You are on page 1of 12

Propinsi : JATIM

Kabupaten/Kota: Pasuruan
Kecamatan : Gempol
Desa/Kelurahan: BALUN
ID Kecamatan
ID Kab. / Kota

ID Desa / Kel. Kelompok Jumlah


Nama Nama
No. Umur Nama Suami Tahapan KS Dasawism Anak
Posyandu WUS PUS a Hidup

1 2 3 4 5 6 7 8 9 10 11
1 14 12 6 BALUN KHOIR 20 B.K 1-Jan
2 14 12 6 BALUN LILIK M 42 SUYADI III 1-Jan 2
3 14 12 6 BALUN LASMANI 47 DURASMAT III 1-Jan 2
4 14 12 6 BALUN JUMAMI 45 SUTRISNO III + 1-Jan 3
5 14 12 6 BALUN SITI FATIM 24 B.K 1-Jan
6 14 12 6 BALUN WAHYU LIS 22 B.K 1-Jan
7 14 12 6 BALUN IKHTIFA 15 B.K 1-Jan
8 14 12 6 BALUN MISNI 58 WAKIDI II 1-Jan 3
9 14 12 6 BALUN TINA 47 KAMARI III 1-Jan 4
10 14 12 6 BALUN UMMU 13 B.K II 1-Jan
11 14 12 6 BALUN AMY 16 B.K II Jan-15
12 14 12 6 BALUN RINI 23 JANDA III Jan-15 1
13 14 12 6 BALUN SULASTRI 20 K III Jan-15 2
14 14 12 6 BALUN SUHERMIN 39 RIDWAN III Jan-15 6
15 14 12 6 BALUN REZA 19 B.K Jan-15
16 14 12 6 BALUN HILDA 17 B.K Jan-15
17 14 12 6 BALUN IRAWATI 37 JANDA III Jan-15 1
18 14 12 6 BALUN IS 50 SUPARTO III + Jan-15 6
19 14 12 6 BALUN LAILIL 21 B.K Jan-15
20 14 12 6 BALUN PENI 45 M. KIF III Jan-15 3
21 14 12 6 BALUN HEPPY 23 B.K Jan-15
22 14 12 6 BALUN DEWI AGUNG III Jan-15 1
23 14 12 6 BALUN SITI ZULA 42 FAYAKUN III + Jan-15 3
24 14 12 6 BALUN NURUL K 44 DARMO III Jan-15 2
25 14 12 6 BALUN NUR SULIK 33 K III Jan-15 1
26 14 12 6 BALUN SUWARNI 42 K III Jan-15 3
27 14 12 6 BALUN SULIYAH 56 K III Jan-15 1
28 14 12 6 BALUN SUMAIDAH 59 SAKIM II Jan-15 2
29 14 12 6 BALUN TUTIK 41 KUSNANTO III Jan-15
30 14 12 6 BALUN NURUL 51 EDI III Jan-15
31 14 12 6 BALUN SITI SUTIA 45 MUSLIMIN II Jan-15 2
32 14 12 6 BALUN MARIYAM 44 SHOLEH III Jan-15
33 14 12 6 BALUN MASRIFAH 49 JANDA II Jan-15
34 14 12 6 BALUN TITIK 38 UMAR III Jan-15 1
35 14 12 6 BALUN WIWIN 26 III Jan-15 1
36 14 12 6 BALUN ENDANG 31 III Jan-15 3
37 14 12 6 BALUN NUR ANDA 54 SADI M III Jan-15 4
38 14 12 6 BALUN ASTIK 48 S. PURNOMO III Jan-15 2
39 14 12 6 BALUN NITA ISTIQ 25 II Jan-15 1
40 14 12 6 BALUN FITRIA H 21 ANGGA III Jan-15 2
41 14 12 6 BALUN ALIYAH 52 SAKIR III Jan-15 2
42 14 12 6 BALUN AINUN 37 II Jan-15 1
43 14 12 6 BALUN ANIK 45 SUKOTRIMO III Jan-15 3
44 14 12 6 BALUN DEWI SUSA 34 MANSUR III Jan-15
45 14 12 6 BALUN SANIPAH 56 ABDUL III + Jan-15 2
46 14 12 6 BALUN SAPIKYAH 54 JANDA III + Jan-15 2
47 14 12 6 BALUN FARIDATUL 30 III Jan-15 2
48 14 12 6 BALUN BAITUL Y 28 III Jan-15 1
49 14 12 6 BALUN ENI P 39 JUNAS III Feb-15 2
