FORMULIR PENCATATAN

BULAN PENIMBANGAN BALITA TAHUN 2015

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/DI : 65
TANGGAL PENIMBANGAN : JANUARI 2015

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATU

RW TGL/BLN/THN BLN (kg) (CM) BRK

1 AZAHRA SUTRISNO 3/9 P 4/1/2010 57

2 MUTIARA GUSTI ARIFIN 2/9 P 09-11-2010 50 12.5

3 KHAIDAR ANGGIE 4/9 L 09-08-2011 52 13.8

4 FAISAL SUKIRNO 1/9 L 08-02-2010 59 17

5 HAEKAL DEDY 4/9 L 26-02-2010 55 14

6 RIFIA E ACE 6/9 P 4/3/2010 57

7 M.YUSUF HERRY 1/9 L 4/24/2010 57 14.5

8 D.ANDRA ARGA 3/9 P 5/24/2010 58

9 FARZAN SANTI/HADI 4/9 L 7/2/2010 54 15 103

10 FARRAS HERMIN 1/9 P 10/31/2010 39

11 WAHYU ALAQNI NOVI 6/9 L 11/12/2010 50 18

12 GHAISAN HERLIN 1/9 L 1/10/2011 48 12

13 RIFKI SUKIRNO 1/9 L 2/7/2011 47 14

14 RISKI SUKIRNO 1/9 L 2/7/2011 47 13

15 WIDIA WAHYUDI 3/9 P 4/20/2011 44 14

16 REGITA ALI BAKRI 5/9 P 31/4/2011 45 11.5 92

17 NAOVAL REZA 3/9 P 6/14/2011 43 20

18 RAZITA MIRA 6/9 P 6/26/2011 43 12 0

19 OVIE(KHOFIFAH) JUMADI 5/9 P 6/26/2011 43

20 NIZAM IQBAL ARI W 5/9 L 205/07/2011 42 12

21 KHAIRI ANGGIE 4/9 L 8/26/2011 41 11

22 JIHAN KARYADI 6/9 P 8/2/2011 41 11.1

23 IBRAHIM WASKITO 7/9 L 8/12/2011 42 14.8 93

24 NAORA ARIS 6/9 P 8/20/2011 41 11.2

25 RAFFA QODAR 4/9 L 10/27/2011 39 11 91

26 AMELIA ZAINUDDIN 3/9 P 2/21/2012 35 12

27 NAELA SAMIJI 5/9 P 3/21/2012 34 12.9

28 NABILA FAJAR 5/9 P 4/14/2012 33 12

29 ASKA KARYADI 6/9 L 8/9/2012 29

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2015

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/DI : 65
TANGGAL PENIMBANGAN : JANUARI 2015

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATU

RW TGL/BLN/THN BLN (kg) (CM) BRK

30 AL AQNI DIDIT 5/9 L 8/15/2012 29 11.1

31 HAORA IQROM 1/9 P 9/14/2012 29 10.8

32 RADITYA RIZKI 4/9 L 9/22/2012 29 11

33 HERIANDRA HERU 1/9 L 9/27/2012 29

34 M.ZAKKA MIMA 5/9 L 10/13/2012 27 11

35 EMANUEL JACSON 6/9 L 20/11/2012 26

36 ARYA GUSTI ARIFIN 2/9 L 11/25/2012 26 11

37 R.YASMIN ARGA 3/9 P 1/25/2013 24 8.9
38 RAJA FREDDY 4/9 L 2/6/2013 23 12 85
39 RAFFASA HERMIN 1/9 P 2/14/2013 23 12
40 TARA YANTI 5/9 L 4/24/2013 21 10
41 MARSYA MASHUDI 5/9 P 5/25/2013 19 12
42 WAWA FAJAR 5/9 P
43 JANE EDI SINAGA 7/9 P 6/26/2013 19 12.3
44 SALWA FAJAR 5/9 P 6/1/2013 19 12.1
45 ALWAN MIRA 6/9 L 8/11/2013 18 11.9
46 TIMOTY HARYONO 1/9 L 8/12/2013 18 12
47 ANDRA REZA 1/9 L 9/27/2013 16 12.2
48 AFFAR TOTOK 5/9 L 10/29/2013 15
49 ADHIBBAH NOVI 6/9 P 11/5/2013 14 11
50 UFAIRA EKA 4/9 P 11/23/2013 14 11.5
51 SYARIFAH YUDHI 2/9 P 7/28/2013 18 11
52 SAUKI TAUFAN 1/9 L 10/12/2013 15 11.5
53 SABITHA CATUR 3/9 P 8/25/2013 18 12.1
54 ALYA SINGGIH 6/9 P 3/17/2013 22 11
55 CHAISAR SRI RAHAYU 5/9 L 9/9/2013 16 12.5
56 M.DENNIS DIMAS YOGA 3/9 L 1/4/2013 24 11 93
57 NAZWA BUNTORO 3/9 P
58 ANIN POETRY 6/9 P 3/19/2014 20 9.5
59 ASKIA NUNIEK 5/9 P 7/7/2014 6 5.2
60 TANIA ABUN 5/9 P 6/8/2014 7 6
61 ATTA ABUN 5/9 L 1/10/2011 48 12.8
62 DESTA BETA 4/9 L
63 LUBNA FAJAR 5/9 P 6/6/2014 7 9
64 NATHANAEL MERRY 5/9 L 9/25/2014 4 6.5
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2015

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/DI : 65
TANGGAL PENIMBANGAN : JANUARI 2015

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATU

RW TGL/BLN/THN BLN (kg) (CM) BRK

65 ADILLA BRAMONO 3/9 P 11/4/2014 25 5.4
66 SABIL SAEFUL ANWAR 4/9 L 6/27/2013 19 10 84
67 ARKA HERMIN 1/9 L 19 11
STATUS GIZI GAKIN

KRG BAIK LBH

STATUS GIZI GAKIN

KRG BAIK LBH

STATUS GIZI GAKIN

KRG BAIK LBH

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2016

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/DI : 65
TANGGAL PENIMBANGAN : JANUARI 2016

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATU

RW TGL/BLN/THN BLN (kg) (CM) BRK

1 GHAISAN HERLIN 1/9 L 1/10/2011 48 12

2 RIFKI SUKIRNO 1/9 L 2/7/2011 47 14

3 RISKI SUKIRNO 1/9 L 2/7/2011 47 13

4 WIDIA WAHYUDI 3/9 P 4/20/2011 44 14

5 REGITA ALI BAKRI 5/9 P 31/4/2011 45 11.5 92

6 NAOVAL REZA 3/9 P 6/14/2011 43 20

7 RAZITA MIRA 6/9 P 6/26/2011 43 12 0

8 OVIE(KHOFIFAH) JUMADI 5/9 P 6/26/2011 43

9 NIZAM IQBAL ARI W 5/9 L 205/07/2011 42 12

10 KHAIRI ANGGIE 4/9 L 8/26/2011 41 11

11 JIHAN KARYADI 6/9 P 8/2/2011 41 11.1

12 IBRAHIM WASKITO 7/9 L 8/12/2011 42 14.8 93

13 NAORA ARIS 6/9 P 8/20/2011 41 11.2

14 RAFFA QODAR 4/9 L 10/27/2011 39 11 91

15 AMELIA ZAINUDDIN 3/9 P 2/21/2012 35 12

16 NAELA SAMIJI 5/9 P 3/21/2012 34 12.9

17 NABILA FAJAR 5/9 P 4/14/2012 33 12

18 ASKA KARYADI 6/9 L 8/9/2012 29

19 AL AQNI DIDIT 5/9 L 8/15/2012 29 11.1

20 HAORA IQROM 1/9 P 9/14/2012 29 10.8

21 RADITYA RIZKI 4/9 L 9/22/2012 29 11

22 HERIANDRA HERU 1/9 L 9/27/2012 29

23 M.ZAKKA MIMA 5/9 L 10/13/2012 27 11

24 EMANUEL JACSON 6/9 L 20/11/2012 26

25 ARYA GUSTI ARIFIN 2/9 L 11/25/2012 26 11

26 R.YASMIN ARGA 3/9 P 1/25/2013 24 8.9
27 RAJA FREDDY 4/9 L 2/6/2013 23 12 85
28 RAFFASA HERMIN 1/9 P 2/14/2013 23 12
29 TARA YANTI 5/9 L 4/24/2013 21 10
30 MARSYA MASHUDI 5/9 P 5/25/2013 19 12
31 WAWA FAJAR 5/9 P
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2016

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/DI : 65
TANGGAL PENIMBANGAN : JANUARI 2016

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATU

RW TGL/BLN/THN BLN (kg) (CM) BRK

32 JANE EDI SINAGA 7/9 P 6/26/2013 19 12.3
33 SALWA FAJAR 5/9 P 6/1/2013 19 12.1
45 ALWAN MIRA 6/9 L 8/11/2013 18 11.9
46 TIMOTY HARYONO 1/9 L 8/12/2013 18 12
47 ANDRA REZA 1/9 L 9/27/2013 16 12.2
48 AFFAR TOTOK 5/9 L 10/29/2013 15
49 ADHIBBAH NOVI 6/9 P 11/5/2013 14 11
50 UFAIRA EKA 4/9 P 11/23/2013 14 11.5
51 SYARIFAH YUDHI 2/9 P 7/28/2013 18 11
52 SAUKI TAUFAN 1/9 L 10/12/2013 15 11.5
53 SABITHA CATUR 3/9 P 8/25/2013 18 12.1
54 ALYA SINGGIH 6/9 P 3/17/2013 22 11
55 CHAISAR SRI RAHAYU 5/9 L 9/9/2013 16 12.5
56 M.DENNIS DIMAS YOGA 3/9 L 1/4/2013 24 11 93
57 NAZWA BUNTORO 3/9 P
58 ANIN POETRY 6/9 P 3/19/2014 20 9.5
59 ASKIA NUNIEK 5/9 P 7/7/2014 6 5.2
60 TANIA ABUN 5/9 P 6/8/2014 7 6
61 ATTA ABUN 5/9 L 1/10/2011 48 12.8
62 DESTA BETA 4/9 L
63 LUBNA FAJAR 5/9 P 6/6/2014 7 9
64 NATHANAEL MERRY 5/9 L 9/25/2014 4 6.5
65 ADILLA BRAMONO 3/9 P 11/4/2014 25 5.4
66 SABIL SAEFUL ANWAR 4/9 L 6/27/2013 19 10 84
67 ARKA HERMIN 1/9 L 19 11
STATUS GIZI GAKIN

KRG BAIK LBH

STATUS GIZI GAKIN

KRG BAIK LBH

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2015

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/D: 65
TANGGAL PENIMBANGAN : JANUARI 2016

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

1 RIFKI SUKIRNO 1/9 L 2/7/2011 47 14

2 RISKI SUKIRNO 1/9 L 2/7/2011 47 13

3 REGITA ALI BAKRI 5/9 P 31/4/2011 45 11.5

4 NAOVAL REZA 3/9 P 6/14/2011 43 20

5 RAZITA MIRA 6/9 P 6/26/2011 43 12

6 NIZAM IQBAL ARI W 5/9 L 205/07/2011 42 12

7 KHAIRI ANGGIE 4/9 L 8/26/2011 41 11

8 JIHAN KARYADI 6/9 P 8/2/2011 41 11.1

9 IBRAHIM WASKITO 7/9 L 8/12/2011 42 14.8

10 NAORA ARIS 6/9 P 8/20/2011 41 11.2

11 RAFFA QODAR 4/9 L 10/27/2011 39 11

12 AMELIA ZAINUDDIN 3/9 P 2/21/2012 35 12

13 NAELA SAMIJI 5/9 P 3/21/2012 34 12.9

14 NABILA FAJAR 5/9 P 4/14/2012 33 12

15 ASKA KARYADI 6/9 L 8/9/2012 29

16 AL AQNI DIDIT 5/9 L 8/15/2012 29 11.1

17 HAORA IQROM 1/9 P 9/14/2012 29 10.8

18 RADITYA RIZKI 4/9 L 9/22/2012 29 11

19 M.ZAKKA MIMA 5/9 L 10/13/2012 27 11

20 EMANUEL JACSON 6/9 L 20/11/2012 26

21 ARYA GUSTI ARIFIN 2/9 L 11/25/2012 26 11

22 R.YASMIN ARGA 3/9 P 1/25/2013 24 8.9
23 RAJA FREDDY 4/9 L 2/6/2013 23 12
24 RAFFASA HERMIN 1/9 P 2/14/2013 23 12
25 TARA YANTI 5/9 L 4/24/2013 21 10
26 MARSYA MASHUDI 5/9 P 5/25/2013 19 12
27 JANE EDI SINAGA 7/9 P 6/26/2013 19 12.3
28 SALWA FAJAR 5/9 P 6/1/2013 19 12.1
29 ALWAN MIRA 6/9 L 8/11/2013 18 11.9
30 TIMOTY HARYONO 1/9 L 8/12/2013 18 12
31 ANDRA REZA 1/9 L 9/27/2013 16 12.2
32 ADHIBBAH NOVI 6/9 P 11/5/2013 14 11
33 UFAIRA EKA 4/9 P 11/23/2013 14 11.5
34 SYARIFAH YUDHI 2/9 P 7/28/2013 18 11
35 SAUKI TAUFAN 1/9 L 10/12/2013 15 11.5
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2015

