KABUPATEN / KOTA: BOALEMO

PUSKESMAS : BERLIAN
PETUGAS ENTRI/TP:
T
N
A NI EL
BERAT RIWAYAT M K P/ TANGGAL UKUR
TINGGI PENGGUNAAN H
KEHAMILA BADAN HPHT RIWAYA BUKU KIA*
GOLONGAN KONTRASEPSI PENYAKIT A S P
TANGGAL BADAN KECAMATAN* PUSKESMAS DESA/ POSYANDU ALAMAT
NO N KE NOMOR KK* NIK ISTRI NAMA ISTRI NIK SUAMI NAMA SUAMI AWAL (DD-MM- HB YANG T S U S PROVINSI* KAB / KOTA* NO RT RW
BERAPA* LAHIR HAMIL AWAL HAMIL YYYY)* DARAH SEBELUM PEMBINA* KELURAHAN* PEMBINA LENGKAP*
KEHAMILAN INI DIDERITA ALERGI U A U
(CM JAN FEB MAR APR MEI JUN JUL
(Kg) IBU A M A
YA TIDAK M I* M
1 2 WATI RAHIM 48 146 12/9/2018 9,9 O YA I* I* GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 1 MUTIARA 1/4/2019 2/4/2019 3/4/2019 5/4/2019 5/4/2019 6/4/2019
2 1 NINGSIH ABDUL 48 156 18/11/2018 9,8 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 2 MUTIARA 1/4/2019 2/4/2019 3/4/2019 5/4/2019 5/4/2019 6/4/2019 7/4/2019
3 1 YUSNI TAMRIN 44 146 6/8/2018 9,6 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 3 MUTIARA 1/4/2019 2/4/2019 3/4/2019 5/4/2019 5/4/2019 6/4/2019
4 3 NOVITA PALAND 67 154 17/4/2018 9,8 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 4 MUTIARA 1/4/2019 2/4/2019
5 2 NURAIN IBRAHIM 55 146 15/11/2018 9,7 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 5 MUTIARA 1/4/2019 2/4/2019 3/4/2019 5/4/2019 5/4/2019 6/4/2019 7/4/2019
6 3 DELIYANA BINTI 45 155 1/9/2018 11 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 6 PERMATA 1/6/2019 2/6/2019 3/6/2019 4/6/2019 5/6/2019 7/6/2019
7 1 NURHAYUN A 66 150 22/6/2018 8 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 7 PERMATA 1/6/2019 2/6/2019 3/6/2019
8 2 ASTIN POGIO 59 147 8,6 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 8 MUSTIKA 1/2/2019 2/2/2019 3/2/2019 4/2/2019 5/2/2019
9 1 LIN ANO 45 144 5/8/2018 8 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 9 MUSTIKA 2/1/2019 2/2/2019 3/2/2019 4/2/2019 5/2/2019
10 1 CINDI KULU 48 150 2/11/2018 8,9 A YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 10 MUSTIKA 2/1/2019 2/2/2019 3/2/2019 4/2/2019 5/2/2019 6/2/2019 7/2/2019
11 2 CINDRAWATI T 62 161 26/10/2018 9,8 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR 11 BONGO TUA 1/12/2019 2/12/2019 3/12/2019 4/12/2019 5/12/2019 6/12/2019 7/12/2019
12 3 MARLINA ABUBAKAR 70 159 1/9/2018 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR 12 BONGO TUA 1/12/2019 2/12/2019 3/12/2019 4/12/2019 5/12/2019 6/12/2019
13 3 12/2/1986 750 2012101080120 750 2014212860003 LENI WANINGSIH 750 2012004820001 ANTON MS NAKI 48 150 1/10/2018 10 A YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 13 DILOATO 1/10/2019 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
14 3 8/19/1985 750 2011104110029 750 2015908850002 HASNI DAUD 750 2010204840001 YUKSON HUSAIN 85 156 2/10/2018 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 14 DILOATO 1/10/2019 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
15 1 10/24/1996 750 1146410960000 RINDANG SAINI ISMAIL S HANAPI 50 153 20/6/2018 12,5 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 15 DILOATO 1/10/2019 2/10/2019 3/10/2019 4/10/2019
16 3 11/14/1993 750 2010404130006 NOVIANINGSIH 57 150 1/10/2018 10 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 16 DILOATO 1/10/2019 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
17 1 9/8/1999 750 2012001080018 750 2014809990001 LARISKAWATI 45 147 5/7/2018 9,8 A YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 17 DILOATO 1/10/2019 2/10/2019 3/10/2019 4/10/2019
18 2 2/26/1996 750 2010804190003 750 2016602960002 FEBRIYANTI G 750 2012805880001 ANDI LAWANG 45 150 2/9/2018 10 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 18 DILOATO 1/10/2019 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019
19 1 CINDRA USMAN 44 150 29/10/2018 9 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 19 DILOATO 1/10/2019 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
20 1 10/27/1996 750 2012001080163 750 2016710960002 YOLANDA M ANWAR DJAFAR K 60 155 10/7/2018 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 20 DILOATO 1/10/2019 2/10/2019 3/10/2019 4/10/2019
21 3 ASRIA BANI 67 156 7/12/2018 11 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 21 PERMATA 2/6/2019 3/6/2019 4/6/2019 5/6/2019 6/6/2019 7/6/2019
22 1 YUNANGSIH 64 156 20/12/2018 13 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR 22 BONGO TUA 2/12/2019 3/12/2019 4/12/2019 5/12/2019 6/12/2019 7/12/2019
23 2 9/5/1999 750 2012101190015 750 2014202940001 WISNA MAI 750 3080912990001 AWAL OLII 49 150 18/10/2018 10 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 23 DILOATO 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
24 2 TRIJUWITA B 48 154 26/9/2018 11 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 24 DILOATO 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019
25 1 11/4/2001 750 2011801080032 750 2014411010001 LINA DAMPOLI 50 150 18/12/18 11 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 25 DILOATO 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
26 1 ASNI NAJI 51 151 1/1/2019 9 A YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 26 MUSTIKA 3/2/2019 4/2/2019 5/2/2019 6/2/2019 7/2/2019
27 1 SASMITA BAU 44 142 1/1/2019 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 27 MUSTIKA 3/2/2019 4/2/2019 5/2/2019 6/2/2019 7/2/2019
28 6 LIAN NGADI 44 142 1/1/2019 8 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 28 MUSTIKA 3/2/2019 4/2/2019 5/2/2019 6/2/2019 7/2/2019
29 2 WIRNANINGSIH K 49 148 25/10/2018 10 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 29 PERMATA 3/6/2019 4/6/2019 5/6/2019 6/6/2019 7/6/2019
30 1 TIANSIH MOBI 69,5 150 28/9/2018 10,3 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR 30 BONGO TUA 3/12/2019 4/12/2019 5/12/2019 6/12/2019 7/12/2019
31 3 MARLINA LAJA 59 150 5/11/2018 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 31 DILOATO 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
32 6 7/6/1983 750 2011912100024 750 2014607830005 FITRIYANTI ALINTI 750 2010706730002 UDIN HASIM 62 148 11/12/2018 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 32 DILOATO 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
33 1 6/20/1992 750 2012101080104 750 2016006920001 YANTI UMANI 53 150 1/10/2018 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 33 DILOATO 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
34 2 10/20/1993 750 2012111140007 750 2016010330001 FATMA ANTULU 750 2011007840003 SOFYAN DATUKRAMA 43 148 5/11/2018 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 34 DILOATO 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
35 1 WINDI MOHA 62 155 8/10/2018 10 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 35 DILOATO 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
36 4 12/20/1977 750 2012201080007 750 1166512770001 ASNA DAUD 750 2011012670001 NAJIR DUENGO 56 145 7/12/2018 10 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 36 DILOATO 3/10/2019 4/10/2019 5/10/2019 6/10/2019
37 2 7/30/1997 750 2013008170002 750 2017007970002 YULISNAWATI 750 2011403840001 SAMSUDIN H DAUD 39 147 6/9/2018 11 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 37 DILOATO 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
38 1 MUSLIMAWATI U 41 143 22/12/2018 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 38 MUSTIKA 4/2/2019 5/2/2019 6/2/2019 7/2/2019
39 2 6/18/1993 750 2010210180006 750 1035805930001 MUMIN PAKAYA 750 2011512920002 SADAM L HUSAIN 25 151 12/1/2018 11 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 39 DILOATO 4/10/2019 5/10/2019 6/10/2019 7/10/2019
40 3 5/17/1977 750 2011110180007 750 5035705770002 LENA KAI 750 5032705770001 YONI SAPII 65 152 1/12/2018 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 40 DILOATO 4/10/2019 5/10/2019 6/10/2019 7/10/2019
41 2 5/15/1995 750 2013010150003 750 2015505950004 ISMAWATI KADILI 750 1040303870001 MUSA RAHIM 51 150 18/1/2018 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 41 DILOATO 4/10/2019 5/10/2019 6/10/2019
42 2 SUMIYATI AZIS 50 156 6/9/2018 12 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 42 MUTIARA 5/4/2019 5/4/2019 6/4/2019 7/4/2019
