DINAS KESEHATAN

PUSKESMAS PERAWATAN SUBAIM

Jln. Trans Halmahera Desa Baturaja Kec. Wasile kode pos : 978
Email : pkmsubaim188@gmail.com

NAMA-NAMA BALITA PEMANTAUAN PERTUMBUHAN DI POSY

Desa : Batu Raja
Bulan : Januari
Nama Orang Tua
UMUR
No Nama Tgl Lahir JK
(Bulan)
Ayah Ibu

1 Bagas Adi Saputra 08/01/2015 L Tn. Anton Khusaini Ny. Mirnawati 58

2 Rifandi 21/01/2015 L Tn. Supangat Ny. Dewi 58

3 M Aidan Yakub 07/02/2015 L Tn. Yakub Suleman Ny. Maryani 57

4 Adhinda Pratiwi 18/03/2015 P Tn. Slamet Arifin Ny. Dwi Kartini 57

5 Mahira Rosalina 15/03/2015 P Tn. Purwadi Ny. Sumiyati 57

6 Mulyadi 29/03/2015 L Tn. Endang Ahmad Ny. Daliyanti 56

7 Rafi Aditya 29/03/2015 L Tn. Ratim Ny. Desi Nurhayati 55

8 Adira Azzahra 03/04/2015 P Tn. Jufri Muhammad Ny. Nursin 55

9 Dzakira Sofie 26/04/2015 P Tn. Adiyanto Ny. Sangidah 55

10 Aditya Pratama 14/04/2015 L Tn. Siswanto Ny. Nurazisah 55

11 Tegas Wijaksana 19/04/2015 L Tn. Siswandi Ny. Susiyati 55

12 Roi Ardianto 09/04/2015 L Tn. Suritno Ny. Yatinah 55

13 Fatir Sugianto 28/04/2015 L Tn. Sugianto Ny. Sartini 55

14 Zilfani Yoanita 09/05/2015 P Tn. M Yuyun Ny. Nurfatila 44

15 M Abijar 15/05/2015 L Tn. Slamet Ny. Warisah 55

16 Alika Naila 18/05/2015 P Tn. Slamet Riyadi Ny. Maisaroh 55

17 Nuriah Rofikoh 11/05/2015 P Tn. Nurul Husaini Ny. Riyanti 55

18 Nurasila Wahid 29/06/2015 P Tn. Abdul Wahid Ny. Erni Ibrahim 54

19 Hilal Ramadani 12/06/2015 P Tn. Agus Subali Ny. Umiatun 54

20 Kayla Z. Naufalin 01/07/2015 P Tn. Tuin Adi Saputra Ny. Kasiatun 53

21 Alif Fitra Azhari 19/07/2015 L Tn. Suhermanto Ny. Murni Handayani 53

22 Naila Azzahra 01/17/2015 P Tn. Murdami Ny. Suryani 52

23 Said Adnan 21/07/2015 L Tn. Slamet Ny. Lina 53

24 Aidil Fatah 05/08/2015 L Tn. Imran Bati Ny. Sumarni Talib 50

25 Anita Septiana 11/09/2015 P Tn. Bejo Laksono Ny. Wartinah 45

26 Dwi Anggreni 18/09/2015 P Tn. Budi Hartono Ny. Dian Idayati 50

27 M Alfaqih 17/10/2015 L Tn.Eko Subagio Tn. Dian Idayati 49

28 Arjuna 01/10/2015 L Tn. M Abdullah Ny. Vera 49

29 Nida Khoirunnisa 04/11/2015 P Tn. Mustofa Ny. Wiwik Pujiati 50

30 M Faidzh Rezky 02/11/2015 L Tn. M Muhaimin Ny. Naswati 49

31 Rivaldi Pratama 31/10/2015 L Tn. Endar K. Ny. Lili Ismawati 50

32 M Djasir Asnain 25/12/2015 L Tn. Asnain Ny. Ramliah 49

33 Elvina Ardani 07/01/2017 P Tn. Rusdin M Ny. Winarsih 47

34 Aulia Izzatunnisa 06/01/2016 P Tn. Nanang Sugiarto Ny. Marfungah 46

35 Virli Solihin 13/12/2016 P Tn. Amin K Ny. Erna 47

36 Adrian Dukomalamo 13/02/2016 L Tn. Doa Dukomalamo Ny. Faradila 46

37 Verlita Putri Lestari 03/02/2016 P Tn. Joko Susanto Ny. Diah Siska Wiwi 50

38 M Revan Saputra 21/2/2016 L Tn. Casmita Ny. Indah Lestari 40

39 Ulfa Alya Fitri 21/03/2016 P Tn. Sukri Ny. Ruyati 44

40 Sirena Diva Vanesa 20/03/2016 P Tn. Soroto Ny. Yuliyani 45

41 Naysila Farisa 04/03/2016 P Tn. Mulki Husen Ny. Sulistiani 46

42 Nazril Rifat 26/04/2016 L Tn. M Julkifli Ny. Ponirah 43

43 Azka Afrizam 29/04/2016 L Tn. Salim Ny. Rahayu 44

44 Hafish Al Amin 08/04/2016 L Tn. Sodikun Ny. Siti Aminah 44

45 Dian Firmansyah 20/04/2016 L Tn. Hermanto Ny. Dwi Haryanto 43

46 M Azmi 04/05/2016 L Tn. La Bau Ny. Hadijah 42

47 Faqih Khairi R. 18/05/2016 L Tn. Sarif Ny. Semi Yuliyati 43

48 Farhan Ahza P. 12/05/2016 L Tn. Fajar Ny. Retno 43

49 Alhafiz 14/06/2016 L Tn. Aljufri Ny. Siti Sumarsih 44

50 Aura Cantika 13/07/2016 P Tn. Aryono Ny. Ike Murni 40

51 Assifaunnisa 13/08/2016 P Tn. Tuji Darmawanto Ny. Mangunah 40

52 Hafiz Sahfatullah 07/08/2016 L Tn. Sudar Ny. Astuti 40

53 M Arga Maulana 17/08/2016 L Tn. Untung Ny. Trisnawati 40

54 Abdillah Isyana 02/08/2016 L Tn. Abdil Rame Ny. Ismawati 41

55 M Maulana Sidqi 07/08/2016 L Tn. Sudirman Ny. Quradina Indah 41

56 Ahmad Zidan Arfansya 17/09/2016 L Tn. Wagiman Ny.Yatimah 33

57 Ahmad Arifin 18/10/2016 L Tn. Ahmad Solihin Ny. Isnawati 40

58 Nurul Wahda 22/11/2016 P Tn. Ande Umar Ny. Hartati Muin 37

59 Raditya Ardani 14/11/2016 L Tn. Rahmat Ny. Rohati 37

60 Zaidan Muchsin 23/11/2016 L Tn. Mahfud Muchsin Ny. Sumini 37

61 Ahla Mulidha Noh 10/12/2016 P Tn. Jasmin Noh Ny. Rismarina 36

62 Rajik Alfareji 29/07/2016 L Tn. Warso Ny. Salbia 40

63 M Sahril 29/07/2017 L Tn. Ismail Daut Ny. Umi Kadir 30

64 Risaldy Bimbing 06/02/2017 L Tn. Rizqi Ny. Nurjanah 34

65 Aditia Saputra 10/02/2017 L Tn. Jamirin Ny. Dwi Rahayu 34

66 Raselina Putri 11/03/2017 P Tn. Warsidi Ny. Maharani 33

67 Gibran Aji Saputra 27/03/2017 L Tn. Wagiman Ny. Endang Puji 33

68 M Arkhan Abdul R 29/03/2017 L Tn. Irwan Ny. Nurjima 33

69 Abdie An Azzam 14/04/2017 L Tn. Basuni Ny. Asti Munayanti 32

70 Rafa Aska Putra 15/04/2017 L Tn. Sunardi Ny. Ika Lusiyana 30

71 Arga Candra A. 25/04/2017 L Tn. Andik Suprapto Ny. Ema Sugiarti 32

72 Nazar Aditya 15/04/2017 L Tn. Suwito Ny. Winarsih 32

73 Wahyu Hidayat 08/05/2017 L Tn. Sucipto Ny. Satimah 32

74 Fina Melisa 21/05/2017 P Tn. Sutarno Ny. Kasmiyati 31

75 Natan Khiara R. 23/05/2017 L Tn. Iwan Ny. Juliyanti 40

76 M Rafif 05/12/2017 L Tn. Irham Hasanudin Ny. Eva 31

77 Qulby Alisya F. 04/05/2017 P Tn.Irawan Ny.Farida 30

78 Nurazkayra 28/05/2017 P Tn. Nur Kosim Ny. Hadiyasti 33

79 Raka P.Ramadan 04/06/2017 L Tn. Sudarwanto Ny. Ikem 31

80 Uwais Alqorni 19/06/2017 L Tn. Aryo Ny. Dwi Nur S. 31

81 Saira Azkadina 22/06/2017 P Tn. Slamet Ny. Lina Riyanti 30

82 Cantika R 06/06/2017 P Tn. Abdul Aziz Ny. Sukmawati 29

83 Naufal A. Raffasa 01/07/2017 L Tn. Zainal Ny. Maryam 30

84 M Nur Faizi 26/07/2017 L Tn. Aziz Ny. Misti 28

85 Najwa Asila 18/07/2017 P Tn. Kader Ny. Farida 28

86 Alfiyatunnisa 17/07/2017 P Tn. Budi Wadoyo Ny. Siti Alfia 29

87 Ahktar Nabih Argani 17/07/2017 L Tn. Suprianto Ny. Watini 29

88 Syifa Azzairah 11/08/2017 P Tn. Ali Lut Ny. Mimi 27

89 Askadina 21/09/2017 P Tn. Samsul Ismail Ny. Nursia 27

90 Auzan 04/10/2017 L Tn. Yusri Kaunan Ny. Nuraini 27

91 Albi Maulana 20/10/2017 L Tn. Muhdar Hasan Ny. Susanti 26

92 Naifah Tofik Azizah 03/10/2017 P Tn. Taufik Ny. Yeni Rahayu 27

93 Restu Aditya 04/11/2017 L Tn. Muslimin Ny. Sulistiawati 26

94 M Althafmeka B. 16/11/2017 L Tn. Marsum Ny. Darsini 25

95 Annasya A. Saila 17/12/2017 P Tn. Daryono Ny. Sri Rahayu 23

96 Rafka Syaputra 07/11/2017 L Tn. Dedi S. Ny. Suci Barokah 25

97 Devita A.Z 18/12/2017 P Tn. Sugiyanto Ny. Sartini 24

98 M Aidil 28/12/2017 L Tn. Hasyim Ny. Titin 23

99 Raesha Dwi A. 19/12/2017 P Tn. Anton Khusaini Ny. Nurnawati 24

100 Alhafiz 21/12/2017 L Tn. Karim Yusup Ny. Nurlia 24

101 Adnan Sarif 12/10/2017 L Tn. Zulkarnain Ny. Jena M. 25

102 Reza Alindra 11/10/2017 L Tn. Andi Ny. Lilia Sunarti 27

103 Rafif Syahrul 24/12/2017 L Tn. Syahrul Hasbi Ny. Wati Ishak 23

104 Zakir Kafadi 06/01/2018 L Tn. Barokah Ny.Yanti 23

105 Nurul Ismi 02/01/2018 P Tn. Purwanto Ny. Rugaya 24

106 Estri Khasanan 31/01/2018 P Tn. Darsono Ny. Warsiti 23

107 Rafif Rasikal Abib 03/03/2018 L Tn. Didit nurhadi Ny. Rumiyatun 22

108 Khabsyah Faika z 09/03/2018 L Tn. Suyanto Tn. Asih 21

109 Andini 21/03/2018 L Tn. Usman Ny. Nawi 21

110 Reno Aji Pangestu 28/03/2018 L Tn. Pujiyono Ny. Samsia 21

111 Azzahra Zahira S 28/04/2018 P Tn. Farit Ny. Sustika 20

112 Aisyah Hairil 17/04/2018 P Tn. Hairul Ny. Sumarni 20

113 Alfatih Khafit R 15/05/2018 L Tn. Kholik Sawijo Ny. Mardiana 20

114 M Ramadani 28/05/2018 L Tn. Hasan Ahmad Ny. Siti 19

115 Ramadani Aldualid 26/05/2018 L Tn. Pantoyo Ny. Ernawati 19

116 Alfabi Ramadan 13/06/2018 L Tn. Yayan Ny. Lutfia 18

117 Bakti Syafa Syaputra 25/06/2018 L Tn. Hermanto Ny. Murni Handayani 18

118 Syifa Amelia 05/06/2018 P Tn. Husen Ny. Ristina 18

119 M Zafran 27/07/2018 L Tn. Deni Kurniawan Ny. Indri Fatimah 18

120 Khanza Faridani 29/03/2018 P Tn. Giat Sutanto Ny. Ainur Rofikoh 22

121 Bayi Indah ( M Alfitra ) 25/04/2018 L Tn. Mudafris Ny. Idah 21

122 Egi Maulana 23/07/2018 L Tn. Suwanto Ny. Yulianti 17

123 Ahmad Naufal 02/08/2018 L Tn. Joko Susilo Ny. Titin Liana 16
124 Ashalina Yumna 22/9/2018 P Tn. Aljufri Ny. Siti Sumarsi 15

