Laporan Gz. 2021-JULI

Lampiran 16
FORMULIR PEMANTAUAN PROGRAM PEMBERIAN TTD REMAJA PUTRI DI SEKOLAH
Kelas
Nama Sekolah
Nama Puskesmas Pembina
Nama Kabupaten/Kota
No. Nama Remaja Putri NIK TW 1
Jumlah minggu yang dilalui dari

Januari - Maret
(4)
1 AGNES SARTIKA NDRURU `1214025508060004 15

2 ANGEL YENIUS SALMIS `1214026406060001 15
3 CLAUDIA FERONIKA TEL `1214024607060007 15
4 DAMAI SEJAHTERA NDRURU 15
5 ERNI PUTRI JELITA TAF `1214024406060003 15
6 SRI WAHYU TEL `1214025306060006 15
7 FITERI TEL 15
8 IMAN GLORY TEL `12140255050070005 15
9 JULIATI LASE 15
10 LOYA 15
11 MELIDAR SARI BAENE 15
12 NAOMI ASTRI HIA `1214024112060002 15
13 RIANG HATI NDRURU `1214026409050002 15
14 SELVIN MIRANTI TAF `1214026203060002 15
15 RILIAN LAIA 15
16 YARLENI TAF 15
17 YUSNIAR TEL `1214026004050005 15
18 AGNES PUTRI JELITA NDRURU 15
19 AGUS BERNAWATINTEL `1214174104070006 15
20 DEA EKA PUTRI TAF 15
21 ELVIAMAN TEL 15
22 ANGEL KRISTIANA NDRURU `12140126901080001 15
23 INDAH NISKARIA TAF `1214024202060003 15
24 INGAT FAMILI HAL 15
25 LIMAN EBEN AYU HIA 15
26 MAY IVAN TEL 15
27 PUTRI JELITA HAL `1214024711060005 15
28 REVA MARISKA TEL `1214025403070001 15
29 RIANG HARMONI NDRURU `1214026209070001 15
30 SANTRI JERNIH LAIA `1214096302060001 15
31 SHERLIN JELITA NDRURU `1204067010050002 15
32 SRI GRACELITA ZEBUA `1214025606070003 15
33 TRINITA GRACIA EVELIN NDRURU `1214024301070001 15
34 AGUSTIANI TEL 15
35 AGUSTIN H NDRURU `1214026808070003 15
36 BERLIAN F HULU 15
37 CARI MANIS LAIA `1214176504050001 15
38 ELSA DAMAI HARITA 15
39 FERISMAWATI TAF `1214024111060006 15
40 FENIS CAHAYA TEL `1214020501100002 15
41 MAWARNI LAIA 15
42 MASLINA NDRURU 15
43 RATNA WATI TEL `1214027003070002 15
44 SESTA INDAH HULU `1214175312060001 15
45 STEVIA K TAF `1214024101060003 15
46 WINDAKRISTIN NDRURU 15
47 NASIPAN NDRURU 15
48 YUSNIA TEL 15
49 KASIH RIANG TELAUMBANUA `1214025204070004 15
50 ANJELINA TAF 15
51 ASLENI RIANTI TAF `1214024804060007 15
52 FERNI TEL 15
53 INTAN CAHYANI HIA `1214026705060005 15
54 MEIDAR LINA TEL 15
55 OLIVIA ANJELINA TEL `1214025410070004 15
56 SRI IVANI TEL `1214025410050003 15
57 TRISNAWATI H 15
58 YUSANI TAF 15
59 AYU P. JELITA SADAWA `121402100600002 15
60 BETI FELSIANA TEL ` 15
61 CERITA YANTU NDRURU `1214024411050002 15
62 EDITA P TEL 15
63 IMEL KRISDAYANTI TEL `1214024505060003 15
64 INDAH NATALIA NDRURU `1214024808050003 15
65 IRMINA IVANI GULO 15
66 JENI LAIA 15
67 KRISDAYANTI TEL `1214028806000004 15
68 MEIMAN KRISTIANDI 15
69 PIUS AGUSTINUS TAFONAO 15
70 RIANG HATI TEL `1214026612070001 15
71 RIDAYANTI TEL 15
72 ROSWITA TEL `1214025604070003 15
73 SIMEONI PASRAH NDRURU 15
74 TIFANNY AURELI TELAUMBANUA `1214024101790002 15
75 VERONIKA TEL 15
76 ADDELIA TAF `1214026408060002 15
77 AGUSTIKA SARI TEL `1214027004500005 15
78 DIAN P.S. GIAWA `1214026006080001 15
79 EWINER TAF `1214027101050001 15
80 FINISH M. RIANG HIA `1214024101050001 15
81 GRACE P.S TAF `1214024409060001 15
82 ICA KAFLORENS TRI NDR `1214026105060002 15
83 MEI INDAH Y. TEL 15
84 SEPTIWATI NDRURU `1214025408050002 15
85 TATA ANGELIN TEL 15
86 WIWIN ELVIANI NDR 15
87 AYU TRI ZEBUA 15
88 CAHAYA NIBA SADAWA 15
89 ELLER NIANTI NDR 15
90 FARISTINA HAL `1214025710030001 15
91 GRACE CLAUDYA TEL `1214024107050014 15
92 HEPPY FANNY P. TAF `1214026003050001 15
93 HARIS PURNAMA S. TAF 15
94 IMEL BERTA HULU `1214177008050003 15
95 MIRA AMELIA NDR `1214026303050007 15
96 DITARWATI HIA 15
97 ERNA SUSANTI TEL `1214025501500007 15
98 MESRA YELITA TEL 15
99 MONIKA W.NDR 15
100 NIPAN G.M. HULU 15
101 PUTRI ELISABET LAIA `1214034709050004 15
102 SAVERIA SELVIN HULU `1214026001040005 15
103 SEPRIANA K. TEL 15
104 HELTINA D.Y. SADAWA `1214025404000005 15
105 JELVIN INSANI TEL `1214024207050001 15
106 MASDELIMA TAF `1214026412050002 15
107 NIA SUPRIANI TAF `1214026602050001 15
108 RISKA WAHYUNI TAF `1214026301050003 15
109 ROSPITALIA TEL `1214025701060002 15
110 YOLAN PURNAMA 15
111 YOHANA TEL 15
112 DARNI TEL 15
113 ERWIN P. TEL `1214026104040002 15
114 ETRIANI DELVIANI TEL `1214024301060006 15
115 MEI KRISTIANI NDR 15
116 MEI TRIANI HULU 15
117 MONIKA YULIBA HULU 15
118 RAMISIA HALAWA `1214026103050004 15
119 RIANG RATNA LASE 15
120 SEFRIANI BAENE `1214034104050004 15
121 DESTRI DELVIANI TELAUMBANUA 15
122 AYU FINIS N.TEL 15
123 DWI FATNI ADELINA HULU 15
124 DIAN HALPER JELITA TAF 15
125 ERNITASARI TEL 15
126 KRISNURYANI TEL 15
127 GUSTI MARDALENA LASE 15
128 RINI WULAN P.HIA 15
129 KARENSUCI GRACIA NDR 15
130 PUTRI ANANDA TAF 15
131 PUTRI ANGELINA TAF 15
132 RISKA PUTRI NDRURU 15
133 SELVIAN KRINAWATI NDR 15
134 KAMIATI TEL 15
135 SEVRIANI HAL 15
136 SELVI YANI TAFONAO 15
137 AYUMARDIANA TAF 15
138 CINDI APRILIANI 15
139 DELIMA A.P TEL 15
140 ENI SARTIKA TEL 15
141 IMAN MURNIKASI TEL 15
142 JENI MAGDALENA TEL 15
143 MASRITA NDRURU 15
144 RATNA JELITA TEL 15
145 SEVIN YANTI TEL 15
146 WINDA DARMAN P.J TEL 15
147 YUFIN MEIWER TAF 15
148 YUSIATI GAURIFA 15
149 DARIA GRES A.TAF 15
150 ERNIWATI TEL 15
151 FRANSISKA SELVIN A.TEL 15
152 HEPPY GUSTY M. TEL 15
153 INTAN TEL 15
154 LUSIANA KHAUSMAN HIA 15
155 MASTIA GIAWA 15
156 RIANG HATI NDRURU 15
157 SISKALIAN NDRURU 15
158 SELVIN ANJELINA TEL 15
159 TITIS TIANI NDRURU 15
160 TELIMAWATI HIA 15
161 TURTI TALENTA C. TEL 15
162 GRACE CENORA TAF 15
163 ANGELI NDRURU 15
164 ANTRI AMELIA NDRURU 15
165 ANIVIRA HALAWA 15
166 DESTRINAWATI TAF 15
167 DEWISARTIKA HALAWA 15
168 HENILISTY A.HAREFA 15
169 MEDIATI TAF 15
170 MITARIA HULU 15
171 MASIVIANI TEL 15
172 SURIYANI TAF 15
173 WENDIHATI TAF 15
174 YUSNIAR NDRURU 15
175 YUNIKASIH TEL 15
176 DESIMAWATI HULU 15
177 AGUSTIKA PUTRI TEL 15
178 AGUSTIAWENI TAF 15
179 ARWINA TEL 15
180 DAMAIHATI TEL 15
181 DESMENI HULU 15
182 DESI RATNASARI HIA 15
183 MASIRUTI HIA 15
184 MERDELINA TAF 15
185 MUSILINA TAF 15
186 NELISDAMAIYANTI HIA 15
187 SINAR CAHAYA TEL 15
188 WINA PUSPASARI TEL 15
189 YARIATI TEL 15
190 ARYANI SRIHARTATI BAENE 15
191 ARNIWATI LASE 15
192 DESTA YANTI NDRURU 15
193 ERNIPUTRI TEL 15
194 FRANSISKA TEL 15
195 FERINIDA TEL 15
196 INTAN BERLIAN TEL 15
197 JUNIKELVINA TAF 15
198 JUNIMAN SERASI HAL 15
199 MELINA ZEBUA 15
200 MARSAL I.LASE 15
201 NURIMAN HULU 15
202 NARLIS PURNAMA SARI TAF `1214024805050003 15
203 NIANTI NDRURU `1214025101060002 15
204 YULIANG TEL `1214024106005006 15
205 ILUSI TEL `1214026307050001 15
206 WULAN PURNAMA SARI HULU `1214174304060002 15
207 VERONIKA TELAUMBANUA `1214026707066003 15
208 HERRYTHAMAN HULU `1214175611060001 15
209 AGUSLIANI TEL `1214626908040005 15
210 TRIKARITAS BUULOLO `1214094603060003 15
211 SEHATI LAIA `1214175806010002 15
212 WINISWATI NDRURU `1214025302060003 15
213 WINDI EKAKRISTIN NDRURU `1214024702060003 15
214
215
216
217
218
Kelas
Nama Sekolah
Nama Kabupaten/Kota

Januari - Maret
(4)
1 Anesli Hulu 15
2 Artina Hia 15
3 Bowolia Halawa 15
4 Betiàmi Tafonao 15
5 Cerah Damai Telaumbanua 15
6 Embun Permata Hia 15
7 Fitriani Laia 15
8 Hartati J. Hia 15
9 Intan Fitri Tafonao 15
10 Juniawan Hia 15
11 Masiria Halawa 15
12 Mardayanti Tafonao 15
13 Nurmawati Ndruru 15
14 Niawadi Sadawa 15
15 Puspita Sari Hia 15
16 Yefi Novita Telaumbanua 15
17 Ratna Halawa 15
18 Junita Ndruru 15
19 Getri Halawa 15
20 Rida Hartati Zebua 15
21 Masiati Hulu 15
22 Tiur Ida M. Laia 15
23 Indah Juni D. Sadawa 15
24 Nurtaàti Zebua 15
25 Sefi Darma Sadawa 15
26 Indah Jelita Sadawa 15
27 Martina W. Telaumbanua 15
28 Ernimawati Halawa 15
29 Efilina Zebua 15
30 Tibaria Sadawa 15
31 Mawartina Hia 15
32 Trimahati Hia 15
33 AMELIA HULU 15
34 ANISWAN NDR 15
35 ENDANG S. LAIA 15
36 ENIATI TAF 15
37 EFIR KASIH HIA 15
38 FIRMINA HIA 15
39 MARLINA TAF 15
40 MAWARNI TEL 15
41 MEIMAN WATI TEL 15
42 MESRAWATI ZEBUA 15
43 PUTRIYANI HIA 15
44 SELVIAN HALAWA 15
45 SULIANA TEL 15
46 DARNI TELAUMBANUA 15
47 YUFIANIS BAENE 15
48 YULIMANI HAL 15
49 ARNIWATI TEL 15
50 ARLINA SADAWA 15
51 ADRIANI SADAWA 15
52 IDARNIWATI LASE 15
53 INFENSARI TEL 15
54 IMELDA ROSALIN HIA 15
55 KRISMAWATI HALAWA 15
56 MINTARIANG ZEBUA 15
57 SERIMAN HATI HIA 15
58 NOVI SELVIANI GIAWA 15
59 NOVI TRIAN TAF 15
60 VIKAR SEFRIANA ZEGA 15
61 WINDI MULANSARI TAF 15
62 WARNIWATI TEL 15
63 YULIANA SADAWA 15
64 MARINA IDAWATI NDRURU 15
65 RITA PASRAWATI HIA 15
66 Apriyani Ndruru 15
67 Budiman Hia 15
68 Delina Hia 15
69 Festina Halawa 15
70 Nurhalian Indah Hia 15
71 Nurlina Hia 15
72 Rulina Tafonao 15
73 Senilia Halawa 15
74 Trisnawati Hia 15
Kelas
Nama Sekolah
Nama Kabupaten/Kota

Januari - Maret
(4)
1 ARMINSEN PUTRI TAFONAO `1214024303050003 15

2 DARLENE ANJANI TELAUMBANUA `1214024910030005 15
3 HOTMAIDAH ANJELI NDRURU 15
4 IMELDA TAFONAO `1214024807040003 15
5 INTAN HARTATI HULU `1214024806040002 15
6 IREN SUSANTI TAFONAO 15
7 ISA ADILAN HULU `1214025504040006 15
8 JELITA NORALENTINA TELAUMBANUA `1214024607040011 15
9 MAHARANI HULU `1214026203030005 15
10 MASTAWANDI TELAUMBANUA 15
11 MEGA INTAN HARTATI TAFONAO `1214024103030005 15
12 NATION CITRA W. HULU 15
13 PUTRI ELISABET TELAUMBANUA `1214024302030007 15
14 DINA DARMAWATI LASE 15
15 RINI DARMAYANTI LASE `1214025110030004 15
16 SEMTI LASE 15
17 INTAN PERMATA HATI ZEBUA `1214034106030001 15
18 KASIHANI TAFONAO 15
19 AGNES V. TELAUMBANUA 15
20 RINCIANI TELAUMBANUA 15
21 SENIMAWANI BWM 15
22 TENI NURLINDA HULU `1214176105030001 15
23 YARNIWATI TAFONAO `1214026411020002 15
24 YUNIA HALAWA `1214147020200004 15
25 ARLENA LASE 15
26 BASLIN 15
27 DEWI TELAUMBANUA 15
28 EMELIA TAFONAO 15
29 INDAH PUTRI 15
30 JERNIH HATI TELAUMBANUA `1214025920030004 15
31 LIDIA ELIANI 15
32 MARNIATI 15
33 MURNI KASIH `1214026505020002 15
34 PESTARIANG TEL `1214025702030001 15
35 SRIWITANIA TAFONAO `1214036801030009 15
36 LATIRIANI TAFONAO 15
37 NURSALEM HULU `1214025408030002 15
38 FINSENSIA KRISNA GRACE TAFONAO `1214025701040000 15
39 ADARIA TAFONAO `1214026105040003 15
40 AGUSTINA NDRURU `1214025208020004 15
41 ASNIAR W. TAFONAO 15
42 ERNIMAN TAFONAO 15
43 FEFISTINA TELAUMBANU `1214023030940004 15
15
45 JULIANA A. LAIA `1214174907030003 15
46 KIREY TAFONAO 15
47 LENIYANTI HULU 15
48 LETINA BAENE 15
49 LINAÀMI HIA 15
50 FEDELINA LASE `1214026004020009 15
51 DORILINAWATI TAFONAO 15
52 IMAN WATI TAFONAO `1214025611030002 15
53 IMELDA TELAUMBANUA 15
54 MARNIWATI TELAUMBANUA `1214024603610013 15
55 RITA SUJUD Y. LASE 15
56 ROSLIANA SADAWA 15
57 ROSTINA LASE 15
58 SAFRIN B. LAIA 15
59 YULISMAWATI HULU `1214027101030004 15
60 EFRIANTI TELAUMBANUA 15
61 ENIRIANG TELAUMBANUA 15
62 FISTIN NDRURU 15
63 IMAN SETIA TELAUMBANUA 15
64 WETINA ZEBUA 15
65 WISIANI HIA `1214026901030005 15
66 LIDIA LASE 15
67 RATNAWATI HULU 15
68 HANNA E. TEL `1214025310020004 15
69 FANIS ALBINA TAFONAO `1214024804030005 15
70 MULIATI TAFONAO `1214021710120008 15
71 AGUSTINA DEWI TAFONAO 15
72 CEMERLANG TEL 15
73 FITA PURNAMA TAFONAO `1214024403030010 15
74 KRISTIANI LASE `1214024404020015 15
75 ANITA DELVIANA TAFONAO `1214026203010006 15
76 ENDANG KUSTIKA SARI TEL 15
77 TRIHARTATI BAWAMENEWI 15
78 MITA KARUNIA LAIA 15
79 DIANA PUTRI NDRURU 15
80 MINTA RIANG LAIA 15
81 ASNIWATI TEL 15
82 AGUS TRIYANI LAIA 15
83 NONI NESTAFA NDRURU 15
84 OLINAR TEL 15
85 JULIYANTI TEL 15
86 MESRIKA PUTRI TAF `1214026306020002 15
87 KASIH TIMAR NDURURU `1214025003020008 15
88 SENTIAWATI NDRURU `1214026707000003 15
89 FEBERLINDA TAFV `12140225106030001 15
90 INTAN ASTRIYANI TAF 15
91 DESTA LENTA TEL 15
92 MURNIAWATI TAF `1214022012980004 15
93 KARIS ANI LASE `1214344410000001 15
94 SITI AGUSNIDAR TAF `1214025270807004 15
95 SERFIN NISKAH TEL `1214024211010005 15
96 DEWI MESRA ADIL NDRURU 15
97 JENILIA TELAUMBANUA `1214020507080100 15
98 SELVIN IMAN MENDI TAF 15
99 WARI FINA HULU 15
100 KARIANTI LASE 15
101 FITRI SANDI HIA 15
102 WINDI PUTRI RATNA TEL `1214026707030001 15
103 INDAH PUTRI TALAUM BANUA `1214026306040002 15
104 MIDAR NIAT TEL 15
105 KARIAWATI HALAWA 15
106 TUTIRMANI TEL 15
107 FERNIHATI TEL 15
108 WANIWATI TAFONAO 15
109 SERNI LAIA `1214175209999002 15
110 KASMAWATI LAIA `1214174205010002 15
111 BENEDITA MESRA TELAUMBANUA `1214034106020009 15
112 ERNI PUTRI BAWAMENEWI `1214026009020005 15
113 MIA SELFIN TAFONAO 15
114 SELFIN OPUTRI TAFONAO 15
115 ETINA LASE 15
116 MASNIDAR TAFONAO 15
117 AMISARI NDRURU `1214026808020005 15
118 INDAH JUWITA NDRURU 15
119 FERMIS LASE 15
120 RINCIANI TELAUMBANUA `1214024609030004 15
121 NURAFNIKWATI `1214024804030003 15
122 SEPRI ERTAYANTI TELAUMBANUA 15
123 SENI MAWARNI BAWAMENEWI `1214026508030002 15
124 ERNIMAN TAFONAO 15
125 ERNIDA YANTI LASE `1214024403040004 15
126 LINDA KRISTIANI FITRI NDRURU 15
127 SUSI DARNI TELAUMBANUA `1214024107010019 15
128 MESRI YANTI TAFONAO `1214026412020001 15
129 FISTINA TELAUMBANUA `1214024404020012 15
130 EMELIA SEPTA DATARIA TEL 15
131 ARIESTA KURNIAWATI HULU `1214254111010001 15
132 FETRIANI TAFONAO `1214025202030008 15
133 DEWI NURHAYANTI TELAUMBANUA 15
134 SRI AYU REJEKI TELAUMBANUA `1214026602030008 15
135 JENIDAR TAFONAO 15
136 YULISA TELAUMBANUA 15
137 MASTAWANDI TELAUMBANUA `1214026605030001 15
138 IMAS SRIAYU LASE `1214025609020006 15
139 SRI WANDERSARI TELAUMBANUA 15
140 CUCIAN HATI TAFONAO `1214024203030007 15
141 SUCI MURNI TELAUMBANUA 15
Kelas
Nama Sekolah
Nama Kabupaten/Kota

Januari - Maret
(4)
1 ADE PUTRI NS HIA `1214026511030003 15

2 ARNIWATI HALAWA `1214025004030005 15
3 AGUSTINA HIA 15
4 DEWIRNA HULU `1214027011030001 15
5 EFITRISNA HALAWA `1214025203030007 15
6 JULIANI TEL `1214026307030004 15
7 JULYANI ZEBUA `1214020789900009 15
8 KRISTIAN I. S. HULU `1214025003040003 15
9 MARDIANA ZEBUA `1214024807030003 15
10 NIAT ERLINA HIA `1214026603030006 15
11 NITRA E. HIA `1214024502030009 15
12 SEHATI ZEBUA `1214026712030001 15
13 SATILINA TAF 15
14 ARLINA TELAUMBANUA `1214026501000003 15
15 IDAMRIA TEL 15
16 LENI RATNA TEL 15
17 MUSTIANI TEL `1214025503030008 15
18 PUSDAYANTI TEL 15
19 SELVISTINA HALAWA 15
20 YESA YARNI HALAWA 15
21 DEVI YUPITER HIA 15
22 DESIMAN NDRURU 15
23 ORLINA HIA 15
24 NIASLINE TEL 15
25 MASTINA HALAWA 15
26 NIAT HATI TAFONAO `1214024708020001 15
27 NADA MURNI NDRURU `1214024509010005 15
28 YUDITO TELAUMBANUA `1214027007020005 15
29 ANDI PRASETIA TEL `1214022805020004 15
30 ESTERSELINA HIA 15
31 ASMAWATI TAFONAO 15
32 NURIMAN HIA `1214025812000009 15
33 PUTRI CAHAYA SADAWA `1214024104020013 15
34 MARTALINA HULU `1214024304020014 15
35 DENIMAN HIA `1214024101010017 15
36 YUFITA ROHANI HULU `1214025003320010 15
37 ASDIANA HULU `1214025111020009 15
38 ERNI YANTI TEL `1214024900040006 15
39 KASMAN TAFONAO `1214021606000009 15
40 ARNIWATI HIA `1214024309020007 15
41 YUNIDAR TAFONAO 15
42 KALENI TAFONAO `1214025311030001 15
43 MASIRUPANI TEL `1214024407990009 15
44 MINARWATI TEL `1214025002020005 15
45 DENIARTI HIA `1214025502020005 15
46 MEIYANA PUTRI HIA `1214025201040005 15
47 MEIBERIA HIA `1214026303010002 15
48 ERNI FITRA KASIH HIA `1214025910000001 15
49 IMELDA TEL `1214025103010009 15
50 YARIAN HALAWA `1214026909990003 15
51 LENTIANI TAFONAO `1214024508000006 15
52 EFI SARTIKA ZEBUA `1214026705020003 15
53 KRISTIANI HULU 15
54 SERNIMAWATI HALAWA 15
55 CERLANI SADAWA 15
56 RINTA ASTUTI TEL 15
57 INGATI NDRURU `1214026312010001 15
58 HEPI NURVITA NDRURU `1214025801030004 15
59 NIAR DARMAWATI SADAWA `1214024306980013 15
60 FESTIANI SADAWA `1214026905020001 15
61 SELVISTINA HALAWA 15
62 DEFI YUVITA HIA 15
63 NASIRIA HIA 15
: I s/d III
: SMP NEGERI I GOMO
: UPTD PUSKESMAS GOMO
: NIAS SELATAN
TW 1 TW 1 - TW 2
% TTD Jumlah Jumlah minggu yang dilalui Jumlah TTD di Terima % TTD Jumlah TTD di
Jumlah TTD di Terima (T) di Terima TTD di di Terima
Minum dari Januari - Juni (T) Minum
(5) (6=5/4*100) (7) (9) (10) (11=10/9*100) (12)
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
: I s/d III
: SMP NEGERI 2 GOMO
: NIAS SELATAN
TW 1 TW 1 - TW 2
(5) (6=5/4*100) (7) (9) (10) (11=10/9*100) (12)
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
: I s/d III
: SMA NEGERI 1 GOMO
: NIAS SELATAN
TW 1 TW 1 - TW 2
Jumlah TTD di Terima (T) di Terima TTD di dari Januari - Juni (T) di Terima Minum
Minum
(5) (6=5/4*100) (7) (9) (10) (11=10/9*100) (12)
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
: I s/d III
: SMA NEGERI 2 GOMO
: NIAS SELATAN
TW 1 TW 1 - TW 2
(5) (6=5/4*100) (7) (9) (10) (11=10/9*100) (12)
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
60 40 60 30 120 40 120
Triwulan
Tahun
% TTD
di Minum
(13=12/9*100)
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
Triwulan
Tahun
% TTD
di Minum
(13=12/9*100)
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
Triwulan
Tahun
% TTD
di Minum
(13=12/9*100)
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
Triwulan
Tahun
% TTD
di Minum
(13=12/9*100)
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
Lampiran 2
FORMULIR PEMANTAUAN IBU HAMIL
Provinsi : Sumatera Utara Nama Posyandu :

Kabupaten/Kota : Nias Selatan Bulan Mei
Puskesmas/Kecamatan : Gomo Tahun : 2019
Desa/Kelurahan :
TTD (Tablet
Berat Badan Kepemilika Lingkar Tambah Jika YA, brp Jika YA, brp
NIK (Nomor Induk awal n Buku KIA Tanggal Berat Tinggi
No Kehamilan ke Tanggal Lahir No Kartu Keluarga Nama Ibu Hamil Nama Suami NIK Suami Alamat RT RW Lengan darah) butir TTD butir TTD
Kependudukan) hamil/Trime 1 : YA 2 : pengukuran Badan (kg) Badan (cm)
Atas (LiLA) 1=YA, diterima diminum
ster I TIDAK
2=Tidak
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
1 23 Tahun Mutianis Laia 1 Roiman Ndrruru Sifoarasi Gomo 1 1 52 90 90 90

1 52 3/17/2019 154 24
2 Eriniami Ndruru 1 Tehe Ziduhu Tel Sifoarasi Gomo 1 1 46 90 90 90
46 4/7/2019 150 23
3 37 Tahun Sarifaeni 1 Sarozatulo Ndruru Sifoarasi Gomo 1 1 48 90 90 90
6 39 4/7/2019 148 24
4 17-Jul-1996 Novita Hulu 1 Aria Jaya Tel Sifoarasi Gomo 1 1 45 60 60 60
2 44 4/7/2019 147 23
5 10-May-1989 Emilia Rosani Tel 1 Soniaman Tel Sifoarasi Gomo 1 1 43 90 90 90
3 1214025511980001 1214021605890009 50 4/7/2019 148 22.5
6 31 Sintaerika Taf 1 Selamat Jaya Laia Sifoarasi Gomo 1 1 47 90 90 90
2 46 4/7/2019 142 27
7 29 Karimawati Hulu Turinasokhi Taf Sifoarasi Gomo 1 1 48 90 90 90
2 48 4/7/2019 150 24
8 28 Betisa Hulu Sojiduhu Tel Sifoarasi Gomo 1 1 48 90 90 90
5 46 4/7/2019 148 24
9 23 Yamiani Ndruru Tehesiduhu Tel Sifoarasi Gomo 1 1 57 90 90 90
3 54 4/7/2019 152 24
10 23 Krisna H. Buaya Selamat Taf Sifoarasi Gomo 1 1 64 90 90 90
1 62 4/7/2019 156 26
11 20-Dec-1987 Yudita Deniwati Laia 1 90 90 90
4 `1214351205170002 1214076012870003 48 Irahati Telaumbanua Orahili gomo 2 2 4/8/2019 60 150 27
12 10-Oct-1988 Elida 1 90 90 90
1 127010709180003 1102105010880003 48 Kurniawan Laia Orahili gomo 2 2 4/8/2019 60 150 27
13 6-Jun-1995 Novita Riang Susanti 1 90 90 90
1 1214020910180001 1214034405950005 47 Hendrik Taf Orahili gomo 2 2 4/8/2019 49 150 27
14 8-Feb-1987 Edita Harefa 1 90 90 90
4 1214021908160001 1214064802870003 49 Ohezatulo Tel Orahili gomo 2 2 4/8/2019 51 152 26
15 22-Dec-1989 Minar Lase 1 90 90 90
1 50 Luther Hulu Orahili gomo 2 2 4/8/2019 55 150 24
16 22-Sep-1987 Dian Karisma Lase 1 90 90 90
1 1214091810170003 1214022209870004 46 Vitor Ndruru Orahili gomo 2 2 4/8/2019 51 149 25
17 28 Miarni Baene 1 60 60 60
4 48 AsaÀtulo Orahili gomo 2 2 4/8/2019 51 155 27
18 15-Feb-1984 Roslina Hia 1 60 60 60
4 1214021904100002 1214025502840011 49 Martinus Laia Orahili gomo 2 2 4/8/2019 50 150 24
19 3-Sep-1994 1 60 60 60
1 Bestri Hia 50 Hendra Wijaya Tel Orahili gomo 2 2 4/8/2019 54 152 24
20 1 60 60 60
1 1/13/1992 Reselina Laia 45 Sarozinema Tel Orahili gomo 2 2 4/8/2019 50 149 25
21 30 30 60
3 Miswita Mamao Yaso Tel Orahili gomo 2 2 4/8/2019 48 155 24
22 1 90 90 90
5 6/7/1986 1214021409180002 1214024706860014 Artina Tafonao 46 Yasatulo Tafonao 1214020811840003 Orahili Sibohou 3 3 4/7/2019 45 150 23
23 1 90 90 90
7 16-Jul-87 1214022209110003 1214025607870004 Kasih Iman Taf 48 Arianus Tel 1214021508820005 Orahili Sibohou 3 3 4/7/2019 50 160 25
24 1 90 90 90
3 22-May-89 1214021909130016 1214026205890004 Yasimani Giawa 45 Iklas Ndruru 1214021709790009 Orahili Sibohou 3 3 4/7/2019 45 153 25
25 1 90 90 90
4 23-May-92 12140214121700051 1214026305920001 Sarimawati Zai 47 Aprilyaman Tafonao Orahili Sibohou 3 3 4/7/2019 39 145 21.8
26 1 60 60 60
Murnidar Laia Khawano Ndruru Orahili Sibohou 3 3 4/7/2019 50 144 25
27 1 30 30 30
5 24-Feb-93 Agustina Bae 49 Delma Julius Tel Orahili Sibohou 3 3 4/7/2019 45 160 22
28 1 30 30 30
6 19-Sep-84 Asmawati Tel 52 Alius Ndruru Orahili Sibohou 3 3 4/7/2019 45 150 23
29 1 30 30 30
5 Yasimina Hulu 45 Narianus Ndraha Orahili Sibohou 3 3 4/7/2019 45 150 23
30 1 50 50 80
5 8/17/1922 Novita Hulu 50 Arian Jaya Tel Lawa-Lawaluo 4 4 3/17/2019 45 150 23
31 1 60 60 90
2 9/1/1996 Marlina Laia 44 Arian Jaya Tel Lawa-Lawaluo 4 4 3/17/2019 45 150 23
32 1 80 80
3 17-Aug-66 1214022107170001 1214025602880008 Kasiati Zebua 42 Fatumboo Lase 1214021008880007 Lawa-Lawaluo 4 4 3/17/2019 78 162 27.5
33 1 80 80
3 7/31/1987 1214021809130001 1214027107870005 Yuarni Tel 73 Alisman Hia 1214022103850003 Lawa-Lawaluo 4 4 3/17/2019 76 160 26.5
34 1 60 60 90
3 5/30/1982 1214027005820001 1214027005820001 Yardina Laia 57 Suardin Sadawa 121402020482007 Lawa-Lawaluo 4 4 3/17/2019 55 154 27
35 1 60 60 90
2 9/19/2000 Yuslian Dachi 50 Juli Yarman Taf Lawa-Lawaluo 4 4 3/17/2019 55 150 24
36 1 60 60 90
4 4/17/1986 1214020904150001 1214025704860004 Efisman Laia 73 Setya Darma Hia 121402100975006 Lawa-Lawaluo 4 4 3/17/2019 75 160 28
37 1 60 60 90
5 1/24/1977 1214022910090007 1214026406770001 Yuriati Laia 50 Faigizatulo Hia 1214022406760002 Lawa-Lawaluo 4 4 3/17/2019 52 150 24
38 1 30 30 30
4 6/9/1994 Cuci Hati Tel 63 Husaman Taf Lawa-Lawaluo 4 4 4/14/2019 63 155 28
39 1 30 30 30
1 4/5/2001 Farilina Baene 50 Asazaro Ndrruru Lawa-Lawaluo 4 4 4/14/2019 50 150 24
40 1
1 11-Oct-93 Ethika Murni Bll 50 Restifal Tel Hilianaa 5 5 5/7/2019 50 159 24 30 30 30
41 1
2 21-Nov-94 Ariyati 45 Dermawan Sadawa Hilianaa 5 5 4/7/2019 49 150 24 30 30 30
42 1 Sukamajumohili 30 30 30
1 8/24/1992 1214010210070004 1214134411910001 Eva Agusri Bago 47 Calvin Viktorman Tel 1214022402880001 6 6 4/7/2019 52 153 24.5
2 1/1/2000 Eniriang Ndrur 48 Sadarman Hia 6 6 4/7/2019 50 153 24.5
2 9/12/1997 121402612170001 1214025209950008 Midaria Sadawa 44 Bajatulo Tel 6 6 4/7/2019 49 155 23
2 1/3/1993 Riang Hati Sadawa 46 Martinus Laia 6 6 4/7/2019 48 154 24
1 12/25/1997 1214026512970005 Wirahartati Tel 43 Pengawasan Tel 6 6 4/7/2019 45 150 23.5
Yuniria Hulu 43 6 6 4/7/2019 43 150 24
Armawati Ndruru 44 Faumsokhi Tel 6 6 4/7/2019 44 150 23
Detri Taf 41 Upelius Hulu 6 6 4/7/2019 41 150 24
50 1 Tanikoò 80 80 80
7 7/12/1983 Atibudi Ndruru 44 Marezatulo Tel 7 7 4/7/2019 51 150 24
51 Tanikoò 80 80 80
2 7/6/1995 Watina Ndruru 43 Sokhizatulo Sadawa 1214021205970002 7 7 3/17/2019 43 150 23
52 Tanikoò 30 30 30
1 Bunasami Harefa Temaziduhu Zebua 7 7 4/7/2019 50 150 24
53 Tanikoò 70 70 70
1 9/20/1990 Yustina Taf 46 Yunus Firman Hulu 7 7 4/7/2019 52 150 24
54 Tanikoò 30 30 30
1 6/27/2011 Leniwati waruwu 48 Getama Zebua 7 7 4/7/2019 48 150 24
55 1 80 80 80
5 7-Jan-83 1214020107080032 1214024702830001 Yariami Fatemaluo 55 Faogonibe Lase 1214021002590002 Loloseni 8 8 4/17/2019 61 158 26
56 1 80 80 80
4 5/5/1993 1214024505930006 1214024505930006 Melisati Tafonao 35 Habasoni Tafonao 1214020601900009 Loloseni 8 8 4/17/2019 59 159 25.5
57 1 30 30 30
1 Otina Tafonao 46 Ferieli Lase Loloseni 8 8 4/17/2019 54 155 24
58 40 40 40
Asrina Tel 48 Faigizaro Taf Loloseni 8 8 4/17/2019 50 155 24
59 1 60 60 60
Yuniati Hulu 50 Loloseni 8 8 4/17/2019 50 155 25
60 1 10 10 10
Yusniwati Lase 48 Loloseni 8 8 4/17/2019 48 150 24
61 1 10 10 10
2 `121402201180002 1214024405920008 Aristina Telaumbanua 39 Noverius Hia 124021111860004 Doli-doli 9 9 4/17/2019 41 150 20
62 1 10 10 10
5 1214022402090003 1214024403820008 Masitia Tafonao 48 Lulusokhi Tafonao Doli-doli 9 9 4/17/2019 51 158 27
63 10 10 10
7 Maslia Taf Deliziduhu Taf Doli-doli 9 9 4/17/2019 49 155 24
64 1 10 10 10
Rianus Giawa 48 Atapama Taf Doli-doli 9 9 4/17/2019 48 155 24
65 1 10 10 10
Yudihati Zebua 46 Juli Taf Doli-doli 9 9 4/17/2019 46 150 24
66 1 30 30 30
4 Adiria Ndraha Bowonama Ndruru UmBu Orahua 10 10 4/7/2019 51 150 24
67 1 60 60 6-
4 Yantilina Zebua 46 Sukurman Tafonao UmBu Orahua 10 10 4/7/2019 48 155 23.8
68 1 90 90 90
1 29 Yarisman Laia 55 Habelizarulo Gunung Gabungan 11 11 4/21/2019 59 155 23
69 1 30 30 30
5 1214141802160002 1214024206960006 Otimani Hulu Aliuinaso Zebua 1214142006000001 Gunung Gabungan 11 11 4/21/2019 50 155 23
70 1 30 30 30
Samarnia Zai Faduhusa Giawa 1214020804000012 Gunung Gabungan 11 11 4/21/2019 46 150 24
71 1 60 60 60
4 5/7/1988 1214021409090007 1214024705880009 Tilia Zebua 63 Duhuwauolo Hulu 1214021712830001 Gunung Gabungan 11 11 3/17/2019 49 155 29
Keterangan
- Kolom 9 : Jika suami tidak ada, isikan nama orang tua
- Kolom 10 : Jika suami tidak ada, isikan NIK orang tua
Mengetahui,
Kepala Puskesmas Perawatan Gomo Gomo, 31 Maret 2019
Yang membuat laporan
Pj.Gizi
SAHABAT JAYA BUULOLO, SKM KRISTIANI ZAGOTO, Am.Keb

