INDIKATOR KELUAR

No. No.
Urt Urt Nama Keluarga NIK No. JKN TTL L/P
Bgn Kel

1 1 A
B
C
D
E

FHJGH
KATOR KELUARGA SEHAT

Ber Kel
Peman
Umur salin di Imun Pndrita Hiper tdk
Hub. Kel KB ASI Ekslf tauan ODGJ Air brsih Jamban
(Thn) Fas lngkp TB tensi mero
balita
Kes kok
Ket
 S.BOR HARI INI :

Ber
salin Kel
Umur Pema
No. No. di ASI Pndr tdk Air
Imun n Hiper OD Jam
Urt Urt Nama Keluarga NO. KK NIK No. JKN Tempat Lahir Tanggal Lahir L/P Hub. Kel KB Fas Ekslus ita mer brsi Ket
lngkp tauan tensi GJ ban
Bgn Kel Kes if TB o h
(Thn) balita
<12 kok
BLN

TIM 2 TANGGAL PIS PK 3/10/2020

1 1 HJ. WD HASIRA 747206102080875 0002368062265 12/1/1957 P 62 THN 3 BLN KK 120/80 1 1 S.BOR
2 FITRIYA ABIBU 747065106820001 TDK ADA 8/11/1982 P 37 THN 6 BLN KK 90/60
VIRZA MACHARANI 747205610020001 TDK ADA 10/26/2002 P 17 THN 4 BLN ANAK
MUH. VAHREZA 747206150605001 TDK ADA 6/15/2005 L 14 THN 8 BLN ANAK
VAZAKIR JULIUS 0001851351603 7/10/2011 L 8 THN 8 BLN ANAK
2 1 SUNUSA 7472065708450001 TDK ADA 8/17/1945 L 74 THN 6 BLN KK 130/90
JALALUDIN 7472062305770001 TDK ADA 5/23/1997 L 22 THN 9 BLN ANAK 100/90
2 MUH.FITRA 7472065708450001 ADA 5/2/1982 L 37 THN 10 BLN KK 100/80
NUR FITRIANA 7472065005880001 1011456408952 5/10/1988 P 31 THN 10 BLN ISTRI 2 110/80
MUH.FADEL ADA 1041450408955 7/9/2016 L 3 THN 8 BLN ANAK
MUH.ALFATIH ADA 3/11/2019 L 0 THN 11 BLN ANAK
3 DAIMAN MASAHIDA 7474240605810001 TDK ADA 5/6/1981 L 38 THN 10 BLN KK 1 110/80 2 1 1
NUR FITRIANI 7472066605830001 TDK ADA 5/26/1982 P 37 THN 9 BLN ISTRI 2 90/70
MUH.SALAIKAF 7472242004160001 TDK ADA 4/20/2016 L 3 THN 10 BLN ANAK
AMAR ZAKMAN TDK ADA 10/25/2018 L 1 THN 4 BLN ANAK
4 H. LADAKU 7472061602080955 0000133755129 12/31/1957 L 62 THN 2 BLN KK 2 2 2 2 1 1
RUZNA 7472067112560004 ADA 12/31/1956 P 63 THN 2 BLN ISTRI 2
AINUN 99999999999 ADA 10/10/2002 P 17 THN 5 BLN ANAK
5 1 LA IHU 747206010752 000179860064 7/1/1957 L 62 THN 8 BLN KK 2 120/80 2 1 1 1

