Nama TGL LAHIR JAN FEB MAR APR MEI JUN JUL

No NAMA ANAK ORTU TGL BLN THN BB TB BB TB Vit.A Vit.A ASI-E BB TB BB TB BB TB BB TB BB

( Kg ) ( Cm ) ( Kg ) ( Cm ) Biru Merah Ya Tdk ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg )

1 Diana HJ. HOSNIFAH 5 5 15 13.8 12.8

2 Widya Putri BUSINI 5 8 15 10.7 91 10.9 92 1 11.4 11.4 11.6
3 M.Hamdan DASIYAH 13 8 15 13.7 93 1 13.7 84 14.5 15.4 15.7
4 Nadya Alysa Az Zahra ROHMAH 15 9 15 11.7 12
5 M. Irzam SUNAYYAH 10 11 15 14.4 100 1 13.8 13.5
6 Najwa Azkiyatul Laili NUR ROHMAH 22 4 16 10.2 9.8 9.6
7 Dimas Asy Syari fain SRI WAHYUNI 30 5 16 10.7 10.6
8 Moh. Efendi BUNAMI 17 7 16 10 81 10.7 86 1 10.4 81 10.8 12.1 11.1
9 Khomsatul Farida LUTFIYAH 30 7 16 11 11.7
10 Aulia Izzatun Nisa RINI HARYANTI 17 10 16 10.9
11 Ach. Dafkya ENI 31 11 16
12 M. Jafarul Amin HOLIFAH 15 1 17 9 80 1 10 10.3 12
13 Moh. Ulil Abror SUNAIZAH 19 3 17 9.9 9.1 10
14 Achmad Farel Aprilio SUADAH 18 4 17 9 84 1 11.5 12 12
15 Aila ulil Mudtazah AZIZAH 20 8 17 8.8 85 1 7.2 73 7.5 7.2 8.6 7.9
16 Ach. Faisol SANTI 20 7 15
17 Fera Aulia Ningsih MAIZAH 23 8 15 11.6 12.9
18 Moh. Noval Maulana TUTIK HANDAYANI 11 1 15 13.4
19 Alika Naila Putri HANDAYANI 19 1 15 11.2 91 11.2 90 11.8 12.4
20 Akbar Wijaya JUMAINAH 19 11 15 11.4 93 11.7 12.5 13
21 Uswatun Hasanah YAMI 9 12 15 12.3 90 12.6 88 1 12.7 13.1
22 Risya Naf'a Auna TITIK HOLIFAH 2 2 15 11.5 95 11.7 96 1 11.8 94 11.7 11.9 12.3
23 M. Robbi Apriyanto ARSIYA 28 4 16 9.1 79 9.3 10.2
24 Moh. Ferdi Firmansyah SUPATYA 24 5 16 10.3 87 11 88 11.2 11.7 11.8
25 Aldo Romadon SUMIATI 15 6 16 10 85 ### 10.8 ### 10.6 ### 10.7 ### 11.2
26 Ach. Al Farisi ROHMAH 16 7 16 10.2 83 11.1
27 Aulia Izzati Nisa SUMNA 20 8 16 9
28 Sofiatul Riskiyah MAIDAH 21 8 16 8.5 84 13.6 87 1 8.8 79 9.4 8.6 9.4 9.6
29 M. Efendi SUMI'AH 27 11 16 9.8 83 1 11.1 10.3 11.3
30 M.Rizal RUSNIYAH 21 4 17 9.8 84 8.8 12.3
31 St. Fatimah HAMIDAH 22 4 16 11
32 Wardatus Soleha SUANA 30 7 17 8.1 71 8.8 72 1 8.3 76 8.6 8.9 9.3
33 M. Aqilul Azam ST AMINA 20 2 16
34 Zanna Kirania Oktavia RUMYATI 3 10 17 9.2 77 8.7 80 1 9.8 10 10.7
35 M. Rehan JUMA'ANI 30 10 17 7 67 6.7 71 1 7.2 73 6.4 7.6 8 8.2
36 Habibur Rahman ROHMAH 15 10 15 10.5 84 10.6 88 1 10.9 86 10.5 11.4 11.6
37 M. Angga Firmansyah HASINAH 23 12 17 5.7 70 6.2 6.9 7.6
38 sitti Hadijah Humayroh SAMSIYAH 10 2 18 5.3 62 1 5.4 64 5.5 6 7 6.8
39 Althaf Nabil Mustafa RINI HARYANTI 18 3 18 7.7 8.2
40 Putri Rizqi Nur Illahi SUBAINA 4 5 18 8 8.9
41 Khayla Almira R. BADRIYAH 27 5 18 5.6 65 1 7 66 7 7.8 8.3
42 Rara Amelia IDA ROSITA 31 5 18 6.4 61 6.7 67 1 6.6 72 7.1 8 7.8
43 M. Fahrul Zaidan FITRIYAH 12 4 18 8.2 71 1 7.6 73 8 8 8.6 8.3
44 moh.Alfan TUMINA 15 6 18 7 64 7.2 66 1 7.2 71 7.2 6.7 7.4 7.9
45 Diana Dzurriyatul jannah MISRIYAH 25 6 18 7.3 8
46 Nabilatul Lutfiyah SUBAINI 18 7 18 6.4 60 1 6.3 69 7.3 7.9
47 Ayu Dewi Larasati ROHEMAH 11 9 18 5.7 62 6.8 63 1 7.5 7.6 7.9
48 Moh. Kenda Radika MAIZAH 13 8 18 5.8 62 1 1 7.1 66 6.5 6.9 6 5.9
49 Abidah Hilyatul Atqiya' TITIK HOLIFAH 17 10 18 5 57 6 59 1 6.7 64 6.8 6.9 7.4
50 KEISYA ZAHIRA PUTRI ROSIDAH 27 12 18 6.8 8.2 8.1 8.5
51 Alfina Damayanti nurul aeni 20 3 19 5.5 5 5.5 6
52 Amelia Apriliawati suti'ah 1 4 19 3 4 4.5 5
53 Hafizah Syakila Handayanpatini 29 4 19 3.4 4.2 5.2
54 Istaughfir Laili kurotul aini 2 5 19 3.6 5
55 Alifa Kamelia SULIHATI 6 11 18 7 7.8 8.2
56 Faza Akbar Ramadan Sukiyah 15 5 19 3 4.5 5.8
57 Arda Raka Agustiano Rusmiyati 27 9 18 6 7.8
58 ahmad al azis novi 24 5 19 3
59 arifin ilham yuliati 7 7 19 3
60 rafi ahmad fitriyah 9 6 19 2.7 3.5
61 st. aisyah norsidah 9 7 19 3.2
62 moh.hoirul adam faiq titik sandora 25 8 19
63 moh. kholilurrohman mailah 16 8 19
64 khofifah khaila khalilah hasinah 23 8 19
65 moh. Ibrohim Mahbubah 13 9 18
66 laili salim DASIYAH 13 9 19
67 SIti Nur Aisyah rahmawati 3 11 18
68 Wahyu hidayat rohmah 28 1 20
69 Regina Safitri pusani 17 1 20
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
JUL AGUST SEP OKT NOV DES
TB BB TB Vit.A Vit.A ASI-E BB TB BB TB BB TB BB TB