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/D: 65
TANGGAL PENIMBANGAN : JANUARI 2016

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

36 SABITHA CATUR 3/9 P 8/25/2013 18 12.1
37 ALYA SINGGIH 6/9 P 3/17/2013 22 11
38 CHAISAR SRI RAHAYU 5/9 L 9/9/2013 16 12.5
39 M.DENNIS DIMAS YOGA 3/9 L 1/4/2013 24 11
40 NAZWA BUNTORO 3/9 P
41 SABIL SAEFUL ANWAR 04/09 L 6/27/2013
42 ANIN POETRY 6/9 P 3/19/2014 20 9.5
43 ASKIA NUNIEK 5/9 P 7/7/2014 6 5.2
44 TANIA ABUN 5/9 P 6/8/2014 7 6
45 NICHOLAS ADI 4/9 L 12/12/2014 13 10.2
46 LUBNA FAJAR 5/9 P 6/6/2014 7 9
47 NATHANAEL MERRY 5/9 L 9/25/2014 4 6.5
48 ADILLA BRAMONO 3/9 P 11/4/2014 25 5.4
49 KENNISA A SINGGIH 5/9 P 1/24/2015 12 9
50 M.TORIQ BALHAQI L 5/19/2015 8 8.2
51 RAHMA MAMAT 5/9 P 5/25/2015
52 FAHMI FATURAHMAN 5/9 L 11/3/2015
53 MIKELA ANDRI 2/9 P 11/15/2015
54 AISYAH TRI ISWANTO 4/9 P 9/30/2015
55 TIO BAYU 7/9 L 10/12/2015
56 ALEA FREDDY 4/9 P 11/18/2015
57 PRADITA SIGIT ABDUL 2/9 P 12/1/2015
58 KIARA KURNIAWAN 4/9 P 1/1/2016
GAKIN
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2015

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/DI : 65
TANGGAL PENIMBANGAN : JANUARI 2015

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATU

RW TGL/BLN/THN BLN (kg) (CM) BRK

1 AZAHRA SUTRISNO 3/9 P 4/1/2010 57

2 MUTIARA GUSTI ARIFIN 2/9 P 09-11-2010 50

3 KHAIDAR ANGGIE 4/9 L 09-08-2011 52

4 FAISAL SUKIRNO 1/9 L 08-02-2010 59

5 HAEKAL DEDY 4/9 L 26-02-2010 55

6 RIFIA E ACE 6/9 P 4/3/2010 57

7 M.YUSUF HERRY 1/9 L 4/24/2010 57

8 D.ANDRA ARGA 3/9 P 5/24/2010 58

9 FARZAN SANTI/HADI 4/9 L 7/2/2010 54

10 FARRAS HERMIN 1/9 P 10/31/2010 39

11 WAHYU ALAQNI NOVI 6/9 L 11/12/2010 50

12 GHAISAN HERLIN 1/9 L 1/10/2011 48

13 RIFKI SUKIRNO 1/9 L 2/7/2011 47

14 RISKI SUKIRNO 1/9 L 2/7/2011 47

15 WIDIA WAHYUDI 3/9 P 4/20/2011 44

16 REGITA ALI BAKRI 5/9 P 31/4/2011 45

17 NAOVAL REZA 3/9 P 6/14/2011 43

18 RAZITA MIRA 6/9 P 6/26/2011 43

19 OVIE(KHOFIFAH) JUMADI 5/9 P 6/26/2011 43

20 NIZAM IQBAL ARI W 5/9 L 205/07/2011 42

21 KHAIRI ANGGIE 4/9 L 8/26/2011 41

22 JIHAN KARYADI 6/9 P 8/2/2011 41

23 IBRAHIM WASKITO 7/9 L 8/12/2011 42

24 NAORA ARIS 6/9 P 8/20/2011 41

25 RAFFA QODAR 4/9 L 10/27/2011 39

26 AMELIA ZAINUDDIN 3/9 P 2/21/2012 35

27 NAELA SAMIJI 5/9 P 3/21/2012 34

28 NABILA FAJAR 5/9 P 4/14/2012 33

29 ASKA KARYADI 6/9 L 8/9/2012 29

30 AL AQNI DIDIT 5/9 L 8/15/2012 29

31 HAORA IQROM 1/9 P 9/14/2012 29

32 RADITYA RIZKI 4/9 L 9/22/2012 29

33 HERIANDRA HERU 1/9 L 9/27/2012 29

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2015

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/DI : 65
TANGGAL PENIMBANGAN : JANUARI 2015

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATU

RW TGL/BLN/THN BLN (kg) (CM) BRK

34 M.ZAKKA MIMA 5/9 L 10/13/2012 27

35 EMANUEL JACSON 6/9 L 20/11/2012 26

36 ARYA GUSTI ARIFIN 2/9 L 11/25/2012 26

37 R.YASMIN ARGA 3/9 P 1/25/2013 24
38 RAJA FREDDY 4/9 L 2/6/2013 23
39 RAFFASA HERMIN 1/9 P 2/14/2013 23
40 TARA YANTI 5/9 L 4/24/2013 21
41 MARSYA MASHUDI 5/9 P 5/25/2013 19
42 WAWA FAJAR 5/9 P
43 JANE EDI SINAGA 7/9 P 6/26/2013 19
44 SALWA FAJAR 5/9 P 6/1/2013 19
45 ALWAN MIRA 6/9 L 8/11/2013 18
46 TIMOTY HARYONO 1/9 L 8/12/2013 18
47 ANDRA REZA 1/9 L 9/27/2013 16
48 AFFAR TOTOK 5/9 L 10/29/2013 15
49 ADHIBBAH NOVI 6/9 P 11/5/2013 14
50 UFAIRA EKA 4/9 P 11/23/2013 14
51 SYARIFAH YUDHI 2/9 P 7/28/2013 18
52 SAUKI TAUFAN 1/9 L 10/12/2013 15
53 SABITHA CATUR 3/9 P 8/25/2013 18
54 ALYA SINGGIH 6/9 P 3/17/2013 22
55 CHAISAR SRI RAHAYU 5/9 L 9/9/2013 16
56 M.DENNIS DIMAS YOGA 3/9 L 1/4/2013 24
57 NAZWA BUNTORO 3/9 P
58 ANIN POETRY 6/9 P 3/19/2014 20
59 ASKIA NUNIEK 5/9 P 7/7/2014 6
60 TANIA ABUN 5/9 P 6/8/2014 7
61 ATTA ABUN 5/9 L 1/10/2011 48
62 DESTA BETA 4/9 L
63 LUBNA FAJAR 5/9 P 6/6/2014 7
64 NATHANAEL MERRY 5/9 L 9/25/2014 4
65 ADILLA BRAMONO 3/9 P 11/4/2014 25
66 SABIL SAEFUL ANWAR 4/9 L 6/27/2013 19
67 ARKA HERMIN 1/9 L 19
STATUS GIZI GAKIN

KRG BAIK LBH

STATUS GIZI GAKIN

KRG BAIK LBH

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/DI :
TANGGAL PENIMBANGAN : JULI 2017

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATU

RW TGL/BLN/THN BLN (kg) (CM) BRK

1 ASKA KARYADI/FANI 6/9 L 8/9/2012 58 -

2 AL AQNI DIDIT/MELITA 5/9 L 8/15/2012 57 -

3 HAORA IQROM/NENG 1/9 P 9/14/2012 56 -

4 RADITYA RIZKI/SILVI 4/9 L 9/22/2012 57 -

5 YASMIN ARGA/SANDRA 6/9 P 1/28/2013 53 -

6 M.ZAKKA RAHMAT/MIMA 5/9 L 10/13/2012 56 -

7 MARSYA MASHUDI/YULI 5/9 P 5/25/2013 53 -

8 M.DANNIS A YOGA/MEDINA 3/9 L 11/4/2013 43 15.4

9 RAJA FREDDY/OSI 4/9 L 12/6/2013 42 16.5
10 ALYA SINGGIH/ISTIQOMA 6/9 P 3/17/2013 51 14
11 TARA ANDI/YANTI 5/9 L 4/24/2013 50 15.5
12 SALWA FAJAR/NOLA 5/9 P 6/6/2013 48 16.2
13 SABIL SAEFUL ANWAR 4/9 L 6/27/2013 48 14.5
14 SABITHA CATUR/ERNA 3/9 P 8/25/2013 46 14.7
15 SYARIFAH YUDHI/INDRI 2/9 P 7/28/2013 47 15.6
16 TIMOTY DWINANTO/INDAH 7/9 L 8/13/2013 46 16.5
17 CHAISAR RAHMAT/SRI RAHA 5/9 L 9/9/2013 45 14.5
18 SAUKI TAUFAN 1/9 L 10/12/2013 44
19 ADHIBBAH NOVI 6/9 P 11/5/2013 44
20 UFAIRA SUPRAYOGI/IKA 4/9 P 11/23/2013 39 22.3
21 ANINDIA ANDHIKA/CHINTIA 6/9 P 3/19/2014 32 17.5
22 LUBNA FAJAR/NORA 5/9 P 6/6/2014 32 15.5
23 NATHANAEL FERI/MERRY 5/9 L 9/25/2014 35 13.2
24 ASKIA ANIS/NUNIEK 5/9 P 7/7/2014 30 12
25 PRADITA SIGIT ABDUL/IIM 2/9 L 2/1/2015 28
26 M.TSABIT NURCHOLIS/DEWI 3/9 L 9/13/2013 45
27 KENZI REDI/NOVITA 5/9 L 38
28 KENISHA SINGGIH/HANUM 5/9 L 1/24/2015 29 10.5
29 RAHMA MAMAT/SRI 5/9 P 5/20/2015 26 11
30 ADZKAN AFION/NURLELI 1/9 P 3/15/2015 27 15.2
31 SALMAN NURCHOLIS/DEWI 3/9 L 9/13/2013 25
32 M.TORIQ BALHAQI/YUANITA 1/9 L 5/19/2015 25 13
33 RAYHAN REDI/NOVITA 5/9 L 7/21/2015 23 12.5
34 RADITYA ROBI/RAMAH 2/9 L 8/15/2015 22 10.5
35 AISYAH TRIISWANTO/SANTI 5/9 L 9/30/2015 21 10
36 FAHMI FATUR/MIMA 5/9 L 11/3/2015 21 10.2
37 MIKAILA ANDRI/LEONITA 2/9 P 11/15/2015 20 11
38 TIO BAYU/MARIANA 7/9 L 10/12/2015 21 8
39 KEOLA F KRISNANTO/YUDID 4/9 P 10/31/2016 21 10
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI
KECAMATAN : BEKASI UTARA
KELURAHAN : TELUK PUCUNG
POSYANDU : " WIJAYA KUSUMA "
JUMLAH BALITA YANG ADA/DI :
TANGGAL PENIMBANGAN : JULI 2017

NO NAMA NAMA ORTU RT'/ L/P TANGGAL LAHIR UMUR BB TB STATU

RW TGL/BLN/THN BLN (kg) (CM) BRK

40 ALEA FREDDY/OSI 4/9 P 11/18/2015 20 10.8
41 KIARA BOWO/ELKA 4/9 P 1/1/2016 18 12
42 M.KARIMAH NURCHOLIS/DEWI 3/9 P 2/24/2016 17 9.3
43 KINAN INDAH/MARIZKI 1/9 P 2/4/2016 17 10
44 ZAKI DEDE/DINA 2/9 L 17 9.4
45 FITRIA SUKIRNO/PENI 1/9 P 2/29/2016 16 8.8
46 ENGGAR DWINANTO/INDAH 7/9 L 4/20/2016 15
47 RAJA ATHARIQ SINGGIH/HANUM 5/9 L 5/2/2016 14 8.5
48 AISYAH R APRIAN/NOVI 6/9 P 6/28/2016 13 10
49 RAFASHA M TAUFIQ/PRISKA 2/9 L 9/4/2016 10 9.4
50 GABRILIO NASA NASA/RIRI 4/9 L 10/19/2016 9
51 BRIGITA SINGGIH/ISTIQOMA 6/9 P 11/25/2016 8 13
52 RAGA RAMA/IMANIAR 5/9 L 12/13/2016 7 8.7
53 AGAM LUQMAN/SISKA 4/9 L 12/20/2016 7
54 NUSAIBAH RANGGI/KARTINI P 10/15/2016 9
55 BIMAR ELOK P 11/25/2016 7
56 ZAKA DEVITA/BUDHI 12/2/2016 7
57 MOH. IQBAL ENDAH/ZAINUDIN 3/9 L 12/2/2016 7
58
59
60
61
62
63
STATUS GIZI GAKIN