43 1 NURMIN LACOMPO 55 150 5/1/2018 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 43 MUTIARA 5/4/2019 5/4/2019 6/4/2019
44 1 MERLIN IBRAHIM 72 159 8/9/2018 - YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 44 MUTIARA 5/4/2019 5/4/2019 6/4/2019 7/4/2019
45 3 SRIYANTI LAHABU 56 159 23/11/2019 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 45 MUSTIKA 5/2/2019 6/2/2019 7/2/2019
46 2 NOVA ANWAR 73 160 10/2/2019 11 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 46 MUSTIKA 5/2/2019 6/2/2019 7/2/2019
47 1 ULFA KARIM 42 152 18/2/2018 11 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 47 MUSTIKA 5/2/2019 6/2/2019 7/2/2019
48 2 NURFIANI KOLONGA 45 145 2/2/2019 8,5 A YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 48 MUTIARA 5/4/2019 6/4/2019 7/4/2019
49 1 RISNA PASUDE 63 142 18/12/2018 8 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR 49 BONGO TUA 5/12/2019 6/12/2019 7/12/2019
50 3 1/12/1979 750 2011609080002 750 2015201790004 SANCE TAMANI 750 2010905770003 BUDIN SIDU 72 162 28/3/2019 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 50 DILOATO 5/10/2019 6/10/2019 7/10/2019
51 2 4/25/2000 750 2012101080029 750 2016504000004 MEISKE AGU 55 143 1/10/2019 9 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 51 DILOATO 5/10/2019 6/10/2019 7/10/2019
52 1 750 2012001080076 750 2015107950002 INDRAWATI LAHAY 55 150 28/12/2018 7 A YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 52 DILOATO 5/10/2019 6/10/2019 7/10/2019
53 2 8/27/1979 750 2010804110006 750 2016708790002 ASTIN TUNA 750 2010112790002 SIMON TALANGI 60 150 10/2/2019 11 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 53 DILOATO 5/10/2019 6/10/2019 7/10/2019
54 1 9/24/2000 750 2012001080180 750 2016409000001 MURTIN ABAS 55 150 12/3/2019 11 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 54 DILOATO 5/10/2019 6/10/2019 7/10/2019
55 4 MERDI NGADI 53 145 24/1/2019 6 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 55 MUSTIKA 6/2/2019 7/2/2019
56 1 ERWIN SYAWAL 54 155 10/3/2019 9,3 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 56 MUTIARA 6/4/2019 7/4/2019
57 2 ASNI A TALANI 81 152 3/3/2019 9,4 A YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 57 MUTIARA 6/4/2019 7/4/2019
58 4 SELVI HUMONGGIO 82 151 13/2/2019 9,4 AB YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 58 MUTIARA 6/4/2019 7/4/2019
59 1 NURSILA ALI 48 140 8/12/2018 9,5 0 YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 59 MUTIARA 6/4/2019 7/4/2019
60 2 ASNA LATIF 70 147 29/03/2019 9,5 0 YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 60 MUTIARA 6/4/2019 7/4/2019
61 2 ELIN TAMBIPI 78 152 5/4/2019 9,7 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 61 MUTIARA 6/4/2019 7/4/2019
62 2 PRICILLA AHMAD 55 161 2/5/2019 9,9 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 62 MUTIARA 6/4/2019 7/4/2019
63 1 ICHSANIATUL WADIA 45 150 20/3/2019 9,7 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 63 MUTIARA 6/4/2019 7/4/2019
64 1 FITRIYANTI L 49 150 12/12/2018 10 0 YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 64 MUTIARA 6/4/2019 7/4/2019
65 1 FEBRIYANTI 65 153 1/2/2018 9,2 0 YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 65 PERMATA 6/6/2019 7/6/2019
66 2 8/9/1993 750 2010210180009 750 1144908930001 HAPSA KARIM 750 2011203930005 TAUFIK M DUENGO 55 152 8/4/2019 12 0 YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 66 PERMATA 6/6/2019 7/6/2019
67 4 7/3/1982 750 2010602090018 750 2014307820001 TETI PALU 750 2010107740035 DJAMDI TUNA 57 150 1/12/2018 12 0 YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 67 DILOATO 6/10/2019 7/10/2019
68 1 IRAWATI LIHAWA 55 148 14/2/2019 10,4 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 68 DILOATO 7/10/2019
69 1 FEBRIYANTI MOHI 39 147 28/3/2019 7 O GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 69 MUSTIKA 7/2/2019
70 1 CINDRAWATI HARUN 55 148 13/5/2019 9,8 O GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 70 MUSTIKA 7/2/2019
71 8 SRI LANTI LAHAY 85 155 14/3/2019 10,2 O GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 71 PERMATA 7/6/2019
72 2 IRMAWATI T 67 146 1/12/2018 8,6 B GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 72 PERMATA 7/6/2019
73 2 YUSRI ISHAK B P 70 150 21/5/2019 9,3 B GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 73 MUTIARA 7/4/2019
74 1 ASNI JAKARIA 55 142 14/4/2019 10 B GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 74 MUTIARA 7/4/2019
75 1 NURAIN TUNA 57 150 30/4/2019 10 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR 75 BONGO TUA 7/12/2019
76 3 1/29/1985 750 2013105180003 750 2016901850002 HAWA NYUNGO 58 160 1/4/2019 12 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 76 DILOATO 7/10/2019
77 1 ASNI ANWAR 44 149 11 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 77 DILOATO 7/10/2019
78 2 04/11/20001 750 2012111140005 750 2014411010005 RUSMIN ANTULA 30 149 26/3/2019 11 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 78 DILOATO 7/10/2019
79 1 SELVI K NUSI 54 155 27/6/2019 7,4 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 79 MUTIARA
80 1 NOVITA RAHIM 60 144 12/3/2019 8 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 80 PERMATA
81 3 NARMIN 56 150 5/7/2019 9,8 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 81 PERMATA
82 1 AINUN AISYAH 43 152 5/7/2019 8,3 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR 82 BONGO TUA
 83 1 6/26/2000 750 2012001080102 750 2016606000004 YULIN TULI 43 149 18/5/2019 8,6 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 83 DILOATO
84 2 6/9/1995 750 2011403170002 750 2014906950001 RISKA WALAHE 750 2011107930004 IBRAHIM M DAUD 52 150 29/4/2019 9,3 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 84 DILOATO
85 2 12/07/20001 750 2012201080009 750 2015207010001 DIAN IDJI 45 147 11/5/2019 10 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 85 DILOATO
86 4 9/21/1990 750 2010102090011 750 2016102900003 JARIA IGIRISA 750 2012003800004 DJONI USMAN 70 149 1/3/2019 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 86 DILOATO
87 4 10/9/1984 750 2012101080174 750 2014910840001 RISNA NAKI 750 2011010800006 JAFAR S AKASE 50 140 20/3/2019 12 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 87 DILOATO
88 3 2/3/1986 750 2011801080092 750 2014711880002 MIRANTI S UMANI 750 2012308850001 AGUS ISMAIL 39 146 1/6/2019 9 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 88 DILOATO
89 2 5/4/1990 750 2010902100001 750 2014405900004 ASNI HASAN 750 2011604820002 ISMAIL LATIF 65 149 8/3/2019 11 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 89 DILOATO
90 1 WIRANTI PALO 64 154 13/2/2019 7,8 A YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 90 MUSTIKA
91 1 SINDRI IBRAHIM 58 159 15/3/2019 8 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI 91 MUSTIKA
92 3 RUSNI PAULU 80 155 1/3/2019 10 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 92 MUTIARA
93 3 YUSNI GOBEL 45 156 15/6/2019 10 A YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGI 93 MUTIARA
94 3 FADLIANN L 58 148 14/4/2019 8,4 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 94 PERMATA
95 4 ERNI YUSUF 88 150 27/7/2019 8 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR 95 PERMATA
96 6 FATMA ADAM 60 148 3/4/2019 12 AB YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 96 DILOATO
97 2 HAPSA HARUN 50 146 16/4/2019 9 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN 97 DILOATO
98 5 MEILAN RAHIM 64 154 5/1/2019 9 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA 98 MUSTIKA
99 1 SRI AINUN DJAFAR 54 149 5/29/2019 8 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA 99 MUSTIKA
100 1 AGUSTINA DUMBELA 55 161 8/14/2019 9 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA 100 PERMATA
101 1 AMNA WALAHE 55 153 8/23/2019 6 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA 101 PERMATA
102 1 ASNI ALIMUN 56 150 5/23/2019 10.4 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA 102 BONGO TUA
