DATA SASARAN BALITA

Provinsi : Jawa Timur

Kabupaten/Kota : Trenggalek
Puskesmas : Suruh
Berat ASI Vitamin A Vitamin A
JENIS Cara Ukur IMD Februari Agustus
NIK (Nomor Induk ANAK TANGGAL Badan Nama Orang Tua No Tilp/HP Orang Tanggal BB TB Eksklusif
No No Kartu Keluarga NAMA ANAK KELA NIK Ayah ALAMAT RT RW
Kependudukan) KE LAHIR Lahir (Ayah) Tua Pengukuran (Kg) (Cm) 1=Terlentang 1=YA 1=YA 1=YA 1=YA
MIN
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak

1 3503142311120001 3503144310130001 2 SHIENA OCTAGEA MAULYNE 03/10/2013 P 3504151702850001 AGUS BUDI PURWANTO NGLEBO 1 1

2 3503141707120001 3503140310130001 2 ADHYASTHA DAFFA EFENDI 03/10/2013 L 3578141512890002 CAHYO EFENDI NGLEBO 1 1
3 3503142102110014 3503144510130003 1 KHAILA OKTA FIOLA 05/10/2013 P 3503142408860001 EPNU GUNTORO NGLEBO 1 1
4 3503141109130001 3503141810130001 1 MIRZA AUFA NAB'HAN 18/10/2013 L 3503140510840001 SUKENI 082245746445 NGLEBO 3 1
5 3503143101130001 3503142611130001 1 DANDA VERI GAFRIEL 26/11/2013 L 3503141210880001 HERIFIN 082216626773 NGLEBO 2 1
6 3503142201140001 3503140812130002 1 HUSAIFA KIENSA ALFARIZI 08/12/2013 L 3503091807930003 YOGA DWI PAMUNGKAS NGLEBO 3 1
7 3503142402052932 3503141301140001 2 RASCEL INDRA MAULANA 13/01/2014 L 3503141106730001 KASELAN 082301500037 NGLEBO 2 1
8 3503141203140003 3503142402140001 1 NATA RIFANOW 24/02/2014 L 3503141605880003 HARDI YUDHA 085330885183 NGLEBO 3 1
9 3503142402052926 3503140803140001 3 ANWAR MAULANA 08/03/2014 L 3503143011660001 SUWOYO NGLEBO 1 1
10 3503142509130002 3503146104140002 1 NILNA DINA NURISAMA 21/04/2014 P 3503142104890001 SUPARMAN NGLEBO 4 1
11 3503142402050191 3503145704140003 2 NOER AZLINA AWANG HAD 17/04/2014 P 3503141708770001 AGUS PRABOWO 085314536386 NGLEBO 2 1
12 3503142406140002 3503147105140001 1 NAZWA NI'MATUL FIDIAH 21/05/2014 P 3503140508890001 ENDI ERNAWAN NGLEBO 1 1
13 3503140702130001 3503146606140001 1 DWI MELANI HILLANAS 25/06/2014 P 3503140509770001 JANURI NGLEBO 4 1
14 3503142409140001 3503140608140001 1 GABRIELA AGREZTA RETNO 06/08/2014 L 3503142609920005 TRI RETNO SETIAWAN 082332945432 NGLEBO 2 1
15 3503142603140003 3503141510140002 2 MARSEL DWI NURMANSYAH 15/10/2014 L 3503141004770001 KARYONO NGLEBO 3 1
16 3503142310140001 3503144310140001 1 TSANIA ZIKAYLA PUTRI 03/10/2014 P 3503142011920001 RIYAN PUJI PURNOMO 085217214165 NGLEBO 3 1
17 3503141703150001 3503145603150001 1 AZILA ERIN ANGELLYA 16/03/2015 P 3503141805920001 ERIK TRI WAHONO NGLEBO 3 1
18 3503142402050161 3503140804150001 1 ALIFIANDRA IZZADIN MAKSUM 08/04/2015 L 3503141208620001 BEJO UTOMO NGLEBO 4 1
19 3503140504110011 3503141705150001 2 MUHAMMAD HASAN ZAKARIA 17/05/2015 L 3503142806770001 SUWARNO 0822313693887 NGLEBO 2 1
20 3503141401150002 3503141007150001 1 MUHAMMAD ALFIAN SABILILLAH 10/07/2015 L 3303181105850001 SOCHIB NGLEBO 4 1
21 3503142406140002 3503145808150001 2 AULIA IZATUN NISAK 18/08/2015 P 3503140508890001 ENDI ERNAWAN NGLEBO 1 1
22 3503142505150002 3503146909150001 1 QUEENZA NARA ZALFA 29/09/2015 P 3503030110950001 AHMAD MARZUKI 082333032704 NGLEBO 3 1
23 3503141911140002 3503142710150001 1 YUANDRA DIO BRAMASTYA 28/10/2015 L 3504151305910001 SUSANTO NGLEBO 1 1
24 3503141409150005 3503141210150001 1 RAKA DIRGA ARKANZA 12/10/2015 L 3503141411920002 BINDA NOVA ARITA 085233470205 NGLEBO 3 1
25 3503140411090008 3503146910150001 1 TRIOLIN CIYA NITA 29/10/2015 P 3503142110620001 PARJI 081295588530 NGLEBO 2 1
26 3503140211070009 3503142303160001 2 HAIKAL NUR ALAMSYAH 23/03/2016 L 3503142801670001 JURI 085334863974 NGLEBO 3 1
27 NAZIRUL SYAM A 15/07/2013 L BUDI NGLEBO 1 1
28 3503142911100007 3503145803160003 2 PA YINSIE MARETYA 3/17/2016 P 3550 3503141501840001 NURHADI PRAYITNO NGLEBO 4 1
29 3503141304100001 3503145301170002 1 DANISHA AYU WULANDARI 1/13/2017 P 3600 3503142211490001 MUJI 082229230783 NGLEBO 2 1
30 3503141704170002 3503142303170001 1 REFAN WIFY ADITYA 3/22/2017 L 2200 3503140111890001 SUWITO 082257013418 MLINJON 30 7
31 3503142708080002 3503142708080002 3 SILFIA CRYSTA KARUNISA 4/18/2017 P 3000 3503140408770001 SUPENO 082333077170 NGLEBO 2 1
32 3503140701150001 3503146605150001 1 ENDJEL FEDORA FRIANDSISCA 5/26/2015 P 3503142804840001 SUWITO 085204595741 NGLEBO 1 1
33 3503141707120001 3503145906170001 2 AVANTHIKA SHALSEA EFENDI 6/19/2017 P 3400 3578141512890002 CAHYO EFENDI NGLEBO 1 1
 34 3503141708170003 3503145607170002 1 ZAHRA ARSYILA ANWAR 7/16/2017 P 3400 3503061506900001 M. SYAIFUL NGLEBO 3 1
35 3503140802074732 3503145107170001 2 QEIZAHWA YUAN UMAIRA 7/11/2017 P 2900 3503142507840004 YUSWANTO NGLEBO 1 1
36 3503141201160003 3503144908170001 1 ALENA SHANUM PRASETYO 8/9/2017 P 3100 3503144908170001 PRISMA 082337585667 NGLEBO 3 1
37 3503140307170002 3503147009170002 2 ZAYANNA FATIYYATUL ROHMAH 9/20/2017 P 2800 3503141908760001 PUJI PURNOMO NGLEBO 4 1
38 3503142809100010 3503141609170001 2 SAGARA JALU WIRATAMA 9/16/2017 P 3500 3503142006800006 WASIS GUNTARTO 082244710016 NGLEBO 4 1
39 3503141708170001 3503140112170001 1 MOHAMMAD KHOIRUL ANAM 12/1/2017 L 3500 3503142003850001 NARDI 082230806827 NGLEBO 4 1
40 3503142402160001 3503141812170001 1 ALVINO KENZO RAVINDRA 12/19/2017 L 2700 350342303950001 TRI WIYONO 082233519909 NGLEBO 4 1
41 3503142509170006 3503144301180001 2 ADZKIYA NAILA PUTRI EKA 1/3/2018 P 2700 3503050905880001 AHMAD SAIFUDIN NGLEBO 1 1
42 3503141103170001 3503143101180002 1 ALZAM NIKI ARTANABIL 1/31/2018 L 3150 3503041707900003 HENI SUSANTO NGLEBO 1 1
43 1 RAFAEL WILSON JOENANTA 3/27/2018 L 2900 ALI MUHSON 1
44 3503142510170001 3503141502180001 4 ALIF MAULANA SYAHREZA 2/15/2018 L 3000 3503141702810001 EDI S 085331624502 MLINJON 19 4
45 3503140412170001 3503144806180001 1 AILEEN KHANZA ARDIKA 6/7/2018 P 3100 3503140902950002 NOVA ARDIKA 082257706326 NGLEBO 3 1
46 3503141810100009 3503140906180001 2 ANGGA DWI RAMADHAN 6/9/2018 L 3300 3503141205760003 HARIANTO 082335124830 NGLEBO 1 1
47 3503140108180004 3503145206180001 1 ARABELLA PUTRI AGATHA 6/12/2018 P 3200 5202120107920065 HENDRO 085338951356 NGLEBO 4 1
48 3503142301180001 3503140304180001 1 KENZIE PUTU ARJUNATA 4/3/2018 L 3200 3503143108910001 RONY 082299062260 NGLEBO 1 1
49 NGLEBO
50 NGLEBO
51 NGLEBO
52

