LAPORAN HASIL KEGIATAN PIS PK DESA AIR MAYAN

KECAMATAN PASEMAH AIR KERUH KABUPATEN EMPAT LAWANG

KETERANGAN
No. Nama KK Alamat NIK Jumlah Persalinan Imunisasi Asi Pemantauan
KB TB Hipertensi Jiwa Merokok JKN Air Bersih Jamban
Keluarga Nakes Lengkap Ekslusif Tumbang
1 Sapri Desa Air Mayan 161107 2105650002 4 1 0 0 0 0 0 0 0 1 1 1 1

2 Darmawan Ys Desa Air Mayan 161107 0507680001 2 0 0 0 0 0 0 0 0 1 0 1 1

3 Ahmad Z Desa Air Mayan 161107 3009750002 3 1 0 0 0 0 0 0 0 1 1 1 0

4 Adi Sucipto Desa Air Mayan 161107 0506680001 4 1 0 0 0 0 0 0 0 1 1 1 0

5 Zairin Desa Air Mayan 161107 0107580041 2 0 0 0 0 0 0 1 0 0 0 1 1

6 Darmawan Desa Air Mayan 161107 0607680001 5 1 0 0 0 0 0 1 0 1 1 1 0

7 Nini Kurniati Desa Air Mayan 161107 5301030002 2 0 0 0 0 0 0 1 0 0 0 1 1

8 romeo Saputra Desa Air Mayan 0 3 1 1 1 1 0 0 0 0 1 0 1 1

9 Mailan Devica Desa Air Mayan 161107 1210720002 1 0 0 0 0 0 0 1 0 1 1 1 1

10 Heriyanto Desa Air Mayan 161107 0202650001 3 1 0 0 0 0 0 0 0 0 0 1 1

11 Ripai Desa Air Mayan 161107 0401560001 3 0 0 0 0 0 0 1 0 1 1 1 1

12 Samsul Bahri Desa Air Mayan 161107 01206650001 4 1 0 0 0 0 0 1 0 0 0 1 0

13 Cik nun Desa Air Mayan 0 2 0 0 0 0 0 0 0 0 0 0 1 1

14 Derhana S Desa Air Mayan 161107 0107520028 2 0 0 0 0 0 0 0 0 0 0 1 1

15 Rusdi M.Ali Desa Air Mayan 161107 0401690001 5 0 0 0 0 0 0 1 0 1 0 1 1

16 Apri Desa Air Mayan 0 3 0 0 0 0 0 0 1 0 1 1 1 1

17 Miki Desa Air Mayan 161107 1004900002 4 1 1 1 1 0 0 1 0 1 1 1 0

18 Yana Desa Air Mayan 0 3 0 0 0 0 0 0 0 0 1 1 1 1

19 Waisa Desa Air Mayan 0 2 0 0 0 0 0 0 1 0 0 0 1 1

20 Heriyanto Desa Air Mayan 161107 0107600024 2 0 0 0 0 0 0 1 0 1 1 1 0

21 Wendi H Desa Air Mayan 161107 2711910003 3 1 0 0 0 0 0 0 0 1 0 1 1

22 Herwan Desa Air Mayan 161107 2001600001 3 0 0 0 0 0 0 1 0 1 0 1 1

23 Rohasul Desa Air Mayan 0 5 0 0 0 0 0 0 0 0 0 1 1 0

24 Royadi Desa Air Mayan 161107 0810720003 4 0 0 0 0 0 0 0 0 1 1 1 1

25 H. Sarkowi Desa Air Mayan 0 2 0 0 0 0 0 0 0 0 0 1 1 1

26 Dino Desa Air Mayan 161107 1212 700004 5 1 0 0 0 0 0 0 0 1 0 0 0

27 Herlamandan Desa Air Mayan 161107 1107780002 4 1 0 0 0 0 0 0 0 1 0 1 0

28 Supandi Desa Air Mayan 161107 0204760002 4 1 0 0 0 0 0 0 0 1 0 1 1

29 Dodi Dian pika Desa Air Mayan 161107 1208840001 4 1 0 0 0 0 0 0 0 1 0 1 0

30 Aliyo Desa Air Mayan 161107 0107620043 3 0 0 0 0 0 0 0 0 1 0 1 1

31 Anis Marsuanti Desa Air Mayan 0 2 0 0 0 0 0 0 0 0 0 0 1 1

32 Alman Desa Air Mayan 0 2 1 0 0 0 0 0 0 0 0 1 1 1

33 Maslino Desa Air Mayan 0 4 0 0 0 0 0 0 0 0 1 0 1 1

34 Purwanto Desa Air Mayan 0 2 0 0 0 0 0 0 0 0 0 0 1 0

35 Ansori Desa Air Mayan 0 2 0 0 0 0 0 0 0 0 1 0 1 1

36 Anton Desa Air Mayan 0 1 0 0 0 0 0 0 0 0 0 0 1 0

37 Gunadi Desa Air Mayan 0 3 1 0 0 0 0 0 0 0 1 0 1 1

38 Amrin Desa Air Mayan 0 2 0 0 0 0 0 0 0 0 1 0 1 1

39 Bahuri Desa Air Mayan 161107 2704760003 5 1 0 0 0 0 0 0 0 0 0 1 1

40 M.rianto Desa Air Mayan 161107 0811780001 4 1 0 0 0 0 0 0 0 1 0 1 0

41 Erlius Desa Air Mayan 161107 2802710001 5 1 0 0 0 0 0 0 0 1 0 1 1

42 Suma Riyo Desa Air Mayan 161107 0111710002 4 0 0 0 0 0 0 0 0 1 0 1 1

43 Broli Renaldo Desa Air Mayan 161107 0707890012 4 1 0 0 0 0 0 0 0 1 0 1 1

44 Hardi Desa Air Mayan 161107 0101650002 4 0 0 0 0 0 0 0 0 1 0 1 1

45 Jusmanila Desa Air Mayan 0 4 0 0 0 0 0 0 0 0 1 0 1 1

46 Imron Desa Air Mayan 161107 0311470001 3 0 0 0 0 0 0 0 0 1 1 1 1

47 Asran Desa Air Mayan 0 3 1 0 0 0 0 0 0 0 1 0 1 1

48 Amransari Desa Air Mayan 161107 0911670001 6 1 0 0 0 0 0 0 0 1 0 1 1

49 Almini Desa Air Mayan 161107 1808550001 3 0 0 0 0 0 0 0 0 0 1 1 1

50 Espin Hartono Desa Air Mayan 161107 2111760002 6 1 0 0 0 0 0 0 0 1 0 1 1

51 Idham Holik Desa Air Mayan 161107 0411750001 6 1 0 0 0 0 0 0 0 1 0 1 1

52 Jaman Desa Air Mayan 161107 0307610001 3 0 0 0 0 0 0 0 0 1 0 1 1

53 Ansori Desa Air Mayan 161107 2504640001 3 1 1 0 1 0 0 0 0 1 0 1 0

54 Suparto Desa Air Mayan 161107 0209780001 3 1 0 0 0 0 0 0 0 1 1 1 1

55 Herto Desa Air Mayan 161107 1607000001 3 0 0 0 0 0 0 0 0 1 0 1 1

56 Baharudin Desa Air Mayan 161107 1907530001 3 0 0 0 0 0 0 0 0 0 0 1 1

57 Budi santoso Desa Air Mayan 161107 0401780005 4 0 0 0 0 0 0 0 0 0 0 1 1

58 Romlah Desa Air Mayan 161107 1603740001 2 0 0 0 0 0 0 0 0 1 1 1 1

59 Mailan Efendi Desa Air Mayan 161107 0906860001 4 0 0 0 0 0 0 0 0 1 0 1 0

60 Edi Suwito Desa Air Mayan 161107 1108740001 4 0 0 0 0 0 0 0 0 1 1 1 1

61 Amran Desa Air Mayan 161107 1902670001 6 0 0 0 0 0 0 0 0 1 1 1 1

62 Adi Candra Desa Air Mayan 161107 0404840005 4 1 0 0 0 0 0 0 0 0 1 1 1

63 Parizal Desa Air Mayan 161107 0107760031 4 1 0 0 0 0 0 0 0 1 1 1 1

64 Sisramudin Desa Air Mayan 161107 2707690003 6 1 0 0 0 0 0 0 0 0 1 1 0

65 Inggo PS Desa Air Mayan 161107 1705880003 3 1 0 0 0 0 0 0 0 1 0 1 0

66 Sunardi Desa Air Mayan 161107 4611590001 6 0 0 0 0 0 0 0 0 0 1 1 0

67 Yusipa Desa Air Mayan 161107 5111630001 3 1 0 0 0 0 0 0 0 0 1 1 0

68 Juni Jupiter Desa Air Mayan 161107 1508870001 3 1 0 0 0 0 0 0 0 1 0 1 1

69 Alian Desa Air Mayan 161107 2804600002 3 0 0 0 0 0 0 0 1 1 0 1 1

70 Yudi Sutiarjono Desa Air Mayan 161107 0301880003 3 1 0 0 0 0 0 0 0 1 0 1 1

71 Sapri Desa Air Mayan 161107 2105650002 4 1 0 0 0 0 0 0 0 1 1 1 1

72 Suryadi Desa Air Mayan 161107 1508730002 6 1 0 1 1 0 0 0 0 1 1 1 1

73 Rozi Desa Air Mayan 0 2 1 0 0 0 0 0 0 0 1 0 1 1

74 Rustam A Desa Air Mayan 161107 1703700001 5 1 0 1 0 0 0 0 0 0 0 1 1

75 Sunaini Desa Air Mayan 161107 4407690002 3 0 0 0 0 0 0 0 0 1 0 1 1

76 Febri Desa Air Mayan 0 3 1 0 0 0 0 0 0 0 1 0 1 0

77 Abu Hasan A Desa Air Mayan 161107 1006750001 3 0 0 0 0 0 0 0 0 1 1 1 1

78 Aidil Putra Y Desa Air Mayan 161107 3112960001 4 1 1 1 1 1 0 0 0 1 0 1 0

79 Untung S Desa Air Mayan 161107 2311770001 4 1 0 0 0 0 0 0 0 0 0 1 1

80 Adi Sumantri Desa Air Mayan 161107 0710790001 4 1 0 1 0 1 0 0 0 1 0 1 0

81 Atarmizi Desa Air Mayan 161107 0511660001 4 0 0 0 0 0 0 0 0 1 0 1 0

82 Sunardi Desa Air Mayan 161107 0606790001 4 1 0 0 0 0 0 0 0 1 0 1 0

83 Paruk Desa Air Mayan 161107 2609660001 3 0 0 0 0 0 0 0 0 1 1 1 1

84 Ridwan Desa Air Mayan 161107 0405820001 5 1 0 0 0 0 0 0 0 1 0 1 0

85 Indra S Desa Air Mayan 161107 0509730002 4 1 0 0 0 0 0 0 0 0 1 1 1

86 Nasrun Desa Air Mayan 161107 0101740001 4 1 0 0 0 0 0 0 0 1 0 1 1

87 Idit Desa Air Mayan 161107 0401530002 5 0 0 0 0 0 0 0 0 0 0 1 1