KRG BAIK LBH

STATUS GIZI GAKIN

KRG BAIK LBH

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : 10 AGUSTUS 2017

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

1 ASKA KARYADI/FANI 6/9 L 8/9/2012 59 20.5 99 V

2 AL AQNI DIDIT/MELITA 5/9 L 8/15/2012 58 14.6 99 V

3 HAORA IQROM/NENG 1/9 P 9/14/2012 57 13.6 98 V

4 RADITYA RIZKI/SILVI 4/9 L 9/22/2012 58 15 98 V

5 YASMIN ARGA/SANDRA 6/9 P 1/28/2013 54 13.6 99 V

6 M.ZAKKA RAHMAT/MIMA 5/9 L 10/13/2012 57 14 99 V

7 MARSYA MASHUDI/YULI 5/9 P 5/25/2013 50 16 101 V

8 M.DANNIS A YOGA/MEDINA 3/9 L 11/4/2013 44 15.6 98 V

9 RAJA FREDDY/OSI 4/9 L 12/6/2013 43 25 105 V
10 ALYA SINGGIH/ISTIQOMA 6/9 P 3/17/2013 52 16 99 V
11 TARA ANDI/YANTI 5/9 L 4/24/2013 51 15.6 100 V
12 SALWA FAJAR/NOLA 5/9 P 6/6/2013 49 16.3 100 V
13 SABIL SAEFUL ANWAR 4/9 L 6/27/2013 49 14.6 98 V
14 SABITHA CATUR/ERNA 3/9 P 8/25/2013 47 14.8 98 V
15 SYARIFAH YUDHI/INDRI 2/9 P 7/28/2013 48 15.7 98 V
16 TIMOTY DWINANTO/INDAH 7/9 L 8/13/2013 47 16.6 99 V
17 CHAISAR RAHMAT/SRI RAHA 5/9 L 9/9/2013 46 14.6 97 V
18 SAUKI TAUFAN 1/9 L 10/12/2013 45 14.3 96 V
19 ADHIBBAH NOVI 6/9 P 11/5/2013 45 13.9 97 V
20 UFAIRA SUPRAYOGI/IKA 4/9 P 11/23/2013 40 22.3 95 V
21 ANINDIA ANDHIKA/CHINTIA 6/9 P 3/19/2014 33 21 97 V
22 LUBNA FAJAR/NORA 5/9 P 6/6/2014 33 15.6 97 V
23 NATHANAEL FERI/MERRY 5/9 L 9/25/2014 36 13.5 96 V
24 ASKIA ANIS/NUNIEK 5/9 P 7/7/2014 31 12.3 89 V
25 PRADITA SIGIT ABDUL/IIM 2/9 L 2/1/2015 29 10.5 87 V
26 M.TSABIT NURCHOLIS/DEWI 3/9 L 9/13/2013 46 14.7 98 V
27 KENZI REDI/NOVITA 5/9 L 8/18/2013 39 14.4 92 V
28 KENISHA SINGGIH/HANUM 5/9 L 1/24/2015 30 10.7 87 V
29 RAHMA MAMAT/SRI 5/9 P 5/20/2015 27 11.1 85 V
30 ADZKAN AFION/NURLELI 1/9 P 3/15/2015 28 15.3 87 V
31 SALMAN NURCHOLIS/DEWI 3/9 L 9/13/2013 26 16.9 85 V
32 M.TORIQ BALHAQI/YUANITA 1/9 L 5/19/2015 26 12.3 86 V
33 RAYHAN REDI/NOVITA 5/9 L 7/21/2015 24 12.6 80 V
34 RADITYA ROBI/RAMAH 2/9 L 8/15/2015 23 10.7 79 V
35 AISYAH TRIISWANTO/SANTI 5/9 L 9/30/2015 22 11 82 V
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : 10 AGUSTUS 2017

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

36 FAHMI FATUR/MIMA 5/9 L 11/3/2015 22 11 80 V
37 MIKAILA ANDRI/LEONITA 2/9 P 11/15/2015 21 11 81 V
38 TIO BAYU/MARIANA 7/9 L 10/12/2015 22 14 85 V
39 KEOLA F KRISNANTO/YUDID 4/9 P 10/31/2016 22 10 75 V
40 ALEA FREDDY/OSI 4/9 P 11/18/2015 21 10 83 V
41 KIARA BOWO/ELKA 4/9 P 1/1/2016 19 12.3 80 V
42 M.KARIMAH NURCHOLIS/DEWI 3/9 P 2/24/2016 18 9.5 80 V
43 KINAN INDAH/MARIZKI 1/9 P 2/4/2016 18 10.2 79 V
44 ZAKI DEDE/DINA 2/9 L 18 9.6 80 V
45 FITRIA SUKIRNO/PENI 1/9 P 2/29/2016 17 9 78 V
46 ADSKAN ERIK/RETNO 3/9 L 2/3/2016 14 11 78 V
47 MADINA YUDHI/RISKA 3/9 P 11/12/2015 21 10.6 83 V
48 INTAN UKE/CORY 4/9 P 2/18/2014 37 11 88 V
49 M.GIBRAN DANIEL/NIAR 5/9 L 4/18/2016 11 8 74 V
50 ADIBAH HERMANSYAH/ROM 5/9 P 8/17/2016 12 7 66 V
51 ENGGAR DWINANTO/INDAH 7/9 L 4/20/2016 16 9.3 76 V
52 RAJA ATHARIQ SINGGIH/HANUM 5/9 L 5/2/2016 15 9.6 75 V
53 AISYAH R APRIAN/NOVI 6/9 P 6/28/2016 14 10.1 76 V
54 RAFASHA M TAUFIQ/PRISKA 2/9 L 9/4/2016 11 7.8 66 V
55 GABRILIO NASA NASA/RIRI 4/9 L 10/19/2016 10 8.1 67 V
56 BRIGITA SINGGIH/ISTIQOMA 6/9 P 11/25/2016 9 9.8 68 V
57 RAGA RAMA/IMANIAR 5/9 L 12/13/2016 8 6.3 66 V
58 AGAM LUQMAN/SISKA 4/9 L 12/20/2016 8 6 67 V
59 NUSAIBAH PANJI/KARTINI 3/9 P 10/15/2016 10 7.7 67 V
60 BIMAR ELOK HERMIN/RETNO 1/9 P 11/25/2016 8 7.8 59 V
61 ZAKA DEVITA/BUDHI 2/9 L 12/2/2016 8 7.2 59 V
62 MOH. IQBAL ENDAH/ZAINUDIN 3/9 L 2/9/2017 6 5.5 64 V
63 AHMAD G DODI/SARI 3/9 L 1/9/2017 7 7.3 65 V
64 M.HALAN ALFIANAL/PERDAN 2/9 L 1/18/2017 7 6 65 V
65 ALTAV ANIS/NUNIEK 5/9 L 1/23/2017 7 5.5 65 V
66 INAYA AFRIZAL/VENNI 7/9 P 2/5/2017 6 6 65 V
67 ABIYU DIDIT/MELITA 5/9 L 2/8/2017 6 4.9 64 V
68 M.AR SHAKA RIZKI/VIORI 3/9 L 3/8/2017 5 7 65 V
69 RAS AL JAPRAN RASYID/RIRI 1/9 L 4/5/2017 4 4.9 64 V
70 RAISA HERMAN/ISNAWATI 3/9 P 4/22/2017 4 5.9 64 V
71 DEBYAN M OGI/SYLVIA 5/9 L 3/1/2017 5 7.4 65 V
72 FANEZHA ZARWAN/TITI 4/9 P 6/11/2014 37 10 89 V
73 M.WILDAN WAHYUDI/WITA 3/9 L 7/24/2017 1 3.9 48 V
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : 10 AGUSTUS 2017

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

74 RASYA APRIANSYAH/DELL 3/9 P 7/24/2017 1 3.5 49 V
75 NICOLAS ADI/RANI 4/9 L 12/22/2014 29 12.7 88 V
76 NABILA FAJAR/NOLA 5/9 P 12/4/2012 59 29.3 100 V
GAKIN
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : DESEMBER 2017

