Tabulasi Desa Mantun

No.
NO. Urut No.Urut Alamat JENIS KELAMIN

Bgunan (RT) Nama KK Nama Anggota Keluarga
Kel
L
1 1 6 IRAWANSYAH IRAWANSYAH 1
2 2 6 HERIYONO HERIYONO 1
3 3 6 SURAENI SURAENI
4 4 6 HABIDAH HABIDAH
5 5 6 PARDIANSYAH PARDIANSYAH 1
6 HILDA ANGGI P.
7 6 6 AGUSTINUS .A.M AGUSTINUS .A.M 1
8 SARKIYAH
9 7 6 I NENGAH USADA I NENGAH USADA 1
10 KETUT SUNDARI
11 ADE PUTRA PRATAMA 1
12 8 6 MUHAMMAD MUHAMMAD 1
13 KUSNIATI
14 KUMALAYANA
15 9 6 JUNAEDI JUNAEDI 1
16 SITI KHADIJAH
17 WANIZLA ISLAMI FARDIAN
18 10 6 SUKRI WANDI SUKRI WANDI 1
19 AYU KEPISNAWATI
20 LALU REZA 1
21 11 6 HILMANSYAH HILMANSYAH 1
22 NURKEMAH
23 MOEKTI SABIRIN
24 12 6 MUHAMMAD SUBHI .S MUHAMMAD SUBHI SALIM 1
25 KARTIKA KIALA PUTRI
26 M. REYSHAKA A.S 1
27 13 6 EKO SUPRIANTO EKO SUPRIANTO 1
28 JANWARINI
29 AZQIYA .M
30 M. ARSYA .G 1
31 14 6 MOHAMAD NUR SALEH MOHAMAD NUR SALEH 1
32 BUDIASIH
33 VIONEIDA PLA
34 INE NINA VEINGESDA
35 15 6 MUNAWIR HARIS MUNAWIR HARIS 1
36 RENI HANDAYANI
37 AHMAD SIBYANUL MUBARAK 1
38 KAYSHA AZIZA
39 16 6 HUSNAN HUSNAN 1
40 NURHASANAH
41 HUSWATUN HASANAH
42 ROFI PURMANTI 1
43 17 6 ISMAIN ISMAIN 1
44 NURHAYATI
45 KARNO 1
46 PAHROL ROZI 1
47 18 6 MOH. SYAHBUDDIN MOH. SYAHBUDDIN 1
48 ARI ANTI DEWI
49 QIANA NUR MEDINAH
50 SHANUM AZKADINA
51 19 6 MAHSUS MAHSUS 1
52 IDARUL AINI
53 ZULMI .R.P 1
54 KAYSHA AZIZAH
55 20 6 SYARIFUDDIN SYARIFUDDIN 1
56 SRI SUSANTI
57 M. RIDWAN 1
58 RFIKA DWI . D
59 21 6 MUHAMMAD SAHID MUHAMMAD SAHID 1
60 TENANG
61 ANDI SATRIAWAN 1
62 RISKI WAHYU FEBRIANSYAH 1
63 22 6 DARMAWAN DARMAWAN 1
64 BAIQ YUNI PURNAMANINGSIH
65 AMELSYA YUWANDINI
66 LISA ADELASILFI
67 23 6 AMAQ SAHINI AMAQ SAHINI 1
68 SITI AMINAH
69 AHMAD ZAKIR ILHAM 1
70 RESAM 1
71 24 6 KUSMANDI KUSMANDI 1
72 HARTATI
73 ABDUL AZIS 1
74 ARDIANSYAH 1
75 25 6 AGUS SAMSI AGUS SAMSI 1
76 ASIH SRI LESTARI
77 DANIAR ARIFANDY SETYA NUGRAHA 1
78 ULYA AFIFAH
79 26 6 KASIRAN KASIRAN 1
80 SRI HARDINI
81 M. RAFASYA .A.R 1
82 YASMIN HASNAH
83 27 6 ZULKIFLI ZULKIFLI 1
84 ROHANI
85 SULTAN 1
86 M. AQRI 1
87 28 6 MUHAMMAD NASRULLAH MUHAMMAD NASRULLAH 1
88 KURNIATI
89 FARHAN 1
90 AQILAH SALSABILA
91 ANSHOR PUTRA MADANI
92 29 6 SABIRIN SABIRIN 1
93 JAOSIAH
94 SHOBRI ROHMAN 1
95 MUH.GAZALI ALGIFARI 1
96 30 6 ZAINAL ABIDIN ZAINAL ABIDIN 1
97 RABIATUL HADAWIYAH
98 AYU DESY RAHMADANI
99 NOVIA SOFIANTY
100 NOVA JULIANZA SAPUTRA 1
101 31 6 MAUN DOKO MAUN DOKO 1
102 MARIANI
103 DIKY PRATAMA PUTRA 1
104 AGIL PRASATIYO 1
105 ABIL ALZAM ARSALA'AN 1
106 32 6 SUHERMAN SUHERMAN 1
107 SUSILAWATI
108 KHAYRA SAHRANI
109 M. FAISAL DINATA 1
110 33 6 ABDUL MAHSANI ABDUL MAHSANI 1
111 ROHNIATY
112 MUHAMMAD ANDRIAN SANI 1
113 NAYLA SALSABILA SANI
114 SAPOANDI 1
115 34 6 YASMI MAULI YASMI MAULI 1
116 TITIK YUNIARTI
117 M.DANU MAULANA PUTRA 1
118 DZAKIYA PUTRI QURRATA A'YUN
119 AISYAH AZ-ZAHRA MAULIDA
120 35 6 JAHARUDIN JAHARUDIN 1
121 DARMAWATI
122 RIA FITRI RAHMAWATI
123 RADITYA ILHAM MAOLANA 1
124 RAKA ADITYA MANGGALIH 1
125 36 6 AHMAD YANI AHMAD YANI 1
126 QOMARIAH
127 SITI ZUHRATUL HAYANI
128 MOH. ROYYAN SHAUQI 1
129 RIYANA MUTIA .A
130 37 6 SEMAAN SEMAAN 1
131 SAHINI
132 MULYADI 1
133 SATRIAWAN 1
134 SUKMA NUR ANGGRAENI
135 ANGGA PRAYUDA 1
136 AHMAD HENDRA SAPUTRA 1
137 KUSMAWADI 1
138 38 6 MARHAN MARHAN 1
139 SAKYAH
140 HABIBURRAHMAN 1
141 WIHDATUL AULIA
142 FIKRUL ADYAN 1
143 39 6 SUHAILI YAHYA SUHAILI YAHYA 1
144 TIKARIA FITRIATI
145 PUTRI RENGGANIS
146 TATAS FHARABI .A 1
147 M. ZAYID FAJRUL .R 1
148 40 6 DWI MUHAMMAD .A DWI MUHAMMAD .A 1
149 LULUK SAMIASIH
150 ABIMANYU RIZKY 1
151 LUTFI DWI AJI .P 1
152 YUKI NURAZMI 1
153 M. FAUZAN 1
KETERANGAN KELUARGA
JENIS KELAMIN Umur (Tahun,
Tanggal Lahir NIK Pekerjaan Hamil
P Bulan)
31/03/1973 49 Thn 11 Bln 5204083103730004 WIRASWASTA
10/11/1979 43 Thn 4 Bln 5204111011790005 KARYAWAN
1 08/08/1986 36 Thn 7 Bln 5207084808860003 IRT
1 31/12/1971 #VALUE! 5203084107731338
29/01/2000 23 Thn 1 Bln 5207041901000002 KARYAWAN
1 10/01/1999 24 Thn 2 Bln 5207085001990003 IRT 1
4/10/1965 57 Thn 11 Bln 5207081004650001 KARYAWAN
1 12/25/1979 43 Thn 3 Bln 5207086512790001 IRT
13/08/1967 55 Thn 7 Bln 5207081308670001
1 05/07/1979 43 Thn 8 Bln 5207084507790001 PEDAGANG
03/06/2013 9 Thn 9 Bln 5207080306130001
07/03/1970 52 Thn 8 Bln 5207080703700001 PETANI
1 04/05/1973 49 Thn 11 Bln 5207084204720001 PEDAGANG
1 24/09/2006 #VALUE! 5207086409060002 PELAJAR
02/02/1979 44 Thn 1 Bln 5207080202790006 KARYAWAN
1 16/06/1986 #VALUE! 5207085606860001 IRT
1 17/06/2009 #VALUE! 5207085706090002 PELAJAR
21/12/1993 29 Thn 3 Bln 5207082112930002
1 06/11/1979 43 Thn 4 Bln 5207084611790001
17/04/2017 5 Thn 11 Bln 5207081704170001
29/08/1979 43 Thn 6 Bln 5207082808790002 KARYAWAN
1 27/06/1974 48 Thn 9 Bln 5204186708740002 IRT
1 21/11/2013 9 Thn 4 Bln 5203082111130004 PELAJAR
01/08/1995 27 Thn 7 Bln 5207080106950001 KARYAWAN
1 20/04/1996 26 Thn 11 Bln 5207086004950003 IRT
28/07/2020 2 Thn 7 Bln 5207082807200002 ANAK
13/10/1980 42 Thn 5 Bln 5207081310800001 KARYAWAN
1 09/01/1989 34 Thn 2 Bln 5207084901890001 IRT
1 07/02/2014 9 Thn 1 Bln 5207084702140001 PELAJAR
05/05/2018 4 Thn 10 Bln 5207080505180001 ANAK
05/07/1970 52 Thn 10 Bln 5207080507700004 KARYAWAN
1 21/04/1971 #VALUE! 5207086104710001 GURU
1 03/10/1999 24 Thn 0 Bln 5207084310990001 KARYAWAN
1 17/10/2011 #VALUE! 5207085710110002 PELAJAR
28/01/1983 #VALUE! 5207084607950001 KARYAWAN
1 06/07/1995 27 Thn 9 Bln 5207080601150001 PEDAGANG
06/01/2015 7 Thn 9 Bln 5207085901190001 ANAK
1 19/01/2019 #VALUE! 5207080908810001 ANAK
1 31/12/1974 #VALUE! 5207087112740011 IRT
1 16/07/1998 #VALUE! 5207085607980001
