DATA PENDUDUK KORONG LANSANO TA

PUSKESMAS AMPALU

NO NO KK NAMA PENDUDUK/ANGGOTA NO NIK

1 1305051801110010 ARLISON 1305050206740002
SYAFRIYENNI 1305054210730003
M. ZHAKIE GHIFFARY K. 1305051812960003
KHASIFAH NURAFIFAH 1305054405990002
MELLY MUTIARA SARI 1305055005000005
MIFHAL MAZUKI 1305050203110001
NABILATUSSALMA 1305055406130002

2 1305053110180003 ERA SUSANTI 1305055407880007

ARYAN FAJAR PRATAMA 1305052511100001

3 1305051106120019 EFFENDI 1305050404730001

HERAWATI 1305054712800001
ANNAS TASYA 1305055202090002
SAUSAN NAURA 1305055301120002
AFKARI FATHAN 1305052109180001

4 1305052912160002 LINA AFRIYENI 1305056704780001

ANISA SELFIRA 1305055308070001
RADIANA AZAHARA 1305055805160002

5 1305053008100006 KAMBARANI 1305055303650001

SUWIRMAN 1305052508900003

6 1305052604100028 SALMAN 1305051208600003

YUNIMAR 1305054503670004
ZAMRI 1305051509920002
RIKA YULIA SARI 1305056909960001
HIKBAL TURRAHMAN 1305050111990002
ADI SUHENDRA 1305052410010002

7 1305052402100025 SYAFRIZAL 1305050510620001

ANIMAR 1305054511660001
RITA SYAFRIANI 1305056102910001
RIKA NURAINI 1305055109930001

8 1305052604100032 SARINDUN 1305054509400001

9 1305051812090057 ZANIBAR 1305056204580001

RAHMAD AGUNG 1305051402960001

10 1305050304100031 ROSMAN 1305052501570001

YUSMANIDAR 1305054103630001
 RINA WAHYU FITRI 1305054801970002
PUTRI MUHA RANI 1305054604000001
ROSPA ADIA GUSTI 1305054805020001

11 1305053009100021 RIKI ANDIKI PERIANDI 1305051011830001

RINA TRISNAWATI 1305055507870001
M. FEBRIANDI PRATAMA 1305051502100001
WAHID FARHAN 1305050609130001
HANAN TRY ARKA

12 1305050502180005 NURJUNALIS 1305054505930001

ARSYAD ARDIANS

13 1305051603120004 GADIJAH 1305057006540017

AGUSTAMAR 1305053006880006
AWALIUS 1305051104910001

14 1305050906120020 SYAFRIJON 1305051410680001

DESMIATI 1305055012790002
LAILATUL BEDRIAH 1304046910990001
IRFANDI ADITIA SYAHRUL 1305050112030003
IKO SYAFUTRA 1305051703090001
ZULKARNAIN 1305050708920003

15 1305052308160002 ERMANIDAR 1305054107620006

16 1305051103100002 AULIA 1305050304770002

KASMI JUNITA 1305055503820001
RAYSHA AULIA PRAMESWARI 1305056712040001
FIDELMA AULIA MORENA 1305056105060002
MUTIARA SYAFIRA AULIA 1305056607090002

17 1305051201100013 BUYUNG ENEK 1305050203630001

SUARTI 1305056507660001
RASTI ANDAYANI 1305054109060001

18 1305050606160004 ZAKIRMAN 1305140808920001

DINDA PUTRI UTAMI 3176056807960003
MUHAMMAD AZZAM ALFIQRI 1305051307160001

19 1305050402100034 JON HENDRI 1305051304800001

ELFINA 1305055605830001
DECHY OLIVIA SARI 1305056710070001

20 1305050312090002 ZULKIFLI 1305050604540001

NURTINA 1305055308630001
ZULFRI EFENDI 1305051106810001

21 1305051802100012 ST. MERRY 1305050808640002

ERDAYANTI 1305054908750001
 HIDAYATUL PUTRI 1305055211980002
SAHIDATUL FAUZIAH 1305055206010001
SRI WAHYU NINGSIH 1305054402110002

22 1305052601100020 KADIRUN 1305053006550009

23 1305052801100009 ZAINUDIN 1305050610680001

DASMARNI 1305054606760002
ALFIS MARZALI 1305050208980003
ROZA GUSMIARTI 1305055408000001
RANDI SAPUTRA 1305050303050001
DILLA RISKI RAHMANITA 1305055909090001

24 1305052801100010 NURANI 1305055206480001

25 1305050903100006 SYAFRUDIN 1305050605670001

ERNIWATI 1305055912700001
AFDAL SYAFRIKURNIA 1305050110950002
RANTI SYAFRIYENI 1305055207990001
AJIB HARDIANTONI SAPUTRA 1305051004020001
HIBNU HABIB 1305051101060001
RAHMA SYAFRIZALNI 1305054711100001

26 1305050304100030 ERMAN 1305051003550002

MURNI 1305055105600001
TIARA YUSTIANA 1305055803100003

27 1305051502100014 AMADIN 1305052706550001

KARTINI 1305055304680001
SADRIZAL 1305050501930003
INDRA NURDIN 1305050505960001
JONI ARIADI 1305051106990001
NADIA HARI YANTI 1305055304020001
YARNI 1305054202060001
FAISAL 1305053001120003

28 1377011411075072 ASRIL KOTO 1377011209700001

DESTIRA NOVIANA 1377014712940001
VADILLAH HANAFIAH 1377016504040002
DAVFA ALISANDRI 1377010211060001
DAFINO AL FATHIR 1377012611090001

29 1305053101100001 SYAHRIL 1305050501720001

YENNI 1305055207770001
ASNIATI 1305054105040002
VIVI CAHAYATI 1305054204070001
SASKIA 1305054408100003
FIRDAUS 1305052304130002
FAJRI MADANI 1305051711150001
30 1305051001100030 MASRI R. 1305050706550001
ANIZAR 1305056408590001
JIMMI ANSYARI 1305050406960001
RESTIKA REZA 1305054403020001

31 1305052004100007 ACAN 1305050710420001

AMINAH 1305054603450001
IBRAHIM 1305052401930003

32 1305051001100028 YOSRIZAL 1305052912700001

ASNIMAR 1305054501770001
DESMITA ASRIYENI 1305054612970001
APRIZA WIRANDA 1305051104030001

33 1305052005130001 NURJANI 1305054705520001

JEFRI ARISKA BASRI 1305053103980001

34 1377040209150002 EFRIZAL 1305051412780001

RISKI SANTI 1377014601940004
IFFAH MARDHIYAH HUSNA 1377045904130001
HADZIQ AZKA 1377041710150001

35 1305051106120014 TINUR BAYA 1305057006480041

36 1305052612090050 DAIYAR ALUS 1305056901490001

ALFADRI 1305051604860001

37 1305050204120004 TIRAU 1305057006520034

AGUSTAMI 1305050210780002
AFRIANTO 1305050404900004

38 1305050710090006 KAMUT 1305054210450001

39 1305053110160002 NURMAYETI 1305055503600002

ANDI SAPUTRA 1305050811840004

40 1305053110160001 BUDI AKMAL 1377012107820001

EVA EFRIANTI 1305055011860003
FAIZAN AKBAR RAMADHAN 1305050207150002
DIANA EFRIANTI AKMAL 1305055910170001

41 1305051106120021 MISRAWATI 1305055708850007

MIFATHUL ELVIRA 1305054512110002

42 1305051702100011 SARINA 1305054203480001

43 1305051312090005 ERWIN 1305051904720002

SRIDAYATI 1305055007710001
ANDESMAN RISKI PRATAMA 1305051510970001
RANI MANDASARI 1305055006010003
 ANDRI SAPUTRA 1305051604020001
AMANDA AMELIA 1305055609040002
BUNGA SAFITRI 1305055504060002

44 1305052004100011 ALIHAR 1305053006520017

ASMAWATI 1305054506660001
ZAINAL EFENDI 1305052009860001
ANTIQ ATIYA 1305056105950001
ARMAN 1305051208970001

45 1376020501070246 ERISWANDI 1376021006830001

LINDA LEGIA 1376024710840002
JIHAN HASANATUN FAUZIAH 1376027007040002

46 1305052608110002 ROZIANTO 1305050107750002

FITRI HARYANI 1305056509760001
ARDIAN NURHADI 1305052101020001
INTAN PUTRI ANDINI 1305054501050001
YUSUF ABDULLAH 1305052912150001

47 1305052801100012 DODOH 1305056807540001

48 1305052212100020 ROBY EDRIANTO 1305052309830001

MIRA WATI 1305055209850003
MEYLITA RAHMA WATI 1305054105090003
MUHAMMAD RAFA EDRIANTO 1305050512140002

49 1305051812090059 SYAFRUDDIN 1305051009590001

AMBUN YANI 1305054507610001
EDI IRWAN 1305051211820001
PUTRA IRAWAN 1305051507940001
RISKI 1305053006960002

50 1305051810120006 RUDY HERMANSYAH 1305050703790001

MERI ASTUTI 1305055712860002
RACEL PERDANA 1305050905070002

51 1305051812090063 KAMIL 1305050205620001

MURNI 1305056706650001
GUSNITA SARI 1305054908940001
RAHMAT HIDAYAT 1305050707960001
RIAN PATRIO 1305051010010001
RANI SAPUTRI 1305055003030001

52 1305051106120016 YUSUF 1305053001290001

KAMBARANI 1305055509480002
REVI SANIFA 1305055903000002

53 1305052104150006 SYAIFUL 1305050103790001

EVA SUSANTI 1305055405830001
 IRFAN ANANDA SYADIFA 1305050208150001
ZAINUDIN 1305051507470001
ZUWIRMAN 1305052906770001

54 1305052004100009 DULAH 1305050504400001

BAIDAR 1305054108410001

55 1305051812090064 BUJANG 1305053101690001

MARNI 1305056102710001
ANDIKA RAHMAT PERNANDO 1305051808040001
HARDIANSAH PEBRIANTO 1305051602060001
FITRI RAMADHANI 1305055008080002

56 1305051103100005 RAHMAN 1305053006550014

DAWARNI 1305056706570001
ZULMAWATI 1305054609920001
ADITIA WARMAN 1305050702980001
MAIN 1305055506360001

57 1305051906140002 NURLISMAN EFENDI 1305092909740001

RESMI YANTI 1305095205840002
CAHAYA ASTARI 1305094101090001

58 1305050806100015 MULYADI 1305050405700002

TETI MAWARNI 1305054112750001
NOVRIANDI MULTIA 1305051611050001
DESI AMELIA PUTRI 1305054912060001
SRI MULYANI 1305055712110001
FAUZAN ABASIR 1305052610130001

59 1305051812090058 MANSYURDIN 1305050605540001

BAINAN 1305054809590001
ELSA ELZA 1305054305930001
ARI WIDODO 1305050202970001

60 1305051812090046 BUDI ISKANDAR 1305052303790001

LENI DIANA 1305055505830001
RAHMAD DANI 1305050310050001
RIVALDO ISKANDAR 1305052909070001
RAHMAT FAUZI 1305052503100001
YULIANI SAUMI RANTI 1305056807110001

61 1305052111140001 ABDUL RAHMAN 1377022705870001

RIA ROZA 1305055002870001
ALDRIGE FRITZIE RAHMAN 1305050203150001
GAVRIEL AIDIL RAHMAN 1305051509160004

62 1305051402100031 ALI BAKAR 1305053012840001

RATNA JUITA 1305055604910001
TIARA ALINA PUTRI 1305056306110001
 MUTIA DESLINA SARI 1305055012130002
M. RIFKI ALFATIH
PUTRI RAMADANI

63 1305051505120060 NASRUL 1305052409700001

SUSI YANTI NURVIA T. 1305054103820001
M. ALQAF FERI SUSNALDI 1305052312040002
ANGEL NAY SILASARI 1305056711100001
APRILLIAN NASRUL ALIF 1305050404130002

