Provinsi : Jawa Tengah

Kabupaten : Pati
Puskesmas : Jaken
Desa : Srikaton/ PEPAYA 3
Bulan : FEBRUARI 2022

No No.KK NIK(Nomor Induk ANAK KE NAMA ANAK

Kependudukan) Anak

1 3318060901170001 3318060702170001 2 M. AVATHAR ARROSYID

2 3318060111160003 3318061405170001 1 M. ARFAN ABDUL HAFIDZ
3 3318062103090004 3318066205170001 1 ANINDITA ARUMI .H
4 3318061112070242 3318064508170002 2 SABILA DWI AGUSTIN
5 3318061212070030 3318064211170001 2 DWI NOVITA SARI
6 3318060908100004 3318064612170001 2 AYATUL HUSNA
7 3318061105090001 3318065801180001 1 AISYAFA NATRISYA HUMAIRA
8 3318062212100007 3318065512180001 2 ARSYILA HUDA AZZAHIRA
9 3318060711080006 3318062803180001 2 MUHAMMAD AZKA FIRDAUS
10 3318062307100002 3318065210180001 2 NIVA OKTAVIA ARSY
11 3318061207056112 3318060911180001 3 MOH. ABIL ALFARIZQI
12 3318062912180004 3318062311180002 1 M.KHOIRUL RAYYAN
13 3318060511180004 3318062611180003 1 MUHAMMAD DYLAN ALFARIZQI
14 3318060512180004 331806102180001 1 REYNAD AHZA ZAINADIN. R
15 3318061602190007 3318060903190003 1 M. FAIQ ABROR
16 3318060606160001 3318066104190002 2 AYUNINDIA PARADINA
17 3318060804190002 3318061108190001 1 M. KHOIRUDIN ARRIDLO
18 3318060703120001 3318061608190001 2 M. AKMAL ROSYDANA
19 3318062E408190003 3318061808190001 1 M. AQMAR NADHIF
20 3318060203120004 3318060310190002 2 AMHMAD FAISHAL
21 3318061509150003 33180653402200003 2 AMANDA LAILATUL JANNAH
22 3318062201080006 3318061307200001 2 M.YOGI IMANSYAH
23 3318060703120001 3318066508200001 2 NAUREEN FALISHA
24 3318061602190007 3318064810200002 ALIYA NURIN NABILA
25 3318062210200003 2 AHMAD RIFKI ADRIAN
26 3318061410190001 '3318061011200002 1 ARRAYYAN DANIAL ALHUSEYN
27 3318062811160004 3318066212200003 2 EDIRA NUR KHOLIFAH
28 3318060409200002 3318062712200001 1 MUH RAFAEZA A
29 3318060212130001 3318066401210001 2 INTAN SULIS PRAMUDITA
30 3318065008210002 2 ARABELLA AGUSTINA DEWI
31 3318061410210002 3318061809210001 2 BAGAS HERMAWAN PUTRA
32 3318062105120004 3318066010210001 3 ZEANNISA FAATINA K.
 DATA SASARAN BALITA FORMAT Eppgbm

Berat
TANGGAL LAHIR JENIS Badan Nama Orang Tua NIK Orang Tua No Tlp/HP
KELAMIN Lahir (Kg) Orang Tua