125 Kori Bahri 20/9/2018 L Tn. Bahri Ny. Nurmia 14

126 Amanda Nafisa 07/04/2018 P Tn. Yayan Ny. Rusmita 21

127 Athafaris Udin 10/03/2018 L Tn. Udin Jumati Ny. Wiwin 15

128 Najril Habibie 20/9/2018 L Tn. Hanafi Kabab Ny. Maryana 15

129 Nala Misal Sabira 19/09/2019 P Tn. Irawan Ny. Farida S 13

130 Akifa Naila 19/10/2018 P Tn. Sofyan Ny. Nurfatilah 15

131 Erlangga 10/04/2018 L Tn. Yusuf Ny. Rahmawati 15

132 Rafatar 16/6/2016 L Tn. Rusli Ny. Junaida 18

133 Naisila Putri H 11/12/2018 P Tn. Ny. Retno 13

134 Delia Husna 30/12/2018 P Tn. Sujiono Ny. Wijayanti 12

135 M Al Faiz 12/01/2018 L Tn. Nasuha Ny. Najmawati 13

136 Yusuf Al Amar 9/1/2019 L Tn. Agus Wijayanto Ny. Ewis Muji Irawati 11

137 M Syafiq 3/9/2019 L Tn. Tuji Darmawanto Ny. Mangunah 11

138 Enzy Abyan 2/3/2019 L Tn. Arianto Ny. Ira Setiawati 11

139 Naila Alika Putri 3/3/2019 P Tn. Sukaryono Ny. Siti M Jainudin 10

140 Putri Safina 2/3/2019 P Tn. Talha Malaka Ny. Rini Handayani 11

141 Altan Mujahid 3/6/2019 L Tn. Jamin Noh Ny. Rismarina 9

142 Muhammad Hanif 3/21/2019 L Tn. M Rohim Ny. Kusmiati 9

143 M Ardana Abi Putra 1/25/2019 L Tn. Sunardi Ny. Sri Daningsih 11

144 Danish Putri Aprilia 4/27/2019 P Tn. Sutrisno Ny. Sri Utami 8

145 Ajmar Iskandar 4/23/2019 L Tn. Iskandar Sadek Ny. Wamala 8

146 Rasit Ramadan 01/0/2019 L Tn. Sulaiman Ny. Legiem 7

147 Aira Delisa 6/1/2019 P Tn. Purwadi Ny. Sumiati 7

148 Aidil Fitrah 6/4/2019 L Tn. Suwadi Baharudin Ny. Santi Rusli 7

149 Arsila M Daud 4/1/2019 P Tn. Hadir Ny. Elfi 6

150 Miliyah Putri Aprilia 4/5/2019 P Tn. Wahyudi Ny. Nita 8

151 Reihan Adip P 6/16/2019 L Tn. Alif Ny. Siti Rahayu 6

152 Sofi Salsabila 6/1/2019 P Tn. Amin Ny. Erna 7

153 Aulia Nasifah 6/5/2019 P Tn. Agusng S Ismail Ny. Risqa Hidayat 6

154 Arsila Dwi Cantika 7/3/2019 P Tn. Suyud Ny. Susiani 6

155 Aiza Nurziannuhuda 7/27/2019 P Tn. Adri Eko Saputra Ny. Ari P Lestari 4

156 Safa Azmi Jayanti 7/8/2019 P Tn. Nanang Ny. Marfila 4

157 A Khalid Juliansyah 7/10/2019 L Tn. Misno Ny. Elly Ernawati 5

158 Shanum Dya Dzakira 15/10/2019 P Tn.Rimba Ny.Sri Wahyuni 2

159 Anndya Indra Saputri 4/11/2019 P Tn.Indra Ny. Siti Nurjanah 2

160 Jihan Thalita Ulfa 24/10/2019 P Tn.Egadianto Ny.Miftahul Jannah 1

161 Nabila Nurzahira 7/11/2019 P Tn.Cahyono Ny.Nurmalasari 1

162 Ardiana Usman 7/21/2019 P Tn. Usman Daut Ny. Nawi Arsad 4

163 M Fajar 8/29/2019 L Tn. Hasbullah Gajali Ny. Nawi Arsad 4

Mengetahui
Kepala Puskesmas

NS. Faris Rakib, S. Kep

NIP. 19750527 200312 1 002
HATAN
TAN SUBAIM
ec. Wasile kode pos : 97863
gmail.com

ERTUMBUHAN DI POSYANDU

Status STATUS GIZI ASI

BB TB Pertumb
EKSKL KET
(Kg) (Cm) uhan
BB/U BB/TB TB/U ISIF
(NTOB)

15 103 N Baik Normal Normal

18 108 T Baik Normal Normal

15.2 102 N Baik Normal Normal

15.2 102 N Baik Normal Normal

15.5 106 T Baik Normal Normal

12.5 102 T Baik Normal Normal

16.3 106 T Baik Normal Normal

16.6 108.5 T Baik Normal Normal

14.6 109 T Baik Normal Normal

16.2 115.3 T Baik Normal Normal

15.2 107 T Baik Normal Normal

15 115 N Baik Normal Normal

15.3 115.1 N Baik Normal Normal

16 103 T Baik Normal Normal

14.5 101 N Baik Normal Normal

14.5 100 N Baik Normal Normal

15.3 99.9 T Baik Normal Normal

16 104 T Baik Normal Normal

13.5 109.4 T Baik Normal Normal

14.6 99 N Baik Normal Normal

15.5 107 O Baik Normal Normal

13.6 104 N Baik Normal Normal

20 101.2 T Baik Normal Normal

14.4 98 N Baik Normal Normal

15.1 95 N Baik Normal Normal

16.1 96.6 N Baik Normal Normal

14.2 95 T Baik Normal Normal

22 105 T Baik Normal Normal

15.2 109.5 N Baik Normal Normal

18.8 97.5 N Baik Normal Normal

13.6 95.2 N Baik Pendek Normal Stunting

16.5 95 T Baik Normal Normal

16.5 102.3 O Baik Normal Normal

16 110.3 T Baik Normal Normal

13.3 96 T Baik Normal Normal

13 95 N Baik Normal Normal

13 89 O Baik Normal Normal

16.3 100 T Baik Normal Normal

12.7 94.5 N Baik Normal Normal

16.5 99.5 T Baik Normal Normal

23 105 T Lebih Normal Obesitas

16 89 N Baik Normal Normal

16.5 101 N Baik Normal Normal

15 96 N Baik Normal Normal

12.2 93.5 T Baik Normal Normal

13.3 94 N Baik Normal Normal

12.5 93.5 N Baik Normal Normal

13.2 92 N Baik Pendek Normal Stunting

11.9 92.7 T Baik Normal Normal

11.8 89 T Baik Normal Normal

14 92 T Baik Normal Normal

15.5 101 N Baik Normal Normal

11.2 92 T Baik Normal Normal

14 92 T Baik Normal Normal

12.8 92.5 N Baik Normal Normal

10.3 89.3 T Kurang Normal Kurus

14 91 T Baik Normal Normal

13.6 100 T Baik Normal Normal

13.6 91 N Baik Pendek Normal Stunting

14 87 N Baik Pendek Normal Stunting

16.5 97 N Baik Normal Normal

15.3 86.5 N Baik Normal Normal

15 88 N Baik Normal Normal

14 100 N Baik Normal Normal

11.3 91.7 N Baik Normal Normal

14.2 87.2 N Baik Normal Normal

15.6 88 N Baik Normal Normal

13 88 N Baik Normal Normal

12.2 86 N Baik Normal Normal

13.1 83 N Baik Pendek Normal Stunting

12.6 84 N Baik Pendek Normal Stunting

13.5 87 N Baik Normal Normal

11.7 85.5 N Baik Pendek Normal Stunting

9.9 83.7 T Kurang Pendek Normal Stunting

11.5 85.7 N Baik Normal Normal

12.4 88.3 N Baik Normal Normal

12.1 90 T Baik Normal Normal

11.1 85.7 T Baik Normal Normal

11.9 90 N Baik Pendek Normal Stunting

12.8 88.3 N Baik Normal Normal

11.9 83.2 N Baik S.Pendek Normal Stunting

12.6 83.5 T Baik Normal Normal

11.7 84.7 N Baik Normal Normal

12.3 83.5 N Baik Normal Normal

14 80 N Baik Normal Normal

12 84.8 T Baik Normal Normal

10 83 N Kurang Pendek Normal Stunting

12.5 86 N Baik Normal Normal

12 84.3 T Baik Normal Normal

12.3 89.2 N Baik Normal Normal

11.1 83.6 T Baik Normal Normal

9.5 78.5 N Baik Pendek Normal Stunting

10.8 83 N Baik Normal Normal

12.3 89.3 N Baik Normal Normal

12.5 87 N Baik Normal Normal

12.6 84 N Baik Normal Normal

11.7 83.5 T Baik Normal Normal

10.4 81.1 O Baik Normal Normal

8.6 81.5 T Baik Normal Normal

13 82.5 T Baik Normal Normal

10.4 81.7 N Baik Normal Normal

10.6 80.7 N Baik Normal Normal

12.6 89.8 N Baik Normal Normal

11 81.2 T Baik Normal Normal

10 81 N Baik Normal Normal

9.4 79 N Baik Normal Normal

10.8 83 N Baik Normal Normal

10.3 79.9 N Baik Normal Normal

11.8 83.6 N Baik Normal Normal

10.9 82.9 O Baik Normal Normal

8.3 73 N Baik S.Pendek Normal Stunting

12.2 76 N Baik Normal Normal

13.9 85.2 N Baik Normal Normal

11 86 T Baik Normal Normal

11 83.4 N Baik Normal Normal

13 77.8 N Baik Normal Normal

8.1 76.2 T Baik Normal Normal

8.1 76.2 T Baik Pendek Normal Stunting

10.5 79.5 N Baik Normal Normal

10 80 N Baik Normal Normal

11.7 78 N Baik Normal Normal

10 79.6 T Baik Normal Normal

8.2 74.3 N Baik Normal Normal

7.5 75.3 T Baik Normal Normal

9.3 72 N Baik Normal Normal

11.1 78 N Baik Normal Normal

9.7 74 N Baik Normal Normal

10.9 78 N Baik Normal Normal

9.4 75 N Baik Normal Normal

7.9 73 N Baik Normal Normal

9.8 78 N Baik Normal Normal

12 77.6 N Baik Normal Normal

10.9 73 N Baik Normal Normal

7.3 70.8 N Baik Normal Normal

8.7 70 N Baik Pendek Normal Stunting

7.5 72.5 T Baik Normal Normal

8.3 68.4 O Baik Normal Normal

8.8 74 N Baik Normal Normal

9.2 65 N Baik Normal Normal

7.6 69.2 N Baik Normal Normal

10 74.4 N Baik Normal Normal

10 72 N Baik Normal Normal

9.3 75 T Baik Normal Normal

7.4 70.4 T Baik Normal Normal

7.2 67.6 T Baik Normal Normal

7.7 68.9 T Baik Normal Normal

8.5 65 N Baik Normal Normal

8.5 68.7 O Baik Normal Normal

8.1 67.8 N Baik Normal Normal √

8.7 73.1 O Baik Normal Normal

7.9 66.1 T Baik Normal Normal √

7.5 66.9 T Baik Normal Normal

8 64 T Baik Normal Normal √

7 66.5 T Baik Normal Normal √

5.8 62.2 T Baik Normal Normal √

7 61.4 T Baik Normal Normal √

7.1 68 T Baik Normal Normal √

5.8 61.5 T Baik Normal Normal √

3.7 51.5 T Baik Normal Normal X

6.4 52 T Baik Normal Normal √

5.3 58 N Baik Normal Normal √

6.7 62.4 B Baik Normal Normal √

7 60.8 B Baik Normal Normal √

Wasile, 31 Januari 2020

Pelaksana Gizi Puskesmas

Muna Kabir, Amd. G

NIP. 19750820 200003 2 003
 DINAS KESEHATAN
PUSKESMAS PERAWATAN SUBAIM
Jln. Trans Halmahera Desa Baturaja Kec. Wasile kode pos : 9786
Email : pkmsubaim188@gmail.com