NIP.198412102005021001 NIP.197901012005022005
Lampiran 3
FORMULIR PEMANTAUAN PERTUMBUHAN BALITA DI POSYANDU
Provinsi Provinsi : Sumatera Utara : Sumatera Utara

KabupateKabupaten/Kota : Nias Selatan Bulan APRIL
PuskesmPuskesmas/Kecamatan : Gomo Tahun : 2019
Desa/Kelurahan :
Panjang Cara ASI EksklusifF1=YA, 2=Tidak Vitamin Vitamin

Jenis Badan/ Ukur A A
No Anak Ke Tanggal Lahir Kelamin 1: No Kartu Keluarga NIK (Nomor Induk Nama Anak Kepemili NIK Ayah No Tlp/ HP Ayah Alamat RT RW Tgl Pengukuran BB (kg) Tinggi 1=Telent Februari Agustus
LAKI 2: Kependudukan) kan Buku IMD Badan ang 1=YA 1=YA
PEREMPUAN Berat KIA/KMS 1=YA, (cm) 2=Berdiri umur 0 umur 1 umur 2 umur 3 umur 4 umur 5 2=Tidak 2=Tidak
Badan 1=YA, 2=Tidak bln bln bln bln bln bln
(BB) Lahir 2=Tidak Nama Ayah
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) (26) (27) (28)
3 09-06-2014 1 Marcelino junos ndr 82273814784 Siforasi 1 1 07-04-2019 12 96 2 1

2.9 1 1 Hipolitus ndr
4 05-05-2014 2 Arderi Tania Tel 82273814784 Siforasi 1 1 07-04-2019 11.6 96 2 1

2.8 1 Yanuari tel
5 07-05-2014 2 Gisel kalista sitompul 82273814784 Siforasi 1 1 07-04-2019 13.8 98 2 1

2.9 1 1 Tinus sitompul
6 18-05-2014 1 Rahmat jaya Tel 82273814784 Siforasi 1 1 07-04-2019 12.2 97 2 1

2.8 1 Martinus tel
7 20-05-2014 1 Sabda Ndruru 82273814784 Siforasi 1 1 07-04-2019 11.5 98 2 1

3.4 1 1 Faigimbowo Ndruru
8 20-05-2014 2 Talita taf 82273814784 Siforasi 1 1 07-04-2019 14.1 98 2 1

2.9 1 Ahabi Taf
9 4 16-06-2014 2 `1214023007090002 puspita taf `1214020708590005 82273814784 Siforasi 1 1 07-04-2019 13.5 97 2 1

3 1 1 salahi mbowo taf
10 4 09-05-2015 1 `1214020105100165 Berkat jenius `1214021511900003 82273814784 Siforasi 1 1 07-04-2019 13.2 96 2 1

3 1 Fauduwamoni ndr
11 20-06-2014 2 Afrida ndruru 82273814784 Siforasi 1 1 07-04-2019 13.5 92 2 1

3.2 1 Efatinus ndr
12 02-07-2014 2 Dewi roslindo bmw 82273814784 Siforasi 1 1 07-04-2019 12.2 91 2 1

2.2 1 Hulozaro bmw
13 07-07-2014 1 Sekaman Taf 82273814784 Siforasi 1 1 07-04-2019 14.5 91 2 1

2.8 1 Angeraibo Taf
14 25-07-2014 1 Julisman ndruru 82273814784 Siforasi 1 1 07-04-2019 12.9 93 2 1

2.5 1 1 Sokhiziduhu ndr
15 1 09-06-2014 2 `1214022204140001 `1214024505870011 Marsella belvania tel `1214021707850011 82273814784 Siforasi 1 1 07-04-2019 13 93 2 1
2.6 1 Ooziduhu tel
16 15-09-2014 2 Blesiing florensia 82273814784 Siforasi 1 1 07-04-2019 12 98 2 1

2.6 1 Aprilman tel
17 09-09-2014 1 Dandri Wau 82273814784 Siforasi 1 1 07-04-2019 13.9 91 2 1

2.4 1 1 aferius wau
18 16-09-2014 1 Rosa Seprilia Tel 82273814784 Siforasi 1 1 07-04-2019 13.5 95 2 1

2.7 1 Faasokhi Tel
19 21-10-2014 1 Arkin Fidel Taf `1214021309730005 82273814784 Siforasi 1 1 07-04-2019 13.5 92 2 1

2.8 1 Goòzatulo Taf
20 05-11-2014 2 Laura Velisia Tel 82273814784 Siforasi 1 1 07-04-2019 13.6 96 2 1

2.6 1 1 Elikurnia Tel
21 16-11-2014 2 Felisia Arora Tel 82273814784 Siforasi 1 1 07-04-2019 13.8 93 2 1

2.9 1 Yakin Kasih Tel
22 17-11-2014 2 Sriwahyuni Tel 82273814784 Siforasi 1 1 07-04-2019 13.5 95 2 1

2.7 1 Faatulo Tel
23 20-12-2014 1 Andrean Taf 82273814784 Siforasi 1 1 07-04-2019 12.5 92 2 1

3 1 1 Surianto taf
24 2 27-12-2014 1 Jhon Wirawan Tel 82273814784 Siforasi 1 1 07-04-2019 17.1 91 2 1

3 1 Septianus tel
25 06-02-2015 2 Selvin Betrin Taf 82273814784 Siforasi 1 1 07-04-2019 11.5 92 2 1

3 1 1 Krisman Taf
26 11-02-2015 1 Gabriel harefa 82273814784 Siforasi 1 1 07-04-2019 12.5 91 2 1

3.2 1 Okerman harefa
27 24-02-2015 2 `1214022101150001 Rahel triek lesia `1214020507850006 82273814784 Siforasi 1 1 07-04-2019 11.9 90 2 1
2.9 1 Samaeli bmw
28 5 27-02-2015 2 `1214022101150001 `1214027007880001 Alisia koideila Bmw `1214020507850006 82273814784 Siforasi 1 1 07-04-2019 11.7 89 2 1
3.2 1 Samaeli bmw
29 03-03-2015 1 Herdanafai laoli 82273814784 Siforasi 1 1 07-04-2019 13.2 90 2 1

2.7 1 Yuliman laoli
30 05-03-2015 1 Devan rayman tel 82273814784 Siforasi 1 1 07-04-2019 10.7 89 2 1

2.9 1 1 Yanuari tel
31 4 13-03-2015 1 Edison nduru 82273814784 Siforasi 1 1 07-04-2019 10.5 88 2 1

2.9 1 Famazatulo ndruru
32 16-03-2015 1 Arisman tel 82273814784 Siforasi 1 1 07-04-2019 11.1 89 2 1
2.8 1 Desman tel
33 16-03-2015 2 Arisman ndruru 82273814784 Siforasi 1 1 07-04-2019 9.7 88 2 1

2.9 1 Atulooli ndr
34 22-04-2015 2 Putri Alfitrin batee 82273814784 Siforasi 1 1 07-04-2019 13.5 87 2 1

2.8 1 Fahuwusa batee
35 02-05-2015 2 Elsa iman hati Taf 82273814784 Siforasi 1 1 07-04-2019 12.7 94 2 1

3.4 1 Yasozisokhi
36 1 13-05-2015 1 Via Lolo Putra Tel 82273814784 Siforasi 1 1 07-04-2019 11.2 96 2 1

2.9 1 1 Soziduhu tel
37 26-05-2015 2 Ketty miliana Taf 82273814784 Siforasi 1 1 07-04-2019 11.2 96 2 1

3 1 Timotius taf
38 05-06-2015 1 Rafael Forden Taf 82273814784 Siforasi 1 1 07-04-2019 13.5 98 2 1

3 1 Yusman taf
39 06-06-2015 1 Ardin putra tel 82273814784 Siforasi 1 1 07-04-2019 12.1 89 2 1

3.2 1 1 Agustinus tel
40 1 15-06-2015 2 Rachel putri 82273814784 Siforasi 1 1 07-04-2019 11.1 90 2 1

2.7 1 Wandi L h.sitorus
41 18-06-2015 2 Vivin valda Ndruru 82273814784 Siforasi 1 1 07-04-2019 11.1 89 2 1

3 1 Emazatulo ndruru
42 26-07-2016 1 Albert Giawa 82273814784 Siforasi 1 1 07-04-2019 11.9 90 2 1

3.8 1 1 Fauduziduhu
43 04-08-2015 2 Betvania Tel 82273814784 Siforasi 1 1 07-04-2019 14.8 87 2 1

2.9 1 Septianus tel
44 11-08-2015 1 Julfan Tel 82273814784 Siforasi 1 1 07-04-2019 15.7 89 2 1

3 1 Afuriata tel
45 04-09-2015 1 Arlando arsenio 82273814784 Siforasi 1 1 07-04-2019 12.1 90 2 1

3.6 1 Enerlius tel
46 06-09-2015 2 Almetha bellicia 82273814784 Siforasi 1 1 07-04-2019 11.9 89 2 1

3.3 1 Ooziduhu tel
47 6 28-09-2015 1 `12140231030900012 `12140250048000006 Timotius Tel `1214021907760006 82273814784 Siforasi 1 1 07-04-2019 13 92 2 1

2.9 1 Faedonaso tel
48 4 16-10-2015 1 Ideal Adika Tel 82273814784 Siforasi 1 1 07-04-2019 11 90 2 1

2.9 1 1 Teheziduhu tel
49 24-11-2015 1 Mikhael berid Tel 82273814784 Siforasi 1 1 07-04-2019 10.1 89 2 1

2.8 1 Agusman laia
50 10-12-2015 2 Cheisia bmw 82273814784 Siforasi 1 1 07-04-2019 9.1 90 2 1

2.6 1 Ohizaro bmw
51 15-12-2015 1 Gilbert tel 82273814784 Siforasi 1 1 07-04-2019 11 87 2 1

3 1 Aprilman tel
52 3 18-02-2015 1 `12140102046 `1214021812150002 Friston putra ndruru `1214022907900002 82273814784 Siforasi 1 1 07-04-2019 10.7 89 2 1
3.3 1 Bezatulo tel
53 28-01-2015 1 Julvan Teluambnaua 82273814784 Siforasi 1 1 07-04-2019 11.1 90 2 1

3 1 Bezatulo tel
54 3 31-01-2016 1 `1214020707140005 `1214025007860003 Tonius Tel `1214022701850004 82273814784 Siforasi 1 1 07-04-2019 12.5 98 2 1
2.8 1 Kariaman tel
55 1 06-03-2016 1 `121421512160001 `1214020503150001 Leonard filbert ndruru `121411602900006 82273814784 Siforasi 1 1 07-04-2019 12 98 2 1
2.8 1 Famati ndr
56 30-03-2016 1 `1214022509140001 Marselius ndruru `1214021877890002 82273814784 Siforasi 1 1 07-04-2019 13 89 2 1

2.5 1 Olembata ndr
57 4 03-04-2016 2 `121402270110007 `1214026202860001 Lisabet Kristin Telaumban `1214022805850007 82273814784 Siforasi 1 1 07-04-2019 10.9 86 2 1
2.5 1 1 Harmonis tel
58 04-05-2016 2 Mey serlin Tel 82273814784 Siforasi 1 1 07-04-2019 11.1 89 2 1

2.3 1 Fa'atulo Tel
59 13-05-2016 1 Yordan Laia 82273814784 Siforasi 1 1 07-04-2019 11.4 89 2 1

2.6 1 Lestari laia
60 13-05-2016 1 May Kel Anugrah 82273814784 Siforasi 1 1 07-04-2019 9.9 89 2 1

2.7 1 Kisman Taf
61 30-05-2016 1 Rikardo 82273814784 Siforasi 1 1 07-04-2019 11.1 98 2 1

2.5 1 Imran ndruru
62 31-05-2016 2 Adinda florensia ndruru 82273814784 Siforasi 1 1 07-04-2019 10.5 91 2 1

2.5 1 Temnaso ndrur
63 27-06-2016 2 Jumedin aftar tel 82273814784 Siforasi 1 1 07-04-2019 10.7 88 2 1

2.7 1 Sozisokhi tel
64 12-07-2016 1 Putra Ndruru 82273814784 Siforasi 1 1 07-04-2019 10.9 89 2 1
2.9 1 Aguslamat ndr
65 15-07-2016 2 Florenza Ndruru 82273814784 Siforasi 1 1 07-04-2019 10.9 89 2 1

2.4 1 Hipolitus ndr
66 18-07-2016 2 Putri Laia 82273814784 Siforasi 1 1 07-04-2019 12.1 88 2 1

2.7 1 Azari Laia
67 05-08-2016 2 Agustina Tel 82273814784 Siforasi 1 1 07-04-2019 8.6 87 2 1

2.8 1 Deminus Tel
68 25-08-2016 1 Kriman Ndruru 82273814784 Siforasi 1 1 07-04-2019 11.1 87 2 1

2.6 1 Yavatinos Ndruru
69 17-08-2016 1 Given Tel 82273814784 Siforasi 1 1 07-04-2019 11.7 89 2 1

2.9 1 Imanuel Tel
70 6 27-08-2016 1 `1214022508090009 `1214025006890001 Agus Damai Rejeki Tel `1211402606870003 82273814784 Siforasi 1 1 07-04-2019 10.9 89 2 1
2.6 1 Arianto tel
71 26-08-2016 1 Firman Jaya 82273814784 Siforasi 1 1 07-04-2019 11.6 90 2 1

3 1 1 Aronafaudu Laia
72 25-09-2016 2 Clarita Hulu 82273814784 Siforasi 1 1 07-04-2019 11.6 93 2 1

3 1 Sadarman Hulu
73 30-09-2016 2 Rina hati ndruru 82273814784 Siforasi 1 1 07-04-2019 10.1 88 2 1

3 1 Atosokhi Ndruru
74 07-10-2016 1 Jaya Ndruru 82273814784 Siforasi 1 1 07-04-2019 10.6 85 2 1

3.2 1 Nataeli Ndruru
75 13-10-2016 2 Naila fridela tel 82273814784 Siforasi 1 1 07-04-2019 10.1 87 2 1

2.9 1 1 Hendrikus Tel
76 16-10-2016 1 Azaria Kalista 82273814784 Siforasi 1 1 07-04-2019 10.6 88 2 1

3.2 1 Yusman Taf
77 22-10-2016 1 Putra Tel 82273814784 Siforasi 1 1 07-04-2019 11.3 89 2 1

2.7 1 Imanzatulo Tel
78 06-12-2016 2 Keysa Giawa 82273814784 Siforasi 1 1 07-04-2019 11.1 89 2 1

2.9 1 1 Aguslmat Giawa
79 11-12-2016 2 Orlin Tel 82273814784 Siforasi 1 1 07-04-2019 12.7 79 2 1

2.9 1 Yakin Tel
80 1 27-12-2016 2 `1214022011170003 `1214026712160001 Jesmawati Tel `1214021605890005 82273814784 Siforasi 1 1 07-04-2019 6.5 77 2 1
2.5 1 1 Soniaman tel
81 31-01-2017 2 `1214021409160002 Alona Tel `121402160490001 82273814784 Siforasi 1 1 07-04-2019 11 81 2 1

2.9 1 1 Kurniawan Tel
82 1 31-01-2017 2 `1214021409160002 `1214026612880001 Alon Tel `121402160490001 82273814784 Siforasi 1 1 07-04-2019 11.5 81 2 1
2.8 1 Kurniawan Tel
83 18-01-2017 1 Rafid Albion Ndruru 82273814784 Siforasi 1 1 07-04-2019 8 78 2 1

3.4 1 Iman ndruru
84 12-02-2017 2 Felda Jelita Taf 82273814784 Siforasi 1 1 07-04-2019 9.8 87 1 1

2.9 1 Fariawosa Taf
85 03-03-2017 2 Teti Tel 82273814784 Siforasi 1 1 07-04-2019 10.2 88 1 1

3 1 Sarozatulo tel
86 1 09-03-2018 2 `1214022266170001 `1214024904180001 anesya taf `1214020910910004 82273814784 Siforasi 1 1 07-04-2019 10.2 69 1 1
3 1 Octavianus Taf
87 18-03-2017 2 Lisa Taf 82273814784 Siforasi 1 1 07-04-2019 10.6 69 1 1

3.2 1 Sudirman Taf
88 22-03-2017 1 Yorsanjaya Tel 82273814784 Siforasi 1 1 07-04-2019 7.5 70 1 1

2.7 1 Yanuari Tel
89 23-03-2017 1 Putra Tel 82273814784 Siforasi 1 1 07-04-2019 10.9 70 1 1

3 1 1 Romanuel Tel
90 2 26-03-2018 2 `1214026603180001 Ester Jelita Tel `1214021605890005 82273814784 Siforasi 1 1 07-04-2019 6.5 67 1 1
2.3 1 Soniaman tel
91 13-04-2017 1 Yanto Taf 82273814784 Siforasi 1 1 07-04-2019 10.1 88 1 1

2.9 1 Afuriata Tel
92 5 07-04-2017 1 `1214020605150006 `1214020704170001 Santo Tel `121402070380006 82273814784 Siforasi 1 1 07-04-2019 10.2 89 1 1
3 1 Famazatulo Ndruru
93 17-04-2017 1 Putra Taf 82273814784 Siforasi 1 1 07-04-2019 10.3 89 1 1

3.6 1 Markus Taf
94 6 09-05-2017 1 `1214021106080029 wahyu taf `1214021309730005 82273814784 Siforasi 1 1 07-04-2019 8 81 1 1

3.2 1 1 Goòzatulo Taf
95 15-05-2017 2 Giraya Novela Tel 82273814784 Siforasi 1 1 07-04-2019 10.1 90 1 1

2.8 1 Sudirman Tel
96 04-06-2017 1 Joen Hulu 82273814784 Siforasi 1 1 07-04-2019 11.1 92 1 1

3.4 1 Filsuf Hulu
97 04-07-2017 2 Dewi Indah Bmw 82273814784 Siforasi 1 1 07-04-2019 9.8 90 1 1

2.9 1 Rulizaro Tel
98 07-06-2017 2 Jutri Tel 82273814784 Siforasi 1 1 07-04-2019 10 80 1 1

3 1 Aprilina Tel
99 27-06-2017 2 Marlina Tel 82273814784 Siforasi 1 1 07-04-2019 10 79 1 1

3 1 Agustinus tel
100 06-07-2017 2 Putri Taf 82273814784 Siforasi 1 1 07-04-2019 10.9 79 1 1
3.2 1 Ohezatulo Taf
101 10-08-2017 2 calista bebi wau 82273814784 Siforasi 1 1 07-04-2019 9 84 1 1
2.7 1 1 aferius wau
102 17-08-2017 2 Putri Tel 82273814784 Siforasi 1 1 07-04-2019 10.4 88 1 1

3 1 Teheziduhu tel
103 02-10-2017 1 Idaman Taf 82273814784 Siforasi 1 1 07-04-2019 9.9 89 1 1

3.8 1 Afuriata Taf
104 11-11-2017 2 Meyhati Halawa 82273814784 Siforasi 1 1 07-04-2019 10.1 87 1 1

2.9 1 Arozarulo Halawa
105 2 29-04-2018 1 Arjun Ardiel Taf 82273814784 Siforasi 1 1 07-04-2019 10.3 89 1 1

3 1 Misionaris Taf
106 3 04-05-2018 2 `1214022209140002 meyhati ndruru `121402110986006 82273814784 Siforasi 1 1 07-04-2019 6 60.3 1 1
2.8 1 1 atuoòli Taf
107 20-05-2018 1 bran samaeri taf 82273814784 Siforasi 1 1 07-04-2019 9.1 68 1 1

3 1 Krisman Taf
108 16-06-2018 2 putra hulu 82273814784 Siforasi 1 1 07-04-2019 8.1 69 1 1

3 1 Arisman Taf
109 20-07-2018 1 Ucok Bmw 82273814784 Siforasi 1 1 07-04-2019 8.3 69 1 1

3.2 1 Samaeli bmw
110 09-09-2018 1 dandi wau 82273814784 Siforasi 1 1 07-04-2019 10.1 69 1

2.7 1 1 aferius wau
111 25-09-2018 1 clarita hulu 82273814784 Siforasi 1 1 07-04-2019 9.1 70 1

3 1 Sadarman hulu
112 3 13-09-2018 2 `1214023103170001 adrian hulu `1214020201910008 82273814784 Siforasi 1 1 07-04-2019 7.9 72 1
3.8 1 1 Filsuf Hulu
113 2 13-09-2018 2 `1214023103170001 adriel hulu `1214020201910008 82273814784 Siforasi 1 1 07-04-2019 7.9 72 1
2.9 1 Filsuf Hulu
114 18-09-2018 1 Otniel Bmw 82273814784 Siforasi 1 1 07-04-2019 8 73 1

3 1 milizaro bmw
115 19-09-2018 1 kristal joel syaputra 82273814784 Siforasi 1 1 07-04-2019 8.9 71 1

3.6 1 eliyus tel
116 11-11-2018 2 butet baene 82273814784 Siforasi 1 1 07-04-2019 8.6 71 1

2.9 1 fahuwusa baene
117 3 15-11-2018 2 jernih hati ndruru 82273814784 Siforasi 1 1 07-04-2019 6.7 69 1

2.8 1 1 mastina tel
118 14-11-2018 1 Sentosa Tel 82273814784 Siforasi 1 1 07-04-2019 5.9 61 1 ya ya ya

3.4 1 angandowa tel
119 28-11-2018 1 Adriel Kristopel Tel 82273814784 Siforasi 1 1 07-04-2019 6.5 56 1

2.9 1 yuridis tel
120 30-06-2018 1 ucok slmat taf 82273814784 Siforasi 1 1 07-04-2019 6.7 57 1

3 1 selamat tel
121 15-04-2017 1 Daniel Tel 82273814784 Siforasi 1 1 07-04-2019 10.3 79 1

3 1 Gafuriata Tel
122 2 06-07-2018 2 Nadila Tel 82273814784 Siforasi 1 1 07-04-2019 6.6 67 1

3.2 1 Overiaman Tel
123 1 27-01-2019 1 Gefrey Tel 82273814784 Siforasi 1 1 07-04-2019 4 58 1 ya ya

2.7 1 Juniarto Tel
124 1 26-07-2017 2 `121402050410001 `1214026707170001 Aquina Nathaniela Tel `121402703860007 82273814784 Siforasi 1 1 07-04-2019 4 49 1 ya
2.9 1 1 Hermansyah Tel
125 4 13-02-2019 1 `1214020707140005 Hendra Tel 82273814784 Siforasi 1 1 07-04-2019 5.2 54.4 1
3.2 1 Kariaman tel
126 14-02-2019 2 82273814784 Siforasi 1 1 07-04-2019 6 51 1 ya

3 Suryanto Tel
127 2 06-09-2016 1 `1214022204140001 Almetha belicia Tel `1214021707850011 82273814784 Siforasi 1 1 07-04-2019 4.2 58 1 ya
2.8 1 Oòziduhu Tel
30-04-2018 Ance Asia Putri Ndruru 82273814784 Siforasi 1 1 07-04-2019 8 77 1

Yanuari Ndruru
02-03-2014 `1214022209140002 Matius Ndruru `121402110986006 82273814784 Siforasi 1 1 07-04-2019 11 95 1

Atulolo Ndruru
02-03-2014 `1214022209140002 `1214176110860001 Marlius Ndruru `121402110986006 82273814784 Siforasi 1 1 07-04-2019 14.7 89
Atulolo Ndruru
07-03-2019 82273814784 Siforasi 1 1 07-04-2019 3 49 1 ya

Desman Laia
5 01-04-2014 1 `1214022508090004 `1214025006890001 Rejak Simon Tel `1214020606870003 82273814784 Siforasi 1 1 07-04-2019 3.5 50 1 ya
2.5 1 1 Aryanto Tel
07-01-2018 Alika Neney Atlia Tel 82273814784 Siforasi 1 1 07-04-2019 8 88 1

yuridis tel
3/29/2019 Siforasi 1 1 07-04-2019 3.9 48

3.5 Oktafianus tel
8/12/2015 Yordan tel Siforasi 1 1 07-04-2019 13.1 91

Haogonatola tel
8/17/2017 Sotiana tel Siforasi 1 1 07-04-2019 9.2 74

Teheziduhu tel
2 3/30/2016 1 `1214022509140001 `1214026411900003 Jastin ndruru `1214021877890002 Siforasi 1 1 07-04-2019 12.5 85

3 1 1 Olembata ndr
4/13/2019 Siforasi 1 1 13-04-2019 3.5 50 Ya

3.5 a/d Famati ndruru
128 1 09-03-2014 2 `1214020307130001 `1214026203140001 Calista marhety irens `1214020812850002 81362165757 Orahili Gomo 2 2 17-03-2019 1
2.7 1 Desman tel
129 4 22-04-2014 2 Cilsa Waruwu 81362165757 Orahili Gomo 2 2 17-03-2019 15 101 2 1

2.5 1 Gurigano Waruwu
130 4 25-05-2014 1 Friendsip Lase `1214021706830009 81362165757 Orahili Gomo 2 2 17-03-2019 14.2 100 2 1
2.3 1 Sokhi lase
131 6 14-04-2014 2 `1214022510120001 `1214026608140001 Gracia taf `1214022 209820006 81362165757 Orahili Gomo 2 2 17-03-2019 15 100 2 1
2.7 1 Ohezatulo taf
132 5 13-05-2014 2 Meyla taf 81362165757 Orahili Gomo 2 2 17-03-2019 14.5 100 2 1
3 1 Darman taf
133 7 12-04-2014 2 Apriaman taf 81362165757 Orahili Gomo 2 2 17-03-2019 14.5 101 2 1
2 1 Fetrisman taf
134 1 29-07-2014 2 `1214020103160001 `1214026907140001 Cindy Tel `1214023005780001 81362165757 Orahili Gomo 2 2 08-04-2019 15.6 99 2 1
2.5 1 Bulazame tel
135 6 06-07-2014 2 Yosefa tristie bll 81362165757 Orahili Gomo 2 2 08-04-2019 15 102 2 1
2.5 1 Edwar bll
136 2 10-07-2014 1 `1214351205170002 `12140249021400001 Jul fransiskus tel `12140201102283002 81362165757 Orahili Gomo 2 2 08-04-2019 15 102 2 1
2.7 1 Sokhizatulo tel
137 1 01-07-2014 1 `1214020307130001 `1214026203140001 Oliver n tel `12140208128500002 81362165757 Orahili Gomo 2 2 08-04-2019 16.1 101 2 1
2.5 1 Noverianus tel
138 2 01-10-2014 1 Bernad Sadawa 81362165757 Orahili Gomo 2 2 08-04-2019 15 102 2 1

3 1 Noverianus Sadawa
139 2 12-09-2014 1 `1214022904100019 `12140021209140001 Eben Ndruru `1214021706830009 81362165757 Orahili Gomo 2 2 08-04-2019 15.4 100 2 1
2.5 1 syukur Ndru
140 2 26-09-2014 2 Berta A.D. Laia `1214020102830002 81362165757 Orahili Gomo 2 2 08-04-2019 15.3 101 2 1
3.2 1 Yanuari laia
141 2 08-05-2014 1 `121402202130001 `1214020805140001 Frederick Tel `1214020205860006 81362165757 Orahili Gomo 2 2 08-04-2019 16 105 2 1
3 1 Salinudin tel
142 3 22-12-2014 2 `1214022501120006 `1214026112140001 Bilqis Tafnao `1214022512850006 81362165757 Orahili Gomo 2 2 08-04-2019 15.5 104 2 1
3 1 Darmawan Taf
143 2 10-01-2015 2 `1214020310120004 `1214025004150001 acrilyn bll vania lase `1214021108840001 81362165757 Orahili Gomo 2 2 08-04-2019 15 101 2 1
2.7 1 Kristian lase
144 11-01-2015 1 egbert lase 81362165757 Orahili Gomo 2 2 08-04-2019 15.5 104 2 1
2.9 1 efrigus lase
145 2 08-03-2015 2 `1214351205170002 `1214025203150001 Princella tel `1214020102830002 81362165757 Orahili Gomo 2 2 08-04-2019 14 95 2 1
3 1 Iramahati tel
146 29-01-2015 1 `1214351205170002 `1214024902140001 Otniel rizky hia `1214021111910002 81362165757 Orahili Gomo 2 2 08-04-2019 13.8 93 2 1
2.8 1 Hezinafaudu hia
147 04-04-2015 2 `1214020307130001 `1214026203140001 quine giawa `1214023011820002 81362165757 Orahili Gomo 2 2 08-04-2019 13 93 2 1
2.9 1 Agustinus Giawa
148 3 16-05-2015 2 `1214022707100001 `1214025809100001 Albert Triyolenta tel `1214020706810007 81362165757 Orahili Gomo 2 2 08-04-2019 13.2 94 2 1
2.8 1 syukur tel
149 2 17-03-2015 1 `1214020605100178 `1214021703150001 Rifansah Putra Bmw `1214021204890005 81362165757 Orahili Gomo 2 2 08-04-2019 14.2 96 2 1
3.4 1 usoli Bmw
150 3 23-06-2015 2 `1214021002110001 `1214026306150001 Raysa elisia gea `1214022301810002 81362165757 Orahili Gomo 2 2 08-04-2019 13 93 2 1
2.7 1 Alstedi gea
151 1 25-10-2015 2 `1214022802180005 `1214024610150001 Olivia lase `1214020905870002 81362165757 Orahili Gomo 2 2 08-04-2019 13 94 2 1
2.5 1 Meriusman lase
152 1 30-09-2015 1 `1214020902150003 `1214023009150001 Gracio faolin zebua `12140226009770001 81362165757 Orahili Gomo 2 2 08-04-2019 18 99 2 1
3 1 Alimarhukum zebua
153 30-11-2015 1 Wilson laia 81362165757 Orahili Gomo 2 2 08-04-2019 13.2 97 2 1

3.2 1 Selamat laia
154 3 18-10-2015 2 `1214021908160001 `1214025810150001 Mikhale bilkis tel `1214021009860006 81362165757 Orahili Gomo 2 2 08-04-2019 15 97 2 1
2.8 1 Ohezatulo Tel
155 03-10-2014 1 Selvin taf 81362165757 Orahili Gomo 2 2 08-04-2019 13 95 2 1