MURNI 7472064107550005 000179863118 P ISTRI 2 150/100 2 HYPERTENSI

YAYAN LA IHU ADA L ANAK 2 100/70 2 1 1 1

2 SUNARFA HAFALA 7472023003800001 ADA 3/30/1980 L 39 THN 11 BLN KK 110/90
YULIANI IHU 7472026307830002 0001264271657 7/3/1983 P 36 THN 8 BLN ISTRI 2 110/90
MELANIA PUTRI 7472025403050002 0001264271668 3/4/2005 P 15 THN 0 BLN ANAK 100/70
AHMAD 7472022910090001 0001264271679 10/9/2009 L 10 THN 5 BLN ANAK
FADLY TRI 7472022912120001 000126429168 12/23/2012 L 7 THN 2 BLN ANAK
6 1 HASBOLLAH 7472050107503987 0000134097805 7/1/1950 L 69 THN 8 BLN KK 130/80 1 1 1 S.BOR
SITTI MARSIA 7472054107593988 0001079113173 10/4/1950 P 69 THN 5 BLN ISTRI 150/90 HYPERTENSI
2 HARBIN 7472060177500011 TDK ADA 7/1/1975 L 44 THN 8 BLN KK 120/80 2
 NENY HASMAH 7472067003760001 TDK ADA 3/7/1976 P 44 THN 0 BLN ISTRI 100/70
FAHID WAHYU 7472061510020001 TDK ADA 10/5/2002 L 17 THN 5 BLN ANAK 100/70
FAISAL ARDIANSYAH 7472061011950001 TDK ADA 11/10/2005 L 14 THN 4 BLN ANAK USIA PRODUKSI 1
7 LA FIYDU 7472060107500005 000095618888 7/1/1950 L 69 THN 8 BLN KK 130/80 1 1 1
MAUZLIHA 7472067112510002 0000956189351 12/31/1951 P 68 THN 2 BLN ISTRI 140/90 HYPRTENSI LNSIA 60+
NASRUN 7472001511850002 0000956190159 11/15/1985 L 34 THN 3 BLN ANAK 110/80 1
8 LAGANI 7472063112570037 0000134119506 12/31/1957 L 62 THN 2 BLN KK 120/90 1 1
ZAMLI 7472064107580005 0000211120018 7/1/1958 P 61 THN 8 BLN ISTRI 120/100 GINJAL
ERFIEN GANI 7472060202860001 TDK ADA 2/2/1986 L 34 THN 1 BLN ANAK 120/80 2
HERMIN GANI 7472060202860001 TDK ADA 11/18/1987 P 32 THN 3 BLN ANAK 110/90
RABINZAIN GANI 7472062201920001 TDK ADA 1/22/1992 L 28 THN 1 BLN ANAK 120/80 2
9 1 BAYA BACO 7472064107530073 TDK ADA 7/1/1953 L 66 THN 8 BLN KK 100/70 1
2 ZUBAIR 7472062106830001 TDK ADA 6/21/1983 L 36 THN 8 BLN KK 120/80 1 1 1
BADARIA 7472064508400001 TDK ADA 8/5/1984 P 35 THN 7 BLN ISTRI 100/80
CAHYA ANANDYA 7472060410900002 TDK ADA 1/4/2009 P 11 THN 2 BLN ANAK
ALIF AL EHFARY 7472081209120001 TDK ADA 9/12/2012 L 7 THN 5 BLN ANAK
3 BASRUN 7472061005800005 TDK ADA 5/10/1985 L 34 THN 10 BLN KK 110/70 2 1 1
SUMARNI 7472274510800001 TDK ADA 10/5/1985 P 34 THN 5 BLN ISTRI 120/80 1 1
10 1 NURHASNAH 7472067112610002 TDK ADA 12/1/1961 P 58 THN 3 BLN KK 120/90 2 1 1
ST. AULIA 7472706511203001 0000955242729 12/11/2003 P 16 THN 2 BLN ANAK 100/70
2 LD. RAHMAT 7472061212840001 TDK ADA 12/12/1984 L 35 THN 2 BLN KK 110/90
SITTI HAJAR 7472064805870001 TDK ADA 7/8/1987 P 32 THN 8 BLN ISTRI 100/70
WD. SITTI ADZAH 7472065101120001 TDK ADA 1/1/2012 P 8 THN 2 BLN ANAK
LM. SAID 7472081511300001 TDK ADA 11/15/2013 L 6 THN 3 BLN ANAK
LMGIBRAN ALI 7472081107160002 TDK ADA 7/11/2016 L 3 THN 7 BLN ANAK 1
11 RATNAWATI 7472066408750001 0000956119094 8/24/1975 P 44 THN 6 BLN KK 120/90 1 1 CERAI MATI
HILDA 7472065404980001 0000956119419 4/14/1998 P 21 THN 10 BLN ANAK 110/80
ANANE 7472060609000001 TDK ADA 9/6/2000 L 19 THN 6 BLN ANAK 110/70
NADILA 7472065606030003 0000956120114 6/5/2003 P 16 THN 9 BLN ANAK 100/70
YULI ASTUTI 7472065803050001 0000956121208 3/18/2005 P 14 THN 11 BLN ANAK
IRFAN 7472081205070001 TDK ADA 5/12/2007 L 12 THN 9 BLN ANAK
AKBAR 99999999999 TDK ADA 2/13/2009 L 11 THN 0 BLN ANAK
12 1 LM. ARSAD 7472962303720001 TDK ADA 3/23/1972 L 47 THN 11 BLN KK 120/90 2 1 1
NUR LAILA 7472065510730001 TDK ADA 10/15/1973 P 46 THN 4 BLN ANAK 110/70
WD.RIAN ADRIYANI 7472565330001 0001075371805 6/13/1983 P 36 THN 8 BLN ANAK 100/70
LM.YOGI 0001075371816 3/23/1995 L 24 THN 11 BLN ANAK 100/70 1
LM.KHALQY TDK ADA 1/4/2003 L 17 THN 2 BLN ANAK 100/70 1
2 SUHARDIN HAFID 3172020511871002 TDK ADA 11/5/1987 L 32 THN 4 BLN KK 120/80 1
WD. SUMIATI 7472065106850001 TDK ADA 6/11/1985 P 34 THN 8 BLN ISTRI 110/70
WD. RAHMIATI 7472061911900001 TDK ADA 1/25/2004 P 16 THN 1 BLN FML 100/70 1
 LD. SARIFUDIN 11/19/1990 L 29 THN 3 BLN FML 100/80 1
13 LA IYZU 7472063112500001 TDK ADA 12/31/1950 L 69 THN 2 BLN KK 130/90 1 1 1
WABASE 747206302560001 TDK ADA 2/13/1956 P 64 THN 0 BLN ISTRI 120/80
14 1 RAHILU 7472060112530001 0000955281341 12/1/1953 L 66 THN 3 BLN KK 120/80 2 1 1
KANIA 7472067112590006 0000955281407 12/31/1959 P 60 THN 2 BLN ISTRI 90/60
MUH.ALFIN 7472061707010001 0001989686409 7/17/2001 L 18 THN 7 BLN ANAK 120/90 2
ADNAN SAMSUDIN 7472062504050004 0001989680668 4/25/2005 L 14 THN 10 BLN ANAK 100/70
2 HAMKA 7472062206810001 0000955283444 6/23/1981 L 38 THN 8 BLN KK 120/90 2 1 1
ROSMIDA 7472065104840001 0001989679263 4/11/1984 P 35 THN 10 BLN ISTRI 110/90 1
RISKAN SAPUTRA 7472062412010001 000198984519 12/24/2001 L 18 THN 2 BLN ANAK 90/60
LUKMAN HAMKA 7472061006100003 0001989839531 6/10/2010 L 9 THN 9 BLN ANAK
ATIKA NURUL ATIFA 747035301160001 TDK ADA 1/13/2016 P 4 THN 1 BLN ANAK
15 1 SAIHUNA 7472064107420007 0001075369555 7/1/1942 P 77 THN 8 BLN KK 140/90 1 1 HYPRTNSI
2 SAMARUDDIN 7472062509800002 0001075369566 9/20/1980 L 39 THN 5 BLN KK 120/80 1 1 1
SARFIA 7472065903800001 0001075369277 3/19/1980 P 39 THN 11 BLN ISTRI 80/60
MUH.SOFYAN 7472061503020004 0001075369588 3/15/2003 L 16 THN 11 BLN ANAK 110/60 1
NURHIDAYA 7472064701070001 0001075536959 1/7/2007 P 13 THN 2 BLN ANAK
MUH.IMAN 7472082912140001 0002296498286 12/29/2012 L 7 THN 2 BLN ANAK
16 1 WA IMBA 7472064107350017 TDK ADA 12/31/1934 P 85 THN 2 BLN KK 120/90 1 1 LANSIA
2 SAHARUDDIN 7472061011700008 TDK ADA 11/10/1970 L 49 THN 4 BLN KK 130/80 1 1 1
ROSMIAH 7472064705730003 0000955276536 5/2/1970 P 49 THN 10 BLN ISTRI 120/90
SCERLYN S 7472062606910002 TDK ADA 6/26/1991 P 28 THN 8 BLN ANAK 120/70
EVA ROSADI 7472065809960002 TDK ADA 6/18/1996 P 23 THN 8 BLN ANAK
17 1 WA APE 7472067112420003 0001941246055 12/31/1942 P 77 THN 2 BLN KK 150/80 1 1 HYPR/LANSIA
2 LD.MULIADI 7472060604740001 TDK ADA 3/6/1974 L 46 THN 0 BLN KK 130/100 2
SARLINA 7472064606760001 0002065094493 6/6/1975 P 44 THN 9 BLN ISTRI 120/70
FEBY FEBRIYANTI 7472064811000001 0002065094774 11/8/2000 P 19 THN 4 BLN ANAK 100/70
LM. FAUZAN 7472060811070003 0002065095347 11/8/2007 L 12 THN 4 BLN ANAK
WD. FILZA 7472065005100003 0001941245684 5/10/2010 P 9 THN 10 BLN ANAK
18 1 ZIYFA 7472066405450001 TDK ADA 5/24/1945 P 74 THN 9 BLN KK 160/100 1 1 1 HT/LANSIA
2 KAMLIY 7410010107820005 ADA 7/1/1985 L 34 THN 8 BLN KK 120/90 1
RAHMANIAR 7472065207810001 ADA 7/12/1981 L 38 THN 7 BLN ISTRI 120/89
AQILAH DITA TDK ADA 3/15/2014 P 5 THN 11 BLN ANAK
MUH.AL ZAKI TDK ADA 5/14/2016 L 3 THN 9 BLN ANAK
19 MAHAZIA 7472064107650004 0002239830461 10/1/1965 P 54 THN 5 BLN KK 130/90 1 1
TUTI 7472065003790001 ADA 3/10/1979 P 41 THN 0 BLN ANAK 100/90
MIRA YULIANTI 7472065109920003 0002235853912 6/11/1992 P 27 THN 8 BLN ANAK 100/70
20 HASTI 7472060107500007 0002212792345 7/1/1950 L 69 THN 8 BLN KK 130/80
AMMA 7472067112550009 0002212792929 12/31/1955 P 64 THN 2 BLN ISTRI 130/90
HAMSIA 7472064705750001 0002212793256 5/7/1975 P 44 THN 10 BLN ANAK 100/70
 HASRUN 7472062711820003 TDK ADA 3/12/1994 L 25 THN 11 BLN ANAK 130/90
AGUSTINA 7472064508890002 TDK ADA P ANAK 100/70
21 NURLINA 7472064104840001 001254755531 4/10/1984 P 35 THN 11 BLN KK 125/80
MIRSUWA NAFA ADA 4/10/2013 L 6 THN 11 BLN ANAK
22 1 NASIAH 747206701242001 0000134097794 12/7/1942 P 77 THN 3 BLN KK 120/80
SDD
3/10/2020
PRODUKSI 15- 59
 INDIKATOR KELUARGA SEHAT HARI INI :

