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DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : Kabupaten/Kota : Puskesmas : Desa No



No KK



: NIK (Nomor Induk Kependudukan Anak )



: ANAK KE



NAMA ANAK



Berat JENIS TANGGAL KELAMI Badan LAHIR Lahir N (Kg)



Nama Orang tua



NIK Orang Tua



No Tlp/HP Orang Tua



ALAMAT



RT



RW



Cara Ukur Tanggal BB TB pengukuran (Kg) (Cm) 1=Telentang 2=Berdiri



ASI Eksklusif 1=YA, 2=Tidak



1.



3318051803130004



3318055611130002



1



Jami'atul.M



11/15/2013



P



2.9 Lilik S



3318051708900007



082325252399



Triguno



4



1



14.



100



2



1



2.



3318050912070496



3318054301140001



2



Nada Fajria



1/3/2014



P



3 Lasno



3318051605800006



082325252399



Triguno



5



1



15



102



2



1



3.



3318050609130003



3318055901140001



1



Nabila Q



1/19/2014



P



2.8 Maskuri



3318050612890002



082223867608



Triguno



3



1



13.5



99



2



1



4.



3318051307050851



3318054302140001



2



Fatimatus.Z



2/3/2014



P



3 Kadar



3318050503620002



082325252399



Triguno



4



1



15



100



2



1



5.



3318052407090040



3318062203140001



2



Fatih Alfaro



3/22/2014



L



3.2 Jasmani



3318050908700003



082225255096



Triguno



6



1



15



97



2



1



6.



3318051309070020



3318055304140001



2



Nur Asifa K



4/13/2014



P



3318050609820001



085326051723



Triguno



2



1



12



91



2



1



7.



3318052401080008



3318056604140002



2



Zahira A



4/26/2014



P



3.4 Marsudi



3318051908790006



082311120483



Triguno



7



1



15



100



2



1



8.



3318041006140001



3318042605140003



2



Raditya W.p



5/26/2014



L



3 Nur W



3318052408890001



082325252399



Triguno



4



1



20



104



2



1



9.



3318051811060007



1



Karina Sifa



5/18/2014



P



3 Lusi



3318054212930014



082217618437



Triguno



1



1



14



98



2



1



10.



3318051309140006



3318056204140002



2



Ulfa Auliya



4/22/2014



P



3 Sunyarto



3318041003850001



082325252399



Triguno



7



1



13



97



2



1



11.



3318040808140002



3318058706140002



1



Marwah Fika



6/17/2014



P



3318040705690001



081228554281



Triguno



7



1



10.5



91



2



1



12.



331805071110006



3318056002140001



1



Cantika



2/20/2014



P



3318081211850001



082136744881



Triguno



4



1



20



105



2



1



13.



3318050912070017



33180569-05140001



2



Hafiza



6/29/2014



P



3.1 Nur W



3318052009830001



082136744881



Triguno



3



1



14



97



2



1



14.



3318050912070269



3318057006140001



2



Talita Hazna



6/30/2014



P



3.2 Sutomo



3318052602820002



085326051723



Triguno



3



1



16



103



2



1



15.



3318051309140003



3318051306140001



1



Naban Akbar



8/12/2014



L



3.2 Heri P



3318051404820004



081228554281



Triguno



7



1



25



106



2



1



16.



3318051010140002



3318054308140001



1



Isna Wusatun



9/3/2014



P



3 Arif



3318051203830005



082325252399



Triguno



3



1



14



98



2



1



17.



3318052904080016



3318050510140001



2



Dhea Sarafana



10/25/2014



P



3.3 Purwanto



3318053006780003



082325252399



Triguno



4



1



13.5



98



2



1



18.



3318050310070018



3318056910140001



2



Oktavia h



10/29/2014



P



3.5 Supriyanto



3318051812760001



082136520399



Triguno



6



1



13.5



90



2



1



19.



3318051012140004



3318050212140001



1



Adyatama D



12/2/2014



L



3.2 Diya Godel



'3318051605880001



082325252399



Triguno



4



1



102



86



2



1



20.



3318051709150006



3318052701150002



2



Moh Arda



1/27/2015



L



2.5 Supono



3318052808860002



082325252399



Triguno



5



1



10



85



2



1



21.



3318052110110008



3318050801150001



1



Dafid Arka



1/2/2015



L



1.8 Bambang



3318050806760010



085326051723



Triguno



2



1



10



84



2



1



22.



3318052706080023



3318054304150001



2



Zifara



4/3/2015



P



3.3 Damuri



3318050803740003



081228554281



Triguno



6



1



13.1



88



2



1



23.



3318052610110001



3318051004150001



2



M.Maulana



4/10/2015



L



2.1 Jayadi



3318051611810006



081390157240



Triguno



2



1



10.3



88



2



1



24.



3318050710080034



3318051505150002



2



Ival Faeza



5/15/2015



L



3.3 Supagi



3318050705760005



081215002543



Triguno



5



1



14



90



2



1



25.



3318051512070010



3318051506150001



3



Ahmad Azam



6/15/2015



L



3 Warman



3318050508680003



081390157240



Triguno



1



1



11.6



86



2



1



26.



3318052501080007



3318050107150002



2



M.Yusa alhabzi



7/1/2015



L



3.3 Pursetyo



3318050702780004



085287062396



Triguno



1



1



13.5



92



2



1



27.



3318052403110003



3318058509150001



2



Kholifatul H



9/25/2015



P



3.5 Nur Sa'id



3318051611810005



08532541399



Triguno



7



1



13.2



86



2



1



28.



3318053012110002



3318050310150002



2



M.Fawas



10/3/2015



L



3.2 Kusmiran



3318051011780003



085225092287



Triguno



1



1



13



87



2



1



29.



3318051607080084



3318054710150001



2



Renata A



10/7/2015



P



2.9 Umbaryanto



3318053012760005



082329048149



Triguno



6



1



11.9



85



2



1



3 A. Suroso



2.6 Sunarto 3 Sundoyo



10/10/2018



10/10/2018



30.



3318080910120001



3318081610150001



2



Sultan Akbar



10/16/2015



L



3318080900860021



082324958719



Triguno



3



1



12



86



2



1



31.



3318052403110004



3318052711150001



2



Rohmad Nur



11/27/2015



L



3.6 Jasmin



3318051511700004



081918747129



Triguno



7



1



11.5



83



2



1



32.



3318051512070364



3318052911150002



2



Azzyan Sulton



11/28/2015



L



2.9 Sumagi



3318052606740001



085330110640



Triguno



2



1



11



85



2



1



33.



3318051004150002



3318200703140001



2



Ahmad Saryono



3/7/2014



L



3 Rustam



3318201805700004



082331850774



Triguno



2



1



22



103



2



1



34.



3318052408150002



3318057001160001



1



Nabila Zahra



1/30/2016



P



2.6 Bambang



3318040511950001



087831265670



Triguno



1



1



9.3



85



2



1



35.



3318052502160003



3318051402160002



1



Arkana Ivander



2/14/2016



L



3.9 Anton.W



3318052101950002



082136744881



Triguno



6



2



9



86



2



1



36.



3318052905090002



3318050403160003



2



Ganeza A



3/4/2016



L



3.3 Sugiono



3318050507790006



082329715714



Triguno



3



1



10.6



82



2



1



37.



3318051301160001



3318051405160001



1



Glaga



5/14/2016



L



2.8 Candra



3318052005890001



081325056223



Triguno



6



1



10.5



82



2



1



38.



3318051801160003



3318051905160001



1



Abdul Aziz



5/19/2016



L



3.3 M.Sholikin



3318055607860005



081228554281



Triguno



7



1



9.2



84



2



1



39.



3318050901160003



3318057005160001



1



Aqila Misysa



5/30/2016



P



3.2 Nurchamid



3318051812880003



081327376969



Triguno



5



1



9



82



2



1



40.



3318051907110003



3318056606160001



1



Hafiza R



6/26/2016



P



3.1 Suwardi



3318052011780004



081325958794



Triguno



3



1



8.5



79



2



1



41.



3318052207160002



3318050907160001



1



Ardisyah Carka



7/9/2016



L



3.4 Fredi



3318050402930003



081325958794



Triguno



3



1



10.5



85



2



1



42.



3318050912070648



3318055107160001



3



Rohmadotul N



7/11/2016



P



3.3 Suyitno



3318052508800003



081325958794



Triguno



5



1



10



80



2



1



43.



3318051507080022



3318050709160002



2



Mafaza P



9/7/2016



L



3.5 Siswanto



3318050705780005



081228554281



Triguno



7



1



12.3



87.5



2



1



44.



3318052109150005



3318051011160002



1



David Kuncoro



11/10/2016



L



2.4 Arif



45.



3318051001110004



3318056412160001



2



Radya K



12/24/2016



P



46.



3318050509120007



3318051603160002



2



Zidan



3/16/2016



L



47.



3318052211160003



3318056701170001



1



Bilqis A



1/27/2017



P



3.5 Kriswanto



48.



3318050812070389



3318051602170002



2



Briyan Calvin



2/16/2017



L



49.



3318053110070018



3318056703170001



2



Alfinda Cahaya



3/27/2017



P



50.



'3318051808100003



3318055304170002



2



Shakaela Z



4/13/2017



51.



3318051803130004



3318054905170001



2



Naira Sakila



5/9/2017



52.



3318040407170001



3318044406170002



1



Ais Faizus



53.



3318050209170002



3318053007170001



1



Nayaka



54.



3318053107150002



3318050608150002



1



Abiyasa satria



55.



3318053107150002



3318051204180001



2



Abhinaya



56.



3318051307050791



3318050805170002



2



Koko M



57.



3318051510150005



3318050907170002



1



Azka Maulana



58.



3318050309160002



3318051910170003



1



59.



3318050308090002



3318057110170001



60.



3318050401110002



3318050411170001



61.



3318050108090005



62.



3318052807160001



63. 64.



3 Supriyadi



3318050305930005



082223867608



Triguno



1



1



10.7



90



2



1



3 Sunardi



3318050109820002



085225246945



Triguno



3



1



10



77



2



1



3 Anzid



3318052205860008



081327376969



Triguno



3



1



12.8



88



2



1



3318050308880001



082352203056



Triguno



6



1



11



80



2



1



2.9 Bambang



3318052301790003



082136744881



Triguno



4



1



11



89



2



1



2.6 Sujatminto



3318050103800001



082136744881



Triguno



4



1



8



77



2



1



P



2.8 Karyadi



3318051412830001



082331850774



Triguno



1



1



8.5



77



2



1



P



2.6 Sujatminto



'3318051708900007



082325252399



Triguno



4



1



10



77



2



1



6/4/2017



P



3 Margono



3318042803910003



087831567029



Triguno



7



1



11.5



76



2



1



7/30/2017



L



3.3 Elys prima



3318020602870001



082137151617



Triguno



6



1



9.8



80



2



1



8/6/2015



L



3.1 Mashar



3320041008850004



085320046823



Triguno



6



1



12.6



90



2



1



4/12/2018



L



3 Mashar



3320041008850004



085320046823



Triguno



6



1



6.5



66



2



1



5/12/2017



L



3 Warsito



3318051703660001



081325958794



Triguno



3



1



10.1



82



2



1



7/9/2017



L



3 Aris Y



3318051808930003



081325958794



Triguno



3



1



9.1



80



2



1



Ahmad Devano



10/19/2017



L



2.9 Joni S



3318052706910001



082136409686



Triguno



4



1



9.3



71



1



1



2



Bilqis Najwa I



10/31/2017



p



3.4 Sutrisno



3318051410790001



082217618437



Triguno



4



1



7.9



68



1



1



2



M irsyad M



11/4/2017



L



3.3 suwardi



3318090501780004



082217618437



Triguno



3



1



9.2



72



1



1



3318054712170002



2



Farrania Yubi Q



12/7/2017



P



3318050110720002



085227539771



Triguno



3



1



9.2



68



1



1



3318054812170001



3



Uffaira



12/8/2017



P



3.2 Parno



3318081504770023



081223963077



Triguno



6



1



8.8



65



1



1



3318050107090010



3318051312170001



2



Dirga



12/13/2017



L



3.3 Agus S



3318051205860009



082217618437



Triguno



1



1



8.2



70



1



1



3318091104170005



3318052201180001



1



M.Syahiful



1/22/2018



L



2.4 A. Kamsidin



3318091711940004



082241811699



Triguno



3



1



7



66



1



1



65.



3318052003180004



3318051503180001



1



Kevindra



3/15/2018



L



3.3 Eko P



3318041911890001



082399319589



Triguno



4



1



7.2



64



1



1



66.



3318050812070008



3318055203180001



2



Chika Kanza



3/12/2018



P



2.8 Nur kholis



3318050409830002



085326545907



Triguno



3



1



5.9



59



1



1



67.



3318050712070196



3318052405180001



1



Azril R



5/24/2018



L



3318054508990003



082227248247



Triguno



7



1



7



60



1



1



3 Warsono



3 Dini A



10/10/2018



68.



3318052508180004



3318055208180002



1



Alesya A



8/12/2018



P



69.



3318052205080017



3318051608180002



3



M.Athar A



8/16/2018



L



70.



3318050107130007



3318050901160001



2



Andra Dwi



71.



3318051307160001



3318044512140003



1



Zivara sanum



72.



3318051307160001



3318050703170001



2



Shafwan



73.



3318050303180002



3318052409160002



1



Kevin Rafindra



74.



3318053101880002



3318054510180001



2



Cantika



10/5/2018



75.



3318052010180002



3318050910180001



2



Alvino



10/9/2018



76.



3318050210140002



3318052411140002



1



Alliando



77.



'3604151104180001



1802045905150003



1



Mikaila



78.



'3318052807090012



3318051711130003



3



Ahmad Fadli



79.



3318053009100003



3318054612130001



1



Destiara



80.



3318051407070007



3318054912130001



2



81.



3318050305120004



3318053001140002



2



82.



3318052007170003



3318053003140001



83.



3318052904140002



3318056504140001



84.



3318051112070163



85.



3318090111130002



86. 87.



3 Kusno 3.5 Sukarman



3318051007920003



087833699715



Triguno



4



1



4.5



54



1



1



3318050503800003



082221662980



Triguno



6



1



4.3



55



1



1



1/9/2016



L



3 Suhartanto



3318051212840006



082243462170



Triguno



2



1



10



83



2



1



11/5/2014



p



3 Noor r



3318051608870003



081318939385



Triguno



3



1



13



90



2



1



3/7/2017



L



2.9 Noor r



3318051608870003



081318939385



Triguno



3



1



10



80



2



1



9/24/2018



L



2.8 Partono



3318050109920004



082231971713



Triguno



3



1



4.1



55



1



1



P



3.7 Suyatno



3318051108830003



081285913719



Triguno



3



1



4



52



1



1



L



3.25 Artika W



3318055602880009



081225689565



Triguno



6



1



4



51



1



1



11/24/2014



L



3.5 Sulisno



3318052410900001



081390157240



Triguno



2



1



14



91.5



2



1



5/19/2015



P



3 Dwi Arina



1802045508880010



082227248247



Triguno



7



1



13.8



2



1



11/19/2013



L



3 Suyanto



3318050308710001



082399325923



Triguno



3



2



14



99



2



1



12/6/2013



P



3 Haryono



3318050407820013



081327240161



Triguno



9



2



14



97



2



1



Isna Faza



12/9/2013



P



2.9 Suparno



3318050307740007



082399325923



Triguno



2



2



14



100



2



1



M.Thohir



1/30/2014



L



3 Kumadi



3318056507850002



081325057278



Triguno



8



2



15



93



2



1



1



Rif'an



3/30/2014



L



3 Nur rofiah



3318054111920006



081327240161



Triguno



8



2



14



96



2



1



1



Naily S.Agust



4/25/2014



P



3318051208900001



082399325923



Triguno



8



2



15



98



2



1



3318052202140002



2



Rizki Ali F



2/22/2014



L



3 Suyatman



3318050206640002



081327240161



Triguno



7



2



14



96



2



1



3318090202140001



1



Vano Alfatul



2/2/2014



L



3 Marjuki



3318092403850002



082399325923



Triguno



7



2



12



94



2



1



3318050606080012



3318052105140008



2



Azka Hanif



5/20/2014



L



3.2 Samsul Hadi



3318051507800004



081325057278



Triguno



2



2



15



103



2



1



3318051501090019



3318051805140003



1



Saiful M



5/15/2014



L



2.8 Muhdi



3318051007730004



082399325923



Triguno



5



2



15



103



2



1



88.



3318052505110011



3318051509140003



3



M.Mustofa



9/15/2014



L



2.9 Damin



3318051002760006



081325057278



Triguno



8



2



15



100



2



1



89.



3318053011100052



3318051610140003



2



A.Hafidurroh



9/15/2014



L



3 Suryanto



3318050210850004



081327240161



Triguno



8



2



15



99



2



1



90.



3318050812140001



3318055311140004



1



Niken Prita



11/13/2014



P



3.1 Supriyanto



3318050404880004



087831671291



Triguno



9



2



13



88



2



1



91.



3318052706140001



3318052911140001



1



M.Affan A



11/29/2014



L



3 Suwandi



3318051609840002



082220597677



Triguno



2



2



14



90



2



1



92.



3318050812090001



3318053112140001



2



Abid Aqila



93.



3318052009140001



3318050701150001



1



Arhinza A



94.



3318050604160001



3318054506150005



1



Maura F



95.



3318051808110002



3318055703150001



1



Khoirotun N



96.



3318052007160002



3175064906151010



1



Airilin Beivania



97.



3318050701150002



3318050306150001



1



M.Dzikra A



98.



3318050107150001



3318055106150003



1



Najwa Q



99.



3318051108150007



3318050407150001



1



100



3318052405080004



3318050308150001



2



101



3318052004150004



3318050508150001



1



M.Daris T



102



3318050409150002



3318056808150001



2



Sunti Asyatul



103



3318053004090008



3318053008150001



2



M.Duhron



104



3318052306110001



3318056708150001



2



Nadieva A



105



3318050711070023



3318056512150001



2



Keyzia Reysha



12/25/2015



31-121-14



3.2 Agus



10/8/2018



94



L



3.2 Slamet P



3318052705850001



082220597677



Triguno



3



2



14



90



2



1



1/7/2015



L



3.1 Agustian



3318050204840003



085321627093



Triguno



6



2



13



95



2



1



2/5/2015



P



3 Guntur



3318101411940002



082220597677



Triguno



3



2



13



96



2



1



3/17/2015



P



3 Susilo



3318050709800008



087831671291



Triguno



9



2



13



95



2



1



6/9/2015



P



3 Arif N



3318052202900002



087831671291



Triguno



9



2



15



95



2



1



6/3/2015



L



3 Fikri M



3318042305890001



081275366857



Triguno



8



2



13



95



2



1



6/10/2015



P



3.2 Salamun



3318051207940001



087831671291



Triguno



9



2



13.5



97



2



1



Ahmad A'la



7/4/2015



L



2.8 Mas'ud



3318112007840001



085201896569



Triguno



1



2



13



97



2



1



Kenza Dirgo



8/2/2015



L



3.5 Anang



3318052704770001



082324472474



Triguno



1



2



12



94



2



1



8/4/2015



L



3318051304870001



082220597677



Triguno



3



2



12.5



95



2



1



8/29/2015



P



2.5 Sutiah



3 Abdul Faqih



3318050409150002



082220599677



Triguno



2



2



10



85



2



1



9/29/2015



L



2.9 Parjono



3318050902630002



085842211943



Triguno



8



2



12



91



2



1



11/27/2015



P



3.4 Didik



3318051410860001



081225085678



Triguno



9



2



15



91



2



1



P



2.8 Zaenudin



3318052110780001



087831567019



Triguno



2



2



10



88



2



1



106



3318101307090050



33180101601160002



1



Al kalifi Z



1/16/2016



L



3 Sumarno



3318102008730005



082220597677



Triguno



7



2



11.2



92



2



1



107



3318053008080002



3318052101160002



2



M.Arul S



1/21/2016



L



3 AliMahmudi



3318051001790003



087733836986



Triguno



4



2



13



98



2



1



108



3318051311070018



3318052802160002



2



M.Zulmi



2/28/2016



L



1.5 Jumadi



3318051202820002



087733836986



Triguno



2



2



13



90



2



2



109



3318051112070098



3318056103160001



2



Ahmad Wijayanto



3/21/2016



L



3.1 Pardi



3318050706770003



082325965139



Triguno



7



2



13



91



2



1



110



3318052705080002



3318054304160002



2



Devia Aliya



4/3/2016



P



3.5 Slamet



3318050307670004



082324572639



Triguno



4



2



13



92



2



1



111



3318050204120001



3318051304160002



2



M.Royan



4/13/2016



L



3.7 Jamari



3318050504850006



082399325923



Triguno



9



2



12



91



2



1



112



3318050710150005



3318051904160002



1



Narendra G



4/19/2016



L



2.5 Edi S



3318053107890002



082325721572



Triguno



1



2



12



90



2



1



113



3318051003090014



3318052004160002



2



M.Fadian A



4/20/2016



L



3.3 Zaenuddin



3318051004870005



082399325923



Triguno



6



2



12



90



2



1



114



3318050904080007



3318051306160002



3



Hamzah R



6/13/2016



L



2.5 Jaswadi



3318050809720001



082399325923



Triguno



9



2



11.5



90



2



1



115



3318051207052132



3318056709160002



2



Zidni Ilma



9/26/2016



P



3 M.Nur S



3318051709800002



082325721572



Triguno



1



2



10



85



2



1



116



3318051110100004



3318053310160001



2



M.Albi M



10/23/2016



L



3.5 Joko B



3318051503850003



082324572639



Triguno



1



2



12



86



2



1



117



3318052605100003



3318056710160001



1



Salsabila A



10/27/2016



P



2.5 Sa'di



3318052207800001



082279651305



Triguno



2



2



10



78



2



1



118



3318052705080017



3318052011160001



2



Darel Setyo n



11/19/2016



L



3.5 Sutrisno



3318051502670004



082220597677



Triguno



4



2



11



83



2



1



119



3318053010090003



3318054412160001



2



Intan Putri M



12/4/2016



P



3.2 Welas



3318050812760001



082220597677



Triguno



3



2



10



81



2



1



120



3318052112160001



3318052112160001



1



M.Fatihudin



12/21/2016



L



2.9 A.Muhid



3318050101870002



085249675721



Triguno



5



2



11



84



2



1



121



3318051503110006



3318056612160001



1



Adita Hawa.M



12/26/2016



P



2.9 Mukti



3318050304800008



085325618155



Triguno



5



2



9



80



2



1



122



3318051503110005



3318055602170001



2



Vania Nata



2/15/2017



P



3.4 Aris Eko



3318050508830008



082325721572



Triguno



1



2



10.8



81



2



1



123



3318051312120005



3318051303170001



2



Alvis Sakti



3/13/2017



L



2.5 Sugito



3318051005690004



08522554161



Triguno



3



2



9.5



70



2



1



124



3318053110160005



3318052403170001



1



Angkasa A.P



3/24/2017



L



3.1 Purwadi



3318131206850003



085325618155



Triguno



8



2



8.8



80



2



1



125



3318050909130002



3318056803170003



1



St.Erlita R



3/27/2017



P



3318052809820002



082325721572



Triguno



1



2



13.8



84



2



1



126 3318051108150007



2.85 Tejo



10/8/2018



3318050204170001



2



Ahmad Sahil



4/2/2017



L



3.4 M.Mashud



3318112007840001



085201896569



Triguno



1



2



10



77



2



1



127



3318051909160007



3318055604170001



2



Nukha Z Wafa



4/15/2017



P



2.9 Bambang



3318051207810003



085228022614



Triguno



1



2



10



75



2



1



128



3318051605080001



3318056304170001



3



Putri Kayyisa



4/23/2017



P



2.8 Romli



3318051002720007



082324651972



Triguno



3



2



8.8



76



2



1



129



3318052607110001



3318052404170002



1



Moh.Abdullah



4/23/2017



L



2.9 Gunaji



3318057007940004



081215115419



Triguno



9



2



12



81



2



1



130



3318052909160009



3318051005170001



1



Abbas Rizal



5/10/2017



L



3318052002930002



082225020137



Triguno



9



2



10



80



2



1



131



3318051305170002



3318056405170001



1



Aisyah A



6/24/2017



P



3.1 Giyanto



3318051507830003



085325618155



Triguno



8



2



10



75



2



1



132



3318050812160002



3318053105170002



1



M.Arsya



5/31/2017



L



3.2 Kasnuri



3316141008860008



081386505837



Triguno



8



2



10



80



2



1



133



3318051510110003



3318054106170002



2



Sahida



6/1/2017



P



3.3 Surodo



3318060402850002



085249675721



Triguno



5



2



8.9



77



2



1



134



3318053005150002



3318054308170001



1



Azkiya Nur



8/3/2017



P



2.9 Susilo



3318050504830001



082220597677



Triguno



4



2



8



76



2



1



135



3318051008110005



3318055206170001



2



Maryam U



8/12/2017



P



3 Ali Mursid



3318052008880005



087831422955



Triguno



9



2



8



77



1



1



136



3318050901170001



3318055706170002



1



Fathina A



6/17/2017



P



3.1 Kusmanto



3318050405880002



081238796881



Triguno



4



2



8



75



1



1



3318052503170001



3318050308170001



1



Atha Hafidzh



8/3/2017



L



2.5 Joko S



3318051008910003



082225931807



Triguno



4



2



3318052904130002



3318050511170002



3 M.Harir Ustman



11/5/2017



L



3318050709760001



081325057278



Triguno



3



2



3318052804140005



3318052310170001



2 Ahmad Malik



10/23/2017



L



2.7 Supiyo



3318053010830001



081325057278



Triguno



3



3318051411150001



3318051411170001



2 Mikho arfi



11/14/2017



L



3.4 Parsih



3318056006850003



081325057278



Triguno



9



3318051012070133



3318055201180001



3 Ainun Qolbi J



1/12/2018



P



3.5 A Ma'mun



3318051510720002



081390837339



Triguno



5



3318041212090002



3318055401180001



2 Ainiya hilyatul



1/14/2018



p



3.3 Mulyono



3318053011820002



082138918231



Triguno



2



3318051012070617



3318058801180001



3 Farikhatul Ibriza



1/28/2018



P



2.8 Sururi



3318050706670002



085229021341



Triguno



5



3 Teguh W



3 Ali Sa'di



9



76



1



1



7.5



68



1



1



2



7



66



1



1



2



8



65



1



1



2



8



75



1



1



2



12



76



1



1



2



8



67



1



1



10/8/2018



3318051012070507



3318055602180002



1 Febriyana qinara



2/16/2018



P



3.5 Alkan Nur a



3318090609950002



082323336786



Triguno



6



2



8



68



1



1



3318051801160001



3318055203180002



3 Gisela



3/12/2018



P



3 Supriyanto



3318050206830004



081325057278



Triguno



8



2



7



65



1



1



3318051112070046



3318051103180003



1 Fahrul Khoirul



3/11/2018



L



2.4 Yatini



3318055412840001



081325057278



Triguno



7



2



6.5



63



1



1



3318050612080003



3318050207180003



2 Abdullah Rafif



7/2/2018



L



3.5 Lazimun



3318052101790002



081294264188



Triguno



8



2



6.3



60



1



1



3318051304150004



3318056807150001



1 Nikeisha



7/28/2015



P



3 Wawang



3318052211850003



085326254778



Triguno



1



2



12



86



2



1



3318042102170006



3318041805140001



1 Ahmad Hafizdh



5/18/2014



L



3 Anik T



3318054901910003



081325057278



Triguno



3



2



15



99



2



1



3318052609070019



3318052311130001



2



M.Ulinnuha



11/23/2013



L



2.9



Sujono



3318052007750001



082134069477



Triguno



2



3



15



101



2



1



3318051001140001



3318054101140001



1



Talita R



1/1/2014



P



3.2



Suryani



3318050507850009



082134069477



Triguno



2



3



18



110



2



1



3318051609130007



3318056402140001



1



SerilMufarriha



2/24/2014



p



3.3



A.Nursaid



3318052207870003



081326072585



Triguno



1



3



13



101



2



1



3318053007100001



3318054605140001



2



Duratun Izatun



5/6/2014



P



3.1



Supriyadi



3318050405770004



085326901156



Triguno



2



3



14



101



2



1



3318051107070010



3318055410140001



1



Rasya dzakia



10/14/2014



P



3



Agus T



3318050804800004



082134069477



Triguno



1



3



15



110



2



1



3318050508080003



3318054904150001



2



Karisma A



4/9/2015



P



3



Purnomo



3318051004800006



082136379587



Triguno



1



3



15



99



2



1



3318051412070179



3318055902150001



3



Mikailiya



2/19/2015



P



3.4



Supawi



3318051202740012



082136379587



Triguno



2



3



15



95



2



1



3318051309140005



3318052603150003



1



M.Fadil p



3/26/2015



L



3.9



Wasis



3318051911890001



082247508976



Triguno



2



3



14



95



2



1



3318051702150004



3318050205150001



1



M.Nur Alif



5/2/2015



L



3.7



Suryanto



3318051404870005



082138945451



Triguno



2



3



14



96



2



1



3318051204160001



3318050605150001



4



Alkaisar Afrian



5/6/2015



L



3.5



Dian



3318105011820010



082138945451



Triguno



1



3



19



102



2



1



3318053010090005



3318050207150001



2



M.Wildan



7/1/2015



L



3.2



Sudarman



3318050703810008



082136379587



Triguno



1



3



15.5



95



2



1



3318052709160002



3318052105160001



1



Ucica Nicolas



11/25/2015



L



3.4



Edi



3318050510930001



082136379587



Triguno



1



3



10



87



2



1



3318050201160003



3318051211120001



2



Heni Maysaroh



11/12/2015



P



2.9



Sururi



3318052100885001



082138945451



Triguno



2



3



11



84



2



1



3318051108090014



3318050403160002



2



M.Faza Khairul



3/4/2016



L



3.3



Sudarwi



3318052903830004



082133475850



Triguno



1



3



13



98



2



1



3318050807080030



3318051801170001



3



Abqori Nurihsani



1/18/2017



L



3.3



Sumanang



3318051504810005



082136379587



Triguno



1



3



10



78



2



1



3318051204110002



3318056403170002



2



aizatinnurkamala



3/24/2017



P



3.2



Subaidi



3318050210820005



085225880279



Triguno



1



3



10



78



2



1



3318051808090004



3318056604170001



3



Nazia Zahia A



4/26/2017



P



2.9



Sugiyanto



3318052012780003



082134069477



Triguno



1



3



9.5



78



2



1



3318050706100006



3318050505170001



3



Dimas



5/5/2017



L



4



Supardi



3318051505700005



082138945451



Triguno



1



3



10



77



2



1



3318050310160003



3318053101180001



1



Hanenda Afzar



1/31/2018



L



3.4



M.Arif



3318050409910002



082138945451



Triguno



1



3



10



77



1



1



3318052309160008



3318051604170001



1



M.Jafran



4/16/2017



L



3.2



Nur Sholikin



3318050711910001



082324573396



Triguno



1



3



10



78



2



1



3318050210062106



3318050709170001



2



Giovano Niel



9/7/2017



L



3.6



Dian U



3318050701860003



081283134013



Triguno



2



3



9.4



72



1



1



10/6/2018



IMD 1=YA, 2=Tidak



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



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1



1



1



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1



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1



1



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1



1



1



1



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1



1



1



1



1



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1



1



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1



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1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



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1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



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1



1



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1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



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1



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1



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1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : Kabupaten/Kota : Puskesmas : Desa No



1.



No KK



3318052906180005



: NIK (Nomor Induk Kependudukan Anak ) 3318056206180003



: ANAK KE



NAMA ANAK



2 Afika Nabilatun Yumna



Berat JENIS TANGGAL LAHIR KELAMI Badan Lahir N (Kg) 22-Jun-2018



P



2. 3.



3318050507110002



3318057010170001



2 Nafisha Fairus S



30-Oct-2017



P



4. 5.



3318051107140002



3318051010170001



2 Haikal Fathan Santoso



10-Oct-2017



L



6. 7.



3318050301090004



3318056509170002



3 Berlian Kasuma Ratu W



25-9-217



P



8. 9.



Nama Orang tua



3 Anwar Tomo W



331808054900062



Umi Kholifah



3318166703850013



3.5 Abdul Hasyim



3318050207820003



Lia Handayani



3318054802910008



3 Joko Mukti Santoso



3318052811070113



3318051508170001



2 Ardhian Harimukti B



15-Aug-2017



L



10. 11. 3318052811070243



3318051007170004



2 Arfan Khalif Juliansya



10-Jul-2017



L



12.



3318055202870002



3 Sumadi



3318051009770006



13. 3318052503080014



3318052904170003



2 Muhammad Arkana A



29-Apr-2017



L



14. 15. 3318092208110001



3318055501170002



3 Anggun Naimatus S



1/15/2017 p



3 Asyla Naila Alifah



2/27/2015 P



3 Jani



3318051010180002



2 Alif Syakhel Alfarizqi



3318054307140001



1 Nagita Wiji S



3318056601180003



1 Mikhayla Azzahra Putri



1/26/2018 p



3 Agus Supriyanto



29. 3318051001140002



3318050611910001



Endah Safitri



3318155712970002



3318051708170001



2 Muhammad Yusuf M



8/17/2017 l



3 Supaat



3318050104150002



1 Muhammad Naufal B



4/1/2015 L



0 33180580057700001 3318053009700001



Sulistyaningsih



1



Pelemgede



2



1



Pelemgede



1



1



Pelemgede



1



1



Pelemgede



1



Pelemgede



pelemgede



5.5



52



1



1



9



72



2



1



75



2



1



8.6



70



2



1



1



9.1



76



2



2



2



1



8



70



2



1



1



1



10



80



2



1



9/20/2018



8.5



pelemgede



2



1



11



80



2



1



pelemgede



2



1



11



81



2



1



pelemgede



2



1



12.5



82



2



1



pelemgede



1



1



4



49



2



1



Pelemgede



2



1



13



94



1



2



pelemgede



1



1



7



71



2



1



pelemgede



1



1



9



80



2



1



pelemgede



1



1



15



92



2



1



3318056503830002



1.8 Joko Mukti Santoso 3318050502870002



3.5 Ahmad Dahlan



1



3318055710950001



Jarmi



Sri Puji



28.