NAMA-NAMA BALITA KUNJUNGAN RUMAH PEMANTAUAN PERTUM

Desa : Batu Raja
Bulan : Januari
Nama Orang Tua
No Nama Tgl Lahir JK
Ayah Ibu

1 Bagas Adi Saputra 08/01/2015 L Tn. Anton Khusaini Ny. Mirnawati

2 Rifandi 21/01/2015 L Tn. Supangat Ny. Dewi

3 M Aidan Yakub 07/02/2015 L Tn. Yakub Suleman Ny. Maryani

4 Adhinda Pratiwi 18/03/2015 P Tn. Slamet Arifin Ny. Dwi Kartini

5 Mahira Rosalina 15/03/2015 P Tn. Purwadi Ny. Sumiyati

6 Mulyadi 29/03/2015 L Tn. Endang Ahmad Ny. Daliyanti

7 Rafi Aditya 29/03/2015 L Tn. Ratim Ny. Desi Nurhayati

8 Adira Azzahra 03/04/2015 P Tn. Jufri Muhammad Ny. Nursin

9 Dzakira Sofie 26/04/2015 P Tn. Adiyanto Ny. Sangidah

10 Aditya Pratama 14/04/2015 L Tn. Siswanto Ny. Nurazisah

11 Tegas Wijaksana 19/04/2015 L Tn. Siswandi Ny. Susiyati

12 Roi Ardianto 09/04/2015 L Tn. Suritno Ny. Yatinah

13 Fatir Sugianto 28/04/2015 L Tn. Sugianto Ny. Sartini

14 Zilfani Yoanita 09/05/2015 P Tn. M Yuyun Ny. Nurfatila

15 M Abijar 15/05/2015 L Tn. Slamet Ny. Warisah

16 Alika Naila 18/05/2015 P Tn. Slamet Riyadi Ny. Maisaroh

17 Nuriah Rofikoh 11/05/2015 P Tn. Nurul Husaini Ny. Riyanti

18 Nurasila Wahid 29/06/2015 P Tn. Abdul Wahid Ny. Erni Ibrahim

19 Hilal Ramadani 12/06/2015 P Tn. Agus Subali Ny. Umiatun

20 Kayla Z. Naufalin 01/07/2015 P Tn. Tuin Adi Saputra Ny. Kasiatun

21 Naila Azzahra 01/17/2015 P Tn. Murdami Ny. Suryani

22 Said Adnan 21/07/2015 L Tn. Slamet Ny. Lina

23 Anita Septiana 11/09/2015 P Tn. Bejo Laksono Ny. Wartinah

24 Dwi Anggreni 18/09/2015 P Tn. Budi Hartono Ny. Dian Idayati

25 M Alfaqih 17/10/2015 L Tn.Eko Subagio Tn. Dian Idayati

26 Arjuna 01/10/2015 L Tn. M Abdullah Ny. Vera

27 Nida Khoirunnisa 04/11/2015 P Tn. Mustofa Ny. Wiwik Pujiati

28 M Faidzh Rezky 02/11/2015 L Tn. M Muhaimin Ny. Naswati

29 M Djasir Asnain 25/12/2015 L Tn. Asnain Ny. Ramliah

30 Elvina Ardani 07/01/2017 P Tn. Rusdin M Ny. Winarsih

31 Aulia Izzatunnisa 06/01/2016 P Tn. Nanang Sugiarto Ny. Marfungah

32 Virli Solihin 13/12/2016 P Tn. Amin K Ny. Erna

33 Verlita Putri Lestari 03/02/2016 P Tn. Joko Susanto Ny. Diah Siska Wiwi

34 Sirena Diva Vanesa 20/03/2016 P Tn. Soroto Ny. Yuliyani

35 Naysila Farisa 04/03/2016 P Tn. Mulki Husen Ny. Sulistiani

36 Azka Afrizam 29/04/2016 L Tn. Salim Ny. Rahayu

37 Hafish Al Amin 08/04/2016 L Tn. Sodikun Ny. Siti Aminah

38 Dian Firmansyah 20/04/2016 L Tn. Hermanto Ny. Dwi Haryanto

39 M Azmi 04/05/2016 L Tn. La Bau Ny. Hadijah

40 Faqih Khairi R. 18/05/2016 L Tn. Sarif Ny. Semi Yuliyati

41 Farhan Ahza P. 12/05/2016 L Tn. Fajar Ny. Retno

42 Aura Cantika 13/07/2016 P Tn. Aryono Ny. Ike Murni

43 Hafiz Sahfatullah 07/08/2016 L Tn. Sudar Ny. Astuti

44 Abdillah Isyana 02/08/2016 L Tn. Abdil Rame Ny. Ismawati

45 M Maulana Sidqi 07/08/2016 L Tn. Sudirman Ny. Quradina Indah

46 Ahmad Arifin 18/10/2016 L Tn. Ahmad Solihin Ny. Isnawati

47 Nurul Wahda 22/11/2016 P Tn. Ande Umar Ny. Hartati Muin

48 Zaidan Muchsin 23/11/2016 L Tn. Mahfud Muchsin Ny. Sumini

49 M Sahril 29/07/2017 L Tn. Ismail Daut Ny. Umi Kadir

50 Risaldy Bimbing 06/02/2017 L Tn. Rizqi Ny. Nurjanah

51 Raselina Putri 11/03/2017 P Tn. Warsidi Ny. Maharani

52 Gibran Aji Saputra 27/03/2017 L Tn. Wagiman Ny. Endang Puji

53 Rafa Aska Putra 15/04/2017 L Tn. Sunardi Ny. Ika Lusiyana

54 Arga Candra A. 25/04/2017 L Tn. Andik Suprapto Ny. Ema Sugiarti

55 Nazar Aditya 15/04/2017 L Tn. Suwito Ny. Winarsih

56 Fina Melisa 21/05/2017 P Tn. Sutarno Ny. Kasmiyati

57 Natan Khiara R. 23/05/2017 L Tn. Iwan Ny. Juliyanti

58 Qulby Alisya F. 04/05/2017 P Tn.Irawan Ny.Farida

59 Nurazkayra 28/05/2017 P Tn. Nur Kosim Ny. Hadiyasti

60 Cantika R 06/06/2017 P Tn. Abdul Aziz Ny. Sukmawati

61 Naufal A. Raffasa 01/07/2017 L Tn. Zainal Ny. Maryam

62 Najwa Asila 18/07/2017 P Tn. Kader Ny. Farida

63 Alfiyatunnisa 17/07/2017 P Tn. Budi Wadoyo Ny. Siti Alfia

64 Ahktar Nabih Argani 17/07/2017 L Tn. Suprianto Ny. Watini

65 Syifa Azzairah 11/08/2017 P Tn. Ali Lut Ny. Mimi

66 Auzan 04/10/2017 L Tn. Yusri Kaunan Ny. Nuraini

67 Albi Maulana 20/10/2017 L Tn. Muhdar Hasan Ny. Susanti

68 Restu Aditya 04/11/2017 L Tn. Muslimin Ny. Sulistiawati

69 Annasya A. Saila 17/12/2017 P Tn. Daryono Ny. Sri Rahayu

70 Rafka Syaputra 07/11/2017 L Tn. Dedi S. Ny. Suci Barokah

71 Devita A.Z 18/12/2017 P Tn. Sugiyanto Ny. Sartini

72 M Aidil 28/12/2017 L Tn. Hasyim Ny. Titin

73 Adnan Sarif 12/10/2017 L Tn. Zulkarnain Ny. Jena M.

74 Rafif Syahrul 24/12/2017 L Tn. Syahrul Hasbi Ny. Wati Ishak

75 Rafif Rasikal Abib 03/03/2018 L Tn. Didit nurhadi Ny. Rumiyatun

76 Khabsyah Faika z 09/03/2018 L Tn. Suyanto Tn. Asih

77 Aisyah Hairil 17/04/2018 P Tn. Hairul Ny. Sumarni

78 M Ramadani 28/05/2018 L Tn. Hasan Ahmad Ny. Siti

79 Khanza Faridani 29/03/2018 P Tn. Giat Sutanto Ny. Ainur Rofikoh

80 Bayi Indah ( M Alfitra ) 25/04/2018 L Tn. Mudafris Ny. Idah

81 Kori Bahri 20/9/2018 L Tn. Bahri Ny. Nurmia

82 Amanda Nafisa 07/04/2018 P Tn. Yayan Ny. Rusmita

83 Athafaris Udin 10/03/2018 L Tn. Udin Jumati Ny. Wiwin

84 Najril Habibie 20/9/2018 L Tn. Hanafi Kabab Ny. Maryana

85 Nala Misal Sabira 19/09/2019 P Tn. Irawan Ny. Farida S

86 Akifa Naila 19/10/2018 P Tn. Sofyan Ny. Nurfatilah

87 Erlangga 10/04/2018 L Tn. Yusuf Ny. Rahmawati

88 Rafatar 16/6/2016 L Tn. Rusli Ny. Junaida

89 Naisila Putri H 11/12/2018 P Tn. Ny. Retno

90 Naila Alika Putri 3/3/2019 P Tn. Sukaryono Ny. Siti M Jainudin

91 Putri Safina 2/3/2019 P Tn. Talha Malaka Ny. Rini Handayani

92 Muhammad Hanif 3/21/2019 L Tn. M Rohim Ny. Kusmiati

93 M Ardana Abi Putra 1/25/2019 L Tn. Sunardi Ny. Sri Daningsih

94 Arsila M Daud 4/1/2019 P Tn. Hadir Ny. Elfi

95 Reihan Adip P 6/16/2019 L Tn. Alif Ny. Siti Rahayu

96 Sofi Salsabila 6/1/2019 P Tn. Amin Ny. Erna

97 Aulia Nasifah 6/5/2019 P Tn. Agusng S Ismail Ny. Risqa Hidayat

Mengetahui
Kepala Puskesmas

NS. Faris Rakib, S. Kep

NIP. 19750527 200312 1 002
 EHATAN
WATAN SUBAIM
a Kec. Wasile kode pos : 97863
8@gmail.com

AH PEMANTAUAN PERTUMBUHAN

Status STATUS GIZI ASI

UMUR BB TB Pertumb
EKSKLI
(Bulan) (Kg) (Cm) uhan
BB/U BB/TB TB/U SIF
(NTOB)

58 15 103 N Baik Normal Normal

58 18 108 T Baik Normal Normal

57 15.2 102 N Baik Normal Normal

57 15.2 102 N Baik Normal Normal

57 15.5 106 T Baik Normal Normal

56 12.5 102 T Baik Normal Normal

55 16.3 106 T Baik Normal Normal

55 16.6 108.5 T Baik Normal Normal

55 14.6 109 T Baik Normal Normal

55 16.2 115.3 T Baik Normal Normal

55 15.2 107 T Baik Normal Normal

55 15 115 N Baik Normal Normal

55 15.3 115.1 N Baik Normal Normal

44 16 103 T Baik Normal Normal

55 14.5 101 N Baik Normal Normal

55 14.5 100 N Baik Normal Normal

55 15.3 99.9 T Baik Normal Normal

54 16 104 T Baik Normal Normal

54 13.5 109.4 T Baik Normal Normal

53 14.6 99 N Baik Normal Normal

52 13.6 104 N Baik Normal Normal

53 20 101.2 T Baik Normal Normal

45 15.1 95 N Baik Normal Normal

50 16.1 96.6 N Baik Normal Normal

49 14.2 95 T Baik Normal Normal

49 22 105 T Baik Normal Normal

50 15.2 109.5 N Baik Normal Normal

49 18.8 97.5 N Baik Normal Normal

49 16.5 95 T Baik Normal Normal

47 16.5 102.3 O Baik Normal Normal

46 16 110.3 T Baik Normal Normal

47 13.3 96 T Baik Normal Normal

50 13 89 O Baik Normal Normal

45 16.5 99.5 T Baik Normal Normal

46 23 105 T Lebih Normal Obesitas

44 16.5 101 N Baik Normal Normal

44 15 96 N Baik Normal Normal

43 12.2 93.5 T Baik Normal Normal

42 13.3 94 N Baik Normal Normal

43 12.5 93.5 N Baik Normal Normal

43 13.2 92 N Baik Pendek Normal

40 11.8 89 T Baik Normal Normal

40 15.5 101 N Baik Normal Normal

41 14 92 T Baik Normal Normal

41 12.8 92.5 N Baik Normal Normal

40 14 91 T Baik Normal Normal

37 13.6 100 T Baik Normal Normal

37 14 87 N Baik Pendek Normal

30 15 88 N Baik Normal Normal

34 14 100 N Baik Normal Normal

33 14.2 87.2 N Baik Normal Normal

33 15.6 88 N Baik Normal Normal

30 13.1 83 N Baik Pendek Normal

32 12.6 84 N Baik Pendek Normal

32 13.5 87 N Baik Normal Normal

31 9.9 83.7 T Kurang Pendek Normal

40 11.5 85.7 N Baik Normal Normal

30 12.1 90 T Baik Normal Normal

33 11.1 85.7 T Baik Normal Normal

29 12.6 83.5 T Baik Normal Normal

30 11.7 84.7 N Baik Normal Normal

28 14 80 N Baik Normal Normal

29 12 84.8 T Baik Normal Normal

29 10 83 N Kurang Pendek Normal

27 12.5 86 N Baik Normal Normal

27 12.3 89.2 N Baik Normal Normal

26 11.1 83.6 T Baik Normal Normal

26 10.8 83 N Baik Normal Normal

23 12.5 87 N Baik Normal Normal

25 12.6 84 N Baik Normal Normal

24 11.7 83.5 T Baik Normal Normal

23 10.4 81.1 O Baik Normal Normal

25 10.4 81.7 N Baik Normal Normal

23 12.6 89.8 N Baik Normal Normal

22 10.8 83 N Baik Normal Normal

21 10.3 79.9 N Baik Normal Normal

20 12.2 76 N Baik Normal Normal

19 11 86 T Baik Normal Normal

22 10 80 N Baik Normal Normal

21 11.7 78 N Baik Normal Normal

14 9.3 72 N Baik Normal Normal

21 11.1 78 N Baik Normal Normal

15 9.7 74 N Baik Normal Normal

15 10.9 78 N Baik Normal Normal

13 9.4 75 N Baik Normal Normal

15 7.9 73 N Baik Normal Normal

15 9.8 78 N Baik Normal Normal

18 12 77.6 N Baik Normal Normal

13 10.9 73 N Baik Normal Normal

10 9.2 65 N Baik Normal Normal

11 7.6 69.2 N Baik Normal Normal

9 10 72 N Baik Normal Normal

11 9.3 75 T Baik Normal Normal

6 8.1 67.8 N Baik Normal Normal √

6 7.9 66.1 T Baik Normal Normal √

7 7.5 66.9 T Baik Normal Normal

6 8 64 T Baik Normal Normal √

Wasile, 31 Januari 2020

Pelaksana Gizi Puskesmas

Muna Kabir, Amd. G

NIP. 19750820 200003 2 003
 DINAS KESEHATAN
PUSKESMAS PERAWATAN SUBAIM
Jln. Trans Halmahera Desa Baturaja Kec. Wasile kode pos : 97863
Email : pkmsubaim188@gmail.com

NAMA-NAMA BALITA YANG DATANG DI POSYANDU DAN PEMBERIAN KAPSUL

Desa : Batu Raja
Bulan : Februari
Nama Orang Tua
UMUR BB TB
No Nama Tgl Lahir JK
(Bulan) (Kg) (Cm)
Ayah Ibu