Ber
salin Kel
Umur Pema
No. No. di ASI Pndr tdk Air
Imun n Hiper OD Jam
Urt Urt Nama Keluarga NO. KK NIK No. JKN Tempat Lahir Tanggal Lahir L/P Hub. Kel KB Fas Ekslus ita mer brsi Ket
lngkp tauan tensi GJ ban
Bgn Kel Kes if TB o h
(Thn) balita
<12 kok
BLN

TIM 2 TANGGAL PIS PK 3/10/2020

1 1 WA UNA 7472061602081828 7472064112570001 0002368062265 TARAFU 12/1/1957 P 62 THN 3 BLN KK 140/90 1 1 HYPERTENSI
SYAMSUDDIN SUPARNO 7472062009810001 0002368062267 TARAFU 10/3/1981 L 38 THN 5 BLN ANAK 120/80 1 1 1
2 AGUS PRIYADI 7472081104130002 7472083121730001 0001941256651 LAMONGAN 12/13/1973 L 46 THN 2 BLN KK 110/80
FATRYA SUPARNO ANDI 7472084107840001 0001941255562 WAMEO 7/1/1984 P 35 THN 8 BLN ISTRI 2 100/70
ASTRINA SURIANI 7472086803060001 0001941255573 BAU-BAU 3/28/2006 P 13 THN 11 BLN ANAK
DESTINA RAHMAWATI 7472084804110001 0001941255584 BAU-BAU 4/8/2011 P 8 THN 11 BLN ANAK
DARMAYANTI 7472084804110001 BAU-BAU 11/25/2018 P 1 THN 3 BLN ANAK 1
3 RUSMIN SYAHIR 7472080306160003 7472060806890001 0000955563401
NGANGANAUMALA6/8/1989 L 30 THN 9 BLN KK 120/80 2

