Anda di halaman 1dari 11

DATA SASARAN IBU HAMIL

Provinsi : RIAU
Kabupaten/Kota : INHIL/TEMBILAHAN
Puskesmas : PUSTU TANJUNG LAJAU
No No Kartu Kelurga NIK (Nomor Induk Nama BB ALAMAT RT RW Tanggal Lahir Tanggal BB TB (Cm) LILA Keham TTD (Tablet Jika YA, brp nama suami nik suami no hp kepemilikan
Kependudukan) atau No. sebelum Pengukuran (Kg) (Cm) ilan ke Tambah butir TTD buku KIA
KTP hamil Darah) 1=Ya, didapat 1:Ya 2:Tdk
2=Tidak

1 1404030306080000 1404030704840000 ELMAWATI 62 TG.LAJAU 1 1 9/17/1987 12/14/2019 73 153 30 6 1 90 ANDRIADI 1404030704840000 1

2. 1404032710170000 1404035012930000 AINUN JARIAH 65 TG.LAJAU 3 1 12/10/1993 12/14/2019 70 150 32 2 1 30 JUFRI 1404032707820000 1

3 1404030509190000 1404034502990000 YANTI LARASATI 48 TG.LAJAU 2 1 2/8/1999 12/14/2019 53 148 28 1 1 30 SURIAN 1404030207820000 1

4 1404030409160000 140413504910004 AFRIDA 35 TG.LAJAU 3 1 4/12/1991 12/14/2019 42 153 24 2 1 30 HERWANSYAH 1404032612860000 1

5 1404030106090000 1404036206900000 YONA MARLIN 50 TG.LAJAU 3 1 6/22/1988 12/14/2019 53 150 26 4 1 30 M.HIDAYAT 1404030101860000 1

6 1404034207870000 SITI HAJAR 63 TG.LAJAU 7 3 7/1/1987 12/14/2019 67.5 162 28 2 1 30 RONI IRAWAN 1404030208790000 1

7 1404031206080000 1404035009940000 KHALIFAH 65 TG.LAJAU 8 4 9/10/1994 12/14/2019 70 155 28 3 1 30 ASISWANTO 1404032608810000 1

8 RENI RAHAYU 65 TG.LAJAU 2 1 0-0-1993 12/14/2019 68 168 30 1 1 30 HERIANTO ANDRIAN SAPUTRA 1

9 SITI AHLIA 40 TG.LAJAU 4 1 0-0-1998 12/14/2019 44 140 24 1 1 30 RISKI RAMADHAN 1


DATA SASARAN BALITA

Provinsi : Riau
Kabupaten/Kota :INHIL/TEMBILAHAN
Puskesmas Pembantu : Tg. Lajau
POSYANDU MARKISA TANJUNG LAJAU

Berat
Jenis
NIK (Nomor Induk Anak Tanggal Lahir Badan
No No Kartu Kelurga Nama Anak Kelami Nama Orang Tua (Ayah)
Kependudukan) Ke (YYYYMMDD) Lahir
n
(Kg)