1 Bagas Adi Saputra 08/01/2015 L Tn. Anton Khusaini Ny. Mirnawati 59 14.5 103

2 Rifandi 21/01/2015 L Tn. Supangat Ny. Dewi 59 18 108

3 M Aidan Yakub 07/02/2015 L Tn. Yakub Suleman Ny. Maryani 58 17 102

4 Adhinda Pratiwi 18/03/2015 P Tn. Slamet Arifin Ny. Dwi Kartini 58 15 102

5 Mahira Rosalina 15/03/2015 P Tn. Purwadi Ny. Sumiyati 58 17 106

6 Mulyadi 29/03/2015 L Tn. Endang Ahmad Ny. Daliyanti 57 13 102

7 Rafi Aditya 29/03/2015 L Tn. Ratim Ny. Desi Nurhayati 56 16.6 106

8 Adira Azzahra 03/04/2015 P Tn. Jufri Muhammad Ny. Nursin 56 16.7 100.5

9 Dzakira Sofie 26/04/2015 P Tn. Adiyanto Ny. Sangidah 56 14 109

10 Aditya Pratama 14/04/2015 L Tn. Siswanto Ny. Nurazisah 56 15.5 115.3

11 Tegas Wijaksana 19/04/2015 L Tn. Siswandi Ny. Susiyati 56 16 107

12 Fatir Sugianto 28/04/2015 L Tn. Sugianto Ny. Sartini 56 15.9 115.1

13 Zilfani Yoanita 09/05/2015 P Tn. M Yuyun Ny. Nurfatila 45 16.3 103

14 M Abijar 15/05/2015 L Tn. Slamet Ny. Warisah 56 14.8 101

15 Alika Naila 18/05/2015 P Tn. Slamet Riyadi Ny. Maisaroh 56 15 100

16 Nuriah Rofikoh 11/05/2015 P Tn. Nurul Husaini Ny. Riyanti 56 15.2 100

17 Nurasila Wahid 29/06/2015 P Tn. Abdul Wahid Ny. Erni Ibrahim 55 15.6 104

18 Hilal Ramadani 12/06/2015 P Tn. Agus Subali Ny. Umiatun 55 18 109.4

19 Kayla Z. Naufalin 01/07/2015 P Tn. Tuin Adi Saputra Ny. Kasiatun 54 12.4 99

20 Alif Fitra Azhari 19/07/2015 L Tn. Suhermanto Ny. Murni Handayani 53 15.5 107

21 Naila Azzahra 01/17/2015 P Tn. Murdami Ny. Suryani 53 14 104

22 Said Adnan 21/07/2015 L Tn. Slamet Ny. Lina 54 18.5 101.2

23 Aidil Fatah 05/08/2015 L Tn. Imran Bati Ny. Sumarni Talib 51 14.3 98

24 Dwi Anggreni 18/09/2015 P Tn. Budi Hartono Ny. Dian Idayati 51 13.5 96.6

25 M Alfaqih 17/10/2015 L Tn.Eko Subagio Tn. Dian Idayati 50 13.5 95

26 Arjuna 01/10/2015 L Tn. M Abdullah Ny. Vera 50 22.5 105.7

27 Nida Khoirunnisa 04/11/2015 P Tn. Mustofa Ny. Wiwik Pujiati 51 14.5 109.5

28 M Faidzh Rezky 02/11/2015 L Tn. M Muhaimin Ny. Naswati 50 17.5 97.5

29 Rivaldi Pratama 31/10/2015 L Tn. Endar K. Ny. Lili Ismawati 51 14 95.2

30 M Djasir Asnain 25/12/2015 L Tn. Asnain Ny. Ramliah 49 11.9 95

31 Elvina Ardani 07/01/2017 P Tn. Rusdin M Ny. Winarsih 48 17 102.3

32 Aulia Izzatunnisa 06/01/2016 P Tn. Nanang Sugiarto Ny. Marfungah 47 17 110.3

33 Virli Solihin 13/12/2016 P Tn. Amin K Ny. Erna 48 13.8 96

34 Adrian Dukomalamo 13/02/2016 L Tn. Doa Dukomalamo Ny. Faradila 47 13.2 95

35 Verlita Putri Lestari 03/02/2016 P Tn. Joko Susanto Ny. Diah Siska Wiwi 51 14.5 89

36 M Revan Saputra 21/2/2016 L Tn. Casmita Ny. Indah Lestari 41 16.5 100

37 Ulfa Alya Fitri 21/03/2016 P Tn. Sukri Ny. Ruyati 45 12.8 94.5

38 Sirena Diva Vanesa 20/03/2016 P Tn. Soroto Ny. Yuliyani 46 17.5 99.5

39 Naysila Farisa 04/03/2016 P Tn. Mulki Husen Ny. Sulistiani 47 23.5 105

40 Nazril Rifat 26/04/2016 L Tn. M Julkifli Ny. Ponirah 44 17.5 89

41 Azka Afrizam 29/04/2016 L Tn. Salim Ny. Rahayu 45 16.6 101

42 Hafish Al Amin 08/04/2016 L Tn. Sodikun Ny. Siti Aminah 45 15.2 96

43 Dian Firmansyah 20/04/2016 L Tn. Hermanto Ny. Dwi Haryanto 44 13.5 93.5

44 M Azmi 04/05/2016 L Tn. La Bau Ny. Hadijah 43 13.7 94

45 Faqih Khairi R. 18/05/2016 L Tn. Sarif Ny. Semi Yuliyati 44 13 93

46 Farhan Ahza P. 12/05/2016 L Tn. Fajar Ny. Retno 44 13 92

47 Alhafiz 14/06/2016 L Tn. Aljufri Ny. Siti Sumarsih 43 12 92.7

48 Aura Cantika 13/07/2016 P Tn. Aryono Ny. Ike Murni 41 13 89

49 Assifaunnisa 13/08/2016 P Tn. Tuji Darmawanto Ny. Mangunah 41 12.8 92

50 Hafiz Sahfatullah 07/08/2016 L Tn. Sudar Ny. Astuti 41 15.5 101

51 M Arga Maulana 17/08/2016 L Tn. Untung Ny. Trisnawati 41 12 92

52 Abdillah Isyana 02/08/2016 L Tn. Abdil Rame Ny. Ismawati 42 14 92.1

53 M Maulana Sidqi 07/08/2016 L Tn. Sudirman Ny. Quradina Indah 42 13 93

54 Ahmad Zidan Arfansyah 17/09/2016 L Tn. Wagiman Ny.Yatimah 34 10.6 89.3

55 Ahmad Arifin 18/10/2016 L Tn. Ahmad Solihin Ny. Isnawati 41 14.1 91

56 Nurul Wahda 22/11/2016 P Tn. Ande Umar Ny. Hartati Muin 38 13.6 100

57 Raditya Ardani 14/11/2016 L Tn. Rahmat Ny. Rohati 38 13.2 91

58 Zaidan Muchsin 23/11/2016 L Tn. Mahfud Muchsin Ny. Sumini 38 13.6 87

59 M Ardi Pranaja 12/11/2016 L Tn. Andi Junaidi Ny. Sadialah 38 13.5 92

60 Ahla Mulidha Noh 10/12/2016 P Tn. Jasmin Noh Ny. Rismarina 37 15.5 97

61 Rajik Alfareji 29/07/2016 L Tn. Warso Ny. Salbia 30 15.6 86.5

62 Risaldy Bimbing 06/02/2017 L Tn. Rizqi Ny. Nurjanah 35 14 100

63 Aditia Saputra 10/02/2017 L Tn. Jamirin Ny. Dwi Rahayu 35 10.8 91.7

64 Raselina Putri 11/03/2017 P Tn. Warsidi Ny. Maharani 34 14 87.2

65 Gibran Aji Saputra 27/03/2017 L Tn. Wagiman Ny. Endang Puji 34 15.5 88

66 M Arkhan Abdul R 29/03/2017 L Tn. Irwan Ny. Nurjima 34 13.2 88

67 Abdie An Azzam 14/04/2017 L Tn. Basuni Ny. Asti Munayanti 33 12.3 86

68 Rafa Aska Putra 15/04/2017 L Tn. Sunardi Ny. Ika Lusiyana 31 13 83

69 Arga Candra A. 25/04/2017 L Tn. Andik Suprapto Ny. Ema Sugiarti 33 11.6 84

70 Nazar Aditya 15/04/2017 L Tn. Suwito Ny. Winarsih 33 13.6 87

71 Wahyu Hidayat 08/05/2017 L Tn. Sucipto Ny. Satimah 33 12 85.7

72 Fina Melisa 21/05/2017 P Tn. Sutarno Ny. Kasmiyati 32 9 83.7

73 Natan Khiara R. 23/05/2017 L Tn. Iwan Ny. Juliyanti 41 11.6 85.7

74 M Rafif 05/12/2017 L Tn. Irham Hasanudin Ny. Eva 32 12.6 88.3

75 Qulby Alisya F. 04/05/2017 P Tn.Irawan Ny.Farida 31 12.2 90.5

76 Nurazkayra 28/05/2017 P Tn. Nur Kosim Ny. Hadiyasti 34 10.9 85.7

77 Raka P.Ramadan 04/06/2017 L Tn. Sudarwanto Ny. Ikem 32 12 90

78 Uwais Alqorni 19/06/2017 L Tn. Aryo Ny. Dwi Nur S. 32 12.2 88.2

79 Saira Azkadina 22/06/2017 P Tn. Slamet Ny. Lina Riyanti 31 12.5 83.3

80 Cantika R 06/06/2017 P Tn. Abdul Aziz Ny. Sukmawati 30 12.7 84

81 Naufal A. Raffasa 01/07/2017 L Tn. Zainal Ny. Maryam 31 12.3 84.7

82 M Nur Faizi 26/07/2017 L Tn. Aziz Ny. Misti 29 12.4 83.5

83 Najwa Asila 18/07/2017 P Tn. Kader Ny. Farida 29 10.2 80.1

84 Alfiyatunnisa 17/07/2017 P Tn. Budi Wadoyo Ny. Siti Alfia 30 11.5 84.8

85 Ahktar Nabih Argani 17/07/2017 L Tn. Suprianto Ny. Watini 30 10.3 83.5

86 Syifa Azzairah 11/08/2017 P Tn. Ali Lut Ny. Mimi 28 12.5 86

87 Askadina 21/09/2017 P Tn. Samsul Ismail Ny. Nursia 28 11.6 84.3

88 Auzan 04/10/2017 L Tn. Yusri Kaunan Ny. Nuraini 28 12.4 89.5

89 Albi Maulana 20/10/2017 L Tn. Muhdar Hasan Ny. Susanti 27 10.5 83.6

90 Restu Aditya 04/11/2017 L Tn. Muslimin Ny. Sulistiawati 27 10.8 83

91 M Althafmeka B. 16/11/2017 L Tn. Marsum Ny. Darsini 26 12 89.3

92 Annasya A. Saila 17/12/2017 P Tn. Daryono Ny. Sri Rahayu 24 13 88

93 Rafka Syaputra 07/11/2017 L Tn. Dedi S. Ny. Suci Barokah 26 12.5 84

94 Devita A.Z 18/12/2017 P Tn. Sugiyanto Ny. Sartini 25 11.9 83.5

95 M Aidil 28/12/2017 L Tn. Hasyim Ny. Titin 24 11 81.1

96 Raesha Dwi A. 19/12/2017 P Tn. Anton Khusaini Ny. Nurnawati 25 9.1 81

97 Adnan Sarif 12/10/2017 L Tn. Zulkarnain Ny. Jena M. 24 10.5 81.7

98 Reza Alindra 11/10/2017 L Tn. Andi Ny. Lilia Sunarti 28 9.2 80.7

99 Abdullah Azzam 14/04/2017 L Tn. Basuni Ny. Asti 34 12 99.2

100 Zakir Kafadi 06/01/2018 L Tn. Barokah Ny.Yanti 24 11.7 81.2

101 Nurul Ismi 02/01/2018 P Tn. Purwanto Ny. Rugaya 25 10.3 81

102 Estri Khasanan 31/01/2018 P Tn. Darsono Ny. Warsiti 24 10 79

103 Rafif Rasikal Abib 03/03/2018 L Tn. Didit nurhadi Ny. Rumiyatun 23 11 83
104 Khabsyah Faika z 09/03/2018 L Tn. Suyanto Tn. Asih 22 10.5 80.3

105 Andini 21/03/2018 L Tn. Usman Ny. Nawi 22 11.8 83.6

106 Reno Aji Pangestu 28/03/2018 L Tn. Pujiyono Ny. Samsia 22 11.1 83.2

107 Azzahra Zahira S 28/04/2018 P Tn. Farit Ny. Sustika 21 7.2 73.6

108 Aisyah Hairil 17/04/2018 P Tn. Hairul Ny. Sumarni 21 11.4 79

109 Alfatih Khafit R 15/05/2018 L Tn. Kholik Sawijo Ny. Mardiana 21 13.9 86

110 M Ramadani 28/05/2018 L Tn. Hasan Ahmad Ny. Siti 20 11.2 86

111 Ramadani Aldualid 26/05/2018 L Tn. Pantoyo Ny. Ernawati 20 11 83.4

112 Alfabi Ramadan 13/06/2018 L Tn. Yayan Ny. Lutfia 19 12.7 80

113 Bakti Syafa Syaputra 25/06/2018 L Tn. Hermanto Ny. Murni Handayani 19 8.2 77

114 Syifa Amelia 05/06/2018 P Tn. Husen Ny. Ristina 19 10 79.8

115 M Zafran 27/07/2018 L Tn. Deni Kurniawan Ny. Indri Fatimah 19 10.1 80

116 Khanza Faridani 29/03/2018 P Tn. Giat Sutanto Ny. Ainur Rofikoh 23 10.5 80.1

117 Bayi Indah ( M Alfitra ) 25/04/2018 L Tn. Mudafris Ny. Idah 22 12 78.3

118 Egi Maulana 23/07/2018 L Tn. Suwanto Ny. Yulianti 18 10.2 82

119 Ahmad Naufal 02/08/2018 L Tn. Joko Susilo Ny. Titin Liana 17 8 74.3

120 Ashalina Yumna 22/9/2018 P Tn. Aljufri Ny. Siti Sumarsi 16 8 77.3

121 Kori Bahri 20/9/2018 L Tn. Bahri Ny. Nurmia 15 10 72.1

122 Athafaris Udin 10/03/2018 L Tn. Udin Jumati Ny. Wiwin 16 98 74

123 Nala Misal Sabira 19/09/2019 P Tn. Irawan Ny. Farida S 14 9 77

124 Erlangga 10/04/2018 L Tn. Yusuf Ny. Rahmawati 16 9.5 80

125 Naisila Putri H 11/12/2018 P Tn. Ny. Retno 13 10.9 73.2

126 Delia Husna 30/12/2018 P Tn. Sujiono Ny. Wijayanti 13 7.6 72

127 M Al Faiz 12/01/2018 L Tn. Nasuha Ny. Najmawati 14 8.9 71

128 Yusuf Al Amar 9/1/2019 L Tn. Agus Wijayanto Ny. Ewis Muji Irawati 12 8 73.4

129 M Syafiq 3/9/2019 L Tn. Tuji Darmawanto Ny. Mangunah 10 8.5 69

130 Enzy Abyan 2/3/2019 L Tn. Arianto Ny. Ira Setiawati 12 8.8 74.3

131 Naila Alika Putri 3/3/2019 P Tn. Sukaryono Ny. Siti M Jainudin 11 9.8 66

132 Putri Safina 2/3/2019 P Tn. Talha Malaka Ny. Rini Handayani 12 8 69.5

133 Altan Mujahid 3/6/2019 L Tn. Jamin Noh Ny. Rismarina 10 10.3 74.7

134 Muhammad Hanif 3/21/2019 L Tn. M Rohim Ny. Kusmiati 10 11.5 72.3

135 M Ardana Abi Putra 1/25/2019 L Tn. Sunardi Ny. Sri Daningsih 12 9.6 76.6

136 Danish Putri Aprilia 4/27/2019 P Tn. Sutrisno Ny. Sri Utami 9 7.7 70.4

137 Ajmar Iskandar 4/23/2019 L Tn. Iskandar Sadek Ny. Wamala 9 8 71

138 Rasit Ramadan 01/0/2019 L Tn. Sulaiman Ny. Legiem 8 8.5 71

139 Aira Delisa 6/1/2019 P Tn. Purwadi Ny. Sumiati 8 8.7 67.2

140 Aidil Fitrah 6/4/2019 L Tn. Suwadi Baharudin Ny. Santi Rusli 8 8.5 69
141 Arsila M Daud 4/1/2019 P Tn. Hadir Ny. Elfi 10 8.3 67.9