DATA SASARAN BALITA

Provinsi : Jawa Timur

Kabupaten/Kota : Trenggalek
Puskesmas : Suruh
ASI Vitamin A
Vitamin A
Berat Cara Ukur IMD Februari
JENIS Eksklusif Agustus
NIK (Nomor Induk ANAK TANGGAL Badan Nama Orang Tua No Tilp/HP Orang Tanggal BB TB
No No Kartu Keluarga NAMA ANAK KELA NIK Ayah ALAMAT RT RW
Kependudukan) KE LAHIR Lahir (Ayah) Tua Pengukuran (Kg) (Cm) 1=Terlentang 1=YA 1=YA 1=YA 1=YA
MIN
(Kg)
2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak
1 3503141501140002 3503146411130001 1 NOVEN PRISKA AMELIA 11/24/2013 P 1700 MUNARDI 3507322810590001 NGLEBO 8 2 10/10/2018
2 3503140504120001 3503144304140001 2 NAYLA FAJRIA ISNAINI 4/3/2014 P 2900 WISWARYONO 3503141309850001 NGLEBO 6 2 10/10/2018
3 3503142410070046 3503141104140002 2 ALVINNO SINDHU PRASETYA 4/11/2014 L 3800 SAHRONI 3503141612730001 NGLEBO 6 2 10/10/2018
4 3503140602140002 3503140404140001 1 MUHAMMAD HAFIZD AL PRIMA 4/4/2014 L 2200 YUSUP 3503142905800001 NGLEBO 1 2 10/10/2018
5 3503140109090015 3503145005140001 3 AQIRA MAHESTI 5/10/2014 P 3100 MURDOTO 3503142003750001 NGLEBO 5 2 10/10/2018
6 3503142205150005 3503145909140002 1 BERTY PURWANING AYU PUTRI LAKS 9/19/2014 P 2100 AGUNG PURWO LEKSO 3503042705830001 NGLEBO 7 2 10/10/2018
7 3503142905090026 3503140611140001 2 BRYAN RANGGA SADEWA 11/6/2014 L 3400 SURYO ADMOJO 3503142012760002 SURUH 31 11 10/10/2018
8 3503140305120001 3503141712140001 2 GALIH ANANDA PUTRA 12/17/2014 L 3200 FALDI SAMBODO 3503120505860002 NGLEBO 5 2 10/10/2018
9 3503142410070043 3503142801150001 2 ARZHA GALUH PRANATA 1/28/2015 L 3300 SUTRISNO 3503140907820001 NGLEBO 6 2 10/10/2018 14.9 93
10 3503141911140003 3503141702150001 1 QARY AHNAF MUFIDA 2/17/2015 L 3000 JAINURI 3172013001850009 NGLEBO 5 2
11 3503142207090004 3503142202150002 3 CHALLEO ALZEON DEVANO 2/22/2015 L 3000 SUYANTO 3503140608780001 NGLEBO 7 2 10/10/2018 14 95.2
12 3503142402053424 3503140703150001 2 ELLUN MARVEYZHA MUNTOLIB 3/7/2015 P 3200 ABDUL MUNTOLIB 3503140608800002 NGLEBO 8 2 10/10/2018 13.3 93.1
13 3503142808080002 3503142903150001 2 ADNAN DZAKI MUBAROK 3/29/2015 L 3200 SUWARNO 3503142804760002 NGLEBO 6 2 10/10/2018 14.3 96
14 3503141311150001 3503144911130001 1 LINA ERINA ZAHRA 10/9/2013 P 3100 MUHAMMAD AMINUN 3524140202760001 NGLEBO 6 2 10/10/2018 11.5 93.4 2 2 2 1 1
15 3503141311150001 3503140402150001 2 MUHAMMAD RAFI RABANI 2/5/2015 L 3000 MUHAMMAD AMINUN 3524140202760001 NGLEBO 6 2 10/10/2018 13.5 96.4
16 3503141403140001 3503140604150003 1 HABIB RIF'AT AL FARUQ 4/6/2015 L 3600 RIBUD WAHYUDI 3518110401900005 NGLEBO 6 2 10/10/2018 14.5 97.2 2 2 2 1 1
17 3503142701150001 3503143006150001 1 ALDO PRANATA RAMADHAN 6/30/2015 L 3000 SISWOYO 3503041401890001 NGLEBO 5 2 2 2 1 1 1
18 3503140308160002 3503066609150001 2 ALESA FRIZTIKA DEWI 9/26/2015 P 3200 RIKA DWI ESTIKO 3503140305850003 NGLEBO 7 2 10/10/2018 11.7 94 2 2 1 1 1
19 3503141010070019 3503142910150001 2 ILYAS AZHAR MAHMUDY 10/29/2015 L 2700 PINTO 3503140911790001 NGLEBO 7 2 10/10/2018 10.6 84.5 2 2 2 1 1
20 3503141709150004 3503142411150001 1 ARDY CAHYA ANGGARA 11/24/2015 L 3200 KUSMINTO 3503040407810002 NGLEBO 5 2 2 2 2 1 1
21 3503141002120009 3503140912150001 2 FAHRI ARFAN MUZAKI 12/9/2015 L 3200 PENDI WINARDI 3503142909800001 NGLEBO 5 2 10/10/2018 12.3 91.4 2 2 1 1 1