07/02/2017 L SIGOYONO 3318060307820003

14/05/2017 L 4 NUR RAMAT 3318060210061000 081390979108
22/05/2017 P 3.6 SUHARYANTO 3318060508160001
06/08/2017 P 3.1 MUTADI 3318061705790002 085802968807
02/11/2017 P PADI 3318062506770002
06/12/2017 P M.SHOFWAN 3318062609870003
18/01/2018 P SUTRIS 3318061607840002
15/02/2018 P M QOMARUL HUDA 3318060809860001 085225143020
28/03/2018 L AGUSNADI 3318061511830003 081289648583
12/10/2018 P 3;3 SUSANTO 3318062212750001
09/11/2018 L SUPAREMIN 3318061406730001
23/11/2018 L 3.5 SOFAN KHAERUL 3326191603900001
26/11/2018 L EKO HADI 3318062505930001
10/12/2018 L M. TOYIB ROSIDI 3317071707920001
09/03/2019 L A. NUR SHOLIKIN 3318062304940002
21/04/2019 P 3 AGUS PRASTYO 3317011201910001
11/08/2019 L AHMAD PUJI 3318062707940002 085293835647
16/08/2019 L 3.2 LASMO 3318062506880002
18/08/2019 L SUNARDI 3318061808190001
03/10/2019 L HIDAYAT 3318062703800001
14/02/2020 P MUHAMAD YARI 3318061603880002
13/07/2020 L SRIYONO 3318061701830002
8/25/2020 P LASMO 3318062506880002
10/5/2020 P A. NUR SHOLIKIN 3318062304940002
10/22/2020 L SISWANTO 3318061909690001
11/11/2020 L 3.1 HARTONO 3318060107850057
12/22/2020 P RIFA'I 3317012603950003
12/27/2020 L 2.8 HESTI SUSANTO 3318061405950002
1/24/2021 P 3 SURAJI 3318061201830003
8/10/2021 P 3.1 MUININ 352201010592000
9/18/2021 P 3.2 TARSAN '3318060107900025
10/20/2021 P 3 SUDARDI 3318062808890001
 Cara Ukur ASI Eksklusif IMD
ALAMAT RT RW Tanggal BB(Kg) TB(Cm) 1=Telentan 1=Ya
pengukuran 1=Ya
2=Berdiri 2=Tidak 2=Tidak
SRIKATON 10 5 2/7/2022 15 104.6
SRIKATON 9 4 2/7/2022 14.4 111.4
SRIKATON 10 5 2/7/2022 33 109.5
SRIKATON 8 4 2/7/2022 13 94
SRIKATON 10 5 2/7/2022 15.9 101.5
SRIKATON 11 5 2/7/2022 15.3 101
SRIKATON 11 5 2/7/2022 13.9 95.1
SRIKATON 10 5 2/7/2022 11.8 84.9
SRIKATON 11 5 2/7/2022 12.1 91.2
SRIKATON 9 4 2/7/2022 13.6 93.6
SRIKATON 11 5 2/7/2022 13.9 92.1
SRIKATON 10 5 2/7/2022 16.5 98
SRIKATON 9 4 2/7/2022 15.4 93
SRIKATON 10 5 2/7/2022 14.1 93
SRIKATON 11 5 2/7/2022 17 97.1
SRIKATON 10 5 2/7/2022 10.3 87.2
SRIKATON 10 5 2/7/2022 10.3 85
SRIKATON 10 5 2/7/2022 11.2 87.3
SRIKATON 10 5 2/7/2022 10.1 83.4
SRIKATON 10 5 2/7/2022 11.2 83
SRIKATON 11 5 2/7/2022 10.5 76.8
SRIKATON 10 5 2/7/2022 8 85.7
SRIKATON 10 5 2/7/2022 8.4 75.2
SRIKATON 2/7/2022 9.2 77.2
SRIKATON 11 5 2/7/2022 7.6 71
SRIKATON 10 5 2/7/2022 8.4 70
SRIKATON 8 4 2/7/2022 9.1 72.9
SRIKATON 11 5 2/7/2022 9.2 73.3
SRIKATON 11 5 2/7/2022 6.9 73.3
SRIKATON 11 5 2/7/2022 6 64
SRIKATON 11 5 2/7/2022 6.2 65.1
SRIKATON 11 5 2/7/2022 5.6 58.9
Vitamin A FVitamin A Agustus
1=Ya 1= Ya
2=Tidak 2=Tidak
Provinsi : Jawa Tengah
Kabupaten : Pati
Puskesmas : Jaken
Desa : Srikaton/ PEPAYA 3
Bulan : SEPTEMBER 2021
Berat
JENIS Badan
NIK(Nomor Induk TANGGAL
No No.KK Kependudukan) AnakANAK KE NAMA ANAK LAHIR KELA Lahir
MIN (Kg)

