman 01/22 Non Gakin P 06-May-15 17
9 Alvira Anindia Aa Kudratulloh 01/22 Non Gakin P 06-Feb-16 16
10 Angelina Serli Heru susanto 04/22 Non Gakin P 18-Sep-16 13
11 Bima Arhabu R. Ace Rusyadi 04/22 Non Gakin L 07-Apr-16 14
12 Darrel Azka Jajang Nurzamil 03/22 Non Gakin L 05-Jan-16 14
13 Fadly Raditya Firman S 01/22 Non Gakin L 09-Mar-16 14.5
14 Hilmi Mizra Z Hendra 04/22 Non Gakin L 26-Sep-16 12.3
15 M. Al Khalifi D.S M Jamain 01/22 Non Gakin L 29-Jun-15 20

### Naura S. Nandar 03/22 Non Gakin P 15-Mar-16 15.2


### Nissa Reva I Muh Edi 01/22 Non Gakin P 19-Jan-16 15
### Shania Noviani Nanang Dedi 03/22 Non Gakin P 16-Nov-16 13
### Abriana Zahra Purwahto 4/22 Non Gakin P 18-Feb-17 11.2
### Arvita Azka Dadang 01/22 Non Gakin P 11-Apr-17 11
### Arka Nur A. Karyana 02/22 Non Gakin L 11-Aug-17 14.5
### Kanesya A Z Komar 03/22 Non Gakin P 20-Jan-17 13
### M Al Fatih Tri Septiyadi 04/22 Non Gakin L 28-Sep-18 8.5
### M. Baihaqi R Wahyudin 01/22 Non Gakin L 13-Jun-17 11
### Nadia Ardiary Sutisna 03/22 Non Gakin P 04-Mar-17 12
### Syed Almeryaules Doli Agung 03/22 Non Gakin L 16-Nov-17 13
### Jihan Almira Kurnia 03/22 Non Gakin P 19-Sep-17 13
### Quinza R Azka Rahmayati 01/22 Non Gakin P 01-Apr-17 14.9
### Almeera N Rama Adi wibalon 03/22 Non Gakin P 07-Jan-18 12
### Aleeya Hulya Agi Lukmansyah 02/22 Non Gakin P 09-Jan-18 9
### Ainayya Gino Rakaseno 02/22 Non Gakin P 16-May-18 9.5
### Alena Sahwa D. Dinar Jaya Adha 04/22 Non Gakin P 14-Jun-18 11
### Adiba Shakila A. Didi Sahidi 02/22 Non Gakin P 21-Jun-18 5.7
### Alisha Amalia Putri Sucipto 02/22 Non Gakin P 13-Jul-18 9.5
### Airen Salsabila K. Herdiansyah 02/22 Non Gakin P 28-Sep-18 11.5
### Afnan Zai Nul Mutaqin Andang Suhendar 01/22 Non Gakin L 08-Nov-18 9.3
### Fagri Mubarok Fahri 02/22 Non Gakin L 12-Oct-18 9.8
### Intan Nurfadilah Supardi 03/22 Non Gakin P 30-Mar-18 10
### Humaira Azkia Taufik Hidayat 01/22 Non Gakin P 03-Aug-18 12
### Kavindra Dhefin N. Yogi Nugraha 01/22 Non Gakin L 27-Mar-18 11.5
### M Habila KH Nandang 03/22 Non Gakin L 13-Apr-18 10
### M Reza P Wangsa D 02/22 Non Gakin L 27-Oct-18 13.6
### Makil Tohir 01/22 Non Gakin L 26-Nov-18 10.5
### Moh. Alamsyah Ayep Yuliana 02/22 Non Gakin L 09-Jun-18 10
### Ramanda Putri P. Iip Permana 01/22 Non Gakin P 28-May-18 10
### Rizkia Humaira P. Wawan Wardani 02/22 Non Gakin P 31-Oct-18 8.6
### Firdia Ramadni Asep Ruhiyat 02/22 Non Gakin P 19-May-19 9
### Abidzar Zahid Bayu Yuwanda 01/22 Non Gakin L 15-Apr-19 8.5
### Davian A W Irfan Wijaya 02/22 Non Gakin L 08-Nov-19 7.4
### Fatih Mulki Pahri 02/22 Non Gakin L 21-Jan-16 14.5
### Abdal Raditya Nanang Dedi 03/22 Non Gakin L 14-May-19 8
### Akhdiah Nurul M Jamain 01/22 Non Gakin P 12-Oct-17 13.5
### M Rendi AL Tajudin 03/22 Non Gakin L 07-Aug-19 8.5
### Khaula Muhaya Atep Suteja 04/22 Non Gakin P 10-Jan-19 9
### Aldrio Irfan Firmansyah 04/22 Non Gakin L 31-Aug-15 16.5
### Najla Aulia Banyu Jumena 03/22 Non Gakin P 16-Apr-15 15
### Adelle Nanda R Ecep Hidayat 03/22 Non Gakin P 20-Aug-15 13.4
### Badai Dirgantara Ujang Risnandar 02/22 Non Gakin L 12-Nov-15 16
### M Sakili Yudi Prayoga 03/22 Non Gakin L 07-Sep-16 11.7
### Attan Abizar Aminudin//Santi 01/22 Non Gakin L 30-Oct-19 7.1
### Aliqa Aep Saepudin 02/22 Non Gakin P 23-Nov-15 13.3
### Afifah Aep Saepudin 02/22 Non Gakin P 01-Apr-18 9.8
### Xionara Yesi 03/22 Non Gakin P 12-May-19 9.1
### Hafish Naufal Riki s. 03/22 Non Gakin L 15-Apr-19 7.8
### Al Fatih Wiwin 04/22 Non Gakin L 24-Jan-19 7.3
### Fatwa Arafah Nandang Sukandar 02/22 Non Gakin P 15-Oct-18 10
### M Adam n 04/22 Non Gakin L 04-Apr-19 9
### Nadhira Zea A Budi 03/22 Non Gakin P 11-Dec-19 4.2
### M Arka A 04/22 Non Gakin L 01-May-16 18
### Sheila Syakira 04/22 Non Gakin P 06-Mar-18 9.8
### Yusuf Al Goffar Iis R 04/22 Non Gakin L 27-May-17 11.5
### Ana Althofun 04/22 Non Gakin P 26-Dec-18 8.3
### Fariz M R 04/22 Non Gakin L 17-May-19 9
### M Naufal R 04/22 Non Gakin L 14-Jun-18 12
### Artha Rizky 04/22 Non Gakin L 07-Jan-19 10