103 1 ROSPINA TULUKI 44 148 4/6/2019 10.6 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA 103 BONGO TUA
104 6 1/6/1974 750 2011104110024 750 2014601740002 SUTANTI TAMANU 750 2010107730031 MISRAN ADAM 63 148 7/1/2019 11 B YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO 104 DILOATO
105 3 DICO ABAS 54 150 2/8/2019 9 O YA GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO 105 DILOATO
106
107
 FORMAT ELEKTRONIK PELAPORAN PENCATATAN GIZI BERBASIS MASYARAKAT (E-PPGBM)

PENGUKURAN
BERAT BADAN TINGGI BADAN LILA IMT TINDAKAN TANGGAL PEMERIKSAAN KELUHAN SEKARANG

AGST SEPT OKT NOV JAN FEB MAR APR MEI JUN JUL AGST SEPT OKT NOV JAN FEB MAR APR MEI JUN JUL AGST SEPT OKT NOV JAN FEB MAR APR MEI JUN JUL AGST SEPT OKT NOV JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT OKT NOV JAN

48 49 51 51 52 53 146 146 146 146 146 146 146 26 26 26 26 27 27.5 1/4/2019 2/4/2019 3/4/2019 5/4/2019 5/4/2019 6/4/2019
8/4/2019 48 48 49 51 52 51 51.5 53 54 57 57 156 156 156 156 156 156 156 156 156 156 156 24 25 25 25.5 26 26 26 26 26 26 26 1/4/2019 2/4/2019 3/4/2019 5/4/2019 5/4/2019 6/4/2019 7/4/2019 8/4/2019
44 45 45 46 48 48.5 146 146 146 146 146 146 22 22 22 23 23 23.7 1/4/2019 2/4/2019 3/4/2019 5/4/2019 5/4/2019 6/4/2019
67 154 154 28 28 1/4/2019
8/4/2019 55 56 56.7 57 58 60 61 61.7 146 146 146 146 146 146 146 146 26 26 27 27.5 28 28 28 28 1/4/2019 2/4/2019 3/4/2019 5/4/2019 5/4/2019 6/4/2019 7/4/2019 8/4/2019
45 46 46 47 49 50 155 155 155 155 155 155 25 25 25 25 25.5 26 1/6/2019 2/6/2019 3/6/2019 4/6/2019 5/6/2019 7/6/2019
66 67 67.7 150 150 150 23 23 24 1/6/2019 2/6/2019 3/6/2019
59 58 59 62 147 147 147 147 28 28 28 28.8 1/2/2019 2/2/2019 3/2/2019 4/2/2019 5/2/2019
45 46 47 48 51 144 144 144 144 144 23,5 23,6 24 24 24.6 2/1/2019 2/2/2019 3/2/2019 4/2/2019 5/2/2019
8/2/2019 48 47 49 48.7 51 53 53.6 55 150 150 150 150 150 150 150 150 26 26 27 27 26 27 27.5 27 2/1/2019 2/2/2019 3/2/2019 4/2/2019 5/2/2019 6/2/2019 7/2/2019 8/2/2019
8/12/2019 62 64 65 66.5 67 68 51 51 161 161 161 161 161 161 161 161 35 35 36.3 36 37 37 37 37 1/12/2019 2/12/2019 3/12/2019 4/12/2019 5/12/2019 6/12/2019 7/12/2019 8/12/2019
70 72 73 75 75.5 76 159 159 159 159 159 159 30 30 30 32 32 31 1/12/2019 2/12/2019 3/12/2019 4/12/2019 5/12/2019 6/12/2019
48 47 48 47.8 49 51 51 150 150 150 150 150 150 150 23,5 23,6 23 24.5 25 25 1/10/2019 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
85 86 86 86.7 87 88 89 156 156 156 156 156 156 156 35 35 36 1/10/2019 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
50 52 53 55 153 153 153 153 22,5 22,6 23 23.7 1/10/2019 2/10/2019 3/10/2019 4/10/2019
8/10/2019 57 58 59 60 61.5 62 63 64 150 150 150 150 150 150 150 150 27 27 28 29 29 30 30 30.5 1/10/2019 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019 8/10/2019
45 46 47 48 147 147 147 147 22,5 22,6 23 23.5 24 1/10/2019 2/10/2019 3/10/2019 4/10/2019
45 46 47 47.8 49 150 150 150 150 150 23,5 23,6 23,7 24 24 24 1/10/2019 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019
8/10/2019 44 46 47 48 49.5 51 50 150 150 150 150 150 150 150 22,5 22,6 24 24 24.5 24 25 1/10/2019 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019 8/10/2019
60 63 64 65.6 155 155 155 155 25 25 25 25 1/10/2019 2/10/2019 3/10/2019 4/10/2019
8/6/2019 9/6/2019 67 66 67.5 68 69 69.6 71 73 156 156 156 156 156 156 156 156 25 25 25 25 25 26 26 26 2/6/2019 3/6/2019 4/6/2019 5/6/2019 6/6/2019 7/6/2019 8/6/2019 ###
8/12/2019 9/12/2019 64 65 65 66 67 68 68.7 70 156 156 156 156 156 156 156 156 27 27 27 27 27 27 27 27 2/12/2019 3/12/2019 4/12/2019 5/12/2019 6/12/2019 7/12/2019 8/12/2019 ###
49 48 49.6 51 52 53.6 150 150 150 150 150 150 24 24 24 24 24 24 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
48 48 49.6 51 52 154 154 154 154 154 24 24 24 25 25.5 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019
8/10/2019 9/10/2019 50 51 53 53.7 55 56 57 58.7 150 150 150 150 150 150 150 24 24.5 24 25 25 25 25 2/10/2019 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019 8/10/2019 ###
8/2/2019 9/2/2019 51 50 52 53 52 54 53 151 151 151 151 151 151 26 26 27 27 27.5 28 3/2/2019 4/2/2019 5/2/2019 6/2/2019 7/2/2019 8/2/2019 ###
8/2/2019 9/2/2019 10/2/2019 44 46 47.6 48 49 50 51.6 53 142 142 142 142 142 142 142 26 26 26 26 26 26 26 3/2/2019 4/2/2019 5/2/2019 6/2/2019 7/2/2019 8/2/2019 ### ###
44 44 45 46.6 48 142 142 142 142 27 27 27 27 3/2/2019 4/2/2019 5/2/2019 6/2/2019 7/2/2019
49 50 51 52.6 54 148 148 148 148 26,5 26,6 26,7 26,8 3/6/2019 4/6/2019 5/6/2019 6/6/2019 7/6/2019
8/12/2019 69,5 71 72 73.5 75 75 150 150 150 150 150 27 27 27 27 27 3/12/2019 4/12/2019 5/12/2019 6/12/2019 7/12/2019 8/12/2019
8/10/2019 9/10/2019 59 59 61 60.6 62 62 62.5 150 150 150 150 150 150 28 28 28 28 28 28 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019 8/10/2019 ###
62 62.7 64 65 66 148 148 148 148 31,5 31,6 31,7 31,8 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
8/10/2019 53 56 56.8 57 58 58.5 150 150 150 150 150 27 27 27 27 27 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019 8/10/2019
43 44 45.6 47 48 148 148 148 148 23 23 23 23 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019
8/10/2019 9/10/2019 62 63 64.5 65 66 67.5 68 68.5 155 155 155 155 155 155 155 24 24 24 24 24 24 24 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019 8/10/2019 ###
56 57.4 58 59 61 145 145 145 145 145 25,5 25,6 25,7 25,8 25,9 3/10/2019 4/10/2019 5/10/2019 6/10/2019
8/10/2019 9/10/2019 39 41 43 44 45.5 47 48 147 147 147 147 147 147 23 23 23 23 23 23 3/10/2019 4/10/2019 5/10/2019 6/10/2019 7/10/2019 8/10/2019 ###
8/2/2019 9/2/2019 10/2/2019 41 41.5 42 43 45 45.6 46 143 143 143 143 143 143 24 24 24 24 24 24 4/2/2019 5/2/2019 6/2/2019 7/2/2019 8/2/2019 ### ###
8/10/2019 9/10/2019 45 46 47 45 46 47.8 151 151 151 151 151 24 24 24 24 24 4/10/2019 5/10/2019 6/10/2019 7/10/2019 8/10/2019 ###
8/10/2019 9/10/2019 10/10/2019 65 65 66 65.4 66 68 152 152 152 152 152 31 31 31 31 31 4/10/2019 5/10/2019 6/10/2019 7/10/2019 8/10/2019 ### ###
51 52.5 54 150 150 150 29 29 29 4/10/2019 5/10/2019 6/10/2019
8/4/2019 9/4/2019 10/4/2019 50 52 53.5 54 55 57 58.5 156 156 156 156 156 156 22 22 22 22 22 22 5/4/2019 5/4/2019 6/4/2019 7/4/2019 8/4/2019 ### ###
55 54 55.8 150 150 150 29 29 29 5/4/2019 5/4/2019 6/4/2019
8/4/2019 9/4/2019 10/4/2019 11/4/2019 72 73 72 73.6 75 76 77 78.5 159 159 159 159 159 159 159 159 30 30 30 30 30 30 30 30 5/4/2019 5/4/2019 6/4/2019 7/4/2019 8/4/2019 ### ### ###
8/2/2019 9/2/2019 10/2/2019 11/2/2019 56 57.5 58 59.5 61 62 63 159 159 159 159 159 159 159 28 28 28 28 28 28 28 5/2/2019 6/2/2019 7/2/2019 8/2/2019 ### ### ###
8/2/2019 9/2/2019 10/2/2019 11/2/2019 73 72 73 74.5 75 76 77.6 160 160 160 160 160 160 160 25 25 25 25 25 25 25 5/2/2019 6/2/2019 7/2/2019 8/2/2019 ### ### ###
8/2/2019 9/2/2019 10/2/2019 11/2/2019 42 43 45 46 45.3 46 47.7 152 152 152 152 152 152 152 23,5 23,6 23,7 23,8 23,9 23,10 23,11 5/2/2019 6/2/2019 7/2/2019 8/2/2019 ### ### ###
8/4/2019 9/4/2019 45 46.3 48 49.5 51 145 145 145 145 20 20 20 20 5/4/2019 6/4/2019 7/4/2019 8/4/2019 ###
8/12/2019 9/12/2019 10/12/2019 11/12/2019 63 64 65.5 66 67 68.6 70 142 142 142 142 142 142 29 29 29 29 29 29 5/12/2019 6/12/2019 7/12/2019 8/12/2019 ### ### ###
72 73.5 75 162 162 162 30,5 30,6 30,7 5/10/2019 6/10/2019 7/10/2019
8/10/2019 9/10/2019 10/10/2019 55 56 57.5 58 59 61 143 143 143 143 143 25 25 25 25 25 5/10/2019 6/10/2019 7/10/2019 8/10/2019 ### ###
8/10/2019 9/10/2019 10/10/2019 11/10/2019 55 57 58.5 59 61 62 63 150 150 150 150 150 150 26 26 26 26 26 26 5/10/2019 6/10/2019 7/10/2019 8/10/2019 ### ### ###
8/10/2019 9/10/2019 10/10/2019 11/10/2019 60 61 62 62.6 60 62 63.5 150 150 150 150 150 150 28 28 28 28 28 28 5/10/2019 6/10/2019 7/10/2019 8/10/2019 ### ### ###
8/10/2019 9/10/2019 10/10/2019 11/10/2019 55 54 55 55.5 57 58 59 150 150 150 150 150 150 26 26 26 26 26 26 5/10/2019 6/10/2019 7/10/2019 8/10/2019 ### ### ###
8/2/2019 9/2/2019 10/2/2019 11/2/2019 53 54 55 56.7 59 61 145 145 145 145 145 28 28 28 28 28 6/2/2019 7/2/2019 8/2/2019 ### ### ###
8/4/2019 9/4/2019 10/4/2019 11/4/2019 54 56 57 57.7 58 59 155 155 155 155 155 26 26 26 26 26 6/4/2019 7/4/2019 8/4/2019 ### ### ###