1 3318060901170001 3318060702170001 2 M. AVATHAR ARROSYID 07/02/2017 L

2 3318060111160003 3318061405170001 1 M. ARFAN ABDUL HAFIDZ 14/05/2017 L 4
3 3318062103090004 3318066205170001 1 ANINDITA ARUMI .H 22/05/2017 P 3.6
4 3318061112070242 3318064508170002 2 SABILA DWI AGUSTIN 06/08/2017 P 3.1
5 3318061212070030 3318064211170001 2 DWI NOVITA SARI 02/11/2017 P
6 3318060908100004 3318064612170001 2 AYATUL HUSNA 06/12/2017 P
7 3318061105090001 3318065801180001 1 AISYAFA NATRISYA HUMAIRA 18/01/2018 P
8 3318062212100007 3318065512180001 2 ARSYILA HUDA AZZAHIRA 15/02/2018 P
9 3318060711080006 3318062803180001 2 MUHAMMAD AZKA FIRDAUS 28/03/2018 L
10 3318062307100002 3318065210180001 2 NIVA OKTAVIA ARSY 12/10/2018 P 3;3
11 3318061207056112 3318060911180001 3 MOH. ABIL ALFARIZQI 09/11/2018 L
12 3318062912180004 3318062311180002 1 M.KHOIRUL RAYYAN 23/11/2018 L 3.5
13 3318060511180004 3318062611180003 1 MUHAMMAD DYLAN ALFARIZQI 26/11/2018 L
14 3318060512180004 331806102180001 1 REYNAD AHZA ZAINADIN. R 10/12/2018 L
15 3318061602190007 3318060903190003 1 M. FAIQ ABROR 09/03/2019 L
16 3318060606160001 3318066104190002 2 AYUNINDIA PARADINA 21/04/2019 P 3
17 3318060804190002 3318061108190001 1 M. KHOIRUDIN ARRIDLO 11/08/2019 L
18 3318060703120001 3318061608190001 2 M. AKMAL ROSYDANA 16/08/2019 L 3.2
19 3318062E408190003 3318061808190001 1 M. AQMAR NADHIF 18/08/2019 L
20 3318060203120004 3318060310190002 2 AMHMAD FAISHAL 03/10/2019 L
21 3318061509150003 33180653402200003 2 AMANDA LAILATUL JANNAH 14/02/2020 P
22 NAUREEN FALISHA 8/25/2020 P
23 3318061602190007 3318064810200002 ALIYA NURIN NABILA 10/5/2020 P
24 AHMAD RIFKI ADRIAN 10/22/2020 L
25 ARROYAN DANIAL ALHUSNA 11/11/2020 L
26 EDIRA NUR KHOLIFAH 12/22/2020 P
27 MUH RAFAEZA 12/27/2020 L
28 INTAN SULIS PRAMUDITA 1/24/2021 P 3
29
 No Tlp/HP Orang Tanggal
Nama Orang Tua NIK Orang Tua Tua ALAMAT RT RW pengukuran BB(Kg) TB(Cm)

SIGOYONO 3318060307820003 SRIKATON 10 5 9/5/2021

NUR RAMAT 3318060210061000 081390979108 DK BRUNDANG 9 4 9/5/2021
SUHARYANTO 3318060508160001 DK JAKEN 10 5 9/5/2021
MUTADI 3318061705790002 085802968807 DK. BRUNDANG8 4 9/5/2021
PADI 3318062506770002 DS. WATUR 10 5 9/5/2021
M.SHOFWAN 3318062609870003 SRIKATON 11 5 9/5/2021
SUTRIS 3318061607840002 DK.JAKEN 11 5 9/5/2021
M QOMARUL HUD 3318060809860001 085225143020 SRIKATON 10 5 9/5/2021
AGUSNADI 3318061511830003 081289648583 SRIKATON 11 5 9/5/2021
SUSANTO 3318062212750001 DK. BRUNDANG9 4 9/5/2021
SUPAREMIN 3318061406730001 DK.JAKEN 11 5 9/5/2021
SOFAN KHAERUL 3326191603900001 SRIKATON 10 5 9/5/2021
EKO HADI 3318062505930001 DK. BRUNDANG9 4 9/5/2021
M. TOYIB ROSIDI 3317071707920001 SRIKATON 10 5 9/5/2021
A. NUR SHOLIKIN 3318062304940002 DK.JAKEN 11 5 9/5/2021
AGUS PRASTYO 3317011201910001 SRIKATON 10 5 9/5/2021
AHMAD PUJI 3318062707940002 085293835647 SRIKATON 10 5 9/5/2021
LASMO 3318062506880002 SRIKATON 10 5 9/5/2021
SUNARDI 3318061808190001 SRIKATON 10 5 9/5/2021
HIDAYAT 3318062703800001 DK.JAKEN 10 5 9/5/2021
MUHAMAD YARI 3318061603880002 SRIKATON 11 5 9/5/2021
LASMO SRIKATON 9/5/2021
A. NUR SHOLIKIN 3318062304940002 9/5/2021
SISWANTO SRIKATON 9/5/2021
HARTONO SRIKATON 10 5 9/5/2021
RIFA'I SRIKATON 8 4 9/5/2021
HESTI SUSANTO SRIKATON 9/5/2021
SURAJI 9/5/2021
9/5/2021