( Cm ) ( Kg ) ( Cm ) Biru Merah Ya Tdk ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm )

13.2 101 14.3

13 98 1 12 13 13.9
17.7 98 1 17 16.2

14 104 1 14.8
9 90 9.7 10.2
13 95 13.8
11 86 1 11.3 12 13.3 11.7
12.3 88 13.9
14 87 14
14 88
12.9 87 1 13.7 14.2
9.8 89 11.9 10
13.4 89 1 14 13.1 14
7.9 76 1 8 9.4 8.7

12.1 95 12.6 13.6

14.2 99 15 16 16.5
12.1 97.6 12.6 13 12.8 12
14 95 14.8 13.1 14
14 96 1 13.7 14 14.3 14
12.2 102 1 13 14 12.8
11.7 100 9.4 10 11 8
13 95 7.4 7.9 13.1
### 11.3 91 ### 12 ### 11.6 ### 12 ###
13 89.2 12 11.8
12.9 89 12.5 13 13
9.3 89 1 9.3 9 9.6 10
10 89 1 10.6 11.4 11
12.2 89 12.7 12.5 11

9.6 80 1 10.2 10 11.7 10

10 88 1 11.3 12 12.8 13
8.6 78.6 1 8.4 8 8.6 9
12 94.2 1 11.4 11 11.4 11
7.5 76 7.4 7.8 7.8
6.6 72 1 7.5 7.5
8.8 73.2 8.9 9
7.7 76.5 8 8.5
8.2 77 1 8.8 8.2 9
8.4 76.8 1 8.9 9.3 9
9.1 76 1 9.8 9.9
8.6 72 1 8.5 9 9.5 9
9 74 9 9.4 9.4 9
7.7 70 1 7.5 8.3
8.5 70 1 9.3 9
7.9 73 1 1 7.8 8.4
8 78 1 8 8.7 7.9
9.2 72 10.5 9.2 9
6.9 65 7.4 8 7.2
5.7 61 6.5 6.5 7.4
6.3 63 7 7.3 7 7.4
5.7 61 6.6 7.5 7
8.8 72 8.5 6.5 7
7 63 7.6 8.4 8 8.6
8.5 77 8.5 7.9
5.7 60 6.4 6
5 53 5 5.5 5.5 6.3
5.1 57 5.4 6.4 6.5 6.3
4.5 52 5.3 5.5 6 6
2.7 48 5 5.9 6.8
3.3 50 5 6.3 6.9
3.2 50 4.5 5.9 6.3 6.8
7 7.6 8
4 5.3 3.7
7.5
 Nama TGL LAHIR JAN FEB MAR APR MEI JUN JUL AGUS
No NAMA ANAK ORTU TGL BLN THN BB TB BB TB Vit.A Vit.A ASI-E BB TB BB TB BB TB BB TB BB TB BB TB
( Kg ) ( Cm ) ( Kg ) ( Cm ) Biru Merah Ya Tdk ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm )

