You are on page 1of 9

LAP

Provinsi : Nusa Tenggara Barat


Kabupaten/Kota : Sumbawa Barat
Puskesmas : Brang Ene

Berat
NIK (Nomor Induk ANAK TANGGAL JENIS
No NAMA ANAK Badan
Kependudukan) KE LAHIR KELAMIN Lahir (Kg)

1 1214184606890010 AZKA 2016-03-01 1 3.2


2 1214184606890010 FAZRI 2013-09-28 1 2.8
3 5207071009130001 3 M. YASIN 2013-09-10 1 2.8
4 1214184606890010 M. ARKA 2013-09-30 1 2.8
5 1214184606890010 SAFRAN 2013-10-01 1 2.8
6 5207072604140001 2 M.HAIKAL RISQULLAH 2014-04-26 1 2.8
7 5207072405140001 1 AXCEL ARSA 2014-05-24 1 2.8
8 5207071306140001 1 AQSYAH JUNIANTARA 2014-06-13 1 2.8
9 5207071810140001 1 RADYASTA. O 2014-10-18 1 2.8
10 1214184606890010 M.HAIKAL 2013-10-06 1 2.8
11 5207072407140001 2 NOVAL 2014-07-24 1 3
12 5207071312140001 1 M.RANGGA ANSHARI 2014-12-13 1 2.8
13 5207070805150001 2 ALGIAN FEBRIZIO 2015-05-08 1 3
14 5207071602150001 2 DAFFA FAIZUL .G 2015-02-16 1 2.8
15 1214184606890010 BILAL ALFARIZI 2013-10-11 1 2.8
16 1214184606890010 ALWI APRILIAN 2013-10-12 1 2.8
17 1214184606890010 FATHUL SYAMIL 2013-10-13 1 2.8
18 1214184606890010 RISKI ARSIL 2013-10-14 1 2.8
19 1214184606890010 GIBRAN NURMANSYAH 2013-10-15 1 2.8
20 1214184606890010 ADITYA RAMDAN S 2013-10-16 1 2.8
21 1214184606890010 ARSYA RAMADAN 2013-10-17 1 2.8
22 1214184606890010 M.AMMAR ANUGRA 2013-10-18 1 2.8
23 1214184606890010 ALFAREZA 2013-10-19 1 2.8
24 5207071312160002 2 M.AHYAN ALGASALI 2016-12-13 1 3
25 5207071410150001 2 FARHAN OKTAVIANSYAH 2015-10-14 1 2.8
26 5207073010150001 1 JALIL SARIF FAWWAS 2015-10-30 1 2.8
27 1214184606890010 ABID ANUGRAH PRAJA 2013-10-23 1 2.8
28 5207071703160001 2 ALBY PRANAJA GHOZZAN 2016-03-17 1 2.8
29 1214184606890010 ARSYA 2013-10-25 1 2.8
30 1214184606890010 FAQIHUDDIN 2013-10-26 1 2.8
31 1214184606890010 M. FAIZ WARDANA 2013-10-27 1 2.8
32 5207072211170001 2 LUTFI HIDAYAT 2017-11-22 1 3
33 1214184606890010 RAZKA FIRRAZ ARRAZI 2013-10-29 1 2.8
34 1214184606890010 NABIL AYYUBI 2013-10-30 1 2.8
35 5207071102170001 4 M. MARIFAT 2017-02-11 1 2.8
36 1214184606890010 AFNAN ATMA P. 2013-11-01 1 2.8
37 5207074407170001 4 DAMAR YULIANSYAH 2017-07-04 1 2.8
38 1214184606890010 FIRAS NABIL 2013-11-03 1 2.8
39 1214184606890010 FATKA 2013-11-04 1 2.8
40 1214184606890010 ARFAN HAFIS 2013-11-05 1 2.8
41 1214184606890010 M. RIFAEL 2013-11-06 1 2.8
42 1214184606890010 GIFARI 2013-11-07 1 2.8
43 5207075602140001 2 ADAM FAIZ 2014-02-16 1 2.8