### Tamu
### Alfaz Dzalusyaher Udin Z 02/22 Non Gakin L 09-Mar-15 16.5
### Hamizan Adi Iskandar 01/22 Non Gakin L 22-Feb-15 14.2
### Shakira Yosep 03/22 Non Gakin P 29-Apr-15 14
### Dika Dede 03/22 Non Gakin L 19-Jun-15 15
### Elvin Tedi 03/22 Non Gakin L 30-May-15 17.1
### Alvierra Budi 04/22 Non Gakin P 18-May-17 11.1
### Nadira Praderi 04/22 Non Gakin P 01-Jul-17 12.5
### Ahmad Al Fatih Wiwin 04/22 Non Gakin L 24-Jan-19 8
### Queennara Rahma 04/22 Non Gakin P 04-May-19 7.5
### Zahira Endah 04/22 Non Gakin P 18-Apr-19 10.2
### Naira Yanwar 02/22 Non Gakin P 02-Aug-15 13.1
### Nissa Edi 01/22 Non Gakin P 19-Jan-16 14.5
### Khanaya Anwar 01/22 Non Gakin P 09-Feb-16 13.8
### Karina Sugandi 04/22 Non Gakin P 12-Apr-18 9.1
### Al Zhihan Yanti 04/22 Non Gakin L 23-Apr-17 11.4
### Rijki Ramadani Disa 04/22 Non Gakin L 02-Jun-19 7.5
### Rania Rahma f Sinta 04/22 Non Gakin P 17-Mar-19 7.1
### Arseno Ida 04/22 Non Gakin L 25-May-19 8.1
### Reisa Putri Aqila Yayang 04/22 Non Gakin P 29-Jun-19 7.2
### Fatihah Jibril Nandang 04/22 Non Gakin L 16-May-17 12
### Muh Rafa Ikhlas D 03/22 Non Gakin L 13-Sep-17 12
### Muh Nadir Nurul 04/22 Non Gakin L 14-Aug-18 9.8
### Alena Sahwa D. Dinar 0422 Non Gakin P 14-Jun-18 10.5
### Bima Arhabu R. Iwan 04/22 Non Gakin L 07-Apr-16 15
### Zaki Rifaul p Rifa 02/22 Non Gakin L 28-Aug-18 10.1
### Muh Rizki Kusnandi Feri 02/22 Non Gakin L 14-Jul-16 13
### Arvita Dadang 01/22 Non Gakin P 11-Apr-17 11
### Alvira Anindia Iim Halimah 01/22 Non Gakin p 06-Feb-16 14.5
### Naura Nandar 03/22 Non Gakin P 15-Mar-16 15.1
### Salsabila Suryaman 02/22 Non Gakin P 08-Dec-15 15.5
### Nadia Hadi 03/22 Non Gakin P 04-Mar-17 12.5
### Key Aldo H. Aam 03/22 Non Gakin L 25-Dec-15 13.1
JUMLAH 50 57
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
101 52 V V V
98 52 V V V
104 50 V V V
100 49 V V V
104 57 V V V
107 55 V V V
105 50 V V V
105 57 V V V
102 48 V V V
92 40 V V V
100 46 V V V
98 49 V V V
101 47 V V V
95 40 V V V
109 55 V V V

97 46 V V V
98 48 V V V
91 38 V V V
91 35 V V V
91 34 V V V
88 30 V V V
88 36 V V V
76 16 V V V
88 32 V V V
88 35 V V V
90 26 V V V
85 28 V V V
99 34 V V V
87 25 V V V
82 25 V V V
78 20 V V V
78 19 V V V
76 19 V V V V
81 19 V V V
89 16 V V V
75 15 V V V
80 16 V V V
81 22 V V V
83 18 V V V
83 22 V V V
81 22 V V V
81 15 V V V
83 14 V V V
80 20 V V V
87 20 V V V
76 15 V V V
80 8 V V V
68 9 V V V
68 3 V V V
100 48 V V V
73 8 V V V
84 28 V V V
72 6 V V V
80 13 V V V
108 53 V V V
105 57 V V V
102 53 V V V
101 51 V V V
93 41 V V V
67 3 V V V
98 50 V V V
80 22 V V V
78 9 V V V
73 9 V V V
72 12 V V V
75 15 V V V
79 10 V V V
55 2 V V V
106 45 V V V
82 23 V V V
90 32 V V V
78 13 V V V
76 8 V V V
82 19 V V V
73 13 V V V