TB/SMNTRA
MMN
SALWIYAH 7472064107860018 0002368041333 WAMEO 3/4/1990 P 30 THN 0 BLN ISTRI 2 1 100/70
OBT,GINJAL
,LAMBUNG

SARIFAH ANGGRAINI 7472085507090001 0002368041344 WAMEO 7/15/2009 P 10 THN 7 BLN ANAK

ABDUL YASIR SAHIR 7472080805150001 0002368041355 WAMEO 8/8/2015 P 4 THN 7 BLN ANAK 1
2 1 HANISA 7472061602081403 7472064107570009 WAMEO 7/1/1957 P 62 THN 8 BLN KK 130/90 1 1
MUSLAN 7472060510820001 WAMEO 10/5/1982 L 37 THN 5 BLN ANAK 110/80
SUNARDI 7472062308900001 WAMEO 8/23/1990 L 29 THN 6 BLN ANAK 100/70 1
2 LA ODE ANDIKA 7472061602081315 7472063112720002 ADA KAOBULA 12/31/1972 L 47 THN 2 BLN KK 110/80 2 1 1
SARTINA 7472066809790001 ADA WAMEO 9/28/1979 L 40 THN 5 BLN ISTRI 2 2 120/80
WD SELFI MERLIANA ADSAR 7472066805000001 0002367972536 KAOBULA 5/28/2000 P 19 THN 9 BLN ANAK 90/70
LA ODE MUH.AKSARA 7472062001030001 ADA WAMEO 1/20/2003 L 17 THN 1 BLN ANAK
LA ODE ZAKWAN AZMI 7472081402130003 00023679972562 2/14/2013 L 7 THN 0 BLN ANAK
WD. SYAIQIYA ASTILA RAHMA.A 7472084606150001 0002367972584 WAMEO 6/6/2015 P 4 THN 9 BLN ANAK
3 1 LA IMU 7472061602081314 7472060107700008 LAMBELU 7/1/1970 L 49 THN 8 BLN KK 110/90 1 1 1
IMNA 7472066011720001 WAMEO 11/20/1972 P 47 THN 3 BLN ISTRI 2 130/80
2 SUPRIN 74720827001150007 7404220107880018 LIABUKU 8/23/1988 L 31 THN 6 BLN KK 110/80 1 1 1
IIN DESRIYANTI 7472066212970001 WAMEO 12/22/1997 P 22 THN 2 BLN ISTRI 2 100/70
MUH. FEBRIYANSYAH 74720807021500004 BAU-BAU 2/7/2015 L 5 THN 1 BLN ANAK 1
MUH. RAFIF MUHARAM 7472083009170002 BAU-BAU 9/30/2017 L 2 THN 5 BLN ANAK 1 2 1 120/90 1 1 1
4 MUSBA 7472061602081464 7472063112450004 ADA WAMEO 7/1/1945 L 74 THN 8 BLN KK
SAIDA 7472067112550008 WAMEO 7/1/1955 P 64 THN 8 BLN ISTRI MENINGGAL
5 SUNARTO 7472081306150002 7471102511880001 0001883741679 RAHAMPUU 11/25/1988 L 31 THN 3 BLN KK
SALSIAH,S KeP 7472064902880001 0001883744098 WAMEO 2/9/1988 P 32 THN 1 BLN ISTRI 1 1 2 1 100/70 2 1 1
ANDRA NARSAL AL-GHIFARY 7472080311150001 0002388045473 BAU-BAU 11/3/2015 L 4 THN 4 BLN ANAK
DEVAN NARSAL PRAMANA 7472081203190001 0002751667751 BAU-BAU 3/12/2019 L 0 THN 11 BLN ANAK USIA PRODUKSI 1
6 1 RAFIU 7472061602081332 7472063112570006 0000956122569 WAMEO 12/31/1957 L 62 THN 2 BLN KK 130/80 1 1 1
SUMIRA 7472064107540008 0000965123278 WAMEO 7/1/1954 P 65 THN 8 BLN ISTRI 120/80 LNSIA 60+
2 FENDI 7472082908190001 7472061102910001 ADA TOLANDONA 2/11/1991 L 29 THN 0 BLN KK 100/70 1 1
MURIATI 7472066512920001 0000956124821 WAMEO 12/25/1991 P 28 THN 2 BLN ISTRI 1 1 1 100/70
ASYIFAH HUSNAH TDK ADA WAMEO 12/1/2019 P 0 THN 3 BLN ANAK TDK ADA JKN
7 SUKIMAN 7472061602081348 7472062104610001 00001341800019BANJARWARU 4/21/1961 L 58 THN 10 BLN KK 120/90 1 1
NASIHA 7472045606450001 00001341800021 WAMEO 8/15/1965 P 54 THN 6 BLN ISTRI 2 110/90
PUTRI NURANINGSIH 7472065704880002 ADA WAMEO 4/17/1988 P 31 THN 10 BLN ANAK
THESAR SUGIARTI `` 7472060004930001 ADA WAMEO 4/20/1993 L 26 THN 10 BLN ANAK
8 WA ODE SITI NURMILA 7472082208170002 7472005204840001 0002368049332 WAMEO 4/12/1984 L 35 THN 10 BLN KK 2 120/80
LA ODE TASLIM TDK ADA WAMEO 11/11/1987 P 32 THN 3 BLN FM LAIN 120/80 2 1 1 TDK ADA JKN
9 ZAM'A 747206680243000 0000956220186 WAMEO 2/28/1943 P 77 THN 0 BLN KK 120/80 1 1 1 JANTUNG
10 BASIRAN 7472061602080770 7472080205690001 0001439814429 BAU-BAU 5/1/1969 L 50 THN 10 BLN KK 130/80 1
WA ODE HANARIA 7472064107720004 0001439815522TAMPUNABALE 7/1/1972 P 47 THN 8 BLN ISTRI 2 120/80
FEMY RACHMAYANI 7472066612940001 BAU-BAU 12/26/1972 P 47 THN 2 BLN ANAK 110/80
FARID. MUH.FAJAR 7472062303980001 BAU-BAU 12/26/1994 L 25 THN 2 BLN ANAK 100/70
FARAH FITRIYANI 7472064112020001 0001439820011 BAU-BAU 3/23/1998 P 21 THN 11 BLN ANAK 100/70
MUH FAREL SYAPUTRA 7472081701080001 0001439824307 WAMEO 4/17/1997 L 22 THN 10 BLN ANAK
SITI AMNAH 7472066204790001 TAMPUNABALE 4/22/1997 P 22 THN 10 BLN ANAK
11 HASIANI 7472061602081337 7472063112650004 WAMEO 12/31/1965 L 54 THN 2 BLN KK 120/90 2 1 1
NASIMA 7472065708640001 0000209168065 WAMEO 8/17/1964 P 55 THN 6 BLN ISTRI 2 90/70
EKA ARDHIANTO 7472060412910001 WAMEO 12/4/1991 L 28 THN 3 BLN ANAK 1 1
SUCI ANANDA 7472067005000001 WAMEO 4/30/2000 P 19 THN 10 BLN ANAK
