PEMERINTAH KABUPATEN KUPANG

PUSKESMAS AKLE
KECAMATAN SEMAU SELATAN
Jln. Amanamang Rote Dusun III Desa Akle
Email : puskesmasakle11@gmail.com
Call Center : 0853-3383-9414

OUTLINE FORMAT PENDATAAN SASARAN POPM KECACINGAN

PUSKESMAS : AKLE
DESA : NAIKEAN

Umur

No Nama Anak JK Tanggal Lahir Alamat Nama Orang Tua 12 - 23 bulan 24 - 59 5 - 6 tahun 7 - 12 tahun
Bulan
L P L P L P L P

1 Aliando Syaputra Manafe L 9/5/2014 Naikean Dorci Manafe 0 0 0 0 0 0 9

2 Andika Nau L 2/28/2015 Naikean Ayu Linda Lilong 0 0 0 0 0 0 8

3 Britney Anjani Haba Lado P 9/8/2014 Naikean Fani Anggriani Lestari Ndolu 0 0 0 0 0 0 8

4 Calista Fitriani Ukat P 7/26/2015 Naikean Endang Susang 0 0 0 0 0 0 7

5 Cindi Fatikasari Nauk P 5/28/2015 Naikean Ariaf Jalinda Pingaman 0 0 0 0 0 0 7

6 Desta Ibrahim Manafe L 12/25/2014 Naikean Yuliana Malesiy 0 0 0 0 0 0 8

7 Faradiba Sudin L 3/10/2015 Naikean Roniana Antoneta Luy 0 0 0 0 0 0 8

8 GILBERT C. BATU P 12/30/2014 Naikean Elsy Y. Ay 0 0 0 0 0 0 8

9 Juandri Tefa L 10/2/2014 Naikean Juliana Ukat 0 0 0 0 0 0 9

10 Marsya Naomi Folla P 3/24/2015 Naikean Mega Folla 0 0 0 0 0 0 8

11 Nindi Susang P 12/5/2014 Naikean Dorince Agustina Balle 0 0 0 0 0 0 8

12 Novita Bathu P 11/27/2014 Naikean Erwin Evilia Susang 0 0 0 0 0 0 8

13 Radvel Unarto Lapaan L 11/22/2014 Naikean Adelci Lima 0 0 0 0 0 0 8

14 Riovaldi Pesi L 10/26/2014 Naikean Yohana Lao 0 0 0 0 0 0 9

15 Sandrina Melita Nauk P 9/11/2014 Naikean Roberta Nengo 0 0 0 0 0 0 8

16 Sepriance Olifia Bait P 9/26/2014 Naikean Meriana Bait 0 0 0 0 0 0 8

17 Yoel Agustinus Batu L 6/16/2015 Naikean Laheroi Bathu Tausbele 0 0 0 0 0 0 8

18 Yudha Aditya Susang L 5/9/2015 Naikean Yesrida Bees 0 0 0 0 0 0 8

19 Christiani Linovta Hondro P 9/17/2013 Naikean Yurlius W. S. Hondro 0 0 0 0 0 0 9

20 Denalci Lima P 12/30/2013 Naikean Filmon Abraham Lima 0 0 0 0 0 0 9

21 Fergerina Ndun P 2/7/2013 Naikean Jemi Ndun 0 0 0 0 0 0 10

22 Fikar Arjuna Patola L 4/22/2014 Naikean Sefanya Patola 0 0 0 0 0 0 9

23 Gilang Pingaman L 6/26/2014 Naikean Matheos Pingaman 0 0 0 0 0 0 9

24 Hidan Algivari Nauk L 6/7/2014 Naikean Yermias Nauk 0 0 0 0 0 0 9

25 Jeivan Haba Lado L 1/19/2014 Naikean Chostan Haba Lado 0 0 0 0 0 0 9

26 Jio Ikardi Mau L 6/26/2014 Naikean Marthen Mau 0 0 0 0 0 0 9

27 Julio Batu L 7/3/2014 Naikean Jemi Batu 0 0 0 0 0 0 9

28 Lionel Adyputra Polin L 3/31/2014 Naikean Oskar Polin 0 0 0 0 0 0 9

29 Nengsi Snait P 8/7/2014 Naikean Aples Y. N. Snait 0 0 0 0 0 0 8

30 Paula Cantika Langkameng P 9/6/2014 Naikean Ronal F. Beeh 0 0 0 0 0 0 8

31 Petro Davison Solokana L 8/13/2014 Naikean Sedek Solokana 0 0 0 0 0 0 9

32 Prilli Dillak P 4/29/2014 Naikean Gabriel Paulus Dillak 0 0 0 0 0 0 9