64 3175101001097653 TRIYONO AKBAR 3175100610930004

AYU LESTARI 1305054107940001
ZHAHIRA ALTHAFUNNISA 3175106712141005

65 1305051106120023 RISWAN 1305052512730001

TASMAWATI 1305054604740003
ADICHA FILIANO 1305050403950002
ATIKAH FILIANA 1305055405990002
ARFIS OKTAFILIANO 1305050911030002
ASSYIFATUL HAIFA 1305055004150001
SARIMA 1305055212350003

66 1305050906120023 SARIANI 1305057006510024

67 1305052302100005 NURMALI 1305057006550022

DASMON EFENDI 1305052502830001
REDA ERMANTO 1305051809890002

68 1302070510110002 AGUSRIALDI 1305053108840001

LIDYA 1302075210860001
RAISHA ALTHAFUNISA 1302076203120001

69 1305051003100014 SUARDI 1305051201700001

ERNAWATI 1305055207700002
FITRI NURIA SARI 1305054808000001
DEA NANDA 1305055409020001
SURYA EFENDI 1305050205040001
TOMY SAPUTRA 1305051704060001

70 1305050906120022 NASRUL 1305050605670002

RISNAWATI 1305056202750002
REZI FERDIANSYAH RAHUL 1305050406010001
BIISMI MUHAMAD RAZIK 1305050406030002
RISHADARUL RAHMAT RAFIF 1305051809080001

71 1305051106120020 DESMAWATI 1305054609750001

BASRUL EFENDI 1305051907000004
RIZKI RAHMADDANI 1305052901030001
RIDO ARDIANSYAH 1305051104040002
ASRIL FAISAL 1305050508070001
 DEWI PUTRI MELINDA SARI 1305056805100001

72 1305051112090003 ALINURDIN 1305053006580001

ERMAWATI 1305056709640001
ANDRIKO 1305051402870001
HELPITA NOFRIANTI 1305055710900001
ANDRO 1305050211930001
NURUMA 1305055704350001

73 1305052505100001 ZULHAIDA 1305056806590001

ZUL MALIADI 1305053006930004

74 1305050906120018 RABAIYAH 1305057006420043

BUJANG 1395952497589991

75 1305051103100008 SALIDAR 130505590960001

SESTINA UZILIANI 1305056606930002

76 1305050111100020 AZIMAR 1305057006400050

77 1305050706100028 MANYI 1305054107380007

MERINA KARTIKA SARI 1305056205740001

78 1305051701130001 MASRIANTO 1377032112830003

ASNIMAR 1305055003870001
WENNY DESYA MILA SARI 1305054612120002

79 1305050712100042 JON KENEDI 1305050103630001

JUNIARTI 1305055002710002
RINI JUNIARTI 1305054706950004
JEFRIANDI 1305051003010001
RENDI RAMADONI 1305051407050001
REFI JANUAR 1305052802070001

80 1305050906120019 SUPARDI 1305052405580002

ANIMAR 1305055611590001
FITRI WAHYUNI 1305054709910005
RUDI PIRMANTO 1305051310920001
EFA SOFIA 1305056210960001

81 1305051103100004 INDRA 1305051004740002

ISMIRITA 1305055206760002

82 1305051106120017 NURSYAM 1305057006420044

83 1305052601100019 DEDI HERMAN 1305051010740002

LINA MARNI 1305057006750002
DION PUTRA HERNANDA 1305052608000001
NIA PUTRI MAHERLIN 1305054205040001
FEBRIANA TRIA PUTRI 1305056302100001
84 1305051005120005 RAMLI AKMAL 1305052010530001
NURMIYANTI 1305054406540002

85 1305052810100014 DARMAN 1305050203530002

ROSMAWAR 1305056010590001
HERISMAN DARMAN 1305050612850002
AYU LESTARI 1305054107940001

86 1305052006100045 KAMBARANA 1305055303580002

RINALDI 1305051011810001

87 1305052501110017 SAWIRMAN 1305053112640002

NURLIS 1305054504650001
ILHAM MIDI 1305052304930001
MITAHUL JANAH 1305055611960002
RAHMAT ILAHI 1305052101980002
MUHAMAT ANAPI 1305050404010002
RADIYAHUL JANAH 1305054204030002
RAHIM 1305051503070004

88 1305050302100035 RAMIAN 1305055001600001

YETNA DEWITA 1305054308910001
BUJANG MAWARDI 1305051203930001
RIZA SUSANTI 1305055212960001
JEFRIANTO 1305051510980002
FITRI YENI 1305055807000001

89 1305050304100033 DARLIS 1305051207590001

YUSNIAR 1305055507620002
IRFAZUL MIZON 1305053005860002
AFRIANDRI 1305050104880001
SEPRIA NOVAL 1305051709910002
ADRI SUHENDRA 1305050902930001
RENI NURUL HUSNAH 1305056707950001
NINIL KHAIRA WAHYUNI 1305054606970001
IFTA HUKJANNAH 1305055910990001

90 1305053001150002 NOVRIAL 1377031211970002

RINI HARIANTATI 1305056112910001

91 1305050304100032 JIMMI 1305052808750001

ERLIN SUSANTI 1305056703810001

92 1305052007120003 ALI MUNIR 1305051010820003

MARDIANIS 1305056404860006
ALDI AFRIANSYAH 1305050706120001

93 1305050404120003 MUKHLIS DT.M.ENDAH 1305051503620001

ANIMAR A. 1305055504610001
 KHAIRUL AMRI 1305052909890001
KHAJRIAL MU AN 1305050207920001
ELFITRI MARLIS 1305056602970002
YUSRIL MU ARIF 1305051307000001

94 1305052004100008 ADAM SORI 1305054510400001

95 1305051402100030 ARNELIS 1305054101570001

MUSLIM 1305050912780001

96 1305051312090004 JAMILA 1305054405400001

SYAFRIYENNI 1305054210730001
M.ZAKIE GHIFFARY K. 1305051812960001
KHASYIFAH NURAFIFAH 1305054405990001
MELY MUTIARA SARI 1305055005000001

97 1305050210120002 EFRIZAL 1305051412790001

RISKI SANTI 1305054601940001
IFFAH MARDHIYAH
HAZIQ AZKA

98 1305051005120003 HARDIMAN 1305050709810001

RIKA FITRIA 1305055610850003
M. AKBAR RASYID
DANU

99 1305052801100013 NURMANIS 1305057006430008

100 1305051802100005 EDI CANDRA 1305053012650001

ERMAWATI 1305055912690001
ZILFIGRI AHMADI CANDRA 1305050910010001
AKMAL HASYIM 1305050108050002
SATRIO HIDAYAT 1305051005080001

101 1305050304100029 ADATMAN AKBAR 1305050101730002

ERMIDA 1305056303740001
DELMITA SARI 1305056506000001
M. ARDIAN PUTRA 1305056507020001
M. DANIL 1305051110090001
DARMAWAN 1305051605610001

102 1305051905110018 DEDI PUTRA 1305052207840001

DERINA MILA SARI 1305054304880001
WILDA FEBRINA SARI 1305056802080001
FANESYA GUSMARDINA 1305056308100001
M. AFFAREL

103 1305142803100047 YARNIS 1305147006640003

104 1305052004100016 PERI ZUL 1305050803780002

 DESI MARLINA 1305054503780001
SALSABIL 1305052104160001

105 130505200300257 LAMBUK 1305051201420001

NURJANAH 1305054603480001
NOFET FITRIANI 1305055711930002

106 1305051804170002 ALBERT VITO 1376030905780002

ASNIMAR 1376036004810001
ALAN BERNART VITO 1376032001050004
ABIGAIL AMANDA 1376034412070001
M.ALIF ARFARD 1376031411080001
ALFAN BERNARD 1376030506110001

107 1305052404180003 WENDRI PUTRA 1377010707890002

SESTINA UZILIANI 1305056606930002
SALIDAR 1305055909600001

Jumlah laki-laki : 199

Jumlah Perempuan : 205
RONG LANSANO TAHUN 2019
SMAS AMPALU

UMUR TGL LAHIR LK PR NO BPJS

45 2/6/1974 √ 0000275831381
46 2/10/1973 √ 0000275831392
23 18-12-1996 √ 0000275831403
20 4/5/1999 √ 0000275831414
19 10/5/2000 √ 0000275831425
8 2/3/2011 √ 0000275831436
6 14-6-2013 √

31 14-7-1988 √
9 25-11-2010 √

46 4/4/1973 √ 0000275409099
39 7/12/1980 √ 0000275409742
10 12/2/2009 √ 0000275410258
7 12/1/2012 √
1 21-9-2018 √

42 27-4-1978 √ 0000275829917
12 13-8-2007 √ 0000275829928
3 18-5-2016 √

54 13-3-1965 √ 0000275643088
29 25-8-1990 √ 0000275644012

59 12/8/1960 √ 0000275374168
52 5/3/1967 √ 0000275374574
27 15-9-1992 √ 0000275375103
23 29-9-1996 √ 0000275375182
20 12/7/1999 √ 0000275375237
18 24-10-2001 √ 0000275376069

57 5/10/1962 √ 0001503268378
53 5/11/1977 √
28 21-2-1991 √
26 11/9/1993 √

75 5/9/1940 √

61 22-4-1958 √
23 14-2-1996 √

62 25-1-1957 √ 0000986655892
56 1/3/1963 √ 0000986655903
22 8/1/1997 √ 0000986655925
19 16-4-2000 √ 0000986655936
17 8/6/2002 √ 0000986655947

36 10/11/1983 √
32 15-7-1987 √
9 15-2-2010 √
6 6/9/2013 √
1 14-2-2018 √

26 5/5/1993 √
1 4/2/2018 √

65 30-6-1954 √ 0000276260657
31 30-6-1988 √
28 11/4/1991 √

51 14-10-1968 √ 0001503268356
40 10/12/1979 √
20 29-10-1999 √
17 1/12/2003 √
10 17-3-2009 √
27 7/8/1992 √

57 1/7/1962 √

42 3/4/1977 √
37 15-3-1982 √
15 27-12-2004 √
13 21-5-2006 √
10 21-7-2009 √

56 2/3/1963 √
53 25-2-1990 √
13 1/9/2006 √

27 8/8/1992 √
23 28-7-1996 √
3 13-7-2016 √

39 30-6-1980 √
35 8/5/1984 √
12 27-10-2007 √

65 6/4/1954 √
56 13-8-1963 √
37 11/6/1982 √

55 8/8/1964 √
44 9/8/1975 √
21 12/11/1998 √
18 12/6/2001 √
8 4/2/2011 √

64 30-6-1955 √

51 6/10/1968 √
43 6/6/1976 √
21 2/8/1998 √
19 14-8-2000 √
14 3/3/2005 √
10 19-9-2009 √

71 12/6/1948 √

52 6/5/1967 √
49 19-12-1970 √
24 1/10/1995 √
20 12/7/1999 √
17 10/4/2002 √
13 11/1/2006 √
9 7/11/2010 √

64 10/3/1955 √ 0000276550018
59 11/5/1960 √ 0000276550626
9 18-3-2010 √

64 27-6-1955 √
51 13-4-1968 √
26 5/1/1993 √
23 5/5/1996 √
20 11/6/1999 √
17 23-10-2002 √
13 2/2/2006 √
7 30-1-2012 √

49 12/9/1970 √
25 7/12/1994 √
15 25-4-2004 √
13 2/11/2006 √
10 26-11-2009 √

47 5/1/1972 √ 0000275831087
42 12/7/1977 √ 0000275831098
15 1/5/2004 √ 0000275831109
12 2/4/2007 √ 0000275831111
9 4/8/2010 √
6 23-4-2013 √
4 17-11-2015 √
64 7/6/1955 √ 0000275829816
60 24-8-1959 √ 0000275829827
23 7/1/1996 √ 0000275829851
17 5/3/2002 √ 0000275829862

77 7/10/1942 √ 0000275669019
74 6/3/1945 √ 0000275669458
26 24-1-1993 √ 0000275670167

49 29-12-1970 √ 0000275586906
42 5/1/1977 √ 0000275587187
22 6/12/1997 √ 0000275587211
16 11/4/2003 √ 0000275587301