3318052909880005



3 Jamsari Sri Temok



7/3/2014 P



Pelemgede



ASI Eksklusif 1=YA, 2=Tidak



3318056907850002



3318056702150001



10/10/2018 L



Cara Ukur Tanggal BB TB pengukuran (Kg) (Cm) 1=Telentang 2=Berdiri



RW



3318044205900002



3 Khamim



26. 27. 3318050905080007



3318052408820002



2.8 Muhammad Daenuri3318080906830042



Tiah Munfaatun



RT



3318055401840001



7/20/2016 l



24. 25. 3318080609170004



3318051804770001



1 Ahmad Chandra M



22. 23.



3 Priyadi



3318052007160001



20. 21. 3318050609070007



3318055406820004



Yuliningsih



18. 19. 3318050503150002



Suharti



Sumiati



16. 17. 3318052807160002



3318050311770001



3.2 Supriyadi



ALAMAT



3318055302890006



2 Masduki



Sari Widya Astuti



082331858574



3318050502870002



Sri Puji



Eka Wahyuni



No Tlp/HP Orang Tua



NIK Orang Tua



3318055202870002



33108051104820004 3318056301840001 33108051908870002



30. 31. 3318052305140003



3318050804140001



1 Muhammad Izza M



4/8/2014 L



32. 33. 3318052711070572



33108055807150001



1 Cherrylian Qwinta



7/18/2015 p



33108050609170001



2 Ahmad Syafiqul A



9/6/2017 L



36. 37. 331805051090003



3318052303150002



2 Kevin Ardian R



3/23/2015 L



3318051306140001



2 Supono



6/13/2014 L



38. 39. 33108051107080007 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67.



3318055209880003



3 Kusnanto



3318050406870003



Iskhotimah



34. 35. 3310805203120001



Jumilah



3 Kusminar



pelemgede



1



1



14



95



2



1



pelemgede



1



1



13



88



2



1



pelemgede



2



1



9



74



2



1



pelemgede



1



1



13



94



2



1



pelemgede



2



1



14



94



2



1



3318095110850002 33108050301860004



Siti Mutmainah



33108055102940004



Tohari



3318051604820004



Marita W



33108057003850004



Sarman



3318051606770005



Sudarwati



3318055610840003



Tarno



33108050107700049



Suniti



3318054506810010



68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100 101 102 103 104 105



106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak



IMD 1=YA, 2=Tidak



1



2



2



1



2



1



1



2



1



1



2



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



2



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : Kabupaten/Kota : Puskesmas : Desa



:



:



No KK



NIK (Nomor Induk Kependudukan Anak )



ANAK KE



1.



33180502 10060020



33180548 03160001



2



Zia Syakila Azkadina



2.



33180503 11080008



33180516 04160002



2



3.



33180506 06140001



33180512 07140001



1



4.



33180510 12070591



33180569 12140001



2



Ummi Maisyaroh



5.



33180510 12070668



33180524 03160001



2



M.Sodikhul Hamim



6.



33180512 11150001



33180531 10150001



1



M.Abid Rajendra



7.



33180521 09160005



33180558 01170001



1



Neisha Olivia Maheswari



8.



33180523 05090006



33180554 11130003



2



Sahra Novita Syaharani



9.



33180530 01070005



33180525 07150001



2



M.Hafiz Al Farizi



10.



33180515 09160002



33180561 09170001



1



Khoirun Nisa Minnhatun Nihaya



11.



33180502 05090003



33180528 10150002



2



Hisyam Saputra



12.



33180522 09100010



33180521 01150001



2



13.



33180528 09150006



33180517 01150001



1



14.



33180514 06170003



33180548 06170001



1



Aqisya Nada Azzalea



15.



33180512 10110003



33180558 08180001



2



16.



33180523 03170002



33180554 03170001



17.



33180528 10080014



18.



33180503 03090004



19.



33180506 11070005



20.



33180506 11070005



21.



No



NAMA ANAK



TANGGAL LAHIR



Berat JENIS KELAMI Badan Lahir N (Kg)



Nama Orang tua



NIK Orang Tua



No Tlp/HP Orang Tua



ALAMAT



RT



RW



Tanggal pengukuran



3/8/2016



P



2.7 kg Widiana-Sutomo



33180512 11770003



081 225 586 272 Kr. Wotan



1



1



12/10/2018



M. Gibran Syabil



16/4/2016



L



2.5 kg S.Wahyuni-M.Rupadi



33180515 03840007



081 225 586 272 Kr. Wotan



1



1



12/10/2018



Abidzar Al Ghifari Rama



12/7/2014



L



2.8 kg Yuliati-Suprapto



15090318 06810001



081 225 586 272 Kr. Wotan



1



1



12/10/2018



29/12/2014



P



2.6 kg Tuminah-Mungkono



33180501 07720025



081 225 586 272 Kr. Wotan



1



1



12/10/2018



24/3/2016



L



2.7 kg Rumini-Rebo



33180501 07640073



081 225 586 272 Kr. Wotan



1



1



12/10/2018



31/10/2015



L



2.5 kg Ratna W.-M.Dovid



33181606 09910001



081 225 586 272 Kr. Wotan



1



1



12/10/2018



18/1/2017



P



2.7 kg Khasanah-Surono



33180530 04960002



081 225 586 272 Kr. Wotan



1



1



12/10/2018



14/11/2013



P



2.8 kg Siti R-Nurhadi M.



33180528 03820002



081 225 586 272 Kr. Wotan



1



1



12/10/2018



25/7/2015



L



2.5 kg S.Khomsah-Sakiyanto



33180521 05760002



081 225 586 272 Kr. Wotan



1



1



12/10/2018



33180524 09930002



081 225 586 272 Kr. Wotan



1



1



12/10/2018



33180503 07770004



081 225 586 272 Kr. Wotan



2



1



12/10/2018



21/9/2017



P



M.-M.Ulin Cahyono 2.7 kg Putri Awwali



28/10/2015



L



2.7 kg Sumiyati-Sahruman



Wafrie Banu Akmal



21/1/2015



L



33180524 09820002



081 225 586 272 Kr. Wotan



2



1



12/10/2018



M.Abid Aqila P.



17/1/2015



L



2.7 kg Yuli A.-Mardiansyah



33180549 07910002



081 225 586 272 Kr. Wotan



2



1



12/10/2018



8/6/2017



P



33180510 08900004



081 225 586 272 Kr. Wotan



2



1



12/10/2018



Almira Azzahra



18/8/2018



P



2.7 kg Susi Widian R.-Rokhmat Naim 2.5 kg Zulaikah-A.Tholib



33180513 11820003



081 225 586 272 Kr. Wotan



2



1



12/10/2018



1



Shakila Almaira Kheisha



14/3/2017



P



2.7 kg P.Sholikah-Sahal Mahfud



33180510 08960001



081 225 586 272 Kr. Wotan



2



1



12/10/2018



33180518 02170001



1



Nizam lionel Asfar



18/2/2017



L



2.7 kg Vera N.F.-M.Irham



33180501 10950002



081 225 586 272 Kr. Wotan



2



1



12/10/2018



33180528 09160002



2



M.Alby Luthfi Al F.



28/9/2016



L



33180524 06810001



081 225 586 272 Kr. Wotan



3



1



12/10/2018



33180519 01140002



4



M.Dzaka Al Farizi



19/1/2014



L



2.6 kg Sumini-Supadi



33180505 08650004



081 225 586 272 Kr. Wotan



3



1



12/10/2018



33180519 01140003



5



M.Dzaky Al Farizi



19/1/2014



L



2.7 kg Sumini-Supadi



33180505 08650004



081 225 586 272 Kr. Wotan



3



1



12/10/2018



33180507 05080030



33180531 05140001



2



Dwipa Handaya



31/5/2014



L



3.1 kg Sri Utami-Suradi



33180520 04830002



081 225 586 272 Kr. Wotan



3



1



12/10/2018



22.



33180507 12130008



33180567 05140002



1



Askana Sakhi



27/5/2014



P



2.5 kg Suciati-Irfan A.



33190327 05870002



081 225 586 272 Kr. Wotan



3



1



12/10/2018



23.



33180510 09110009



33180553 08160001



2



Nuzula Ayudia Inara



13/8/2016



P



2.8 kg Samini-Sarjo



33180530 06720004



081 225 586 272 Kr. Wotan



3



1



12/10/2018



24.



33180512 12080005



33180554 0417001



2



Rafania Zharifa



14/4/2017



P



2.7 kg Jarwati-Suwardi



33180520 05760005



081 225 586 272 Kr. Wotan



3



1



12/10/2018



25.



33180514 11080004



33180520 05150002



2



Nicholas Saputra



20/5/2015



L



2.6 kg Siswati-Muryono



33180509 06720006



081 225 586 272 Kr. Wotan



3



1



12/10/2018



26.



33180518 08150001



33180511 08150001



1



M.Riza Fahlevy



11/8/2015



L



3.2 kg Nora V.-M.Fathur R.



33180623 10920004



081 225 586 272 Kr. Wotan



3



1



12/10/2018



27.



33180519 01170003



33180420 04150003



1



A.Faris Alhafizh



20/4/2015



L



2.8 kg Tri Yunia W-Saifur R



33180521 07900002



081 225 586 272 Kr. Wotan



3



1



12/10/2018



28.



33180523 10090003



33180555 07140001



2



Kiandra Nirmala P.



15/7/2014



P



2.5 kg Suyati L-Suyono



33180512 10740008



081 225 586 272 Kr. Wotan



3



1



12/10/2018



29.



33180527 10140002



33180541 07150003



1



Ari Husna Lutfika



1/7/2015



P



2.6 kg S.Rohayati-Sutikno



33180521 04840001



081 225 586 272 Kr. Wotan



3



1



12/10/2018



3 kg



3 kg



Wahyuni-Maskan



Kasyanti-Lasman



Cara Ukur BB TB (Kg) (Cm) 1=Telentang 2=Berdiri



10 kg 11 kg 15 kg 14 kg 11 kg 13 kg 8 kg 16 kg 13 kg 8 kg 13 kg 13 kg 13 kg 8 kg



87 cm 90 cm 105 cm 100 cm 90 cm 95 cm 75 cm 110 cm 95 cm 75 cm 95 cm 95 cm 95 cm 75 cm 55 4 kg cm 75 8 kg cm 12 90 kg cm 11 90 kg cm 15 105 kg cm 15 105 kg cm 15 105 kg cm 14 100 kg cm 10 85 kg cm 75 8 kg cm 13 95 kg cm 13 95 kg cm 13 95 kg cm 14 100 kg cm 12 90 kg cm



ASI Eksklusif 1=YA, 2=Tidak



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



30.



33180530 08100006



33180521 09160002



2



M.Sendy Prabowo



21/9/2016



L



2.7 kg Ita A.-Sutrisno



33180525 07820002



081 225 586 272 Kr. Wotan



3



1



12/10/2018



31.



33180531 05070005



33180562 09140004



2



Bilqis Sirril Wafa



22/9/2014



P



3.2 kg S.Kholifah-Tamin



33180505 04740005



081 225 586 272 Kr. Wotan



3



1



12/10/2018



32.



33180513 02080019



33180516 02180003



4



Bayu Aji Samudro



16/2/2018



L



2.6 kg Harmi-Kariman



33180516 08790004



081 225 586 272 Kr. Wotan



3



1



12/10/2018



33.



33180524 12140002



33180567 04150001



1



Zafira Elysia Putri



27/4/2015



P



2.7 kg Aulia K.-Sudarmawan



33180420 12910002



081 225 586 272 Kr. Wotan



3



1



12/10/2018



34.



33180505 11070002



331805 69 10150002



4



Fortuna Asyifa N.L



29/10/2015



P



2.8 kg Nur Yanti-Nur Hasim



33180511 08770001



081 225 586 272 Kr. Wotan



4



1



12/10/2018



35.



33180509 12070437



33180547 05150002



2



Nadira Zahrotul K.



7/5/2015



P



2.7 kg Srini-Lasman



33180507 02750004



081 225 586 272 Kr. Wotan



4



1



12/10/2018



36.



33180518 01110001



33180517 02160002



2



Afiq Muhammad



17/2/2016



L



2.5 kg Lia Y.M-Nur Cholis



33180302 02860001



081 225 586 272 Kr. Wotan



4



1



12/10/2018



37.



33180528 12150006



33180521 11150002



1



Alisha Azkhia S.



21/11/2015



P



2.7 kg Susi N.-A.Ali Syafi'i



33180523 04950005



081 225 586 272 Kr. Wotan



4



1



12/10/2018



38.



33180502 09170004



33180569 12170001



1



Athiya Mufidatul Arifah



29/12/2017



P



4 kg



33180510 07850003



081 225 586 272 Kr. Wotan



4



1



12/10/2018



11 kg 14 kg 6.5 kg 12 kg 12 kg 12 kg 11 kg 12 kg 8 kg



P



Asnawati-Suhendri 2.8 kg Aripin



32020523 06860001



081 225 586 272 Kr. Wotan



4



1



12/10/2018



4 kg



3.3 kg Maryatun-M.Suyanto



33180913 08880001



081 225 586 272 Kr. Wotan



1



2



15/10/2018



39.



33180507 06180009



33180552 08180001



2



Zahabiya Azalea Khaliqa



12/8/2018



Risa Rosita-Nur Kayadi



40.



33180504 03130011



33180510 04140001



1



A.Rhehan Aprilio



10/4/2014



L



41.



33180505 05140004



331805 70 06140002



1



Salwa Bilqis A.



60/6/2014



P



2.8 kg Windarsi-Paryanto



33180510 04870002



081 225 586 272 Kr. Wotan



1



2



15/10/2018



42.



33180506 02120003



33180550 03170001



1



Syafa Nur Khorimah



10/3/2017



P



2.6 kg Suntarini-M.Kunarto



33181026 11850009



081 225 586 272 Kr. Wotan



1



2



15/10/2018



43.



33180507 08100001



33180528 04160001



2



Galiendra Arya Petra



28/4/2016



L



3 kg



Painik-Sutikno



33180526 08860003



081 225 586 272 Kr. Wotan



1



2



15/10/2018



44.



33180509 06150002



33180506 08150001



1



Dirga Arfadinata A.



6/8/2015



L



4 kg



Sri Widia-Tedi S.



33180530 05920002



081 225 586 272 Kr. Wotan



1



2



15/10/2018



45.



33180510 09070031



33180560 06140001



2



Lufdhatul Sita Puji L.



20/6/2014



P



33180502 02800001



081 225 586 272 Kr. Wotan



1



2



15/10/2018



46.



33180511 08150001



33180562 11150003



1



Clara Antono P.



22/11/2015



P



21710308 12859007



081 225 586 272 Kr. Wotan



1



2



15/10/2018



47.



33180513 03090009



33180505 11150001



2



Umarul Fuadi M.



5/11/2015



L



33180501 01750005



081 225 586 272 Kr. Wotan



1



2



15/10/2018



48.



33180515 12070493



33180567 08130001



2



Ayu Kartika Candra



27/8/2013



P



Ambiyah-Temon



33180507 07720012



081 225 586 272 Kr. Wotan



1



2



15/10/2018



49.



33180515 12090006



33180568 08160001



1



Dikenzy Anastasya A.



28/8/2016



P



2.7 kg Suharti-Sutamat



33180507 08810004



081 225 586 272 Kr. Wotan



1



2



15/10/2018



50.



33180522 07130001



33180570 09130001



1



Naura Khasna Khamalah



33180524 06890001



081 225 586 272 Kr. Wotan



1



2



15/10/2018



51.



33180526 06080045



33180545 05150001



2



Nizwa Lailatul Janah



33180508 08770004



081 225 586 272 Kr. Wotan



1



2



15/10/2018



52.



33180531 07090013



33180528 03150001



4



53.



33180502 10060085



33180528 01150001



2



54.



33180503 05120003



33180546 07150003



2



Nadira Bunga R.



55.



33180508 07150005



33180512 09150001



1



Ilham Fathul Nur A.



56.



33180516 12140005



33180544 12140004



1



Annisa Latifatul Z.



4/12/2014



57.



33180526 06080022



33180542 09140001



2



Salsabila Setia Cinta K.



2/9/2014



58.



33180520 07170004



33180513 07170001



1



Nayla Putri Ayudia S.



59.



33180516 07080055



33180523 12170001



3



Tri Azka Cahyo Nugroho



60.



33180516 05180001



33180547 07180001



1



Alesha Adzkiya Inara



61.



33180531 12080001



33180519 05150003



3



M.Rizky Tri Prastya



62.



33180526 08150004



33180569 03170001



1



Aerilyn Bellvania K.



63.



33180502 07080016



33180565 04160002



2



Ferlita Salzabilla A.



64.



33180502 07140003



33180530 12160001



3



A.Syafiq Akbar



65.



33180505 08150006



33180504 04170001



1



Roland Melky A.



66.



33180509 05150002



33180549 05150001



1



Chelsea Nafia K.



2.8 kg Endang P.-Sujo



Sri Wahyuni-Lena Puji 2.6 kg A. 2.6 kg Nur Alimah-Kadar 3 kg



30/9/2013



P



5/5/2015



P



S.Zulaikah2.5 kg Muhammadun 3.1 kg Sri Utami-Sunardi



M.Nurul Huda



28/3/2015



L



3.3 kg Kartinah-Suparlan



33180524 04660002



081 225 586 272 Kr. Wotan



1



2



15/10/2018



M.Rizky Prananda



28/1/2015



L



2.7 kg Sri Wahyuni-Darman



33180521 05780002



081 225 586 272 Kr. Wotan



2



2



15/10/2018



6/7/2015



P



2.8 kg Diah A.-Frengky E.



33180507 05730008



081 225 586 272 Kr. Wotan



2



2



15/10/2018



12/9/2015



L



2.6 kg Suzana-Supriyanto



33180517 12880002



081 225 586 272 Kr. Wotan



2



2



15/10/2018



P



2.5 kg Etia-Joko S.



33180508 11920001



081 225 586 272 Kr. Wotan



2



2



15/10/2018



P



3.1 kg Ekawati-Purhadi



33180505 05770005



081 225 586 272 Kr. Wotan



2



2



15/10/2018



13/7/2017



P



2.6 kg Novia R.-A.Fathoni K.



33180526 09940004



081 225 586 272 Kr. Wotan



2



2



15/10/2018



23/12/2017



L



33180502 05730004



081 225 586 272 Kr. Wotan



2



2



15/10/2018



7/7/2018



P



33180423 07920001



081 225 586 272 Kr. Wotan



2



2



15/10/2018



19/5/2015



L



3.3 kg Jumini-Bejo Suntari-Sholiqul 3 kg Musroni 2.9 kg Marpiah-Sumari



33180506 09790009



081 225 586 272 Kr. Wotan



2



2



15/10/2018



29/3/2017



P



3.3 kg Widu Yana K-Slamet P.



33180510 04890002



081 225 586 272 Kr. Wotan



2



2



15/10/2018



25/4/2016



P



2.7 kg Sulas-Su'ir



33180501 07740119



081 225 586 272 Kr. Wotan



3



2



15/10/2018



30/12/2016



L



2.8 kg Suparni-A.Kusnun



33180421 07750001



081 225 586 272 Kr. Wotan



3



2



15/10/2018



4/4/2017



L



2.6 kg Wulan N-Mat Ronji



33180507 10890001



081 225 586 272 Kr. Wotan



3



2



15/10/2018



9/5/2015



P



3.3 kg Amiatun-Jumanto



33180523 07890002



081 225 586 272 Kr. Wotan



3



2



15/10/2018



15 kg 14 kg 8 kg 11 kg 13 kg 14 kg 12 kg 13 kg 16 kg 10 kg 16 kg 12 kg 13 kg 13 kg 12 kg 13 kg 14 kg 14 kg 8 kg 12 kg 4.8 kg 13 kg 8 kg 10 kg 11 kg 12 kg 10 kg



90 cm 100 cm 70 cm 90 cm 90 cm 90 cm 90 cm 90 cm 75 cm 53 cm 105 cm 100 cm 75 cm 90 cm 95 cm 100 cm 90 cm 95 cm 110 cm 85 cm 110 cm 90 cm 95 cm 95 cm 90 cm 95 cm 100 cm 100 cm 75 cm 90 cm 55 cm 95 cm 75 cm 85 cm 90 cm 90 cm 85 cm



2



1



2



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



67.



33180512 11150002



33180547 07160002



2



Adara Fredella U.



7/7/2016



P



2.8 kg Devi N-Novendra T.



33180527 11910006



081 225 586 272 Kr. Wotan



3



2



15/10/2018



68.



33180513 05150001



33180552 04150001



1



Alivia Wilda S.



12/4/2015



P



2.6 kg M.Dian-Joko S.



33180514 04890007



081 225 586 272 Kr. Wotan



3



2



15/10/2018



69.



33180514 10080028



33180565 01140001



70.



33180515 12070261



33180541 09160001



2



Erda Maulidya A.



25/1/2014



P



2.5 kg Eni L-Umbarno



33180507 05750005



081 225 586 272 Kr. Wotan



3



2



15/10/2018



1



Ziedna Nafisa



1/9/2016



P



3.1 kg Kusmiati-Legiyo



33180508 08770002



081 225 586 272 Kr. Wotan



3



2



15/10/2018



71.



33180522 03160006



33180512 02160001



1



Alvino Rezvansyah



12/2/2016



L



3.3 kg Diah Ayu R-Puji



33161422 11900001



081 225 586 272 Kr. Wotan



3



2



15/10/2018



72.



33180524 02090010



33180512 09160001



12/9/2016



L



2.7 kg Nimatul J-Karjono



33180511 01820008



081 225 586 272 Kr. Wotan



3



2



15/10/2018



2



Abby Afnan Purnama



73.



33180527 07150006



33180543 07150001



1



Azzri Faiha Abqoriyah



3/7/2015



P



2.5 kg Anita-Wawan A.



33180503 09920001



081 225 586 272 Kr. Wotan



3



2



15/10/2018



74.



33180528 05150007



33180525 04150003



1



M.Farel Andinata



75.



33180515 12070426



33180541 05180002



2



Rika Hilya Mufidah



76.



33180524 07170001



33180542 07170002



1



Arsyila Romeesa Farzana



77.



33180522 05090003



33180552 08170001



2



Ainun Nur Khoirunnisa



78.



33180511 12070688



33180517 04170001



2



M.Ibrahim Alfath



17/4/2017



79.



33180502 10060116



33180515 04150001



2



A.Dicky Aldiano



15/4/2015



80.



33180504 02160001



33180528 03160002



1



Dzaki Afkarian



81.



33180507 09110001



33180549 04170002



2



Naufalyn Fayyola N.



82.



33180509 08120001



33180564 09140001



1



83.



33180511 01140003



33180505 03150002



1



84.



33180515 12070392



33180565 12160001



22



Maulidiya Deswita P.



85.



33180515 12070466



33180542 11150001



1



Nadia Prillyana



86.



33180518 05090001



33180548 12160001



2



Najwa Maulida



87.



33180521 10080008



33180545 04140002



2



Chavali Adrien K.



88.



33180524 11140001



33180553 11140002



1



Naura Zahrotul K.



89.



33180526 05090004



33180525 05140002



1



A.Abdul Rozak



90.



33180528 01090006



33180515 04140003



2



91.



33180510 04070011



33180512 03160001



2



92.



33180513 02080016



33180512 07140002



93.



33180514 10100006



33180559 09160001



94.



33180524 10150003



95.



33180506 10080031



96.



33180505 07930006



081 225 586 272 Kr. Wotan



3



2



15/10/2018



3.1 kg Purwati-Saroji Dipayanti-Aris 3.3 kg Priantoro 4 kg Rubiatun-Saman



33180505 04790003



081 225 586 272 Kr. Wotan



3



2



15/10/2018



33180507 02920003



081 225 586 272 Kr. Wotan



3



2



15/10/2018



33180506 04850001



081 225 586 272 Kr. Wotan



3



2



15/10/2018



L



2.9 kg Sulasmi-Sunardi



33180518 04800004



081 225 586 272 Kr. Wotan



4



2



15/10/2018



L



3.3 kg Titik Eka D-Kadar



33180509 11780001



081 225 586 272 Kr. Wotan



4



2



15/10/2018



28/3/2016



L



2.7 kg Rini Risna-Didik K.



33180516 06850014



081 225 586 272 Kr. Wotan



4



2



15/10/2018



9/4/2017



P



2.5 kg Lisnawati-Sahli



33180407 12820001



081 225 586 272 Kr. Wotan



4



2



15/10/2018



Syarifa Nazilatul I.



24/9/2014



P



3.1 kg Fitrotun N-Ngatemin



33180501 07840022



081 225 586 272 Kr. Wotan



4



2



15/10/2018



Kevin Arya Dhika P.



5/3/2015



L



3.3 kg Rinawati-Sanusi



33180921 08850001



081 225 586 272 Kr. Wotan



4



2



15/10/2018



25/12/2016



P



2.7 kg Evi L-Suparyono



33180515 10820011



081 225 586 272 Kr. Wotan



4



2



15/10/2018



2/11/2015



P



2.8 kg Sri Puryani-Suyoto



33180527 11760001



081 225 586 272 Kr. Wotan



4



2



15/10/2018



8/12/2016



P



2.6 kg Hidayatul K.-Lasturi



33180507 11840001



081 225 586 272 Kr. Wotan



4



2



15/10/2018



5/4/2014



P



2.6 kg Tatik Y.-Yani



33180508 08780002



081 225 586 272 Kr. Wotan



4



2



15/10/2018



13/11/2014



P



2.6 kg S.Yuliana-A.Sholkan



33180517 05860002



081 225 586 272 Kr. Wotan



4



2



15/10/2018



25/5/2014



L



2.8 kg S.Sulastri-Eko S.



33180526 05090004



081 225 586 272 Kr. Wotan



4



2



15/10/2018



Alfian Billy Aprilleo



15/4/2014



L



3.3 kg Suminah-Sunawi



33180507 10790001



081 225 586 272 Kr. Wotan



4



2



15/10/2018



Baroza Al Ghozi



12/3/2016



L



2.7 kg Suwanisih-Supriyanro



33180512 01740006



081 225 586 272 Kr. Wotan



5



2



15/10/2018



3



Aska Tresenda E.



12/7/2014



L



3.3 kg Endah H-Sutrisno



33180503 04640002



081 225 586 272 Kr. Wotan



5



2



15/10/2018



2



Fauzia Rania I.



19/9/2016



P



2.7 kg Anik I.-Eko P.



33180523 04830004



081 225 586 272 Kr. Wotan



5



2



15/10/2018



33180562 08170001



1



Almahyra Shakayla Riyadita



22/8/2017



P



3.3 kg Hartatik-Awang Riyadi



33180504 04910001



081 225 586 272 Kr. Wotan



5



2



15/10/2018



33180564 06180002



2



Alisya Hilyatul Izza



24/6/2018



P



33180518 06740003



081 225 586 272 Kr. Wotan



5



2



15/10/2018



33180515 09090006



33180565 05180001



2



Evril Lea Ramadani



25/5/2018



P



33180519 01880002



081 225 586 272 Kr. Wotan



5



2



15/10/2018



97.



33180528 09110002



33180504 09180002



2



Fariel Wasiqul Umam



4/9/2018



L



33180505 04800004



081 225 586 272 Kr. Wotan



5



2



15/10/2018



98.



33180524 07170002



33180515 02180001



1



Alfiandra Kenzo Alvaro



15/2/2018



L



S.Hamdanah-Abdolah Yuni Astuti-Ardhi 2.9 kg Budhiana Sri Wahyuni-Agus 3.3 kg Lamanto 2.7 kg Nurul F.-Eksan Duwi K.



33180503 09950002



081 225 586 272 Kr. Wotan



5



2



15/10/2018



99.



33180515 07130006



33180528 02180001



3



Indra Saputra



28/2/2018



L



081 225 586 272 Kr. Wotan



5



2



15/10/2018



100



33180512 07140002



33180531 01150001



1



Bustan El Raihan Mahfuzh



31/1/2015



L



33180506 06880010



081 225 586 272 Kr. Wotan



5



2



15/10/2018



101



33180524 10140005



33180565 11160001



1



Queenara Azalea L.



25/11/2016



P



3.3 kg Sulasmini-Heri Suyitno Nur Hayati-Ivan 2.7 kg Santoso 2.8 kg Daryanti-Susilo K.



33180510 11840012



33180512 09910002



081 225 586 272 Kr. Wotan



5



2



15/10/2018



102



33180529 03180002



33180567 06180002



27/6/2018



P



2.9 kg Indah R.-Riyanto



33180510 06930005



081 225 586 272 Kr. Wotan



5



2



15/10/2018



103



33180504 0516007



33180529 04160001



1



Ghibran Arkana A.



29/4/2016



L



2.6 kg S.Sopi'atin-Sutrisno



33180518 04910004



081 225 586 272 Kr. Wotan



6



2



15/10/2018



104



33180506 02140004



33180522 12130003



1



M.Fairas Dani F.



22/12/2013



L



3.3 kg S.Roikah-Mustain



33180504 01890002



081 225 586 272 Kr. Wotan



6



2



15/10/2018



Amira Elsa Rianta



25/4/2015



L



1/5/2018



P



2/7/2017



P



12/6/2017



P



3 kg



Fera S.-Puji S.



4 kg



10 kg 12 kg 14 kg 10 kg 11 kg 11 kg 12 kg 13 kg 5 kg 8 kg 8.5 kg 9 kg 13 kg 11 kg 8 kg 14 kg 13 kg 10 kg 12 kg 10 kg 14 kg 14 kg 15 kg 15 kg 11 kg 15 kg 10 kg 8 kg 6.5 kg 5 kg 4 kg 6.3 kg 6.5 kg 13 kg 10 kg 5 kg 11 kg 17 kg



85 cm 90 cm 100 cm 85 cm 90 cm 90 cm 90 cm 95 cm 55 cm 75 cm 78 cm 80 cm 95 cm 90 cm 75 cm 100 cm 95 cm 85 cm 90 cm 85 cm 100 cm 100 cm 105 cm 105 cm 90 cm 105 cm 85 cm 75 cm 60 cm 55 cm 53 cm 68 cm 70 cm 95 cm 85 cm 55 cm 90 cm 115 cm



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



1



1



1



1



1



1



1



1



1



1



2



1



2



1



1



1



2



1



2



1



105



33180511 12070646



33180509 03160001



2



Himmi Arka Firmansyah



9/3/2016



L



2.5 kg Puji Rahayu-Suparno



33180502 04740004



081 225 586 272 Kr. Wotan



6



2



15/10/2018



106



33180513 06160003



33180508 09160002



1



Dirga Septa Manggara



28/9/2016



L



3.1 kg Nenita S.-A.Sulkan



33180505 04880006



081 225 586 272 Kr. Wotan



6



2



15/10/2018



107



33180515 09150001



33180550 05160001



1



108



33180525 04160003



33180515 04160001



Icha Meilena A.



10/5/2016



P



3.3 kg Sugiyati-Tri Badi



33180515 10840002



081 225 586 272 Kr. Wotan



6



2



15/10/2018



15/4/2016



L



2.7 kg Dita H.-M.Prawito



33180513 09890001



081 225 586 272 Kr. Wotan



6



2



15/10/2018



1



Desta Lubis Prawito



109



33180527 09160011



33180544 1160001



1



Elmeisya Belvania P.



4/11/2016



P



33180528 07960003



081 225 586 272 Kr. Wotan



6



2



15/10/2018



Abdul Qoyum Rohman



14/6/2018



L



Noor Afiana-Mashadi Y. 3.3 kg Umbarmi-Sudarman



110



33180505 05090005



33180514 06180001



33180502 11760004



081 225 586 272 Kr. Wotan



6



2



15/10/2018



2



111



33180506 01180004



33180512 07180002



1



Al-Huda Widjaya Pratama



12/7/2018



L



2.7 kg Ika Aryanti-M.Agus



33181110 08950005



081 225 586 272 Kr. Wotan



6



2



15/10/2018



112



33180528 04140004



33180508 02180001



1



Ahmad Rifa'I Rizky Mubarok



8/2/2018



L



113



33180503 07130002



33180551 08130001



1



Siti Ainun Lutfiyah



11/8/2013



P



Umi Zahiroh-Slamet 2.8 kg Mulyadi 2.6 kg S.Mutmainah-Sukarno



33180517 04870002



081 225 586 272 Kr. Wotan



6



2



15/10/2018



33180501 11890002



081 225 586 272 Kr. Wotan



7



2



15/10/2018



114



33180506 10100002



33180523 03150001



2



Hanung Khairul A.



23/3/2015



L



115



33180509 12070449



33180506 04140003



2



Kenzo Arya Praditya



6/4/2014



L



3.3 kg Alifil K.-Joko R.



33180521 12820004



081 225 586 272 Kr. Wotan



7



2



15/10/2018



2.8 kg Sri Wahyuni-Kunarto



33180520 06790003



081 225 586 272 Kr. Wotan



7



2



15/10/2018



116



33180521 04160001



33180552 04160002



1



Mikayla Bellvania A.



12/4/2016



P



117



33180522 06150005



33180531 08150001



1



M.Rafa Azkha M.



31/8/2015



L



Fitriana E.2.5 kg Kartubiyanto 3.1 kg S.Harnaning-Rudi W.



33180507 02870003



081 225 586 272 Kr. Wotan



7



2



15/10/2018



33180516 09930001



081 225 586 272 Kr. Wotan



7



2



15/10/2018



118



33180522 08160002



33180510 12160001



1



Gibran Ghaisan Al F.



10/12/2016



L



119



33180523 09140002



33180531 0714003



1



M.Abryzzam N.



31/7/2014



L



3.3 kg Oki Nurfitri-Heru P.



33180522 01890002



081 225 586 272 Kr. Wotan



7



2



15/10/2018



2.8 kg Indah A.-Kesit Eko N.



64720601 01800044



081 225 586 272 Kr. Wotan



7



2



15/10/2018



120



33180526 03140001



33180523 03140001



1



Muqtafa Taqy D.A.



23/3/2014



121



33180524 10150002



33180528 07150002



2



Reehan Alviansyah



28/7/2015



L



3.3 kg Diana R.-Zainal A.