30/10/2004 #VALUE! 5207087010040002
1 17/11/1974 #VALUE! 5207085711740001 IRT
18/04/1998 #VALUE! 5207080208990001 SWASTA
01/07/1992 30 Thn 8 Bln 5207080107920002 KARYAWAN
1 02/08/1990 32 Thn 7 Bln 5204135208900001 IRT
1 02/06/2015 7 Thn 9 Bln 5207084206180003 PELAJAR
1 24/11/2019 3 Thn 4 Bln 5207080411190001 ANAK
31/12/1979 43 Thn 2 Bln 5207083112790018 KARYAWAN
1 12/31/1992 30 Thn 2 Bln 5203147112910051 IRT
6/6/2016 6 Thn 9 Bln 5207080606160001 ANAK
1 4/17/2018 4 Thn 11 Bln 5207085704180001 ANAK
1 16/07/1976 46 Thn 8 Bln 5207085607760001 KARYAWAN
06/12/2006 16 Thn 3 Bln 5207080612060002 PELAJAR
1 13/05/2008 14 Thn 10 Bln 5207085305080001 PELAJAR
05/05/1955 67 Thn 10 Bln 5207080505550001 PETANI
1 02/06/1956 67 Thn 1 Bln 5207084206670001 IRT
11/11/1991 31 Thn 4 Bln 5207081111910001 ANAK
25/02/2009 #VALUE! 5207082502090001 CUCU
09/11/1979 43 Thn 6 Bln 5207080910790003 KARYAWAN
1 10/06/1990 32 Thn 5 Bln 5207085006900001 IRT
1 12/01/2013 9 Thn 3 Bln 5207085201130001 PELAJAR
1 15/02/2020 #VALUE! 5207085502200002
03/05/1946 77 Thn 0 Bln 5207080305460001 PETANI
1 04/12/1970 52 Thn 11 Bln 5207084412700002 IRT
25/11/2004 #VALUE! 5207082511040002 PELAJAR
31/12/1972 #VALUE! 5207087112720011 WIRASWASTA
10/10/1970 52 Thn 5 Bln 5207081010700004 PEDAGANG
1 05/10/1970 52 Thn 10 Bln 5207084510700002 IRT
20/12/1993 #VALUE! 5207082012930001 KARYAWAN
18/04/2001 #VALUE! 5207081804010001
01/05/1970 53 Thn 2 Bln 5207080105700001 KARYAWAN
1 27/11/1971 #VALUE! 5207086711710001 IRT
10/01/2005 17 Thn 5 Bln 5207081001050001 PELAJAR
1 15/06/2007 #VALUE! 5207085506070001 PELAJAR
1 10/07/1992 30 Thn 8 Bln 5202115007920002 GURU
18/07/2018 4 Thn 8 Bln 5207081807180002 ANAK
1 13/05/2022 0 Thn 10 Bln 0 BAYI
13/01/1984 39 Thn 2 Bln 5207011301840003 KARYAWAN
1 09/12/1984 38 Thn 3 Bln 5201094912840001 IRT
25/10/2008 14 Thn 5 Bln 5207012510080001 PELAJAR
28/09/2018 4 Thn 5 Bln 5207012809180001 ANAK
07/04/1976 46 Thn 8 Bln 5207080704760001 KARYAWAN
1 09/03/1980 42 Thn 6 Bln 5207084903800001 IRT
01/06/2001 22 Thn 2 Bln 5207080106010002 ANAK
1 12/10/2015 7 Thn 3 Bln 5207085210150002 PELAJAR
07/03/2006 16 Thn 8 Bln 5207080703060002 PELAJAR
31/12/1959 #VALUE! 5207083112590003 PETANI
1 31/12/1967 #VALUE! 5207087112670005 IRT
05/07/1997 25 Thn 10 Bln 5207080507970001 KARYAWAN
20/06/2005 #VALUE! 5207082006050001 PELAJAR
03/11/1969 54 Thn 0 Bln 5207080311690001 KARYAWAN
1 02/06/1977 46 Thn 1 Bln 5207084206770003 IRT
1 30/12/1998 #VALUE! 5207087012980001 SWASTA
1 03/11/2001 22 Thn 0 Bln 5207084311010001 PELAJAR
29/07/2009 #VALUE! 5207082907090001 PELAJAR
25/05/1967 #VALUE! 5207081505670001 KARYAWAN
1 08/11/1980 42 Thn 7 Bln 5207085812810001 IRT
22/03/2001 #VALUE! 5207082303010003 PELAJAR
12/05/2015 7 Thn 3 Bln 5207081205150003 PELAJAR
14/01/2020 #VALUE! 5207081401200002 ANAK
23/06/1999 23 Thn 9 Bln 5202102306990005 KARYAWAN
1 10/11/1999 23 Thn 4 Bln 5207085011990001 IRT
1 31/05/2021 1 Thn 9 Bln 5207087105210001 BAYI
19/11/2022 0 Thn 4 Bln 5207081911220001 BAYI
12/04/1979 43 Thn 11 Bln 5207081204790001 KARYAWAN
1 17/08/1980 42 Thn 7 Bln 5207085708800002 IRT
25/04/2004 18 Thn 11 Bln 5207086504040001 PELAJAR
1 31/03/2011 11 Thn 11 Bln 5207087103110002 PELAJAR
27/12/1990 32 Thn 3 Bln 5207082712900001 SWASTA
31/01/1976 #VALUE! 5207083101790001 KARYAWAN
1 08/06/1976 46 Thn 7 Bln 5207084806760002 GURU
08/05/2004 18 Thn 7 Bln 5207080805040001 PELAJAR
1 12/07/2011 11 Thn 3 Bln 5207085207110001 PELAJAR
1 09/04/2020 2 Thn 6 Bln 5207084904200001 BAYI
07/08/1978 44 Thn 8 Bln 5207080708780002 TUKANG
1 05/06/1982 40 Thn 10 Bln 5207084506820002 IRT
1 02/05/1999 24 Thn 1 Bln 5207084505990001 GIZI (DI TONGO)
07/08/2006 16 Thn 8 Bln 5207080708060001 PELAJAR
02/01/2008 15 Thn 1 Bln 5207080201080001 PELAJAR
31/12/1983 #VALUE! 5203083112830146 KARYAWAN
1 31/12/1991 #VALUE! 5203087112910146 GURU
1 24/06/2009 #VALUE! 5203086406090004 PELAJAR
01/05/2018 5 Thn 2 Bln 5203080105180004
1 9/16/2022 0 Thn 6 Bln 0 BAYI
20/03/1962 #VALUE! 5207082003620001
1 01/06/1965 58 Thn 2 Bln 5207084106650002
19/04/1996 #VALUE! 5207081904960002 KARYAWAN
10/11/1997 25 Thn 5 Bln 5207080110970001 KARYAWAN
1 28/12/2000 #VALUE! 5207086812000002 KARYAWAN
27/09/2004 #VALUE! 5207082709040002
19/06/2011 #VALUE! 5207081906110001
31/12/1991 31 Thn 2 Bln 5202073112910115
31/12/1974 #VALUE! 5207083112740009 KARYAWAN
1 17/08/1989 #VALUE! 5207085708890002 IRT
03/03/2003 20 Thn 0 Bln 5207080303030002 PELAJAR
1 19/12/2010 #VALUE! 5207085912100001 PELAJAR
05/07/2016 6 Thn 10 Bln 5207080507160001 PELAJAR
6/16/1977 45 Thn 9 Bln 5202111606770001 KARYAWAN
1 5/11/1984 38 Thn 10 Bln 5207085105840003 PLKB
1 12/24/2007 15 Thn 3 Bln 5207086412070002 PELAJAR
10/16/2011 11 Thn 5 Bln 5207081610110001 PELAJAR
4/6/2019 3 Thn 11 Bln 5207080604190001 ANAK
11/15/1972 50 Thn 4 Bln 5207081511720002 KARYAWAN
1 11/6/1981 41 Thn 4 Bln 5207084611810001 IRT
27/07/2003 19 Thn 8 Bln 5207082707030001 PELAJAR
11/25/2006 16 Thn 4 Bln 5207082511060002 PELAJAR
5/16/2009 13 Thn 10 Bln 5207085905080001 PELAJAR
9/16/2011 11 Thn 6 Bln 5207081609110002 PELAJAR
TABULASI DATA PENDATAAN DESA MANTUN
KECAMATAN MALUK TAHUN 2023
KESEHATAN LINGKUNGAN
Busui No. Hp Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9
1 0 1 1 1 1 1 0 0
1 1 1 1 1 0 0 0 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 0 1
1 1 1 1 1 1 0 0 1
1 1 1 1 1 1 1 0 0 1
1 1 1 1 1 1 0 0 1
1 1 1 1 1 1 0 0 1
1 1 1 1 1 0 0 1 1
1 1 1 1 1 0 0 1 1
1 1 1 1 1 0 0 1 1
1 1 1 1 1 0 0 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
SA MANTUN
N 2023
RIWAYAT KESEHATAN KEL