142 Miliyah Putri Aprilia 4/5/2019 P Tn. Wahyudi Ny. Nita 9 8.9 70

143 Reihan Adip P 6/16/2019 L Tn. Alif Ny. Siti Rahayu 7 8 68.5

144 Sofi Salsabila 6/1/2019 P Tn. Amin Ny. Erna 8 7.6 69.5

145 Aulia Nasifah 6/5/2019 P Tn. Agusng S Ismail Ny. Risqa Hidayat 7 8.4 67.6

146 Arsila Dwi Cantika 7/3/2019 P Tn. Suyud Ny. Susiani 7 7.4 67.3

147 Aiza Nurziannuhuda 7/27/2019 P Tn. Adri Eko Saputra Ny. Ari P Lestari 5 5.6 62.6

148 Safa Azmi Jayanti 7/8/2019 P Tn. Nanang Ny. Marfila 6 7.6 61.7

149 A Khalid Juliansyah 7/10/2019 L Tn. Misno Ny. Elly Ernawati 6 7.3 70

150 Shanum Dya Dzakira 15/10/2019 P Tn.Rimba Ny.Sri Wahyuni 3 6.2 64.5

151 AiIndya Indra Saputri 4/11/2019 P Tn.Indra Ny. Siti Nurjanah 3 4.5 54.1

152 Jihan Thalita Ulfa 24/10/2019 P Tn.Egadianto Ny.Miftahul Jannah 3 7.3 59.7

153 Nabila Nurzahira 7/11/2019 P Tn.Cahyono Ny.Nurmalasari 2 6 61.7

154 Ardiana Usman 7/21/2019 P Tn. Usman Daut Ny. Nawi Arsad 5 7 62.7

155 M Fajar 8/29/2019 L Tn. Hasbullah Gajali Ny. Nawi Arsad 5 7.6 62

156 Naufal Rasiden 12/17/2019 L Tn. Wagiran Ny. Triwahyuni 1 5 54.6

157 Rifaldian Syah 12/15/2019 L Tn. Ismail Daud Ny. Umy Kadir 1 5.4 55

Mengetahui
Kepala Puskesmas

NS. Faris Rakib, S. Kep

NIP. 19750527 200312 1 002
 HATAN
ATAN SUBAIM
Kec. Wasile kode pos : 97863
@gmail.com

DU DAN PEMBERIAN KAPSUL VITAMIN A

Status STATUS GIZI VITAMIN A

AE Kurang ASI
Pertumb
dari 6 EKSKLI
uhan
BB/U BB/TB TB/U bulan SIF Merah Biru
(NTOB)

T Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Kurang √

N Normal Normal Normal √

T R.Lebih Normal Lebih √

T Normal Normal Kurang √

N Normal Normal Kurang √

N Normal Normal Normal √

N Normal Normal Kurang √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

T Kurang Normal Kurang √

T Normal Normal Normal √

N Normal Normal Normal √

T Normal Normal Lebih √

T Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Normal √

N R.Lebih Normal Lebih √

T Normal Normal Normal √

T Normal Normal Lebih √

N Normal Pendek Normal √

N Kurang Pendek Kurang √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal S.Pendek Lebih √

N Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Lebih √

N Normal Normal Lebih √

N R.Lebih Normal Lebih √

T Normal S.Pendek Lebih √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Pendek Normal √

T Kurang Pendek Normal √

N Normal Normal Normal √

T Normal Pendek Normal √

T Normal Normal Normal √

N Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

N Kurang Pendek Kurang √

T Normal Pendek Normal √

T Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Lebih √

O Normal Normal Normal √

T Normal Normal Normal √

N Normal S.Pendek Lebih √

T Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Lebih √

T Normal Normal Lebih √

N Normal Normal Normal √

T Normal Pendek Normal √

T Normal Normal Normal √

T Normal Pendek Normal √

T Normal Normal Normal √

N Normal Normal Normal √

T S.Kurang Pendek Kurang √

T Normal Pendek Normal √

N Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Normal √

N Normal Pendek Normal √

T Normal Pendek Lebih √

N Normal Pendek Normal √

T Normal Pendek Lebih √

T Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

T Kurang Pendek Normal √

T Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Normal √

T Normal Pendek Normal √

T Normal Normal Normal √

N Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Pendek Normal √

T Normal Pendek Normal √

T Normal Pendek Normal √

O Normal Pendek Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Pendek Normal √

N Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

T S.Kurang S.Pendek Kurang √

T Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

T Normal Normal Normal √

T R.Lebih Normal Lebih √

T Kurang Pendek Kurang √

T Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

N Normal S.Pendek Lebih √

T Normal S.Pendek Normal √

O Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Pendek Normal √

T Normal Normal Normal √

N Normal Pendek Lebih √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

T Normal Normal Lebih √

T Lebih Normal Lebih √

T Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Normal √

T Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

T Kurang Pendek Kurang √ √

N Normal S.Pendek Lebih √ √

T Normal Normal Normal √ √

T Normal Normal Normal √ √

N Kurang Pendek Normal √ √

N Normal Normal Normal √ X

T Normal Normal Normal √ √

T Normal Pendek Lebih √ X

N Normal Normal Normal √ √

B Normal Normal Normal √ √

B Normal Normal Normal √ √

Wasile, 29 Februari 2020

Pelaksana Gizi Puskesmas

Muna Kabir, Amd. G

NIP. 19750820 200003 2 003
 PUSKESMAS PERAWATAN SUBAIM
Jln. Trans Halmahera Desa Baturaja Kec. Wasile kode pos : 97863
Email : pkmsubaim188@gmail.com

NAMA-NAMA BALITA KUNJUNAN RUMAH D/S DAN PEMBERIAN KAPSUL VITAMI

Desa : Batu Raja
Bulan : Februari
Nama Orang Tua Status
UMUR BB TB Pertumb
No Nama Tgl Lahir JK
(Bulan) (Kg) (Cm) uhan
Ayah Ibu (NTOB)

1 Bagas Adi Saputra 08/01/2015 L Tn. Anton Khusaini Ny. Mirnawati 59 14.5 103 T

2 Rifandi 21/01/2015 L Tn. Supangat Ny. Dewi 59 18 108 T

3 M Aidan Yakub 07/02/2015 L Tn. Yakub Suleman Ny. Maryani 58 17 102 N

4 Adhinda Pratiwi 18/03/2015 P Tn. Slamet Arifin Ny. Dwi Kartini 58 15 102 T

5 Mahira Rosalina 15/03/2015 P Tn. Purwadi Ny. Sumiyati 58 17 106 N

6 Mulyadi 29/03/2015 L Tn. Endang Ahmad Ny. Daliyanti 57 13 102 N

7 Rafi Aditya 29/03/2015 L Tn. Ratim Ny. Desi Nurhayati 56 16.6 106 N

8 Adira Azzahra 03/04/2015 P Tn. Jufri Muhammad Ny. Nursin 56 16.7 100.5 T

9 Dzakira Sofie 26/04/2015 P Tn. Adiyanto Ny. Sangidah 56 14 109 T

10 Aditya Pratama 14/04/2015 L Tn. Siswanto Ny. Nurazisah 56 15.5 115.3 N

11 Tegas Wijaksana 19/04/2015 L Tn. Siswandi Ny. Susiyati 56 16 107 N

12 Fatir Sugianto 28/04/2015 L Tn. Sugianto Ny. Sartini 56 15.9 115.1 N

13 Zilfani Yoanita 09/05/2015 P Tn. M Yuyun Ny. Nurfatila 45 16.3 103 N

14 M Abijar 15/05/2015 L Tn. Slamet Ny. Warisah 56 14.8 101 N

15 Alika Naila 18/05/2015 P Tn. Slamet Riyadi Ny. Maisaroh 56 15 100 N

16 Nuriah Rofikoh 11/05/2015 P Tn. Nurul Husaini Ny. Riyanti 56 15.2 100 T

17 Nurasila Wahid 29/06/2015 P Tn. Abdul Wahid Ny. Erni Ibrahim 55 15.6 104 T

18 Hilal Ramadani 12/06/2015 P Tn. Agus Subali Ny. Umiatun 55 18 109.4 N

19 Naila Azzahra 01/17/2015 P Tn. Murdami Ny. Suryani 53 14 104 N

20 Dwi Anggreni 18/09/2015 P Tn. Budi Hartono Ny. Dian Idayati 51 13.5 96.6 T

21 M Alfaqih 17/10/2015 L Tn.Eko Subagio Tn. Dian Idayati 50 13.5 95 T

22 Arjuna 01/10/2015 L Tn. M Abdullah Ny. Vera 50 22.5 105.7 N

23 Nida Khoirunnisa 04/11/2015 P Tn. Mustofa Ny. Wiwik Pujiati 51 14.5 109.5 T

24 M Faidzh Rezky 02/11/2015 L Tn. M Muhaimin Ny. Naswati 50 17.5 97.5 T

25 Rivaldi Pratama 31/10/2015 L Tn. Endar K. Ny. Lili Ismawati 51 14 95.2 N

26 M Djasir Asnain 25/12/2015 L Tn. Asnain Ny. Ramliah 49 11.9 95 N

27 Elvina Ardani 07/01/2017 P Tn. Rusdin M Ny. Winarsih 48 17 102.3 N

28 Aulia Izzatunnisa 06/01/2016 P Tn. Nanang Sugiarto Ny. Marfungah 47 17 110.3 N

29 Virli Solihin 13/12/2016 P Tn. Amin K Ny. Erna 48 13.8 96 N

30 Verlita Putri Lestari 03/02/2016 P Tn. Joko Susanto Ny. Diah Siska Wiwi 51 14.5 89 N

31 M Revan Saputra 21/2/2016 L Tn. Casmita Ny. Indah Lestari 41 16.5 100 N

32 Sirena Diva Vanesa 20/03/2016 P Tn. Soroto Ny. Yuliyani 46 17.5 99.5 N

33 Naysila Farisa 04/03/2016 P Tn. Mulki Husen Ny. Sulistiani 47 23.5 105 N

34 Nazril Rifat 26/04/2016 L Tn. M Julkifli Ny. Ponirah 44 17.5 89 N

35 Azka Afrizam 29/04/2016 L Tn. Salim Ny. Rahayu 45 16.6 101 T

36 Hafish Al Amin 08/04/2016 L Tn. Sodikun Ny. Siti Aminah 45 15.2 96 N

37 Dian Firmansyah 20/04/2016 L Tn. Hermanto Ny. Dwi Haryanto 44 13.5 93.5 N

38 M Azmi 04/05/2016 L Tn. La Bau Ny. Hadijah 43 13.7 94 N

39 Faqih Khairi R. 18/05/2016 L Tn. Sarif Ny. Semi Yuliyati 44 13 93 N

40 Farhan Ahza P. 12/05/2016 L Tn. Fajar Ny. Retno 44 13 92 N

41 Alhafiz 14/06/2016 L Tn. Aljufri Ny. Siti Sumarsih 43 12 92.7 T

42 Aura Cantika 13/07/2016 P Tn. Aryono Ny. Ike Murni 41 13 89 N

43 Hafiz Sahfatullah 07/08/2016 L Tn. Sudar Ny. Astuti 41 15.5 101 T

44 M Arga Maulana 17/08/2016 L Tn. Untung Ny. Trisnawati 41 12 92 N

45 M Maulana Sidqi 07/08/2016 L Tn. Sudirman Ny. Quradina Indah 42 13 93 N

46 Nurul Wahda 22/11/2016 P Tn. Ande Umar Ny. Hartati Muin 38 13.6 100 T

47 Zaidan Muchsin 23/11/2016 L Tn. Mahfud Muchsin Ny. Sumini 38 13.6 87 T

48 M Ardi Pranaja 12/11/2016 L Tn. Andi Junaidi Ny. Sadialah 38 13.5 92 O

49 Ahla Mulidha Noh 10/12/2016 P Tn. Jasmin Noh Ny. Rismarina 37 15.5 97 T

50 Rajik Alfareji 29/07/2016 L Tn. Warso Ny. Salbia 30 15.6 86.5 N

51 Risaldy Bimbing 06/02/2017 L Tn. Rizqi Ny. Nurjanah 35 14 100 T

52 Aditia Saputra 10/02/2017 L Tn. Jamirin Ny. Dwi Rahayu 35 10.8 91.7 T

53 Raselina Putri 11/03/2017 P Tn. Warsidi Ny. Maharani 34 14 87.2 T

54 Gibran Aji Saputra 27/03/2017 L Tn. Wagiman Ny. Endang Puji 34 15.5 88 T

55 M Arkhan Abdul R 29/03/2017 L Tn. Irwan Ny. Nurjima 34 13.2 88 N

56 Abdie An Azzam 14/04/2017 L Tn. Basuni Ny. Asti Munayanti 33 12.3 86 T

57 Rafa Aska Putra 15/04/2017 L Tn. Sunardi Ny. Ika Lusiyana 31 13 83 T

58 Arga Candra A. 25/04/2017 L Tn. Andik Suprapto Ny. Ema Sugiarti 33 11.6 84 T

59 Nazar Aditya 15/04/2017 L Tn. Suwito Ny. Winarsih 33 13.6 87 T

60 M Rafif 05/12/2017 L Tn. Irham Hasanudin Ny. Eva 32 12.6 88.3 N

61 Raka P.Ramadan 04/06/2017 L Tn. Sudarwanto Ny. Ikem 32 12 90 T

62 Rafka Syaputra 07/11/2017 L Tn. Dedi S. Ny. Suci Barokah 26 12.5 84 T

63 Abdullah Azzam 14/04/2017 L Tn. Basuni Ny. Asti 34 12 99.2 O

64 Estri Khasanan 31/01/2018 P Tn. Darsono Ny. Warsiti 24 10 79 N

65 Syifa Amelia 05/06/2018 P Tn. Husen Ny. Ristina 19 10 79.8 T

66 Khanza Faridani 29/03/2018 P Tn. Giat Sutanto Ny. Ainur Rofikoh 23 10.5 80.1 N

67 Bayi Indah ( M Alfitra ) 25/04/2018 L Tn. Mudafris Ny. Idah 22 12 78.3 N

68 Kori Bahri 20/9/2018 L Tn. Bahri Ny. Nurmia 15 10 72.1 N

Mengetahui
Kepala Puskesmas

NS. Faris Rakib, S. Kep

NIP. 19750527 200312 1 002
BAIM
le kode pos : 97863

MBERIAN KAPSUL VITAMIN A

STATUS GIZI AE VITAMIN A

ASI
Kurang
EKSKLI
dari 6
BB/U BB/TB TB/U SIF Merah Biru
bulan

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Kurang √

Normal Normal Normal √

R.Lebih Normal Lebih √

Normal Normal Kurang √

Normal Normal Kurang √

Normal Normal Normal √

Normal Normal Kurang √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

R.Lebih Normal Lebih √

Normal Normal Normal √

Normal Normal Lebih √

Normal Pendek Normal √

Kurang Pendek Kurang √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal S.Pendek Lebih √

Normal Normal Normal √

Normal Normal Lebih √

Normal Normal Lebih √

R.Lebih Normal Lebih √

Normal S.Pendek Lebih √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Pendek Normal √

Kurang Pendek Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Lebih √

Normal Normal Normal √

Normal Normal Normal √

Normal S.Pendek Lebih √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Lebih √

Normal Normal Lebih √

Normal Normal Normal √

Normal Pendek Normal √

Normal Normal Normal √

Normal Pendek Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Pendek Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal Normal Normal √