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

1 R.YASMIN ARGA/SANDRA 6/9 P 1/28/2013 58 13.5 99

2 ALYA SINGGIH/ISTIQOMAH 6/9 P 3/17/2013 57 17 107

3 TARA ANDI/YANTI 5/9 L 4/24/2013 56 16 100

4 MARSYA MASHUDI/YULI 5/9 P 5/25/2013 55 16 103

5 SALWA FAJAR/NOLA 5/9 P 6/6/2013 54 15.2 100

6 SABIL SAEFUL ANWAR/EKA 4/9 L 6/27/2013 54 14.8 98

7 SYARIFAH YUDHI/INDRI 2/9 P 7/28/2013 53 16 98

8 TIMOTY DWINANTO/INDAH 7/9 L 8/13/2013 52 16.9 99

9 KENZI REDI/NOVITA 5/9 L 8/18/2013 52 15.5 100

10 KAYLA PUTRA/RIA 4/9 P 25/8/2013 52 15.7 102

11 SABITHA CATUR/ERNA 3/9 P 8/25/2013 52 15.2 98

12 CHAISAR RAHMAT/SRI RAHAYU 5/9 L 9/9/2013 51 15 97

13 M.TSABIT NURCHOLIS/DEWI 3/9 L 9/13/2013 51 14.5 102

14 SAUKI TAUFAN 1/9 L 10/12/2013 50 14.8 96

15 ADHIBBAH NOVI 6/9 P 11/5/2013 49 14.5 97

16 UFAIRA SUPRAYOGI/IKA 4/9 P 11/23/2013 49 20.2 95

17 RAJA FREDDY/OSI 4/9 L 12/6/2013 48 16.6 105

18 INTAN UKE/CORY 4/9 P 18/02/2014 46 11.1 93

19 ANINDIA ANDHIKA/CHINTIA 6/9 P 3/19/2014 45 19 97

20 LUBNA FAJAR/NORA 5/9 P 6/6/2014 42 15.1 97

21 FANEZHA ZARWAN/TITI 4/9 P 6/11/2014 42 11 89

22 AZKIA ANIS/NUNIEK 5/9 P 07/07/2014 41 12.4 89

23 AIRA RIDWAN/IIS 4/9 P 8/8/2014 40 14 101

24 NATHANAEL FERI/MERRY 5/9 L 9/25/2014 39 14 96

25 KENISHA SINGGIH/HANUM 5/9 L 1/24/2015 36 11 87

26 PRADITA SIGIT ABDUL/IIM 2/9 L 2/1/2015 33 11.4 87

27 ADZKAN AFION/NURLELI 1/9 P 3/15/2015 33 11.6 87

28 M.TORIQ BALHAQI/YUANITA 1/9 L 5/19/2015 31 12.5 86

29 RAHMA MAMAT/SRI 5/9 P 5/20/2015 31 11.4 80

30 RAYHAN REDI/NOVITA 5/9 L 7/21/2015 29 13.6 85

31 RADITYA ROBI/RAMAH 2/9 L 8/15/2015 28 11.4 79

32 AISYAH TRIISWANTO/SANTI 5/9 L 9/30/2015 27 10.7 80

33 TIO BAYU/MARIANA 7/9 L 10/12/2015 26 13 85

34 KEOLA F KRISNANTO/YUDIDT 4/9 P 10/31/2015 26 9.8 78

35 FAHMI FATUR/MIMA 5/9 L 11/3/2015 25 11.4 80

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : DESEMBER 2017

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

36 MADINA YUDHI/RISKA 3/9 P 11/12/2015 25 10.9 83

37 MIKAILA ANDRI/LEONITA 2/9 P 11/15/2015 25 12 88

38 ALEA FREDDY/OSI 4/9 P 11/18/2015 25 9.3 83

39 KIARA BOWO/ELKA 4/9 P 1/1/2016 24 12 80

40 ADSKAN ERIK/RETNO 3/9 L 2/3/2016 23 11 78

41 M.KARIMAH NURCHOLIS/DEWI 3/9 P 2/24/2016 23 9.2 78

42 KINAN INDAH/MARIZKI 1/9 P 2/4/2016 23 10.6 79

43 FITRIA SUKIRNO/PENI 1/9 P 2/29/2016 23 9.8 78

44 ENGGAR INDAH/DWINANTO 7/9 L 4/20/2016 21 9.9 76

45 RAJA ATHARIQ SINGGIH/HANUM 5/9 L 5/2/2016 19 10 75

46 AISYAH R APRIAN/NOVI 6/9 P 6/28/2016 18 10 81

47 ADIBAH HERMANSYAH/ROMA 5/9 P 8/17/2016 16 9.5 72

48 RAFASHA M TAUFIQ/PRISKA 2/9 L 9/4/2016 15 8.6 73

49 GABRILIO NASA NASA/RIRI 4/9 L 10/19/2016 14 10 73

50 NUSAIBAH PANJI/KARTINI 3/9 P 10/15/2016 14 8.7 75

51 BIMAR ELOK HERMIN/RETNO 1/9 P 11/25/2016 13 9 69

52 BRIGITA SINGGIH/ISTIQOMAH 6/9 P 11/25/2016 13 8.6 70

53 ZAKA DEVITA/BUDHI 2/9 L 12/2/2016 12 8.2 59

54 ZAKI DINA/DEDE 2/9 L 02/12/2016 12 10.2 65

55 RAGA RAMA/IMANIAR 5/9 L 12/13/2016 12 10.7 78

56 AGAM LUQMAN/SISKA 4/9 L 12/20/2016 12 9.3 67

57 AHMAD G DODI/SARI 3/9 L 1/9/2017 11 7.8 65

58 M.HALAN ALFIANAL/PERDANA 2/9 L 1/18/2017 11 9.2 65

59 ALTAV ANIS/NUNIEK 5/9 L 1/23/2017 12 6.5 65

60 KEREN AFRIZAL/VENNI 7/9 P 2/5/2017 10 9.4 74

61 ABIYU DIDIT/MELITA 5/9 L 2/8/2017 11 6.3 64

62 MOH. IQBAL ZAINUDIN/ENDAH 3/9 L 2/9/2017 11 7 64

63 DEBYAN M OGI/SYLVIA 5/9 L 3/1/2017 10 8.5 65

64 M.AR SHAKA RIZKI/VIORI 3/9 L 3/8/2017 9 8.9 65

65 RAS AL JAPRAN RASYID/RIRI 1/9 L 4/5/2017 9 6 64

66 RAISA HERMAN/ISNAWATI 3/9 P 4/22/2017 9 8.3 64

67 AZKIA ANWAR/HENI 5/9 L 5/1/2017 7 8.9 63

68 AFNAN RAHMAT/FERA 7/9 L 7/7/2017 5 8 63

69 M.WILDAN WAHYUDI/WITA 3/9 L 7/24/2017 4 5.7 61

70 RASYA APRIANSYAH/DELLA 3/9 P 7/24/2017 5 5.2 52

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : DESEMBER 2017

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

71 DANNIS AGUNG/MARETA 6/9 L 8/21/2017 4 6.3 56

72 DAFFIN S IYAN/FERA 7/9 L 11/4/2017 2 4.4 52

73 SYIFA RIZKI/SISKA 4/9 P 11/13/2017 2 3.2 52

74 ARSHAKA G.V ANDI/YULI 5/9 L 14/11/2017 2 3.1 51

75 PANGERAN WIRA bEVA/WIRYAWAN 4/9 L 8/29/2017 3 6.3 56

76 KENZIO D LELA N/ARIS 6/9 L 10/16/2017 3 7.8 61

77 HAFIZAH RUDI H/ISTANTI 1/9 P 6/23/2017 7 8.9 78

78 YASMIN RIRI/RASYID 1/9 P 10/16/2014 38 13 92

79 HAZELIA Z UGUN/VERA 3/9 P 10/09/2017 4 4.8 56

JUMLAH ANAK MENURUT STATUS GIZI

Bekasi, 201
Petugas Puskesmas Teluk Pucung

(.............................................................)
NIP
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : DESEMBER 2017

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

1 R.YASMIN ARGA/SANDRA 6/9 P 1/28/2013 58 13.5 99

2 ALYA SINGGIH/ISTIQOMAH 6/9 P 3/17/2013 57 17 107

3 TARA ANDI/YANTI 5/9 L 4/24/2013 56 16 100

4 MARSYA MASHUDI/YULI 5/9 P 5/25/2013 55 16 103

5 SALWA FAJAR/NOLA 5/9 P 6/6/2013 54 15.2 100

6 SABIL SAEFUL ANWAR/EKA 4/9 L 6/27/2013 54 14.8 98

7 SYARIFAH YUDHI/INDRI 2/9 P 7/28/2013 53 16 98

8 TIMOTY DWINANTO/INDAH 7/9 L 8/13/2013 52 16.9 99

9 KENZI REDI/NOVITA 5/9 L 8/18/2013 52 15.5 100

10 KAYLA PUTRA/RIA 4/9 P 25/8/2013 52 15.7 102

11 SABITHA CATUR/ERNA 3/9 P 8/25/2013 52 15.2 98

12 CHAISAR RAHMAT/SRI RAHAYU 5/9 L 9/9/2013 51 15 97

13 M.TSABIT NURCHOLIS/DEWI 3/9 L 9/13/2013 51 14.5 102

14 SAUKI TAUFAN 1/9 L 10/12/2013 50 14.8 96

15 ADHIBBAH NOVI 6/9 P 11/5/2013 49 14.5 97

16 UFAIRA SUPRAYOGI/IKA 4/9 P 11/23/2013 49 20.2 95

17 RAJA FREDDY/OSI 4/9 L 12/6/2013 48 16.6 105

18 INTAN UKE/CORY 4/9 P 18/02/2014 46 11.1 93

19 ANINDIA ANDHIKA/CHINTIA 6/9 P 3/19/2014 45 19 97

20 LUBNA FAJAR/NORA 5/9 P 6/6/2014 42 15.1 97

21 FANEZHA ZARWAN/TITI 4/9 P 6/11/2014 42 11 89

22 AZKIA ANIS/NUNIEK 5/9 P 07/07/2014 41 12.4 89

23 AIRA RIDWAN/IIS 4/9 P 8/8/2014 40 14 101

24 NATHANAEL FERI/MERRY 5/9 L 9/25/2014 39 14 96

25 KENISHA SINGGIH/HANUM 5/9 L 1/24/2015 36 11 87

26 PRADITA SIGIT ABDUL/IIM 2/9 L 2/1/2015 33 11.4 87

27 ADZKAN AFION/NURLELI 1/9 P 3/15/2015 33 11.6 87

28 M.TORIQ BALHAQI/YUANITA 1/9 L 5/19/2015 31 12.5 86

29 RAHMA MAMAT/SRI 5/9 P 5/20/2015 31 11.4 80

30 RAYHAN REDI/NOVITA 5/9 L 7/21/2015 29 13.6 85

31 RADITYA ROBI/RAMAH 2/9 L 8/15/2015 28 11.4 79

32 AISYAH TRIISWANTO/SANTI 5/9 L 9/30/2015 27 10.7 80

33 TIO BAYU/MARIANA 7/9 L 10/12/2015 26 13 85

34 KEOLA F KRISNANTO/YUDIDT 4/9 P 10/31/2015 26 9.8 78

35 FAHMI FATUR/MIMA 5/9 L 11/3/2015 25 11.4 80

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : DESEMBER 2017

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

36 MADINA YUDHI/RISKA 3/9 P 11/12/2015 25 10.9 83

37 MIKAILA ANDRI/LEONITA 2/9 P 11/15/2015 25 12 88

38 ALEA FREDDY/OSI 4/9 P 11/18/2015 25 9.3 83

39 KIARA BOWO/ELKA 4/9 P 1/1/2016 24 12 80

40 ADSKAN ERIK/RETNO 3/9 L 2/3/2016 23 11 78

41 M.KARIMAH NURCHOLIS/DEWI 3/9 P 2/24/2016 23 9.2 78

42 KINAN INDAH/MARIZKI 1/9 P 2/4/2016 23 10.6 79

43 FITRIA SUKIRNO/PENI 1/9 P 2/29/2016 23 9.8 78

44 ENGGAR INDAH/DWINANTO 7/9 L 4/20/2016 21 9.9 76

45 RAJA ATHARIQ SINGGIH/HANUM 5/9 L 5/2/2016 19 10 75

46 AISYAH R APRIAN/NOVI 6/9 P 6/28/2016 18 10 81

47 ADIBAH HERMANSYAH/ROMA 5/9 P 8/17/2016 16 9.5 72

48 RAFASHA M TAUFIQ/PRISKA 2/9 L 9/4/2016 15 8.6 73

49 GABRILIO NASA NASA/RIRI 4/9 L 10/19/2016 14 10 73

50 NUSAIBAH PANJI/KARTINI 3/9 P 10/15/2016 14 8.7 75

51 BIMAR ELOK HERMIN/RETNO 1/9 P 11/25/2016 13 9 69

52 BRIGITA SINGGIH/ISTIQOMAH 6/9 P 11/25/2016 13 8.6 70

53 ZAKA DEVITA/BUDHI 2/9 L 12/2/2016 12 8.2 59

54 ZAKI DINA/DEDE 2/9 L 02/12/2016 12 10.2 65

55 RAGA RAMA/IMANIAR 5/9 L 12/13/2016 12 10.7 78

56 AGAM LUQMAN/SISKA 4/9 L 12/20/2016 12 9.3 67

57 AHMAD G DODI/SARI 3/9 L 1/9/2017 11 7.8 65

58 M.HALAN ALFIANAL/PERDANA 2/9 L 1/18/2017 11 9.2 65

59 ALTAV ANIS/NUNIEK 5/9 L 1/23/2017 12 6.5 65

60 KEREN AFRIZAL/VENNI 7/9 P 2/5/2017 10 9.4 74

61 ABIYU DIDIT/MELITA 5/9 L 2/8/2017 11 6.3 64

62 MOH. IQBAL ZAINUDIN/ENDAH 3/9 L 2/9/2017 11 7 64

63 DEBYAN M OGI/SYLVIA 5/9 L 3/1/2017 10 8.5 65

64 M.AR SHAKA RIZKI/VIORI 3/9 L 3/8/2017 9 8.9 65

65 RAS AL JAPRAN RASYID/RIRI 1/9 L 4/5/2017 9 6 64

66 RAISA HERMAN/ISNAWATI 3/9 P 4/22/2017 9 8.3 64

67 AZKIA ANWAR/HENI 5/9 L 5/1/2017 7 8.9 63

68 AFNAN RAHMAT/FERA 7/9 L 7/7/2017 5 8 63

69 M.WILDAN WAHYUDI/WITA 3/9 L 7/24/2017 4 5.7 61

70 RASYA APRIANSYAH/DELLA 3/9 P 7/24/2017 5 5.2 52

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2017

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : DESEMBER 2017

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI GAKIN

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

71 DANNIS AGUNG/MARETA 6/9 L 8/21/2017 4 6.3 56

72 DAFFIN S IYAN/FERA 7/9 L 11/4/2017 2 4.4 52

73 SYIFA RIZKI/SISKA 4/9 P 11/13/2017 2 3.2 52

74 ARSHAKA G.V ANDI/YULI 5/9 L 14/11/2017 2 3.1 51

75 PANGERAN WIRA bEVA/WIRYAWAN 4/9 L 8/29/2017 3 6.3 56

76 KENZIO D LELA N/ARIS 6/9 L 10/16/2017 3 7.8 61

77 HAFIZAH RUDI H/ISTANTI 1/9 P 6/23/2017 7 8.9 78

78 YASMIN RIRI/RASYID 1/9 P 10/16/2014 38 13 92

79 HAZELIA Z UGUN/VERA 3/9 P 10/09/2017 4 4.8 56

80 HANA ZAFIRA UGUN/VERA 3/9 P 2/2/2013 49 13 48

81 HANIF DIMAS YOGA/MEDINA 3/9 L 12/23/2017 2mg 3.6 51

82 SHAVIRA J SISTIANI/SAMIDI 5/9 P 4/21/2017 8.5 6.9 66

83 ANDRI TRI AFANDI/ARIYANTI 5/9 L 4/24/2013 49 14 96

JUMLAH ANAK MENURUT STATUS GIZI

Bekasi, 201
Petugas Puskesmas Teluk Pucung

(.............................................................)
NIP
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2018