88 Bastaman Desa Air Mayan 161107 1808610001 4 1 0 0 0 0 0 0 0 1 0 1 1
 LAPORAN HASIL KEGIATAN PIS PK DESA TALANG PADANG
KECAMATAN PASEMAH AIR KERUH KABUPATEN EMPAT LAWANG

KETERANGAN
No. Nama KK Alamat NIK Jumlah Persalinan Imunisasi Asi Pemantauan
KB
Keluarga Nakes Lengkap Ekslusif Tumbang
1 AGUS SANTOSO TL.PADANG 161107 1708890002 4 Yes No No No No
2 AMRAN TL.PADANG 161107 5005760002 5 Yes No No No No
3 ANAM TL.PADANG 161107 0107520061 6 Yes No No No No
4 ARES MUNANDAR TL.PADANG 161107 0505730002 3 No No No No No
5 ARMAN TL.PADANG 161107 0107790062 4 Yes No No No No
6 AUDI TL.PADANG 161107 2704880003 3 Yes No No No No
7 BAKIR TL.PADANG 161107 1207710001 4 Yes No No No No
8 BURLIAN JAYA TL.PADANG 161107 1903760001 4 Yes No No No No
9 BUSTAM TL.PADANG 4 No No No No No
10 BUSTARI TL.PADANG 161107 0104640001 3 Yes No No No No
11 BUYUNG SAFRI TL.PADANG 161107 0109550002 3 Yes No No No No
12 CANIA TL.PADANG 161107 4507480001 1 No No No No No
13 CIKAYA TL.PADANG 161107 4506500002 2 No No No No No
14 DIAN TL.PADANG 161107 0405930001 3 Yes Yes Yes Yes No
15 DODI SANTOSO TL.PADANG 161107 0505840004 4 Yes No No No No
16 ELIYA TL.PADANG 161107 0410770051 2 No No No No No
17 ENDANG EKA S. TL.PADANG 161107 1003970002 3 Yes No No No No
18 ENTONI TL.PADANG 161107 0808760005 3 Yes No No No No
19 GANDA TL.PADANG 161107 0408800004 4 Yes No No No No
20 HADIANTO TL.PADANG 161107 1706800001 5 Yes No No No No
21 HAKMAN JAYADI TL.PADANG 161107 0212760001 5 Yes No No No No
22 HAMBALI TL.PADANG 161107 0407570001 2 No No No No No
23 HAMDAN TL.PADANG 161107 0310680002 6 Yes No No No No
24 HENGKI PUTRA TL.PADANG 161107 1210880001 4 Yes No No No No
25 HERIANTO TL.PADANG 161107 2512860001 6 Yes Yes Yes Yes No
26 HERWANTO TL.PADANG 161107 0107790069 5 Yes No No No No
27 IDIN TL.PADANG 161107 0107600059 2 No No No No No
28 ILHAM TL.PADANG 3 Yes Yes Yes Yes No
29 IMANTAP TL.PADANG 2 No No No No No
30 INDRA TL.PADANG 161107 4107580039 2 No No No No No
31 IRMANTO TL.PADANG 4 Yes No No No No
32 MARION ISLAN TL.PADANG 161107 2304830001 4 Yes No No No No
33 JAHARMAN TL.PADANG 161107 0406690001 5 Yes No No No No
34 JAHRAN TL.PADANG 161107 0709810002 4 Yes No No No No
35 JAMAL TL.PADANG 161107 1009610002 4 Yes No No No No
36 JASARMAN TL.PADANG 161107 2710760001 4 Yes No No No No
37 SUHIRMAN JAYA TL.PADANG 161107 1802610001 3 Yes No No No No
38 JEPRI TL.PADANG 161107 1012780005 4 Yes No No No No
39 JUKAR SIDI TL.PADANG 161107 1005730001 6 No No No No No
40 KUSIM TL.PADANG 161107 1802380001 2 No No No No No
41 JUMADIL TL.PADANG 161107 0100883004 4 Yes No No No No
42 LIMI TL.PADANG 161107 1608630001 6 No No No No No
 KETERANGAN
No. Nama KK Alamat NIK Jumlah Persalinan Imunisasi Asi Pemantauan
KB
Keluarga Nakes Lengkap Ekslusif Tumbang
43 LISMAN TL.PADANG 6 Yes No No No No
44 LUKMAN HAKIM TL.PADANG 161107 2805650002 4 Yes No No No No
45 M YAHIN TL.PADANG 161107 0406590003 3 Yes No No No No
46 MAN TL.PADANG 161107 0210480001 2 Yes No No No No
47 MANAR TL.PADANG 161107 1304430002 4 No No No No No
48 MEGAWATI TL.PADANG 161107 0430458003 2 No No No No No
49 MUHA TL.PADANG 161107 1703550001 3 No No No No No
50 MUJIANTO TL.PADANG 161107 2909810001 4 Yes No No No No
51 MULKAN AR TL.PADANG 161107 0604740001 7 Yes No No No No
52 NANUNG TL.PADANG 161107 0308690001 6 Yes No No No No
53 NARDIANTO TL.PADANG 161107 0204850001 3 Yes No No No No
54 NASRI TL.PADANG 161107 0107620095 2 No No No No No
55 PARIMAN TL.PADANG 3 Yes No No No No
56 RAHIMA TL.PADANG 161107 4503450001 1 No No No No No
57 RAHMAT TL.PADANG 161107 0407650001 6 Yes No No No No
58 RAIIN TL.PADANG 161107 0107470055 2 No No No No No
59 REFKI TL.PADANG 161107 1806900002 3 Yes Yes Yes Yes No
60 RIDWAN TL.PADANG 161107 0110690003 6 Yes No No No No
61 ROMADHON TL.PADANG 161107 1707800003 4 Yes No No No No
62 ROZIANTO TL.PADANG 161107 2606780004 4 Yes No No No No
63 RUSI APANDI TL.PADANG 161107 0107770107 4 Yes No No No No
64 RUSMIN NURJADIN TL.PADANG 161107 0509870002 3 Yes No No No No
65 SAFRI RAMADAN TL.PADANG 161107 1712740001 5 Yes No No No No
66 SAHAR TL.PADANG 161107 1005400001 1 No No No No No
67 SAHIDI TL.PADANG 161107 0107700077 5 Yes No No No No
68 SAIFUL ANWAR TL.PADANG 161107 0707780005 4 Yes No No No No
69 SALMIN TL.PADANG 161107 0508820003 3 Yes No No No No
70 SAMSUL ANWAR TL.PADANG 3 No No No No No
71 SAMSURI TL.PADANG 161107 1312700001 5 Yes No No No No
72 SAPRIN HADI TL.PADANG 161107 1203700001 5 Yes No No No No
73 SAPUWIN TL.PADANG 161107 0107090063 4 Yes No No No No
74 SARKAWI TL.PADANG 161107 0905680001 5 Yes No No No No
75 SARKAWI NOVI TL.PADANG 161107 0103880004 4 Yes No No No No
76 SENAWATI TL.PADANG 161107 4107910027 2 No No No No No
77 SUROTO TL.PADANG 161107 1204850002 4 No Yes Yes Yes No
78 SOHAN EFENDI J TL.PADANG 161107 0907800004 6 Yes No No No No
79 SUANDI TL.PADANG 170503 0811750001 5 Yes No No No No
80 SUBAIDA TL.PADANG 161107 4107580039 2 No No No No No
81 SUBANDI TL.PADANG 161107 0107590054 3 Yes No No No No
82 SUDARMONO TL.PADANG 3 No No No No No
83 SUDARSONO TL.PADANG 161107 0107400034 5 Yes No No No No
84 SULI TL.PADANG 161107 0607750001 4 Yes No No No No
85 SUPIAN GUNAWANTL.PADANG 161107 0107820094 4 Yes No No No No
86 SURIADI TL.PADANG 4 No No No No No
87 TAMRIN TL.PADANG 161107 1205550002 4 No No No No No
 KETERANGAN
No. Nama KK Alamat NIK Jumlah Persalinan Imunisasi Asi Pemantauan
KB
Keluarga Nakes Lengkap Ekslusif Tumbang
88 TOMI SAPUTRA TL.PADANG 161107 0603930001 3 Yes No No No No
89 UJANG KHARI TL.PADANG 161107 2308750001 4 No No No No No
90 WAMIN TL.PADANG 161107 1807570001 4 No No No No No
91 WINDI TL.PADANG 161107 2503820002 4 Yes No No No No
92 YAHIMA TL.PADANG 161107 6407580001 3 No No No No No
93 YAM TL.PADANG 161107 5006560001 4 No No No No No
94 YAN TL.PADANG 161107 3012430001 2 No No No No No
95 YET TL.PADANG 161107 0405620001 7 Yes No No No No
96 YONO TL.PADANG 2 No No No No No
97 YUDIN TL.PADANG 2 No No No No No
98 YULIUS VANHOTEN TL.PADANG 161107 2412910001 4 Yes No No No No
99 ZAINUDN TL.PADANG 161107 0508800008 4 Yes Yes Yes Yes No
100 ZAIRIN TL.PADANG 161107 3 Yes No No No No
101 MAHRIN TL.PADANG 161107 0803840005 5 Yes No No No No
102 YUSUP TL.PADANG 161107 0201550001 1 No No No No No
103 JUMADI TL.PADANG 161107 0107600063 5 Yes No No No No