22 3503142602160002 3503142101160001 2 WILLIAM BRAMASTYA AQOLBI 1/21/2016 L 3400 AGUS WAHYU TUGI SA 3503141708850003 NGLEBO 7 2 10/10/2018 11.9 88.4 2 2 1 1 1
23 3503141402110009 3503141004160001 2 NATA PRADHIKA ALVARO 4/10/2016 L 3000 AGUNG BEKTI WIYONO 3503140709820001 SURUH 22 9 10/10/2018 12 88.4 2 2 2 1 1
24 2 LESTIA RISNA PURWANING AYU 5/1/2016 L 3000 AGUNG PURWO LEKSO 3503042705830001 NGLEBO 7 2 10/10/2018 11.1 87.4 2 2 1 1 1
25 3503142711150002 3503145205160001 1 AILA AZZAHRA SAIDAH 5/12/2016 P 2900 HADI SISWANTO 3503141605830002 NGLEBO 6 2 10/10/2018 12.8 85.1 2 2 1 1 1
26 3503142110130001 3503140905160001 1 MUHAMMAD AZZAM ADIPRAMANA 5/9/2016 L 3600 ADIP SETIAWAN 3503142508880002 NGLEBO 8 2 10/10/2018 10.5 86.5 2 2 1 1 1
27 3503141602160002 3503142605160001 1 RAKA GINTANG ARRENDRA 5/26/2016 L 3200 OGTA ARRINDA 3503141810920002 NGLEBO 8 2 10/10/2018 10.7 82 2 2 2 1 1
28 3503142610100001 3503144606160001 2 SALSA FITRI AISYAH RAHMADANI 6/6/2016 P 3400 SUPAR 3503140612760005 NGLEBO 8 2 10/10/2018 11.4 92.3 2 2 1 1 1
29 3503142112100008 3503144210160001 3 AIRA PUTRI WARDHANI 10/2/2016 P 3000 SUMARTOYO 3503140209750001 NGLEBO 6 2 10/10/2018 7.7 77 2 2 1 1 1
30 3503142609160002 3503141310160002 1 ARZENO ABQARI SUPRENDI 10/13/2016 L 3200 DEPRI OKTA SUPRENDI 3503140110910001 NGLEBO 5 2 10/10/2018 11.5 82.1 2 2 2 1 1
31 3503141506170002 3503144204170001 1 EDYSVA EVODHEA EDEN 4/2/2017 P 3400 EDY PURNOMO 3503141703870002 NGLEBO 6 2 10/10/2018 10.7 81 2 2 1 1 1
32 3503142303160001 3520094404140001 2 SHOFI AMALIA ZAHRAYUKA 4/4/2014 P KABIT 3503140505770004 NGLEBO 7 2 10/10/2018 15 100.9 2 2 2 1 1
33 3503142402051082 3503140508140001 1 FABIANO BETRANDINO 8/5/2014 L WARTAM 3503140507590001 NGLEBO 5 2 10/10/2018 14.4 99 2 2 2 1 1
34 3503141506170003 3503141904170002 1 ARASATYA ARSYIL IRAWAN 4/19/2017 L 3200 HENDRIK IRAWAN 3503142903910001 NGLEBO 6 2 10/10/2018 9.2 75.4 1 2 2 1 1
35 3503141902160002 3503142603170001 1 DIRGAYUSA SHAIFULLAH AFKARI 3/26/2017 L 3300 PRATAMA 3503143011920001 NGLEBO 8 2 10/10/2018 11 79.7 1 2 2 1 1
36 2 AILEEN NATHANIA AGATHA 3/22/2017 P 3900 WAHYU NGLEBO 5 2 10/10/2018 10.2 78.9 1 1 1 1 1
37 3503060408170001 3503062006170002 1 MUHAMMAD NABIL MUZAKI 6/20/2017 L 2500 IMAM SOFINGI 3503060904900000 KARANGAN 23 6 10/10/2018 8.6 76 1 1 2 1 1
38 3 WISNU GILANG 5/14/2017 L 3000 AGUNG PURWO LEKSO 3503042705830001 NGLEBO 7 2 10/10/2018 11.4 77.8 1 1 2 1 1
39 3503140211160004 3503142309170001 1 WILDAN VIGHO PRASETYO 9/23/2017 L 3000 ERWAN EKO PRASTIYO 3503141603920001 NGLEBO 6 2 10/10/2018 9.9 77.6 1 1 1 1 1
40 3503141112090010 3503145611170001 2 GHEALOVA JUNAESTARI PUTRI 11/16/2017 P 3300 H JUNAIDI 3503145611170001 NGLEBO 5 2 8 68.2 1 1 1 1 1
41 3503140802110007 3503141611170001 2 CHRISTOFER GEONATHAN PUTRA KR 11/16/2017 P 3000 TEGUH SUYANTO 3503140801760002 NGLEBO 7 2 10.6 73.6 1 1 1 1 1
42 3503142801090002 3503144901180001 3 AISYAH AYUDIA INARA 1/9/2018 P 3200 WARJITO 3503143012770001 NGLEBO 6 2 9.6 72.7 1 1 1 1 1
43
44
45
46
47
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49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74