Normal S.Pendek Lebih √

Wasile, 29 Februari 2020

Pelaksana Gizi Puskesmas

Muna Kabir, Amd. G

NIP. 19750820 200003 2 003
 DINAS KESEHATAN
PUSKESMAS PERAWATAN SUBAIM
Jln. Trans Halmahera Desa Baturaja Kec. Wasile kode pos : 9
Email : pkmsubaim188@gmail.com

NAMA-NAMA BALITA PEMANTAUAN PERTUMBUHAN DI POS

Desa : Batu Raja
Bulan : Maret
Nama Orang Tua
UMUR BB
No Nama Tgl Lahir JK
(Bulan) (Kg)
Ayah Ibu

1 Ulfa Alya Fitri 21/03/2016 P Tn. Sukri Ny. Ruyati 46 13.1

2 Assifaunnisa 13/08/2016 P Tn. Tuji D Ny. Mangunah 42 14.4

3 Ahmad Zidan A 17/09/2016 L Tn. Wagiman Ny.Yatimah 35 10.9

4 Nurul Wahda 22/11/2016 P Tn. Ande Umar Ny. Hartati Muin 39 13.2

5 Raditya Ardani 14/11/2016 L Tn. Rahmat Ny. Rohati 39 13.5

6 Aditia Saputra 10/02/2017 L Tn. Jamirin Ny. Dwi Rahayu 36 11.3

7 Wa Ode Linda S 09/03/2017 P Tn. Samsi Ny. Saharawi 35 10

8 Fina Melisa 21/05/2017 P Tn. Sutarno Ny. Kasmiyati 33 10.9

9 Nurazkayra 28/05/2017 P Tn. Nur Kosim Ny. Hadiyasti 35 11.2

10 Uwais Alqorni 19/06/2017 L Tn. Aryo Ny. Dwi Nur S. 33 12.6

11 Saira Azkadina 22/06/2017 P Tn. Slamet Ny. Lina Riyanti 32 12.7

12 Cantika R 06/06/2017 P Tn. Abdul Aziz Ny. Sukmawati 31 12.9

13 Naufal A. Raffasa 01/07/2017 L Tn. Zainal Ny. Maryam 32 12.4

14 M Nur Faizi 26/07/2017 L Tn. Aziz Ny. Misti 30 12.7

15 Najwa Asila 18/07/2017 P Tn. Kader Ny. Farida 30 10.5

16 Alfiyatunnisa 17/07/2017 P Tn. Budi Wadoyo Ny. Siti Alfia 31 12.1

17 Ahktar Nabih Argani 17/07/2017 L Tn. Suprianto Ny. Watini 31 10

18 Naifah Taufik A 03/10/2017 P Tn. Taufik Ny. Yeni Muji Rahay 29 9.8
19 Restu Aditya 04/11/2017 L Tn. Muslimin Ny. Sulistiawati 28 11

20 M Aidil 28/12/2017 L Tn. Hasyim Ny. Titin 25 10.5

21 Raesha Dwi A. 19/12/2017 P Tn. Anton Khusaini Ny. Nurnawati 26 9.6

22 Adnan Sarif 12/10/2017 L Tn. Zulkarnain Ny. Jena M. 25 10.2

23 Reza Alindra 11/10/2017 L Tn. Andi Ny. Lilia Sunarti 29 9.6

24 Rafif Syahrul 24/12/2017 L Tn Syahrul Hasbi Ny. Wati Ishak 25 12

25 Nurul Ismi 02/01/2018 P Tn. Purwanto Ny. Rugaya 26 10.7

26 Rafif Rasikal Abib 03/03/2018 L Tn. Didit nurhadi Ny. Rumiyatun 24 11

27 Reno Aji Pangestu 28/03/2018 L Tn. Pujiyono Ny. Samsia 23 11.1

28 Azzahra Zahira S 28/04/2018 P Tn. Farit Ny. Sustika 22 7.6

29 Alfatih Khafit R 15/05/2018 L Tn. Kholik Sawijo Ny. Mardiana 22 13.8

30 Ramadani Aldualid 26/05/2018 L Tn. Pantoyo Ny. Ernawati 21 11.1

31 Alfabi Ramadan 13/06/2018 L Tn. Yayan Ny. Lutfia 20 12.6

32 Bakti Syafa Syaputra 25/06/2018 L Tn. Hermanto Ny. Murni Handayani 20 8.5

33 Egi Maulana 23/07/2018 L Tn. Suwanto Ny. Yulianti 19 10.2

34 Ahmad Naufal 02/08/2018 L Tn. Joko Susilo Ny. Titin Liana 18 8

35 Ashalina Yumna 22/9/2018 P Tn. Aljufri Ny. Siti Sumarsi 17 8.1

36 Amanda Nafisa 04/07/2018 P Tn. Yayan Ny. Rusmita 23 11.3

37 Athafaris Udin 10/03/2018 L Tn. Udin Jumati Ny. Wiwin 17 99

38 Nala Misal Sabira 19/09/2019 P Tn. Irawan Ny. Farida S 15 9.5

39 Erlangga 10/04/2018 L Tn. Yusuf Ny. Rahmawati 17 10

40 Naisila Putri H 11/12/2018 P Tn. Ny. Retno 14 10.7

41 Delia Husna 30/12/2018 P Tn. Sujiono Ny. Wijayanti 14 7.8

42 M Al Faiz 12/01/2018 L Tn. Nasuha Ny. Najmawati 15 8

43 Yusuf Al Amar 9/1/2019 L Tn. Agus Wijayanto Ny. Ewis Muji Irawati 13 8.2
44 M Syafiq 3/9/2019 L Tn. Tuji DarmawantoNy. Mangunah 11 8.4

45 Enzy Abyan 2/3/2019 L Tn. Arianto Ny. Ira Setiawati 13 9

46 Naila Alika Putri 3/3/2019 P Tn. Sukaryono Ny. Siti M Jainudin 12 7.2

47 Putri Safina 2/3/2019 P Tn. Talha Malaka Ny. Rini Handayani 13 8.6

48 Altan Mujahid 3/6/2019 L Tn. Jamin Noh Ny. Rismarina 11 10.7

49 Muhammad Hanif 3/21/2019 L Tn. M Rohim Ny. Kusmiati 11 11.5

50 M Ardana Abi Putra 1/25/2019 L Tn. Sunardi Ny. Sri Daningsih 13 10.1

51 Danish Putri Aprilia 4/27/2019 P Tn. Sutrisno Ny. Sri Utami 10 7.9

52 Ajmar Iskandar 4/23/2019 L Tn. Iskandar Sadek Ny. Wamala 10 8

53 Rasit Ramadan 01/0/2019 L Tn. Sulaiman Ny. Legiem 9 8.5

54 Aira Delisa 6/1/2019 P Tn. Purwadi Ny. Sumiati 9 8.5

55 Arsila M Daud 4/1/2019 P Tn. Hadir Ny. Elfi 11 7.9

56 Miliyah Putri Aprilia 4/5/2019 P Tn. Wahyudi Ny. Nita 10 9.3

57 Reihan Adip P 6/16/2019 L Tn. Alif Ny. Siti Rahayu 8 8.7

58 Sofi Salsabila 6/1/2019 P Tn. Amin Ny. Erna 9 8.2

59 Aulia Nasifah 6/5/2019 P Tn. Agusng S Ismail Ny. Risqa Hidayat 8 8.5

60 Arsila Dwi Cantika 7/3/2019 P Tn. Suyud Ny. Susiani 8 7.9

61 Aiza Nurziannuhuda 7/27/2019 P Tn. Adri Eko SaputraNy. Ari P Lestari 6 7

62 Safa Azmi Jayanti 7/8/2019 P Tn. Nanang Ny. Marfila 7 7.6

63 A Khalid Juliansyah 7/10/2019 L Tn. Misno Ny. Elly Ernawati 7 7.6

64 Shanum Dya Dzakira 15/10/2019 P Tn.Rimba Ny.Sri Wahyuni 4 6.5

65 AiIndya Indra Saputri 4/11/2019 P Tn.Indra Ny. Siti Nurjanah 4 5

66 Jihan Thalita Ulfa 24/10/2019 P Tn.Egadianto Ny.Miftahul Jannah 4 8.2

67 Nabila Nurzahira 7/11/2019 P Tn.Cahyono Ny.Nurmalasari 3 6.8

68 Ardiana Usman 7/21/2019 P Tn. Usman Daut Ny. Nawi Arsad 6 7.2
69 M Fajar 8/29/2019 L Tn. Hasbullah Gajali Ny. Nawi Arsad 6 8.5

70 Naufal Rasiden 12/17/2019 L Tn. Wagiran Ny. Triwahyuni 2 5.9

71 Rifaldian Syah 12/15/2019 L Tn. Ismail Daud Ny. Umy Kadir 2 5.9

72 Bakti Ardiono 5/5/2019 L Tn. Triyono Ny. Fatma Wulansari 8 7.5

73 Faranita Lesfani 1/27/2020 P Tn. Tumino Ny. Budi Surati 1 4.3

74 Syafira Putri Habibu 1/22/2020 P Tn. Adin Ny. Retno 2 4.6

Mengetahui
Kepala Puskesmas

NS. Faris Rakib, S. Kep

NIP. 19750527 200312 1 002
EHATAN
AN SUBAIM
c. Wasile kode pos : 97863
ail.com

TUMBUHAN DI POSYANDU

Status STATUS GIZI ASI

TB Pertumb
EKSK KET
(Cm) uhan
BB/U BB/TB TB/U LISIF
(NTOB)

94.5 N Normal Normal Normal

92 N Normal Normal R.Lebih

91.2 N Kurang Pendek Kurang

100 T Normal Normal Normal

91.3 N Normal Normal Normal

91.9 T Kurang Normal Kurang

89 O Kurang Normal Kurang

83.7 N Normal Pendek Normal

87 N Normal Normal Normal

88.3 N Normal Normal Normal

83.2 N Normal Pendek R.Lebih

84 N Normal Pendek R.Lebih

84.7 T Normal Normal Normal

85.6 N Normal Pendek Normal

80.2 N Normal S.Pendek Normal

84.8 N Normal Normal Normal

83.5 T Normal Normal Normal

79 N Kurang S.Pendek Normal

85.5 N Normal Normal Normal

81.1 T Normal Normal Normal

83.9 N Normal Normal Normal

81.7 T Normal Pendek Normal

81.5 N Normal Normal Normal

89.9 O Normal Normal Normal

81 N Normal Normal Normal

83 T Normal Normal Normal

84.1 T Normal Normal Normal

74 N S.Kurang Pendek Kurang

88 T R.Lebih Normal R.Lebih

86.3 T Normal Normal Normal

80 T Normal Normal Normal

77 N Kurang Pendek Kurang

82 T Normal Normal Normal

74.8 T Normal Normal Normal

77.3 T Kurang Pendek Kurang

83 O Normal Normal Normal

75.7 T Normal S.Pendek Normal

78.4 N Normal Normal Normal

81.6 N Normal Normal Normal

76.3 T Normal Normal Normal

73.4 N Normal Normal R.Lebih

73.2 T Normal Pendek Normal

73.4 N Normal Normal Normal

69 T Normal Pendek Normal

75.7 N Normal Normal Normal

67.9 T R.Lebih S.Pendek Obesitas

69.5 N Normal Normal Normal

77.7 N Normal Normal Normal

72.3 T Normal Normal Normal

77.9 N R.Lebih Normal Lebih

71.7 N Normal Normal Normal

71.1 T Normal Normal Normal

73 T Normal Normal Normal

70 T Normal Normal Normal

71.8 T Normal Normal Normal

70.2 N Normal Normal R.Lebih

71.1 N Normal Normal Normal

70.2 N Normal Normal Normal

6.8 T Normal Normal Normal

67.5 N Normal Normal Normal

62.2 T Normal S.Pendek Normal

63.4 T Normal Normal Normal

71 T Normal S.Pendek R.Lebih

66 T Normal Normal Normal √

58.2 N Normal Normal Normal √

62.9 N Normal Normal Normal X

63.5 N R.Lebih Normal R.Lebih √

62.7 T Normal Normal Normal √

68 N Normal Pendek R.Lebih X

59 N Normal Normal Normal √

55.7 T Normal Normal Normal √

63.8 B Normal Normal Normal

50 B Normal Normal Normal √

53.3 B Normal Normal Normal X

Wasile, 30 Maret 2020

Pelaksana Gizi Puskesamas

Muna Kabir, Amd. G

NIP. 19750820 200003 2 003
 DINAS KESEHATAN
PUSKESMAS PERAWATAN SUBAIM
Jln. Trans Halmahera Desa Baturaja Kec. Wasile kode pos : 97
Email : pkmsubaim188@gmail.com

NAMA-NAMA BALITA KUNJUAN RUMAH D/S

Desa : Batu Raja
Bulan : Maret
Nama Orang Tua
UMUR BB
No Nama Tgl Lahir JK
(Bulan) (Kg)
Ayah Ibu

1 Mahira Rosalina 15/03/2015 P Tn. Purwadi Ny. Sumiyati 59 16.2

2 Mulyadi 29/03/2015 L Tn. Endang Ahmad Ny. Daliyanti 58 13

3 Rafi Aditya 29/03/2015 L Tn. Ratim Ny. Desi Nurhayat 57 16.7

4 Adira Azzahra 03/04/2015 P Tn. Jufri M Ny. Nursin 57 16.5

5 Dzakira Sofie 26/04/2015 P Tn. Adiyanto Ny. Sangidah 57 14

6 Aditya Pratama 14/04/2015 L Tn. Siswanto Ny. Nurazisah 57 16.5

7 Tegas Wijaksana 19/04/2015 L Tn. Siswandi Ny. Susiyati 57 15.5

8 Fatir Sugianto 28/04/2015 L Tn. Sugianto Ny. Sartini 57 16.7

9 Zilfani Yoanita 09/05/2015 P Tn. M Yuyun Ny. Nurfatila 46 16.5

10 M Abijar 15/05/2015 L Tn. Slamet Ny. Warisah 57 14.8

11 Alika Naila 18/05/2015 P Tn. Slamet Riyadi Ny. Maisaroh 57 14.5

12 Nuriah Rofikoh 11/05/2015 P Tn. Nurul Husaini Ny. Riyanti 57 15

13 Nurasila Wahid 29/06/2015 P Tn. Abdul Wahid Ny. Erni Ibrahim 56 15.5

14 Hilal Ramadani 12/06/2015 P Tn. Agus Subali Ny. Umiatun 56 17.5

15 Kayla Z. Naufalin 01/07/2015 P Tn. Tuin Adi Saputra Ny. Kasiatun 55 12.6

16 Alif Fitra Azhari 19/07/2015 L Tn. Suhermanto Ny. Murni Handay 54 15.7
17 Naila Azzahra 01/17/2015 P Tn. Murdami Ny. Suryani 54 14.2