Keterangan
Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 1 1 0 0 0
SUMUR GALI TERLINDUNGI 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 1 0 0
0 0 1 1 1 0 0 0 0 0 0
0 0 1 1 1 0 0 0 0 0 0
0 0 1 1 1 0 0 0 0 0 0
0 0 1 1 1 0 0 0 0 0 0
0 0 1 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0 0
RIWAYAT KESEHATAN KELUARGA
Q12 Q13 Q14 Q15 Q16 Q17 Q18 Q19 Q20 Q21 Q22 Q23 Q24
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 1 0 0 1 0 0 0 0 1 0
0 0 0 1 0 0 1 0 0 0 0 1 0
0 0 0 1 0 0 1 0 0 0 0 1 0
0 0 0 1 0 0 1 0 0 0 0 1 0
0 0 0 1 0 0 1 0 0 0 0 1 0
0 0 0 1 0 0 1 0 0 0 0 1 0
Keterangan Pengumpul Data
PERNAH TB DULU
ISTRI SEDANG HAMIL
PISAH (TINGGAL DI BALAS)

PEDAGANG (JANDA)
PROGRAM HAMIL
INGGAL DI MALUK LOKA

JANDA
MAU PROGRAM HAMIL
ISTRI DI LOMBOK
ISTRI DI LOMBOK
ISTRI PERNAH HIPERTENSI

KB SUNTIK
ISTRI STROK
KB KALENDER
KB SUNTIK
KB SUNTIK
HIPERTENSI
PERNAH DM
KB SUNTIK
HIPERTENSI, TDK PERNAH PERIKSA

HIPERTENSI
MINUM OBAT TERATUR
SUAMI STRUK RINGAN
ISTRI KB PIL
PERNAH PUNYA HIPERTENSI DULU
ANGGOTA KLUARGA DULU DM

KB SUNTIK
SUAMI PERNAH HEPATITIS

HIPERTENSI
KB SUNTIK
KB STERIL
ISTRI SEDANG MENYUSUI

ISTRI KB SUNTIK
ISTRI KB SUNTIK
ISTRI KB STERIL
ISTRI KB PIL
ISTRI KB IMPLAN
SUAMI GANGGUAN JIWA

ISTRI TDK KB (PISAH RUMAH)
ISTRI KB IMPLAN
ISTRI KB STERIL
ISTRI KB PIL
GEJALA PNEMONIA
No. KE
No.Urut Alama JENIS
NO. Urut
Bgunan t (RT) Nama KK Nama Anggota Keluarga KELAMIN
Kel L
1 1 7 KADIR KADIR 1
2 2 7 BQ. WLIMAH BQ. WLIMAH
3 L. ARI KUNRINAWAN 1
4 3 7 ASRIADI ASRIADI 1
5 Hj. SAHNIM
6 4 7 MURTINI MURTINI
7 ARJUNA RESTU 1
8 5 7 AGUS PRIHATIN AGUS PRIHATIN 1
9 HAERIAH
10 6 7 SUGIANTO SUGIANTO 1
11 LIA CANDRA
12 7 7 JULIANA JULIANA 1
13 ANGGI PUTRI .A
14 8 7 MIRAH MIRAH
15 ARJUNA 1
16 9 7 RUSLAN RUSLAN 1
17 NURUL ISLAM NIA
18 10 7 BUYUNG SUBANDI BUYUNG SUBANDI 1
19 SITI HAJAR
20 ANNISA SALSABILA
21 11 7 EDY SOPIAN EDY SOPIAN 1
22 FARIDAH
23 ADAM AL-ASKAN 1
24 12 7 NINING ROSULIHATI NINING ROSULIHATI
25 HANIFA NABI'IL .W
26 HADIT AL-FAKIH 1
27 13 7 IMAM MULYADI IMAM MULYADI 1
28 MARINA
29 NADIRA RIZKY
30 14 7 HERI WIBOWO HERI WIBOWO 1
31 TOREZYA ANGGRAINI
32 ANINDYA NAIFA.N
33 15 7 IKHSANUL SANI IKHSANUL SANI 1
34 RIMA PRIHATIN
35 DANEEN HANUM
36 16 7 SAMAAN SAMAAN 1
37 WIDIYA WATI
38 KHOLIL ALGONI 1
39 17 7 SITI AISYAH SITI AISYAH
40 FAROSSI JULIANDA 1
41 MAFAZA AISYAH
42 18 7 BP ROFI ASWARI BP ROFI ASWARI 1
43 INQ ROFI ASWARI
44 AQILA PUTRI RAMADANI
45 19 7 PARIS SUTIAWAN PARIS SUTIAWAN 1
46 SAUPIAH
47 M. THABIB RIZKI AL-HASIBI 1
48 ANINDIA LAILATUL
49 20 7 ADE IRAWAN ADE IRAWAN 1
50 SHINTA EKA DEWI
51 MUHAMMAD ISLAMYAH 1
52 AHMAD NIDAL 1
53 21 7 FRAYUDIANSYAH FRAYUDIANSYAH 1
54 ELY ANDRIANY
55 NABILA AZ-ZAHRA
56 MUHAMMAD ZAQWAN 1
57 22 7 NAZIM NAZIM 1
58 FARIAL 1
59 RANIA AZURA
60 MUHAMMAD RAZAN 1
61 23 7 M. RUDI M. RUDI 1
62 USWATUN HASANAH
63 DHIRGAM HAIDAR 1
64 ZIA ALMA KHAIRA
65 24 7 HAMZAN WADI HAMZAN WADI 1
66 RINI LISMAWATI
67 KHALISA AGHNIA
68 UWAIS 1
69 25 7 HUSNAN HUSNAN 1
70 NURHASANAH
71 USWATUN HASANAH
72 ROFI PURMANTI
73 26 7 SUWANDI SUWANDI 1
74 YUNI JUMATIN
75 FATUR RAHMAT 1
76 MUHAMMAD FADIL 1
77 27 7 SUBLI SUBLI 1
78 NOVIANTI
79 SAKHA ARKAN 1
80 SULTAN SKAILAR 1
81 28 7 FAOZAN FAOZAN 1
82 EKA PUSPITA SARI
83 IBNU RAYAN 1
84 ASHALINA
85 29 7 IBRAHIM IBRAHIM 1
86 MISTUM 1
87 ADI MULIA HARTONO 1
88 AMIRUDDIN 1
89 30 7 ISMAIN ISMAIN 1
90 NURHAYATI
91 KARNO 1
92 PAHROL ROZI
93 31 7 A. HARIS ISMAIL A. HARIS ISMAIL 1
94 SRI PUJI ASTUTU
95 SIGIT MAULANA 1
96 NADIA A. HARIS
97 ADI JANIL 1
98 32 7 SOFIAN SOFIAN 1
99 NURYATI
100 SHERA SASI KIRANA
101 NABILA PUTRI
102 MUHAMMAD ABI 1
103 33 7 ADE WIJAYA ADE WIJAYA 1
104 RINA ARIANI
105 ALKHALIFI ADRIAN 1
106 AIMAR RADINKA 1
107 DZIKRIAH AISYAH 1
108 34 7 SUDIRMAN SUDIRMAN 1
109 RAHMI
110 ARDADIN MULYADIN 1
111 ANDI ARYADIN 1
112 ADITYA AIRLANGGA 1
113 RIZAL 1
114 35 7 SUKRIMIN SUKRIMIN 1
115 JUSMIATI
116 JULIANI TAMARA
117 ZAQIRULLAH 1
118 MOHAMMAD FATHIR 1
119 SALWA NAJWA
120 36 7 SAHRUDDIN SAHRUDDIN 1
121 ETI NURHAYATI
122 MUHAMMAD IHSAN 1
123 FIKRI RAHMAN 1
124 FADHIL ABDILLAH 1
125 SAFWATI
126 37 7 HARI ISWANDI HARI ISWANDI 1
127 MAESARAH
128 ERLANGGA FEBRIAN 1
129 ADAM NOURIAH 1
130 APRILLATRI
131 38 7 NOBY PARITRANA NOBY PARITRANA 1
132 TITIN BUDIARTI
133 ANDIKA PRATAMA 1
134 DARA SHADIKA
135 ALFIAN RIZKITA 1
136 39 7 NURHIDAYATI NURHIDAYATI
137 RAHMAT RIPANDU 1
138 WINDA NABILA
139 M. ALFATIH 1
140 40 7 ALWIN M. YASIN ALWIN M. YASIN 1
141 ERMA SURYANI
142 GITA APRILIANI
143 DUWI ARISTA 1
144 NOVI SAPIA
145 41 7 SYAHRUDDIN SYAHRUDDIN 1
146 NURAINI
147 RAHMAN FARIO 1
148 JAHRAN FADILA 1
149 WAWAN KURNIAWAN 1
150 M. FIRDAUS 1
151 M. AZZAM 1
152 42 7 TRISNA NURMA TRISNA NURMA 1
153 NINING WINDRATINI
154 AHMAD MAILENDRA 1
155 RESTU TRINI 1
156 AZKA KHALIF 1
157 43 7 MUHAMMAD ALI MUHAMMAD ALI 1
158 SAKNAH
159 ALDI SAPUTRA 1
160 ULAN SUCI
161 RIZKY 1
162 44 7 BADRI BADRI 1
163 MARIANI
164 ADRIAN 1
165 AULA FITRIA
166 HANIMAH
167 45 7 TURMUDZI TURMUDZI 1
168 MISNAWATI
169 TRI WIDYA
170 VIAN ADITYA 1
171 RENO SALMAN 1
172 ELIF JASMINE
173 46 7 TOARANG TOARANG 1
174 RIANA
175 NOVA MAYA
176 NIVIEN KASIH
177 TRIA OKTAFIANA
178 MUAMMAR YAZID 1
179 47 7 KAIMAN KAIMAN 1
180 IDAYANTI
181 MUIZZ ARJUL 1
182 ASYIFAH NUR
183 MUZZAKI 1
184 48 7 MARZUKI IMRAN MARZUKI IMRAN 1
185 YULIANI
186 M. FAHMI 1
187 TOPAN 1
188 ABDUL KABIR 1
189 49 7 NURUL HIDAYATI NURUL HIDAYATI
190 TEGAR RISKY 1
191 M. DAFFA 1
192 50 7 LALU JOHAN PURWADI LALU JOHAN PURWADI 1
193 BQ. ROSA MARLIA
194 BQ. FELYCIA ZEINA
195 L. ELVAN 1
196 51 7 ARNIATI ARNIATI
197 AMRULLAH 1
198 ABRAR FAUZAN 1
199 ZHIDAN RAMADAN 1
200 52 7 EKO NUR RAMADHAN EKO NUR RAMADHAN 1
201 DINI HARYATI
202 RIDHO 1
203 MUHAMMAD GARDELI 1
204 53 7 LALU ABDUL RAHMAN LALU ABDUL RAHMAN 1
205 SITI JUMANAH