Persalinan Imunisasi Asi Pemantauan

JUMLAH KK JUMLAH JIWA Kriteria KB
Nakes Lengkap Ekslusif Tumbang
Yes 69 6 6 6 0
103 386
No 34 97 97 97 103
G PADANG
PAT LAWANG

KETERANGAN

TB Hipertensi Jiwa Merokok JKN Air Bersih Jamban

No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes No
No Yes No Yes Yes Yes Yes
No Yes No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes Yes Yes No
No `Yes No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No No No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes Yes Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes Yes Yes Yes
No No No Yes No Yes No
No No No Yes No Yes No
No Yes No Yes Yes Yes Yes
No Yes No Yes Yes Yes Yes
KETERANGAN

TB Hipertensi Jiwa Merokok JKN Air Bersih Jamban

No No No Yes No Yes Yes

No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes Yes Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes Yes Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No Yes No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes Yes Yes No
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes Yes
KETERANGAN

TB Hipertensi Jiwa Merokok JKN Air Bersih Jamban

No No No Yes No Yes No
No No No Yes No Yes No
No Yes No Yes Yes Yes Yes
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes No Yes Yes
No No No Yes No Yes No
No No No Yes Yes Yes Yes
No No No Yes No Yes No
No No No Yes No Yes No
No No No Yes No Yes No
No Yes No Yes No Yes No
No Yes No Yes No Yes No

TB Hipertensi Jiwa Merokok JKN Air Bersih Jamban

0 8 0 102 11 103 47
103 94 103 1 92 0 56
 LAPORAN HASIL KEGIATAN PIS PK DESA TALANG PADANG

Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
1 CHANDRA "1611070911850001 L 1 09-11-1985 N N N N N N N N T Y Y T
NIKI DARTI "1611074605860001 P 2 06-05-1986 Y N N N N N N N Y Y Y T
0.60 PRA SEHAT
MAIKHEL "1611070911070002 P 3 09-11-2007 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
2 DEDI DORES "1611072707790001 L 1 27-07-1979 N N N N N N N N T T Y T
DEWI "1611074910780001 P 2 09-10-1978 Y N N N N N N N Y T Y T
MERI ANDANI "1611077012970002 P 3 30-12-1999 N N N N N N N N N T Y T
ROPIAN PERNANDES "1611072310020001 L 3 23-10-2002 N N N N N N N N N T Y T
0.50 PRA SEHAT
SERLI RAPIKASARI "1611075609090001 p 3 16-09-2009 N N N N N N N N N T Y T
ZERA APRILLIA "1611076406122002 p 3 24-06-2012 N N N N N N N N N T Y T
NANDIRA TAFANA "1611074111150001 p 3 01-11-2015 N N N N Y N N N N T Y T
1 N N N 1 N N N 0 0 1 0
3 ROIMUN "1611072712810001 L 1 27-12-1981 N N N N N N N N T T Y T
SYAHANTI "1611076003820001 P 6 20-03-1982 Y N N N N N N N Y T Y T
SUJIRDO MUHAMMAD SYAPUTRA "1611070403050002 L 3 04-03-2005 N N N N N N N N N T Y T
0.40 TIDAK SEHAT
RETNO PRAWIDODO "1611075306070001 L 3 13-03-2007 N N N N N N N N N T Y T
MEYSHIN ZHARA ALFADILA "1611076102100003 P 3 20-02-2010 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
4 TUHIRMAN "1611070708730003 L 1 07-08-1973 N N N N N N N N T T Y Y
SUSILA "1611074805810002 P 6 08-05-1981 Y N N N N N N N Y T Y Y
CICA OMANIA "1611076702060001 P 3 27-02-2006 N N N N N N N N N T Y Y 0.60 PRA SEHAT
DELA LESTARI "1611074803140001 P 3 08-03-2014 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1
5 EFRIADI "1611070607830001 L 1 05-07-1983 N N N N N N N N T Y Y Y
SHINTA PURNAMASARI "1611076209870003 P 6 22-09-1987 Y N N N N N N N Y Y Y Y
AULIA CHINTIABELLA "1611076404090001 P 3 24-04-2009 N N N N N N N N N Y Y Y 0.80 PRA SEHAT
KENZIE ADELARDO "1611071112130001 L 3 11-12-2013 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
6 EMRAN SUPARDI "1611070709790002 L 1 07-09-1979 N N N N N N N N T T Y T
WIMI IRDIYANTI "1611074604860001 P 6 06-04-1986 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
EMA NOVITASARI "1611076605020001 P 3 16-05-2002 N N N N N N N N N T Y T
AMELIA NOVISA SAPUTRI "1611075205070001 P 3 12-05-2007 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0