1 1404031501160000 3 MUHAMAD MAWARJI 1/15/2016 L 4.0 M.HIDAYAT / YONA

1404030509190000

2 1404032212070080 1404032208170000 4 MUHAMAD ARRAHIM 8/22/2017 L 3.3 ZAKARIA / SALAWATI

3 1404030908100000 1404034508170000 4 NAIRA AZKADINA 8/5/2017 P 4.0 AHMADI / ROSMILAWATI

4 1404032711070000 1404031306180000 4 RAMADAN AKBAR 6/13/2018 L 1.8 RUSADI / NURBAIHAN

5 1404030102190000 1404032406180000 1 ALITA NAILA ZAHRA 6/24/2018 P 2.6 HENDRA / NURBAIYAH

6. 1404031705100000 1404034901170000 2 ALMIRA ISNAINI 5/9/2017 P 3.8 ANDRI / YULIANA

7 1404031204120000 3 NABILA KALADIA 2/2/2019 P 3.0 SUDIRMAN / FITRIANI

8 1 M. RAFA 2/9/2018 L 2.9 SULAIMAN / MARDIANA


9 1404032106160000 2 ILMA APRILIA P 2/24/2018 P 3.2 ISKANDAR / RATNA

10 1404031912140000 4 KAYLA NURFATANI 9/7/2016 P 3.0 JONI / ERNI

11 1404032611130000 3 SAFRIZAL MAULANA 10/11/2018 L 2.7 SURYADI / SITI ROHANI

12 1404031306130000 1404031812160000 3 M. RAMATULLAH 12/18/2016 L 3.0 OPE / ROSMIATI

13 140403301210004 2 M.RIDWAN 6/7/2017 L 3.2 AHMADI / HALIMAH

14 140403090180029 1404031602180000 5 BOY FEBRIMA 2/16/2018 L 3.9 NURDIN / FATIMAH

15 1404180511005 14042404160001 2 AZKA ABRIZAN 4/24/2016 L 2.9 NASRULLAH / DESSY

16 14040312410003 1404034310150000 3 KAMILA NURAINI 10/13/2015 P 3.4 ABD. LATIF / APRIYANA

17 140403031080037 1404034605170000 2 AISAH ALHUMAIRA 5/6/2017 P 3.6 ERIANSYAH / EKA

18 1404031302170000 1404031411160000 1 M. RIDWAN 11/14/2016 L 3.4 HERDIANTO / MISNIATI

19 1404032205630000 3 MUHAMAD FAJAR 4/24/2018 L 3.1 ZAINAL / KAMISAH

20 140403030608007 1404036011150000 5 FAKHIRA SALWA 11/20/2015 P 3.1 ANDRIADI / ERMA

21 1404030805130000 1404032502190000 5 ABDURAHMAN PUTRA 2/25/2019 L 3.3 JALALUDIN / MAIMUNAH

22 1404032812070010 1404031105180000 4 AHMAD DANISH UWAIS 5/11/2018 L 3.5 HILAL SUBLI/ NENI

23 1404032406090000 1404031208180000 3 RASQA ALPAREZA 8/12/2018 L 3 ABD. RAZAK/ HAMDIAH


24 14040030301180000 1404032106160000 2 M. ABIDZAR RAMADAN 6/21/2016 L 3 SUDIRMAN /ANTI

25 1404030205180000 1404030404190000 1 M.DAVID ALJUHRI 4/4/2019 L 2.5 PENDES/ HENI KUSUMA

26 1 NURINAYAH 1/18/2018 P 2.7 ALPIN / NURJANAH

27 1404030901180000 1404031509150000 1 A. KHAIRUL AZAM 9/15/2015 L 3 SUHAIDI/HARISAH

28 1404032112150000 1404036712140000 1 HUMAIRA BILQISA 12/27/2014 P 3.2 YAMA SANDI/ DIAN

29 1404032112150000 2 SAYYDAH FATIMAH A 4/25/2019 P 3.3 YAMA SANDI/ DIAN

30 1404032510120000 2 NURHAFIZA 9/2/2017 P 3.6 FAUZI/JONI

31 1 NAIMA ULFATUNNISA 3/6/2015 P 4.0 ASMADI / DESMA

32 1404032212070020 3 AIRA NAZIHA 4/24/2018 P 3.2 SARKAWI / SOHIP

33 1404030811170000 1404031707170000 3 M. ALFAZRIN 7/17/2017 L 3.4 DARMAWAN / MISRIANI

34 1404031206080000 2 M. ALHAFIS 12/26/2016 L 4.0 ASISWANTO / HALIFAH