1 Fina Nurun Najmi RUSMIYATI 18 3 15 13.8 12.8 13.2 101

2 Ahmad Ridwan Kamil HANIFAH 12 4 16 10.7 91 10.9 92 1 11.4 11.4 11.6 13 98
3 Bilqis AISYAH 12 7 16 13.7 93 1 13.7 84 14.5 15.4 15.7 17.7 98
4 Zidna Arifan Nur Aisyah MAMAH MIFTA D 8 1 17 11.7 12
5 M. Azemi Hibatullah JUHAIRIYAH 23 1 17 14.4 100 1 13.8 13.5 14 104
6 Alifah MAISYAROH 15 2 17 10.2 9.8 9.6 9 90
7 m. azka Al ghifari IMROATUS S 21 7 18 10.7 10.6 13 95
8 Ahmad Haidar HOSNIFAH 11 10 18 10 81 10.7 86 1 10.4 81 10.8 12.1 11.1 11 86
9 Alifa Fikria Rabbani ST FATIMA 27 9 18 11 11.7 12.3 88
10 Elisya Korina Indri SOFIYAH 12 5 15 10.9 14 87
11 moh.fahmi RISKIYAH 22 2 19 14 88
12 khoirina cahayani saniyah 1 8 19 9 80 1 10 10.3 12 12.9 87
13 dini islami hosna 5 8 19 9.9 9.1 10 9.8 89
14 9 84 1 11.5 12 12 13.4 89
15 8.8 85 1 7.2 73 7.5 7.2 8.6 7.9 7.9 76
16
17 11.6 12.9 12.1 95
18 13.4 14.2 99
19 11.2 91 11.2 90 11.8 12.4 12.1 97.6
20 11.4 93 11.7 12.5 13 14 95
21 12.3 90 12.6 88 1 12.7 13.1 14 96
22 11.5 95 11.7 96 1 11.8 94 11.7 11.9 12.3 12.2 102
23 9.1 79 9.3 10.2 11.7 100
24 10.3 87 11 88 11.2 11.7 11.8 13 95
25 10 85 ### 10.8 ### 10.6 ### 10.7 ### 11.2 ### 11.3 91
AGUST SEP OKT NOV DES
Vit.A Vit.A ASI-E BB TB BB TB BB TB BB TB
Biru Merah Ya Tdk ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm )

14.3
1 12 13 13.9
1 17 16.2

1 14.8
9.7 10.2
13.8
1 11.3 12 13.3 11.7
13.9
14

1 13.7 14.2
11.9 10
1 14 13.1 14
1 8 9.4 8.7

12.6 13.6
15 16 16.5
12.6 13 12.8 12
14.8 13.1 14
1 13.7 14 14.3 14
1 13 14 12.8
9.4 10 11 8
7.4 7.9 13.1
### 12 ### 11.6 ### 12 ###
 Nama TGL LAHIR JAN FEB MAR APR MEI JUN JUL
No NAMA ANAK ORTU TGL BLN THN BB TB BB TB Vit.A Vit.A ASI-E BB TB BB TB BB TB BB TB BB
( Kg ) ( Cm ) ( Kg ) ( Cm ) Biru Merah Ya Tdk ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg )

1 M. Fahmi ANNIYAH 20 2 15 13.8 12.8

2 Alfiatul Maghfiroh SUNAYYAH 21 4 15 10.7 91 10.9 92 1 11.4 11.4 11.6
3 St. Maisaroh JEMANI 20 5 15 13.7 93 1 13.7 84 14.5 15.4 15.7
4 Salman Al Farisi HOTIMAH 11 3 16 11.7 12
5 Balqis Zahra Madania MAISYAROH 27 2 15 14.4 100 1 13.8 13.5
6 Alika Naila Salsabila MISYATI 12 9 15 10.2 9.8 9.6
7 M. Fauzi LILIK K 25 12 15 10.7 10.6
8 Alfiza SUFIATUN 17 8 16 10 81 10.7 86 1 10.4 81 10.8 12.1 11.1
9 Maulidya Shidqia Rahman MAHBUBAH 16 12 16 11 11.7
10 Iftitah Nayla Khalisa NURUL AINI 12 1 17 10.9
11 Syarifa Wulandari JUMA'ANI 27 4 17
12 Zainal Arifin ERNAWATI 30 6 17 9 80 1 10 10.3 12
13 M. Azka Habibullah MALIYAH 20 7 17 9.9 9.1 10
14 Faiqur Rahman MANIYAH 3 9 16 9 84 1 11.5 12 12
15 Ach.Fais Ramadani SUMIATI 22 6 17 8.8 85 1 7.2 73 7.5 7.2 8.6 7.9
16 M. Adam Husein ST ROMLAH 25 7 16
17 Diana Syauqia Maulidya ROJULAH 9 12 16 11.6 12.9
18 Aina Talita Wilda NAWATI 25 1 17 13.4
19 Abdul Qodir SUPIYAH 20 6 17 11.2 91 11.2 90 11.8 12.4
20 M.Ainur Ridho Wahyudi BAQIATUS S 15 2 18 11.4 93 11.7 12.5 13
21 Zahratul Aini KUROTUL AINI 8 3 15 12.3 90 12.6 88 1 12.7 13.1
22 Moch. Abizard Raufa ANTIN NISA 12 3 18 11.5 95 11.7 96 1 11.8 94 11.7 11.9 12.3
23 Olif Mareta Hariyanti YANTI 15 3 18 9.1 79 9.3 10.2
24 Irhani Sabiya Sima SUTIHAH 1 4 18 10.3 87 11 88 11.2 11.7 11.8
25 Rafardan Atoilah ZAINAB 25 5 18 10 85 #REF! 10.8 #REF! 10.6 #REF! 10.7 #REF! 11.2
26 Indana Faradisul jihan ERNAWATI 10 6 18 10.2 83 11.1
27 Ayatul Husna AMINATUS Z 4 3 19 9
28 M. Umar Faruk SUADAH 22 11 18 8.5 84 13.6 87 1 8.8 79 9.4 8.6 9.4 9.6
29 Arina Safa JUHAIRIYAH 29 9 18 9.8 83 1 11.1 10.3 11.3
30 Arini Sifa JUHAIRIYAH 29 9 18 9.8 84 8.8 12.3
31 siti munawaroh hozaimah 30 4 19 11
40 Salman Al Farisi mawaddah 19 7 19 8.1 71 8.8 72 1 8.3 76 8.6 8.9 9.3
41 Farhan Ali sidah 2 8 19
42 Tri Amira Hidayah SUMIATI 26 9 19 9.2 77 8.7 80 1 9.8 10 10.7
43 7 67 6.7 71 1 7.2 73 6.4 7.6 8 8.2
44 10.5 84 10.6 88 1 10.9 86 10.5 11.4 11.6
45 5.7 70 6.2 6.9 7.6
46 5.3 62 1 5.4 64 5.5 6 7 6.8
47 7.7 8.2
48 8 8.9
49 5.6 65 1 7 66 7 7.8 8.3
50 6.4 61 6.7 67 1 6.6 72 7.1 8 7.8
JUL AGUST SEP OKT NOV DES
TB BB TB Vit.A Vit.A ASI-E BB TB BB TB BB TB BB TB
( Cm ) ( Kg ) ( Cm ) Biru Merah Ya Tdk ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm )

13.2 101 14.3

13 98 1 12 13 13.9
17.7 98 1 17 16.2

14 104 1 14.8
9 90 9.7 10.2
13 95 13.8
11 86 1 11.3 12 13.3 11.7
12.3 88 13.9
14 87 14
14 88
12.9 87 1 13.7 14.2
9.8 89 11.9 10
13.4 89 1 14 13.1 14
7.9 76 1 8 9.4 8.7

12.1 95 12.6 13.6

14.2 99 15 16 16.5
12.1 97.6 12.6 13 12.8 12
14 95 14.8 13.1 14
14 96 1 13.7 14 14.3 14
12.2 102 1 13 14 12.8
11.7 100 9.4 10 11 8
13 95 7.4 7.9 13.1
#REF! 11.3 91 #REF! 12 #REF! 11.6 #REF! 12 #REF!
13 89.2 12 11.8
12.9 89 12.5 13 13
9.3 89 1 9.3 9 9.6 10
10 89 1 10.6 11.4 11
12.2 89 12.7 12.5 11

9.6 80 1 10.2 10 11.7 10

10 88 1 11.3 12 12.8 13
8.6 78.6 1 8.4 8 8.6 9
12 94.2 1 11.4 11 11.4 11
7.5 76 7.4 7.8 7.8
6.6 72 1 7.5 7.5
8.8 73.2 8.9 9
7.7 76.5 8 8.5
8.2 77 1 8.8 8.2 9
8.4 76.8 1 8.9 9.3 9
 Nama TGL LAHIR JAN FEB MAR APR MEI JUN JUL

No NAMA ANAK
ORTU TGL BLN THN BB TB BB TB Vit.A Vit.A ASI-E BB TB BB TB BB TB BB TB BB
( Kg ) ( Cm ) ( Kg ) ( Cm ) Biru Merah Ya Tdk ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg )

1 Abizhar Al Ghifari ROMLAH 22 4 15 13.8 12.8

2 Alisha Khaira Wilda SUSANTI 27 5 15 10.7 91 10.9 92 1 11.4 11.4 11.6
3 M. Dzikri Ramadani HOZAIMAH 26 7 15 13.7 93 1 13.7 84 14.5 15.4 15.7
4 M. Akil Amin JAMILA 9 8 15 11.7 12
5 Wardatul Hamroh RUSMIYATI 2 9 15 14.4 100 1 13.8 13.5
6 Adelia Zahrah NUR HAYATI 3 3 16 10.2 9.8 9.6
7 Putri Aisyah UMAMAH 8 4 16 10.7 10.6
8 Uswatun Hasanah ROSIDAH 12 4 16 10 81 10.7 86 1 10.4 81 10.8 12.1 11.1
9 Amelia SUHARTINI 12 2 16 11 11.7
10 Fajrian Ramadani FARIHATUL J 22 6 16 10.9
11 Aurin Putri Ramadani KHOTIJAH 26 6 16
12 Jihan Nakaila Fakhirah FARIDATUS S 6 9 16 9 80 1 10 10.3 12
13 Najwa Khaira Wilda RUSMIYATI 12 9 16 9.9 9.1 10
14 Bilqis Faino R. SUSILOWATI 26 3 15 9 84 1 11.5 12 12
15 M. Al Fatih BAITUR ROHMAH 2 4 17 8.8 85 1 7.2 73 7.5 7.2 8.6 7.9
16 Sri Wahyuni SAKINAH 17 3 17
17 M. Reza Radiansyah WATIATUL W 1 4 17 11.6 12.9
18 St. Humairoh IDA AMROINI 23 4 17 13.4
19 Aisyah Sifa H. SUMIATI 15 11 16 11.2 91 11.2 90 11.8 12.4
20 Safiratul Jannah SAHRIYAH 30 7 16 11.4 93 11.7 12.5 13
21 Safaratus Syafaah SAHRIYAH 30 7 16 12.3 90 12.6 88 1 12.7 13.1
22 M. Taufikur Rahman MAISYAROH 28 10 17 11.5 95 11.7 96 1 11.8 94 11.7 11.9 12.3
23 Andika Azka Rafasha ROMLAH 15 1 18 9.1 79 9.3 10.2
24 Inayah SUHARTATIK 19 4 18 10.3 87 11 88 11.2 11.7 11.8
25 Cahya walli Saputra SRIYANA 25 4 18 10 85 ### 10.8 ### 10.6 ### 10.7 ### 11.2
26 Hafizah Nita Ramadania HASUNAH 23 5 18 10.2 83 11.1
27 Nafisatul Laili HAKIMAH 31 8 18 9
28 Ach. Fauzi ASMAWATI 3 11 18 8.5 84 13.6 87 1 8.8 79 9.4 8.6 9.4 9.6
29 Siti Nur Afifah SAKIMAH 9 12 18 9.8 83 1 11.1 10.3 11.3
30 Salman Al Farizi HOZAIMAH 1 1 19 9.8 84 8.8 12.3
31 syafiul umam hosaimah 28 6 19 11
32 tasya mulya az zahra putri indah lestari 29 6 19 8.1 71 8.8 72 1 8.3 76 8.6 8.9 9.3
33 moh. Habibi wildan ali FARIHATUL J 1 8 19
34 rayhan afif achmad ROMLAH 9 8 19 9.2 77 8.7 80 1 9.8 10 10.7
35 ach fais holifah 19 9 19 7 67 6.7 71 1 7.2 73 6.4 7.6 8 8.2
36 adam m. jumaiyah 2 10 19 10.5 84 10.6 88 1 10.9 86 10.5 11.4 11.6
37 bachtiar al mustofa jufri zainab 10 10 19 5.7 70 6.2 6.9 7.6
38 5.3 62 1 5.4 64 5.5 6 7 6.8
39 7.7 8.2
40 8 8.9
41 5.6 65 1 7 66 7 7.8 8.3
42 6.4 61 6.7 67 1 6.6 72 7.1 8 7.8
43 8.2 71 1 7.6 73 8 8 8.6 8.3
44 7 64 7.2 66 1 7.2 71 7.2 6.7 7.4 7.9
45 7.3 8
46 6.4 60 1 6.3 69 7.3 7.9
47 5.7 62 6.8 63 1 7.5 7.6 7.9
48 5.8 62 1 1 7.1 66 6.5 6.9 6 5.9
49 5 57 6 59 1 6.7 64 6.8 6.9 7.4
50 6.8 8.2 8.1 8.5
JUL AGUST SEP OKT NOV DES

TB BB TB Vit.A Vit.A ASI-E BB TB BB TB BB TB BB TB

( Cm ) ( Kg ) ( Cm ) Biru Merah Ya Tdk ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm )

13.2 101 14.3

13 98 1 12 13 13.9
17.7 98 1 17 16.2

14 104 1 14.8
9 90 9.7 10.2
13 95 13.8
11 86 1 11.3 12 13.3 11.7
12.3 88 13.9
14 87 14
14 88
12.9 87 1 13.7 14.2
9.8 89 11.9 10
13.4 89 1 14 13.1 14
7.9 76 1 8 9.4 8.7

12.1 95 12.6 13.6

14.2 99 15 16 16.5
12.1 97.6 12.6 13 12.8 12
14 95 14.8 13.1 14
14 96 1 13.7 14 14.3 14
12.2 102 1 13 14 12.8
11.7 100 9.4 10 11 8
13 95 7.4 7.9 13.1
### 11.3 91 ### 12 ### 11.6 ### 12 ###
13 89.2 12 11.8
12.9 89 12.5 13 13
9.3 89 1 9.3 9 9.6 10
10 89 1 10.6 11.4 11
12.2 89 12.7 12.5 11

9.6 80 1 10.2 10 11.7 10

10 88 1 11.3 12 12.8 13
8.6 78.6 1 8.4 8 8.6 9
12 94.2 1 11.4 11 11.4 11
7.5 76 7.4 7.8 7.8
6.6 72 1 7.5 7.5
8.8 73.2 8.9 9
7.7 76.5 8 8.5
8.2 77 1 8.8 8.2 9
8.4 76.8 1 8.9 9.3 9
9.1 76 1 9.8 9.9
8.6 72 1 8.5 9 9.5 9
9 74 9 9.4 9.4 9
7.7 70 1 7.5 8.3
8.5 70 1 9.3 9
7.9 73 1 1 7.8 8.4
8 78 1 8 8.7 7.9
9.2 72 10.5 9.2 9
 Nama TGL LAHIR JAN FEB MAR APR MEI JUN JUL
No NAMA ANAK ORTU TGL BLN THN BB TB BB TB Vit.A Vit.A ASI-E BB TB BB TB BB TB BB TB BB TB
( Kg ) ( Cm ) ( Kg ) ( Cm ) Biru Merah Ya Tdk ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm )

1 M. Amir Arsyad Rizali MISNANI 22 11 16 13.8 12.8

2 Anindita Keza Zahra NUR HAYATI 20 9 15 10.7 91 10.9 92 1 11.4 11.4 11.6
3 M. Rifai MUNIRAH 29 4 16 13.7 93 1 13.7 84 14.5 15.4 15.7
4 Adam Fais Al Arkhan LISA UMAMI 8 2 17 11.7 12
5 Shinta Dwi Aulia JUMAIYAH 27 2 18 14.4 100 1 13.8 13.5
6 M. Afnan Rizali MISNANI 12 5 18 10.2 9.8 9.6
7 Nadira Az Zahra ST KHOTIJA 25 10 18 10.7 10.6
8 St. khusnul H JUMLANI 23 2 19 10 81 10.7 86 1 10.4 81 10.8 12.1 11.1
9 st. hafifah F umi farida 7 6 19 11 11.7
10 10.9
11
12 9 80 1 10 10.3 12
13 9.9 9.1 10
14 9 84 1 11.5 12 12
15 8.8 85 1 7.2 73 7.5 7.2 8.6 7.9
16
17 11.6 12.9
18 13.4
19 11.2 91 11.2 90 11.8 12.4
20 11.4 93 11.7 12.5 13
 AGUST SEP OKT NOV DES
BB TB Vit.A Vit.A ASI-E BB TB BB TB BB TB BB TB
( Kg ) ( Cm ) Biru Merah Ya Tdk ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm ) ( Kg ) ( Cm )

13.2 101 14.3

13 98 1 12 13 13.9
17.7 98 1 17 16.2

14 104 1 14.8
9 90 9.7 10.2
13 95 13.8
11 86 1 11.3 12 13.3 11.7
12.3 88 13.9
14 87 14
14 88
12.9 87 1 13.7 14.2
9.8 89 11.9 10
13.4 89 1 14 13.1 14
7.9 76 1 8 9.4 8.7

12.1 95 12.6 13.6

14.2 99 15 16 16.5
12.1 97.6 12.6 13 12.8 12
14 95 14.8 13.1 14
 REGISTER PELAYANA
IBU HAMIL

DESA : RANG PERANG L

ELAYANAN
AMIL

ERANG LAOK
 TGL LAHIR
HBO (0-7 DPT-HB- DPT-HB- DPT-HB-
No NAMA ANAK Nama Ortu BCG POLIO1 POLIO 2 POLIO 3
HARI ) Hib(1) Hib(2) Hib(3)
TGL BLN THN