8/4/2019 9/4/2019 10/4/2019 11/4/2019 81 80 81 82.5 83 84 152 152 152 152 152 36 36 36 36 36 6/4/2019 7/4/2019 8/4/2019 ### ### ###
8/4/2019 9/4/2019 10/4/2019 11/4/2019 82 84 85 85.6 87 87 151 151 151 151 151 36 36 36 36 36 6/4/2019 7/4/2019 8/4/2019 ### ### ###
8/4/2019 9/4/2019 48 49.5 51 52 140 140 140 23,5 23,6 23,7 6/4/2019 7/4/2019 8/4/2019 ###
8/4/2019 9/4/2019 10/4/2019 11/4/2019 70 70 71.6 72 73 75 147 147 147 147 147 30 30 30 30 30 6/4/2019 7/4/2019 8/4/2019 ### ### ###
8/4/2019 9/4/2019 10/4/2019 11/4/2019 78 78.7 79 80 80 81.6 152 152 152 152 152 30 30 30 30 30 6/4/2019 7/4/2019 8/4/2019 ### ### ###
8/4/2019 9/4/2019 10/4/2019 11/4/2019 55 55 56 57.7 58 59 161 161 161 161 161 26 26 26 26 26 6/4/2019 7/4/2019 8/4/2019 ### ### ###
8/4/2019 9/4/2019 10/4/2019 11/4/2019 45 45.7 46 47.6 48.6 50 150 150 150 150 150 22,5 22,6 22,7 22,8 22,9 6/4/2019 7/4/2019 8/4/2019 ### ### ###
8/4/2019 9/4/2019 49 50 52 51 150 150 150 25 25 25 6/4/2019 7/4/2019 8/4/2019 ###
8/6/2019 9/6/2019 10/6/2019 11/6/2019 65 67.5 68 69 71 73 153 153 153 153 153 32 32 32 32 32 6/6/2019 7/6/2019 8/6/2019 ### ### ###
8/6/2019 9/6/2019 10/6/2019 11/6/2019 55 54 55.5 56 57 58.6 152 152 152 152 152 27 27 27 27 27 6/6/2019 7/6/2019 8/6/2019 ### ### ###
8/10/2019 9/10/2019 57 58 59.5 61 150 150 150 27 27 27 6/10/2019 7/10/2019 8/10/2019 ###
8/10/2019 9/10/2019 10/10/2019 11/10/2019 55 56 56.7 58 59 148 148 148 148 27 27 27 27 7/10/2019 8/10/2019 ### ### ###
8/2/2019 9/2/2019 10/2/2019 11/2/2019 39 41 42 42.5 44 147 147 147 147 21 21 21 21 7/2/2019 8/2/2019 ### ### ###
8/2/2019 9/2/2019 10/2/2019 11/2/2019 55 56 56.7 58 60 148 148 148 148 25 25 25 25 7/2/2019 8/2/2019 ### ### ###
8/6/2019 9/6/2019 10/6/2019 11/6/2019 85 86 87.5 88 89 155 155 155 155 35 35 35 35 7/6/2019 8/6/2019 ### ### ###
8/6/2019 9/6/2019 67 66 67 146 146 146 29 29 29 7/6/2019 8/6/2019 ###
8/4/2019 9/4/2019 10/4/2019 11/4/2019 70 71.3 72 73 73.5 150 150 150 150 33 33 33 33 7/4/2019 8/4/2019 ### ### ###
8/4/2019 9/4/2019 10/4/2019 11/4/2019 55 56 56 57.6 58 142 142 142 142 28,4 28,5 28,6 28,7 7/4/2019 8/4/2019 ### ### ###
8/12/2019 9/12/2019 10/12/2019 11/12/2019 57 58 59.5 61 61 150 150 150 150 28,3 28,4 28,5 28,6 7/12/2019 8/12/2019 ### ### ###
8/10/2019 9/10/2019 10/10/2019 11/10/2019 58 58 59 60 61 160 160 160 160 28,5 28,6 28,7 28,8 7/10/2019 8/10/2019 ### ### ###
8/10/2019 9/10/2019 10/10/2019 11/10/2019 44 44 45.6 46 47 149 149 149 149 23,5 23,6 23,7 23,8 7/10/2019 8/10/2019 ### ### ###
8/10/2019 9/10/2019 10/10/2019 11/10/2019 30 149 32 7/10/2019 8/10/2019 ### ### ###
8/4/2019 9/4/2019 10/4/2019 11/4/2019 54 54 55.6 57 155 155 155 24 24 24 8/4/2019 ### ### ###
8/6/2019 9/6/2019 10/6/2019 11/6/2019 60 62 63 64 144 144 144 23,5 23,6 23,7 8/6/2019 ### ### ###
8/6/2019 9/6/2019 10/6/2019 11/6/2019 56 47 48 49.5 150 150 150 24 24 24 8/6/2019 ### ### ###
8/12/2019 9/12/2019 10/12/2019 11/12/2019 43 44 46 45 152 152 152 24 24 24 8/12/2019 ### ### ###
8/8/2019 9/8/2019 "08/10/2019 8-11-19 43 45 46 49 149 149 149 22 22 22 8/8/2019 ###
"08/10/2019
8-11-19
8/8/2019 9/8/2019 "08/10/2019 11/8/2019 52 52.5 53 54 150 150 150 25,5 25,6 25,7 8/8/2019 ###
"08/10/2019
###
8/8/2019 9/8/2019 "08/10/2019 11/8/2019 45 46 46.7 48 147 147 147 147 25 25 25 25 8/8/2019 ###
"08/10/2019
###
8/8/2019 9/8/2019 "08/10/2019 11/8/2019 70 72 73 75 149 149 149 149 26,5 26,6 26,7 26,8 8/8/2019 ###
"08/10/2019
###
8/8/2019 9/8/2019 "08/10/2019 11/8/2019 50 51 53 52 140 140 140 140 30 30 30 30 8/8/2019 ###
"08/10/2019
###
8/8/2019 9/8/2019 "08/10/2019 11/8/2019 39 41.5 43 45 146 146 146 146 23 23 23 23 8/8/2019 ###
"08/10/2019
###
8/8/2019 9/8/2019 "08/10/2019 11/8/2019 65 66 67 69 149 149 149 149 28 28 28 28 8/8/2019 ###
"08/10/2019
###
9/2/2019 10/2/2019 11/2/2019 64 64.7 65 154 154 154 27 27 27 ### ### ###
9/2/2019 10/2/2019 11/2/2019 58 59 60 159 159 159 23 23 23 ### ### ###
9/2/2019 10/2/2019 11/2/2019 80 82.5 83 155 155 155 33 33 33 ### ### ###
9/2/2019 10/2/2019 11/2/2019 45 47 47 156 156 156 38 38 38 ### ### ###
9/2/2019 10/2/2019 11/2/2019 58 59 61 148 148 148 25 25 25 ### ### ###
9/4/2019 10/4/2019 11/4/2019 88 86 89 150 150 150 22,5 22,6 22,7 ### ### ###
9/4/2019 10/4/2019 11/4/2019 60 61 62.5 148 148 148 30 30 30 ### ### ###
9/6/2019 10/6/2019 11/6/2019 50 52 54 146 146 146 23 23 23 ### ### ###
10/2/2019 11/2/2019 ### ###
10/2/2019 11/2/2019 ### ###
10/6/2019 11/6/2019 ### ###
10/6/2019 11/6/2019 ### ###
10/12/2019 10/12/2019 ### ###
10/12/2019 10/12/2019 ### ###
10/8/2019 11/8/2019 ### ###
10/8/2019 11/8/2019 ### ###
 PEMERIKSAAN PMT
KELUHAN SEKARANG TEKANAN DARAH UMUR KEHAMILAN (DALAM MINGGU) TINGGI FUNDUS LETAK JANIN DENYUT JANTUNG JANIN/MENIT
SUMBER PMT
PEMBERIAN PUSAT PEMBERIAN DAERAH
FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT OKT NOV JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT
TANGGAL PEMBERIAN JUMLAH PEMBERIAN TAHUN TANGGAL PEMBERIAN KE JUMLAH PEMBERIAN (KALORI)
PEMBERIAN KE (BUNGKUS) PRODUKSI PEMBERIAN
100/70 120/90 120/91 120/92 130/20 120/70 11 15 19 25 28 32 - -
90/60 100/90 100/80 90/70 110/70 120/70 100/80 100/70 6 10 14 18 24 28 33 36 - -
100/70 100/80 100/90 100/80 110/80 120/70 16 20 24 28 32 36 - -
100/70 39 30 140
110/80 130/90 120/80 110/90 120/80 100/80 110/70 120/90 9 13 17 21 25 29 33 36 - -
133/92 130/80 120/70 120/80 130/80 120/90 16 20 24 28 32 36 - -
100/70 110/80 110/90 120/70 8 12 16 21 20 135
102/70 100/80 120/80 110/90 130/80 120/70 8 12 16 20 24 28 - -
120/82 120/80 110/70 130/80 22 26 30 34 12 -
109/70 100/80 130/80 100/90 100/80 120/80 130/80 120/80 9 13 17 21 25 29 33 36 - -
110/80 120/70 120/80 100/80 100/80 110/90 130/70 110/80 12 16 20 24 28 32 36 - -
159/70 130/80 120/80 130/90 130/90 130/70 140/80 19 23 27 31 35 37 10 -
98/58 100/80 100/70 110/80 120/80 110/70 100/70 12 16 20 24 28 32 - -
135/90 130/90 120/80 120/70 110/80 120/90 120/80 12 16 20 24 28 32 - -
95/55 100/80 100/70 28 32 36 20 135
133/92 130/90 110/90 120/80 120/80 130/80 130/90 120/90 12 16 20 24 28 32 36 - -
120/87 120/70 110/90 120/90 24 28 32 36 18 140
98/71 100/80 110/80 110/90 120/80 110/90 16 20 24 28 32 36 10 -
120/80 120/90 120/80 130/80 130/70 120/80 120/70 10 14 18 22 26 30 34 - -
130/80 130/80 120/90 28 32 36 16 130
110/80 110/80 100/80 90/60 100/80 110/80 130/80 8 12 16 20 24 28 6 -
110/80 120/80 110/90 130/80 120/70 130/90 120/80 110/90 7 11 15 19 23 27 31 18 138
100/70 100/80 100/90 130/90 120/90 110/80 16 20 24 28 32 - -
110/70 100/80 120/80 110/80 120/80 20 23 27 31 22 135
110/70 110/80 120/80 120/80 110/80 100/70 100/80 110/70 8 12 16 20 24 12 130
111/66 100/70 100/80 110/90 120/90 120/80 100/90 13 17 21 25 8 -
122/86 120/90 120/80 130/90 120/90 100/90 100/80 100/80 13 17 21 25 8 -
122/86 130/90 110/90 100/90 120/80 13 17 21 25 29 33 9 -
110/80 100/90 100/80 120/90 120/80 23 27 31 35 16 130
110/70 100/90 100/90 120/90 130/90 120/80 23 27 24 130
120/85 110/90 120/80 120/90 120/90 120/80 130/80 17 14 -
110/70 100/80 100.70 110/90 120/80 12 - -
102/70 100/80 120/70 110/80 90/70 100/70 22 16 135
110/70 110/80 120/70 100/80 100/90 12 - -
117/84 100/70 120/80 120/70 110/80 120/80 110/90 21 7 -
115/80 110/80 120/90 100/80 12 - -
109/85 100/80 120/80 120/80 110/80 120/80 120/90 130/80 12 16 130
123/82 120/80 120/90 130/80 120/70 110/80 100/70 120/80 14 - -
110/80 110/90 110/90 120/70 120/90 120/90 120/990 11 - -
110/80 120/90 100/80 100/80 110/70 110/70 120/90 120/90 16 13 -
100/80 120/80 100/60 90/70 100/70 130/80 100/80 100/70 11 - -
110/80 100/80 100/70 120/90 120/80 120/70 100/80 100/90 29 27 -
120/70 100/80 110/80 110/70 110/80 120/80 120/90 11 - -
110/80 130/80 120/80 120/90 110/80 110/80 100/80 29 24 -
107/68 100/80 100/80 120/80 100/80 100/70 38 12 -
125/87 120/90 120/70 120/70 100/70 100/70 110/80 4 12 -
110/70 100/80 100/70 100/70 100/80 120/80 13 12 -
100/80 100/80 100/80 120/70 110/80 110/80 25 12 -
120/80 130/70 120/80 110/70 120/80 110/70 110/70 16 16 -
110/60 100/90 110/80 100/80 100/70 120/70 13 8 -
110/70 100/70 120/80 120/80 120/80 110/80 17 28 135