3 1 Krisman taf
156 31-12-2015 1 Gabriel lase 81362165757 Orahili Gomo 2 2 08-04-2019 15.2 100 2 1
3.8 1 Karyaman lase
157 2 12-102016 2 `1214023010130002 `12140252011600001 Liora tel `1214023011820002 81362165757 Orahili Gomo 2 2 08-04-2019 14.7 95 2 1
2.7 1 Noverianus tel
158 4 15-01-2016 2 `1214021101100005 `1214025501150001 Kelin jane natania bll `1214025501150001 81362165757 Orahili Gomo 2 2 08-04-2019 14.6 96 2 1
2.7 1 Karyaman bll
159 3 09-02-2016 2 `1214022202130001 `1214024902160001 Felicya biner calista tel `1214020205860006 81362165757 Orahili Gomo 2 2 08-04-2019 13 98 2 1
3 1 Salinudin tel
160 3 20-02-2016 2 `1214022012110001 `1214026002160001 Jefania tricelsi ndruru `1214020103810002 81362165757 Orahili Gomo 2 2 08-04-2019 14.3 98 2 1
2.7 1 Yustinus ndr
161 3 25-03-2016 2 `1214020310120004 ` Dayster clara rosalin lase `1214021108840001 81362165757 Orahili Gomo 2 2 08-04-2019 13.2 94 2 1
2.4 1 Kristian lase
162 01-05-2016 2 Ariela jakei ndruru 81362165757 Orahili Gomo 2 2 08-04-2019 13.4 96 2 1
2.9 1 Samahati ndr
163 3 03-05-2016 2 `1214022510120001 `1214024305160001 Helsa erya efrosina laia `1214020701860010 81362165757 Orahili Gomo 2 2 08-04-2019 12 90 2 1
3 1 Yanuari laia
164 2 15-05-2016 1 `1214020307130001 `1214021505160001 maychel theodor tel `1214020812850002 81362165757 Orahili Gomo 2 2 08-04-2019 14 91 2 1
3 1 Desman tel
165 15-06-2016 2 Happy krisda tel 81362165757 Orahili Gomo 2 2 08-04-2019 9 90 2 1

3 1 Sokhiatulo tel
166 06-07-2016 1 Ravael harajazi tel 81362165757 Orahili Gomo 2 2 08-04-2019 13.3 90 2 1
3.3 1 Geni tel
167 2 13-07-2016 2 `1214020103160001 ` Clara natanael tel `1214023005780001 81362165757 Orahili Gomo 2 2 08-04-2019 12.3 88 2 1
3 1 Bulazame tel
168 1 19-08-2016 1 Gabriiel gusta alfares zebua `1214023008840001 81362165757 Orahili Gomo 2 2 08-04-2019 12.5 87 2 1
2.8 1 Firman zebua
169 4 16-09-2014 2 `121402160910002 `1214025609160001 Selviana felicia tel `1214020809810004 81362165757 Orahili Gomo 2 2 08-04-2019 13.5 90 2 1
3 1 sehati tel
170 2 06-10-2016 2 `1214023108160001 `1214024610160001 winifred foedora tel `1214021204910005 81362165757 Orahili Gomo 2 2 08-04-2019 14.3 88 2 1
2.5 1 surianto tel
171 1 07-10-2016 2 `1214023010150001 `1214024710150001 Adellin okmahez hulu `12140002069000001 81362165757 Orahili Gomo 2 2 08-04-2019 15 90 2 1
3 1 Jonisman hulu
172 1 14-11-2016 1 `1214022106170002 `1214021411160001 Glenova Abimael Delova hu `1214021607860001 81362165757 Orahili Gomo 2 2 08-04-2019 15 90 2 1
2.8 1 Fajarman hulu
173 1 14-10-2016 1 `1214022802140001 `1214021410160001 Nicholas wiliam buulolo `1214021012840002 81362165757 Orahili Gomo 2 2 08-04-2019 14 90 2 1
3 1 Sahabat jaya bulolo
174 1 19-06-2016 1 `1214092509170007 `12140910510100001 volta sanohaugo laia `120721010480001 81362165757 Orahili Gomo 2 2 08-04-2019 13 91 2 1
3 1 arinus laia
175 18-08-2016 2 Aura Nathania Taf 81362165757 Orahili Gomo 2 2 08-04-2019 13.7 90 2 1
2.9 1 Ohezatulo Taf
176 1 19-03-2017 1 `1214050505150001 `1214051803170001 Joas Mart Natanael Hoya `1214050612850003 81362165757 Orahili Gomo 2 2 08-04-2019 13 90 1 1
3 1 Fondraia Hoya
177 3 12-04-2017 1 `1214351205170002 `1214021204170001 Priman Pejuang Sakti Tel `1214050612850003 81362165757 Orahili Gomo 2 2 08-04-2019 9.5 83 1 1
2.7 1 Iramahati tel
178 09-04-2017 2 Biuti Quintin Lase 81362165757 Orahili Gomo 2 2 08-04-2019 9 90 1 1

3 1 Meriusman lase
179 4 16-04-2017 2 `1214021908160001 `121425604170001 Cetrin Natania Tel `121402109860006 81362165757 Orahili Gomo 2 2 08-04-2019 10.7 90 1 1
2.7 1 Ohezatulo Natania Tel
180 1 23-04-2017 2 `1214022707170002 `1214026304170002 Caraissa Naraya Laia `1214020311920005 81362165757 Orahili Gomo 2 2 08-04-2019 7.9 77.5 1 1
2.5 1 Antonius Laia
181 27-05-2017 1 David Lase 81362165757 Orahili Gomo 2 2 08-04-2019 10 85 1 1

2.9 1 Pastian lase
182 28-05-2017 2 Grisel Elvareth Lase 81362165757 Orahili Gomo 2 2 08-04-2019 13 87 1 1

3.8 1 Syukur Lase
183 26-04-2017 2 Inmei Lin Ndruru 81362165757 Orahili Gomo 2 2 08-04-2019 12 82 1 1

2.9 1 Syukur ndr
184 3 10-08-2017 2 `1214023010130002 `1214025008170001 Quen Trisel Tel `1214023011820002 81362165757 Orahili Gomo 2 2 08-04-2019 12 80 1 1
2.5 1 Overianus Tel
185 4 13-08-2017 2 `1214020206900009 ` citraa dwi tel `1214020206900009 81362165757 Orahili Gomo 2 2 08-04-2019 12 79 1 1
2.7 1 Wira Tel
186 09-10-2017 2 Elisabet Tel 81362165757 Orahili Gomo 2 2 08-04-2019 8 76 1 1

3.3 1 Sokhizatulo tel
187 1 07-11-2017 1 `1214020208000011 `1214020711170002 Hans Tendroma Lase `1214020208906011 81362165757 Orahili Gomo 2 2 08-04-2019 12 80 1 1
2.8 1 Ekuivalen Lase
188 2 15-11-2017 1 `1214092509170007 Owen Laia `120721010480001 81362165757 Orahili Gomo 2 2 08-04-2019 12 87 1 1
3 1 arinus laia
189 1 15-11-2017 2 `12140211101170001 `1214025511170001 Aurel Hulu `1214022906920007 81362165757 Orahili Gomo 2 2 08-04-2019 10 87 1 1
3 1 Iman Hulu
190 3 23-11-2017 1 `1214020103160001 Cornelius Tel `1214023005780001 81362165757 Orahili Gomo 2 2 08-04-2019 10 90 1 1
2.7 1 Bulazame tel
191 19-12-2017 1 Reyner timotius y, tel `1214020602930007 81362165757 Orahili Gomo 2 2 08-04-2019 11.5 87 1 1
3 1 Ardin Tel
192 16-01-2017 1 juan frederik buulolo 81362165757 Orahili Gomo 2 2 08-04-2019 11 81 1 1

3.3 1 good liver bll
193 11-02-2018 1 Aldrich Jan Bll Ndruru 81362165757 Orahili Gomo 2 2 1 1

3 1 Samaha Ndrr
194 1 21-01-2017 2 1214021204180000 lydia hanesta bidaya 120412409790004 81362165757 Orahili Gomo 2 2 08-04-2019 10.5 86 1 1
2.5 1 Iman Selamat Bidaya
195 20-09-2018 2 ezera septian lase 81362165757 Orahili Gomo 2 2 08-04-2019 8 71 1 1

2.7 1 Kristian lase
196 2 21-02-2018 2 1214021204180000 1214022604180000 geisa indra bidaya 120412409790004 81362165757 Orahili Gomo 2 2 08-04-2019 7.5 73 1 1
2.7 1 iman selamat Bidaya
197 26-04-2018 1 indra syaputra hulu 81362165757 Orahili Gomo 2 2 08-04-2019 7.5 74 1 1
2.4 1 krisman hulu
198 04-05-2018 1 elo nathaniel buulolo 81362165757 Orahili Gomo 2 2 08-04-2019 9 74 1 1

2.7 1 Sahabat jaya bulolo
199 09-05-2018 2 adui zara hulu 81362165757 Orahili Gomo 2 2 08-04-2019 8.5 73 1 1
2.8 1 Jonisman Hulu
200 28-06-2018 2 nisella abigael marbun 81362165757 Orahili Gomo 2 2 08-04-2019 8 72 1 1

2.6 1 impan marbun
201 4 09-08-2018 1 1214022707100000 joseph bernabas fondrara 1214020706810000 81362165757 Orahili Gomo 2 2 08-04-2019 8.5 74 1 1
2.9 1 syukur tel
202 3 14-09-2018 2 `1214020307130001 elora septin tel `1214020812850002 81362165757 Orahili Gomo 2 2 08-04-2019 6.8 61 1 ya ya ya ya ya
2.8 1 desman taf
203 23-09-2018 2 81362165757 Orahili Gomo 2 2 1

3 1 yulius ndruru
204 1 26-09-2018 2 alysia marisa enoni zebua 81362165757 Orahili Gomo 2 2 08-04-2019 7.2 61 1 ya ya ya ya ya
3 1 yuliaman zebua
205 24-09-2018 2 sofiana anjelita laia 81362165757 Orahili Gomo 2 2 08-04-2019 7 63 1

3 1 Antonius Laia
206 04-10-2018 1 Gefarel F. Tel 81362165757 Orahili Gomo 2 2 08-04-2019 7.3 61 1 ya ya ya ya ya ya

3.2 1 sulaiman tel
207 09-10-2018 2 donata shaprine bll 81362165757 Orahili Gomo 2 2 08-04-2019 6.5 61 1 ya ya ya ya ya ya
2.6 sadarman bll
208 2 28-10-2018 1 girasto zebua 12140224009770000 81362165757 Orahili Gomo 2 2 08-04-2019 7 61 1 ya ya ya ya ya

2.9 Alimarhukum zebua
209 1 05-12-2018 2 Kayla Tel 81362165757 Orahili Gomo 2 2 08-04-2019 4 53 1

2.7 faodiduhu tel
210 08-12-2018 1 Arvaro William T.Waruwu 81362165757 Orahili Gomo 2 2 08-04-2019 7 63 1 ya ya ya ya

3 martinus f,waruwu
211 21-12-2018 2 Enjel Angel Clarisa 81362165757 Orahili Gomo 2 2 08-04-2019 4.5 51 1 ya ya ya
3 temazatulo taf
212 09-01-2019 2 Lina Ati Halawa 81362165757 Orahili Gomo 2 2 08-04-2019 4 51 1

3 aroziduhu halawa
213 23-12-2018 1 81362165757 Orahili Gomo 2 2 08-04-2019 5 53 1

3.2 Fondraia Hoya
214 13-02-2019 2 81362165757 Orahili Gomo 2 2 08-04-2019 4.5 51 1 ya

3.2 1 Sekedar laia
215 15-02-2019 2 81362165757 Orahili Gomo 2 2 08-04-2019 4 51 1 ya

3.2 Yustinus ndr
216 11-01-2017 2 Nadia Raisa laia 81362165757 Orahili Gomo 2 2 08-04-2019 14.5 113 2 1
3.2 Desman Laia
24-02-2019 2 81362165757 Orahili Gomo 2 2 08-04-2019 4 57 1

3 Ekuivalen Lase
26-02-2019 1 81362165757 Orahili Gomo 2 2 08-04-2019 4.8 51 1 ya

3.5 Kardi Jaya Ndruru
27-02-2019 3 81362165757 Orahili Gomo 2 2 08-04-2019 5 50 1 ya

2.9 Sokhizatulo tel
05-03-2019 4 81362165757 Orahili Gomo 2 2 08-04-2019 4 52 1 ya

3 Arianus Laia
05-03-2019 2 81362165757 Orahili Gomo 2 2 08-04-2019 4.5 55 1 ya
4 Aistedi Gea
217 2 02-07-2014 2 `1214021102160001 `1214024207140001 Julianti Ndraha `1214020503920011 82165883856 Orahili Sibohou 3 3
2 1 Marianus ndraha
218 3 15-05-2014 2 `1214021909130003 Mey Karlos Ndruru `1214021909840005 82165883856 Orahili Sibohou 3 3 07-04-2019 16 102
2.6 1 Alius Ndruru
219 17-03-2014 2 Marselita tel 82165883856 Orahili Sibohou 3 3

2.9 1 Asaziduhu tel
220 4 19-04-2014 2 `1214021410130003 `1214024803130001 Yatilina tel `1214021909840005 82165883856 Orahili Sibohou 3 3 07-04-2019 16 107
2.7 1 Faazatulo tel
221 17-03-2014 2 Ester Muliani Tel 82165883856 Orahili Sibohou 3 3 07-04-2019 16 100
2.8 1 Yaiman Laia
222 23-03-2014 2 Deswita ndr 82165883856 Orahili Sibohou 3 3

2.9 1 alm.tohuzanolo ndr
223 5 02-04-2014 2 `1214021606080051 Atimina Ndruru `1214020702760002 82165883856 Orahili Sibohou 3 3

2.6 1 tabeziso ndruru
224 2 24-04-2014 1 `1214021409180002 `1214026404140001 Suarfin taf `1214020811840003 82165883856 Orahili Sibohou 3 3 1
2.8 1 Yasazatulo taf
225 27-12-2014 1 Relifin Taf 82165883856 Orahili Sibohou 3 3

2.9 1 Haogoatulo Taf
226 7 05-12-2014 2 `1214022806100001 ` Racher Natasia Tel `1214022806100008 82165883856 Orahili Sibohou 3 3
2.6 1 Riang Hati Hia
227 1 02-09-2014 2 `1214022209110003 `1214024200140001 Nancy Aserlionora Telamba `1214021508820005 82165883856 Orahili Sibohou 3 3 07-04-2019 16 70
2.5 1 Arianus Tel
228 6 22-10-2014 1 `1214021909130011 `1214022210140001 Fornelius tel `1214020512800001 82165883856 Orahili Sibohou 3 3
2.8 1 Arozatulo tel
229 4 23-11-2014 2 `1214021909130016 Elfin Ndruru `1214021709790009 82165883856 Orahili Sibohou 3 3 07-04-2019 15 96
2.7 1 Iklas Ndru
230 2 23-11-2014 2 `1214021909130010 `1214025309140001 Tuti mawarni tel `1214023007870002 82165883856 Orahili Sibohou 3 3
2.5 1 Marianus Tel
231 4 09-11-2014 2 `1214022906100005 `1214025111140001 Nurlinda Suci Gres Tel `1214022611860001 82165883856 Orahili Sibohou 3 3 07-04-2019 15.5 103
2.8 1 Risman Tel
232 5 14-05-2015 2 `1214021710120005 `1214021405150001 keren Hapukh Taf `1214020611750001 82165883856 Orahili Sibohou 3 3 07-04-2019 14.5 92 2 1
2.5 1 Yaorahu taf
233 4 12-02-2015 2 `1214021909120010 Wiwin Putri Mulia Taf `1214020398800008 82165883856 Orahili Sibohou 3 3 07-04-2019 14 95 2 1
4 1 Tarasisi Tafnao
234 16-04-2015 2 Asmawati yamasi taf 82165883856 Orahili Sibohou 3 3

3.6 1 Yaatulo taf
235 8 16-06-2015 1 `1214021909130022 Viki ahmad ndr `12140201066500061 82165883856 Orahili Sibohou 3 3 07-04-2019 11 86
2.7 1 Lofaudu ndr
236 3 28-092015 2 `1214021409180002 `1214026909150002 Septri andini taf `1214020811840003 82165883856 Orahili Sibohou 3 3 1
2.6 1 Yasazatulo taf
237 5 15-07-2016 2 `1214021410130003 selvival tel `1214021909840005 82165883856 Orahili Sibohou 3 3 07-04-2019 13 90
2.6 1 benezomasi ndruru
238 5 19-10-2015 1 `1214021405100041 `1214021910150002 Lukius taf `1214023011830001 82165883856 Orahili Sibohou 3 3 07-04-2019 13.2 88 H 1
2.8 1 Peringatan taf
239 30-01-2015 2 Erna Indah Mawati Tel 82165883856 Orahili Sibohou 3 3 07-04-2019 12 103 2 1
2.6 1 Marazatulo Tel
240 5 02-02-2016 1 `1214021407080083 ` Berkat Putra Kasih Tel `12140202117660002 82165883856 Orahili Sibohou 3 3 07-04-2019 15.5 95 2 1
3 1 Temanaso taf
241 1 05-02-2016 1 Rintusman taf 82165883856 Orahili Sibohou 3 3 07-04-2019 10 78 2 1

3.3 1 Fafaaro taf
242 16-02-2016 1 Mikhael kristoper ndraha 82165883856 Orahili Sibohou 3 3 07-04-2019 13 101 2 1
3 1 Marianus ndraha
243 01-08-2016 1 Clarik Taf 82165883856 Orahili Sibohou 3 3 07-04-2019 2 1

2.5 1 Noriba Lase
244 09-11-2016 1 Cislond Telmbanua 82165883856 Orahili Sibohou 3 3 07-04-2019 10 88 2 1

2.7 1 Riwayat Tel
245 5 21-12-2016 2 `1214021407080100 Jesika Ndruru `1214020512650002 82165883856 Orahili Sibohou 3 3 07-04-2019 11 87 2 1
2.7 1 Satieli Ndruru
246 1 09-06-2017 1 `1271141008170006 Brian Azarel Buùlolo `1214131107940001 82165883856 Orahili Sibohou 3 3 07-04-2019 8.4 75 1 1
2.5 1 Ikuti Buolele
247 13-03-2017 1 Rusman Tel 82165883856 Orahili Sibohou 3 3 07-04-2019 10.5 81 1 1

2.7 1 Tafaaro Taf
248 6 16-03-2017 1 `1214021410130003 Amonio Tel `1214029098840005 82165883856 Orahili Sibohou 3 3 07-04-2019 12 80 1 1
2.8 1 Faazatulo Tafnao
249 21-03-2017 1 Putra Taf 82165883856 Orahili Sibohou 3 3 07-04-2019 1 1

2.6 1 Temazatulo Tafanao
250 5 29-04-2017 1 `1214021909120010 Juwidar Taf `1214020398800008 82165883856 Orahili Sibohou 3 3 07-04-2019 9.5 77 1 1
2.9 1 Merilia Hulu
251 1 16-09-2017 2 `1214022004170001 `1214025609170001 Elora Tel `12140241006840010 82165883856 Orahili Sibohou 3 3 07-04-2019 8.2 78 1 1
2 1 Sofis Wanolo Tel
252 19-06-2017 1 David Geovano Tel 82165883856 Orahili Sibohou 3 3 07-04-2019 9.5 78 1 1
3 1 Aronaoto Tel
253 6 25-012018 2 `1214021405100041 abelia taf `1214023011830001 82165883856 Orahili Sibohou 3 3 07-04-2019 8.8 70 1 1
3 1 Peringatan Taf
254 5 06-04-2018 2 `1214022906100005 Mariuran Tel `1214022611860001 82165883856 Orahili Sibohou 3 3 07-04-2019 8.5 73 1 1
2.8 1 Risman Tel
255 4 29-01-2018 2 `1214021409180002 `1214022801180001 Reyner Januardan Tel `1214020811840003 82165883856 Orahili Sibohou 3 3 07-04-2019 8 69 1 1
2.8 1 yasatulo tafanao
256 5 30-05-20118 1 `1214021909130003 mey cristian ndruru `1214021909840005 82165883856 Orahili Sibohou 3 3 07-04-2019 7.7 70 1 1
2.8 1 Alius Ndruru
257 6 01-06-2018 1 `1214020809140003 juan kristian taf `1214022210750004 82165883856 Orahili Sibohou 3 3 07-04-2019 6.5 69 1 1
4 1 Yasato Taf
258 2 08-06-2018 2 `127141008170006 srihati bll `1214131107940001 82165883856 Orahili Sibohou 3 3 07-04-2019 7.1 65 1 1
2.5 1 Tirawati Ndruru
259 6 01-07-2018 1 `1214021407080083 Putra Jaya Taf `12140202117660002 82165883856 Orahili Sibohou 3 3 07-04-2019 9 76 1 1
2 1 Temanaso Taf
260 3 08-07-2018 1 horlianus taf 82165883856 Orahili Sibohou 3 3 07-04-2019 7 64 1 1

2.9 1 Masilina Hulu
261 19-07-2018 2 enjel fordian ndruru 82165883856 Orahili Sibohou 3 3 07-04-2019 7.3 66 1 1
2.4 1 Adihati Harita
262 2 03-11-2018 2 `1214021111160001 Milka Triwulandari Taf `121402261830001 82165883856 Orahili Sibohou 3 3 07-04-2019 7 61 1 ya ya ya ya ya
2.5 1 Riwayat Tel
263 1 19-12-2018 1 Naltan Nael Ndraha 82165883856 Orahili Sibohou 3 3 07-04-2019 4 59.2 1
2.5 1 Sabda Ndraha
264 5 14-01-2019 2 `1214021711090001 Bertha Zefania Tel `12140225027700002 82165883856 Orahili Sibohou 3 3
2.5 1 Faogozando Tel
265 1 02-12-2018 2 `1214022809180001 A/d. Mesilina Laia `1214022510870003 82165883856 Orahili Sibohou 3 3 07-04-2019 6 59 1
2.9 1 Asaeli Taf
266 4 04-01-2015 2 `1214012104080014 `1278011607120003 Keysa Amanda Harefa `121401160279003 82165883856 Orahili Sibohou 3 3 07-04-2019 13 90 2 ya ya SM 1
2.8 1 Satieli Harefa
267 5 25-11-2015 2 `1204012104080014 Nofri perdamaian Harefa `121401160279003 82165883856 Orahili Sibohou 3 3 07-04-2019 6 65 1 1
3 1 Satieli Harefa
268 6 02-02-2019 1 `1204012104080014 A/d. Septriani Ndraha `121401160279003 82165883856 Orahili Sibohou 3 3 07-04-2019 3.5 54 1
3 1 Satieli Harefa
269 21-02-2019 1 Bertus Kristian Tel 82165883856 Orahili Sibohou 3 3 07-04-2019 5 59

2.9 1 Yulianus tel
2 14-03-2017 2 Helmi Tel 82165883856 Orahili Sibohou 3 3 07-04-2019 9 79

2.5 1 Temazaro Tel
06-02-2019 2 Elsa Tel 82165883856 Orahili Sibohou 3 3 07-04-2019 5 55 ya ya

Temazaro Tel
1 25-05-2017 2 Mei Darnimawati Tel 82165883856 Orahili Sibohou 3 3 07-04-2019 8.2 78

2.5 1 Amizisokhi Tel
2 27-07-2017 2 Julita Ndruru 82165883856 Orahili Sibohou 3 3 07-04-2019 8.5 79

2.5 1 Khawano Ndruru
7 16-09-2018 1 `1214021410130003 Fariawosa Tel `1214021909840005 82165883856 Orahili Sibohou 3 3 07-04-2019 7.7 68
2.5 1 benezomasi ndruru
17-07-2015 2 Jelita Tel Orahili Sibohou 3 3 07-04-2019 12.7 90

3.5 benezomasi ndruru
04-02-2015 2 Febi Alilia Dewi Tel Orahili Sibohou 3 3 07-04-2019 13.2 97

3.5 Asaàni Harefa
1 Putra Tel Orahili Sibohou 3 3 07-04-2019 14 90

3 Yaiman Laia
01-12-2016 2 Ayu Wanda Tel Orahili Sibohou 3 3 07-04-2019 8.6 81

3.2 Niati Taf
05-08-2018 2 Anisa Tel Orahili Sibohou 3 3 07-04-2019 6.5 67

Niati Taf
270 8 10-03-2014 1 `1214061011090002 `1214021003140001 Jakson hia `12140605710003 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1
3.5 1 1 Bandraaro hia
271 5 15-05-2014 2 Menita deliana hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 14 99 2 1

2.9 1 Fatizatulo hia
272 14-06-2014 1 jun yestu hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 14.2 98 2 1

3 1 Faonaso hia
273 1 03-08-2014 1 `1214021101170001 `1214020308140001 honesto C. Hia `1214022802880006 82166301366 Lawa-lawaluo 4 4 3/10/2019 16 100 2 1
3 1 Feberianus hia
274 2 12-08-2014 2 `1214021112140001 `1214025208140001 Angelija gerolia hia `1214022412800006 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1
3.5 1 Talizonekhe hia
275 2 17-08-2014 1 `1214021011100001 `1214021708140001 Elwaldo Joeser hia `1214022811800005 82166301366 Lawa-lawaluo 4 4 3/10/2019 16 104 2 1
3.5 1 1 Sokhisibai hia
276 5 23-08-2014 2 `1214021408090005 Naila pancali hia `12140204840004 82166301366 Lawa-lawaluo 4 4 3/10/2019 14 100 2 1
2.8 1 Suriaman hia
277 1 08-11-2014 2 noveritandruru 82166301366 Lawa-lawaluo 4 4 3/10/2019 18 105 2 1
3.8 1 N. Ndruru
278 2 09-09-2014 2 `1214020605100184 `12140249009140002 Migres hia `1214021409800004 82166301366 Lawa-lawaluo 4 4 3/10/2019 11.2 90 2 1
2.4 1 1 Ingatan hia
279 2 09-01-2015 2 Lenta onesta hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 14 99 2 1

3 1 1 Marikudus hia
280 5 16-01-2015 1 Rivaldo hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1

3.6 1 Karya abadi sdw
281 2 18-01-2015 2 Rachel hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 14.9 92 2 1

3.3 1 Damaeli hia
282 1 21-01-2015 1 `1214020706170003 `1214022101150001 Yeptan faohahau taf `1214027006020005 82166301366 Lawa-lawaluo 4 4 3/10/2019 15 94 2 1
2.8 1 Jonisman taf
283 2 04-02-2015 1 Putra faomasi hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 15 99 2 1

2.9 1 1 Hezisokhi taf
284 1 23-04-2015 1 Jhordinus taf 82166301366 Lawa-lawaluo 4 4 3/10/2019 13.1 88 2 1

2.8 1 Agus juniaman taf
285 1 13-05-2015 2 `1214192310140001 `1214195305150001 Ica fediria ndr `1214012807810001 82166301366 Lawa-lawaluo 4 4 3/10/2019 15 100 2 1
3.5 1 1 Yaatulo ndr
286 6 08-07-2015 1 `121402170707080029 `1214020807150001 Eliezer hia `1214022007700003 82166301366 Lawa-lawaluo 4 4 3/10/2019 11 86 2 1
2.8 1 1 Sondrabali hia
287 1 01-08-2015 1 `1214022007160001 `1214020108150002 Agus One boy hia `1214021912870001 82166301366 Lawa-lawaluo 4 4 3/10/2019 14 91 2 1
3.3 1 Gohifaudu hia
288 4 06-09-2015 2 Keisya feodara hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 13.9 87 2 1

3 1 Alisman hia
289 13-09-2015 1 Jordan Samuel Tri Hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 11.5 93 2 1
3.5 1 Edwar hia
290 1 17-09-2015 1 Andi putra jaya taf 82166301366 Lawa-lawaluo 4 4 3/10/2019 12.3 88 2 1
3.6 1 1 Marsudin taf
291 1 25-09-2015 2 `1214020904150001 `1214021509150001 Lastiar kirana hia `1214021009750006 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1
3.2 1 Satya darman hia
292 2 06-10-2015 2 `1214020307180001 `1214024610150002 Regina tiara hia `1214021103860005 82166301366 Lawa-lawaluo 4 4 3/10/2019 10.5 84 2 1
2.8 1 Faozaro hia
293 1 18-11-2015 2 `1214022508170001 `1214025811150001 Eillen hia `1214021011830005 82166301366 Lawa-lawaluo 4 4 3/10/2019 15 92 2 1
3.5 1 1 Ayu moral hia
294 19-11-2015 2 Enti noventrian hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 13.9 88 2 1

2.6 1 Tahanasokhi hia
295 1 05-01-2016 2 `121402041016002 `1214024501150002 Elisa jelita taf `1214022312920001 82166301366 Lawa-lawaluo 4 4 3/10/2019 13 90 2 1
3 1 Husama taf
296 1 19-01-2016 1 `1214021704180003 `1214021901160007 Enos taf `1214021407840005 82166301366 Lawa-lawaluo 4 4 3/10/2019 14.4 86 2 1
3 1 Fatizatulo taf
297 3 11-02-2016 2 `1214021112140001 `1214021102160001 Aksel gowe hia `1214022412800006 82166301366 Lawa-lawaluo 4 4 3/10/2019 14.5 96 2 1
3.5 1 Talizonekhe hia
298 19-02-2016 2 Mutiara cindy amelia ndr 82166301366 Lawa-lawaluo 4 4 3/10/2019 11 82 2 1

2.7 1 1 Teman setia ndr
299 1 04-03-2016 2 `1214021406170003 `1214024403160001 geresiana hia `1214020909890007 82166301366 Lawa-lawaluo 4 4 3/10/2019 13.5 95 2 1
3.2 1 noverius hia
300 3 20-06-2016 1 `1214020110090003 juni Faomasi tafonao `1214021110870005 82166301366 Lawa-lawaluo 4 4 3/10/2019 10.3 82 2 1
3 1 Balaziwaauri taf
301 26-06-2016 1 `1214021011100001 `1214022606160001 izreal sona harazaki Hia `1214022811800005 82166301366 Lawa-lawaluo 4 4 3/10/2019 14.5 93 2 1
3 1 1 Sokhisibai hia
302 1 28-08-2016 2 zilviani agustin hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1

2.3 1 Karya abadi hia
303 1 07-09-2016 2 `1214022107170001 `12140224709160001 wandats yuan lase `1214021008880007 82166301366 Lawa-lawaluo 4 4 3/10/2019 11.2 81 2 1
3.5 1 Fatumbu'o lase
304 5 14-11-2016 1 `121402270310031 `1214024411160001 cindi edilani ndruru `1214020202820005 82166301366 Lawa-lawaluo 4 4 3/10/2019 11 76 2 1
2.8 1 Elisama ndr
305 2 19-12-2016 2 jernih hati taf 82166301366 Lawa-lawaluo 4 4 3/10/2019 10.4 79 2 1

2.9 1 1 Jonisman taf
306 1 06-12-2016 2 anoli jeliska giawa 82166301366 Lawa-lawaluo 4 4 3/10/2019 11.5 83

2.8 1 agus selamat giawa
307 9 20-12-2016 2 `1214061011090002 `1214026012160001 alicia tiara hia `1214060205710003 82166301366 Lawa-lawaluo 4 4 3/10/2019 11.5 83 2 1
2.8 1 Bandraaro hia
308 3 19-09-2016 2 `1214020705100108 `1214024909160001 Septi dewi tafonao `121402209800006 82166301366 Lawa-lawaluo 4 4 3/10/2019 9.8 83 2 1
2.9 1 Sokhinihaogo taf
309 2 10-01-2017 2 `121402041016002 Intan riska tafanao `1214022312920001 82166301366 Lawa-lawaluo 4 4 3/10/2019 9.5 76 2 1
3.5 1 husaman tafanao
310 1 10-02-2017 1 luber eling tafanao 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1

2.6 1 aduzatulo taf
311 5 17-02-2017 2 `1214021607080175 `1214025702170001 Kartika ayu hia `1214020710750005 82166301366 Lawa-lawaluo 4 4 3/10/2019 10.3 83 2 1
3.2 1 Ozisatulo hia
312 1 21-02-2017 1 `1214020411160001 `1214022102170001 alfaro gabriel taf `1214021602890001 82166301366 Lawa-lawaluo 4 4 3/10/2019 12.3 85 2 1
3.5 1 sukurman tafonao
313 6 18-03-2017 1 `1214020705100154 albert hans kristian hia `1214026612170001 82166301366 Lawa-lawaluo 4 4 3/10/2019 9.6 78 2 1
2.8 1 Dameli hia
314 11-04-2017 2 april agresia hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 11 83 2 1

2.8 1 faodizuhu hia
315 17-04-2017 2 `1214192310140001 `1214195704170001 Frieda jelita ndruru `1214012807810001 82166301366 Lawa-lawaluo 4 4 3/10/2019 10.5 75 2 1
2.6 1 1 Yaatulo ndr
316 6 20-05-2017 2 `1214020605100179 maskaria ndruru `1214021106850006 82166301366 Lawa-lawaluo 4 4 3/10/2019 7.5 76 2 1
2.5 1 aluiziduhu ndruru
317 2 23-05-2017 1 `1214022007160001 syan sabda nomatema `1214021912870001 82166301366 Lawa-lawaluo 4 4 3/10/2019 12.3 79 2 1
2.7 1 gohifaudu hia
318 3 10-06-2017 1 `1214020605100184 arjun syaputra hia `1214021409800004 82166301366 Lawa-lawaluo 4 4 3/10/2019 9.5 76 2 1
3 1 ingatan hia
319 2 27-07-2017 1 `1214020904150001 Equerinoni alomsom hia `1214021009750006 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1
3 1 setya darman hia
320 2 17-04-2017 1 `1214021809130001 alvaro gabriel hia `1214022103850003 82166301366 Lawa-lawaluo 4 4 3/10/2019 10 74 2 1
3.8 1 Alisman hia
321 6 17-09-2017 1 `1214021106090002 `1214021709170001 forman tafnao `1214021003770001 82166301366 Lawa-lawaluo 4 4 3/10/2019 8.2 75 2 1
3.5 1 Yaatulo ndr
322 2 06-10-2017 1 `1214021406170003 Nueli sangihugo hia `1214020909890007 82166301366 Lawa-lawaluo 4 4 3/10/2019 75 2 1
3.3 1 noverius hia
323 5 12-10-2017 2 hany diana hia 82166301366 Lawa-lawaluo 4 4 3/10/2019