7 SUPRIADI "1611071603820004 L 1 15-0301982 N N N N N N N N T T Y Y

NINA MIRNA "1611074107870009 P 6 01-07-1987 Y N N N N N N N Y T Y Y
0.60 PRA SEHAT
SILPER PATRIK PILO PITO "1611070301060001 L 3 03-01-2006 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1
8 SARKONI "1611070103890001 L 1 01-03-1989 N N N N N N N N T T Y T
JURIA "1611075203850002 P 6 12-03-1985 Y N N N N N N N Y T Y T
SALMAN ROMADON "1611070101000006 L 3 01-01-2000 N N N N N N N N T T Y T 0.40 TIDAK SEHAT
SELA WANDIRA "1611074204040002 P 3 02-04-2004 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
9 DAVID RAZULI "1611071606860008 L 1 16-06-1986 N N N N N N N N T T Y T
LIA KONTESA "1611075805920002 P 6 16-05-1992 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
AQIL RAFIF RAZULI "[1611072308140001 L 3 23-08-2014 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
10 ROBINSON "1611072711800002 N N N N N N N N T T Y Y
DEVI SINTIA "1611074804840001 Y N N N N N N N Y T Y Y
ROLIEN GALILEO "1611070308050002 N N N N N N N N N T Y Y 0.60 PRA SEHAT
DEVO ELAN KUSUMA "1611072003100001 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1
11 JOMRAN "1611070511770001 N N N N N N N N T T Y T
SUTRA "1611070211960001 N N N N N N N N T T Y T
JHENS SARLIT "1611076111060001 N N N N N N N N N T Y T 0.25 TIDAK SEHAT
ZHILLA NISWATUN TAZAKKA "1611075704130001 N N N N N N N N N T Y T
N N N N N N N N 0 0 1 0
12 PRAYOGA "1611070503850003 N N N N N N N N T T Y T
WEKA LORETA "1611074512920001 Y N N N N N N N Y T Y T
GLEN ALINSKY "1611072109100001 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
ZASKIA "1611076401130001 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
13 APRILIAN NANDA "1771061404930001 N N N N N N N N T T Y T
RISTEN WIDARTI "1771066011930001 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
KARISA FEBY ANANDA "1771065201120005 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
14 ARMAN TONI "1611070505860004 N N N N N N N N T T Y T
SRI SUHESTI MAYA NOVIKA SARI "1611074105880003 Y N N N N N N N Y T Y T
ADITIYA WAHYU PRATAMA "1611071405100004 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
DEVIKA FELICIA "1611073412180002 N N N N N N N N N T Y T
1N N N N N N N 0 0 1 0
15 NANUNG HARIYADI "1611070808690001 N N N N N N N N T T Y T
RIA ASPANI "1611074503830001 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
ANISA EKA NURJANA "1611074403970003 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
16 ARDI ARMANSYAH "1611071901750001 N N N N N N N N T T Y T
RIKA "1611075205820002 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
0.40 TIDAK SEHAT
PANGKY BATARA "1611070702090001 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
16 SURAPTO "1611070506810002 N N N N N N N N T T Y T
HELMI DAYANTI "1611074102870002 Y N N N N N N N Y T Y T
M.EDO ALVIS EKA PUTRA "1611072401050001 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
SUTARI MELINDA DWI PUTRI "1611075905090001 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
17 HARMAWI "1611070507790003 N N N N N N N N T T Y T
RATIKA "1611074909850002 Y N N N N N N N Y T Y T
HERLI MARIANSYAH "1611072103000003 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
M.ARAFA HABILLA "1611072911080001 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
18 SISWANTO "1611071304860001 N N N N N N N N T T Y Y
PUSNENGLIS "1611074504910003 Y N N N N N N N Y T Y Y
ANISA PADILA "1611076804080001 N N N N N N N N N T Y Y PRA SEHAT
AZWA DWI PERMATA "1611076703130001 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1 0.60
19 ROMADHON JULASTRI "1611071604750002 N N N N N N N N T T Y T
RITA ASPANI "1611076302780001 Y N N N N N N N Y T Y T
RATESKO HARIANZAH "1611071204980001 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
MALSI HANDAYANI "1611074407050001 N N N N N N N N 0 T Y T
1 N N N N N N N 0 0 1 0
20 YANDI "1611070407810008 N N N N N N N N T T Y Y
HERMA NINGSI "1611076004080001 Y N N N N N N N Y T Y Y
RISKY ERIA VONDA "1611070705010001 N N N N N N N N N T Y Y
0.60 PRA SEHAT
DAVID DARMAWANSYAH "1611072309060001 N N N N N N N N N T Y Y
FADLY MEIBIANSYAH "1611071505120003 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1
21 IWAN SUTIYOSO "1611070607810001 N N N N N N N N T T Y T
WAHILA WATI "1611076404860003 Y N N N N N N N Y T Y T
MEISSY EKA PUTRI "1611075206030002 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
PERANIKA LOPENZA "1611076208120001 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
22 TARMIZI "1611071600790001 N N N N N N N N T T Y T
NURSIA "1611073116780001 Y N N N N N N N Y T Y T
OKITA KURNIAWAN "1611072305990001 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
ENITA SAPITRI "1611073404040004 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
23 KURWARAK "1611070204730003 N N N N N N N N T T Y Y
MURNI "1611074810850001 Y N N N N N N N Y T Y Y
ALBI SAPUTRA "1611070305040001 N N N N N N N N N T Y Y 0.60 PRA SEHAT
MAWARSI "1611074101120002 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1
24 JUMALDIN "1611071202750001 N N N N N N N N T T Y Y
LENI MARLENA "1611075603860001 Y N N N N N N N Y T Y Y
AJI RONALDO "1611072607020001 N N N N N N N N N T Y Y
0.60 PRA SEHAT
RENAL ARIPIN "1611072706060001 N N N N N N N N N T Y Y
LESTI MAYANG SARI "1611076401160001 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1
25 JAYA SAPUTRA "1611072101850003 N N N N N N N N T T Y T
IZA TRISNAWATI "1611075803920002 Y N N N N N N N Y T Y T
ADI SAPUTRA "1611072512090001 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
ZIKRI AKBAR "1611070902130003 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
26 DESMAN "1611071011820001 N N N N N N N N T T Y T
ILUSTRI RAMAYANI "1611075302820001 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
M.DAFFA PRATAMA "1611070507110002 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
27 BAMBANG SUNARKO "1611071011840001 N N N N N N N N T T Y T
WELI ISWANTI "1611076301850003 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
BRAM ALIRAHMAT "1611071909090001 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
28 MARJALI "1611070302750003 N N N N N N N N T T Y T
MUSNI "1611075001780002 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
DEDI SISWANTO "1611072906000001 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
29 BENI ROBIANI "1611070609820002 N N N N N N N N T T Y T
RUMAYANA "1611075708830002 Y N N N N N N N Y T Y T
AHMAD RIZAKI RAFASYA "1611071107120001 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
JIHAN TALITAULFA "1611075601140001 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
30 RUDI HARTONO "1611071105820003 N N N N N N N N T T Y T
SILA WATI "1611075010850005 Y N N N N N N N Y T Y T
WENI SILVIA "1611076407040003 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
AQILA CHIKA SELVIA "1611074712120001 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
31 WELZI JULIASTRO "1611071410900004 L 1 14-10-1990 N N N N N N N N T T Y T
PATMA PUSPITA SARI "1611074610940001 P 6 01-10-1994 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
WENGGA FEBHOLIS ADRIANSYAH "1611071502120002 L 3 02-12-2012 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
32 HENDRI "1611071205840001 L 1 12-05-1984 N N N N N N N N T T Y T
0.40 TIDAK SEHAT
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
WEWEN "1611077004940001 P 6 07-05-1994 Y N N N N N N N Y T Y T 0.40 TIDAK SEHAT
ADI HERWANTO "1611071104100001 L 3 10-04-2001 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
33 LUSI SURIADI "1611072811790001 L 1 28-11-1979 N N N N N N N N T Y Y Y
YENI RESILAWATI "1611076504840001 P 6 06-04-1984 Y N N N N N N N Y Y Y Y 0.80 SEHAT
SANGKUT YULISTIA "1611076508130001 P 3 05-08-2013 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
34 SAJI "1611071703790003 L 1 17-03-1979 N N N N N N N N T T Y Y
NINI SUMARNI "1611075905840004 P 6 19-05-1984 Y N N N N N N N Y T Y Y
0.60 PRA SEHAT
BELLA NISA JUNIARNI "1611074406020003 P 3 04-06-2002 N N N N N N N N N T Y Y
ABDI DILLA "1611071308150001 L 3 18-08-2015 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1
35 MAHUDI "1611072909770001 L 1 09-08-1977 N N N N N N N N T Y Y T
YANI "1611075811810002 P 6 10-11-1981 Y N N N N N N N Y Y Y T
SERIS SRIISLAMI "1611078909990006 P 3 29-09-1999 N N N N N N N N N Y Y T
0.60 PRA SEHAT
MELLA OKTA PEBRIANSARI "1611074606030003 P 3 05-08-2003 N N N N N N N N N Y Y T
PIKER RONALDI "1611072401050001 L 3 24-01-2008 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
36 JULIADI "1611071507670004 L 1 15-07-1967 N N N N N N N N T Y Y T
HARLINAWATI "1611074509720001 P 6 05-09-1972 Y N N N N N N N Y Y Y T
MARTIAS MUKUS "1611070512960002 L 3 05-12-1996 N N N N N N N N N Y Y T PRA SEHAT
SESI EFRIANI "1611076707030004 P 3 27-07-2005 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
37 MUZANNI "1611070297820002 L 1 03-07-1982 N N N N N N N N T Y Y Y
DESMAWITA "1611075304840004 P 6 13-04-1984 Y N N N N N N N Y Y Y Y
HIPERTANZA "1611071706070004 L 3 17-06-2007 N N N N N N N N N Y Y Y 0.80 SEHAT
CITRA BUNGA ANJANI "1611076209110001 P 3 22-09-2011 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
38 KOTOJOYO "1611071310580001 L 1 13-10-1958 Y N N N N N N N T T Y Y
BAASNI "1611074105640001 P 6 01-05-1964 N N N N N N N N Y T Y Y
1 N N N N N N N 0 0 1 1 0.60 PRA SEHAT
39 HARMOKO "1611071206860003 L 1 12-06-1986 Y N N N N N N N T Y Y Y
EMI SINTIA "1611074607960001 P 6 06-07-1996 N N N N N N N N Y Y Y Y
0.80 SEHAT
YELSE OKTARI "1611075910150001 P 3 19-19-2015 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
40 MUJIANTO "1611071010820003 L 1 10-10-1982 Y N N N N N N N T T Y T
EMSISNA MEGAWATI "1611074107890047 P 6 01-07-1989 N N N N N N N N Y T Y T
RHEINALDI PRATAMA "1611071602100002 L 3 16-02-2010 N N N N N N N N N T Y T 0.40
RICKY PRASTIO "1611070504130001 L 3 05-04-2013 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
41 SUMARTO "1611070107730060
RHAYATI "1611074107800090
WEWEN SUMARSEN "1611070101960001
RASKEF "1611071101010001
PIONA LESTARI "1611075401090001

42 M.NUSI "1611070212730001
YENNI ASPANI "1611075510770002
NORA LOVA KABUL SATIMAH "1611075907970003
NORZI OKTORI "1611072110000002
NOLVI AGUSTARI "1611075808020002
NORZAN AGUSTI RAMADAN "1611070305120002

43 SUBANDI "1611071705830001
SUANTI "1611074406850001
WENI KUSUMA WARDANI "1611075809000202
NOVEN PITRA WIJAYA "1611071411040001
0RLIN PARISHA "1611076203150001
ANGGA HARMEGI "1611072709930001

44 HERWAN "161107190580001
HETA "1611075407860001
NINDA "1611076303040003
HELIN "1611072106080003

45 SUTRISNO
NELI "1611074107850043
PUTRI PURNAMA SARI "1611075506060003
DAFARI ALZAKI "1611071012100001

46 HARIADI "1611070708720003
HERLINA "1611075007780002
LOLA "1611075307000002
STELA "1611076808060001

47 SAPRI "1611071905800002
YEN "1611074804870002
CINTA "1611075610050001
DERIN YETRIANI "1611075611120001
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
48 HIDAYATULAH "1611070107830048
YUNITA "1611074107870054
DAYU ANGGARA "1611070502040003
DIAN KUSUMA "1611070203060001
ADITIA DWI PUTRA "1611070506120001

49 APRIGO
EVA SUANTI "1611075012760001

WAHYU SYEKH SYARIEF HIDAYATUL "1611071311950001

RESKY ADAWIYAH "1611076312980001
ARSSY AZZAHRAH "1611074706030002
M.HABIEB HUSEIN "1611071006070001

50 MISWAN "1611070507790002
PATIMA SAHIRINA "1611074302850002
IKBAL PUTRA PRATAMA "1611072506070003
JEFRIA IRWANSYAH "1611071501090001
SEPTA PERMATA "1611075911130001