35 1 RAYA SALSABILA 4/29/2018 P 2.8 RIDUAN / SARAH

36 1404032509120000 2 NURASYIFA BILQIS 12/7/2018 P 3.1 JUNAIDI / YENI

37 1 AZRIL 12/31/2018 L 3.2 RONI / SARI

38 1404041812120000 2 RISKI DAIFULLAH 7/11/2016 L 3.0 MARZUKI / RATNA

S 2 HABIBI PUTRA 3/23/2017 L 3.9 BUHARI / YANTI


40 1 NURZIELA EZZATI 12/25/2017 P 3.8 ROZAMI / EMI

41 1 NURJUNIATI SAFITRI 6/14/2019 P 3.3 NURMANSYAH/SRI KARTIKA

42 2 M. KHAIRUL AZAM 6/29/2019 L 3.9 RUSTAM/FITRI

43 1404030808170000 2 M.JULIANDO PRASATYA 7/19/2019 L 3.4 SATIAK/SUMIATI

44 1404032212070080 3 M.XAVIER ALTARIQ 7/20/2019 L 2.9 SYAHRONI/YUYUN SUNARSIH

45 1404041605180000 1 M.YUSUF 5/25/2018 L 3.0 DEDI YANTO/RISMINA WAHYUNI

46 1404031803110000 1404036406150000 2 BERLIN AZMAN 6/24/2015 P 2.8 AZMAN/RIVA YATRI

47 1404030901080040 1404030103150000 3 MUHAMMAD HASAN 3/1/2015 L 3.0 YADI/MARIANI

48 1404030806160000 1404032704160000 4 MUHAMMAD RIZKI ALGAZALI 4/27/2016 L 3.3 FAHRIZAL/ASNAWIYAH

49 1404033105110000 . 2 KHOLIQ UTAMA 9/15/2015 L 3.5 MANDRA UTAMA/SANIYAH

50 1404110506150000 1404110805150000 2 MUHAMMAD IRWAN 5/8/2015 L 2.4 MISRUNI/LIA WULANDARI

51 1404110506150000 1404110805150000 3 MUHAMMAD IRFAN 5/8/2015 L 2.5 MISRUNI/LIA WULANDARI

52 1404033012100000 1404035006160000 3 SHILA TRISYA RAMADHANI 6/10/2016 P 3.5 MASRANI/RAHIMAH

53 4 ZAHIRA RAMADHANI 6/9/2016 P 3.3 LISMADI / SITI JUBAIDAH


54 1 M.ALBI ALFATIH 9/8/2016 L 2.8 BASHORI RAHMAT/SRISKA NOVIA SARI

55 1 PRAMUJA 12/26/2015 L 3.2 HERMAN/MELIANA

56 1 NURFADILLAH 1/19/2018 P 3.2 IRDAMSYAH/PESPA DEWI

57 1404032610110000 4 NAZILA 9/24/2019 P 3.3 EFINDY/AZIZAH

58 1404030601100000 2 NURAINUN 1/1/2017 P 3.2 BAHTIAR/NURHALIMAH

59 2 PUTRI NASU AQIFAH 9/3/2019 P 3 SULAIMAN / MARDIANA

60 1404032312070000 1404031112160000 3 AHMAD ZAM ZAMI 12/11/2016 L 4 JASMANI/DEWI SARTIKA

61 1 KASIH NURHIDAYAH 8/7/2018 P 3 RIZAL FAHLEVI/MELIYANA

62 1 M.ARFA 1/8/2019 L 3.5 AMRIL/SITI AMINAH

63 2 YULIANA 2/1/2019 P 3.8 BUDI/ANISA

64 1 M.DAFFY ARYA PRATAMA 9/14/2019 L 3.9 M.FIKRIANSYAH/PUNDI ARDA LESTARI

65 1404030409160000 1404031007160000 1 AQMALUS SHALIHIN 7/10/2016 L 3.1 HERWANSYAH/AFRIDA


66 1404031302170000 2 M.RISKIANSYAH 9/26/2019 L 4 HERDIANTO / MISNIATI
67 1404031006080000 3 M.RAZAN PUTRA MISHA 9/27/2019 L 3.4 MISRIANTO/HANISAH
68 1404032610110000 4 NAZLA KHAIRUNNISA 9/23/2019 P 3 IFFENDY/AZIZAH

69 1404030901080040 4 M.RIDUAN. H 9/19/2019 P 3.0 YADI/MARIANI

70 1 SRI WAHYUNI 4/5/2015 P 3.5 BUDI/ANISA

72

73
74
Cara
ASI
Ukur IMD Vitamin A PMT Berapa
No.Telp Tanggal Eksklusif
NIK Ayah Alamat RT RW BB (Kg) TB (Cm) 1=Telenta 1=Ya, 1=Ya, 1=Ya, PMT yg
Orang Tua Pengukuran 1=Ya,
ng, 2=Tidak 2=Tidak 2=Tidak didpt
2=Tidak
2=Berdiri