120/70 130/80 120/80 110/80 120/70 110/70 110/80 15 16 -
110/60 100/90 100/90 90/70 110/70 120/80 10 12 -
110/60 130/90 120/90 120/90 110/80 100/80 120/80 4 - -
110/70 100/70 100/80 110/80 110/70 11 - -
104/63 100/80 100/80 110/70 110/80 12 - -
140/90 130/90 130/80 130/80 120/80 110/80 14 - -
120/80 120/80 110/80 110/90 100/80 16 - -
100/64 100/70 100/80 110/80 120/80 120/80 26 21 130
120/80 120/80 110/90 100/90 120/80 10 - -
140/90 130/80 130/90 130/80 120/80 9 - -
120/80 120/90 100/80 120/70 120/80 110/80 7 - -
110/80 100/80 100/80 110/80 120/80 120/70 12 - -
117/80 100/70 100/80 90/70 100/70 120/70 24 20 130
120/90 130/90 120/80 120/70 110/80 120/90 16 - -
112/80 100/90 100/70 110/80 120/70 120/80 8 - -
120/80 120/80 120/80 120/70 120/80 110/70 24 20 -
100/60 100/70 100/70 100/70 120/70 19 - -
103/63 110/80 110/80 110/80 120/80 13 - -
100/70 100/80 100/80 100/80 100/70 8 - -
160/90 140/90 130/90 150/90 140/90 15 - -
100/70 100/80 100/80 100/80 110/70 24 25 146
120/80 120/80 120/70 120/70 110/80 8 - -
100/70 100/80 100/70 90/60 110/90 12 - -
120/80 120/80 120/80 110/70 100/90 10 - -
110/70 100/80 100/80 120/80 110/80 14 - -
120/90 120/80 110/80 110/70 100/90 - -
90/70 90/80 90/70 100/80 110/70 12 12 -
110/80 100/80 100/70 120/70 - BAL -
90/66 100/80 100/80 90/60 - BAL -
110/70 100/80 120/80 110/80 - BAL -
130/80 120/90 120/80 110/90 - BAL -
113/73 100/80 100/80 110/70 10 BAL -
115/83 130/80 120/70 110/70 - BAL -
90/80 100/80 100/70 120/80 16 BAL 140
128/89 120/90 120/80 120/70 18 BAL 135
120/80 120/70 120/80 110/80 - BAL -
95/85 100/70 90/70 100/80 - BAL -
139/72 120/90 110/90 110/80 16 BAL 130
106/80 90/70 100/80 29 20 145
117/80 100/80 100/90 25 16 140
150/90 140/90 140/90 26 25 146
130/90 130/90 120/90 11 - -
124/80 120/90 110/80 20 12 135
100/70 120/90 120/80 8 - -
120/80 120/80 110/80 20 12 140
117/97 110/80 110/80 19 11 -
 FORMAT ELEKTRONIK PELAPORAN PENCATATAN GIZI BERBASIS MASYARAKAT (E-PPGBM)
KABUPATEN / KOTA : BOALEMO
PUSKESMAS : BERLIAN
PETUGAS ENTRI/TPG :

BERAT
TINGGI BUKU KIA*
BADAN HPHT PENGGUNAAN RIWAYAT
NO KEHAMILAN KE TANGGAL BADAN GOLONGAN RIWAYAT NAMA TELP/HP PROVINSI* KAB / KOTA* KECAMATAN* PUSKESMAS DESA/ POSYANDU ALAMAT
NOMOR KK* NIK* NAMA* AWAL AWAL HAMIL (DD-MM- HB KONTRASEPSI SEBELUM PENYAKIT YANG NIK SUAMI* RT RW
BERAPA* LAHIR HAMIL YYYY)* DARAH KEHAMILAN INI DIDERITA IBU ALERGI SUAMI* SUAMI* PEMBINA* KELURAHAN* PEMBINA LENGKAP*
(CM
(Kg)
YA TIDAK
1 2 0 0 0 WATI RAHIM 48 146 12/9/2018 9,9 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGIMUTIARA 0 0
2 1 0 0 0 NINGSIH ABDUL 48 156 18/11/2018 9,8 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGIMUTIARA 0 0
3 1 0 0 0 YUSNI TAMRIN 44 146 6/8/2018 9,6 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGIMUTIARA 0 0
4 3 0 0 0 NOVITA PALAND 67 154 17/4/2018 9,8 B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGIMUTIARA 0 0
5 2 0 0 0 NURAIN IBRAHIM 55 146 15/11/2018 9,7 B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGIMUTIARA 0 0
6 3 0 0 0 DELIYANA BINTI 45 155 1/9/2018 11 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR PERMATA 0 0
7 #NAME? 0 0 0 NURHAYUN A 66 150 22/6/2018 8O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR PERMATA 0 0
8 1 0 0 0 ASTIN POGIO 59 147 12/30/1899 8,6 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
9 2 0 0 0 LIN ANO 45 144 5/8/2018 8O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
10 1 0 0 0 CINDI KULU 48 150 2/11/2018 8,9 A 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
11 1 0 0 0 CINDRAWATI T 62 161 26/10/2018 9,8 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR #NAME? 0 0
12 2 0 0 0 MARLINA ABUBAKAR 70 159 1/9/2018 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR #NAME? 0 0
13 3 31748 750 201210108012750 2014212860003 LENI WANINGSIH 48 150 1/10/2018 10 A 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
14 3 31278 750 201110411002750 2015908850002 HASNI DAUD 85 156 2/10/2018 9,8 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
15 3 35362 750 114641096000 0 RINDANG SAINI 50 153 20/6/2018 10 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
16 1 34287 750 201040413000 0 NOVIANINGSIH 57 150 1/10/2018 9O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN BONGO TUA 0 0
17 3 36411 750 201200108001750 2014809990001 LARISKAWATI 45 147 5/7/2018 12 A 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN BONGO TUA 0 0
18 1 35121 750 201080419000750 2016602960002 FEBRIYANTI G 45 150 2/9/2018 11 B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
19 2 0 0 0 CINDRA USMAN 44 150 29/10/2018 13 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
20 1 35365 750 201200108016750 2016710960002 YOLANDA M 60 155 10/7/2018 10 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
21 3 0 0 0 ASRIA BANI 67 156 7/12/2018 #NAME? B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR PERMATA 0 0
22 1 0 0 0 YUNANGSIH 64 156 20/12/2018 #NAME? O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR BONGO TUA 0 0
23 2 36408 750 201210119001750 2014202940001 WISNA MAI 49 150 18/10/2018 #NAME? O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
24 2 0 0 0 TRIJUWITA B 48 154 26/9/2018 11 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
25 1 37199 750 201180108003750 2014411010001 LINA DAMPOLI 50 150 18/12/18 11 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
26 1 0 0 0 ASNI NAJI 51 151 1/1/2019 9A 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
27 1 0 0 0 SASMITA BAU 44 142 1/1/2019 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
28 6 0 0 0 LIAN NGADI 44 142 1/1/2019 8B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
29 2 0 0 0 WIRNANINGSIH K 49 148 25/10/2018 10 B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN PERMATA MAWAR PERMATA 0 0
30 1 0 0 0 TIANSIH MOBI 69,5 150 28/9/2018 10,3 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR BONGO TUA 0 0
31 3 0 0 0 MARLINA LAJA 59 150 5/11/2018 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
32 6 30503 750 201191210002750 2014607830005 FITRIYANTI ALINTI 62 148 11/12/2018 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
33 1 33775 750 201210108010750 2016006920001 YANTI UMANI 53 150 1/10/2018 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
34 2 34262 750 201211114000750 2016010330001 FATMA ANTULU 43 148 5/11/2018 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
35 1 0 0 0 WINDI MOHA 62 155 8/10/2018 10 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
36 4 28479 750 201220108000750 1166512770001 ASNA DAUD 56 145 7/12/2018 10 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
37 2 35641 750 201300817000750 2017007970002 YULISNAWATI 39 147 6/9/2018 11 B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
38 1 0 0 0 MUSLIMAWATI U 41 143 22/12/2018 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
39 2 34138 750 201021018000750 1035805930001 MUMIN PAKAYA 25 151 12/1/2018 11 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
40 3 28262 750 201111018000750 5035705770002 LENA KAI 65 152 1/12/2018 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
41 2 34834 750 201301015000750 2015505950004 ISMAWATI KADILI 51 150 18/1/2018 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
42 2 0 0 0 SUMIYATI AZIS 50 156 6/9/2018 12 B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGIMUTIARA 0 0
43 1 0 0 0 NURMIN LACOMPO 55 150 5/1/2018 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGIMUTIARA 0 0
44 1 0 0 0 MERLIN IBRAHIM 72 159 8/9/2018 - 0 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGIMUTIARA 0 0
45 3 0 0 0 SRIYANTI LAHABU 56 159 23/11/2019 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
46 2 0 0 0 NOVA ANWAR 73 160 10/2/2019 11 B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
47 1 0 0 0 ULFA KARIM 42 152 18/2/2018 11 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
48 2 0 0 0 NURFIANI KOLONGA 45 145 2/2/2019 8,5 A 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGIMUTIARA 0 0
49 1 0 0 0 RISNA PASUDE 63 142 18/12/2018 8O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN BONGO TUA MAWAR BONGO TUA 0 0