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : FEBRUARI 2018

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB BULAN FEBRUARI

RW TGL/BLN/THN BLN (kg) (CM) BB TB KETERANGAN

1 R.YASMIN ARGA/SANDRA 6/9 P 1/28/2013 58 13.5 99

2 ALYA SINGGIH/ISTIQOMAH 6/9 P 3/17/2013 57 17 107

3 TARA ANDI/YANTI 5/9 L 4/24/2013 56 16 100

4 MARSYA MASHUDI/YULI 5/9 P 5/25/2013 55 16 103

5 SALWA FAJAR/NOLA 5/9 P 6/6/2013 54 15.2 100

6 SABIL SAEFUL ANWAR/EKA 4/9 L 6/27/2013 54 14.8 98

7 SYARIFAH YUDHI/INDRI 2/9 P 7/28/2013 53 16 98

8 TIMOTY DWINANTO/INDAH 7/9 L 8/13/2013 52 16.9 99

9 KENZI REDI/NOVITA 5/9 L 8/18/2013 52 15.5 100

10 KAYLA PUTRA/RIA 4/9 P 25/8/2013 52 15.7 102

11 SABITHA CATUR/ERNA 3/9 P 8/25/2013 52 15.2 98

12 CHAISAR RAHMAT/SRI RAHAYU 5/9 L 9/9/2013 51 15 97

13 M.TSABIT NURCHOLIS/DEWI 3/9 L 9/13/2013 51 14.5 102

14 SAUKI TAUFAN 1/9 L 10/12/2013 50 14.8 96

15 ADHIBBAH NOVI 6/9 P 11/5/2013 49 14.5 97

16 UFAIRA SUPRAYOGI/IKA 4/9 P 11/23/2013 49 20.2 95

17 RAJA FREDDY/OSI 4/9 L 12/6/2013 48 16.6 105

18 INTAN UKE/CORY 4/9 P 18/02/2014 46 11.1 93

19 ANINDIA ANDHIKA/CHINTIA 6/9 P 3/19/2014 45 19 97

20 LUBNA FAJAR/NORA 5/9 P 6/6/2014 42 15.1 97

21 FANEZHA ZARWAN/TITI 4/9 P 6/11/2014 42 11 89

22 AZKIA ANIS/NUNIEK 5/9 P 07/07/2014 41 12.4 89

23 AIRA RIDWAN/IIS 4/9 P 8/8/2014 40 14 101

24 NATHANAEL FERI/MERRY 5/9 L 9/25/2014 39 14 96

25 KENISHA SINGGIH/HANUM 5/9 L 1/24/2015 36 11 87

26 PRADITA SIGIT ABDUL/IIM 2/9 L 2/1/2015 33 11.4 87

27 ADZKAN AFION/NURLELI 1/9 P 3/15/2015 33 11.6 87

28 M.TORIQ BALHAQI/YUANITA 1/9 L 5/19/2015 31 12.5 86

29 RAHMA MAMAT/SRI 5/9 P 5/20/2015 31 11.4 80

30 RAYHAN REDI/NOVITA 5/9 L 7/21/2015 29 13.6 85

31 RADITYA ROBI/RAMAH 2/9 L 8/15/2015 28 11.4 79

32 AISYAH TRIISWANTO/SANTI 5/9 L 9/30/2015 27 10.7 80

33 TIO BAYU/MARIANA 7/9 L 10/12/2015 26 13 85

34 KEOLA F KRISNANTO/YUDIDT 4/9 P 10/31/2015 26 9.8 78

35 FAHMI FATUR/MIMA 5/9 L 11/3/2015 25 11.4 80

36 MADINA YUDHI/RISKA 3/9 P 11/12/2015 25 10.9 83

37 MIKAILA ANDRI/LEONITA 2/9 P 11/15/2015 25 12 88

38 ALEA FREDDY/OSI 4/9 P 11/18/2015 25 9.3 83

39 KIARA BOWO/ELKA 4/9 P 1/1/2016 24 12 80

40 ADSKAN ERIK/RETNO 3/9 L 2/3/2016 23 11 78

41 M.KARIMAH NURCHOLIS/DEWI 3/9 P 2/24/2016 23 9.2 78

42 KINAN INDAH/MARIZKI 1/9 P 2/4/2016 23 10.6 79

43 FITRIA SUKIRNO/PENI 1/9 P 2/29/2016 23 9.8 78

44 ENGGAR INDAH/DWINANTO 7/9 L 4/20/2016 21 9.9 76

45 RAJA ATHARIQ SINGGIH/HANUM 5/9 L 5/2/2016 19 10 75

46 AISYAH R APRIAN/NOVI 6/9 P 6/28/2016 18 10 81

47 ADIBAH HERMANSYAH/ROMA 5/9 P 8/17/2016 16 9.5 72

48 RAFASHA M TAUFIQ/PRISKA 2/9 L 9/4/2016 15 8.6 73

49 GABRILIO NASA NASA/RIRI 4/9 L 10/19/2016 14 10 73

50 NUSAIBAH PANJI/KARTINI 3/9 P 10/15/2016 14 8.7 75

51 BIMAR ELOK HERMIN/RETNO 1/9 P 11/25/2016 13 9 69

52 BRIGITA SINGGIH/ISTIQOMAH 6/9 P 11/25/2016 13 8.6 70

53 ZAKA DEVITA/BUDHI 2/9 L 12/2/2016 12 8.2 59

54 ZAKI DINA/DEDE 2/9 L 02/12/2016 12 10.2 65

55 RAGA RAMA/IMANIAR 5/9 L 12/13/2016 12 10.7 78

56 AGAM LUQMAN/SISKA 4/9 L 12/20/2016 12 9.3 67

57 AHMAD G DODI/SARI 3/9 L 1/9/2017 11 7.8 65

58 M.HALAN ALFIANAL/PERDANA 2/9 L 1/18/2017 11 9.2 65

59 ALTAV ANIS/NUNIEK 5/9 L 1/23/2017 12 6.5 65

60 KEREN AFRIZAL/VENNI 7/9 P 2/5/2017 10 9.4 74

61 ABIYU DIDIT/MELITA 5/9 L 2/8/2017 11 6.3 64

62 MOH. IQBAL ZAINUDIN/ENDAH 3/9 L 2/9/2017 11 7 64

63 DEBYAN M OGI/SYLVIA 5/9 L 3/1/2017 10 8.5 65

64 M.AR SHAKA RIZKI/VIORI 3/9 L 3/8/2017 9 8.9 65

65 RAS AL JAPRAN RASYID/RIRI 1/9 L 4/5/2017 9 6 64

66 RAISA HERMAN/ISNAWATI 3/9 P 4/22/2017 9 8.3 64

67 AZKIA ANWAR/HENI 5/9 L 5/1/2017 7 8.9 63

68 AFNAN RAHMAT/FERA 7/9 L 7/7/2017 5 8 63

69 M.WILDAN WAHYUDI/WITA 3/9 L 7/24/2017 4 5.7 61

70 RASYA APRIANSYAH/DELLA 3/9 P 7/24/2017 5 5.2 52

71 DANNIS AGUNG/MARETA 6/9 L 8/21/2017 4 6.3 56

72 DAFFIN S IYAN/FERA 7/9 L 11/4/2017 2 4.4 52

73 SYIFA RIZKI/SISKA 4/9 P 11/13/2017 2 3.2 52

74 ARSHAKA G.V ANDI/YULI 5/9 L 14/11/2017 2 3.1 51

75 PANGERAN WIRA bEVA/WIRYAWAN 4/9 L 8/29/2017 3 6.3 56

76 KENZIO D LELA N/ARIS 6/9 L 10/16/2017 3 7.8 61

77 HAFIZAH RUDI H/ISTANTI 1/9 P 6/23/2017 7 8.9 78

78 YASMIN RIRI/RASYID 1/9 P 10/16/2014 38 13 92

79 HAZELIA Z UGUN/VERA 3/9 P 10/09/2017 4 4.8 56

80 HANA ZAFIRA UGUN/VERA 3/9 P 2/2/2013 49 13 48

81 HANIF DIMAS YOGA/MEDINA 3/9 L 12/23/2017 2mg 3.6 51

82 SHAVIRA J SISTIANI/SAMIDI 5/9 P 4/21/2017 8.5 6.9 66

83 ANDRI TRI AFANDI/ARIYANTI 5/9 L 4/24/2013 49 14 96

JUMLAH ANAK MENURUT STATUS GIZI

Bekasi, 201
Petugas Puskesmas Teluk Pucung

(.............................................................)
NIP
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2018