67 7/5/1952 √ 0000275587615
21 31-3-1998 √ 0000275588054

41 14-12-1978 √
25 6/1/1994 √
6 19-4-2013 √
4 17-10-2015 √

71 30-6-1948 √

70 29-1-1949 √
33 16-4-1986 √

67 30-6-1952 √ 0000275830277
41 2/10/1978 √
29 4/4/1990 √ 0000275830288

74 2/10/1945 √ 0000986656432

59 15-3-1960 √
35 8/11/1984 √

37 21-07-1982 √
33 ;10/11/1986 √
4 2/7/2015 √
2 19-10-2017 √

34 17-8-1985 √
8 5/12/2011 √

71 2/3/1948 √

47 19-4-1972 √
48 10/7/1971 √
22 15-10-1997 √
18 10/6/2001 √
17 16-4-2002 √
15 16-9-2004 √
13 15-4-2006 √

67 30-6-1952 √
53 5/6/1966 √
33 20-9-1986 √
24 21-5-1995 √
22 12/8/1997 √

36 10/6/1983 √
35 7/10/1984 √
15 30-7-2004 √

44 1/7/1975 √ 0000275132823
43 25-9-1976 √ 0000275132283
17 21-1-2002 √ 0000275133363
14 5/1/2005 √ 0000275134509
4 29-12-2015 √

55 28-7-1954 √

36 23-9-1963 √
34 12/9/1985 √
10 1/5/2009 √
5 5/12/2014 √

60 10/9/1959 √ 0000275691644
58 5/7/1961 √ 0000275691868
37 12/11/1982 √
25 15-7-1994 √ 0000275692937
23 30-6-1996 √ 0000275693398

40 7/3/1979 √
33 17-12-1986 √
12 9/5/2007 √

57 2/5/1962 √ 0000275832178
54 27-6-1965 √ 0000275832189
25 9/8/1994 √
23 7/7/1996 √ 0000275832191
18 10/10/2001 √ 0000275832202
16 10/3/2003 √ 0000275832213

90 30-1-1929 √ 0000275688448
71 15-9-1948 √
19 16-1-2000 √ 0000275689113

37 1/3/1982 √
36 14-5-1983 √
 4 2/8/2015 √
72 15-7-1977 √
72 29-6-1977 √

79 5/4/1940 √ 0000275704762
78 1/8/1941 √ 0000275705199

50 31-1-1969 √ 0000276331397
48 21-2-1971 √ 0000276331419
15 18-8-2004 √ 0000276332512
13 16-2-2006 √ 0000276335469
11 10/8/2008 √ 0000276335785

64 30-6-1955 √
62 27-6-1957 √
27 6/9/1992 √
21 7/2/1998 √
93 15-6-1936 √

45 29-9-1974 √
35 12/5/1984 √
10 1/1/2009 √

49 4/5/1970 √ 0000276259961
44 1/12/1975 √ 0000276260049
14 16-11-2005 √ 0000276260422
13 9/12/2006 √ 0000276260635
8 17-12-2011 √
6 26-10-2013 √

65 6/5/1964 √
60 8/9/1959 √
26 3/5/1993 √
22 2/2/1997 √

40 23-3-1979 √ 0000275412993
36 15-5-1983 √ 0000275412824
14 3/10/2005 √ 0000275414769
12 29-9-2007 √ 0000275415906
9 25-3-2010 √ 0000275416266
8 28-8-2011 √

32 27-5-1987 √ 0001794385001
32 10/2/1987 √ 0001794386553
4 2/3/2015 √ 0001830863755
3 15-9-2016 √ 0002084999848

35 30-12-1984 √ 0001503267265
28 16-4-1991 √
8 23-5-2011 √
6 10/12/2013 √
3 26-1-2016 √
1 26-5-2018 √

53 24-9-1966 √
37 1/3/1982 √
15 23-12-2004 √
9 27-11-2010 √
6 4/4/2013 √

26 6/10/1993 √
25 1/7/1994 √
5 27-12-2014 √

46 25-12-1973 √ 0000276243917
45 6/4/1974 √ 0000276244143
24 4/3/1995 √
20 4/5/1999 √ 0000276245471
16 9/11/2003 √
4 10/4/2015 √
84 12/12/1935 √

68 30-6-1951 √

64 30-6-1955 √
36 25-2-1983 √
30 18-9-1989 √

35 31-8-1984 √
33 12/10/1986 √
7 22-3-2012 √

49 12/1/1970 √
49 12/7/1970 √
19 8/6/2000 √
17 14-9-2002 √
15 2/5/2004 √
13 17-4-2006 √

52 6/5/1967 √
44 22-2-1975 √
18 4/6/2001 √
15 4/6/2004 √
11 18-9-2008 √

44 6/9/1975 √
19 19-7-2000 √
16 29-1-2003 √
15 11/4/2004 √
12 5/8/2007 √
9 28-5-2010 √

51 30-6-1958 √
55 27-9-1964 √
32 14-2-1987 √
29 17-10-1990 √
26 2/11/1993 √
84 17-4-1935 √

61 28-6-1959 √
26 30-6-1993 √

77 30-6-1942 √
61 24-7-1958 √

59 19-9-1960 √
26 26-6-1993 √

79 30-6-1940 √

81 1/7/1938 √
45 22-5-1974 √

36 21-12-1983 √
32 10/3/1987 √
7 6/12/2012 √

56 1/3/1963 √ 0000276522906
48 10/2/1971 √ 0000276523086
24 7/6/1995 √
18 10/3/2001 √ 0000276523323
14 14-7-2005 √ 0000276523525
12 28-2-2007 √ 0000276525178

61 24-5-1958 √ 0000275411406
60 16-11-1959 √ 0000275411586
28 7/9/1991 √
27 13-10-1992 √
23 22-10-1996 √ 0000275412464

45 10/4/1974 √ 0000275419236
43 12/8/1976 √ 0000275419326

77 30-5-1942 √

45 10/10/1974 √
44 30-6-1975 √
19 26-8-2000 √
15 2/5/2004 √
9 23-2-2010 √
66 20-10-1953 √
65 4/6/1954 √

66 2/3/1953 √
60 20-10-1959 √
34 6/12/1985 √
25 1-7-994 √

80 13-3-1958 √ 0000275599888
61 10/11/1981 √

55 31-12-1964 √ 0001503268312
54 5/4/1965 √
26 23-4-1993 √
23 16-11-1996 √
21 21-1-1998 √
18 4/4/2001 √
16 2/4/2003 √
12 15-3-2007 √

59 10/1/1960 √
28 3/8/1991 √
26 12/3/1993 √ 0000986656713
23 12/12/1996 √ 0000986656724
21 15-10-1998 √ 0000986656724
19 18-7-2000 √ 0000986656746

60 12/7/1959 √
57 15-7-1962 √
33 30-5-1986 √
31 1/4/1988 √
28 17-9-1991 √
26 9/2/1993 √
24 27-7-1995 √
22 6/6/1997 √
20 19-10-1999 √

32 12/11/1987 √
28 21-12-1991 √

44 28-8-1975 √
38 27-3-1981 √

37 10/10/1982 √
33 24-4-1986 √
7 7/6/2012 √

57 15-3-1962 √
58 15-4-1961 √
30 29-9-1989 √
27 2/7/1992 √
22 26-2-1997 √
19 13-7-2000 √

79 5/10/1940 √

62 1/1/1957 √
41 9/12/1978 √

79 4/5/1940 √ 0000275831447
46 2/10/1973 √
23 18-12-1996 √
20 4/5/1999 √
19 10/5/2000 √

40 14-12-1979 √
25 6/1/1994 √
6 19-4-2013 √
4 1/10/2015 √

38 7/9/1981 √
34 16-10-1985 √
7 8/8/2012 √
4 26-10-2015 √

76 30-6-1943 √

54 30-12-1965 √
50 19-12-1969 √
18 9/10/2001 √
14 1/8/2005 √
11 10/5/2008 √

46 1/1/1973 √
45 23-3-1974 √
19 25-6-2000 √
17 25-7-2002 √
10 11/10/2009 √
58 16-5-1961 √

35 22-7-1984 √ 0000275426908
31 3/4/1998 √ 0000275427066
11 28-2-2008 √ 0000275427189
9 23-8-2010 √ 0000275427369
4 18-2-2015 √

55 30-6-1964 √

41 8/3/1978 √
41 5/3/1978 √
3 21-4-2016 √

77 12/1/1942 √
41 6/3/1948 √
26 17-11-1993 √

41 9/5/1978 √
58 20-4-1961 √
14 20-1-2005 √
12 4/12/2007 √
11 24-11-2008 √
8 5/6/2011 √

30 7/7/1989 √
26 26-6-1993 √ 0001246076998
59 19-9-1960 √
 DATA PENDUDUK KORONG KP.SURAU TA
PUSKESMAS AMPALU

NO NO KK NAMA PENDUDUK/ANGGOTA NO NIK

1 1305052510100045 HENDRI YADI 1305050107800005
RATNA DEWI 1305054505800002
RAMADANIL 1305050711020001
DERI RAMADHANI 1305051511030001
GUSTI RANDA 1305051808060001
RENTIA SEFRIANTI 1305054709100002
ARDIANSYAH
ANDRO F.

2 1305052604180001 HENDRA 1377040303750003

DELVITRI SUSANTI 1377044207840001
RADJA HAYFIKRI 1377040911110001
ARJUNA WIJAYA 1305051706150003
FANGERAN FILDAN FILKO 1305052610180001

3 1305050311100021 AFRIZAL 1305051705760003

YUSNANI 1305054403750001
FITRI AFRIYANI PUTRI 1305054301040001
TIA OKTAVIANI 1305054610080001
MUHAMMAD AFDEL 1305053005110001
KARINA ZHULILAH SARI 1305056907130001

4 1305052904150001 ALINAR 1305056208730001

RESI SYAHBER ALFITRAH 1305056812970003
FAJRI IHSAN SYAH ALAM 1305051008000005
PUTI SYAHREAN ALAWIYAH 1305055304060001
M.RAFI ALGHANI SABRI 1305050608080002
SYAFIRA ADZRA 1305054107150002
AGUSTINA 1305055108540001

5 1305050712100013 AHMAD IDRUS 1305050304700002

ELI MURNI 1305055307750001
RUSDI ARDIYANTO 1305051201980002
REZA SELVINDO 1305051201020001
ELSA REFIANA PUTRI 1305054602130001

6 1305050906120029 SYAFRIZAL 1305051708710002

ZULKAIDAH 1305054308810001
M.RAFA RASYID 1305050506130002

7 1305051403120009 AJISMAN PATOKAH 1305050506760003

ENI MARLINA 1305054908750003
RAHMAT ANUGRAH ILAHI 1305051603110001
 MUHAMMAD IHSAN 1305050709130001
ZAHARA ANANDA PUTRI 1305056605140005

8 1305051201170001 DEDI AFRIADI 1371020512880009

MAILIKA RIANTI 1305055109890001
FREDELLA DEFRIANA 1305056703170002

9 1305051605140001 ALI LB 1305120212770001

FAREL ALFAHMI 1305050209130001

10 1305050611130002 KHAMAL RAHMAN 1377012209860002

DESI NOVRI YANTI 1305055011890005
SYAKIRA ALYA DESRA 1305056601140001
ABID AQLI DESRA 1305050305150001
RIZKHA AZALIA DESRA 1305055402170001

11 1305051201100018 HENDRIZAL 1305052805710001

DEWI ASTUTI 1305055307840001
ZAHRA ANJANI PUTRI DEWI 1305054601060001
M. DWI ZIQRI 1305051608080001
MUHAMMAD ZIO 1305052106120006
ZIEZIE AQIRA 1305054508150001

12 1305050709110004 SYAMSURIZAL 1305051010710007

ELI SUARNI 1305057012770003
FEBRI LIZA MESTIKA FITRI 1305055902000002
DESRIZAL RANI FITRI 1305056712020002
SERLI MEGA RIZAL 1305056702060002
UMAIRA ZAL FITRI 1305056505090001
AISYAH ZAL FITRI 1305054209140001
LATHIFA ZAL FITRI 1305056501160001