12BLN-24BLN = P2 L1
24BLN-36BLN= P2 L8
48BLN-60BLN= P2 L2
usia

54
51
51
48
46
44
43
42
41
34
33
33
33
32
29
28
24
24
24
23
18
12
11
10
9
8
8
7
Provinsi : Jawa Tengah
Kabupaten : Pati
Puskesmas : Jaken
Desa : Srikaton/ PEPAYA 3
Bulan : OKTOBER 2021

No No.KK NIK(Nomor Induk TANGGAL Tanggal

Kependudukan) Anak ANAK KE NAMA ANAK LAHIR JK Nama Orang Tua NIK Orang Tua RT RW pengukuran BB(Kg) TB(Cm) usia

1 3318060901170001 3318060702170001 2 M. AVATHAR ARROSYID 07/02/2017 L SIGOYONO 3318060307820003 10 5 10/6/2021 55

2 3318060111160003 3318061405170001 1 M. ARFAN ABDUL HAFIDZ 14/05/2017 L NUR RAMAT 3318060210061000 9 4 10/6/2021 52
3 3318062103090004 3318066205170001 1 ANINDITA ARUMI .H 22/05/2017 P SUHARYANTO 3318060508160001 10 5 10/6/2021 52

4 3318061112070242 3318064508170002 2 SABILA DWI AGUSTIN 06/08/2017 P MUTADI 3318061705790002 8 4 10/6/2021 50

5 3318061212070030 3318064211170001 2 DWI NOVITA SARI 02/11/2017 P PADI 3318062506770002 10 5 10/6/2021 47

6 3318060908100004 3318064612170001 2 AYATUL HUSNA 06/12/2017 P M.SHOFWAN 3318062609870003 11 5 10/6/2021 46

7 3318061105090001 3318065801180001 1 AISYAFA NATRISYA HUMAIRA 18/01/2018 P SUTRIS 3318061607840002 11 5 10/6/2021 44
8 3318062212100007 3318065512180001 2 ARSYILA HUDA AZZAHIRA 15/02/2018 P M QOMARUL HUDA 3318060809860001 10 5 10/6/2021 43
9 3318060711080006 3318062803180001 2 MUHAMMAD AZKA FIRDAUS 28/03/2018 L AGUSNADI 3318061511830003 11 5 10/6/2021 42

10 3318062307100002 3318065210180001 2 NIVA OKTAVIA ARSY 12/10/2018 P SUSANTO 3318062212750001 9 4 10/6/2021 35

11 3318061207056112 3318060911180001 3 MOH. ABIL ALFARIZQI 09/11/2018 L SUPAREMIN 3318061406730001 11 5 10/6/2021 34
12 3318062912180004 3318062311180002 1 M.KHOIRUL RAYYAN 23/11/2018 L SOFAN KHAERUL 3326191603900001 10 5 10/6/2021 34
13 3318060511180004 3318062611180003 1 MUHAMMAD DYLAN ALFARIZQI 26/11/2018 L EKO HADI 3318062505930001 9 4 10/6/2021 34
14 3318060512180004 331806102180001 1 REYNAD AHZA ZAINADIN. R 10/12/2018 L M. TOYIB ROSIDI 3317071707920001 10 5 10/6/2021 33
15 3318061602190007 3318060903190003 1 M. FAIQ ABROR 09/03/2019 L A. NUR SHOLIKIN 3318062304940002 11 5 10/6/2021 30
16 3318060606160001 3318066104190002 2 AYUNINDIA PARADINA 21/04/2019 P AGUS PRASTYO 3317011201910001 10 5 10/6/2021 29