102 59 V V V
103 59 V V V
100 57 V V V
103 55 V V V
108 56 V V V
88 32 V V V
90 31 V V V
72 12 V V V
73 9 V V V
75 9 V V V
99 54 V V V
104 48 V V V
101 48 V V V
79 22 V V V
87 33 V V V
68 8 V V V
70 10 V V V
70 8 V V V
68 7 V V V
89 32 V V V
87 29 V V V
80 17 V V V
82 19 V V V
105 46 V V V
81 17 V V V
95 42 V V V
87 34 V V V
102 48 V V V
95 46 V V V
99 50 V V V
87 35 V V V
100 49 V V V
3 14 30 19 41 1 3 102 1 0 0 98 9 1

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V

V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V

V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
1 103 2 0 107 14 90
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Simpai Sari I
5 Jml Balita yang ada : 95 Balita 40 Laki-Laki 55 Perempuan
6 Jml Balita ditimbang : 95 Balita 40 Laki-laki 55 Perempuan
7 Tgl Penimbangan : 3-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Dimas Pepen/Rosita 02/23 Non Gakin L 12-Feb-15 17.6
2 Ghazia Faruq/ Novi 02/23 Non Gakin P 05-Sep-17 15.2
3 Hanindito Riswanto/Paryan 05/23 Non Gakin L 13-Jun-15 15
4 M.Ramadhan Apep/Ucu 05/23 Non Gakin L 20-Jun-15 19.5
5 Elqi Hasan/Halimah 02/23 Non Gakin L 11-Jul-15 15
6 Rasyid Dedi/Evi 03/23 Gakin L 24-Aug-15 15
7 Aldebaran Pian/Dewi 05/23 Non Gakin L 09-Dec-15 20
8 Ervan Purnama/Erna 04/23 Gakin L 02-Jan-16 15.5
9 Akhmad Arkhan Rohman/Ai 05/23 Gakin L 06-Mar-16 13.9
10 Khaerul Basyar Ita/Sinta 04/23 Gakin L 17-Apr-16 13.8
11 Zuan Alby U.Lesmana/ Eli 04/23 Gakin L 22-Apr-16 13.9
12 Akhmad Azzam Kusnadi/Ai 04/23 Gakin L 23-May-16 15.7
13 M.Rizky Asep/Mira 04/23 Gakin L 13-May-16 14.5
14 M. Gibran Ali/Ika 02/23 Non Gakin L 29-Jul-16 14.5
15 Luky Pebrian Hadiman/Linda 02/23 Gakin L 23-Feb-17 12.8
16 Rizqy Abqari Aris/ Cahyani 03/23 Non Gakin L 27-Feb-17 15.3
17 M.GERA Anggi/Rini 02/23 Gakin L 04-Apr-17 11.1
18 Fauzan Maulana Jajang/lilis 02/23 Gakin L 04-Apr-17 15.5
19 Erya Saka Yyat/Erni 04/23 Gakin L 05-Apr-17 10.5
20 M. Soleh Hendra/yeyen 03/23 Non Gakin L 28-Aug-17 12
21 Nazata Diaz/Sela 02/23 Non Gakin L 30-May-17 14.5
22 Bima Saputra Dadan/ Iis 02/23 Non Gakin L 09-Sep-17 12.6
23 M. Rifki Jajang/Ida 03/23 Non Gakin L 10-Oct-17 10
24 Abrisam Nizam Dede/Ai 05/23 Non Gakin L 16-Oct-17 14.5
25 M. Bilal Imam/Anis 05/23 Non Gakin L 15-Dec-17 13
26 Kenzo Agus/Ani 04/23 Non Gakin L 19-Dec-17 12.5
27 M. Ghayda Karno/Juarsih 03/23 Non Gakin L 13-Feb-18 10.7
28 Rian Yusuf/ANI 04/23 Non Gakin L 09-Mar-18 9.3
29 Hapizh Dzikri Ajat/Elis 05/23 Non Gakin L 22-Mar-18 13
30 Hisyam Wawan/Erni 02/23 Non Gakin L 14-May-18 8.8
31 Akbar Purnama/Erna 02/23 Non Gakin L 17-Jul-18 10.3
32 istadz Andri/Badriyah /23 Non Gakin L 18-Aug-18 8.7
33 Sultan Kamil Oman/Emil 02/23 Non Gakin L 03-Apr-19 8.5
34 M. Dava Fauzan Asep/ Ica 05/23 Non Gakin L 15-Mar-19 7.4
35 Elfian Zaenul/ Risna 05/23 Non Gakin L 06-May-19 10.3
36 M. Reifansyah Anggoro/Asri 05/23 Non Gakin L 27-Jul-19 8.2
37 Vria Krisna Predi/Ipah 05/23 Non Gakin L 22-Aug-19 7.1
38 Neymar Hafiz. A Dani/Yuli 02/23 Non Gakin L 18-Dec-19 5.3
39 Arsyad Baihaqi Ahmad/Fitri 05/23 Non Gakin L 14-Dec-19 6
40 M. Faizan Khairul Waris/Mira 02/23 Non Gakin L 27-Dec-19 3.6
41 Kalevi Althafian Reza/Noneng /23 Non Gakin L 12-Jan-20 4.1
42 Miza Yusuf/ANI 04/23 Gakin P 11-May-15 12.8
43 Diandra Oktavira Dani/RAni 03/23 Gakin P 28-Oct-15 12.1
44 Naira Oktavia Asep/Herna 04/23 Gakin P 06-Oct-15 13.8
45 Diva Asep/Ica 05/23 Gakin P 16-Oct-15 16.2
46 Maura Novia Hadi/ Yuni 03/23 Gakin P 22-Nov-15 14.5
47 Reva Deswita Endut/Nia 04/23 Gakin P 02-Dec-15 12.5
48 Silfi Saidina Rahmat/Anti 03/23 Gakin P 26-Mar-16 15.5
49 Hafizah Utun/Iis 03/23 Non Gakin P 25-Apr-15 14.7
50 Anita Syakila Rohedi/ Lina 03/23 Non Gakin P 05-Aug-19 13.4
51 Anisa Putri Akil/Siti /23 Non Gakin P 27-Jun-16 15.5
52 Alesha Fitri Andri/Badriyah /23 Non Gakin P 11-Jul-16 12.5
53 Annasya Julia Rahmat/Winda 03/23 Gakin P 19-Apr-16 11.4
54 Isma Naira Ayi/Dede 02/23 Gakin P 13-Aug-16 13
55 Kesya Aep/Maya 03/23 Gakin P 14-Sep-16 15.2