33181116 11880001



081 225 586 272 Kr. Wotan



7



2



15/10/2018



L



2.7 kg Umi Latifah-Riyadi



33180524 11790004



081 225 586 272 Kr. Wotan



7



2



15/10/2018



122



33180527 02170001



33180514 02170001



1



Yaqdhan Rakha A.



123



33180508 01090003



33180513 04180001



2



Bryan Saputra



14/2/2017



L



3.3 kg Niki Andi A.-Wahyu P.



33180502 01890001



081 225 586 272 Kr. Wotan



7



2



15/10/2018



13/4/2018



L



2.7 kg Rukayati-Sutrisno



33180529 05810002



081 225 586 272 Kr. Wotan



7



2



15/10/2018



124



33180523 06100004



33180561 04180002



2



Arsyila Apriliasari



125



33180526 07070002



33180556 06170001



2



Mikayla Ramadhani



21/4/2018



P



2.8 kg Susi R.-Jamsari



33180518 10850002



081 225 586 272 Kr. Wotan



7



2



15/10/2018



2/4/2017



P



2.5 kg Marsi-Haryono



33180508 10750002



081 225 586 272 Kr. Wotan



7



2



15/10/2018



126



33180510 12070273



33180529 07170002



2



A.Khairul Azzam



127



33180502 04130004



33180558 02130001



1



Kaylla Putri Febriani



29/7/2017



L



3.1 kg Maryani-Manto



33180520 11790001



081 225 586 272 Kr. Wotan



7



2



15/10/2018



18/2/2013



P



2.7 kg Widi Astuti-Supriyadi



33180547 02930001



081 225 586 272 Kr. Wotan



8



2



15/10/2018



128



33180507 07080040



33180531 12130001



2



Adam Asroul H.



129



33180513 09120002



33180506 04140002



1



Sofyan Khoirul A.



31/12/2013



L



2.8 kg Dewi Susi L.-Soleh



33180512 03790010



081 225 586 272 Kr. Wotan



8



2



15/10/2018



6/4/2014



L



2.5 kg S.Puryanti-Saryono



33180507 11860002



081 225 586 272 Kr. Wotan



8



2



15/10/2018



130



33180514 12070512



33180559 11160001



4



Rafiqa Muthii A.



131



33180514 12070701



33180556 01150001



2



Aurelia Nadira P.A



19/11/2016



P



3.1 kg S.Maryati-Muhsinun



33180505 05740011



081 225 586 272 Kr. Wotan



8



2



15/10/2018



16/1/2015



P



3.3 kg Sri Namsih-Zaenal A.



33180512 03830007



081 225 586 272 Kr. Wotan



8



2



15/10/2018



132



33180514 12070703



33180526 05150001



3



133



33180516 06150003



33180510 06150001



1



A.Khafid Nashrulloh



26/5/2015



L



2.8 kg Haryati-Sulasmin



33180502 11780003



081 225 586 272 Kr. Wotan



8



2



15/10/2018



M.Arsent Al Gibran



10/6/2015



L



3.3 kg Dewi S.-Joko S.



33180520 10860002



081 225 586 272 Kr. Wotan



8



2



15/10/2018



134



33180518 07140008



33180544 12140003



135



33180521 01080001



33180560 05140002



1



Tsurayya Kamila



4/12/2014



P



2.7 kg Siti Soleha-Susanto



33180402 08880002



081 225 586 272 Kr. Wotan



8



2



15/10/2018



3



Mir'a Shafia Anggraini



20/5/2014



P



2.7 kg Rina Wati-Agus H.



33180515 08810005



081 225 586 272 Kr. Wotan



8



2



15/10/2018



136



33180527 08130004



33180541 10140001



33180528 02070005



33180530 01160001



1



Salwa Nailil Muna



1/10/2014



P



2.6 kg Hanik H.S-M.Riyadi



33180417 04860002



081 225 586 272 Kr. Wotan



8



2



15/10/2018



33180520 12820005



081 225 586 272 Kr. Wotan



8



2



15/10/2018



2



Ba'is Al Giri



33182105 02090011



33180549 01150003



2



Keisha Azzahra S.



33182125 07870002



081 225 586 272 Kr. Wotan



8



2



15/10/2018



33180513 09120002



33180530 10170001



2



Ahimsa Ardhani



33180511 08160005



33180516 05180001



1



Rafif Nazril Al Faeyza



33180514 12070373



33180545 11170002



4



Margareta Novia Sari



33180502 01160001



33180549 01160001



1



Velivia Faranisa F.



2.8 kg



30/1/2016



L



9/1/2015



P



S.Suharyati-M.Joko Mahsun 3.3 kg Rokhayatun-Agus W.



30/10/2017



P



2.7 kg Sri Puryanti-Saryono



33180507 11860002



081 225 586 272 Kr. Wotan



8



2



15/10/2018



16/5/2018



L



2.8 kg Rosa R.-Didik P.



33180517 11940002



081 225 586 272 Kr. Wotan



8



2



15/10/2018



5/11/2017



P



2.5 kg Karsinah-Saman



33180518 09710002



081 225 586 272 Kr. Wotan



8



2



15/10/2018



9/1/2016



P



3.1 kg Kristiyaningsih-Sugito



33180515 06840009



081 225 586 272 Kr. Wotan



9



2



15/10/2018



2.8 kg



11 kg 11 kg 10 kg 10 kg 10 kg 5 kg 4.5 kg 6.5 kg 16 kg 13 kg 15 kg 10 kg 13 kg 11 kg 15 kg 15 kg 13 kg 9 kg 6 kg 5.8 kg 8 kg 11 kg 16 kg 17 kg 15 kg 11 kg 12 kg 13 kg 13 kg 14 kg 14 kg 14 kg 11 kg 12 kg 8 kg 5.5 kg 8 kg 12 kg



90 cm 90 cm 85 cm 85 cm 85 cm 55 cm 53 cm 70 cm 110 cm 95 cm 105 cm 85 cm 95 cm 90 cm 105 cm 105 cm 95 cm 80 cm 60 cm 58 cm 75 cm 90 cm 110 cm 115 cm 105 cm 90 cm 90 cm 95 cm 95 cm 100 cm 100 cm 100 cm 90 cm 90 cm 75 cm 55 cm 75 cm 90 cm



2



1



2



1



2



1



2



1



2



1



1



1



1



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



1



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



1



1



2



1



2



1



33180503 06130001



33180517 10140003



1



Verdian Wahyu O.



17/10/2014



L



2.8 kg Sri Wahyuni-Teguh P.



33180557 06840002



081 225 586 272 Kr. Wotan



9



2



15/10/2018



33180507 10080010



33180529 12140002



2



Akbar Bayu Samudra



29/12/2014



L



2.6 kg Jamiatun-Sunarwi



33180501 07800043



081 225 586 272 Kr. Wotan



9



2



15/10/2018



33180513 08070006



33180552 07140001



2



Vadin Asifa Juliatif



12/7/2014



P



2.6 kg Surati-Sugiyono



33180528 04800001



081 225 586 272 Kr. Wotan



9



2



15/10/2018



33180526 01130005



33180558 04160002



2



Adelia Shakila A.



18/4/2016



P



2.8 kg Eko Mardyo-Didik S.



33180519 10840001



081 225 586 272 Kr. Wotan



9



2



15/10/2018



33180529 03070007



33180550 03180001



3



Kahiyang Kantinavya



10/3/2018



P



33180508 09760002



081 225 586 272 Kr. Wotan



9



2



15/10/2018



33180525 05180003



33180501 06170001



2



M.Ramadhan Al Fatih



33180506 09820006



081 225 586 272 Kr. Wotan



9



2



15/10/2018



33180531 08160006



33180525 11160001



1



Vino Faris Ardines



33180509 09900005



081 225 586 272 Kr. Wotan



9



2



15/10/2018



33180517 09100003



33180505 04170001



2



15/10/2018



33180501 07160002



33180513 05160001



1



33180503 01110017



33180561 11140002



1



Aqilla Dinda V.



33180506 11130005



33180505 03140001



1



M.Suluh Hadi P.



33180508 10100003



33180567 05140001



2



33180512 07053077



33180551 04160001



2



33180513 08110003



33180507 02160002



2



Aditya Febrian A.



33180523 06080001



33180551 04150001



2



Dina Shalama Putri



33180502 10060207



33180558 01180005



3



Rengganis Mutiara Werdani



33180530 05150009



33180545 08150001



1



Azizah Yoza Mandasari



33180503 01110016



33180542 11140001



1



33180506 10160004



33180527 09160001



1



33180507 01170007



33180527 12150001



33180508 08160001



33180545 03170001



33180514 03140002 33180517 04120001



RoesherlinawWartono Sulistiyaningsih2.9 kg Sukardi 2.5 kg Widiyawati-Hendro S. 3 kg



1/6/2017



L



25/11/2016



L



M.Azam Al Aulyan



5/4/2017



L



2.6 kg Wasini-Sudardi



33180505 10750004



081 225 586 272 Kr. Wotan



9



2



Alvino Azril Huda



13/5/2016



L



33180504 05810004



081 225 586 272 Kr. Wotan



1



3



9/10/2018



21/11/2014



P



33180507 01800006



081 225 586 272 Kr. Wotan



1



3



9/10/2018



5/3/2014



L



3.3 kg Rusmiati-Partono S.Handayani-Bambang 3.3 kg P. 2.7 kg Puji L-Edy S.



33180416 09920002



081 225 586 272 Kr. Wotan



1



3



9/10/2018



Zivalisya Fabrila P.



27/5/2014



P



2.8 kg Tutik S-Hadi Utomo



33180516 12850002



081 225 586 272 Kr. Wotan



1



3



9/10/2018



Assyifa Salsabila



11/4/2016



P



2.5 kg Sri Utami-Munawi



33180509 01780001



081 225 586 272 Kr. Wotan



1



3



9/10/2018



7/2/2016



L



3.1 kg Suryati-Meno



33180507 05690003



081 225 586 272 Kr. Wotan



1



3



9/10/2018



11/4/2015



P



2.7 kg Sarmi-Sarbin



33180511 02830013



081 225 586 272 Kr. Wotan



1



3



9/10/2018



18/1/2018



P



2.8 kg Kusmiati-Paing



33180527 12820001



081 225 586 272 Kr. Wotan



1



3



9/10/2018



5/6/2015



P



2.5 kg Umiyati-Abdul Aziz



33180514 06880003



081 225 586 272 Kr. Wotan



1



3



9/10/2018



Novita Putri Mukti Sura



2/11/2014



P



3.1 kg Narsi-Zaenal Fatah



33181124 11860001



081 225 586 272 Kr. Wotan



1



3



9/10/2018



M.Adam Al Aflah



27/9/2016



L



3.3 kg S.Khotijah-Suyono



33180566 07990001



081 225 586 272 Kr. Wotan



2



3



9/10/2018



1



Viko Pradana P.



27/12/2015



L



2.8 kg Ika Y-Toni Abdul A.



33180505 10900002



081 225 586 272 Kr. Wotan



2



3



9/10/2018



1



Tamanah Aulia L.



5/3/2017



P



3.3 kg N.Solikah-A.Yasid



33170725 09900001



081 225 586 272 Kr. Wotan



2



3



9/10/2018



33180525 01140002



1



Bagus Candra D.



25/1/2014



L



2.7 kg Candra D.-Agus S.



33180912 03920002



081 225 586 272 Kr. Wotan



2



3



9/10/2018



33180517 10160003



2



Rafardhan Fahri Akbar



17/10/2016



L



2.7 kg Rohimah-A.Rojad



33180511 06890005



081 225 586 272 Kr. Wotan



2



3



9/10/2018



33180517 10130002



33180528 10160001



2



Najmu Tsaqib



28/10/2016



L



2.6 kg Umi Nor H.-A.Fauzi



33180510 10900006



081 225 586 272 Kr. Wotan



2



3



9/10/2018



33180517 10130002



33180547 03140001



1



Inayah Kamilah



7/3/2014



P



2.8 kg Umi Nor H.-A.Fauzi



33180510 10900006



081 225 586 272 Kr. Wotan



2



3



9/10/2018



17/1/2016



L



25/4/2018



L



33180522 12160004



33180517 01160002



1



33180513 09170002



33180525 04180001



1



33180527 04170003



33180525 06170001



1



Dikta Pratama A. Resstu Goesti Inggar Prayudha Alby Maisa



25/6/2017



L



33180504 05160001



33180565 04160001



1



Bening Maitra T.



25/4/2016



P



33180507 03090003



33180541 10160001



1



Gabriel Affanda



1/10/2016



L



3.3 kg Susinta-Didik S. Ina Puji L.-Ribut 2.9 kg Budiyanto Elsa Manora-Maimun 2.8 kg Efendi N.Hidayah-Mas Alamil 3.3 kg H. 2.7 kg Herdiani A.-Suprapto



33180512 06930003



081 225 586 272 Kr. Wotan



2



3



9/10/2018



33180509 09910005



081 225 586 272 Kr. Wotan



2



3



9/10/2018



33180517 09970002



081 225 586 272 Kr. Wotan



2



3



9/10/2018



35242501 09900001



081 225 586 272 Kr. Wotan



3



3



9/10/2018



33180510 10160004



33180569 09160001



1



Dea Ariana Anggreani



29/9/2016



P



2.8 kg Novi Y.-Riyanto



33180506 09820007



081 225 586 272 Kr. Wotan



3



3



9/10/2018



33180515 03860002



081 225 586 272 Kr. Wotan



3



3



9/10/2018



33180522 01160003



33180518 06160001



2



M.Ferdhinand Al



18/6/2016



L



33180525 03080017



33180562 04150003



2.5 kg Tutik W.-Mulyono



35051017 03740001



081 225 586 272 Kr. Wotan



3



3



9/10/2018



P



3.1 kg Karlin-Purnomo



33180513 07690001



081 225 586 272 Kr. Wotan



2



Hapsari Masayu A.



22/4/2015



33180505 04100006



33180551 08150002



2



Hanum Hanania



11/6/2015



3



3



9/10/2018



P



2.8 kg Luluk Erfana-Sumari



33180515 07800010



081 225 586 272 Kr. Wotan



3



3



9/10/2018



33180503 01090008



33180555 09170003



2



Jihan Septia Khairani



15/9/2017



P



33180506 10080016



33180521 04170001



3



Faeyza Ataya Naufal



21/4/2017



L



Sukartini-Edi Sudarwanto 3.1 kg Nur Asih-Dulhadi



33180503 06800005



081 225 586 272 Kr. Wotan



3



3



9/10/2018



33180528 05760001



081 225 586 272 Kr. Wotan



3



3



9/10/2018



33180525 08090001



33180550 11160002



3.1 kg Srinah-Ali Mashudi



33180513 08800007



081 225 586 272 Kr. Wotan



2



Atiqah Rafida Ali



10/11/2016



P



33180508 08080012



33180510 02160002



2



Najwa Mu'alifah



10/2/2016



P



3



3



9/10/2018



3.3 kg Sulastri-Sutomo



33180514 04760004



081 225 586 272 Kr. Wotan



4



3



9/10/2018



2.5 kg



15 kg 15 kg 14 kg 10 kg 6.5 kg 11 kg 11 kg 11 kg 11 kg 14 kg 15 kg 14 kg 10 kg 11 kg 12 kg 7 kg 12 kg 14 kg 11 kg 13 kg 8 kg 15 kg 11 kg 11 kg 14 kg 11 kg 6 kg 8.4 kg 10 kg 10 kg 11 kg 11 kg 12 kg 12 kg 8 kg 8.2 kg 10 kg 10 kg



105 cm 105 cm 100 cm 85 cm 68 cm 90 cm 90 cm 90 cm 90 cm 100 cm 105 cm 100 cm 85 cm 90 cm 90 cm 65 cm 95 cm 100 cm 90 cm 95 cm 75 cm 105 cm 90 cm 90 cm 100 cm 90 cm 65 cm 75 cm 85 cm 85 cm 90 cm 90 cm 90 cm 95 cm 75 cm 75 cm 85 cm 85 cm



2



1



2



1



2



1



2



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



33180513 10080013



33180512 04140001



2



M.Arif Aditya P.



12/4/2014



L



2.8 kg Warsini-Wagito



33180515 05730002



081 225 586 272 Kr. Wotan



4



3



9/10/2018



33180513 12070623



33180513 05150001



2



M.Danis Faddli S.



13/5/2015



L



3.3 kg Saryati-Suyono



33180505 07760001



081 225 586 272 Kr. Wotan



4



3



9/10/2018



33180517 04100001



33180566 06160002



2



Luthfia Talita Zahra



26/6/2016



P



2.7 kg Rusmini-Haryanto



33180515 06820005



081 225 586 272 Kr. Wotan



4



3



9/10/2018



33180520 05150005



33180523 04150001



1



Maulana Bachtiar G.



23/4/2015



L



2.7 kg Eka S.-Supriyanto



33180528 04930002



081 225 586 272 Kr. Wotan



4



3



9/10/2018



33180524 03170001



33180547 02170003



1



Reyta Carisa Putri



7/2/2017



P



2.8 kg Fitri H-Sucipto



33180508 05880001



081 225 586 272 Kr. Wotan



4



3



9/10/2018



33180524 04130002



33180543 06160001



1



Aisha Syifa Aalinarrohman



3/6/2016



P



2.6 kg Fitri S.-Warman



33180522 06800002



081 225 586 272 Kr. Wotan



4



3



9/10/2018



33180525 07140002



33180553 02150001



1



Mariyam Khoirotun N.



13/2/2015



P



2.6 kg Wahyu M.-Sudiyono



33161418 03790001



081 225 586 272 Kr. Wotan



4



3



9/10/2018



33180528 08080009



33180527 03170002



2



Arka Pradipta Al F.



27/3/2017



L



2.8 kg Tutik I.-Suprapto



33180510 02820002



081 225 586 272 Kr. Wotan



4



3



9/10/2018



33180521 01150002



33180507 07140004



2



Farit Raffi Rahmat D.



7/7/2014



L



2.7 kg Siti Musriah



33180867 06860001



081 225 586 272 Kr. Wotan



5



3



9/10/2018



33180526 09160005



33180525 09170001



1



Fahreyza Nazrul Amri



25/9/2017



L



2.6 kg Fatonah-Saiful Amri



33180509 11890004



081 225 586 272 Kr. Wotan



5



3



9/10/2018



33180503 07150003



33180566 03050006



3



Salsabila Qotrun Nada



26/3/2015



P



2.8 kg Kumarti



33180551 10770008



081 225 586 272 Kr. Wotan



6



3



9/10/2018



33180505 08150007



33180561 07150002



1



Adzkia Safira Nur R.



21/7/2015



P



2.6 kg Basmi-Sapawi



33180560 04890006



081 225 586 272 Kr. Wotan



6



3



9/10/2018



33180515 04150002



33180501 04150003



1



M.Restu Al Fatih



1/4/2015



L



2.6 kg Sri Puji W.-Usep



36042705 05890006



081 225 586 272 Kr. Wotan



6



3



9/10/2018



33180515 10120007



33180504 01170002



1



Labib Fahrojik



4/1/2017



L



2.8 kg Jasmi-Sarmidi



33180516 06650004



081 225 586 272 Kr. Wotan



6



3



9/10/2018



33180516 08070013



33180511 07140001



2



Muhammad Julianto



11/7/2014



L



3.1 kg Sukarti-Suparwi



33180545 08730001



081 225 586 272 Kr. Wotan



6



3



9/10/2018



33180520 08090001



33180527 05150001



2



Bayu Hartanto Irsyat



27/5/2015



L



3.1 kg Sukarti-Palal



33180510 10740007



081 225 586 272 Kr. Wotan



6



3



9/10/2018



33180522 01110001



33180565 03170003



2



Tiffani Milka Anzani



25/3/2017



P



2.7 kg Jami-Suliyadi



33180517 08800007



081 225 586 272 Kr. Wotan



6



3



9/10/2018



33151002 11810002



081 225 586 272 Kr. Wotan



6



3



9/10/2018



33180510 02830003



081 225 586 272 Kr. Wotan



6



3



9/10/2018



15 kg 13 kg 10 kg 13 kg 8 kg 10 kg 12 kg 9 kg 15 kg 15 kg 12 kg 12 kg 13 kg 15 kg 15 kg 13 kg 8 kg 4.5 kg 15 kg 16 kg 4.5 kg 11 kg 11 kg 9 kg 15 kg 13 kg 11 kg 13 kg



105 cm 95 cm 85 cm 95 cm 75 cm 85 cm 90 cm 80 cm 105 cm 105 cm 90 cm 90 cm 95 cm 105 cm 105 cm 95 cm 75 cm 55 cm 105 cm 110 cm 55 cm 90 cm 90 cm 80 cm 105 cm 95 cm 90 cm 95 cm



10 kg



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



1



1



2



1



2



1



1



1



2



1



2



1



2



1



2



1



2



1



2



1



2



1



85 cm



2



1



33180502 08180005



33180517 08180001



1



Rasya Arfabian Merdika



17/8/2018



L



33180526 08110002



33180515 06170002



2



Amirul Hadi Ar Rasyid



15/6/2017



L



33180531 10130003



33180507 12130002



1



Dirga Hafidz Ar Rafiq



7/12/2013



L



3.1 kg Eka F.Y.-Siswanta Nawang U.P-Edi 2.7 kg Suhartono 3.1 kg S.Mujiaroh-Masoni



33161409 04900002



081 225 586 272 Kr. Wotan



6



3



9/10/2018



33180506 09180003



33180569 08180001



2



Aisya Almira Salsabila



29/8/2018



P



3.3 kg Tutik Ning K.-Hendro



15021013 09770001



081 225 586 272 Kr. Wotan



6



3



9/10/2018



33180508 08080017



33180513 03160001



2



A.Affan Nur Said



13/3/2016



L



2.7 kg Isnawati-Karyono



33180505 03800004



081 225 586 272 Kr. Wotan



7



3



9/10/2018



33180509 07150001



33180504 04160001



2



Syahrul Nur Khoiril



4/4/2016



L



3.1 kg Jumiah-Ngadiman



33180521 09820003



081 225 586 272 Kr. Wotan



7



3



9/10/2018



33180513 01170001



33180527 03170001



1



M.Albie Fyldan A.



27/3/2017



L



2.7 kg Sri Wahyuni-Rudi U.



33161424 06880001



081 225 586 272 Kr. Wotan



7



3



9/10/2018



33180520 08130007



33180504 11140002



2



Pandu Satria Wijaya



4/11/2014



L



3.3 kg Titin S.-Suprianto



33180506 06800008



081 225 586 272 Kr. Wotan



7



3



9/10/2018



33180522 05080001



33180506 08150002



2



Gibran Briyan Pradipta



6/8/2015



L



2.8 kg S.Kristiana-Wartoyo



33180512 07800002



081 225 586 272 Kr. Wotan



7



3



9/10/2018



33180526 08130004



33180525 12160001



2



Nazril Rafasya A.



25/12/2016



L



3.3 kg Sutrisni-Sungkono



33180512 05810009



081 225 586 272 Kr. Wotan



7



3



9/10/2018



33180527 10080003



33180525 04150001



2



M.Halim Alzian H.



25/4/2015



L



2.7 kg S.Ambarwati-Sanusi



33180518 02780001



081 225 586 272 Kr. Wotan



7



3



9/10/2018



33180529 08090008



33180548 10160001



2



Yut Fidriya Oktiani



5/10/2016



P



3.3 kg Sripah-Suprianto



33180511 08700002



081 225 586 272 Kr. Wotan



7



3



9/10/2018



33181012 05170006



33181022 05170001



1



M.Ramadani Nur Aji S.



22/5/2017



L



2.7 kg Juniati-Rudi Pujoanto



33180517 03840002



081 225 586 272 Kr. Wotan



7



3



9/10/2018 8 kg



75 cm



2



1



33180515 08090015



33180560 12140001



2



Devika Salsabila



20/12/2014



P



2.8 kg Sumarsih-Salimin



33180527 07710003



081 225 586 272 Kr. Wotan



7



3



14 9/10/2018 kg



100 cm



2



1



33180505 05110007



33180525 02180002



2



Ilyas Fakhrul Muazzam



25/2/2018



L



2.6 kg Purwati-Joko Suroso



33180509 05830009



081 225 586 272 Kr. Wotan



7



3



70 9/10/2018 7 kg cm



1



1



33180505 03100001



33180566 09140002



2



Naila Salwa Muazara



26/9/2014



P



2.6 kg Sularmi-Minanto



33180505 09780003



081 225 586 272 Kr. Wotan



7



3



14 9/10/2018 kg



100 cm



2



1



33180530 09130005



33180529 07140001



1



M.Abid Al Fatih



28/7/2014



L



2.8 kg Dewi S.-A.Malik



33180505 07890006



081 225 586 272 Kr. Wotan



7



3



14 9/10/2018 kg



100 cm



2



1



33180505 05080042



33180527 03150001



1



Huda Nugroho



27/3/2015



L



2.7 kg Ramijah-Subawi



33180505 10720005



081 225 586 272 Kr. Wotan



7



3



9/10/2018



12 kg



90 cm



2



1



33180530 09130005



33180529 07140001



1



M.Abdi Al Fatih



29/7/2014



L



2.7 kg Dewi S.-Abdul Malik



33180505 07890006



081 225 586 272 Kr. Wotan



7



3



9/10/2018



15 kg



105 cm



2



1



33180512 12070536



33180567 04170002



2



Rachel Azkia Putri Whilona



27/4/2017



P



2.9 kg Nur Solikah-Wartono



33180503 04740005



081 225 586 272 Kr. Wotan



8



3



9/10/2018 8 kg



75 cm



2



1



33180515 02100006



33180551 04170001



1



Farhana Robbiyatul M.



11/4/2017



P



2.8 kg Winarsih-Yatman



33180512 03760003



081 225 586 272 Kr. Wotan



8



3



9/10/2018 8 kg



75 cm



2



1



33180517 07130001



33180504 10150001



2



Rakha Najwan Al Khalifi



4/10/2015



L



2.5 kg Sriyatun-Jumari



33180515 09820005



081 225 586 272 Kr. Wotan



1



4



7/10/2018



13 kg



95 cm



2



1



33180519 11130005



33180563 04150002



1



Madina Lintang M.



23/4/2015



P



3.1 kg Karmini-M.Rukadi



33181626 01870004



081 225 586 272 Kr. Wotan



1



4



7/10/2018



12 kg



90 cm



2



1



33180523 08100007



33180504 04140001



1



M.Hafidzzada



4/4/2014



L



2.8 kg Wiwit J-Agus Priyono



33180508 09830003



081 225 586 272 Kr. Wotan



1



4



7/10/2018



15 kg



105 cm



2



1



33180509 11170002



33180503 06180002



1



Reinand Chairul Abrisam



13/6/2018



L



Darmi K.-A.Rinanto



33180514 04900002



081 225 586 272 Kr. Wotan



1



4



7/10/2018



5.5 kg



65 cm



1



1



33180515 12070622



33180503 04160001



4



Ahmad Nurrozaq



3/4/2016



L



3.3 kg Sri Wahyuni-Sujono



33180524 06680001



081 225 586 272 Kr. Wotan



2



4



7/10/2018



11 kg



90 cm



2



1



33180517 07120005



33180562 04140001



1



Velma Tatiana Alisha



22/4/2014



P



2.7 kg



33180517 02900007



081 225 586 272 Kr. Wotan



2



4



7/10/2018



14 kg



100 cm



2



1



33180522 09100011



33180526 12140001



2



Nadhif Shafwan M.



26/12/2014



L



2.7 kg Dwi Septi H-Purwanto



33180506 05830007



081 225 586 272 Kr. Wotan



2



4



7/10/2018



15 kg



105 cm



2



1



33180527 06130005



33180502 01140001



1



Cahya Anggara Widodo



2/1/2014



L



2.6 kg Partini-Wartono



33180504 02870006



081 225 586 272 Kr. Wotan



2



4



15 7/10/2018 kg



105 cm



2



1



33180531 03110009



33180514 08150001



2



Fachri Agustian



14/8/2015



L



2.8 kg S.Nurjannah-A.Kholif



33180504 03910007



081 225 586 272 Kr. Wotan



2



4



13 7/10/2018 kg



95 cm



2



1



33180523 11090002



33180565 09170001



2



Fikria Salwa Nafsia



25/9/2017



P



2.9 kg Umiyatun-M.Alim



33180507 02800001



081 225 586 272 Kr. Wotan



2



4



75 7/10/2018 8 kg cm



2



1



33180506 02150004



33180556 01150002



1



Nusaibah Nur Rahmah



16/1/2015



P



3.3 kg Sumiatun-Suyekno



33180519 07860001



081 225 586 272 Kr. Wotan



3



4



12 7/10/2018 kg



90 cm



2



1



33180516 04080022



33180545 11160001



2



Ashalina Yumna Naladhip



5/11/2016



P



3.3 kg Uswatun K.-Sutikjo



33180516 06850011



081 225 586 272 Kr. Wotan



3



4



7/10/2018



10 kg



85 cm



2



1



33180525 04120005



33180553 11140001



2



Navya Putri Nirmala



13/11/2014



P



2.7 kg Miratun N.-Sundoyo



33180508 05880002



081 225 586 272 Kr. Wotan



3



4



7/10/2018



14 kg



100 cm



2



1



33180517 04140004



33180567 02140002



3



Luluk Asfiyah



27/2/2014



P



Sinta-Rusono



33180512 04760006



081 225 586 272 Kr. Wotan



3



4



7/10/2018



14 kg



100 cm



2



1



33180515 10120001



33180509 09130002



1



A.Amirul Mu'minin



9/9/2013



L



2.9 kg S.Sugiarti-Wagito



33180517 01880002



081 225 586 272 Kr. Wotan



3



4



7/10/2018



16 kg



110 cm



2



1



33180501 04140004



33180513 03140002



1



M.Krisna Al Lathif



13/3/2014



L



2.8 kg



33180526 10900001



081 225 586 272 Kr. Wotan



4



4



7/10/2018



15 kg



105 cm



2



1



33180502 12100022



33180517 03150001



2



Asiid Fadllan Munir



17/3/2015



L



2.5 kg S.Muslikah-Fadlan



33180511 02790006



081 225 586 272 Kr. Wotan



4



4



7/10/2018



13 kg



95 cm



2



1



33180515 08170003



33180551 03180001



2



Lyla Maidana Anindya



11/3/2018



P



2.8 kg Ratna M.-Kasturi



33180507 07830006



081 225 586 272 Kr. Wotan



4



4



7/10/2018 6 kg



75 cm



1



1



33180503 12130006



33180501 01140001



1



Nizam Ismar Rafi Zuhaqi



1/1/2014



L



2.6 kg Fitria E.-Daman



33180509 09850006



081 225 586 272 Kr. Wotan



4



4



7/10/2018



15 kg



105 cm



2



1



33180503 12130006



33180520 11160002



2



Nova Nur Asyarif



20/11/2016



L



2.8 kg Fitria E.-Daman



33180509 09850006



081 225 586 272 Kr. Wotan



4



4



7/10/2018



11 kg



90 cm



2



1



33180504 03080007



33180526 04160001



2



M.Ananda Rasyiqul Abid



26/4/2016



L



3.1 kg Suntari-Sumadi



33180501 07830127



081 225 586 272 Kr. Wotan



4



4



7/10/2018



11 kg



90 cm



2



1



3 kg



3 kg



Siti Khoirun-Agus Witoyo



Nurus F.-Teguh Aribowo



16/3/2015



P



3.1 kg Nanik F.-Sutrisno



33180513 06780005



081 225 586 272 Kr. Wotan



4



4



7/10/2018



12 kg



90 cm



2



1



M.Lutfi Al Mu'iz



3/9/2015



L



3.3 kg Suyati-Sugiyono



33180512 06760003



081 225 586 272 Kr. Wotan



4



4



7/10/2018



13 kg



95 cm



2



1



2



Faatin Luthfiyyah



20/6/2015



P



2.8 kg S.Mutrikah-Subekan



33180517 06780003



081 225 586 272 Kr. Wotan



4



4



7/10/2018



12 kg



90 cm



2



1



33180562 09140001



1



Airin Maulia Alhusna



22/9/2014



P



3.3 kg Widiyanti-Winarto



33180550 10940001



081 225 586 272 Kr. Wotan



4



4



7/10/2018



14 kg



100 cm



2



1



33180504 02110003



33180502 11130001



2



A.Ariq Fadhil Ar Rouf



2/11/2013



L



33180510 05770007



081 225 586 272 Kr. Wotan



4



4



7/10/2018



16 kg



110 cm



2



1



33180504 03080009



33180561 02180001



2



Ashila Alya Shilkha



21/2/2018



P



2.5 kg Sulistiyani-Suparman



33180505 04840003



081 225 586 272 Kr. Wotan



4



4



7/10/2018 6 kg



65 cm



1



1



33180518 09180002



33180504 09180003



1



Satria Adystia Purnama



4/9/2018



L



3.5 kg Nurmafita F.-Agus P.



33180502 079620001



081 225 586 272 Kr. Wotan



4



4



7/10/2018



3.7 kg



60 cm



1



1



33180502 12140003



33180542 11140002



1



Griselda Askiya Wijayanti



2/11/2014



P



2.7 kg Eka M.-Wahyu S.