17 3318060804190002 3318061108190001 1 M. KHOIRUDIN ARRIDLO 11/08/2019 L AHMAD PUJI 3318062707940002 10 5 10/6/2021 25

18 3318060703120001 3318061608190001 2 M. AKMAL ROSYDANA 16/08/2019 L LASMO 3318062506880002 10 5 10/6/2021 25
19 3318062408190003 3318061808190001 1 M. AQMAR NADHIF 18/08/2019 L SUNARDI 3318061808190001 10 5 10/6/2021 25
20 3318060203120004 3318060310190002 2 AMHMAD FAISHAL 03/10/2019 L HIDAYAT 3318062703800001 10 5 10/6/2021 24
21 3318061509150003 33180653402200003 2 AMANDA LAILATUL JANNAH 14/02/2020 P MUHAMAD YARI 3318061603880002 11 5 10/6/2021 19
22 NAUREEN FALISHA 8/25/2020 P LASMO 10/6/2021 13
23 3318061602190007 3318064810200002 ALIYA NURIN NABILA 10/5/2020 P A. NUR SHOLIKIN 3318062304940002 10/6/2021 12
24 AHMAD RIFKI ADRIAN 10/22/2020 L SISWANTO 10/6/2021 11

25 ARROYAN DANIAL ALHUSNA 11/11/2020 L HARTONO 10 5 10/6/2021 10

26 EDIRA NUR KHOLIFAH 12/22/2020 P RIFA'I 8 4 10/6/2021 9
27 MUH RAFAEZA 12/27/2020 L HESTI SUSANTO 10/6/2021 9
28 INTAN SULIS PRAMUDITA 1/24/2021 P SURAJI 10/6/2021 8
29 3318060408080008 3318066809210001 2 nasha mecca embun septafia 28/09/2021 p sulardi 3318061606840004 15 7
Provinsi : Jawa Tengah
Kabupaten : Pati
Puskesmas : Jaken
Desa : Srikaton/ PEPAYA 3
Bulan : OKTOBER 2021
NIK(Nomo
r Induk TANGGAL Nama
No No.KK Kependud ANAK KE NAMA ANAK LAHIR JK Orang TuaNIK Orang Tua RT
ukan)
Anak
M.
331806090 331806070 AVATHAR 331806030
1 1170001 2170001 2 ARROSYID ### L SIGOYONO 7820003 10
M. ARFAN
331806011 331806140 ABDUL NUR 331806021
2 1160003 5170001 1 HAFIDZ ### L RAMAT 0061000 9
331806210 331806620 ANINDITA SUHARYAN 331806050
3 3090004 5170001 1 ARUMI .H ### P TO 8160001 10
SABILA
331806111 331806450 DWI 331806170
4 2070242 8170002 2 AGUSTIN ### P MUTADI 5790002 8
DWI
331806121 331806421 NOVITA 331806250
5 2070030 1170001 2 SARI ### P PADI 6770002 10
331806090 331806461 AYATUL M.SHOFW 331806260
6 8100004 2170001 2 HUSNA ### P AN 9870003 11
AISYAFA
331806110 331806580 NATRISYA 331806160
7 5090001 1180001 1 HUMAIRA ### P SUTRIS 7840002 11
ARSYILA M
331806221 331806551 HUDA QOMARUL 331806080
8 2100007 2180001 2 AZZAHIRA ### P HUDA 9860001 10
MUHAMM
331806071 331806280 AD AZKA 331806151
9 1080006 3180001 2 FIRDAUS ### L AGUSNADI 1830003 11
NIVA
331806230 331806521 OKTAVIA 331806221
10 7100002 0180001 2 ARSY ### P SUSANTO 2750001 9
331806120 331806091 MOH. ABIL SUPAREMI 331806140
11 7056112 1180001 3 ALFARIZQI ### L N 6730001 11
331806291 331806231 M.KHOIRU SOFAN 332619160
12 2180004 1180002 1 L RAYYAN ### L KHAERUL 3900001 10
MUHAMM
331806051 331806261 AD DYLAN 331806250
13 1180004 1180003 1 ALFARIZQI ### L EKO HADI 5930001 9

REYNAD
AHZA
331806051 331806102 ZAINADIN. M. TOYIB 331707170
14 2180004 180001 1 R ### L ROSIDI 7920001 10
331806160 331806090 M. FAIQ A. NUR 331806230
15 2190007 3190003 1 ABROR ### L SHOLIKIN 4940002 11
 AYUNINDI
331806060 331806610 A AGUS 331701120
16 6160001 4190002 2 PARADINA ### P PRASTYO 1910001 10