56 Desi Triandana Tatang/ Ela 03/23 Non Gakin P 31-Dec-16 12.2
57 Putri Ari/Ega /23 Non Gakin P 11-Apr-16 13
58 Adelia Azahra Yana/Nuraini 03/23 Non Gakin P 28-Jan-17 11.1
59 Suci Nirmala Dadi/Iim 02/23 Gakin P 16-Feb-17 13.6
60 Sahara Kirana Dani/Puji 02/23 Gakin P 15-Mar-17 13.7
61 Mutiara Cintawati Asep/Leni 04/23 Gakin P 23-Mar-17 18.6
62 Keyla Putri Lili/Dewi 04/23 Gakin P 04-Apr-17 10.6
63 Siti Fatimah Enang/Atikah 03/23 Non Gakin P 04-Apr-17 11
64 Assyifa Latief Komar/Lia 02/23 Non Gakin P 01-May-17 12.8
65 Ghazia Faruq/ Novi 02/23 Non Gakin P 05-Sep-17 10.5
66 Raisya Novarina Dani/Rani 03/23 Non Gakin P 22-Nov-17 8
67 Laketza Yudis/Gina 02/23 Non Gakin P 25-Nov-17 9.5
68 Syafa Setiadi/Windi 05/23 Non Gakin P 14-Nov-17 10.5
69 Khanaya Adit/Mita 04/23 Non Gakin P 31-Jan-18 8.5
70 Shakila Najla Asep/Iis 03/23 Non Gakin P 25-Feb-18 10.7
71 Risa Aprilia Wawan/Teti 04/23 Non Gakin P 01-Apr-18 8.8
72 Neng Pitri N Yaya/Rini 04/23 Non Gakin P 07-May-18 10
73 Zaenab Ari/triningsih 03/23 Non Gakin P 15-May-18 9.6
74 Putri Pratiwi K. Asep/Nining 03/23 Non Gakin P 21-Jun-18 8.5
75 Putri E. Budi/ Ewi 03/23 Non Gakin P 07-Jul-18 9.2
76 Eka Putri R Entis/yuyu 03/23 Non Gakin P 17-Aug-18 10.3
77 Diska Pepen/Rosita 04/23 Non Gakin P 28-Aug-18 10.6
78 Zahira Jajang/Lilis 02/23 Non Gakin P 31-Oct-18 9.4
79 Kania Putri Naina Nana/ Rina 03/23 Non Gakin P 27-Jan-19 8.6
80 Mikayla Auisha Ricardo/Lusi 03/23 Non Gakin P 05-Aug-19 9.7
81 Dinda Aulia Diki/ Mira 03/23 Non Gakin P 04-Mar-19 8.4
82 Mikayla Asep/ Erni 03/23 Non Gakin P 08-Apr-19 6.9
83 Riska Sidik/ Melinda 02/23 Non Gakin P 06-May-19 9.4
84 Dafani Aprilia Dani/ Nia 02/23 Non Gakin P 22-Apr-19 8.6
85 hasna Asep/Wita 04/23 Non Gakin P 06-Mar-19 9
86 Ayi Nuna Ataya F. Iyan/ Yani 05/23 Non Gakin P 06-Jun-19 9.5
87 Anisa Edi/ Juju 05/23 Non Gakin P 19-Jun-19 9.1
88 Salwa Rizki/ Nenden 05/23 Non Gakin P 03-Jun-19 8.1
89 Elza Zea Faruq/Novi 02/23 Non Gakin P 04-Sep-19 6.5
90 Fadillah Aini Ruhiat/Halimah /23 Non Gakin P 30-Aug-19 5.4
91 Alena Agus/Novi /23 Non Gakin P 12-Feb-18 10.5
92 Nasyama Pania Apep/Ucu 05/23 Non Gakin P 22-Sep-19 6.8
93 Nesya Emila Egi/Mila /23 Non Gakin P 30-May-17 10
94 Aqila Azahra Akil/Siti 04/23 Non Gakin P 26-Jan-20 3
95 Khanaya Rukmana/Ai 02/23 Non Gakin P 08-Feb-16 13.2
JUMLAH 40 55
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
113.5 59 V V V
102.3 28 V V V
102 55 V V V
106 55 V V V
101 54 V V V
98 53 V V V
100 49 V V V
97.3 49 V V V
96 46 V V V
95 45 V V V
94 45 V V V
93.7 44 V V V
96 44 V V V
95 42 V V V
89.5 35 V V V
95.6 35 V V V
87 33 V V V
91.5 33 V V V
87 33 V V V
93 29 V V V
95 32 V V V
87 28 V V V
84 27 V V V
91 27 V V V
85 25 V V V
87 25 V V V
86 23 V V V
78 22 V V V
86.5 22 V V V
79 20 V V V
81 18 V V V
78 17 V V V
75 10 V V V
70 10 V V V
74 8 V V V
69 6 V V V
68 5 V V V
60 1 V V V
60 1 V V V
51 1 V V V
56 0 V V V
98.7 56 V V V
93.5 51 V V V
91 51 V V V
102.6 51 V V V
102 50 V V V
91 50 V V V
95 46 V V V
105 57 V V V
91 5 V V V
92 43 V V V
88 42 V V V
90 45 V V V
91 41 V V V
91.5 40 V V V
89.9 37 V V V
87.5 45 V V V
85 36 V V V
92 35 V V V
92 34 V V V
92 34 V V V
88 33 V V V
81 33 V V V
94.2 33 V V V
84 28 V V V
79 26 V V V
79 26 V V V
82 26 V V V
77 24 V V V
80 23 V V V
78 22 V V V
86 20 V V V
77 20 V V V
73 19 V V V
73.5 18 V V V
85 17 V V V
80 17 V V V
73 15 V V V
71 12 V V V
76 5 V V V
70 10 V V V
66 9 V V V
76 8 V V V
71 9 V V V
74 10 V V V
70 7 V V V
66 7 V V V
68 8 V V V
62 4 V V V
60 5 V V V
85 23 V V V
65 4 V V V
79 32 V V V
47 0 V V V
94.5 47 V V V
11 12 17 25 30 1 11 79 4 4 12 72 7 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V
V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V
V V V
V V
V V V
V V
V V V
1 91 3 25 70 12 72
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Simpai Sari II
5 Jml Balita yang ada : 45 Balita 23 Laki-Laki 22 Perempuan
6 Jml Balita ditimbang : 45 Balita 23 Laki-laki 22 Perempuan
7 Tgl Penimbangan : 3-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Fajar P Ida 06/23 Non Gakin L 13-Apr-15 14.5