33180527 07900005



081 225 586 272 Kr. Wotan



5



4



7/10/2018



14 kg



100 cm



2



1



33180516 04080021



33180519 11140004



3



M.Hammam Jalaludin



19/11/2014



L



2.5 kg Yuli Indah R-Haryanto



33180503 10780002



081 225 586 272 Kr. Wotan



5



4



7/10/2018



15 kg



105 cm



2



1



33180521 05080004



33180554 08150001



3



Olyvia Natasya Azara



14/8/2015



P



2.6 kg Dwi Lusiani-Tunggal



33180526 06710004



081 225 586 272 Kr. Wotan



5



4



7/10/2018



12 kg



90 cm



2



1



33180510 05110006



33180542 02180001



2



Afiza Ghania



2/2/2018



P



Nur HidayahKusmanto



33180512 03840006



081 225 586 272 Kr. Wotan



5



4



7/10/2018 6 kg



70 cm



1



1



33180505 12150001



33180520 09150002



1



M.Ari Setiawan



20/9/2015



L



2.8 kg Ayu Puji A.-Kasturi



33180505 02870001



081 225 586 272 Kr. Wotan



6



4



13 7/10/2018 kg



95 cm



2



1



33180513 09140001



33180526 02160001



1



Gibran Attala Alfatih



26/2/2016



L



3.1 kg



33180423 02850002



081 225 586 272 Kr. Wotan



6



4



11 7/10/2018 kg



90 cm



2



1



33180521 01170001



33180570 12160002



1



Chayra Fayola Nadhifa



30/12/2016



P



3.3 kg



33180501 10910003



081 225 586 272 Kr. Wotan



6



4



10 7/10/2018 kg



85 cm



2



1



33180531 12140001



32131111 04860001



1



Jelita Permata Putri



5/4/2014



P



2.7 kg



33180511 04860003



081 225 586 272 Kr. Wotan



6



4



14 7/10/2018 kg



100 cm



2



1



33180413 04170004



33180559 02170001



1



Khayla Aisyah Azzahra



19/2/2017



P



2.9 kg Sulimah-Agus Supriyanto



33180427 08960001



081 225 586 272 Godo



2



3



7/10/2018 8.5 kg75 cm



2



1



33181023 09110010



33181007 03180001



2



Ezza Kafael Abrisam Putra



7/3/2018



L



3.2 kg



33181023 03850015



081 225 586 272 Winong



12



3



7/10/2018 6.5 kg68 cm



1



1



33151015 03100007



33151019 03180005



2



Raffasya Nazril Dwi Maulana



19/3/2018



L



3.4 kg



33151028 04860002



081 225 586 272 Tanjungrejo



5



1



7/10/2018 6.7 kg68 cm



1



1



33180504 03080014



33180556 03150001



2



Nada Faiqotul Muna



33180510 08090010



33180503 09150002



2



33180521 01080011



33180560 06150002



33180530 06140002



3 kg



3 kg



Ambarwati-Suwoto



Nike Ardina-Haryanto S.Nurhayati-Sutrisno D.Ranika-Suparman



Eni P.-Imam Setuawan Nuryanti-Joko Waluyo



IMD 1=YA, 2=Tidak



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



2



2



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



2



2



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



2



2



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



2



2



DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : Kabupaten/Kota : Puskesmas : Desa



:



: Berat JENIS TANGGAL KELAMI Badan LAHIR Lahir N (Kg)



No KK



NIK (Nomor Induk Kependudukan Anak )



ANAK KE



1.



3318053107130001



3318054103140001



1



KHEISA AZAKIA Z



01/03/2014



2.



3318053108130007



3318051302140001



1



FEBRIAN WAHYU P



13/02/2014



L



3



3.



3318051412070121



3318056603140008



2



CHAIRA AURELIA A



26/03/2014



P



3,2



4.



3318051203090019



3318054406140002



2



SYAFA NUR LAILA



04/06/2014



P



5.



3318051710130005



3318051307140001



1



DANIS SALMA DANA S



13/07/2014



L



6.



3318051912080028



3318054506140001



3



VITA BUNGA LESTARI



05/06/2014



7.



3318051203090013



3318051807140002



2



MUHAMMAD ULIN NIAM



18/07/2014



8.



3318051312070449



3318057107140002



2



FITRIA KUMALA DEWI



9.



3318050104140003



3318056407140001



1



CLARA FITRI FEBRIANTI



10.



3318051309130002



3318050105140002



1



11.



3318052501160002



3315101610140002



1



12.



3318051204140002



3318054609140001



13.



3318050207140001



3318051309140002



14.



3318051611130002



15.



3318053105080015



16.



No



NAMA ANAK



P



2,8



Nama Orang tua



NIK Orang Tua



No Tlp/HP Orang Tua



ALAMAT



RT



RW



Cara Ukur Tanggal BB TB pengukuran (Kg) (Cm) 1=Telentang 2=Berdiri



ASI Eksklusif 1=YA, 2=Tidak



KHOLIL ABDUL A



3318052704950001



085326867080



LUMBUNGMAS



11



1



16/10/2018



14.2



100



2



1



SUKANDAR



3318052802760002



085326867080



LUMBUNGMAS



8



1



16/10/2018



13.5



98



2



1



SIMON CAHYONO



3318051503800009



085326867080



LUMBUNGMAS



2



1



16/10/2018



14.7



99



2



1



3,2



GUNAWI



3318051403710002



085326867080



LUMBUNGMAS



3



1



16/10/2018



15



101



2



1



3,3



DARTO



3318050806770004



085326867080



LUMBUNGMAS



1



1



16/10/2018



15.1



98



2



1



P



2,5



NGATONO



3318051810780005



085326867080



LUMBUNGMAS



2



1



16/10/2018



15.2



87



2



1



L



3,2



SUPARWI



3318051804730005



085326867080



LUMBUNGMAS



8



1



16/10/2018



15



100



2



1



28/07/2014



P



3



LEGIMAN



3318051404700004



085326867080



LUMBUNGMAS



8



1



16/10/2018



13



99



2



1



23/07/2014



P



3



YANTO



3318052507800002



085326867080



LUMBUNGMAS



9



1



16/10/2018



15



107



2



1



KEANDRA RAFA A



01/05/2014



L



3,2



BUDI HARIYANTO



3318051802850012



085326867080



LUMBUNGMAS



5



1



16/10/2018



14.5



105



2



1



AHMAD IQBAL PRATAMA



02/01/2014



L



3



NURHADI



3318053007940002



085326867080



LUMBUNGMAS



9



1



16/10/2018



13



98



2



1



1



DZAKIRA TALITA QOTRUNNADA



06/09/2014



P



3,3



BUDI APRIANTO



3318051304820001



085326867080



LUMBUNGMAS



4



1



16/10/2018



14



95



2



1



3



FATIH AHMAD MAHFUD



10/09/2014



L



3,8



SUDIRMAN



3318051102890001



085326867080



LUMBUNGMAS



8



1



16/10/2018



14.5



96



2



1



3318054602150001



2



AFINDA AL QUMAIROH



06/02/2015



P



3



SUSANA



3318064708920001



085326867080



LUMBUNGMAS



4



1



16/10/2018



15



97



2



1



3318054102150001



1



AULIA SOFIIZZATUNNISA



01/02/2015



P



3



SARI MUSTIKA



3318054709930003



085326867080



LUMBUNGMAS



6



1



16/10/2018



14



99



2



1



3318050503150006



3318056502150001



1



SALFA AFIYA QOIRUNNISA



25/02/2015



P



3,3



SYAIFUDIN ZUHRI



3318052507930001



085326867080



LUMBUNGMAS



6



1



16/10/2018



14



95



2



1



17.



3318050709130005



3318055005150001



1



AVIA QAIREEN SALSABILA



10/05/2015



P



3,2



SUGIYONO



3318050608870002



085326867080



LUMBUNGMAS



7



1



16/10/2018



13.5



95



2



1



18.



3318052704160002



-



2



BACHITAH AISYA BELLA



23/04/2015



P



3



CIPTONO



3318051705820003



085326867080



LUMBUNGMAS



6



1



16/10/2018



13.7



94



2



1



19.



3318053009130002



-



1



ELISA AULIA RAMADHANI



04/07/2015



P



3



SUWIKNYO



3318050303930003



085326867080



LUMBUNGMAS



12



1



16/10/2018



13



90



2



1



20.



3318050106130002



3318054208150001



1



MIKAYLA TESSA A



02/08/2015



P



3



SUWARDI



3318052604770001



085326867080



LUMBUNGMAS



8



1



16/10/2018



10.5



82



2



2



21.



3318050905080004



3318057012150001



2



KAILA ANANDA VILONA



30/12/2015



P



2,8



RASMIN



3318051307830001



085326867080



LUMBUNGMAS



11



1



16/10/2018



12.2



90



2



1



22.



3318052109150004



3318050301160003



1



DHAFI FAIRUZ AR RAFFA



03/01/2016



L



3



ERGA CAHYONO



3318100302910001



085326867080



LUMBUNGMAS



10



1



16/10/2018



12.4



90



2



1



23.



3318050812150005



3318055302160001



1



RANI NISTITA NINGSEH



14/02/2016



P



3



NUR KAMDI



3318051510920005



085326867080



LUMBUNGMAS



5



1



16/10/2018



13



85



2



1



24.



3318051211130001



3318055608150001



1



KIRANA ANDRESTA M



18/08/2015



P



3,1



NABILA



3318055311980002



085326867080



LUMBUNGMAS



4



1



16/10/2018



12.5



84



2



1



25.



3318051305090012



3318052208150001



2



MUHAMMAD AINUN NAJIB



22/09/2015



L



3



KASIYAN



3318052103760002



085326867080



LUMBUNGMAS



7



1



16/10/2018



13.4



87



2



1



26.



3318051208090013



3318051606160002



3



LEVANO WAHYU RAMADHANI



10/06/2016



L



3,8



YANTO



3318050802820006



085326867080



LUMBUNGMAS



10



1



16/10/2018



12.3



87



2



1



27.



3318053005160002



3318054707160001



1



RAYA SYAQILA S



07/07/2016



P



3



DIKI TRI C



3318051407970003



085326867080



LUMBUNGMAS



9



1



16/10/2018



12



85



2



1



28.



3318051108150003



3318054108160002



1



AFNA AFIDATUL I



01/08/2016



P



3



SUNOTO



3318052806850006



085326867080



LUMBUNGMAS



8



1



16/10/2018



9.8



80



2



1



29.



3318051409090009



3318055808160001



2



AQILA MEDINAH S



18/08/2016



P



3,2



KUKUH WIDODO



3318052005830004



085326867080



LUMBUNGMAS



5



1



16/10/2018



13.2



100



2



1



30.



-



-



2



ADIBA CAHAYA ALMIRA



01/09/2016



L



2,8



SUKASNO



3318051010870003



085326867080



LUMBUNGMAS



1



1



16/10/2018



9.3



80



2



1



31.



3318050609140003



3318056908160001



3



AZZAHRA RALINIA PUTRI



29/08/2016



P



3,2



HARTONO



3318050201820005



085326867080



LUMBUNGMAS



2



1



16/10/2018



11.4



92



2



1



32.



3318050910080018



3318050301170001



2



BAYU FAJAR NUGROHO



03/01/2017



L



3,3



JUMADI



3318051603790009



085326867080



LUMBUNGMAS



11



1



16/10/2018



11.5



87



2



1



33.



3318053105080016



3318052912160001



2



MARIO WAFI LELONO



29/12/2016



L



3,2



SUYANTO



331805210180002



085225247851



LUMBUNGMAS



12



1



16/10/2018



11.3



90



2



1



34.



3318051401160003



3318055501170001



1



ZAHIRA ALECIA S



15/01/2017



P



3,4



ARIF



3318050909930003



082313969670



LUMBUNGMAS



5



1



16/10/2018



10.5



82



2



1



35.



3318051104160002



3318054803170001



1



MUTIARA ELOK KAMILA



08/03/2017



P



2.5



SUYATNO



3318121002770004



082242681880



LUMBUNGMAS



4



1



16/10/2018



10



80



2



1



36.



3318050307150001



3318055703170001



1



BULAN ADELIA



17/3/2017



P



2.5



NUR KOLIS



3318122207880002



082225342446



LUMBUNGMAS



7



1



16/10/2018



9.5



74



2



1



37.



3318052805150001



-



1



DEWI VIA AGUSTIN



03/05/2017



P



1.9



AGUS S



3318052301950002



085326867080



LUMBUNGMAS



1



1



16/10/2018



9.3



77



2



1



38.



3318051101170002



3318055405170001



1



SOFIYYAH N



14/05/2017



P



3



WARSIDI



3318050606850004



082174889230



LUMBUNGMAS



3



1



16/10/2018



10



73



2



1



39.



3318051208090007



3318055304170001



1



ZAKIYAH APRILIA



13/04/2017



P



2.5



M SUBANDI



331614809890002



085326867080



LUMBUNGMAS



11



1



16/10/2018



9



73



2



1



40.



3318051012080014



3318051106170002



1



NAUVAL NAVITO RAMADHAN



11/06/2017



L



2.7



SULINA



3318056204000001



085321825138



LUMBUNGMAS



1



1



16/10/2018



9.1



80



2



1



41.



3318051408090011



3318050205170001



2



EVAN BAYU PAMUNGKAS



02/05/2017



L



3.8



SUTARTO



3318051502820001



085268837993



LUMBUNGMAS



7



1



16/10/2018



9.7



76



2



1



42.



3318051308090030



3318052705170001



2



MEYCEL RAMDAN ALFARIZI



07/05/2017



L



2.7



KARSITO



3318052507820004



082220498103



LUMBUNGMAS



12



1



16/10/2018



8.5



77



2



1



43.



3318052501170004



3318056107170002



1



NELA ADELIA PUTRI



21/07/2017



P



2.9



EKO H



3318050704940002



085290860614



LUMBUNGMAS



12



1



16/10/2018



8.5



69



2



1



44.



-



-



1



FIRGA WAHYU ADE KURNIAWAN



8/24/2017



L



3



3318052002980003



085210361451



LUMBUNGMAS



4



1



16/10/2018



10.5



77



2



1



45.



3318050709110006



3318051809170001



2



ENJI TEGAR SAPUTRA



9/18/2017



L



3



PANDI



3318051106820009



082216446685



LUMBUNGMAS



10



1



16/10/2018



8.6



73



2



1



46.



3318050709160005



3318050711170002



1



NIZAL KENZIE ALVARENDRA



11/7/2017



L



3



LISDIYANTO



3316140806930006



085225247849



LUMBUNGMAS



3



1



16/10/2018



8.6



70



1



1



47.



3318052201100002



3318056611170002



2



ZOYA NAZIRA ALFIANA



11/26/2017



P



2.7



PARMIN



3318050803830001



081252742391



LUMBUNGMAS



1



1



16/10/2018



8.5



72



1



1



48.



3318050807150003



3318057112170001



3



LEON KENZO ANGGARA



12/31/2017



L



2



SUMARNO



3318051610710002



085225599568



LUMBUNGMAS



3



1



16/10/2018



7.7



70



1



1



2



PADELA AULIA ALFATUNISA



1/30/2018



P



3



SUPARWI



-



085226201870



LUMBUNGMAS



1



1



16/10/2018



7.6



68



1



1



SUKISNO



3318051206840013



085227851947



LUMBUNGMAS



1



1



16/10/2018



7



60



1



1



MURI



3318141609880002



085325012601



LUMBUNGMAS



3



1



16/10/2018



6.5



62



1



1



TARMAN



3318050412810005



082315935481



LUMBUNGMAS



7



1



16/10/2018



7.2



60



1



1



49.



-



-



50.



3318052709080006



3318050405180001



3 RENDIFA EKO S



5/4/2018



L



2.9



51.



3318053110170002



3318056504180001



1 VIRZHA IZATUL N



4/24/2018



P



3



52.



3318052806110002



3318055005180001



53.



3318050106160002



54.



3318051409090009



55.



SUPRAPTO



2 SALWA AININDA



5/10/2018



P



3.1



-



1 ZEELKA ZEEVANYA



5/12/2018



P



3



TEGUH



3318053001860002



085326867080



LUMBUNGMAS



6



1



16/10/2018



7,5



62



1



2



-



3 SHAVEEA DARA M



KUKUH WIDODO



3318052005830004



085326531640



LUMBUNGMAS



5



1



16/10/2018



3



50



1



1



3318052506090010



-



2 NAFISA F



56.



3318052309160013



3318056912130001



57.



3318053107130003



3318052602140001



58.



3318050312130004



3318051606140001



59.



3318051107051152



60.



3318052710140006



61.



9/18/2018



P



3



10/9/2018



P



2.9



SURATMAN



3318051503800013



085226143917



LUMBUNGMAS



8



1



16/10/2018



3



50



1



1



LATHIFA DZAKIRA A



29/12/2013



P



3,2



SUNOTO



3316142403880003



085226195358



LUMBUNGMAS



7



2



16/10/2018



16



104



2



1



1



DIO ACHMAD P



26/02/2014



L



3



WARTONO



3318050509840001



085290199550



LUMBUNGMAS



1



2



16/10/2018



15.5



105



2



1



1



ALFIAN RIZQIE MUTHA



16/06/2014



L



3,3



ROHMAD EKO S



3318051406870001



085226195358



LUMBUNGMAS



8



2



16/10/2018



15



100



2



1



3318058107140002



2



SHOLIKATUN NAF'AN



21/07/2014



P



3



MUHADI



331805150770001



085226195358



LUMBUNGMAS



3



2



16/10/2018



15.5



100



2



1



3318051402140001



1



AKIF NIZAR MUZAKKA



07/02/2014



L



3



RISTI



3318056310870001



085226195358



LUMBUNGMAS



4



2



16/10/2018



15.5



102



2



1



3318051308090014



3318052510140001



2



BISWA WIRWANDHOH



25/10/2014



L



3,4



MUNANDAR



3318051504800012



085226195358



LUMBUNGMAS



9



2



16/10/2018



14.3



96



2



1



62.



3318052908140003



3318054111140001



1



HUSNIA FADILA



01/11/2014



P



3



KASWI



3318050507830001



085226195358



LUMBUNGMAS



1



2



16/10/2018



14



95



2



1



63.



3318052704150001



3318054604150004



1



APRILIA NIAWATI



06/04/2015



P



2,5



SLAMET



3321071912830005



085226195358



LUMBUNGMAS



1



2



16/10/2018



13.5



92



2



1



64.



3318051311130003



3318050203150001



1



ABDEE NAGARA SUTRISNO P



02/03/2015



L



3,2



RIKO J



3318052306880007



085226195358



LUMBUNGMAS



6



2



16/10/2018



14



92



2



1



65.



3318051305150004



3318051205150002



1



MUHAMMAD DAFA IBNU HAFIZD



12/05/2015



L



3,3



YUDI SISWANTO



3318052208930002



085226195358



LUMBUNGMAS



10



2



16/10/2018



13.4



95



2



1



66.



3318051407080060



3318050507150002



2



MUHAMMAD FARHAN R



05/07/2015



L



3



KASTAWI



3318053001740000



085226195358



LUMBUNGMAS



7



2



16/10/2018



11.5



90



2



1



67.



3318052207150005



3318055509150001



1



SILFA NUR ASMARA



15/09/2015



P



2,8



SUYATNO



3318051410850002



085226195358



LUMBUNGMAS



7



2



16/10/2018



11.4



90



2



1



68.



3318051404150002



3318051109150001



2



RAFI MUHAMMAD



11/09/2015



L



3,2



DIDIK EKO S



3318050703840001



085226195358



LUMBUNGMAS



3



2



16/10/2018



11.2



90



2



1



69.



3318051203090020



3318055211150001



3



HALIMATUS SA'DIYAH



12/09/2015



P



3,3



ACHMAD MUSONEF



3318051007800003



085226195358



LUMBUNGMAS



5



2



16/10/2018



11.5



92



2



1



70.



3318050307150002



3318051412150002



1



MUHAMMAD ADELIO YUDA P



14/12/2015



L



3,6



HADI S



3318050306940001



085226195358



LUMBUNGMAS



5



2



16/10/2018



11



87



2



1



71.



3318051811150002



3318055601160002



1



EURICHA SELFIANA ULA



16/01/2016



P



2,8



ERIYANTO



3318050309870001



085226195358



LUMBUNGMAS



9



2



16/10/2018



11



85



2



1



72.



3318051108090034



3318052302160001



2



AHMAD AL ROZAKI M



23/02/2016



L



3



SISWO



3318051606840006



085226195358



LUMBUNGMAS



7



2



16/10/2018



10.5



83



2



1



73.



3318053112150001



3318051903160001



2



IRFAN SYABIL K



19/03/2016



L



3



SUNARSO



3316141307860001



085226195358



LUMBUNGMAS



7



2



16/10/2018



10.5



84



2



1



74.



3318051003160005



3318056003160001



1



MIWA ANGGA PRATIWI



20/03/2016



P



3,2



BAMBANG



3315132705860004



085226195358



LUMBUNGMAS



2



2



16/10/2018



10.4



85



2



1



75.



3318052504160001



3318051806160002



1



FADLAN ARKAN M



10/06/2016



L



3,3



MAHFUD



3318172407910001



085226195358



LUMBUNGMAS



6



2



16/10/2018



11



86



2



1



76.



3318051108090030



3318050508160001



2



AHMAD DEVANO R



05/08/2016



L



3,2



SUYONO



3318051002800005



085226195358



LUMBUNGMAS



1



2



16/10/2018



10.5



87



2



1



77.



3318050905160002



3318052007160002



1



TOMI SLAMET ADITYA PUTRA



20/07/2016



L



3,4



SUWARTO



3318051705850009



085226195358



LUMBUNGMAS



7



2



16/10/2018



10.2



87



2



1



78.



3318050809150003



3318050908160001



1



MUHAMMAD WILDAN SURYA H



09/08/2016



L



3,2



EDI S



9201071002840006



085226195358



LUMBUNGMAS



4



2



16/10/2018



10.2



85



2



1



79.



3318053005160003



3318055608160001



1



SHAKILA ZAHROTUSSIFA



16/08/2016



P



2,8



SUNOTO



3317091107750003



085226195358



LUMBUNGMAS



8



2



16/10/2018



10.1



84



2



1



80.



3318051912120004



3318052612160001



2



REYSAKA GHIBRAN S



26/12/2016



L



3,3



MULYADI



3318051012920005



082136439992



LUMBUNGMAS



10



2



16/10/2018



10.3



82



2



1



81.



3318051410080030



3318050601170004



2



RIFKI MAULANA



06/01/2017



L



3,1



DAMIRI



3318051606780003



081314971962



LUMBUNGMAS



2



2



16/10/2018



10



90



2



1



82.



3318051409090008



3318050704170001



3



MAHENDRA DANADYAKSA



06/04/2017



L



3.2



ENDRO



3318052512830006



085385813998



LUMBUNGMAS



8



2



16/10/2018



9



95



2



1



83.



3318051107050880



3318051803170001



2



LEVIN DWI N



17/03/2017



L



2.6



SUGENG



3318051401710001



085292137472



LUMBUNGMAS



8



2



16/10/2018



9.9



87



2



1



84.



3318052105100003



3318055105170001



2



QUEENITA AISHA P



11/05/2017



P



2.9



SUPRAYIKNO



3318052809870002



081326161054



LUMBUNGMAS



1



2



16/10/2018



9



77



2



1



85.



3318051702160006



-



2



AHMAD SHIDIQIN D



22/07/2017



L



2.8



PARJAN



3318051001800002



085226195358



LUMBUNGMAS



4



2



16/10/2018



11



75



2



1



86.



3318050905160003



3318054207170001



1



SILVIA QUINTA A



02/07/2017



P



3



DWI HADI S



3318051706890005



082335440044



LUMBUNGMAS



6



2



16/10/2018



8.5



77



2



1



87.



3318051310090006



3318056009170001



2



WIDYA KARTIKA SARI



20/09/2017



P



3



DAMIRI



3318051209830007



085290812762



LUMBUNGMAS



8



2



16/10/2018



9



76



2



1



88.



3318052804100002



3318056112170002



2



RENATA NAFIATUL HUSNA



21/12/2017



P



2.7



KASTURI



3318051403850006



085201078228



LUMBUNGMAS



10



2



16/10/2018



7.5



68



1



1



89.



3318051108090031



3318056001180001



1



NAFIATUN NAFISAH



20/01/2018



P



2.7



MUGIONO



3318050612800002



085226195358



LUMBUNGMAS



1



2



16/10/2018



7



60



1



1



90.



3318051208090006



3318050902180002



2



MUHAMMAD FILDAN F



09/02/2018



L



3



IRA MAYASARI



3318054506830024



085226195358



LUMBUNGMAS



3



2



16/10/2018



7



65



1



1



91.



3318100704100004



3318101103180003



2



FIRDAN ALKHALIFI



11/03/2018



L



3.2



DWI S



3318102402890007



085226195358



LUMBUNGMAS



5



2



16/10/2018



8



67



1



1



92.



3318052312100002



3318056303180001



2



NABILATUS SAUQIYAH



23/03/2018



P



3



SUNTARI



3318050312830003



085226114419



LUMBUNGMAS



7



2



16/10/2018



7



61



1



1



93.



3318050912080001



3318051205180002



2



EVANO ZINAN ABIWARA



11/05/2018



L



3



ULIN NUHA



3318051812770000



085226195358



LUMBUNGMAS



10



2



16/10/2018



7.2



60



1



1



94.



3318051807090037



3318054207180001



2



ISKI NUR KHOLIFAH



02/07/2018



P



3



NUR EFENDI



3318050301820002



082338764413



LUMBUNGMAS



3



2



16/10/2018



5.5



60



1



1



95.



3318050712070545



3318050109180001



2



FA'A SEPTIAN BRAJA M



01/09/2018



L



3.3



WIDARTO



3318050503840004



082324891954



LUMBUNGMAS



7



2



16/10/2018



4



56



1



1



96.



3318053107130003



3318051608180001



2



ADNAN PANDU WIJAYA



16/08/2018



L



3.3



WARTONO



3318050509840001



085290199550



LUMBUNGMAS



1



2



16/10/2018



5



58



1



1



97.



3318050905160003



-



2



YUSVINA QUINTA LATUFA



10/10/2018



P



3



DWI HADI S



3318051706890005



082335440044



LUMBUNGMAS



6



2



16/10/2018



3



50



1



1



98.



3318051008090002



3318055301140001



2



HUSNA MAULIDA



12/01/2014



P



3,3



MUNARI



3318052708740004



085292963157



LUMBUNGMAS



3



3



10/2/2018



15



100



2



1



99.



-



-



1



VERELLA C



03/05/2014



P



3



AHMAD YUDI



-



085292963157



LUMBUNGMAS



4



3



10/2/2018



15.4



103



2



1



100



3318050912070092



3318051205140004



2



ISLAH ALMANAN



12/05/2014



L



3,3



AGUNG M



331805056830003



085292963157



LUMBUNGMAS



3



3



10/2/2018



15.5



101



2



1



101



3318052207140001



3318052906140001



1



ALIF RAMADHAN



29/06/2014



L



3



SUPARMAN



3318051001790006



085292963157



LUMBUNGMAS



6



3



10/2/2018



15



98



2



1



102



3318050206140004



3318051007140002



1



MUHAMMAD HABIBI RIZKI R



09/07/2014



L



3,2



SUKIJAN



3318050702930002



085292963157



LUMBUNGMAS



5



3



10/2/2018



14.3



95



2



1



103



3318050408140006



3318051809140001



1



DHAVIQI STIVENA



18/09/2014



L



3



SARDI SISWANTO



3318050311880001



085292963157



LUMBUNGMAS



5



3



10/2/2018



15



96



2



1



104



3318050510090001



3318055710140001



2



SILVI NUR CAHYANTI



17/10/2014



P



3,4



GIYONO



3318050808790003



085292963157



LUMBUNGMAS



1



3



10/2/2018



14.2



95



2



1



105



3318051305150008



3318054512140001



1



NAFISAH NAJWA N



05/12/2014



P



3,3



RIKA SANJAYA



3318051102860005



085292963157



LUMBUNGMAS



3



3



10/2/2018



14.5



88



2



1



106



3318050703150001



3318050212140002



1



AZAM ZAKI H



02/12/2014



L



3



MASTUKIN



3318051706900001



085292963157



LUMBUNGMAS



6



3



10/2/2018



14



90



2



1



107



3318051112070744



3318052112140001



2



AHSAN FAHAD IBRAHIM



21/12/2014



L



3



SUKIJAN



3318050206770005



085292963157



LUMBUNGMAS



2



3



10/2/2018



14



95



2



1



108



3318051004150001



3318118712140001



1



AFIFAH HIMATUL M



27/12/2014



P



2,7



BUDIYONO



3318111206870010



085292963157



LUMBUNGMAS



3



3



10/2/2018



14.2



96



2



1



109



3318052708090023



3318057003150001



2



UPIK MIRZA ISNAINI



30/03/2015



P



2,8



SUYANTO



3318051407780005



085292963157



LUMBUNGMAS



5



3



10/2/2018



13.2



90



2



1



110



3318050210150004



3318056011150002



1



AVIKA KEISYA F



20/11/2015



P



2,7



SUKARYONO



3318052512910002



085292963157



LUMBUNGMAS



6



3



10/2/2018



9.4



90



2



1



111



3318051709080002



3318054601160001



2



NURI MAULIDA K



06/01/2016



P



3,2



SUPRIHANTO



3318051608830005



085292963157



LUMBUNGMAS



6



3



10/2/2018



13



89



2



1



112



3318050912070241



3318050502160001



2



AHMAD HAFIZH S



05/02/2016



L



3,3



SOLEKAN



3318051209800001



085292963157



LUMBUNGMAS



3



3



10/2/2018



12.5



90



2



1



113



3318050210150003



3318055503160003



1



INAYA SHAKILA A



10/03/2016



P



3,3



JOKO SUSILO



3318050405920003



085292963157



LUMBUNGMAS



5



3



10/2/2018



11.5



89



2



1



114



3318050804080012



3318051004160001



2



FEREL ARDIKA P



10/04/2016



L



3,4



MURYONO



3318052701840003



085292963157



LUMBUNGMAS



5



3



10/2/2018



11.5



88



2



1



115



3318052708090017



3318051104160001



2



IQBAL RENDY M



11/04/2016



L



3,3



PARYADI



3318050304830004



085292963157



LUMBUNGMAS



5



3



10/2/2018



10.5



87



2



1



116



3318052808130002



3318050305160001



2



ASYROF AL HARIZ M



03/05/2016



L



3,3



ROSIKAN



3321100502810004



085292963157



LUMBUNGMAS



3



3



10/2/2018



10.5



89



2



1



117



3318052708090005



3318055907160001



2



SIFA NAELA PUTRI



19/07/2016



P



2,7



LASMIN



3318050508780003



085292963157



LUMBUNGMAS



5



3



10/2/2018



10.3



87



2



1



118



3318050808160003



3318054910160003



2



RAISSA RENATA O



09/10/2016



P



3,2



SUWARNO



3318051910790003



085325306007



LUMBUNGMAS



5



3



10/2/2018



10.4



84



2



1



119



3318052708090021



3318051012160002



2



ADAM NOVEL A



10/12/2016



L



2,5



SUPRIYANTO



3318052108780005



085292963157



LUMBUNGMAS



5



3



10/2/2018



10.5



85



2



1



120



3318050940080019



3318057001170001



2



KHAYLA AGIL M



30/01/2017



P



3,2



GUNADI



3318050807780004



081226275414



LUMBUNGMAS



4



3



10/2/2018



11



87



2



1



121



3318052304080003



3318055201170001



2



SYAFAQOH RIHADATUL A



12/01/2017



P



3,6



LASENO



3318052311830003



085325566152



LUMBUNGMAS



5



3



10/2/2018



11.3



84



2



1



122



3318051309160003



3318056604170002



1



AZKA DINA KAYRA F



26/04/2017



P



2.5



SUHUDI



3318051608920003



085225864900



LUMBUNGMAS



1



3



10/2/2018



11



80



2



1



123



3318052406140003



-



1



DENI SETIAWAN



7/7/2017



L



3



HANJINNI



3318056806790002



085292963157



LUMBUNGMAS



6



3



10/2/2018



9.5



75



2



1



124



3318051407080056



3318054301180001



2



NOVA DWI PERMATASARI



1/2/2018



P



3.2



SUGIYONO



3318050307760002



085256526612



LUMBUNGMAS



4



3



10/2/2018



8



68



1



1



125



3318052501180007



3318050501180001



1



AFRIZAL AZRIL PRATAMA



1/5/2018



L



3



SAMSUL H



3318050809930002



085292963157



LUMBUNGMAS



2



3



10/2/2018



8



69



1



1



126



3318052708090032



3318056501180001



2



LAYLI AZALIA LUTFIAH



AGUS S



3318051903820004



085223893883



LUMBUNGMAS



2



3



10/2/2018



8



69



1



1



127 128 129 130 131 132 133 134 135 136



1/24/2018



P



3



IMD 1=YA, 2=Tidak



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



2



1



1



2



1



1



2



1



1



2



1



1



2



2



1



2



2



1



2



2



1



2



2



1



2



2



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



2



1



1



2



1



1



2



1



1



2



2



1



2



2



1



2



2



1



2



2



1



2



2



1



2



2



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



2



1



1



2



1



DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : Kabupaten/Kota : Puskesmas : Desa No



No KK



: NIK (Nomor Induk Kependudukan Anak )



: ANAK KE



NAMA ANAK



TANGGAL LAHIR



Berat JENIS KELAMI Badan Lahir N (Kg)



Nama Orang tua



NIK Orang Tua



No Tlp/HP Orang Tua



ALAMAT



RT



Tanggal pengukuran



RW



BB TB (Kg) (Cm)



1.



3318051404090003



3318055811130001



2 Aqila jihan sidqia



11/18/2013 p



3.2 parjono/lasmini



3318051804740001/3318056504820004



85225861839 Bodeh



2



1 10/11/2018 16.5



2.



3318050812070360



3318052702140001



2 M.Agung sukoco



2/27/2014 L



3.4 Abdul sodiq/sutiyem



3318051207750002/3318056008780003



85225861839 Bodeh



2



1



3.



3318050912070275



331805192140001



2 Ahmad naufal



2/19/2014 L



3.2 nur khasan/farida nurul 3318050812740003/3318055503810003



4.



3318051710080009



3318052904140002



2 Khanza bilqis



4/29/2014 p



5.



3318050801130006



3318056404140002



2 Naila azza



6.



3318051806130003



3318052104140001



1 Ahmad miftahul



7.



3318051004140003



3318055205140002



1 Athalia indriyani



8.



3318051012070359



3318050205140002



2 Faizal fahmi



9.