TG.LAJAU 3 1 12/14/2019 14.5 96.5 2 1 1 2 2 0

1404030101860000

1404031802710000 TG.LAJAU 2 1 12/14/2019 11.5 86 2 1 1 2 2 0

1404030107730030 TG.LAJAU 2 1 12/14/2019 11.7 86 2 1 1 2 2 0

1404031307690000 TG.LAJAU 2 1 12/14/2019 10.6 81.5 1 2 1 2 2 0

1404032308890000 TG.LAJAU 4 1 12/14/2019 10.5 82 1 1 1 2 2 0

1404030305830000 TG.LAJAU 2 1 12/14/2019 11.2 87 2 1 1 2 2 0

1404030202830000 TG.LAJAU 1 1 12/14/2019 8 69 1 2 1 2 2 0

1404030510910000 TG.LAJAU 1 1 12/14/2019 7 71 1 1 1 2 1 84


1404032510900000 TG.LAJAU 1 1 12/14/2019 9.8 78.4 1 1 1 2 2 0

1404030406780000 TG.LAJAU 1 1 12/14/2019 9 79.5 1 2 1 2 1 84

1404032912850000 TG.LAJAU 4 1 12/14/2019 8.8 72.5 1 2 1 2 2 0

1404030107810050 TG.LAJAU 9 4 12/14/2019 12.6 90 2 1 1 2 2 0

1404030606820000 TG. LAJAU 1 1 12/14/2019 13.7 92 2 1 1 2 2 0

1404030907710000 TG.LAJAU 7 3 12/14/2019 10.8 81.5 1 1 2 2 2 0

14040305760006 TG. LAJAU 4 1 12/14/2019 14.7 97.5 2 1 1 2 2 0

1404030508710000 TG.LAJAU 1 1 12/14/2019 14.5 97.5 2 1 1 2 2 0

1404033101790000 TG.LAJAU 3 1 12/14/2019 11 83.5 2 1 1 2 2 0

1404031107920000 TG.LAJAU 1 1 12/14/2019 12.2 90 2 1 1 2 2 0

1404030107750080 TG. LAJAU 2 1 12/14/2019 8.3 76 1 1 1 2 2 84

1404030704840000 TG.LAJAU 2 1 12/14/2019 12.5 91 2 1 1 2 2 0

1404031608470000 TG. LAJAU 7 3 12/14/2019 7 66.7 1 1 1 2 2 0

140403508700002 TG. LAJAU 6 3 12/14/2019 11.2 81.6 1 2 1 2 2 0

1404030504770000 TG.LAJAU 6 3 12/14/2019 10.5 80.5 1 2 1 2 2 0


1404030107800100 TG.LAJAU 6 3 12/14/2019 12.7 93 2 1 1 2 2 0

1404031309800000 TG.LAJAU 1 1 12/14/2019 7 67.7 1 1 1 2 1 0

TG.LAJAU 1 1 12/14/2019 11 84.5 1 2 1 2 2 0

1404030107550040 TG.LAJAU 6 1 12/14/2019 15.2 105 2 2 1 2 2 0

1404032606960000 TG.LAJAU 4 1 12/14/2019 14.5 97 2 1 1 2 2 0

1404032606960000 TG.LAJAU 4 1 12/14/2019 6.8 64.5 1 1 1 2 2 0

1404030309850000 TG.LAJAU 4 1 12/14/2019 10.5 84 1 1 1 2 2 0

TG.LAJAU 6 2 12/14/2019 20.2 113 2 2 1 2 2 0

1404032405760000 TG.LAJAU 5 1 12/14/2019 10.5 82 1 1 1 2 2 0

1404032605780000 TG.LAJAU 9 4 12/14/2019 10.8 82.5 2 1 1 2 2 0

1404032608810000 TG.LAJAU 8 4 12/14/2019 14 95 2 1 1 2 2 0

1404030106960000 TG.LAJAU 2 1 12/14/2019 9.8 78 1 1 1 2 2 0