3.2 1 risman hia
324 2 26-12-2017 2 `1214020307180001 `1214026612170001 Tri Sanstar Hia `1214021103860005 82166301366 Lawa-lawaluo 4 4 3/10/2019 9 63 2 1
2.8 1 Fatizaro Hia
325 1 03-12-2017 2 `1214021412170002 `1214024312170001 desi ratna sari `1214022711820002 82166301366 Lawa-lawaluo 4 4 3/10/2019 9.2 76 2 1
3 1 datarius hia
326 19-12-2017 1 Rinto Ronaldi Giawa 82166301366 Lawa-lawaluo 4 4 3/10/2019 10 74 2 1

2.8 1 agus selamat giawa
327 2 19-12-2017 2 `1214021704180003 `1214025912170002 Nelpan Diana Tafo `1214021407840005 82166301366 Lawa-lawaluo 4 4 3/10/2019 9 71 2 1
2.8 1 fatizaro taf
328 2 12-03-2017 2 `1214022107170001 Adinda Satria Lase `1214021008880007 82166301366 Lawa-lawaluo 4 4 3/10/2019 7.1 65 2 1
2.8 1 1 Fatumboò Lase
329 7 14-02-2018 1 Josua Valentino Hia `1204321409890002 82166301366 Lawa-lawaluo 4 4 3/10/2019 9.5 76 2 1
2.5 1 Yulius Hia
330 1 23-03-2018 2 `121402080100003 Keynara Arzeti Taf `1214022312820001 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1
3 1 Genius Taf
331 7 30-04-2018 1 Aditama Can Seven Hia `1214021004660007 82166301366 Lawa-lawaluo 4 4 3/10/2019 7.3 69 2 1
3 1 Bazisokhi hia
332 2 06-05-2018 2 RachelnMelnatalia Hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 6.4 63 2 1

2.8 1 Delisman Hia
333 1 22-05-2018 1 Anjas Kritian Tel `1204321409890002 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1

3 1 Yulius Tel
334 4 06-06-2018 1 jenius Yahud Jerman Ndruru 82166301366 Lawa-lawaluo 4 4 3/10/2019 7.3 67 2 1
3 1 1 Teman setia ndr
335 1 05-07-2018 1 adam melki hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 7.6 65 2 1

2.8 1 limperman Hia
336 1 12-07-2018 1 `1214020708170002 `1214021207180001 david bijaksana n.hia `121402021800007 82166301366 Lawa-lawaluo 4 4 3/10/2019 7.5 63 2 1
3 1 Ayu Batin Hia
337 6 11-07-2018 1 `1214022703120031 Iman Jaya Ndruru `1214020202820005 82166301366 Lawa-lawaluo 4 4 3/10/2019 6 63 2 1
3 1 Mulitina Ndruru
338 1 17-07-2018 1 Yerdina Nfruru 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1

3 1 Faosokhi Ndruru
339 1 04-08-2018 1 andika hatawan taf `1214020707910001 82166301366 Lawa-lawaluo 4 4 3/10/2019 7.8 62 2 1
3.2 1 Juliarman Taf
340 2 01-09-2018 1 `1214020411160001 geofan farel taf `1214021602890001 82166301366 Lawa-lawaluo 4 4 3/10/2019 8.1 68 2
3.1 1 Syukurman Taf
341 8 08-09-2018 2 `1214021707080151 Lora Marlinda Ndruru `1214021312640002 82166301366 Lawa-lawaluo 4 4 3/10/2019 7.8 63 2
2.8 1 Fanolama Ndruru
342 2 16-09-2018 1 `1214022508170001 etan nathaniel hia `1214021011830005 82166301366 Lawa-lawaluo 4 4 3/10/2019 7.8 63 2
3.3 1 Ayu moral hia
343 10-10-2018 2 Putri Indiani Hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 7.1 65 2 ya ya ya ya ya SM

3.8 1 Niat Idaman Hia
344 1 10-10-2018 1 `1214021712180002 `1214025001180001 yenfikas ndruru `1214022301970002 82166301366 Lawa-lawaluo 4 4 3/10/2019 8.5 65 2 1
2.8 1 pintar lius ndruru
345 30-01-2018 1 `1214192310140001 netral solidman ndruru `1214012807810001 82166301366 Lawa-lawaluo 4 4 3/10/2019 7 60 2 ya ya ya ya ya 1
2.5 1 Yaatulo ndr
346 1 31-10-2018 1 `1214021409180001 nilson ethan taf `1214021609910004 82166301366 Lawa-lawaluo 4 4 3/10/2019 7 62 2 ya ya ya ya ya 1
3.2 1 1 jonikar taf
347 1 07-11-2018 1 grisel aurel taf `1214022612930002 82166301366 Lawa-lawaluo 4 4 3/10/2019 5.6 58 2
2.9 1 darman taf
348 03-12-2018 1 hans nathaniel ndruru 82166301366 Lawa-lawaluo 4 4 3/10/2019 6.1 55 2 ya ya ya ya

2.8 1 firman ndruru
349 11-01-2019 1 `1214021412170002 `1214022711820002 82166301366 Lawa-lawaluo 4 4 3/10/2019 5 58 2 ya ya
3 1 Datarius hia
350 3 03-02-2019 1 `1214021406170003 `1214020909890007 82166301366 Lawa-lawaluo 4 4 3/10/2019 3.9 52.7 2 ya ya

3.1 1 1 Noverius Hia
351 28-10-2014 1 82166301366 Lawa-lawaluo 4 4 3/10/2019 14 86 2 ya 1

3 1 Tandrowanolo Hia
352 11 09-05-2015 1 `1214022910090007 `1214020905150001 Samuel Hia 82166301366 Lawa-lawaluo 4 4 3/10/2019 2 1

2.8 1 `1214022406760002
353 3 18-11-2016 1 `1214023108090009 Noelman Tafonao `1214020407830005 82166301366 Lawa-lawaluo 4 4 3/10/2019 11 84 2 1

3 1 1 Tanabadodo Tafonao
354 4 22-03-2018 1 `1214023108090009 Elvanius Tafonao `1214020407830005 82166301366 Lawa-lawaluo 4 4 3/10/2019 7 69 1 1

2.8 1 Tanabadodo Tafonao
355 5 06-07-2017 2 `1214023108090008 Warni Tafonao `1214020511870003 82166301366 Lawa-lawaluo 4 4 3/10/2019 6 71 1 1

2.8 1 1 Agustinus Tafonao
356 27-07-2017 2 Riel Syaputra Tafonao 82166301366 Lawa-lawaluo 4 4 3/10/2019 10 84 1 1

3 1 1 Marlinus Tafonao
357 6 01-07-2015 1 `1214021607080112 `1214020107150001 Wan Julvan Putra Taf `1214021002800014 82166301366 Lawa-lawaluo 4 4 3/10/2019 11 91 2 1
3 1 Sokhitaoò Tafonao
358 7 09-06-2017 2 `1214021607080112 `1214020906170001 Juningsih Putri Tafonao `1214021002800014 82166301366 Lawa-lawaluo 4 4 3/10/2019 7 81 2 1
3 1 Sokhiatoò Tafonao
359 2 08-07-2015 1 `1214022903180002 `1214020807150003 Chenman Reght Melkisedeh `1214022003860003 82166301366 Lawa-lawaluo 4 4 3/10/2019 14 90 2 1
2.8 1 1 Dataoni Tafonao
360 11-09-2016 2 `1214022903180002 `1214025109160001 Nathusa Chiara Tafonao `1214022003860003 82166301366 Lawa-lawaluo 4 4 3/10/2019 11 84 2 1
3.2 1 Dataoni Tafonao
361 3 08-10-2017 2 `1214022703120011 `1214024810170001 Jengier Tafonao `12140207118800001 82166301366 Lawa-lawaluo 4 4 3/10/2019 9 77 1 1
2.8 1 1 Heziso Taf
03-06-2016 2 Juniwati Taf 82166301366 Lawa-lawaluo 4 4 3/10/2019 9 77 1

Semiaro Taf
29-01-2017 2 Suku Wahyuni Tafonao 82166301366 Lawa-lawaluo 4 4 3/10/2019 10 74 1

Talinasokhi Taf
18-06-2018 2 Tearni Taf 82166301366 Lawa-lawaluo 4 4 3/10/2019 5.5 62 1

salinasokhi Taf
09-03-2019 2 82166301366 Lawa-lawaluo 4 4 3/10/2019 2.5 48 1 ya

2.5 Marikus Hia
362 3 03-04-2014 2 `1214021512110006 `1214024304140001 Enny haryati taf `121402204810001 82273671605 Hillianaa 5 5 1
2.6 1 Samotokhi taf
363 05-05-2014 1 Fernando hia 82273671605 Hillianaa 5 5

3 1 Waozatulo hia
364 06-05-2014 2 Sri bintang tel 82273671605 Hillianaa 5 5 1

2.9 1 Tanosokhi tel
365 02-06-2014 1 Marvin sdxw 82273671605 Hillianaa 5 5 1

2.8 1 1 Martinus sdw
366 3 10-07-2014 1 `1214021512110002 `1214021007140002 Irawan samuel tel `1214020106840001 82273671605 Hillianaa 5 5 1
2.9 1 Makmur tel
367 6 28-08-2014 2 `121402203110003 Herlinda hia `1214022705770001 82273671605 Hillianaa 5 5 2 1

2.7 1 Hatofanolo hia
368 06-09-2014 1 Seffren sdw 82273671605 Hillianaa 5 5

3.4 1 Meizatulo sdw
369 06-09-2014 1 Steven triwan tel 82273671605 Hillianaa 5 5 2 1

2.9 1 Morizatulo tel
370 2 20-11-2014 1 `1214261401150002 `1214262011140001 Peter Hia `1214260312890001 82273671605 Hillianaa 5 5

2.7 1 Alfeyunus his
371 5 05-12-2014 2 `1214022106080010 `1214074412140001 Dekalista tel `1214020702700002 82273671605 Hillianaa 5 5 07-04-2019 12.2 91 1
2.9 1 1 Faatulo tel
372 2 25-01-2015 1 `1214023110080006 Nikodemus tel `1214021404620005 82273671605 Hillianaa 5 5 07-04-2019 12 96 2 1

2.7 1 Asabudi tel
373 2 22-02-2015 1 `1214023008180001 `1214022202150001 Andreas jordi sdw `1214021707860005 82273671605 Hillianaa 5 5
3 1 Donazatulo sdw
374 7 24-03-2015 1 `1214023110080009 Faasokhi sdw `1214020311470001 82273671605 Hillianaa 5 5 07-04-2019 13.5 95 2 1
2.6 1 Saabali sdw
375 10-05-2015 2 Karina sdw 82273671605 Hillianaa 5 5

3.8 1 Arowamati sdw
376 15-05-2015 1 Elman jaya sdw 82273671605 Hillianaa 5 5

2.9 1 1 Asrnu sdw
377 10-07-2015 1 Firman Sadawa 82273671605 Hillianaa 5 5

3 1 Fanotena Sadawa
378 10-08-2015 1 Aldiaman sdw 82273671605 Hillianaa 5 5 1

3.6 1 Sokhiato
379 8 20-08-2015 1 `1214022006150001 Ahmad berkat jaya `1214021508720002 82273671605 Hillianaa 5 5

2.6 1 Tanosokhi tel
380 1 07-11-2015 2 `1214022106160002 `1214024711150001 Marcela jelita sdw `1214021204910003 82273671605 Hillianaa 5 5
2.8 1 Darman jaya sdw
381 01-03-2015 1 `1214022410180001 Adriel tel `1214020206920008 82273671605 Hillianaa 5 5
2.9 1 Eliyakin tel
382 16-03-2016 1 `1214261401150002 `1214261603150001 Trisman Hia `1214260312890001 82273671605 Hillianaa 5 5 1

2.8 1 1 Advan Yunus Bria
383 6 11-04-2016 1 `12140223110080011 `1214021104160001 Erwin Arfan Fransis Tel `1214020503780002 82273671605 Hillianaa 5 5 1
2.6 1 Arosokhi tel
384 21-05-2016 2 `1214021512110006 Sri kumala ningsih taf `121402204810001 82273671605 Hillianaa 5 5 2 1
3 1 Samotokhi taf
385 7 10-06-2016 2 `1214022208080004 `1214025006160001 Junita Tel `1214022407810002 82273671605 Hillianaa 5 5 1

3 1 Belizomasi Tel
386 3 25-08-2016 1 `1214021512110004 `1214022606170001 Fikri alam jaya sdw `1214021711920002 82273671605 Hillianaa 5 5
2.6 1 Noverius sdw
387 7 27-06-2016 1 `1214022306080125 `1214022706160001 William Blessing Tel `1214020409740002 82273671605 Hillianaa 5 5 1
3.5 1 1 Yurmin tel
388 4 21-07-2018 2 `1214021512110002 `1214026107160001 Eka asanti tel `1214020106840001 82273671605 Hillianaa 5 5
2.8 1 Makmur tel
389 26-08-2016 1 Putra setiaman sadawa 82273671605 Hillianaa 5 5

2.5 1 1 Arofamati sadawa
390 5 21-01-2016 1 `1214021011110002 `1214022006140001 Albertoni faomasi sadawa `1214021204880006 82273671605 Hillianaa 5 5
2.7 1 Martinus sdw
391 7 16-10-2016 2 `121402203110003 Fita lesmia hia `1214022705770001 82273671605 Hillianaa 5 5

2.3 1 Hatofanolo hia
392 04-10-2016 2 Arta Ismail Tel 82273671605 Hillianaa 5 5 07-04-2019 11.7 90

2.6 1 1 Agustinus Tel
393 6 20-04-2017 2 `1214021709080070 `1214026004170001 Krimawati Tel `1214020603840009 82273671605 Hillianaa 5 5 07-04-2019 9.5 73 1 1
2.7 1 Waozatulo tel
394 1 05-06-2017 1 `1214020405170002 Grasia Cuni Ayuna Tel `1214021108850003 82273671605 Hillianaa 5 5 07-04-2019 10 76
2.8 1 Matius Tel
395 7 11-06-2017 1 `1214022311080011 `1214025106170001 Serlin Seven Juniata `1214020503780002 82273671605 Hillianaa 5 5 1
3 1 Arosokhi tel
396 22-07-2017 1 Juiarman Sadawa 82273671605 Hillianaa 5 5

2.7 1 Fetra Sadawa
397 4 28-06-2017 2 `1214021512110004 `1214026606170001 Ainu Mardian Sadawa `1214021711920002 82273671605 Hillianaa 5 5
2.8 1 1 Noverius sdw
398 30-06-2017 1 Fellis Naldo Sadawa 82273671605 Hillianaa 5 5 1 1

3 1 Sokhizito Sadawa
399 1 08-05-2017 1 `1214022805180001 `1214020805170001 Ramos Jois Tel `1214021504870010 82273671605 Hillianaa 5 5 07-04-2019 11.6 85.0
3 1 Temazokhi Tel
400 3 18-03-2016 2 `1214021212120002 `1214025803160001 Fitriani tel `1214020607860007 82273671605 Hillianaa 5 5 07-04-2019 10 83.0
2.9 1 1 Temazataro Tel
401 1 08-08-2017 1 `1214020407180001 `1214020808170001 Gilbert David Tel `1214020304900007 82273671605 Hillianaa 5 5 07-04-2019 10.5 81.0 1 1
3 1 Marianus Tel
402 08-09-2017 2 Mirlan Juwita Sadawa 82273671605 Hillianaa 5 5 07-04-2019 10.5 80.0
3 1 Dariman Jaya Sadawa
403 12-09-2017 2 Fesnia Sadawa 82273671605 Hillianaa 5 5 1 V

2.9 1 1 Oosokhi Sad
404 26-09-2017 2 Festin Sadawa 82273671605 Hillianaa 5 5 07-04-2019 8 72.0

2.8 1 Agustinus Sadawa
405 9 28-09-2017 2 `1214021512110012 Semesti Telaumbanua `1214022910750003 82273671605 Hillianaa 5 5 07-04-2019 9 79.0 1 1
3 1 Elosokhi Telaumbanua
406 2 02-11-2017 1 `1214022410180001 `121402020211170001 Samuel Sombambono `1214020206920008 82273671605 Hillianaa 5 5 1 1

3 1 Eliyakin tel
407 4 03-12-2017 2 `1214261401150002 Iren Puspita Hia `1214260312890001 82273671605 Hillianaa 5 5 07-04-2019 6.9 70.0 1 1
3 1 Adven Yunus Hia
408 5 22-12-2017 1 `1214021512110006 Iklas Puspita Tel `121402204810001 82273671605 Hillianaa 5 5 07-04-2019 9.6 72 1 1
2.4 1 1 Samotokhi taf
409 4 08-01-2018 1 `1214021404110001 Syaputra Jaya Tel `1214020706670001 82273671605 Hillianaa 5 5 07-04-2019 8.8 71 1 1
2.6 1 Atosokhi Tel
410 16-01-2018 2 Jernih Sadawa 82273671605 Hillianaa 5 5

2.4 1 Fanotena Sadawa
411 2 7/2/2018 2 `1214020407180001 Lidia Natania Tel `1214020304900007 82273671605 Hillianaa 5 5 07-04-2019 6.9 66 1 1
2.8 1 Marianus Tel
412 1 22-07-2018 1 Bryan Eratus Tel `1214026409660004 82273671605 Hillianaa 5 5 1 1

3.1 1 restival tel
413 31-07-2018 1 Agusman Tel 82273671605 Hillianaa 5 5 07-04-2019 6.4 63 1 1

2.6 1 1 Fetra Sadawa
414 15-08-2018 1 Andifan Warta Sadawa 82273671605 Hillianaa 5 5 07-04-2019 8.7 70

2.9 1 Waozatulo Tel
415 4 17-09-2018 2 `1214021212120002 `1214025709180001 Serlina Tel `1214020607860007 82273671605 Hillianaa 5 5 07-04-2019 7 62 1
2.7 1 Temazataro Tel
416 24-08-2018 1 Dila Tel 82273671605 Hillianaa 5 5

3 1 Belizomasi Tel
417 6 03-10-2018 1 `1214021512110003 Andreas Tel `1214020509730001 82273671605 Hillianaa 5 5 07-04-2019 7 64 1
3 1 Morizatulo tel
418 03-12-2018 2 82273671605 Hillianaa 5 5 ya ya

3 1 Felianus Sadawa
419 8 04-02-2019 2 `121402203110003 Revisi Murni Hia `1214022705770001 82273671605 Hillianaa 5 5 07-04-2019 5.7 55 1 Ya
2.9 1 1 Hatofanolo hia
420 4 27-06-2014 2 `1214022006080099 Kalista laia `1214020312880001 82275037187 Sukamajumohili 6 6 07-04-2019 15.1 90 2
2.8 1 Elister laia
421 2 22-08-2014 1 `1214021504150003 `1214022208140001 Firman jaya hulu `12140206049200006 82275037187 Sukamajumohili 6 6 07-04-2019 14.4 98 2
2.5 1 Turiawolohi hulu
422 4 05-10-2014 2 `1214021707080095 `1214026210860002 Fellysulu Hia `1214021111860002 82275037187 Sukamajumohili 6 6 07-04-2019 14.5 100 2 1
2.7 1 Goozatulo hia
423 5 14-11-2014 2 `1214020811110002 `1214022806850001 Ayu jelita hulu `12140215160001 82275037187 Sukamajumohili 6 6 07-04-2019 14.3 95 2
3.8 1 Aluiziduhu hulu
424 1 01-05-2014 2 `121402011080002 Serli Hulu `1214022103580003 82275037187 Sukamajumohili 6 6 07-04-2019 15.3 102 2
2.6 1 1 Faigiadaw Halawa
425 6 22-11-2014 1 `1214021607080143 `1214022211140001 Finus Syaputra Hulu `1214021604760003 82275037187 Sukamajumohili 6 6 07-04-2019 12.5 91 2
2.6 1 Baloizisokhi hulu
426 20-05-2014 1 Nifomaha Tel 82275037187 Sukamajumohili 6 6 07-04-2019 16 96 2 1

3.8 1 Sokhizifauw Tel
427 5 19-04-2015 2 `1214022701150001 `1214025904150001 Niawati Hia `1214021007800007 82275037187 Sukamajumohili 6 6 07-04-2019 14 83 2
2.5 1 Taliso hia
428 2 16-01-2015 1 `1214021405100118 Yakin tulus hulu `1214022806850001 82275037187 Sukamajumohili 6 6 07-04-2019 15.9 90 2
4 1 Tolowaauri hulu
429 10-06-2015 1 Dicky risky E hulu 82275037187 Sukamajumohili 6 6 2

2.9 1 Asaniwao hulu
430 8 13-05-2015 1 `1214022806080088 Elmanuel Tel `121402181280002 82275037187 Sukamajumohili 6 6 07-04-2019 14.3 98 2 1
2.5 1 Temazduhu Tel
431 1 18-03-2015 2 `1214020601180002 `1214024301950005 Timeria Tel `1214021312920001 82275037187 Sukamajumohili 6 6 07-04-2019 12.8 102 2
2.7 1 yanuardin Tel
432 12-03-2015 1 Jefri Hermayanto Halawa 82275037187 Sukamajumohili 6 6 2

3.4 1 Mafredi Halawa
433 6 14-12-2015 1 `12140229090004 Dimas Berkat Hulu `1214021006900010 82275037187 Sukamajumohili 6 6 07-04-2019 13 88 2 1
3 1 Satuloli Hulu
434 4 06-07-2015 1 `1214020405120002 For Jul Karnael Hulu `1214020706860001 82275037187 Sukamajumohili 6 6 13 96 2 1
2.9 1 Asazaro hulu
435 4 08-11-2015 2 `1214021205100186 `1214024611150001 Dian Noventri Laia `12140206910005 82275037187 Sukamajumohili 6 6 2 1
2.7 1 Yasberlian Laia
436 05-06-2015 1 Meiman Syaputra Tel 82275037187 Sukamajumohili 6 6 07-04-2019 15.6 92 2

3.2 1 Faulusokhi tel
437 7 13-02-2016 1 `12140228060800088 Iron Faomasi Tel `121402181280002 82275037187 Sukamajumohili 6 6 07-04-2019 10.2 83 2
2.6 1 Temaziduhu Tel
438 11-09-2016 2 Agnes Taf 82275037187 Sukamajumohili 6 6 07-04-2019 12.5 91 2

3 1 Rusueli Taf
439 19-09-2016 1 Joi Putra Iman Tel 82275037187 Sukamajumohili 6 6 2 1

3.8 1 BanasokhiTel
440 7 15-10-2016 1 `1214021607080143 `12140215160001 Krisman Jaya Hulu `1214021104760003 82275037187 Sukamajumohili 6 6 07-04-2019 8.8 76 2
2.7 1 Baloizisokhi hulu
441 3 04-08-2016 2 `121402150811001 `12114022103580003 Tetty gusti r tel `121402047830007 82275037187 Sukamajumohili 6 6 07-04-2019 11 86 2
3 1 Karuniasa tel
442 5 24-04-2016 2 `12140214051100054 Ernita Tel `1214020909780001 82275037187 Sukamajumohili 6 6 1 1

2.8 1 Atalisi Tel
443 14-02-2016 2 Febri Kristiani Tel 82275037187 Sukamajumohili 6 6 07-04-2019 11.7 85 1

3.3 1 Tolowaauri hulu
444 1 09-12-2017 1 Rileks Sander Tel `1214020409860009 82275037187 Sukamajumohili 6 6 1

3.2 1 1 Pengawasan Tel
445 3 21-04-2016 1 `1214021405100118 Sudirman Laia 82275037187 Sukamajumohili 6 6 1 1

3 1 `1214022806850001
446 17-06-2017 1 adriwan tel 82275037187 Sukamajumohili 6 6 07-04-2019 8.7 72 1

2.8 1 Faulusokhi tel
447 09-12-2017 1 Elitri Tulus Halawa 82275037187 Sukamajumohili 6 6 07-04-2019 10.3 75 1 1

2.6 1
448 9 07-09-2017 1 `1214022108080149 Sato wanolo Tel `1214021307750002 82275037187 Sukamajumohili 6 6 07-04-2019 9.2 76 1
2.6 1 Emazaro hulu
449 31-05-2017 1 Fernando S. Hia 82275037187 Sukamajumohili 6 6 1

3.3 1 Sokhiafaulu Tel
450 2 22-07-2017 2 `1214020601180002 Indah Setia Tel `1214021312920001 82275037187 Sukamajumohili 6 6 07-04-2019 10.4 75 1
2.6 1 Maatosokhi Hia
451 15-05-2017 2 Ovid Tamariska P. Tel 82275037187 Sukamajumohili 6 6 07-04-2019 9.1 78 1 1

3.5 1 yanuardin Tel
452 6 18-11-2017 2 `1214022701150001 Nia Hati Hia `1214021007800007 82275037187 Sukamajumohili 6 6 07-04-2019 12.5 73 1 1
2.6 1 Taliso Hia
453 3 05-04-2017 2 `121402120510015 `1214024504170001 Sri Cahayani Halawa `1214021406620001 82275037187 Sukamajumohili 6 6 07-04-2019 9.3 79 1 1
2.5 1 Taliso Hia
454 5 06-11-2017 2 `1214021205100186 Cindi Novia Laia `1214020206910005 82275037187 Sukamajumohili 6 6 1

2.6 1 Yaberlian Laia
455 25-06-2017 2 Sentri Yanti Hulu 82275037187 Sukamajumohili 6 6 07-04-2019 9.6 74 1 1

2.3 1 Sokhizatulo Hulu
456 5 01-03-2017 1 `1214022006080099 juventus laia `1214020312880001 82275037187 Sukamajumohili 6 6 1 1

3 1 Elister laia
457 1 09-02-2018 1 `1214020508160002 Fedelman Hia `1214021909980011 82275037187 Sukamajumohili 6 6 07-04-2019 9.4 73 1 1
2.9 1 Sederman Hia
458 25-02-2018 2 Ewis Cindy Tel 82275037187 Sukamajumohili 6 6 1 ya ya 1

2.5 1 1 Pengawasan Tel
459 1 30-04-2018 2 `1214020612170001 `1214025209550008 Serna Tel `1214020509980011 82275037187 Sukamajumohili 6 6 07-04-2019 7.1 73 1 1
2.7 1 Bazatulo Tel
460 13-08-2018 1 Ifen Rius Hulu 82275037187 Sukamajumohili 6 6 07-04-2019 8.7 72 1 ya 1

2.7 1 1 Sokhizatulo Hulu
461 13-11-2018 1 Atozanolo Tel 82275037187 Sukamajumohili 6 6 07-04-2019 7.1 68 1

2.9 1 Rusueli Taf
462 4 12-12-2018 2 `1214021504150003 Lismawati Hulu `1214022806850001 82275037187 Sukamajumohili 6 6 07-04-2019 4.3 55 1 ya
2.5 1 1 Tolowaauri hulu
463 19-12-2018 1 Seilan Given Hia 82275037187 Sukamajumohili 6 6 ya

3 1 Maatosokhi Hia
25-01-2018 2 Ani princes Hia 82275037187 Sukamajumohili 6 6 07-04-2019 14.2 73 1

1 1 Goowaauri hia
5 30-01-2019 1 `1214021405100059 A/d. Diliani Halawa `1214022402840002 82275037187 Sukamajumohili 6 6

3 1 1 Benasokhi Tel
6 06-02-2019 1 `1214021405100054 A/d. Rustina Tel `1214020909780001 82275037187 Sukamajumohili 6 6 07-04-2019 5.4 53
3.2 1 1 Atalisi Tel
1 07-02-2019 2 A/d. Meriatani Taf 82275037187 Sukamajumohili 6 6 07-04-2019 5.7 57

3 1 1 Agustinus Tel
26-02-2019 1 A/d. Amertina Dohana 82275037187 Sukamajumohili 6 6 1 Ya

3 1 1 Turianasokhi Hulu
10-03-2019 2 A/d. Masnidar Tel 82275037187 Sukamajumohili 6 6 07-04-2019 4.4 52.5 1 ya

2.8 1 1 Syukur Emanuel Laia
16-01-2019 1 A/d. Muniati Laoli 82275037187 Sukamajumohili 6 6 07-04-2019 5.6 53 1 ya

5 1 1 Juniasa Hia
464 4 20-05-2014 1 Famomaha tel 85261301737 Tananikoo 7 7

3 1 Sendehaligi tel
465 29-07-2014 1 `1214022107100001 `1214022907140001 Indra syah putra hulu `1214020108800012 85261301737 Tananikoo 7 7
3.5 1 Wangus hulu
466 13-09-2014 2 Setiani hia 85261301737 Tananikoo 7 7 13 91

3.6 1 1 Faasokhi hia
467 6 10-10-2014 1 `1214020802100004 Wiranto hia `1214021502840001 85261301737 Tananikoo 7 7

2.5 1 1 Firman hia
468 1 14-10-2014 1 `12030720041200005 Rekisman Halawa `1203010107940003 85261301737 Tananikoo 7 7

2.6 1 Yuliasa Halawa
469 2 03-01-2015 2 `1214020907080052 `1214024302910004 Jesika jernih kristina hulu `1214021804800004 85261301737 Tananikoo 7 7 2
2.3 1 Sokhiwanolo hulu
470 5 20-01-2015 2 `1214021706080015 `1214026202150001 Eltania hia `1214023101860001 85261301737 Tananikoo 7 7 2

2.6 1 Tandroizatulo
471 2 17-05-2015 2 `1214022312110001 `1214025705150001 Meidar hulu `1214020107810007 85261301737 Tananikoo 7 7 07-04-2019 14.3 96
2.7 1 Falukhata hulu
472 19-10-2015 1 Elson fadli hia 85261301737 Tananikoo 7 7 07-04-2019 11 86 1

2.5 1 Meizaro hia
473 3 22-10-2015 2 `1214022107100001 Natania nindita hulu `1214020108800012 85261301737 Tananikoo 7 7

2.5 1 1 Wangus hulu
474 09-12-2015 2 `1214021007080044 Dewi Sintiana Hulu `1214021011730003 85261301737 Tananikoo 7 7 07-04-2019 12 68 2
2.7 1 1 Teheli Hulu
475 14-04-2016 1 Albert Berkat Tel 85261301737 Tananikoo 7 7 07-04-2019 12 81 2

2.9 1 1 Marezatulo Tel
476 10 16-05-2016 1 `1214022701150002 Putra Tumpuam `1214020406760001 85261301737 Tananikoo 7 7 07-04-2019 13.6 92 2
3 1 1 Faonasokhi Tel
477 25-05-2016 1 Iman Berkat Hulu 85261301737 Tananikoo 7 7 1

3 1 Wangus hulu
478 3 30-06-2016 2 `1214020907080052 Celsi Tricahyani Hulu `1214021804800004 85261301737 Tananikoo 7 7 2

479 3 15-11-2016 1 `1214022312110001 `12140201160001 Jurdin Hulu `1214020107870007 85261301737 Tananikoo 7 7 07-04-2019 12.8 79 2
2.9 1 Falukhata hulu
480 1 10-01-2017 1 `1214021801170001 Alberman Hulu `1214021010880006 85261301737 Tananikoo 7 7 07-04-2019 8.9 76 1
3 1 operius Hulu
481 5 09-06-2017 1 `1214020907080010 `1214020906170002 Jhon Freet Hulu `1214021006670004 85261301737 Tananikoo 7 7 07-04-2019 10.3 76 2
2.9 1 Atosokhi Hulu
482 4 12-06-2017 1 `1214022107100001 Wiraidin J. Hulu `1214020108800012 85261301737 Tananikoo 7 7 1
2.8 1 Wangus hulu
483 14-10-2017 1 Faldi Hia 85261301737 Tananikoo 7 7 07-04-2019 9.6 72

2.2 1 Meizaro hia
484 13-01-2017 2 Serli Halawa 85261301737 Tananikoo 7 7 1

2.8 1 Yamazatulo halawa
485 13-04-2017 2 Arthalia Hulu 85261301737 Tananikoo 7 7

2.5 1 Badisokhi Hulu
486 2 26-11-2017 2 `1214021404110002 Wawan Tel `1214020102740002 85261301737 Tananikoo 7 7 07-04-2019 7 70 1

2.6 1 1 NasO`wauri Tel
487 25-12-2017 1 Natal Krishan Hia 85261301737 Tananikoo 7 7

2.6 1 Faasokhi hia
488 30-12-2017 1 `1214021801170001 Irwan J hulu `1214021010880006 85261301737 Tananikoo 7 7 1

2.4 1 1 Operius hulu
489 1 20-09-2017 2 `1214021403170005 Rena Septi Muwati `1214021009940007 85261301737 Tananikoo 7 7 07-04-2019 8.7 73.5
2.7 1 Fatulusa Hulu
490 1 14-12-2017 2 `1214021403170003 Mirna Handayani Sadawa `1214021205970002 85261301737 Tananikoo 7 7 07-04-2019 9 70 1
2.8 1 1 Sokhiatulo Hia
491 9 14-03-2018 2 `1214022106080103 Sepian Telaumbanua `1214022611760001 85261301737 Tananikoo 7 7

2.6 1 1 SofUzatuloTel
492 3 14-03-2018 1 `121402100510041 `1214021403160002 Eltri Amonse Hia `1214021608920003 85261301737 Tananikoo 7 7 07-04-2019 12 80
2.9 1 Amonius A. Hia
493 4 16-04-2018 1 `1214020907080052 Gabriang Hulu `1214021804800004 85261301737 Tananikoo 7 7 07-04-2019 7.8 64 1
494 01-04-2018 1 `1214022312110001 Juan Bimas Hulu `1214020107870007 85261301737 Tananikoo 7 7 07-04-2019 9.5 69 1
3 1 Falukhata Hulu
495 2 24-08-2018 1 `1214020507170002 Saliaman Hulu `1214021405900008 85261301737 Tananikoo 7 7 07-04-2019 9.4 65
3 1 Badisokhi Hulu
01-09-2018 2 `1214021007080044 Sefiana Hulu `1214021011730003 85261301737 Tananikoo 7 7 07-04-2019 7 57 1

2.8 1 1 Teheli Hulu
17-10-2018 1 Oktofriusman Hulu 85261301737 Tananikoo 7 7 07-04-2019 8.3 63 1

2.6 1 1 Alinasokhi Hulu
6 06-08-2018 1 `1214020907080010 `1214020608180001 Tuber Tetanafo Hulu `1214021006670004 85261301737 Tananikoo 7 7 07-04-2019 7.6 65 1
2.9 1 Atosokhi Hulu
5 21-07-2018 1 `12030720041200005 Ferisman Halawa `1203010107940003 85261301737 Tananikoo 7 7