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG : 84

TANGGAL PENIMBANGAN : FEBRUARI 2018

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

1 HANA ZAFIRA UGUN/VERA 3/9 P 2/2/2013 60 13.5 48

2 ALYA SINGGIH/ISTIQOMAH 6/9 P 3/17/2013 59 17.2 107

3 TARA ANDI/YANTI 5/9 L 4/24/2013 58 16.2 100

4 ANDRI TRI AFANDI/ARIYANTI 5/9 L 4/24/2013 58 14.2 96

5 MARSYA MASHUDI/YULI 5/9 P 5/25/2013 57 16 103

6 SALWA FAJAR/NOLA 5/9 P 6/6/2013 56 16 100

7 SABIL SAEFUL ANWAR/EKA 4/9 L 6/27/2013 56 15.8 98

8 SYARIFAH UYUDHI/INDRI 2/9 P 28/07/2013 55 16.6 98

9 TIMOTY DWINANTO/INDAH 7/9 L 8/13/2013 54 16.6 99

10 KENZI REDI/NOVITA 5/9 L 8/18/2013 54 15.3 100

11 KAYLA PUTRA/RIA 4/9 P 25/08/2013 54 16.5 102

12 SABITHA CATUR/ERNA 3/9 P 8/25/2013 54 16 98

13 CHAISAR RAHMAT/SRI RAHAYU 5/9 L 9/9/2013 53 15.6 97

14 M.TSABIT NURCHOLIS/DEWI 3/9 L 9/13/2013 53 14.3 102

15 SAUKI TAUFAN 1/9 L 10/12/2013 52 14.8 96

16 ADHIBBAH NOVI 6/9 P 11/5/2013 51 15.2 97

17 UFAIRA SUPRAYOGI/IKA 4/9 P 11/23/2013 51 15 95

18 RAJA FREDDY/OSI 4/9 L 12/6/2013 50 17 108

19 INTAN UKE/CORY 4/9 P 18/02/2014 48 11 93

20 ANINDIA ANDHIKA/CHINTIA 6/9 P 3/19/2014 47 19.7 105

21 NAZMU V Q SYAIFUL/RIA 5/9 L 3/30/2014 47 14 100

22 LUBNA FAJAR/NORA 5/9 P 6/6/2014 44 15 97

23 FANEZHA ZARWAN/TITI 4/9 P 6/11/2014 44 10 89

24 AZKIA ANIS/NUNIEK 5/9 P 07/07/2014 43 13.4 89

25 AIRA RIDWAN/IIS 4/9 P 8/8/2014 42 14.2 101

26 NATHANAEL FERI/MERRY 5/9 L 9/25/2014 41 14 96

27 YASMIN RIRI/RASYID 1/9 P 10/16/2014 40 13.5 92

28 KENISHA SINGGIH/HANUM 5/9 L 1/24/2015 37 13.9 87

29 PRADITA SIGIT ABDUL/IIM 2/9 L 2/1/2015 36 13 87

30 ADZKAN AFION/NURLELI 1/9 P 3/15/2015 35 13 87

31 M.TORIQ BALHAQI/YUANITA 1/9 L 5/19/2015 33 12.8 86

32 RAHMA MAMAT/SRI 5/9 P 5/20/2015 33 12.9 80

33 RAYHAN REDI/NOVITA 5/9 L 7/21/2015 31 13.2 85

34 RADITYA ROBI/RAMAH 2/9 L 8/15/2015 30 13 79

35 AISYAH TRIISWANTO/SANTI 5/9 L 9/30/2015 29 10 83

36 TIO BAYU/MARIANA 7/9 L 10/12/2015 28 15.2 85

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2018

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG : 84

TANGGAL PENIMBANGAN : FEBRUARI 2018

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

37 KEOLA F KRISNANTO/YUDIDT 4/9 P 10/31/2015 28 10.2 78

38 FAHMI FATUR/MIMA 5/9 L 11/3/2015 27 11.2 80

39 MADINA YUDHI/RISKA 3/9 P 11/12/2015 27 11.3 83

40 MIKAILA ANDRI/LEONITA 2/9 P 11/15/2015 27 13 88

41 ALEA FREDDY/OSI 4/9 P 11/18/2015 27 10 83

42 KIARA BOWO/ELKA 4/9 P 1/1/2016 25 12 92

43 ADSKAN ERIK/RETNO 3/9 L 2/3/2016 24 12.2 78

44 M.KARIMAH NURCHOLIS/DEWI 3/9 P 2/24/2016 24 9.5 78

45 KINAN INDAH/MARIZKI 1/9 P 2/4/2016 24 11 79

46 FITRIA SUKIRNO/PENI 1/9 P 2/29/2016 24 9.8 78

47 ENGGAR INDAH/DWINANTO 7/9 L 4/20/2016 22 9 76

48 RAJA ATHARIQ SINGGIH/HANUM 5/9 L 5/2/2016 21 8.5 75

49 AISYAH R APRIAN/NOVI 6/9 P 6/28/2016 20 11 83

50 ADIBAH HERMANSYAH/ROMA 5/9 P 8/17/2016 18 9.5 76

51 RAFASHA M TAUFIQ/PRISKA 2/9 L 9/4/2016 17 9.6 73

52 GABRILIO NASA NASA/RIRI 4/9 L 10/19/2016 16 10 75

53 NUSAIBAH PANJI/KARTINI 3/9 P 10/15/2016 16 9.5 75

54 BIMAR ELOK HERMIN/RETNO 1/9 P 11/25/2016 15 9.5 69

55 BRIGITA SINGGIH/ISTIQOMAH 6/9 P 11/25/2016 15 9.2 70

56 ZAKA DEVITA/BUDHI 2/9 L 12/2/2016 14 10.5 70

57 ZAKI DINA/DEDE 2/9 L 02/12/2016 14 11 65

58 RAGA RAMA/IMANIAR 5/9 L 12/13/2016 14 11.1 78

59 AGAM LUQMAN/SISKA 4/9 L 12/20/2016 14 10.4 67

60 AHMAD G DODI/SARI 3/9 L 1/9/2017 13 9 65

61 M.HALAN ALFIANAL/PERDANA 2/9 L 1/18/2017 13 9.1 65

62 ALTAV ANIS/NUNIEK 5/9 L 1/23/2017 13 9.3 65

63 KEREN AFRIZAL/VENNI 7/9 P 2/5/2017 12 10.5 76

64 ABIYU DIDIT/MELITA 5/9 L 2/8/2017 12 9.2 64

65 MOH. IQBAL ZAINUDIN/ENDAH 3/9 L 2/9/2017 12 9 64

66 DEBYAN M OGI/SYLVIA 5/9 L 3/1/2017 11 9 68

67 M.AR SHAKA RIZKI/VIORI 3/9 L 3/8/2017 11 9.2 65

68 RAS AL JAPRAN RASYID/RIRI 1/9 L 4/5/2017 10 9.3 64

69 RAISA HERMAN/ISNAWATI 3/9 P 4/22/2017 10 9 64

70 SHAVIRA J SISTIANI/SAMIDI 5/9 P 4/21/2017 10 7.1 67

71 AZKIA ANWAR/HENI 5/9 L 5/1/2017 9 9.3 63

 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2018

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG : 84

TANGGAL PENIMBANGAN : FEBRUARI 2018

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB STATUS GIZI

RW TGL/BLN/THN BLN (kg) (CM) BRK KRG BAIK LBH

72 HAFIZAH RUDI H/ISTANTI 1/9 P 6/23/2017 8 8.9 69

73 AFNAN RAHMAT/FERA 7/9 L 7/7/2017 7 9.4 69

74 M.WILDAN WAHYUDI/WITA 3/9 L 7/24/2017 7 6.5 61

75 RASYA APRIANSYAH/DELLA 3/9 P 7/24/2017 7 5.7 52

76 DANNIS AGUNG/MARETA 6/9 L 8/21/2017 6 8.4 64

77 PANGERAN WIRA bEVA/WIRYAWAN 4/9 L 8/29/2017 6 7.2 56

78 HAZELIA Z UGUN/VERA 3/9 P 10/09/2017 5 5 56

79 KENZIO D LELA N/ARIS 6/9 L 10/16/2017 4 8 61

80 DAFFIN S IYAN/FERA 7/9 L 11/4/2017 3 4.4 52

81 SYIFA RIZKI/SISKA 4/9 P 11/13/2017 3 3.2 52

82 ARSHAKA G.V ANDI/YULI 5/9 L 14/11/2017 3 6 51

83 M ALTEZA GAUTA SYAIFUL/RIA 5/9 L 11/1/2017 3 5.9 63

84 HANIF DIMAS YOGA/MEDINA 3/9 L 12/23/2017 2 4 51

JUMLAH ANAK MENURUT STATUS GIZI

Bekasi, 201
Petugas Puskesmas Teluk Pucung

(.............................................................)
NIP
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2018

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG : 84

TANGGAL PENIMBANGAN : MARET 2018

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB APRIL

RW TGL/BLN/THN BLN (kg) (CM)

1 HANA ZAFIRA UGUN/VERA 3/9 P 2/2/2013 51 13.7 0

2 ALYA SINGGIH/ISTIQOMAH 6/9 P 3/17/2013 59 16.3 107

3 TARA ANDI/YANTI 5/9 L 4/24/2013 59 16.3 100

4 ANDRI TRI AFANDI/ARIYANTI 5/9 L 4/24/2013 59 14.5 96

5 MARSYA MASHUDI/YULI 5/9 P 5/25/2013 58 16.2 103

6 SALWA FAJAR/NOLA 5/9 P 6/6/2013 57 17 100

7 SABIL SAEFUL ANWAR/EKA 4/9 L 6/27/2013 56 15.9 98

8 SYARIFAH UYUDHI/INDRI 2/9 P 28/07/2013 56 16.7 98

9 TIMOTY DWINANTO/INDAH 7/9 L 8/13/2013 55 16.3 99

10 KENZI REDI/NOVITA 5/9 L 8/18/2013 15 15.5 100

11 KAYLA PUTRA/RIA 4/9 P 25/08/2013 55 16.5 102

12 SABITHA CATUR/ERNA 3/9 P 8/25/2013 55 16.2 98

13 CHAISAR RAHMAT/SRI RAHAYU 5/9 L 9/9/2013 54 15.7 97

14 M.TSABIT NURCHOLIS/DEWI 3/9 L 9/13/2013 54 14.4 102

15 SAUKI TAUFAN 1/9 L 10/12/2013 53 15.3 96

16 ADHIBBAH NOVI 6/9 P 11/5/2013 52 15.4 97

17 UFAIRA SUPRAYOGI/IKA 4/9 P 11/23/2013 52 15.1 95

18 RAJA FREDDY/OSI 4/9 L 12/6/2013 51 17.1 108

19 INTAN UKE/CORY 4/9 P 18/02/2014 49 11.5 93

20 ANINDIA ANDHIKA/CHINTIA 6/9 P 3/19/2014 48 19.8 105

21 NAZMU V Q SYAIFUL/RIA 5/9 L 3/30/2014 48 14.3 100

22 LUBNA FAJAR/NORA 5/9 P 6/6/2014 45 16 97

23 FANEZHA ZARWAN/TITI 4/9 P 6/11/2014 45 10.2 89

24 AZKIA ANIS/NUNIEK 5/9 P 07/07/2014 44 13.5 89

25 AIRA RIDWAN/IIS 4/9 P 8/8/2014 43 14 101

26 NATHANAEL FERI/MERRY 5/9 L 9/25/2014 42 14.1 96

27 YASMIN RIRI/RASYID 1/9 P 10/16/2014 40 14.8 92

28 KENISHA SINGGIH/HANUM 5/9 L 1/24/2015 38 14 87

29 PRADITA SIGIT ABDUL/IIM 2/9 L 2/1/2015 36 13.1 87

30 ADZKAN AFION/NURLELI 1/9 P 3/15/2015 36 13.2 87

31 M.TORIQ BALHAQI/YUANITA 1/9 L 5/19/2015 34 13 86

32 RAHMA MAMAT/SRI 5/9 P 5/20/2015 34 13 80

33 RAYHAN REDI/NOVITA 5/9 L 7/21/2015 32 13.4 85

34 RADITYA ROBI/RAMAH 2/9 L 8/15/2015 31 13.2 79

35 AISYAH TRIISWANTO/SANTI 5/9 L 9/30/2015 30 10.2 83

36 TIO BAYU/MARIANA 7/9 L 10/12/2015 29 15.3 85

37 KEOLA F KRISNANTO/YUDIDT 4/9 P 10/31/2015 29 12 78

38 FAHMI FATUR/MIMA 5/9 L 11/3/2015 28 12 80

39 MADINA YUDHI/RISKA 3/9 P 11/12/2015 28 11.5 83

40 MIKAILA ANDRI/LEONITA 2/9 P 11/15/2015 28 13.2 88

41 ALEA FREDDY/OSI 4/9 P 11/18/2015 28 10.2 83

42 KIARA BOWO/ELKA 4/9 P 1/1/2016 27 13 92

43 ADSKAN ERIK/RETNO 3/9 L 2/3/2016 26 12.4 78

44 M.KARIMAH NURCHOLIS/DEWI 3/9 P 2/24/2016 26 9.8 78

45 KINAN INDAH/MARIZKI 1/9 P 2/4/2016 26 11.3 79

46 FITRIA SUKIRNO/PENI 1/9 P 2/29/2016 26 10 78

47 ENGGAR INDAH/DWINANTO 7/9 L 4/20/2016 24 9.3 76

48 RAJA ATHARIQ SINGGIH/HANUM 5/9 L 5/2/2016 22 8.6 75

49 AISYAH R APRIAN/NOVI 6/9 P 6/28/2016 21 11.2 83

50 ADIBAH HERMANSYAH/ROMA 5/9 P 8/17/2016 19 9.8 76

51 RAFASHA M TAUFIQ/PRISKA 2/9 L 9/4/2016 18 9.8 73

52 GABRILIO NASA NASA/RIRI 4/9 L 10/19/2016 17 10.2 75

53 NUSAIBAH PANJI/KARTINI 3/9 P 10/15/2016 17 10 75

54 BIMAR ELOK HERMIN/RETNO 1/9 P 11/25/2016 16 9.9 69

55 BRIGITA SINGGIH/ISTIQOMAH 6/9 P 11/25/2016 16 9.9 70

56 ZAKA DEVITA/BUDHI 2/9 L 12/2/2016 15 10.6 70

57 ZAKI DINA/DEDE 2/9 L 02/12/2016 15 11.3 65

58 RAGA RAMA/IMANIAR 5/9 L 12/13/2016 15 11.3 78

59 AGAM LUQMAN/SISKA 4/9 L 12/20/2016 15 10.6 67

60 AHMAD G DODI/SARI 3/9 L 1/9/2017 14 9.3 65 N

61 M.HALAN ALFIANAL/PERDANA 2/9 L 1/18/2017 14 10 65 N

62 ALTAV ANIS/NUNIEK 5/9 L 1/23/2017 14 9.6 65 N

63 KEREN AFRIZAL/VENNI 7/9 P 2/5/2017 13 9.7 76 N

64 ABIYU DIDIT/MELITA 5/9 L 2/8/2017 13 9.5 64 N

65 MOH. IQBAL ZAINUDIN/ENDAH 3/9 L 2/9/2017 12 9 64 N

66 DEBYAN M OGI/SYLVIA 5/9 L 3/1/2017 12 9.2 68

67 M.AR SHAKA RIZKI/VIORI 3/9 L 3/8/2017 12 9.3 65

68 RAS AL JAPRAN RASYID/RIRI 1/9 L 4/5/2017 11 9.3 64

69 RAISA HERMAN/ISNAWATI 3/9 P 4/22/2017 11 9.3 64

70 SHAVIRA J SISTIANI/SAMIDI 5/9 P 4/21/2017 11 7.3 67

71 AZKIA ANWAR/HENI 5/9 L 5/1/2017 10 9.5 63

72 HAFIZAH RUDI H/ISTANTI 1/9 P 6/23/2017 9 9 69

73 AFNAN RAHMAT/FERA 7/9 L 7/7/2017 8 10.1 69

74 M.WILDAN WAHYUDI/WITA 3/9 L 7/24/2017 8 6.1 61

75 RASYA APRIANSYAH/DELLA 3/9 P 7/24/2017 8 5.8 52

76 DANNIS AGUNG/MARETA 6/9 L 8/21/2017 7 8.9 64

77 PANGERAN WIRA bEVA/WIRYAWAN 4/9 L 8/29/2017 6 7.3 56

78 HAZELIA Z UGUN/VERA 3/9 P 10/09/2017 5 5 56

79 KENZIO D LELA N/ARIS 6/9 L 10/16/2017 5 8.2 61

80 DAFFIN S IYAN/FERA 7/9 L 11/4/2017 4 6.5 52

81 SYIFA RIZKI/SISKA 4/9 P 11/13/2017 4 6.5 52

82 ARSHAKA G.V ANDI/YULI 5/9 L 14/11/2017 4 6.6 51

83 M ALTEZA GAUTA SYAIFUL/RIA 5/9 L 11/1/2017 4 6.1 63

84 HANIF DIMAS YOGA/MEDINA 3/9 L 12/23/2017 3 4.3 51

85 AL FATIR 4 6.6

86 AIRA 1 3.6

87 ARGYA 3 4.5

88 M. GIBRAN

JUMLAH ANAK MENURUT STATUS GIZI

Bekasi, 201
Petugas Puskesmas Teluk Pucung

(.............................................................)
NIP
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2018

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG : 84

TANGGAL PENIMBANGAN : MEI 2018

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB May-18

RW TGL/BLN/THN BLN (kg) (CM)