51 HERMANSYAH "1611071008740004
KURLENA YANTI "1611076105750001
RAHMAT HARIAGIL "1611073006000002

RAHMAD HAFIZA SAHARANI RISKI "1611074301050004

ALIF FIKRI "1611070411110001
FEBRIANDO AL FARIZI "1611070902160001

51 PUDIN "1611071111670001
ERNA "1611075209780002
RIKI "1611071109990003
DUIL "1611072401040001

52 JOYO "1611072503670002
JURNI "1611074607710001
EKA MEFIA ENDRIANI "1611075811980001
HANDOYO SUDRA "1611070507000001
FIRMAN UNSARDI "1611073007030001

53 JANUARDI "1611070811870003
MELZA DEWA SARI "1611078211980002

54 DAMSI "1611071108580001
RAHAYA "1611074107730032
FIRMAN EFRIADI "1611071304050002

55 IKANG FAUZI "1611070301910001

YULISMI "1611074609900001
M.FRANAJHA ALFAUZI "1611071408150001

56 JONDIANSYAH "1611070506860002
EVA HARTATI "1611075909880002
JESI NADIA EFRIANI "1611075307070001
AQILA SYAHZANI "1611076105140001

57 MIRWAN "1611070106930001
YESI VIRONIKA "1611076308880003
MUHAMAD RESTU AUZA "1611070610110002
MUHAMAD RISKI AUZI "1611070810110001

58 IDA TUSAHALEX "1611070710760001

MERIYATI "1611074110810002
MERZA JULIAN RINDA "1611076207020001
ALINTIA MARDARLENA "1611076212090002
MUHAMMADZAKI "1611070902140001

59 HERIANTO "1611071109810001
LIKA TUSNI "1611078003850002
RIKO ABDANI "1611070506080002
DEAN DWI SEPTINA "1611076109140001

60 PERI "1611071404830001
HUSNILAWATI "1611075802900003
EXCEL KARLOS "1611070101090002

61 JONI ARDIANSYAH "1611070106790002

MIMI YUSMITA "1611078112910002
MIKO AHMAD FAIZAL "1611071104100002

62 JUMANDI "1611070701840004
YULIANA "1611070701850001
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
HERU YOGA PRATAMA "1611070405080001

63 SIRAN "1611071012770001
LENI "1611075210830002
ZEMI "1611071011050002
MEDI PIRNANDO "1611071402130001

64 TARMIZI "1611070509780001
RUHAI "1611076005820001
REZI NARJULIAN PIRNANDO "1611072103970001
RENITA SANJAI MIRNANDA "1611076901050002
RENOSTA DEZMIZA "1611076712090001

65 SUPARMAN "1611070503630001
MISRAWANI "1611075104670001
JUMAISA ALAYA "1611075108980001

66 SUPARMAN "1611071707560004
NILA WATI "1611075010870001
SUPI "1611070102050002
NOPEN ASWAR "1611071909060001

67 HERJON SURYANA "1611071002840004

DEWI HERLINA "1611074311930004
SILVEN MERIANSYAH "1611072809090002
MARISTI DWI SILVANI "1611076403110001

68 ARPAN EPENDI "1611071207780002

HERLITA "1611085311770001
HENDRA IRAWAN "1611072505980003
HEKI ARTOZI "1611071212000001
REWI TAHLIA "1611076302030002

69 RIZAL "1611071305830001
ROYANA "1611075405900001
NOZI YUDHA UTAMA "1611070901080001

70 DEDI SUSANTO "1611070806850001

HERA LENSI "1611075611900002

71 MAYUR "1611071603670001
ARIAN "1611076807730001
GOPENDO "1611071310020002
RENSI "1611075707050003

72 HARUN "1611070107550003
DIKAYATI "1611074107560030

73 SAHARIANTO "1611072503820001
MEPPI "1611078408870001
MELI "1611073604070001
KANIAH CAHAYA RAMADHANI "1611076406150001

74 DADANG EKA WIJAYA "1611070301850001

NOVA SUSANTI "1611074309900004
ANZA ANUGRAH PRATAMA "1611070712110002
RIFKI "1611071905140001

75 WARSONO "1611071411830006
ERNI "1611075510840004
ENZI NOVITA SARI "1611076411080001
ZAHRANI FAUZIYAH APRILIA "1611075304140001

76 SISWANTO "1611071607700003
ILIANTI "1611075403730001
RENALDO "1611071108990001
DION PRANATA "1611071708000001
CETRIN OLIVIA "1611075707080001
BINTANG ALPARDO "1611071805120001

77 RADIN "1611073008620001
RIUN "1611074409640001
DENI "1611072811920002
JANSA "1611073008030001

78 KULYA "1611071506730001
JURIA ASPANI "1611074107830038
HENGKI TERNANDO "1611070201950005
DELVASARI "1611074303990003

79 WARDI "1611070710740001
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
HUSNI "1611074506860001
DODI "1611071406010002
MARVEL "1611070901090001

80 "SUMARNI "1611075909860001
NADIA APRILIA "1611075004070001
DIKA MEDIANSYAH "1611070605100002

81 YANURI "1611071304550002 L 1 13-04-1955 N N N N N N N N T Y Y Y

MARIANI "1611074112730001 P 6 01-12-1973 Y N N N N N N N Y Y Y Y
NOVRI MARWANSYAH "1611070206830002 L 3 02-06-1993 N N N N N N N N N Y Y Y
0.80 SE3HAT
FAUZAN ARNANTO "1611071901950003 L 3 16-01-1995 N N N N N N N N N Y Y Y
RELI MARLETA "1611075002000001 P 3 10-02-2000 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
82 YAHANA "1611074311630001 P 6 03-11-1953 N N N N N N N N Y Y Y Y
KEMISI PUTRA "1611072506910001 L 1 26-06-1991 N N N N N N N N Y Y Y Y 1.00 SE3HAT
N N N N N N N N 1 1 1 1
83 SELAMAT RIADY "1611071006710003 L 1 10-06-1971 N N N N N N N N T T Y Y
MURNIATI "1611075001800002 P 6 15-12-1980 Y N N N N N N N Y T Y Y
ZERY MARSELA "1611074909940002 P 3 09-09-1994 N N N N N N N N N T Y Y
0.60 PRA SEHAT
HAIKAL ONSELA "1611070202070002 L 3 02-02-2007 N N N N N N N N N T Y Y
GENTA EWALDO SAPUTRA "1611076210120004 L 3 26-10-2012 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1
84 MUHARUDIN "1611070107700069 L 1 01-07-1970 N N N N N N N N T Y Y Y
LILIS SURIANI "1611074107010040 P 6 01-01-1971 Y N N N N N N N Y Y Y Y
0.80 SEHAT
SULISTIANI "1611076305040003 P 3 23-05-2004 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
85 PAIDI "1611072912600001 L 1 29 -12-1969 N N N N N N N N T Y Y T
RUSIMIATI "1611075508720001 P 6 15-08-1972 Y N N N N N N N Y Y Y T
0.60 PRA SEHAT
ENDI PRATAMA "1611072611960001 L 3 26-11-1996 N N N N N N N N T Y Y T
1 N N N N N N N 0 1 1 0
86 SURYA "1611075309320001 L 1 13-09-1932 N N N N N N N N T Y Y T
0.50 PRA SEHAT
N N N N N N N N 0 1 1 0
87 SINARDIN "1611072311580001 L 1 23-11-1958 N N N N N N N N T T Y T
HALIMA "1611076301160001 P 6 23-01-1960 N N N N N N N N Y T Y T 0.25 TIDAK SEHAT
N N N N N N N N 0 0 1 0
88 SAHILUDIN "1611072507750001 L 1 25-07-1975 N N N N N N N N T Y Y Y
SELITA "1611076607790001 P 6 26-07-1979 Y N N N N N N N Y Y Y Y
ELIZA OKTARINA "1611075610950001 P 3 16-10-1995 N N N N N N N N N Y Y Y
JOIS MELINIA "1611075205000001 P 3 12-05-2000 N N N N N N N N N Y Y Y 1.00 SEHAT
ZAKIA OLIVIA "1611076403090001 P 3 24-03-2009 N N N N N N N N N Y Y Y
ALESHA CALLISTA "1611075604170001 P 3 16-04-2017 N N Y Y Y N N N N Y Y Y
1 N 1 1 1 N N N N 1 1 1
89 RIADI "1611070704780002 L 1 06-04-1978 N N N N N N N N T T Y T
CANDRA KUNISA "1611075802820001 P 6 13-02-1982 Y N N N N N N N Y T Y T
SELA SEPTRIADI "1611074791000002 P 3 07-04-2000 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
PAJRI JULIANSYAH "1611070407060001 L 3 01-07-2006 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
90 UJANG LESMANA "1611071109820003 L 1 11-09-1982 N N N N N N N N T T Y T
KUSMALA DEWI "1611074707050003 P 6 07-07-1985 Y N N N N N N N Y T Y T
DESWITA LESMANA YANNI "1611076512050001 P 3 25-12-2005 N N N N N N N N N T Y T
0.67 SEHAT
SITI AZZARAH "1611075806100001 P 3 28-06-2010 N N N N N N N N N T Y T
RISQON AL-FAHRON "1611070507170001 L 3 05-07-2017 N Y Y Y Y N N N N T Y T
1 1 1 1 1 N N N 0 0 1 0
91 SAMI "1611074103480001 P 6 01-03-1948 N N N N N N N N N T Y T
SAHIDI "1611070208820001 L 3 02-08-1982 Y N N N N N N N T T Y T