2.7 1 Yuliasa Halawa
10-07-2018 2 Griselda I. O Hulu 85261301737 Tananikoo 7 7 1

3 1 Memori Hulu
1 20-09-2018 2 Marsel Tel 85261301737 Tananikoo 7 7 07-04-2019 7 60 1

3 1 Marsel Tel
Nista Indah Hulu 07-04-2019 17.3 65

Fatulusa Hulu
25-02-2019 1 Elvano Pratama 85261301737 Tananikoo 7 7 1

Eliatulo Hia
Ferlius Tel Tananikoo 07-04-2019 13
29-03-2019 Ucok Tananikoo 7 7 07-04-2019 1.2 39

Gertama Zebua
497 10-07-2014 2 Nita hartati taf Loloseni 8 8 17-04-2019 15 99 2 1

2.9 1 Habasoni taf
498 04-09-2014 1 Septian taf Loloseni 8 8 17-04-2019 14.5 97 2 1

2.8 1 Anelman taf
499 11-11-2014 2 Listiana Taf Loloseni 8 8 2 1

2.2 1 Samolala Taf
500 05-12-2014 2 Delnatalia Lase Loloseni 8 8 2

2.8 1 Faomasi Lase
501 23-04-2015 1 Alfred Taf Loloseni 8 8 2

2.5 1 Kamirudin Taf
502 13-12-2015 2 Nimawati Taf Loloseni 8 8 17-04-2019 25 90 2

2.6 1 Harmonis Taf
503 20-06-2015 1 Asteadika Taf Loloseni 8 8 17-04-2019 15.6 102 2 1

2.6 1 Faigizaro Taf
504 15-05-2015 2 Ernalia Tafonao Loloseni 8 8 2 1

2.4 1 Samolala Taf
505 08-09-2015 1 Dion Pratama Taf Loloseni 8 8 17-04-2019 13 89 2 1

2.7 1 1 Agus Bahari Taf
506 12-02-2015 1 Nataniel Lase Loloseni 8 8 17-04-2019 11.8 91 2 1

2.8 1 Faomasi laase
507 05-07-2015 1 Eleison Juan Lase Loloseni 8 8 17-04-2019 13.5 90 2

2.6 1 Seiman Lase
508 18-07-2015 1 patra juang taf Loloseni 8 8 17-04-2019 12 89 2
2.9 1 Otozatulo taf
509 15-09-2014 1 Alfianus Lase Loloseni 8 8 2 1

2.7 1 1 Tuhimbowo Lase
510 19-11-2014 2 Asli Susanti Lase Loloseni 8 8 17-04-2019 13 96 2 1

3 1 Reelis Lase
511 11-11-2015 1 Derizaman Taf Loloseni 8 8 1

3 1 Samolala Taf
512 2 Brian Jelita Lase Loloseni 8 8 17-04-2019 13 91 1

3 1 1 Bualanasokhi lase
513 22-02-2016 1 Andika lase Loloseni 8 8 17-04-2019 12 93 1

3.2 1 Soterman lase
514 29-03-2016 1 Marfive lase Loloseni 8 8 17-04-2019 10.6 84 1 1

2.9 1 Belomon ls
515 18-12-2016 2 desnidarwati lase Loloseni 8 8 1 1

3.2 1 1 Terrianus Lase
516 15-08-2017 1 tulusman lase Loloseni 8 8 17-04-2019 12.2 81 2 1

2.7 1 Meitrismawati
517 23-09-2016 1 Jevirman Lase Loloseni 8 8 19-03-2019 13.2 83 1

3.6 1 Sokhiduhu Lase
518 05-05-2016 2 Meirindi Taf Loloseni 8 8 19-03-2019 10 84

2.5 1 1 Habasoni taf
519 12-03-2016 1 Junior Taf Loloseni 8 8 2 1

2.6 1 Darman Taf
520 11-05-2016 2 Nens magdalena Lase Loloseni 8 8 1

2.3 1 Eliyudin lae
521 30-05-2016 1 Kristian Taf Loloseni 8 8 1 1

2.6 1 Fauduhuzanolo taf
522 02-12-2016 2 Briella Natalis Lase Loloseni 8 8 17-04-2019 7.6 61 1

2.7 1 Bualanasokhi lase
523 07-07-2016 1 Afdal Jones Taf Loloseni 8 8 17-04-2019 11 84 1 1

2.5 1 1 Otozatulo taf
524 16-04-2016 2 Bernadet Yeniria Taf Loloseni 8 8 17-04-2019 12.5 83 1 1

2.5 1 Yusuzaro Tel
525 29-03-2016 2 Yosiba Taf Loloseni 8 8 17-04-2019 11 84 2 1

2.7 1 Ramayudin Taf
526 07-09-2016 1 Erlan Taf Loloseni 8 8 2 1

2.9 1 Zamaderita taf
527 01-08-2016 1 Josep Lase Loloseni 8 8 17-04-2019 13 87 1

3 1 Dedi Lase
528 29-10-2016 1 Juardin Tafnao Loloseni 8 8 1

3 1 Samolala Tafonao
529 15-02-2017 2 Kasih Jenintary Lase Loloseni 8 8 17-04-2019 11 87 1 1

2.7 1 Nelius Lase
530 23-02-2017 2 Ines calista lase Loloseni 8 8 1

3.6 1 Elyudin lase
531 26-02-2017 2 Ester Tafnao Loloseni 8 8 17-04-2019 12.0 81 1

2.5 1 1 faogozatulo taf
532 10-01-2017 1 Steven Willyam Taf Loloseni 8 8 17-04-2019 10.0 89 1 1

2.6 1 Oòzatulo Taf
533 19-06-2017 2 Junita Taf Loloseni 8 8 2

2.3 1 pestobaton Taf
534 26-07-2017 2 Anggitasari Taf Loloseni 8 8 17-04-2019 8.6 74 2 1

2.6 1 Agus Bahari Taf
535 29-09-2017 2 Nike Ardila Taf Loloseni 8 8 17-04-2019 8.7 71 2 1

2.7 1 Fegilaro Taf
536 19-11-2017 1 Novman fangohahau lase Loloseni 8 8 17-04-2019 7.6 71 2

2.5 1 1 Boi emosi Lase
537 05-09-2017 1 Faldin Arion Taf Loloseni 8 8 17-04-2019 8.7 79 1 1

2.5 1 Harmonis taf
538 22-01-2018 1 Moses Timotius Loloseni 8 8 1

2.7 1 Fauduhuzanolo taf
539 26-04-2018 1 April Yaman Lase Loloseni 8 8 1

2.9 1 Fernanis Lase
540 10-02-2018 1 Adrian Fidelis Lase Loloseni 8 8 17-04-2019 8.2 77 2 1

3 1 Feriraro Lase
541 10-08-2018 2 Zai Loloseni 8 8 2 1

3 1 pertobatan Taf
542 09-10-2018 2 Selia Lase Loloseni 8 8 17-04-2019 6.7 63 1

2.7 1 Seiman Lase
543 12-11-2018 1 Gevariel Melviano Lase Loloseni 8 8 17-04-2019 7.2 65 1 ya ya

2.9 1 1 Martinus Lase
544 19-12-2018 2 Radea Taf Loloseni 8 8 1
3 1 Sarogoli Taf
545 30-12-2018 1 Briel Defsi Lase Loloseni 8 8 17-04-2019 7.6 75 1

3 1 Bualanasokhi lase
546 28-01-2019 2 Lase Loloseni 8 8 17-04-2019 5.2 60 1 ya

2.7 1 Nelius Lase
547 03-02-2019 1 Tafonao Loloseni 8 8 17-04-2019 6.1 65 1 ya

2.9 1 Agus Bahari Taf
11-02-2019 2 Tafonao 17-04-2019 5.1 56 1 ya

3 1 Yusuzaro Tel
08-12-2017 2 Destianai Taf 17-04-2019 8 76 1 ya

3 1 Ramayudin Taf
14-03-2019 1 Tafonao
2.7 1 Darman Taf
548 1 20-09-2014 2 KasiH Maria Taf 82294057956 Doli-Doli 9 9 1

2.9 1 Arozomasi Taf
549 3 24-10-2014 2 Fitri you taf `1214020206670003 82294057956 Doli-Doli 9 9 15.4 97 1

2.8 1 Atofona taf 21-04-2019
550 4 03-12-2014 1 Yogi Emanuel Taf `1214021505790004 82294057956 Doli-Doli 9 9 16.3 100 2 1
2.2 1 Oòziduhu Taf 21-04-2019
551 5 24-12-2014 2 chelsea natalia `1214021405740001 82294057956 Doli-Doli 9 9 16.5 103 2 1
2.8 1 Aperianus taf 21-04-2019
552 1 19-03-2015 2 Wida Taf `1214020902910004 82294057956 Doli-Doli 9 9 13.5 103 2
2.5 1 Fahuwusa Taf 21-04-2019
553 1 10-06-2015 1 Johanes taf `1214022811870001 82294057956 Doli-Doli 9 9 12 94
2.6 1 Aperianus taf 21-04-2019
554 3 26-06-2015 1 Yamarkus Taf 82294057956 Doli-Doli 9 9 14 88 2
2.6 1 Maredi Taf 21-04-2019
555 4 12-09-2015 1 Drewdick D. Taf 82294057956 Doli-Doli 9 9 2 1
2.4 1 Bualazatulo Taf
556 4 29-09-2015 1 Titus Taf `1214020503830003 82294057956 Doli-Doli 9 9 13 90 1

2.7 1 Atuloò` Taf 21-04-2019
557 1 30-10-2015 2 Priska Oktavianus Taf `1214025202030003 82294057956 Doli-Doli 9 9 12.4 96 2 1
2.8 1 Eftinus Taf 21-04-2019
558 2 30-10-2015 2 Wimina Taf `1214020507810007 82294057956 Doli-Doli 9 9 12.5 88 2 1
2.6 1 1 Atapaman Taf 21-04-2019
559 5 25-01-2016 1 Hendrikus Johan Taf `1214021212830001 82294057956 Doli-Doli 9 9 9.5 84 2
2.9 1 Saferius Taf 21-04-2019
560 4 31-01-2016 1 Taufik Syaputra Taf `1214020206670003 82294057956 Doli-Doli 9 9 14 99 2 1
2.7 1 1 Sotaraoma Taf 21-04-2019
561 2 01-05-2016 2 Selfira Taf `1214022811870001 82294057956 Doli-Doli 9 9 10.6 82 2 1
3 1 1 Martinus Taf 21-04-2019
562 2 08-05-2016 1 Agusman Taf 82294057956 Doli-Doli 9 9 2 1
3 1 Yakiman Taf
563 2 28-06-2016 2 Elsa Junior Taf `1214020306880003 82294057956 Doli-Doli 9 9 12.5 85 1

3 1 Bowonaso Taf 21-04-2019
564 1 07-07-2016 1 Jekonia Taf 82294057956 Doli-Doli 9 9 12 88 2
3.2 1 Adilaman Taf 21-04-2019
565 4 20-08-2016 2 Emelia Agusmawati Taf 82294057956 Doli-Doli 9 9 11 84 2
2.9 1 Saferius Taf 21-04-2019
566 3 24-08-2016 1 Berkat Damai Tel 82294057956 Doli-Doli 9 9 12.5 89 2 1
3.2 1 1 Setiaro Taf 21-04-2019
567 4 29-08-2016 1 Akhirman Taf 82294057956 Doli-Doli 9 9 11 79 2 1
2.7 1 Nemazatulo Taf 21-04-2019
568 7 31-08-2016 1 Henky Syaputra Taf `1214021405740001 82294057956 Doli-Doli 9 9 13.2 90 2 1
3.6 1 Riami Taf 21-04-2019
569 2 13-09-2016 1 Dominikus lase 82294057956 Doli-Doli 9 9 12 93 2
2.5 1 Yulius lase 21-04-2019
570 4 08-02-2017 1 Ferdiaman Taf 82294057956 Doli-Doli 9 9 8.6 73 2
2.6 1 Talizinema Taf 21-04-2019
571 3 11-02-2017 1 Febriman Oktavianus Taf 82294057956 Doli-Doli 9 9 11 81 1 1
2.3 1 Noverlius Taf 21-04-2019
572 2 19-03-2017 1 Cielo Gilbert Taf 82294057956 Doli-Doli 9 9 11 87 1
2.6 1 Sotaroma Taf 21-04-2019
573 2 21-04-2017 1 Alselman Taf `1214022903880001 82294057956 Doli-Doli 9 9 9 73 1 1
2.7 1 Atuloò Taf 21-04-2019
574 3 01-05-2017 1 Wahyu S. Taf 82294057956 Doli-Doli 9 9 9.5 78 1
2.5 1 Eftinus Taf 21-04-2019
575 6 25-07-2017 2 Micelda Ozora T af `1214022002650003 82294057956 Doli-Doli 9 9 11 80 1
2.5 1 1 Buazatulo Taf 21-04-2019
576 5 08-08-2017 2 Agus Krisdayanti Taf 82294057956 Doli-Doli 9 9 11.5 80 1 1
2.7 1 Rusman Taf 21-04-2019
577 6 02-09-2017 1 Jora Maàu S. Taf 82294057956 Doli-Doli 9 9 9.5 84 1 1
2.9 1 Taligoò Taf 21-04-2019
578 3 06-09-2017 2 Elpida Taf 82294057956 Doli-Doli 9 9 9 83 1 1
3 1 Bowonaso Taf 21-04-2019
579 7 31//10/2017 2 Ruth Shayana Taf 82294057956 Doli-Doli 9 9 9 75
2.9 1 Arozomasi Taf 21-04-2019
580 8 08-01-2018 1 Jean Fernando Taf 82294057956 Doli-Doli 9 9 9 77 1
3.2 1 Yuatinus Taf 21-04-2019
581 3 30-01-2018 1 Addi Chandra P. Taf 82294057956 Doli-Doli 9 9 9 76.0 1 1
2.7 1 1 Deliziduhu taf 21-04-2019
582 6 05-02-2018 2 Iren Putri Taf `1214021405740001 82294057956 Doli-Doli 9 9 7.5 75.0 1
3.6 1 Naedi Taf 21-04-2019
583 1 16-02-2018 1 Foilman Saamueli Taf `1214022107910002 82294057956 Doli-Doli 9 9 7.3 69.0 1
2.5 1 Mareti Taf 21-04-2019
584 1 28-03-2018 1 Fransiskus Taf 82294057956 Doli-Doli 9 9 7.1 71 1
2.6 1 Martinus Taf 21-04-2019
585 2 13-05-2018 2 Fristian Dwi Putri Taf 82294057956 Doli-Doli 9 9 6 67 1
2.3 1 Rusman Taf 21-04-2019
586 3 14-05-2018 1 Wicalia Taf 82294057956 Doli-Doli 9 9 6.1 64 1 1
2.6 1 Rianus Giawa 21-04-2019
587 6 23-06-2018 1 Juni Arka Taf `1214022003790003 82294057956 Doli-Doli 9 9 8.7 75 1 1
2.7 1 Eftinus Taf 21-04-2019
02-09-2018 1 Fandi Taf 82294057956 Doli-Doli 9 9 8.1 68 1
2.5 1 Hezatulo Taf 21-04-2019
03-10-2018 1 Andreas Taf 82294057956 Doli-Doli 9 9 7.7 71 1
2.6 1 Atoloò Taf 21-04-2019
13-10-2018 1 Azaz Damai Taf 82294057956 Doli-Doli 9 9 7.5 68 1
2.3 1 Tolona Taf 21-04-2019
24-10-2018 1 Berkat Tiar Taf 82294057956 Doli-Doli 9 9 6.1 63 1
2.6 1 Taligoò Taf 21-04-2019
17-02-2019 1 An. Solima Bmw 82294057956 Doli-Doli 9 9
2.7 1 Naedi Taf 21-04-2019
588 4 31-03-2015 2 `121402209120004 `1214027103150001 Citra pelangi hulu `1214022909880003 82272621350 Umbu Orahua 10 10 21-04-2019 13 93 2 1
3 1 Farisman hulu
589 3 16-04-2015 2 Kaila Hulu 82272621350 Umbu Orahua 10 10 1

2.5 1 1 Delima Taf
590 1 1 Johan Ndruru 82272621350 Umbu Orahua 10 10 21-04-2019 15.3 95

3 1 Bowomana Ndruru
591 8 18-03-2016 1 `1214021809080084 Wahyu Cornelius taf `1214022003670002 82272621350 Umbu Orahua 10 10 21-04-2019 12.3 96 1
2.5 1 1 lulumano taf
592 26-08-2015 1 Hasrat junius ndr 82272621350 Umbu Orahua 10 10 21-04-2019 9.5 79 2 1
2.8 1 Taliooso ndr
593 6 15-08-2015 1 `1214020707080064 `1214021508150002 Agus Selamat Taf `1214021708600006 82272621350 Umbu Orahua 10 10 1
3 1 Tafaogo Taf
594 02-09-2015 1 Jaman Kevin Taf 82272621350 Umbu Orahua 10 10 1

2.6 1 1 Sokhinaso Taf
595 5 30-09-2015 2 `12140207070800190 `121402520380008 Analia taf `1214020607770004 82272621350 Umbu Orahua 10 10 1
2.5 1 Raradodo taf
596 5 30-03-2016 1 `1214020912090002 `1214023003160001 Abeth hendry holden taf `1214021909810001 82272621350 Umbu Orahua 10 10 21-04-2019 12 86 2 1
3 1 Borozatulo taf
597 4 22-02-2016 1 `1214022603140007 `1214022202160001 Distari ndruru `1214021010700003 82272621350 Umbu Orahua 10 10 2 1
2.5 1 1 Tobearo ndruru
598 1 Rizki Ndruru 82272621350 Umbu Orahua 10 10 21-04-2019 13.5 88

3 1 Bowonama ndr
599 1 12-01-2017 2 Putri Yolanda Taf `121402090880003 82272621350 Umbu Orahua 10 10 21-04-2019 10.2 87 2 1
3 1 1 Sukurman Taf
600 03-10-2017 1 Waiber Putra Taf 82272621350 Umbu Orahua 10 10 2 1

3.2 1 Agus Slamat lase
601 5 02-06-2017 1 `1214022603140007 `1214020206170001 Wisman Jaya Hulu `1214021010700003 82272621350 Umbu Orahua 10 10 21-04-2019 10.3 82 1
2.5 1 Tobearo Ndruru
602 31-05-2017 1 Devan Syaputra Hulu 82272621350 Umbu Orahua 10 10 21-04-2019 9.5 79 1
3.6 1 1 Delisman Hulu
603 4 21-06-2017 2 `1214021105100080 Frista Agung Hullu `1214023009850001 82272621350 Umbu Orahua 10 10 21-04-2019 8.2 67 1 1
2.7 1 Herman Hulu
604 5 08-02-2017 2 `121402209120004 `1214022709120004 Cipta Mahkota Hulu `1214022909880003 82272621350 Umbu Orahua 10 10 21-04-2019 10 80 1 1
3 1 1 Farisman hulu
605 4 26-10-2017 2 `1214023110120001 `1214026610170001 Helmi Dayati Lase `1214021708770008 82272621350 Umbu Orahua 10 10 1 1
2.3 1 Aroziduhu Lase
606 12-03-2016 2 Ufilina Lase ` 82272621350 Umbu Orahua 10 10 1

2.6 1 Angelama Lase
607 21-12-2016 1 Perdin Ndr `1214023009850001 82272621350 Umbu Orahua 10 10 1

2.7 1 1 SadArman hulu
608 13-04-2018 2 Sindi Apriani Hulu 82272621350 Umbu Orahua 10 10 21-04-2019 6.5 68 1 1
2.5 1 Arman Hulu
609 5 11-06-2018 2 `1214021105100105 Dita Meleka Hulu `121402205800001 82272621350 Umbu Orahua 10 10 21-04-2019 7 53 1 1
2.8 1 1 fangohahau hulu
610 24-05-2018 1 Triboy Ndruru 82272621350 Umbu Orahua 10 10 21-04-2019 7.7 65

2.7 1 Bowonama ndr
611 1 30-07-2018 1 Laskar Jonathan Ndru `1214021007950008 82272621350 Umbu Orahua 10 10 21-04-2019 8.1 65
3 1 1 yulianus Ndruru
612 9 27-12-2018 1 `1214021809080084 Natarius Taf `1214022003670002 82272621350 Umbu Orahua 10 10 21-04-2019 7 57
2.5 1 lulumano taf
24-02-2019 1 A/d. Sabaria Lase 82272621350 Umbu Orahua 10 10 21-04-2019 3 50 1

3 1 Tafaogo Taf
6/16/2017 1 Alexander Taf Sokhinaso Taf Umbu Orahua 21-04-2019 12.9 90
2/25/2019 1 Damai Citra Taf Tafaogo Taf Umbu Orahua 21-04-2019 3.9 50
1 `1214021105100080 Adam Steven Hulu Herman Hulu `1214023009850001 Umbu Orahua 14 97
21-04-2019
613 5 10-03-2014 2 `1214022308080016 Morina giawa `12140216011610001 82276093276 Gunung Gabungan 11 11 1

2.9 1 Tandrajiduhu giawa
614 6 23-04-2014 2 `1214021107080127 Devlina zebua `1214020607710004 82276093276 Gunung Gabungan 11 11 16.9 100 2 1
3 1 Fonazatulo zebua
615 4 24-08-2014 1 `1214021107080035 Agustinus Laia `1214021406810003 82276093276 Gunung Gabungan 11 11 21-04-2019 13.6 94 2 1
2.8 1 Lalajatulo laia
616 1 29-08-2014 1 `1214141802160001 `1214025303950008 Berkat tani zebua `12142402950001 82276093276 Gunung Gabungan 11 11
3 1 Nimaaro zebua
617 20-01-2015 2 Kristiani giawa 82276093276 Gunung Gabungan 11 11 1

2.5 1 Yohanes giawa
618 5 12-02-2015 1 `1214023007180003 `1214021802150001 Fendiwari zebua `1214020805830001 82276093276 Gunung Gabungan 11 11
3.5 1 aliasa zebua
619 28-03-2015 2 Fitri giawa 82276093276 Gunung Gabungan 11 11 21-04-2019 11.5 86 2 1

2.6 1 Pribadi giawa
620 6 02-03-2015 2 `121402110708142 `1214024203140001 Subania zebua `1214021509800002 82276093276 Gunung Gabungan 11 11
3 1 arozatule zebua
621 15-03-2015 2 Agnes gulo 82276093276 Gunung Gabungan 11 11 21-04-2019 13 93 2 1

2.7 1 Edijatulo gulo
622 15-04-2015 2 `1214026210140003 Rida ndr `1214021510910007 82276093276 Gunung Gabungan 11 11 21-04-2019 13.5 94 2 1
2.7 1 Tolojaro ndr
623 20-04-2015 2 `1214141802160001 `1214026004150001 Minahati zebua `12142402950001 82276093276 Gunung Gabungan 11 11 2 1
2.9 1 Nimaaro zebua
624 01-06-2015 1 Jhon syah putra giawa 82276093276 Gunung Gabungan 11 11 21-04-2019 11.5 1
3.2 1 Bezisokhi giawa 88
625 4 26-06-2015 2 `1214020605100085 `1214024408160001 Windi sahputri giawa `1214021005850014 82276093276 Gunung Gabungan 11 11 21-04-2019 11.5 2 1
2.8 1 Temajatulo giawa 89
626 5 26-07-2015 2 `1214021409090008 `1214026007150001 Ufilina hulu `1214021706860010 82276093276 Gunung Gabungan 11 11 21-04-2019 13 1
2.8 1 Dohusokhi hulu 88
627 24-07-2015 1 `1214020905170003 `1214022407150001 Yosandi Zebua `1214021210920007 82276093276 Gunung Gabungan 11 11 21-04-2019 11 2 1
2.5 1 Sadarman zebua 84
628 5 09-07-2015 1 `1214021070880107 `1214020907150001 StevenSaputra laia `1214020310870003 82276093276 Gunung Gabungan 11 11 21-04-2019 12 2 1
2.8 1 Aronahuku laia 83
629 3 06-08-2015 2 `1214021406120001 Sinta devi hulu `121402096840004 82276093276 Gunung Gabungan 11 11 21-04-2019 11 2 1
2.8 1 Saromaha hulu 93
630 8 27-09-2015 1 `121402150240001 Noverman ndr `1214020805800005 82276093276 Gunung Gabungan 11 11 2 1
2.5 1 Suniaro ndr
631 5 01-10-2015 1 `1214021107080035 Karyaman laia `1214021406810003 82276093276 Gunung Gabungan 11 11 21-04-2019 13.6 2 1
3 1 Lalajatulo laia 93
632 6 16-10-2015 2 `1214020210140001 Erwita giawa `1214021802740002 82276093276 Gunung Gabungan 11 11 21-04-2019 11 2 1
2.5 1 Sokhijatulo giawa 83
633 06-03-2016 1 Tituswan hulu 82276093276 Gunung Gabungan 11 11 21-04-2019 11.5 1
2.5 1 Bejisokhi hulu 88
634 16-06-2016 1 Errwin Setiwan Giawa 82276093276 Gunung Gabungan 11 11 2
2.7 1 Efata giawa
635 4 23-08-2016 1 `1214022808170001 `121412308160001 Anesokhi Zehua 82276093276 Gunung Gabungan 11 11 21-04-2019 9.5 82 2 1
2.5 1 Habelizatulo zebua `1214141702870002
636 6 17-08-2016 1 `1214023007180003 `12140218160001 Iman Syukur Setiawan `1214020805830001 82276093276 Gunung Gabungan 11 11 2
3 1 aliasa zebua
637 1 29-08-2016 2 `121414802160002 `1214142006000001 Simina Zebua `12141422006000001 82276093276 Gunung Gabungan 11 11 1
2.5 1 Aluinaso Zebua
638 6 03-12-2016 2 `1214020006080053 `1214024312160001 Maslina Zebua `1214022006080053 82276093276 Gunung Gabungan 11 11
3 1 Sokhijiduhu zebua
639 10-12-2016 2 `1214141802160001 Dasmawati Zebua `12142402950001 82276093276 Gunung Gabungan 11 11 2 1

2.8 1 Nimaaro zebua
640 25-12-2016 2 Yolan Yuliana Gulo 82276093276 Gunung Gabungan 11 11 21-04-2019 9.4 2 1
2.2 1 Edijatulo gulo 78
641 08-06-2016 1 `1214020905170003 `1214020806170001 Rido Mahfan `1214021210920007 82276093276 Gunung Gabungan 11 11 21-04-2019 7.5 1 1
2.6 1 Sadarman zebua 73
642 2 09-07-2017 1 `121414802160002 Dasamaha Zebua `12141422006000001 82276093276 Gunung Gabungan 11 11 21-04-2019 9.9 1 1
2.5 1 Aluinaso Zebua 72
643 5 12-08-2017 2 `1214022808170001 `1214145308170001 Kristiani Zebua 82276093276 Gunung Gabungan 11 11 21-04-2019 9 1 1
2.5 1 Habelizatulo zebua `1214141702870002 74
644 7 12-08-2017 2 `1214021409090007 ` Sunia Ami hulu `1214021712830001 82276093276 Gunung Gabungan 11 11 1
2.8 1 Duhu Wanolo Hulu
645 4 28-01-2017 1 `1214142101100007 Falalini Zebua `121414608610001 82276093276 Gunung Gabungan 11 11 2 1

2.5 1 Bowosokhi Zebua
646 5 14-09-2017 1 `1214020605100085 Ficerman Giawa `1214021005850014 82276093276 Gunung Gabungan 11 11 21-04-2019 8.8 1 1
2.7 1 Temajatulo giawa 76
647 2 15-09-2017 2 Kris Putriani Giawa 82276093276 Gunung Gabungan 11 11 21-04-2019 10.1 1 1
2.5 1 Yohanes giawa 78
648 5 15-10-2017 2 Iren Putri Giawa 82276093276 Gunung Gabungan 11 11 21-04-2019 8.6 1 1
2.8 1 Pribadi giawa 74
649 6 03-02-2018 1 `1214021409090008 Mosinema Hulu `1214021706860010 82276093276 Gunung Gabungan 11 11 21-04-2019 8.5 1
2.6 1 Duhuwanolo Hulu 72
650 6 07-02-2018 2 `1214021070880107 `1214024702180001 Febri Krisdayanti Laia `1214020310870003 82276093276 Gunung Gabungan 11 11 21-04-2019 8.7 1 1
3 1 Aronahuku Laia 69
651 3 25-12-2017 2 `121421902190001 `1214026512170001 Ester Suci Ndruru `1214020205890001 82276093276 Gunung Gabungan 11 11 1 1
3 1 Julianus Ndruru
652 7 17-02-2018 1 `1214020210140001 Rezeki Giawa `1214021802740002 82276093276 Gunung Gabungan 11 11 21-04-2019 7.2 1 1
2.8 1 Sokhijatulo giawa 65
653 7 15-05-2018 2 `1214022006080055 Ester Putri Zebua `1214021505790003 82276093276 Gunung Gabungan 11 11 21-04-2019 1 1
2.8 1 Fanolonama Zebua 8.6 68
654 5 17-06-2018 2 `1214020210149993 Lentari Ndruru `1214021510910007 82276093276 Gunung Gabungan 11 11 21-04-2019 1 1
2.6 1 Tolozaro ndr 7 70
655 7 25-06-2018 2 `1214020006080053 `1214025706180001 Ernita Zebua `1214022006080053 82276093276 Gunung Gabungan 11 11 21-04-2019 1 1
2.8 1 Sokhijiduhu zebua 8 66
656 22-07-2018 2 `1214141802160001 Yuliani Zebua `12142402950001 82276093276 Gunung Gabungan 11 11 1 1
2.7 1 nemaàro Zebua
657 5 28-07-2018 1 `1214142101100007 Jama Setiawan Zebua `121414608610001 82276093276 Gunung Gabungan 11 11 21-04-2019 7.2 61 1 1
2.5 1 Bawosokhi Zebua
658 9 05-10-2018 2 `1214021502140001 Berlina Ndruru `121402080580005 82276093276 Gunung Gabungan 11 11 1

2.5 1 Suliaro Ndruru
659 1 13-11-2018 2 `121402010180001 Anggela Siska Giawa `1214022404940003 82276093276 Gunung Gabungan 11 11 21-04-2019 7.3 60 1
3.2 1 Feroni Giawa
660 7 25-12-2018 1 `1214023007180003 aliasa zebua `1214020805830001 82276093276 Gunung Gabungan 11 11

2.8 1 aliasa zebua
4 21-02-2019 2 `1214021409160001 Giawa `1214022806810001 82276093276 Gunung Gabungan 11 11 21-04-2019 2.8 48 ya

2.7 1 Demasokhi Giawa
09-03-2019 2 Zebua 82276093276 Gunung Gabungan 11 11 21-04-2019 4.5 50 1 ya

3 1 Saroasa Zebua
Mengetahui,
Kepala Puskesmas Perawatan Gomo Gomo, 30 April 2019
Pj.Gizi

NIP.198412102005021001 NIP.197901012005022005
Lampiran 4
FORMULIR REKAPITULASI HASIL PEMANTAUAN PERTUMBUHAN BALITA DI PUSKESMAS
Provinsi : Sumatera Utara
Kabupaten/Kota : Nias Selatan Bulan JULI

Puskesmas/Kecamatan : Gomo Tahun : 2021
Jumlah Jumlah Balita Status Gizi Indeks BB/U Status Gizi Indeks TB/U Status Gizi Indeks BB/TB
No Nama Desa/Kelurahan sasaran diukur Sangat
Balita Antropometri Gizi Buruk Gizi Kurang Gizi Baik Gizi Lebih Sangat Pendek Pendek Normal Kurus Kurus Normal Gemuk
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (13) (14) (15) (16)
1 SIFAOROASI GOMO 136 135 3 9 123 0 16 57 62 1 3 116 15
2 ORAHILI GOMO 98 91 0 15 74 2 7 19 65 2 5 81 3
3 ORAHILI SIBOHOU 49 43 1 8 34 0 3 14 26 2 2 39 0
4 LAWA-LAWA LUO GOMO 106 99 0 6 93 0 4 32 63 1 2 82 14
5 HILIANAA GOMO 51 45 1 7 36 1 1 7 37 1 5 37 2
6 SUKA MAJU MOHILI 53 47 0 3 43 1 17 15 15 0 0 40 7
7 TANONIKOO 51 49 0 4 43 2 3 4 42 1 3 38 7
8 LOLOSONI 41 38 0 1 37 0 0 1 37 1 5 32 0
9 DOLI-DOLI 46 39 0 0 39 0 7 13 19 0 0 33 6
10 UMBU ORAHUA 34 22 0 4 18 0 6 2 14 0 1 20 1
11 GUNUNG GABUNGAN 57 56 0 17 39 0 3 19 34 1 3 52 1
722 664 5 74 579 6 67 183 414 10 29 570 56
Mengetahui,
Kepala UPTD Puskesmas Gomo Gomo, 31 Juli 2021
Pj.Gizi
SAHABAT JAYA BUULOLO KRISTIANI ZAGOTO, Am.Keb