4/24/2014 p 21-4-1014



L



5/12/2014 p



102



15



98



85225861839 Bodeh



1



1



14



100



3318052512770003/3318056611770002



85225861839 Bodeh



5



1



14.6



100



3.5 legiman/waginah



3318042207690001/3318046208820001



85225861839 Bodeh



1



1



17



101



3.5 M.Ma'ruf/ita ulfatul



3318050204830002/3318055102880006



85225861839 Bodeh



3



1



16



104



3 mashudi/mutmainah



3.2 ngusnanta/weni dia isnin 3318050701910001/3318046509920001



85225861839 Bodeh



3



1



14.8



99



5/2/2014 L



3.6 Supadi/sri indah



3318052208760001/3318054812820001



85225861839 Bodeh



3



1



17



100



3318052407130002



3318051005140004



1 M.Fandi alamsyah



5/10/2014 L



3.6 M.Alim/marnelis



3318050508870003/3318047004880003



85225861839 Bodeh



3



1



16.4



101



10. 3318050911100002



3318052005140001



1 Ahnaf abdillah



5/20/2014 L



2.9 Ubaidillah/kholifatul abi 3318051008840001/3318054102900003



85225590109 Bodeh



4



1



14



96



11. 3318050812070296



3318052006140003



2 zidna inayatal



6/20/2014 p



3.8 ahmad asfii/tri windarti 3318051812820001/3318055503890002



85225861839 Bodeh



2



1



14



106



12. 3318050409140002



3318056208140001



1 Aisha fairuz



8/22/2014 p



2.9 abdul muis/endang sri



3318050901830001/3318054302930004



82221460839 Bodeh



2



1



14.2



104



13. 3318050812070336



3318056209140002



2 Kayyiza ilma



9/22/2014 p



14. 3318051510080030



3318050808140001



2 Yafi faiq



15. 3318050202100004



3318050511140001



16. 3318050912070125



3318052512140002



17. 3318051302150001



3318055103150001



1 Talita anisa



3/11/2015 p



18. 3318053110140003



3318051102150001



1 Ahmad arsya



19. 3318052011130002



3318051902150001



1 Arjuna cahaya



20. 3318052701170001



3318054707140002



1 zahra aulia



7/7/2014 p



21. 3318051207056981



3318054404150001



1 Afran naila



4/4/2015 p



22. 3318051501150001



3318052003150004



2 Abraruz arrafiz



3/20/2015 L



23. 3318042901150004



3318046104150002



1 Adlina marinda putri



5/14/2015 p



3 abu amar/nor indah



3318041704890004/3318054511860003



24. 3318053005150003



3318051405150001



1 Abraham narendra



5/14/2015 L



3.8 Moh Sukarno/yayuk



25. 3318050607150002



3318053005150001



1 Fasha wada



5/30/2015 L



2.6 Mustaqin/ria alfiana



26. 3318052408150004



3318056807150002



1 Atika zahra



7/28/2015 p



2.6 abdullah malik/maftukah 3318051207910001/3318055005930001



27. 3318050212070372



3318051405160002



3 Aji sejati



5/14/2015 L



3 Janawi/rika rustiana



1 M.Fazal muttakun



8/10/2015 L



2 Daffa agustin



8/28/2015 L



28. 29. 3318051403070004



3318052808150002



3.5 M.muhadi/siti mustiah



3318051204780004/3318054108840003



85225861839 Bodeh



2



1



14.3



105



8/8/2014 L



3.2 Suluri/sunawati



3318050201780002/3318054504830004



85225861839 Bodeh



3



1



13.9



104



2 M.Khoozin al irsyad



11/5/2014 L



2.6 M.Rukin/sri darti



3318050111810004/3318055002820010



82136520474 Bodeh



1



1



14



103



2 Adam abdul hakim



12/25/2014 L



3.9 Karsidin/siti murni



3318050605770003/331805546820002



85225861839 Bodeh



1



1



15.2



105



2.5 Tisno/rahayu sulistianings3318050510810002/1671047001930012



82221460839 Bodeh



1



1



11.4



92



2/11/2015 L



3.2 A,Sobirin/zumrotunnafia 3317072812860001/3318056110940001



85225861839 Bodeh



3



1



13



94



2/19/2015 L



3.5 Purnomo/ika susanti



3318051210800002/3318054103930005



85225861839 Bodeh



5



1



15



95



3 mustajab/nur hayati



3318052504860004/1221064502790001



85225861839 Bodeh



4



1



13.1



94



3318050607790001/3318055306850004



85225861839 Bodeh



1



1



15.3



94



3.2 Joko siswanto/nanik puji 3318053010800001/3318054904850002



85225861839 Bodeh



3



1



15



93



85225861839 Bodeh



3



1



15.2



95



3318050802820004/3318056111950003



85225861839 Bodeh



4



1



16



94



33180509890004/3318056004950001



82136520474 Bodeh



4



1



13.5



94



85225861839 Bodeh



1



1



13



93



85225861839 Bodeh



5



1



14.2



94



2.5 abdul aziz/dani lestari



85225861839 Bodeh



4



1



14.5



94



2.7 Puji listari/siti nafisatun 3318051008820004/3318054402840002



85225861839 Bodeh



4



1



16.5



95



3.4 Sumijan/sumini



3318050504770001/3318057004820001



30. 3318052006080014



3318055009150002



31.



2 Yumna azkia 1 Keisha orlin andini



9/10/2015 p 8/5/2015 p



2 Samsul hadi/martini



1



13.4



93



1



12



92



3.1 Sutahar/dewi nurrani



3318050607930007/3318056810950001



85225861839 Bodeh



5



1



13



93



2.8 Suradi/siti marfudah



3318051610780001/3318056010870004



85225861839 Bodeh



4



1



13.2



94



85225861839 Bodeh



3



1



13.5



94



85225861839 Bodeh



4



1



13.2



94



85225861839 Bodeh



3



1



13.6



95



3318054111150001



1 Farikha haslinatul



3318052111150001



2 M.Hafizz assauqi



11/21/2015 L



1 M.Bahrun mufid



11/8/2015 L



2 Marwa anisa



12/8/2015 p



3.1 Mustajab/nur hayati



2 Alisha khaira



1/13/2016 p



3.1 Karyana/siti



1 Ahmad bagus



2/14/2016 L



2.8 Jamroni/vitalia



38.



3 Sarmin/sulastri



3 Ali mahmudi



85225861839 Bodeh



3



1



13.5



95



3318050609790005/3318055004850001



82221460839 Bodeh



4



1



15



92



3/12/2016 L



3.2 Suwaji/masrini



3318050402750004/3318055310820003



85225861839 Bodeh



5



1



14



90



4/14/2016 p



3.1 sukarmanto/yati



85225861839 Bodeh



5



1



10



81



3318021012900001/3318056007880004



85225861839 Bodeh



4



1



11



85



3 M.Suyuti/malina fitri arti 3318051503850010/3318054210890002



85225861839 Bodeh



4



1



11.5



86



3318050110760002/3318056003800003



85225861839 Bodeh



4



1



14



90



3318030310890001/3318054303970003



85225861839 Bodeh



1



1



13



89



2.7 Suud samsul/kunarti



3318050507740009/3318056907810011



85225861839 Bodeh



3



1



13



88



2.9 Kusnan/nur kholifah



3318051009800003/3318055012840003



85225861839 Bodeh



4



1



10.6



82



3.5 sukidi/sri lestari



3172042404791003/3172046404880016



85225861839 Bodeh



5



1



11



82



3 abu mansyur/sri hidayati 3318051303800002/3318056708860002



81393092967 Bodeh



4



1



11



82



3318050104160003



2 Ahmad shofaul qolbi



40. 3318052411080001



3318055203160001



2 Reva batrissia



41. 3318051711070002



3318055404160001



2 Wijayanti



42. 3318051611150001



3318055603160001



1 Marissa nahda



3/16/2016 p



43. 3318052608090010



3318054905160002



2 Hilda revalina



5/9/2016 p



44. 3318051005080011



3318052005160001



2 Azzam qolbi



5/20/2016 L



3.8 zainal arifin/nujumun



45. 3318052505160001



3318051505160001



1 M.Zakky fatkhudin



5/15/2016 L



3.4 Maryanto/dwi kumaya



46. 3318051012070205



3318057003160001



2 Nur syakila



3/30/2016 p



47. 3318053011150001



3318050806160001



2 Ahmad riffat



6/8/2016 L



48. 3318050211150001



3318055106160001



2 Khanza alzena



6/11/2016 p



49. 3318051501090016



3318055808160002



2 Nadhifa miftahur



8/18/2016 p



50. 3318051207058275



3318050409160001



2 M.Gibran salim



51. 3318052312150003



3318052309160001



1 Arvino ghifari



53. 3318051201130002



3318054611160003



54.



4/1/2016 L



9/4/2016 L 9/23/2016 L



2 Carissa balqis



9/9/2016 p



2 Hafiza khaira



11/6/2016 p



1 Maulida azkiatul muna



12/25/2016 p



55. 3318050212070370



3318050401170003



2 M.Reza ferdiyansyah



1/4/2017 L



56. 3318051107070001



3318056502170001



2 Al hilyatut tazkiyyah



2/25/2017 p



57. 3318050305100003



3318054203170001



2 Fatin nadhiroh



58. 59. 60. 61. 62. 63. 64. 65. 66. 67.



3318052504860004/1221064502790001



2.8 Rusdi/sri rohmawati



39. 3318052810070024



52.



92



1



34. 3318050908070003



37.



13



3



33. 3318052611120006



3318054812150001



1



85225861839 Bodeh



2 Johan dwi wijaya



36. 3318052701170001



2



85225861839 Bodeh



3318052510150001



11/1/2015 p



85225865056 Bodeh



3318051402710004/3318054504800005



32. 3318051607090002



35.



10/25/2015 L



3.1 moh solikin/siti romelah 3318050210820003/331805603850004



3/2/2017 p



3 solikin/sutini



3.3 Imron/sucihati



3318051206800001/3318056504840001



81393092967 Bodeh



1



1



11



83



3.5 Gunarto/denis larasati



3318050412840001/3318055812950002



85225861839 Bodeh



3



1



10



79



3.3 M.Iqbal/nanda



85225861839 Bodeh



1



1



9.9



83



3.8 edy susilo/novita lestari 3318051204800004/3318044611900002



81393092967 Bodeh



1



1



9.8



83



85225861839 Bodeh



3



1



9.5



82



3.5 Wagino/nur aizah



3 misbahul munir/nani 3318050205770002/3318056003800001



85225861839 Bodeh



5



1



11.1



82



3.2 M.Sholeh/nihayatul



3318050406730003/3318056006820003



85225861839 Bodeh



2



1



12



83



2.6 habiburrahman/umi z



3318050506800004/3318055006890001



85325240347 Bodeh



5



1



11.9



82



68. 69. 70. 71. 3318050711140004



3318051604140002



72. 73. 3318052402140006



1 Ardanish narendra 1 Erdika bayu



3318052104140002



4/17/2014 L 4/6/2014 L



3.6 Arif rahman/elly irmawati3318051611800001/3404074405870004



85225861839 Bodeh



5



2



15



100



3.2 Sukardi/erna



85225861839 Bodeh



1



2



16



100



1 M.Dzaky almair



4/21/2014 L



2.9 Mujahit/siti muawanah 3318051004870004/3522096901910004



85225861839 Bodeh



1



2



15.5



99



74.



1 Nayla ziyadatul



5/16/2014 p



3.4 kasturi/endang



85225861839 Bodeh



1



2



15.9



99



75.



2 M.Fawaiq somad



12/9/2014 L



4 Darnoto/wafirotul



85225861839 Bodeh



4



2



16.2



101



3/26/2014 p



3 wahib/siti badriyah



3318050401780002/3318054605890002



85225861839 Bodeh



2



2



15



100



3 Aan kunaefi/inayatul mu 3318041411850001/3318055507930003



87831380793 Bodeh



3



2



14.9



99



85225861839 Bodeh



4



2



14



99



85225861839 Bodeh



5



2



13.5



98



85225861839 Bodeh



1



2



14.9



99



82324363584 Bodeh



4



2



14.8



98



76. 3318052704110002



3318056603140001



1 Dwi lestari



77. 3318051203180006



3318054306140003



1 Arina maulida



6/3/2014 p



2 M.Khoirun azam



7/7/2014 L



2.9 santoso/mustaidah



1 M.Roziqul anam



8/7/2014 L



3.4 Muhlisin/liftika anis



78. 79. 3318050710150004



3318050708140001



80.



3318050205830009/3318054512940004



1 Zuvycha ramadhani



7/10/2014 p



2.5 ja'far/indah maya



81. 3318053010080005



3318058703150002



2 Marwa safitri



3/27/2015 p



2.2 sapri/supriantiningsih



82. 3318050704150003



3318056703150001



1 Latisha aquina



3/27/2015 p



3.5 umar yakub/ulin nikmatul331805270890004/3318055708940003



85215674925 Bodeh



3



2



14



100



83. 3318051508150001



3318051204150001



1 Ahmad rafli naim



2/15/2015 L



3.2 Abdul naim/nika larasati 3318051012870002/3318055201930002



81214757147 Bodeh



4



2



14.6



100



84. 3318042009140002



3318042106150001



1 M.Wasni al hakam



6/21/2015 L



3.7 samsul hadi/siti zulaikah 3318041010880007/3318055007920007



81275304675 Bodeh



3



2



14.2



99



85. 3318053107130002



3318054407150003



1 Hifdziah asila aziza



7/4/2015 p



3.6 maslikin/martiam



3318051801870002/3318054308940008



85293713365 Bodeh



3



2



14



98



86. 3318052903170002



3318052303170001



1 Yaqdhan rakha



7/23/2015 L



3.7 saryani/ismawati



87. 3318052712080008



3318054307150002



2 Lumatunnuzulirrahma



88. 3318050710150004



3318052809150001



1 Rafa kamalun niam



89. 3318051607080048



3318055001160002



2 Akifa naila maulida



90. 3318053001160004



3318050103160001



1 Hizqil al fariz



91. 3318051112150001



3318056206160001



1 Akleema zea shafana



6/22/2016 p



92. 3318112704090003



3318115407160001



2 Rosiana fauzia



7/14/2016 p



2.8 M.Muniron/suparti



93. 3318052912150001



3318053108160001



1 Hilmi al ghazali



8/31/2016 L



94. 3318052402140006



3318052608160002



2 M.Zazuli ishaq



8/26/2016 L



95. 3318050806160004



3318054311160001



2 Nur khayatun nisa



11/3/2016 p



96. 3318050902160003



3318056110160001



1 Anasya aqila



97. 3318051808070016



3318054604170001



3 Aisyah alfatunnisa



98. 3318050311150001



3318056603170001



1 Lidia nur atika



99. 3318050403130009



3318053103170001



2 Arta nabil



100 3318051301140004



3318055104170002



101 3318051012070072



3318055406170001



102 3318051512060010



3318050706160004



2 M.Nafis



103 3318051005130001



3318052504170001



2 Alvin naransyah



104 3318051502100007



3318054706170001



2 Bella luna



105



3318051303790002/3318055903800004



3318051205760005/3318054605860003



85225753372 Bodeh



4



2



13.7



97



3.6 suwandi/titik handayani 3318051302750003/3318055101790002



81373164157 Bodeh



4



2



13



99



9/28/2015 L



3.5 Muhlisin/liftika anis



3318050205830009/3318054512940004



85225861839 Bodeh



5



2



11.9



88



1/10/2016 p



3.5 Ismanto/zubaidah



3318051011760004/3318055402800004



81273461031 Bodeh



5



2



11.4



88



3/1/2016 L



3.1 Prawoto/nur rohmi



3318052109840001/3318056806960004



85225861839 Bodeh



5



2



10.6



86



3 M.Sholeh/lia fatmawati 3318051609820001/3318055801970003



85225861839 Bodeh



1



2



11.4



85



3318110404820004/3318116008890002



81225740664 Bodeh



4



2



9.2



77



2.6 Heri suyikno/siti syifayat 3318051702900005/3318055609920005



85225861839 Bodeh



2



2



9.9



78



3.9 Mujahit/siti muawanah 3318051004870004/3522096901910004



85225861839 Bodeh



1



2



10



78



2.7 M.Muhdlori/sri lestari



3318051205860004/3318046207930002



85225861839 Bodeh



5



2



8.5



80



10/21/2016 p



3.2 M.Nur aziz/ivmaya novita3318050902900002/3318056309940002



82323721339 Bodeh



3



2



11.5



85



4/6/2017 p



2.8 suwardi/nikmatul jannah 3318050606770005/3318056410830001



85325338510 Bodeh



1



2



7.7



70



3/26/2017 p



3 M.Masnsur/siti noviatin 3318051007930001/3318056603170001



82313115078 Bodeh



5



2



9.7



75



3/31/2017 L



3.7 sholihul munir/paryatun 3318050908860006/3318056010880008



82325174725 Bodeh



3



2



9.8



80



2 Amira ainun



4/11/2017 p



3.2 Abu nawar/wasiatul khus 3318050510820008/3318056504870002



85225861839 Bodeh



2



2



9



78



2 wafda ainindya



6/14/2017 p



3.4 parso/rohmatul ummah 3318051007750004/3318056508850001



85225861839 Bodeh



3



1



10.5



75



3.4 Zaini/riha rohim



3318050206760004/3318055010820006



85225151373 Bodeh



3



2



11.7



74



3.2 Iwan widianto/novia



3318080604890001/3318055511910001



85225861839 Bodeh



1



1



12



75



3.3 agus syukron/ninik isyaro 3318051508840003/3318056110850001



85225861839 Bodeh



3



1



10



75



2.8 sukarmanto/yati



85225861839 Bodeh



5



1



9



75



3 Dimas saputra



7/3/2015 p



6/7/2017 L 4/25/2017 L 6/7/2017 p 6/13/2017 L



106 3318050111160001



3318050707170001



1 Miftahurrohman



107 33180509100004



3318052406170001



2 Gibran ahmad



108 3318050103110001



3318052906170001



2 Abizar raka



109 3318051903140002



3318055007170001



110 3318052411070032



3318057107140001



111 3318041301140008 112 3318052408150004 113 9171031305130006



2.3 Sucipto/libasuttaqwa



3318051003750002/3318026205930003



85225861839 Bodeh



2



1



9



75



6/24/2017 L



3.6 M.Luthfi/suyanti



3318051304860002/3318054403910001



85225861839 Bodeh



3



1



10.6



76



6/29/2017 L



3.1 Abdul kharis/sri rejeki



3318051612820002/3318056404870003



82221460839 Bodeh



1



1



9.6



77



2 Adila nisa ardani



7/10/2017 P



3.2 Ali arifin/emi mardiyantin3318040407780002/3318054602900006



85225861839 Bodeh



5



1



9.5



76



2 irdina fitri hafizah



7/31/2014 p



3 M.Abdul halim/puji astuti3318052808780002/3318056002820008



85225861839 Bodeh



2



1



16.4



102



3318042408170001



2 nadira indrayana



8/24/2017 p



3.2 sudi/siti sholihah



3318041908780004/3318055907880001



85225861839 Bodeh



3



1



8.4



73



3318055409170002



2 hana destia ningrum



9/14/2017 p



2.7 abdullah malik/maftukah 3318051207910001/3318055005930001



85225861839 Bodeh



1



1



9171035311170001



2 fatmawati iriana senja



11/13/2017 p



3.5 jasmani/susana wijayanti 3318052701850003/3318054111900003



85225861839 Bodeh



3



1



7.8



71



85225861839 Bodeh



3



1



7



69



85225861839 Bodeh



3



1



8



74



3.2 Abdul sutomo/nur ayuni 3318051901910004/3318056906970002



85225861839 Bodeh



1



1



11.3



69



2.7 Anisatul/m.syamsuri



3318052609770003/3318054608890003



85225861839 Bodeh



1



1



7.1



69



3.1 masrikin/gimah



3318010605830006/3318056302740001



85225861839 Bodeh



2



1



7.6



64



3318051008860006/3316066504930003



85225861839 Bodeh



2



1



7.8



65



114



7/7/2017 L



8.7



74



1 alifia farzana navisha



12/18/2017 p



3.3 syafaat/wantini



115 3318052708070012



3318056210160001



2 putri oktovianingtiyas



10/22/2016 p



2.8 suparjo rostam/yatmi



116 3318050709160003



3318051202180001



1 ahmad egy pratama



117 3318052004130003



3318050703180001



2 abdul muhyi



3/7/2018 L



118 3318052812170002



3318056003180001



2 aulia az-zahra



3/20/2018 p



119 3318052701180001



3318050304180001



1 M.naufal abqory



120 3318051505830004



3318057105180003



2 naura khadijah



5/31/2018 p



2.6 edy susanto/dwi sulistya 3318051505830004/3318054503880015



85225861839 Bodeh



4



1



6



59



121 3318051302160001



3318057105180001



2 adiba mikaila r



5/31/2018 p



2.9 rochmad/hidayatun nasii 3318052706820006/3318055603870003



85225861839 Bodeh



5



1



6



58



122 3318052211170001



3318050704180001



1 athafariz sukma dani



4/7/2018 L



3.5 dwi susilo/puji agustina 3318052102900001/3318054701930002



85225861839 Bodeh



3



1



9



59



123 3318050912070085



3318052806180001



2 ahmad rizky prasetyo



6/28/2018 L



3 Sutio budi harjo/rufiah



85225861839 Bodeh



1



1



5.5



56



124



2/12/2018 L



4/3/2018 L



3 Ahmad sudadik/siti nur



2 ahmad joyo wiyanto



7/24/2018 L



3.1 suparwiyanto/kholifatul



125 3318050812170002



3318050906430001



2 elji fathir al ahza aziz



10/7/2017 L



3 syukron aziz/septiani



126 3318052706160001



3318054909160001



1 luthifa nur mustaqim



127 3318052911110009



3318051208170001



2 nabil abi aqsa



128 3318050403130010



3318055012170001



2 khaira navisha aseeqa



129 3318051006100003



3318050712170001



2 abdul karim



130 3318052908080003



3318053012170001



3 zayyn al maliqy



131 3318050104090009



3318050601180001



2 M.alfarezel rasya azril



132



9/9/2016 p 8/12/2017 L 12/10/2017 p 12/7/2017 L 12/30/2017 L 1/6/2018 L



3318052211700001/33180547047550001



3318050207780003/3318054803840001



85225861839 Bodeh



3



1



5.7



54



3318052005830001/3323035509840003



85225861839 Bodeh



2



1



8.8



73



3 mustakim/ana sulistiawat3318051208860003/3314085001890002



85225861839 Bodeh



3



1



11



83



3 suwaji/suraya



3318052507850002/3318054310900004



85225861839 Bodeh



5



2



10



74



3 moh rois/heni ratnawati 3318052603860001/3318106410910004



85225861839 Bodeh



3



2



10.2



74



3 Abdul manaf/cholifatul



3318050504870002/3318056308910003



85225861839 Bodeh



2



2



9.4



72



2.2 parwi/siti juhariyah



3318051505790002/3318056909890002



85225861839 Bodeh



2



2



7.9



72



2.9 wagiman/sariyem



3318050507820004/3318054505850016



82225861839 Bodeh



4



2



8.5



73



2 gani alayubi



4/26/2018 L



3 gani hanurawanto/nurul



85225861839 Bodeh



5



2



8.7



66



133 3318051611110002



3318051005180001



2 hafsya nafis farzana



5/10/2018 L



3 muslikun/titik sri rahayu 3318051003890002/3318054903920001



85225861839 Bodeh



1



2



8



65



134 3318050711140004



3318050410170003



2 ardeka virendra



10/4/2017 L



135 3318050212070309



3318050903160002



2 zavier giatsya labrain



3/9/2016 L



136 3318051210150003



3318052204160002



1 hidayat khairul huda



4/22/2016 L



3.4



arief rahman/elly irmawat3318051611800001/3404074405870004



85225861839 Bodeh



5



2



10



75



3 sugiyanto/nurul habibah 3318052403830001/3318056707860001



85225861839 Bodeh



5



1



11.2



90



3 sukarmin/atik setyorini



85225861839 Bodeh



1



1



11



89



3318050302840001/3318056703920002



Cara Ukur 1=Telentang 2=Berdiri



ASI Eksklusif 1=YA, 2=Tidak



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak



IMD 1=YA, 2=Tidak



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



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1



2



1



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1



1



2



1



1



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1



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1



1



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1



1



1



1



2



1



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2



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1



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2



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1



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1



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1



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1



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1



1



1



1



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1



1



1



1



1



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1



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1



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1



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1



1



1



1



1



1



1



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1



1



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1



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1



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1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



2



1



1



1



1



2



1



2



1



1



1



1



1



1



1



2



1



1



1



1



2



2



1



1



1



2



2



1



1



1



2



2



1



1



1



2



2



1



1



1



2



2



1



1



1



2



2



1



1



1



2



2



1



1



1



2



2



1



1



1



2



1



2



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



2



2



1



1



1



2



2



2



1



1



1



1



2



1



1



1



1



2



1



1



1



1



DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : Kabupaten/Kota : Puskesmas : Desa No



No KK



: NIK (Nomor Induk Kependudukan Anak )



: ANAK KE



NAMA ANAK



TANGGAL LAHIR



Berat JENIS KELAMI Badan Lahir N (Kg)



Nama Orang tua



NIK Orang Tua



No Tlp/HP Orang Tua



ALAMAT



RT



RW



Cara Ukur Tanggal BB TB pengukuran (Kg) (Cm) 1=Telentang 2=Berdiri



ASI Eksklusif 1=YA, 2=Tidak



1.



3318051302080008



3318050207160001



2 M.HERIS AL RASID



2-Jul-2016



L



3.8 NYAMIN



3318050903750000



085385829774



JETAK



1



1



11 SEPTM 201 13.2



110



2



1



2.



3318051912120003



3318052708150001



1 AL MUZAQI



4-Aug-2015



L



2.9 M.NURSAID



3318052406900002



085385829774



JETAK



1



1



11 SEPTM 201 11.0



108



2



1



1



1



3.



3318051807140007



331805620315001



1 KAILLA NADLILARROHLI



22-Mar-2015 P



4.



3318051012150004



3318054906140001



1 NAJWA NABILA SHOFA



6-Sep-2014 8-Mar-2014



P



3.4



3.1 M. NYANTONO



3318050103870001



085385829774



JETAK



11 SEPTM 201 10.6



90



2



1



MUSTOFA



331821160776003



085385829774



JETAK



1



1



11 SEPTM 201 14.2



112



2



1



1



1



11 SEPTM 201



19



5.



3318050308110004



3318050308140001



1 DIRGA BINTANG P



L



2.9



M.SUYUDI



3318052907860001



085385803785



JETAK



99



2



1



6.



3318053008070028



3318056411160001



2 HUMAERA ZAHRA ANJANI



24-Nov-2016 P



3.2



SUJAI



3318051702760001



085385829774



JETAK



1



1



11 SEPTM 201 9.1



87



2



1



18-Apr-2018 L



1



1



7.



33180501010002



3318051804180001



2 M.WILDAN RISKY



8.



3318050508120005



3318054511140001



1 SISKA AULIYA .R



5-Nov-2014



3318051410080018



3318055204170002



2 MUTIARA APRILIATUS S



12-Apr-2017 P



10. 3318052210070016



3318050607180001



1 FAVIAN ARIFAN SYARIF



6-Jul-2018



11. 3318052411150006



3318052205160002



1 AHMAD DAFA.P



22-05-2016



L



1.8



JOKO SULISTYO



12. 3318051010090011



3318054303170002



2 GITHA SHAKILA FINA



3-Mar-2017



P



3.8



SAROJI



13. 331805191207004



3318050809130001



2 ELANG ARYA E



8-Sep-2013



14. 3318052405130000



3318052005130003



1 HENDRI EKO .P



20-Sep-2013 L 29-Sep-2013 L



9.



3.1



P



L



M. LAHURI



3318052802830002



085385829774



JETAK



11 SEPTM 201 7.9



63



1



1



2.8 TITIS SAIFUR .R



3318040101860010



085385829774



JETAK



2



1



11 SEPTM 201 12.2



95



2



1



2



1



2.6



HERU PURNOMO



3318050707720015



085385829774



JETAK



11 SEPTM 201 8.3



70



2



1



2.8



ARIF KUSNANDAR



3318052911930001



0853858297774



JETAK



2



1



11 SEPTM 201 6.0



57



1



1



3318055108940005



085385829774



JETAK



2



1



11 SEPTM 201 11.6



91



2



1



3318051201770002



085385829774



JETAK



2



1



11 SEPTM 201 13.3



81



2



1



3318051101820007



085385829774



JETAK



2



1



11 SEPTM 201 14.0



99



2



1



33158052906860002



085385829774



JETAK



2



1



11 SEPTM 201



20



109



2



1



085385829774



JETAK



2



1



11 SEPTM 201



18



107



2



1



3



1



11 SEPTM 201 9.4



83



2



1



108



2



1



L



3.3 SUNOTO 2.9



M.SUNTONO



3318052907130002



1 YUSUF ANDRIAN .P



16. 3318050602120006



3318056911150002



2 ANINDYA NAIZILLA .S



28-Nov-2015 P



2.9



SUHARMANTO



3318053007840010



085385829774



JETAK



17. 3318051207058591



3318052911130003



2 DWI SUKMA N



29-Nov-2013 L



3.2



SUNARTO



3318052403740001



085385829774



JETAK



3



1



11 SEPTM 201



19



18. 3318051207058607



3318054509130001



2 RARA CANTIKA ARDILA



P



3.4



AH.SHOLEKHAN



3318050304820002



085385829774



JETAK



3



1



11 SEPTM 201



14



96



2



1



19. 3318051212070343



3318051802130001



3 M. RIKI FEBRIAN



18-Aug-2013 L



3.3



NYONO



331801306670002



085385829774



JETAK



3



1



11 SEPTM 201 16.6



113



2



1



20. 3318051804150001



3318056212140001



1 ASYFA ZAHROYUL .A



22-Dec-2014 P



3318110109870003



085385829774



JETAK



3



1



11 SEPTM 201 13.2



93



2



1



21. 331805103140002



3318056807140002



1 ERISKA ADHELIA .F



28-Jul-2014



3318051609850003



085385829774



JETAK



3



1



11 SEPTM 201 12.5



94



2



1



22. 3318052711100001



3318050608130001



2 IZAZ AKBAR .R



6-Aug-2013



L



3.5



SUTONO



33318050510780002



085385829774



JETAK



3



1



11 SEPTM 201 13.4



103



2



1



23. 3318051007140001



3318051607140001



1 M.AKHTAR RYAN .N



7-Jun-2014



L



2.8



LAYLI DIMYATI



3319062007870008



085385829774



JETAK



3



1



11 SEPTM 201 16.0



100



2



1



24. 3318051212070343



3318051711160001



4 SALSA AULIA P



7-Nov-2016



P



2.7



NYONO



331801306670002



085385829774



JETAK



3



1



11 SEPTM 201 7.5



67



2



1



25. 3318052704100004



3318056511100003



2 PUTRI MARATUS .S



11/22/2016 P



3.1



SUNTI



3318051804860001



085385829774



JETAK



3



1 11 SEPTM 20 7.6



72



2



1



26. 3318052911110013



3318050508170002



2 M.KUSUMAYUDA .A



8/5/2017 L



3.3



LASGIYANTO



3318080908890002



085385829774



JETAK



3



1 11 SEPTM 20 9.7



73



2



1



27. 3318052605110010



3318052607170002



2 SHAQILA ANGGI .AL M



7/26/2017 P



3.5



MOCH.HAFID .H



3318051111840003



085385829774



JETAK



3



1 11 SEPTM 20 8.9



62



2



1



28. 331801308070004



3318051307170002



3 SYAUQILMUHIBBI .A



7/13/2017 L



3.0



SUNARDI



085385829774



JETAK



3



1 11 SEPTM 20 9.3



67



2



1



29. 3318050501090018



3318057118160001



2 ALFINA NURUL .S



8/31/2016 P



3.4



ROCHMAD



085385829774



JETAK



4



1 11 SEPTM 20 10.2



78



2



1



15. 331805240613004



5-Sep-2013



P



3.1



DRI HARTANTO



2.8 SAMIYONO 2.9



AHMAD SOLEH



3318052703910007



3318052309820004



30. 3318050810070013



3318052001160001



4 M.ALI MA'SUM



31. 3318050901080004



3318055204160001



2 ELLA AFIDA SARI



32. 3318051112070041



3318052311140001



2 SYALHUDDIN ABDUL.A



33. 3318051112070060



3318052006130002



34. 3318050111130002



3318050605160001



35. 3318051406130003



3318054507130001



1 NAILA KHOLILATUL .U



36. 3318051406130003



3318051604160001



2 M.AZRIL ALFARIZI



37. 3318051406130003



3318050210180001



3 M.DANIEL ATHA .R



38. 3318052302310002



3318054108130004



39. 3318052302310002



3318054108130005



40. 3318052809130001



331805081240001



41. 3318052812120004



3318050508130001



42. 3318051810160000



3318052005170002



1 ARKA RIFKY SETIAWAN



43. 3318161901110005



3318051707170002



2 M. ABDUL MALIK



44. 3318050508120001



3318056808180001



45. 3318050609080003



3318053008130001



46. 3318050910120002



3318051206130001



1 M.RIF'AN SYAIFUL .M



47. 3318053103150003



3318045809140002



2 AQILA SYAFIYAHTUZ.Z



48. 3318050901170002



3318055312160000



1 CHAYRA SHINJU .E .H



49. 3318051112070012



3318051405170001



2 AHMAD BAGAS M



50. 331805101160012



3318051506170001



1 M. GIBRAN AINUN N



51. 331805110108003



3318050603160001



2 MUNIB ARKANA .B



52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67.