18 Said Adnan 21/07/2015 L Tn. Slamet Ny. Lina 55 19

19 Aidil Fatah 05/08/2015 L Tn. Imran Bati Ny. Sumarni Talib 52 15.5

20 Anita Septiana 11/09/2015 P Tn. Bejo Laksana Ny. Wartinah 46 15.3

21 Dwi Anggreni 18/09/2015 P Tn. Budi Hartono Ny. Dian Idayati 52 14.5

22 M Alfaqih 17/10/2015 L Tn.Eko Subagio Tn. Dian Idayati 51 13.5

23 Arjuna 01/10/2015 L Tn. M Abdullah Ny. Vera 51 23

24 Nida Khoirunnisa 04/11/2015 P Tn. Mustofa Ny. Wiwik Pujiati 52 19.2

25 M Faidzh Rezky 02/11/2015 L Tn. M Muhaimin Ny. Naswati 51 17.5

26 Rivaldi Pratama 31/10/2015 L Tn. Endar K. Ny. Lili Ismawati 52 14

27 M Djasir Asnain 25/12/2015 L Tn. Asnain Ny. Ramliah 50 12.5

28 Elvina Ardani 07/01/2017 P Tn. Rusdin M Ny. Winarsih 49 18

29 Aulia Izzatunnisa 06/01/2016 P Tn. Nanang Sugiarto Ny. Marfungah 48 16.5

30 Virli Solihin 13/12/2016 P Tn. Amin K Ny. Erna 49 14.4

31 Adrian Dukomalamo 13/02/2016 L Tn. Doa DukomalamoNy. Faradila 48 13.7

32 Verlita Putri Lestari 03/02/2016 P Tn. Joko Susanto Ny. Diah Siska Wi 52 14.6

33 M Revan Saputra 21/2/2016 L Tn. Casmita Ny. Indah Lestari 42 10

34 Sirena Diva Vanesa 20/03/2016 P Tn. Soroto Ny. Yuliyani 47 17.5

35 Naysila Farisa 04/03/2016 P Tn. Mulki Husen Ny. Sulistiani 48 44.2

36 Nazril Rifat 26/04/2016 L Tn. M Julkifli Ny. Ponirah 45 17

37 Azka Afrizam 29/04/2016 L Tn. Salim Ny. Rahayu 46 16.7

38 Hafish Al Amin 08/04/2016 L Tn. Sodikun Ny. Siti Aminah 46 15.5

39 Dian Firmansyah 20/04/2016 L Tn. Hermanto Ny. Dwi Haryanto 45 13

40 Faqih Khairi R. 18/05/2016 L Tn. Sarif Ny. Semi Yuliyati 45 13.2

41 Farhan Ahza P. 12/05/2016 L Tn. Fajar Ny. Retno 45 12.7

42 Alhafiz 14/06/2016 L Tn. Aljufri Ny. Siti Sumarsih 44 12.3

43 Aura Cantika 13/07/2016 P Tn. Aryono Ny. Ike Murni 42 13.5

44 Hafiz Sahfatullah 07/08/2016 L Tn. Sudar Ny. Astuti 42 14.6

45 M Arga Maulana 17/08/2016 L Tn. Untung Ny. Trisnawati 42 12.6

46 Abdillah Isyana 02/08/2016 L Tn. Abdil Rame Ny. Ismawati 43 14.5

47 M Maulana Sidqi 07/08/2016 L Tn. Sudirman Ny. Quradina Ind 43 13.6

48 Ahmad Arifin 18/10/2016 L Tn. Ahmad Solihin Ny. Isnawati 42 14.5

49 M Ardi Pranaja 12/11/2016 L Tn. Andi Junaidi Ny. Sadialah 39 13.8

50 Ahla Mulidha Noh 10/12/2016 P Tn. Jasmin Noh Ny. Rismarina 38 16.5

51 Rajik Alfareji 29/07/2016 L Tn. Warso Ny. Salbia 31 17

52 Risaldy Bimbing 06/02/2017 L Tn. Rizqi Ny. Nurjanah 36 14

53 Raselina Putri 11/03/2017 P Tn. Warsidi Ny. Maharani 35 14.6

54 Gibran Aji Saputra 27/03/2017 L Tn. Wagiman Ny. Endang Puji 35 13

55 M Arkhan Abdul R 29/03/2017 L Tn. Irwan Ny. Nurjima 35 13.5

56 Abdie An Azzam 14/04/2017 L Tn. Basuni Ny. Asti Munayant 34 12.5

57 Rafa Aska Putra 15/04/2017 L Tn. Sunardi Ny. Ika Lusiyana 32 12

58 Arga Candra A. 25/04/2017 L Tn. Andik Suprapto Ny. Ema Sugiarti 34 12

59 Nazar Aditya 15/04/2017 L Tn. Suwito Ny. Winarsih 34 13.8

60 Wahyu Hidayat 08/05/2017 L Tn. Sucipto Ny. Satimah 34 12.2

61 Natan Khiara R. 23/05/2017 L Tn. Iwan Ny. Juliyanti 42 11.8

62 Qulby Alisya F. 04/05/2017 P Tn.Irawan Ny.Farida 32 12.5

63 Raka P.Ramadan 04/06/2017 L Tn. Sudarwanto Ny. Ikem 33 11.2

64 Syifa Azzairah 11/08/2017 P Tn. Ali Lut Ny. Mimi 29 12.5

65 Askadina 21/09/2017 P Tn. Samsul Ismail Ny. Nursia 29 12

66 Auzan 04/10/2017 L Tn. Yusri Kaunan Ny. Nuraini 29 12

67 Albi Maulana 20/10/2017 L Tn. Muhdar Hasan Ny. Susanti 28 10.6

68 M Althafmeka B. 16/11/2017 L Tn. Marsum Ny. Darsini 27 12.5

69 Annasya A. Saila 17/12/2017 P Tn. Daryono Ny. Sri Rahayu 25 12

70 Rafka Syaputra 07/11/2017 L Tn. Dedi S. Ny. Suci Barokah 27 12.9

71 Devita A.Z 18/12/2017 P Tn. Sugiyanto Ny. Sartini 26 12.3

72 Abdullah Azzam 14/04/2017 L Tn. Basuni Ny. Asti 35 11.8

73 Zakir Kafadi 06/01/2018 L Tn. Barokah Ny.Yanti 25 12

74 Estri Khasanan 31/01/2018 P Tn. Darsono Ny. Warsiti 25 8

75 Khabsyah Faika z 09/03/2018 L Tn. Suyanto Tn. Asih 23 10.8

76 Andini 21/03/2018 L Tn. Usman Ny. Nawi 23 11.9

77 Aisyah Hairil 17/04/2018 P Tn. Hairul Ny. Sumarni 22 11.8

78 M Ramadani 28/05/2018 L Tn. Hasan Ahmad Ny. Siti 21 11.6

79 Syifa Amelia 05/06/2018 P Tn. Husen Ny. Ristina 20 10.3

80 M Zafran 27/07/2018 L Tn. Deni Kurniawan Ny. Indri Fatimah 20 10.5

81 Khanza Faridani 29/03/2018 P Tn. Giat Sutanto Ny. Ainur Rofikoh 24 10

82 Bayi Indah ( M Alfitra 25/04/2018 L Tn. Mudafris Ny. Idah 23 12

83 Kori Bahri 20/9/2018 L Tn. Bahri Ny. Nurmia 16 10.2

84 Akifa Naila 19/10/2018 P Tn. Sofyan Ny. Nurfatilah 17 7.9

 Mengetahui
Kepala Puskesmas

NS. Faris Rakib, S. Kep

NIP. 19750527 200312 1 002
SEHATAN
TAN SUBAIM
ec. Wasile kode pos : 97863
gmail.com

JUAN RUMAH D/S

Status STATUS GIZI ASI

TB Pertumb
EKSKLI KET
(Cm) uhan
BB/U BB/TB TB/U SIF
(NTOB)

106 T Normal Normal Normal

102 T Kurang Normal Kurang

106 T Normal Normal Normal

105 T Normal Normal Obesitas

109 T Normal Normal Kurang

115.3 T Normal Normal Kurang

107 T Normal Normal Normal

115.1 N Normal Normal Kurang

103 N Normal Normal Normal

101 T Normal Normal Normal

100 T Normal Normal Normal

100 T Normal Normal Normal

107 T Normal Normal Normal

109.4 T Normal Normal Normal

99 N Kurang Normal Normal

107 N Normal Normal Normal

104 N Normal Normal Normal

101.2 N Normal Normal Lebih

98 N Normal Pendek Normal

95 N Normal Pendek R.Lebih

96.6 N Normal Normal Normal

95 T Normal Pendek Normal

105.2 N R.Lebih Normal Obesitas

109.5 T Normal Normal Kurang

97.5 T Normal Normal Lebih

95.2 T Normal Pendek Normal

95 N Kurang Pendek Normal

102.3 N Normal Normal Normal

110.3 T Normal Normal R.Lebih

96 N Normal Normal Normal

95 N Normal Pendek Normal

89 N Normal S.Pendek R.Lebih

100 T Normal Normal Normal

99.5 T Normal Normal R.Lebih

113 N Lebih Normal Lebih

89 T Normal S.Pendek Obesitas

101 T Normal Normal Normal

96 N Normal Normal Normal

93.5 T Normal Pendek Normal

93.5 N Normal Pendek Normal

92 T Normal Pendek Normal

92.7 N Kurang Pendek Normal

89 N Normal Pendek Normal

101 T Normal Normal Normal

92 N Normal Pendek Normal

92 N Normal Normal Normal

93 N Normal Pendek Normal

91 T Normal Pendek R.Lebih

92 N Normal Normal Normal

97 N R.Lebih Normal Lebih

86.5 N Normal S.Pendek Obesitas

100 T Normal Normal Normal

87.2 N Normal Pendek Lebih

88 T Normal Pendek Normal

88 N Normal Pendek R.Lebih

88 N Normal Normal Normal

83 T Normal Normal Normal

86 N Normal S.Pendek Normal

87 N Normal Pendek R.Lebih

85.7 N Normal Normal Normal

85.7 N Normal Pendek Normal

90.5 N Normal Normal Normal

90 T Normal Normal Normal

86 T Normal Pendek Normal

84.3 N Normal Normal Normal

89.5 T Normal Normal Normal

83.6 T Normal Pendek Normal

89.3 N Normal Normal Normal

88 T Normal Normal Normal

84 N Normal Normal R.Lebih

83.5 N Normal Normal R.Lebih

99.2 T Normal Normal Normal

81.2 N Normal Normal Normal

79 T S.Kurang Pendek Kurang

80.3 N Normal Normal Normal

83.6 T Normal Normal Normal

79 N Normal Normal R.Lebih

86 N Normal Normal Normal

79.8 N Normal Normal Normal

80 N Normal Normal Normal

80.1 T Normal Normal Normal

78.3 T Normal Pendek R.Lebih

72.1 N Normal S.Pendek R.Lebih

73.2 O Normal Normal Normal

Wasile, 31 Maret 2020

Pelaksana Gizi Puskesamas

Muna Kabir, Amd. G

NIP. 19750820 200003 2 003
 DINAS KESEHATAN
PUSKESMAS PERAWATAN SUBAIM
Jln. Trans Halmahera Desa Baturaja Kec. Wasile kode pos : 97863
Email : pkmsubaim188@gmail.com

NAMA-NAMA BALITA KUNJUAN D/S

Desa : Batu Raja
Bulan : April
Nama Orang Tua
UMUR BB TB
No Nama Tgl Lahir JK
(Bulan) (Kg) (Cm)
Ayah Ibu