50 3 28867 750 201160908000750 2015201790004 SANCE TAMANI 72 162 28/3/2019 12 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
51 2 36641 750 201210108002750 2016504000004 MEISKE AGU 55 143 1/10/2019 9B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
52 1 0 750 201200108007750 2015107950002 INDRAWATI LAHAY 55 150 28/12/2018 7A 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
53 2 29094 750 201080411000750 2016708790002 ASTIN TUNA 60 150 10/2/2019 11 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
54 1 36793 750 201200108018750 2016409000001 MURTIN ABAS 55 150 12/3/2019 11 O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN DILOATO FLAMBOYAN DILOATO 0 0
55 4 0 0 0 MERDI NGADI 53 145 24/1/2019 6O 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUSTIKA DAMAI MUSTIKA 0 0
56 1 0 0 0 ERWIN SYAWAL 54 155 10/3/2019 9,3 B 0 0 0 YA 0 0 0 0 GORONTALO BOALEMO PAGUYAMAN BERLIAN MUTIARA MEKAR WANGIMUTIARA 0 0
0 0 0 0 0 ASNI A TALANI 0 0 3/3/2019 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7/10/2019 8/10/2019 9/10/2019 10/10/2019 11/10/2019

 FORMAT ELEKTRONIK PELAPORAN PENCATATAN GIZI BERBASIS MASYARAKAT (E-PPGBM)
KABUPATEN / KOTA : BOALEMO
PUSKESMAS : BERLIAN
PETUGAS ENTRI/TPG :

PENGUKURAN
TANGGAL UKUR BERAT BADAN TINGGI BADAN LILA IMT TINDAKAN
NO NAMA*
JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT

1 WATI RAHIM 43469 43500 43528 43589 43589 43620 0 0 0 48 49 51 51 52 53 0 0 0 146 146 146 146 146 146 146 0 0 26 26 26 26 27 27.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 NINGSIH ABDUL 43469 43500 43528 43589 43589 43620 43650 43681 0 48 48 49 51 52 51 51.5 53 54 156 156 156 156 156 156 156 156 156 24 25 25 25.5 26 26 26 26 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 YUSNI TAMRIN 43469 43500 43528 43589 43589 43620 0 0 0 44 45 45 46 48 48.5 0 0 0 146 146 146 146 146 146 0 0 0 22 22 22 23 23 23.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 NOVITA PALAND 43469 43500 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 154 154 0 0 0 0 0 0 0 28 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 NURAIN IBRAHIM 43469 43500 43528 43589 43589 43620 43650 43681 0 55 56 56.7 57 58 60 61 61.7 0 146 146 146 146 146 146 146 146 0 26 26 27 27.5 28 28 28 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 DELIYANA BINTI 43471 43502 43530 43561 43591 43652 0 0 0 45 46 46 47 49 50 0 0 0 155 155 155 155 155 155 0 0 0 25 25 25 25 25.5 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 NURHAYUN A 43471 43502 43530 0 0 0 0 0 0 66 67 67.7 0 0 0 0 0 0 150 150 150 0 0 0 0 0 0 23 23 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ASTIN POGIO 43467 43498 43526 43557 43587 0 0 0 0 59 58 59 62 0 0 0 0 0 147 147 147 147 0 0 0 0 0 28 28 28 28.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 LIN ANO 43497 43498 43526 43557 43587 0 0 0 0 45 46 47 48 51 0 0 0 0 144 144 144 144 144 0 0 0 0 23,5 23,6 24 24 24.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 CINDI KULU 43497 43498 43526 43557 43587 43618 43648 43679 0 48 47 49 48.7 51 53 53.6 55 0 150 150 150 150 150 150 150 150 0 26 26 27 27 26 27 27.5 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 CINDRAWATI T 43477 43508 43536 43567 43597 43628 43658 43689 0 62 64 65 66.5 67 68 51 51 0 161 161 161 161 161 161 161 161 0 35 35 36.3 36 37 37 37 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 MARLINA ABUBAKAR 43477 43508 43536 43567 43597 43628 0 0 0 70 72 73 75 75.5 76 0 0 0 159 159 159 159 159 159 0 0 0 30 30 30 32 32 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 LENI WANINGSIH 43475 43506 43534 43565 43595 43626 43656 0 0 48 47 48 47.8 49 51 51 0 0 150 150 150 150 150 150 150 0 0 23,5 23,6 23 24.5 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 HASNI DAUD 43475 43506 43534 43565 43595 43626 43656 0 0 85 86 86 86.7 87 88 89 0 0 156 156 156 156 156 156 156 0 0 35 35 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 RINDANG SAINI 43475 43506 43534 43565 0 0 0 0 0 50 52 53 55 0 0 0 0 0 153 153 153 153 0 0 0 0 0 22,5 22,6 23 23.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 NOVIANINGSIH 43475 43506 43534 43565 43595 43626 43656 43687 0 57 58 59 60 61.5 62 63 64 0 150 150 150 150 150 150 150 150 0 27 27 28 29 29 30 30 30.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 LARISKAWATI 43475 43506 43534 43565 0 0 0 0 0 45 46 47 48 0 0 0 0 0 147 147 147 147 0 0 0 0 0 22,5 22,6 23 23.5 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 FEBRIYANTI G 43475 43506 43534 43565 43595 43626 0 0 0 45 46 47 47.8 49 0 0 0 0 150 150 150 150 150 0 0 0 0 23,5 23,6 23,7 24 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 CINDRA USMAN 43475 43506 43534 43565 43595 43626 43656 43687 0 44 46 47 48 49.5 51 50 0 0 150 150 150 150 150 150 150 0 0 22,5 22,6 24 24 24.5 24 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 YOLANDA M 43475 43506 43534 43565 0 0 0 0 0 60 63 64 65.6 0 0 0 0 0 155 155 155 155 0 0 0 0 0 25 25 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 ASRIA BANI 0 43502 43530 43561 43591 43622 43652 43683 43714 0 67 66 67.5 68 69 69.6 71 73 0 156 156 156 156 156 156 156 156 25 ### 25 25 25 25 26 26 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 YUNANGSIH 0 43508 43536 43567 43597 43628 43658 43689 43720 0 64 65 65 66 67 68 68.7 70 0 156 156 156 156 156 156 156 156 27 ### 27 27 27 27 27 27 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 WISNA MAI 0 43506 43534 43565 43595 43626 43656 0 0 0 49 48 49.6 51 52 53.6 0 0 0 150 150 150 150 150 150 0 0 24 ### 24 24 24 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 TRIJUWITA B 0 43506 43534 43565 43595 43626 0 0 0 0 48 48 49.6 51 52 0 0 0 0 154 154 154 154 154 0 0 0 24 ### 24 24 25 25.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 LINA DAMPOLI 0 43506 43534 43565 43595 43626 43656 43687 43718 0 50 51 53 53.7 55 56 57 58.7 0 150 150 150 150 150 150 150 0 24 ### 24.5 24 25 25 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 ASNI NAJI 0 0 43526 43557 43587 43618 43648 43679 43710 0 0 51 50 52 53 52 54 53 0 0 151 151 151 151 151 151 0 0 0 26 26 27 27 27.5 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 SASMITA BAU 0 0 43526 43557 43587 43618 43648 43679 43710 0 0 44 46 47.6 48 49 50 51.6 0 0 142 142 142 142 142 142 142 0 0 26 26 26 26 26 26 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 LIAN NGADI 0 0 43526 43557 43587 43618 43648 0 0 0 0 44 44 45 46.6 48 0 0 0 0 142 142 142 142 0 0 0 0 0 27 27 27 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 WIRNANINGSIH K 0 0 43530 43561 43591 43622 43652 0 0 0 0 49 50 51 52.6 54 0 0 0 0 148 148 148 148 0 0 0 0 0 26,5 26,6 26,7 26,8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 TIANSIH MOBI 0 0 43536 43567 43597 43628 43658 43689 0 0 0 69,5 71 72 73.5 75 75 0 0 0 150 150 150 150 150 0 0 0 0 27 27 27 27 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 MARLINA LAJA 0 0 43534 43565 43595 43626 43656 43687 43718 0 0 59 59 61 60.6 62 62 62.5 0 0 150 150 150 150 150 150 0 0 0 28 28 28 28 28 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 FITRIYANTI ALINTI 0 0 43534 43565 43595 43626 43656 0 0 0 0 62 62.7 64 65 66 0 0 0 0 148 148 148 148 0 0 0 0 0 31,5 31,6 31,7 31,8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 YANTI UMANI 0 0 43534 43565 43595 43626 43656 43687 0 0 0 53 56 56.8 57 58 58.5 0 0 0 150 150 150 150 150 0 0 0 0 27 27 27 27 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 FATMA ANTULU 0 0 43534 43565 43595 43626 43656 0 0 0 0 43 44 45.6 47 48 0 0 0 0 148 148 148 148 0 0 0 0 0 23 23 23 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 WINDI MOHA 0 0 43534 43565 43595 43626 43656 43687 43718 0 0 62 63 64.5 65 66 67.5 68 0 0 155 155 155 155 155 155 155 0 0 24 24 24 24 24 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 ASNA DAUD 0 0 43534 43565 43595 43626 0 0 0 0 0 56 57.4 58 59 61 0 0 0 0 145 145 145 145 145 0 0 0 0 25,5 25,6 25,7 25,8 25,9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 YULISNAWATI 0 0 43534 43565 43595 43626 43656 43687 43718 0 0 39 41 43 44 45.5 47 48 0 0 