1/20/2016 L



3.3



SANUSI



3318053005760001



085385829774



JETAK



4



1 11 SEPTM 20 10.6



78



2



1



4/12/2016 P



2.9



SUDIYONO



3318052809760001



085385829774



JETAK



4



1 11 SEPTM 20 10.7



86



2



1



11/25/2014 L



3.2



SUGIYANTO



3318050807760004



085385829774



JETAK



4



1 11 SEPTM 20 12.0



93



2



1



2 M.IKHSAN AL FATIH



6/20/2013 L



3.4



SUDARSONO



3318051405740006



085385829774



JETAK



4



1 11 SEPTM 20 14.0



99



2



1



1 RAYHAN SAKHA .A



5/6/2016 L



2.8



M. NURHAMID



3318051906890003



085385829774



JETAK



4



1 11 SEPTM 20 13.2



100



2



1



8/5/2013 P



3.0



M, ABDUL AZIZ



3318051801890001



085385829774



JETAK



4



1 11 SEPTM 2014.0



99



2



1



4/16/2016 L



3.4



M.ABDUL AZIZ



3318051801890001



085385829774



JETAK



4



1 11 SEPTM 20 11.7



96



2



1



10/2/2018 L



3.4



M.ABDUL AZIZ



3318051801890001



085385829774



JETAK



4



1 11 SEPTM 20 3.4



50



1



1



1 ARIANA



8/1/2013 P



1.8



ANISA INDAH S



3318055606920002



085385829774



JETAK



4



1 11 SEPTM 20 16.0



109



2



1



1 ARIANI



8/1/2013 P



1.9



ANISA INDAH S



3318055606920002



085385829774



JETAK



4



1 11 SEPTM 20 16.5



110



2



1



1 RASYA RADITYA .P



12/8/2014 L



2.7



TARMIN



3318052002900001



08585829774



JETAK



4



1 11 SEPTM 20 12.0



79



2



1



1 AJUNDA FEBRIAN N



8/5/2013 L



2.9



JUMAEDI



3318051303850003



085385829774



JETAK



4



1 11 SEPTM 20 15.5



109



2



1



5/20/2017 L



2.5



TEGUH TANU.S



331809797930002



085385829774



JETAK



4



1 11 SEPTM 20 10.5



86



2



1



7/3/2017 L



2.8



SUMARYONO



331861901890005



085385829774



JETAK



4



1 11 SEPTM 20 9.8



84



2



1



2 SALSA AZZAHIRA .P



8/28/2018 P



3.4



ABDUL AIFI



3318052008820003



085385829774



JETAK



4



1 11 SEPTM 20 4.0



51



1



1



2 AHMAD SYAFIQ .D



8/29/2013 L



3.2



SUPARYO



3318051603740001



085385829774



JETAK



5



1 11 SEPTM 20 17.5



110



2



1



12/12/2013 L



2.9



ABDUL AZIZ



331851408900001



085385829774



JETAK



5



1 11 SEPTM 20 16.5



111



2



1



9/18/2014 P



3.1



ROMLI



331804060820003



085385829774



JETAK



5



1 11 SEPTM 20 14.2



97



2



1



12/13/2016 P



3.0



EKO HARMONO



3318051011870008



085385829774



JETAK



5



1 11 SEPTM 20 8.2



78



2



1



5/14/2017 L



3.8



SUSANTO



3318052003760002



085385829774



JETAK



5



1 11 SEPTM 20 10.2



83



2



1



6/15/2017 L



4.2



IMAM NAIM



9171032412890000



085385829774



JETAK



5



1 11 SEPTM 20 9.7



74



2



1



3.3



MURAWI



3318051200700004



085385829774



JETAK



3



1 11 SEPTM 20



89



2



1



6/3/2016



L



14



68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100 101 102 103 104 105



106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak



IMD 1=YA, 2=Tidak



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



2



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : JAWA TENGAH Kabupaten/Kota : PATI Puskesmas : PUCAKWANGI 1 Desa : KEPOHKENCONO No



No KK



NIK (Nomor Induk Kependudukan Anak )



ANAK KE



NAMA ANAK



1 3318050102080001



3318056712130002



2



HANUM



2 3318051406110001



3318050606140001



1



M. DIMAS P



3 3318050808180002



3318054710140001



1



DANIS O



4 3318052611070043



3318051202150001



2



RAKA DM



5 3318052611070366



3318056109150001



2



SEPTIANA



6 3318051612140002



3318051607150001



1



DANADYAKSA



7 3318052011080008



3318058009150001



2



HIDAYATUS



8 3318051707080016



3318050810150001



2



9 3318051508080006



3318052102160001



2



10 3318052611070139



3318055903160001



11 3318050604170001 12 3318050604110002



TANGGAL LAHIR 27/12/2013



Berat JENIS KELAMI Badan Lahir N (Kg)



Nama Orang tua



NIK Orang Tua



No Tlp/HP Orang Tua



ALAMAT



RT



RW



Cara Ukur Tanggal BB TB pengukuran (Kg) (Cm) 1=Telentang 2=Berdiri



ASI Eksklusif 1=YA, 2=Tidak



P



3000



SUPAAT



3318051807850002



MOJOAGUNG



2



1



22-10-18



23



-



-



YA



6/6/2014



L



3100



MULYADI



3318051708800002



MOJOAGUNG



2



1



22-10-18



10



-



-



YA



7/10/2014



P



2900



NURINDRA P.



3318112708910001



MOJOAGUNG



3



1



22-10-18



10



-



-



YA



3/2/2016



L



3400



RAKITO



3318051611780002



MOJOAGUNG



3



1



22-10-18



17



-



-



YA



21/9/2015



P



3400



SUPRIYADI



3318050805770001



MOJOAGUNG



1



1



22-10-18



8



-



-



YA



16/7/2015



L



3500



ARIYADI



3373031503900001



MOJOAGUNG



1



1



22-10-18



9



-



-



YA



20/9/2015



P



3300



MARWOTO



3318051603750003



MOJOAGUNG



3



1



22-10-18



10,5



-



-



YA



AHSAFATUR



8/10/2015



L



3700



SUDARLAN



3318050506770010



MOJOAGUNG



3



1



22-10-18



10,4



-



-



YA



FAQIH



21/2/2016



L



3000



TOHAR



3318051409770002



MOJOAGUNG



1



1



22-10-18



9



-



-



YA



2



MARISSA



19/3/2016



P



2700



YASIR



331805250700002



MOJOAGUNG



1



1



22-10-18



10



-



-



YA



3318054904170001



1



VINO APRILIAN W



9/4/2017



L



3200



IRWANTO



MOJOAGUNG



3



1



22-10-18



-



-



YA



3318054306170002



2



AISYAH AYUDYA I



3/6/2017



P



3200



SUKAWI



331805221810004



MOJOAGUNG



1



1



22-10-18



-



-



YA



13 3318052007090017



3318051407170001



3



FALDY L F



14/7/2017



L



3400



JATMIKO



3318050912730002



MOJOAGUNG



3



1



22-10-18



-



-



YA



14 3318051206170001



3318051009170002



1



HILKIA E P



10/9/2017



L



3000



ANDRE



3327091206910005



MOJOAGUNG



1



1



22-10-18



-



-



YA



15 3318052611070210



3318056507160001



2



ADELA F



25/07/2016



P



2900



KARYOSO



3318051006700001



MOJOAGUNG



1



1



22-10-18



YA



16 3318051610170004



3318054709170001



1



AQILA A.M.



07/09/2017



P



3000



MUH. ISHYA M



3318050511990003



MOJOAGUNG



1



1



22-10-18



YA



18 3318050907090003



3318052703180001



2



ANANDA REZA



27-03-2018



L



3800



AHMAD SHOLEH



3318052703180001



MOJOAGUNG



1



1



19 3318051902110001



3318051805180001



2



MUSTAWA



18-05-2018



L



3000



SUSILO WAHYUDI



3318051610830002



MOJOAGUNG



20 3318052108130002



3318055711130001



1



DAHLIA S



17/11/2013



P



3300



SISWANTO



3318052009840003



MOJOAGUNG



1



2



20-10-18



11,6



87



2



YA



21 3318050108130004



3318056502140001



1



SILVIA NINDYA S



25/2/2014



P



3600



SUHARNO



3318052209860002



MOJOAGUNG



4



1



20-10-18



14,4



90



2



YA



22 3318051209130010



3318052704140001



1



REYHAN



27/4/2014



L



3100



ALI M.



3318052707890005



MOJOAGUNG



1



2



20-10-18



14,9



95



2



YA



23 3318053004140003



3318055604140002



1



KHALISA N A



16/4/2014



P



3100



SUYANTO



331815070880001



MOJOAGUNG



2



2



20-10-18



10,2



83



2



YA



24 3318052912120004



3318052806140001



1



RAFIF



27/6/2014



L



2600



SAWIN



3318051108680003



MOJOAGUNG



4



2



20-10-18



10,5



84



2



YA



25 3318050308070012



3318056403160001



2



RIZAL



2/10/2014



L



3300



HARYANTO



3318052307800001



MOJOAGUNG



3



2



20-10-18



-



-



-



YA



26 3318051309130005



3318051710140002



1



HANIF A



17/10/2014



L



3300



SUKAHAR



3318051811820003



MOJOAGUNG



4



2



20-10-18



10,9



82



2



YA



27 3318050809140001



3318052502150001



1



LABIB N



25/2/2015



L



2800



FAJRI



3318060804910001



MOJOAGUNG



5



2



20-10-18



8,1



73



2



YA



28 3318052603140002



3318054801150001



1



ZANUAVERA L



8/1/2015



P



3200



DARMONO



3318050805920003



MOJOAGUNG



3



2



20-10-18



12,6



86



2



YA



29 3318052006080017



3318056904150001



2



AINI



29/4/2015



P



2900



KASMANTO



3318052201810003



MOJOAGUNG



1



2



20-10-18



10,2



74



2



YA



ARSYA R.M.



17



MOJOAGUNG



22-10-18 22-10-18



YA



22-10-18



YA



30 3318050810070017



3318053008150001



2



31



RAFINDRA



30/8/2015



L



2900



WARDOYO



SAKILA K



24/3/2016



P



3300



HARYANTO



3318053007750001



MOJOAGUNG



3



2



20-10-18



10,2



78



2



YA



MOJOAGUNG



3



2



20-10-18



-



-



-



YA



3318054704160001



2



KHANZA LY



7/4/2016



P



3200



BUDIARTO



3524141405840001



MOJOAGUNG



5



2



20-10-18



11,4



71



2



YA



33 3318052603140003



3318052104160002



1



M. FARREL



21/4/2016



L



3300



SUPRIYANTO



3318050306860006



MOJOAGUNG



5



2



20-10-18



10,4



71



1



YA



34 3318052405110004



3318054905160001



2



REVALINA OW



9/5/2016



P



3300



WAGIMAN



3318052702820004



MOJOAGUNG



5



2



20-10-18



10



67



1



YA



35 3318051902160004



3318050308160002



1



M. ARIEL A.



3/8/2016



L



3400



YENI K.



3318050806920008



MOJOAGUNG



5



2



20-10-18



8,6



84



1



YA



36 3318051202090002



3318052211160001



2



DAMAR BAYU A.



22/11/2016



L



3000



SUBUR



3318050610870002



MOJOAGUNG



5



2



20-10-18



-



-



-



YA



37 3318052611070322



3318056112160002



2



KAYLA RIFA



21/12/2016



P



3300



SUKARDI



3318050604760001



MOJOAGUNG



2



2



20-10-18



5,5



50



1



YA



38 3318051106110002



3318054405170001



2



VIO LINGLING V



4/5/2017



P



3600



YUSTIFA



3318050810800006



MOJOAGUNG



3



2



20-10-18



1



YA



39 3318052611070338



3318054505170001



2



VIANA DEWI L



5/5/2017



P



3100



SUGIANTO



3318050405790008



MOJOAGUNG



3



2



20-10-18



1



YA



40 3318050601110015



3318051406170001



2



M. NAUFAL N A



13/6/2017



P



3400



DARJI



3318051302800014



MOJOAGUNG



1



2



20-10-18



1



YA



41 3318053007170004



3318055107170001



1



KHOLIFATUN



11-07-2017



P



3000



MUH. SHOBIRIN



331805261940004



MOJOAGUNG



2



2



20-10-18



1



YA



42 3318050908070012



3318051107170001



2



M. AZKA R.



11-07-2018



L



2900



JASMIN



3318050311790001



MOJOAGUNG



1



2



20-10-18



1



YA



43 3318051405080007



3318056609170001



2



ALISA



26-09-2017



P



3000



KASAN MUSAWA



3318050101790002



MOJOAGUNG



2



2



20-10-18



1



YA



44 3318050402080005



3318052512170001



2



M. ARKA A.



25-12-2017



L



3000



AGUS SUPRIYANTO



3318051808810004



MOJOAGUNG



1



2



20-10-18



1



YA



45 3318052809160009



3318055212170001



1



NADIRA



12-12-2017



P



2900



SANTOSO



331805154890004



MOJOAGUNG



4



2



20-10-18



1



YA



46 3318052603140003



3318055001180002



2



SAQUEENA



10-1-2018



P



3000



SUPRIYANTO



3318050306860006



MOJOAGUNG



5



2



20-10-18



1



YA



47 3318050909170002



3318055403180001



1



ESHA



14-03-2018



P



2900



AGUS WIJAYANTI



3318051508890002



MOJOAGUNG



1



2



20-10-18



1



YA



48 3318050705070001



3318056604180001



2



SHILVIA E.



26-04-2018



P



3000



SUPARNO



331805810790002



MOJOAGUNG



2



2



20-10-18



1



YA



49 3318051309130005



3318050207180004



2



HISYAM



02-07-2018



L



2900



SUKAHAR



3318051811820003



MOJOAGUNG



4



2



20-10-18



1



YA



50 3316140408170002



3316140508170002



1



HAFIZ



05-0802017



L



3000



EKO SUTRISNO



3318050907910006



MOJOAGUNG



4



2



20-10-18



1



YA



51 3318050502130003



3318052207180002



2



M. FAHRIZA



22-7-2018



L



3100



SUYADI



3318051005770004



MOJOAGUNG



4



2



20-10-18



1



YA



52 3318052809160010



3318051109180001



1



IMAM DANIYAH



11-9-2018



L



2800



EKUWAN



3318054210930001



MOJOAGUNG



2



2



20-10-18



1



YA



53 3315113010130002



3315111811130001



1



MAHER LA



18/11/2013



L



3000



SISWOYO



3318052306860002



MOJOAGUNG



2



3



19-10-18



15



94



1



YA



54 3318051012140001



3318051810140003



1



M. SOLAFUL NAIM



18/10/2014



L



3200



AH. KARSONO



3318050702880006



MOJOAGUNG



1



3



19-10-18



12



86



1



YA



55 3318052611070235



3318054302150002



2



FAHROTUL MIRZA



3/2/2015



P



3600



MAD.SOLEH



3318050605750003



MOJOAGUNG



1



3



19-10-18



11



85



1



YA



56 3318052311110003



3318050409150001



2



FAJAR



4/9/2015



L



4300



TARWADI



331805121860005



MOJOAGUNG



2



3



19-10-18



10,2



76



1



YA



57 3318051707090003



3318055803160002



2



ADISTIA M.



18/3/2016



P



2800



NURMIYADI



3318053003810001



MOJOAGUNG



1



3



19-10-18



7,5



71



1



YA



58 3318050609100006



3318050508140001



2



BAHRUL



5-8-2014



L



2900



SOKIP



3318051108740003



MOJOAGUNG



1



3



19-10-18



1



YA



59 3318050609100006



3318053110170002



3



MUHTARUL



31-10-2017



L



3000



SOKIP



3318051108740003



MOJOAGUNG



1



3



19-10-18



1



YA



60 3318052009160002



3318051811170002



1



A. FAIZ



18-11-2017



L



2700



MUGIYONO



3318052107790002



MOJOAGUNG



2



2



19-10-18



1



YA



61 3318052007180001



3318054707180002



1



SHAHLA K.N.



7-7-2018



P



2800



AHMAD SUHUDI



331805110880003



MOJOAGUNG



1



1



19-10-18



1



YA



62 3318050410170004



3318052408180001



1



M.ILHAM S.



24-8-2018



L



2700



M.ALIZUHDI



3318052408180001



MOJOAGUNG



1



3



19-10-18



1



YA



63 3318051502120002



3318054303160001



2



FERIESKA



03-03-2016



P



3000



MOH. SHOLKAN



3318050707880003



MOJOAGUNG



2



3



19-10-18



1



YA



64 3318050604150004



3318052811130001



2



ANWAR



28/11/2013



L



2900



SUPARMI



331805430770001



MOJOAGUNG



3



4



19-10-18



14



94



1



YA



65 3318050801080009



3318051903140003



2



DIMAS NH



19/3/2014



L



2600



PURNOMO



3318050409750003



MOJOAGUNG



2



4



19-10-18



13,5



91



1



YA



66 3318050810070005



3318056310140001



2



OKTAVIA N



24/10/2014



P



3500



SUNTONO



3318050106820001



MOJOAGUNG



3



4



19-10-18



11,5



86



1



YA



67 3318050412130001



3318054901150002



1



ALTHAFUNISA



9/1/2015



P



2900



MARYANTO



3318083004880021



MOJOAGUNG



3



4



19-10-18



11



86



1



YA



32 3318050309150003



10,4



71



3318055201150001



2



AIDA DWS



1/12/2015



P



2200 SARKAM



3318051203740013



MOJOAGUNG



1



4



19-10-18



11



87



1



YA



69 3318051907090010



3318054604150002



1



NILNA R



04/6/2015



P



3100 PARIMAN



3318050704740003



MOJOAGUNG



2



4



19-10-18



11,5



74



1



YA



70 3318051408130003



3318055708150001



1



RAFITHA



07/2/2015



P



3300 SISWANTO



3318052805850003



MOJOAGUNG



1



4



19-10-18



10,2



73



1



YA



3318051801670003



MOJOAGUNG



1



4



19-10-18



11,7



75



1



YA



68 3318052912120001



71 3318050407070004



3318054207150001



2



KHAISA



07/2/2015



P



2900 PARIYO



72 3318041606150003



3318042207150001



1



BAGAS A



22/7/2015



L



2650 SAHID



3318040508870004



MOJOAGUNG



2



4



19-10-18



11



78



1



YA



3316140310750004



MOJOAGUNG



3



4



19-10-18



8,5



71



1



YA



73 3318050902160005



3318053001160003



1



RIDWAN A



19/1/2016



L



3000 SUBIYANTO



74 3318051108090009



3318050304170001



2



EGA HERLINO



3/4/2017



L



3600 SUHARGO



3318052609810004



MOJOAGUNG



2



4



19-10-18



1



YA



75 3318051604080004



3318056907170001



1



JHUWILONA AN



29/7/2017



P



3300 SARJU



3318051108810001



MOJOAGUNG



2



4



19-10-18



1



YA



76 3318052712100001



3318056908170002



2



RAISA



28/8/2017



P



3300 SUWIGNYO



3318051806820003



MOJOAGUNG



3



4



19-10-18



1



YA



77 3318050205120007



3318052001180001



2



FAJAR



1/20/2018



L



3000 DWI ISMINDAR



3318050302830002



MOJOAGUNG



3



4



19-10-18



1



YA



78 3318051001110022



3318055903180001



2



DWINDA



3/19/2018



P



3200 SUPRAYIKNO



3318051207820005



MOJOAGUNG



2



4



19-10-18



1



YA



79 3318051202140002



3318050205180001



2



M. DIKA



5/2/2018



L



3300 WAKIJAN



3318050504850011



MOJOAGUNG



2



4



19-10-18



1



YA



80 3318050811170002



3318051906180001



1



IVAN A



6/19/2018



L



3200 JOKO SUPONO



3318052305840003



MOJOAGUNG



1



4



19-10-18



1



YA



81 3318051209170004



3318050305180001



1



SHAHUM



3-5-2018



L



3300 SUWANTO



3318050903900002



MOJOAGUNG



2



4



19-10-18



1



YA



IMD 1=YA, 2=Tidak



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



2



YA



YA



2



YA



YA



1



YA



YA



2



YA



YA



2



YA



YA



1



YA



YA



2



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



2



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



2



YA



YA



2



YA



YA



1



YA



YA



1



YA



YA



2



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



2



YA



YA



2



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



2



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



2



YA



YA



1



YA



YA



1



YA



YA



1



YA



YA



2



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



YA



1



1 1



1 1



1 1



1 1



DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : Kabupaten/Kota : Puskesmas : Desa No



No KK



: NIK (Nomor Induk Kependudukan Anak )



: ANAK KE



NAMA ANAK



Berat JENIS TANGGAL KELAMI Badan LAHIR Lahir N (Kg)



Nama Orang tua



NIK Orang Tua



No Tlp/HP Orang Tua



ALAMAT



RT



RW



Cara Ukur Tanggal BB TB pengukuran (Kg) (Cm) 1=Telentang 2=Berdiri



ASI Eksklusif 1=YA, 2=Tidak



1.



3318052508110004



3318052408140001



2



A. LATIF



24-8-14



L



3.1



DESTI



3318046212860002



KEPOHKENCONO



3



5



11-10-18



20.5 104



2



1



2.



3318053107070019



3318055407140001



2



PUTRI ILMA



14-7-14



P



2.8



MANISIH



3318054107710033



KEPOHKENCONO



2



5



11-10-18



13.4



99



2



1



ALWA T.



10-1-15



L



2.8



ALFIN



3318056511940001



KEPOHKENCONO



3



5



11-10-18



15.2



98



2



1



ENDANG S.



3318054912850002



KEPOHKENCONO



3



5



11-10-18



11.9



90



2



2



3



5



11-10-18



12.9



93



2



2



3.



3318051802150001



3318051001150001



1



4.



3318052711070002



3318056907150002



1



SRI RASKY



29-7-15



P



1.1



SRI LESTARI



29-7-15



P



1.2



ENDANG S.



3318054912850002



KEPOHKENCONO



RUMIYATI



3318054203940003



KEPOHKENCONO



3



5



11-10-18



11.1



79



2



1



1



5



11-10-18



13



86



2



1



5.



3318052711070002



3318056907150003



1



6.



3318051308150002



3318056307150001



1



QOTRUNADA



23-7-15



P



3.2



GISYEL F.



4-3-16



P



3.3



NURDEVI



3318054501930003



KEPOHKENCONO



PRIYATI



3318054810940001



KEPOHKENCONO



1



5



11-10-18



11



82



2



2



3



5



11-10-18



10.2



79



2



1



7.



3318051903160003



3318054403160003



1



8.



3318050705160004



3318051804160001



1



M. ADITIA



18-4-16



L



2.8



3318050406130005



3318054804160001



2



YUMNA



8-9-16



P



2.6



LIA L.



3320165012930001



KEPOHKENCONO



10. 3318051308090008



3318056110160002



2



WAHYU E.



21-10-16



P



3.6



SRI P.



3318055108820001



KEPOHKENCONO



1



5



11-10-18



11



80



2



1



11. 3318053008160001



3318055901170002



2



ALISA K.



19-1-17



P



3.2



TUTIK



3318066506960001



KEPOHKENCONO



1



5



11-10-18



10.6



78



2



1



12. 3318052710070002



3318051904170001



2



ARDIVA



19-4-17



L



3.0



SUPARNI



3318055406780001



KEPOHKENCONO



1



5



11-10-18



10.3



77



2



1



13. 3318052210100006



3318056504170001



2



BIANCA



25-4-17



P



3.3



MAMIK



3318055312890001



KEPOHKENCONO



2



5



11-10-18



10



75



2



1



14. 3318051105150006



3318057006150001



1



SALSABILA



30-6-15



P



3.2



NINIK



3318054704830009



KEPOHKENCONO



3



5



11-10-18



12.9



81



2



1



9.



3318051105170002



2



M.SAKHI



11-5-17



L



2.6



NINIK



3318054704830009



KEPOHKENCONO



3



5



11-10-18



11.9



78



2



1



16. 3318052309170002



3318055708170002



1



CIKA D.



17-8-17



P



3.0



NUR MAULIN



3318056106000002



KEPOHKENCONO



2



5



11-10-18



10



76



2



2



17. 3318050510170001



3318052609170001



1



BRAMUKTI



26-9-17



L



2.8



PRIYANI



3318056602930009



KEPOHKENCONO



1



5



11-10-18



9.9



76



2



1



18. 3318051710170002



3318055010170002



1



INES R.



10-10-17



P



2.9



INDARWATI



3318056104990003



KEPOHKENCONO



2



5



11-10-18



9.5



77



2



1



19. 3318051502160002



3318052610170001



2



SALMAN W.



26-10-17



L



3.1



SUKAYATI



3318054508890004



KEPOHKENCONO



2



5



11-10-18



8



78



2



1



20. 3318051908100001



3318056311170001



2



KHUSNA



23-11-17



P



3.0



SRI MULYANI



3318053707860004



KEPOHKENCONO



1



5



11-10-18



8



72



2



1



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2-1-18



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3



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11-10-18



8.3



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3-1-18



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5



11-10-18



8.4



68



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23. 3318051104180002



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28-3-18



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3318055508960001



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3



5



11-10-18



7.7



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24-12-13



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2,9



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1



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13-10-18



13.5



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22-3-14



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3318054208760005



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2



6



13-10-18



18



109



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2



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19-3-14



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3,5



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2



6



13-10-18



14.2 100



2



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27. 3318051607130002



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21-4-14



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3,4



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3318058805930002



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1



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13-10-18



15



94



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28. 3318050204140004



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21-5-14



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3,3



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2



6



13-10-18



13



94



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29. 3318050408080003



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2



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7-8-14



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3,3



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3318055103780003



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1



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13-10-18



11.1



93



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3318056508140002



1



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25-8-14



P



3,0



31. 3318053004150001



3318051519150002



1



A. FARIEL



15-10-15



L



3,3



32. 3318050707080032



3318051207160001



2



M. HAFID



12-7-16



L



3,0



33. 3318052310130004



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2



CHARISA G.



6-12-16



P



3,0



34. 3318051406130001



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2



ALDIVA M.



1-12-16



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3,5



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13-10-18



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6



13-10-18



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6



13-10-18



9.3



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13-10-18



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13-10-18



9.9



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2



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11-4-17



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13-10-18



10.1



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2



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13-2-18



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2,7



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1



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13-10-18



6.5



64



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37. 3318052806160001



3318051406160001



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14-6-16



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3318055409920002



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2



6



13-10-18



12.5



86



2



2



38. 3318052806160001



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14-2-18



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2



6



13-10-18



8.2



68



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39. 3318053105080004



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26-3-18



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2,9



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3318055710880003



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6



13-10-18



7.8



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40. 3318051910130001



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14-4-18



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13-10-18



7.5



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41. 3318052601180001



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16-4-18



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2,6



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1



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13-10-18



7.3



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42. 3318050401110037



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29-4-18



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2,7



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6



13-10-18



7



64



1



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43. 3318051810160003



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15-4-18



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3,4



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1



6



13-10-18



8.2



63



1



1



44. 3318050408080014



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2



NASYA A.



27-6-18



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6



13-10-18



6.5



58



1



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45. 3318051512070552



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8-7-18



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1



6



13-10-18



6



55



1



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46. 3318050907150002



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2



M. ILHAM



11-9-18



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2,7



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2



6



13-10-18



4.7



52



1



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47. 3318051307090008



3318051309180001



2



M. NADHIR



13-9-18



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2,8



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1



6



13-10-18



4.5



51



1



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48. 3318052702100008



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2



AZA KHOIRUNISA



10-1-14



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3,2



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2



3



17-10-18



15,1 103



2



2



49. 3318052905070002



3318051001140001



2



ZAKYA IBRAHIM



10-1-14



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3,8



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5



3



17-10-18



14,5



99



2



1



50. 3318050811080005



3318052003140002



2



M. RIZKY S.



20-3-14



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2,7



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2



3



17-10-18



15



100



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51. 3318051803140003



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1



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3-3-14



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4



3



17-10-18



17



107



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52. 3318052903110002



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13-3-14



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2



3



17-10-18



13,4 101



53. 3318050207130001



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16-4-14



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2,6



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3318054407940001



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3



3



17-10-18



54. 3318050207130001



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2



VICO C.



4-4-16



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2,8



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3318054407940001



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3



3



17-10-18



55. 3318050207130003



3318052304140001



1



ALDO S.



23-4-14



L



3,1



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3318052304140001



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1



3



17-10-18



56. 3318050309140001



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1



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20-8-14



P



3,5



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5



3



17-10-18



11,3



57. 3318052012100008



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2



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4-5-14



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3,5



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3318057004840003



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4



3



17-10-18



13,8



58. 3318050103160001



3318051607140003



1



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21-4-14



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2,9



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3318054604800005



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1



3



17-10-18



59. 3318052111130003



3318056411140001



1



RAYANA A.



24-11-14



P



3,0



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3318055711920001



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2



3



17-10-18



60. 3318052006080021



3318055804150001



2



ALFIYAH



18-4-15



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2,6



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2



3



17-10-18



61. 3318052210080008



3318056806150003



2



ADELIA F.



28-6-15



P



2,8



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3318054708780010



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2



3



17-10-18



62. 3318050711140001



3318050807150005



1



KHOIRUL A.



8-7-15



L



2,9



SRI LESTARI



3318055212920001



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1



3



17-10-18



63. 3318052105100005



3318056710150005



2



ALEEA B.



27-10-15



P



3,5



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3318054707870003



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3



17-10-18



3318057110150001



2



ADILA D.



31-10-15



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3,1



ASMA IYAH



3318057103780001



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4



3



17-10-18



3318052710150001



2



AHMAD F.



27-10-15



L



2,9



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3318055011870015



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3



3318050512150001



1



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5-12-15



L



3,1



3318055802970001



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5



3318054402160001



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4-2-16



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3,0



3318055308930001



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2



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12,3



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17-10-18



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17-10-18



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17-10-18



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25-2-16



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3,5



69. 3318050212150003



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1



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15-3-16



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2,8



70. 3318052711070315



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21-3-16



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3,3



71. 3318052005160002



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1



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2-4-16



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2,9



72. 3318052910070013



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1



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4-5-16



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3,2



68. 3318050701090009



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4



3



17-10-18



13,1



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3



3



17-10-18



11,4



89



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3318056108790001



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17-10-18



11,8



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17-10-18



11,7



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3



17-10-18



12



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30-5-16



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3,5



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17-10-18



12,2



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74. 3318052308100005



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17-10-18



11,2



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75. 3318052804090016



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17-10-18



9,7



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76. 3318051207160008



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17-10-18



12,7



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77. 3318051901090006



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21-4-17



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17-10-18



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78. 3318052910080013



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17-10-18



11,2



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79. 3318051211090004



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17-10-18



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80. 3318050306170001



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17-5-17



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17-10-18



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20-6-17



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17-10-18



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20-7-17



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3



17-10-18



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83. 3318052207160001



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17-7-17



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17-10-18



9



74



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11-9-17



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17-10-18



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23-9-17



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4



3



17-10-18



8,9



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28-11-17



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17-10-18



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8-12-17



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3



17-10-18



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88. 3318050105120004



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9-2-18



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17-10-18



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17-10-18



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17-10-18



7,7



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17-10-18



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92. 3318051110170001



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17-10-18



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17-10-18



7,8



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18-7-18



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3



17-10-18



6,6



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4-8-18



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17-10-18



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12-9-18



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17-10-18



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17-10-18



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4



15-10-18



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15-10-18



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15-10-18



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15-10-18



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15-10-18



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15-10-18



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102



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6-9-14



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23-11-14



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3-12-14



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3.2



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22-9-15



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18-11-15



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15-10-18



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15-10-18



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15-10-18



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2



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MUYASAROH



3318050403160001



1



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4-3-16



L



3.5



SITI M.



3318054104980001



KEPOHKENCONO



3



4



15-10-18



17.5



94



2



2



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3318055504170002



1



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15-4-17



P



3.0



AMBARWATI



3318055001970003



KEPOHKENCONO



3



4



15-10-18



8.6



74



2



1



113 3318051905150001



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1



ASLAN A.



29-5-16



L



3.3



SRI U.



3318055202950005



KEPOHKENCONO



2



4



15-10-18



12.2



84



2



1



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1



ADIBA S.



1-6-16



P



3.0



FATIMAH TUZAHRO



3318054611940001



KEPOHKENCONO



3



4



15-10-18



11.8



85



2



1



115 3318052611070403



3318056112160001



2



HAFIZA K.



21-12-16



L



2.8



SHOLIKATI



3318054802870005



KEPOHKENCONO



3



4



15-10-18



8.7



79



2



1



116 3318050608090003



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2



KHUMAERA



2-3-17



P



3.1



SRI W.



3318055105870003



KEPOHKENCONO



3



4



15-10-18



9.6



77



2



1



117 3318051412130003



3318051901180001



2



ARYA D.J.



19-1-18



L



3.1



NURGOMARIYATI



3318055604820001



KEPOHKENCONO



1



4



15-10-18



7.9



70



2



1



118 3318051611150002



3318055701180001



2



NILAM A.



17-1-18



P



2.9



ENDANG



3318046612930004



KEPOHKENCONO



3



4



15-10-18



7.9



65



1



2



119 3318052911070803



3318051003180001



2



M. RIDWAN



10-3-18



L



2.8



SULASTRI



3318044209880002



KEPOHKENCONO



1



4



15-10-18



8.3



66



1



1



120 3318051909160002



3318055503180003



1



REVALINA



15-3-18



P



3.1



SITI F.



3318056408960004



KEPOHKENCONO



1



4



15-10-18



7.8



64



1



1



121 3318052707170003



3318052204180002



1



ALFAREZEL



22-4-18



L



2.8



LILIS S.



3318054107970009



KEPOHKENCONO



3



4



15-10-18



7.6



63



1



1



122 3318050403160002



3318055806160002



1



ALISA K.



18-6-16



P



3.1



LINDA



3318056604960001



KEPOHKENCONO



1



4



15-10-18



10.8



82



2



1



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3318054209170004



2



NINDI A.



2-9-17



P



3.4



SITI A.



3318045503860006



KEPOHKENCONO



1



4



15-10-18



89



73



2



1



L



3,5



SITI NURCOLIS



3318054703920007



KEPOHKENCONO



1



2



22-10-18



14,2



99



2



1



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3318055805910002



KEPOHKENCONO



1



2



22-10-18



15,1 100



2



2



22-10-18



111 3318052206150003



124 3318051506130002



3318050604140004



1



DAVINO



6-4-14



125 3318053004140001



3318054305140002



1



SINTIYA A.



3-5-14



P



2,8



L



3,0



NITA F



3318054802910004



KEPOHKENCONO



SULASTRI



3318056607820001



KEPOHKENCONO



1



2



1



2



2



2



14



97



2



2



22-10-18



16



98



2



1



22-10-18



14,2



90



2



1



126 3318051707140001



3318050607140002



1



AZHURA N.



5-7-14



127 3318050103080007



3318055702150001



2



SALMA A.D.



11-2-15



P



3,3



P



3,5



KARTINI



3318055602840004



KEPOHKENCONO



SISWATI



3318056510940001



KEPOHKENCONO



3



2



22-10-18



13,4



93



2



2



3



2



22-10-18



12



90



2



1



128 3318051512070148



3318058404150001



2



VENI K.S.



24-4-15



129 3318052006150002



3318056405150001



1



NADIA S.R.



24-5-15



P



2,4



L



2,8



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3318045111920004



KEPOHKENCONO



RUTIK



3318054712940001



KEPOHKENCONO



1



2



22-10-18



10,2



79



2



1



1



2



22-10-18



11,1



83



2



2



130 3318052108150002



3318050609150002



1



WINDRA A.



