PEMERINTAH KABUPATEN SOLOK SELATAN

DINAS KESEHATAN
UPT PUSKESMAS SUNGAI PAGU
Jln. Raya Pasar Muara Labuh
Email : uptpuskesmassungaipagu@gmail.com

FORMAT SASARAN BALITA

Provinsi : SUMATERA BARAT

Kabupaten /Kota : SOLOK SELATAN
Puskesmas : MUARA LABUH
Posyandu : BANGKO BENTENG
Bulan :

IMUNISASI
NIK (Nomor Induk Anak TANGGAL BBL ASI MTBM/
No NAMA ANAK U JK NAMA AYAH NIK ORANG TUA BB TB LK YG SDH SDIDTK MTBS
Kependudukan) Ke LAHIR (Kg) EKLUSIF
DITERIMA BRP KALI
1 1311025111170001 2 HILYATUL HUSNA 11/11/17 P 3,4 ROZIANTO 1311020205830002
2 1311021012170001 2 ADIANTA ADELO BRAMTA 10/12/17 L 3,2 EDI MESRA 3175100607730006
3 3 ZIVANA RONAL SAPUTRI 15/12/17 P 3,5 RONALD HENDIOZA 1311022303830002
4 3 CHAYRA FHAYOLA NHADIVA 09/03/18 P 2,8 PADRI 1311021608840004
5 1311022205180002 1 MUHAMMAD ARFA 22/05/18 L 2,9 TODI PETRA 1311020112910003
6 1311022205180001 2 MUHAMMAD ARFI 22/05/18 L 3,1 TODI PETRA 1311020112910003
7 2 VIONA DWI AZHARI 27/06/18 P 3,2 PERI MAITIKA 1311060605920003
8 3 KENZI 26/07/18 L 3 ANDI FARMA 1311021007770003
9 3 KENZA 26/07/18 P 3 ANDI FARMA 1311021007770003
10 1 DAI RIZAL RAFIF 08/09/18 L 2,9 AMRIZAL 1311020404820008
11 1 M.ASSALAM ASAFIH 16/10/18 L 2,7 MAI RINALDO 1311020105880002
12 1 ADHA FIAN MAUZA 18/12/18 L 3 SANDRO DWI FIRGO 1311021508880005
13 1 M. GIBRAN FAAZ 17/12/18 L 3,2 REINALDO MARARESTA 1371030206850005
14 1 ZHAFRAN SHARIQ SIDDIQ 28/01/19 L 3,4 RONI ABDULLAH 1311032508820003
15 1 FARHAN ALMUBARAK 12/01/19 L 3,5 YESRI SANTONO 1311021509890002
16 1311021703190001 1 RAFI HIDAYAH 17/03/19 L 3 TAUFIK HIDAYAH 1311020407930001
17 3 NAVIS IZATUL AZIZ 06/05/19 L 2,8 REKKI SERVEN 1371081801640002
18 1 GIBRAN HABIB UTOMO 10/06/19 L 3,6 BEJO UTOMO
19 1311021007190002 1 AULIAN AKBAR. M 10/07/19 L 3,6 IQBAL SYAHRIZAL 3201021106960011
20 4 AZILA PUTRI AYRA 10/07/19 P 3,7 ADI CANDRA 1311021012770001
21 5 MUHAMMAD BELVA 31/07/19 L 3 EDI MESRA 3175100607730006
22 1311020110900002 2 ARVINO GIANDRA RAMON 01/10/19 L 3,2 RAYMOND RAMON 1311023101940001
23 3 NISWATUL MARDIAH 11/10/19 P 3,4 ROZIANTO 1311020505830002
24 1 SYARIQ PATIH ARDILLA 12/11/19 L 2,9 AGUSFINA ARDILA 1310011908910001
25 3 RAHIL PRADANA PUTRA 07/12/19 L 3,1 NASRIZAL 1307090705810001
26 1 GIBRAN ALFAN AL HUSEN 02/12/19 L 2,5 EPRINALDI
27 2 IBNU KHATIB AL-FURKHAN 14/01/20 L 3,5 MAI RINALDO
28 1 MAY SAKILA 31/03/20 P 3,5 MUNAWAR HASIBUAN
29 3 ANIFA RAMADHANI 27/04/20 P 3,5 JONI ISRIANTO
30 2 NAZWA RAHIMA 07/06/20 P 3,6 OKSIL NOFRIADI
31 4 HAMIZAN BILFAQIH 10/06/20 L 3,9 SYAFRIANTO
32 1 AQLAN HARITH WARMAN 19/07/20 L 3,4 HANDRA WARMAN
33 1 ARPAN NAUFAL AGUSTAF 04/08/20 L 2,7 ROBI APRIANTO
34 1 M.REYFAN ALFARISKI 11/08/20 L 3,5 DIDI MARTONI
35 1 MUHAMMAD FABIAN 24/08/20 L 3,4 HENDRA PUTRA
36 4 NASHWA DZAKIRA 29/11/20 P 3,3 INDRA NOFRIANTO
37 2 AFIFAH NASYA ZARETA 06/12/20 P 3,4 SEPRI JULNEDI
38 3 M. AKRAM 05/01/21 L 3,5 RONI ABDULLAH
39 3 SAHIRA GUFRANA KAMILA 16/04/21 P 3,6 IRVAN ARIANTO
40 5 M. ALFATIH 07/05/21 P 3,4 AGUS SURIANTO
41 3 ARINA 09/05/21 P 3,4 RONI ABDULLAH 1311032508820003
42 2 ARUMI SADQIYAH 24/10/21 P 3,1 RIDHO SEFRATAMA
43 2 WARIDSU RAZZAQ 20/11/21 L 2,9 PERI MAI TIKA
44 1 ATIFA LIVIA 07/12/21 P 2,8 M. ROZALI
45 4 ABDUL QADIL AL ZAILANI 12/01/22 L 3,4 RONAL HENDRI
46 2 AZLAN 16/01/22 L 3,3 FISKI JENDRI FAUZI
47 1 ZEA HONESTY HAZIMAH 15/02/22 P 3,1 DEKI AFRI
48 3 MUHAMMAD AFTAR 03/05/22 L 3,4 AMRIZAL
49 3 AISYAH AILA FARISA 07/07/22 P 3 SAMSUARDI
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