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FORM DATA BALITA

POSYANDU PISANG ULI


KELURAHAN GROGOL UTARA

JENIS KELAMIN RAMBU KMS


NAMA NIK NIK TEMPAT TANGGAL LAHIR TINGGI LINGKAR BERAT
NO NAMA BALITA MERAH/ RT
KEPALA KELUARGA KEPALA KELUARGA ANAK BALITA L P BADAN KEPALA BADAN
KUNIING/HIJAU
1 MATORI MUJAHID AL- FURQON 317071409860001 3174051711200001 JAAKRTA, 17-11-2000 L 6

2 AHMAD SYIBLY, S.KOM KYLE SYAFIQ ADAM 3174052302950008 3174052905210004 JAKARTA, 29-05-2021 L 6

3 WENDI THOMAS OKDIARTO HISYAM AR-RASYAD 3174092510850004 3174102509210002 JAKARTA, 25-09-2021 L 6

4 ACHMAD IMRAN M. HARIS IMRAN 3174052906790011 3174052106210005 JAKARTA, 21-06-2021 L 7


MUHAMMAD FATAHILLAH
5 SYAHRULLOH 3173080911780003 3174051005190003 JAKARTA, 10-05-2019 L 5
AL-ZHAFRAN
6 SYAHRULLOH NAFEEZA GHONIA HAYATI 3173080911780003 3174056104210008 JAKARTA, 01-04-2021 P 5
AISYAH BUNGA
7 MOHAMMAD SUMARNA 3174041002830019 3174055005200007 JAKARTA, 10-05-2020 P 5
RAMADHANIA
8 MOHAMMAD SUMARNA KEISHA RIZQIA PUTRI 3174041002830019 3174054112220001 JAKARTA, 01-12-2022 P 5

9 EKO BUDI SANTOSO ALUNA SACI HALA 3174050402870010 3174054208220001 JAKARTA, 02-12-2022 P 5

10 BAMBANG TRI HATMOKO MUHAMMAD BAIHAQI 3174052806940008 3174052107210006 JAKARTA, 21-07-2021 L 5

11 EDI SOFYAN NUMA AULIA SALSABILA 3174052202800001 3174055506190004 JAKARTA, 05-06-2019 P 5

12 AHMAD JUNAEDI SYIMLA SOFWATUN NIDAA 3174051606940007 3171026907210002 05/06/2019 P 5

13 YUSUF PERMANA AURELIA SYIFA AZZAHRA 3208190901860002 3601164303190001 03/03/2019 P 5

14 IR.ANFAL SAYHAN ALFARIZQI.A 3174051804760003 3174052211210011 JAKARTA, 22-11-2021 L 8

15 AHMAD RIYADI BIANCA SALSABILA RIYADI 3174052610910008 3174055210220001 JAKARTA, 12-10-2022 P 8

16 SUSWANTO 3174050809800016 3174055611190006 JAKARTA, 16-11-2019 8

17 ARI USFAN FAUZIAH SABYAN AZAHWA 3174052712880009 3174055303220001 JAKARTA, 13-03-2022 P 8

18 T .FAISAL CUT SARI AZURA 3171072308800005 3171076412210002 24/12/2021 P 8

19 A. ZAKI NAJMA FAIHA HANAN 3173050909870003 317305430620001 03/06/2020 P 8

20 SENDI LISANDO NAYRA AZMI LISANDO 3174092810850010 3174054903380001 09/03/2018 P 8

21 SUTISNA ADIPATI ARKA PUTRA 3174052707780018 3174050807180003 08/07/2018 L 8

22 A. RIYADI JIHAN SYAQILLA RIYADI 3174052610910008 3174057105180003 12/10/2022 P 8

23 SYAFRIZAL M. BERYL AKHTAR 1306051706850002 31740552208210006 JAKARTA, 22-08-2021 L 8

24 KHAIRUL ANWAR M. SADAT DARAIN 3174052903840013 3174052108200003 JAKARTA, 21-08-2022 L 8

25 HERI SURYANTO ANINDIRA MAHESWARI 3174041501840005 3174056503190001 JAKARTA, 25-03-2019 P 8

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