33 Prima Gunawan Huru Lobo L 11/11/2014 Naikean Yatmal Agustinus Huru Lobo 0 0 0 0 0 0 8

34 Roslin Pingaman P 6/21/2014 Naikean Petrus Zakarias Pingaman 0 0 0 0 0 0 8

35 Aldy Rivaldi Bathu Tausbele L 8/2/2011 Naikean Yekonya Bathu 0 0 0 0 0 0 12

36 Anggriani Hutu P 10/17/2012 Naikean Martinus Hutu 0 0 0 0 0 0 10

37 Brigas D. Piter Suna L 5/24/2013 Naikean Markus Suna 0 0 0 0 0 0 10

38 Cristonel Lapaan L 12/24/2012 Naikean Matius Lapaan 0 0 0 0 0 0 10

39 Defran Adipapa Ndolu L 12/15/2011 Naikean Petrus Ndolu 0 0 0 0 0 0 11

40 Diego Forland Nauk L 12/11/2012 Naikean Mikson Nauk 0 0 0 0 0 0 10

41 Dortia Polin P 4/29/2011 Naikean Eduard Polin 0 0 0 0 0 0 12

42 Erlin Julian Mbau P 7/24/2013 Naikean Johan Mbau 0 0 0 0 0 0 9

43 Febriance Nabila Tassi P 2/28/2012 Naikean Felsianus Tassi 0 0 0 0 0 0 11

44 Frisky Pingaman L 2/25/2013 Naikean Matheos Pingaman 0 0 0 0 0 0 10

45 Lice Anthoneta Susang P 4/20/2011 Naikean Yopi Soleman Susang 0 0 0 0 0 0 12

46 Marico Alexsandro Batu L 3/14/2013 Naikean Paulus Batu 0 0 0 0 0 0 10

47 Marvel Aprillio Patola L 4/21/2013 Naikean - 0 0 0 0 0 0 10

48 Mesiano Grevandi Snait L 12/26/2012 Naikean Aples Y. N. Snait 0 0 0 0 0 0 10

49 Normi Duwyyati Pingaman P 9/1/2012 Naikean Dominggus Pingaman 0 0 0 0 0 0 10

50 Nuhrama Jonas Ottu P 11/26/2011 Naikean Luka Ottu 0 0 0 0 0 0 11

51 Putri Wesri Hitis P 5/3/2013 Naikean Wempi S. Hitis 0 0 0 0 0 0 10

52 Rivaldo Bathu Tausbele L 4/28/2013 Naikean Yekonya Bathu 0 0 0 0 0 0 10

53 Tasya Ralin Manafe P 6/5/2013 Naikean - 0 0 0 0 0 0 9

54 Thania Atalya Nauk P 11/23/2012 Naikean Yermias Nauk 0 0 0 0 0 0 10

55 Fearlez Cortez Susang L 2/26/2012 Naikean Kilson Susang 0 0 0 0 0 0 11

56 Fresly Pingaman L 11/11/2011 Naikean Matheos Pingaman 0 0 0 0 0 0 11

57 Gerald Christian Solokana L 5/2/2012 Naikean Isaskar Solokana 0 0 0 0 0 0 11

58 Jeriko Brandon Lapa L 12/11/2011 Naikean Sem Yafet Lapa 0 0 0 0 0 0 11

59 Marko Ikabot Susang L 3/18/2012 Naikean Sanherib Susang 0 0 0 0 0 0 11

60 Meisya Anjelika Auvengo P 5/1/2012 Naikean Mika Auvengo 0 0 0 0 0 0 11

61 Naila Lima P 11/19/2011 Naikean Iskandar Lima 0 0 0 0 0 0 11

62 Randi Ronaldo Luy L 12/12/2011 Naikean Nimrod Luy 0 0 0 0 0 0 11

63 Rebeka Kartika Susang P 2/9/2011 Naikean Benyamin Susang 0 0 0 0 0 0 12

64 Richael Anderio Lapaan L 5/18/2012 Naikean Dandres Lapaan 0 0 0 0 0 0 11

65 Sinta Dewita Adu P 1/17/2011 Naikean Gerson Adu 0 0 0 0 0 0 12

66 Tamara Suku P 4/10/2012 Naikean Domimundus Suku 0 0 0 0 0 0 11

67 Astrid Nauk P 4/12/2011 Naikean Mesakh Nau 0 0 0 0 0 0 12

68 Ayu Tefa P 8/24/2010 Naikean Oktofianus Tefa 0 0 0 0 0 0 12

69 Charlos Wardani Pesi L 1/17/2011 Naikean Yanres Albertus Pesi 0 0 0 0 0 0 12

70 Fourista Meilista Haba Lado L 5/4/2011 Naikean Chostan Haba Lado 0 0 0 0 0 0 12