44 1214184606890010 DHEFIN 2013-11-09 1 2.8
45 1214184606890010 SYAQIL RAYYAN 2013-11-10 1 2.8
46 1214184606890010 RAFAEL 2013-11-11 1 2.8
47 1214184606890010 ARSIL 2013-11-12 1 2.8
48 5207075212140001 5 ROBY/FIRLI 2014-12-12 1 2.8
49 5207077112140001 3 ARYA RAMDANI 2015-01-31 1 2.8
50 1214184606890010 M. FATIR 2013-11-15 1 2.8
51 1214184606890010 NABIL JULIANSYAH 2013-11-16 1 2.8
52 1214184606890010 FADILA RAMADAN 2013-11-17 1 2.8
53 1214184606890010 SALWA ADE 2013-11-18 2 2.8
54 1214184606890010 SANIA SEPTRIASA 2013-11-19 2 2.8
55 1214184606890010 NUR ALFARA 2013-11-20 2 2.8
56 1214184606890010 RISKA OKTAVIA 2013-11-21 2 2.8
57 1214184606890010 LARASATI/LESTARI 2013-11-22 2 2.8
58 1214184606890010 SELY SUPITA 2013-11-23 2 2.8
59 1214184606890010 KOMALA DEWI 2013-11-24 2 2.8
60 5207075502160001 2 KAYLA 2016-02-15 2 2.8
61 1214184606890010 MAYLA SAHRATUL 2013-11-26 2 2.8
62 1214184606890010 INARA AZMI 2013-11-27 2 2.8
63 1214184606890010 JULITA 2013-11-28 2 2.8
64 1214184606890010 FARISA 2013-11-29 2 2.8
65 52075604160001 2 FATIHA 2016-04-16 2 2.8
66 1214184606890010 NAYLA CIKA SARI 2013-12-01 2 2.8
67 5207075401150001 1 AMIRA MAULIDA 2015-01-14 2 2.8
68 5207075802150001 3 BASMA 2015-02-18 2 2.8
69 1214184606890010 GINA HANIFA ANDITA 2013-12-04 2 2.8
70 1214184606890010 NAFLA RAMADHAN NUR 2013-12-05 2 2.8
71 1214184606890010 INKA CRASIFA 2013-12-06 2 2.8
72 1214184606890010 ALFIAH 2013-12-07 2 2.8
73 1214184606890010 ULFA YUNISA 2013-12-08 2 2.8
74 1214184606890010 JUANITA SAFITRI 2013-12-09 2 2.8
75 1214184606890010 YUSRA FIRDANSYAH 2013-12-10 2 2.8
76 1214184606890010 ZAHIRA YUMNA HASNI 2013-12-11 2 2.8
77 1214184606890010 ANDI AIRA 2013-12-12 2 2.8
78 1214184606890010 NISRIN FARZADININSAH 2013-12-13 2 2.8
79 5207074810160001 2 AURA SAFIRA 2016-10-08 2 2.8
80 5207076509160001 3 NASYWA TRIA ASHADIYANTI 2016-09-25 2 2.8
81 1214184606890010 ALESYA ZAHRA NURRAHMAN 2013-12-16 2 2.8
82 1214184606890010 NAURA GUSPITA D. 2013-12-17 2 2.8
83 1214184606890010 MUFIA RIFAYA 2013-12-18 2 2.8
84 1214184606890010 MUFIDA FAUZIA 2013-12-19 2 2.8
85 1214184606890010 ADILA NISA ATMARINI 2013-12-20 2 2.8
86 1214184606890010 RAISA ULYA 2013-12-21 2 2.8
87 1214184606890010 NAFILA MAULIDA 2013-12-22 2 2.8
88 1214184606890010 DILIRA 2013-12-23 2 2.8
89 1214184606890010 AFRIN ANISA 2013-12-24 2 2.8
90 1214184606890010 AQILA 2013-12-25 2 2.8
91 1214184606890010 SALWA 2013-12-26 2 2.8
LAPORAN HASIL PENIMBANGAN