TRIKA ARSANDI 7472061605040001 0001291353862 WAMEO 5/16/2004 L 15 THN 9 BLN ANAK
12 WA ODE SAMNA 7472082810160001 7403334107610005 0002325111312 TAMPUNABALE 7/1/1961 P 58 THN 8 BLN kk 140/70 1 1 HYPERENSI
SITI MAIMUNA 7403335810006000 0002325113044TAMPUNABALE 12/20/2008 P 11 THN 2 BLN FM LAIN 100/70
13 LA MANE 7472080208170003 8208010609840001 ADA TIKONG 9/6/1984 L 35 THN 6 BLN KK 2 1 1 1 1
SARIA 7404074508950001 ADA MALAYSIA 8/15/1995 P 24 THN 6 BLN ISTRI
RIZAL 7472082811170001 ADA BAU-BAU 11/28/2017 L 2 THN 3 BLN ANAK
14 ARIFIN 7472062411110001 7472061010810001 WAMEO 10/10/1981 L 38 THN 5 BLN KK 2 1 1
HUSNAH 7472064907860002 BATARAGURU 7/6/1987 P 32 THN 8 BLN ISTRI 2
RAHAYU LIDYA PRATIWI 7472065508110001 BAU-BAU 8/5/2011 P 8 THN 7 BLN ANAK
ATIQAH NUR APRILIA 7472066404130001 BAU-BAU 4/21/2013 P 6 THN 10 BLN ANAK
M. IBRAHIM RAMADHAN 7472060307160001 0002368027675 BAU-BAU 7/3/2016 L 3 THN 8 BLN ANAK 2
15 RASIDIN 7472061602080843 7472060101610001 0002170168694 WAMEO 1/1/1961 L 59 THN 2 BLN KK 120/80 2 1 1
SINAINI 7472065212610001 0002170168661 WAMEO 12/12/1961 P 58 THN 2 BLN ISTRI 140/90 HYPERTENSI
AL IKRAM 7472062504860001 WAMEO 4/26/1986 L 33 THN 10 BLN ANAK
AL HIDAYAH NUR 7472062707880001 WAMEO 7/27/1988 L 31 THN 7 BLN ANAK 110/80 2
NUR FAHMI 7472065309910001 0002170168683 WAMEO 9/13/1991 P 28 THN 5 BLN ANAK 100/70 2
DARSIN 7472062702990001 0002170168694 WAMEO 2/27/1999 L 21 THN 0 BLN ANAK 100/70
16 1 VLLOY EKA WATI 7472082009160007 7472064606980001 0001818554231 MALUKU 6/6/1998 P 21 THN 9 BLN ANAK 110/80
YEYEN DWI ARUM 7472066307010001 0001818554681TANJUNG PINAG 7/23/1998 P 21 THN 7 BLN ANAK 100/80 KOS-KOSAN
2 SRI WAHYUNI ADA 7/6/2004 P 15 THN 8 BLN ANAK 100/80 KOS-KOSAN
17 LD. IDSYAH AWALUDDIN BA 7472060902110013 7472060805680001 0000134305705 BAU-BAU 5/8/1968 L 51 THN 10 BLN KK 130/80 2 1 1 KOS-KOSAN
WD SURIANI 7472064107690082 0000134305716 BAU-BAU 7/1/1969 P 50 THN 8 BLN ISTRI 2 120/80 ASAM URAT
WD.AFTITA SEPTARAINI A 7472066109960003 BAU-BAU 9/21/1996 P 23 THN 5 BLN ANAK 100/80
WD SHERIN SEPTI A 7472066109980001 0002288428424 BAU-BAU 9/24/1998 P 21 THN 5 BLN ANAK 100/80
WD NOVELIA TRI RAHMAWATI A 7472066211990002 0002288429256 BAU-BAU 11/12/1999 P 20 THN 3 BLN ANAK 100/70
WD JULIE ADISTA KWARSI A 7472064307030001 0002296852659 BAU-BAU 7/3/2003 P 16 THN 8 BLN ANAK 100/70
LM RAYNALDI A 7472060410050002 TDK ADA BAU-BAU 10/4/2005 L 14 THN 5 BLN ANAK
18 LA RONTA 7472060703110010 7472060510680001 0002249737503 MEO-MEO 10/5/1968 L 51 THN 5 BLN KK 110/70 1 1 1
JUMRIATI 7472065602790003 0002249737604 WAMEO 6/16/1979 P 40 THN 8 BLN ISTRI 1 100/70
JUFRIANTO 7472062903020003 0002249738223 WAMEO 3/29/2002 L 17 THN 11 BLN ANAK 100/70
SHINTA PRATIWI 7472064102080001 0001941242793 FALABISAHAYA 2/1/2008 P 12 THN 1 BLN ANAK
FERY KURNIAWAN 7472061902090003 0002249738436 FALABISAHAYA 2/10/2009 L 11 THN 1 BLN ANAK
FADLAN ADZIMA RAMADAN 7472081901180001 0002422261271 BAU-BAU 1/19/2018 L 2 THN 1 BLN ANAK 1 1
19 LA IRAMA 7472061602081904 7472063001590001 0000955286144 WAMEO 1/30/1959 L 61 THN 1 BLN KK 160/80 1 1 1 ASMA
AMRIA 7472064505720002 WAMEO 5/5/1972 P 47 THN 10 BLN ISTRI 2 110/70
JUMADIN 7472062202870002 WAMEO 2/22/1987 L 33 THN 0 BLN ANAK 100/70 2
20 SUKATMAN 7472062607100001 7472061911470001 LANGGEA 11/19/1974 L 45 THN 3 BLN KK 110/70 1 1 1
MONALISA 7472064211780001 WAMEO 11/2/1978 P 41 THN 4 BLN ISTRI 2 100/70
SYAHTRIA SUKMA JAYA 7472061010110002 BAU-BAU 10/10/2011 L 8 THN 5 BLN ANAK
NUR FEBRIYANTI 7472060502160001 BAU-BAU 2/5/2015 P 5 THN 1 BLN ANAK
21 ALUDDIN 7472061602081641 7472063112680030 0000134230803 TOLANDONA 12/31/1968 LP 51 THN 2 BLN KK 130/80 1 1 1
ZAHARI 7472067112690029 0000134072638 WAMEO 12/31/1969 L 50 THN 2 BLN ISTRI 2 110/70 GONDOK
ROYAN RAMADHAN ALZAH 7472061502950001 ADA BAU-BAU 2/15/1995 L 25 THN 0 BLN ANAK 100/70
FIQIH ZUL FASRI ALZAH 7472061501980001 ADA WAMEO 1/15/1998 L 22 THN 1 BLN ANAK 100/70
NUR ALIM ALZAH 7472060701010003 0002367975183 BAU-BAU 1/7/2001 L 19 THN 2 BLN ANAK 100/70
FAZLUR RAHMAN ALZAH MALIGANA 7472060404040003 0002367975194 BAU-BAU 4/4/2004 L 15 THN 11 BLN ANAK 100/70
ADEN NUR ALZAH MALIGANA 7472060104060001 ADA BAU-BAU 4/1/2006 L 13 THN 11 BLN ANAK