NIP.198412102005021001 NIP.197901012005022005
Lampiran 6
FORMULIR REKAPITULASI IBU HAMIL ANEMIA, IBU HAMIL KEK MENDAPAT MT, DAN IBU HAMIL MENDAPAT TTD J
u
m
Provinsi : Sumatera Utara l
Kabupaten/Kota : Nias Selatan a
h
Tahun : '2021
Puskesmas : Gomo I
M
b
JULI E
u
I
Jumlah Sasaran H
Kode Kabupaten/Kota Ibu Hamil Jumlah Ibu Jumlah Ibu Jumlah Ibu Ibu hamil % ibu hamil a
(proyeksi) Hamil Periksa Jumlah Ibu % Ibu Hamil Hamil Periksa Jumlah Ibu Hamil KEK % Ibu Hamil KEK Ibu hamil mendapat TTD mendapat TTD min m
Hb Hamil Anemia Anemia LiLA Hamil KEK Mendapat MT Mendapat MT akhir TW 3 min 90 tablet 90 tablet i
l
(1) (2) (3) (4) (5) (6=5/4*100) (7) (8) (9) (10=9/8*100) (11) (12) (13=12/11*100) ###P
e
1 SIFAOROASI GOMO 43 - - #DIV/0! 12 1 1.00 100.00 1.00 1.00 r
100.00###
i
2 ORAHILI GOMO 35 - - #DIV/0! 16 0 - 2.00 2.00 100.00###
k
3 ORAHILI SIBOHOU 18 - - #DIV/0! 3 - 1.00 1.00 s
100.00###
a
4 LAWA-LAWA LUO GOMO 42 - - #DIV/0! 1 #DIV/0! - - #DIV/0! ###
5 HILIANAA GOMO 25 - - #DIV/0! 3 - 2.00 2.00 H
100.00###
b
6 SUKA MAJU MOHILI 23 - - #DIV/0! 4 #DIV/0! 1.00 1.00 100.00###
7 TANONIKOO 16 - - #DIV/0! 4 - - - #DIV/0! ###
8 LOLOSONI 19 - - #DIV/0! 3 #DIV/0! 1.00 1.00 100.00###
9 DOLI-DOLI 22 - - #DIV/0! 4 #DIV/0! 3.00 3.00 100.00###
10 UMBU ORAHUA 15 - - #DIV/0! 3 #DIV/0! 3.00 3.00 100.00###
11 GUNUNG GABUNGAN 20 - - #DIV/0! 3 #DIV/0! 1.00 1.00 100.00###
278 - - #DIV/0! 56 1 1 100.00 15 15 100.00
###
Mengetahui,
Pj.Gizi

NIP.198412102005021001 NIP.197901012005022005
Lampiran 7
FORMULIR REKAPITULASI BAYI MENDAPAT IMD DAN BAYI BBLR

Kabupaten/Kota : Nias Selatan
Tahun : '2021
Puskesmas : Gomo
JULI
Kode Kabupaten/Kota Jumlah Sasaran Bayi

Baru Lahir (proyeksi) Bayi % Bayi Jumlah bayi Jumlah bayi
Bayi baru lahir Mendapat mendapat IMD baru lahir BBLR % bayi BBLR
IMD ditimbang
(1) (2) (3) (4) (5) (6=5/4*100) (7) (8) (9=8/7*100)

1 SIFAOROASI GOMO 39 1 1 1.00 - -
2 ORAHILI GOMO 32 3 3 3.00 - -
3 ORAHILI SIBOHOU 20 1 1 1.00 - -
4 LAWA-LAWA LUO GOMO 32 - - - - #DIV/0!
5 HILIANAA GOMO 24 2 2 2.00 - -
6 SUKA MAJU MOHILI 15 - - - - -
7 TANONIKOO 18 - - - - -
8 LOLOSONI 19 1 1 1.00 - -
9 DOLI-DOLI 18 - - - - -
10 UMBU ORAHUA 17 1 1 1.00 - -
11 GUNUNG GABUNGAN 19 2 2 2.00 - -
253 11 11 100.00 11 - -
Mengetahui, Mengetahui,
Kepala UPTD Puskesmas Gomo Gomo, 31 Juli 2021 Kepala Puskesmas Perawatan Gomo
Yang membuat laporan Yang membuat laporan
Pj.Gizi Pj.Gizi
SAHABAT JAYA BUULOLO KRISTIANI ZAGOTO, Am.Keb SAHABAT JAYA BUULOLO, SKM
NIP.198412102005021001 NIP.197901012005022005 NIP.198412102005021001
Lampiran 8
FORMULIR REKAPITULASI BAYI KURANG DARI 6 BULAN MENDAPAT ASI

Tahun : '2019
Puskesmas : Gomo
FEBRUARI
Jumlah 0 bulan 1 bulan 2 bulan 3 bulan 4 bulan 5 bulan 0 - 5 bulan 0 bulan
Kode Kabupaten/Kota sasaran Bayi Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah
umur <6 Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah
bayi bayi masih % bayi bayi masih % bayi bayi masih % bayi bayi masih % bayi bayi masih % bayi bayi masih % bayi bayi masih % bayi bayi masih %
bulan ASI ASI ASI ASI ASI ASI ASI ASI
direcall direcall direcall direcall direcall direcall direcall direcall
Eksklusif Eksklusif Eksklusif Eksklusif Eksklusif Eksklusif Eksklusif Eksklusif
(1) (2) (3) (4) (5) (6=5/4*100 (7) (8) (9=8/7*100 (10) (11) (12=11/10* (13) (14) (15=14/13* (16) (17) (18=17/16* (19) (20) (21=20/19* (22) (23) (24=23/22* (25) (26) (27=26/25*
) ) 100) 100) 100) 100) 100) 100)
1 SIFAOROASI GOMO 16 5 5 - 1.00 - - 3 2 66.67 1.00 1.00 100.00 5 - - 1.00 - - 16 8 50.00 #DIV/0!
2 ORAHILI GOMO 15 2 1 50.00 3.00 2.00 66.67 2 1 50.00 1.00 1.00 100.00 7 4 57.14 - - - 15 9 60.00 #DIV/0!
3 ORAHILI SIBOHOU 7 2 1 50.00 2.00 - - 2 1 50.00 1.00 1.00 100.00 - - - - - - 7 3 42.86 #DIV/0!
4 LAWA-LAWA LUO GOMO 8 1

1 100.00 1.00 1.00 100.00 1 - - 1.00 1.00 100.00 1 1 100.00 3.00 - - 8 4 50.00 #DIV/0!
5 HILIANAA GOMO 6 1 1 - - - - 1 1 100.00 - - - 2 - - 2.00 - 6 2 33.33 #DIV/0!
6 SUKA MAJU MOHILI 8 4 3 - 2.00 1.00 50.00 1 - - - - - - - - 1.00 - - 8 4 50.00 #DIV/0!
7 TANONIKOO 0 0 - - - - - - - - - - - - - - - - - - - - #DIV/0!
8 LOLOSONI 3 0 - - 2.00 - - - - - - - - 1 - - - - - 3 - - #DIV/0!
9 DOLI-DOLI 4 1 1 - - - - - - - - - - 2 - - 1.00 - - 4 1 25.00 #DIV/0!
10 UMBU ORAHUA 1 0 1 - 1.00 1.00 100.00 - - - - - - - - - - - - 1 2 200.00 #DIV/0!
11 GUNUNG GABUNGAN 4 1 1 - 1.00 1.00 100.00 - - - 1.00 - - 1 - - - - - 4 2 50.00 #DIV/0!
72 17 15 88.24 13 6 46.15 10 5 50.00 5 4 80.00 19 5 26.32 8 - - 72 35 48.61 - - #DIV/0!
Mengetahui,
Kepala Puskesmas Perawatan Gomo Gomo, 31 Maret 2019
Pj.Gizi

NIP.198412102005021001 NIP.197901012005022005
AGUSTUS
1 bulan 2 bulan 3 bulan 4 bulan 5 bulan
Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah
bayi bayi masih % bayi bayi masih % bayi bayi masih % bayi bayi masih % bayi bayi masih %
direcall ASI direcall ASI direcall ASI direcall ASI direcall ASI
Eksklusif Eksklusif Eksklusif Eksklusif Eksklusif
(28) (29) (30=29/28* (31) (32) (33=32/31* (34) (35) (36=35/34* (37) (38) (39=38/37* (40) (41) (42=41/40*
100) 100) 100) 100) 100)
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

- - #DIV/0! - - #DIV/0! - - #DIV/0! - - #DIV/0! - - #DIV/0!
Lampiran 9
FORMULIR REKAPITULASI BAYI SAMPAI USIA 6 BULAN MENDAPAT ASI
EKSKLUSIF
Tahun : '2021
Puskesmas : Gomo
JULI
Jumlah
Kode Kabuapten/kota sasaran Jumlah bayi Jumlah bayi
Bayi umur 6 bulan ASI Eksklusif %
(1) (2) (3) (4) (5) (6=5/4*100)
1 SIFAOROASI GOMO 38 2 2 100.00

2 ORAHILI GOMO 30 0 - #DIV/0!
3 ORAHILI SIBOHOU 19 1 1 100.00
4 LAWA-LAWA LUO GOMO 30 4

4 100.00
5 HILIANAA GOMO 22 1 1 100.00
6 SUKA MAJU MOHILI 15 0 - #DIV/0!
7 TANONIKOO 17 0 - #DIV/0!
8 LOLOSONI 18 0 - #DIV/0!
9 DOLI-DOLI 17 0 - #DIV/0!
10 UMBU ORAHUA 16 0 - #DIV/0!
11 GUNUNG GABUNGAN 18 1 1 100.00
240 9 9 100.00
Mengetahui,
Pj.Gizi

NIP.198412102005021001 NIP.197901012005022005
Lampiran 10
FORMULIR REKAPITULASI BALITA KURUS MENDAPAT MAKANAN TAMBAHAN

Tahun : '2021
Puskesmas : Gomo
JULI
Jumlah Sasaran
Kode Kabupaten/Kota Balita Kurus Jumlah Balita Jumlah Balita
(proyeksi) Kurus kurus dapat %
PMT
(1) (2) (3) (4) (5)

(6=5/4*100)
1 SIFAOROASI GOMO 136 3 - -

2 ORAHILI GOMO 104 5 - -
3 ORAHILI SIBOHOU 53 2 - -
4 LAWA-LAWA LUO GOMO 114

2 - -
5 HILIANAA GOMO 55 5 - -
6 SUKA MAJU MOHILI 56 0 - #DIV/0!
7 TANONIKOO 61 3 - -
8 LOLOSONI 51 5 - -
9 DOLI-DOLI 48 0 - #DIV/0!
10 UMBU ORAHUA 38 1 - -
11 GUNUNG GABUNGAN 62 3 -
778 29 - -
Mengetahui,
Pj.Gizi

NIP.198412102005021001 NIP.197901012005022005
Lampiran 11
FORMULIR REKAPITULASI BALITA 6 - 59 BULAN MENDAPAT VITAMIN A

Tahun : '2021
Puskesmas : Gomo
FEBRUARI
Jumlah sasaran Jumlah bayi Jumlah Jumlah

Kode Kabupaten/Kota balita umur 6 - Jumlah Bayi 6- 6-11 bulan Jumlah
59 bulan % Balita 12-59 balita 12-59 % Jumlah Balita balita 6-59 %
11 bulan dapat bulan bulan dapat 6-59 bulan bulan dapat
Vitamin A Vitamin A Vitamin A
(1) (2) (3) (4) (5) (6=5/4*100) (7) (8) (9=8/7*100) (10) (11) (12=11/10*10
0)
1 SIFAOROASI GOMO 117 14 14 100.00 103.00 103.00 100.00 117 117 100.00
2 ORAHILI GOMO 94 12 12 100.00 82.00 82.00 100.00 94 94 100.00
3 ORAHILI SIBOHOU 42 3 3 100.00 39.00 39.00 100.00 42 42 100.00
4 LAWA-LAWA LUO GOMO

89 13 13 100.00 76.00 76.00 100.00 89 89 100.00
5 HILIANAA GOMO 45 7 7 100.00 38.00 38.00 100.00 45 45 100.00
6 SUKA MAJU MOHILI 46 8 8 100.00 38.00 38.00 100.00 46 46 100.00
7 TANONIKOO 54 7 7 100.00 47.00 47.00 100.00 54 54 100.00
8 LOLOSONI 45 3 3 100.00 42.00 42.00 100.00 45 45 100.00
9 DOLI-DOLI 43 2 2 100.00 41.00 41.00 100.00 43 43 100.00
10 UMBU ORAHUA 34 6 6 100.00 28.00 28.00 100.00 34 34 100.00
11 GUNUNG GABUNGAN 39 3 3 100.00 46.00 46.00 100.00 39 39 100.00
648 78 78 100.00 580 580 100.00 648 648 100.00
Mengetahui,
Kepala UPTD Puskesmas Gomo Gomo, 28 February 2021
Pj.Gizi
SAHABAT JAYA BUULOLO KRISTIANI ZAGOTO

NIP.198412102005021001 NIP.197901012005022005
Lampiran 13
FORMULIR REKAPITULASI SKDN

Tahun : '2021
Puskesmas : Gomo
JULI
Jumlah
Kode Kabupaten/Kota Sasaran Jumlah Balita Jumlah balita Jumlah balita
Balita Jumlah balita
Jumlah Balita Jumlah Balita Jumlah Balita tidak tidak naik berat
(proyeksi) Jumlah Balita Ditimbang
% D/S
punya KMS
% K/S
Baru (B) ditimbang
ditimbang naik berat % N/D'
badannya 2 kali
% 2T/D'
terkoreksi (D') badannya (N)
bulan lalu (O) (2T)
(18=17/16*10
(1) (2) (3) (16) (17) 0) (19) (20=19/16*100) (21) (22) (23) (24) (25=24/23*100) (26) (27=26/23*100)
1 SIFAOROASI GOMO 187 136 135 99.26 135 99.26 1 - 67.00 #DIV/0! 35.00 #DIV/0!
2 ORAHILI GOMO 187 98 91 92.86 91 92.86 3 1 25.00 #DIV/0! 47.00 #DIV/0!
3 ORAHILI SIBOHOU 187 49 43 87.76 43 87.76 2 7 15.00 #DIV/0! 7.00 #DIV/0!
4 LAWA-LAWA LUO GOMO 187 106 99 99 8

93.40 93.40 - 11.00 #DIV/0! 71.00 #DIV/0!
5 HILIANAA GOMO 187 51 45 88.24 45 88.24 2 4 15.00 #DIV/0! 9.00 #DIV/0!
6 SUKA MAJU MOHILI 187 53 47 88.68 47 88.68 - 6 31.00 #DIV/0! 5.00 #DIV/0!
7 TANONIKOO 187 51 49 96.08 49 96.08 - 6 19.00 #DIV/0! 4.00 #DIV/0!
8 LOLOSONI 187 41 38 92.68 38 92.68 1 11 20.00 #DIV/0! 4.00 #DIV/0!
9 DOLI-DOLI 187 46 39 84.78 39 84.78 - 5 14.00 #DIV/0! 18.00 #DIV/0!
10 UMBU ORAHUA 187 34 22 64.71 22 64.71 1 11 4.00 #DIV/0! 2.00 #DIV/0!
11 GUNUNG GABUNGAN 187 57 56 98.25 56 98.25 2 1 9.00 #DIV/0! 20.00 #DIV/0!
2,057 722 664 91.97 664 91.97 12 60 - 230 #DIV/0! 222 #DIV/0!
Mengetahui,
Pj.Gizi

NIP.198412102005021001 NIP.197901012005022005
Lampiran 14
FORMULIR REKAPITULASI IBU NIFAS MENDAPAT VITAMIN A

Tahun : '2021
Puskesmas : Gomo
JULI
Jumlah
Kode Kabupaten/Kota sasaran Ibu Jumlah ibu
Nifas Jumlah Ibu nifas dapat %
(proyeksi) Nifas Vitamin A
(1) (2) (3) (4) (5) (6=5/4*100)
1 SIFAOROASI GOMO 41 1 1 100.00

2 ORAHILI GOMO 34 3 3 100.00
3 ORAHILI SIBOHOU 17 2 2 100.00
4 LAWA-LAWA LUO GOMO 40

- - #DIV/0!
5 HILIANAA GOMO 24 2 2 100.00
6 SUKA MAJU MOHILI 22 - - #DIV/0!
7 TANONIKOO 15 - - -
8 LOLOSONI 18 1 1 100.00
9 DOLI-DOLI 21 - - #DIV/0!
10 UMBU ORAHUA 14 1 1 -
11 GUNUNG GABUNGAN 19 2 2 100.00
12 SUMUT 265 12 12 100.00
Mengetahui,
Pj.Gizi

NIP.198412102005021001 NIP.197901012005022005
Lampiran 15
FORMULIR REKAPITULASI RUMAH TANGGA MENGONSUMSI GARAM BERIODIUM
Provinsi :
Kabupaten/Kota :
Bulan/Tahun :
FEBRUARI AGUSTUS TAHUNAN
RT RT RT
Kode Kabupaten/Kota Sasaran RT Jumlah RT mengonsum Jumlah RT mengonsu Jumlah RT mengonsu
% % %
diperiksa si Garam diperiksa msi Garam diperiksa msi Garam
Beriodium Beriodium Beriodium
(1) (2) (3) (4) (5) (6=5/4*100) (7) (8) (9=8/7*100 (10) (11) (12=11/10*
) 100)
Lampiran 12
FORMULIR PENCATATAN BALITA GIZI BURUK MENDAPAT PERAWATAN
Provinsi :
Kabupaten/Kota :
Tahun :
JANUARI FEBRUARI MARET APRIL
Total Kasus Jumlah Total Kasus Jumlah Total Kasus

Jumlah Jumlah Kasus Jumlah Kasus Gizi Jumlah Kasus Gizi
Kasus Total kasus Gizi Buruk, Gizi Buruk, Jumlah Kasus Total kasus Buruk, Gizi Buruk, Jumlah Jumlah Jumlah Jumlah Kasus Total kasus Buruk, Gizi Buruk, Jumlah Jumlah
Kode Kab/Kota Balita Gizi (kumulatif mendapat mendapat persentase Jumlah kasus kasus Balita Gizi (kumulatif mendapat mendapat persentase kasus kasus kasus kasus Balita Gizi (kumulatif mendapat mendapat persentase kasus kasus
buruk sampai perawatan perawatan mendapat membaik di meninggal buruk sampai perawatan perawatan mendapat membaik meninggal membaik di meninggal buruk sampai perawatan perawatan mendapat membaik meninggal
ditemukan bulan ini) pertama kali (kumulatif perawatan bulan ini dibulan ditemukan bulan ini) pertama (kumulatif perawatan di bulan ini dibulan ini bulan ini dibulan ini ditemukan bulan ini) pertama (kumulatif perawatan di bulan ini dibulan ini
bulan ini di bulan ini sampai bulan ini bulan ini kali di sampai bulan ini kali di sampai
ini) bulan ini bulan ini) bulan ini bulan ini)
(1) (2) (3) (4=3) (5) (6=5) (7=6/4*100) (8) (9) (10) (11=4+10) (12) (13=6+12) 14=13/11*1 (15) (16) (22) (23) (24) (25=18+24) (26) (27=20+26) (28=27/25* (29) (30)
00) 100)
1 SIFAOROASI GOMO 0 0 - 0 0 - 0 0 0 0 - 0 0
2 ORAHILI GOMO 0 0 - 0 0 - 0 0 0 0 - 0 0
3 ORAHILI SIBOHOU 1 1 1 100.0 1 0 0 - 2 2 2 2 100.0 0 0
4 LAWA-LAWA LUO GOMO 0 0 - 0 0 - 0 0 0 0 - 0 0
5 HILIANAA GOMO 1 2 1 1 50.0 1 0 0 0 - 0 0 0 0 - 0 0
6 SUKA MAJU MOHILI 0 1 1 1 100.0 1 0 0 - 0 0 0 0 - 0 0
7 TANONIKOO 0 0 - 0 0 - 1 1 1 1 100.0 0 0
8 LOLOSONI 0 0 - 0 0 - 0 0 0 0 - 0 0
9 DOLI-DOLI 0 0 - 0 0 - 0 0 0 0 - 0 0
10 UMBU ORAHUA 0 1 1 1 100.0 1 1 0 - 0 0 0 0 - 0 0
11 GUNUNG GABUNGAN 0 0 - 0 0 - 0 0 0 0 - 0 0
1 5 4 4 80.0 4 0 0 0 0 0 - 0 0 0 0 4 3 3 3 100.0 0 0
Mengetahui,
Kepala Puskesmas Perawatan Gomo Gomo, 30 April 2019
Pj.Gizi

NIP.198412102005021001 NIP.197901012005022005
Lampiran 16
Kelas : I s/d III

Nama Sekolah : SMP NEGERI I GOMO
Nama Puskesmas Pembina : UPTD PUSKESMAS GOMO
Nama Kabupaten/Kota : NIAS SELATAN
JANUARI
No. Nama Remaja Putri NIK 1 2 3 4
T M T M T M T M
1 AGNES SARTIKA NDRURU `1214025508060004 1 1 1 1 1 1 1 1
2 ANGEL YENIUS SALMIS `1214026406060001 1 1 1 1 1 1 1 1
3 CLAUDIA FERONIKA TEL `1214024607060007 1 1 1 1 1 1 1 1
4 DAMAI SEJAHTERA NDRURU 1 1 1 1 1 1 1 1
5 ERNI PUTRI JELITA TAF `1214024406060003 1 1 1 1 1 1 1 1
6 SRI WAHYU TEL `1214025306060006 1 1 1 1 1 1 1 1
7 FITERI TEL 1 1 1 1 1 1 1 1
8 IMAN GLORY TEL `12140255050070005 1 1 1 1 1 1 1 1
9 JULIATI LASE 1 1 1 1 1 1 1 1
10 LOYA 1 1 1 1 1 1 1 1
11 MELIDAR SARI BAENE 1 1 1 1 1 1 1 1
12 NAOMI ASTRI HIA `1214024112060002 1 1 1 1 1 1 1 1
13 RIANG HATI NDRURU `1214026409050002 1 1 1 1 1 1 1 1
14 SELVIN MIRANTI TAF `1214026203060002 1 1 1 1 1 1 1 1
15 RILIAN LAIA 1 1 1 1 1 1 1 1
16 YARLENI TAF 1 1 1 1 1 1 1 1
17 YUSNIAR TEL `1214026004050005 1 1 1 1 1 1 1 1
18 AGNES PUTRI JELITA NDRURU 1 1 1 1 1 1 1 1
19 AGUS BERNAWATINTEL `1214174104070006 1 1 1 1 1 1 1 1
20 DEA EKA PUTRI TAF 1 1 1 1 1 1 1 1
21 ELVIAMAN TEL 1 1 1 1 1 1 1 1
22 ANGEL KRISTIANA NDRURU `12140126901080001 1 1 1 1 1 1 1 1
23 INDAH NISKARIA TAF `1214024202060003 1 1 1 1 1 1 1 1
24 INGAT FAMILI HAL 1 1 1 1 1 1 1 1
25 LIMAN EBEN AYU HIA 1 1 1 1 1 1 1 1
26 MAY IVAN TEL 1 1 1 1 1 1 1 1
27 PUTRI JELITA HAL `1214024711060005 1 1 1 1 1 1 1 1
28 REVA MARISKA TEL `1214025403070001 1 1 1 1 1 1 1 1
29 RIANG HARMONI NDRURU `1214026209070001 1 1 1 1 1 1 1 1
30 SANTRI JERNIH LAIA `1214096302060001 1 1 1 1 1 1 1 1
31 SHERLIN JELITA NDRURU `1204067010050002 1 1 1 1 1 1 1 1
32 SRI GRACELITA ZEBUA `1214025606070003 1 1 1 1 1 1 1 1
33 TRINITA GRACIA EVELIN NDRURU `1214024301070001 1 1 1 1 1 1 1 1
34 AGUSTIANI TEL 1 1 1 1 1 1 1 1
35 AGUSTIN H NDRURU `1214026808070003 1 1 1 1 1 1 1 1
36 BERLIAN F HULU 1 1 1 1 1 1 1 1
37 CARI MANIS LAIA `1214176504050001 1 1 1 1 1 1 1 1
38 ELSA DAMAI HARITA 1 1 1 1 1 1 1 1
39 FERISMAWATI TAF `1214024111060006 1 1 1 1 1 1 1 1
40 FENIS CAHAYA TEL `1214020501100002 1 1 1 1 1 1 1 1
41 MAWARNI LAIA 1 1 1 1 1 1 1 1
42 MASLINA NDRURU 1 1 1 1 1 1 1 1
43 RATNA WATI TEL `1214027003070002 1 1 1 1 1 1 1 1
44 SESTA INDAH HULU `1214175312060001 1 1 1 1 1 1 1 1
45 STEVIA K TAF `1214024101060003 1 1 1 1 1 1 1 1
46 WINDAKRISTIN NDRURU 1 1 1 1 1 1 1 1
47 NASIPAN NDRURU 1 1 1 1 1 1 1 1
48 YUSNIA TEL 1 1 1 1 1 1 1 1
49 KASIH RIANG TELAUMBANUA `1214025204070004 1 1 1 1 1 1 1 1
50 ANJELINA TAF 1 1 1 1 1 1 1 1
51 ASLENI RIANTI TAF `1214024804060007 1 1 1 1 1 1 1 1
52 FERNI TEL 1 1 1 1 1 1 1 1
53 INTAN CAHYANI HIA `1214026705060005 1 1 1 1 1 1 1 1
54 MEIDAR LINA TEL 1 1 1 1 1 1 1 1
55 OLIVIA ANJELINA TEL `1214025410070004 1 1 1 1 1 1 1 1
56 SRI IVANI TEL `1214025410050003 1 1 1 1 1 1 1 1
57 TRISNAWATI H 1 1 1 1 1 1 1 1
58 YUSANI TAF 1 1 1 1 1 1 1 1
59 AYU P. JELITA SADAWA `121402100600002 1 1 1 1 1 1 1 1
60 BETI FELSIANA TEL ` 1 1 1 1 1 1 1 1
61 CERITA YANTU NDRURU `1214024411050002 1 1 1 1 1 1 1 1
62 EDITA P TEL 1 1 1 1 1 1 1 1
63 IMEL KRISDAYANTI TEL `1214024505060003 1 1 1 1 1 1 1 1
64 INDAH NATALIA NDRURU `1214024808050003 1 1 1 1 1 1 1 1
65 IRMINA IVANI GULO 1 1 1 1 1 1 1 1
66 JENI LAIA 1 1 1 1 1 1 1 1
67 KRISDAYANTI TEL `1214028806000004 1 1 1 1 1 1 1 1
68 MEIMAN KRISTIANDI 1 1 1 1 1 1 1 1
69 PIUS AGUSTINUS TAFONAO 1 1 1 1 1 1 1 1
70 RIANG HATI TEL `1214026612070001 1 1 1 1 1 1 1 1
71 RIDAYANTI TEL 1 1 1 1 1 1 1 1
72 ROSWITA TEL `1214025604070003 1 1 1 1 1 1 1 1
73 SIMEONI PASRAH NDRURU 1 1 1 1 1 1 1 1
74 TIFANNY AURELI TELAUMBANUA `1214024101790002 1 1 1 1 1 1 1 1
75 VERONIKA TEL 1 1 1 1 1 1 1 1
76 ADDELIA TAF `1214026408060002 1 1 1 1 1 1 1 1
77 AGUSTIKA SARI TEL `1214027004500005 1 1 1 1 1 1 1 1
78 DIAN P.S. GIAWA `1214026006080001 1 1 1 1 1 1 1 1
79 EWINER TAF `1214027101050001 1 1 1 1 1 1 1 1
80 FINISH M. RIANG HIA `1214024101050001 1 1 1 1 1 1 1 1
81 GRACE P.S TAF `1214024409060001 1 1 1 1 1 1 1 1
82 ICA KAFLORENS TRI NDR `1214026105060002 1 1 1 1 1 1 1 1
83 MEI INDAH Y. TEL 1 1 1 1 1 1 1 1
84 SEPTIWATI NDRURU `1214025408050002 1 1 1 1 1 1 1 1
85 TATA ANGELIN TEL 1 1 1 1 1 1 1 1
86 WIWIN ELVIANI NDR 1 1 1 1 1 1 1 1
87 AYU TRI ZEBUA 1 1 1 1 1 1 1 1
88 CAHAYA NIBA SADAWA 1 1 1 1 1 1 1 1
89 ELLER NIANTI NDR 1 1 1 1 1 1 1 1
90 FARISTINA HAL `1214025710030001 1 1 1 1 1 1 1 1
91 GRACE CLAUDYA TEL `1214024107050014 1 1 1 1 1 1 1 1
92 HEPPY FANNY P. TAF `1214026003050001 1 1 1 1 1 1 1 1
93 HARIS PURNAMA S. TAF 1 1 1 1 1 1 1 1
94 IMEL BERTA HULU `1214177008050003 1 1 1 1 1 1 1 1
95 MIRA AMELIA NDR `1214026303050007 1 1 1 1 1 1 1 1
96 DITARWATI HIA 1 1 1 1 1 1 1 1
97 ERNA SUSANTI TEL `1214025501500007 1 1 1 1 1 1 1 1
98 MESRA YELITA TEL 1 1 1 1 1 1 1 1
99 MONIKA W.NDR 1 1 1 1 1 1 1 1
100 NIPAN G.M. HULU 1 1 1 1 1 1 1 1
101 PUTRI ELISABET LAIA `1214034709050004 1 1 1 1 1 1 1 1
102 SAVERIA SELVIN HULU `1214026001040005 1 1 1 1 1 1 1 1
103 SEPRIANA K. TEL 1 1 1 1 1 1 1 1
104 HELTINA D.Y. SADAWA `1214025404000005 1 1 1 1 1 1 1 1
105 JELVIN INSANI TEL `1214024207050001 1 1 1 1 1 1 1 1
106 MASDELIMA TAF `1214026412050002 1 1 1 1 1 1 1 1
107 NIA SUPRIANI TAF `1214026602050001 1 1 1 1 1 1 1 1
108 RISKA WAHYUNI TAF `1214026301050003 1 1 1 1 1 1 1 1
109 ROSPITALIA TEL `1214025701060002 1 1 1 1 1 1 1 1
110 YOLAN PURNAMA 1 1 1 1 1 1 1 1
111 YOHANA TEL 1 1 1 1 1 1 1 1
112 DARNI TEL 1 1 1 1 1 1 1 1
113 ERWIN P. TEL `1214026104040002 1 1 1 1 1 1 1 1
114 ETRIANI DELVIANI TEL `1214024301060006 1 1 1 1 1 1 1 1
115 MEI KRISTIANI NDR 1 1 1 1 1 1 1 1
116 MEI TRIANI HULU 1 1 1 1 1 1 1 1
117 MONIKA YULIBA HULU 1 1 1 1 1 1 1 1
118 RAMISIA HALAWA `1214026103050004 1 1 1 1 1 1 1 1
119 RIANG RATNA LASE 1 1 1 1 1 1 1 1
120 SEFRIANI BAENE `1214034104050004 1 1 1 1 1 1 1 1
121 DESTRI DELVIANI TELAUMBANUA 1 1 1 1 1 1 1 1
122 AYU FINIS N.TEL 1 1 1 1 1 1 1 1
123 DWI FATNI ADELINA HULU 1 1 1 1 1 1 1 1
124 DIAN HALPER JELITA TAF 1 1 1 1 1 1 1 1
125 ERNITASARI TEL 1 1 1 1 1 1 1 1
126 KRISNURYANI TEL 1 1 1 1 1 1 1 1
127 GUSTI MARDALENA LASE 1 1 1 1 1 1 1 1
128 RINI WULAN P.HIA 1 1 1 1 1 1 1 1
129 KARENSUCI GRACIA NDR 1 1 1 1 1 1 1 1
130 PUTRI ANANDA TAF 1 1 1 1 1 1 1 1
131 PUTRI ANGELINA TAF 1 1 1 1 1 1 1 1
132 RISKA PUTRI NDRURU 1 1 1 1 1 1 1 1
133 SELVIAN KRINAWATI NDR 1 1 1 1 1 1 1 1
134 KAMIATI TEL 1 1 1 1 1 1 1 1
135 SEVRIANI HAL 1 1 1 1 1 1 1 1
136 SELVI YANI TAFONAO 1 1 1 1 1 1 1 1
137 AYUMARDIANA TAF 1 1 1 1 1 1 1 1
138 CINDI APRILIANI 1 1 1 1 1 1 1 1
139 DELIMA A.P TEL 1 1 1 1 1 1 1 1
140 ENI SARTIKA TEL 1 1 1 1 1 1 1 1
141 IMAN MURNIKASI TEL 1 1 1 1 1 1 1 1
142 JENI MAGDALENA TEL 1 1 1 1 1 1 1 1
143 MASRITA NDRURU 1 1 1 1 1 1 1 1
144 RATNA JELITA TEL 1 1 1 1 1 1 1 1
145 SEVIN YANTI TEL 1 1 1 1 1 1 1 1
146 WINDA DARMAN P.J TEL 1 1 1 1 1 1 1 1
147 YUFIN MEIWER TAF 1 1 1 1 1 1 1 1
148 YUSIATI GAURIFA 1 1 1 1 1 1 1 1
149 DARIA GRES A.TAF 1 1 1 1 1 1 1 1
150 ERNIWATI TEL 1 1 1 1 1 1 1 1
151 FRANSISKA SELVIN A.TEL 1 1 1 1 1 1 1 1
152 HEPPY GUSTY M. TEL 1 1 1 1 1 1 1 1
153 INTAN TEL 1 1 1 1 1 1 1 1
154 LUSIANA KHAUSMAN HIA 1 1 1 1 1 1 1 1
155 MASTIA GIAWA 1 1 1 1 1 1 1 1
156 RIANG HATI NDRURU 1 1 1 1 1 1 1 1
157 SISKALIAN NDRURU 1 1 1 1 1 1 1 1
158 SELVIN ANJELINA TEL 1 1 1 1 1 1 1 1
159 TITIS TIANI NDRURU 1 1 1 1 1 1 1 1
160 TELIMAWATI HIA 1 1 1 1 1 1 1 1
161 TURTI TALENTA C. TEL 1 1 1 1 1 1 1 1
162 GRACE CENORA TAF 1 1 1 1 1 1 1 1
163 ANGELI NDRURU 1 1 1 1 1 1 1 1
164 ANTRI AMELIA NDRURU 1 1 1 1 1 1 1 1
165 ANIVIRA HALAWA 1 1 1 1 1 1 1 1
166 DESTRINAWATI TAF 1 1 1 1 1 1 1 1
167 DEWISARTIKA HALAWA 1 1 1 1 1 1 1 1
168 HENILISTY A.HAREFA 1 1 1 1 1 1 1 1
169 MEDIATI TAF 1 1 1 1 1 1 1 1
170 MITARIA HULU 1 1 1 1 1 1 1 1
171 MASIVIANI TEL 1 1 1 1 1 1 1 1
172 SURIYANI TAF 1 1 1 1 1 1 1 1
173 WENDIHATI TAF 1 1 1 1 1 1 1 1
174 YUSNIAR NDRURU 1 1 1 1 1 1 1 1
175 YUNIKASIH TEL 1 1 1 1 1 1 1 1
176 DESIMAWATI HULU 1 1 1 1 1 1 1 1
177 AGUSTIKA PUTRI TEL 1 1 1 1 1 1 1 1
178 AGUSTIAWENI TAF 1 1 1 1 1 1 1 1
179 ARWINA TEL 1 1 1 1 1 1 1 1
180 DAMAIHATI TEL 1 1 1 1 1 1 1 1
181 DESMENI HULU 1 1 1 1 1 1 1 1
182 DESI RATNASARI HIA 1 1 1 1 1 1 1 1
183 MASIRUTI HIA 1 1 1 1 1 1 1 1
184 MERDELINA TAF 1 1 1 1 1 1 1 1
185 MUSILINA TAF 1 1 1 1 1 1 1 1
186 NELISDAMAIYANTI HIA 1 1 1 1 1 1 1 1
187 SINAR CAHAYA TEL 1 1 1 1 1 1 1 1
188 WINA PUSPASARI TEL 1 1 1 1 1 1 1 1
189 YARIATI TEL 1 1 1 1 1 1 1 1
190 ARYANI SRIHARTATI BAENE 1 1 1 1 1 1 1 1
191 ARNIWATI LASE 1 1 1 1 1 1 1 1
192 DESTA YANTI NDRURU 1 1 1 1 1 1 1 1
193 ERNIPUTRI TEL 1 1 1 1 1 1 1 1
194 FRANSISKA TEL 1 1 1 1 1 1 1 1
195 FERINIDA TEL 1 1 1 1 1 1 1 1
196 INTAN BERLIAN TEL 1 1 1 1 1 1 1 1
197 JUNIKELVINA TAF 1 1 1 1 1 1 1 1
198 JUNIMAN SERASI HAL 1 1 1 1 1 1 1 1
199 MELINA ZEBUA 1 1 1 1 1 1 1 1
200 MARSAL I.LASE 1 1 1 1 1 1 1 1
201 NURIMAN HULU 1 1 1 1 1 1 1 1
202 NARLIS PURNAMA SARI TAF `1214024805050003 1 1 1 1 1 1 1 1
203 NIANTI NDRURU `1214025101060002 1 1 1 1 1 1 1 1
204 YULIANG TEL `1214024106005006 1 1 1 1 1 1 1 1
205 ILUSI TEL `1214026307050001 1 1 1 1 1 1 1 1
206 WULAN PURNAMA SARI HULU `1214174304060002 1 1 1 1 1 1 1 1
207 VERONIKA TELAUMBANUA `1214026707066003 1 1 1 1 1 1 1 1
208 HERRYTHAMAN HULU `1214175611060001 1 1 1 1 1 1 1 1
209 AGUSLIANI TEL `1214626908040005 1 1 1 1 1 1 1 1
210 TRIKARITAS BUULOLO `1214094603060003 1 1 1 1 1 1 1 1
211 SEHATI LAIA `1214175806010002 1 1 1 1 1 1 1 1
212 WINISWATI NDRURU `1214025302060003 1 1 1 1 1 1 1 1
213 WINDI EKAKRISTIN NDRURU `1214024702060003 1 1 1 1 1 1 1 1
214
215
216
217
218
Kelas : I s/d III
Nama Sekolah : SMP NEGERI 2 GOMO
JANUARI
T M T M T M T M
1 Anesli Hulu 1 1 1 1 1 1 1 1
2 Artina Hia 1 1 1 1 1 1 1 1
3 Bowolia Halawa 1 1 1 1 1 1 1 1
4 Betiàmi Tafonao 1 1 1 1 1 1 1 1
5 Cerah Damai Telaumbanua 1 1 1 1 1 1 1 1
6 Embun Permata Hia 1 1 1 1 1 1 1 1
7 Fitriani Laia 1 1 1 1 1 1 1 1
8 Hartati J. Hia 1 1 1 1 1 1 1 1
9 Intan Fitri Tafonao 1 1 1 1 1 1 1 1
10 Juniawan Hia 1 1 1 1 1 1 1 1
11 Masiria Halawa 1 1 1 1 1 1 1 1
12 Mardayanti Tafonao 1 1 1 1 1 1 1 1
13 Nurmawati Ndruru 1 1 1 1 1 1 1 1
14 Niawadi Sadawa 1 1 1 1 1 1 1 1
15 Puspita Sari Hia 1 1 1 1 1 1 1 1
16 Yefi Novita Telaumbanua 1 1 1 1 1 1 1 1
17 Ratna Halawa 1 1 1 1 1 1 1 1
18 Junita Ndruru 1 1 1 1 1 1 1 1
19 Getri Halawa 1 1 1 1 1 1 1 1
20 Rida Hartati Zebua 1 1 1 1 1 1 1 1
21 Masiati Hulu 1 1 1 1 1 1 1 1
22 Tiur Ida M. Laia 1 1 1 1 1 1 1 1
23 Indah Juni D. Sadawa 1 1 1 1 1 1 1 1
24 Nurtaàti Zebua 1 1 1 1 1 1 1 1
25 Sefi Darma Sadawa 1 1 1 1 1 1 1 1
26 Indah Jelita Sadawa 1 1 1 1 1 1 1 1
27 Martina W. Telaumbanua 1 1 1 1 1 1 1 1
28 Ernimawati Halawa 1 1 1 1 1 1 1 1
29 Efilina Zebua 1 1 1 1 1 1 1 1
30 Tibaria Sadawa 1 1 1 1 1 1 1 1
31 Mawartina Hia 1 1 1 1 1 1 1 1
32 Trimahati Hia 1 1 1 1 1 1 1 1
33 AMELIA HULU 1 1 1 1 1 1 1 1
34 ANISWAN NDR 1 1 1 1 1 1 1 1
35 ENDANG S. LAIA 1 1 1 1 1 1 1 1
36 ENIATI TAF 1 1 1 1 1 1 1 1
37 EFIR KASIH HIA 1 1 1 1 1 1 1 1
38 FIRMINA HIA 1 1 1 1 1 1 1 1
39 MARLINA TAF 1 1 1 1 1 1 1 1
40 MAWARNI TEL 1 1 1 1 1 1 1 1
41 MEIMAN WATI TEL 1 1 1 1 1 1 1 1
42 MESRAWATI ZEBUA 1 1 1 1 1 1 1 1
43 PUTRIYANI HIA 1 1 1 1 1 1 1 1
44 SELVIAN HALAWA 1 1 1 1 1 1 1 1
45 SULIANA TEL 1 1 1 1 1 1 1 1
46 DARNI TELAUMBANUA 1 1 1 1 1 1 1 1
47 YUFIANIS BAENE 1 1 1 1 1 1 1 1
48 YULIMANI HAL 1 1 1 1 1 1 1 1
49 ARNIWATI TEL 1 1 1 1 1 1 1 1
50 ARLINA SADAWA 1 1 1 1 1 1 1 1
51 ADRIANI SADAWA 1 1 1 1 1 1 1 1
52 IDARNIWATI LASE 1 1 1 1 1 1 1 1
53 INFENSARI TEL 1 1 1 1 1 1 1 1
54 IMELDA ROSALIN HIA 1 1 1 1 1 1 1 1
55 KRISMAWATI HALAWA 1 1 1 1 1 1 1 1
56 MINTARIANG ZEBUA 1 1 1 1 1 1 1 1
57 SERIMAN HATI HIA 1 1 1 1 1 1 1 1
58 NOVI SELVIANI GIAWA 1 1 1 1 1 1 1 1
59 NOVI TRIAN TAF 1 1 1 1 1 1 1 1
60 VIKAR SEFRIANA ZEGA 1 1 1 1 1 1 1 1
61 WINDI MULANSARI TAF 1 1 1 1 1 1 1 1
62 WARNIWATI TEL 1 1 1 1 1 1 1 1
63 YULIANA SADAWA 1 1 1 1 1 1 1 1
64 MARINA IDAWATI NDRURU 1 1 1 1 1 1 1 1
65 RITA PASRAWATI HIA 1 1 1 1 1 1 1 1
66 Apriyani Ndruru 1 1 1 1 1 1 1 1
67 Budiman Hia 1 1 1 1 1 1 1 1
68 Delina Hia 1 1 1 1 1 1 1 1
69 Festina Halawa 1 1 1 1 1 1 1 1
70 Nurhalian Indah Hia 1 1 1 1 1 1 1 1
71 Nurlina Hia 1 1 1 1 1 1 1 1
72 Rulina Tafonao 1 1 1 1 1 1 1 1
73 Senilia Halawa 1 1 1 1 1 1 1 1
74 Trisnawati Hia 1 1 1 1 1 1 1 1
Kelas : I s/d III