M.
331806080 331806110 KHOIRUDI AHMAD 331806270
17 4190002 8190001 1 N ARRIDLO ### L PUJI 7940002 10

331806070 331806160 M. AKMAL 331806250

18 3120001 8190001 2 ROSYDANA ### L LASMO 6880002 10

331806240 331806180 M. AQMAR 331806180

19 8190003 8190001 1 NADHIF ### L SUNARDI 8190001 10
331806020 331806031 AMHMAD 331806270
20 3120004 0190002 2 FAISHAL ### L HIDAYAT 3800001 10
AMANDA
331806150 331806534 LAILATUL MUHAMA 331806160
21 9150003 02200003 2 JANNAH ### P D YARI 3880002 11

NAUREEN
22 FALISHA ### P LASMO

ALIYA
331806160 33180648 NURIN A. NUR 331806230
23 2190007 10200002 NABILA ### P SHOLIKIN 4940002

AHMAD
RIFKI SISWANT
24 ADRIAN ### L O

ARROYAN
DANIAL HARTON
25 ALHUSNA ### L O 10

EDIRA
NUR
26 KHOLIFAH ### P RIFA'I 8

MUH HESTI
27 RAFAEZA ### L SUSANTO

INTAN
SULIS
PRAMUDI
28 TA ### P SURAJI

nasha
mecca
331806040 331806680 embun 331806160
29 8080008 9210001 2 septafia ### p sulardi 6840004 15
 Tanggal
RW pengukura BB(Kg) TB(Cm) usia
n

5 10/6/2021 55

4 10/6/2021 52

5 10/6/2021 52

4 10/6/2021 50

5 10/6/2021 47

5 10/6/2021 46

5 10/6/2021 44

5 10/6/2021 43

5 10/6/2021 42

4 10/6/2021 35

5 10/6/2021 34

5 10/6/2021 34

4 10/6/2021 34

5 10/6/2021 33

5 10/6/2021 30
5 10/6/2021 29

5 10/6/2021 25

5 10/6/2021 25

5 10/6/2021 25

5 10/6/2021 24

5 10/6/2021 19

10/6/2021 13

10/6/2021 12

10/6/2021 11

5 10/6/2021 10

4 10/6/2021 9

10/6/2021 9

10/6/2021 8

7
Provinsi : Jawa Tengah
Kabupaten : Pati
Puskesmas : Jaken
Desa : Srikaton/ PEPAYA 3
Bulan : OKTOBER 2021
NIK(Nomo
r Induk TANGGAL Nama
No No.KK Kependud ANAK KE NAMA ANAK LAHIR JK Orang TuaNIK Orang Tua RT
ukan)
Anak
M.
331806090 331806070 AVATHAR 331806030
1 1170001 2170001 2 ARROSYID ### L SIGOYONO 7820003 10
M. ARFAN
331806011 331806140 ABDUL NUR 331806021
2 1160003 5170001 1 HAFIDZ ### L RAMAT 0061000 9
331806210 331806620 ANINDITA SUHARYAN 331806050
3 3090004 5170001 1 ARUMI .H ### P TO 8160001 10
SABILA
331806111 331806450 DWI 331806170
4 2070242 8170002 2 AGUSTIN ### P MUTADI 5790002 8
DWI
331806121 331806421 NOVITA 331806250
5 2070030 1170001 2 SARI ### P PADI 6770002 10
331806090 331806461 AYATUL M.SHOFW 331806260
6 8100004 2170001 2 HUSNA ### P AN 9870003 11
AISYAFA
331806110 331806580 NATRISYA 331806160
7 5090001 1180001 1 HUMAIRA ### P SUTRIS 7840002 11
ARSYILA M
331806221 331806551 HUDA QOMARUL 331806080
8 2100007 2180001 2 AZZAHIRA ### P HUDA 9860001 10
MUHAMM
331806071 331806280 AD AZKA 331806151
9 1080006 3180001 2 FIRDAUS ### L AGUSNADI 1830003 11
NIVA
331806230 331806521 OKTAVIA 331806221
10 7100002 0180001 2 ARSY ### P SUSANTO 2750001 9
331806120 331806091 MOH. ABIL SUPAREMI 331806140
11 7056112 1180001 3 ALFARIZQI ### L N 6730001 11
331806291 331806231 M.KHOIRU SOFAN 332619160
12 2180004 1180002 1 L RAYYAN ### L KHAERUL 3900001 10
MUHAMM
331806051 331806261 AD DYLAN 331806250
13 1180004 1180003 1 ALFARIZQI ### L EKO HADI 5930001 9