206 ANJANI NUR ASILAH
207 SESY MAULIDYA
208 M. MARVEL 1
209 LALU KIZI 1
210 BAIQ ASIKA
211 54 7 JAMALUDDIN JAMALUDDIN 1
212 ZUHRATUL AENI
213 AISYAH AILA
214 DHAFITA NIZZA
215 HAFSAH
216 55 7 ZULKIFLI ZULKIFLI 1
217 FATMAH
218 APRIL IYA
219 MUH. IRHAM 1
220 NAFISYA
221 56 7 NASRUL HAQ NASRUL HAQ 1
222 JUHURIAH
223 SAYNA PUTRI
224 MUH. ANDI D. A 1
225 MUH. ANDI ZAYN 1
226 57 7 NOVAL RANTONI NOVAL RANTONI 1
227 HUDWATUL. H
228 M. DAVA RIFKI 1
229 M. ABYAN 1
230 M. DZAWIN 1
231 58 7 ASRARUDIN ASRARUDIN 1
232 NURAENI
233 ULUL ILMI 1
234 WATIN HAYATI
235 HAIRUL IHTIAR 1
236 59 7 ISMAIL ISMAIL 1
237 ERLINA
238 ERISWANTO 1
239 FAOZAN SYAHPUTRA 1
240 FAOZAN JAZIB 1
241 TASMIRAH
KETERANGAN KELUARGA
JENIS
KELAMIN Umur (Tahun,
Tanggal Lahir NIK Pekerjaan Hamil Busui
P Bulan)
30/05/1996 26 Thn 9 Bln 5207083005660002
1 06/06/1959 63 Thn 9 Bln 5207084606590000 IRT
07/08/1995 27 Thn 7 Bln 5207080708950003 KAR. SWASTA
01/07/1994 28 Thn 8 Bln 5203080107941130 BURUH
1 30/12/1987 35 Thn 2 Bln 5203087012870020 IRT
1 17/12/1973 49 Thn 3 Bln 5207015712730002 GURU
08/10/2000 22 Thn 5 Bln 5207010810000001 PELAJAR
01/08/1977 45 Thn 7 Bln 5204050108770001
1 01/07/1978 44 Thn 8 Bln 5203084107781894 PIJIT
1 28/11/1998 24 Thn 3 Bln 5203086811980007 IRT 1
10/07/2001 21 Thn 8 Bln 5207080204030002 SWASTA
1 16/08/2001 21 Thn 7 Bln 5204245608010001 IRT 1
1 11/10/1963 59 Thn 5 Bln 5207085110630001 PEDAGANG
08/06/2007 15 Thn 9 Bln 5207080806070002 PELAJAR
11/04/1967 55 Thn 11 Bln 5207081507670002 SWASTA
1 01/07/1999 23 Thn 8 Bln 5205054107990354 ANAK
1 15/10/1998 24 Thn 5 Bln 5204205510980002 IRT
1 19/01/2018 5 Thn 2 Bln 5204145901180001
1 27/05/1988 34 Thn 10 Bln 5206056705881002 IRT 1
23/02/2016 7 Thn 1 Bln 5206052302160003 ANAK
1 06/06/1978 44 Thn 9 Bln 5207084606780004 PNS
1 24/08/2006 16 Thn 7 Bln 5207086408060001 ANAK
14/03/2010 13 Thn 0 Bln 5207081403100001 ANAK
26/07/1994 28 Thn 8 Bln 5271062607940001 DAGANG
1 21/05/1997 25 Thn 10 Bln 5204176105970001 DAGANG 1
1 20/10/2019 3 Thn 5 Bln 5207086010190001 ANAK
15/03/1994 29 Thn 0 Bln 5207081503940002 KADES
1 06/08/1997 25 Thn 7 Bln 5207084606970002 IRT 1
1 20/10/2021 1 Thn 5 Bln 5207082010210001 BAYI
07/02/1989 34 Thn 1 Bln 5203130702890001 GURU
1 29/12/1996 26 Thn 2 Bln 5203136912960002 IRT 1
1 04/11/2020 2 Thn 4 Bln 5203134411200002
16/11/1987 35 Thn 4 Bln 5203141611870002 DAGANG
1 31/12/1988 34 Thn 2 Bln 5203147112880193 DAGANG 1
20/09/2012 10 Thn 6 Bln 5203142009120002
1 07/07/1990 32 Thn 8 Bln 5203054707900009 KAR. SWASTA
17/01/2013 10 Thn 2 Bln 5203051701120001 1
1 29/07/2021 1 Thn 7 Bln 5207046907210001 BAYI
31/12/1975 47 Thn 2 Bln 5207083112750007 DAGANG
1 01/12/1979 43 Thn 3 Bln 5207087112790012 DAGANG
1 10/05/2019 3 Thn 10 Bln 5207086005190001 ANAK
16/02/1989 34 Thn 1 Bln 5203081602890003 GURU
1 06/07/1988 34 Thn 8 Bln 5203144607880004 IRT 1
20/03/2015 8 Thn 0 Bln 5207082003150002 PELAJAR
1 26/10/2021 1 Thn 5 Bln 0 BAYI
1 10/10/1979 43 Thn 5 Bln 5206185010790001 IRT
05/07/1998 24 Thn 8 Bln 5206180507980001
13/05/2018 4 Thn 10 Bln 5205011305180002 ANAK
1 17/09/1981 #VALUE! 347114570980001 IRT
1 26/02/1981 #VALUE! 52046602060003
15/11/2015 #VALUE! 5204221511150002
24/04/1982 #VALUE! 5204182404820005 KAR. SWASTA
20/06/1982 #VALUE! 5204186006820005 GURU
1 20/12/2012 #VALUE! 52041862012120006 PELAJAR
20/07/2015 #VALUE! 5304182007150001 PELAJAR
15/02/1993 #VALUE! 5207081502930001 KAR. SWASTA
1 22/09/1993 #VALUE! 5207086209930001 IRT
09/05/2014 8 Thn 10 Bln 5207080509140001 PELAJAR
1 19/07/2019 #VALUE! 5207085907190001 ANAK
17/08/1995 #VALUE! 5204171708950002 KAR. SWASTA
1 01/01/1991 32 Thn 2 Bln 5204144101870001 IRT 1
1 15/07/2019 #VALUE! 5207085507190001 ANAK
04/01/2023 Err:502 0 ANAK
1 31/12/1974 #VALUE! 5207083112740001 IRT
1 16/07/1998 #VALUE! 5207085607980001
1 30/10/2004 #VALUE! 5207087010040002
08/12/1976 46 Thn 7 Bln 5207080812760001 OJEK
1 27/03/1982 #VALUE! 5207086703820002 IRT
26/09/2007 #VALUE! 5207082609070002 PELAJAR
07/10/2012 10 Thn 8 Bln 5207080710120001 PELAJAR
1 28/11/1993 #VALUE! 5207086811930001 IRT 1
26/02/2016 #VALUE! 5207082502150007 PELAJAR
10/09/2020 2 Thn 5 Bln 0 ANAK
10/06/1977 45 Thn 5 Bln 5207081006770003 DAGANG
1 31/12/1988 #VALUE! 5207087112880013 DAGANG 1
25/02/2011 #VALUE! 5207082502110002 PELAJAR
1 08/08/2020 2 Thn 7 Bln 5207084808200001 ANAK
31/12/1968 #VALUE! 5207083112680008 TANI
09/06/1979 43 Thn 9 Bln 5207084609790003 TANI
04/04/2004 18 Thn 11 Bln 5207080404040003 PELAJAR
02/04/1992 30 Thn 11 Bln 5206030402920001 SWASTA
12/04/1965 57 Thn 11 Bln 5207080412650001 TDK KERJA
1 17/11/1974 #VALUE! 5207085711740001 TDK KERJA
1 18/04/1998 #VALUE! 5207080208990001 KAR. SWASTA
31/12/1975 #VALUE! 5207083112750017 BURUH
1 12/07/1977 45 Thn 3 Bln 5207085207770002 DAGANG
30/08/2005 #VALUE! 5207083008030002
1 25/07/2006 #VALUE! 5207086507060001
21/11/2011 #VALUE! 5207082112110001
1 23/06/1979 #VALUE! 3175036306790004 IRT
1 18/06/2004 #VALUE! 3201245806040005
1 13/03/2014 #VALUE! 5207085303140001
18/11/2016 #VALUE! 5207081811160001
1 16/06/1988 #VALUE! 5207085606880001 IRT
04/06/2012 10 Thn 11 Bln 5207080406120002
27/04/2016 #VALUE! 5204052704160001
16/09/2017 #VALUE! 5204055609170001
1 12/05/1985 37 Thn 3 Bln 5207085205850001 IRT
04/06/2002 20 Thn 11 Bln 5207082104040001
20/04/2004 #VALUE! 5207080205050001
26/05/2015 #VALUE! 5207082605150001
22/05/2000 #VALUE! 5207082205000003
1 28/03/1982 #VALUE! 5204226803820001 IRT
1 06/07/1998 24 Thn 9 Bln 5204224607980004
17/02/2009 #VALUE! 5204225702090002
24/06/2012 #VALUE! 5204222406120002
1 28/03/2019 #VALUE! 5207086803190001
14/06/1976 #VALUE! 5204171406760001 KAR. SWASTA
1 23/06/1976 #VALUE! 5204176306760001 IRT
29/08/2002 #VALUE! 5204172908020001
30/10/2004 #VALUE! 5204173010040001