L 03-06-1984 N N N N N N N N T T Y T 0.40 TIDAK SEHAT

RADIUS PRAWIRO "1611070306840001 3
AFRIZON "1611070206860001 L 3 02-06-1986 N N N N N N N N T T Y T
1 N N N N N N N 0 0 1 0
92 ISKANDAR "1611072106740001 L 1 21-06-1974 N N N N N N N N T Y Y T
SINUR "1611074206770002 P 6 02-06-1977 Y N N N N N N N Y Y Y T
BELINDA CARLIS "1611074707990001 P 3 07-07-1999 N N N N N N N N N Y Y T
0.80 SEHAT
ANJELINA "1611075201010002 P 3 12-01-2001 N N N N N N N N N Y Y T
INTAN ISABELLA "1611076812030001 P 3 28-12-2003 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 1
93 EL SIK SIDI "1611070502760001 L 1 05-02-1976 N N N N N N N N T T Y Y
WILISMI "1611076606760001 P 6 26-06-1976 N N N N N N N N Y T Y Y
CICA MARZALENA "1611076407000002 P 3 24-07-2000 Y N N N N N N N N T Y Y
CICI PARAMITA "1611075906070001 P 3 19-06-2007 N N N N N N N N N T Y Y 0.60 PRA SEHAT
KLARA LAVINA ZAHIRA "1611075001140001 P 3 10-01-2014 N N N N N N N N N T Y Y
ALUL "1611071905450001 L 3 19-05-1945 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 Y
94 JULIANSYAH "1611070107870073 L 1 01-07-1987 N N N N N N N N T Y Y T
ROYANI "1611074404900002 P 6 04-04-1990 Y N N N N N N N Y Y Y T
0.60 PRA SEHAT
TEDY EXSEL PRATAMA "1611071401080001 L 3 14-01-2006 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
95 MIRAN "1611074740830003 L 1 17-10-1983 N N N N N N N N T T Y T
RINA "1611075207850001 P 6 12-07-1985 Y N N N N N N N Y T Y T
0.50 PRA SEHAT
KILSI MIRNAWATI "1611076204090001 P 3 22-04-2009 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
96 SULIHARTONO "1611070294840004 L 1 24-04-1984 N N N N N N N N T Y Y T
RISMA TUTI "1611075309840004 P 6 13-08-1984 Y N N N N N N N Y Y Y T
0.60 PRA SEHAT
BINTANG PARISKO "1611072809120001 L 3 28-09-2012 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
97 MUJIANTO "1611071010820003 L 1 10-10-1982 N N N N N N N N T Y Y T
ENI SISNA MEGAWATI "1611074107890047 P 6 01-07-1989 Y N N N N N N N Y Y Y T
REYNALDI PRATAMA "1611071602100002 L 3 16-02-2010 N N N N N N N N N Y Y T 0.60 PRA SEHAT
RICKY PRASTIO "1611070504130001 L 3 05-04-2013 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
98 NANGSURI "1611070107710041 L 1 01-07-1971 N N N N N N N N T T Y Y
ASNI "1611074107720077 P 6 01-07-1972 Y N N N N N N N Y T Y Y
0.60 PRA SEHAT
RADI AFRIANSYAH "1611070105950002 L 3 01-05-1995 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1
99 SUTARMAN "1611070707700002 L 1 07-07-1970 N N N N N N N N T Y Y Y
LITI "1611074204780001 P 6 02-04-1978 Y N N N N N N N Y Y Y Y
NEDI AFRICO "1611071906990002 L 3 19-09-1999 N N N N N N N N N Y Y Y
0.80 SEHAT
YOPITA "1611076611060001 P 3 26-11-2006 N N N N N N N N N Y Y Y
FEBI YUDI HANGGARA "1611071807080001 L 3 18-07-2008 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
100 HASNUL "1611070107400002 L 1 01-01-1940 N N N N N N N N T Y Y T
SUTIAM "1611074107470007 P 6 01-07-1947 N N N N N N N N Y Y Y T 0.50 PRA SEHAT
N N N N N N N N 0 1 1 0
101 ARDIANTO "1611071212870003
HETI YULASTRI "1611074612090001
REYHAN ROMADHON "1611071807140001

102 SAHRI "1611071908530001

RIAH "1611074807550001
7/7/2019
103 ARJONO "1611070712680001
MIS MEGAWATI "1611079710740001
REKI SATRIO "1611072205910001
AMZA TORISMAN "1611070410020001

104 BURHAN "1611070609480001

SITI NURHAYATI "1611076009590001
BOBI "1611071712060001

105 RINI "1611074107190001

OLIPIYA "1611074410120002

106 SAGI "1611071912600002

PASI "1611076009670002
M.SUPRIANTO "1611070511910001

107 AMIR "1611071603660001

SUARNI "1611074107730038
AFRIZON "1611070206950001
WINIS ARPENDI "1611074107010023

108 SUTOPO "1611072908820001

HENNI ADRIANI "1611074206830002
LOVY TALOKA "1611077009010002
VIZERDO "1611071703040001

109 NURANI SURI "1705094103750001

PERA ERAWATI "1705092103980001
RIKO PERNANDO "1705090105040001

110 IWAN SUTIOYOSO "1611070607810001

WAHILA WATI "1611076404860003
MEISSY EKA PUTRI "1611075208030002
PERANIKA LOPENZA "1611076308120001

111 SARIMUDIN "1611070111880001

ANIS MURNA PISA "1611074107950031
EDO LORENZO "1611072505120002

112 BUDI HARTONO "1611072105770001

IMAN "1611074107770092
REDO ALSELA "1611072911050001

113 SIKIN "1611071611680001

RAI "1611074705780002

114 BUDIMAN "1611070107670098

NUNG "1611074107760048
ASEP ROHMAN "1611072807930002
DIKI SARIPUDIN "1611071606960002
TOJNI HIDAYAT "1611071307050001
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
115 SAKARMAN "1611072507590001
NNI "1611107701261001
SULIT AGE "1611070107970045
ABID "1611071701990001
MUHAMMAD "1611072411040001

116 MISIN "1611070603730001

YUS "1611073202740001
ELVI SUKAESI "1611075501000001
ANDRE ALIV PERNANDO "1611072112080002

117 INDRA BHARIANTO "1611070207880002

NINA HERAWATI "1611075104880002
AZIZAH ULANTARI "1611075012070003
ZAKI MUHAMMAD FAJAR "1611071101120001

118 RENTON EFENDI "1611073006870083

DESI YUSMITA "1611075808950003
ZHERA MEY BELLA "1611074307130001

119 DARSONO.M "1611070608790001

MAYUNA "1611075208780001
RENTI SULISTIA "1611074505980001
YOLI YODISTI "1611075212020003

120 JASIM "1611071508780001

HARNI "1611075809800001
WIWIT MASELENA "1611074909020002
SEPTI "1611074509070001

121 SUKIR "1611070511690002

YANTI "1611074507830001
DARKO PRASETIO "1611072110980001
AMAD JATRA BASUKI "1611072903070003

122 JAALNI "1611070307730002

RUKIAH "1611076804760003
FIKIADI SAPUTRA "1611072803000003
CALSEA "1611075610080001

123 ASRI "1611071603710001

RITA "1611071610760001
JEFRI "1611070405960001
AKTORI "1611072708020002

124 DOVI SAPUTRA "1611070102970003

LIZA FRANSISKA "1611074700950001
M.RAFA ALVINO "1611071711160001

125 EFRIADI "1611070405750002

RASILA "1611074512830001
AFEN PRABOWO FANGESTU "1611107030903004
KELSI HERAYU MARVALEN "1611071903100001

126 DIMAN KAMHARJO "1611070107840001

MILISAH "1611075007840002
RONALDO "1611070909990008
ROGER "1611071512070001
ROKI RIKALDO "1611071708100003

127 SUKIMAN "1611071304730001

HERLENA "1611075906750001
ARIYANTO "1611070405990001
YUNI "1611075707070003

128 JUKARSIDI "1611070809690001

PARIDA "1611074905740002
WENSI METALIA "1611074104960002
MATORI WIRA YUDA "1611072707010007
RAFFA FARIZI SAPUTRA
WINDA ADELLIA

129 ROMA HARTOYO "1611071603890002

YOPA APRIANI "1611076404950007
YORA VANESIA VIJRIANI "1611076108120002

130 SUNAR "1611070507770001

MILI "1611074405760001
TOMAS "1611070201000001
RANGGA SAPUTRA "1611070406020005
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
131 ALHADISON "1611070804860002
EVI LESTARI "1611076602970002
LERA ALEVIA "1611074806120002
AWAN KAROMAH ATORIQ "1611072910160001