Nama Sekolah : SMA NEGERI 1 GOMO
JANUARI
T M T M T M T M
1 ARMINSEN PUTRI TAFONAO `1214024303050003 1 1 1 1 1 1 1 1
2 DARLENE ANJANI TELAUMBANUA `1214024910030005 1 1 1 1 1 1 1 1
3 HOTMAIDAH ANJELI NDRURU 1 1 1 1 1 1 1 1
4 IMELDA TAFONAO `1214024807040003 1 1 1 1 1 1 1 1
5 INTAN HARTATI HULU `1214024806040002 1 1 1 1 1 1 1 1
6 IREN SUSANTI TAFONAO 1 1 1 1 1 1 1 1
7 ISA ADILAN HULU `1214025504040006 1 1 1 1 1 1 1 1
8 JELITA NORALENTINA TELAUMBANUA `1214024607040011 1 1 1 1 1 1 1 1
9 MAHARANI HULU `1214026203030005 1 1 1 1 1 1 1 1
10 MASTAWANDI TELAUMBANUA 1 1 1 1 1 1 1 1
11 MEGA INTAN HARTATI TAFONAO `1214024103030005 1 1 1 1 1 1 1 1
12 NATION CITRA W. HULU 1 1 1 1 1 1 1 1
13 PUTRI ELISABET TELAUMBANUA `1214024302030007 1 1 1 1 1 1 1 1
14 DINA DARMAWATI LASE 1 1 1 1 1 1 1 1
15 RINI DARMAYANTI LASE `1214025110030004 1 1 1 1 1 1 1 1
16 SEMTI LASE 1 1 1 1 1 1 1 1
17 INTAN PERMATA HATI ZEBUA `1214034106030001 1 1 1 1 1 1 1 1
18 KASIHANI TAFONAO 1 1 1 1 1 1 1 1
19 AGNES V. TELAUMBANUA 1 1 1 1 1 1 1 1
20 RINCIANI TELAUMBANUA 1 1 1 1 1 1 1 1
21 SENIMAWANI BWM 1 1 1 1 1 1 1 1
22 TENI NURLINDA HULU `1214176105030001 1 1 1 1 1 1 1 1
23 YARNIWATI TAFONAO `1214026411020002 1 1 1 1 1 1 1 1
24 YUNIA HALAWA `1214147020200004 1 1 1 1 1 1 1 1
25 ARLENA LASE 1 1 1 1 1 1 1 1
26 BASLIN 1 1 1 1 1 1 1 1
27 DEWI TELAUMBANUA 1 1 1 1 1 1 1 1
28 EMELIA TAFONAO 1 1 1 1 1 1 1 1
29 INDAH PUTRI 1 1 1 1 1 1 1 1
30 JERNIH HATI TELAUMBANUA `1214025920030004 1 1 1 1 1 1 1 1
31 LIDIA ELIANI 1 1 1 1 1 1 1 1
32 MARNIATI 1 1 1 1 1 1 1 1
33 MURNI KASIH `1214026505020002 1 1 1 1 1 1 1 1
34 PESTARIANG TEL `1214025702030001 1 1 1 1 1 1 1 1
35 SRIWITANIA TAFONAO `1214036801030009 1 1 1 1 1 1 1 1
36 LATIRIANI TAFONAO 1 1 1 1 1 1 1 1
37 NURSALEM HULU `1214025408030002 1 1 1 1 1 1 1 1
38 FINSENSIA KRISNA GRACE TAFONAO `1214025701040000 1 1 1 1 1 1 1 1
39 ADARIA TAFONAO `1214026105040003 1 1 1 1 1 1 1 1
40 AGUSTINA NDRURU `1214025208020004 1 1 1 1 1 1 1 1
41 ASNIAR W. TAFONAO 1 1 1 1 1 1 1 1
42 ERNIMAN TAFONAO 1 1 1 1 1 1 1 1
43 FEFISTINA TELAUMBANU `1214023030940004 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
45 JULIANA A. LAIA `1214174907030003 1 1 1 1 1 1 1 1
46 KIREY TAFONAO 1 1 1 1 1 1 1 1
47 LENIYANTI HULU 1 1 1 1 1 1 1 1
48 LETINA BAENE 1 1 1 1 1 1 1 1
49 LINAÀMI HIA 1 1 1 1 1 1 1 1
50 FEDELINA LASE `1214026004020009 1 1 1 1 1 1 1 1
51 DORILINAWATI TAFONAO 1 1 1 1 1 1 1 1
52 IMAN WATI TAFONAO `1214025611030002 1 1 1 1 1 1 1 1
53 IMELDA TELAUMBANUA 1 1 1 1 1 1 1 1
54 MARNIWATI TELAUMBANUA `1214024603610013 1 1 1 1 1 1 1 1
55 RITA SUJUD Y. LASE 1 1 1 1 1 1 1 1
56 ROSLIANA SADAWA 1 1 1 1 1 1 1 1
57 ROSTINA LASE 1 1 1 1 1 1 1 1
58 SAFRIN B. LAIA 1 1 1 1 1 1 1 1
59 YULISMAWATI HULU `1214027101030004 1 1 1 1 1 1 1 1
60 EFRIANTI TELAUMBANUA 1 1 1 1 1 1 1 1
61 ENIRIANG TELAUMBANUA 1 1 1 1 1 1 1 1
62 FISTIN NDRURU 1 1 1 1 1 1 1 1
63 IMAN SETIA TELAUMBANUA 1 1 1 1 1 1 1 1
64 WETINA ZEBUA 1 1 1 1 1 1 1 1
65 WISIANI HIA `1214026901030005 1 1 1 1 1 1 1 1
66 LIDIA LASE 1 1 1 1 1 1 1 1
67 RATNAWATI HULU 1 1 1 1 1 1 1 1
68 HANNA E. TEL `1214025310020004 1 1 1 1 1 1 1 1
69 FANIS ALBINA TAFONAO `1214024804030005 1 1 1 1 1 1 1 1
70 MULIATI TAFONAO `1214021710120008 1 1 1 1 1 1 1 1
71 AGUSTINA DEWI TAFONAO 1 1 1 1 1 1 1 1
72 CEMERLANG TEL 1 1 1 1 1 1 1 1
73 FITA PURNAMA TAFONAO `1214024403030010 1 1 1 1 1 1 1 1
74 KRISTIANI LASE `1214024404020015 1 1 1 1 1 1 1 1
75 ANITA DELVIANA TAFONAO `1214026203010006 1 1 1 1 1 1 1 1
76 ENDANG KUSTIKA SARI TEL 1 1 1 1 1 1 1 1
77 TRIHARTATI BAWAMENEWI 1 1 1 1 1 1 1 1
78 MITA KARUNIA LAIA 1 1 1 1 1 1 1 1
79 DIANA PUTRI NDRURU 1 1 1 1 1 1 1 1
80 MINTA RIANG LAIA 1 1 1 1 1 1 1 1
81 ASNIWATI TEL 1 1 1 1 1 1 1 1
82 AGUS TRIYANI LAIA 1 1 1 1 1 1 1 1
83 NONI NESTAFA NDRURU 1 1 1 1 1 1 1 1
84 OLINAR TEL 1 1 1 1 1 1 1 1
85 JULIYANTI TEL 1 1 1 1 1 1 1 1
86 MESRIKA PUTRI TAF `1214026306020002 1 1 1 1 1 1 1 1
87 KASIH TIMAR NDURURU `1214025003020008 1 1 1 1 1 1 1 1
88 SENTIAWATI NDRURU `1214026707000003 1 1 1 1 1 1 1 1
89 FEBERLINDA TAFV `12140225106030001 1 1 1 1 1 1 1 1
90 INTAN ASTRIYANI TAF 1 1 1 1 1 1 1 1
91 DESTA LENTA TEL 1 1 1 1 1 1 1 1
92 MURNIAWATI TAF `1214022012980004 1 1 1 1 1 1 1 1
93 KARIS ANI LASE `1214344410000001 1 1 1 1 1 1 1 1
94 SITI AGUSNIDAR TAF `1214025270807004 1 1 1 1 1 1 1 1
95 SERFIN NISKAH TEL `1214024211010005 1 1 1 1 1 1 1 1
96 DEWI MESRA ADIL NDRURU 1 1 1 1 1 1 1 1
97 JENILIA TELAUMBANUA `1214020507080100 1 1 1 1 1 1 1 1
98 SELVIN IMAN MENDI TAF 1 1 1 1 1 1 1 1
99 WARI FINA HULU 1 1 1 1 1 1 1 1
100 KARIANTI LASE 1 1 1 1 1 1 1 1
101 FITRI SANDI HIA 1 1 1 1 1 1 1 1
102 WINDI PUTRI RATNA TEL `1214026707030001 1 1 1 1 1 1 1 1
103 INDAH PUTRI TALAUM BANUA `1214026306040002 1 1 1 1 1 1 1 1
104 MIDAR NIAT TEL 1 1 1 1 1 1 1 1
105 KARIAWATI HALAWA 1 1 1 1 1 1 1 1
106 TUTIRMANI TEL 1 1 1 1 1 1 1 1
107 FERNIHATI TEL 1 1 1 1 1 1 1 1
108 WANIWATI TAFONAO 1 1 1 1 1 1 1 1
109 SERNI LAIA `1214175209999002 1 1 1 1 1 1 1 1
110 KASMAWATI LAIA `1214174205010002 1 1 1 1 1 1 1 1
111 BENEDITA MESRA TELAUMBANUA `1214034106020009 1 1 1 1 1 1 1 1
112 ERNI PUTRI BAWAMENEWI `1214026009020005 1 1 1 1 1 1 1 1
113 MIA SELFIN TAFONAO 1 1 1 1 1 1 1 1
114 SELFIN OPUTRI TAFONAO 1 1 1 1 1 1 1 1
115 ETINA LASE 1 1 1 1 1 1 1 1
116 MASNIDAR TAFONAO 1 1 1 1 1 1 1 1
117 AMISARI NDRURU `1214026808020005 1 1 1 1 1 1 1 1
118 INDAH JUWITA NDRURU 1 1 1 1 1 1 1 1
119 FERMIS LASE 1 1 1 1 1 1 1 1
120 RINCIANI TELAUMBANUA `1214024609030004 1 1 1 1 1 1 1 1
121 NURAFNIKWATI `1214024804030003 1 1 1 1 1 1 1 1
122 SEPRI ERTAYANTI TELAUMBANUA 1 1 1 1 1 1 1 1
123 SENI MAWARNI BAWAMENEWI `1214026508030002 1 1 1 1 1 1 1 1
124 ERNIMAN TAFONAO 1 1 1 1 1 1 1 1
125 ERNIDA YANTI LASE `1214024403040004 1 1 1 1 1 1 1 1
126 LINDA KRISTIANI FITRI NDRURU 1 1 1 1 1 1 1 1
127 SUSI DARNI TELAUMBANUA `1214024107010019 1 1 1 1 1 1 1 1
128 MESRI YANTI TAFONAO `1214026412020001 1 1 1 1 1 1 1 1
129 FISTINA TELAUMBANUA `1214024404020012 1 1 1 1 1 1 1 1
130 EMELIA SEPTA DATARIA TEL 1 1 1 1 1 1 1 1
131 ARIESTA KURNIAWATI HULU `1214254111010001 1 1 1 1 1 1 1 1
132 FETRIANI TAFONAO `1214025202030008 1 1 1 1 1 1 1 1
133 DEWI NURHAYANTI TELAUMBANUA 1 1 1 1 1 1 1 1
134 SRI AYU REJEKI TELAUMBANUA `1214026602030008 1 1 1 1 1 1 1 1
135 JENIDAR TAFONAO 1 1 1 1 1 1 1 1
136 YULISA TELAUMBANUA 1 1 1 1 1 1 1 1
137 MASTAWANDI TELAUMBANUA `1214026605030001 1 1 1 1 1 1 1 1
138 IMAS SRIAYU LASE `1214025609020006 1 1 1 1 1 1 1 1
139 SRI WANDERSARI TELAUMBANUA 1 1 1 1 1 1 1 1
140 CUCIAN HATI TAFONAO `1214024203030007 1 1 1 1 1 1 1 1
141 SUCI MURNI TELAUMBANUA 1 1 1 1 1 1 1 1
Kelas : I s/d III

JANUARI
T M T M T M T M
1 ADE PUTRI NS HIA `1214026511030003 1 1 1 1 1 1 1 1
2 ARNIWATI HALAWA `1214025004030005 1 1 1 1 1 1 1 1
3 AGUSTINA HIA 1 1 1 1 1 1 1 1
4 DEWIRNA HULU `1214027011030001 1 1 1 1 1 1 1 1
5 EFITRISNA HALAWA `1214025203030007 1 1 1 1 1 1 1 1
6 JULIANI TEL `1214026307030004 1 1 1 1 1 1 1 1
7 JULYANI ZEBUA `1214020789900009 1 1 1 1 1 1 1 1
8 KRISTIAN I. S. HULU `1214025003040003 1 1 1 1 1 1 1 1
9 MARDIANA ZEBUA `1214024807030003 1 1 1 1 1 1 1 1
10 NIAT ERLINA HIA `1214026603030006 1 1 1 1 1 1 1 1
11 NITRA E. HIA `1214024502030009 1 1 1 1 1 1 1 1
12 SEHATI ZEBUA `1214026712030001 1 1 1 1 1 1 1 1
13 SATILINA TAF 1 1 1 1 1 1 1 1
14 ARLINA TELAUMBANUA `1214026501000003 1 1 1 1 1 1 1 1
15 IDAMRIA TEL 1 1 1 1 1 1 1 1
16 LENI RATNA TEL 1 1 1 1 1 1 1 1
17 MUSTIANI TEL `1214025503030008 1 1 1 1 1 1 1 1
18 PUSDAYANTI TEL 1 1 1 1 1 1 1 1
19 SELVISTINA HALAWA 1 1 1 1 1 1 1 1
20 YESA YARNI HALAWA 1 1 1 1 1 1 1 1
21 DEVI YUPITER HIA 1 1 1 1 1 1 1 1
22 DESIMAN NDRURU 1 1 1 1 1 1 1 1
23 ORLINA HIA 1 1 1 1 1 1 1 1
24 NIASLINE TEL 1 1 1 1 1 1 1 1
25 MASTINA HALAWA 1 1 1 1 1 1 1 1
26 NIAT HATI TAFONAO `1214024708020001 1 1 1 1 1 1 1 1
27 NADA MURNI NDRURU `1214024509010005 1 1 1 1 1 1 1 1
28 YUDITO TELAUMBANUA `1214027007020005 1 1 1 1 1 1 1 1
29 ANDI PRASETIA TEL `1214022805020004 1 1 1 1 1 1 1 1
30 ESTERSELINA HIA 1 1 1 1 1 1 1 1
31 ASMAWATI TAFONAO 1 1 1 1 1 1 1 1
32 NURIMAN HIA `1214025812000009 1 1 1 1 1 1 1 1
33 PUTRI CAHAYA SADAWA `1214024104020013 1 1 1 1 1 1 1 1
34 MARTALINA HULU `1214024304020014 1 1 1 1 1 1 1 1
35 DENIMAN HIA `1214024101010017 1 1 1 1 1 1 1 1
36 YUFITA ROHANI HULU `1214025003320010 1 1 1 1 1 1 1 1
37 ASDIANA HULU `1214025111020009 1 1 1 1 1 1 1 1
38 ERNI YANTI TEL `1214024900040006 1 1 1 1 1 1 1 1
39 KASMAN TAFONAO `1214021606000009 1 1 1 1 1 1 1 1
40 ARNIWATI HIA `1214024309020007 1 1 1 1 1 1 1 1
41 YUNIDAR TAFONAO 1 1 1 1 1 1 1 1
42 KALENI TAFONAO `1214025311030001 1 1 1 1 1 1 1 1
43 MASIRUPANI TEL `1214024407990009 1 1 1 1 1 1 1 1
44 MINARWATI TEL `1214025002020005 1 1 1 1 1 1 1 1
45 DENIARTI HIA `1214025502020005 1 1 1 1 1 1 1 1
46 MEIYANA PUTRI HIA `1214025201040005 1 1 1 1 1 1 1 1
47 MEIBERIA HIA `1214026303010002 1 1 1 1 1 1 1 1
48 ERNI FITRA KASIH HIA `1214025910000001 1 1 1 1 1 1 1 1
49 IMELDA TEL `1214025103010009 1 1 1 1 1 1 1 1
50 YARIAN HALAWA `1214026909990003 1 1 1 1 1 1 1 1
51 LENTIANI TAFONAO `1214024508000006 1 1 1 1 1 1 1 1
52 EFI SARTIKA ZEBUA `1214026705020003 1 1 1 1 1 1 1 1
53 KRISTIANI HULU 1 1 1 1 1 1 1 1
54 SERNIMAWATI HALAWA 1 1 1 1 1 1 1 1
55 CERLANI SADAWA 1 1 1 1 1 1 1 1
56 RINTA ASTUTI TEL 1 1 1 1 1 1 1 1
57 INGATI NDRURU `1214026312010001 1 1 1 1 1 1 1 1
58 HEPI NURVITA NDRURU `1214025801030004 1 1 1 1 1 1 1 1
59 NIAR DARMAWATI SADAWA `1214024306980013 1 1 1 1 1 1 1 1
60 FESTIANI SADAWA `1214026905020001 1 1 1 1 1 1 1 1
61 SELVISTINA HALAWA 1 1 1 1 1 1 1 1
62 DEFI YUVITA HIA 1 1 1 1 1 1 1 1
63 NASIRIA HIA 1 1 1 1 1 1 1 1
Triwulan
Tahun
FEBRUARI MARET
5 1 2 3 4 5 1 2 3 4 5
T M T M T M T M T M T M T M T M T M T M T
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Triwulan
Tahun
FEBRUARI MARET
5 1 2 3 4 5 1 2 3 4 5
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Triwulan
Tahun
FEBRUARI MARET
5 1 2 3 4 5 1 2 3 4 5
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Triwulan
Tahun
FEBRUARI MARET
5 1 2 3 4 5 1 2 3 4 5
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Juml
ah
min
Juml
ggu Juml
ah
yang TTD ah ARIL MEI
dilal TTD
5 di 1 2 3 4 5 1 2 3 4
ui Teri dimi
M dari num T M T M T M T M T M T M T M T M T
ma
1 Janu
15 (T)15 (M)
15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
ari -
1 15 15 15
Mar 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 et 15 15
15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Juml
ah
min
Juml
ggu Juml
ah
yang TTD ah ARIL MEI
dilal TTD
5 di 1 2 3 4 5 1 2 3 4
ui dimi
M Teri T M T M T M T M T M T M T M T M T
dari num
ma
1 Janu
15 (T) 15 (M)
15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
ari -
1 15 15 15
Mar 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 et 15 15
15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Juml
ah
min
ggu Juml Juml
yang ah ah ARIL MEI
TTD
dilal TTD
5 di 1 2 3 4 5 1 2 3 4
ui dimi
dari ma num
1 Janu
15 (T)15 (M)
15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
ari -
1 15 15 15
Mar 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 et 15 15
15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Juml
ah
min
ggu Juml Juml
ah
yang ah ARIL MEI
dilal TTD TTD
5 di 1 2 3 4 5 1 2 3 4
ui dimi
dari ma num
1 Janu
15 (T)15 (M)
15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
ari -
1 15 15 15
Mar 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 et 15 15
15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 15 15 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Juml
ah
min
Juml
ggu Juml
ah
MEI JUNI yang TTD ah
dilal TTD
4 5 1 2 3 4 5 di
ui Teri dimi
M T M T M T M T M T M T M dari num
ma
1 1 1 1 1 1 1 1 1 1 1 1 1 Janu
15 (T)15 (M)
15
ari -
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
Mar
1 1 1 1 1 1 1 1 1 1 1 1 1 et 15 15
15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
Juml
ah
min
Juml
ggu Juml
ah
MEI JUNI yang TTD ah
dilal TTD
4 5 1 2 3 4 5 di
ui dimi
M T M T M T M T M T M T M Teri
dari num
ma
1 1 1 1 1 1 1 1 1 1 1 1 1 Janu
15 (T) 15 (M)
15
ari -
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
Mar
1 1 1 1 1 1 1 1 1 1 1 1 1 et 15 15
15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
Juml
ah
min
ggu Juml Juml
MEI JUNI yang ah ah
TTD
dilal TTD
4 5 1 2 3 4 5 di
ui dimi
dari ma num
1 1 1 1 1 1 1 1 1 1 1 1 1 Janu
15 (T)15 (M)
15
ari -
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
Mar
1 1 1 1 1 1 1 1 1 1 1 1 1 et 15 15
15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
Juml
ah
min
ggu Juml Juml
ah
MEI JUNI yang ah
dilal TTD TTD
4 5 1 2 3 4 5 di
ui dimi
dari ma num
1 1 1 1 1 1 1 1 1 1 1 1 1 Janu
15 (T)15 (M)
15
ari -
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
Mar
1 1 1 1 1 1 1 1 1 1 1 1 1 et 15 15
15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
1 1 1 1 1 1 1 1 1 1 1 1 1 15 15 15
Lampiran 16
Kelas
Nama Sekolah
Nama Kabupaten/Kota
No. Nama Remaja Putri NIK TW 1 - TW 2
Jumlah
minggu yang Jumlah TTD di Terima
dilalui dari (T)
Januari - Juni
(9) (10)
1 AGNES SARTIKA NDRURU `1214025508060004 30 120