DATA SASARAN BALITA

Provinsi : Jawa Timur

Kabupaten/Kota : Trenggalek
Puskesmas : Suruh
 Berat ASI Vitamin A Vitamin A
JENIS Cara Ukur IMD Februari
NIK (Nomor Induk ANAK TANGGAL Badan Nama Orang Tua No Tilp/HP Orang Tanggal BB TB Eksklusif Agustus
No No Kartu Keluarga NAMA ANAK KELA NIK Ayah ALAMAT RT RW
Kependudukan) KE LAHIR Lahir (Ayah) Tua Pengukuran (Kg) (Cm) 1=Terlentang 1=YA 1=YA 1=YA 1=YA
MIN
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak
1 3503142706130002 3503142710130003 1 ADRIELL CIRRILLO BAHTIAR JUNIOR L AGUNG BAHTIAR 3503141505900003 NGLEBO 3/14/2018 15.3 1 1
2 3503141603120001 3503147110130001 HENIS SYAFA AULIA IZZATUN 10/31/2013 P HERI SUBAGYO 3503140206860001 NGLEBO 14 10/17/2018 18 104 1 1
3 3503141010070104 3503142111130001 1 FAREL CRISTIAN 11/21/2013 L KASMAN 3503141006790005 NGLEBO 16 10/17/2018 16.8 97.1 1 1
4 3503140407130002 3503140412130001 IBNU SABIL 12/4/2013 L WAHYU JADMIKO 3503142809870002 NGLEBO 16 10/17/2018 21.7 109.8 1 1
5 3503140410130004 3503146512130001 SHELVY MARISKA 12/25/2013 P ENDRI ERMAWAN 3503141908900002 NGLEBO 16 10/17/2018 15.7 97.2 1 1
6 3503141804120002 3503146808130001 LELINTAN PUTRI ANGGRAINI 8/28/2013 P HARIANTO 3503141502890001 NGLEBO 14 4/11/2018 12.9 1 1
7 1 BELLAZA ASYA P HERI SUSENO NGLEBO 17 10/17/2018 14.7 99 1 1

8 L NGLEBO 18 10/17/2018 18.9 100.2 1 1

3503141002120003 3503141702140001 1 ASLAM WAZIFUL KHALIL 2/17/2014 IMAM SUTOYO 3503141201780003

9 3/10/2014 L NGLEBO 15 10/17/2018 17.5 101.2 1 1

3503141804130002 3503141003140001 1 JASON ALDIANO YOGI CAHYONO 3503140904840001

10 L NGLEBO 16 10/17/2018 16.3 101.9 1 1

3503140407130004 3503142006140001 1 ANDRO YOGI SABEKTI 6/20/2014 NURYADIN 3503032210860001

11 P NGLEBO 16 10/17/2018 13 95.3 1 1

3503140711130001 3503145807140002 1 NABILLA PUTRI RAMADHANI 7/18/2014 JUNARIN 3503140604810001

12 8/18/2014 P NGLEBO 14 10/17/2018 18.2 103.5 1 1

3503143110130003 3503145808140001 1 SHERYL SHEINA AGUSTIN SUGIANTO 3503032101880001

13 L NGLEBO 16 10/17/2018 13.5 93.6 1 1

3503141912130001 3503140908140001 1 IRFAN AFANDI 8/9/2014 MUKHAMMAD YUSHUF 3503141510900001

14 1 P NGLEBO 14 10/17/2018 11.8 90.5 1 1

ASYIFA AULIA W BUDI

15 L NGLEBO 16 4/11/2018 12.8 88.5 1 1

3503140602130001 3503142210140001 1 AFAF RAZIQ HANAN 10/23/2014 SUMILAN 3503140106760002

16 1 L NGLEBO 15 10/17/2018 15 1 1
AHMAD YASIN

17 1 L NGLEBO 17 10/17/2018 17.8 101.5 1 1

ARGA DINATA SUDARNO

18 2/12/2015 L NGLEBO 15 10/17/2018 13.3 89.5 1 1

3503140801090004 3503141202150001 BAYU DWI PRASETYO HADI SUWONDO 3503141010810004

19 2/22/2015 L NGLEBO 18 10/17/2018 14.4 94.1 1 1

3503140703140002 3503142202150001 ALZAM AHMAD ARAFIF SARI BUDIAWAN 3503141010810004

20 L NGLEBO 18 10/17/2018 11.3 87 1 1

RIZAL ERDIANO 3/3/2015 SARJITO

21 L NGLEBO 16 10/17/2018 12.8 87 1 1

3503142104110001 3503142004150001 ADELIO AHSA DANISH 4/20/2015 MUJITO 3503141506750004

22 9/17/2015 L NGLEBO 14 10/17/2018 10.5 87.5 1 1

3503140409150001 3503141709150002 AL ZIDAN ERSAN ALFARIZI SANTOSO 3503141507910004

23 L NGLEBO 17 10/17/2018 9.5 77.5 1 1

3503141007150001 3503143010150001 MUHAMMAD SAFFARUDIN 10/30/2015 MISTO 3503031812820003

24 L NGLEBO 16 10/17/2018 13.5 89.5 1 1

3503140407130002 3503142810150001 MUHAMMAD ADI ARSYIL 10/28/2015 WAHYU JADMIKO 3503142809870002

25 NADIL ULUM HANAFIZ 11/15/2015 L SURANI NGLEBO 15

26 P NGLEBO 18 10/17/2018 12.5 88 1 1
3503141010070109 3503144211150001 ANANDA AULIA AZAHRA 11/2/2015 TRI WAHYUDI 3503142811830003

27 9/25/2014 L NGLEBO 15 9/12/2018 14.5 96.2 1 1

3503140310140001 3503142509140001 FAREL CAHYA ANDIKA ARIS SEPTA NURYANT 3503140909930001

28 11/20/2015 P NGLEBO 14 10/17/2018 13.8 81 1 1

3503142402053179 3503146011150001 CASYAVANI NAJWA AZZAHRA LAMIRAN 3503142503740001

29 3503141804120002 3503140512150001 FENTRIKA GASA PUTRA MAHARDIKA 12/5/2015 L HARIANTO 3503141502890001 NGLEBO 14

30 1/11/2016 P 2700 NGLEBO 15 10/17/2018 10.5 83 1 1

3503140311150002 3503145101160001 GISELA PUTRI AYU ANTON SUDIRMAN 3503140205920002

31 1/23/2016 P 3100 NGLEBO 14 10/17/2018 13.7 92.1 1 1

VIENTSYA NATHANSYA AGUNG

32 1/25/2016 L 3200 NGLEBO 15 10/17/2018 13.9 93 1 1

ALFAN RAQHILA ALQHIFAHRI AJI ABIDIN

33 L 3100 NGLEBO 16 10/17/2018 11.3 89.1 1 1

3503141403120002 3503140702160001 SANFIAGO ROOY JIMMY 2/7/2016 JITO 3503142112850001

34 3/31/2016 L 2700 NGLEBO 15 10/17/2018 11.3 86 1 1

3503143004090002 3503143103160001 ALFARO SACHDEV ABYAN NAKHLA DASMIRAN 3503140507810004
35 4/6/2016 P 2800 NGLEBO 14 10/17/2018 10.5 83.5 1 1
3503141702160001 3503144604160001 AZALEA ELKENZIE KINARA EKO NURWAHYUDI 3503141607870004