REYNAD
AHZA
331806051 331806102 ZAINADIN. M. TOYIB 331707170
14 2180004 180001 1 R ### L ROSIDI 7920001 10
331806160 331806090 M. FAIQ A. NUR 331806230
15 2190007 3190003 1 ABROR ### L SHOLIKIN 4940002 11
 AYUNINDI
331806060 331806610 A AGUS 331701120
16 6160001 4190002 2 PARADINA ### P PRASTYO 1910001 10

M.
331806080 331806110 KHOIRUDI AHMAD 331806270
17 4190002 8190001 1 N ARRIDLO ### L PUJI 7940002 10

331806070 331806160 M. AKMAL 331806250

18 3120001 8190001 2 ROSYDANA ### L LASMO 6880002 10

331806240 331806180 M. AQMAR 331806180

19 8190003 8190001 1 NADHIF ### L SUNARDI 8190001 10
331806020 331806031 AMHMAD 331806270
20 3120004 0190002 2 FAISHAL ### L HIDAYAT 3800001 10
AMANDA
331806150 331806534 LAILATUL MUHAMA 331806160
21 9150003 02200003 2 JANNAH ### P D YARI 3880002 11

NAUREEN
22 FALISHA ### P LASMO

ALIYA
331806160 33180648 NURIN A. NUR 331806230
23 2190007 10200002 NABILA ### P SHOLIKIN 4940002

AHMAD
RIFKI SISWANT
24 ADRIAN ### L O

ARROYAN
DANIAL HARTON
25 ALHUSNA ### L O 10

EDIRA
NUR
26 KHOLIFAH ### P RIFA'I 8

MUH HESTI
27 RAFAEZA ### L SUSANTO

INTAN
SULIS
PRAMUDI
28 TA ### P SURAJI

nasha
mecca
331806040 331806680 embun 331806160
29 8080008 9210001 2 septafia ### p sulardi 6840004 15
 Tanggal
RW pengukura BB(Kg) TB(Cm) usia
n

5 10/6/2021 55

4 10/6/2021 52

5 10/6/2021 52

4 10/6/2021 50

5 10/6/2021 47

5 10/6/2021 46

5 10/6/2021 44

5 10/6/2021 43

5 10/6/2021 42

4 10/6/2021 35

5 10/6/2021 34

5 10/6/2021 34

4 10/6/2021 34

5 10/6/2021 33

5 10/6/2021 30
5 10/6/2021 29

5 10/6/2021 25

5 10/6/2021 25

5 10/6/2021 25

5 10/6/2021 24

5 10/6/2021 19

10/6/2021 13

10/6/2021 12

10/6/2021 11

5 10/6/2021 10

4 10/6/2021 9

10/6/2021 9

10/6/2021 8

7
Provinsi : Jawa Tengah
Kabupaten : Pati
Puskesmas : Jaken
Desa : Srikaton/ PEPAYA 3
Bulan : DESEMBER 2021

NIK(Nomor Induk TANGGAL

No No.KK Kependudukan) Anak ANAK KE NAMA ANAK LAHIR JK

M. AVATHAR
1 3318060901170001 3318060702170001 2 ARROSYID 07/02/2017 L
M. ARFAN ABDUL
2 3318060111160003 3318061405170001 1 HAFIDZ 14/05/2017 L

3 3318062103090004 3318066205170001 1 ANINDITA ARUMI .H 22/05/2017 P

4 3318061112070242 3318064508170002 2 SABILA DWI AGUSTIN 06/08/2017 P

5 3318061212070030 3318064211170001 2 DWI NOVITA SARI 02/11/2017 P

6 3318060908100004 3318064612170001 2 AYATUL HUSNA 06/12/2017 P

AISYAFA NATRISYA
7 3318061105090001 3318065801180001 1 HUMAIRA 18/01/2018 P
ARSYILA HUDA
8 3318062212100007 3318065512180001 2 AZZAHIRA 15/02/2018 P
MUHAMMAD AZKA
9 3318060711080006 3318062803180001 2 FIRDAUS 28/03/2018 L