1 HANA ZAFIRA UGUN/VERA 3/9 P 2/2/2013 51 13.7 0

2 ALYA SINGGIH/ISTIQOMAH 6/9 P 3/17/2013 59 16.3 107

3 TARA ANDI/YANTI 5/9 L 4/24/2013 59 16.3 100

4 ANDRI TRI AFANDI/ARIYANTI 5/9 L 4/24/2013 59 14.5 96

5 MARSYA MASHUDI/YULI 5/9 P 5/25/2013 58 16.2 103

6 SALWA FAJAR/NOLA 5/9 P 6/6/2013 57 17 100

7 SABIL SAEFUL ANWAR/EKA 4/9 L 6/27/2013 56 15.9 98

8 SYARIFAH UYUDHI/INDRI 2/9 P 28/07/2013 56 16.7 98

9 TIMOTY DWINANTO/INDAH 7/9 L 8/13/2013 55 16.3 99

10 KENZI REDI/NOVITA 5/9 L 8/18/2013 15 15.5 100

11 KAYLA PUTRA/RIA 4/9 P 25/08/2013 55 16.5 102

12 SABITHA CATUR/ERNA 3/9 P 8/25/2013 55 16.2 98

13 CHAISAR RAHMAT/SRI RAHAYU 5/9 L 9/9/2013 54 15.7 97

14 M.TSABIT NURCHOLIS/DEWI 3/9 L 9/13/2013 54 14.4 102

15 SAUKI TAUFAN 1/9 L 10/12/2013 53 15.3 96

16 ADHIBBAH NOVI 6/9 P 11/5/2013 52 15.4 97

17 UFAIRA SUPRAYOGI/IKA 4/9 P 11/23/2013 52 15.1 95

18 RAJA FREDDY/OSI 4/9 L 12/6/2013 51 17.1 108

19 INTAN UKE/CORY 4/9 P 18/02/2014 49 11.5 93

20 ANINDIA ANDHIKA/CHINTIA 6/9 P 3/19/2014 48 19.8 105

21 NAZMU V Q SYAIFUL/RIA 5/9 L 3/30/2014 48 14.3 100

22 LUBNA FAJAR/NORA 5/9 P 6/6/2014 45 16 97

23 FANEZHA ZARWAN/TITI 4/9 P 6/11/2014 45 10.2 89

24 AZKIA ANIS/NUNIEK 5/9 P 07/07/2014 44 13.5 89

25 AIRA RIDWAN/IIS 4/9 P 8/8/2014 43 14 101

26 NATHANAEL FERI/MERRY 5/9 L 9/25/2014 42 14.1 96

27 YASMIN RIRI/RASYID 1/9 P 10/16/2014 40 14.8 92

28 KENISHA SINGGIH/HANUM 5/9 L 1/24/2015 38 14 87

29 PRADITA SIGIT ABDUL/IIM 2/9 L 2/1/2015 36 13.1 87

30 ADZKAN AFION/NURLELI 1/9 P 3/15/2015 36 13.2 87

31 M.TORIQ BALHAQI/YUANITA 1/9 L 5/19/2015 34 13 86

32 RAHMA MAMAT/SRI 5/9 P 5/20/2015 34 13 80

33 RAYHAN REDI/NOVITA 5/9 L 7/21/2015 32 13.4 85

34 RADITYA ROBI/RAMAH 2/9 L 8/15/2015 31 13.2 79

35 AISYAH TRIISWANTO/SANTI 5/9 L 9/30/2015 30 10.2 83

36 TIO BAYU/MARIANA 7/9 L 10/12/2015 29 15.3 85

37 KEOLA F KRISNANTO/YUDIDT 4/9 P 10/31/2015 29 12 78

38 FAHMI FATUR/MIMA 5/9 L 11/3/2015 28 12 80

39 MADINA YUDHI/RISKA 3/9 P 11/12/2015 28 11.5 83

40 MIKAILA ANDRI/LEONITA 2/9 P 11/15/2015 28 13.2 88

41 ALEA FREDDY/OSI 4/9 P 11/18/2015 28 10.2 83

42 KIARA BOWO/ELKA 4/9 P 1/1/2016 27 13 92

43 ADSKAN ERIK/RETNO 3/9 L 2/3/2016 26 12.4 78

44 M.KARIMAH NURCHOLIS/DEWI 3/9 P 2/24/2016 26 9.8 78

45 KINAN INDAH/MARIZKI 1/9 P 2/4/2016 26 11.3 79

46 FITRIA SUKIRNO/PENI 1/9 P 2/29/2016 26 10 78

47 ENGGAR INDAH/DWINANTO 7/9 L 4/20/2016 24 9.3 76

48 RAJA ATHARIQ SINGGIH/HANUM 5/9 L 5/2/2016 22 8.6 75

49 AISYAH R APRIAN/NOVI 6/9 P 6/28/2016 21 11.2 83

50 ADIBAH HERMANSYAH/ROMA 5/9 P 8/17/2016 19 9.8 76

51 RAFASHA M TAUFIQ/PRISKA 2/9 L 9/4/2016 18 9.8 73

52 GABRILIO NASA NASA/RIRI 4/9 L 10/19/2016 17 10.2 75

53 NUSAIBAH PANJI/KARTINI 3/9 P 10/15/2016 17 10 75

54 BIMAR ELOK HERMIN/RETNO 1/9 P 11/25/2016 16 9.9 69

55 BRIGITA SINGGIH/ISTIQOMAH 6/9 P 11/25/2016 16 9.9 70

56 ZAKA DEVITA/BUDHI 2/9 L 12/2/2016 15 10.6 70

57 ZAKI DINA/DEDE 2/9 L 02/12/2016 15 11.3 65

58 RAGA RAMA/IMANIAR 5/9 L 12/13/2016 15 11.3 78

59 AGAM LUQMAN/SISKA 4/9 L 12/20/2016 15 10.6 67

60 AHMAD G DODI/SARI 3/9 L 1/9/2017 14 9.3 65 N

61 M.HALAN ALFIANAL/PERDANA 2/9 L 1/18/2017 14 10 65 N

62 ALTAV ANIS/NUNIEK 5/9 L 1/23/2017 14 9.6 65 N

63 KEREN AFRIZAL/VENNI 7/9 P 2/5/2017 13 9.7 76 N

64 ABIYU DIDIT/MELITA 5/9 L 2/8/2017 13 9.5 64 N

65 MOH. IQBAL ZAINUDIN/ENDAH 3/9 L 2/9/2017 12 9 64 N

66 DEBYAN M OGI/SYLVIA 5/9 L 3/1/2017 12 9.2 68

67 M.AR SHAKA RIZKI/VIORI 3/9 L 3/8/2017 12 9.3 65

68 RAS AL JAPRAN RASYID/RIRI 1/9 L 4/5/2017 11 9.3 64

69 RAISA HERMAN/ISNAWATI 3/9 P 4/22/2017 11 9.3 64

70 SHAVIRA J SISTIANI/SAMIDI 5/9 P 4/21/2017 11 7.3 67

71 AZKIA ANWAR/HENI 5/9 L 5/1/2017 10 9.5 63

72 HAFIZAH RUDI H/ISTANTI 1/9 P 6/23/2017 9 9 69

73 AFNAN RAHMAT/FERA 7/9 L 7/7/2017 8 10.1 69

74 M.WILDAN WAHYUDI/WITA 3/9 L 7/24/2017 8 6.1 61

75 RASYA APRIANSYAH/DELLA 3/9 P 7/24/2017 8 5.8 52

76 DANNIS AGUNG/MARETA 6/9 L 8/21/2017 7 8.9 64

77 PANGERAN WIRA bEVA/WIRYAWAN 4/9 L 8/29/2017 6 7.3 56

78 HAZELIA Z UGUN/VERA 3/9 P 10/09/2017 5 5 56

79 KENZIO D LELA N/ARIS 6/9 L 10/16/2017 5 8.2 61

80 DAFFIN S IYAN/FERA 7/9 L 11/4/2017 4 6.5 52

81 SYIFA RIZKI/SISKA 4/9 P 11/13/2017 4 6.5 52

82 ARSHAKA G.V ANDI/YULI 5/9 L 14/11/2017 4 6.6 51

83 M ALTEZA GAUTA SYAIFUL/RIA 5/9 L 11/1/2017 4 6.1 63

84 HANIF DIMAS YOGA/MEDINA 3/9 L 12/23/2017 3 4.3 51

85 AL FATIR 4 6.6

86 AIRA 1 3.6

87 ARGYA 3 4.5

88 M. GIBRAN

JUMLAH ANAK MENURUT STATUS GIZI

Bekasi, 201
Petugas Puskesmas Teluk Pucung

(.............................................................)
NIP
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2018

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG : 82

TANGGAL PENIMBANGAN : JULI 2018

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB AGUSTUS

RW TGL/BLN/THN BLN (kg) (CM)