36 P NGLEBO 18 10/17/2018 11.4 83.6 1 1

3503141010070111 3503144704160001 MEGAN APRILIA SILVANI 4/7/2016 ROKY 3503140607790004

37 4/24/2016 P 1300 NGLEBO 14 10/17/2018 9.5 79.5 1 1

3503140806090004 3503146404160001 FRISKA APRILIA ANGGRAINI SUKIRAN 3503140301660001

38 5/10/2016 P 3100 NGLEBO 14 10/17/2018 10.1 82.1 1 1

3503142902120001 3503145005160001 ANGELLINA NUR SHAQILA AGUNG NURCAHYONO 3503141801900001

39 L 2100 NGLEBO 16 10/17/2018 10.8 85 1 1

3503142402051818 3503141406160001 ARVIN NAUFAL RIZQULLOH 6/14/2016 SUKIMIN 3503140408660001

40 9/22/2016 L 3000 NGLEBO 14 10/17/2018 11.8 84 1 1

3503141010070053 3503142209160001 ZHEN PANDU WINATA NURIANTO 3503142004780003

41 FEMISYA ADINDA PUTRI ARLINGGA 4/3/2016 P NGLEBO 15 10/17/2018 13.3 88 1 1

42 L 2500 NGLEBO 18 10/17/2018 10.9 82.6 1 1

3503140909160004 3503140311160002 DHEBY NUR PRATAMA 11/3/2016 DIAN WIKA EFENDI 3503031311970001

43 11/11/2016 L 3900 NGLEBO 15 10/17/2018 10.4 78 1 1

3503142402051816 3503145111160001 SALSABILA AQILA ZAHRA PAIMIN 3503140409690001

44 L 3120 NGLEBO 17 10/17/2018 10.3 78.3 1 1

3503140601160002 3503142512160001 DEVANDRA BRYAN AZKA ISWANTO 12/25/2016 BUDI ISWANTO 3503032111900001

45 P 2900 NGLEBO 17 10/17/2018 9.3 78.5 1 1

3503142610160002 3503147012160001 AYSHA QATRUNNADA ARDHANI 12/30/2016 WAWAN ARIYANTO 3503030303930002

46 2/12/2017 P 3100 NGLEBO 15 10/17/2018 10 79.5 1 1

3503140411160005 3503145202170001 CHAZZIE QYANARA CHALEZTIN YUDA MUHAMMAD 3503031105920001

47 3/24/2017 P 3100 NGLEBO 14 10/17/2018 8.2 70.5 1 1

3503140205170002 3503146403170002 FELICIA DINDRA LASHIRA FENDI MASLENDRA 3503141302920001

48 P 3300 NGLEBO 18 10/17/2018 9.2 74 1 1

3503140103170002 3503144304170001 SYACHIRA ATHA HANA ARDIYANTI 4/3/2017 HARNI 3503140503790001

49 ANDIKA YANUAR PRATAMA 1/19/2015 L SUNARDI NGLEBO 17 10/17/2018 16.5 93.5 1 1

50 3/5/2014 P NGLEBO 14 10/17/2018 16.2 105.5 1 1

3503142801140005 3503144503140001 HANIFA NUR RASYIDA MOHAMAD SUDARMAJI 3506220204900003

51 1 ELSA KAYLA PUTRI 9/19/2017 P 3200 EKO P NGLEBO 16 10/17/2018 9.6 69.6 1 1

52 2 ABDUL HADID HAFIYYAN 9/18/2017 L 2400 NGLEBO 16 10/17/2018 8 72.1 1 1

EDI SUSANTO 3503033101890004

53 2 ADARA ADEEVA MYSHA 10/12/2017 P 2900 MUDASIR NGLEBO 16 10/17/2018 8.8 70.3 1 1
3503142707730001

54 2 NAILA OKTAVIA AURELLIA 29/10 2017 P 3000 NGLEBO 18 10/17/2018 7.5 64.2 1 1
BUDI HANDAYANI 3503142512910005

55 1 DENANDRA PUTRA W 12/9/2017 L 3400 SUJIANTO NGLEBO 16 10/17/2018 8 67 1 1

3503041101890003

56 2 VALLENCIA ANINDYA PUTRI 12/9/2017 P 2500 DASIANTO NGLEBO 15 10/17/2018 8.5 69 1 1

3503141104760001

57 AQILA NISA ARDANI 1/9/2018 P 2400 RIDHO NUR NGLEBO 14 10/17/2018 7.9 65.1 1 1

58 2 NAUFAL AFKAR A 2/7/2018 L 3000 AGUN NGLEBO 15 10/17/2018 8.7 66.8 1 1

3503140708870001

59 PUTRA HAFIZ AL FAREZI 3/1/2018 L ZAINAL F NGLEBO 16 10/17/2018 9 65.3 1 1

60 2 MUHAMMAD YUSUF HABIBI 3/9/2018 L 3400 NGLEBO 15 10/17/2018 9.9 65.4 1 1

JAROT DARMANTO 3503051311820001

61 CESILIA NANDA VIWAN 4/30/2018 P 2900 WAWAN HADI NGLEBO 18 10/17/2018 7 61 1 1

62 IBRAHIM ATHAFARIS H 5/1/2018 L 2800 HANDOKO NGLEBO 18 10/17/2018 6.9 62.7 1 1

63 GRACIO KHASYI DARMAWAN 10/23/2018 L 2800 AGUS D NGLEBO 17 10/17/2018 6.4 62.1 1 1

64 JUNIA HANDAYANI 6/26/2018 P 3000 YUDI HANDAYANI NGLEBO 15 10/17/2018 6.7 55.9
65 ARZILLA JULYANA 7/17/2018 P 3900 ROHMAT NGLEBO 14 10/17/2018 6.3 57.3
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DATA SASARAN BALITA