71 Greval Susang L 2/17/2011 Naikean Meksi Susang 0 0 0 0 0 0 12

72 Lipni Yuniar Polin P 6/10/2011 Naikean Oskar Polin 0 0 0 0 0 0 11

73 Maria Jamila Pallo P 1/12/2011 Naikean Gerson Pallo 0 0 0 0 0 0 12

74 Sandi Adipapa Nauk L 12/9/2010 Naikean Yakob Nauk 0 0 0 0 0 0 12

75 Yulianus Batu L 7/23/2010 Naikean Semuel Batu 0 0 0 0 0 0 13

76 Agim Nauk L 6/15/2016 Naikean nikson nauk 0 0 0 0 0 0 7

fito batu L 7/21/2016 Naikean Imanuel batu 0 0 0 0 0 0 7

juven kisen L 6/29/2016 Naikean ani kisek 0 0 0 0 0 0 7

novita bistolen P 11/9/2015 Naikean fendi bistolen 0 0 0 0 0 0 7

sefra polin L 9/4/2015 Naikean sefra 0 0 0 0 0 0 7

sena patola P 5/20/2016 Naikean rehul patola 0 0 0 0 0 0 7

sindi polin P 5/13/2016 Naikean apner polin 0 0 0 0 0 0 7

yunita tefa P 2/3/2016 Naikean anus tefa 0 0 0 0 0 0 7

Mengetahui ……………,…………/………/………
Kepala Puskesmas Akle Pelapor

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 PEMERINTAH KABUPATEN KUPANG
PUSKESMAS AKLE
KECAMATAN SEMAU SELATAN
Jln. Amanamang Rote Dusun III Desa Akle
Email : puskesmasakle11@gmail.com
Call Center : 0853-3383-9414

OUTLINE FORMAT PENDATAAN SASARAN POPM KECACINGAN

PUSKESMAS : AKLE
DESA : NAIKEAN

Umur

No Nama Anak JK Tanggal Lahir Alamat Nama Orang Tua 24 - 59

12 - 23 bulan Bulan 5 - 6 tahun 7 - 12 tahun

L P L P L P L P

1 Dermi nauk P 12/21/2016 Naikean 0 6

2 giorgino pesy L 11/22/2016 Naikean anisa susang 6

3 filona pesy P 2/2/2017 Naikean tomris pessy 5

4 melati patola P 4/10/2017 Naikean yeli patola 5

5 reyhan lima L 11/2/2017 Naikean yanse suku 5

6 trivania suku P 3/4/2017 Naikean naema nenobesi 5

7 gevarial tipnoni L 10/31/2017 Naikean 5

8 risma ukat P 4/30/2018 Naikean mega ukat 4

9 adelfina pallo P 4/14/2018 Naikean son pallo 4

10 alfaro patola L 8/29/2017 Naikean 5

11 cheril batu P 18/13/18 Naikean 4

12 febrian polin L 2/22/2017 Naikean 5

13 galio susang L 6/11/2018 Naikean ina moy 4

14 gibran pingaman L 6/6/2017 Naikean 5

15 izita batu P 10/26/2016 Naikean 6

16 mizela suku P 4/20/2018 Naikean amu suku 4

17 meyna susang P 5/14/2019 Naikean frit susang 3

18 putri batu P 6/27/2018 Naikean 4

19 rafa manafe L 4/3/2018 Naikean 4

20 tasya out P 6/3/2018 Naikean afliana atu 4

21 yuna susang P 10/23/2018 Naikean yules susang 4

22 yuni susang P 10/23/2018 Naikean yules susang 4

23 yuni kisek P 9/9/2017 Naikean 6

24 jihan beeh P 7/16/2018 Naikean umida bolos 3

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46
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48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

74

75

Mengetahui ……………,…………/………/………
Kepala Puskesmas Akle Pelapor

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