2 Dika Ashari Dedah 06/23 Non Gakin L 22-Apr-15 18
3 Fais K Aneu 06/23 Non Gakin L 06-Feb-15 17.5
4 M. Zidan lilis 06/23 Non Gakin L 02-Oct-15 15
5 M. Azka Algojali Ade Rahayu 01/23 Non Gakin L 02-May-15 16.5
6 Fardan R.P Renik 01/23 Non Gakin L 19-Jun-16 14.2
7 Tristan Yeni 06/23 Non Gakin L 23-Jun-16 14.5
8 Nathan Dewi 06/23 Non Gakin L 28-Sep-16 14
9 Arya Rizky Yusniawati 06/23 Non Gakin L 16-Dec-16 13
10 Zayam Aishah 06/23 Non Gakin L 02-Sep-16 14
11 Alfi Nizam Sofi 06/23 Non Gakin L 27-Feb-17 14
12 Zarfis Rokhati 01/23 Non Gakin L 24-Apr-17 15
13 Abizar Devi 06/23 Non Gakin L 09-Mar-17 27
14 M Fathir Lia 06/23 Non Gakin L 29-May-17 12
15 Fadlan Elis 06/23 Non Gakin L 12-May-17 13.5
16 Raffasya Ani 06/23 Non Gakin L 15-Jun-17 11
17 M. Adnan Sari 06/23 Non Gakin L 11-Nov-16 14.5
18 Hairu Nissa Yuli 01/23 Non Gakin P 15-Mar-15 16
19 Michaela Anita 01/23 Non Gakin P 19-Jul-15 16
20 Nasya Tikah 06/23 Non Gakin P 03-Jan-15 17
21 Adiba N. Lisda 06/23 Non Gakin P 28-Jul-16 15
22 Afifah Pipit 06/23 Non Gakin P 05-Oct-15 16
23 Firza Nevi 06/23 Non Gakin P 18-Feb-16 12.5
24 Erlita Euis 01/23 Non Gakin P 31-Aug-15 15.5
25 Citra Alin 06/23 Non Gakin P 08-Jun-16 16
26 Dinda Uwin 06/23 Non Gakin P 27-Aug-16 22
27 Naura K Nuraeni 01/23 Non Gakin P 27-Aug-16 13
28 Clara Yanti 01/23 Non Gakin P 24-Apr-15 15
29 Aliya Fitri 06/23 Non Gakin P 08-Jan-17 12.5
30 Yasmin Nanin 06/23 Non Gakin P 09-May-17 12.5
31 Queensa Z Isnaeni 06/23 Non Gakin P 26-Dec-17 10
32 Al Ridwan Alis 06/23 Non Gakin L 08-Nov-17 9.8
33 Fadhil M.F Nur 06/23 Non Gakin L 03-Sep-19 7
34 Hasna Yulianti 06/23 Non Gakin P 31-Jan-18 12
35 Syafiq Sonia 06/23 Non Gakin L 16-Jul-18 12
36 Nisa Azizah Sofia 06/23 Non Gakin P 21-Jul-17 12
37 Akila Rika/ Nurdin 06/23 Non Gakin P 27-Aug-18 17
38 Iran Nur Bumi Yeni 06/23 Non Gakin L 03-Feb-18 95
39 Putrinada Yeni 01/23 Non Gakin P 29-Sep-18 9
40 Aska Al Atam Ayu 01/23 Non Gakin L 12-May-15 15
41 Raihan Tuti 06/23 Non Gakin L 13-Apr-18 12
42 Queensa Almahira Ade Rahayu 06/23 Non Gakin P 12-May-18 9.5
43 Hafiza Liani 06/23 Non Gakin P 04-Nov-17 12
44 Diza Indrianti 01/23 Non Gakin P 04-Apr-18 9.1
45 Clara Yanti 01/23 Non Gakin P 24-Apr-15 13.5
JUMLAH 23 22
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
101 57 V V V
110.5 57 V V V
110 59 V V V
102 52 V V V
105.7 57 V V V
93 43 V V V
93 43 V V V
92 40 V V V
91 37 V V V
97 41 V V V
92 35 V V V
87 33 V V V
101 34 V V V
90 32 V V V
97 32 V V V
88 31 V V V
96 38 V V V
105 58 V V V
102 54 V V V
108 61 V V
98 42 V V V
105.5 51 V V V
96 47 V V V
105 53 V V V
97 43 V V V
104 41 V V V
96 41 V V V
106 57 V V V
90 36 V V V
87 32 V V V
85.5 25 V V V
84 26 V V V
65 5 V V V
89 24 V V V
87 18 V V V
89 30 V V V
101 17 V V V
86 24 V V V
78 16 V V V
105 56 V V V
87 21 V V V
81.4 20 V V V
86 26 V V V
78 21 V V V
100 57 V V V
1 0 6 13 24 0 1 40 4 0 0 44 1 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
0 41 4 0 45 0 43
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Matahari
5 Jml Balita yang ada : 51 Balita 31 Laki-Laki 20 Perempuan
6 Jml Balita ditimbang : 51 Balita 31 Laki-laki 20 Perempuan
7 Tgl Penimbangan : 3-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Ray Abdul Fari/ cucun 23 Non Gakin L 18-Mar-16 15.8
2 Ammar B A Lia Wiiwit 23 Non Gakin L 23-May-19 9.23
3 Ben Aqlan Suci 23 Non Gakin L 06-Jul-16 13.8
4 M Zahid Dinda 23 Non Gakin L 03-Oct-16 15.3
5 Bill Afif Suci Puspita 23 Non Gakin L 03-Aug-18 11.1
6 M Raith Ayu 23 Non Gakin L 26-Jul-18 16
7 Balila Martin 23 Non Gakin L 29-May-17 29
8 Abizar Mia 23 Non Gakin L 28-Dec-18 9.5
9 Pradipta Nida 23 Non Gakin L 06-Mar-18 12
10 Abizar Edwin 23 Non Gakin L 03-May-17 16.7
11 Bagas Widiyarto 23 Non Gakin L 05-Apr-18 10.7
12 Bara Mira 23 Non Gakin L 22-Oct-19 7.1
13 Tadeo Risma 23 Non Gakin L 11-Aug-15 15.4
14 karunia Lisa Aftita 23 Non Gakin L 15-May-17 12.8
15 Al Fatih Prita 23 Non Gakin L 16-Oct-16 14.1
16 M. kahfi Budi 23 Non Gakin L 25-Feb-19 9