1 Diana HJ. HOSNIFAH 5 5 15

2 Widya Putri BUSINI 5 8 15

3 M.Hamdan DASIYAH 13 8 15

4 Nadya Alysa Az Zahra ROHMAH 15 9 15

5 M. Irzam SUNAYYAH 10 11 15

6 Najwa Azkiyatul Laili NUR ROHMAH 22 4 16

7 Dimas Asy Syari fain SRI WAHYUNI 30 5 16

8 Moh. Efendi BUNAMI 17 7 16

9 Khomsatul Farida LUTFIYAH 30 7 16

10 Aulia Izzatun Nisa RINI HARYANTI 17 10 16

11 Ach. Dafkya ENI 31 11 16

12 M. Jafarul Amin HOLIFAH 15 1 17

13 Moh. Ulil Abror SUNAIZAH 19 3 17

14 Achmad Farel Aprilio SUADAH 18 4 17

15 Aila ulil Mudtazah AZIZAH 20 8 17

16 Ach. Faisol SANTI 20 7 15

17 Fera Aulia Ningsih MAIZAH 23 8 15

18 Moh. Noval Maulana TUTIK HANDAYANI 11 1 15

19 Alika Naila Putri HANDAYANI 19 1 15

20 Akbar Wijaya JUMAINAH 19 11 15

21 Uswatun Hasanah YAMI 9 12 15

22 Risya Naf'a Auna TITIK HOLIFAH 2 2 15

23 M. Robbi Apriyanto ARSIYA 28 4 16

24 Moh. Ferdi Firmansyah SUPATYA 24 5 16

25 Aldo Romadon SUMIATI 15 6 16

26 Ach. Al Farisi ROHMAH 16 7 16

27 Aulia Izzati Nisa SUMNA 20 8 16

28 Sofiatul Riskiyah MAIDAH 21 8 16

29 M. Efendi SUMI'AH 27 11 16

30 M.Rizal RUSNIYAH 21 4 17

31 St. Fatimah HAMIDAH 22 4 16

32 Wardatus Soleha SUANA 30 7 17

33 M. Aqilul Azam ST AMINA 20 2 16

34 Zanna Kirania Oktavia RUMYATI 3 10 17

35 M. Rehan JUMA'ANI 30 10 17

36 Habibur Rahman ROHMAH 15 10 15

37 M. Angga Firmansyah HASINAH 23 12 17

38 sitti Hadijah Humayroh SAMSIYAH 10 2 18

39 Althaf Nabil Mustafa RINI HARYANTI 18 3 18

40 Putri Rizqi Nur Illahi SUBAINA 4 5 18

41 Khayla Almira R. BADRIYAH 27 5 18

42 Rara Amelia IDA ROSITA 31 5 18

43 M. Fahrul Zaidan FITRIYAH 12 4 18

44 moh.Alfan TUMINA 15 6 18

45 Diana Dzurriyatul jannah MISRIYAH 25 6 18

46 Nabilatul Lutfiyah SUBAINI 18 7 18

47 Ayu Dewi Larasati ROHEMAH 11 9 18

48 Moh. Kenda Radika MAIZAH 13 8 18

49 Abidah Hilyatul Atqiya' TITIK HOLIFAH 17 10 18

50 KEISYA ZAHIRA PUTRI ROSIDAH 27 12 18

51 Alfina Damayanti nurul aeni 20 3 19

52 Amelia Apriliawati suti'ah 1 4 19

53 Hafizah Syakila Handayani patini 29 4 19

54 Istaughfir Laili kurotul aini 2 5 19

55 Alifa Kamelia SULIHATI 6 11 18

56 Faza Akbar Ramadan Sukiyah 15 5 19

57 Arda Raka Agustiano Rusmiyati 27 9 18

58 ahmad al azis novi 24 5 19

59 arifin ilham yuliati 7 7 19

60 rafi ahmad fitriyah 9 6 19

61 st. aisyah norsidah 9 7 19

62 moh.hoirul adam faiq titik sandora 25 8 19

63 moh. kholilurrohman mailah 16 8 19

64 khofifah khaila khalilah hasinah 23 8 19

65 moh. Ibrohim Mahbubah 13 9 18

66 laili salim DASIYAH 13 9 19

67 SIti Nur Aisyah rahmawati 3 11 18

68 Wahyu hidayat rohmah 28 1 20

69 Regina Safitri pusani 17 1 20

70

71

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

87
88

89

90

91

92

93

94

95

96

97

98

99

100

TGL LAHIR HBO (0-7 DPT-HB- DPT-HB- DPT-HB-

No NAMA ANAK Nama Ortu BCG POLIO1 POLIO 2 POLIO 3
HARI ) Hib(1) Hib(2) Hib(3)
TGL BLN THN

1 M. Amir Arsyad Rizali MISNANI 22 11 16

2 Anindita Keza Zahra NUR HAYATI 20 9 15

3 M. Rifai MUNIRAH 29 4 16

4 Adam Fais Al Arkhan LISA UMAMI 8 2 17

5 Shinta Dwi Aulia JUMAIYAH 27 2 18

6 M. Afnan Rizali MISNANI 12 5 18

7 Nadira Az Zahra ST KHOTIJA 25 10 18

8 St. khusnul H JUMLANI 23 2 19

9 st. hafifah F umi farida 7 6 19

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29
30

TGL LAHIR HBO (0-7 DPT-HB- DPT-HB- DPT-HB-

No NAMA ANAK Nama Ortu BCG POLIO1 POLIO 2 POLIO 3
HARI ) Hib(1) Hib(2) Hib(3)
TGL BLN THN

1 Fina Nurun Najmi RUSMIYATI 18 3 15

2 Ahmad Ridwan Kamil HANIFAH 12 4 16

3 Bilqis AISYAH 12 7 16

4 Zidna Arifan Nur Aisyah MAMAH MIFTA D 8 1 17

5 M. Azemi Hibatullah JUHAIRIYAH 23 1 17

6 Alifah MAISYAROH 15 2 17

7 m. azka Al ghifari IMROATUS S 21 7 18

8 Ahmad Haidar HOSNIFAH 11 10 18

9 Alifa Fikria Rabbani ST FATIMA 27 9 18

10 Elisya Korina Indri SOFIYAH 12 5 15

11 moh.fahmi RISKIYAH 22 2 19

12 khoirina cahayani saniyah 1 8 19

13 dini islami hosna 5 8 19

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

TGL LAHIR HBO (0-7 DPT-HB- DPT-HB- DPT-HB-

No NAMA ANAK Nama Ortu HARI ) BCG POLIO1 Hib(1) POLIO 2 Hib(2) POLIO 3 Hib(3)
TGL BLN THN