25-9-15



131 3318052001150006



3318056904150001



1



QUINZA A.



29-4-16



L



2,8



L



3,0



FITRI H



3318047003930007



KEPOHKENCONO



SUSILOWATI



3318052608160001



KEPOHKENCONO



2



2



22-10-18



9,9



80



2



1



2



2



22-10-18



11,2



84



2



1



132 331805150415006



3318052708160001



1



KENZO A.



27-8-16



133 3318051506080025



3318052608160001



2



M. L. ALHAFID



26-8-16



L



3,3



26-9-16



L



3,5



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3318054303860007



KEPOHKENCONO



MBARTI



3318055010800009



KEPOHKENCONO



1



2



22-10-18



10,5



84



2



1



1



2



22-10-18



9,5



80



2



1



134 3318051112100003



3318056609160001



3



NAHLA



135 3318051512070050



3318051009160001



2



FADIL A



10-9-16



L



3,0



P



2,9



YULIANA



3318057007970002



KEPOHKENCONO



EVI H



3318056305890003



KEPOHKENCONO



1



2



22-10-18



8,1



75



2



2



136 3318052411160001



3318055412160001



1



ARSILA



14-12-16



137 3318050411100007



3318055812160002



2



SYAFAATUN



18-12-16



P



2,1



138 3318051412070462



3318055112160001



2



NINDIYA



11-12-16



P



2,8



MASRINI



3318054302780004



KEPOHKENCONO



2



2



22-10-18



10,6



81



2



1



139 3318051602110006



3318056202170002



1



ADZKIYA



22-2-17



P



2,7



ENDANG



3318054105890003



KEPOHKENCONO



3



2



22-10-18



9,4



75



2



2



140 3318052606100002



3318050702170001



2



AL ZAMIR



7-2-17



L



3,0



SRI HARYANTI



3318046608870001



KEPOHKENCONO



2



2



22-10-18



10,3



77



2



1



141 3318051007170003



3318052606170001



1



A. ZINO



26-6-17



L



2,3



SUJINAH



3318054505920010



KEPOHKENCONO



1



2



22-10-18



9



73



2



2



M. KHOIRUL



11-3-17



L



3,3



3318055009890002



KEPOHKENCONO



3



2



22-10-18



10,5



80



2



1



SENDI P.



6-6-17



L



2,6



3318056106970001



KEPOHKENCONO



1



2



22-10-18



9,2



77



2



1



142 3318050907080034 143 3318051306170002



3318051103170001 3318050605170002



2 1



ENDANG S. ENDANG Y



144 3318052609160004



3318055807170001



1



AQILA N



18-7-17



P



3,1



P



3,4



145 3318050401110031



3318055205170001



2



ALRIN A.



12-5-17



146 3318050401110033



3318051307170002



2



M. ARSEN



13-7-17



L



2,8



3318015508930004



KEPOHKENCONO



2



2



22-10-18



7,4



7,2



2



1



SARPI



3318055202840003



KEPOHKENCONO



1



2



22-10-18



10,5



75



2



1



SRININGSIH



3318054602850004



KEPOHKENCONO



1



2



22-10-18



9,2



73



2



1



RISKA



147 3318053010150001



3318056710170004



1



ADIRA C.



27-10-17



P



3,1



PUJI A



3318045510940002



KEPOHKENCONO



2



2



22-10-18



7,9



66



1



1



148 3318051301100008



3318055210170001



2



ARFIKA



12-10-17



P



3,0



IRMA M



3318056112870002



KEPOHKENCONO



2



2



22-10-18



83



78



1



1



149 3318050309180006



3318055501180001



1



MITA AYU



15-1-18



P



2,9



SUTARMI



3318054806930001



KEPOHKENCONO



1



2



22-10-18



73



65



1



1



150 3318052703180003



3318050303180001



1



M. ARDANI F.



3-3-18



L



3,4



ARIS K



3318056507980002



KEPOHKENCONO



2



2



22-10-18



7,9



66



1



1



151 3318052903110003



3318055703180001



2



NATASYA



17-3-18



P



2,6



YASMI



3318054207800002



KEPOHKENCONO



3



2



22-10-18



7,6



64



1



1



P



3,5



NARSIH



3318056611800002



KEPOHKENCONO



2



2



22-10-18



7,7



62



1



1



ENDANG S.



3318056203840002



KEPOHKENCONO



3



2



22-10-18



5,5



57



1



2



1



2



22-10-18



5,2



53



1



1



152 3318050612080021,



3318056705180002



2



ANINDITA



27-5-18



153 33180515120700106



3318053005180001



2



M. ILHAM



30-5-18



L



2,3



L



3,0



RICA



3318056212960003



KEPOHKENCONO



SITI M



3318045711840002



KEPOHKENCONO



3



2



22-10-18



4,0



51



1



1



4



1



23-10-18



25



110



2



1



154 3318051409180001



3318050709180001



1



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7-9-18



155 3318043010040005



3318055509180002



2



EARLITA



15-9-18



P



2,8



AYUNDA A



2-2-14



P



2.8



MUNASIH



3318055810750003



KEPOHKENCONO



AZAHWA AINUN M



20-3-14



P



3.3



AMINAH



3318055210920004



KEPOHKENCONO



4



1



23-10-18



14.1



97



2



1



L



2.6



SULAMINI



3318054904920004



KEPOHKENCONO



4



1



23-10-18



16.4 100



2



2



KLASMI



3318055505760001



KEPOHKENCONO



2



1



23-10-18



13



93



2



1



4



1



23-10-18



22



110



2



1



156 3318051709070003



3318054202140001



157 3318052803140002



3318056003140001



2



158 3318052104140004



3318052803140001



1



FAREZA RISKY



29-3-14



159 3318052208070011



3318058704140001



2



AVIVA NUR



26-4-14



P



3.4



L



3.8



DEWI K



3318108201870001



KEPOHKENCONO



APRILIA



3318085604840001



KEPOHKENCONO



4



1



23-10-18



11.9



93



2



2



4



1



23-10-18



12.2



95



2



2



160 3318051208110003



3318052106140001



2



NEJI P



21-6-14



161 3318081710130008



3318054808140003



1



KHANZA MYEISHA



8-5-14



P



2.0



8-5-14



P



2.1



APRILIA



3318085604840001



KEPOHKENCONO



ASPIATUN



3318055109820003



KEPOHKENCONO



4



1



23-10-18



13



105



2



2



6



1



23-10-18



18



100



2



1



5



1



23-10-18



13



93



2



1



1



23-10-18



162 3318081710130008



3318084805140004



1



KHANZA MEYISHI



163 3318052312100020



3318050707140005



1



ALI RIDHO



7-7-14



L



2.8



24-8-14



P



3.4



SHOFI'AH



3318055204840007



KEPOHKENCONO



IMRON



3318051802830001



KEPOHKENCONO



164 3318051806140001



3318055508140001



1



RINJANI



165 3318051501150002



3318050201150003



1



RAFFI A



2-1-15



L



3.5



ATIKA F



27-12-14



P



2.8



SUCI



ERWIN W



26-2-15



L



3.6



LESTARI



P



3.6



166 167 3318052905130008



3318052602150001



1



168 3318052506070005



3318054203150002



2



FADILA A



2-3-15



169 3318052303090016



3318055203150002



2



ANINTA



12-3-15



P



2.8



CALISTA



6-5-15



P



4.0



ALENSIA R



13-5-15



P



2.8



16-5-15



L



3.3



170 171 3318051609130004



3318055305150002



1



KEPOHKENCONO



3318055611950001



KEPOHKENCONO



1



1



23-10-18



14



96



2



1



SUGIARTI



3318055012780004



KEPOHKENCONO



4



1



23-10-18



17



109



2



1



WIWIK P.



3318054707890006



KEPOHKENCONO



7



1



23-10-18



12.5



89



2



1



1



23-10-18



KEPOHKENCONO



3318034105950003



KEPOHKENCONO



2



1



23-10-18



12.7



88



2



2



JUMINAH



3318054101820004



KEPOHKENCONO



7



1



23-10-18



14



94



2



1



INERALWATI



3318055808880008



KEPOHKENCONO



8



15



98



2



1



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172 3318052201160002



3318051605150001



2



SATRIA A



173 3318052801100007



3318050608150001



1



M. MUFID



6-6-15



L



3.8



1



23-10-18



174



ASKA M



19-6-15



L



3.5



KEPOHKENCONO



1



23-10-18



175



M. ERLANGGA



7-7-15



L



3.2



KEPOHKENCONO



1



23-10-18



2



176 3318052801100008



3318056806150001



2



SALSABILA



28-6-15



P



3.5



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3318056008800002



KEPOHKENCONO



7



1



22-10-18



14



91



2



1



177 3318052006150001



3318054908150001



1



SITI MUT MAINAH



9-8-15



P



2.8



MARTINI



3318056904840002



KEPOHKENCONO



2



1



22-10-18



12.5



86



2



1



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12-2-15



P



3.1



3318055206780005



KEPOHKENCONO



4



10.2



80



2



2



1



22-10-18



179



LAQUITA



KEPOHKENCONO



1



22-10-18



180



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KEPOHKENCONO



1



22-10-18



ABRAN ARUSID



KEPOHKENCONO



1



22-10-18



178 3318051002070188



181



3318055212150001



2



RUSMIATI



182 3318050707100003 183 3318052411150003



3318052603150001 3318051511150001



3 1



184 185 3318050112070200



CATUR



26-3-15



L



3.5



ASKA NUR ALAZIK



15-11-15



L



2.6



SAYEKTI PAREKA S.



3318054801770002



KEPOHKENCONO



3



1



22-10-18



15.1



89



2



1



3318055202990006



KEPOHKENCONO



2



1



22-10-18



13.2



91



2



2



1



22-10-18



1



22-10-18



12



84



2



1



1



22-10-18



KEPOHKENCONO



FARELIAN ZONAS 3318051603160001



2



186



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16-3-16



L



3.6



SUYATI



3318055208850009



KEPOHKENCONO



6



KEPOHKENCONO



SASKY A 3318055401160001



1



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14-1-16



P



3.0



SANTI



3318045502960003



KEPOHKENCONO



1



1



22-10-18



11.9



80



2



1



188 3318050103160002



3318052202160001



1



GIBRAN A



22-2-16



L



3.4



YULIKAH



3318055803960002



KEPOHKENCONO



6



1



22-10-18



11.2



83



2



1



189 3318053011070651



3318052912150001



2



YOQI M.



29-12-15



L



3.2



RASMIYATI



3318055111790008



KEPOHKENCONO



4



1



22-10-18



10.2



82



2



1



L



3.9



HANIK



3318055202910007



KEPOHKENCONO



7



1



22-10-18



11



83



2



1



ANIS M



3318055807850002



KEPOHKENCONO



6



1



22-10-18



10.9



78



2



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2



1



22-10-18



10.2



79



2



2



187 3318053012140001



190 3318052803090001



3318052203160001



2



ALTRISTA



22-3-16



191 3318053107080030



3318055004160002



2



AMALUNA S



10-4-16



P



3.1



23-6-16



L



3.5



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3318056206940010



KEPOHKENCONO



RINAWATI



3318056312870005



KEPOHKENCONO



4



1



22-10-18



12



83



2



1



4



1



22-10-18



11.4



83



2



2



192 3318050402160007



3318052305160001



1



M.IHTIANTO



193 3318050702110003



3318054606150001



2



ZAKYA Q



6-6-16



P



3.0



P



3.1



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3318055506910005



KEPOHKENCONO



LIA SAFITRI



3318054504950001



KEPOHKENCONO



2



1



22-10-18



11



82



2



1



4



1



23-10-18



11



82



2



2



194 3318051808160006



3318052506160003



2



FELICIA JOYO



25-6-16



195 3318060604160002



3318052606150001



1



OZYL R



28-6-18



L



3.3



16-7-16



L



3.5



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3318056202970003



KEPOHKENCONO



JAMBEYANI



3318054804880008



KEPOHKENCONO



7



1



23-10-18



11.2



83



2



2



2



1



23-10-18



10



75



2



1



196 3318051511130002



3318051607160001



1



M. HILAL



197 3318052710070009



3318050807160001



3



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8-7-16



P



3.4



P



2.6



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3318054107850106



KEPOHKENCONO



MARYATI



3318054107870051



KEPOHKENCONO



6



1



23-10-18



11



82



2



1



3



1



23-10-18



11.2



81



2



2



198 3318050806160009



3318055809160002



1



PUJI L



18-9-16



199 3318050705160005



3318055908160003



2



GLADIS



19-8-16



P



2.8



L



3.2



SRI W.



3318054607790002



KEPOHKENCONO



PARTINI



3318055202850010



KEPOHKENCONO



6



1



23-10-18



11.4



82



2



1



4



1



23-10-18



13.5



90



2



1



200 3318052710070008



3318050209160001



3



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2-9-16



201 3318050805080008



3318052109160001



2



PONCO A



21-9-16



L



3.3



L



3.1



EKA N



3318056907940003



KEPOHKENCONO



RUKAYATI



3318054305850001



KEPOHKENCONO



5



1



23-10-18



12



86



2



1



3



1



23-10-18



11.3



89



2



1



202 3318051309160006



3318050910160001



1



M. ZIDAN



8-10-16



203 3318052411070016



3318050210160001



2



KARIM F



2-10-16



L



3.0



P



2.9



DUKOTUL



3318055812950001



KEPOHKENCONO



SITI Z.



3318044404880003



KEPOHKENCONO



3



1



23-10-18



10.4



77



2



1



2



1



23-10-18



10.3



76



2



1



204 3318051106160001



3318050712160001



1



M. HAIKAL



7-12-16



205 3318051010130001



3318055701170001



2



ANISA M



17-1-17



P



3.1



L



3.1



TRISNA WATI D



3318054202970002



KEPOHKENCONO



SUWARNI



3318055107770002



KEPOHKENCONO



4



1



23-10-18



9.4



74



2



1



4



1



23-10-18



9.4



74



2



2



206 3318051010160007



3318050803170001



1



FERNANDO



8-3-17



207 3318052409070024



3318055503170002



2



ALLENA P



25-3-17



P



2.8



P



2.8



SITI R



3318057101960003



KEPOHKENCONO



SITI A



3318055210920002



KEPOHKENCONO



1



1



23-10-18



9.7



74



2



1



4



1



23-10-18



11.3



90



2



1



208 3318057302160003



3318055103170001



1



ALIRAHMA



11-3-17



209 3318052803140002



3318055704170002



2



ANO NIDA



17-4-17



P



3.3



L



3.2



IKARUL



3318055308960001



KEPOHKENCONO



DEWI I



3318045509960003



KEPOHKENCONO



8



1



23-10-18



10



72



2



1



7



1



23-10-18



10.1



74



2



2



210 3318050809160006



3318052903170001



1



BERIL A



29-3-17



211 3318051712150003



3318051104170001



1



ARYA N



11-4-17



L



3.5



P



3.3



ENDANG



3318055808840001



KEPOHKENCONO



ULIN N



3318055012920001



KEPOHKENCONO



5



1



23-10-18



9.1



75



2



1



212 3318052710070007



3318056804170001



2



KHANSA H



28-4-17



213 3318050703130005



3318052005170003



2



ZADIT T.



20-5-17



L



3.4



214 3318051907090008



3318051106170001



2



PANJI S.



11-6-17



L



2.9



RINAWATI



3318054701850002



KEPOHKENCONO



4



1



23-10-18



9.5



73



2



1



215 3318052312100014



3318056308170002



2



ITSNA A.



23-8-17



P



3.0



SULISTYOWATI



3318056507910003



KEPOHKENCONO



4



1



23-10-18



9.0



70



2



1



216 3318052105110003 217 3318051611100006 218 3318050306120005 219 3318051208170003



3318055707170002



2



ISNAYA K



17-7-17



P



3.0



SITI F.



3318054502890004



KEPOHKENCONO



4



1



23-10-18



10



71



2



1



3318051109170001



2



DANANG



11-9-17



L



3.1



RAMINTEN



3318055204820002



KEPOHKENCONO



4



1



23-10-18



8.8



77



2



1



ANDRA



10-11-17



L



3.2



3318056501890004



KEPOHKENCONO



4



1



23-10-18



8



72



1



1



ARLISTA D



23-11-17



P



3.1



3318057103010005



KEPOHKENCONO



7



1



23-10-18



8.4



69



1



2



3318050111170004 3318056311170002



2 1



ENDANG MARYAM



220 3318050608080004



3318050312170001



2



NARENDRA



3-12-17



L



3.1



P



2.3



221 3318051703090002



3318056312170001



3



ALICE



23-12-17



222 3318051703090002



3318052312170002



3



ALANCE



23-12-17



L



2.3



3318054504810002



KEPOHKENCONO



6



1



23-10-18



8.5



71



1



1



PENI P



3318054202820001



KEPOHKENCONO



5



1



23-10-18



8.1



64



1



2



PENI P



3318054202820001



KEPOHKENCONO



5



1



23-10-18



8.5



67



1



2



NUR INDAYAH



223 3318052006150001



3318050101180001



2



AHMAD S.



7-1-18



L



3.0



MARTINI



3318056904840002



KEPOHKENCONO



2



1



23-10-18



7.6



63



1



1



224 3318053011070119



3318054201180001



3



NAURA A.



2-1-18



P



2.8



NGATINI



3318057105810003



KEPOHKENCONO



4



1



23-10-18



7.6



62



1



2



3318052511170001



2



FAISHAL



25-11-17



L



3.8



DWI W



3318055402890005



KEPOHKENCONO



3



1



23-10-18



8.7



69



1



1



226 3318051507170002



3318056003180002



1



SHERINA H



20-3-18



P



2.9



DYAH J



3318045907950002



KEPOHKENCONO



3



1



23-10-18



8.0



65



1



1



227 3318051303170003



3318051005170002



1



GAVIN A



10-5-17



L



2.6



YOLA



3318046908990003



KEPOHKENCONO



4



1



23-10-18



8.6



74



2



1



P



2.4



CHINTYA



3318054704980002



KEPOHKENCONO



7



1



23-10-18



4.1



53



1



1



P



2.2



SRI W.



3318055509860013



KEPOHKENCONO



4



1



23-10-18



3.7



50



1



1



225 3318052712100005



228 3318052804180002



3318054509180001



1



CEMPAKA G



5-9-18



229 3318051107170002



3318055709180001



2



HAIBAH



17-9-18



IMD 1=YA, 2=Tidak



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak



1



1



1



1



1



1



1



1



1



2



1



1



2



1



1



1



1



1



1



1



1



2



1



1



1



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



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



0



0



1



1



1



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



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



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



2



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



2



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



0



0



2



0



0



1



0



0



1



0



0



1



0



0



1



1



1



1



1



1



1



1



1



2



1



1



2



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



1



0



0



2



0



0



1



0



0



1



0



0



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



2



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



0



0



1



0



0



2



0



0



1



0



0



2



0



0



2



0



0



1



0



0



2



0



0



1



0



0



1



0



0



1



1



1



1



0



0



1



0



0



DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : JAWA TENGAH Kabupaten/Kota : PATI Puskesmas : PUCAKWANGI 1 Desa : WATESHAJI No



No KK



NIK (Nomor Induk Kependudukan Anak )



ANAK KE



NAMA ANAK



1.



3318051309070036



3318054208160001



2



KRESYA



2.



3318051309160002



3318053108160002



1



ZIDAN ABEL



Berat JENIS TANGGAL KELAMI Badan LAHIR Lahir N (Kg) 2-8-16



Nama Orang tua



NIK Orang Tua



No Tlp/HP Orang Tua



ALAMAT



ASI Eksklusif 1=YA, 2=Tidak



IMD 1=YA, 2=Tidak



2



1



1



Cara Ukur Tanggal BB TB pengukuran (Kg) (Cm) 1=Telentang 2=Berdiri



RT



RW



WATESHAJI



3



1



16-10-18



3



100



P



2800



SUTAMTO



3318051305780001



1-8-16



L



3000



WAHYU



3318052709970001



WATESHAJI



5



1



16-10-18



5



100



2



1



1



8-10-16



P



3100



LEGIYO



3316141606940003



WATESHAJI



1



1



16-10-18



1



100



2



1



1



3000



SUPRASTIO



3318052501820002



085228934663



WATESHAJI



1



1



16-10-18



1



100



2



1



1



3



1



16-10-18



3



100



2



1



1



085326257766



3.



3318050608160001



3318054810160002



1



4.



3318051312100007



3318050110160002



2



PADITYA AZAM



1-10-16



L



NAFI'AH



13-9-16



P



2800



SUHADI



3318051105810001



085228678163



WATESHAJI



3000



TOTOK



3318051804700001



085325083643



WATESHAJI



1



1



16-10-18



1



100



2



1



1



WATESHAJI



2



1



16-10-18



2



100



2



1



1



WATESHAJI



1



1



16-10-18



1



100



2



1



1



WATESHAJI



2



1



16-10-18



2



100



2



1



1



08221612671



WATESHAJI



4



1



16-10-18



4



100



2



1



1



5



1



16-10-18



5



100



2



1



1



5.



3318050110070019



3318055309160001



2



6.



3318050702170001



3318055101170001



1



ROSYA QUINA



18-8-16



P



DILA



5-2-16



P



3000



PARIJAN



3318051007830007



3100



SUROTO



3316141902820004



7.



3318050111120003



3318054502170001



3



8.



3318051007150006



3318055008160003



3



RASYA



18-8-16



L



3318050111120003



3318052006140001



2



KHOIRUL MUKTOR



11-6-14



L



3200



PARJAN



10. 3318051901170001



3318054604170002



1



ATIKHA ZILBIA



6-4-17



P



2400



AHMAD YULIANTO 3316141207890005



11. 3318051601140005



3318050704140001



1



M. FAIZ



18-4-14



L



2800



AHMAD DAHLAN



3316141102890008



082375589220



WATESHAJI



12. 3318051010140003



3318051209150002



1



BRIAN ADI P.



20-9-15



L



2800



SUKADI



3318050505880005



085326307780



WATESHAJI



1



1



16-10-18



1



100



2



1



1



13. 3318052008070014



3318051904140002



2



FRISKI RAFI AIVINO



10-4-14



L



2600



SUBOWO



3318050304780001



085264928149



WATESHAJI



1



1



16-10-18



1



100



2



1



1



14. 3318051108080001



3318050706170002



2



RAFA



7-6-17



L



3500



PUJI MUSTOPO



3318052006820004



085328352778



WATESHAJI



2



1



16-10-18



2



100



2



1



1



15. 3318051509170001



3318054209170003



1



AUDI



2-9-17



P



3000



DIDIK



1



16. 3318050210060506



3318055508170001



2



IUTFIANA ABILA



15-8-17



P



3000



PUJI RASMANTO 3318050902770003



17. 3318052812070008



3318054612170001



3



ARAFA AULIA



6-12-17



P



3100



RAKIMIN



18. 3318050908080009



3318055112170001



2



GAVINDA



11-12-17



P



3200



PRIYONO



19. 3318052503150001



3318055311170001



1



ROBIATUN



16-10-17



P



2900



LIPUR EKA A.



20. 3318052407080039



3318051711170001



2



M. ALIL



11-1-18



L



3500



SUPAR



21. 3318051309070023



3318052611130001



2



KAYANA RISKI



12-12-13



L



2500



SUTORO



22. 3318053101130004



3318064602140001



1



FEBRINA



18-2-14



P



3000



NUR SOLIKIN



3318052903870001



23. 3318050302140001



3318056401140001



1



FRIS ULA



1-2-14



P



3000



HARSONO



24. 3318051204100004



3318052709140001



1



ASKA LUTFI



27-9-14



L



3100



25. 3318050701140001



3318052206140001



1



M. RIFKI



22-7-14



L



2800



26. 3318051206140001



3318053105140002



1



ABIL



16-6-14



L



3200



SUPADI



27. 3318052506120006



3318051807140001



1



YOVANKA



2-8-14



L



3000



BUDIONO



28. 3318052402140007



3318055104140001



1



KHOIRUL HALIMAH



2-5-14



P



2800



SUGIYANTO



29. 3318051108140012



3318054109140003



1



NAJWA



18-9-14



P



2900



SUWITO



9.



085326307780



3318051007830007



WATESHAJI



2



1



16-10-18



9



60



1



1



082314930739



WATESHAJI



2



1



16-10-18



14



50



1



1



1



082231229959



WATESHAJI



2



1



16-10-18



7.5



58



1



1



1



3318051603810002



085290620022



WATESHAJI



2



1



16-10-18



8



58



1



1



1



3316141006880001



082326282741



WATESHAJI



4



1



16-10-18



7.5



59



1



1



1



3318050512750003



085376055601



WATESHAJI



4



1



16-10-18



8.1



58



1



1



1



3318053007770001



082335733013



WATESHAJI



3



1



16-10-18



15



107



2



1



1



082325972659



WATESHAJI



4



1



16-10-18



14



105



2



1



1



3318054048900004



WATESHAJI



1



1



16-10-18



15



104



2



1



1



MUNTAROH



3318051101790001



0895387492385



WATESHAJI



3



1



16-10-18



14



85



2



1



1



HARYANTO



3318050812790006



082322781619



WATESHAJI



5



1



16-10-18



14



97



2



1



1



3318055059500001



085201896085



WATESHAJI



4



1



16-10-18



14



102



2



1



1



3318052101880001



085290212927



WATESHAJI



4



1



16-10-18



15



102



2



1



1



3318051904840001



085347651969



WATESHAJI



5



1



16-10-18



15



99



2



1



1



3316140505900002



085113386524



WATESHAJI



3



1



16-10-18



14



86



2



1



1



3316141202930003



3318050504760003



3318053001150001



1



BINTANG



28-1-15



L



31. 3318051710180003



3318055803150001



1



LEDI CINTIA



18-3-15



P



3100



32. 3318050607090018



3318056105150001



2



ANINDITA KHELSA



28-5-15



P



3500



33. 3318051408150004



3318054608150001



1



MEYSHA



6-8-15



P



2900



WAHYU EKO



3316141304920002



34. 3318051209120002



3318050912150001



1



FADILAH R.



9-12-15



L



2500



WARIMAN



35. 3318053110130002



3318051412150001



1



HIIDAN ABINAYA



14-12-15



L



3000



36. 3316140102160003



3316144401160001



1



SIHA



4-1-16



P



37. 3318110411150001



3318115412150003



2



SILDA



14-12-15



P



38. 3318050204180002



3321085402160002



1



AQILA



14-2-16



P



2800



39. 3318050509110002



3318056209160001



3



FIRDA



13-9-16



P



3000



40. 3318050302160002



3318052701160001



1



ARZIK



27-1-16



L



2900



MUHADI



3318052911910002



41. 3318052502080007



3318051603180003



3



ALPARO



16-3-18



L



3000



MULYANTO



42. 3318051309070032



3318052604180002



3



FERDI



25-4-18



L



3400



MARIAN



43. 3318050201180005



3318050606180001



1



3000



AAN KOIR UM M. 3318052001970001



30. 3318051302130001



44.



1



1



16-10-18



1



1



1



16-10-18



13



82



2



1



1



1



16-10-18



13



83



2



1



1



1



16-10-18



10



78



2



1



1



1



16-10-18



11



78



2



1



1



2



1



16-10-18



10



79



2



1



1



1



1



16-10-18



10



81



2



1



1



1



16-10-18



10



90



2



1



1



1



16-10-18



13



84.



2



1



1



1



16-10-18



12.5



90



2



1



1



1



16-10-18



7.5



56



1



1



1



1



16-10-18



7.6



56



1



1



1



1



16-10-18



6



55



1



1



1



1



16-10-18



5.7



55



1



1



1



1



16-10-18



6.6



54



1



1



1



90



2



1



1



081350234622



1



SUPARJO



3318050205620002



085326504063



WATESHAJI



3



082325599388



WATESHAJI



3



3318051308760001



WATESHAJI



2



ALIMUS TOPA



3316140202900003



WATESHAJI



1



2900



DIDIK RIYANTO



3316141007920007



WATESHAJI



3100



RUKANI



3318110711820005



WATESHAJI



ABDUL GONI



3318052309920001



081215363397



WATESHAJI



3



SUHARTONO



3318051603610005



082328554349



WATESHAJI



5



082378418011



WATESHAJI



1



3318052004770001



WATESHAJI



1



3318050604700002



WATESHAJI



2



082225320686



WATESHAJI



4



085325120738



WATESHAJI



4



085325083643



WATESHAJI



1



WILDAN



5-6-18



L



3



SAFFA



9-6-18



P



2900



HARTOYO



1



3200



EDI PURNOMO



P



M. HAIKAL



L



3318051707140003



2



ADIMAS B.



7-7-14



L



48.



3318052302140001



2



AHMAD DIKI



23-2-14



L



49. 3318050909160009



3318055312170002



1



FEBRINA



13-12-17



P



2800



3318055304180001



1



NABIVA BINTANG



6-4-18



P



2400



51.



1



CINDI AULIA



15-3-18



P



52. 3318052710160001



3318052305180001



1



KREZA ALFARO



23-5-18



L



53. 3318050208180001



3318051006180001



1



REVITO ADI



12-6-18



L



54. 3318051403150001



3318056802150002



1



ADIBAH SIVAYATAI



28-2-14



P



2800



55.



3318051210140001



1



MAULANA FENDI



14-10-14



L



2900



56. 3318051210110006



3318056806160002



1



LUTFI RENA



28-6-15



P



3100



57. 3318051806070027



3318055105150001



2



AZKIA MARIAM UIVA



11-5-15



P



2500



58. 3318052005130001



3318050309160007



1



ARIP NUR REVAN



3-9-16



L



2000



WAHONO



59. 3318051207050952



3318050310160001



3



SAIFUL



3-10-16



L



3500



60. 3318050304170002



3318051203170001



1



BINTANG CAHAYA P



12-3-17



L



61. 3318052501160001



3318062807160001



1



ARTA



28-3-16



L



62. 3318052003170001



3318055709170001



1



KASIH YULIA SARI



17-9-17



P



2700



63. 3318051707120002



3318054512170004



3



KEYTA PUTRI



4-12-17



P



2300



64. 3318051102130004



3318051709170001



1



A. KAFI M.



27-9-17



L



3000



65. 3318052509070020



3318056502180001



1



AZAHRA



25-2-18



P



3200



66. 3318050410170002



3318051002180001



1



M. SOBIRIN



11-2-18



L



2400



ANGGA



67. 3318050210130003



3318050904180001



1



GHAISAN LABAY ARTANABIL



9-4-18



L



3200



DONI SETIAWAN 3316142208930001



50. 3318051801180003



1



2



3318052210810004



22-6-14



47.



2



83



ALI IMRON



30-5-18



46.



85



13



WATESHAJI



ABESKA



3318057105180002



14



WATESHAJI



MANDOYO



1



45. 3318053008130002



16-10-18



3318051405720002



3000



3318051704920007



082324748715



1



1



2800



WATESHAJI



2



2



18-10-18



16



3000



WATESHAJI



2



2



18-10-18



15



89



2



1



1



3000



WATESHAJI



2



2



18-10-18



13



89



2



1



1



3318051810920003



WATESHAJI



2



2



18-10-18



6.5



58



1



1



1



3318051707870005



WATESHAJI



2



2



18-10-18



8



56



1



1



1



3000



WATESHAJI



2



2



18-10-18



5.8



55



1



1



1



3000



ADI PURNOMO



3318050107890028



082313770905



WATESHAJI



2



2



18-10-18



5.5



53



1



1



1



3000



LASDI



3318052310930002



08235817008028 WATESHAJI



2



2



18-10-18



4



52



1



1



1



EDI UTOMO



3516122003890002



WATESHAJI



1



2



16-10-18



12.5



88



2



1



1



NOVA LISTANTO



3521112010910005



WATESHAJI



1



2



16-10-18



13



90



2



1



1



SRI YONO



3318051608840005



WATESHAJI



1



2



16-10-18



12



86



2



1



1



LASMAN



3318050903700002



WATESHAJI



1



2



16-10-18



0.5



86



2



1



1



3318051209810001



WATESHAJI



1



2



16-10-18



11.5



89



2



1



1



WARSITO



WATESHAJI



1



2



16-10-18



9.9



80



2



1



1



3000



AGUNG S.



3316142403920006



WATESHAJI



1



2



16-10-18



9.4



76



2



1



1



2600



SUKAWI



3318052112860001



WATESHAJI



1



2



16-10-18



11



86



2



1



1



SUYOTO



3318050611820006



WATESHAJI



1



2



16-10-18



7.5



60



1



1



1



TEGENG



3318050603700010



WATESHAJI



1



2



16-10-18



7.5



60



1



1



1



SUGIYANTO



3318051012860001



WATESHAJI



1



2



16-10-18



8



60



1



1



1



SAMSIKIN



3318052707840002



WATESHAJI



1



2



16-10-18



8



55



1



1



1



3316141505940004



WATESHAJI



1



2



16-10-18



6



55



1



1



1



WATESHAJI



1



2



16-10-18



9.5



56



1



1



1



TEMON KISNO



081226143673



082387741269



085235375959



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak 1



1



1



1



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



0



1



0



1



0



1



0



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



0



0



0



0



0



0



0



0



0



0



1



1



1



1



1



1



1



1



0



0



0



0



0



0



0



0



0



0



1



1



1



1



1



1



1



1



1



1



1



1



1



1



0



1



0



1



0



1



0



1



1



0



0



0



DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : JAWA TENGAH Kabupaten/Kota : PATI Puskesmas : PUCAKWANGI 1 Desa : SITIMULYO No



No KK



NIK (Nomor Induk ANAK Kependudukan Anak ) KE



NAMA ANAK



Berat JENIS TANGGAL KELAMI Badan LAHIR Lahir N (Kg)



1.



9171051803100019



9171051706140002



3



FAIZA WIRATAMA



17-6-17



2.