13 1305050311100041 ELHIKA ANCE 1305051407720001

SOPYANTI 1305055005780002
RESTIVA ANNISA 1305055005780002
BAYU IRSYAD 1305050202030002
RANDU ADILAH 1305051512070002
AZZAHARA PUTRI DEWIL 1305054711120003
AFIQI QURAHMAN 1305050403150002
ROSLAN 1305054807460002
ALI MUNIR 1305051508460001

14 1305051205110004 AGUSMAN TK. LABIAH 1305051504580002

EPI NAN SARI 1305054205720001
SYAHRUL GUNAWAN 1305052006020003
FITRI YENI 1305055804040002
SUDIRMAN 1305052102710002
WENDRA NEDI 1305051911800003

15 1305052907130005 JARINI 1305057006690020

 JAHARMAN 1305053107940004
RIDWAN BUJANG 1305050911970001

16 1305050712100017 JUPRI 1305052109630001

MARENIS 1305057112670003
LINA MARIA JUWITA 1305054902010001
ELFIA MAHYUNI 1305054303050001

17 1305052008140001 HENDRI 1471110503840001

SITI HERLINA 1471115005860021
ARIL ANDRIANSYAH 1471110702080041
ELSA HERLINDA 1471116903110003
ANDRE PERDANA 1471112402120002

18 1305052306100001 ABUSANI 1305053006500025

JUNANI 1305056706620004
ERMAN 1305051209860001
SONI EPENDI 1305050907890001
ISMAEL 1305052010920001
EMA LATUNIL 1305055605950002

19 1305051006150001 ANIZAR 1305054708580001

20 1305050311100040 ABDUL MAJID 1305053112450006

ZAIYAR 1305054710530002
RHENDI REFAN 1305052005050001

21 1305052003120005 AMRIL 1305050606690006

LINDAWATI 1305056506730001
ABDUL HAFIZ 1305051707970003
SYELVI ANDRIANI 1305055803000001
NOVI ANDRIANI 1305054308020001
MUHAMAD IQBAL FAIRUS 1305052503090001

22 1305051201100017 EDI KURNIADI 1305053112750003

RAMADANIL 1305056408760001
M. ILHAM KURNIA 1305051712980001
NURUL ANISA 1305054811030001
RAHMATUL NAYLA 1305055509090001
SUPIK 1305055111730002
HAFIZAH

23 1305051903120020 DRS. FAISAL 1305051204640003

ELLY,S.Ag 1305054408680003
MUHAMAD TAUFIQUR RAHMAN 1305052108000002
MUHAMAD FAUZAN SULTHAN 1305051411020001
QURRATA A YUNI ELVA 1305053101070002
SA DAH 1305054101470003

24 1305051304100006 DAREMI 1305051805500001

 RIFDAWATI 1305055306580001
AGUSMAN 1305051608850003
GUSMIDAWATI 1305054611900001
SYAHRUL RAMADHAN 1305050304930001
AMELIA FRANSISKA 1305055004950002
SILVY MEISY SARASWATI 1305054705970001
EMI MALINA 1305056407990002
EMA MALINI 1305056407990003

25 1305050712100016 CIK ANI 1305057006310015

BY.KAMIS 1305050611690001

26 1305051205100009 DARNIS 1305055008510001

ASRIL JONI 1305051401820001
ZAHRA ANJANI PUTRI DEWI 1305054601060002
MUHAMMAD DWI ZIQRI 1305051608080002

27 1305051006150002 BASARUDIN 1305051606780006

LENA AISYAH 1305056601820001

28 1305052906120026 BACHTIAR 1305053006490038

WELNALDI 1305051607810002
PERIANTO 1305051208920002

29 1305052911110016 ANDRI AFRIALDI 1305051104710001

MAYUNIS 1305054705770002
DIMAS ARI 1305050701030002
FIDYATUL HUSNA 1305056212030001
FUAD DAHLAN 1305052212070001
NESA MIFTAHUR RAHMAH 1305056005120002

30 1305052409100008 ALI LUWIS 1305052602520001

NURBIMA 1305055402560001
ISKANDAR 1305051103850001
AZI NARMIT 1305051708860004
SYAFRIZAL 1305050308900001
ELLY MARNI 1305052603940001

31 1305050712100035 AMINAH 1305057006380025

ZULAINI 1305050307720001
LISA ULANDARI 1305054105930004
RIRI PUSPITA SARI 1305055903940001

32 1305050712100034 ANASLIM 1305053006580046

ELI SULASTRIANI 1305054709670002
MUHAMMAD ILHAM KURNIADI 1305051712990001

33 1305052712100016 AZWAR 1305050709800002

DEWI YULIANI 1305056007830001
ARIES AZWAR SAPUTRA 1305050108090001
34 1305051811110011 ALI MUNIR 1305051009690005
JAPINAR 1305054808730002
SARI HARNI 1305054211950003
VIVI HARTINI 1305056302980001
RISKA PUTRI HANDAYANI 1305054208000003
M. ALFARIZI 1305051111090003

35 1305050507100030 AFRIZAL 1305050610670001

YUSNAITI 1305054407710001
AHMAD SYUKRI 1305052107030001

36 1305050306100022 AGUS SALIM 1305050402550001

RAMUNI 1305054504540001
NOVITRI YANTI 1305056006830002
IRMAN 1305051011850001
RIZA RAMADHANI 1305056204880001
ANISA NURUL SHANTI 1305054112950002

37 1305050701100013 ZULKIFLI 1305050701650001

AMNA 1305056902600001
ZULFIANDRIANA 1305056411920002
ZULFIRANDA GILANG PERDANA 1305052408940001
RANTI MULINA SAFITRI 1305056207970001

38 1305050906120028 YANUAR 1305050301780001

ERMALENI 1305056907840002

39 1305050309130002 SYAFRIANTO 1305130606860003

NOVITRIANA 1305054411860001
MAZAYA ADWA NAVISYA 1305054909130001

40 1305050507100026 SUARDI P 1305052005630001

MARIANI 1305054206680001
NURUMA 1305055306460001
AFRIADI 1305051109910002
NURUL AZMI

41 1305052510100047 SUKIRMAN 1305050411660001

ERMI YATI 1305054709710001
AFRINDO 1305052304890001
NURASNI DEVI 1305056307970002
DIANA RANTI SANTIKA 1305054905050002
PANJI SALPUTRA 1305051910070001

42 130505230610002 SYAFRUDDIN 1305052208680001

YURNALIS 1305055201690001
YOGI SYAPUTRA 1305050701960002
ELSA MUTIA 1305056111980001
ZIKRI RAFIKI 1305050707050001
 MUHAMMAD HAFIZAN 1305050303080001

43 1305050311100034 SYAMSUMAR 1305053006570029

NURBAITI 1305055710580001

44 1305053105100008 SUPARMAN 1305052506610001

KALEK 1305054209640002
FIRMANSYAH 1305052904930001
FERDIANSYAH 1305051606960003
MUHAMMAD FERDIAN 1305050903010002
QALNIPAR ALDI 1305052609050001
NURDENI 1305057006350021

45 1305050311100039 SAILAR 1305051203490002

SITI JABUDAH 1305055607540001

46 1305050712100030 SYAFEI F. 1305051209480001

DAHNIAR 1305054606490002
SYAFNI HENDRA 1305052105890001

47 1305052405100009 RAMBUN 1305050803500002

NURLAILI 1305055109540001
BUDI ANDRI 1305051307800002
DEDI IRWAN 1305052203840002
LUSI MARLINA 1305054202860001

48 1305050712100045 RAZALI 1305052709650001

SUMIARTI 1305056709620001
RUDI ZALMI 1305052109860001
MAILIKA RIANTI 1305055109890001
LIZA MARNI YULIS 1305056706930001
NURHEMIZA 1305056506990002
NURHENIZA 1305056506990001

49 1305052906100014 ROSLI 1305051008600002

ASMANIDAR 1305055011630001
ROZALIA 1305055305940002
SALSA BILLA 1305055709030001

50 1305051507100005 ROSMANI 1305054606660008

RONALDI 1305050901980002

51 1305050712100046 PAMILUS AZWAR 1305052706710001

ZUHINAR 1305054706640004
MUHAMMAD AULIA LUNAR 1305053008950001
FUADIL HULUM 1305051301970001
AL FARUQ FITRAH 1305050201020002
MUHAMMAD RIDHO 1305052801970005

52 1305050311100042 NURBAI 1305055403560001

 YONEDI 1305051008840004
PADRI 1305050610860002
LISSALMI 1305054406930001
AINSYAH 1305056111370001

53 1305051805100003 NURHAYATI 1305057006550038

54 1305050309100014 NURIZAL 1305051210650001

IDARIANI 1305054403690001
IRA NURIDA PUTRI 1305054910940001
VIA RAHMAIYUNI 1305056005960004
INDAH PERMATA SARI 1305057107990001
RAHMAT SYUKRI 1305050901030002
ISRA BUDIMAN 1305051408040001
NUR AINI RAMADHAN 1305056808100001

55 1305053011150003 NUR ALI 1305054404630001

M. AIDIL 1305052306940002

56 1305050507100025 MHD. NUR 1305051903620001

SURNIATI 1305055603580001
NEFRI DEWI YANTI 1305056611960001

57 1305050302100018 RABIMAN 1305055104540001

NOVRIADI 1305050111870001
MIRA 1305055401950001

58 1305052706140002 MAWARNI 1305055807650002

ANDI GUSMAN 1305053011830002
AFRIZAL 1305050604900003
RIA JUNIFA 1305054806970002
ZAKHIATUL ILMAH 1305051806990001
MUHAMAD PAJRI 1305052110030002

59 1305051309110008 MALI 1305051206540001

YARLIS 1305055009590002
AKMAL FIRDAUS 1305052503030001

60 1305051711150001 MOH NASRIN 1305053112650008

MURMIATI 1305056005640002

61 1305050311100036 MAWARNI 1305055508610001

FITRI GUSTINA 1305057008900003
PENDI SATRIA 1305051708930004

62 1305052510100051 LIAN 1305057006400045

IRFANDI 1305051010960002
RISKI ALI KHAN 1305051008020001

63 1305052707100015 KAJO 1305052408450001

 JASMANI 1305054509500001
AGUSMAN 1305050801720001
MARDIANTO 1305052402880001
NURFADILAL 1305050402930003

64 1305050712100014 JAMINAN 1305055106350001

SUDIRMAN 1305050101650004
AMRIL 1305050606690003

JUMLAH LAKI-LAKI : 147

JUMLAH PEREMPUAN : 142
RONG KP.SURAU TAHUN 2019
SMAS AMPALU

UMUR TGL LAHIR LK PR NO BPJS

39 1/7/1980 √
39 5/5/1980 √
17 7/11/2002 √
16 15-11-2003 √
13 18-8-2006 √
9 7/9/2010 √
6 19-4-2013 √
5 15-10-2014 √

44 3/3/1975 √
35 2/7/1984 √
8 9/11/2011 √
4 17-6-2015 √
1 26-10-2018 √

43 17-5-1976 √
44 4/3/1975 √
15 3/1/2004 √
11 6/10/2008 √
8 30-5-2011 √
6 29-7-2013 √

46 22-8-1973 √ 0001859505153
22 28-12-1997 √ 0001859506817
19 10/8/2000 √ 0001859508775
13 13-4-2006 √ 0001859510452
11 6/8/2008 √ 0001859513681
4 1/7/2015 √ 0001859518833
65 11/8/1954 √ 0001859515694

49 4/3/1970 √ 0000274537855
44 13-7-1975 √ 0000274538676
21 12/1/1998 √ 0000274538766
17 12/1/2002 √ 0000274539295
6 6/2/2013 √