17 Findra Ochi 23 Non Gakin L 07-Sep-16 12.6
18 M Dzaka Ditza 23 Non Gakin L 23-Jan-17 15.2
19 Raziel Lisa Aftita 23 Non Gakin L 03-Jul-15 20.7
20 Ilyas Yasmita 23 Non Gakin L 22-Apr-16 14.7
21 Sulaiman Yasinta 23 Non Gakin L 09-Dec-18 10.5
22 Arkan Rina 23 Non Gakin L 22-Apr-17 12.5
23 M Razka Arike 23 Non Gakin L 02-Nov-17 15.5
24 Gibran Ira k 23 Non Gakin L 10-Oct-19 6.9
25 Kenzi Vian/Marlono 23 Non Gakin L 03-Jun-18 11
26 Raya Cucun 23 Non Gakin P 26-Oct-19 5.3
27 Numa Trinovita 23 Non Gakin P 04-Jun-19 8.5
28 Chione A Ike Ayu 23 Non Gakin P 22-Jan-16 14.5
29 Alisha Irvan 23 Non Gakin P 29-Feb-16 17.4
30 Lavani M. Sabirin 23 Non Gakin P 18-Dec-16 10.7
31 Ghasani M. Sabirin 23 Non Gakin P 25-Apr-16 12
32 Ayana Ayu R 23 Non Gakin P 04-Jun-19 8.5
33 Sofia Oktavia 23 Non Gakin P 08-Mar-18 8.5
34 Zaenab Oktavia 23 Non Gakin P 08-Mar-18 8.4
35 Saskana Widig 23 Non Gakin P 02-Feb-16 13.4
36 Neila Diva Vebi 23 Non Gakin P 12-May-17 12.5
37 Mehranisa Yane 23 Non Gakin P 26-May-17 9.7
38 Zahra Prita 23 Non Gakin P 06-Oct-18 10.4
39 Maryam Irna 23 Non Gakin P 30-Jan-16 13.8
40 Hayli Marlene 23 Non Gakin P 03-Jun-18 9.4
41 Hyori Marlene 23 Non Gakin P 03-Jun-18 8.1
42 Chalista Windu 23 Non Gakin P 30-Oct-16 12.5
43 Jonathio Inge 23 Non Gakin L 03-Jan-18 11.5
44 Hamdlam Windi R 23 Non Gakin L 17-Jun-15 17.8
45 Shabila Ryan/Dita 23 Non Gakin P 17-Aug-18 8.5
46 Dramda A Agustari 23 Non Gakin L 04-Feb-19 8.7
47 M. Rain Ayu. R 23 Non Gakin L 26-Jul-17 16
48 Rabardhan Ratna intan 23 Non Gakin L 06-Apr-17 16
49 Aisvaleen Indri Absari 23 Non Gakin P 30-Nov-16 13.8
50 Sybill Intan 23 Non Gakin P 17-Jun-19 10.5
51 Radika Tanti 23 Non Gakin L 23-Mar-19 8.7
JUMLAH 31 20
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
110 46 V V V
72.3 8 V V V
102 42 V V V
105.5 40 V V V
79 18 V V V
104 18 V V V
97 32 V V V
79 13 V V V
90 22 V V V
98 33 V V V
87 21 V V V
65 3 V V V
105 53 V V V
96 32 V V V
101 39 V V V
70 11 V V V
96 40 V V V
106 36 V V V
106.5 55 V V V
105 45 V V V
88 13 V V V
95 33 V V V
105 27 V V V
59.5 3 V V V
90.5 20 V V V
60 3 V V V
71.6 7 V V V
106.8 48 V V V
113 47 V V V
89 37 V V V
95 45 V V V
68 7 V V V
70 22 V V V
69 22 V V V
100 48 V V V
95 32 V V V
85 32 V V V
86 15 V V V
102 48 V V V
80 20 V V V
77 20 V V V
98 39 V V V
87 25 V V V
110 55 V V V
78 17 V V V
77 11 V V V
104 30 V V V
110 33 V V V
102.2 38 V V V
88 7 V V V
75 10 V V V
3 7 13 10 18 0 5 43 3 2 0 39 10 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V
V V V
V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
0 49 2 0 51 7 41
FORMULIR PENCATATAN BULAN
KEMBALI
BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : Dandelion
5 Jml Balita yang ada : 54 Balita 34 Laki-Laki 20 Perempuan
6 Jml Balita ditimbang : 53 Balita 34 Laki-laki 19 Perempuan
7 Tgl Penimbangan : 5-Feb-20 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
1 Gentza A. Yusminiar Yanti/Hilman 01/24 Non Gakin L 19-Sep-17 13.8
2 Habibah Az-Zahra Melisa/Nur iqbal 01/24 Non Gakin P 10-Mar-16 15.8
3 Zahwa Khazanah Melisa/Nur Iqbal 01/24 Non Gakin P 25-Jul-19 7.5
4 Yaumi Indah P/Irham 01/24 Non Gakin P 25-May-19 6.9
5 Ahmad Maulana Nurmawati/Didin 01/24 Non Gakin L 06-Jan-16 14.2
6 Aqlan Akbar El Khalid Kamelia/ Prima 01/24 Non Gakin L 09-Dec-18 8.6
7 Ibrahim e. Sakti Prana/Karina 01/24 Non Gakin L 14-Jun-16 12.5
8 Jordi Cleo Natsen Lisa/Albert 01/24 Non Gakin L 08-Aug-18 12.6
9 M. Husein Al Fatih Malinda/ Eko 01/24 Non Gakin L 10-Jun-18 10.5
10 Rayden Kanziel triana Qory/Ekky 01/24 Non Gakin L 05-Jun-18 9.5
11 Yusuf Indah P/Irham 01/24 Non Gakin L 04-Aug-17 11.6
12 Khalisa Nurul Syafa Rina/Ikhmal 02/24 Non Gakin P 02-Apr-18 9
13 Nindya Al Kusumah Zubaedah/Yugie 02/24 Non Gakin P 20-Nov-17 10
14 Ilyas Reis A Dewi/Ilham 02/24 Non Gakin L 07-Apr-18 11.3
15 Muftie Ayu/M Ibnu 02/24 Non Gakin P 27-Feb-16 13
16 Zayn Rafisay Zeeshan Desi/Agung 02/24 Non Gakin L 08-Aug-18 11
17 Aksara Rakeyan D. Andy D/Rianti L 03/24 Non Gakin L 30-Apr-16 16