10 3318062307100002 3318065210180001 2 NIVA OKTAVIA ARSY 12/10/2018 P

11 3318061207056112 3318060911180001 3 MOH. ABIL ALFARIZQI 09/11/2018 L

12 3318062912180004 3318062311180002 1 M.KHOIRUL RAYYAN 23/11/2018 L

MUHAMMAD DYLAN
13 3318060511180004 3318062611180003 1 ALFARIZQI 26/11/2018 L
REYNAD AHZA
14 3318060512180004 331806102180001 1 ZAINADIN. R 10/12/2018 L

15 3318061602190007 3318060903190003 1 M. FAIQ ABROR 09/03/2019 L

AYUNINDIA
16 3318060606160001 3318066104190002 2 PARADINA 21/04/2019 P
M. KHOIRUDIN
17 3318060804190002 3318061108190001 1 ARRIDLO 11/08/2019 L

18 3318060703120001 3318061608190001 2 M. AKMAL ROSYDANA 16/08/2019 L

19 3318062408190003 3318061808190001 1 M. AQMAR NADHIF 18/08/2019 L

20 3318060203120004 3318060310190002 2 AMHMAD FAISHAL 03/10/2019 L

AMANDA LAILATUL
21 3318061509150003 33180653402200003 2 JANNAH 14/02/2020 P
22 NAUREEN FALISHA 8/25/2020 P
ALIYA NURIN
23 3318061602190007 3318064810200002 NABILA 10/5/2020 P
AHMAD RIFKI
24 ADRIAN 10/22/2020 L
ARROYAN DANIAL
25 ALHUSNA 11/11/2020 L
EDIRA NUR
26 KHOLIFAH 12/22/2020 P

27 MUH RAFAEZA 12/27/2020 L

INTAN SULIS
28 PRAMUDITA 1/24/2021 P
nasha mecca embun
29 3318060408080008 3318066809210001 2 septafia 28/09/2021 p

30 KAILA NUR MELISSA

BAGAS HERMAWAN
31 PUTRA TIO
32 KINAS KAHIYANG
33 M. Yogi Imansyah
 Tanggal
Nama Orang Tua NIK Orang Tua RT RW pengukuran BB(Kg) TB(Cm) usia

SIGOYONO 3318060307820003 10 5 12/6/2021 14.4 109.1 57

NUR RAMAT 3318060210061000 9 4 12/6/2021 54

SUHARYANTO 3318060508160001 10 5 12/6/2021 29.7 110.7 54

MUTADI 3318061705790002 8 4 12/6/2021 52

PADI 3318062506770002 10 5 12/6/2021 49

M.SHOFWAN 3318062609870003 11 5 12/6/2021 15.5 101 48

SUTRIS 3318061607840002 11 5 12/6/2021 46

M QOMARUL
HUDA 3318060809860001 10 5 12/6/2021 11.2 87.4 45

AGUSNADI 3318061511830003 11 5 12/6/2021 44

SUSANTO 3318062212750001 9 4 12/6/2021 92.2 15.7 37

SUPAREMIN 3318061406730001 11 5 12/6/2021 13.5 91.2 36

SOFAN KHAERUL 3326191603900001 10 5 12/6/2021 16.6 96.6 36

EKO HADI 3318062505930001 9 4 12/6/2021 9.3 66.9 36

M. TOYIB ROSIDI 3317071707920001 10 5 12/6/2021 35

A. NUR SHOLIKIN 3318062304940002 11 5 12/6/2021 32

AGUS PRASTYO 3317011201910001 10 5 12/6/2021 10.7 86.6 31

AHMAD PUJI 3318062707940002 10 5 12/6/2021 10.4 81.1 27

LASMO 3318062506880002 10 5 12/6/2021 11 86.9 27

SUNARDI 3318061808190001 10 5 12/6/2021 10.1 82 27

HIDAYAT 3318062703800001 10 5 12/6/2021 11 82.2 26

MUHAMAD YARI 3318061603880002 11 5 12/6/2021 9.2 77.1 21

LASMO 12/6/2021 8.3 73.4 15

A. NUR SHOLIKIN 3318062304940002 12/6/2021 14

SISWANTO 12/6/2021 13

HARTONO 10 5 12/6/2021 8 72.2 12

RIFA'I 8 4 12/6/2021 8.4 71.6 11

HESTI
SUSANTO 12/6/2021 11

SURAJI 12/6/2021 10

sulardi 3318061606840004 15 7 12/6/2021 4.3 57.4 2

8.2 73.9

5.2 61.8
9.4
8.1
tidak nimbang =11