22 AMRUL 7472061602081187 7472062008790002 ADA MEO-MEO 8/20/1979 L 40 THN 6 BLN KK 120/70
SUWARTI 7472065410790001 0002367971267 BAU-BAU 10/14/1979 P 40 THN 4 BLN ISTRI 2 110/70 2 1 1
MUH. REZKY PRASETYA 7472060111060001 0002367971278 BAU-BAU 11/1/2006 L 13 THN 4 BLN ANAK
ELNINO DWIANSYAH 7472060501100002 0002367971289 BAU-BAU 1/5/2010 L 10 THN 2 BLN ANAK
23 1 WINE 7472061705100001 7472064201450001 ADA WAMEO 1/2/1945 P 75 THN 2 BLN KK 140/90 HYPRTENSI
2 GANI INO 7472081801140002 7472041504710001 WAMEO 4/15/1971 L 48 THN 10 BLN KK 130/80 2 1 1
RUSTINA 7472045006760002 LOWU-LOWU 6/10/1976 P 43 THN 9 BLN ISTRI 120/70
ALFIN 7472071303950001 LOWU-LOWU 12/3/1995 L 24 THN 3 BLN ANAK 100/70
ALFANDO GANI 7472040812960002 WAMEO 12/26/1996 L 23 THN 2 BLN ANAK 100/80
IYEN GANI 7472042612980001 LOWU-LOWU 12/26/1998 P 21 THN 2 BLN ANAK 100/70
NANDA GANI 7472044810020001 LOWU-LOWU 10/4/2002 P 17 THN 5 BLN ANAK 100/70
24 1 LA MBUO BUTON 7472061602080746 7472062005690003 0000956315643 LAMAHANG 5/20/1969 L 50 THN 9 BLN KK 110/80 1 1 1
ZAHARIANI 7472064606730001 0000956132504 WAMEO 6/6/1973 P 46 THN 9 BLN ISTRI 2 120/70
WD SITTI SALEHA 7472065008940002 ADA WAMEO 5/10/1973 P 46 THN 10 BLN ANAK 100/70
WD SITTI SARI FIFIAN Z 7472064308970001 0000956133516 WAMEO 8/3/1997 P 22 THN 7 BLN ANAK 100/70
FITRAH ISLAMIA 7472061511040003 0000956134269 WAMEO 11/15/2004 L 15 THN 3 BLN ANAK 100/70
FIKRAM 7472060404070003 WAMEO 4/4/2007 L 12 THN 11 BLN ANAK
2 WA KALAMBE 7472080304170002 747206470300001 WAMEO 3/7/1943 P 77 THN 0 BLN KK 140/90 HYPERTENSI
25 RAMLI 7472061602080643 7472061405670001 ADA SINJAI 5/14/1967 L 52 THN 9 BLN KK 110/70 1 1 1
HARNIA 7472065507700001 ADA WAMEO 7/15/1970 L 49 THN 7 BLN ISTRI 2 100/70
MUH.RISAL RAMLI 7474062311940001 ADA BAU-BAU 11/23/1994 L 25 THN 3 BLN ANAK 100/70 1
MUH..RISDAM RAMLI 7472062001020001 0001264679201 BAU-BAU 1/20/2002 L 18 THN 1 BLN ANAK 100/70
MUSHAWIR 7472061411060001 ADA KENDARI 11/14/2006 L 13 THN 3 BLN ANAK
26 LA DIDI 7472061602081402 7472060202770001 0001264769201 LOWU-LOWU 2/2/1976 44 THN 1 BLN KK 110/80 1 1 1
WA ODE SURITATI 7472064803770001 0000134100369 BOGOR 3/8/1977 L 43 THN 0 BLN ISTRI 2 110/80
LD. WAHID JULIO S.BAY 7472060907980001 0000134100350 LOWU-LOWU 7/9/1998 P 21 THN 8 BLN ANAK 100/70
LD.RUSDIN SAPUTRA BAY 7472060602030001 0000134100382 BAU-BAU 2/6/2003 P 17 THN 1 BLN ANAK 100/70
WD CAHYA AULIA 7472066901090003 0002217559937 BAU-BAU 1/29/2009 P 11 THN 1 BLN ANAK
LD. SUNARDI 7472063108910004 BAU-BAU 8/31/1991 L 28 THN 6 BLN FM LAIN 100/70
27 1 WA ODE FAUZIA 74720824100140001 7472064607580001 0000134224705 WAMEO 7/6/1958 P 61 THN 8 BLN KK 140/90 1 1 HYPERTENSI
WA ODE ALFIANI 7472066109820001 ADA WAMEO 9/21/1982 37 THN 5 BLN ANAK 110/70
WA ODE FAIDAH 7472065410870001 ADA TARAFU 10/14/1987 P 32 THN 4 BLN ANAK 100/70
LM.AFANDI 7472060704900001 ADA WAMEO 4/7/1990 L 29 THN 11 BLN ANAK 110/80 2
LM. ARIFUDDIN 7472061504920001 ADA WAMEO 4/15/1992 L 27 THN 10 BLN ANAK 100/70 2
LAODE AZALUDDIN 7472062511950001 ADA WAMEO 11/25/1995 L 24 THN 3 BLN ANAK 100/70
WD ALFINA 7472084710970001 ADA BAU-BAU 10/7/1997 P 22 THN 5 BLN ANAK 100/70
2 HENDRA GAPUR JUFRI 7472061304110006 7472022302850001 0000171576562 TARAFU 2/23/1985 L 35 THN 0 BLN KK 100/70 1 1 1
WD.ASNIAR 7472065007810001 0000199003803 WAMEO 7/10/1981 P 38 THN 8 BLN ISTRI 1 1 2 100/70
AULIKAKHATIMAH 7472066502110001 0000208389565 BAU-BAU 2/25/2011 P 9 THN 0 BLN ANAK
DAFIYA AMIRA 7472086204150001 0001848057142 BAU-BAU 4/22/2015 P 4 THN 10 BLN ANAK
SYAUKI MUMTAZ BLM ADA BAU-BAU 5/27/2020 L Err:502 ANAK
28 1 LD ZAHARUDDIN 7472061602080707 7472063112640036 000134306752 WAMEO 12/31/1964 L 55 THN 2 BLN KK 120/80 1 1 1
NURMIN 7472065711640001 ADA WAMEO 11/17/1964 P 55 THN 3 BLN ISTRI 2 11070
M. TONY FAISAL 7472060602880001 ADA WAMEO 2/6/1988 L 32 THN 1 BLN ANAK 100/70
 M. RISWAN SETIAWAN 7472062008990001 ADA WAMEO 8/20/1999 L 20 THN 6 BLN ANAK 100/70
2 WD.NUR ASPAMAWATI 7472081307170002 7472066608960001 0000134306774 KABAENA 8/26/1996 P 23 THN 6 BLN KK 1 1 1 110/80 1 1
RUHAMAAISYAH R 7472087105180001 0002474946494 BAU-BAU 5/31/2018 P 1 THN 9 BLN ANAK