Jumlah Balita : 558 orang

Nama Orang Tua NIK Orang Tua No Tlp/HP Orang Tua ALAMAT RT RW

FITRAN 520070 04275609880001 MANEMENG 3 3


SAHRULLAH 1214184606890010 MANEMENG 2 2
ANIS SURIANTO 5207071106810001 MANEMENG 4 2
RUDI 1214184606890010 MANEMENG 2 2
RAUF 1214184606890010 MANEMENG 2 2
ARIANTO 5207071206810001 MANEMENG 2 1
RIZAL 5207070406810002 MANEMENG 6 2
ROMANSYAH 5207072711850002 MANEMENG 8 3
SUDIMANSYAH 5207072707900001 MANEMENG 6 2
GUSRAN 1214184606890010 MANEMENG 2 2
UPIK 520702505830001 MANEMENG 1 1
EKO INDRA JAYA 5207070607880002 MANEMENG 8 3
BENI 5207071608820003 MANEMENG 2 2
HASYIM USMAN 5207070505830002 MANEMENG 7 3
IWAN 1214184606890010 MANEMENG 2 2
MAHERSYAH 1214184606890010 MANEMENG 2 2
MAHMUD 1214184606890010 MANEMENG 2 2
SAHREF 1214184606890010 MANEMENG 2 2
BURHAN 1214184606890010 MANEMENG 2 2
SUKRIN 1214184606890010 MANEMENG 2 2
M.SALEH 1214184606890010 MANEMENG 2 2
SUTARIADI 1214184606890010 MANEMENG 2 2
HERMAN 1214184606890010 MANEMENG 2 2
MUSLIHIN 5207072102860001 MANEMENG 2 2
SUHARJON 5207071604790001 MANEMENG 2 1
ALWAN.W 5207072510770001 MANEMENG 9 3
HADI 1214184606890010 MANEMENG 2 2
DENI HERMANTO 5207070406870002 MANEMENG 6 2
HEMANTO 1214184606890010 MANEMENG 2 2
JUNAIDI 1214184606890010 MANEMENG 2 2
ERWAN 1214184606890010 MANEMENG 2 2
SAMSUL HIDAYAT 5207071712890002 MANEMENG 2 2
JAYADI 1214184606890010 MANEMENG 2 2
IWAN BUDIANA 1214184606890010 MANEMENG 2 2
ANIS SURIANTO 5207071106810001 MANEMENG 4 2
IRWAN 1214184606890010 MANEMENG 2 2
WILDAN 5207071312800001 MANEMENG 7 3
SUKARDAN 1214184606890010 MANEMENG 2 2
IKHWANSYAH 1214184606890010 MANEMENG 2 2
IRHAM SOPI 1214184606890010 MANEMENG 2 2
RIDWANSYAH 1214184606890010 MANEMENG 2 2
HASYIM USMAN 1214184606890010 MANEMENG 2 2
LUKMAN 5207070407750001 MANEMENG 2 2
RONIFANSYAH 1214184606890010 MANEMENG 2 2
FITRIANI 1214184606890010 MANEMENG 2 2
SUDIANSYAH 1214184606890010 MANEMENG 2 2
BURHAN 1214184606890010 MANEMENG 2 2
SOFIAN 5207071110790001 MANEMENG 2 2
MASDEN 5207070607780001 MANEMENG 2 2
ISTARDIONO 1214184606890010 MANEMENG 2 2
SYAMCANDRA 1214184606890010 MANEMENG 2 2
SUTARIADI 1214184606890010 MANEMENG 2 2
UNDU 1214184606890010 MANEMENG 2 2
SUMARLAN 1214184606890010 MANEMENG 2 2
SYARAFUDIN 1214184606890010 MANEMENG 2 2
DEDI 1214184606890010 MANEMENG 2 2