147 147 147 147 147 147 0 0 0 23 23 23 23 23 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 MUSLIMAWATI U 0 0 0 43557 43587 43618 43648 43679 43710 0 0 0 41 41.5 42 43 45 45.6 0 0 0 143 143 143 143 143 143 0 0 0 24 24 24 24 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 MUMIN PAKAYA 0 0 0 43565 43595 43626 43656 43687 43718 0 0 0 45 46 47 45 46 47.8 0 0 0 151 151 151 151 151 0 0 0 0 24 24 24 24 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 LENA KAI 0 0 0 43565 43595 43626 43656 43687 43718 0 0 0 65 65 66 65.4 66 68 0 0 0 152 152 152 152 152 0 0 0 0 31 31 31 31 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 ISMAWATI KADILI 0 0 0 43565 43595 43626 0 0 0 0 0 0 51 52.5 54 0 0 0 0 0 0 150 150 150 0 0 0 0 0 0 29 29 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 SUMIYATI AZIS 0 0 0 43589 43589 43620 43650 43681 43712 0 0 0 50 52 53.5 54 55 57 0 0 0 156 156 156 156 156 156 0 0 0 22 22 22 22 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 NURMIN LACOMPO 0 0 0 43589 43589 43620 0 0 0 0 0 0 55 54 55.8 0 0 0 0 0 0 150 150 150 0 0 0 0 0 0 29 29 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 MERLIN IBRAHIM 0 0 0 43589 43589 43620 43650 43681 43712 0 0 0 72 73 72 73.6 75 76 0 0 0 159 159 159 159 159 159 0 0 0 30 30 30 30 30 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 SRIYANTI LAHABU 0 0 0 0 43587 43618 43648 43679 43710 0 0 0 0 56 57.5 58 59.5 61 0 0 0 0 159 159 159 159 159 0 0 0 0 28 28 28 28 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 NOVA ANWAR 0 0 0 0 43587 43618 43648 43679 43710 0 0 0 0 73 72 73 74.5 75 0 0 0 0 160 160 160 160 160 0 0 0 0 25 25 25 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 ULFA KARIM 0 0 0 0 43587 43618 43648 43679 43710 0 0 0 0 42 43 45 46 45.3 0 0 0 0 152 152 152 152 152 0 0 0 0 23,5 23,6 23,7 23,8 23,9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 NURFIANI KOLONGA 0 0 0 0 43589 43620 43650 43681 43712 0 0 0 0 45 46.3 48 49.5 51 0 0 0 0 145 145 145 145 0 0 0 0 0 20 20 20 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 RISNA PASUDE 0 0 0 0 43597 43628 43658 43689 43720 0 0 0 0 63 64 65.5 66 67 0 0 0 0 142 142 142 142 142 0 0 0 0 29 29 29 29 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 SANCE TAMANI 0 0 0 0 43595 43626 43656 0 0 0 0 0 0 72 73.5 75 0 0 0 0 0 0 162 162 162 0 0 0 0 0 0 30,5 30,6 30,7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 MEISKE AGU 0 0 0 0 43595 43626 43656 43687 43718 0 0 0 0 55 56 57.5 58 59 0 0 0 0 143 143 143 143 143 0 0 0 0 25 25 25 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 INDRAWATI LAHAY 0 0 0 0 43595 43626 43656 43687 43718 0 0 0 0 55 57 58.5 59 61 0 0 0 0 150 150 150 150 150 0 0 0 0 26 26 26 26 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 ASTIN TUNA 0 0 0 0 43595 43626 43656 43687 43718 0 0 0 0 60 61 62 62.6 60 0 0 0 0 150 150 150 150 150 0 0 0 0 28 28 28 28 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 MURTIN ABAS 0 0 0 0 43595 43626 43656 43687 43718 0 0 0 0 55 54 55 55.5 57 0 0 0 0 150 150 150 150 150 0 0 0 0 26 26 26 26 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 MERDI NGADI 0 0 0 0 0 43618 43648 43679 43710 0 0 0 0 0 53 54 55 56.7 0 0 0 0 0 145 145 145 145 0 0 0 0 0 28 28 28 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 ERWIN SYAWAL 0 0 0 0 0 43620 43650 43681 43712 0 0 0 0 0 54 56 57 57.7 0 0 0 0 0 155 155 155 155 0 0 0 0 0 26 26 26 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 ASNI A TALANI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 FORMAT ELEKTRONIK PELAPORAN PENCATATAN GIZI BERBASIS MASYARAKAT (E-PPGBM)
KABUPATEN / KOTA : BOALEMO
PUSKESMAS : BERLIAN
PETUGAS ENTRI/TPG :

PEMERIKSAAN
TANGGAL PEMERIKSAAN KELUHAN SEKARANG TEKANAN DARAH UMUR KEHAMILAN TINGGI FUNDUS LETAK JANIN DENYUT JANTUNG JANIN/MENIT
NO NAMA*
JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT JAN FEB MAR APR MEI JUN JUL AGST SEPT

1 WATI RAHIM ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 100/7 120/9 120/9 120/9 130/2 120/7 0 0 0 11 15 19 25 28 32 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
2 NINGSIH ABDUL ### ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 90/60 100/9 100/8 90/70 110/7 120/7 100/8 100/7 0 6 10 14 18 24 28 33 36 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
3 YUSNI TAMRIN ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 100/7 100/8 100/9 100/8 110/8 120/7 0 0 0 16 20 24 28 32 36 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
4 NOVITA PALAND ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110/8 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0
5 NURAIN IBRAHIM ### ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 133/9 130/9 120/8 110/9 120/8 100/8 110/7 120/9 0 9 13 17 21 25 29 33 36 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
6 DELIYANA BINTI ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 100/7 130/8 120/7 120/8 130/8 120/9 0 0 0 16 20 24 28 32 36 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
7 NURHAYUN A ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102/7 110/8 110/9 120/7 0 0 0 0 0 8 12 16 21 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0
8 ASTIN POGIO ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 120/8 100/8 120/8 110/9 130/8 120/7 0 0 0 8 12 16 20 24 28 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
9 LIN ANO ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 109/7 120/8 110/7 130/8 0 0 0 0 0 22 26 30 34 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
10 CINDI KULU ### ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 110/8 100/8 130/8 100/9 100/8 120/8 130/8 120/8 0 9 13 17 21 25 29 33 36 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
11 CINDRAWATI T ### ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 159/7 120/7 120/8 100/8 100/8 110/9 130/7 110/8 0 12 16 20 24 28 32 36 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
12 MARLINA ABUBAKAR ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 98/58 130/8 120/8 130/9 130/9 130/7 140/8 0 0 19 23 27 31 35 37 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
13 LENI WANINGSIH ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 135/9 100/8 100/7 110/8 120/8 110/7 100/7 0 0 12 16 20 24 28 32 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
14 HASNI DAUD ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 95/55 130/9 120/8 120/7 110/8 120/9 120/8 0 0 12 16 20 24 28 32 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
15 RINDANG SAINI ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133/9 100/8 100/7 0 0 0 0 0 0 28 32 36 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0
16 NOVIANINGSIH ### ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 120/8 130/9 110/9 120/8 120/8 130/8 130/9 120/9 0 12 16 20 24 28 32 36 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
17 LARISKAWATI ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98/71 120/7 110/9 120/9 0 0 0 0 0 24 28 32 36 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 0 0 0 0 0 0 0 0
18 FEBRIYANTI G ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 120/8 100/8 110/8 110/9 120/8 110/9 0 0 0 16 20 24 28 32 36 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
19 CINDRA USMAN ### ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 130/8 120/9 120/8 130/8 130/7 120/8 120/7 0 0 10 14 18 22 26 30 34 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0
20 YOLANDA M ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 130/8 120/9 0 0 0 0 0 0 28 32 36 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0
21 ASRIA BANI 0 ### ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 110/8 110/8 100/8 90/60 100/8 110/8 130/8 0 0 8 12 16 20 24 28 0 0 6 ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0
22 YUNANGSIH 0 ### ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 110/8 120/8 110/9 130/8 120/7 130/9 120/8 110/9 0 7 11 15 19 23 27 31 0 18 ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0
23 WISNA MAI 0 ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 100/7 100/8 100/9 130/9 120/9 110/8 0 0 0 16 20 24 28 32 0 0 0- ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0