23/02/2011 #VALUE! 5204172302110001
1 31/12/1943 #VALUE! 5204173112430001
16/03/1982 #VALUE! 5207011603820001 KAR. SWASTA
1 17/08/1979 #VALUE! 5207015708790002 IRT
21/02/2001 #VALUE! 5271022102020003 KAR. SWASTA
20/11/2003 #VALUE! 5271022011030002
1 30/04/2010 #VALUE! 5207017004100001
28/03/1984 #VALUE! 5207042803840001 KAR. SWASTA
1 07/06/1986 36 Thn 9 Bln 5271064607860003 IRT
05/03/2015 8 Thn 0 Bln 5271060305150002
1 01/10/2018 4 Thn 5 Bln 5271065001180003
17/07/2012 #VALUE! 5271061707120003
1 12/03/1982 41 Thn 0 Bln 5207084312820001 IRT
19/07/2003 #VALUE! 5207081907030005 PELAJAR
1 01/07/2012 10 Thn 8 Bln 5207084407110001
07/04/2018 4 Thn 11 Bln 5207080407180001
31/12/1976 #VALUE! 5207083112760021 KAR. SWASTA
1 06/11/1980 42 Thn 4 Bln 5207085106800002 IRT
1 04/01/1998 25 Thn 2 Bln 5207084104980002 SWASTA
1 11/06/2003 19 Thn 9 Bln 5207084611030001
1 10/12/1981 41 Thn 3 Bln 5207085210810001 IRT
25/02/2002 #VALUE! 5207082502020001 KAR. SWASTA
13/09/2006 #VALUE! 5207081309060002
23/10/2008 #VALUE! 5207082310080003
26/06/2011 #VALUE! 5207082606110001
14/08/2017 #VALUE! 5207051408170001
04/04/1984 38 Thn 11 Bln 5207080404840001 PNS
1 29/12/1980 #VALUE! 520708691380002 PNS
16/05/2013 #VALUE! 5207081605130001
01/03/2015 8 Thn 0 Bln 5207080301150001
13/03/2018 #VALUE! 5207081303180001
18/01/1985 #VALUE! 5207081207840002 PT. MACMAHON
1 05/02/1985 38 Thn 1 Bln 5207084205850001 IRT
28/01/2005 #VALUE! 5207082801050001 ANAK
1 09/12/2009 13 Thn 3 Bln 5207086703140002
27/03/2014 #VALUE! 5207082703140001
31/12/1976 #VALUE! 5271063112760024 KAR. SWASTA
1 11/01/1981 42 Thn 2 Bln 5271064111810001 IRT
23/08/2005 #VALUE! 5271062308050001
1 14/08/2012 #VALUE! 5207085408120001
1 31/12/1960 #VALUE! 5271067112600250
1 17/08/1981 #VALUE! 5207085708810001 IRT
1 05/08/2006 16 Thn 7 Bln 5207084508060002
18/10/2008 #VALUE! 5207080810080001
01/06/2012 10 Thn 9 Bln 5207080601120002
1 25/05/2020 #VALUE! 5207086505200001
1 08/04/1989 33 Thn 11 Bln 5207084408890001 IRT
1 13/11/2003 #VALUE! 5207085311030001
1 11/02/2009 14 Thn 1 Bln 5207084211090001
1 15/10/2015 #VALUE! 5207085510150001
15/10/2015 #VALUE! 520708071060001
07/06/1984 38 Thn 9 Bln 5207080607840002 PT. MACMAHON
1 06/07/1984 38 Thn 8 Bln 5207084707840002 KADER
13/10/2010 #VALUE! 5207081310100001
1 01/04/2013 9 Thn 11 Bln 5207084401130001
18/03/2017 #VALUE! 5207081803170001
25/09/1978 #VALUE! 5207082509780001 PT. MACMAHON
1 10/10/1986 36 Thn 5 Bln 5207085010860002 IRT
06/01/2008 15 Thn 2 Bln 5207080106080002
27/02/2013 #VALUE! 5207082702130001
08/12/2019 3 Thn 3 Bln 5207081208190001
1 15/08/1971 #VALUE! 5207085508710001 GURU
22/11/2006 #VALUE! 5207082211060001 PELAJAR
27/02/2010 #VALUE! 5207082702100001 PELAJAR
1 03/01/1988 35 Thn 2 Bln 5203064103880001 KAR. SWASTA
1 08/09/2016 6 Thn 6 Bln 5207084908160001 ANAK
11/11/2020 2 Thn 4 Bln 5207081111200002 ANAK
1 15/09/1979 #VALUE! 5207085509790001 TDK KERJA
28/08/2002 #VALUE! 5207081005990001
05/04/2011 11 Thn 11 Bln 5207080405110001
24/06/2015 #VALUE! 5207082406150001
1 09/10/1993 29 Thn 5 Bln 52060250099310004 GURU 1
06/04/2014 8 Thn 11 Bln 5207080406140001
15/11/2022 #VALUE! 0
1 06/07/1985 37 Thn 8 Bln 5271034706850004 IRT
1 09/09/2002 20 Thn 6 Bln 520708090920001
1 03/09/2008 14 Thn 6 Bln 5207084903080002
26/03/2011 #VALUE! 5207082603110002
07/09/2013 9 Thn 6 Bln 5207080907130001
1 04/04/2015 7 Thn 11 Bln 5207084404150003
02/03/1987 36 Thn 0 Bln 5206180302870003 GURU
1 03/10/1989 33 Thn 5 Bln 5203075003890005 GURU 1
1 19/09/2015 #VALUE! 5207085909150001
1 19/02/2017 #VALUE! 5207081902170001
1 13/06/2021 #VALUE! 5207085306210001
1 16/09/1987 #VALUE! 5207085609870003 GURU 1
1 04/06/2011 11 Thn 9 Bln 5207084504110001
26/07/2015 #VALUE! 5207082607150001
1 21/05/2022 #VALUE! 5207086106220002
08/05/1987 35 Thn 10 Bln 5207080506870001 PT. SWASTA
1 16/01/1984 #VALUE! 5206055601840002 IRT 1
1 21/05/2008 #VALUE! 5206056105080001
01/01/2014 9 Thn 2 Bln 5207080101140001
09/01/2021 2 Thn 2 Bln 520708109210001
1 15/05/1986 #VALUE! 5203075505860009 GURU 1
20/08/2010 #VALUE! 5203072008100001
14/10/2014 #VALUE! 5203071410140001
11/08/2021 1 Thn 7 Bln 5207080811210001
23/07/1971 #VALUE! 5207082307110001 SWASTA
1 31/12/1979 #VALUE! 5207087112790001 DAGANG 1
01/01/2001 22 Thn 2 Bln 5207084101010001
1 05/05/2008 14 Thn 10 Bln 5207084505000002
01/12/2010 12 Thn 3 Bln 5207081201100002
14/10/1986 #VALUE! 5207041410860001 KAR. SWASTA
1 31/12/1986 #VALUE! 5207047112860010 IRT 1
25/12/2009 #VALUE! 5207042512090001
21/03/2012 #VALUE! 5207042103120001
20/06/2020 #VALUE! 5207042006200002
1 20/09/2020 #VALUE! 0
Keterangan
No. Hp Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q1 Q2
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 0 0 0 0 0
1 1 1 1 1 1 0 0 0 0 0
1 1 1 1 1 1 0 0 0 0 0
1 1 1 1 1 1 0 0 0 0 0
1 1 1 1 1 1 0 0 0 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 0 1 1 1 0 0 0
1 1 1 1 0 1 1 1 0 0 0
1 1 1 1 0 1 1 1 0 0 0
1 1 1 1 0 1 1 1 0 0 0
1 1 1 1 0 1 1 1 0 0 0
1 1 1 1 0 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 0 0 0 0
1 1 1 1 1 1 1 0 0 0 0
1 1 1 1 1 1 1 0 0 0 0
1 1 1 1 1 1 1 0 0 0 0
1 1 1 1 1 1 1 0 0 0 0
1 1 1 1 1 1 1 0 0 0 0
1 1 1 1 1 1 1 0 0 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1 1 0 0
Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Q15 Q16 Q17 Q18 Q19
0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 1 1 0 0 0 1 0 0 0 0 0 0
0 1 1 0 0 1 1 0 0 0 1 0 0 0 0 0 0
0 1 1 0 0 1 1 0 0 0 1 0 0 0 0 0 0
0 1 1 0 0 1 1 0 0 0 1 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0
0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0
0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0
0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0
0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Q20 Q21 Q22 Q23 Q24