48 17-8-1971 √
38 3/8/1981 √
6 5/6/2013 √

43 5/6/1976 √
44 9/8/1975 √
8 16-3-2011 √
6 7/9/2013 √
5 26-6-2014 √

31 5/12/1988 √
30 11/9/1989 √
2 27-3-2017 √

42 2/12/1977 √
6 2/9/2013 √

33 22-9-1986 √
30 10/11/1989 √
5 26-1-2014 √
4 3/5/2015 √
2 14-2-2017 √

48 28-5-1971 √
35 13-7-1984 √
13 6/1/2006 √
11 16-8-2008 √
7 21-6-2012 √
4 5/8/2015 √

48 10/10/1971 √
42 30-12-1977 √
19 19-2-2000 √
17 27-12-2002 √
13 27-2-2006 √
10 25-5-2009 √
5 2/9/2014 √
3 25-1-2016 √

47 14-7-1972 √
41 10/5/1978 √
19 5/4/2000 √ 0001246073771
16 2/2/2003 √
12 15-12-2007 √
7 7/11/2012 √
4 4/3/2015 √
73 8/7/1946 √
73 15-8-1946 √

60 15-4-1958 √
47 2/5/1972 √
17 20-6-2002 √
15 18-4-2004 √
48 21-2-1971 √
39 19-11-1980 √

51 30-6-1968 √ 0000275729769
25 31-7-1994 √ 0000275729916
22 9/11/1997 √ 0000275729949

56 21-9-1963 √ 0000276497133
52 31-12-1967 √ 0000276498235
18 9/2/2001 √ 0000276501238
14 3/3/2005 √ 0000276501317

35 5/3/1984 √
33 10/5/1986 √
11 7/2/2008 √
8 29-3-2011 √
7 24-2-2012 √

69 30-6-1950 √ 0000276347665
57 27-6-1962 √ 0000276348688
33 12/9/1986 √
30 9/7/1989 √
27 20-10-1992 √ 0000276349364
24 16-5-1995 √ 0000276350286

61 7/8/1958 √

74 31-12-1945 √ 0001245187359
56 7/10/1953 √
14 20-5-2005 √

50 6/6/1969 √ 0000274717293
46 25-6-1973 √ 0000274718081
22 17-7-1997 √ 0000274718665
19 18-3-2000 √ 0000274718722
17 3/8/2002 √ 0000274718834
10 25-3-2009 √ 0000274720296

44 31-12-1975 √
43 24-8-1976 √
21 17-12-1998 √
16 8/11/2003 √
10 15-9-2009 √
46 Nov-73 √
4 23-7-2015 √

55 12/4/1964 √
51 4/8/1968 √
19 21-8-2000 √
17 14-11-2002 √
12 31-1-2007 √
72 1/1/1947 √

69 18-5-1950 √
61 13-6-1958 √
34 16-81985 √
29 6/11/1990 √
26 3/4/1993 √
24 10/4/1995 √
22 7/5/1997 √ 0001246077178
20 24-7-1999 √ 0001245879821
20 24-7-1999 √

88 30-6-1931 √
50 6/11/1969 √ 0001245190397

68 10/8/1951 √ 0000275588616
37 14-1-1982 √
13 6/1/2006 √ 0000275589876
11 16-8-2008 √ 0000275589911

41 16-6-1978 √ 0000276471685
37 26-1-1982 √ 0000276471729

70 30-6-1949 √
38 16-7-1981 √
27 12/8/1992 √

48 11/4/1971 √
42 7/5/1977 √
16 7/1/2003 √
16 22-12-2003 √
12 22-12-2007 √
7 20-5-2012 √

67 26-2-1952 √
63 14-2-1956 √
34 11/3/1985 √
33 17-8-1986 √
29 3/8/1990 √
25 27-12-1994 √

81 30-6-1938 √ 0000986654452
47 23-7-1972 √ 0000986654474
26 1/5/1993 √ 0000986654485
24 19-3-1994 √ 0000986654496

61 √
52 √ 0001245878649
20 √

39 7/9/1980 √ 0000275832099
36 20-7-1983 √ 0000275832101
10 1/8/2009 √ 0000275832112
60 10/9/1969 √
46 8/8/1973 √ 0000275760099
24 2/11/1995 √ 0000275761449
21 23-2-1998 √ 0000275761956
19 2/8/2000 √ 0000275762518
10 11/11/2009 √ 0000275763025

52 6/10/1967 √
48 4/7/1971 √ 0001246083614
16 21-7-2003 √

64 4/2/1955 √ 0001245866848
65 5/4/1954 √
36 20-6-1983 √
34 10/11/1985 √
31 22-4-1988 √
24 1/12/1995 √

54 7/1/1965 √
59 29-2-1960 √
27 24-11-1992 √
25 24-8-1994 √
22 22-7-1997 √

41 3/1/1978 √
35 29-7-1984 √

33 6/6/1936 √
33 4/11/1986 √
6 9/9/2013 √

56 20-5-1963 √
51 2/6/1968 √
73 13-6-1946 √ 0000986656858
28 11/9/1991 √ 0000986656869
21 5/3/1998 √ 0000986656893

53 4/11/1966 √
48 7/9/1971 √
30 23-4-1989 √
22 23-7-1997 √
14 9/5/2005 √
12 19-10-2007 √

51 22-08-1968 √ 0000986657084
50 12/1/1969 √ 0000986657095
23 7/1/1996 √ 0000986657106
21 21-11-1998 √ 0000986657117
14 7/7/2005 √ 0000986657128
11 3/3/2008 √ 0000986657139

62 30-6-1957 √ 0001245193299
61 17-10-1958 √

58 25-6-1961 √ 0000274632107
55 2/9/1964 √ 0000274632208
26 29-4-1993 √ 0000274632917
23 16-6-1996 √ 0000274632996
18 9/3/2001 √ 0000274633064
14 26-3-2005 √ 0000274633108
84 30-6-1935 √ 0000274633446

70 12/3/1949 √ 0000275831976
65 16-7-1954 √ 0000275831987

71 12/9/1948 √
70 6/6/1949 √
30 21-5-1989 √

69 8/3/1950 √
65 11/9/1954 √
39 13-7-1980 √
35 22-3-1984 √
33 2/2/1986 √

54 27-9-1965 √ 0000275615706
57 27-9-1962 √ 0000275615741
33 21-9-1986 √ 0000275615864
30 11/9/1989 √ 0000275615886
26 27-6-1993 √ 0000275616055
20 25-6-1999 √ 0000275617721
20 25-6-1999 √ 0000275618171

59 10/8/1960 √ 0000275768919
56 10/11/1963 √ 0000275769189
25 13-5-1994 √ 0000275769988
16 15-9-2003 √ 0000275770394

53 6/6/1966 √
21 9/1/1998 √

48 27-6-1971 √
55 7/6/1964 √
24 30-8-1995 √
22 13-1-1997 √
17 2/1/2002 √
22 28-1-1997 √

63 14-3-1956 √
35 10/8/1984 √
33 6/10/1986 √
26 4/6/1993 √
82 21-11-1937 √

64 30-6-1955 √

54 12/10/1965 √
50 4/3/1969 √
25 9/10/1994 √
23 30-5-1996 √
20 31-7-1999 √
16 9/1/2003 √
15 14-8-2004 √
9 28-8-2010 √

56 4/4/1963 √
25 23-6-1994 √

67 19-3-1952 √ 0000275832279
61 16-3-1958 √ 0000275832281
23 26-11-1996 √

65 11/4/1954 √
32 1/11/1987 √
24 14-1-1995 √

54 18-7-1965 √
36 30-11-1983 √
29 6/4/1990 √
22 8/6/1997 √
20 18-6-1999 √
16 21-10-2003 √

65 12/6/1954 √
60 10/9/1959 √
16 25-3-2003 √

54 31-12-1965 √
55 20-5-1964 √

58 15-8-1961 √
29 30-8-1993 √
26 17-8-1993 √

79 30-6-1940 √ 0000275830964
23 10/10/1996 √ 0000275830975
17 10/8/2002 √ 0000275830986

74 24-8-1945 √ 0000986656206
69 5/9/1950 √ 0000986656217
47 8/1/1972 √
31 24-2-1988 √
26 4/2/1993 √

84 11/6/1935 √
54 1/1/1965 √
50 6/6/1969 √
 DATA IBU HAMIL KORONG LANSANO DAN KP. SURAU TAH
PUSKESMAS AMPALU

NO NAMA IBU HAMIL NIK NAMA SUAMI NIK

1
2.
3.
4.

JUMLAH
ANSANO DAN KP. SURAU TAHUN 2020
SMAS AMPALU

TGL LAHIR IBU GPAH RESTI NON HPHT TP NO BPJS

ALAMAT
 DATA PUS KORONG LANSANO TAHUN 2020
PUSKESMAS AMPALU

KONTRASEPSI YANG D
NO NAMA PUS NIK JUMLAH ANAK
PIL SUNTIK IMPLAN
1 RIKI ANDIKI PERIANDI 1305051011830001 3
RINA TRISNAWATI 1305055507870001

2 AULIA 1305050304770002 3
KASMI JUNITA 1305055503820001

3 ZAKIRMAN 1305140808920001 1
DINDA PUTRI UTAMI 3176056807960003

4 JON HENDRI 1305051304800001 1

ELFINA 1305055605830001

5 EFRIZAL 1305051412780001 2
RISKI SANTI 1377014601940004

6 BUDI AKMAL 1377012107820001 2

EVA EFRIANTI 1305055011860003

7 ERISWANDI 1376021006830001 1
LINDA LEGIA 1376024710840002

8 ROZIANTO 1305050107750002 3
FITRI HARYANI 1305056509760001

9 ROBY EDRIANTO 1305052309830001 2

MIRA WATI 1305055209850003

10 RUDY HERMANSYAH 1305050703790001 1

MERI ASTUTI 1305055712860002

11 SYAIFUL 1305050103790001 1
EVA SUSANTI 1305055405830001

12 NURLISMAN EFENDI 1305092909740001 1

RESMI YANTI 1305095205840002

13 BUDI ISKANDAR 1305052303790001 4

LENI DIANA 1305055505830001

14 ABDUL RAHMAN 1377022705870001 2

RIA ROZA 1305055002870001
15 ALI BAKAR 1305053012840001 4
RATNA JUITA 1305055604910001

16 TRIYONO AKBAR 3175100610930004 1

AYU LESTARI 1305054107940001

17 AGUSRIALDI 1305053108840001 1
LIDYA 1302075210860001

18 MASRIANTO 1377032112830003 1
ASNIMAR 1305055003870001

19 INDRA 1305051004740002
ISMIRITA 1305055206760002

20 DEDI HERMAN 1305051010740002 3

LINA MARNI 1305057006750002

21 NOVRIAL 1377031211970002
RINI HARIANTATI 1305056112910001

22 JIMMI 1305052808750001
ERLIN SUSANTI 1305056703810001

23 ALI MUNIR 1305051010820003 1

MARDIANIS 1305056404860006

24 EFRIZAL 1305051412790001 2
RISKI SANTI 1305054601940001

25 HARDIMAN 1305050709810001 2
RIKA FITRIA 1305055610850003

26 DEDI PUTRA 1305052207840001 3

DERINA MILA SARI 1305054304880001

27 PERI ZUL 1305050803780002 1

DESI MARLINA 1305054503780001

28 WENDRI PUTRA 1377010707890002 1

SESTINA UZILIANI 1305056606930002

29 ARLISON 1305050206740002 5
SYAFRIYENNI 1305054210730003

30 EFFENDI 1305050404730001 3
 HERAWATI 1305054712800001

31 SYAFRIJON 1305051410680001 4
DESMIATI 1305055012790002

32 ST. MERRY 1305050808640002 3

ERDAYANTI 1305054908750001

33 ZAINUDIN 1305050610680001 4
DASMARNI 1305054606760002

34 SYAHRIL 1305050501720001 5
YENNI 1305055207770001

35 YOSRIZAL 1305052912700001 2
ASNIMAR 1305054501770001

36 EFRIZAL 1305051412780001 2
RISKI SANTI 1377014601940004

37 MULYADI 1305050405700002 4
TETI MAWARNI 1305054112750001

38 RISWAN 1305052512730001 4
TASMAWATI 1305054604740003

39 NASRUL 1305050605670002 3
RISNAWATI 1305056202750002

40 ADATMAN AKBAR 1305050101730002 4

ERMIDA 1305056303740001

DATA PUS KORONG KP.SURAU TAHUN 2020

PUSKESMAS AMPALU

KONTRASEPSI YANG D
NO NAMA PUS NIK JUMLAH ANAK
PIL SUNTIK IMPLAN
1 HENDRI YADI 1305050107800005 6
RATNA DEWI 1305054505800002