1 M. Fahmi ANNIYAH 20 2 15

2 Alfiatul Maghfiroh SUNAYYAH 21 4 15

3 St. Maisaroh JEMANI 20 5 15

4 Salman Al Farisi HOTIMAH 11 3 16

5 Balqis Zahra Madania MAISYAROH 27 2 15

6 Alika Naila Salsabila MISYATI 12 9 15

7 M. Fauzi LILIK K 25 12 15

8 Alfiza SUFIATUN 17 8 16

9 Maulidya Shidqia Rahman MAHBUBAH 16 12 16

10 Iftitah Nayla Khalisa NURUL AINI 12 1 17

11 Syarifa Wulandari JUMA'ANI 27 4 17

12 Zainal Arifin ERNAWATI 30 6 17

13 M. Azka Habibullah MALIYAH 20 7 17

14 Faiqur Rahman MANIYAH 3 9 16

15 Ach.Fais Ramadani SUMIATI 22 6 17

16 M. Adam Husein ST ROMLAH 25 7 16

17 Diana Syauqia Maulidya ROJULAH 9 12 16

18 Aina Talita Wilda NAWATI 25 1 17

19 Abdul Qodir SUPIYAH 20 6 17

20 M.Ainur Ridho Wahyudi BAQIATUS S 15 2 18

21 Zahratul Aini KUROTUL AINI 8 3 15

22 Moch. Abizard Raufa ANTIN NISA 12 3 18

23 Olif Mareta Hariyanti YANTI 15 3 18

24 Irhani Sabiya Sima SUTIHAH 1 4 18

25 Rafardan Atoilah ZAINAB 25 5 18

26 Indana Faradisul jihan ERNAWATI 10 6 18

27 Ayatul Husna AMINATUS Z 4 3 19

28 M. Umar Faruk SUADAH 22 11 18

29 Arina Safa JUHAIRIYAH 29 9 18

30 Arini Sifa JUHAIRIYAH 29 9 18

31 siti munawaroh hozaimah 30 4 19

40 Salman Al Farisi mawaddah 19 7 19

41 Farhan Ali sidah 2 8 19

42 Tri Amira Hidayah SUMIATI 26 9 19

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58
59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

TGL LAHIR HBO (0-7 DPT-HB- DPT-HB- DPT-HB-

No NAMA ANAK Nama Ortu BCG POLIO1 POLIO 2 POLIO 3
HARI ) Hib(1) Hib(2) Hib(3)
TGL BLN THN

1 Abizhar Al Ghifari ROMLAH 22 4 15

2 Alisha Khaira Wilda SUSANTI 27 5 15

3 M. Dzikri Ramadani HOZAIMAH 26 7 15

4 M. Akil Amin JAMILA 9 8 15

5 Wardatul Hamroh RUSMIYATI 2 9 15

6 Adelia Zahrah NUR HAYATI 3 3 16

7 Putri Aisyah UMAMAH 8 4 16

8 Uswatun Hasanah ROSIDAH 12 4 16

9 Amelia SUHARTINI 12 2 16

10 Fajrian Ramadani FARIHATUL J 22 6 16

11 Aurin Putri Ramadani KHOTIJAH 26 6 16

12 Jihan Nakaila Fakhirah FARIDATUS S 6 9 16

13 Najwa Khaira Wilda RUSMIYATI 12 9 16

14 Bilqis Faino R. SUSILOWATI 26 3 15

15 M. Al Fatih BAITUR ROHMAH 2 4 17

16 Sri Wahyuni SAKINAH 17 3 17

17 M. Reza Radiansyah WATIATUL W 1 4 17

18 St. Humairoh IDA AMROINI 23 4 17

19 Aisyah Sifa H. SUMIATI 15 11 16

20 Safiratul Jannah SAHRIYAH 30 7 16

21 Safaratus Syafaah SAHRIYAH 30 7 16

22 M. Taufikur Rahman MAISYAROH 28 10 17

23 Andika Azka Rafasha ROMLAH 15 1 18

24 Inayah SUHARTATIK 19 4 18

25 Cahya walli Saputra SRIYANA 25 4 18

26 Hafizah Nita Ramadania HASUNAH 23 5 18

27 Nafisatul Laili HAKIMAH 31 8 18

28 Ach. Fauzi ASMAWATI 3 11 18

29 Siti Nur Afifah SAKIMAH 9 12 18

30 Salman Al Farizi HOZAIMAH 1 1 19

31 syafiul umam hosaimah 28 6 19

32 tasya mulya az zahra putri indah lestari 29 6 19

33 moh. Habibi wildan ali FARIHATUL J 1 8 19

34 rayhan afif achmad ROMLAH 9 8 19

35 ach fais holifah 19 9 19

36 adam m. jumaiyah 2 10 19

37 bachtiar al mustofa jufri zainab 10 10 19

38

39

40

41

42

43

44

45

46

47

48

49

50
 DPT-HB- VIT A OBAT CACING
CAMPAK
Hib
POLIO 4 CAMPAK IPV LANJUTA
LANJUTA 1 2 1 2
N
N
 DPT-HB- CAMPAK
Hib VIT A OBAT CACING
POLIO 4 CAMPAK IPV LANJUTA
LANJUTA N
N 1 2 1 2
 DPT-HB-
CAMPAK VIT A OBAT CACING
Hib
POLIO 4 CAMPAK IPV LANJUTA
LANJUTA
N 1 2 1 2
N

DPT-HB-
Hib CAMPAK VIT A OBAT CACING
POLIO 4 CAMPAK IPV LANJUTA LANJUTA
N 1 2 1 2
N
 DPT-HB-
CAMPAK VIT A OBAT CACING
Hib
POLIO 4 CAMPAK IPV LANJUTA
LANJUTA N
N 1 2 1 2
NO NAMA IBU NAMA SUAMI UMUR ALAMAT GP BB TB LILA LAB
TRIMESTER I
 HASIL KUNJUNGAN
KET
TRIMESTER II TRIMESTER III - 1 TRIMESTER III - 2