132 ARMAN "1611070608720004

ALMAWATI "1611074705690002
AWANDA ERNI "1611076201990002
THOMAS ALFA EDISON "1611071806010002

133 KASAN REMAN "1611070205620001

SUSILAWATI "1611075910670001
BONDANG JASENDU "1611072401000002

134 REPIN "1611072704600001

RASMANI "1611076102720001

135 IR "1611070807650001
DARMA WATI "1611076211740001

136 MAYA RIA "1611074101650005

BUDI "1611072512910002
HENDI "1611071005940003
YUDISON "1611072303970001
DIKI "1611070101030008
MEKRI "1611070410050004

137

140 SARIL "1611070102510001 L 1 02-021951 N N N N N N N N T T Y Y

SUPRAl ABADI "1611070605880002 L 3 02-02-1988 N N N N N N N Y T T Y Y
0.60 PRA SEHAT
RICI "1611076001010001 P 3 20-01-2001 N N N N N N N N N T Y Y
N N N N N N N 1 0 0 1 1
141 SAKRAN "1611071108710002 L 1 11-08-1971 N N N N N N N N T T Y T
KARTINI "1611074807720003 P 6 08-07-1972 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
DEPEN ROMANSYAH "1611072412000002 L 3 24-12-2000 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
142 JERAMUDIN "1611071007820003 L 1 10-07-1982 N N N N N N N N T Y Y T
SUSANTI "1611076005870001 P 6 20-05-1987 Y N N N N N N N Y Y Y T
WELIZA RAHMADANI "1611071405140001 P 3 25-04-2010 N N N N N N N N N Y Y T 0.60 PRA SEHAT
WAFI BASYORI NURON "1611071405140001 L 3 14-05-2014 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
143 YUDI APRIANSYAH "1611070212790001 L 1 02-12-1979 N N N N N N N N T T Y T
MARTATI "1611075704800003 P 6 17-04-1980 Y N N N N N N N Y T Y T
YUZENDI "1611071305050002 L 3 13-05-2005 N N N N N N N N N T Y T 0.40 T1
YUGIS "1611070102070002 L 3 01-02-2007 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
144 MEKI YEPERSON "1611070911870001 L 1 09-11-1987 N N N N N N N N T Y Y T
WEWES JELISA "1611074907020001 P 6 09-072002 Y N N N N N N N Y Y Y T
0.75 PRA SEHAT
ERLANGGA "1611070912160001 L 3 09-12-2016 N N Y Y Y N N N N Y Y T
1 N 1 1 1 N N N 0 1 1 0
145 RHOMADON HERI PRASETIO "1611070101760002 L 1 01-01-1976 N N N N N N N N T Y Y T
SARTIKA "1611074404840005 P 6 04-04-1984 Y N N N N N N N Y Y Y T
RIKI MARTEN "1611071703000001 L 3 17-03-2000 N N N N N N N N T Y Y T 0.60 PRA SEHAT
KIKI WIDIASARI "1611074807020002 P 3 04-08-2002 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
146 SIMPARI "1611071712810001 L 1 17-12-1981 N N N N N N N N T T Y T
KARIS MARANI "1611074606930002 P 6 06-06-1993 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
HAFIZ ARISMA "1611072801120001 L 3 01-11-2012 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
147 LUHUR "1611070707780004 L 1 07-07-1978 N N N N N N N N T Y Y T
YUNANI "1611074304820002 P 6 03-04-1982 Y N N N N N N N Y Y Y T
ANDRE ESTU PANDOWO "1611070312990002 L 3 03-12-1999 N N N N N N N N N Y Y T 0.75 PRA SEHAT
AISYAH "1611075310050003 P 3 13-10-2005 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
148 KERIANTO "1611071607830002 L 1 16-07-1983 N N N N N N N N T T Y T
ROPINNA "1611075703870001 P 6 17-03-1987 Y N N N N N N N Y T Y T
0.50 PRA SEHAT
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
SEPPI KARMILAWATI "1611075706030002 P 3 17-06-2003 N N N N N N N N N T Y T 0.50 PRA SEHAT
SANDER PRADOKO "1611072901110001 L 3 29-01-2011 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
149 HENDRI LIUS PIKI "1611073001900001 L 1 30-011990 N N N N N N N N T T Y
MERTI HUSNI "1611076201910001 P 6 22-01-1991 Y N N N N N N N Y T Y
0.50 PRA SEHAT
0CCY MEYLISA PUTRI "1611075510110001 P 3 25-07-2010 N N N N N N N N N T Y
1 N N N N N N N 0 0 1
150 NURDIN "1611073008610001 L 1 30-06-1961 N N N N N N N N T Y Y Y
MAYARIA "1611107840763001 P 6 14-071963 N N N N N N Y N Y Y Y Y 0.80 SEHAT
N N N N N N 1 N 0 1 1 1
151 RAMANG GUSTAMAN "1611072003780001 L 1 20-09-1978 N N N N N N N N T Y Y T
RATNA DEWI "1611072704800001 P 6 27-04-1980 Y N N N N N N N Y Y Y T
0.60 PRA SEHAT
AYU LESTARI "1611070103000001 P 3 14-04-2007 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
152 M.ALIFRIA "1611072008750003 L 1 20-08-1975 N N N N N N N N T Y Y T
RAHMI "1611074407820005 P 6 04-07-1982 Y N N N N N N N Y Y Y T
ALTIN "1611076003030001 P 3 26-03-2003 N N N N N N N N N Y Y T 0.60 PRA SEHAT
M.ALFA OKTORA "1611072006060002 L 3 20-05-2005 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
153 IKHSAN "1611071112830002 L 1 11-12-1983 N N N N N N N N T T Y T
RUM MAINI "1611075805900001 P 6 18-05-1990 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
MONICA DWI ARIES "1611075605080001 P 3 18-08-2008 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
154 SADAM HUSEN "1611061109900002 L 1 11-09-1990 N N N N N N N N T Y Y T
SHERLY "1611064109900001 P 6 01-09-1990 Y N N N N N N N Y Y Y T
0.60 PRA SEHAT
RIZKI KURNIAWAN "1611060606120002 L 3 10-08-2012 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
155 SUGIANTONO "1611071512820001 L 1 15-12-1982 N N N N N N N N T T Y T
YULASTRI "1611074107870003 P 6 04-10-1987 Y N N N N N N N Y T Y T
SATIAN "1611070805050003 L 3 05-05-2005 N N N N N N N N N T Y T 0.40 PRA SEHAT
SUPIAN ALI AKBAR "1611071502120001 L 3 15-02-2012 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
156 SAWALLUDIN "1611070304490001 L 1 03-04-1949 N N N N N N N N T T Y T
SUKA RIA "1611074403530001 P 6 03-05-1953 N N N N N N N N Y T Y T 0.25 TIDAK SEHAT
N N N N N N N N 0 0 1 0
157 SAHRI "1611070107330007 L 1 01-07-1933 N N N N N N N N T Y Y T
JAHINAM "1611074107390010 P 6 01-07-1938 N N N N N N N N Y Y Y T 0.50 PRA SEHAT
N N N N N N N N 0 1 1 0
158 MIHA "1611076607680001 P 6 06-07-1968 N N N N N N N N Y T Y Y
NOTO "1611071512840001 L 3 15-12-1984 N N N N N N N N T T Y Y 0.50 PRA SEHAT
N N N N N N N N 0 0 1 1
159 TAHAYA "1611074606630002 P 6 06-06-1963 N N N N N N N N Y Y Y T
ANDRA "1611072005990003 L 3 20-06-1999 N N N N N N N N T Y Y T 0.50 PRA SEHAT
N N N N N N N N 0 1 Y 0
160 MAHARUDIN "1611071007680001 L 1 10-07-1968 N N N N N Y N N T Y Y Y
SUTI "1611075207690001 P 6 12-07-1969 Y N N N N Y N N Y Y Y Y
BENI "1611070311930002 L 3 03-11-1993 N N N N N N N N N Y Y Y 0.80 SEHAT
ADRIANUS PAHREZI "1611072402040002 L 3 24-02-2004 N N N N N N N N N Y Y Y
1 N N N N 1 N N 0 1 1 1
161 RABUS "1611072307830001 L 1 23-07-1983 N N N N N N N N T T Y T
DESI MSRLENA "1611075101920001 P 6 14-11-1992 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
ABENG YUDHA PRATAMA "1611070702200002 L 3 07-02-2012 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
162 SIHAN "1611070107430010 L 1 01-07-1943 N N N N N N Y N T Y Y T
RUWAIDA "1611074107500020 P 6 04-07-1950 N N N N N N Y N Y Y Y T 0.60 PRA SEHAT
N N N N N N 1 N 0 1 1 0
163 HIDAYATULLAH "1611070107830048 L 1 01-07-1983 N N N N N N N N T Y Y Y
YUNITA "1611074107870054 P 6 04-10-1987 Y N N N N N N N Y Y Y Y
BAYU ANGGARA "1611075020400003 L 3 05-02-2004 N N N N N N N N N Y Y Y 0.80 SEHAT
DIAN KUSUMA "1611070506120001 L 3 02-03-2005 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
164 YADI "1611071708730002 L 1 17-08-1973 N N N N N N N N T Y Y Y
MURTI "1611076403790001 P 6 24-03-1979 Y N N N N N N N Y Y Y Y
0.80 SEHAT
ICI CAHAYA NINGSIH "1611076707000002 P 3 27-07-2000 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
165 REZA PALEPI "1611072204810001 L 1 22-04-1981 N N N N N N N N T T Y Y
LESMI NIARTI "1611074706890003 P 6 07-08-1989 Y N N N N N N N Y T Y Y
TIARA YULENZA "1611075807060003 P 3 18-07-2006 N N N N N N N N N T Y Y 0.60 PRA SEHAT
MARCHELL "1611070912110001 L 3 09-12-2011 N N N N N N N N N T Y Y
1 N N N N N N N 0 0 1 1
166 ERNA WATI "1611074107580044 P 6 01-07-1958 N N N N N N N N Y T Y T
IMAL AMANTO "1611072804970002 L 3 28-04-1997 N N N N N N N N N T Y T 0.50 PRA SEHAT
N N N N N N N N 1 0 1 0
167 ABDULLAH "1611071410550001 L 1 14-10-1955 N N N N N N N N T T Y T
MAIMUNA "1611075011650001 P 6 18-11-1965 Y N N N N N N N Y T Y T
MEGI HANJANI "1611071611930003 L 3 16-09--1993 N N N N N N N N T T Y T 0.40 TIDAK SEHAT
ALIAS KOSASI "1611070111970003 L 3 01-11-1997 N N N N N N N N T T Y T
1 N N N N N N N 0 0 1 0
168 YUDIN "1611071602680001 L 1 16-02-1968 N N N N N N N N T Y Y Y
SARUL "1611076401730001 P 6 24-01-1973 Y N N N N N N N Y Y Y Y 0.80 SEHAT
1 N N N N N N N 0 1 1 1
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
169 DIMAN UDIN "1611071608650001 L 1 16-08-1965 N N N N N N N N T T Y T
CIK MIA "1611075002670003 P 6 10-02-1967 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
MESY RAHMAWATI "1611075507100001 P 3 15-07-2010 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
170 TAHUDIN "1611070408650002 L 1 04-08-1965 N N N N N N N N T Y Y T
LILA "1611078909850003 P 6 09-09-1985 Y N N N N N N N Y Y Y T
DIPI "1611075903050001 P 3 05-03-2005 N N N N N N N N N Y Y T 0.60 PRA SEHAT
OCA PERMATASARI "1611075605100001 P 3 18-05-2010 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
171 M.SANI "1611071602600001 L 1 16-02-1960 N N N N N N N N T Y Y Y
SULAIMAN "1611075703680002 P 6 07-05-1968 Y N N N N N N N Y Y Y Y
ARIES "1611070710990001 L 3 10-09-1999 N N N N N N N N T Y Y Y 0.80 SEHAT
EDI MARTA DINATA "1611070604010001 L 3 06-04-2001 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
172 SADIRMANSYH "1611071307730001 L 1 13-07-1973 N N N N N N N N T Y Y Y
JULI DARTI "1611075607730001 P 6 25-07-1973 Y N N N N N N N Y Y Y Y
YOSEP SUPRIADI "1611072708900003 L 3 27-06-1990 N N N N N N N N T Y Y Y 0.80 SEHAT
DENI RATNASARI "1611075805080001 P 3 24-03-1995 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
173 MEGA WATI "1611074402500001 P 6 04-02-1950 N N N N N N Y N Y T Y Y
NARDIANTO "1611070500800003 L 3 05-03-1980 N N N N N N N N T T Y Y 0.60 PRA SEHAT
N N N N N N 1 N 0 0 1 1
174 HENGKY "1611070203860001 L 1 02-03-1986 N N N N N N N N T Y Y Y
SURAY "1611074107870003 P 6 01-07-1987 Y N N N N N N N Y Y Y Y
HEBI VERAMASARI "1611074102080001 P 3 01-02-2006 N N N N N N N N N Y Y Y 0.80 SEHAT
CHELSIKA CLARISA "1611074101130001 P 3 01-01-2013 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
178 AJIBIHIM "1611071607580002 L 1 16-071958 N N N N N N N N T T Y T
RUSIAWATI "1611074708550002 P 6 04-071955 Y N N N N N N N Y T Y T 0.40 TIDAK SEHAT
1 N N N N N N N 0 0 1 0
179 PERIADI "1611071010800010 L 1 10-10-1980 N N N N N N N N T Y Y T
LISMI MEGAWATI "1611075005820002 P 6 10-05-1982 Y N N N N N N N Y Y Y T
KALESTA "1611075106080001 P 3 11-06-2008 N N N N N N N N N Y Y T 0.60 PRA SEHAT
GHEZENALL FERIDO "1611070112110002 L 3 01-12-2011 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
180 AUDI SUDIBIYO "1611071807830001 L 1 18-07-1983 N N N N N N N N T T Y T
EMILIA "1611074107900043 P 6 04-01-1990 Y N N N N N N N Y T Y T
MERI FIRNANDO "1611070802050002 L 3 08-05-2005 N N N N N N N N N T Y T 0.40 TIDAK SEHAT
LILIS AGNESIA "1611074205080001 P 3 05-02-2011 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
181 MUSTOPA "1611071508660001 L 1 `15-08-1966 N N N N N N N N T Y Y Y
YENNI ARPALES "1611074101610004 P 6 10-011961 Y N N N N N N N Y Y Y Y
0.80 SEHAT
DEWA DRAMA ANGGRA "1611073112020001 L 3 31-12-2002 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
182 GUNAWAN "1611072605710002 L 1 25-05-1971 N N N N N N N N T Y Y Y
ELTA SARI "1611075009740003 P 6 10-09-1974 Y N N N N N N N Y Y Y Y
0.80 SEHAT
PEBSITA GUNAWAN "1611074904960002 P 3 09-04-1996 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
183 DIDI IRAWAN "1611070510860004 L 1 05-10-1986 N N N N N N N N T T Y T
YEPI OKTARIA "1611075310870004 P 6 13-10-1987 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
GETRIN "1611076410080001 P 3 21-01-2008 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
184 SUARDY "1611021005570002 L 1 10-051957 N N N N N N N N T Y Y T
SRI SUSILAWATI "1611021117000003 P 6 21-11-1970 Y N N N N N N N Y Y Y T
SUDARWIN "1611023007960003 L 3 30-07-1996 N N N N N N N N N Y Y T 0.60 PRA SEHAT
SUPRIN "1611021601980005 L 3 15-01-1998 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
185 SINIM "1611071302710001 L 1 13-02-1971 N N N N N N N N T Y Y Y
HERLIMAT LENA "1611076201790001 P 6 12-01-1979 Y N N N N N N N Y Y Y Y
DODON "1611971304020001 L 3 13-04-2001 N N N N N N N N T Y Y Y 0.80 SEHAT
ARGA ADITIYA "1611071205080003 L 3 12-05-2005 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
186 PARLAN "1611074107700044 L 1 01-07-1970 N N N N N N N N T T Y T
LILI SURYATI "1611074107740041 P 6 01-07-1974 Y N N N N N N N Y T Y T
GATOT PARLIANSYAH "1611070906980001 L 3 09-06-1998 N N N N N N N N T T Y T
0.40 TIDAK SEHAT
NOVI SUSANTI "1611074411000002 P 3 04-11-2000 N N N N N N N N N T Y T
DIKA SAPUTRA "1611070702070001 L 3 07-02-2007 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
187 DIDI SURYADI "1611070701870002 L 1 07-01-1987 N N N N N N N N T Y Y T
RIKA "1611075805900002 P 6 18-05-1990 Y N N N N N N N Y Y Y T
0.60 PRA SEHAT
TASYA "1611075209110001 L 3 12-09-2011 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
188 USMAN YUNI "1611072709790001 L 1 27-06-1979 N N N N N N N N T Y Y T
YUSI LIANI "1611070206860002 P 6 22-06-1986 Y N N N N N N N Y Y Y T
0.60 PRA SEHAT
GIO AJI SAPUTRA "1611072101030002 L 3 21-01-2005 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
189 RIKI HARIZON "1611070610840001 L 1 06-10-1984 N N N N N N N N T T Y T
MAINI "1611074505070001 P 6 05-05-1987 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
RAFFA AL HARIZON "1611072601100001 L 3 20-01-2010 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
190 DARNO "1611072707780001 L 1 27-07-1978 N N N N N N N N T Y Y Y