2 HENDRA 1377040303750003 3
DELVITRI SUSANTI 1377044207840001
3 AFRIZAL 1305051705760003 4
YUSNANI 1305054403750001

4 AJISMAN PATOKAH 1305050506760003 3

ENI MARLINA 1305054908750003

5 DEDI AFRIADI 1371020512880009 1

MAILIKA RIANTI 1305055109890001

6 KHAMAL RAHMAN 1377012209860002 3

DESI NOVRI YANTI 1305055011890005

7 HENDRI 1471110503840001 3
SITI HERLINA 1471115005860021

8 EDI KURNIADI 1305053112750003 5

RAMADANIL 1305056408760001

9 BASARUDIN 1305051606780006
LENA AISYAH 1305056601820001

10 AZWAR 1305050709800002 1
DEWI YULIANI 1305056007830001

11 YANUAR 1305050301780001
ERMALENI 1305056907840002

12 SYAFRIANTO 1305130606860003 1
NOVITRIANA 1305054411860001

13 AHMAD IDRUS 1305050304700002 3

ELI MURNI 1305055307750001

14 SYAFRIZAL 1305051708710002 1
ZULKAIDAH 1305054308810001

15 HENDRIZAL 1305052805710001 4
DEWI ASTUTI 1305055307840001

16 SYAMSURIZAL 1305051010710007 6
ELI SUARNI 1305057012770003

17 ELHIKA ANCE 1305051407720001 5

SOPYANTI 1305055005780002

18 ANDRI AFRIALDI 1305051104710001 4

MAYUNIS 1305054705770002
2020

KONTRASEPSI YANG DI PAKAI

IUD MOW MOP KONDOM
2020

KONTRASEPSI YANG DI PAKAI

IUD MOW MOP KONDOM
 DATA IBU BERSALIN KORONG LANSANO TAHUN 2
PUSKESMAS AMPALU

NO NAMA IBU BERSALIN NIK NAMA SUAMI KELAHIRAN KE

LANSANO
1
2
3
4
5
JUMLAH

KP.SURAU
1
2
3
4
JUMLAH
 ORONG LANSANO TAHUN 2020
ESMAS AMPALU

TGL MELAHIRKAN GPAH RESTI NON NO BPJS

 DATA IBU NIFAS KORONG LANSANO TAHUN 202
PUSKESMAS AMPALU

NO NAMA IBU NIFAS NIK NAMA SUAMI KELAHIRAN KE

LANSANO
1
2

JUMLAH

KP.SURAU
1
2
3
4
JUMLAH
ORONG LANSANO TAHUN 2020
KESMAS AMPALU

TGL MELAHIRKAN GPAH RESTI NON RESTI NO BPJS

 DATA IBU MENYUSUI KORONG LANSANO TAHUN 20
PUSKESMAS AMPALU

NO NAMA IBU MENYUSUI NIK IBU NAMA ANAK

1 NURJUNALIS 1305054505930000 ARSYAD ARDIANS
2 RINA T. 1305055507870001 ARKA
3 DESI S. 1305124812870001 M.KIFLI
4 FATNA DEWI 1305055803930001 ASYILA
5 RATNA JUITA 1305055604910001 PUTRI RAMADANI
6 ERDAYANTI 1305054908750001 M. RIDWAN
7 LIDYA 1302075210860001 AZZAHRA LITANI
8 HERAWATI 1305054712800001 AFKARI FATHAN
9 KASMI JUNITA 1305055503820001 A. AULIA MAJID
10 MEGA PUTRI J 2171095101939006 M. GIBRAN A.
11 SESTI N. 1305056606930002 ASSYABIYA AISYA
12 LINNA 1302104907940001 KEINARA A.E.
13 RIKA F. 1305055610850003 M. GAVIN
14 MISRAWATI 1305055708850007 FHADILAN E.
15 YENNI 1305050501720001 APRILLA
16 GUSNITA SARI 1305054908940001 NURDHIFA CINTA S.
17 ERA SUSANTI 1305055407880007 RANGGA SALIANDRA P.
18 LENI DIANA 1305055505830001 AJIB DERMAWAN

DATA IBU MENYUSUI KORONG KP.SURAU TAHUN 20

PUSKESMAS AMPALU

NO NAMA IBU MENYUSUI NIK IBU NAMA ANAK

1 M. YUSUF
2 PANGERAN
3 NAUREN
4 KEYSHA
5 PUTRI ALYANA
6 NADIATUL SUCI A.
7 FATIMAH AZZAHRA
8 ZAIM AKRAMUL
USUI KORONG LANSANO TAHUN 2020
PUSKESMAS AMPALU

NIK ANAK TGL LAHIR ANAK NO BPJS IBU NO BPJS ANAK

4/2/2018
14/2/2018
5/3/2018
30/4/2018
26/5/2018
25/6/2018
17/9/2018
1305052109180001 21/9/2018
17/12/2018
1305052309180001 23/9/2018
7/4/2019
20/3/2019
23/4/2019
24/4/2019
9/6/2019
4/6/2019
8/7/2019
9/8/2019

USUI KORONG KP.SURAU TAHUN 2020

PUSKESMAS AMPALU

NIK ANAK TGL LAHIR ANAK NO BPJS IBU NO BPJS ANAK

1/8/2018
26/10/2018
4/5/2019
2/6/2019
26/6/2019
20-5-2019
27/8/2019
2/9/2019
 DATA BALITA KORONG LANSANO TAHUN 2020
PUSKESMAS AMPALU

BAYI ( 0-1 TH ) BADUTA ( 1-2 TH )

NO NAMA BALITA TGL LAHIR NIK
LK PR LK
1 ZAHIRA 27-12-2014 317510671214005
2 M. AFFAREL 18-2-2015
3 ALDRIGE FRIZ 2/3/2015 1305050203150001
4 FAIZAN AKBAR 2/7/2015 1305050207150002
5 IRVAN ANANDA 2/8/2015 1305050208150001
6 HADZIQ AZKA 17-10-2015 1377041710150001
7 DANU 26-10-2015 1305052610150002
8 FAJRI MADANI 1/12/2015 1305051711150001
9 YUSUF ABDULAH 30-12-2015 1305052912150001
10 M.RIFKI A. 26-1-2016
11 M. SABILAH R 21-4-2016 1305052104160001
12 ZAHARA 18-5-2016 1305055805160002
13 M. AZZAM 13-7-2016 1305051307160001
14 GAFRIEL AIDIL 15-9-2016 1305051509160004
15 AQILLA ERZA 25-12-2016
16 ADIVA YASNA V. 5/10/2017 1305054510170001
17 DIANA EFRIANTI 19-10-2017 1305055910170001
18 ARSYAD ARDIANS 4/2/2018 √
19 ARKA 14-2-2018 √
20 M.KIFLI 5/3/2018 √
21 ASYILA 30-402018
22 PUTRI RAMADANI 26-5-2018
23 M. RIDWAN 25-6-2018 √
24 AZZAHRA LITANI 17-9-2018
25 AFKARI FATHAN 21-9-2018 1305052109180001 √
26 A. AULIA MAJID 17-12-2018 √ √
27 M.GIBRAN A. 23-9-2018 1305052309180001 √
28 ASSYABIYA AISYA 7/4/2019 √
29 KEINARA A. E 20-3-2019 √
30 M. GAVIN 23-4-2019 √
31 FADHILAN E. 24-4-2019 √
32 APRILIA 9/6/2019 √
33 NURDHIFA CINTA S 4/6/2019 √
34 RANGGA SALIANDRA 8/7/2019 √
35 AJIB DERMAWAN 9/8/2019 √

DATA BALITA KORONG KP.SURAU TAHUN 2020

PUSKESMAS AMPALU

BAYI ( 0-1 TH ) BADUTA ( 1-2 TH )

NO NAMA BALITA TGL LAHIR NIK
LK PR LK
 1 ALIYA DESRA 26-1-2014 1305056601140001
2 ZAHARA A.P. 22-9-2014 1305056605140005
3 ANDRO 15-10-2014
4 AFIQURAHMAN 4/3/2015 1305050403150002
5 ABID AQLI D. 3/5/2015 1305050305150001
6 ARJUNA WIJAYA 3/7/2015
7 SAFIRA AZRA 6/7/2015 1305054107150002
8 ZIEZIE AQIRA 5/8/2015 1305054508150001
9 FATAN W.R. 13-10-2015 1305051310150001
10 ZEAN 20-12-2016 1305052012160001
11 AZALIA DESRA 14-2-2017 1305055402170001
12 FREDELA D. 27-3-2017 1305056703170002
13 YONA 8/5/2017
14 M. YUSUF 1/8/2018 √ √
15 PANGERAN M. 26-10-2018 √ √
16 NAUREN M.D. 4/5/2019 √
17 KEYSHA 2/6/2019 √
18 PUTRI ALYANA 26-6-2019 √
19 NADIATUL SUCI A. 20-5-2019 √
20 FATIMAH AZZAHRA 27-8-2019 √
21 ZAIM AKRAMUL N. 2/9/2019 √
ANO TAHUN 2020
PALU

BADUTA ( 1-2 TH ) BALITA ( 2-5 TH ) PRA SEKOLAH

NO BPJS
PR LK PR LK PR
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√

√
√

RAU TAHUN 2020

PALU

BADUTA ( 1-2 TH ) BALITA ( 2-5 TH ) PRA SEKOLAH

NO BPJS
PR LK PR LK PR
 √
√
√
√
√
√
√
√
√
√
√ √
√ √
√ √
 DATA ANAK SEKOLAH SDN 29 VII KOTO SUNGAI SARIK TAHUN 2

SD KELAS 1 SD KELAS 2 SD KELAS 3

NO NAMA SISWA
LK PR LK PR LK PR
1 NABILATUSSALMA √
2 FEBI ANUGRAH PUTRI √
3 MAULANA ANUGRAH PUTRA √
4 FEBRIAN √
5 FIQOHAAR YUSRI √
6 MUHAMMAD VIKRI √
7 SHIRLY AMANDA √
8 FAISAL √
9 NELZA HAURANI √
10 SAUSAN NAURA √
11 NAJWA LATIVAH √
12 NAZIA NADA ADZANI √
13 Zen Prikarsa Shahidiq √
14 TIARA ALINA PUTRI √
15 FITRI YANI √
16 DESPITA RATNA SARI √
17 PUTRI NATASYA ZALIKHA YUYA √
18 MIFATHUL ELVIRA √
19 MUHAMMAD AKMAL IBRAR √
20 ANISA SAPARINA √
21 ANISA SAFINA PRIANDINI √
22 MIFHAL MAZUKI √
23 SRI WAHYU NINGSIH √
24 ARYAN FAJAR PRATAMA √
25 ALFAN BERNARD √
26 Aydil Rahman Saputra √
27 AAT MUHAMAD FURQAN
28 DAFINO AL FATHIR
29 PERI SAPUTRA
30 MUHAMAD IRFAN
31 SOFAN SOFIAN
32 TIARA YUSTIANA
33 DEWI SYAFITRI
34 RIFKY WIJUNA PRATAMA
35 MUHAMMAD FARDHAN
36 RAHMAT FAUZI
37 WAHYU SAPUTRA
38 Zendhyan Prakarsa Utama
39 FANESYA GUSMARDINA
40 RAHMA SYAFRIZALNI
41 FAREL HERMAN SAPUTRA
42 FEBRIANA TRIA PUTRI
43 M. ALIFVITO
44 RIFA HAMDANI
45 FITRI RAMADHANI
46 ANNAS TASYA
47 INTAN NOVITA SARI
48 SITI AISYAH
49 VALENTINO DAVID
50 RESYA PUTRI RIRA
51 YUHELSI RAMADHANI PUTRI
52 ZAHRA INDAH PUTRI
53 SATRIO HIDAYAT
54 RAHIM
55 ALHAFIZZUL FAHBIL
56 DILLA REZKI RAHMANITA
57 HARDIANSAH PEBRIANTO
58 WILDA FEBRINA SARI
59 RIVALDO ISKANDAR
60 IKO SYAFUTRA
61 ANGGA
62 ABIGAIL AMANDA VITO
63 RACEL PERDANA
64 M. DANIL
SUNGAI SARIK TAHUN 2020