1 1 1 1 0
0 0 0 0 0 JANDA
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 PROGRAM HAMIL
0 0 0 0 0 JANDA
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ISTRI HAMIL
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 JANDA
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 KB SUNTIK
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 1 0 0
1 1 1 0 0
0 0 0 0 0 ISTRI KB SUNTIK
0 0 0 0 0 ISTRI MENYUSUI
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 1 1 0 IBU MENYUSUI
0 1 1 1 0 KB IUD
0 1 1 1 0
0 0 0 0 0
0 0 0 0 0
1 1 1 0 0
1 1 1 0 0
1 1 1 0 0
0 0 0 0 0
0 0 0 0 0 ISTRI PROGRAM HAMIL
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ISTRI KB IUD
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ISTRI KB IMPLAN
0 0 0 0 0
0 0 0 0 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
0 0 0 0 0
0 0 0 0 0 MANOPAUSE
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 HIPERTENSI
0 0 0 0 0 PENYAKIT STRUK
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ISTRI TIDAK KB
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 JANDA
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 HIPERTENSI & DM
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ISTRI MOW
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ISTRI KB SUNTIK 3 BULAN
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 1 1 0 JANDA
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
0 0 0 0 0 JANDA
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 1 1 0
1 1 1 1 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
0 0 0 0 0
0 0 0 0 0 ISTRI SEDANG HAMIL
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
1 1 1 1 0
KET
No.
No.Urut Alama
NO. Urut JENIS KELAMIN
Bgunan t (RT) Nama KK Nama Anggota Keluarga
Kel
L P
1 1 8 SAFWAN. H.S SAFWAN. H.S 1
2 SUSI SUSANTI 1
3 ALULA NAFIZA AZZAHRA 1
4 2 8 SAMSUL WADI SAMSUL WADI 1
5 VIKA ISTIQFARANI 1
6 GIOVANI ARAZKA 1
7 3 8 MUH.HIDAYATURROHMAN MUH.HIDAYATURROHMAN 1
8 WAHYUNI SAFITRI 1
9 ESRA SHAFARA 1
10 4 8 PURNI PURNI 1
11 BERI IRAWAN 1
12 JUHARMAN 1
13 5 8 DEDY IRAWAN DEDY IRAWAN 1
14 ANISA RAHMAWATI 1
15 SALWA SHOIYATUNISA 1
16 6 8 SAPRUDDIN SAPRUDDIN 1
17 JUSRIANI 1
18 AZRIEL .W.W 1
19 7 8 MUHAMMAD SANUSI MUHAMMAD SANUSI 1
20 YULIASTI 1
21 HERI SAPUTRA JAYADI 1
22 8 8 JATIYAH JATIYAH 1
23 L HAERIL ANWAR 1
24 BQ. MAULIDA YANTI 1
25 9 8 SAHBAN SAHBAN 1
26 ERNIWATI 1
27 ERISKA PUTRI 1
28 10 8 SATRIA DATAM PUTRA SATRIA DATAM PUTRA 1
29 HARMI YANTIK 1
30 M. GILANG AYYASI .A 1
31 11 8 ENDRA WADI ENDRA WADI 1
32 PUTRI ARINA .H 1
33 AZQIARA SAPUTRI 1
34 12 8 ACHMAD JAINURI ACHMAD JAINURI 1
35 BAIQ RAYANAH 1
36 ACHMAD RAJA 1
37 13 8 RUSDI RUSDI 1
38 MULIA WARDANI 1
39 VITA AINUL MAULIDINA 1
40 14 8 JAFARUDDIN JAFARUDDIN 1
41 NIKMAH 1
42 ASMAYANTI 1
43 15 8 HARTONI HARTONI 1
44 RUSNIAH 1
45 MUHAMMAD ALFA REZY 1
46 16 8 ARWAN ARWAN 1
47 MARIANA 1
48 17 8 MAKBUL MAKBUL
49 ERNAWATI
50 DELIA ERMA DAMAYANTI
51 OKA MALIKI ARDIANSYAH
52 18 8 HERMAN HERMAN 1
53 RAFIAH 1
54 INDAH HERFIA JUNIARTI 1
55 ATTA MANAF ALFARIZKI 1
56 19 8 SAMSUL HAKIM SAMSUL HAKIM 1
57 KARTINI 1
58 M. RIFAI 1
59 M. RIFQI 1
60 20 8 JISAH JISAH 1
61 DEDY IRAWAN 1
62 FAUZI ARIANZA 1
63 RIZKIKAWATI 1
64 21 8 LALU HASAN BASRI LALU HASAN BASRI 1
65 RUMINAH 1
66 LALU IGAL HASAN PRATAMA 1
67 BAIQ DUWIQ ANJANI HASAN 1
68 22 8 FAOZAN FAOZAN 1
69 EKA PUSPITA SARI 1
70 IBNU RAYAN FATHURROZI 1
71 ASHALIA 1
72 23 8 MUHAMMAD NUR MUHAMMAD NUR 1
73 ASRI ENDANG HARTATIK 1
74 AFFAN GYATSA NUR FALLAH 1
75 CANTIKA RAHAYU 1
76 24 8 SAHRIL SAHRIL 1
77 NURHASANAH 1
78 HABIBURRAHMAN 1
79 KHAIRUL YAZID AL FARUQI 1
80 25 8 JUMA' JUMA' 1
81 MARIAM 1
82 RUSMAN 1
83 SHOPIAN HADI 1
84 26 8 SULHI SULHI 1
85 UMI SURIANTI 1
86 KENI ANGGRAINI 1
87 KHAERIN NISA 1
88 27 8 ASMAYANTO ASMAYANTO 1
89 DINA HARYANTI 1
90 NANDA FAZILA YANTI 1
91 MEIYAN BILQIS 1
92 28 8 ZAINUDIN ZAINUDIN 1
93 RINA MARIANA 1
94 FIRDA AMELIA 1
95 TISYA AURELIA 1
96 29 8 IMANUDDIN IMANUDDIN 1
97 LILIS HERLINA 1
98 M. ARFAN BASIRAH 1
99 FARIZ DZAKIR .F 1
100 30 8 SALMAH SALMAH 1
101 ANDA YANI 1
102 HENDRAWADI 1
103 ANDRE ADITYA 1
104 31 8 H.DARMAWAN H.DARMAWAN 1
105 HABIBAH 1
106 HENDRO PRANOTO 1
107 MUHAMMAD ROBI 1
108 RAFI AHMAD 1
109 FAIKA MUTIA 1
110 32 8 MUSMULIADI MUSMULIADI 1
111 SUMANGGI 1
112 MARDIYAN 1
113 SUSANTO 1
114 ROMI GUNAWAN 1
115 RONI SOLEHHATA 1
116 33 8 DRS.ROSIDI DRS.ROSIDI 1
117 RR.RETNO PALUPI,SE 1
118 AHMAD MUNTAHA 1
119 ALMIRA DANISWARA 1
120 ADELIO AISY FAIZ 1
121 34 8 ALWIN M.YASIN ALWIN M.YASIN 1
122 ERMA SURIYANI 1
123 GITA APRILIANTI 1
124 DWI ARIESTA 1
125 NOVISAPIA SADILA 1
126 35 8 EKO PRAMONO EKO PRAMONO 1
127 IDA FARIDA 1
128 NAUVAL 1
129 JAZILA RESTI 1
130 AZILIA ILGA PUTRI 1
131 36 8 MUJI SANTOSO MUJI SANTOSO 1
132 JUNIATI 1
133 ANDI PRAYOGO SANTOSO 1
134 HELDA SAFIRA SANTOSO 1
135 ROBI' 1
136 37 8 RESPAN RESPAN 1
137 HALIMAH 1
138 JUNAIDI 1
139 M. RIDOAH 1
140 SRI JONO 1
141 38 8 HAERANI Z. HAERANI Z. 1
142 ALWI ARIFIN 1
143 BAIQ SISKA AYUNI A. 1
144 LALU MUHADLI IKHWAN 1
145 AZIZAH KURNIA L 1
146 39 8 ZAEDUN ZAEDUN 1
147 MISSAHRIYAH 1
148 DESI WINDASARI 1
149 AL MA'RUF 1
150 M. RAMDHAN AL. G 1
151 M. YUSUF AL-A 1
152 40 8 ABDUL MUHID ABDUL MUHID 1
153 MUSLIHAN 1
154 HENDRI SOFIANDI 1
155 REZKI ADITIA ANANTA 1
156 BALQIS ATIKA 1
157 41 8 AHYAR AHYAR 1
158 MUSTI 1
159 MUHAMMAD REZA RAMDANI 1
160 KHAYLA AISYAH 1
161 AENI WIDYASTARI 1
162 42 8 MEPPA S.GUNAWAN MEPPA S.GUNAWAN 1
163 CUKRAN RAFI'AH 1
164 AHARIES SAPUTRA 1
165 ANNISA DELLA FANTARIE 1
166 MUHAMMAD ABIB AKBAR 1
167 43 8 ZAINUDDIN ZAINUDDIN 1
168 KARYAWATI 1
169 INDRAWATI 1
170 NAYLA SASTIK 1
171 44 8 LALU RATMAJI LALU RATMAJI 1
172 RABITA 1
173 KHAERUNNISA 1
174 AULIA ZALIANTI 1
KETERANGAN KELUARGA
Tanggal Lahir Umur (Tahun, NIK Pekerjaan Hamil Busui