1 SYARIFAH UYUDHI/INDRI 2/9 P 28/07/2013 60 18 98

2 TIMOTY DWINANTO/INDAH 7/9 L 8/13/2013 60 17 99

3 KENZI REDI/NOVITA 5/9 L 8/18/2013 59 16 100

4 KAYLA PUTRA/RIA 4/9 P 25/08/2013 59 17.5 102

5 SABITHA CATUR/ERNA 3/9 P 8/25/2013 59 15.5 98

6 CHAISAR RAHMAT/SRI RAHAYU 5/9 L 9/9/2013 58 16.5 97

7 M.TSABIT NURCHOLIS/DEWI 3/9 L 9/13/2013 58 16.5 102

8 SAUKI TAUFAN 1/9 L 10/12/2013 57 15.7 96

9 UFAIRA SUPRAYOGI/IKA 4/9 P 11/23/2013 56 16 95

10 RAJA FREDDY/OSI 4/9 L 12/6/2013 55 17.8 108

11 INTAN UKE/CORY 4/9 P 18/02/2014 53 13 93

12 ANINDIA ANDHIKA/CHINTIA 6/9 P 3/19/2014 52 21 105

13 NAZMU V Q SYAIFUL/RIA 5/9 L 3/30/2014 52 14.8 100 8

14 LUBNA FAJAR/NORA 5/9 P 6/6/2014 49 16.7 97

15 FANEZHA ZARWAN/TITI 4/9 P 6/11/2014 49 11.5 89

16 AZKIA ANIS/NUNIEK 5/9 P 07/07/2014 48 14 89

17 AIRA RIDWAN/IIS 4/9 P 8/8/2014 47 17 101

18 NATHANAEL FERI/MERRY 5/9 L 9/25/2014 46 14.8 96

19 YASMIN RIRI/RASYID 1/9 P 10/16/2014 44 14.1 92

20 KENISHA SINGGIH/HANUM 5/9 L 1/24/2015 42 14.6 87

21 ADZKAN AFION/NURLELI 1/9 P 3/15/2015 40 14 87

22 M.TORIQ BALHAQI/YUANITA 1/9 L 5/19/2015 38 0 86

23 RAHMA MAMAT/SRI 5/9 P 5/20/2015 38 13.6 80

24 RAYHAN REDI/NOVITA 5/9 L 7/21/2015 36 13.9 85

25 RADITYA ROBI/RAMAH 2/9 L 8/15/2015 35 13.9 79

26 AISYAH TRIISWANTO/SANTI 5/9 L 9/30/2015 34 10.2 83

27 TIO BAYU/MARIANA 7/9 L 10/12/2015 33 15.5 85

28 KEOLA F KRISNANTO/YUDIDT 4/9 P 10/31/2015 34 10.2 78

29 FAHMI FATUR/MIMA 5/9 L 11/3/2015 32 13.3 80

30 MADINA YUDHI/RISKA 3/9 P 11/12/2015 32 12 83

31 MIKAILA ANDRI/LEONITA 2/9 P 11/15/2015 32 14 88

32 ALEA FREDDY/OSI 4/9 P 11/18/2015 32 10.5 83

33 KIARA BOWO/ELKA 4/9 P 1/1/2016 31 14 92

34 ADSKAN ERIK/RETNO 3/9 L 2/3/2016 30 13 78

35 M.KARIMAH NURCHOLIS/DEWI 3/9 P 2/24/2016 30 10.3 78

36 KINAN INDAH/MARIZKI 1/9 P 2/4/2016 30 12 79

37 FITRIA SUKIRNO/PENI 1/9 P 2/29/2016 30 10.8 78

38 ENGGAR INDAH/DWINANTO 7/9 L 4/20/2016 28 10 76

39 RAJA ATHARIQ SINGGIH/HANUM 5/9 L 5/2/2016 26 9.5 75

40 AISYAH R APRIAN/NOVI 6/9 P 6/28/2016 25 11.3 83

41 ADIBAH HERMANSYAH/ROMA 5/9 P 8/17/2016 23 10.6 76

42 RAFASHA M TAUFIQ/PRISKA 2/9 L 9/4/2016 22 10 73

43 GABRILIO NASA NASA/RIRI 4/9 L 10/19/2016 21 11 75

44 NUSAIBAH PANJI/KARTINI 3/9 P 10/15/2016 21 10.8 75

45 BIMAR ELOK HERMIN/RETNO 1/9 P 11/25/2016 20 10 69

46 BRIGITA SINGGIH/ISTIQOMAH 6/9 P 11/25/2016 20 8.6 70

47 ZAKA DEVITA/BUDHI 2/9 L 12/2/2016 19 9.4 70

48 ZAKI DINA/DEDE 2/9 L 02/12/2016 19 12 65

49 RAGA RAMA/IMANIAR 5/9 L 12/13/2016 19 12 78

50 AGAM LUQMAN/SISKA 4/9 L 12/20/2016 19 10.5 67

51 AHMAD G DODI/SARI 3/9 L 1/9/2017 18 10 65 N

52 M.HALAN ALFIANAL/PERDANA 2/9 L 1/18/2017 18 13 65 N

53 ALTAV ANIS/NUNIEK 5/9 L 1/23/2017 18 10.5 65 N

54 KEREN AFRIZAL/VENNI 7/9 P 2/5/2017 17 10.8 76 N

55 ABIYU DIDIT/MELITA 5/9 L 2/8/2017 17 10 64 N

56 MOH. IQBAL ZAINUDIN/ENDAH 3/9 L 2/9/2017 16 10 64 N

57 DEBYAN M OGI/SYLVIA 5/9 L 3/1/2017 16 9 68

58 M.AR SHAKA RIZKI/VIORI 3/9 L 3/8/2017 16 9.7 65

59 RAS AL JAPRAN RASYID/RIRI 1/9 L 4/5/2017 14 10.4 64

60 RAISA HERMAN/ISNAWATI 3/9 P 4/22/2017 15 10.5 64

61 SHAVIRA J SISTIANI/SAMIDI 5/9 P 4/21/2017 15 10 67

62 AZKIA ANWAR/HENI 5/9 L 5/1/2017 14 4.3 63

63 HAFIZAH RUDI H/ISTANTI 1/9 P 6/23/2017 13 10 69

64 GIBRAN FIA/FENI 5/9 L 9/10/2016 22 10 63

65 ALMERA M DITO/HAPPY 2/9 P 3/28/2017 16 10 69

66 AFNAN RAHMAT/FERA 7/9 L 7/7/2017 12 11 69

67 M.WILDAN WAHYUDI/WITA 3/9 L 7/24/2017 12 7.2 61

68 RASYA APRIANSYAH/DELLA 3/9 P 7/24/2017 12 11 52

69 DANNIS AGUNG/MARETA 6/9 L 8/21/2017 11 10 64

70 HAZELIA Z UGUN/VERA 3/9 P 10/09/2017 10 6.5 56

71 KENZIO D LELA N/ARIS 6/9 L 10/16/2017 9 9.6 61

72 DAFFIN S IYAN/FERA 7/9 L 11/4/2017 8 7.8 52

73 SYIFA RIZKI/SISKA 4/9 P 11/13/2017 8 7.8 52

74 ARSHAKA G.V ANDI/YULI 5/9 L 14/11/2017 8 7.8 51

75 M ALTEZA GAUTA SYAIFUL/RIA 5/9 L 11/1/2017 8 7.8 63

76 HANIF DIMAS YOGA/MEDINA 3/9 L 12/23/2017 3 4.3 51

77 AL FATIR EDIN/FEMIRA 2/9 11/1/2017 8 10.3

78 AIRA R RUDI/ASTANTI 1/9 P 2/6/2018 4 6

79 ARGYA KRISTIYANTO/YUDITH 5/9 L 12/6/2017 7 9.9

80 QUINDI FADLY/MAGDALENA 5/9 P 4/1/2018 3 6.5 46

81 M ADITYA FATUROHMAN/HERNA 3/9 L 4/14/2018 3 5 52

82 KUNARENINA DWI/UUN 6/9 P 7/9/2018 1 3.5 52

83 KHOMLAH PANJI/KARTINI 5/9 P 6/28/2018 1 3.8 46

JUMLAH ANAK MENURUT STATUS GIZI

Bekasi, 201
Petugas Puskesmas Teluk Pucung

(.............................................................)
NIP
 FORMULIR PENCATATAN
BULAN PENIMBANGAN BALITA TAHUN 2018

KOTA : BEKASI

KECAMATAN : BEKASI UTARA

KELURAHAN : TELUK PUCUNG

POSYANDU : " WIJAYA KUSUMA "

JLH BALITA YANG ADA/DITIMBANG :

TANGGAL PENIMBANGAN : DESEMBER 2018

NO NAMA NAMA ORTU RT'/ L/P TGL LAHIR UMUR BB TB JANUARI

RW TGL/BLN/THN BLN (kg) (CM)

1 UFAIRA SUPRAYOGI/IKA 4/9 P 11/23/2013 60 18 95

2 RAJA FREDDY/OSI 4/9 L 12/6/2013 59 22 108

3 INTAN UKE/CORY 4/9 P 18/02/2014 58 13 99

4 NAZMU V Q SYAIFUL/RIA 5/9 L 3/30/2014 56 17

5 LUBNA FAJAR/NORA 5/9 P 6/6/2014 53 17 97

6 FANEZHA ZARWAN/TITI 4/9 P 6/11/2014 53 13.3 89

7 AZKIA ANIS/NUNIEK 5/9 P 07/07/2014 52 16 89

8 AIRA RIDWAN/IIS 4/9 P 8/8/2014 51 15 101

9 NATHANAEL FERI/MERRY 5/9 L 9/25/2014 50 16 96

10 YASMIN RIRI/RASYID 1/9 P 10/16/2014 48 15.4 92

11 KENISHA SINGGIH/HANUM 5/9 L 1/24/2015 46 15.5 87

12 ADZKAN AFION/NURLELI 1/9 P 3/15/2015 44 15.4 87

13 M.TORIQ BALHAQI/YUANITA 1/9 L 5/19/2015 42 14.5 86

14 RAHMA MAMAT/SRI 5/9 P 5/20/2015 42 14.8 80

15 RAYHAN REDI/NOVITA 5/9 L 7/21/2015 40 15.9 85

16 RADITYA ROBI/RAMAH 2/9 L 8/15/2015 39 13 79

17 AISYAH TRIISWANTO/SANTI 5/9 L 9/30/2015 39 13 83

18 TIO BAYU/MARIANA 7/9 L 10/12/2015 37 12.5 85

19 KEOLA F KRISNANTO/YUDIDT 4/9 P 10/31/2015 39 11 78

20 FAHMI FATUR/MIMA 5/9 L 11/3/2015 36 14.5 80

21 MADINA YUDHI/RISKA 3/9 P 11/12/2015 36 14 83

22 MIKAILA ANDRI/LEONITA 2/9 P 11/15/2015 37 15 99

23 ALEA FREDDY/OSI 4/9 P 11/18/2015 36 11.5 83

24 KIARA BOWO/ELKA 4/9 P 1/1/2016 31 35 14.5

25 M.KARIMAH NURCHOLIS/DEWI 3/9 P 2/24/2016 34 11.5 78

26 KINAN INDAH/MARIZKI 1/9 P 2/4/2016 34 13 79

27 FITRIA SUKIRNO/PENI 1/9 P 2/29/2016 34 11.9 78

28 ENGGAR INDAH/DWINANTO 7/9 L 4/20/2016 32 12 76

29 RAJA ATHARIQ SINGGIH/HANUM 5/9 L 5/2/2016 30 11.5 75

30 AISYAH R APRIAN/NOVI 6/9 P 6/28/2016 30 13 90

31 ADIBAH HERMANSYAH/ROMA 5/9 P 8/17/2016 27 11.5 76

32 RAFASHA M TAUFIQ/PRISKA 2/9 L 9/4/2016 27 11 73

33 GABRILIO NASA NASA/RIRI 4/9 L 10/19/2016 25 11 75

34 NUSAIBAH PANJI/KARTINI 3/9 P 10/15/2016 25 12 75

35 BIMAR ELOK HERMIN/RETNO 1/9 P 11/25/2016 25 11 83

36 BRIGITA SINGGIH/ISTIQOMAH 6/9 P 11/25/2016 25 10 82.8

37 ZAKA DEVITA/BUDHI 2/9 L 12/2/2016 24 9.5 81

38 ZAKI DINA/DEDE 2/9 L 02/12/2016 25 13 65

39 RAGA RAMA/IMANIAR 5/9 L 12/13/2016 23 13 78

40 AGAM LUQMAN/SISKA 4/9 L 12/20/2016 23 11.5 67

41 AHMAD G DODI/SARI 3/9 L 1/9/2017 22 11.5 65 N

42 M.HALAN ALFIANAL/PERDANA 2/9 L 1/18/2017 22 14.5 65 N

43 ALTAV ANIS/NUNIEK 5/9 L 1/23/2017 22 12 65 N

44 KEREN AFRIZAL/VENNI 7/9 P 2/5/2017 22 11 87 N

45 ABIYU DIDIT/MELITA 5/9 L 2/8/2017 21 11.5 64 N

46 MOH. IQBAL ZAINUDIN/ENDAH 3/9 L 2/9/2017 20 12 64 N

47 DEBYAN M OGI/SYLVIA 5/9 L 3/1/2017 22 10 68

48 M.AR SHAKA RIZKI/VIORI 3/9 L 3/8/2017 20 11.5 65

49 RAS AL JAPRAN RASYID/RIRI 1/9 L 4/5/2017 18 12 64

50 RAISA HERMAN/ISNAWATI 3/9 P 4/22/2017 20 12 64

51 SHAVIRA J SISTIANI/SAMIDI 5/9 P 4/21/2017 20 9 67

52 AZKIA ANWAR/HENI 5/9 L 5/1/2017 19 11 63

53 HAFIZAH RUDI H/ISTANTI 1/9 P 6/23/2017 18 11 69

54 GIBRAN FIA/FENI 5/9 L 9/10/2016 26 11 63

55 ALMERA M DITO/HAPPY 2/9 P 3/28/2017 20 11.5 69

56 AFNAN RAHMAT/FERA 7/9 L 7/7/2017 16 12.5 69

57 M.WILDAN WAHYUDI/WITA 3/9 L 7/24/2017 16 9 61

58 RASYA APRIANSYAH/DELLA 3/9 P 7/24/2017 16 10 77 ?

59 DANNIS AGUNG/MARETA 6/9 L 8/21/2017 16 12 77

60 HAZELIA Z UGUN/VERA 3/9 P 10/09/2017 14 9 56

61 KENZIO D LELA N/ARIS 6/9 L 10/16/2017 13 11 61

62 DAFFIN S IYAN/FERA 7/9 L 11/4/2017 12 10 52

63 SYIFA RIZKI/SISKA 4/9 P 11/13/2017 12 8.2 52

64 ARSHAKA G.V ANDI/YULI 5/9 L 14/11/2017 12 10 51

65 M ALTEZA GAUTA SYAIFUL/RIA 5/9 L 11/1/2017 12 9.5 63

66 HANIF DIMAS YOGA/MEDINA 3/9 L 12/23/2017 9 8 51

67 AL FATIR EDIN/FEMIRA 2/9 11/1/2017 13 12.6

68 AIRA R RUDI/ASTANTI 1/9 P 2/6/2018 10 8.5

69 ARGYA KRISTIYANTO/YUDITH 5/9 L 12/6/2017 12 9.1

70 QUINDI FADLY/MAGDALENA 5/9 P 4/1/2018 7 7 46

71 M ADITYA FATUROHMAN/HERNA 3/9 L 4/14/2018 7 7 52

72 KUNARENINA DWI/UUN 6/9 P 7/9/2018 4 6.5 52

73 KHOMLAH PANJI/KARTINI 5/9 P 6/28/2018 5 6.5 46

74 M.RAYHAN ANDRI/LEONITA 2/9 L 7/26/2018 4 8.7

75 AL ZAHRA SUPRAPTO/TRI 5/9 P 8/28/2018 3 6.2

76 M.ARSYEN DITA/ILHAM 4/9 L 9/5/2018 2 5.9

77 ROSELIN FELIX/ELIA 1/9 P 7/6/2018 3 6

78 SAFIQA HARJUN/LUFTIA 5/9 P 12/20/2017 11 8.3

79 WITA NASTAIN/SITI 4/9 P 10/2/2018 1 4 50

80 ZEVIN NASA/RIRI 4/9 L 11/1/2018 0 2.85 51

81 ABDILA P TRI S/SUPRAPTO 5/9 L 36 12 92

82 RAKA RIRI 7/9 L 6 9.2

83 SYAIRAH DAMRAH 3/9 P 8 6.8

84 DELISHA APRIANSYAH/DELLA P 11/2/2018 1 3 48

JUMLAH ANAK MENURUT STATUS GIZI

Bekasi, 201
Petugas Puskesmas Teluk Pucung

(.............................................................)
NIP
JANUARI