SD KELAS 4 SD KELAS 5 SD KELAS 6

LK PR LK PR LK PR

√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
√
 DATA WUS KORONG LANSANO TAHUN 2020
PUSKESMAS AMPALU

WANITA USIA SUBUR

NO NAMA NIK UMUR
15-39 TH 16-49 TH
1 SYAFRIYENNI 1305054210730003 46 √
2 KHASIFAH NURAFIFAH 1305054405990002 20 √ √
3 MELLY MUTIARA SARI 1305055005000005 19 √ √
4 ERA SUSANTI 1305055407880007 31 √ √
5 HERAWATI 1305054712800001 39 √ √
6 LINA AFRIYENI 1305056704780001 42 √
7 RIKA YULIA SARI 1305056909960001 23 √ √
8 RITA SYAFRIANI 1305056102910001 28 √ √
9 RIKA NURAINI 1305055109930001 26 √ √
10 RINA WAHYU FITRI 1305054801970002 22 √ √
11 PUTRI MUHA RANI 1305054604000001 19 √ √
12 ROSPA ADIA GUSTI 1305054805020001 17 √ √
13 RINA TRISNAWATI 1305055507870001 32 √ √
14 NURJUNALIS 1305054505930001 26 √ √
15 DESMIATI 1305055012790002 40 √
16 LAILATUL BEDRIAH 1304046910990001 20 √ √
17 KASMI JUNITA 1305055503820001 37 √ √
18 RAYSHA AULIA PRAMESWARI 1305056712040001 15 √ √
19 DINDA PUTRI UTAMI 3176056807960003 23 √ √
20 ELFINA 1305055605830001 35 √ √
21 ERDAYANTI 1305054908750001 44 √
22 HIDAYATUL PUTRI 1305055211980002 21 √ √
23 SAHIDATUL FAUZIAH 1305055206010001 18 √ √
24 DASMARNI 1305054606760002 43 √
25 ROZA GUSMIARTI 1305055408000001 19 √ √
26 ERNIWATI 1305055912700001 49 √
27 RANTI SYAFRIYENI 1305055207990001 20 √
28 NADIA HARI YANTI 1305055304020001 17 √
29 DESTIRA NOVIANA 1377014712940001 25 √
30 VADILLAH HANAFIAH 1377016504040002 15 √
31 YENNI 1305055207770001 42 √
32 ASNIATI 1305054105040002 15 √
33 RESTIKA REZA 1305054403020001 17 √ √
34 ASNIMAR 1305054501770001 42 √
35 DESMITA ASRIYENI 1305054612970001 22 √ √
36 RISKI SANTI 1377014601940004 25 √ √
37 EVA EFRIANTI 1305055011860003 33 √ √
38 MISRAWATI 1305055708850007 34 √ √
39 SRIDAYATI 1305055007710001 48 √
40 RANI MANDASARI 1305055006010003 18 √ √
41 AMANDA AMELIA 1305055609040002 15 √
42 ANTIQ ATIYA 1305056105950001 24 √ √
43 LINDA LEGIA 1376024710840002 35 √ √
44 JIHAN HASANATUN FAUZIAH 1376027007040002 15 √
45 FITRI HARYANI 1305056509760001 43 √
46 MIRA WATI 1305055209850003 34 √ √
47 MERI ASTUTI 1305055712860002 33 √
48 GUSNITA SARI 1305054908940001 25 √ √
49 REVI SANIFA 1305055903000002 19 √ √
50 EVA SUSANTI 1305055405830001 36 √ √
51 MARNI 1305056102710001 48 √
52 ZULMAWATI 1305054609920001 27 √ √
53 RESMI YANTI 1305095205840002 35 √
54 TETI MAWARNI 1305054112750001 44 √
55 ELSA ELZA 1305054305930001 26 √ √
56 LENI DIANA 1305055505830001 36 √ √
57 RIA ROZA 1305055002870001 32 √ √
58 RATNA JUITA 1305055604910001 28 √ √
59 SUSI YANTI NURVIA T. 1305054103820001 37 √ √
60 AYU LESTARI 1305054107940001 25 √ √
61 TASMAWATI 1305054604740003 45 √
62 ATIKAH FILIANA 1305055405990002 20 √ √
63 LIDYA 1302075210860001 33 √
64 ERNAWATI 1305055207700002 49 √
65 FITRI NURIA SARI 1305054808000001 19 √ √
66 DEA NANDA 1305055409020001 17 √ √
67 RISNAWATI 1305056202750002 44 √
68 DESMAWATI 1305054609750001 44 √
69 HELPITA NOFRIANTI 1305055710900001 29 √ √
70 SESTINA UZILIANI 1305056606930002 26 √ √
71 MERINA KARTIKA SARI 1305056205740001 45 √
72 ASNIMAR 1305055003870001 32 √ √
73 JUNIARTI 1305055002710002 48 √
74 RINI JUNIARTI 1305054706950004 24 √ √
75 FITRI WAHYUNI 1305054709910005 28 √ √
76 EFA SOFIA 1305056210960001 23 √ √
77 ISMIRITA 1305055206760002 43 √
78 LINA MARNI 1305057006750002 44 √
79 NIA PUTRI MAHERLIN 1305054205040001 15 √
80 AYU LESTARI 1305054107940001 25 √ √
81 MITAHUL JANAH 1305055611960002 23 √ √
82 RADIYAHUL JANAH 1305054204030002 16 √ √
83 YETNA DEWITA 1305054308910001 28 √ √
84 RIZA SUSANTI 1305055212960001 23 √ √
85 FITRI YENI 1305055807000001 19 √ √
86 RENI NURUL HUSNAH 1305056707950001 24 √ √
87 NINIL KHAIRA WAHYUNI 1305054606970001 22 √ √
88 IFTA HUKJANNAH 1305055910990001 20 √ √
89 RINI HARIANTATI 1305056112910001 28 √ √
90 ERLIN SUSANTI 1305056703810001 38 √ √
91 MARDIANIS 1305056404860006 33 √ √
92 ELFITRI MARLIS 1305056602970002 22 √ √
93 SYAFRIYENNI 1305054210730001 46 √
94 KHASYIFAH NURAFIFAH 1305054405990001 20 √ √
95 MELY MUTIARA SARI 1305055005000001 19 √ √
96 RISKI SANTI 1305054601940001 25 √ √
97 RIKA FITRIA 1305055610850003 34 √ √
98 ERMAWATI 1305055912690001 50
99 ERMIDA 1305056303740001 45 √
100 DELMITA SARI 1305056506000001 19 √
101 M. ARDIAN PUTRA 1305056507020001 17 √
102 DERINA MILA SARI 1305054304880001 31 √ √
103 DESI MARLINA 1305054503780001 41 √
104 NURJANAH 1305054603480001 41 √
105 NOFET FITRIANI 1305055711930002 26 √ √
106 SESTINA UZILIANI 1305056606930002 26 √ √

DATA WUS KORONG KP.SURAU TAHUN 2020

PUSKESMAS AMPALU

WANITA USIA SUBUR

NO NAMA NIK UMUR
15-39 TH 16-49 TH
1 RATNA DEWI 1305054505800002 39 √ √
2 DELVITRI SUSANTI 1377044207840001 35 √ √
3 YUSNANI 1305054403750001 44 √
4 FITRI AFRIYANI PUTRI 1305054301040001 15 √
5 ALINAR 1305056208730001 46 √
6 RESI SYAHBER ALFITRAH 1305056812970003 22 √ √
7 ELI MURNI 1305055307750001 44 √
8 ZULKAIDAH 1305054308810001 38 √ √
9 ENI MARLINA 1305054908750003 44 √
10 MAILIKA RIANTI 1305055109890001 30 √ √
11 DESI NOVRI YANTI 1305055011890005 30 √ √
12 DEWI ASTUTI 1305055307840001 35 √ √
13 ELI SUARNI 1305057012770003 42 √
14 FEBRI LIZA MESTIKA FITRI 1305055902000002 19 √ √
15 DESRIZAL RANI FITRI 1305056712020002 17 √ √
16 SOPYANTI 1305055005780002 41 √
17 RESTIVA ANNISA 1305055005780002 19 √ √
18 EPI NAN SARI 1305054205720001 47 √
19 FITRI YENI 1305055804040002 15 √
20 LINA MARIA JUWITA 1305054902010001 18 √ √
21 SITI HERLINA 1471115005860021 33 √ √
22 EMA LATUNIL 1305055605950002 24 √ √
23 LINDAWATI 1305056506730001 46 √
24 SYELVI ANDRIANI 1305055803000001 19 √ √
25 NOVI ANDRIANI 1305054308020001 17 √ √
26 RAMADANIL 1305056408760001 43 √
27 NURUL ANISA 1305054811030001 16 √ √
28 SUPIK 1305055111730002 46 √
29 GUSMIDAWATI 1305054611900001 29 √ √
30 AMELIA FRANSISKA 1305055004950002 24 √ √
31 SILVY MEISY SARASWATI 1305054705970001 22 √ √
32 EMI MALINA 1305056407990002 20 √ √
33 EMA MALINI 1305056407990003 20 √ √
34 LENA AISYAH 1305056601820001 37 √ √
35 MAYUNIS 1305054705770002 42 √
36 FIDYATUL HUSNA 1305056212030001 16 √ √
37 ELLY MARNI 1305052603940001 25 √ √
38 ZULAINI 1305050307720001 47 √
39 LISA ULANDARI 1305054105930004 26 √ √
40 RIRI PUSPITA SARI 1305055903940001 24 √ √
41 DEWI YULIANI 1305056007830001 36 √ √
42 JAPINAR 1305054808730002 46 √
43 YUSNAITI 1305054407710001 48 √
44 NOVITRI YANTI 1305056006830002 36 √ √
45 RIZA RAMADHANI 1305056204880001 31 √ √
46 ANISA NURUL SHANTI 1305054112950002 24 √ √
47 ZULFIANDRIANA 1305056411920002 27 √ √
48 RANTI MULINA SAFITRI 1305056207970001 22 √ √
49 ERMALENI 1305056907840002 35 √ √
50 NOVITRIANA 1305054411860001 33 √ √
51 NURUL AZMI 21 √ √
52 ERMI YATI 1305054709710001 48 √
53 NURASNI DEVI 1305056307970002 22 √ √
54 YURNALIS 1305055201690001 50
55 ELSA MUTIA 1305056111980001 21 √ √
56 LUSI MARLINA 1305054202860001 33 √ √
57 MAILIKA RIANTI 1305055109890001 30 √ √
58 LIZA MARNI YULIS 1305056706930001 26 √ √
59 NURHEMIZA 1305056506990002 20 √ √
60 NURHENIZA 1305056506990001 20 √ √
61 ROZALIA 1305055305940002 25 √ √
62 SALSA BILLA 1305055709030001 16 √ √
63 LISSALMI 1305054406930001 26 √ √
64 IDARIANI 1305054403690001 50
65 IRA NURIDA PUTRI 1305054910940001 25 √ √
66 VIA RAHMAIYUNI 1305056005960004 23 √ √
67 INDAH PERMATA SARI 1305057107990001 20 √ √
68 NEFRI DEWI YANTI 1305056611960001 23 √ √
69 MIRA 1305055401950001 24 √ √
70 RIA JUNIFA 1305054806970002 22 √ √
71 ZAKHIATUL ILMAH 1305051806990001 20 √ √
72 FITRI GUSTINA 1305057008900003 29 √ √
N 2020