Provinsi : Jawa Timur

Kabupaten/Kota : Trenggalek
Puskesmas : Suruh
Berat ASI Vitamin A Vitamin A
JENIS Cara Ukur IMD Februari
NIK (Nomor Induk ANAK TANGGAL Badan Nama Orang Tua No Tilp/HP Orang Tanggal BB TB Eksklusif Agustus
No No Kartu Keluarga NAMA ANAK KELA NIK Ayah ALAMAT RT RW
Kependudukan) KE LAHIR Lahir (Ayah) Tua Pengukuran (Kg) (Cm) 1=Terlentang 1=YA 1=YA 1=YA 1=YA
MIN
(Kg) 2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak
1 3503141809130001 3503141010130001 1 DANANG OKTAVIA 10/10/2013 L SUPARNO 350314711760001 NGLEBO 11 10/16/2018 14.7 98.2 1 1
2 3503141804130003 3503146510130001 1 GISSHA ARUM PRADISTA 10/25/2013 P TEGUH WIYONO 3503120701890001 NGLEBO 9 9/10/2018 14.4 103.3 1 1
3 3503142402052746 3503142711130001 1 RAFFI RACHEL RADITYA 11/27/2013 L MURYANTO 3503140505840001 NGLEBO 13 10/16/2018 14.4 103 1 1
4 3503141901090003 3503140501140001 2 SATRIA PUTRA CAHYONO 1/5/2014 L SRIONO 3503140206840002 NGLEBO 13 10/16/2018 17 104.1 1 1
5 3503140411110001 3503141201140001 1 EVAN NEIL NICHOLAS 1/12/2014 L SARMIN 3503141410800004 NGLEBO 12 10/16/2018 15.2 101 1 1
6 3503141010070083 3503142801140001 2 KENZILO NAOFAL MAJID 1/28/2014 L ABDUL MAJID 3503142310670001 085335111284 NGLEBO 10 10/16/2018 15 101.9 1 1
7 1 TAMA ADIASTA W 12/22/2015 L IMAM AMMAR NGLEBO 10 9/10/2018 16.5 107 1 1

8 4/11/2014 L NGLEBO 12 10/16/2018 14.5 100 1 1

3503142402051650 3503141104140001 2 ALAN VEGAR MUJAIS 3503141211730001

9 4/11/2014 P NGLEBO 12 10/16/2018 16.5 100.6 1 1

3503142402051650 3503145104140001 3 ALENA VALERIA MUJAIS 3503141211730001

10 P NGLEBO 12 10/16/2018 12.5 96.1 1 1

3503142804140003 3503141305140002 1 WHINA CAHYA BRIHANDIKA 5/13/2014 JUMANI 3503141002840002

11 P NGLEBO 13 9/14/2018 15.4 100 1 1

3503141010070060 3503147006140001 2 BILQIS FAIHA RIFDA 6/30/2014 ANDI RIANTO 3503140511790006

12 6/8/2014 L NGLEBO 12 10/16/2018 14.3 96.5 1 1

1 FAUZAN ABRIZAM SUPARNI

13 P NGLEBO 5 10/16/2018 14 98.6 1 1

3503141707120003 3503144107140005 2 ALISYA SALSA KILLA 7/1/2014 FARHAD ADI WIBOWO 3503140110840002

14 10/5/2014 P NGLEBO 10 10/16/2018 15.3 99.6 1 1

3503141104140001 3503144510140001 1 YUANESHA FARIDHATUL NIQMAH DEDIK TRIANTO 3503142301930002

15 L NGLEBO 10 10/16/2018 13.7 97 1 1

1 KARIGA AHMAD 11/25/2014 SUJITO

16 12/9/2014 P NGLEBO 12 10/16/2018 12.4 92.8 1 1

3503140912130001 3503144912140001 1 AMIRA CALLISTA ZAIDA TAMSI 3503140507880001

17 1 L NGLEBO 9 1 1
ARGASTA THEO P 10/22/2014 AGUNG

18 1/6/2015 L NGLEBO 12 10/16/2018 12.5 98 1 1

3503141308080013 3503140601150001 BURHANUDDIN HUSAIN SARTONO 3503140104690003

19 L NGLEBO 11 10/16/2018 12.2 91 1 1

3503142606090004 3503140901150001 2 VAREL ALIANDO PUTRA 1/9/2015 SUYANI 3503141001790001

20 1/20/2015 P NGLEBO 10 10/16/2018 15 96 1 1

3503140711140001 3503146001150001 1 PURI ELSA SAFIRA HERU PURNOMO 3503031511870001

21 L NGLEBO 11 10/16/2018 13.2 91.5 1 1

3503140111070010 3503140303150001 2 FAJAR ADI NUGROHO 3/3/2015 MUJIYAT 3503142208680001

22 3/15/2015 P NGLEBO 9 10/16/2018 13 91 1 1

3503140201150001 3503145503150001 1 SABRINA NUR ASYIFA ABDUL MUDAHIR 3503142109890002

23 L NGLEBO 10 10/16/2018 12.9 92 1 1

NAUFAL SENDY ALFARO 4/6/2015 SUWITO

24 P NGLEBO 11 10/16/2018 14.1 94.5 1 1

3503141908160002 3503146504150001 2 DINDA APRILLIA KIMKALISTA 4/25/2015 HERI SUSILO
25 4/17/2015 P NGLEBO 11 10/16/2018 12.9 97.5 1 1
3503142402051666 3503145704150001 2 BEBY BRILIYAN RIZQI SUKARNI 3503140606690002