50 14 12 6 BALUN PONISAH 49 SUMARNO III Feb-15 2
51 14 12 6 BALUN PUTRI 19 BK Feb-15
52 14 12 6 BALUN NUR ASTUT 41 KUSWANTO III Jan-15 2
53 14 12 6 BALUN SRI WAHYU 40 SAIFUDIN II Jan-15
54 14 12 6 BALUN ASPIATINI 48 SUYANTO III Feb-15 3
55 14 12 6 BALUN WIWIT 19 BK Feb-15
56 14 12 6 BALUN PONITI 42 PARMAN III Feb-15 2
57 14 12 6 BALUN FATIMAH 42 BASORI III Feb-15 2
58 14 12 6 BALUN TITIN 19 BK Feb-15
59 14 12 6 BALUN SUGIATI 15 BK Feb-15
60 14 12 6 BALUN NUR KHAS 47 EFENDI III Feb-15 1
61 14 12 6 BALUN ROMELAH 44 QODIR III Feb-15 1
62 14 12 6 BALUN SATUK 37 FARKHAN III Feb-15 3
63 14 12 6 BALUN SAMMAH 50 PONARI III Feb-15 2
64 14 12 6 BALUN SRI RAHAY 46 MAS'UD III Feb-15 2
65 14 12 6 BALUN FADILAH 42 JAENURI III + Feb-15 6
66 14 12 6 BALUN INTAN 16 BK Feb-15
67 14 12 6 BALUN AZIZAH 15 BK Feb-15
68 14 12 6 BALUN MERSIT 33 SOLIKIN III Feb-15 1
69 14 12 6 BALUN VITTA TRI 39 ARIFIN III Feb-15 3
70 14 12 6 BALUN SUMILA 33 SUDARTANTO III + Feb-15 3
71 14 12 6 BALUN SUMAINAH 40 BUDI III Feb-15 2
72 14 12 6 BALUN KHAYATI 43 M LUTFI III + Feb-15 5
73 14 12 6 BALUN INDAH 37 II 1
74 14 12 6 BALUN HUSNA II
75 14 12 6 BALUN MISTIN 42 UMAR TAJUDI III 3
76 14 12 6 BALUN AYUM 22 III
77 14 12 6 BALUN SRI ASTUTI 33 SUYADI III+ 2
78 14 12 6 BALUN SUMAIDAH 59 SLAMET III 1
79 14 12 6 BALUN KOMARIYA 59 MACHMUD II 3
80 14 12 6 BALUN SITI FATIM 36 HADI SISWATOIII 6
81 14 12 6 BALUN NUR AINI 40 II 3
82 14 12 6 BALUN REDANTY 22 III
83 14 12 6 BALUN MAIMUNA 51 SIRRI III+ 2
84 14 12 6 BALUN KURNIA 26 III+
85 14 12 6 BALUN ELLA RIFKI III
86 14 12 6 BALUN AIDA KISWANTO III+
87 14 12 6 BALUN NUR HAYAT 44 NEMAN III 2
88 14 12 6 BALUN JUMIATI 37 SAMSUL III 2
89 14 12 6 BALUN RINA 14 III
90 14 12 6 BALUN DIAN F 37 M SHOLEH III 3
91 14 12 6 BALUN DELLA 14 III
92 14 12 6 BALUN SUHIDA 32 HADI SISWOYOIII+ 2
93 14 12 6 BALUN MISTIN 59 SUDARMOTO III 3
94 14 12 6 BALUN KASMIRAH 38 SUTOYO III 2
95 14 12 6 BALUN PAIMAN 41 GIMIN III 3
96 14 12 6 BALUN FITRI 18 III
97 14 12 6 BALUN AYUM 19 III
98 14 12 6 BALUN TITIK H 33 M IRVAN III+ 2
99 14 12 6 BALUN SAMIANI 44 KASDU III 4
Pemberian

Penggantan
Kontrasepsi
Umur Jenis
Anak Imunisasi TT Kontrasep
Yodium
LILA
Meningga si Yang
l Dipakai
I II III IV V

12 13 14 15 16 17 18 19 20 21

5 TAHUN

0 BULAN

1
S
S
IUD

S
MOW
H
S

S
P

S
1 S
P

P
P

H
S
H
S
S
S
S

MOW
H
S
S

S
S

S
S

S
P
Tahun :
Bulan :

Keterangan
Jenis Yang
Digant

22 23

S
S
MOW

IUD

MOW
MOW
S
S

S
S

You might also like