SUBHAN 1214184606890010 MANEMENG 2 2
A.RUSMAN 1214184606890010 MANEMENG 2 2
SINARTI 1214184606890010 MANEMENG 2 2
TOMI 5207070903910001 MANEMENG 2 2
BURHANUDIN 1214184606890010 MANEMENG 2 2
SAHREN 1214184606890010 MANEMENG 2 2
HERU 1214184606890010 MANEMENG 2 2
IRMANSYAH 1214184606890010 MANEMENG 2 2
SUPARDI 5207072807840001 MANEMENG 2 2
TAMRIN 1214184606890010 MANEMENG 2 2
A. MALIK 5207070407880001 MANEMENG 9 3
SUDARLI 5207071902730001 MANEMENG 9 3
SUKARMAN 1214184606890010 MANEMENG 2 2
M.ALI 1214184606890010 MANEMENG 2 2
HENDRI 1214184606890010 MANEMENG 2 2
LUKMAN 1214184606890010 MANEMENG 2 2
SARAFUDIN 1214184606890010 MANEMENG 2 2
HARTONO 1214184606890010 MANEMENG 2 2
UNDU 1214184606890010 MANEMENG 2 2
ARMAYADI 1214184606890010 MANEMENG 2 2
MIFTAHUSSALAM 1214184606890010 MANEMENG 2 2
SUARDI 1214184606890010 MANEMENG 2 2
FITRAN WAHYUDI 5207071505880001 MANEMENG 6 2
MIHREM 5207071012780003 MANEMENG 6 2
TAUFIK 1214184606890010 MANEMENG 2 2
AGUS 1214184606890010 MANEMENG 2 2
MAHMUD 1214184606890010 MANEMENG 2 2
ABDUL MALIK 1214184606890010 MANEMENG 2 2
MAHARUDDIN 1214184606890010 MANEMENG 2 2
ROMANSYAH 1214184606890010 MANEMENG 2 2
SUJARMAN 1214184606890010 MANEMENG 2 2
DODI 1214184606890010 MANEMENG 2 2
PREAMSYAH 1214184606890010 MANEMENG 2 2
RUDI 1214184606890010 MANEMENG 2 2
FUTANDI 1214184606890010 MANEMENG 2 2
Cara Ukur ASI Vitamin A Vitamin A Ada Buku
IMD
Tanggal 1=Telenta Eksklusif Februari Agustus KIA
BB (Kg) TB (Cm) 1=YA,
pengukuran ng 1=YA, 1=YA, 1=YA, 1=ya
2=Tidak
2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=tidak
2017-04-21 14.3 101.2 2 2 1 2 Ada
2017-04-21 23.9 104.8 2 2 1 2 Ada
2017-04-22 15.0 101.0 2 2 1 2 Ada
2018-08-09 16.1 100.0 2 2 1 2 Ada
2018-08-09 13.9 98.9 2 2 1 2 Ada
2018-08-09 13.5 99.0 2 2 1 2 Ada
2018-08-09 11.0 91.5 2 2 1 2 Ada
2018-08-09 16.3 99.0 2 2 1 2 Ada
2018-08-09 12.9 93.9 2 2 1 2 Ada
2018-08-09 15.0 95.8 2 2 1 2 Ada
2018-08-09 13.4 93.9 2 2 1 2 Ada
2018-08-09 13.0 93.5 2 2 1 2 Ada
2018-08-09 12.6 95.8 2 2 1 2 Ada
2018-08-09 11.9 92.1 2 2 1 2 Ada
2018-08-09 12.7 93.0 2 2 1 2 Ada
2018-08-09 13.7 95.5 2 2 1 2 Ada
2018-08-09 12.1 91.4 2 2 1 2 Ada
2018-08-09 10.5 87.0 2 2 1 2 Ada
2018-08-09 12.6 90.3 2 2 1 2 Ada
2018-08-09 11.5 92.1 2 2 1 2 Ada
2018-08-09 12.3 89.4 2 2 1 2 Ada
2018-08-09 11.1 86.1 2 2 1 2 Ada