18 Kenzi Aniza/Gary 03/24 Non Gakin L 04-Jun-18 12
19 RR. Nadhira Ramadhina/Agung 04/24 Non Gakin P 18-Aug-17 11
20 Fakhrul Aulia Kendri Yulita 04/24 Non Gakin L 19-Dec-16 14.2
21 Fandi Syafriansyah Desy S/Iping 04/24 Non Gakin L 08-Oct-17 10.5
22 Yudha Bima Rahmal/ Jaenudin 04/24 Non Gakin L 28-Jan-19 8.7
23 Adara Seza S. Chaini M/Anton 05/24 Non Gakin P 31-Aug-17 12.1
24 Alya Ayusri/ Anggit 05/24 Non Gakin P 15-Feb-19 8.4
25 Banatsha A. Gusterra Mila/ Hendra 05/24 Non Gakin P 23-May-16 15
26 Elmyra Naura Dini/ Yusuf 05/24 Non Gakin P 21-Dec-18 9.3
27 Keisha Maureen Yofa/Angga 05/24 Non Gakin P 03-Sep-16 12.3
28 Elfaro Ataris Chany M/Anton 05/24 Non Gakin L 14-Feb-19 7.6
29 Fathan Eka W/Tedy 05/24 Non Gakin L 06-Jun-16 16.4
30 Fathian Eka W/Tedy 05/24 Non Gakin L 16-Sep-18 9.6
31 M. Gibran Ramadhan Dessy/Hamid 05/24 Non Gakin L 08-Jun-18 11.5
32 M. Salman Alfarisi Chairunisa/Adhika 05/24 Non Gakin L 16-Nov-17 11
33 Mirza Rani 05/24 Non Gakin L 04-Apr-16 14
34 Rahmandika Jagratara Shella/Rachmat 05/24 Non Gakin L 17-May-18 13.4
35 Num Cakrabuana Tya Yulia 05/24 Non Gakin L 27-Jan-16 15
36 Andri Reny 01/24 Non Gakin L 22-Feb-19 13
37 Jihan Reny 01/24 Non Gakin P 21-Apr-15 16.1
38 Kesya Lisma 01/24 Non Gakin P 22-May-16 13.6
39 Arga Sarina 01/24 Non Gakin P 10-Jul-18 10.3
40 Qory Adelia Aisyah/ Budi 02/24 Non Gakin P 03-Oct-15 15.3
41 M. Ibrahim Yasin Indah 01/24 Non Gakin L 04-Aug-17 16.6
42 Faizan A Aina 01/24 Non Gakin L 22-May-18 13.7
43 Rafa Yusi 01/24 Non Gakin L 20-Oct-15 12.4
44 Nathania Ernita 02/24 Non Gakin P 06-Dec-16 14.5
45 Rafael Vera 04/24 Non Gakin L 16-Nov-17 11.8
46 Arkananta Ida 05/24 Non Gakin L 10-Mar-19 10.3
47 Raffasyah Rahmi 05/24 Non Gakin L 25-Sep-17 12.6
48 Abizar Dely/Indra 02/24 Non Gakin L 20-Mar-18 10.5
49 Arky Tya/Fauzy 04/24 Non Gakin L 20-Dec-15 14.6
50 Gtasian Icha 05/24 Non Gakin L 22-Apr-19 7.4
51 Adefa Mona 04/24 Non Gakin P 23-May-16 15.6
52 Hafiya Mirna/Yusuf 04/24 Non Gakin P 10-Oct-15 14.7
53 M. Azka Mulyono 01/24 Non Gakin L 09-Nov-15 18
JUMLAH 34 19
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
98 28 V V V
102 46 V V V
68 6 V V V
66 8 V V V
97.8 48 V V V
78 13 V V V
93.5 43 V V V
81.2 17 V V V
86.5 19 V V V
80 20 V V V
85.2 30 V V V
78 22 V V V
79 26 V V V
85.2 21 V V V
100 47 V V V
80 17 V V V
99 45 V V V
80 20 V V V
83 29 V V V
95.5 37 V V V
87 27 V V V
75 12 V V V
89 29 V V V
73 11 V V V
95 44 V V V
75 13 V V V
91.8 41 V V V
72 11 V V V
96.5 43 V V V
79 16 V V V
87 19 V V V
86 26 V V V
97 46 V V V
87.7 20 V V V
99 48 V V V
73.5 11 V V V
106 57 V V V
97 44 V V V
75 18 V V V
97.6 52 V V V
103 30 V V V
83.5 20 V V V
94.6 51 V V V
90 37 V V V
86 26 V V V
74 10 V V V
92.6 28 V V V
82.3 22 V V V
99 49 V V V
71 9 V V V
96.5 44 V V V
98 51 V V V
106 50 V V V
0 7 16 10 20 0 1 51 1 0 3 48 2 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
V V V
0 51 2 0 53 7 46
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : 0
5 Jml Balita yang ada : 0 Balita Laki-Laki Perempuan
6 Jml Balita ditimbang : 0 Balita 0 Laki-laki 0 Perempuan
7 Tgl Penimbangan : 30-Dec-99 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
JUMLAH 0 0
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
0 0 0 0 0 0 0
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : 0
5 Jml Balita yang ada : 0 Balita Laki-Laki Perempuan
6 Jml Balita ditimbang : 0 Balita 0 Laki-laki 0 Perempuan
7 Tgl Penimbangan : 30-Dec-99 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
JUMLAH 0 0
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
0 0 0 0 0 0 0
FORMULIR PENCATATAN BULAN
KEMBALI
BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : 0
5 Jml Balita yang ada : 0 Balita Laki-Laki Perempuan
6 Jml Balita ditimbang : 0 Balita 0 Laki-laki 0 Perempuan
7 Tgl Penimbangan : 30-Dec-99 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
JUMLAH 0 0
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
0 0 0 0 0 0 0
FORMULIR PENCATATAN BULAN
KEMBALI BULAN Februar
KOTA BANDUNG