2 ANGEL YENIUS SALMIS `1214026406060001 30 120
3 CLAUDIA FERONIKA TEL `1214024607060007 30 120
4 DAMAI SEJAHTERA NDRURU 30 120
5 ERNI PUTRI JELITA TAF `1214024406060003 30 120
6 SRI WAHYU TEL `1214025306060006 30 120
7 FITERI TEL 30 120
8 IMAN GLORY TEL `12140255050070005 30 120
9 JULIATI LASE 30 120
10 LOYA 30 120
11 MELIDAR SARI BAENE 30 120
12 NAOMI ASTRI HIA `1214024112060002 30 120
13 RIANG HATI NDRURU `1214026409050002 30 120
14 SELVIN MIRANTI TAF `1214026203060002 30 120
15 RILIAN LAIA 30 120
16 YARLENI TAF 30 120
17 YUSNIAR TEL `1214026004050005 30 120
18 AGNES PUTRI JELITA NDRURU 30 120
19 AGUS BERNAWATINTEL `1214174104070006 30 120
20 DEA EKA PUTRI TAF 30 120
21 ELVIAMAN TEL 30 120
22 ANGEL KRISTIANA NDRURU `12140126901080001 30 120
23 INDAH NISKARIA TAF `1214024202060003 30 120
24 INGAT FAMILI HAL 30 120
25 LIMAN EBEN AYU HIA 30 120
26 MAY IVAN TEL 30 120
27 PUTRI JELITA HAL `1214024711060005 30 120
28 REVA MARISKA TEL `1214025403070001 30 120
29 RIANG HARMONI NDRURU `1214026209070001 30 120
30 SANTRI JERNIH LAIA `1214096302060001 30 120
31 SHERLIN JELITA NDRURU `1204067010050002 30 120
32 SRI GRACELITA ZEBUA `1214025606070003 30 120
33 TRINITA GRACIA EVELIN NDRURU `1214024301070001 30 120
34 AGUSTIANI TEL 30 120
35 AGUSTIN H NDRURU `1214026808070003 30 120
36 BERLIAN F HULU 30 120
37 CARI MANIS LAIA `1214176504050001 30 120
38 ELSA DAMAI HARITA 30 120
39 FERISMAWATI TAF `1214024111060006 30 120
40 FENIS CAHAYA TEL `1214020501100002 30 120
41 MAWARNI LAIA 30 120
42 MASLINA NDRURU 30 120
43 RATNA WATI TEL `1214027003070002 30 120
44 SESTA INDAH HULU `1214175312060001 30 120
45 STEVIA K TAF `1214024101060003 30 120
46 WINDAKRISTIN NDRURU 30 120
47 NASIPAN NDRURU 30 120
48 YUSNIA TEL 30 120
49 KASIH RIANG TELAUMBANUA `1214025204070004 30 120
50 ANJELINA TAF 30 120
51 ASLENI RIANTI TAF `1214024804060007 30 120
52 FERNI TEL 30 120
53 INTAN CAHYANI HIA `1214026705060005 30 120
54 MEIDAR LINA TEL 30 120
55 OLIVIA ANJELINA TEL `1214025410070004 30 120
56 SRI IVANI TEL `1214025410050003 30 120
57 TRISNAWATI H 30 120
58 YUSANI TAF 30 120
59 AYU P. JELITA SADAWA `121402100600002 30 120
60 BETI FELSIANA TEL ` 30 120
61 CERITA YANTU NDRURU `1214024411050002 30 120
62 EDITA P TEL 30 120
63 IMEL KRISDAYANTI TEL `1214024505060003 30 120
64 INDAH NATALIA NDRURU `1214024808050003 30 120
65 IRMINA IVANI GULO 30 120
66 JENI LAIA 30 120
67 KRISDAYANTI TEL `1214028806000004 30 120
68 MEIMAN KRISTIANDI 30 120
69 PIUS AGUSTINUS TAFONAO 30 120
70 RIANG HATI TEL `1214026612070001 30 120
71 RIDAYANTI TEL 30 120
72 ROSWITA TEL `1214025604070003 30 120
73 SIMEONI PASRAH NDRURU 30 120
74 TIFANNY AURELI TELAUMBANUA `1214024101790002 30 120
75 VERONIKA TEL 30 120
76 ADDELIA TAF `1214026408060002 30 120
77 AGUSTIKA SARI TEL `1214027004500005 30 120
78 DIAN P.S. GIAWA `1214026006080001 30 120
79 EWINER TAF `1214027101050001 30 120
80 FINISH M. RIANG HIA `1214024101050001 30 120
81 GRACE P.S TAF `1214024409060001 30 120
82 ICA KAFLORENS TRI NDR `1214026105060002 30 120
83 MEI INDAH Y. TEL 30 120
84 SEPTIWATI NDRURU `1214025408050002 30 120
85 TATA ANGELIN TEL 30 120
86 WIWIN ELVIANI NDR 30 120
87 AYU TRI ZEBUA 30 120
88 CAHAYA NIBA SADAWA 30 120
89 ELLER NIANTI NDR 30 120
90 FARISTINA HAL `1214025710030001 30 120
91 GRACE CLAUDYA TEL `1214024107050014 30 120
92 HEPPY FANNY P. TAF `1214026003050001 30 120
93 HARIS PURNAMA S. TAF 30 120
94 IMEL BERTA HULU `1214177008050003 30 120
95 MIRA AMELIA NDR `1214026303050007 30 120
96 DITARWATI HIA 30 120
97 ERNA SUSANTI TEL `1214025501500007 30 120
98 MESRA YELITA TEL 30 120
99 MONIKA W.NDR 30 120
100 NIPAN G.M. HULU 30 120
101 PUTRI ELISABET LAIA `1214034709050004 30 120
102 SAVERIA SELVIN HULU `1214026001040005 30 120
103 SEPRIANA K. TEL 30 120
104 HELTINA D.Y. SADAWA `1214025404000005 30 120
105 JELVIN INSANI TEL `1214024207050001 30 120
106 MASDELIMA TAF `1214026412050002 30 120
107 NIA SUPRIANI TAF `1214026602050001 30 120
108 RISKA WAHYUNI TAF `1214026301050003 30 120
109 ROSPITALIA TEL `1214025701060002 30 120
110 YOLAN PURNAMA 30 120
111 YOHANA TEL 30 120
112 DARNI TEL 30 120
113 ERWIN P. TEL `1214026104040002 30 120
114 ETRIANI DELVIANI TEL `1214024301060006 30 120
115 MEI KRISTIANI NDR 30 120
116 MEI TRIANI HULU 30 120
117 MONIKA YULIBA HULU 30 120
118 RAMISIA HALAWA `1214026103050004 30 120
119 RIANG RATNA LASE 30 120
120 SEFRIANI BAENE `1214034104050004 30 120
121 DESTRI DELVIANI TELAUMBANUA 30 120
122 AYU FINIS N.TEL 30 120
123 DWI FATNI ADELINA HULU 30 120
124 DIAN HALPER JELITA TAF 30 120
125 ERNITASARI TEL 30 120
126 KRISNURYANI TEL 30 120
127 GUSTI MARDALENA LASE 30 120
128 RINI WULAN P.HIA 30 120
129 KARENSUCI GRACIA NDR 30 120
130 PUTRI ANANDA TAF 30 120
131 PUTRI ANGELINA TAF 30 120
132 RISKA PUTRI NDRURU 30 120
133 SELVIAN KRINAWATI NDR 30 120
134 KAMIATI TEL 30 120
135 SEVRIANI HAL 30 120
136 SELVI YANI TAFONAO 30 120
137 AYUMARDIANA TAF 30 120
138 CINDI APRILIANI 30 120
139 DELIMA A.P TEL 30 120
140 ENI SARTIKA TEL 30 120
141 IMAN MURNIKASI TEL 30 120
142 JENI MAGDALENA TEL 30 120
143 MASRITA NDRURU 30 120
144 RATNA JELITA TEL 30 120
145 SEVIN YANTI TEL 30 120
146 WINDA DARMAN P.J TEL 30 120
147 YUFIN MEIWER TAF 30 120
148 YUSIATI GAURIFA 30 120
149 DARIA GRES A.TAF 30 120
150 ERNIWATI TEL 30 120
151 FRANSISKA SELVIN A.TEL 30 120
152 HEPPY GUSTY M. TEL 30 120
153 INTAN TEL 30 120
154 LUSIANA KHAUSMAN HIA 30 120
155 MASTIA GIAWA 30 120
156 RIANG HATI NDRURU 30 120
157 SISKALIAN NDRURU 30 120
158 SELVIN ANJELINA TEL 30 120
159 TITIS TIANI NDRURU 30 120
160 TELIMAWATI HIA 30 120
161 TURTI TALENTA C. TEL 30 120
162 GRACE CENORA TAF 30 120
163 ANGELI NDRURU 30 120
164 ANTRI AMELIA NDRURU 30 120
165 ANIVIRA HALAWA 30 120
166 DESTRINAWATI TAF 30 120
167 DEWISARTIKA HALAWA 30 120
168 HENILISTY A.HAREFA 30 120
169 MEDIATI TAF 30 120
170 MITARIA HULU 30 120
171 MASIVIANI TEL 30 120
172 SURIYANI TAF 30 120
173 WENDIHATI TAF 30 120
174 YUSNIAR NDRURU 30 120
175 YUNIKASIH TEL 30 120
176 DESIMAWATI HULU 30 120
177 AGUSTIKA PUTRI TEL 30 120
178 AGUSTIAWENI TAF 30 120
179 ARWINA TEL 30 120
180 DAMAIHATI TEL 30 120
181 DESMENI HULU 30 120
182 DESI RATNASARI HIA 30 120
183 MASIRUTI HIA 30 120
184 MERDELINA TAF 30 120
185 MUSILINA TAF 30 120
186 NELISDAMAIYANTI HIA 30 120
187 SINAR CAHAYA TEL 30 120
188 WINA PUSPASARI TEL 30 120
189 YARIATI TEL 30 120
190 ARYANI SRIHARTATI BAENE 30 120
191 ARNIWATI LASE 30 120
192 DESTA YANTI NDRURU 30 120
193 ERNIPUTRI TEL 30 120
194 FRANSISKA TEL 30 120
195 FERINIDA TEL 30 120
196 INTAN BERLIAN TEL 30 120
197 JUNIKELVINA TAF 30 120
198 JUNIMAN SERASI HAL 30 120
199 MELINA ZEBUA 30 120
200 MARSAL I.LASE 30 120
201 NURIMAN HULU 30 120
202 NARLIS PURNAMA SARI TAF `1214024805050003 30 120
203 NIANTI NDRURU `1214025101060002 30 120
204 YULIANG TEL `1214024106005006 30 120
205 ILUSI TEL `1214026307050001 30 120
206 WULAN PURNAMA SARI HULU `1214174304060002 30 120
207 VERONIKA TELAUMBANUA `1214026707066003 30 120
208 HERRYTHAMAN HULU `1214175611060001 30 120
209 AGUSLIANI TEL `1214626908040005 30 120
210 TRIKARITAS BUULOLO `1214094603060003 30 120
211 SEHATI LAIA `1214175806010002 30 120
212 WINISWATI NDRURU `1214025302060003 30 120
213 WINDI EKAKRISTIN NDRURU `1214024702060003 30 120
214
215
216
217
218
Kelas
Nama Sekolah : I s/d III
Nama Puskesmas Pembina : SMP NEGERI 2 GOMO
Nama Kabupaten/Kota : UPTD PUSKESMAS GOMO
: NIAS SELATAN
Jumlah
dilalui dari (T)
Januari - Juni
(9) (10)
1 Anesli Hulu 30 120

2 Artina Hia 30 120
3 Bowolia Halawa 30 120
4 Betiàmi Tafonao 30 120
5 Cerah Damai Telaumbanua 30 120
6 Embun Permata Hia 30 120
7 Fitriani Laia 30 120
8 Hartati J. Hia 30 120
9 Intan Fitri Tafonao 30 120
10 Juniawan Hia 30 120
11 Masiria Halawa 30 120
12 Mardayanti Tafonao 30 120
13 Nurmawati Ndruru 30 120
14 Niawadi Sadawa 30 120
15 Puspita Sari Hia 30 120
16 Yefi Novita Telaumbanua 30 120
17 Ratna Halawa 30 120
18 Junita Ndruru 30 120
19 Getri Halawa 30 120
20 Rida Hartati Zebua 30 120
21 Masiati Hulu 30 120
22 Tiur Ida M. Laia 30 120
23 Indah Juni D. Sadawa 30 120
24 Nurtaàti Zebua 30 120
25 Sefi Darma Sadawa 30 120
26 Indah Jelita Sadawa 30 120
27 Martina W. Telaumbanua 30 120
28 Ernimawati Halawa 30 120
29 Efilina Zebua 30 120
30 Tibaria Sadawa 30 120
31 Mawartina Hia 30 120
32 Trimahati Hia 30 120
33 AMELIA HULU 30 120
34 ANISWAN NDR 30 120
35 ENDANG S. LAIA 30 120
36 ENIATI TAF 30 120
37 EFIR KASIH HIA 30 120
38 FIRMINA HIA 30 120
39 MARLINA TAF 30 120
40 MAWARNI TEL 30 120
41 MEIMAN WATI TEL 30 120
42 MESRAWATI ZEBUA 30 120
43 PUTRIYANI HIA 30 120
44 SELVIAN HALAWA 30 120
45 SULIANA TEL 30 120
46 DARNI TELAUMBANUA 30 120
47 YUFIANIS BAENE 30 120
48 YULIMANI HAL 30 120
49 ARNIWATI TEL 30 120
50 ARLINA SADAWA 30 120
51 ADRIANI SADAWA 30 120
52 IDARNIWATI LASE 30 120
53 INFENSARI TEL 30 120
54 IMELDA ROSALIN HIA 30 120
55 KRISMAWATI HALAWA 30 120
56 MINTARIANG ZEBUA 30 120
57 SERIMAN HATI HIA 30 120
58 NOVI SELVIANI GIAWA 30 120
59 NOVI TRIAN TAF 30 120
60 VIKAR SEFRIANA ZEGA 30 120
61 WINDI MULANSARI TAF 30 120
62 WARNIWATI TEL 30 120
63 YULIANA SADAWA 30 120
64 MARINA IDAWATI NDRURU 30 120
65 RITA PASRAWATI HIA 30 120
66 Apriyani Ndruru 30 120
67 Budiman Hia 30 120
68 Delina Hia 30 120
69 Festina Halawa 30 120
70 Nurhalian Indah Hia 30 120
71 Nurlina Hia 30 120
72 Rulina Tafonao 30 120
73 Senilia Halawa 30 120
74 Trisnawati Hia 30 120
Kelas : I s/d III

Jumlah
dilalui dari (T)
Januari - Juni
(9) (10)
1 ARMINSEN PUTRI TAFONAO `1214024303050003 30 120

2 DARLENE ANJANI TELAUMBANUA `1214024910030005 30 120
3 HOTMAIDAH ANJELI NDRURU 30 120
4 IMELDA TAFONAO `1214024807040003 30 120
5 INTAN HARTATI HULU `1214024806040002 30 120
6 IREN SUSANTI TAFONAO 30 120
7 ISA ADILAN HULU `1214025504040006 30 120
8 JELITA NORALENTINA TELAUMBANUÀ1214024607040011 30 120
9 MAHARANI HULU `1214026203030005 30 120
10 MASTAWANDI TELAUMBANUA 30 120
11 MEGA INTAN HARTATI TAFONAO `1214024103030005 30 120
12 NATION CITRA W. HULU 30 120
13 PUTRI ELISABET TELAUMBANUA `1214024302030007 30 120
14 DINA DARMAWATI LASE 30 120
15 RINI DARMAYANTI LASE `1214025110030004 30 120
16 SEMTI LASE 30 120
17 INTAN PERMATA HATI ZEBUA `1214034106030001 30 120
18 KASIHANI TAFONAO 30 120
19 AGNES V. TELAUMBANUA 30 120
20 RINCIANI TELAUMBANUA 30 120
21 SENIMAWANI BWM 30 120
22 TENI NURLINDA HULU `1214176105030001 30 120
23 YARNIWATI TAFONAO `1214026411020002 30 120
24 YUNIA HALAWA `1214147020200004 30 120
25 ARLENA LASE 30 120
26 BASLIN 30 120
27 DEWI TELAUMBANUA 30 120
28 EMELIA TAFONAO 30 120
29 INDAH PUTRI 30 120
30 JERNIH HATI TELAUMBANUA `1214025920030004 30 120
31 LIDIA ELIANI 30 120
32 MARNIATI 30 120
33 MURNI KASIH `1214026505020002 30 120
34 PESTARIANG TEL `1214025702030001 30 120
35 SRIWITANIA TAFONAO `1214036801030009 30 120
36 LATIRIANI TAFONAO 30 120
37 NURSALEM HULU `1214025408030002 30 120
38 FINSENSIA KRISNA GRACE TAFONAO`1214025701040000 30 120
39 ADARIA TAFONAO `1214026105040003 30 120
40 AGUSTINA NDRURU `1214025208020004 30 120
41 ASNIAR W. TAFONAO 30 120
42 ERNIMAN TAFONAO 30 120
43 FEFISTINA TELAUMBANU `1214023030940004 30 120
30 120
45 JULIANA A. LAIA `1214174907030003 30 120
46 KIREY TAFONAO 30 120
47 LENIYANTI HULU 30 120
48 LETINA BAENE 30 120
49 LINAÀMI HIA 30 120
50 FEDELINA LASE `1214026004020009 30 120
51 DORILINAWATI TAFONAO 30 120
52 IMAN WATI TAFONAO `1214025611030002 30 120
53 IMELDA TELAUMBANUA 30 120
54 MARNIWATI TELAUMBANUA `1214024603610013 30 120
55 RITA SUJUD Y. LASE 30 120
56 ROSLIANA SADAWA 30 120
57 ROSTINA LASE 30 120
58 SAFRIN B. LAIA 30 120
59 YULISMAWATI HULU `1214027101030004 30 120
60 EFRIANTI TELAUMBANUA 30 120
61 ENIRIANG TELAUMBANUA 30 120
62 FISTIN NDRURU 30 120
63 IMAN SETIA TELAUMBANUA 30 120
64 WETINA ZEBUA 30 120
65 WISIANI HIA `1214026901030005 30 120
66 LIDIA LASE 30 120
67 RATNAWATI HULU 30 120
68 HANNA E. TEL `1214025310020004 30 120
69 FANIS ALBINA TAFONAO `1214024804030005 30 120
70 MULIATI TAFONAO `1214021710120008 30 120
71 AGUSTINA DEWI TAFONAO 30 120
72 CEMERLANG TEL 30 120
73 FITA PURNAMA TAFONAO `1214024403030010 30 120
74 KRISTIANI LASE `1214024404020015 30 120
75 ANITA DELVIANA TAFONAO `1214026203010006 30 120
76 ENDANG KUSTIKA SARI TEL 30 120
77 TRIHARTATI BAWAMENEWI 30 120
78 MITA KARUNIA LAIA 30 120
79 DIANA PUTRI NDRURU 30 120
80 MINTA RIANG LAIA 30 120
81 ASNIWATI TEL 30 120
82 AGUS TRIYANI LAIA 30 120
83 NONI NESTAFA NDRURU 30 120
84 OLINAR TEL 30 120
85 JULIYANTI TEL 30 120
86 MESRIKA PUTRI TAF `1214026306020002 30 120
87 KASIH TIMAR NDURURU `1214025003020008 30 120
88 SENTIAWATI NDRURU `1214026707000003 30 120
89 FEBERLINDA TAFV `12140225106030001 30 120
90 INTAN ASTRIYANI TAF 30 120
91 DESTA LENTA TEL 30 120
92 MURNIAWATI TAF `1214022012980004 30 120
93 KARIS ANI LASE `1214344410000001 30 120
94 SITI AGUSNIDAR TAF `1214025270807004 30 120
95 SERFIN NISKAH TEL `1214024211010005 30 120
96 DEWI MESRA ADIL NDRURU 30 120
97 JENILIA TELAUMBANUA `1214020507080100 30 120
98 SELVIN IMAN MENDI TAF 30 120
99 WARI FINA HULU 30 120
100 KARIANTI LASE 30 120
101 FITRI SANDI HIA 30 120
102 WINDI PUTRI RATNA TEL `1214026707030001 30 120
103 INDAH PUTRI TALAUM BANUA `1214026306040002 30 120
104 MIDAR NIAT TEL 30 120
105 KARIAWATI HALAWA 30 120
106 TUTIRMANI TEL 30 120
107 FERNIHATI TEL 30 120
108 WANIWATI TAFONAO 30 120
109 SERNI LAIA `1214175209999002 30 120
110 KASMAWATI LAIA `1214174205010002 30 120
111 BENEDITA MESRA TELAUMBANUA `1214034106020009 30 120
112 ERNI PUTRI BAWAMENEWI `1214026009020005 30 120
113 MIA SELFIN TAFONAO 30 120
114 SELFIN OPUTRI TAFONAO 30 120
115 ETINA LASE 30 120
116 MASNIDAR TAFONAO 30 120
117 AMISARI NDRURU `1214026808020005 30 120
118 INDAH JUWITA NDRURU 30 120
119 FERMIS LASE 30 120
120 RINCIANI TELAUMBANUA `1214024609030004 30 120
121 NURAFNIKWATI `1214024804030003 30 120
122 SEPRI ERTAYANTI TELAUMBANUA 30 120
123 SENI MAWARNI BAWAMENEWI `1214026508030002 30 120
124 ERNIMAN TAFONAO 30 120
125 ERNIDA YANTI LASE `1214024403040004 30 120
126 LINDA KRISTIANI FITRI NDRURU 30 120
127 SUSI DARNI TELAUMBANUA `1214024107010019 30 120
128 MESRI YANTI TAFONAO `1214026412020001 30 120
129 FISTINA TELAUMBANUA `1214024404020012 30 120
130 EMELIA SEPTA DATARIA TEL 30 120
131 ARIESTA KURNIAWATI HULU `1214254111010001 30 120
132 FETRIANI TAFONAO `1214025202030008 30 120
133 DEWI NURHAYANTI TELAUMBANUA 30 120
134 SRI AYU REJEKI TELAUMBANUA `1214026602030008 30 120
135 JENIDAR TAFONAO 30 120
136 YULISA TELAUMBANUA 30 120
137 MASTAWANDI TELAUMBANUA `1214026605030001 30 120
138 IMAS SRIAYU LASE `1214025609020006 30 120
139 SRI WANDERSARI TELAUMBANUA 30 120
140 CUCIAN HATI TAFONAO `1214024203030007 30 120
141 SUCI MURNI TELAUMBANUA 30 120
Kelas : I s/d III
Jumlah
dilalui dari (T)
Januari - Juni
(9) (10)
1 ADE PUTRI NS HIA `1214026511030003 30 120

2 ARNIWATI HALAWA `1214025004030005 30 120
3 AGUSTINA HIA 30 120
4 DEWIRNA HULU `1214027011030001 30 120
5 EFITRISNA HALAWA `1214025203030007 30 120
6 JULIANI TEL `1214026307030004 30 120
7 JULYANI ZEBUA `1214020789900009 30 120
8 KRISTIAN I. S. HULU `1214025003040003 30 120
9 MARDIANA ZEBUA `1214024807030003 30 120
10 NIAT ERLINA HIA `1214026603030006 30 120
11 NITRA E. HIA `1214024502030009 30 120
12 SEHATI ZEBUA `1214026712030001 30 120
13 SATILINA TAF 30 120
14 ARLINA TELAUMBANUA `1214026501000003 30 120
15 IDAMRIA TEL 30 120
16 LENI RATNA TEL 30 120
17 MUSTIANI TEL `1214025503030008 30 120
18 PUSDAYANTI TEL 30 120
19 SELVISTINA HALAWA 30 120
20 YESA YARNI HALAWA 30 120
21 DEVI YUPITER HIA 30 120
22 DESIMAN NDRURU 30 120
23 ORLINA HIA 30 120
24 NIASLINE TEL 30 120
25 MASTINA HALAWA 30 120
26 NIAT HATI TAFONAO `1214024708020001 30 120
27 NADA MURNI NDRURU `1214024509010005 30 120
28 YUDITO TELAUMBANUA `1214027007020005 30 120
29 ANDI PRASETIA TEL `1214022805020004 30 120
30 ESTERSELINA HIA 30 120
31 ASMAWATI TAFONAO 30 120
32 NURIMAN HIA `1214025812000009 30 120
33 PUTRI CAHAYA SADAWA `1214024104020013 30 120
34 MARTALINA HULU `1214024304020014 30 120
35 DENIMAN HIA `1214024101010017 30 120
36 YUFITA ROHANI HULU `1214025003320010 30 120
37 ASDIANA HULU `1214025111020009 30 120
38 ERNI YANTI TEL `1214024900040006 30 120
39 KASMAN TAFONAO `1214021606000009 30 120
40 ARNIWATI HIA `1214024309020007 30 120
41 YUNIDAR TAFONAO 30 120
42 KALENI TAFONAO `1214025311030001 30 120
43 MASIRUPANI TEL `1214024407990009 30 120
44 MINARWATI TEL `1214025002020005 30 120
45 DENIARTI HIA `1214025502020005 30 120
46 MEIYANA PUTRI HIA `1214025201040005 30 120
47 MEIBERIA HIA `1214026303010002 30 120
48 ERNI FITRA KASIH HIA `1214025910000001 30 120
49 IMELDA TEL `1214025103010009 30 120
50 YARIAN HALAWA `1214026909990003 30 120
51 LENTIANI TAFONAO `1214024508000006 30 120
52 EFI SARTIKA ZEBUA `1214026705020003 30 120
53 KRISTIANI HULU 30 120
54 SERNIMAWATI HALAWA 30 120
55 CERLANI SADAWA 30 120
56 RINTA ASTUTI TEL 30 120
57 INGATI NDRURU `1214026312010001 30 120
58 HEPI NURVITA NDRURU `1214025801030004 30 120
59 NIAR DARMAWATI SADAWA `1214024306980013 30 120
60 FESTIANI SADAWA `1214026905020001 30 120
61 SELVISTINA HALAWA 30 120
62 DEFI YUVITA HIA 30 120
63 NASIRIA HIA 30 120
: I s/d III
: SMP NEGERI I GOMO Triwulan
: UPTD PUSKESMAS GOMO Tahun
: NIAS SELATAN
TW 1 - TW 2
% TTD % TTD
di Terima Jumlah TTD di di Minum
Minum
(11=10/9*100) (12) (13=12/9*100)
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
Triwulan
Tahun
TW 1 - TW 2
% TTD % TTD
di Terima Jumlah TTD di di Minum
Minum
(11=10/9*100) (12) (13=12/9*100)
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
Triwulan
Tahun
TW 1 - TW 2
% TTD % TTD
Jumlah TTD di
di Terima di Minum
Minum
(11=10/9*100) (12) (13=12/9*100)
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
Triwulan
Tahun
TW 1 - TW 2
% TTD Jumlah TTD di % TTD

di Terima Minum di Minum
(11=10/9*100) (12) (13=12/9*100)
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
40 120 40
Lampiran 16
Kelas : :
Nama Sekolah : Triwulan :
Nama Puskesmas Pembina : Tahun
Nama Kabupaten/Kota :
JANUARI FEBRUARI MARET

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 Jumlah minggu
No. Nama NIK yang dilalui dari Jumlah TTD di Jumlah TTD
Remaja Putri Terima (T) diminum (M)
Januari - Maret
T M T M T M T M T M T M T M T M T M T M T M T M T M T M T M
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
Keterangan:
Isilah kolom T dan M dengan angka 0 atau 1
T : Terima TTD
M : Minum TTD
Kolom T diisi angka satu (1) Jika terima TTD dan angka nol (0) Jika tidak terima TTD
Kolom M diisi angka satu (1) Jika minum TTD dan angka nol (0) Jika tidak minum TTD
Kolom Jumlah minggu yang dilalui diisi dengan jumlah minggu yang dilalui remaja putri umur 12-18 tahun pada Triwulan tersebut
Lampiran 17
FORMULIR 1 PEMANTAUAN PROGRAM TTD REMAJA PUTRI DI PUSKESMAS
Sekolah :
Puskesmas Pembina :
Kabupaten/Kota :
TW 1 TW 1 - TW 2
Nama
No. Remaja Putri NIK Jumlah minggu Jumlah TTD % TTD % TTD Jumlah minggu % TTD % TTD
yang dilalui dari di Terima di Terima Jumlah TTD di di Minum yang dilalui dari Jumlah TTD di di Terima Jumlah TTD di di Minum
Minum Terima (T) Minum
Januari - Maret (T) Januari - Juni
(1) (2) (3) (4) (5) (6=5/4*100) (7) (8=7/4*100) (9) (10) (11=10/9*100) (12) (13=12/9*100)
Keterangan:
Kolom Jumlah minggu yang dilalui diisi dengan jumlah minggu yang dilalui remaja putri umur 12-18 tahun pada Triwulan tersebut
Kolom Persentase TTD diterima (%) diisi dengan persentase jumlah tablet diterima terhadap jumlah minggu
Kolom Persentase TTD diminum (%) diisi dengan persentase jumlah tablet diminum terhadap jumlah minggu
Catatan stok: : tablet Tgl.

1. Jumlah TTD Sisa bulan lalu : tablet Tgl.
2. Jumlah TTD yang diterima : tablet Tgl.
3. Jumlah total stok : tablet Tgl.
4. Jumlah TTD yang dipakai : tablet Tgl.
5. Jumlah TTD Sisa
Lampiran 18
FORMULIR 2 PEMANTAUAN PROGRAM TTD REMAJA PUTRI DI PUSKEMAS
Puskesmas Pembina :
Kabupaten/Kota :
TW 1 TW 1 - TW 2
Jumlah Jumlah mendapat TTD Jumlah Minum TTD Jumlah mendapat TTD Jumlah Minum TTD
No. Nama Sekolah Siswi
≤ 50 % 51- 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100%
1. SMP NEGERI 1 GOMO 213 √ √ √ √

2. SMP NEGERI 2 GOMO 74 √ √ √ √
3. SMA NEGERI 1 GOMO 141 √ √ √ √
4. SMA NEGERI 2 GOMO 63 √ √ √ √
5. SMK NEGERI 1 GOMO 12 √ √ √ √
Total 503
Keterangan:
Kolom kategori persentase (≤50%, 51-80%, 81-99%, ≥100%) diisi dengan jumlah rematri umur 12-18 tahun
yang masuk kategori tersebut berdasarkan form 1 Puskesmas
Catatan stok:
1. Jumlah TTD Sisa bulan lalu :55 tablet Tgl. 15-May-19
2. Jumlah TTD yang diterima : 7545 tablet Tgl. 15-May-19
3. Jumlah total stok : tablet Tgl. 15-May-19
4. Jumlah TTD yang dipakai : 7545 tablet Tgl. 15-May-19
5. Jumlah TTD Sisa :55 tablet Tgl. 15-May-19
Mengetahui,
Kepala UPTD Puskesmas Gomo Gomo, 31 Mei 2019
Pj.Gizi

NIP.198412102005021001 NIP.197901012005022005
Lampiran 19
Kabupaten/Kota :
TW 1 TW 1 - TW 2
Nama Jumlah Jumlah mendapat TTD Jumlah Minum TTD Jumlah mendapat TTD Jumlah Minum TTD
No.
Puskesmas Siswi
≤ 50 % 51- 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100%
Total
Keterangan:
Catatan stok:
5. Jumlah TTD Sisa : tablet Tgl.
Lampiran 19
Provinsi :
TW 1 TW 1 - TW 2
Jumlah Jumlah mendapat TTD Jumlah Minum TTD Jumlah mendapat TTD Jumlah Minum TTD
No. Kabupaten/Kota
Siswi
≤ 50 % 51- 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99%
Keterangan:
Catatan stok:
5. Jumlah TTD Sisa : tablet Tgl.
TW 1 - TW 3 TW 1 - TW 4
ah Minum TTD Jumlah mendapat TTD Jumlah Minum TTD Jumlah mendapat TTD Jumlah Minum TTD
≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100% ≤ 50 % 51 - 80 % 81 - 99% ≥ 100%

Laporan Gz. 2021-JULI

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Laporan Gz. 2021-JULI

Uploaded by

Copyright:

Available Formats

Lampiran 16

FORMULIR PEMANTAUAN PROGRAM PEMBERIAN TTD REMAJA PUTRI DI SEKOLAH

No. Nama Remaja Putri NIK TW 1

Jumlah minggu yang dilalui dari

1 AGNES SARTIKA NDRURU `1214025508060004 15

No. Nama Remaja Putri NIK TW 1

Jumlah minggu yang dilalui dari

No. Nama Remaja Putri NIK TW 1

Jumlah minggu yang dilalui dari

1 ARMINSEN PUTRI TAFONAO `1214024303050003 15

No. Nama Remaja Putri NIK TW 1

Jumlah minggu yang dilalui dari

1 ADE PUTRI NS HIA `1214026511030003 15

(5) (6=5/4*100) (7) (9) (10) (11=10/9*100) (12)

(5) (6=5/4*100) (7) (9) (10) (11=10/9*100) (12)

(5) (6=5/4*100) (7) (9) (10) (11=10/9*100) (12)

(5) (6=5/4*100) (7) (9) (10) (11=10/9*100) (12)

Provinsi : Sumatera Utara Nama Posyandu :

1 23 Tahun Mutianis Laia 1 Roiman Ndrruru Sifoarasi Gomo 1 1 52 90 90 90

SAHABAT JAYA BUULOLO, SKM KRISTIANI ZAGOTO, Am.Keb

Provinsi Provinsi : Sumatera Utara : Sumatera Utara

Panjang Cara ASI EksklusifF1=YA, 2=Tidak Vitamin Vitamin

3 09-06-2014 1 Marcelino junos ndr 82273814784 Siforasi 1 1 07-04-2019 12 96 2 1

4 05-05-2014 2 Arderi Tania Tel 82273814784 Siforasi 1 1 07-04-2019 11.6 96 2 1

5 07-05-2014 2 Gisel kalista sitompul 82273814784 Siforasi 1 1 07-04-2019 13.8 98 2 1

6 18-05-2014 1 Rahmat jaya Tel 82273814784 Siforasi 1 1 07-04-2019 12.2 97 2 1

7 20-05-2014 1 Sabda Ndruru 82273814784 Siforasi 1 1 07-04-2019 11.5 98 2 1

8 20-05-2014 2 Talita taf 82273814784 Siforasi 1 1 07-04-2019 14.1 98 2 1

9 4 16-06-2014 2 `1214023007090002 puspita taf `1214020708590005 82273814784 Siforasi 1 1 07-04-2019 13.5 97 2 1

10 4 09-05-2015 1 `1214020105100165 Berkat jenius `1214021511900003 82273814784 Siforasi 1 1 07-04-2019 13.2 96 2 1

11 20-06-2014 2 Afrida ndruru 82273814784 Siforasi 1 1 07-04-2019 13.5 92 2 1

12 02-07-2014 2 Dewi roslindo bmw 82273814784 Siforasi 1 1 07-04-2019 12.2 91 2 1

13 07-07-2014 1 Sekaman Taf 82273814784 Siforasi 1 1 07-04-2019 14.5 91 2 1

14 25-07-2014 1 Julisman ndruru 82273814784 Siforasi 1 1 07-04-2019 12.9 93 2 1

16 15-09-2014 2 Blesiing florensia 82273814784 Siforasi 1 1 07-04-2019 12 98 2 1

17 09-09-2014 1 Dandri Wau 82273814784 Siforasi 1 1 07-04-2019 13.9 91 2 1

18 16-09-2014 1 Rosa Seprilia Tel 82273814784 Siforasi 1 1 07-04-2019 13.5 95 2 1

19 21-10-2014 1 Arkin Fidel Taf `1214021309730005 82273814784 Siforasi 1 1 07-04-2019 13.5 92 2 1

20 05-11-2014 2 Laura Velisia Tel 82273814784 Siforasi 1 1 07-04-2019 13.6 96 2 1

21 16-11-2014 2 Felisia Arora Tel 82273814784 Siforasi 1 1 07-04-2019 13.8 93 2 1

22 17-11-2014 2 Sriwahyuni Tel 82273814784 Siforasi 1 1 07-04-2019 13.5 95 2 1

23 20-12-2014 1 Andrean Taf 82273814784 Siforasi 1 1 07-04-2019 12.5 92 2 1

24 2 27-12-2014 1 Jhon Wirawan Tel 82273814784 Siforasi 1 1 07-04-2019 17.1 91 2 1

25 06-02-2015 2 Selvin Betrin Taf 82273814784 Siforasi 1 1 07-04-2019 11.5 92 2 1

26 11-02-2015 1 Gabriel harefa 82273814784 Siforasi 1 1 07-04-2019 12.5 91 2 1

29 03-03-2015 1 Herdanafai laoli 82273814784 Siforasi 1 1 07-04-2019 13.2 90 2 1

30 05-03-2015 1 Devan rayman tel 82273814784 Siforasi 1 1 07-04-2019 10.7 89 2 1

31 4 13-03-2015 1 Edison nduru 82273814784 Siforasi 1 1 07-04-2019 10.5 88 2 1

33 16-03-2015 2 Arisman ndruru 82273814784 Siforasi 1 1 07-04-2019 9.7 88 2 1

34 22-04-2015 2 Putri Alfitrin batee 82273814784 Siforasi 1 1 07-04-2019 13.5 87 2 1

35 02-05-2015 2 Elsa iman hati Taf 82273814784 Siforasi 1 1 07-04-2019 12.7 94 2 1

36 1 13-05-2015 1 Via Lolo Putra Tel 82273814784 Siforasi 1 1 07-04-2019 11.2 96 2 1

37 26-05-2015 2 Ketty miliana Taf 82273814784 Siforasi 1 1 07-04-2019 11.2 96 2 1

38 05-06-2015 1 Rafael Forden Taf 82273814784 Siforasi 1 1 07-04-2019 13.5 98 2 1

39 06-06-2015 1 Ardin putra tel 82273814784 Siforasi 1 1 07-04-2019 12.1 89 2 1

40 1 15-06-2015 2 Rachel putri 82273814784 Siforasi 1 1 07-04-2019 11.1 90 2 1

41 18-06-2015 2 Vivin valda Ndruru 82273814784 Siforasi 1 1 07-04-2019 11.1 89 2 1

42 26-07-2016 1 Albert Giawa 82273814784 Siforasi 1 1 07-04-2019 11.9 90 2 1

43 04-08-2015 2 Betvania Tel 82273814784 Siforasi 1 1 07-04-2019 14.8 87 2 1

44 11-08-2015 1 Julfan Tel 82273814784 Siforasi 1 1 07-04-2019 15.7 89 2 1

45 04-09-2015 1 Arlando arsenio 82273814784 Siforasi 1 1 07-04-2019 12.1 90 2 1

46 06-09-2015 2 Almetha bellicia 82273814784 Siforasi 1 1 07-04-2019 11.9 89 2 1

(5) (6=5/4100) (7) (9) (10) (11=10/9100) (12)

(5) (6=5/4100) (7) (9) (10) (11=10/9100) (12)

(5) (6=5/4100) (7) (9) (10) (11=10/9100) (12)

(5) (6=5/4100) (7) (9) (10) (11=10/9100) (12)