0.80 SEHAT
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i
EVI JUNAINA "1611075707850001 P 6 07-07-1985 Y N N N N N N N Y Y Y Y
DESKA "1611074401020001 P 3 04-01-2002 N N N N N N N N N Y Y Y 0.80 SEHAT
YULIA SEPINA "1611075409070001 P 3 23-09-2007 N N N N N N N N N Y Y Y
1 N N N N N N N 0 1 1 1
191 RADI "1611070304740003 L 1 03-04-1974 N N N N N N Y N T T Y T
MELDA "1611074103790001 P 6 01-03-1979 Y N N N N N N N Y T Y T
0.50 PRA SEHAT
DION NOVRA DIKA "1611071211990001 L 3 12-11-1999 N N N N N N N N N T Y T
1 N N N N N 1 N 0 0 1 0
192 HENDRA "1611072405830002 L 1 24-05-1983 N N N N N N Y N T T Y Y
ANISA ASMALA DEWI "1611074703870001 P 6 07-03-1987 Y N N N N N N N Y T Y Y
0.67 PRA SEHAT
JESICA "1611075208080001 P 3 12-08-2008 N N N N N N N N N T Y Y
1 N N N N N 1 N 0 0 1 1
193 FERI "1611071506750003 L 1 15-06-1975 N N N N N N N N T Y Y T
MIKI APRIANI "1611070707000003 P 6 27-07-1988 Y N N N N N N N Y Y Y T
OLIVIA "1611076905120001 P 3 29-06-2009 N N N N N N N N N Y Y T 0.60 PRA SEHAT
VISIL "1611071212160001 P 3 22-05-2012 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
194 ANDI "3205361207590002 L 1 12-07-1959 N N N N N N N N T T Y T
EHA "3205364907780001 P 6 09-07-1978 Y N N N N N N N Y T Y T
0.40 TIDAK SEHAT
KAMELIA "3205365912100001 P 3 19-12-2010 N N N N N N N N N T Y T
1 N N N N N N N 0 0 1 0
195 RIKI HENDRO "1611070709870001 L 1 07-09-1987 N N N N N N N N T Y Y T
WINDA PUSPITA "1611075802950003 P 6 18-02-1995 Y N N N N N N N Y Y Y T
0.60 PRA SEHAT
DHAFIN DHERANDRA "1611070708140001 L 3 07-08-2014 N N N N N N N N N Y Y T
1 N N N N N N N 0 1 1 0
 Indikator
No. Nama ART NIK JK Tanggal Lahir Persalina Imunisasi ASI Tumbuh Hipertens IKS Kategori
Kode KB TB Jiwa Merokok JKN Air Bersih Jamban
KK n Nakes Lengkap Eksklusif Kembang i