Bulan)
13/07/1989 #VALUE! 5207081307890001 KARYAWAN
12/08/1991 31 Thn 3 Bln 5207085208910001 KARYAWAN
23/11/2016 #VALUE! 5207086311160001 ANAK
14/09/1993 #VALUE! 5207081409930001 KARYAWAN
04/06/1999 23 Thn 11 Bln 3508174406990001 IRT
31/12/2018 #VALUE! 5207083112180001 ANAK
22/08/1989 #VALUE! 5207082208890001 KARYAWAN
20/08/1995 #VALUE! 5207086008960001 IRT 1
21/08/2020 2 Thn 7 Bln 5207066108200001 ANAK
03/04/1960 62 Thn 11 Bln 5207084030460001 PETANI
17/06/2002 20 Thn 9 Bln 5207081706920002 PELAJAR
31/12/1968 #VALUE! 5207083112680014
31/12/1999 #VALUE! 5207083112990006 KARYAWAN
01/07/2002 21 Thn 2 Bln 5202074107020366 IRT 1
28/05/2021 #VALUE! 5207088805210001 ANAK
10/08/1996 26 Thn 5 Bln 5207081008960001 KARYAWAN
08/12/1997 25 Thn 7 Bln 5203104812970001 IRT
22/11/2020 2 Thn 4 Bln 0 ANAK
02/05/1981 41 Thn 10 Bln 5207084205810002 IRT
04/06/2002 20 Thn 9 Bln 5207081406020001
31/12/1952 #VALUE! 5207087112520001
12/04/1988 34 Thn 3 Bln 5207081204880002 KARYAWAN
07/07/1998 24 Thn 8 Bln 5207084707980001
01/07/1990 32 Thn 8 Bln 5202030107940278 KARYAWAN
01/02/1992 31 Thn 1 Bln 5207084102920001 IRT
21/07/2016 6 Thn 8 Bln 5207086107160001 PELAJAR
25/02/1991 32 Thn 1 Bln 5203072502910003 KARYAWAN
17/06/1995 27 Thn 9 Bln 5203195706950003 IRT
05/09/2018 4 Thn 6 Bln 5203070509180002 ANAK
20/12/1999 23 Thn 3 Bln 5207082012990001 KARYAWAN
28/07/2002 #VALUE! 5207086807020002 IRT 1
27/10/2022 #VALUE! 0 BAYI
03/03/1991 32 Thn 0 Bln 6111010303910001 KARYAWAN
16/08/1995 #VALUE! 5207085008950001 IRT 1
15/06/2022 #VALUE! 5207081506220001 BAYI
31/12/1971 #VALUE! 5207083112710004 PETANI
29/04/2004 #VALUE! 5207086904040002
15/02/2011 #VALUE! 5207085506110001
01/05/1969 54 Thn 2 Bln 5207080105690001 PETANI
31/12/1973 #VALUE! 5207087112730004 IRT
04/04/1998 24 Thn 11 Bln 5207084404980002 SWASTA
01/04/1993 30 Thn 2 Bln 5207080203930001 KARYAWAN
15/12/1989 #VALUE! 5207085512890001 KARYAWAN
30/01/2012 #VALUE! 5207083001120001 PELAJAR
24/08/1987 #VALUE! 5207082408870001 KARYAWAN
09/12/1989 33 Thn 6 Bln 5203164912890001 IRT
02/02/1972 51 Thn 1 Bln 5207080202720001 KARYAWAN
10/04/1979 43 Thn 5 Bln 5207085004790002 IRT
13/10/2003 #VALUE! 5207085310030001 PELAJAR
30/03/2008 #VALUE! 5207083003080001 PELAJAR
14/03/1986 #VALUE! 5207081003840001 KARYAWAN
31/12/1986 36 Thn 2 Bln 5207087112860006 IRT
6/11/2008 14 Thn 9 Bln 5207085106080001 PELAJAR
6/2/2019 3 Thn 9 Bln 5207080205190001 ANAK
12/31/1981 41 Thn 2 Bln 5202073112810085 KARYAWAN
11/04/1992 30 Thn 11 Bln 5207085104920003 KARYAWAN
09/11/2012 10 Thn 4 Bln 5207080911120001 PELAJAR
28/04/2018 4 Thn 10 Bln 5207082804180001 ANAK
02/08/1962 60 Thn 7 Bln 5207084208820001 IRT
03/01/2000 23 Thn 0 Bln 5207080301000001
01/06/2002 21 Thn 2 Bln 5207084108020001
02/09/1981 42 Thn 1 Bln 5207080209810001
30/12/1982 #VALUE! 5207087012820002
16/08/2009 #VALUE! 5207081608040001
21/05/2016 #VALUE! 5207086105160001
10/06/1977 45 Thn 5 Bln 5207081006770003
31/12/1988 #VALUE! 5207087112880013 PEDAGANG
25/02/2011 #VALUE! 5207082502110002
08/08/2020 2 Thn 7 Bln 5207084808200001
15/01/1991 #VALUE! 5207080101910004 KARYAWAN
26/11/1982 #VALUE! 3508176611820001 IRT 1
05/08/2016 6 Thn 10 Bln 5207080508160001 ANAK
06/12/2021 1 Thn 9 Bln 5207084512210001 BAYI
16/12/1973 #VALUE! 5207084901740001 GURU
27/07/2001 #VALUE! 5207082707010001 KARYAWAN
23/09/2006 #VALUE! 5207083007060001 PELAJAR
31/12/1963 #VALUE! 5207083112630003 PETANI
31/12/1973 #VALUE! 5207087112730002 IRT
08/06/1995 27 Thn 7 Bln 5207080806950001 KARYAWAN
29/09/2003 #VALUE! 5207083112030002 PELAJAR
31/12/1978 44 Thn 2 Bln 5207083112780004 KARYAWAN
31/12/1981 41 Thn 2 Bln 5207087112810008 IRT
08/06/2001 21 Thn 9 Bln 5207084606010003 SWASTA
28/08/2006 16 Thn 6 Bln 5207086808060001 PELAJAR
31/12/1984 38 Thn 2 Bln 5207083112840010 KARYAWAN
27/02/1983 #VALUE! 5207086702930002 IRT
05/11/2011 11 Thn 10 Bln 5207084511110001 PELAJAR
17/05/2020 #VALUE! 5207085705200001 ANAK
15/10/1979 #VALUE! 5207081510790001 KARYAWAN
03/03/1986 37 Thn 0 Bln 5207084304860001 IRT
12/10/2012 10 Thn 3 Bln 5207085210120002 PELAJAR
19/09/2003 #VALUE! 5207085909030004 PELAJAR
18/03/1987 #VALUE! 5204171003870001 KARYAWAN
02/02/1990 33 Thn 1 Bln 5207084202900001 IRT
30/07/2018 #VALUE! 5207083007180001 ANAK
23/06/2020 #VALUE! 5207082306200001 ANAK
31/12/1972 #VALUE! 5207087112720008 IRT
04/03/1998 24 Thn 11 Bln 5207080403980001 KARYAWAN
12/01/1999 23 Thn 3 Bln 5207081201990002 KARYAWAN
19/10/2017 #VALUE! 5207081910070001
10/12/1980 42 Thn 5 Bln 5207045012800003
04/03/2002 20 Thn 11 Bln 5207080403020003
25/12/2009 #VALUE! 5207082512070002
22/07/2015 7 Thn 8 Bln 5207082209150001
19/12/2017 5 Thn 3 Bln 5207085912170001
11/12/1975 47 Thn 4 Bln 5207087112750008 IRT
08/12/1996 26 Thn 7 Bln 5207084812960001 SWASTA
16/05/1999 #VALUE! 5207081605990002 SWASTA
22/04/2006 #VALUE! 5207082204060001 PELAJAR
15/08/2014 #VALUE! 5207081508140001 PELAJAR
30/10/1982 40 Thn 4 Bln 5207087010820001 IRT
30/05/1996 #VALUE! 5207083005980002 KARYAWAN
27/01/2010 #VALUE! 5207086701100001 PELAJAR
06/07/2012 10 Thn 9 Bln 5207080607120001 PELAJAR
11/06/1980 42 Thn 4 Bln 5207085106800002 IRT
04/01/1995 27 Thn 11 Bln 5207084104980002 SWASTA
08/08/1999 23 Thn 7 Bln 5207084909990006 SWASTA
08/11/2003 19 Thn 7 Bln 5207084611030001 PELAJAR
14/09/1976 #VALUE! 5207081409760002 KARYAWAN
18/02/1980 #VALUE! 5207085802800001 IRT
01/03/2005 18 Thn 2 Bln 5207080103050001 PELAJAR
23/03/2011 #VALUE! 5207086303110001 PELAJAR
08/09/2012 10 Thn 7 Bln 5207084809120001 PELAJAR
06/02/1970 52 Thn 9 Bln 5207080606027001 KARYAWAN
12/5/1975 47 Thn 3 Bln 5207084512750001 IRT
10/01/2000 22 Thn 5 Bln 5207081001000003 SWASTA
24/03/2011 #VALUE! 5207086403110002 PELAJAR
02/01/2019 4 Thn 1 Bln 5207080201190001 ANAK
10/10/1980 42 Thn 5 Bln 5207085010800003 IRT
05/06/1978 44 Thn 10 Bln 5207080506780002 SWASTA
01/02/1997 26 Thn 2 Bln 5207080102970002
12/12/1999 23 Thn 3 Bln 5207081212990001
31/12/1979 #VALUE! 5207087112790005
24/08/1996 #VALUE! 5207082108960001
22/12/2000 #VALUE! 5207086212000001
25/03/2007 #VALUE! 5207082503070002
18/10/2012 #VALUE! 5202015810120003
12/31/1974 48 Thn 2 Bln 5207083112740010 KARYAWAN
12/30/1977 45 Thn 2 Bln 5207087012770001 IRT
12/15/1996 26 Thn 3 Bln 5207086912960001 STAF DESA
5/27/2006 16 Thn 10 Bln 5207082705060001 PELAJAR
8/10/2011 11 Thn 7 Bln 5207081008110002 PELAJAR
7/2/2018 4 Thn 8 Bln 5207080207180002 PELAJAR
31/12/1969 53 Thn 2 Bln 5207087112690001 IRT
8/27/1994 28 Thn 7 Bln 5207082708940001
4/16/2011 11 Thn 11 Bln 5207081604110001 PELAJAR
12/5/2017 5 Thn 3 Bln 5207084512170002
10/07/1974 48 Thn 8 Bln 5207081007740004 KARYAWAN
10/07/1983 39 Thn 8 Bln 5207085007830001 IRT
03/05/2002 20 Thn 10 Bln 5207080305020003 SWASTA
11/09/2016 6 Thn 6 Bln 5207085109160002 PELAJAR
13/03/2010 13 Thn 0 Bln 5207085312090001 PELAJAR
28/02/1974 49 Thn 0 Bln 5207082602740001 KARYAWAN
06/06/1974 48 Thn 9 Bln 5207084606740001 IRT
09/01/2000 23 Thn 2 Bln 5207080901000001 SWASTA
09/12/2007 15 Thn 3 Bln 5207084912070002 PELAJAR
29/11/2019 3 Thn 3 Bln 5207082911190001 ANAK
21/09/1975 47 Thn 6 Bln 5207086109750001 IRT
31/01/2002 21 Thn 1 Bln 5207087101020002
24/06/2007 15 Thn 9 Bln 5207086406110002
20/07/1966 56 Thn 8 Bln 5203192907660000 PETANI
19/03/1972 51 Thn 0 Bln 5207085903730001 IRT
25/01/2003 20 Thn 2 Bln 5207086591060001 KARYAWAN
11/02/2009 14 Thn 1 Bln 5207085102090001 PELAJAR
No. Hp Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 0 0 0 1
1 1 1 1 1 0 0 0 1
1 1 1 1 1 0 0 0 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1 1
1 1 1 1 1 1 0 1 1
1 1 1 1 1 1 0 1 1
1 1 1 1 1 1 0 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
RIWAYAT KESEHATA
Keterangan
Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0
1 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 1 1 0
0 0 0 1 1 0 0 1 1 0
0 0 0 1 1 0 0 1 1 0
0 0 0 1 1 0 0 1 1 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 1 0 0
0 0 0 1 1 0 0 1 0 0
0 0 0 1 1 0 0 1 0 0
0 0 0 1 1 0 0 1 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 1 0 0
0 0 0 1 1 0 0 1 0 0
0 0 0 1 1 0 0 1 0 0
0 0 0 1 1 0 0 1 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
1 1 0 1 1 0 0 0 0 0
1 1 0 1 1 0 0 0 0 0
1 1 0 1 1 0 0 0 0 0
1 1 0 1 1 0 0 0 0 0
1 1 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
Q11 Q12 Q13 Q14 Q15 Q16 Q17 Q18 Q19 Q20 Q21 Q22 Q23 Q24
0 0 0 0 0 0 0 1 1 0 1 0 1 0
0 0 0 0 0 0 0 1 1 0 1 0 1 0
0 0 0 0 0 0 0 1 1 0 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 0 1 1 1 0 1 0
0 0 0 0 0 0 0 0 1 1 1 0 1 0
0 0 0 0 0 0 0 0 1 1 1 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 1 1 0 1 0
0 0 0 0 0 0 0 1 0 1 1 0 1 0
0 0 0 0 0 0 0 1 0 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 0 1 1 0 1 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 0 0 1 0 1 0
0 0 0 0 0 0 0 1 0 0 1 0 1 0
0 0 0 0 0 0 0 1 0 0 1 0 1 0
0 0 0 0 0 0 0 1 0 0 1 0 1 0
1 0 0 0 0 0 0 0 0 0 0 0 1 0
1 0 0 0 0 0 0 0 0 0 0 0 1 0
1 0 0 0 0 0 0 0 0 0 0 0 1 0
1 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 1 0 0 0 0 1 0 0 0 0 1 0
0 0 1 0 0 0 0 1 0 0 0 0 1 0
0 0 1 0 0 0 0 1 0 0 0 0 1 0
0 0 1 0 0 0 0 1 0 0 0 0 1 0
0 0 1 0 0 0 0 1 1 1 1 1 1 0
0 0 1 0 0 0 0 1 1 1 1 1 1 0
0 0 1 0 0 0 0 1 1 1 1 1 1 0
0 0 1 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 1 1 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 1 1 0 0 1 0
0 0 0 0 0 0 0 1 1 1 0 0 1 0
0 0 0 0 0 0 0 1 1 1 0 0 1 0
0 0 0 0 0 0 0 1 1 1 0 0 1 0
0 0 0 0 0 0 0 1 1 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 1 1 1 1 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0 0 0 0 1 0
JARANG POSYANDU
ISTRI MENYUSUI
KB SUNTIK
KB SUNTIK
KERJA DI TOKO BANGUNAN
DULU PERNAH HIPERTENSI
ISTRI KB SUNTIK
ISTRI KB SUNTIK
ISTRI MENYUSUI
ISTRI KB SUNTIK
ISTRI MENYUSUI
ISTRI KB SUNTIK
VITA AINU GANGGUAN JIWA
ISTRI KB SUNTIK
ISTRI KB SUNTIK
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HIPERTENSI, DIABETES
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DUWIQ PUNYA JANTUNG
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HIPERTENSI
PERNAH HIPERTENSI
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SALAH SATU ANGGOTA KLUARGA