SDD
3/10/2020
PRODUKSI 15- 59
 INDIK

No. No.
Urt Urt Nama Keluarga NIK No. JKN Tempat Lahir
Bgn Kel

TIM 2 TANGGAL PIS PK 1/20/2020

1 LA ULI 7472063112650007 0000956177346 WAMEO
AMALIA 7472088609750001 0000956176571 WAMEO
ERIK 74720022610990001 00009561176514 WAMEO
2 SARNILUDI 0000956244745 WAMEO
ANDRIANI 7472065707030004 0000956245511 WAMEO
FIRMAN 7472061505070001 0000956246387 WAMEO
AMARUF FASYAH 7472081605180001 TDK BAUBAU
3 SAFIU 7472060210660001 0000955251797 WAMEO
RAARA 7472064701670001 0000955251854 WAMEO
SAFRIN 7472061608970001 0000955252394 WAMEO
AYSAH 7472066311020001 0000955252552 WAMEO
TASYAH 7472086406080001 0002367970582 WAMEO
4 DARLIN 7472060901860001 0002368113232 TARAFU
WA ODE HASRIATI 7472065207860001 0002367949724 TARAFU
ANDINY 7472067010110002 0002368113264 TARAFU
ANDNIKA PRI PRATAMA 7472083110140002 0002368113276 TARAFU

AGUSVTIEN 7472085708170001 0002368113254 BAUBAU

5 MUNSIR 7472063001750002 0001075371129 BONE-BONE

NURBAINI 7472064606800001 0001075371131 BAUBAU
MUH.SAFAR AWALUDIN 7472060902090002 0001075371142 BAUBAU
FATROH ALHIDAYAH 7472060809100003 0001075371153 BAUBAU
MUJI ABD MUBAROK 7472080506130001 0002368148218 BAUBAU
6 1 NASIHU 7472060107460028 0000955232651 WAMEO
SARIFA 7472064107490036 0000955233303 WAMEO
NASRUDIN 7472060107730051 0000955233369 WAMEO
2 SAMIN 7472060107790009 TDK ADA WAMEO