1404031010780000 TG.LAJAU 8 4 12/14/2019 8 69 1 2 1 2 2 0

1404031007930000 TG.LAJAU 8 4 12/14/2019 8.5 71 1 1 1 2 2 0

1404041411890000 TG.LAJAU 8 4 12/14/2019 12.8 92 2 1 1 2 2 0

TG.LAJAU 9 4 12/14/2019 12.5 89 2 1 1 2 2 0


1404030806920000 TG.LAJAU 9 4 12/14/2019 10.9 83 1 2 2 2 2 0

140403580890003 TG.LAJAU 8 4 12/14/2019 7 64 1 1 1 2 2 0

1404032002940000 TG.LAJAU 4 1 12/14/2019 7 64 1 1 1 2 2 0

1404032202920000 TG.LAJAU 8 4 12/14/2019 7.1 64.5 1 1 1 2 2 0

1404030408780000 TG.LAJAU 1 1 12/14/2019 7.7 67 1 1 1 2 2 0

1404042701910000 TG.LAJAU 7 3 12/14/2019 10.8 82 1 1 1 2 2 0

1404030811840000 TG.LAJAU 3 1 12/14/2019 15.7 101.5 2 1 1 2 2 0

1404031202850000 TG.LAJAU 9 4 12/14/2019 15.5 102 2 1 1 2 2 0

1404030503770000 TG.LAJAU 9 4 12/14/2019 13.5 92.5 2 1 1 2 2 0

1404032910820000 TG.LAJAU 8 4 12/14/2019 15.5 100.5 2 1 1 2 2 0

1404030111890000 TG.LAJAU 4 1 12/14/2019 17 105.5 2 1 1 2 2 0

1404030111890000 TG.LAJAU 4 1 12/14/2019 17.3 106 2 1 1 2 2 0

1404030503770000 TG.LAJAU 6 2 12/14/2019 16.4 105 2 1 1 2 2 0

1404033112680000 TG.LAJAU 4 1 12/14/2019 15.8 102 2 1 1 2 2 0


140403201090001 TG.LAJAU 5 2 12/14/2019 15 99 2 1 1 2 2 0

1404034801960000 TG.LAJAU 7 3 12/14/2019 16.4 103.5 2 1 1 2 2 0

TG.LAJAU 7 3 12/14/2019 11 83.5 1 1 1 2 2 0

14040301077200000 TG.LAJAU 4 1 12/14/2019 4.8 56 1 1 1 2 2 0

1404040107820050 TG.LAJAU 8 4 12/14/2019 13 92 2 1 1 2 2 0

1404030510910000 TG.LAJAU 3 1 12/14/2019 5.8 60 1 1 1 2 2 0

1404030107650050 TG.LAJAU 2 1 12/14/2019 13.6 93 2 1 1 2 2 0

1404030409790000 TG.LAJAU 7 3 12/14/2019 10.5 82 1 1 1 2 2 0

1404030404720000 TG.LAJAU 9 4 12/14/2019 9.3 73.5 1 1 1 2 2 0

TG.LAJAU 9 4 12/14/2019 9 74 1 1 1 2 2 0

3644016804080000 TG.LAJAU 6 2 12/14/2019 6.8 63 1 1 1 2 2 0

1404032612860000 TG.LAJAU 3 1 12/14/2019 13.8 94 2 1 1 2 2 0


1404031107920000 TG.LAJAU 9 4 12/14/2019 6.3 61 1 1 1 2 2 0
1404030501760000 TG.LAJAU 6 2 12/14/2019 6.8 63 1 1 1 2 2 0

1404030107720070 TG.LAJAU 4 1 12/14/2019 5.9 60 1 1 1 2 2 0

1404031202850000 TG.LAJAU 9 4 12/14/2019 5.4 58 1 1 1 2 2 0

TG.LAJAU 9 4 12/14/2019 16.1 103 2 1 1 2 2 0

Anda mungkin juga menyukai