PERNAH HIPERTENSI
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JANDA
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AHMAD MUNTAHA DI SUMBAWA

HIPERTENSI
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SUDAH BERCERAI
M. RIDOAH GANGGUAN JIWA
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DI LOMBOK
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SUDAH PISAH
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No.

NO. Urut No.Urut Alamat JENIS KELAMIN

RIWAYAT KESEHATAN KEL

ISTRI SEDANG HAMIL

PISAH (TINGGAL DI BALAS)

INGGAL DI MALUK LOKA

MAU PROGRAM HAMIL

ISTRI PERNAH HIPERTENSI

HIPERTENSI, TDK PERNAH PERIKSA

SUAMI STRUK RINGAN

PERNAH PUNYA HIPERTENSI DULU

ANGGOTA KLUARGA DULU DM

SUAMI PERNAH HEPATITIS

ISTRI SEDANG MENYUSUI

SUAMI GANGGUAN JIWA

Tanggal Lahir Umur (Tahun, NIK Pekerjaan Hamil Busui

KERJA DI TOKO BANGUNAN

DULU PERNAH HIPERTENSI

VITA AINU GANGGUAN JIWA

DUWIQ PUNYA JANTUNG

SALAH SATU ANGGOTA KLUARGA

AHMAD MUNTAHA DI SUMBAWA

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