3318052508150002



3318052406150002



1



RENDY ADITYA ATINA MALAISALAM



Nama Orang tua



NIK Orang Tua



No Tlp/HP Orang Tua



Cara Ukur BB TB (Kg) (Cm) 1=Telentang 2=Berdiri



ALAMAT



RT



RW



Tanggal pengukuran



SITIMULYO



3



1



19-10-18



14.1



80



2



L



ANDRI WAHYU / AISYAH



24-6-15



L



NUR ROHMAN / MUMAINAH



SITIMULYO



3



1



19-10-18



12.5



86



2



1-3-15



P



MINTONO/ANITA



3320090405790018



SITIMULYO



1



1



19-10-18



10.1



85



2



KUSMANTO/SUPARTINI



3318051503790002



SITIMULYO



1



1



19-10-18



9



77



2



1



1



19-10-18



9.7



81



2



9171051605830004



3.



3320092909140005



3320094203150001



1



4.



331805020290001



3318050606160002



2



ABDUL KHAMIL



6-6-16



L



TIARA AYU R



12-6-16



P



SUPARMIN/SUIS MAMIK



3318051312820001



SITIMULYO



EDY SUPENO/SRI



3318051304790001



SITIMULYO



2



1



19-10-18



9.5



76



2



2



1



19-10-18



8.5



70



2



5.



3318055206160001



3318055206160001



2



6.



3318053103110001



3318051501170001



2



FAHRUL RAFAEL



15-1-17



L



DINDA APRILIA S



13-4-17



P



SARMI/SUPAT



3318054505830011



SITIMULYO



WATI/JUMADI



3318050709790013



SITIMULYO



1



1



19-10-18



11.3



80



2



SITIMULYO



3



1



19-10-18



8.7



67



2



ASI Eksklusif 1=YA, 2=Tidak



7.



3318051310080017



3318055405170002



2



8.



3318051110100009



3318051605170001



2



ALVIN ANDRA A



16-5-17



L



3318050112160002



3318051406170002



1



ARFA AZKA R



14-6-17



L



MINDA DIAN HENGLI N



3318050607910001



10. 3318051911130002



3318054407170001



3



MOHAMAD SYARID



3-7-17



L



MUNARSIH



3318054107790118



SITIMULYO



1



1



19-10-18



10.3



71



2



11. 3318050112160001



3318056708170001



1



LAILA KARIMATUN



27-8-17



P



TITIS S/LAMUNA



331805012860001



SITIMULYO



3



1



19-10-18



7.9



71



2



12. 3318051512140002



3318056309170001



2



SURATI INDRA P



23-9-17



P



YATI/WINARTO



3318051607800004



SITIMULYO



3



1



19-10-18



8



55



2



1



13. 3318050110160001



3318052701180001



1



BILAL AR ROSYID



27-1-18



L



PIPIN Y/SUPARMAN



3318050810910002



SITIMULYO



3



2



15-10-18



8



61



2



1



14. 3318052009170001



3318056901180002



2



ANDREANITA F



29-1-18



P



SITI FALAFI'AH/MUSLAN



3318026002840002



SITIMULYO



1



2



15-10-18



7



60



1



1



3-4-18



P



3318071308800006



SITIMULYO



1



2



15-10-18



6



56



1



1



7



13-10-18



8.5



1



2



7



13-10-18



6.5



1



7.8



1



9.



082372675251



3318054304180003



2



ASNA DWI FARA D



16. 3318051112070234



3318052511170002



2



AHMAD REO N



25-11-17



L



JAMIATUN/KARYONO



3318055010860001



SITIMULYO



17. 3318050605100004



3318054212170001



2



ANGTU SULYA ROHMATUL J



1-12-17



P



TISWATI/RASEMIN



3318050106810005



SITIMULYO



18. 3318051801180008



3318051703180004



1



MUHAMMAD RAFKHA Z



17-3-18



L



ISNAWATI/SUTIKNO



331805120390001



SITIMULYO



1



7



13-10-18



19. 3318050102180004



3318054606180001



1



ALENA SAFITRI



6-6-18



P



SULASTRI/KUSWANTO



3318112408860005



SITIMULYO



1



7



13-10-18



5.8



1



20. 331805206160001



3318050706160001



2



MUHAMAD MARIKA PUTRA



7-6-16



L



KASIH/SUMARI



3318051508830002



SITIMULYO



2



7



13-10-18



10.7



2



21. 3318052911080008



3318055908180001



2



RAISYA NAVAZA



19-8-18



P



SULASIH/RASMIN



3318050505750013



SITIMULYO



3



2



15-10-18



4.8



1



22. 3318050202120004



3318051005850009



1



AGILA SILVIA YUMNA



25-1-14



P



SULASMI/SUNARDI



3318051005850009



SITIMULYO



2



2



15-10-18



13.5



2



23. 3318051309070044



3318056901140001



1



JASIKA KAYLA P



29-1-14



P



SUNITI/JASMANI



3318050305810002



SITIMULYO



2



2



15-10-18



12.9



2



24. 3318052811070498



3318052203140002



2



AHMAD AGUS P



22-3-14



L



LAMISIH/LASJAN



3318052803850001



SITIMULYO



1



2



15-10-18



12.5



2



25. 3318052710140003



3318055610140001



1



BINTANG CRISTIYANTI



15-10-14



P



SUKRISINA/SUHARYANTO



3318051812830002



SITIMULYO



3



2



15-10-18



13



2



26. 3318052507140003



3318050201150001



1



ABI NAZWA AZIZI



2-1-15



L



ROF'AH/SUMIJAN



3316141405910003



SITIMULYO



1



2



15-10-18



14



2



27. 3318052507140003



3318050201150002



2



ABAS YUBNA A



2-1-15



L



ROF'AH/SUMIJAN



331614140830002



SITIMULYO



1



2



15-10-18



14.8



2



28. 3318052907130003



3318050204150001



1



KENZIE YUDISTIRA



2-4-15



L



TITIK NUR/TEGUH



3318050901910003



SITIMULYO



2



2



15-10-18



12.1



2



29. 3318050807140005



3318054902140003



1



NAJWA LULU'UL



9-2-14



P



SITI KOMARIYAH/DIDIK KARSONO



3318052003900002



SITIMULYO



2



2



15-10-18



13.1



2



15. 331805241110001



ENDIK S/SLAMET R



1



3318050301160006



1



SATRIA ROSYIQUL



2-1-16



L



31. 3318052411070003



3318054701160002



2



ARA AZKI K



7-1-16



P



32. 3318051110160003



3318051301160003



2



ABDUL KARIM WAFI



13-1-16



L



33. 3318051006130013



3318055609140001



1



INTAN NUR ROHMAH



16-9-14



P



34. 3318052608150005



3318054506160001



1



TONIA ALIFA HIBATILLAH



5-6-16



P L



30. 3318050411140002



1



15-10-18



10.6



2



1



2



15-10-18



10.1



2



SITIMULYO



1



2



15-10-18



10.7



2



3318051611890001



SITIMULYO



3



2



15-10-18



11.5



2



3318020911860001



SITIMULYO



2



2



15-10-18



14



2



3318051302830002



SITIMULYO



3



2



15-10-18



10



2



2



2



15-10-18



10.6



2



1



2



15-10-18



9.3



2



9



2



3318051204900001



SITIMULYO



TRINI/NGATISNO



3318051909780002



SITIMULYO



MARTINI/SUNARTO



3318054602880002



SUTRI ATUN/SARMIDI SITI MUNIPAH/ALI AHMADI



SUPRAPTI/SRI W



3



3318052506160002



1



RAFLI HAFIZ M



25-6-16



36. 3318050807140001



3318053008160001



2



ADNAN SYAFI A



30-8-16



L



SITI KOMARIYAH/DIDIK KARSONO



3318052003900002



SITIMULYO



37. 3318051307160007



3318052410160001



1



FABIAN RADITYA



24-10-16



L



RUBAIS KUMAIYAH/DWI SUSANTO 3318050107910049



SITIMULYO



38. 3318052006160003



3318055111160001



1



AZKA PUTRA P



11-11-16



L



AFNITA F./SUGIN



3318051205850005



SITIMULYO



2



2



15-10-18



39. 3318052711070578



3318054402170001



2



ELYCANDRA N



PURWATI/SUNTORO



3318051703870004



SITIMULYO



2



2



15-10-18



9



40. 3318052106070017



3318053108150002



2



2



3



17-9-18



12.2



90



2



41. 3318050207100008



3318052311150002



2



2



3



17-9-18



11.8



86



2



42. 3318050211080001



3318052611150001



2



10.5



86



2



43. 3318052209150001



3318054701160003



1



44. 3318051702160001



3318056404150002



1



45. 3318062112100004



3318064105170002



2



46. 3318050810090007



3318054109170002



2



47. 3318052104080007



3318051210170001



2



KHOLIDI AINUN I



48. 3318052509170001



3318055012170003



1



49. 3318051906070017



3318052412170001



2



50. 3318051608070010



3318051002180003



2



51. 3318051706110003



3318056005180001



2



52. 3318050110110004



3318054101140002



1



53. 3318051803100001



3318051802140002



2



54. 3318052911110012 55. 3318050809110005



35. 3318051603160001



SITI JUMIRAH/RUNADI



4-2-17



P



AHMAD AMMAR ZAHY



31-8-15



L



UMI KHORIYAH/BAMBANG



3318050450810003



SITIMULYO



AHMAD FATKHUL F



23-11-15



L



SRIHARMUNIK/SUNGATMIN



3318051603830003



SITIMULYO



ANAS BAHRUDIN NUR



26-11-15



L



ENDANG/SUMARLAN



3318051607790008



SITIMULYO



1



3



17-9-18



KHONAYA ARISTYA N



7-1-16



P



IDA YULIANTI/SABAN



3318050203850008



SITIMULYO



2



3



17-9-18



10.3



80



2



SALSABILA AVIA S



24-4-16



P



SITI YULIANA/SUKARDIYANTO



3318051504900004



SITIMULYO



2



3



17-9-18



10.4



84



2



ZAHWA ANAIBU IZZI



1-5-17



P



ENI ISMAWATI/SUDIR



3318061104840007



085329080568



SITIMULYO



1



3



17-9-18



9



73



2



GHINA SALVINA M



1-9-17



P



PRIHATIN/TOTOK



3318054109170002



085257762380



SITIMULYO



1



3



17-9-18



9.5



71



2



12-10-17



L



KASMI/JUMARI



3318051504760001



SITIMULYO



2



3



17-9-18



8.2



67



2



VIONA ANNA YATUL



9-12-17



P



RITA HARTINI/AHMAD



3318050702950002



081276419553



SITIMULYO



2



3



17-9-18



8.5



67



2



1



ARFAN ARDANI D



24-12-17



L



RUMIYATI/SUTRISNO



3318050609800003



085325968043



SITIMULYO



1



3



17-9-18



9



73



2



1



ALFIN ZIDAN A



10-1-18



L



WARSITI/SUNARLAN



3318051601740001



085292966454



SITIMULYO



2



3



17-9-18



7.7



63



1



1



KUN ZIYYA HULWA



20-5-18



P



TARIYEM/SULAR



3318051109840001



082223292478



SITIMULYO



2



3



17-9-18



6.3



60



1



1



NAILA SALBIRA



1-1-14



P



SULASMI/WARSIDI



14.9



94



2



AHMAD RIFQI NUR ILMI



18-2-14



L



SUKINAH/SUPARMIN



13



93



2



3318052705140001



1



MOHAMAD EZA R



27-5-14



L



16.5 104



2



3318051606140003



1



MOHAMAD FAIZ S. W



16-6-14



L



56. 3318053103120001



3318051811140001



1



MUHAMAD AKIF SAID



18-11-14



L



57. 3318050706080002



3318051601140002



2



AHMAD KHOIRUL ANAM



16-1-15



L



58. 3318050605830004



3318050602150002



1



ARKAN SYAIKUL M



6-2-15



L



59. 3318052008090014



3318057007150001



3



FANI AULIA HIDAYAH



6-2-15



P



60. 3318052304150001



3318056609150001



1



SEPTIANI KARI MATUN N



26-9-15



P



61. 3318050807150007



3318050710150001



1



MOHAMAD TAMA A



7-10-15



L



62. 3318052610150002



3318055810150002



1



NELIFA JIRISMILKY N



18-10-15



P



PUJI ASTUTI/ARIS



3316142112920001



63. 3318050112160003



3318055811150001



1



KHOLIFIA HANAN ADI S



18-11-15



P



RISTIANA/BUDI



3310202710910001



3318050712150001



1



HANADA ABRIZAM G



7-12-15



L



3318051901160001



1



LUDFI ASKA PRATAMA



19-1-16



L



3318051302160001



1



KENZIE KOYRO F



7-2-16



L



3318050204160003



1



MOHAMMAD KELVIN Z.M



2-4-16



L



64. 3318050806150002 65. 3318052110140001 66. 3318050505140002 67. 3318052108150003



085290491085



2



3318051507910002



SITIMULYO



4



4



5/9/2018



3318051002720008



SITIMULYO



4



4



5/9/2018



DAMINI/SARKO



3318051606830005



SITIMULYO



3



4



5/9/2018



JUMIYANTI/SAMPURNO



3318050512860003



SITIMULYO



6



4



5/9/2018



14



99



2



WIWIK/SUNAWI



3318062911850001



SITIMULYO



3



4



5/9/2018



14.5



94



2



KARNITI/SUNARI



3318050903760006



SITIMULYO



3



4



5/9/2018



12



88



2



SRI KARYANTI/KARMUDI



3318050605830004



SITIMULYO



3



4



5/9/2018



13.3



89



2



RISA NOPITA/BEJO



3318050204820002



SITIMULYO



6



4



5/9/2018



12.5



87



2



SITI ASRUROH/SULATUN



3318051001790004



08233328079



SITIMULYO



5



4



5/9/2018



11.3



87



2



SRI MURYATI/SRI KISMARAN



3318050208810002



085290275138



SITIMULYO



3



4



5/9/2018



11.3



87



2



SITIMULYO



1



4



5/9/2018



13



90



2



SITIMULYO



4



4



5/9/2018



12.3



90



2



3318051108900002



SITIMULYO



3



4



5/9/2018



12



88



2



3318051812910002



SITIMULYO



4



4



5/9/2018



19.6



94



2



3318051705850007



082225276700



SITIMULYO



5



4



5/9/2018



13.5



89



2



08225255804



SITIMULYO



4



5/9/2018



11.6



83



2



SITI MASLUROH/HANDOKO YAYUK/BUDI S. NUR ERMA KARYANTI/RUSDIYANTO



LUSMI HARTANTI/M.SUDI LESTARI 3318052807900002



085244099630



08523738855



085287670732



3



3318051404160001



1



ARZENIO GIBRAN AL K



14-4-16



L



69. 3318052310140005



3318055604160001



2



SITI NUR S



16-4-16



P



70. 3318050308090012



3318052404160001



2



ARSYAD RAKA S



23-4-16



L



71. 3318050112160003



3318050412160001



2



MUHAMMAD HANIF



4-10-16



L



72. 3318051601170004



3318054612160001



1



KIASATINA SIFFA R



9-12-16



P



68. 3318050104160001



4



5/9/2018



12.4



85



2



1



4



5/10/2018 11.3



80



2



SITIMULYO



6



4



5/9/2018



11



83



2



SITIMULYO



4



4



5/9/2018



13



85



2



3316141303900002



SITIMULYO



6



4



5/9/2018



10.3



73



2



3323061310940002



SITIMULYO



3



4



5/9/2018



8.9



79



2



4



4



5/9/2018



13



86



2



4



4



5/9/2018



10.3



74



2



8.9



73



2



3318051803830003



SITIMULYO



SULASIH/MULYADI



3316140805830002



SITIMULYO



SUYATI/PARJO



3318051707780006



RISTIANA/BUDI S.



3310202710910001



KUNIK P./SUMARDI



WOTO/SULASTRI



085287670732



3



3318055812170001



1



SASKIA WIDIA PUTRI



18-12-16



P



74. 3301052706160005



3318056605160001



2



MANDA FRITSYA I. S.



26-5-16



P



WIWIT TEGUH/KATIK IDA



3301051108820003



SITIMULYO



75. 3318050701170003



3318052202170001



1



MUHAMMAD ADITAMA E.



22-2-17



L



CICIK/SIGIT



3318051412940005



SITIMULYO



76. 3318052805110007



3318052603170001



2



DWI SYAIFUL BAHTIAR



26-3-17



L



SUMIATI/SISWO



3318082705860001



SITIMULYO



6



4



5/9/2018



77. 3318052702080001



3318050505170002



1



DARIS AGENG A.



4-5-17



L



SUKISWATI/SUDARMONO



3318055105960002



SITIMULYO



1



4



5/9/2018



8.8



68



2



78. 3318053011070187



3318054705170002



2



RIDHA SHAFIRA S.



7-5-17



P



LESTARI/RUSDIYANTO



3318051409850002



SITIMULYO



2



4



5/9/2018



8.8



69



1



79. 3318051406170002



3318052905170001



2



ALFIANDO DWI PURWA R.



29-5-17



L



HALI RUANTIKO/PURWADI



3316141110890004



SITIMULYO



1



4



5/9/2018



9.5



62



2



80. 3318051107050381



3318052705180001



2



RAFARDHAN UBAIDILLAH P



27-5-18



L



PORIS HERAWATI/PURWANTO



3318052009770001



SITIMULYO



4



4



5/9/2018



7.2



60



1



1



81. 3318050805180001



3318057007180001



1



ZEINA ASSYIFA MACCA



30-7-18



P



ANIK SUSANTI/ALI MUTAKIN



3318052805870003



SITIMULYO



2



4



5/10/2018



5.9



51



2



1



82. 3318051412070169



3318052606180002



2



MUHAMMAD RAFFA SYA A.



26-6-18



L



GUNAWAN/SULARTI



8



55



2



1



83. 3318052502140002



3318055002140001



1



DIANA NURIYATUL JANA



17-2-14



P



SUWARI/SARMIN



84. 3318052402140001



3318055402140001



1



AURA FEBY TRSKA N.



14-2-14



P



85. 3318053112110003



3318055107140001



1



GEISYA JULIA R.



11-7-14



P



86. 3318051309140004



3318055207140003



1



KIANDRA AULIA RAMADANI



12-7-14



P



87. 3318052105150003



3318054611150001



1



AIRIS NATASYA



6-11-15



P



88. 3318052302080019



3318056312150001



1



RAHMA ILMI NAFIA



23-12-15



P



89. 3318050203160002



3318050702160001



1



ARJUNA RADITYA FIRZA



7-2-16



L



90. 3318053001160001



3318056804160001



1



AFIQA AYUNDA QANITA



29-4-16



P



91. 3318052207150002



3318051505170001



1



ARDHAN REYHAN M.



15-5-17



L



92. 3318051712090004



3318051712090004



2



ALVINO SATRIA KURNIAWAN



6-3-18



L



93. 3318051710110001



3318050202150001



2



KHANUR ALIYA



2-2-15



P



94. 3318052506130008



3318052305150002



1



ABRAHAM ALEXY



20-5-15



L



95. 3318051207080016



3318056108150001



2



DEWI NUR VINA A.



21-8-15



P



96. 3318052803160007



3318054610160001



1



SHERINA MOZA



6-10-16



P



97. 3318051411140004



3318055410160001



3



NAILA NIKMATUS SA'ADAH



14-10-16



P



98. 3318051009160008



3318050811160002



3



AHMAD SETYO WIBOWO



8-11-16



L



99. 3318053006150002



3318056005170001



1



AGISTHOMA ZAKIA NUR R.



20-5-17



P



100 3318051704170002



3318056607170001



1



RAFIKA FATIM ATUZ VAROH



25-7-17



P



101 3318050108170005



3318050603180001



1



ALVIN RAKA ADITAMA



6-3-18



L



3318055905180002



1



MEYLIKA REVALINA L.R.



19-5-18



P



3318050808180002



3



MUHAMMAD HKHOIRUL IBAD



8-8-18



L



3318050801140001



2



AHMAD ALEX KURNIAWAN



8-1-14



;



3318055412130001



2



CHAIRUNNISA SALSABILA P.



14-12-13



P



73. 3318050810160001



102 3318051104180001 103 3318051806070013 104 3318051609100004 105 3318050703100003



PASINAH/ADI DONI



085326214383



3318052006830003



SITIMULYO



1



4



5/10/2018



3318052502140002



SITIMULYO



1



5



8/10/2018 12.4



94



2



IDA/EKO SUTRISNO



3318052408820001



SITIMULYO



3



5



8/10/2018 12.2



95



2



RINAWATI/JUDI



3318051209880003



SITIMULYO



3



5



8/10/2018 13.4



93



2



CICIK PUJIASIH/SLAMET



3318052201900006



SITIMULYO



3



5



8/10/2018 10.4



88



2



RUSMINI/SUJOKO



3318050705900001



SITIMULYO



2



5



8/10/2018 10.7



86



2



WARSITI/SUHERMAN



3318051301580002



SITIMULYO



3



5



8/10/2018



9.8



83



2



SITI SHOLIKATI/SUGENG



3316142506910004



SITIMULYO



1



5



8/10/2018 12.9



87



2



RINANTI/KASMURI



3318050603860002



SITIMULYO



1



5



8/10/2018 11.3



84



2



SULATMI/TARSAN



3316162305690002



SITIMULYO



3



5



8/10/2018 10.6



76



2



KASRI PRIHATINI/LEGIMAN



3318050605750006



SITIMULYO



2



5



8/10/2018



7.4



61



1



ITA PURNAMASRI/SUGENG P



3318051809810006



SITIMULYO



2



6



13-10-18



12.5



89



2



GHANIK ATUN JONI/MASTURI



3318050811800003



SITIMULYO



2



6



13-10-18



11.2



86



2



JASMI/SUPARMAN



3318052907680002



SITIMULYO



3



6



13-10-18



12.1



89



2



AMBARWATI/DIDIK P



3316141511930002



SITIMULYO



3



6



13-10-18



11.2



75



2



SARIMAH/JOKO S



3316142204810005



SITIMULYO



2



6



13-10-18



9



75



2



SUSANTI/KARYONO



3316140304760007



SITIMULYO



2



6



13-10-18



10.8



79



2



JUMAMIK/AGUS



3318051311890002



SITIMULYO



1



6



13-10-18



6.9



71



2



WATINI/DARYANTO



3316143101870003



SITIMULYO



2



6



13-10-18



6.7



64



2



TARMIATI/SUMADI



3318050107860064



SITIMULYO



3



6



13-10-18



7.8



63



1



1



3318061204890006



SITIMULYO



1



6



13-10-18



6



58



1



1



3318051502720006



SITIMULYO



3



6



13-10-18



5.4



51



1



2



3318051005850008



SITIMULYO



1



7



13-10-18



15.5



86



2



3318052404760003



SITIMULYO



7



13-10-18



15.2



98



2



IKA NOVITASARI/MUR ELI SUMARTI/SUPADI SUPRIYATUN/SUGIYANTO NARSINAH/NGASMAN



081330710904



1



1



3318054202140002



1



ZAHRA NATASYA Q.



2-2-14



P



107 3318051605130006



331805680410001



2



APRILIA USWATUN K.



28-4-14



P



KARMINI/RUKIN



108 3318052012140003



3318052211140002



1



MUHAMMAD ARYA



22-11-14



L



109 3318051304150002



3318056908150003



1



CHAIRA FAYOLLA



29-8-15



110 3318051505130003



3318050610150001



1



MUHAMMAD AL FARIL BAYU



6-10-15



106 3318050208130004



7



13-10-18



12.5



95



2



1



7



13-10-18



11.9



91



2



SITIMULYO



1



7



13-10-18



13.5



94



2



3316142606940001



SITIMULYO



1



13-10-18



13.1



89



2



3318050405870005



SITIMULYO



1



7



13-10-18



13.5



87



2



3316141101900003



SITIMULYO



1



7



13-10-18



11



87



2



1



7



13-10-18



11.5



86



2



2



7



13-10-18



10.9



81



2



10.7



86



2



3318050606900001



SITIMULYO



3318052701820002



SITIMULYO



ENDANG/SUNARDI



P



ANIK RINDI/MUTISNO



L



SITI YULIANA/KASMURI



ANIS/AGUS



2



3318052701160002



1



MUHAMMAD ILHAM H.



27-1-16



L



112 3318052803140004



3318050704160002



1



MUHAMMAD BAHRUR M.



6-4-16



L



DIANA SISKA/LASIDIN



3318052307910006



SITIMULYO



113 3318052807090014



3318050804160001



2



KAFFI AL AZZAM



8-4-16



L



SUWARI/KASNADI



3318050508780002



SITIMULYO



114 3318081204070007



3318057108160002



2



SARI HAWAMUL K.



31-8-16



P



SUSANTI/



3318086305750041



SITIMULYO



1



7



13-10-18



115 3318051804180004



3318052302160003



1



MUHAMMAD ZAKKI



23-2-16



L



SUPRIYANTI/SUTRISNO



3318050606900009



SITIMULYO



2



7



13-10-18



13



94



2



116 3318050304170004



3318054106170001



1



NIHAYATUL HUSNA



1-6-17



P



ANIS NUR K/SAMIKUN



3316140709870004



SITIMULYO



2



7



13-10-18



7.5



70



2



117 3318051711070007



3318055209170003



1



ARSYILLA SEPTIANA PUTRI



12-9-17



P



PUJIASIH/YOYOK



SITIMULYO



1



7



13-10-18



7.9



63



2



1



118 3318052709160003



3318050110170001



1



MUHAMMAD AHMAD R. M.



1-10-17



L



SISKA MUKTIANI/SUPARMIN



3318054704990005



SITIMULYO



1



7



13-10-18



9.5



87



2



1



119 3318051112070637



3318052006140002



2



MUHAMMAD KELVIN V.



20-6-14



L



RASNO/SUMIATI



3318055306890004



SITIMULYO



1



7



13-10-18



16.5 101



2



3318053001150003



3



NIKOLAS SAPUTRA



1-2-15



L



3318050708810001



SITIMULYO



1



19-10-18



12.2



2



111 3318050209150002



120 3318050405070002



SUWARTI/WASIS



SUKARNO/SRI MURYATI



2



90



IMD 1=YA, 2=Tidak



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



2



1



1



2



1



0



2



2



1



2



1



0



2



0



2



1



1



0



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



2



1



1



2



1



1



0



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



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



2



1



0



2



1



0



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



0



2



1



0



2



1



0



2



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



1



2



1



1



2



1



1



1



1



1



DATA SASARAN IBU HAMIL



Provinsi : Kabupaten/Kota : Puskesmas :



No



NIK (Nomor Induk Kependudukan) atau NO. KTP



NAMA IBU



BB sebelum hamil



ALAMAT



RT



RW



TANGGAL LAHIR



Tanggal pengukuran



BB (Kg)



TB (Cm)



LILA (cm)



Kehamilan ke



TTD (Tablet Tambah darah) 1=YA, 2=Tidak



Jika YA, brp butir TTD didapat



DATA SASARAN BALITA FORMAT Eppgbm



Provinsi : Kabupaten/Kota : Puskesmas : Desa No



No KK



: NIK (Nomor Induk Kependudukan Anak )



: ANAK KE



NAMA ANAK



Berat JENIS TANGGAL KELAMI Badan LAHIR Lahir N (Kg)



Nama Orang tua



1.



3318052309160012



3318056309180001



1 arsilazia azzahra



23/09/18 P



2.6 SUKAMTO



2.



3318050309080021



3318064308180001



2 DEVITA ZAINA KHOIRIN NISWAH



13/08/18 P



3.3 SULURI



22/04/18 P



3.3 A.TAFRIKAN 3.4 SELAMET R



NIK Orang Tua



No Tlp/HP Orang Tua



ALAMAT



RT



Cara Ukur Tanggal BB TB pengukuran (Kg) (Cm) 1=Telentang 2=Berdiri



RW



ASI Eksklusif 1=YA, 2=Tidak



081225067868



TANJUNGSEKAR 4



2



4



49



1



1



081225067868



TANJUNGSEKAR 1



2



5.1



51



1



2



3318050106890002



081225067868



TANJUNGSEKAR 2



2



6.9



1



2



3318050409740002



081225067868



TANJUNGSEKAR 3



2



7



1



1



2



3318051208770006



10/10/2018



3.



3318051903180002



3318056206180002



1 NAURA IRDINA ZAHRA



4.



3318050407080001



3318050404180001



3 HAIKAL MUZHAFFAR



04/04/18 L 18/01/18 P



2.7 SUNARTO



3318052910790003



081225067868



TANJUNGSEKAR 2



7.3



67



1



1



3.6 SUTARYONO



3318051209770002



081225067868



TANJUNGSEKAR 1



2



13



76



1



1



3318051009740001



081225067868



TANJUNGSEKAR 1



2



6.6



70



1



1



3318052007760002



081225067868



TANJUNGSEKAR 3



2



9.5



7.2



1



1



2



9.4



7.7



1



1



9.3



70



2



1



5.



3318050409090008



3318055801180002



2 ELSA SALSABILA ALHUSNA



6.



33180508041000008



3318054602180002



2 ANNIDA



06/02/18 P 21/02/18 L



7.



3318051212070396



3318052102180003



2 MOH IQBAL ALQHOFARI



8.



3318053110070006



3318050612170001



3 M.ABHIVAN DESTIYAN



06/12/17 L



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3318056909170001



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24/11/17 P



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3318051501840003



081225067868



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10. 3318052110160002



3318051507170001



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25/02/17 L



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3



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28/11/16 P



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2



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15/09/16 L



19. 3318051507080027



3318054705160001



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07/05/16 P



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2



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10.6



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3318050405160002



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04/05/16 L



21. 3318052112150002



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17/04/16 L



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22. 3318051407170001



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26/12/15 P



23. 3318051907130002



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04/06/16 P



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05/07/15 L



25. 3318051007150008



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21/05/15 L



2.9 NURSABHAN



33180514018600002



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TANJUNGSEKAR



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11/04/14 L



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3318050404760007



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3318050812700001



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3318055508140001



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15/03/14 P



29. 3318051212070493



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04/02/14 L



30. 3318050509160001



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06/01/18 L



35. 3318053011070668



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36. 3318051107170005



3318050709170002



1 RIHAN BANYU SAMUDRA



37. 3318050903150001



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08/10/17 L 07/0917



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22/06/17 L



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3318192101890004



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38. 3318051702160005



3318052008170001



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3



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24/02/17 P



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45. 3318051506100007



33180559081600



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19/08/16 P



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46. 3318052010070014



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03/07/16 L



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2



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11.5



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3318051704160001



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03/08/14 P



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12 87



56. 3318052406090008



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28/04/14 L



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3318054202170001



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58. 3318050811940001



3318053103150001



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31/03/15 L



59. 3318052811130002



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03/01/16 L



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60. 33180520091600004



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63. 3318052812120003 64. 3318051104090002 65. 3318050412170004 66. 3318051610170001 67. 3318052611140001



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08/06/18 L



2 HAIKAL ARIF



04/05/18 L



2.6 SUMIATI 4 SULASTRI



3318054404180001



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04/04/18 P



2.6 ERNA HERNAWATI 3318055604880004



3318055104180001



2 NUR ASSYFA



11/04/18 P



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3318056702180001 3318050903180001



1 INGGRIS ZASKIA 1 MUH FAIZ AL ARHAM



27/02/18 P 09/03/18 L



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2.2 SUMINAH 3.2 SELAMET R



3318051506840014



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TANJUNGSEKAR



1



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8.7



64



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69. 3318053011150003



3318050907170001



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09/07/17 L



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331805170118000



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17/01/18 L



72. 3318053006080007



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01/06/17 P



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9



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07/05/17 L



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3



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74. 3318052309160008



3318051604170001



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16/04/17 L



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3318050711910001



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TANJUNGSEKAR



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3318051104170002



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3318050102810002



78. 3318052010070035



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3318052210800001



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TANJUNGSEKAR



2



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2



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3318052803160001



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28/04/16 L



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3318052803160001



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2



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3318056302160002



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18/02/16 P



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2



1 10/10/2018 11,5



75



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1



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3318050102160001



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01/02/16 L



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3318051703830002



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13.2



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3318052909150001



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29/11/15 L



83. 3318051803140001



3318055507150001



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15/07/15 P



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84. 3318051312070273



3318051407150001



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04/07/15 L



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25/06/15 P



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3318051003150001



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28/02/15 P



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3318051301150001



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03/01/15 L



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3318052312140001



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23/12/14 L



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2



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2



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3318051911140001



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12.5



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22/10/14 P



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2



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96. 3318052411140004



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04/06/14 P



99. 3318051312070143



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20/07/14 P



100 3318052911070588



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2



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13.5



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16/04/14 L



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02/04/14 L



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3318052608770001



3318050907130001



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09/04/14 L



3.3 SUSILO



3318052806860001



3318055402150001 3318055803140001



2 HAFIZA KAELA 2 FARIDA ANISA SAFIA



14/02/15 P 18/03/14 P



3 NURSALAM 3.1 FARICHAH



3318051508810007 3317046007880003



106 3318050712150006



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1 DEWA ARMANSYAH



107 3317133108180001



3317130107180005



1 RAFA



108 3318051903150001



3318055204180002



1 ARSILLA FATIMAH



08/09/18 L 12/04/18 L



3.2 SUGIANTI 2.6 A.MASUD



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2



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7



65



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24/03/18 L



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6.9



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11/03/18 L



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2



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8.1



70



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112 3318051103170001



3318052908170002



1 M.AZKA ALGHOZALI



29/08/17 L



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3318042202910002



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1



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1 ANNISA IRDINA



05/12/13 P



115 331805270070170



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2 M.ZAINUL ARIFIN



01/09/15 L



4 PARDI



3 A. SALAM 2.8 MUCHROMIN



116 3318052805150005



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17/07/15 L



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3318051306890011



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22/10/17 L



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07/12/17 L



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3318054704140001



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07/04/14 P



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3318055403140001



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14/03/14 P



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122 3318052506120001



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06/02/18 P



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1 ALENA ATIA KASAFANI



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15/10/16 L



134 3318052401150002



3318054310150001



2 ALIKA NAILA PUTRI



03/10/15 P



135 3318052703170005



3318051105170001



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11/05/17 L



3.6 KARJANI 3 ULIN NIAM 3.6 SUYADI 3 M.TAMRIN



136 3318050311160003



3318051810160001



1 MOH. ALWI ZULFIKAR



18/10/16 L



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18/12/15 L



3318050505170001



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18/11/17 L



3.4 NURCHOLIS 3 RIRIK WARSITO



Vitamin A Vitamin A Februari Agustus 1=YA, 1=YA, 2=Tidak 2=Tidak



IMD 1=YA, 2=Tidak



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