26 P NGLEBO 13 10/16/2018 13.3 96.7 1 1

3503140610090008 3503144305150001 2 NAIRA USWATUN HASANAH 5/3/2015 TRI TUMARIYANTO 3503140910820002

27 L NGLEBO 11 10/16/2018 14.7 99.1 1 1

3503141311140002 3503142305150002 1 ALBEE MUHAMMILANTAR ILARY 5/23/2015 HARMANTO 3503142912860002

28 6/12/2015 L NGLEBO 11 10/16/2018 12.4 93 1 1

MEYVAN AURELIO BASTIAN ANGGA

29 P NGLEBO 13 10/16/2018 10.8 86 1 1

3503140402150001 3503146207150001 1 RIZQYA AULIA FITRA 7/22/2015 SARNI 3503030504860001

30 6/25/2015 P NGLEBO 13 9/14/2018 12.4 92.5 1 1

3503141304120024 3503146506150001 2 KINANA DZAKIYYA ATHFA EDISON EDI PRAYITNO 3503140308870002

31 7/27/2015 P NGLEBO 9 10/16/2018 13.1 95.9 1 1

CARISSA ALIFA

32 P NGLEBO 11 10/16/2018 11.3 86 1 1

3503142210100002 3503144410150001 2 ANINDA SYAKILA AZAHRA 10/4/2015 WEMPY PERDANA PUT 3503042707910002

33 11/6/2015 P NGLEBO 11 10/16/2018 11.5 89 1 1

3503143108150005 3503144611150001 1 SAFRA NEVINA SYAKILA SYANUM EKO WINARTO 3503142012880001

34 1/13/2016 L 3200 NGLEBO 10 10/16/2018 13 88 1 1

3503142402051659 3503141301160001 2 ABID AQILA PRANAJA BEJAN 3503142408720001

35 1/18/2016 L 2300 NGLEBO 9 10/16/2018 10.9 88 1 1

3503140307090010 3503141801160001 2 JOSH VATARA DINANTA DARMANTO 3503140803830001

36 L 2500 NGLEBO 13 10/16/2018 10.8 85 1 1

3503142402052495 3503141401160001 2 ARDA DWI SAPUTRA 1/14/2016 WARSITO 3503142708770001

37 3/6/2016 P 2900 NGLEBO 9 10/16/2018 11.6 90 1 1

3503142112120001 3503144603160002 2 ELOK TASYA ARUM NURYAHYA

38 P 3100 NGLEBO 11 10/16/2018 10.4 86 1 1

3503141308080012 3503145504160001 2 AFIQA FATHIYYARAHMA ANDINI 4/15/2016 EDI SUKAMTO 3503141912800003

39 5/29/2016 P 1800 NGLEBO 9 10/16/2018 8 76.5 1 1

3503141010070098 3503146905160001 2 REFA MAYLOVERA HARI YANTO 3503141507800004

40 P 2200 NGLEBO 13 10/16/2018 10.3 82.1 1 1

3503142401170001 3503144711160001 1 LAILATUL ROMADHONA 11/7/2016 RISKI AGUNG EKO PR 3518040807970005

41 6/7/2016 P 3000 NGLEBO 12 9/11/2018 11.1 83.8 1 1

3503140712150003 3503144706160001 1 SAKILLA RAHMADHANI AGUS ARIANTO 3503142206920001

42 P 3100 NGLEBO 11 10/16/2018 10.4 86.2 1 1

3503141304160003 3503145207160001 1 ALIFA ADRISTI 7/12/2016 MURJIYAT 3503140703890001

43 8/8/2016 P 2500 NGLEBO 12 10/16/2018 9 78 1 1

3503142402140001 3503144808160001 3 NABYLA TRYANY

44 p 2500 NGLEBO 13 10/16/2018 10.3 88 1 1

3503141301170002 3503146608160001 1 KIRANA CITRA ARUM PRAMESWARI 8/26/2016 SUPRIADI 3503052811900001

45 L 2600 NGLEBO 12 7/11/2018 8.9 77.5 1 1

PABIAN JIMMY RAKA 8/2/2016 SUKIRNO

46 L 3100 NGLEBO 11 10/16/2018 13.4 85.9 1 1

3503142807090006 3503142809160001 2 ALTHAFA JUSTIN SAPUTRA 9/28/2016 SUWITO 3503142408860002

47 5/23/2015 L NGLEBO 9 10/16/2018 12.3 90 1 1

REZKA ANANDA PUTRA ADI S

48 12/26/2016 L 2500 NGLEBO 10 10/16/2018 11.2 80.9 1 1

3503142402053187 3503142612160001 2 NABA RELY ARSENIO MARMIN 3503141001780004 082234276751

49 L 3600 NGLEBO 13 10/16/2018 9.4 78.9 1 1

3503141010070027 3503142701170001 2 MUHAMMAD IQBAL SAPUTRA 1/27/2017 SALAM 3503140507670005

50 1/24/2017 P 2700 NGLEBO 10 10/16/2018 9 76.5 1 1

3503140902170003 3503146401170001 2 SHINTA AULIA RAHMA MISNI 3503142106810001

51 P 3100 NGLEBO 13 10/16/2018 9.4 77.5 1 1

3503141509080005 3503146603170001 2 NADZIFATUL NADIA 3/26/2017 KOMARIANTO 3503142412840001

52 GITA AULIA PUTRI 3/26/2017 P 2300 NANANG NGLEBO 11 10/16/2018 7 73.6 1 1

53 4/27/2017 L 2400 NGLEBO 12 10/16/2018 8.8 74.9 1 1

3503140505170001 3503142704170001 1 RADITYA EDO ARKAAN BAMBANG EDI SUTIKNO3503142008980001

54 P 3600 NGLEBO 12 10/16/2018 10.1 78 1 1

3503141511160004 3503146804170001 1 NAZWA HAVIKA AINUN 4/28/2017 GUNAWAN 3503141208800001

55 4/7/2017 P 3200 NGLEBO 12 10/16/2018 9.1 78.1 1 1

3503141403160001 3503144704170001 2 NASYIVA LETYSHA PUTRI SUWARTO 3503040304860002

56 L 3500 NGLEBO 13 10/16/2018 11.6 77.4 1 1

3503141010070070 3503142006170001 2 AULIYAN GAYDA RAHMADIYAN 6/20/2017 SUPARDI 3503142701790001

57 QUEENSHA ARSYA KAYLA 7/11/2017 P 3300 SAMSUL HADI NGLEBO 12 10/16/2018 8.8 73.2 1 1

58 7/15/2017 P 3200 NGLEBO 9 10/16/2018 7.8 69 1 1

3503140211070006 3503145507170002 2 INARA ZAHRA HUWAIDA PANUT EDI SUCIPTO 3503141809810002

59 ADRIEL NUR YUSRON 8/11/2017 L 3000 MARJITO NGLEBO 9 10/16/2018 8.5 72 1 1

60 ANIP PRATAMA JAYA 9/29/2017 L 2000 AZIZ NGLEBO 10 10/16/2018 8.1 71 1 1

61 2 UBAIDILLAH REYHAN 10/6/2017 L 2900 JAPIN NGLEBO 9 10/16/2018 8.7 72.1 1 1

3503142404790004

62 ALEA KEYSHA G 10/8/2017 P 2900 SUDARMINTO NGLEBO 12 10/16/2018 8.6 71.8 1 1