24 TRIJUWITA B 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 110/7 100/8 120/8 110/8 120/8 0 0 0 0 20 23 27 31 0 0 0 0 22 ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0
25 LINA DAMPOLI 0 ### ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 110/7 110/8 120/8 120/8 110/8 100/7 100/8 110/7 0 8 12 16 20 24 0 0 0 12 ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0
26 ASNI NAJI 0 0 ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 111/6 100/7 100/8 110/9 120/9 120/8 100/9 0 0 13 17 21 25 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0
27 SASMITA BAU 0 0 ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 122/8 120/9 120/8 130/9 120/9 100/9 100/8 0 0 13 17 21 25 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0
28 LIAN NGADI 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 122/8 130/9 110/9 100/9 120/8 0 0 0 0 13 17 21 25 29 33 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0
29 WIRNANINGSIH K 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 110/8 100/9 100/8 120/9 120/8 0 0 0 0 23 27 31 35 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0
30 TIANSIH MOBI 0 0 ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 110/7 100/9 100/9 120/9 130/9 120/8 0 0 0 23 27 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0
31 MARLINA LAJA 0 0 ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 120/8 110/9 120/8 120/9 120/9 120/8 130/8 0 0 17 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0
32 FITRIYANTI ALINTI 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 110/7 100/8 100.70110/9 120/8 0 0 0 0 12 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0
33 YANTI UMANI 0 0 ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 102/7 100/8 120/7 110/8 90/70 100/7 0 0 0 22 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0
34 FATMA ANTULU 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 110/7 110/8 120/7 100/8 100/9 0 0 0 0 12 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0
35 WINDI MOHA 0 0 ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 117/8 100/7 120/8 120/7 110/8 120/8 110/9 0 0 21 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0
36 ASNA DAUD 0 0 ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115/8 110/8 120/9 100/8 0 0 0 0 0 12 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0 0
37 YULISNAWATI 0 0 ### ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 109/8 100/8 120/8 120/8 110/8 120/8 120/9 0 0 12 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0
38 MUSLIMAWATI U 0 0 0 ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 123/8 120/8 120/9 130/8 120/7 110/8 0 0 0 14 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0
39 MUMIN PAKAYA 0 0 0 ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 110/8 110/9 110/9 120/7 120/9 120/9 0 0 0 11 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0
40 LENA KAI 0 0 0 ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 110/8 120/9 100/8 100/8 110/7 110/7 0 0 0 16 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0
41 ISMAWATI KADILI 0 0 0 ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100/8 120/8 100/6 90/70 100/7 130/8 0 0 0 11 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0
42 SUMIYATI AZIS 0 0 0 ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 110/8 100/8 100/7 120/9 120/8 120/7 0 0 0 29 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0
43 NURMIN LACOMPO 0 0 0 ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120/7 100/8 110/8 110/7 110/8 120/8 0 0 0 11 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0
44 MERLIN IBRAHIM 0 0 0 ### ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 110/8 130/8 120/8 120/9 110/8 110/8 0 0 0 29 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0 0
45 SRIYANTI LAHABU 0 0 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 107/6 100/8 100/8 120/8 100/8 0 0 0 0 38 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0
46 NOVA ANWAR 0 0 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 125/8 120/9 120/7 120/7 100/7 0 0 0 0 4 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0
47 ULFA KARIM 0 0 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 110/7 100/8 100/7 100/7 100/8 0 0 0 0 13 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0
48 NURFIANI KOLONGA 0 0 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 100/8 100/8 100/8 120/7 110/8 0 0 0 0 25 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0
49 RISNA PASUDE 0 0 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 120/8 130/7 120/8 110/7 120/8 0 0 0 0 16 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0
50 SANCE TAMANI 0 0 0 0 ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110/6 100/9 110/8 100/8 100/7 0 0 0 0 13 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0
51 MEISKE AGU 0 0 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 110/7 100/7 120/8 120/8 120/8 0 0 0 0 17 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0
52 INDRAWATI LAHAY 0 0 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 120/7 130/8 120/8 110/8 120/7 0 0 0 0 15 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0
53 ASTIN TUNA 0 0 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 110/6 100/9 100/9 90/70 110/7 0 0 0 0 10 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0
54 MURTIN ABAS 0 0 0 0 ### ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 110/6 130/9 120/9 120/9 110/8 0 0 0 0 4 0 0 0 0 0 0 0 0- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0 0
55 MERDI NGADI 0 0 0 0 0 ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110/7 100/7 100/8 110/8 0 0 0 0 0 11 0 0 0 0 0 0 0 0 ### - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0
56 ERWIN SYAWAL 0 0 0 0 0 ### ### ### ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104/6 100/8 100/8 110/7 0 0 0 0 0 12 0 0 0 0 0 0 0 0 ### - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0- 0 0 0
0 ASNI A TALANI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 FORMAT ELEKTRONIK PELAPORAN PENCATATAN GIZI BERBASIS MASYARAKAT (E-PPGBM)
KABUPATEN / KOTA : BOALEMO
PUSKESMAS : BERLIAN
PETUGAS ENTRI/TPG :

PMT

SUMBER PMT
NO NAMA*
PEMBERIAN PUSAT PEMBERIAN DAERAH
TANGGAL PEMBERIAN JUMLAH PEMBERIAN TAHUN TANGGAL
PEMBERIAN KE JUMLAH PEMBERIAN (KALORI)
PEMBERIAN KE (BUNGKUS) PRODUKSI PEMBERIAN

1 WATI RAHIM 0 0 0 0 0 0 0
2 NINGSIH ABDUL 0 0 0 0 0 0 0
3 YUSNI TAMRIN 0 0 0 0 0 0 0
4 NOVITA PALAND 0 0 0 0 0 0 0
5 NURAIN IBRAHIM 0 0 0 0 0 0 0
6 DELIYANA BINTI 0 0 0 0 0 0 0
7 NURHAYUN A 0 0 0 0 0 0 0
8 ASTIN POGIO 0 0 0 0 0 0 0
9 LIN ANO 0 0 0 0 0 0 0
10 CINDI KULU 0 0 0 0 0 0 0
11 CINDRAWATI T 0 0 0 0 0 0 0
12 MARLINA ABUBAKAR 0 0 0 0 0 0 0
13 LENI WANINGSIH 0 0 0 0 0 0 0
14 HASNI DAUD 0 0 0 0 0 0 0
15 RINDANG SAINI 0 0 0 0 0 0 0
16 NOVIANINGSIH 0 0 0 0 0 0 0
17 LARISKAWATI 0 0 0 0 0 0 0
18 FEBRIYANTI G 0 0 0 0 0 0 0
19 CINDRA USMAN 0 0 0 0 0 0 0
20 YOLANDA M 0 0 0 0 0 0 0
21 ASRIA BANI 0 0 0 0 0 0 0
22 YUNANGSIH 0 0 0 0 0 0 0
23 WISNA MAI 0 0 0 0 0 0 0
24 TRIJUWITA B 0 0 0 0 0 0 0
25 LINA DAMPOLI 0 0 0 0 0 0 0
26 ASNI NAJI 0 0 0 0 0 0 0
27 SASMITA BAU 0 0 0 0 0 0 0
28 LIAN NGADI 0 0 0 0 0 0 0
29 WIRNANINGSIH K 0 0 0 0 0 0 0
30 TIANSIH MOBI 0 0 0 0 0 0 0
31 MARLINA LAJA 0 0 0 0 0 0 0
32 FITRIYANTI ALINTI 0 0 0 0 0 0 0
33 YANTI UMANI 0 0 0 0 0 0 0
34 FATMA ANTULU 0 0 0 0 0 0 0
35 WINDI MOHA 0 0 0 0 0 0 0
36 ASNA DAUD 0 0 0 0 0 0 0
37 YULISNAWATI 0 0 0 0 0 0 0
38 MUSLIMAWATI U 0 0 0 0 0 0 0
39 MUMIN PAKAYA 0 0 0 0 0 0 0
40 LENA KAI 0 0 0 0 0 0 0
41 ISMAWATI KADILI 0 0 0 0 0 0 0
42 SUMIYATI AZIS 0 0 0 0 0 0 0
43 NURMIN LACOMPO 0 0 0 0 0 0 0
44 MERLIN IBRAHIM 0 0 0 0 0 0 0
45 SRIYANTI LAHABU 0 0 0 0 0 0 0
46 NOVA ANWAR 0 0 0 0 0 0 0
47 ULFA KARIM 0 0 0 0 0 0 0
48 NURFIANI KOLONGA 0 0 0 0 0 0 0
49 RISNA PASUDE 0 0 0 0 0 0 0
50 SANCE TAMANI 0 0 0 0 0 0 0
51 MEISKE AGU 0 0 0 0 0 0 0
52 INDRAWATI LAHAY 0 0 0 0 0 0 0
53 ASTIN TUNA 0 0 0 0 0 0 0
54 MURTIN ABAS 0 0 0 0 0 0 0
55 MERDI NGADI 0 0 0 0 0 0 0
56 ERWIN SYAWAL 0 0 0 0 0 0 0
0 ASNI A TALANI 0 0 0 0 0 0 0