TA USIA SUBUR
NO BPJS
30-50 TH
√ 0000275831392
0000275831414
0000275831425
√
√ 0000275409742
√ 0000275829917
0000275375182

√
√

√
√
√

√
√
√
√

√
√

√
√

√
√

√
√

√
√

√
√
√

√
√

√
√

√
 √
√
√

√
√
√

N 2020

TA USIA SUBUR
NO BPJS
30-50 TH
√ 0000275831392
√ 0000275831414
√ 0000275831425

√ 0000275409742
0000275829917
√ 0000275375182
√
√
√
√
√
√

√
√
√

√
√
√
√
√

√
√

√
√

√
 DATA LANSIA KORONG LANSANO TAHUN 2020
PUSKESMAS AMPALU

PRA USILA ( 45-59 TH ) USILA ( 60-69 TH )

NO NAMA LANSIA NIK UMUR
LK PR LK
1 ARLISON 1305050206740002 45 √
2 SYAFRIYENNI 1305054210730003 46 √
3 EFFENDI 1305050404730001 46 √
4 KAMBARANI 1305055303650001 54 √
5 SALMAN 1305051208600003 59 √
6 YUNIMAR 1305054503670004 52 √
7 SYAFRIZAL 1305050510620001 57 √
8 ANIMAR 1305054511660001 53 √
9 SARINDUN 1305054509400001 75
10 ZANIBAR 1305056204580001 61
11 ROSMAN 1305052501570001 62
12 YUSMANIDAR 1305054103630001 56 √
13 GADIJAH 1305057006540017 65
14 SYAFRIJON 1305051410680001 51 √
15 ERMANIDAR 1305054107620006 57 √
16 BUYUNG ENEK 1305050203630001 56 √
17 SUARTI 1305056507660001 53 √
18 ZULKIFLI 1305050604540001 65 √
19 NURTINA 1305055308630001 56 √
20 ST. MERRY 1305050808640002 55 √
21 KADIRUN 1305053006550009 64 √
22 ZAINUDIN 1305050610680001 51 √
23 NURANI 1305055206480001 71
24 SYAFRUDIN 1305050605670001 52 √
25 ERNIWATI 1305055912700001 49 √
26 ERMAN 1305051003550002 64 √
27 MURNI 1305055105600001 59 √
28 AMADIN 1305052706550001 64
29 KARTINI 1305055304680001 51 √
30 ASRIL KOTO 1377011209700001 49 √
31 SYAHRIL 1305050501720001 47 √
32 MASRI R. 1305050706550001 64 √
33 ANIZAR 1305056408590001 60
34 ACAN 1305050710420001 77
35 AMINAH 1305054603450001 74
36 YOSRIZAL 1305052912700001 49 √
37 NURJANI 1305054705520001 67
38 TINUR BAYA 1305057006480041 71
39 DAIYAR ALUS 1305056901490001 70
40 TIRAU 1305057006520034 67
41 KAMUT 1305054210450001 74
42 NURMAYETI 1305055503600002 59 √
43 SARINA 1305054203480001 71
44 ALIHAR 1305053006520017 67 √
45 ASMAWATI 1305054506660001 53 √
46 DODOH 1305056807540001 55 √
47 SYAFRUDDIN 1305051009590001 60 √
48 AMBUN YANI 1305054507610001 58 √
49 KAMIL 1305050205620001 57 √
50 MURNI 1305056706650001 54 √
51 YUSUF 1305053001290001 90
52 KAMBARANI 1305055509480002 71
53 ZAINUDIN 1305051507470001 72
54 ZUWIRMAN 1305052906770001 72
55 DULAH 1305050504400001 79
56 BAIDAR 1305054108410001 78
57 BUJANG 1305053101690001 50 √
58 MARNI 1305056102710001 48 √
59 RAHMAN 1305053006550014 64 √
60 DAWARNI 1305056706570001 62
61 MAIN 1305055506360001 93
62 NURLISMAN EFENDI 1305092909740001 45 √
63 MULYADI 1305050405700002 49 √
64 TETI MAWARNI 1305054112750001 44 √
65 MANSYURDIN 1305050605540001 65 √
66 BAINAN 1305054809590001 60 √
67 NASRUL 1305052409700001 53 √
68 RISWAN 1305052512730001 46 √
69 TASMAWATI 1305054604740003 45 √
70 SARIMA 1305055212350003 84
71 SARIANI 1305057006510024 68
72 NURMALI 1305057006550022 64
73 SUARDI 1305051201700001 49 √
74 ERNAWATI 1305055207700002 49 √
75 NASRUL 1305050605670002 52 √
76 ALINURDIN 1305053006580001 51 √
77 ERMAWATI 1305056709640001 55 √
78 NURUMA 1305055704350001 84
79 ZULHAIDA 1305056806590001 61
80 RABAIYAH 1305057006420043 77
81 BUJANG 1395952497589991 61 √
82 SALIDAR 130505590960001 59 √
83 AZIMAR 1305057006400050 79
84 MANYI 1305054107380007 81
85 MERINA KARTIKA SARI 1305056205740001 45 √
86 JON KENEDI 1305050103630001 56 √
87 JUNIARTI 1305055002710002 48 √
88 SUPARDI 1305052405580002 61 √
 89 ANIMAR 1305055611590001 60
90 INDRA 1305051004740002 45 √
91 NURSYAM 1305057006420044 77
92 DEDI HERMAN 1305051010740002 45 √
93 RAMLI AKMAL 1305052010530001 66 √
94 NURMIYANTI 1305054406540002 65
95 DARMAN 1305050203530002 66 √
96 ROSMAWAR 1305056010590001 60
97 KAMBARANA 1305055303580002 80
98 RINALDI 1305051011810001 61 √
99 SAWIRMAN 1305053112640002 55 √
100 NURLIS 1305054504650001 54 √
101 TABUIK 1305052802560001 63 √
102 RAMIAN 1305055001600001 59 √
103 DARLIS 1305051207590001 60 √
104 YUSNIAR 1305055507620002 57 √
105 MUKHLIS DT.M.ENDAH 1305051503620001 57 √
106 ANIMAR A. 1305055504610001 58 √
107 ADAM SORI 1305054510400001 79
108 ARNELIS 1305054101570001 62
109 JAMILA 1305054405400001 79
110 SYAFRIYENNI 1305054210730001 46 √
111 NURMANIS 1305057006430008 76
112 EDI CANDRA 1305053012650001 54 √
113 ERMAWATI 1305055912690001 50 √
114 ADATMAN AKBAR 1305050101730002 46 √
115 ERMIDA 1305056303740001 45 √
116 DARMAWAN 1305051605610001 58 √
117 YARNIS 1305147006640003 55 √
118 LAMBUK 1305051201420001 77
119 ASNIMAR 1376036004810001 58 √
120 SALIDAR 1305055909600001 59 √

DATA LANSIA KORONG KP.SURAU TAHUN 2020

PUSKESMAS AMPALU

PRA USILA ( 45-59 TH ) USILA ( 60-69 TH )

NO NAMA LANSIA NIK UMUR
LK PR LK
1 ALINAR 1305056208730001 46 √
2 AGUSTINA 1305055108540001 65
3 AHMAD IDRUS 1305050304700002 49 √
4 SYAFRIZAL 1305051708710002 48 √
5 HENDRIZAL 1305052805710001 48 √
6 SYAMSURIZAL 1305051010710007 48 √
7 ELHIKA ANCE 1305051407720001 47 √
8 ROSLAN 1305054807460002 73
9 ALI MUNIR 1305051508460001 73
10 AGUSMAN TK. LABIAH 1305051504580002 60 √
11 EPI NAN SARI 1305054205720001 47 √
12 SUDIRMAN 1305052102710002 48 √
13 JARINI 1305057006690020 51 √
14 JUPRI 1305052109630001 56 √
15 MARENIS 1305057112670003 52 √
16 ABUSANI 1305053006500025 69 √
17 JUNANI 1305056706620004 57 √
18 ANIZAR 1305054708580001 61
19 ABDUL MAJID 1305053112450006 74
20 ZAIYAR 1305054710530002 56 √
21 AMRIL 1305050606690006 50 √
22 LINDAWATI 1305056506730001 46 √
23 SUPIK 1305055111730002 46 √
24 DRS. FAISAL 1305051204640003 55 √
25 ELLY,S.Ag 1305054408680003 51 √
26 SA DAH 1305054101470003 72
27 DAREMI 1305051805500001 69 √
28 RIFDAWATI 1305055306580001 61
29 CIK ANI 1305057006310015 88
30 BY.KAMIS 1305050611690001 50 √
31 DARNIS 1305055008510001 68
32 BACHTIAR 1305053006490038 70
33 ANDRI AFRIALDI 1305051104710001 48 √
34 ALI LUWIS 1305052602520001 67 √
35 NURBIMA 1305055402560001 63
36 AMINAH 1305057006380025 81
37 ZULAINI 1305050307720001 47 √
38 ANASLIM 1305053006580046 61 √
39 ELI SULASTRIANI 1305054709670002 52 √
40 JAPINAR 1305054808730002 46 √
41 AFRIZAL 1305050610670001 52 √
42 YUSNAITI 1305054407710001 48 √
43 AGUS SALIM 1305050402550001 64 √
44 RAMUNI 1305054504540001 65
45 ZULKIFLI 1305050701650001 54 √
46 AMNA 1305056902600001 59 √
47 SUARDI P 1305052005630001 56 √
48 MARIANI 1305054206680001 51 √
49 NURUMA 1305055306460001 73
50 SUKIRMAN 1305050411660001 53 √
51 ERMI YATI 1305054709710001 48 √
52 SYAFRUDDIN 1305052208680001 51 √
53 YURNALIS 1305055201690001 50 √
54 SYAMSUMAR 1305053006570029 62 √
55 NURBAITI 1305055710580001 61
56 SUPARMAN 1305052506610001 58 √
57 KALEK 1305054209640002 55 √
58 SAILAR 1305051203490002 70
59 SITI JABUDAH 1305055607540001 65
60 SYAFEI F. 1305051209480001 71
61 DAHNIAR 1305054606490002 70
62 RAMBUN 1305050803500002 69 √
63 NURLAILI 1305055109540001 65
64 RAZALI 1305052709650001 54 √
65 SUMIARTI 1305056709620001 57 √
66 ROSLI 1305051008600002 59 √
67 ASMANIDAR 1305055011630001 56 √
68 ROSMANI 1305054606660008 53 √
69 PAMILUS AZWAR 1305052706710001 48 √
70 ZUHINAR 1305054706640004 55 √
71 NURBAI 1305055403560001 63
72 AINSYAH 1305056111370001 82
73 NURHAYATI 1305057006550038 64
74 NURIZAL 1305051210650001 54 √
75 IDARIANI 1305054403690001 50 √
76 NUR ALI 1305054404630001 56 √
77 MHD. NUR 1305051903620001 67 √
78 SURNIATI 1305055603580001 61
79 RABIMAN 1305055104540001 65
80 MAWARNI 1305055807650002 54 √
81 MALI 1305051206540001 65
82 YARLIS 1305055009590002 60
83 MOH NASRIN 1305053112650008 54 √
84 MURMIATI 1305056005640002 55 √
85 MAWARNI 1305055508610001 58 √
86 LIAN 1305057006400045 79
87 KAJO 1305052408450001 74
88 JASMANI 1305054509500001 69
89 JAMINAN 1305055106350001 84
90 SUDIRMAN 1305050101650004 54 √
91 AMRIL 1305050606690003 50 √
N 2020

USILA ( 60-69 TH ) USILA RESTI ( > 70 TH )

PR LK PR

√
√
√

√
√
√

√
√
√
√
√
 √

√
√
√
√
√
√

√
√

√
√
√

√
√
√

√
√
 √

√
√

√
√
√

N 2020

USILA ( 60-69 TH ) USILA RESTI ( > 70 TH )

PR LK PR

√
 √
√

√
√

√
√

√
√

√
√

√
√

√
√
√
√

√
√
√

√
√

√
√

√
√
√
√