2018-08-09 13.0 89.0 2 2 1 2 Ada
2018-08-09 10.4 85.2 2 2 1 2 Ada
2018-08-09 10.6 84.3 2 2 1 2 Ada
2018-08-09 11.5 87.0 2 2 1 2 Ada
2018-08-09 12.6 86.8 2 2 1 2 Ada
2018-08-09 12.0 91.0 2 2 1 2 Ada
2018-08-09 8.5 78.7 2 2 1 2 Ada
2018-08-09 8.6 76.5 2 2 1 2 Ada
2018-08-09 10.7 81.5 2 2 1 2 Ada
2018-08-09 10.0 82.0 2 2 1 2 Ada
2018-08-09 9.6 80.9 2 2 1 2 Ada
2018-08-09 9.6 81.4 2 2 1 2 Ada
2018-08-09 9.0 75.0 2 2 1 2 Ada
2018-08-09 9.4 75.0 2 2 1 2 Ada
2018-08-09 10.1 75.5 2 2 1 2 Ada
2018-08-09 9.5 70.0 2 2 1 2 Ada
2018-08-09 9.2 72.5 2 2 1 2 Ada
2018-08-09 8.9 72.0 2 2 1 2 Ada
2018-08-09 7.3 68.0 2 2 1 2 Ada
2018-08-09 10.0 71.3 2 2 1 2 Ada
2018-08-09 8.2 69.5 2 2 1 2 Ada
2018-08-09 7.9 63.9 2 2 1 2 Ada
2018-08-09 7.8 67.0 2 2 1 2 Ada
2018-08-09 5.3 60.1 2 2 1 2 Ada
2018-08-09 7.0 63.5 2 2 1 2 Ada
2018-08-09 6.5 59.2 2 2 1 2 Ada
2018-08-09 5.6 56.0 2 2 1 2 Ada
2018-08-09 5.5 58.5 2 2 1 2 Ada
2018-08-09 5.1 53.0 2 2 1 2 Ada
2018-08-09 14.7 100.0 2 2 1 2 Ada
2018-08-09 13.9 99.7 2 2 1 2 Ada
2018-08-09 14.3 99.7 2 2 1 2 Ada
2018-08-09 13.5 99.9 2 2 1 2 Ada
2018-08-09 16.6 105.4 2 2 1 2 Ada
2018-08-09 14.7 102.5 2 2 1 2 Ada
2018-08-09 16.1 103.4 2 2 1 2 Ada
2018-08-09 15.0 99.0 2 2 1 2 Ada
2018-08-09 12.9 95.7 2 2 1 2 Ada
2018-08-09 14.7 99.0 2 2 1 2 Ada
2018-08-09 14.7 99.0 2 2 1 2 Ada
2018-08-09 12.6 96.0 2 2 1 2 Ada
2018-08-09 13.0 94.5 2 2 1 2 Ada
2018-08-09 10.8 88.8 2 2 1 2 Ada
2018-08-09 13.0 89.2 2 2 1 2 Ada
2018-08-09 14.0 94.8 2 2 1 2 Ada
2018-08-09 14.2 94.3 2 2 1 2 Ada
2018-08-09 13.6 95.0 2 2 1 2 Ada
2018-08-09 9.5 82.4 2 2 1 2 Ada
2018-08-09 14.3 94.0 2 2 1 2 Ada
2018-08-09 13.1 94.3 2 2 1 2 Ada
2018-08-09 10.0 81.5 2 2 1 2 Ada
2018-08-09 9.1 81.1 2 2 1 2 Ada
2018-08-09 10.6 83.9 2 2 1 2 Ada
2018-08-09 13.0 88.0 2 2 1 2 Ada
2018-08-09 11.0 82.9 2 2 1 2 Ada
2018-08-09 10.5 80.2 2 2 1 2 Ada
2018-08-09 11.0 79.0 2 2 1 2 Ada
2018-08-09 9.4 78.6 2 2 1 2 Ada
2018-08-09 9.2 79.0 2 2 1 2 Ada
2018-08-09 10.3 77.9 2 2 1 2 Ada
2018-08-09 8.6 72.0 2 2 1 2 Ada
2018-08-09 9.2 70.0 2 2 1 2 Ada
2018-08-09 6.5 66.0 2 2 1 2 Ada
2018-08-09 7.7 69.0 2 2 1 2 Ada
2018-08-09 7.7 66.0 2 2 1 2 Ada
2018-08-09 8.5 64.9 2 2 1 2 Ada
2018-08-09 5.0 56.2 2 2 1 2 Ada
2018-08-10 13.8 99.8 2 2 1 2 Ada
2018-08-11 12.1 94.3 2 2 1 2 Ada

You might also like