1 M Abijar 15/05/2015 L Tn. Slamet Ny. Warisah 58 15 101

2 Nuriah Rofikoh 11/05/2015 P Tn. Nurul Husaini Ny. Riyanti 58 15 100

3 Nurasila Wahid 29/06/2015 P Tn. Abdul Wahid Ny. Erni Ibrahim 57 15.7 107

4 Hilal Ramadani 12/06/2015 P Tn. Agus Subali Ny. Umiatun 57 17.5 109.5

5 Alif Fitra Azhari 19/07/2015 L Tn. Suhermanto Ny. Murni Handayani 55 15.9 107

6 Said Adnan 21/07/2015 L Tn. Slamet Ny. Lina 56 19 101.2

7 Aidil Fatah 05/08/2015 L Tn. Imran Bati Ny. Sumarni Talib 53 15.5 98

8 Anita Septiana 11/09/2015 P Tn. Bejo Laksana Ny. Wartinah 47 14 95

9 Dwi Anggreni 18/09/2015 P Tn. Budi Hartono Ny. Dian Idayati 53 14.6 96.6

10 M Alfaqih 17/10/2015 L Tn.Eko Subagio Tn. Dian Idayati 52 13.7 95

11 Arjuna 01/10/2015 L Tn. M Abdullah Ny. Vera 52 23.5 105.7

12 Nida Khoirunnisa 04/11/2015 P Tn. Mustofa Ny. Wiwik Pujiati 53 15.5 109.5

13 M Faidzh Rezky 02/11/2015 L Tn. M Muhaimin Ny. Naswati 52 17.5 97.5

14 Elvina Ardani 07/01/2017 P Tn. Rusdin M Ny. Winarsih 50 18.3 102.3

15 Virli Solihin 13/12/2016 P Tn. Amin K Ny. Erna 50 14.6 98

16 Adrian Dukomalamo 13/02/2016 L Tn. Doa DukomalamoNy. Faradila 49 14 95

17 Verlita Putri Lestari 03/02/2016 P Tn. Joko Susanto Ny. Diah Siska Wiwi 53 13.2 89

18 M Revan Saputra 21/2/2016 L Tn. Casmita Ny. Indah Lestari 43 16.5 100

19 Ulfa Alya Fitri 21/03/2016 P Tn. Sukri Ny. Ruyati 47 13 94.5

20 Sirena Diva Vanesa 20/03/2016 P Tn. Soroto Ny. Yuliyani 48 16.7 99.5

21 Naysila Farisa 04/03/2016 P Tn. Mulki Husen Ny. Sulistiani 49 24.5 114

22 Nazril Rifat 26/04/2016 L Tn. M Julkifli Ny. Ponirah 46 17 89

23 Azka Afrizam 29/04/2016 L Tn. Salim Ny. Rahayu 47 16.5 101

24 Hafish Al Amin 08/04/2016 L Tn. Sodikun Ny. Siti Aminah 47 15.8 96

25 Dian Firmansyah 20/04/2016 L Tn. Hermanto Ny. Dwi Haryanto 46 13.3 93.8

26 Faqih Khairi R. 18/05/2016 L Tn. Sarif Ny. Semi Yuliyati 46 13.5 93.5

27 Alhafiz 14/06/2016 L Tn. Aljufri Ny. Siti Sumarsih 45 12.6 92.7

28 Aura Cantika 13/07/2016 P Tn. Aryono Ny. Ike Murni 43 13.2 89

29 Assifaunnisa 13/08/2016 P Tn. Tuji Darmawanto Ny. Mangunah 43 14.6 92

30 Hafiz Sahfatullah 07/08/2016 L Tn. Sudar Ny. Astuti 43 15.7 101

31 M Arga Maulana 17/08/2016 L Tn. Untung Ny. Trisnawati 43 12.6 92

32 Abdillah Isyana 02/08/2016 L Tn. Abdil Rame Ny. Ismawati 44 14.7 92.1

33 M Maulana Sidqi 07/08/2016 L Tn. Sudirman Ny. Quradina Indah 44 13.8 93.2

34 Ahmad Zidan Arfansya 17/09/2016 L Tn. Wagiman Ny.Yatimah 36 10.7 91.2

35 Ahmad Arifin 18/10/2016 L Tn. Ahmad Solihin Ny. Isnawati 43 14.5 91.3

36 Nurul Wahda 22/11/2016 P Tn. Ande Umar Ny. Hartati Muin 40 14 100

37 Raditya Ardani 14/11/2016 L Tn. Rahmat Ny. Rohati 40 13 91.3

38 Ahla Mulidha Noh 10/12/2016 P Tn. Jasmin Noh Ny. Rismarina 39 16 97

39 Rajik Alfareji 29/07/2016 L Tn. Warso Ny. Salbia 32 16 89.9

40 Aditia Saputra 10/02/2017 L Tn. Jamirin Ny. Dwi Rahayu 37 11 91.9

41 M Arkhan Abdul R 29/03/2017 L Tn. Irwan Ny. Nurjima 36 13 88

42 Rafa Aska Putra 15/04/2017 L Tn. Sunardi Ny. Ika Lusiyana 33 12.1 83.2

43 Arga Candra A. 25/04/2017 L Tn. Andik Suprapto Ny. Ema Sugiarti 35 12.6 86.3

44 Nazar Aditya 15/04/2017 L Tn. Suwito Ny. Winarsih 35 13 87.4

45 Wahyu Hidayat 08/05/2017 L Tn. Sucipto Ny. Satimah 35 12.8 86

46 Fina Melisa 21/05/2017 P Tn. Sutarno Ny. Kasmiyati 34 11.3 83.8

47 Natan Khiara R. 23/05/2017 L Tn. Iwan Ny. Juliyanti 43 12.1 85.9

48 Nurazkayra 28/05/2017 P Tn. Nur Kosim Ny. Hadiyasti 36 11.5 88

49 Raka P.Ramadan 04/06/2017 L Tn. Sudarwanto Ny. Ikem 34 11 90

50 Uwais Alqorni 19/06/2017 L Tn. Aryo Ny. Dwi Nur S. 34 12.6 88.6

51 Saira Azkadina 22/06/2017 P Tn. Slamet Ny. Lina Riyanti 33 12.9 83.6

52 Naufal A. Raffasa 01/07/2017 L Tn. Zainal Ny. Maryam 33 14 84.9

53 M Nur Faizi 26/07/2017 L Tn. Aziz Ny. Misti 31 12.5 85.6

54 Alfiyatunnisa 17/07/2017 P Tn. Budi Wadoyo Ny. Siti Alfia 32 12.5 85.3

55 Ahktar Nabih Argani 17/07/2017 L Tn. Suprianto Ny. Watini 32 10.2 86

56 Askadina 21/09/2017 P Tn. Samsul Ismail Ny. Nursia 30 13 84.3

57 Auzan 04/10/2017 L Tn. Yusri Kaunan Ny. Nuraini 30 12.5 89.5

58 Albi Maulana 20/10/2017 L Tn. Muhdar Hasan Ny. Susanti 29 11 83.6

59 Naifah Taufik A 03/10/2017 P Tn. Taufik Ny. Yeni Muji Rahayu 30 9.5 84

60 Restu Aditya 04/11/2017 L Tn. Muslimin Ny. Sulistiawati 29 11.9 85.8

61 M Althafmeka B. 16/11/2017 L Tn. Marsum Ny. Darsini 28 12.8 89.5

62 M Aidil 28/12/2017 L Tn. Hasyim Ny. Titin 26 10.9 81.4

63 Raesha Dwi A. 19/12/2017 P Tn. Anton Khusaini Ny. Nurnawati 27 9 84.9

64 Adnan Sarif 12/10/2017 L Tn. Zulkarnain Ny. Jena M. 26 10.6 81.7

65 Reza Alindra 11/10/2017 L Tn. Andi Ny. Lilia Sunarti 30 9.5 81.6

66 Rafif Syahrul 24/12/2017 L Tn Syahrul Hasbi Ny. Wati Ishak 26 13.2 89.9

67 Nurul Ismi 02/01/2018 P Tn. Purwanto Ny. Rugaya 27 10.5 81.3

68 Rafif Rasikal Abib 03/03/2018 L Tn. Didit nurhadi Ny. Rumiyatun 25 11 83

69 Reno Aji Pangestu 28/03/2018 L Tn. Pujiyono Ny. Samsia 24 11.4 84.1
70 Azzahra Zahira S 28/04/2018 P Tn. Farit Ny. Sustika 23 8 72.2

71 Alfatih Khafit R 15/05/2018 L Tn. Kholik Sawijo Ny. Mardiana 23 14 88

72 M Ramadani 28/05/2018 L Tn. Hasan Ahmad Ny. Siti 22 12 89

73 Ramadani Aldualid 26/05/2018 L Tn. Pantoyo Ny. Ernawati 22 11.5 89.2

74 Alfabi Ramadan 13/06/2018 L Tn. Yayan Ny. Lutfia 21 12.8 80

75 Bakti Syafa Syaputra 25/06/2018 L Tn. Hermanto Ny. Murni Handayani 21 9 77.3

76 Syifa Amelia 05/06/2018 P Tn. Husen Ny. Ristina 21 11 79.8

77 Egi Maulana 23/07/2018 L Tn. Suwanto Ny. Yulianti 20 10.3 82

78 Ahmad Naufal 02/08/2018 L Tn. Joko Susilo Ny. Titin Liana 19 8.5 75

79 Ashalina Yumna 22/9/2018 P Tn. Aljufri Ny. Siti Sumarsi 18 8.4 77.3

80 Amanda Nafisa 04/07/2018 P Tn. Yayan Ny. Rusmita 24 10.5 83

81 Athafaris Udin 10/03/2018 L Tn. Udin Jumati Ny. Wiwin 18 10.5 75.8

82 Nala Misal Sabira 19/09/2019 P Tn. Irawan Ny. Farida S 16 9.9 78.4

83 Akifa Naila 19/10/2018 P Tn. Sofyan Ny. Nurfatilah 18 7.3 73.2

84 Erlangga 10/04/2018 L Tn. Yusuf Ny. Rahmawati 18 10.4 81.6

85 Rafatar 16/06/2018 L Tn. Rusli Ny.Junaida 21 8 79.9

86 Naisila Putri H 11/12/2018 P Tn. Ny. Retno 15 10.2 76.4

87 Delia Husna 30/12/2018 P Tn. Sujiono Ny. Wijayanti 15 8.3 73.8

88 M Al Faiz 12/01/2018 L Tn. Nasuha Ny. Najmawati 16 9.5 74

89 Yusuf Al Amar 9/1/2019 L Tn. Agus Wijayanto Ny. Ewis Muji Irawati 14 8.6 73.4

90 M Syafiq 3/9/2019 L Tn. Tuji Darmawanto Ny. Mangunah 19 9.2 69

91 Enzy Abyan 2/3/2019 L Tn. Arianto Ny. Ira Setiawati 14 9.5 75.7

92 Naila Alika Putri 3/3/2019 P Tn. Sukaryono Ny. Siti M Jainudin 13 7 68.9

93 Altan Mujahid 3/6/2019 L Tn. Jamin Noh Ny. Rismarina 12 11 77.8

94 Muhammad Hanif 3/21/2019 L Tn. M Rohim Ny. Kusmiati 12 10 72.4

95 M Ardana Abi Putra 1/25/2019 L Tn. Sunardi Ny. Sri Daningsih 14 10.3 77.9

96 Danish Putri Aprilia 4/27/2019 P Tn. Sutrisno Ny. Sri Utami 11 8.3 71.7

97 Ajmar Iskandar 4/23/2019 L Tn. Iskandar Sadek Ny. Wamala 11 7.5 72

98 Rasit Ramadan 01/0/2019 L Tn. Sulaiman Ny. Legiem 10 9 73.8

99 Aira Delisa 6/1/2019 P Tn. Purwadi Ny. Sumiati 10 9.1 70

100 Aidil Fitra 6/4/2019 L Tn. Suandi Bahardin Ny. Susanti 10 9 69.5

101 Arsila M Daud 4/1/2019 P Tn. Hadir Ny. Elfi 12 8 72.9

102 Reihan Adip P 6/16/2019 L Tn. Alif Ny. Siti Rahayu 9 8.9 72

103 Arsila Dwi Cantika 7/3/2019 P Tn. Suyud Ny. Susiani 9 7.8 68

104 Safa Azmi Jayanti 7/8/2019 P Tn. Nanang Ny. Marfila 8 8 63.7

105 A Khalid Juliansyah 7/10/2019 L Tn. Misno Ny. Elly Ernawati 8 8 71

106 Shanum Dya Dzakira 15/10/2019 P Tn.Rimba Ny.Sri Wahyuni 5 6.7 67

107 AiIndya Indra Saputri 4/11/2019 P Tn.Indra Ny. Siti Nurjanah 5 5 58.7

108 Jihan Thalita Ulfa 24/10/2019 P Tn.Egadianto Ny.Miftahul Jannah 5 8.9 63.7

109 Nabila Nurzahira 7/11/2019 P Tn.Cahyono Ny.Nurmalasari 4 8 64

110 Ardiana Usman 7/21/2019 P Tn. Usman Daut Ny. Nawi Arsad 7 7.6 62.8

111 M Fajar 8/29/2019 L Tn. Hasbullah Gajali Ny. Nawi Arsad 7 8.9 68.7

112 Naufal Rasiden 12/17/2019 L Tn. Wagiran Ny. Triwahyuni 3 6.4 59

113 Rifaldian Syah 12/15/2019 L Tn. Ismail Daud Ny. Umy Kadir 3 7 56

114 Faranita Lesfani 1/27/2020 P Tn. Tumino Ny. Budi Surati 2 5.3 51

115 Syafira Putri Habibu 1/22/2020 P Tn. Adin Ny. Retno 3 5.5 54

Mengetahui
Kepala Puskesmas

NS. Faris Rakib, S. Kep

NIP. 19750527 200312 1 002 NIP. 1975082
SUBAIM
asile kode pos : 97863
m

UAN D/S

Status STATUS GIZI ASI

Pertumb
EKSKLI KET
uhan
BB/U BB/TB TB/U SIF
(NTOB)

N Normal Normal Normal

T Normal Pendek Normal

N Normal Normal Normal

T Normal Normal Normal

N Normal Normal Normal

T Normal Normal Lebih

T Normal Pendek Normal

T Normal Pendek Normal

T Normal Pendek Normal

N Normal Pendek Normal

N Normal Normal Normal

N R.Lebih Normal Obesitas

T Normal Normal Lebih

N Normal Normal Normal

N Normal Normal Normal

N Normal Pendek Normal

T Normal S.Pendek Normal

N Normal Normal Normal

T Normal Normal Normal

T Normal Normal R.Lebih

N R.Lebih Normal Obesitas

T Normal S.Pendek Obesitas

T Normal Normal Normal

N Normal Normal R.Lebih

N Normal Pendek Normal

N Normal Pendek Normal

N Normal Pendek Normal

T Normal Pendek Normal

N Normal Normal R.Lebih

T Normal Normal Normal

T Normal Pendek Normal

N Normal Pendek Normal

N Normal Normal Normal

T Kurang Pendek Kurang

T Normal Pendek R.Lebih

N Normal Normal Normal

T Normal Normal Normal

T Normal Normal R.Lebih

T Normal Pendek Lebih

T Kurang Normal Kurang

T Normal Pendek Normal

T Normal S.Pendek Normal

N Normal Pendek Normal

T Normal Pendek Normal

N Normal Pendek Normal

N Normal Pendek Normal

N Normal Pendek Normal

N Normal Normal Normal

T Kurang Normal Kurang

T Normal Normal Normal

N Normal Pendek R.Lebih

N Normal Normal Normal

T Normal Pendek R.Lebih

N Normal Normal Normal

N Normal Pendek Normal

N Normal Normal Normal

N Normal Normal R.Lebih

N Normal Pendek Normal

T Kurang Normal Normal

N Normal Normal Normal

N Normal Normal Normal

N Normal Pendek Normal

T Normal Normal Normal

N Kurang Normal Kurang

T Kurang Pendek Normal

N Normal Normal Normal

T Normal Pendek Normal

T Normal Normal Normal

N Normal Normal Normal

N Kurang S.Pendek Normal

N Normal Normal Normal

N Normal Normal Normal

N Normal Normal Normal

N Normal Normal Normal

N Kurang Pendek Normal

N Normal Normal Normal

T Normal Normal Normal

N Kurang S.Pendek Normal

N Normal Normal Normal

T Normal Normal Normal

N Normal Normal Normal

N Normal Normal Normal

T Kurang Pendek Kurang

N Normal Normal Normal

O Normal Normal Lebih

T Normal Normal Normal

N Normal Normal Normal

N Normal Pendek Normal

N Normal Pendek Normal

N Normal Normal Normal

N Normal Normal Normal

T Kurang Pendek Normal

N Normal Normal R.Lebih

T Normal Normal R.Lebih

 N Normal Normal Normal

N Normal Normal Normal

T Normal Normal Kurang

N Normal Normal Normal

T Normal Normal Normal

O Normal Normal Normal

N Normal Normal Normal

N Normal Normal Normal

T Normal Normal Normal

N Normal Normal Normal

T Normal S.Pendek R.Lebih

T Normal Normal Normal √

T Normal Pendek Obesitas √

T Normal Normal Normal √

N Normal Normal R.Lebih √

T Normal Pendek R.Lebih √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

N Normal Normal Normal √

T Normal Normal Normal √

Wasile, 30 April 2020

Pelaksana Gizi Puskesamas

Muna Kabir, Amd. G

NIP. 19750820 200003 2 003