SURIANI 7472065502680001 0000955234146 WAMEO

ROY PRAMANA 7472063112050003 0000955234484 WAMEO

7 LD. MBIGO 7472063112660007 PUMA
MALWIAH 7472064501700001 WAMEO
MUHAMAD FAJARUDIN 7472060712920001 BAUBAU
MUH.SABARUDI NN 7472061901010001 BAUBAU
MUH.SYUKUR RAMADAN 7472060101030002 WAMEO
8 ULIN 7472000107600004 0002367966475 WAMEO
 MUSFA 7472064107660004 0002367966426 WAMEO
MUIN 7472061311820001 WAMEO
MULIS 7472061310830002 WAMEO
MUIS HUSEIN 7472062305890001 WAMEO
MURNIANTI 7472065304940001 0002367955521 WAMEO
MUHAMADIN 7472062604040001 0002367966543 BAUBAU
MUHARDIN 7472082009100002 0002367966532 BAUBAU
9 1 LD.HANUDDIN 7472063112490002 00013134256276 WAMEO
WD SARWA 7472067112510000 0000134256587 WAMEO
LD.SYAIFUDIN 7472061207900001 WAMEO
WD. HUSRIA 7472066404830001 WAMEO
2 LD.MUSYAWIR ERYANO 7407050611840001
WD.HUSNAH 7472066804870001
LM.INDRA YANI 7472080103150001
3 AHMAD WIDODO 7472061010700001 0001807624956
WD.HAMISA 7472067112730016 0001807628242
AGUSTINA D 7472066108010002 0001807631054
4 LD.ASMAN 7472051707800001
WD.HASNIA 7472066005850001
LD.NATHAN 7472081207160001
5 HERRY HARYANTO 7472082102890001
WD.HAMIDA 7472065912810001
LD.KHALIQ 7472082601130001
10 1 ZAMUDIN 7472063112530019 WAMEO
ELIYANTI 7472065806900001 WAMEO
DESI ALMAYANTSARI 7472066812940003 WAMEO
ALDIANZAMUDIN 7472062608980002 WAMEO
2 NOFAR YUDII 7472020611650001 BATULO
RENI MUHARNI 7472065806900001 BAUBAU
 INDIKATOR KELUARGA SEHAT

Ber
Umur salin di
ASI Peman
Fas Imun Pndrita Hiper
Tanggal Lahir L/P Hub. Kel KB Ekslf(7- tauan ODGJ
Kes lngkp TB tensi
23BLN) balita
(Thn) <12BL
N

12/31/1965 L 54 THN 0 BLN KK 2 130/80

9/25/1975 P 44 THN 3 BLN ISTRI 2 120/80
10/26/1999 L 20 THN 2 BLN ANAK 100/70
3/25/1983 P 36 THN 9 BLN ISTRI 1 110/80
7/17/2003 P 16 THN 6 BLN ANAK 90/70
7/15/2007 L 12 THN 6 BLN ANAK
5/16/2018 L 1 THN 8 BLN ANAK
10/2/1965 L 54 THN 3 BLN KK 130/88
1/7/1967 P 53 THN 0 BLN ISTRI 1 150/90
8/16/1997 L 22 THN 5 BLN ANAK 110/70
11/23/2002 P 17 THN 1 BLN ANAK 100/70
6/24/2008 P 11 THN 6 BLN ANAK
1/9/1986 L 34 THN 0 BLN KK 110/80
7/12/1986 P 33 THN 6 BLN ISTRI 2 100/70
10/30/2011 P 8 THN 2 BLN ANAK
10/31/2014 L 5 THN 2 BLN ANAK

8/17/2017 P 2 THN 5 BLN ANAK

1/30/1975 L 44 THN 11 BLN KK 130/80

6/6/1980 P 39 THN 7 BLN ISTRI 2 120/80
2/9/2009 L 10 THN 11 BLN ANAK
9/8/2010 L 9 THN 4 BLN ANAK
6/5/2013 L 6 THN 7 BLN ANAK
7/1/1946 L 73 THN 6 BLN KK 2 130/80
7/1/1949 P 70 THN 6 BLN ISTRI N 2 180/90
7/1/1973 L 46 THN 6 BLN ANAK 2 110/90
7/1/1979 L 40 THN 6 BLN KK 2 130/80

2/15/1966 P 53 THN 11 BLN ISTRI 2 2 120/80

12/31/2005 L 14 THN 0 BLN ANAK

100/70

7/1/1960 59 THN 6 BLN KK 110/70

 7/1/1968 51 THN 6 BLN ISTRI 140/80
11/13/1982 37 THN 2 BLN ANAK 120/80
10/13/1983 36 THN 3 BLN ANAK 110/70
5/29/1989 30 THN 7 BLN ANAK 110/70
4/13/1994 25 THN 9 BLN ANAK 120/80
4/26/2004 15 THN 8 BLN ANAK 100/70
9/20/2010 9 THN 4 BLN ANAK
12/31/1949 70 THN 0 BLN KK 130/70
12/31/1951 68 THN 0 BLN ISTRI 140/90
7/12/1990 29 THN 6 BLN ANAK 110/60
4/24/1983 36 THN 8 BLN ANAK 100/60
11/6/1984 35 THN 2 BLN KK 110/80
4/28/1987 32 THN 8 BLN ISTRI 100/70
3/4/2015 4 THN 10 BLN ANAK
10/10/1970 49 THN 3 BLN KK 110/70
12/31/1973 46 THN 0 BLN ISTRI 100/70
8/21/2001 18 THN 4 BLN ANAK 100/60
7/17/1989 30 THN 6 BLN 100/80
5/20/1985 34 THN 8 BLN 90/80
7/12/2016 3 THN 6 BLN 110/80
2/21/1989 30 THN 10 BLN 100/80
12/19/1981 38 THN 1 BLN
1/26/2013 6 THN 11 BLN
12/31/1953 66 THN 0 BLN
7/5/1985 34 THN 6 BLN
12/25/1994 25 THN 0 BLN
26/08/ #VALUE!
 HARI INI : 3/10/2020

Kel
tdk
Air brsih Jamban Ket
mero
kok

1 1 1
2 1 1
1 1 1
2 1 1
2 1 1
2 1 1
2 1 1

HYPERTENSI
2 1 1

PERNAH MNM
OBAT PKT

1 1 1
HYPERTENSI
2
USIA PRODUKSI 15- 59

PRNAH MNM
OBT PKT

LNSIA 60+
HIPERTENSI

HIPERTENSI