1 Kecamatan : ANTAPANI
2 Kelurahan : ANTAPANI TENGAH
3 Puskesmas : GRIYA ANTAPANI
4 Nama Posyandu : 0
5 Jml Balita yang ada : 0 Balita Laki-Laki Perempuan
6 Jml Balita ditimbang : 0 Balita 0 Laki-laki 0 Perempuan
7 Tgl Penimbangan : 30-Dec-99 Gakin
Non Gakin
Jenis
Status
Kel

(Tanggal
Alamat Keluarga Lahir)Diisi Berat Badan
No Nama Anak Nama Orang Tua (Gakin/
RT/RW L P dgn format (Kg)
Non (bln-tgl-th)
Gakin)

1 2 3 4 5 6 8
JUMLAH 0 0
R PENCATATAN BULAN PENIMBANGAN BALITA (BPB)
BULAN Februari TAHUN 2020
KOTA BANDUNG - JAWA BARAT

61
Status Gizi (BB/PB
Kelompok Umur (bulan)* Status Gizi (BB/U)* Status Gizi (TB/U)*
atau

BB Sangat Kurang

Sangat Pendek

Kurus Sekali
BB Kurang

BB Normal

BB Lebih
Tinggi Umur

Pendek

Normal

Tinggi
Badan (Cm) (Bulan) 0-5 6-11 12-23 24-35 36-59

9 7 10 11 12 13 14 15 16 17 18 19
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bandung, …………...……………. 2012


Kader Posyandu

........................................................
FI/BPB/Posy/BDG/2012

Status Gizi (BB/PB)


Keluarga VIT A
atau (BB/TB)
Non Gakin

MERAH
Normal

Gemuk
Kurus

Gakin

BIRU

20 21 22 23 24 25 26
0 0 0 0 0 0 0

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