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Andrea Pangkaya Evabrina Kanuuk Clara H. Mail Princes J. Ralahalo Aurabel Eyale Ezra Joel
Andrea Pangkaya Evabrina Kanuuk Clara H. Mail Princes J. Ralahalo Aurabel Eyale Ezra Joel
DINAS KESEHATAN
PUSKESMAS BELAKANG SOYA
Jalan Joseph Kam Tengah, KP : 97121 Ambon
Email : pkmbelso@gmail.com Telpon : 0911-3823651
1 8171022010150018 8171025601160001 1 Andrea Pangkaya 16/1/16 P - 3,2 Hengky 8171021010890011 002/04 1x/ 2x 2 2 1
2 1 Evabrina Kanuuk 13/2/16 P - 3,1 Alen/Enta 003/04 1x/ 2x 2 2 1
3 2 Clara H. Mail 2/2/16 P - 3,3 Gio/Dessy 001/04 1x/ 2x 1 1 1
4 1 Princes J. Ralahalo 7/3/16 P - 3 Jedi/Dina 004/04 1x/ 2x 2 2 1
5 1 Aurabel Eyale 7/5/16 P - 3,1 Amos/Feby 003/04 1x/ 2x 2 2 1
6 2 Ezra Joel Hehanusa 3/5/16 L - 3,0 Ongen/ina 003/04 1x/ 2x 2 2 1
7 3 Emanuel Kotalewala 4/6/16 L 60 3,1 Hein/bidan
8 Yuda Weliken 2/8/16 L 58 Reni/
9 2 Geovaro Ralahalo 30/9/16 L 57 2,9 Stenly 003/04 1x/2x 2 2 1
10 1 Sefanya Alfons 1/2/17 P 52 3,0 Roki/ 003/04 1x 2 2 1
11 Queen W 4/3/17 P 51 Paet/teli
12 2 Paul A. Tutuarima 15/3/17 L 51 3,2 Carol/claudia 004/04 1x 2 2 1
13 8171020309090047 2 Rival Pudehokang 24/3/17 L 51 3,1 Edo/elsa 002/04 1x 2 2 1
14 1 Jois Horuhoru 18/4/17 L 50 3,3 Jhoni/meske 003/04 1x 2 2 1
15 1 Frano A. Tehupiory 20/4/17 L 50 3,1 Angki/ledy 003/04 1x 2 2 1
16 1 Jeverson Ralahallo 6/5/17 L 49 2,9 Joni/dina 002/04 1x 2 2 1
17 2 Verel Matahelemual 8/6/17 P 48 3,2 Ongen/cori 1x 2 2 1
18 Anora Tanahatumesing 01/8/17 P 46 Paet/dian
19 8171026108170002 1 Grafela Burnama 21/8/17 P 46 3,1 Yanes//mia 8171021407800005 003/04 1x 2 2 1
20 8171026108170003 1 Grafila Burnama 21/8/17 P 46 3 Yanes/mia 8171021407800005 003/04 1x 2 2 1
21 Keren Usmany 01/10/17 p 44 3 Feki/tin 003/04
22 8171024210170003 2 Yuka Terwarat 2/10/17 P 44 3,2 Alfonsio/maria 8171021306820004 003/04 1x 2 2 1
23 Christin Bonara 9/10/17 P 44 Rindi/eta 003/04
A Nama Cara ukur ASI IMD Vit A
No No Kartu Keluarga NIK (Nomor Induk n Tgl L Umr BBL NIK Ayah No Tlp/HP Orang Alamat BB TB 1x Eksf 1= Ya 1 = Ya
Nama Anak Orang Tua
Kependudukan) k Lahir / bln (Kg) Tua (Kg) (Cm) tlentang 1 = Ya 2= Tdk 2=Tdk
atau No. KTP e P Ayah/Ibu 2x berdiri 2=Tdk
Ambon, - 6 - 2021
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