63 2 MUFID ANNABIL OKTAFIAN 10/12/2017 L 300 NGLEBO 9 10/16/2018 8.8 78.9 1 1

SUKARDI 3503042712790004

64 2 ARBIAN BAKTI YUANATA 2/22/2018 L 3500 SUPRIANTO 3503142904800002 NGLEBO 12 10/16/2018 7.5 69.9 1 1
65 4 NATAN ALVINO 9/28/2018 L 2800 NURYAHYA NGLEBO 9 10/16/2018 7 64.5 1 1
66 APRILLIA ZAHRA AZIZAH 4/30/2018 P 2800 ARIF RIYANTO NGLEBO 12 10/16/2018 5.9 61.2 1 1
67 2 DEVANO FAIZA 4/26/2018 L 3210 HADI PITOYO 3503141911780003 NGLEBO 12 10/16/2018 7.4 65.3 1 1
68 2 TANESHA SUCI RAMADHANTI 5/29/2018 P 2800 SUYANI 3503141001790001 NGLEBO 11 10/16/2018 5.6 59 1 1
69 2 MEISELLA FEBY LUTFIANA 5/4/2018 P 3600 TEGUH WIYONO 3503120701890001 NGLEBO 9 9/11/2018 7.3 62.3 1 1
70 2 GRISELLA NUR AISYAH 5/15/2018 P 3600 NUR SALEH 3503022708850003 NGLEBO 12 10/16/2018 7.6 66.7 1 1
71 YOULANDA NAURA WIDIANTARA 8/8/2018 P 3100 GAWIN R NGLEBO 13 10/16/2018 5.4 58.3 1 1
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 DATA SASARAN IBU HAMIL

Provinsi : Jawa Timur

Kabupaten / Kota : Trenggalek
Puskesmas : Suruh

TTD (Tablet Jika YA

NIK (Nomor Induk BB Tambah Darah) brp butir
TANGGAL Tanggal BB TB LILA Kehamil
No No Kartu Keluarga Kependudukan) Nama sebelum ALAMAT RT RW
LAHIR pengukuran (Kg) (Cm) (Cm) an ke 1=YA TTD
atau NO KTP hamil
2=Tidak didapat

1 3503141007090001 3503144510930001 DWI ROSI'DHA 48 NGLEBO 13 3 10/5/1993 1/1/2018 50 157 25 1 1 90

2 3503141010070113 3503145503020001 MONIKA VIALA VIRGA 45 NGLEBO 18 4 3/15/2002 1/10/2018 48 151 24 1 1 90
3 3503141003080004 3503145504800001 ISTIK AMALIYAH 75 NGLEBO 6 2 4/15/1980 1/13/2018 77 151 30 5 1 90
4 3503141004180009 3503147007930001 Yuliatin 40 NGLEBO 13 3 7/30/1993 1/29/2018 42 144 25 1 1 90
5 3503141002120003 3503144905860001 SULIANI 58 NGLEBO 18 4 5/9/1986 2/5/2018 60 150 27 2 1 90
6 3503142509130002 3503145512940001 SITI KOMARIAH 42 NGLEBO 4 1 12/15/1994 2/5/2018 43 153 22.5 2 1 90
7 3503142402052942 3503145409980001 EMA EVIYUNITA 44 NGLEBO 2 1 9/14/1998 2/12/2018 44 147 25 2 1 ABORTUS
8 3503142410070046 3503144812990001 WINDI SAHFITRI 52 NGLEBO 6 2 12/8/1999 3/13/2018 56 162 24 1 1 90
9 3503140906090002 3503145209010002 DINA SEFTI WAHYUNI 50 NGLEBO 14 3 9/12/2001 4/5/2018 53.5 156 26.5 1 1 ABORTUS
10 3503140112160004 3503144908970002 JEHAN RATNA SARI 45 NGLEBO 18 4 8/9/1997 3/28/2018 49 158 24 1 1 90
11 3503141901170001 3504176102840003 SUPRIHATIN 35 NGLEBO 2 1 2/21/1984 3/28/2018 36 148 21 2 1 90
12 3503142607170001 3503145706950001 NARA RESTIANA 58 NGLEBO 2 1 17-06-1995 3/28/2018 62 153 29 1 1 ABORTUS
13 3503142810100001 3503144708830001 MARWATI 50 NGLEBO 9 3 8/7/1983 4/9/2018 52 146 27 3 1 ABORTUS
14 3503140603120004 3503144412930003 DESTY ANA KHOLIFAH 58 NGLEBO 6 2 12/4/1993 4/26/2018 61 156 27 2 1 90
15 3503140911100001 3503014903880001 RESTI EKAWATI 45 NGLEBO 5 1 3/9/1988 4/27/2018 47 150 25 2 1 90
16 3503143006090004 3503145010900005 DWI LESTARI 60 NGLEBO 5 1 10/10/1990 5/3/2018 61 157 27 2 1 90
17 3503141810100009 3503144506890001 SUCI RAFIKA YUNI 60 NGLEBO 1 1 6/5/1989 5/10/2018 61 152 26 2 1 90
18 3503142606090004 3504096711770001 SUNARSIH 54 NGLEBO 11 3 11/27/1977 5/12/2018 60 147 26 4 1 90
19 3503140211070016 3503145208830003 SRI NARYATUN 52 NGLEBO 8 2 8/12/1983 5/14/2018 52 151 25 4 1 90

20 3503142210100003 3503144409860001 SAMINI 70 NGLEBO 4 1 9/4/1986 5/24/2018 72 160 27 2 1 90

21 PARTINI 65 NGLEBO 2 1 6/30/2018 65 150 30 4 1 90
22 3503142402050885 3503144712870001 ISA CHRISYEINA 45 NGLEBO 6 2 12/7/1987 7/4/2018 45 152 24 1 1 90
23 3503141312100009 3503036110850005 SUTINI 48 NGLEBO 17 4 10/21/1985 7/18/2018 49.5 151 24 2 1 ABORTUS
24 3503140110150004 3503146803970002 NANDA PANGESTIKA 48 NGLEBO 18 4 3/28/1997 7/30/2018 49 150 26 2 1 90

25 3503142402051687 3503146807980002 YULIAN ANGGRAINI 45 NGLEBO 18 4 7/28/1998 8/9/2018 46 154 24 1 1 ABORTUS

26 3503142405120003 3503146801940001 SUSI RETNOWATI 50 NGLEBO 11 3 1/28/1994 8/20/2018 50 156 26 2 1 90

27 3503141111100011 3503144407920001 SITI KHOLIPAH 43 NGLEBO 16 4 7/4/1992 8/28/2018 45 150 25 3 1 90
28 3503142107170001 3503145712950001 DWIA RESTYANINGSIH 42 NGLEBO 13 3 12/17/1995 8/10/2018 42 156 23 3 1 90
29 3503142207090004 3503147006820001 NINIK RIANI 60 NGLEBO 7 2 6/30/1982 9/16/2018 64 153 30 4 1 90
30 3503142607170001 3503145706950001 NARA RESTIANA 73 NGLEBO 2 1 17-06-1995 9/18/2018 74 153 30 2 1 30

31 3503141010070023 3503145103770001 SULASMI 58 NGLEBO 7 1 3/11/1977 10/8/2018 61 158 26 3 1 30

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